HomeMy WebLinkAbout3037 SAMOA PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA �� CO 7 � ��ON PERMIT PEg l NO. S� TRACT NO. LOT NO. Uf�JkT.[VO I71 25 6/05/85
II//R-�J C.i1 �� 0.00 TL
Project Address ) pyo �v��s I
Applicant's Mailing Address "Ore) ,/�/ qj$ ✓1 C/ /t — TYPE OF CONSTRUCTION Li NEW ❑ ADD U ALTERATION U REPAIR
A..o /�� j��/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# l Zone O
Owner's Na a k '44t �yy� Phonk9 _,n/ DESCRIPTION OF WORK/USE OF BLDG.
Address New
.3/ AAp4• cf '!' S Main Building: Accessory Building:
TYPE OF PERMIT 0 GRADING ❑ FOUNDATION 0 STRUCTURAL E Front Z
Arch/Eng. License No. __ T O
Address ❑ TENANT 0 ELECTRICAL ❑ PLUMBING 0 MECHANICAL BA Rear N
Contractor's Nam - - - .� 0 OTHER
l
CONSTRUCTION AND PLgpNNING // POOL &SPA
APPROVALS Permit#r":49.51-STA Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
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3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER 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, ❑ 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
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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 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 •
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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:6/b/85 do (2€6. a 2z¢ Gia.R
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test 44(1r tf q
36. Hood or Canopy
37. Final Factory Fireplace
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38. Final Plumbing , 6,4/et L'E 7
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. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER MESA VERDE ESTATES DATE 12-9-58
JOB ADDRESS 3037 Samoa Place BUILDING PERMIT NO. #8142
GENERAL CONTRACTOR L. G. Robinson VALUE $ 14,319.00
AP. No. LOT 7 TRACT 3115 FIRE ZONE DESCRIPTION OF WORK Res. w/att. gar.
GROUP I & J TYPE V ZONE Al PLAN NO.
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches j/ Forms v Steel /14-/-3/41--34-Si
Floor System /i
Steel Reinforce Chimney Re-Rod i}• 2 i` A
Bond Beam � '� ._; ,t C. A.-1 i LAA C/
Frame and Flashing jr•_ 5-•a C-
Lathing, In Out ' /n - 4 -/ - r
Plaster, brown coat ./ta.- - -/G - `,S•../
Underground soil ((t�W/S W/G Pipe Test 'Z-3o-5'$'
Top Out iZt-S, .��
Furnace 44#S 2-9-t^-4:x7 iYl.(1 b, ,oll :.,2-/q--3-7 /7-?&r✓
/
Gas Vents r /
Rough Plumbing /v�2i"s 1-r7-59 /3 'kb-, -.4, 0-'0 -CS / Lr6s7✓ U1
Cesspool Septic Tank ' (, 7
in oa
Prop. Swr.r Hou$ . St. Swr.--)/3."5--Q J3-& 4_epi,-1` M 04! /j /. f-ef �J
Sprinkling System
Heating Final ,fl,1 ,•S-_/-j •
Plumbing Fixtures, Final 4-Stcr-y-4 i 1
Final Gas Test /yam r- , •
Construction Pole - ' It9t�.PCQn f4oJ • &-7. ia'a-3 `Sb' -7A' rP✓ 1
Underground Power _ at
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Rough Wiring q-f 1,`(F_)7 /(,2 at 1 Fite.-i `..?- 4 �7 iT/scd '� p
Fixtures, Final J4 r!- u-1. ; • I A,
OCCUPANCY /t lli"
Form 210-5M-1-57 / • I
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8142 DEC:9 _�5
Rdif
COSTA MESA BUILDING DEPARTMENT FINANCE DEPT.
P.O.BOX 317 CITY OF COSTA MESA
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING BUILDING
ADDRESS 3037 Samoa Pl. c
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. 8EJM4F
OWNER MARA Verde Fataten ASV/
RECEIVED BY DATE RECEIVED DATE ISSUED
MAIL
ADDRESS 1701 �Gisler St. LA r. _ is- '-5tr /G - y-s �.
ILDING
CITY Costa Mesa TEL.NO.Xi 561751 ADDRESS
ARCHITECT LIC.
OR ENGINEER J. R.SI701185 NO. C-2170 COSTA MESA. CALIFORNIA
FIRE
ADDRESS Long Beach Ge 9-0908 ZONE
CITY LIC. ZONE (� OF
PLOANS T•Y GROUP
CONTRACTOR L.G.Robinson NO. 1123 L'11 r 4- S
TEL. APPROVED
ADDRESS 1701 Gi sl a NO. i 5-1751 BY DATE
LEGAL LOT ... CORRECTIONS
DESCRIPTION NO. 7 BLOCK TRACT 3111
A.P.NO.
SIZE
OF LOT 70 X 100 NO.
NOW OF F OLODS.LOT none ///---'''
USE OF —
EXISTING BLDG.
SETBACK LINE FROM
CENTER OF STREET 508plus REAR YARD 201plus
SIDE YARD RIGHT 5 1plus LEFT 5(plus
DESCRIPTION OF WORK
NEW X ALTERATION I ADDITION
REPAIR L/.)3 h /MOVING L DEMOLISH
5 ZIE DING 1433 Sq.Ft. ROOMS O STORIES 1
EXTERIOR WALL ROOF
COVERING Stucco _COVERINGASphalt & Rock
USE OF NEW
BUILDING lesidence & Attanhnd Garage
I HEREBY ACKNOWLEDGE THAT I HAVE READ TV S APP ICA TION AND
STATE THAT THE ABOVE 15 COR ECT AND AGREE TO C. PLY WITH ALL _
CITY ORDINANCES AND STATE L'AWS REGULATING BU DING CONSTRUC-
TION. `y/�/I // / ,�Je / VALUATION �/J
SIGNATURE OFT ( t..E_%� / r/'.A,�e_ / PERMIT FEE 5 3 y a"
PERMITTEE •�-/� «/���YYY ✓✓✓// 01% PLAN CHECK 5 /7
AUTHORIZED AGENT TOTAL FEE S S/. 3 F