HomeMy WebLinkAbout1868 SAMAR DR - Building Permits ADDRESS OF SMLOWO: 1868 SAMAR DR UM: CITY OF COSTA MESA - BUILDING PERMIT
OWNER'S NAME IF KNOWN: GIBBONS, LEE W / PERM NO: P 08435:
"mE56: 1868 SAMAR DR */
COSTA MESA,CA 92626 'e. PERMIT NO: P 084352 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.RARING ADORES& CONSTRUCTION TYPE; V-N PERMIT TYPE: PLU PURPOSE: OTH
MICr1DEcr OR DKafEEB: LIC lC. JOB DESCRIPTION : DISHWASHER C/OUT SQ FT:
ARCM OR END'S ADDRESS: OMT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
CanBACTDWSMAME NOCK PLUMBING ( 7 14 ) 895-1246
CONTRACTOR'SMMLDKI 11612 KNOTT ST COMMENTS: NO OTHER WORK ASSOCIATED WITH THIS PERMIT
ADDRESS: GARDEN GROVE CA 'aCNO_ 707775 *****at**+t+t*;r*it*********it******atft;F******+k***it*aria**iter**************;t***tit*****;Ex
92841 OMT: 17 Z ON I N G R E Q U I R EM E N T S
LICENSED CONTRACTORS DECLARATION:I hereby aim tat penalty of perjury that I an licensed under provisions of Chaplet B SETBACKS
(commencing with Section 7030)of Division 3 of the Business end Professions Code.end my license is in lull forte and Sled.
CITY c.No.: 050386 UC.CLASS: C-36 LIC.NO.: 70 775 EXP: 02/98 MAIN BUILDING ACCESSORY BUILDING
ate $ yC/S Contractor: Nmt�c pt,L�rr72olate, FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
L 7 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
DW N r' BUILDER DECLARATION:I hereby effilm under penalty of perjury that I am exempt from the Contractors License Law for the
ol• ' •reason(Section 7031.5 Business and Professions Code:thcky plcounty o �sh1o`
dnh,orps any structure.pdobtistlance also reqwm e apiantfrr permitlMeagnedetatenttha alter, she PARKING REQ: PROV: PARCEL: 13925326 ZNE: REF NO:
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)d Division 3 el the PLANNING NOTES>
Business and Professions Code)or That he or she is exempt therefrom and the basis for the alleged exemption.Ass*ashen of Section > ti•-
7031.5 by any applicant for a perm*subjects the applicant to a dvil penalty of not more than the hundred dollars[S5001). ***************************t******************iF********************************
❑ I.as owner'Tithe propeiY or my employees with wages as'hei sole compensation.will do the work.and the structure is not intended
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to anowner opropety D E V E L OP M E N T S E R V I C E S" R E Q U I R E M E N T S
who beide or improves thereon,and who does such work Noised or herself or through his ar her own employees,Provided that such
improvements era not intended or offered for sale.R.however,the building or knprwenent u add within one year of completion, ZONING APPROVED BY - DATE:
ownerbuilder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I.es owner of the Property.am exclusively co tradng with licensed contractors to co nmmd the project(Section 7044.Business and J
Professions Code:The Centradoit a license Law does napply o an owner d propend w10 builds or improves thereon and who BUILDING APPROVED BY : ` DATE:
contracts for such projects with a contrador(s)licensed pursuant to the Contractors License Law). I• ,` ,a���. �l11�
❑ Iamexempunder Secf: B.AP.C..for this reason: APPLICATION ISSUED BY; A DATE:
Date: Owner: ***************t******v . . . . *
I do hereby certify that l am aware send understand the requirements of Catania Health and SafetyCode Sections 25505,25533,end LEGALIZATION:N F E E SUMMARY STRUCTURAL EGMEN :N
25534,and that 1 or any future building occupant will/MI not(circle one)need to comply with said state codes and the requirements for
aperm*for or modification the Ai euy vrpenwt District.ResidentvdoxutmdionappFmdn are exempt these rse BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 8 . 75
Date: Applicant: 25% SM I P/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: PLAN y_-
❑ Ihave and wit maintain acertificate ommemtoseltiocompensation, of
Section 3700 ISSUE FEE 22 . 00
Code.farthe ped« arr
myeameworkforwniththipemne�ued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ Have and wilmaintain workers'mmpenselnninsurance,asrequired bySedi ,37C0otelaborCode.fortheperformanceothe TOTALS----> 8 . 75 22 . 00 r• 0 . 00 30. 75 30 . 75 . 00
X work for which this perm*is issued.My waken'compensation insurance carrier and policy number are:
Caner: CQT LENT Ek LE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 30 . 75 OVER/SHORT: . 00
Policy Number: NW 2114101 09/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This maim need not be completed/Ne Perm*C nit one hundred dollars(tine)or ler.) 30. 75
111 v ay that in the perfdmarce of the work for with this permit is issued,I shell •A- ••• any person in any manner so as to
cabled to the when'dmceneatbn iters d Cafdprnie, - M • become subject to the workers' ****************************************************************************tit*
.. .. ..on pt to the • .un nice a the Lobarresew
Date: • ' Ascent: _ _ _ INDIVIDUAL F E E BREAKDOWN
( Wa•DruFuplo to ehuhund�ththoouu nddollarcompensationf04� iaA In��totheand�loub/acf te hen. •damaPas n��r TYPE QTY DESCRIPTIOTN UNIT COST TOTAL COST
kW In
Section 3706 of the Labor Cod,Interest,and attorney's fees. A
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a constructionconstructionllending agency forthe a PLU 1 DISHWASHER / 8 . 75 8 . 75penally
performance of the work tor athis Penni is Awed(Section 3097.Civ.C). END OF FEES
v
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read No application end date that the above information is coned.I agree to comply with at dry and county ordinances
and state laws relating to building contwldn end hereby authorize representatives ofthis cay to enter upon the ebwe-mentioned property \`
for inspection purposes.
RO
_NOCK AM. 08-25-1997/10:06 1:01/$30.75$30.75
RC
r�� �.H "r PERIgITRTl984352
Signature•Ownedijiiiiiiiiif
wers
(5151d6.WPI White-Building A '�Ormr-Fle: artery-Appimnl:Pink-Revenue;Goldenrod-MSe3wr ,
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# • Date Inspector APPROVALS Permit# Date Inspector
1. 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 Jest •
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 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62, 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
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. 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.D 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 PREV. 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 • • C7_ig -T1 a •
39. Water Service-Final ll ' '
40. Gas Service-Final
. 41. Solar Domestic-Final -
42. Backflow Preventer
- 43. Backflow Irrigation
44, Landscape Irrigation System •
45. Sound Attenuation
46. Handicap Regulations .
47. FINAL STRUCTURE &BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co - .
' 51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT - PE IT TRACT NO. LOT NO. • UNIT NO. , •
Project Address/2(X Sig NAi2 1)R �� �•� r I LI ' �, n.. , .,,.,. .,,_ r,
•
TYPE OF CONSTRUCTION U NEW ADD,ALTERATION U REPAIR 1 OL,
Applicant's Mailing Address /� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# - • Zone
Owner's Nam° _ 4 co '7� /•.` Pho err/0 OESC' Zone
OF WORK/US•ieFBL8 i
Address /S6 r aYnr tYa• /(.-C�✓ ,"9. �'i _ / S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERT U GRADING U FOUNDATION II STRUCTURAL T Front 0
Address ❑ TENANT ❑ ELECTRICAL •� PLUMBING ❑ MECHANICAL A Rear N
���-. �.t�the ❑•OTHER'
• Contractor's Nam' m'� ►I1 Phone 'P C Right N
Address(mailing) �1yIze�Sp"lr.o� •�, -•,, • t .N- PROJECT DESCRIPTION SQ. FT. -. OCCUPANCY K G
"A+'U Ja CONSTRUCTION TYPE VALUATION$ S Left
City License._. U ZONE GRADING CU.YDS. ACRES. R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
0
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: 1 M
with section 7000) of Division 3 of the Business and Professions Code,and _
my license is in lull force and effect. ,^•„ RFCFIVFFI :IF C 2 3 1985 T
License C .55 L������ •
o.
j S
Date - - Ike Signature -fir/tire., PLUMBING FEES
WORK RS' OMPENSATION DEC • RATIO Bar Sink Showers ELECTRICAL FEES
1 hereby affirm that I have a certificate of consent to sel -in- re or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink -
3800, Lab. C.) Automatic Washer. Transformer 0 15-50 KW
•
Policy No. Company Backflow Irrigation Sewer Cip Construction Pole Sub. • 0 50+KW
eCertified copy is hereby furnished. •
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps I
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers j Solar Collectors Dishwasher Meter Clover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or Dishwasher
less). Solar Piping Dryers OGas ❑Electric Sub Panel
I certify that in the performance of the ,nrJr_for hich this permit Is issued, I
shall not employ ny person in ar a ner1. . •ecom> bject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8
Workers'.0 pe at' Laws of r.lifo� / ,
Date l/ Signatur _ _ . . -. Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar,09-15 HP ❑16-15+
'NOT ter making this declara ion,you s ould •e••� e subject to the •
Workers' Compensation provisions of the Labor Co•e, y.0 must forthwith Floor Sinks Urinal . Fixtures - • Microwave -
comply with such provisions or this permit sha I be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light ,
of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors a Water Heater __ Outlets Range
Lender's Name - 3
Lender's Address / Kitchen Sink t.,2•CDWater Service Switches Sign ,
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the,Contractor's License Law for the ' Lavatories - - Auto-Wash Garbage Disposal ;Standing Sections I
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 - ) Generator 00-5 KW❑5-15 KW Trash Compactor
any structure, prior to Its issuance,.also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains -
`
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 .
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 ' - - •
penalty of not more than five hundred dollars($500).
•
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 310
.
•compensation, will do the work,and the structure is not intended or offered • - - Reinspection Fee I $15 Issue Fee $ 3
for sale-(Section 7044, Business and Professional Code: The Contractor's • MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves _— --
thereon, and whodoes such work himself/herself or through his or her own - DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑
sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II, ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- • Duct-Under Ground Building Approved By /\ Date
Drove for the purpose of sale). / 1\t\L
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
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 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts-for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple D System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ 05ERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ %Link
ISSUANCE $
•
System Date Owner
Heating & DuctingRegisters PLAN CHECK 25% $ - ENERGY P.C. $
9
I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,00013T - ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relatin• uilding onstruction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of this ler /•on the above-mentioned prop rty for ,q.�z
inspection p ••-� ���
Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865.46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
•
r CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit# - Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pdje ,:N 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement '. ,
3`Electrical Conduit Utility-Undrgrrid. 54. Forms .'r
4: Electrical Conduit-Undrgrnd. • 55. Electrical Bonding i ,,
5-',Steei.Reinforcement 56. Rough Plumbing & Pressure Test ''.1.Y. •
- 6>'Elec Tical OF ER-Grad.
t 's 57. APPROVAL TO COVER-GUNITE ti
7:C-Footings :..'1 . ", r 58. Electrical Conduit-Undrgrnd.
'8.'Foundation ' A 4 59. Gas Pipe, 0 Undrgrnd.,Test .
9Cr'WatePipe-Undrgrrid. ; ; � lia 60. Backwash Lines,P-Trap, 0 Undrgrnd. •
72:
=10. Structural Floor System .�- .\lF. 61. APPROVAL TO DECK
11. Property Sewer Line & House Conriection 62. Backwash & Receptor-Final
-12. Sewer Cap 63. Heater & Vent-Final '%
.> -
13. Roof Drains 64. Plumbing System - Final %!
14. Roygh Plumbing: 65. Electrical-Final
15. Rough Electrical-Conduit 66. Som System-Final -
16..Rough Electric Wiring 67. Fencing & Access Approval .
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21.'Ducts, in/Structure s 70. Underground Hydro
22. Ducts,Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough &Test 72.aUrderground Flush
24. Roof F.timing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
r: _
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 PREV. 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 S-fq-i2 Lg0
39. Water Service-Final v
40. Gas Service-Final ,
41. Solar Domestic-Final .. • _ .
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System - -
45. Sound Attenuation .. -
46. Handicap Regulations .i •
47. FINAL STRUCTURE & BUILDING'
48. Special Requirements Completed
49. Electric Release to Edison - r-
•
50. Gas Release to Southern California Gas Co , ,
51. CERTIFICATE OF OCCUPANCY I ,
t
MP-
- Date 4"'
t 1
CITY OF COSTA MESA
CALIFORNIA P.O. BOX 1200
FROM THE OFFICE OF THE PLANNING DEPARTMENT
• Lee Gibbons Nov. 4, 1964
1868 Saner Drive
Costa Mesa, Calif.
Dear Pool Owner:
The Costa Mesa Planning Department has been notified of the completion
of your swimming pool.
So that your pool will be a safe one and for the purpose of advising
you of your responsibility regarding the requirements of the Costa Mesa
Municipal Code, we quote Section 9298.9:
1. No swimming pool shall be constructed closer than five (5)
feet to any property lines, measured from water line of pool.
2. No swimming pool shall be constructed under any electric power
lines or on any electric power easement.
3. No swimming pool shall be constructed unless the yard
surrounding such pool is completely enclosed by a fence
six (6) feet in height and have a self-closing and
locking type gate or gates.
This courtesy letter is directed to you so that you will be aware of
our ordinances and can make a complete safety check of your pool area.
Sincerely yours,
'l
William L. Dunn
Director of Planning
794 MA.11‘?ST^i'ii STA.NTON, G."T C.".;!!;1 c•' '.:;i5 0::2,1 - O J2 .
623-8040
Field Data on TecI Specimens Core ConcrctA Gunit• Grout/it4ortcr_
;
7
ProjectI Permit No 21 t
Project
Location ?8"E C-,..- Drava:, Ct: s hese.: Ca.fl7.
Contractor ;nahent• Poor..c Arc'itsct
Location in Sftcciurc- L.-...n7 End 25 ECLpi EngItssr L_rccn
Deto Moulded VI/CC ' No of Specimens 3
.Slump Si:Jc bile:s farted
SpecificStrengib cct___Pf+._c X17 -iain P.5.1. Mix 0esignetiOn . -- 4
Ago to ba i.siet+__._ .y& .?r days dove_ .a)4--•
READY MIX PLANT AGGREGATE £OUi".C:
Weather Condition C:car. Coal 1 Yd. —Yd. Batch
Cement Fermenta Tyoa i ` I`'Cement. lbs. IOS sacko
_
Adair. ? _ �� S:nc! —^-- '—( lora
Specimens mado by i.c B.x ,:,',4 5% Nof..zil.ta
Daia by Car,. ;!oc22.0;; :•;
Delivered by 1:eaves ,'-2
Date Delivered 5/4/6•; q, 59L lO
Lf
REMARKS: I Water, Gals.` ✓UN CF' 2j vil
FOR LABORATORY USE ONLY S i r✓
Lab. No. 580 581 1 . 582 —
7 Day Test 28Day Test Day Test • Day Teat
Date of Test 5/8 5/29
Specimen Dimensions 5.97 X 11 .75 . 5.125 X 11.5n
Area 27.79 I 28.75
Ultimate toad 52,500 J 117,500 T
•
Lbs. per sq. in 1.889 .4 090
H/D Corrected ---
� a`r
RRpp
2'u'"r CsOk..44.4.4. .—
H. V. LAWMASTER & CO., INC.
OWNER GIBBON, Lee DATE 10-17-62
JOB ADDRESS 1868 Sarnnr Dr. BUILDING PERMIT NO. 18031
,GENERAL CONTRACTOR J. D. Ray VALUE $ 300.00
AP No. 139-253-26 LOT TRACT FIRE ZONE DESCRIPTION OF WORKSereen B1k.Wa1]
INSPECTIONS Signature DATE GROUP J TYPE III ZONE R-1
Soil SUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line ❑ House Con. 0 St.Swr. 0
Sprinkling System��
Construction Me
Underground 0 Power ❑ _
Rough Wiring
)1'rmiches - Forms a Steel Rent. LJ
Floor Fi.l-VL /O 7y_-e•"L—Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In ❑ Out 0
Plaster, brown coat
Refrig. 0 Air Cond. 0 Final
Heating. Final
Plumbing Fixtures, Final
r. _ 1803 � L oREC cl 1.7 2�I D
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT.
Applicant to Fill In Completely cm Of COSTA MESA
For
P y APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING
BUILDING / r �'„ .,. Tj• vE
ADDRESS COSTA MESA. CALIFORNIA For Office Use Only
_ / RECEIPT NO. mom
OWNER LEG� (� C/737)13,1/41/ `�� � I I fI 1}LV(j/UU
MAIL iO � 4 C,Q17/4/ �/L/ or 9/D BY I �O/7� 3----ATE RECEIVED I/0�/786my=
2-
ADDRESS f'n /pY/^ n J(// ��y��� , ,,,(7
CITY d/2‹/7/ I " � NO. ADDRESS / r7 C' I( JF�'[/"//`LVI/ .i17L)
ARCHITECT -TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE
ADDRESS T ZONE TYPE..1.-/- GROUP I
CONTRACTOR' ♦ i)r ///���J ZZI //•���, �]�/� BPPROVrAt Y ( 1 q�' //'Q/- DATE /0 --/7-4k."-
ADDRESS
-/7-4�
ADDRES/S///SS��TT��(y/_./,4 t/ Al/jar J� y t�j1/(r[]wn4I' /K/�2 ZONING���.. n / 'e
CITY atio[v IY- D..L /pz4( •
` ZONE R / I PLAN0. S F �BUIIDING ' )p /' b// e,
LIC.TNO. �I ev A'loif f/-4, NO. LEGAL _/ �J TJJd^^^^z• -IIf W�IRR�W4MO��
DESCRIPTION L.'LP/.
SIZE C L NO. OP BLOCS. n �)
OF LOT �G)y'��.C�,/'� �,,USE OF / NOW ON LOT I \ A.P.NO. / / _ O' S 3— _O
EXISTING BLDG. 'res idreA ACC: YARDS EVES
APPROVED ALLOWED
SETBACK LINE FROMJ/ (CENTER LINE BT.]
CENTER OF STREET I D �//� REAR YARD ^� FRONT ��/" FT.• P/h- IN.
SIDE YARD I LEFT .j6 I RIGHT 4 R.SIDE AKS FT. IN.
DESCRIPTION OF WORK Zo-FT. 1 IN.
Ix L.SIDE
NEW II ALTERATION I II ADDITION I REAR FT. IN.
REPAIR I II MOVING I D DEMOLISH I BY
,}' ' r DATE /3-/T-6)-
BUILDING •-----.. NO.
NO. OF UV 0-.-" 1SIZE ROOMS STORIES--
EXTERIOR WALL 1 ROOF
COVERING COVERING
USE •F sylL•ING t�• Vyric O 'E PERFORMED
,
scot - ?Fir'
\
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
BUILDING COMB ON. VALUATION
SIGNATURE OG 'I • PERMIT FEE $ 8'0O
�� �
PERMITTEE / •L,-e N. 06 S
S �O 0 / PLAN CHECK $ - a;
AUTHORIZED AGENT � e
a
TOTAL FEE $ '00 0
�Jl
Ito
OWNER GIBBONS EFF DATE 3-25-64
7 JOB ADDRESS 1868 Samar Drive BUILDING PERMIT NO. 21797- -•- - -
L GENERAL CONTRACTOR Anthony Pools VALUE $ 3000.00
AP No.139-253-26 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Priv. Swim Pool
INSPECTIONS Signature DATE GROUP J TYPE III ZONE R 1
pSoil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
S. Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating 5-Faa.4.,niea1., yct .W -4'
Rough Plumbint k 1 —( ,n`{- _ -_ _ r.
Miscellaneous ' • ,Agin rill) flt2C 6-•//-6Y +yC Y 3 11-oT2-6Si 4e3/7r-�
Prop. Swr. Line • House ti . 0 St. Swr. 0 �>�/� 0 v
Sprinkling System .�7.e.t aAT viej -//-4$1
Construction Pole
Underground$I Power 0 Rjr 9e 5•9-611
Rough Wiring �,,.i Wu-- 19,Qtc,. 5/sZ/4,c-
Bond
S / —
Trenches 0 Forms lir-Steel Reinf. IP" �f��11_ y30-6r/ a a /
Floor System _ Y G y- 042' �
Beam [� Steel Reinforce 0
Sheathing
Frame and Flashing , T �.
Paster,g — ]n O Out 0 •
. ) ll, /
Plaster, brown coat v
Refrig. 0 Air Con..0 Final \ ' / 4�
Heating, Final _ �-
Plumbing Fixtures, Final / j/7
Final Gas Test <I -r'7/- - f
Electric Fixtures, Final W7,5::/G' iC,
Building, Final 9—��,,34
OCCUPANCY
Form BU4-5M-3-63--S-B P 1.1117.1) MP RPF.CTAT. RFDTITRF.MTINTR m•fol
21797 FEE RECEIVE
COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 2 5 1884
P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE DEN.
CITY OF COSTA MESA
For Applicant to Fill in Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
p For Office Use Only
BUILDING 1868 SAMAR DR
ADDRESS
RECEIPT NO, PERMIT NO.
COSTA MESA. CALIFORNIA
RZR EIVED BY ATE ;EWER r . DATE ISSUED
OWNER LEE GIBBONS Eyrie
BUILDING
MAD"RESS 1 SAMAR DR ADDRESS 1868 DR /tJ
CITY COSTA MESA N PKI 9285 ZONE TYPE GROUP f.
L,. APPROVED /,fly+ ,j �J�//
ci
OR ENGTECTINEER T LARSON NOL.SP32210 BY �{/L DATE//.J/(O
5871. FIRESTONE BLVD. ZONING
ADDRESS 29/4 iI NO.OF I USE or NEW et
CONTRACTOR ANTHONY POOLS
TI/ PLANS BUILDING
5871 FIRESTONE BLVD. DLEGAL
ESCRIPTION LOT 66 TRACT 3380
ADDRESS SO j Q //
CITY GATE A.P.NO. • 3 / - &S3 •— a `�
STATE 190179 TEL SOTTO SODA VROVE P.L.
SHALL BE LESS THAN
LIC.NO. NO.
EAVES
SIZE I NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT 7BX115X80X121 NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
RES IND GAR ,T I (FROM G/L STREET) //
SETBACK LINE FROM 10, 6" 1 I r FRONT PT. /0 FT.`S
CENTER OF STREET REAR Y
R.SIDE FT. ` FT.
SIDE YARD LEFT 12 t 1 RIGHT
DESCRIPTION OF WORK L.SIDE FT. //7� '-
FT.
NEW X ALTERATION ADDITION REAR FT. • -[ FT.
DISTANCE BET. BET.MAIN B (/O re
MAIN BLDGS. ACCESS.BLDGS.
REPAIR MOVING DEMOLISH
BUILDING Uta NO.OF VAR.# DATE
SIZE ROOMS STORIES C.U.P.# APPROVED//J �/
EXTERIOR WALL I ROOERINO APPROVED./9 DATE �/7.X.-17-eV
COVERING APPROVES/9 USE OF BUILDIN..AND WORK TO BE PERFORMED HOLD FOR SPECIAL REQUIREMENTS
PRI VATE SWIM POOL CLC._ E Ste -, -
Q / N
SQ.FT. B
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE Z
AND STATE THAT,[HE'ABD1(E IS CORRECT AND REE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY, O
PLY WITH ALL pIT\' ORDINANCE.AND STATE LAWS EGULATING
BUILDING CONSTRUCTION VALUATION ) B
SIGNATU //OF PERMIT FEE $ /-,/— O
PERM ITT E -;i!-'X $ Q-0 G
39049.
AUTHORIZED AGENT y7
s TOTAL FEE 5 /✓
�
RECEO ' U
14101 �-� um 2oi9S
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX H17 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING ,,���� / BUILDING
ADDRESS 1&68 Samar Drive •
COSTA MESA. CALIFORNIA For Office Use Only .
I RECEIPT NO. 1141 &i
OWNER Carriage Rennhes Imo- I 'AT
MAIL RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS PU Bet* 783 �^�-A— I d-.2 C-6/ I ...n1 2 0 1961
CITY Costa Mesa NO. L18778 BUWV:
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEERTT L0vana0 NO. 37n1n
ll FIRE �J Q-
ADDRESS 34j2 Via Oporto,ATpt.Peach ZONE TYPE GROUP Ace
CONTRACTOR r1A P nn ntr C BYPROVED
C8 r g Ci BY DATE
ADDRESS 119 CAbri 11 n Street ZONING ��'I I^�����,F.
ZONE NO.OF USE OP NEW bin@@ AO
CITY Cnsta Mesa Call fornia R-1 I PLANS 2 BUILDIND W/ att gar
STATE TEL. LEGAL // t
LIC.NO. 185126 NO. T.4 87783 DESCRIPTION Tot. F6, T Art 33RD
SIZE
OF LOT7R.81w x 120.97 1 I NO. OF BLOCS.
NOW ON LOT - A. NO. none
USE OF - YARDS EVES
EXISTING BLDG. _ APPROVED ALLOWED
SETBACK N (CENTER LINE ST.)
CENTER OFLINE STREETPROM 30T REAR YARD 35E/ FRONT ‘519- FT. IN.
SIDE YARD LEFT 511 N I RIGHT 5 T 1 n R.SIDE 5 FT. J IN.
DESCRIPTION OF WORK
L.SIDE T. / IN.
NEWIr} ALTERATION I II ADDITION I REAR FT. IN.
REPAIR 1 il MOVING I II DEMOLISH I APPROVED
BY W. L. D� DATE 3-20-61
BUILDING NO. OF
SIZE . 2503 Sr ROOMS 10 STORIES 1
EXTERIOR WALLI ROOF
COVERING stIIOrO COVERING Rock
USE OF BUILDING AND WORK TO BE PERFORMED
residence - 2503 sq.ft.f�
garage - 483 sq.Pt. / 3
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THS ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FES ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION 41,..r:
/�
SIGNATURE OF PERMIT FEE $ fes] •ef-C.
PERMITTEE Car is ge Otr.CO. _ e
/�\y\\ _ ('��,],�� $25.235.00 PLAN CHECK $ "Z?.d d K�
AUTHORIZED AGENT \c ,••+ \J.�a + TOTAL FEE $ 6 � S O 1