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HomeMy WebLinkAbout1641 SAMAR PL - Building Permits it • - CITY OF COSTA MESA tat411111 I BUILDING DIVISION .----R Iv ""'i' 'I I DEVELOPMENT SERVICES DEPARTMENT J � PERMIT P MIT NUMBER I P98-00615 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1641 SAMAR PL Status: ISSUED Suite No Applied: 08/04/1998 ' Issued: 08/04/1998 Vicinity: Parcel Nunmber: 13928130 1 -- -_ - • Applicant NOCK, RON - - -- - .--_�_ Address: _,.--"';�j� _ .- � - - , >; -- (Phone: .. ilf 1 Zip: / - Owner PROBASCO, MARGUERITE• - ) / \--\N Address r/1641,SAMARPL [[ % - ' \ - i / \y'> /49/ n ?4i'r� Phone: \�': ,.�. /\\ /), kCOSTA MESA-CA.i' Zip: 92626 'N- >/'/ 'C,./ / V G Contractor:�(NOCK.PLUMBING Vt ,//'u /-_Address:-1161TKNOTT ST _ _.I.. //v/1c,-- _ if is - - - -';' 'i' Phone:. 714895 1246 s� '�/ ,f /GARDEN GROVE;SCA (r n�+Zip 92841 * .J:�. ' �� " r , L,,. - License: 707775 - ,,u ( $ _ ' .,: -' 1p 0D , •a DATE t) Arch/Eng i j "S /. -� \` i� Address '� - •. .. - desI i' •! ', 1,, - - - 1 1 - - - License:- - �i J rr r 1 , � SCOPE OF,PER_MI7-;' - 1 \ ' ‘‘INT W.H. ' _._ _ T / - ,' � C ` \------ \\';..;, FEE SUMMARY-4 -, i , �. \\` \\'AMT QTY AMT-`CITY :AMT QTY ISSUE FEE\ �.%" ) $22.00 I Laundry Tub/Washer , $0.00 0 Sump Pump $0.00 0 Backflow irrigation : $0 00, 0 ' I Landscape Irrigation" $0.00 0 Swimming.Pool $0.00 0 Backflow Preventer $0 00'iV 0 P-Trap •P.-��+ -/--. 2..$0.00 0 Trap Primer i , �:�'�/$0 00 0 Bathtub V*, <-',: $000/A0 Pressure'Regulator i„ 1$000, 0 Urinal/ . . 1 $0.00 0 Clarifier System,V - $0 00N�0 V '- Process Piping(per 10 ft)' .,,,$0.00' ,, 19 ' Vacum Brkr Bkflow(1=4)./ $0.00 0 Connect(Ice,Soda etc) $0.00.. 0NNA� y`Receptors ';r $0 00' 0" , "Vacuum Brkr Bkflow(5+)-� $0.00 0 Dental Units -, , ,$0.00;^. 0 I�`,'h ,T,Septic Tank'\,' I, ,, $0 00 `-0 % Wash Basin - $0.00 0 Dishwasher $0 00 /,/7.0 .;Sewer Cap for Demo-- .,-,'-$0.00'. -0'• • - ' Wash Basin Set / $0.00 0 N Drain,Floor -<$0.00 7 0 .Sewer Connect. ` `, ; $0:00 - 0 ' ' Waste and Vent System $0.00 0 Drain,Rainwater $0.00 '. .0 - . Sewer Private Line $0.00 0 , - Water Closet(Toilet) $0.00 0 Drain,Roof \$0.00---, 0 Shower $0:00 ' 0, Water Heater/vent $11,00 1 Drinking Fountain $0.00 i--0 ('_;\, Sink,bar , $0.00 0 Water/Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00-.,. 0, - _{ ` .Sink,commercial ' $0.00 - 0 ' Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 -0 - ' Sink, Floor / $0.00 0 -Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 ' Sink,kitchen -$0.00 0 - Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 I Sink,service/mop , , ,$0.00 0 OTHER $0.00 Gas Repipe $0.00 0 I Spa(private) - $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 i Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease, Oil) $0.00 0 I REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $33.00 COMMENTS/SPECIAL CONDITIONS EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. i 1 INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 I'i - DECLARATIONS (! j ( WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the rk for which this permit is issued. I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers' pensation Insurance/carrriieerr and licy number are: �7q 3 Y 7 O9 Carder. crcga . Page Pdicy Number. (This section need not be completed if the panni is valued at one hundred dollars($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 subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisio !y/ Applicant Signature: —� tar' Date: I �� WARNING:FAILURE TO SECURE WO- ERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND its I ARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under Jgnsy(Chaptel9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Uc.a - Class k Contractors Signature: ate: n immisaws CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, es owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drlvers'licensempr FYQ;=I❑No Drivers License No. Expires: Verification of Ownership-by.(type of tlocument,l property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT:CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,All 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes ❑No (Section 65850.2 of the California Govemment Code requires that the requested information be fumished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health end Safely Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 Yes ❑No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. 1 ��.. ' - •r.ner(s) C! C7 1e ! (Jti And/Or Author Date CODE L INSPECTION TYPE DAIS It ALS CODE INSPECTION TYPE DATE It1MAl.9 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical -1 ��j-� 1266 Pool Spa Final 208 Final Plumbing Q-. j-O7.b>' Q 1 (LSD 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval _ 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 244646 12 k t CITY OF COSTA MESA ® BUILDING DIVISION F• 14iT.Trklippir � DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT %.,.....,0,4+ I B03-00073 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 I BUILDING PERMIT i Job Address: 1641 SAMAR PL Status: ISSUED Suite: I Applied: 01/15/2003 Vicinity: FRONT,LEFT SIDE AND REAR Issued: 01/15/2003 Parcel Number: 13928130 1 Zoning: R1 R1 Applicant: MARTIN, DELORES F ISSUED BY: Address: - ,Phone: 714-556-8668 Zip: Owner MARTIN, DOLORES FAITH TR Address 1641 SAMAR PL '' ' Phone: COSTA MESA,CA it Zip: 92626-3627 • I Contractor: OWNER-BUILDER Address: Phone: I Zip: " Licenser 000000 Arch : I . Eng: Address: : I ' Address: • " Phone: Phone: Zip: I-License: License: 1 - - . SCOPE OF PERMIT- . CONSTRUCT 123 LF,6'HIGH BLOCK WALL ON THE LEFT SIDE AND REAR PROPERTY LINE BEHIND AN EXISTING SFD AND A WALL SECTION ON THE FRONT WILL ALSO BE ADDED PER CITY STANDARDS. . • FEE SUMMARY Plan Check: $54.11 • - - - Calc Valuation: $2,460.00 Permit: $83.25 Claim Valuation: $0.00 SMIP Res: $0.50 1 SMIP Corn: $0.00 Other: $0.00 i Inspection:/ $0.00 ' Total: $137.86 ` PLANNING &ZONING SETBACKS , MAIN STRUCTURE Front 0-0 I Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 1 Rear 0-0 Left 0--0 Right 0-0 PARKING Existing: 0 I Required: 0 Proposed: 0 ii 1 I 1 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related • regulations. (Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must bei obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754.5626 / 2446-46(6/00) i DECLARATIONS C ) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. • ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed it the permit is valued at one hundred dollars($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 subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE(S100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR 000E,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class# Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction tending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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).): , 4 I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) suant to the Contractors License Laws.). ❑ m exe t nder sec. Business and Professions Code for this reason: Signature: \. rax;o.r. - Date: p-576-5 Owner //6- Owner ID verified by driver's license. es 0 No Drivers License No. Expires: //S/OS Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes ❑No (Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws end city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is t. gree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the tibove- 'bed property f r inspe ion purpose I agree not to occupy or allow occupancy of any building authorized by this per t until fin I inspection. Signature Of L Owner(s) ate And/Or Authorized Applicant Date CODE I INSPECTION TYPE RAN INTITIAL$ CODEr INSPECTION TYPE DATE INTRIAL$, 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-RoofP/403 1 p 210 Final Electrical 201 Final Block/Retaining Wall �4/i463 212 Final Fire Prevention 202 Final Factory Fire Place (� 220 Final Planning Approval - • 203 Final Sign 222 Final Site 204 Final Demolition _ - 250 Final Building/Occupancy • • 1 4 �J /Z3 900 5 - 0qo 73 l — ,-,4 LF ttt APPROVED j CITY OF COSTA MESA PLANNING DIVISION SUBJECT TO BLDGJ DEPT. REGI NOTE: ADDITIONS; DELETION ,j \li OR CORRECTIONS SHALL BEP v) APPROVED BY THE PLANNING DIV O BY: DATE: ! K Cr , 1 � !I , _ • ° yi I - • • __ 7—-- T LWSI()NMOPMITTLDITIN`n SAFETY I 1 I I I _IL=_-- - ' I STA ME.A PPR©NICD SI' 0 _,, W h� )ate I /S� n 3 This n!of. Tans and .•afications. ST be ton thus job at ali iknes and d is nlawful to make-anychanges or after tin on sante wiknu mitteni perinatal from he Division of&eking and Safety,Cly of Costa Mesa. 0 3 — iA�j 3 Thestampigolthisplanagnp Stlaurotfibehadtup to be an approval ) aAik,t vai—ot of the violation of any previsions of any Cky of Costa Mesa Ordinance andlor State taw. These plans and pemid shaft expire by limitation and become null and void if the balling or work is not commenced an¢maintained active per USC§303(i)within kV dsv<M:.�n"ce, — �.` —, !kit Tp S Otto L. /&Y/ 5 -P ei i TYPICAL 611 CONCRETE BLOCK FENCE a es Cement CopingOptional ,�'l .6. GENERAL- NOTES Channel Block With 1.3/80 r`I!i ■,__ _ _� .;�' Horizontal TPP Of all H TEN �. MORTAR: One Part Plastic Cement, and Fences tp GROUT: Three Parts Sand For Fences 5•or Less ala �,t �I'- One Part Cement Three and a One Half Parts hand Ven.Bars 3/8"stS at 4' -O"O.C. Itl 0 COPING: One Part Cement, Three For Fences Higher Than 5' 4 Ports_Sond__ --- Ven. Ban 3/8 lb at 32" O.C. '� I• LTJ 'I MI IN - —CONCRETE: Wgll Mined 1:2-I/2: 3-I/2 1 II__a - x -- -- Moe of 7- 1/2 Gollcns of ___ _ -_ 42 _Ein.CeRs-SolidWith-Grout- S,I > z ,I-' Water Per Sack of Cement Where Steel Occurs ��!�11 r - - Reinforcing Steel Shall Ir■I f �- GROUT MAY BE POURED FROM THE TOP II'Or gge OF THE FENCE IN CELLS WHERE STEEL Conform to Sec.A-15.39 , W O - OCCURS. A.S.T.M. !B61 W n -' 111111 CELLS AND FORCEMENT SHALL E C ZOEF IAR"CLEAN TAL &" All Steel to be Lappedla■ 'L• FREE OF ALL MORTAR DEBRIS,ETC. Ill 24"or to Code a= MI NATURAL GRADE"..".,W//, /.1'I F7.' 1 �" III___ I. . la v Y .HIL.Q< r o_ • TWO 3/rd BARS CONTINUOUS TOP ei 0 " ' " &BOTTOM F-r•--AIDTH II TO 16. 0 C MAX NI SEE CHART t ° HOCPILSTEEL MUST BE TIED IN BELOW OE crH LF C4RTHTCOTH PLACE AT TIME OF TRENCH t I , I/3 THE HEIGTH or FENCE INSPECTION. j+ L 'Mow BOTTOM OF FOOTING j.. s IFD:iID" 1- 2" SCALE: 1/2" = I' FOOTING REQUIREMENTS CHART WALL HEIGHT 6 ' 5 4' 31 WIDTH14" . . 14" . 12". 12" THICKNESS10" . 10" 8 " 8 " DEPTH OF EARTHTOOTH 24" 20" 16" 12" SPACING OF EARTHTOOTH 12' 14' . 16' 16' 1111 BUILDING DIVISION c-n \. •THIS SIO;TCFI IS FOR INFORMATIONAL PURPOSES •SOLID WALLS/FENCES BETWEEN 2'6•&6'IN HEIGHT SHALL ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST Id FROM FRONT PROPERTY LINE. AN ACCURATE REPRESENTATION OF THEIR PROPERTY IN CASE THE SHAPE AND SIZE DO NOT CORRESPOND •SOLID WAILS/FENCES SHALL NOT EXCEED 2'6•IN HEIGHT WITH THE INFORMATION PROVIDED ONTHIS SHEET. WITHIN 10'OF THE FRONT PROPERTY UNE Q.jCYI CURB LINE). •VERIFY DISTANCE FROM CURB TO PROPERTY LINE AND SHOW ON PIAN. VERIFICATION FROM THE CILYS ENGINEERING DIVISION IS REQUIRED. CALL(714)754,5343 POR INFORMATION. KI� x 1 6 I ME90EMC[ .. era 8 4 LIIt 1 I I I I 1 I 1 ga t �Q( y 1 I s a RE110E SOMME .SgOICE RCSOIEMQ u I I I I I w I 1 W w W • • S.NW 1LOOf .4l4 SET MOI / T STREET BLOCK WALL LAYOUT FOR BUILDING PERMI PLANNING DIVISION I . CITY OFA TSTA MESA PROPERTY DETAII EPORT i 1641 Samar PI Costa Mesa, CA 92626-3627 l Owner: Martin Dolores Faith Phone: Resident: i Phone: i Site Address: 1641 Samar PI Tax Address: 1641 Samar PI City/Zip: Costa Mesa/92626-3627 iI City/Zip: Costa Mesa/92626-3627 Parcel Id: 139-281-30 Own. Occ.: Yes Location: Costa Mesa City 1 School District: Newport-Mesa Unified Neighborhood: Unknown Census Tract: 063802 Wealth Code: 0.0 Year Listed: Legal Desc.: N Tr 3487 Lot 101 Zoning: Unknown Subdivision: Unknown I I I Usage: 001: Single Family Residential Style: Unknown Construction: Unknown Year Built: 1959 I Ttl. Rooms: 7 Blktop Paving: Unk. Stories: 1 I Bsmt. Type: Unknown Concrt Paving: Unk. Bdrms: 4 IBsmt. Fin.: Unknown Carport: No Baths: 2 Full I Gar.Type: Attached Garage Deck: Unk. Heating: Unknown 1 Gar.-Cars: Patio: Unk. Cooling: Unknown ' Gar. Sqft: Pole Barn: Unk. Irr. Lot: Unknown 1 Roof Mater.: Unknown Pool: No Terrain: Unknown Roof Style: Unknown Fireplace: Water: Unknown I Attic Type: Unknown Gas: Unk. Sewer: Unknown I Condition: Unknown Electric: Unk. Sqft 1st: I Lot Dim: Units: Sqft 2nd: 1 Lot Size: .19 acres Sqft Bsmt: , Lot Sqft: 8276.4 sq.feet Sqft Total: 1641 Market Value: $109,819 1 Gross Tax Semi Ann.: $681.70 Assessed Land: $47,708 HB920 Credit Semi.: Assessed Bldg: $62,111 I RB Credit Semi Ann.: Assessed Total: $109,819 1 RBA Credit Semi.: Percent Improved: 57% I Homestead Exemption: Delinquent Taxes: I Spec.Assmt. Semi.: Tax Semi Ann.: $681.70 I Sale Date: Nov-08-2000 1, Mortgage Date: Jun-28-2000 Sale Amt.: 1 Mortgage Amt.: $295,000 Deed Type: Intrafamily Transfer Mortgage Type: Conventional Volume& Page: II Volume& Page: Seller: Martin Dolores Faith Lender: World Savings Bank Title Company: Unknown Mortgage Term: 2030 Multi-Parcel: No 'I Mortgage Rate: Unk./Adjustable The information is deemed reliable but is not guaranteed. 2002-2003 Tax Year Copyright 2003 Haines Printed Aug-08-03 i SOUTH ORANGE CA • WEIDENKELLER, MARY JANE From: KENNERSON, SILVIA Sent: Wednesday, August 13, 2003 8:30 AM To: WEIDENKELLER, MARY JANE . Subject: 803-00073 THE PROPERTY OWNER CAME IN THIS MORNING AND SHOWED ME HER JOB CARD. IT WAS SIGNED OFF BY BEN AND I ENTERED THIS INFORMATION IN THE SYSTEM. JUST WANTED TO LET YOU KNOW SINCE YOU SENT HER A LETTER. THANKS, i Silvia O. Kennerson rp City of Costa Mesa Bldg. Dept. 4 (714) 754-5652 166' II 1 • _ /Ap)plicant to fill in all spaces within heavy border lines and sign all appropriate declarations. . CITY OF_COSTA MESA--'-- - - PERMIT NO. - TRACT NO: - ' -LOT NDC; - BLDG.NO. - - " _. . . _. . . . _ . _.. . . .- _ .. _ CONSTRUCTION PERMIT 13 S� ,q • •- 343 7 - •• r o l ` ' • Project Address ` {j,/ 94 lye / TYPE OF CONSTRUCTION • ._1't' •-I. , Owner eie.0 ba-S co WC a.rj ee Phone•%z . 7z$z'❑ NEW s•ADD ❑ ALTERATION - J b))a/ • , Address -5�b Lr....e'�- •r_ 2 _ .._ ❑ REPAIR ❑ CONVERSION .❑DEMOLISH. ZONINGIREGUUAi710N$7._ _❑ OTHER • /' i �I • Arch/Eng.. ..yK 0.Wr it p _ _ License No. 479,_r - - �'1 OESCRIPTIONOF,WORK aii--oo• ratio to vet- .2- /� � _ 3� - - Y Address- •C,4 v(4 U4 '-.r1,4 " - 39-1- O-Z 4, _ , i�- - I ,2,•0/ .J 7 X -�.2G Tc BO RR Z/ 3$ •ZONE •PL. REF yf„ a Contractor-j7-F 4-f0 0/1/1 FL-0 —. 2Ph9Ye s�J.��j r� VpE OF PERMIT ' -' - '� BUILDING ' _�• / TO es�ILDING '7d �/ - - ��yy I SETBACK C/L ST.L/- PROPERTY-LINE •-Address 0 r'fj ( 'i,64:44 ✓7[V 61 4.z.�P4 4 --- ❑ GRADING ❑ FOUNDATION ' OQ STRUCTURAL • - LED TYARO I_/.t�,7 � , . \ !LICENSED CONTRACTOR•DECLARATION • ❑ TENANT 0 ELECTRICAL CIPLUMBING ❑MECHANICAl �Ll.f -.1 hereby affirm that I am licensed under provisions of Charter 9 (cam-, ,�._ -RIGHYARD • �/ II mencing•.with section .7000) .of Division 3 of...the Business.'antl• ❑ OTHER 1 Professions Code, ;and my I'cense is in full force and effect. - -REAR YARD (TO.P/L) ±.a�/ I� - - _ - L+ ./ 1 � j 1Z,71/ ',PROJECT DESCRIPTION__.f__ __ - _ _ .- - -PKG.SPACE REQ. - . PROVIDED! . - -- ` :License Class �f-(� dense •• Date _I R �O Signature • A� j SQ. FT. -• ^- -- - STREET WIDTH 'WORKERS'.COMPENSATION.D EC LA RATION _/ • - OCCUPANCY CONSNRUCTION TYPE - - ' hereb affirm that 1 have a certificate of consent t5----- I If insure ora - ZONING APPROVE���ggg'''/ • DATE '/.certificzte.of Workers' Compensation"Insyy�rance orertified copy • VALUATION ZONE • _ _ 'oft/ �Y thereof(Secy'onn3800,La C.). ' ,/- ,GRADING CU:YDS. ' ACRES •- - ,SPECIAL CONDITIONS: - / 'Policy No. f -/,Orr-/LV mtiany J Lt[;( • 1-_,,,, 1' _ /c'- —. _ _. _. . . _. _- _ ,. o Certified copy is.hereby furnished. REMARKS: 'Certified copy is•filed with the city Building Division. +• _^ _- _ .- , EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' ' ' ' ' .--- . . - -- - - . . .-I ,(This section need not be completed if the permit is for one hundred . -. . - - - :1 ($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 t _:ELECTRICAL - PLAN CHECK subject to the Workers'Compensation Laws of California.- 'r - - I - -- - BATHTUBS -'- -' SHOWERS -- - ' �A RAbE - '- - •Date Signature ' 'S0 FT - SO 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 LAYS' - - ` " ;APPLIANCE' '10-50 KW_50+KW,-' " _ _ . _ revoked. t ' j -' •CKIT-'SINKS '"-- DISHWASHERS" ONSTRUCTION"LENDING AGENCY + "-- MOTORS ' 0-1 HP_1-10 HP, hereby-affirm th there constructionperlending agency for the Der- SERVICE SINKS -SUMPS "' (INC.SOLAR). - 10-50 HP 50+,HP �formante of the work for which this permit is issued (Section 3097 - • - - _ ' Civ. C.). - - • -- . - ' ' ' FLOOR SINKS' ' 'FCOORbRAINS - -- 'FIXTURES " OUTLETS SWITCHES ' ' ' ' • Lender's Name --- - - Lender's Address - • DRINKING FOUNTAINS' .- ' • - '' • .GAS TUBE SIGNS- _ _ OWNER-BUILDER DECLARATION-- INTERCEPTORS' CLARIFIERS - • . -. , • - POLE LIGHTS - I hereby affirm that I am exempt from the Contractor's License Law for ._ a- "' the•following reason (Section.7031.5 Business and Professions Code:. SWIMMING'POOL PTRAP' - - .LUNG I.RUE I wWIN . - Any city or county which requires a permit to construct, alter, - POLES improve,tlemolish or repair any sb uct ure, prior to its issuance,also re ^y,,ATER SERVICE -ALTERATION' _ '- - • .PANELS" ""MAIN SUB quires the ap,scant 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 - SERVICE"- ' ' ' " ` ' - -AMP • - - .SOLAR) and Professions-Cotle) or that he is exempt therefrom-and the -WATER HEATERS . - BTU OUTPUT '- - - - '" ""' . - basifor the alleged exemption. Any violation of Section 7031.5 by any- applicant-for.a permit--subjects-the applicant•to-a-civil-penalty ''SEWER'CONNECTIONS -ti "' - - - •"' - - ' of not more than live hundred dollars ($500). - - - D.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 _ - - _ •M - ,. 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 _ _ _ _ - - •- �� who builds-or"improves thereon, and who does such work himself or ISSUE FEE • APDL-KATION APPROVED BV'�// '- DATE /q/k ' - through his own employees, provided that such improvements are not ' - 1 - -y i/U 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 ' ' - ' of proving h¢ did' not build or improve for [he'purpose-of sale): BUILDING - ' - S' `- ' • HEATING SYSTEM 0-100,000 BTU - ,PERMIT g _�S• •"' .-SMTP;,. . • $:c�'• + ❑ nsed ,_own¢r,of .the. property, am-exclusively contracting with. AND DUCTING - - -- - - - licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ ��•••�S. - 'PERMIT and Professions Code: The buildsctor.'s License Law does-not apply to - "ISSUANCE $._ an owner of property who or improves thereon,and who con- REFRIGERATION 0-100,000 BTU i' PLUMBING- $ - tracts_from such.projects with a_contractor(s) licesned pursuant to' SYSTEM - • 0 • --GRADING ,, - the Contractor's License Law). 100,000.1 BTU - ; 1' _ 'PLAN CHECK $ ' •= ❑"I'am exempt under Section B:&'P,C.for this BOILERS BTU ELECTRICAL. $ $ reason - • - - • PLAN CHECK $ --' - 1" - MICROFILM• .$_ . Date Owner • SYSTEM REPAIR,ALTERATION I . ' MECHANICAL 'g _ I hereby certify that I have nerd this application and.state that the above EXHAUST SYSTEM MULTIPLE- ��,LESS'AD- - information-is'correct. 1 glee to com y will; all city and county - . PLAN'CHECK- $ - VANCE PC $ - repes ordinances and sta laws r Eating to co uction,and hereby authorize '+ ` , t' - representatives-k this ty't0 upon' the above menponed- - ^ property for is ect_i p / _ Signature I --JJ � i(•� ' '-�-"ISSUE FEE - -- • - - ' -' - - - _ _ CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor ' .. t ,r, ....7 _ CONSTRUCTION AND PLANNIN POOL&SPA • i .10. T:;: . APPROVALS Permit# �' Date „'Inspector vAPP.ROVALS . _ _Permit# •''V Date Inspectors e_ 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.&PressureTest ' - - - -• - - - 6. Electrical UFER Grn • ' •. 48: APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undrgrn ,. • • 8. Foundation _• _ _ - - ; - _ 50 . Gas Pipe, El Undrgrn,Test ',•,- ' ' • ' e k - . 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-Svstem- Final _ 14. Rough Electric-Conduit l - - '56. Electrical-Final- . • • " • . -_15.--�Rough Electric-Wiring ' - - - - -. - 57. Solar System-Final • ,,,,-, r 16. Rough Heating.& Air Conditioning. • . . - - -- - - _ - - -. .. 58. Fencing &Access Approval 1.7:_ Ducts, in Structure. _ I - _'- ._ . .'_ .... . .59• APPROVED'FOR.PLASTERING . . . ' ' 18:. Ducts, Ventilating . . . - . - . . . . . . . . __ .. .. - _ - .. ._ _ _ • , 19: Gas Pipe-Rough &Test - ,• , _ _ __ _ ' 60. POOL/SPA SYSTEMS FINAL. 1 20..- Roof,Framing _ - - - ._- - - .. d,;;... 21. Roof.Sheathing - - i - _)I ' ' 22. .Frame and Flashing NOTES_-kO ,t5---.. -- =-f• • rt 23. Insulation • - . - . .-.' a .-- _ ' "°`-` . - 24. Lathing & Siding- .- _ .- - . - _ 25: Drywall Nailing _ . . .:', . _ _ • • , 26. Plaster Brown Coat _. _ i. . . ' • . . , 27. Electrical.Power Meter-Final ' . •. .. __ . . . - ' -28. .Final Electric. - .-- -. - - - - ? - - _ . . . • . 29. Final Heating &.Air.Conditioning _ _ .. ' . -_ , . . . .. . _ _ . 30. Final.Gas Pipe-Test . . _- .- - -_ r_ - . . .. . _ _ . 1_31. Final Plumbing ._ _ _ . - . .. • 32: . .Water Service-Final - _.. _ . . - _, • 33.. Cu Service-Final . . . . .. 34. Solar DomesticFinal • ; ' '• ., - i . - - • . ' .,: I 35.-. t-Landscape Sprinkling System% _ _ . .. ' _ . • 4 36. Sound Attenuation ..,, ._ , -__ ' " 37. Handicap Regulations • t , • ' 38. FINAL STRUCTURE& BUILDING Y tic /--b=-• �3 � • r I 39. Special Requirements Completed - -- - • - _ .. - , 40. Electric Release to Edison •- - ' i . : 41. Gas Release to Southern California Gas'Cb. "- - , I - a r - ' �, . _ - - 4 . I 42. CERTIFICATE OF OCCUPANCY - _ ;. . __ _ _ I - •No ' ' - Date - _ r - -- - - -- _ 4 _ . 3_ ,- .. - . -- '`,=. ?: . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. r CITY OF-COSTA MESA i - ' ' PERMIT NO. r - 'TRACT NO. ' - LOT NO. ; BLDG.NO. ) - i - - - " ' -31.68---11.26/64' 5.013i- TL' CONSTRUCTION PERMI • • • 9 SC�7S�i - . ' I " ; . . `` - ; l Project Address ' . s .l e- r - ' -TYPEIOF CONSTRUCTION 'U NEW U'ADD LI,ALTERATION Li REPAIR • - - ( I - I 3 �� •❑ CONVERSION "❑ DEMOLISH ❑ OTHER, •• - - - + Applicant's Mailing Address I -t-41 • _- pp r A':P:# ;J Zone ,_ • Owner • 's Name I L11/ • �A1 A "— � "Phone4 Q cZ .DESCRIPTION_OF WORK ; {` U '7 ' ' a ,. T i,- S Main Building.. r- -Accessory Building:- Z Addressl s ,� ( TYPE OF PERMIT E GRADING '❑.FOUNDATION U STRUCTURAL T Front _ _ - • N Arch/Eng , - License No. ; ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL I I . - B Rear - ' - ' 1 •Address - ❑ OTHER - - , - - , - N 7 C{/(J� ? : - C Right G Contractor's Name/C(14,/.i' ✓1, ''''' '/P�honec2_�_V�K9�y PROJECT DESCRIPTION. SQ. F7. , . 'OCCUPANCY K • ' " • R Address mailing) �6. 7-S Vce am 9,7-L-f-L ,CON STRUCTION TYPE VALUATION$ $ Left I _ ; • r E i --O� e-' �i I ' ' ,ZONE ': - • ' GRADING CU.YDS. ACRES Ping. Ref.# •; I 1 Park:Fees $' City-License No. - J 3 .. LICENSED CONTRACTOR DECLARATION Remarks: • Parking Req./Provided • - I I 1`hereby,affirm that I am licensed under provisions of Charter 9 (commencing _ R 1/) with:section 7000) of Division 3 of the Business and Professions Code, and `- L • Use of Building: - - E ro my license-is in full f9rcp a d effect. • _ License Class - I i License Nr , PLUMBING FEES Planning Notes: + •1 . Date er Signatur,-eLara��i .....:.... -.F1111.1.1 - .. E 'ORKERS' COMPENS%1TI • ON:I CLARATION Bar Sink , Showers _ f . N T ereby'affirm that I have a c- tificate of consent to self-insure or certificate • 1 BackfioW Preventer Service Sink I S ...i Workers' Compensation-Insurance„or-a-certified-copy thereof'(Se tion - - - - , • • 3800, Lab. C.) . q / r f"+ f- . Ate.. 1 Backflow-Inigation 1 • ELECTRICAL i - FEES Policy No.0e{L 6616D7 ' Company J'�-Lu• . I' U.614�_ • ' -Certified copy Is hereby furnished. . Bathtubs ' • Automatic Washer I .Transformer ❑ 15-50KW Mrtifiee�si copy}5f/led with the city Buding Division 9 50+KW Date/ ^ -4--"7f7 ' Applicant. ' d Clarifiers -Constructin Pole Sub. ; 'EXEMPTION FROM WORKERS'CO PENSATION DELARAT ' - Dishwasher oOkin Unit". - ,._ .Meter Du to 100 amps(This section need not be complete the permit is for one hundred ($100) or • 9 p s)1Cercifythat:in the performnce of the work foriwhich this permit isissued, I , Drinking Fountains " 1 1 Dishasher Meter,Dover 100 amps , - shall not employ any person In any manner soas to become subject to the ' Workers•. Compensation Laws of California,• Floor Drains• 1 Dryers ❑Gass ❑Electric i Sub Panel I 'Date i - Signature I ' 'NOTICE:Ifafter making this declaration,you should become subject to the Floor SinksFan'. „ t Motors �o-1 HP O1'/z_-8- -Workers'"Compensation provisions of'the LaborCode, you must-forthwith - - - ' - - -•- -complywith such •provisionsor •this..permit shall .be.deemed revoked:. / Gas Service or Outlets -• -_ ' - � -F,A.U. . ' ' , Inc.Solar;D9-15 HP U16-15+ CONSTRUCTION LENDING AGENCY'. ' ' 'a I - " I • • ' I hereby affirm that there is a construction lending agency for-the performance ' - Interceptors 1 Fixtures ' .Microwave of the :work .for. which_.this' permit' is issued-(Section' 3097 Civ. 'CJ' - • Lender's Name- - , . • Kitchen Sink - Water Service , ' Device Boxes Pole Light Lender's Address' ' ' ' L3vatr.-, OWNER BUILDER DECLARATION . s o - • - = --. _ ,' . . - Outlets Range y ' I hereby.affirm that I am exempt from the Contractor's License Law for the p-Trap, . following reason (Section 7031.5,Business and Professional Code: Any city or p, -- . , - . - Switches. . Sign . , county which requires a permit to construct,alter,improve,demolish or:repair any structure, prior to Its issuance, also requires the applicant for such permit , .-Roof Drains' I - , - I • „ Garbage Disposal ' 'Standing Sections • • • , to file a signed statement that he/she is licensed pursuant to the provisions of ' - _ 1 - - -.t,ge Contractor's License Law(Chapter 9 (commencing with Section 7000)of - - - Generator (]0.5 KW �5-15 KW Trash Compactor + ' -,„vision 3 of the Business and Professions Code)•or that he//she'is exempt . . - r p ; + `erefrom and the basis for the alleged exemption: he apolation of Section • - - , • . - . 4:7`e 31.5 by any applicant for,-a permit subjects'the applicant'to 'a civil pains ciion Fee. $ 3, • �asnotty of not more than five hundred dollars($500). - PeI $25• 1 Issue Fee ' 1 • Reinspection Fee $25 Issue Fee . $ 3 co I,-as.owner of he,property k, or my employees with •as their sole i' ! compensation, will do the work,and the structure is not intended or offered , • - -MECHANICAL FEES - - for sale (Section 7044, Business and• Professional'Code:- The Contractor's • _ --- PUBLIC SERVICES REQUIREMENTS: , - ' License Law tloes not apply to an owner of a property who builds or improves • Date i ' thereon, and who'does such work himself/herself or through his or her own ! Boiler ■ Zoning Approved By I ' employees, provided that such improvements are not intended or offered for Duct-UdeGround ' ucUnder sale. If, however, the building or improvement is sold within one year,of com- Application Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Date _ rove for the purpose of sale). DuctStrucSystemtural-Sttal •- •I1 I I1- : Application Issueday U I, as owner of the property, am exclusively contracting'with licensed con- i s ■ tractors to construct the project ``Section 7044,Business and Professions Code: - Duct-Ventilating - I I I I I • ;SUMMARY OF FEES • • The-Contractor's License-Law does•not apply to an owner-of property-who- ,- - BUILDING PERMIT • $ • SMTP- I $ ' builds or Improves thereon, and who contracts for such projects with a con- • Exhaust System 0 Multiple❑ System Repair/Alteration . • tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK . $ L”' PERMIT - , • 0 I am exempt under Section ' B. & P.C.for this reason Firepl/Fact.Bit. ICBG# .. i CJ�.O� 'ISSUANCE $ I PLUMBING' ' $ - Date - ' Owner' - ' I Heating System&Ducting 1 • PLAN CHECK $ ENERGY P.C. $ • I hereby certify that I have read this application and state that the above ❑0.100,000 BTU D100,000pit ELECTRICAL $ GRADING $ ' . -Information is correct. I agree-to-comply with'all'city and county ordinances and-state laws relating to building constr ctlo, -and hereby authorize repre- i - MICROFILM $ sentatives of 's city to enter upo, e -N.ve-mentioned property for • I PLAN CHECK r $ ' _ inspectian.pur•,ses. ' / yy�� '1 ' MECHANICAL $ ' Slgnat ur. ./ ter•e_ •.ura: "•• Datei-2-4 6 , 1 ! • TOTAL FEE $ S�_ Driver. •�r . �_ Reinspection Fee Issue Fee • $ 3 PLAN CHECK $ , 'CMF Or65-46-rev. 7/83 - Pink-Accounting;Goldenrod -Assessor - - - - - .. - - - - . -- - .-L _. - _ - CONSTRUCTION AND PLANNING • - POI SPA APPROVALS" Permit# P 1015{ Date,_ Inspector 'APPROVALS Permit# - Date Inspector i;1. Tempoi-ary Electrical Service or Pole ' - 52. Pool & Equipment Location . • -2., Soil Pipe-Undrgrnd. /. 53. Steel Reinforcement • • ' e . 3:'Electri'cal Conduit•Utility,Undrgrnd. 54. Forms _ • .4:.Electrical Conduit-Undrgrnd. q. - 1 55. ElectricalBonding . „ 5. Steel Reinforcement - 56. Rough'Plumbing & Pressure Test `•`' I - . 57. APPROVAL TO COVER-GUNITE • 6. Electrical UFER Grnd. ' _ ,:;• 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 Conriection `` 62. Backwash & Receptor-Final /i. a- 12: 12:Sewer_Cap • t�r' •/;.. " 63. Heater & Vent-Final ' 13. Roof Drains : ' • • 64. Plumbing System- Final . • • 14. Rough Plumbing - 65. Electrical-Final " • 15. Rough Electrical-Conduit -66. Solar System-Firial ' 16. Rough Electric Wiring - "67. Fencing & Access Approval ' • 17.. Rough Wiring Sign • i 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,Piping0Gas 0Oil • 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 PREV. FINAL 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION ' 32. Electrical Power Meter-Final 7 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' Notes: 34. Final Heating & Air Conditioning •• 35. Final'Ga /31-(Y �l sPipe-Test 'e - 36. Hood or Canopy - - - - 37. Final Factory Fireplace • - , . ' - 38. Final Plumbing , - • i - - 39. Water Service-Final - 40. Gas Service-Final . 41. Solar.Domestic-Final 42. Backflow Preventer • • 43. Backf low Irrigation . . , . 44. ,Landscape Irrigation System - - - 45. Sound:.Attenuation ' ! 46. Handicap Regulations -. '- - " 47. F1 NAL STRUCTURE& BUILDING - . • 48. Special Requirements•Completed - ) I ` - - 49. Electric Release td Edison - " - - '- - I • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY.- . _ . .. . - . . No. - • Date --. 1 • Ili/=—r.77 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. .. - \ CITY OF COSTA MESA: - -' -• PE ITN _ • TRACT NO. LOT NO. BLDG.NO. - - - - CONSTRUCTION PERMIT JOB # 1956 • 4913. 2/ 27/64 32.50TL' Project Address ;1641 Samar Place - - TYPE OF CONSTRUCTION U NEW ADD ',U ALTERATION beREPAIR - _ • Applicant's Mailing Address 618 N. EQkhoff St. 'Orange CI CONVERSION ❑ DElvpp LISH OVER AT.# - , I Zone '. - _ • DESCRIP IO OF WORK -`eroo •wi�'" Deem Tile, 32 squares- - _ • Owner's Name - Marge Probasco phone n�8' - , , • r S' Main Building: - • Accessory Building: i I ' Z ' 1641 Samar Place 'Costa Mesa_92626 92626 i- ICBG 3+09. - . o Address _. - .TYPE OF PERMIT' - ❑ GRADING' - _ - - ❑'FOUNDATION ❑STRUCTURAL ' T FrOnf N ` Arch/Eng. - - I License No. 40 TENANT ❑ ELECTRICAL CI PLUMBING- ❑ MECHANICAL ANICAL B Rear, ,. • I • Address '❑,.OTHER : _` - - _ A . 'C Right G CAL-QAC ROOFING INC 978 6h116 PROJECT DESCRIPTION. SO. FT. OCCU PANr�Y R Contractor's Name • p Phone ry q - R • - 'CONSTRUCTIONTYPE 'Reroof VALUATION$ ' 1 ,500.00 S Left Address(mailing) 618 N. EQkhof£'St: ' Orange -92668 _ E . ZONE ' - GRADI NG CU.YDS. _ ACRES • - - Q. City'Cicehse No. 1027633 -• _ - Ping. Ref.# - Park:Fees $ , U , \ LICENSED CONTRACTOR DECLARATION '£ Remarks: r 1i ' ` .Parking Req./Provided 't • •' ' - - 1 COI,hereby,affirm that I am licensed under provisions of'Charter,9'(commencing -' t ,, Use of Building: - R `}r� with section 7000) of Division 3 of the Business and Profeslions Code and ; • TY • Ig: E • my license Is i n f uy force and.effect. "°- • LicendeCi 3 No • 7'50 , t PLUMBING 1 FEES Planning Notes: - i . . M Date Signature�zt.'.n�� namp� s E t YORKERS'COMPENSATION DECL- RATIO / ` ! Bar Sink Showers • ' - N '.;ereby affirm that I have a certificate of consen to self-insure or a certificate 1 ®:. Service Sink S _hi;'Workers'-Compensatiominsurance, or-a certified -copy thereof-(Section - - t '273800, Lab. Sewer Cap t ELECTRICAL ` FEES • �tbS 137886 Royal'Ine. Co. I Policy No. Company - - • - [� Certified copy is hereby furnished- i ®=- , Sewer Connection ® 'Automatic Washer • '.Transformer 0 15.50 KW 12i Cef•�,pg4 is filed with the c aui d1111121=11.1111.11111 ( j I' ..O 50+ KW i• Date G/�•s}/w Apphc R��I�eAyWis Z•._ -.mac_! Solar Collectors ?W'�-,Construction Pole Sub. k S ' . • -EXEMPTION--FROM.wORKERS'COM' NSATI'DECLARATION • • ` •- , - (This section need not be completed if a permit for one hundred (UO0) or t Solar'Piping` -" m . a s . less). Iis - . 1 certify!that'in the performance of the work for which this permit isdssuetl I 1 DrinkingSolar Tank e•• Dover'• a I c ' shall.not employ any person'In any manner so.as to become subject to The ' Workers'. Compensation Laws of California. s ,M' a • ' Swimming Pool w/Spa, ' Dryers,O ! Date : ' Signature I , Floor NOTICE: lf,'after making this declaration,you should become subject to the i Floor Sinks r Urinal • _Fan 1-,® .I ■s ' ■ - • ■ Workers' Compensationprovisionsof'the"Labor Code; you must forthwith-- - ` ' comply with such provisions orthis„permit shall be deemed revoked., I i Gas Service ;Outlets` - 1 • Water Closet ct,e, 1 - • R,A.U. I ■' P U CONSTRUCTION•.LENOING•.AGENCY: • - •• i If - • - \. 7v • �r® _ • hereby affirm that there is a construction lentling agency for the performance 1 • Interceptors; - Water Heater, ;.� , \ - Fi tures ' ; of the.work -for-,which; this permit dis Issued':(Sectiona'3097`•Ci• v. C_J - 't - --k � C �1/ , , ®, Lenders Name,- ' • - I T. ' = - •e - i Kitchen Sink ! ,Water SerJ¢e , �/ p i II. , ` / �j I . Device Boxes ;Pole Light i • t . Lender's Address- • ' - ' .. ' ! • • R. 1W. - OWNER BUILDER DECLARATION' ' F - r- I • Lavatories , ,� \` e i I hereby affirm-that I am-exempt from the Contractor's License Caw for the • p Tia t - 'y1o” � following reason (Section 7031.5 Business and Professional Code:ode: Any city or ' • • I_ P, • _ iys1 1 -r I Disposal Garbage ® ®' county which requires a spermIt-to construct,alter,improve,demolish or repair / - II`v • 'any structure, prior to Itt that ce, also requires theapplicant for such permit Roof,'Drains <to file aligned statement'that he/she is license ant to the provisions of _'•he Contractor's License Law(Chapter 9(commencing with Section 7000) of _ - 'vision, 3:of the!Basiness and Professions Code),or, that he/she•is exempt 1 �a s ", h = e (!. S Generator ❑0-5.KW ❑5-15 KW Trash Compactor t •retrom'and the basis for alleged exemption. Any'vlplicant of Section • -- - ' ' "' • : i /31:5 by,any applicant for. al permit subjects_the, applicant to a Civil ' + •Reins ction Fee - L. $ 3 • •genalty of not more than five hundred dollars($500).. - Pe '$251 Issue Fee • I, as;owner of the property'orr nisi employees'with' wages as their sole ; - • Reinspectioni $25 Issue Fee • Fee compensation, will do the work, and the Structure is not intended or offered ; : ' , . MECHANICAL i : - FEES ....>.•. -w.-. - .•..-:..,,- - .__. _��_.__-_�.•,.—.,..---". T_ for sale!(Section 7044, Business and'Professional Code: The Contractor's . T - PUBLIC SERVICES REQUIREMENTS: '_ • ' License Law does not apply to an owner of a property.who builds or improves ! Hood or- Type I - ❑ ' - thereon, and'wholdoes such work^himself/herself or through his or her own • 1 Zoning Approved By- . - I I i - Date ' r employees, provided that such improvements are not intended or offeretliforCanopy j Type I6 ❑ ;j _ ,' sale. If, however,the building or improvement is sold within one year of coin- .• Duct': Ground - - ' Application Approved By -n l - • Date O pfove f thr h owner swill fha le).ha burden of proving he/she did not build or im- i e Refrigeration System i 'Application Issued,B l Date c //// • rove foi the purpose of sale). ( '- 9 Y •- I PP. Y - ]] U I, as owner of the property, am exclusively contracting with licensed con- a ❑0;100,000 BTU ❑100,000 BTU i RV OF FEES • 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 f - - - - - - - -- - - - - - BUILDING PERMIT $ • SMIP I $ -- 7 S© builds or Improves thereon;and who contracts for such projects with a con- ■ " ■ System Repair/Alteration - • tractor(s) license pursuant toithe Contractor's License Law). - - — PLAN CHECK $ PERMIT - ❑'l m am exempt under section , B.& P.C.for this reason , :• PLUMBING $ ISSUANCE $ - ' Date _ Owner, : a I ENERGY iP.C. ' $ ' PLAN CHECK t $ 'I hereby certify that I have read this application and state that the above • ■• 11 sal 0100,000 B • GRADING $ _ ` �; information is correct. I agree to comply with all city and county ordinances' -. - - . ELECTRICAL ' $ and:state laws relating'to building.construction/and-hereby authorize repre- . MICROFILM $ l , •_ • ®, PLAN CHECK $ - sentatives of. this' sty, to-enter u•+ t .above-mentioned -property;for ' , - inspect io' •s L . t S,gnatu 'i/',,.rain %4 - - . 2/14' , . - MECHANICAL • : $ - TOTAL FEE $ Drivers".License or:SS la ' Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor -- - - - - - - - • - - . • ' FEE t. f Li- 10932 etLJ r r --..) 7 J y COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.p P.O.BOX 317 COSTA MESA. CALIFORNIA CITY Y QIrCO3FA MESA FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT . TYPE OR PRINT BUILDING BUILDING ADDRESS 1641 Samar Place COSTA MESA. CALIFORNIA. FOR OFFICE USE RECEIPT NO. I ONlite !2 ONLY y OWNER Glenverde Homes, Inc. lite32 MAIL Bo 65 RECEI](iED BY /D/AT9RE FIVE ri_DATE t ISSUED n ADDRESS Box ���- //// j4 IPF UV G 3 9sa CITY Balboa Isladd� Calif. TELOr3-4220 BUILDING ADDRESS ARr -CE LIC. OF VEER NO. COSTA MESA. CALIFORNIA ADDRESS FIRE ZONE T,,t I ZONE TYPE / GROUPL yam+/ CONTRACTOR Macco Cori). LCT.ANTO. 98808 APPROVEDBY DATE, ADDRESS Box 65, Balboa IS1and,Cali£. ZONING ��^�T P LEGAL LOT Q ZONN�� NO.OF USE OF NEYT" DESCRIPTION NO. 101 BLOCK TRACT'487 �� PI'AN/87 ^YI BUILDING J-J \,f� yy�� A.P.NO. APPROVED IL'...!/ ,� DATE 1 _ > 3/J'c US 7000NO.OF BLDGS. YARDS l ✓`- .�_ l 1 1 OF LOT Now ory Loi O REQUIRED A LOWED USE OF (CENTER LINE ST.) ,� s•� EXISTING BLDG. FRONT LCZD FT. IN. I SETBACK LINE FROM CENTER OF STREET 50 REAR YARD 20 R.SIDE FT. IN. SIDE YARD I LEFT 19 !RIGHT 5 L.SIDE 19 FT. IN. DESCRIPTION OF WORK REAR 2-0 FT. IN. NE1 X VV ALTERATION I II ADDITION REPAIR 1 VV MOVING 1 II DEMOLISH I BUILDING NO.OF SIZE 1641/446 ROOMS 9 STORIES 1 4 COVERING WA-StUOCO (COVERING shingle USE OF BUILDING AND WORK TO BE PERFORMED . residenceuI //aztr. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION. VALUATION SIGNA E OF VIE Hamm, INC. PERMIT FEE $CG OO PER`,^'i�'� S /)/q PLAN CHECK $ /l/" •T eD A N 0// /'J TOTAL FEE $ L5 If- �U g , I. CITY OF COSTA MESA - - FEE RECEIVED Building Safety Department 18362 DEC 3 ig82 Application for permit for the fabrication and erection FINANCE DEPT. of awnings, advertising signs or devices. CITY OF COSTA MESA LOCATION FOR OFFICE USE ONLY �g _ 3 �6 v Building Site Address /eel/ ------ --Ter aigv {/�I ' Date Issued /'� Permit No. 3 C Name of Leasee r "7 /C-� ?— 2697 Fire Zone - -r-- ype_ Group /Yl �i roAa <co Phone y !N �� J �. s ;Z. 16 Approved by Date 1� Contractor r State License No. �i ZONING c UO.S d - C/'— Otl�O address/6 �' � yt'Av.✓ City S�'"16� ��C Phone � Zone — Use of Bldgs. Architect or .......---- / / //--t---- 9 gineer • P nine 6/— State License No. ( • O - ����� A. P. No. — 3 / addresc • 1. City SC;- G filk— Phone BR g. Site Address / O -� ••�.t _ DESCRIPTION Legal Owner At� Descripissn of awning, advertisin • n, or device: 17 / \J L, U Address / -AlAA4.. l Awnings canvas ❑ etal Width: �i ft. in. Length: /f ft. in. Cityl0. /i -AZ(, �O�irti� Phone fie-49648 Ground Sign 0 Projection Sign ❑ Roof Sign 0 Wall Sign 0 Metal Letter Sign ❑ Yards Approved. �_��, Banner I] Canvas Sign 0 Gas Tube Electric Sign (Sub-section 1.44, Ordinance 313) fl Large•Sign in exc s"s"of sq. ft. Setback from center line Combination Sign ❑ Special Device (other) ❑ Explain: 7 of street to front grope y line 4O ft.fT.� • in.- From property line to edge oin. Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on Side Yard Setbacks: plan sheets proposed location of sign and locations of all other signs at site. Minimum size sheets must be 18" { by 24" and non-erasable. Left Side ft. -in. If within the 10-foot area of front property line, owner is to sign written agreement with the City. Right Side ft. 3C rin. Building Line Setback from r sf Sign — Thickness ft. in. Height ft. in. Length ft. in. center line of street 5� ft. in. Weight lbs. Height above grade ft. in. Projection ft. in. Area of Sign ft. in. The undersigned hereby agrees to fabricate and erect awning or advertising structure within the intent and Hei hT above Grade ft. in. meaning and in strict accordance with the provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of g the City of Costa Mesa), and all amendments thereto. Projection ft. in. ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING AND ELECTRICAL IN- Awning Size—Width 2a ft. 6 in. SPECTIONS SHALL BE CALLED. Length ft. /lag Ai in. Signature of Awning Height above Grade 6 ft. 6 in. Permitee The amount shown under Valuation is for the purpose of %/�J��///� establishing a permit fee only. 0 Authorized Agent //< L%%����'6litt, Projection /� ] ^/ ft. in. VALUATION Permit Fee $ -- Location and size /A/�!1 / r// $ f Plan Check $ approved by !/`� ///"'CCCXXX��/Gc-'--1 Recd. by v! oata� ✓ ( Total Fee $ — Datesois Form 219-1M-11-80--S-B P