HomeMy WebLinkAbout1840 SAMAR DR - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
Ctr &CLOSTA MESA CONSTRUCTION PERMIT fRN71T N � TRACT NO. LOT NO. UNIT NO. A p # Zone
Project Address IVO � 2- ,2• W5174 mg714 M,r.� - IL-J•`/'11f11,
32,25 •� � AVE COSTA //r17+ TYPE OF CONSTRUCTION LINEW U ADD U ALTERATION ray E Main Building: Accessory Building: Z
Applicant's Mailing Address /cc� / ,a L!I REPAIR Front
Owner's Name p/CNA2 TJX✓t Phones ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T O
/` D DESCRIPTION OF WORK/USE OF BLDG. £� &OE 0e2/Z B Rear N
Address 32Z • _ //' a / /5773 44,...m 1 A I
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING U FOUNDATION STRUCTURAL C Right N
Address ❑ TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL S Left /G
Contractor's Name Phone
❑ OTHER l Ping. Ref.# Parking Req./Provided E
PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q
Address(mailing) 2d1� Planning Notes: M
CONSTRUCTION TYPE VALUATION$ T
City License No. /16 ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRALTO DECLARATION n � p n r1r q,�� )/�/�r� \
I hereby affirm that I am IlCensed under provisions of Charter 9 (commencing Remarks: MAR_OUT kl b /ie__ Po/� 4-1/ (.:.UN°-eeri _
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in full force and effect, 6Z—A13
pp r��s y�/n RE-194_2.e
�1�A 2e /I ELECTRICAL FEES
License Class License No. SLA 3J/ �L+v �J,P�J CQ/U[-/z-L/f� 3 K-�-'Df-'I�cX' 0`-� ,
Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW
OWORKERS'COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub. 0 50+ KW
I hereby affirm that I have a certificate of consent to self-Insure or a certificate -
of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps
3800 ab. C.) Backflow Preventer Service Sink
914 Sc 3Ig7097e, E >J g Dishwasher _I Meter [Dover 100 amp
P cy No. Com ny Backflow Irri anon Sewer Cap
Certified copy is hereby furnished. Dryers ❑Gas ❑Electr it Sub Panel
Certifie copfs,,is,filed with the city B Q+n is' A Bathtubs Sewer Connection
Date /0 /6 Applicant Q/1A/Z� 'G iC� Fan Motors •:-1 HP ❑1%-B
EXEMPTION ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(Thissection need not be completed If the permit Is for one hundred ($100) or —Dishwasher Solar Piping F.A.U.
less). In alar 09-75 HP 016-15+
-
I certify that in the performance of the work for which this permit is issued I Fi%tUr¢5
shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Ta Microwave
Workers' Compensation Laws of California.
Date Signature Floor Drains Swi ing Pool w/Spa Device Boxes Pole Light
NOTICE:If,after making this declaration, you should become subject to the Outlets Range
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks rival
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign
1 hereby affirm that there is a construction lending agency for the performance
of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Dispo Standing Sections
Lender's Name -
Lender's Address Kitchen Sink Water Service Generator 20.5 KW 05-15 KW Trash Compactor
OWNER BUILDER
DER DECLARATION _ -
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays
any structure, prior to its issuance,, alsolso requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drain
the Contractor's License Law(Chapter 9(commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee $15 Issue Fee $ 3
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil
e ally of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
I, as owner of the property or my employees with wages as their sole Rei spettion Fee I $15 Issue Fee $ 3 Zoning Approved By Date
, ompensation, will do the work, and the structure is not Intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL EES Building Approved By '— Date
License Law does not apply to an owner of a property who builds or improves _ -
thereon, and who does such work himself/herself or through his or her own Application Issued By a C�"J Dat: CY. . A
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SU M•.'IJIF FEES
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). BUILDING PERMIT $ 446. /- SMIP $ 1
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration em PLAN CHECK $ PERMIT
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-101 '10 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or Improves thereon. and who contracts for such oroiects with a con- —
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 'stem Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation Insurance should be provided to me. - ELECTRICAL $ GRADING $
❑ I am exempt under SectionB.& P•C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers
/ MICROFILM $
PLAN CHECK 50% $
-Date / // /
- Owner -! t v `�-./' /L- Heating System& Dustin• Registers MECHANICAL $ TOTAL FEE $ i _ —' .
I hereby cer fy that I have read t Is application and state that the above 0o-100,000 BTU 0 •1,000 BT PLAN CHECK 25%
Information is correct. I agree to comply with all city and county ordinances $
and state laws relating to building co struction,and hereby authorize repre-
sentatives of this ggpily t enter p n the above-mentioned pro rty for
Inspection purpose D /6 s� ,
Signature (I Date {V O _
Drivers' License or 55# // Re' spection Fee $15 Issue Fee $ 3 C1 Q1T[yypq)_•.a}r 95 7c"7
— - DOE': 1C/1a/i9 T7.m:
0865-46,rev. 5/88 White - Building; Canary - Applicant; pink -Accounting; Goldenrod - Assessor
! •
't CONSTRUCTION AND PLANNING ' POOL&SPA
APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector
-11. Temporary Electrical Service or Pole • 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. - 54. Forms -
4. Electrical Conduit-Undrgrnd. _ • 55. Electrical Bonding
5. Steel Reinforcement'. 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings • 58. Electrical Conduit-Undrgrnd. •. ••
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System y. 61. APPROVAL TO DECK
11:-Property Sewer Line & House Connection62. Backwash & Receptor-Final •
12. Sewer Cap • 63. Heater & Vent-Final
13. Roof Drains • 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16.' Rough Electric Wiring 67. .Fencing & Access Approval
1/7,Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19r Rough Heating & Air.Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit# •
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough &Test 72. Underground Flush
24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame'and Flashing 76. Dry Standpipe
28. Lathing & Siding • 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' 79. FINAL INSPECTION
32. Electrical Power Meter-Final. - 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final •
40. Gas Service-Final
41. Solar Domestic-Final
f
42. Backflow Preventer • ' I
43. Backflow Irrigation r
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING /00.0409--
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY / ,
No. Date
r.(r � ' D
I- .-r 'dirkEL Li !-
!'
14096 f;:AR 201 9
COSTA MESA BUILDING-SAFETY DEPARTMENT v.IVAI�CE DEPT.
P. O. BOX 517 COSTA MESA. CALIFORNIA
•
A
For Applicant to Fill In Completely CITY Of COSTA PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 1840 Samar Drive
COSTA MESA. CALIFORNIA For Office Use Only
OWNER Carl age Ranches Inc• I RECEIPT NO. It
nPCRY1T Jlp.
MAIL .7 RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS PO Box (83 � I .'3'''0-6/ .nrd
"In" .. v ......
CITY Costa Mcsa,Cal if. N0. Ti 8778; BAA�DIRT SS
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER '2.Levans NO. 0r370� L1( FIRE
/ /bet ADDRESS 3432 Vie nparto Ypt .BCh . ZONE TYPE /. GROUP '.( be
CONTRACTOR Carriage Constrileti nn On BYPROVED DATE J///
ADDRESS 119 CR hr.! lin Strant ZONING
ZONE I NO.OF I USE OF NEW Sing1 Iam.
CITY Caste Mess ,Califnrnia R-1 Pu"B 2 BUILDING / att Bar,
LIC.TE TEL.NO. 185126 NO. Ti, R-7783 LEGAL DL.. L 1380I DESCRIPTION Lot 6], Ila[`
OF LOT SIZE
80 T W x 1001 lgth J NO. OP SLOGS. —
O NOW ON LOT - A.P.NO. none
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.) _
CENTER OF STREET 30
1 REAR YARD 39{ FRONT S )- FT. IN.
SIDE YARD I LEFT 7 T IN I RIGHT 7 R.SIDE T. / IN.
DESCRIPTION OF WOR 7
L.SIDE FT. / IN.
NEW I T7TII ALTERATION I II ADDITION I REAR `j 3 y FT. IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED
BY W. T, TIL-' 1
SDATE 3_20_6BZE.DING ROOMS 10 STORIES 2
2688 oq.ft .
EXTERIOR WALL I ROOF
COVERING '� ,uenn COVERING cdT shgle
USE OF BUIL 1 G A WORK TO BE PERFOR D shgle
- 2688 Rn.ft.
garage - 456 sq.ft.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUIIDINO CONSTRUCTION. VALUATION '/
SIGNATURE OF ^,., PERMIT FEE 5 `7 6. 6-0 N
PERMITTEE CHT 10g. L.cnstr.Co. D
\ $ 2L 810.00 PLAN CHECK $ ,2 3. i
AUTHORIZED AGENT IN,./4
, 6
--O m
TOTAL FEE $ 6 7. O
n