HomeMy WebLinkAbout1847 SAMAR DR - Building Permits PROJECT ADDRESS: 1847 SAMAR DR UNIT. CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 053625
ADDRESS:D
OWNER'S FILET FERDINAND W
AMS: 1847 S�AMAR DR PERMIT NO: P 053625 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
ARCNIENGINEER: 546-0225 REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : REPLACE WATER HEATER SQ FT:
PERMITTEE: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /
ADDRESS: GENERAL INSTALLATION ( 714 )753-2541
6558 WEST BLVD. COMMENTS: *
ANGELES rproiCOo **********************************************************
*********************
LICENSED CONTRACTOqA"AImot 1nllmthat I am licensed undeprovisonsof chapter 9(commencing with Section Z ONING REQUIREMENTS7000)of Division 3 of the Business and Professions
and my license is in full force and effect. e SETBACKS
CITY LIC.: 0064 STATE UC.: 151839 ss$'�C—
ZSA _ Signature: - a/�J/L/ - -/ MAIN BUILDING ACCESSORY BUILDING
IlloqA scoMP ON CA DN: Iherebyallirminallhave ur skate dnitosell-nsreoracendiatemWorkers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 73WC0069690004 EXP.DATE: 04/01/92
COMPANY: NMIC PARKING REQ: PROV: PARCEL: 13925401 ZNE: REF NO:
l7 Certified copy is hereby furnished. Certified copy is))ffileeeddd wwr the a ridingC
PLANNING NUTES>
. de
dN . r r..3HOfl$ERS3 r PENSATIOB DECLARATION: (This section need not be comp% tisforonehundred($1orless). D E V E L O P M E N T S E R V I C E S,' R E Q U I R E M E N T S
I certify that in the performance of theF for which Mit-perm a lued,l ah,ll Mt--r, . n in any manner so as to become
sublecl to the Workers'Compensation Laws of California. ZONING—APPROVED—BY---: DATE
oats; Signature; :
NOTICE:If,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ,'w DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. L.�/� •
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: [ / j -
DATE:
whichIL this pLENDEsissueo(Section 3097.Civ.C). ************************* *** * ***** ************************ **
LENDER: ********.e******************************* *************************************
ADDRESS: LEGALIZATION:N F E E S U M MAR Y STRUCTURAL SEGMENT:N
OWNER BUILOER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.improve,demolish,or PERMIT 2 00
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed rj= SMIP/NON—RES
' purtuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE' FEE 3 . 00
I. as owner of the properly or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 2.00 3.00 0.00 5. 00 5 .00 . 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himsell/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If.however the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT• 00
• tor the purposeof sale), BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK •
❑
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5. 00
and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and whocontracfs for such projects with acontractor(5)license pursuant to the Contractors'State License Law). l am aware ******************•********{f*********{E**************{f****************.**********,*.
that woof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: 0xne' PLU 1 WATER HEATER AND/OR VENT 2. 00 2 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25$34 and that I or any future building occupant will/will not(circle one)need to comply with said slate codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Dale: Applicant'.
I hereby certify That I have read this application and stale that the above infer lion is car .I ag 'e to comply with all city and county
ordinances and stale taws relating to building construction and hereby aulho¢er pre es of IN ity to enter upon the above-mentioned .
property for insp purposes
naWre: Al Ar
cense or Social Security ... `: - r-.: C. `:-
1641.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
ir
CONSTRUCTION AND PLANNING P00- 3PA
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit #
C,./.?
1. Temporary Electrical Servi®or Pole 52. Pool & Equipment Location
0 t-2
2. Soil Pipe-Undrgrnd. ., MF; 53. Steel Reinforcement
2 '1 r. nr.
84'11tridbl Cond 't Iity•Ueidryrndg 54. Forms
;l.dr`El triE4l Cond eidrgrnd. ni 55. Electrical Bonding
- -fes u. -C LT. .O
015. '6�t�'el Reinforced:Ca() w56. Rough Plumbing & Pressure Test t"
•t•r� rrt N r:11710 X
jV�1• ctrical UFEI Rt. N o 57. APPROVAL TO COVER GUNITE it
I t<.. N 0, --. -« Cu
7,tteobtings H1tt co 58. Electrical Conduit-Undrgrnd. a)
1..1*.re v( .CH Nr
(Cg Foundation '1> a) 59. Gas Pipe, 0 Undrgrnd., Test
Water Pipe-Undfgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
ti -t
10. Structural Flooystem 0 61. APPROVAL TO DECK
11. PrVperty Sewer Line$ Hoe Conngtion 62. Backwash & Receptor-Final
v k
12. Sewer CaP (4 63. Heater & Vent-Final
to a, co ' Ca
13. Root Drains o u 64. Plumbing System - Final
14. Rough Plumbirtt w 65. Electrical-Final
15. Rough Electrice-Conduit 66. Solar System-Final
t..-
16.
16. Rough Electric Wiring , 67. Fencing & Access Approval
tl
17. Rough Wiring $An 68. APPROVED FOR PLASTERING
18. Rough Electrica4.T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
.-f
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. - O • I 11• -1 u.t t ✓ w W,r t �T �j•HTH t. * H V
[ 4yrf Fc> tory Ftr,pplace I CCM Q"i t C O !T* * [HPPRtr 4•••ill
# n• y
K' C < �* r Cn' tref * •C '.: l S x ri r[ Vn1Hrti •�
21. ucR, i,, Str to * I E'•H SZS * H '7 "".* * y, ��7r� ��y� * M
.. * I •• •• H5 * S C :-t* * `Y0. l deP tF1C7"1HYSiO t
H u. fig . * i Si-. * :.� S r.t.1• r4 t-. r+tu r
22. Duct", lti , 'N e- I C0 * C 1 0 1-** =71. Prod uc tt'P ing s [1t0i1
23.Ciasf-Pi pel Rot &"fhst i CC t 0 H* * g * py
H H * MS * 01 tT K Ot ; �2• Underg �r� Fly�i * F
r. i. * I MCI' ( ) # CK t7' St a c_% H V > fi�ee,, yl
24.tflo Fram1^,,• * I HH ••E-• *> 0 tr *. * S73.13:Undergrnal- tora er ank ti Gas ❑04
'_• � .
25.CaRot. Sh9thing r 'C v is M C O cU*.* 574.2Dverhead YiydrotE" '*t,
26.^I.8ar Ceiling (Structural) &glo�oat t'7 '�Tf ^t t SCT
I * *r 7 t+]* * 75.trDry Chemical '-7 :f: H C 3
SS * 0 : C'- * E tr ( -0 * 'C
27.•., > and.0 Flashing* 7Q� * W V W* * 76.FDry Stan ge ��v * S M
`)8."_at,1 n Siding * t-itgQ 0. * >'*:
! g� * - '7�Lx tC * < ••*. * 77.U'FIXED 83EMi t)EAL*C CU
'f »: CtCE O t 1 * - : -o pito rI • n X
>29. InsulatirA *rO S •• " > * to l : a 78EIRE PREY. Flfi;}- * > X t
tt * 5 C) *S * t rn w "I
0. Drywall'Nailing * * l * * H .r,s 4EALTrHAEP4.:REQWRMV1ENT
t_31. Plaster BitowrhCoat* v Lrrrr * �L: t,]9. ITAL oECT!kV _ d u
n' t IHH t r * + ^
KC
• 2.yElectric Pow r Me.jer�inal 1 * N t * rr80.t,f00D CEtn?IFl.6 }'E ISI RD1r O
,z
L . + 'J * I .t J. C . S : t i
s,33.'�inSf EI6'9trid I et * m ? * t�o}gs: CT '-1E * 0
c' rr7 .T ,44: n+ I
et * f t CS} '-� -(;.:1FJ :c "7 0 t1:[r
tr34 ingL He mg.ar Air; do C t C I*' * H `y1 * S
n 'C'. _ �S•5 fl t e t tg S nm * 5 >t7
.1: 11 ,D -, M .el a > - ,.. R r1 1 ' I < r M
35.i*inal'Gas:Ripe-Test* 133 '-1 >!• I - :t * r Cl [41S * tr SO
I O -- * 0 ,. x _ *: * O t0 CH * r-en
6:MFloc or Canopy PY * :t -'/. t,* M • ••Cl *m
tt l Itr7 * r. - , * +. F r no * tr
S r. . ert. -. Y r to no -t nf^
37:.3in9a Factory Fireplace I Scr al rR1 * 4 x n * Mr
.. .. 1- ;r , $-'Ir J x .t * N
38. Find '• •- N Plumbing * I I * Cr2 t
t?J. 9. Water Service-Final* ..-• *t I [k * (� rn *tg
C-40. Gas Service-Final * c-: * kr. * H t Cr/
.•1 * M •Qtr tr S *trl I * ON/ ON *
...41.
a. l tr+P t-, m I (� +• - of .. S
41. Solar Domestic-Final S :1 •- t C: I k * •¢O H *
* tr x * tr '70 Lr' * Pe 1
t'42. 3ackflow Preventer* H N t3 H O..- t S
* N ** I h :it
1 CC O>H 4. 0 I
-I
Co) * tU Orin, .. 4- . , 0:0 f
43. Backflow Irrwationt tCSS * 1 4: * CH * 0 r.
?
O * -„ +, •r t. .w.At i t C7
+ a tX * * * f- N
*3 0 0
L91, 4. Landscge I@patio Systen. o (..gt M a a C* t x rt., N x0 * ttl 0
I, tJ t -. :Jtr..c t'1 4- '-C C <4. 4. Z 2 O( �* " H
45.1 Sound Attertfationr ritCH tr 4- X H H H* t fl 1-; et tTry tK0 *
> P' T x ,-1 .. •. i .rl JL t*,*,r •-. tr a- 'C . r.. J:
46 'Handica{S Reylrlatioxxs C S '*M ••*. * O .. .- Ho ••H4
'7 :K H o t .. .. • r *•''may t1: s oo s t.
47;¢IIALSTRI,iCTU E & BU DING * I * - cOJ S *
•- : x t-4 I- .` * I C *
48gs1( LPLANNING: 1trtr ? {Mbrc * N ix!
'7 *
I H H -. N I' 1* * M M S * H
7• to
i .t r. a ;> Ix 'J S ;- -1
;f19.pElenLrlc ReleAse to�dison I * I y^'t f.: E •• I .r< y
v Ittl * *trf -/1 x.
ti50. (as Rgelease to Sou**�y ern Cali r 1a Gas Co r * S Oa * Cl v4
r U Y' l � *- I I *. * 1- H 0 • OM * 0 •
51. CE iTIFICATE OF*OCCUPAJN�Y `• .^ '• S C• _ c
n *. * * * S 0 trio x * H 0
No. Date - -_
1
OWNER FILET, Ferdinand W. DATE8-21-62
JOB ADDRESS 1847 Gar Dr. BUILDING PERMIT NO. 176685
GENERAL CONTRACTOR Ray's Fence Co. VALUE $ 686.00
AP No.139-254-01 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Pyt.$1k.Wg11
INSPECTIONS Signature DATE GROUPJ TYPE III ZONE R-1
Soil. PERMITS ISSUED
Gsa - SUBCONTRACTOR . DATE NUMBER
Water
Rough Com. Ref rig. ❑ Air Cond. 0
Rough Beating
Rough Plumbing
Miscellaneous
Prop.Swr.Line ❑ House Con. 0 St.Swr. 0
Sprinkling System
onion Pole
Underground 0 Power J
Rough Wiring
renc en 0 orms ❑ tea em . 0 ran , . ,e
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, brown coat
e ng. it on . ❑ m
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final T 3%
OCCUPANCY 64
FORM sU4•5M — 7.61 �"�
A
I7F FEE RECEIVE!
•COSTA MESA BUILDING-SAFETY DEPARTMENT AUG 1 1962��
P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT: b
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING �JA • BUILDING
ADDRESS f /}'7 7 5QAK Ait bR •
COSTA MESA. CALIFORNIA For Office Use Only
.V-
7( Aii, -C`1 I� I RECEIPT NO. I 17 t5
OWNER ¢/. iNAN \ J
MAIL
REVUE, BY DATE RECEIVED DATE ISSUED
ADDRESS 54,.,E K-Z/`(•)�
4
`q• B1� TEL. )
CITY �pS A , l6.$Q NO. BUILD! �j')1 (V)
ADDRESS �q 7 _G7ip.(22/ .%[�'/�
-1-/
ARC'-TELT •••.___-_______TEL. COSTA MESA. CALIFORNIA
OR INEER NO.
ADDRESS A FIRE
ZONE TYPE � GROUP
CONTRACTOR R AL-0 r-6-1-1.0 t- BYPRO 4.4 x l
et
` [� VI DATE
ADDRESS ` 4G`L ,`d-&--( K1 54 ZONING
''-- 11 11_ E I NO.OF I USE OP NEW
CITY W GS4-NI:a-C$ 1 k-Z- Y, ` i/ PLANS �� BUILDING
STATE
LIC. I2Co ZO9 TNO. IL) -OSSI LEGAAAL t Lot- 7a R 3 2 a
DESCRIPTION V
07E
0 NO. OF BLOCS.-.I 0 /
OF LOT v NOW ON LOT / - ..-. 5---y -
A.P.NO. ?
USE OF YARDS EVES
EXISTING BLDGL%s_'sLAAt APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.)
CENTER OF STREET REAR YARD FRONT FT. IN.
SIDE YARD I LEFT I RIGHT R.SIDE /SFT. IN.
DESCRIPTION OF WORK I�77
L.SIDE FT. )y IN.
NE' I XI ALTERATION I V ADDITION I REAR FT. y13 IN. ^'
REPAIR 1 V MOVING I Iv DEMOLISH I ABYPPROVED ` / /Inqv / DATE .--y(-� V
SIZEDING in L.A4 F./ROOMS STORIES Il' /` IpJJ/A/I q.
EXTERIOR WALL ROOF V' VV�
COVERING //�� WORK
� I COVERING
�RFORMED 1(��lI1L
USE Q�@�1d�♦-} u ip.h;RK TOBEel `OUR$2s k -�11}
4" BJ°ek C.' 1-1:5k.
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 CI ORDINANCES AND STATE LAWS REGULATING
BGAING CONS ION %1/4.. ....(1�c C� VALUATION Q L_ N
SIGNATURE OF 41\ PERMIT FEE $ ..J i J�
PERMITTEE / �) O _ a
�o v,1 r �, ; `( ��, $ /�,% PLAN CHECK $ w'
AUTHORIZED AGENT dxA++-ecA \ YYY///U g
TOTAL FEE $ S vG 2
J..\---.10B ADDRESS ....� 1847SamarDrive BUILDING PERMIT NO. 27638
GENERAL CONTRACTOR Costa :Mesa Lumber DESCRIPTION OF WORK Add Fireplace to Res.
-J AP No. 149-254-01 LOT 72 TRACT 3380 FIRE ZONE VALUE $ 500.00
INSPECTIONS Signature Date GROUP J TYPE Ill ZONE R-1
,a Soil I PERMITS ISSUED
A Gas SUBCONTRACTOR Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con. 0
Sprinkling System
Miscellaneous _
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0 _
Rough Wiring Heating and Vent.
Trenches al Forms 0 Steel Reinf. l fi q_3-a_67
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing— In 0 Out 0
Plaster, Brown Coat
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building, Final 3"3- (A'
. ` 27638rn;o
SEP 25-57PAil) 73? c::::;:.1::5_OO
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING /////��I r� p n n For Office Use Only
ADDRESS 1 b-1 1 .Awa.{� ' J Ic.. bit,
RECEIPT NO. rMQQp[�
COSTA MESA. CALIFORNIA 776 38
RECEI E DA RECEIVE9r DATU,ISSUED
OWNER
roxn L
I r t- ye-PO47 7-o,-7
BUILDING
ADDRESS (c 41 4 is,m P. TL p2, ADDRESS
FIRE
TEL CITY C I / NO. ZONE
"GROUP
M ////J 7
'HITECT TEL BY APPROVED ///j- DATE ---6-7
NGINEER NO.
---_ ZONING
ADDRESS
ZONE 1 I HOOF USEOFN I
funs �euu.DlnG
CONTRACTOR ( c%-rp,- MSC/\ 4I Misr;3-
LEGAL
ADDRESS k IOb •/oPee4Co1Z tjya- DESCRIFTIO ,az-i, T-K (cd
CITY \� td) A.P.NO. / 3I — c;,R. J / — 0/
STATE // C T[L NOTE: NO[AVE OVERHANG SHALL BE LESS THAN
LIC.L. Q aCJ ✓ NO. Sr TO SIDE A REAR P.L
EAVES
SIZE I NO.OF SLOGS. '' ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON 4•GT YARDS APPROVED YARDS APPROVED
USE OF EXISTING BLDG. �y�}Ct -wu rj MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
RETRACE LINE FROM FRONT n210 • FT.
CENTER OP STREET REAR YARD .3 /�//- yyqq
SIDE YARD I LEFT 5 I RIGHT , m R.SIDE .}SFT. 9/t FT.
DESCRIPTION OF WORK L.SIDE á2? ( 6/ ' *0C FT.
ALTERATION ADDITION REAR / FT. .S ....9, FT.
DISTANCE SET. BET.MAIN&
MAIN BLDGS, ACCESS.BLDGS.
REPAIR OWING _ _DEMOLISH
BUILDING NO.OF VAR.# DATE
SIZE ROOMS STQRIEe C.U.P.# APPROVED
EXTERIOR WALL I ROOF
COVERING BYP [D, 9 v DAT[ / `,-S
COVERING (tel'/ Jy
USE OF\ 12 c IRB AND WI ORK TO?PERFORMED[...p9
� n P t2 ln��/ Kr
SQ.PT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE71
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COW PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION 5.---_
BUILDING CONSTRUCTION..•/ /� �7 /� PERMIT FEE $SIGNATURE
PERMITTEE OF `�":1 1 V I��4L7/L-� / �pp
�" o
1 i O1/ PLAN CHECK $
AUTHORIZED AGENT (�9�/a�,� -
..•• 1" s TOTAL FEE $
x41.07 1 th.0LI:
1°i
~'+ lhiIR 201701
COSTA MESA BUILDING-SAFETY DEPARTMENT 11MCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA TI'`O �-
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING •
BUILDING
ADDRESS 1847 S=mar Drive
COSTA MESA, CALIFORNIA For Office Use Only
RECEIPT NO. I 1PERMITxv Od
OWNER _ sat _ • . • - - •
MAIL RECEIVED^' BY DATE RECEIVED DATE ISSUED
ADDRESS PO _DOT 783 /��; I 3- &0+(/ I
cmTY Costa Mesa,Calif. iao: LI8778 BUILDING
UDRESSAR1J4
ORC ENEER CT No0r37010 COSTA MESA. CALIFORNIA •
R.LOvnnoo n
FIRE cd v
ADDRESS • -
• • , • • ZONE TYPE v GROUP
CONTRACTOR APPROVED
Carriage Constr.Co. BY DATE
ADDRESS 119 ryg_Tillo _T},Tae# ZONING U ��Y-�
(� ZONE NO.OF USE OP NEW s1ngl Ian.
CITY Costa MP ae ,C$1 If • R-1 I PLANS I BUILDING W/ att gar.
STATE TEL. LEGAL 2 1.1.
LIC.NO. 1 85126 NO. L� DESCRIPTION
y. I 87783 Trot 72 Twirl: 33Ap
SIZE
OF LOTR2'W x 1001 1 th I NO. OF BIROS.—O-
g NOW ON LOT A.P.NO. none
USE OF • YARDS EVES
EXISTING BLOC, 1 APPROVED ALLOWED
SETBACK LINE FRTM nit 30 T REAR YARD 11.1 1 FRO(CENT LINE ST.I J D FT. 4��� N.
CENTER STREET '/ /'�/��`�„
SIDE YARD I LEFT 5 t 1H ( RIGHT 10 / R.SIDE L{- 40 FT. a4-ALL IN.
DESCRIPTION OF WORK L.SIDE S� l,N.
NE1 7ALTERATION I II ADDITION I REAR ( / / FT. IN. .
VIII
REPAIR MOVING I I DEMOLISH I APPROVED l
BY W. L. D. DATE
SIZE2688 at
DATE 3-20-6i
BUILDING NO. OF ROOMS 10 STORIES 2EXTEOR ^'
L ROOF
COVERING WALgtr1C0.n COVERING cdr shgle
USE OF BUILDING AND WORK TO BE PERFORMED
• residence - 2688 sq.ft.
garage - 456 sq.ft. 17
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCE® AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OFA
PERMITTEF p T^^ PERMIT FEE $ -CO N
E CON TR.COQ
\ \ $'46,010.00 PLAN CHECK 5
AUTHORIZED AGEN 6 -0Q
TOTAL FEE $ / IL
Applicant to fill in all spaces within heavy border line, )nd small appropriate declarations. T T
CITY OF COSTA MESA • PERMIT No. TRACT NO-- LOT NO. BLDG.NO. yt I / �/- 'e• J
M CONSTRUCTION PERMIT t3 5/73 • •
j Project Address 1847-SAMAR DRIVE TYPE OF CONSTRUCTION - - '
90 Owner MpMo 1F.W. FILET ' P110/46-0225 0 NEW 0 ADD 0 ALTERATION L y,/)
N Address • 1847 -Samar Drive - X3 REPAIR 0 CONVERSION ❑DEMOLISH �/v7 - —�
Arch/Eng. - License No. OTHER ZONING REGULATIONS
0 `
A.P.
Q DESCRIPTION OF WORK ZONE PLNG. REF. q/
� Address p c1,1.0 Reroof with Deers Tile {]50f� rar Art)
Contractor CAL PAC ROOFING, INC. Phon�78-6446 TYPE OF PERMIT SETBACK C/L ST, To B�/I LDI NG
Address PROPERTY LINE
618 N. EC3CYlOf'f' St. , Orange - 0 GRADING' 0:FOUNDATION 0 STRUCTURAL - 11 LEFT YARD
LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL PLUMBING ❑MECHANICAIr SIpE YARD
I hereby affirm thi.t I am licensed under provisions of Charter 9(com- Reroof' 32.5 BQB RIGHT . '
mencinq-with section 7000) of Division 3 of the Business and OTHER J
'Professions Code, -and my license is In full force and effect. . -REAR YARD(TO P/L) '
License Class 09 ' License No, 172501 PROJECT D325ROIPTION
J PKG.SPACE REQ. PROVIDED
Date 15)/27/n2 Signature '' - SQ.FT. " STREET WIDTH . PARK FEE$
WORKERS'COMPENSATION DECLARATION OCCUPANCY �y vCONSTRUCTION TYPE -
I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION •00 ZONEZONING APPROVED BY DATE '
certificate of Workers' Compensation Insurance, or a certified copy - .. - - - -
t, reof(Section 3806Q.f b. C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS: - - • •- - •
Yy,�y�, .6y No.ROS�7n0b Company Boyd Tnc - - • .
9R3��'�':ertified copy is hereby furnished. REMARKS: - '
PJs Certified copy Is filed with the city Building Division: — .. - -
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - • '
(This section need not be completed if the permit is for one hundred .. ' -
($100) or less). - • -
I certify that In the.performance of the work for which this permit is _
issued, I shall not employ any person in any manner so as to become PLUMBING - PLAN CHECK - ELECTRICAL PLAN CHECK - '
- subject to the Workers'Compensation Laws of California. . UWhLLIN& GARA[aE -
Date - Signature
BATHTUBS SHOWERS - 'SO.FT. Sft FT - '
NOTICE: If after making this declaration, you should become subject TOILETS . 'URINALS GENERATOR 0.1 KW_1-10 KW •
To the Workers' Compensation provisions of the Labor Code,you must • 'TRANSFORMER '
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS "APPLIANCE 10-50 KW 450+ KW '
;revoked. • •
CONSTRUCTION LENDING AGENCY KIT.SINKS - DISHWASHERS "MOTORS 0-1 HP 1-10 HP - .- '
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR)' 10.50 HP 50+,HP - •
formance of the work for which this permit is issued (Section 3097 - -
Civ. C.). FLOOR SINKS FLOOR - FIXTURES ' OUTLETS ' SWITCHES -
Lender's Name - .. _ _ •
-
Lender's Address _ - • DRINKING FOUNTAINS GAS TUBE SIGNS . . , _ ,
'OWNER BUILDER DECLARATION INTERCEPTORSCLARIFIERS - POLE LIGHTS - ' - _ • - '
I hereby affirm that I am exempt from the Contractor's License Law for -
the following reason'(Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP • - LOINS I Hut-I TUN - - ..
Any city or county which requires a permit to construct, alter, POLES METERED SUB - • • •
improve, demolish or repair any structure,.prior to its issuance,also re- WATER SERVICE ALTERATION PANELS - MAIN - SUB
quires the ap, leant for such permit to file a signed statement that he - -
is licensed pursuant to-the provisions of the Contractor's License Law GAS SERVICE OUTLETS '
(Chapter 9 (commencing with Section 7000) of Division 3 of the SERVICE - AMP
Bsuiness and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT • - " - - I
�''- for the alleged exemption. Any violation of Section 7031.5 by -
,:•'
tit-
for a--permit subjects the applicant to a civil penalty SEWER CONNECTIONS • - - - ,- -- •
:tot more than five hundred dollars (§500). - - - '
SID I. as owner of the property, or my employees with wages as their SOLAR TANK " COLLECTORS - - - ':
sole compensation, will do the work,and the structure is not Intended -
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. - ISSUE FEE
Contractor's License Law does not apply to an owner of a property .. APPLICATIONAPPROVED BY . . DATE
who builds or Improves thereon, and who does such work himself or ISSUE FEE
through his own employees, provided that such improvements are not - - •
Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK • _ • SUMMARY OF. FEES
is sold within one year of completion,the owner will have the burden -
e
of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU -• PERMIT G $ tlaM t_ SMIP ' S_L-511__❑ I, as owner of the property, am exclusively contracting with AND DUCTING -
licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ PERMIT
and Professions Code: The Contractor's-License Law does not apply to ISSUANCE $— '
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $
tracts from such projects with a contractor(s) Ilcesned pursuant to. SYSTEM - GRADING. $ - -
the Contractor's License Law). 100,000+BTU PLAN CHECK $ ' , . -
0 I am exempt under Section B.& P.C.for this .BOILERS BTU ELECTRICAL $ •$
reason MICROFILM $
Date Owner SYSTEM REPAIR.ALTERATION PLAN CHECK $ TOTAL FEE$
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE — MECHANICAL $ _ 'LESS AD-
information is correct. I a•ree to comply with all city and county PLAN CHECK -E VANCE PC $_
ordinances and state la : ing to construction,and hereby authorize
representatives of/h'- cit to enter upon the above mentioned - C
property for in c/ n: rpos. ` 10,27/82 • FINAL FEE E_33• 0
Signature ,
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
.
•
CONSTRUCTION AND PLANNING POOL&SPA ."
APPROVALS Permit# Date Inspector APPROVALS - Permit#• Date - Inspector ,
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location- - - ' - .
2. Soil Pipe-Undrgrn - 44. Steel Reinforcement - - " ' ' -
3. Electrical Conduit Utility-Undrgrn 45. Forms - - -•
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
5. Steel Reinforce 47. Rough Plumbing& Pressure Test - -- - -
6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE •_
7. Footings - - 49.• Electrical Conduit-Undrgrn
8. Foundation 50. Gas Pipe, ❑Undrgrn,Test
9. Water Pipe-Undrgrn 51. Backwash Lines,P-Trap. ❑Undrgrn - . .
10. Structural Floor System 52. APPROVAL TO DECK '
11. Property Sewer Line & House Connection 53: '.Backwash& Receptor-Final
12. Street Sewer Connection . 54. Heater &Vent-Final .
13. Rough Plumbing • 55. Plumbing System-Final • • '
14. Rough Electric-Conduit - - -56. Electrical-Final • ..
15. Rough Electric-Wiring - - - 57. Solar System-Final
16. Rough Heating &Air Conditioning b8. Fencing &Access Approval
17. Ducts, in Structure 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating - -
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL
20. .. Roof Framing - - - - .
21. Roof Sheathing -. - . • - •
22. Frame and Flashing . . . _ , - NOTES:' .
•
23. Insulation - '
24. Lathing& Siding . • . .
25. Drywall Nailing .
26. Plaster Brown Coat - -. •
27. Electrical Power Meter-Final - - • • .
28. Final Electric
29. Final Heating&Air Conditioning
30. Final Gas Pipe-Test '
31. Final Plumbing
32. Water Service-Final . . .. - _
33. Gas Service-Final - - .
34. Solar Domestic-Final . .
35. Landscape Sprinkling System -
36. Sound Attenuation
37. Handicap Regulations . .. - ' - • •
38. FINAL STRUCTURE& BUILDING - ' _ . - '
39. Special Requirements Completed •
40. Electric Release to Edison , , . -- -
' 41. Gas Release to Southern California Gas Co. '
42. CERTIFICATE OF OCCUPANCY • - •
• • No Date - .