HomeMy WebLinkAbout3082 SAMOA PL - Building Permits 1 .
CITY OF COSTA MESA
•
BUILDING DIVISION
F ,,,r I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
PERMIT
-`9a'aeslot ✓601-01594
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 3082 SAMOA PL Status: ISSUED
Suite: Applied: 10/08/2001
Vicinity: HOUSE&ATTACHED GARAGE Issued: 10/08/2001
Parcel Number: 13918303 Zoning: R1 R1
Applicant: THATCHER, ARLENE ISSUED BY:
Address: 15162 YORKSHIRE LN
92647 Phone: (714)893-4377
HUNTINGTON BEACH,CA Zip:
Owner: CLAY, W JAMES JR TR
Address 3082 SAMOA PL
Phone:
COSTA MESA,CA Zip: 92626
Contractor: WESTERN ROOFING COMPANY
Address: 15162 YORKSHIRE LN
92647 Phone: (714)893-4377
HUNTINGTON BEACH,CA
Zip: License: 386752
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF EXISTING SINGLE FAMILY RESIDENCE&ATTACHED GARAGE(23 SO).TEAR OFF EXISTING ROOFING,
INSTALL 2-LAYERS OF 15#FELT UNDERLAYMENT,& REROOF WITH 25 YEAR COMPOSITION SHINGLES ON PITCHED
AREA,&TORCH DOWN ON FLAT PATIO AREA.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $3,400.00
Permit: $97.25 Claim Valuation: 53,400.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES: •
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void If work Is not commenced within 160 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(WOO)
DECLARATIONS •
WORKERS'COMPENSATION DECLARATION:
hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
11 have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My wpskers'cpmpensatJon Insuregce carrier and policy number are:
Caller �V tl'S \'1-vNci (Policy Number:-4--1$C3 \ /N
(This section need not be completed if 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'
compensatio ws of Celifomi ,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 es r Bions. c1
Applicant Signature: `a. ,Date: \l y e U
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL TINES UP TO ONE HUNDRED
THOUSAND COU.ARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEYS FEES,
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I.am licensed under rovisions 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.Llc.p �D�a� bless Si G
C3°\
Contractors Signature: Date: •\ % O
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).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that t 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 perry
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 purposo 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)
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 driver's license. 0 Yes 0 No Driver's License No. Expires:
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,Cry 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 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.aPermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ 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? ❑Yes ❑No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California 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? 0 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 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 slate 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,
dr�Of Legal Owner(s) \O 1(1/4: l Date
\\L And/Or Authorized Applicant (Date
-
CODE 1 INSPECTION TYPE PATE INTITIALE CODFf INSPECTION TYPE PATE IM70ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
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 10'11-CM etA(
t
App.... ,ecept'those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION P�RMIT P RMIT NO. TRACT NO. LOT NO UNIT NO.
Project Address
' -.3OSO .Ssh�-1os. 3ob'0S 3115 �°I 7925 10/22/57
Applicant's Mailing,Address r /!� may./ TYPE OF CONSTRUCTION &NEW ❑ ADD U ALTERATION ❑ REPAIR 34032 T�
Owner's Name �7ll47wLaG/�Ii/ PhOneCT�///-�t• // ❑ CONVERSION ❑ DEMOLISH ❑ OTHER '., nl— A,P-gyp r ' •- I 8 .3 - O3 Zone �,
.'�/p,� 6/9/90 ail 9.2 El DESCRIPTIONLO`F WWOARK/515 BUG. G'a�-0PE 1 Z
Address O p) /Z � � �y S Main Building:, ''^ Accessory Building:
•Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING RFOUNDATION 2 STRUCTURAL T Front •"T'0 ' 0
Address - lhh ❑El TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL p B Rear N
OTHER '
Contractor's Name 0/� Phone PROJECT DESCRIPTION SQ. FT. OCCUPA r• R-S M C Right CJ l W" ca. N
K } G
Address(mailing) CONSTRUCTION TYPE VALUATION$ •UL7 $ Left OW - P"•""'1 R
City License No. ZONE _ GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencingRemarks:- 60-o f LF >'� 3G� (i/�� Planning Notes: 6,' CPA LAC M
with section 7000) of Division 3 of the Business and Professions Code, and ' 1 ' /� �i�n\s
my license is in full force and effect. W GC•(J L4. — • TS
License Class License No.
Date Signature _- PLUMBING FEES
WORKERS'COMPENSATION DECLARATION Bar Sink ShowersELECTRICAL FEES
I affirm that I have a certificate of Consent to self-insure or a certificate
;Norkers' Compensation Insurance, or a certified copy thereof (Section 1
Backflow Preventer Service Sink
'v;+-, Automatic Washer Transformer 0 15-50 KW
t0, Lab. C.)
` iilicy No. Company Backflow Irrigation Sewer Cap0 50+ KW .
8 Certified copy is hereby furnished. Construction Pole Sub.
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection
Date Applicant q CO _ Cooking Unit Meter up to •s amps
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers (���4 � Solar/ lectors Dishwasher Meter Do 'r 100 amps.
(This section need not be completed if the permit is for one hundred ($100) or �% �rQ
less). Dishwasher �� 4ii- lar Piping _ Dryers ❑Gas DElectric Sub P. 'I
I certify that in the performance of the work for which this permit Is issued, I �- - - —
shall not employ any person in any anner so as to •e e subjec o the Drinking Fountai Q ,\� Solar Tank - Fan
worker mPgJ)�t Laws of Ca' • n i• o r s DO-1 HP ❑1'/x-8
Date �a-/ 6 / Si gnat) •� IL ••-.�; a Floor Drains �, '.` i t Swimming of w/Spa F.A.U.
NOTICE.If,aft6r making this declar'tiOn, you should become sui Oct to the •� _ Inc.Solar 09-15 HP ❑1615+
Workers' Compensation provisions of the Labor Code, you mu forthwith Floor Sinks aM�/s a
comply with such permit shall be deemed revoked. IPP Urinal Fixtures Microwave
p y provisions or this UL
CONSTRUCTION LENDING AGENCYMgr
as Service Vey ets ter 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. CJ Intercepto.5 '-' Water Heater e
Outlets Ran
Lender's Name * 0 9
Lender's Address Kitchen Sir Water Service Switches - Sigh
OWNER BUILDER DECLARATION —
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap
any structure, prior to its issuance, also requires the applicant for such permit Generator ❑0Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains Laundry Trays -5 KW ❑5-15 KW
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
`erefrom and the basis for the alleged exemption. Any violation of Section •
31.5 by any applicant for a permit subjects the applicant to a civil
edity of not more than five hundred dollars ($500).
, as owner of the property or rvw--okverTee¢"with wages as their sole Reinspection Fee $15 Issue Fee $ 3
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 who does such work nimself/herself or through his or her own 1 DEVELOPMENT SER I • Q IREMENTS: D.,
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 ZoningApproved B • 10 -.2.2�.23
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 pp y Date
pletlon, the owner will have the burden of proving he/she did not build or im- -Duct-Under Ground Building Approved Ry Date
-prove for the purpose of sale).
to-v •-•x7
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date
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 , 0 BTU SUMMARY F FEES -
builds or Improves thereon, and who contracts for such projects with a con- _ _ .e�
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System p ❑ System / BUILDING PERMIT $ W+ SMTP $
of ❑ Multi le Re r Alteration
proof o their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ 13 • 3 7. PERMIT
0 i am exempt under Section B.& P. C.for this re.son Firepl/Fact.Blt. ICBG# Fi ampers PLUMBING $ ISSUANCE $
Date ,...---',9•447-9Owner '. // -4 /'/_Wz 4.414. /4_ Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify chat I have read this application and state that/he above 00-100,000 BTU ❑i00,000BT .
ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building constr ction, and hereby authorize repre- MICROFILM $
sentatives of t 's ity t• e ter up.n,
Ar e above-mentioned pro•arty or PLAN CHECK 50% $ 2 9 4.3 v
inspection pur.• -s-
_ Signature A .Si _ z/ Sias/ Date _ do' • MECHANICAL $ TOTAL FEE 3
Drivers' License or SS /.
Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% 5
`F 0865-46,rev.10/84 Whi - Building; Canary -Applicant; Pink -Accounting;Goldenrod - Assessor /N
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
r
5. Steel Reinforcement 56. Rough'Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings A scrgL nen- 58. Electrical Conduit-Undrgrnd. 1•
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test tY
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 I(
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 U Gas 0 Oil
23. Gas Pipe-Rough &Test 72. Underground Flush
24. Roof Framing, 73. Undergrnd.Storage Tank U Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
•
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 4
27. Frame and Flashing 76. Dr -Standpipe
•
28. Lathing& Siding - 77. FIXED SYSTEM FINAL 1 ,
29. Insulation ;-78. FIRE-PREV. FINAL • •
30. Drywall Nailing `' - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat -_-_ 9' 79' FINAL INSPECTION
32. Electrical Power Meter-Final ti 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: t, gg &r- "Qv G t r <D4_
34. Final Heating & Air Conditioning - !/ /
35. Final Gas Pipe-Test - a
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
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. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY • - b
No. Date •
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this a2 7
M. day of
._ T&7$/h672-. Sby and between Km7iLe x (7'/>
hereinafter referred to as "LAND CW4ER", and •
hereinafter referred to as "ADJACENT PROPERTY OWNER".
It is hereby agreed that a party wall will be constructed on the
property line between 30E0 5/1M04 ant c- S!
®C ? s InA /led ress of Adjoining Properties)
in the City of Costa Mesa, County of Orange, State of California, as per map
recorded in Book . j , e f Miscellaneous Maps, in the office of the
County Recorder of said County. The party wall shall be permitted to encroach
IN WITNESS %HEREOF, the parties have entered into this Agreement the
day and year first above written.
LAND OWNER AATAC .OPE v • - �/40,
/latAle A
ldiL
(Signature) 1 aturel l 1 •awi Iq • S r1Q
MrtmL--v &29D J yy Stgr- he
Name (Typed or Printed) Name (Typed or Printed) .
a 5,' Ya,4 q� acts o..t oa P �f �,r
(Address)1 /6 / boa (AddrCa3{'a./�\esa.) 019gLK.S
( ease��ee�e��si�d �f6r notary's statement?�
STATE CF CALIFORNIA )
ss.
OCUNTY CF ORANGE )
On before me, the undersigned, a Notary Public in
and for the County of Orange, State of Cali ., ia, per-. •- ly appeared
kn. to me to be the person(s) whcse ame(s) is subscribed to ••e within
instrument and acknowledged to me at (he/she/they) executed the •n-.
WIT'4ESS my ha\ official - :1. (SEAL)
Signe ure
Name (typed or printed)
STATE CF CALIFORNIA )
ss.
COUNTY CF ORANGE )
On , before me, the undersigned, a Notary
Public in and for the County of Orang- to of California, personally appeared
known to - to be the person(s) whose names) is sub ribed to the within
instrument . . acknowledged ..• me that (he/she/they) a cuted the sane.
WITNESS my ha • -nd of ial seal. (SEAL)
(Signature)
Name (typed or printed)
Go G. �.
A%-� - NOTE ,APPROVED
_._ APPROVED �' ``
ADDITIONS, DELETIO2dS, 0� CO SECTIONS SHALL OF COSTA MESA
Det BE APPROVED BY THE PLANNING i DLPA.RT(�1ENT PLANNING DEPT.
City Of Costa Mesa Building P ' WUECT TO 6LD0. DEPT. [Eo.
664 zotete-
DATE&u'y7= T {� DAA
BY e a 7r G:f n!t. DDl M& OF PLANNING
y. THESE PLANE MI F O, p_: `,::':i • . :- - •
THEI t:sSUFI�'"r � ,
t PLANS ANO '.'.Ei,-
TLAP I P-•
.. -
iERMI' rCI:. _
THE?dG`i IS!':. ., .. .�,
{ AUTHORIrI I" " .. . . v
Zi COGS SHAH .'` .. , T
WHICH IT A.;; wi1€s t
THE ISSUANCE OF YEGMIT I;r':'n_ :-....'./.. .
F EL:M.i•:.:`J
FSROM
SHALL NOT PfiH EC ' . CI:D- ;-PM. .... G
FROM PLANS FANDREREQUIRING THE SPECIFICATIONS OR FROt O
UID PLANS OR
BUILDING OPERA IONS BEING CARRIED ON THEREUNDER WHE'4
IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF
THE CITY
i
4
It) tll
RESIDENCE
RESIDENCE .• RESIDENCE RESIDENCE It It "` W
W W
Q
F-
N N
30 8 LThclo Iftei' 39 StitioR
P�A2 Pc-Acc 2
STREET
TYPICAL 6" CONCRETE BLOCK FENCE
•
•
Cement Coping Optionalouzizim
GENERAL-NOTES
Channel Block With 1-3/80 it ii
Horizontal Top of all ee
Fences MORTAR; One par} Plastic Cement, and
• !C Three Parts Sand
• Q GROUT: One Port Cement Three and
For Fences 5'or Less One Half Parts Stand
Vert. Bars 3/8"0 at a' -o"O.C. ?d� o One Port Cement, Three
U LL i iii1i _ài
NIFor Fences HThan5CONCRETE:z x Max. of 7- 1/2 Gallons of
Fill Cells Solid With Grout 1I�I > Z Water Per Sock Of Cement
Where Steel Occurs iiS111DDD111 ' > - _—ir,„Reinforcing Steel Shall f i f to I j OFOTHE UT FENCES POURED ELLS WHERE STEEP
Conform to Sec.A-15-39 ,IIIYYY
in' w O -- OCCURS.
A.S.T.M, ;11 Z I-
--ill CELLS AND AREAS OF HORIZONTAL REIN-
All Steel to be LappedI
lal n ' FORCEMENT SHALL BE CLEAR,CLEAN&
24"or to Code �II 1.111 u.
FREE OF ALL MORTAR DEBRIS,ETC.
NATURAL GRADE
r " I
.
o'V/a\ - MijI Gd • % 1% -I: pri
TWO 3/8"0 BARS II I e ♦ ♦ e. ;
CONTINUOUS TOP .
&BOTTOM I -.--WIDTH - TO 16' 0 C. MAX.
SEE CHART ♦ ♦ - -
HORIZSTEEL MUST BE TIED IN BELOW , DEPTH OF EARTHTCOTH
PLACE AT TIME OF TRENCH o-I . y. I I. 1/3 THE HEIGTH OF FENCE
INSPECTION. L L - OW BOTTOM OF FOOTING
E—°-_,
,s4,..1—T 2 +tl-- SCALE: 1/2 I'
FOOTING REQUIREMENTS CHART
WALL HEIGHT 6 ' 5 4 3' .
WIDTH 14" 14" 12 . . . . . . . 12"
THICKNESS . . . . . . . . .10" 10" 8 " . 8 "
DEPTH OF EARTHTOOTH . . . 24" . . 20" 16" . . . . . . . 12"
SPACING OF EARTHTOOTH. . 12' 14' 16' . . 16'
•
OWNERS NAME: __•
City of Costa Mesa, California pOERMI TDDNUMBER _ _ _ _ _ -_ __ _ __ _ ._ _ __ _.Building . Department SIGNATURE. _ _ _ _ _
•
OWNER MESA VERDE ESTATES DATE 12-9-58
JOB ADDRESS 3082 Samoa P1 BUILDING PERMIT NO. 8204
GENERAL CONTRACTOR L. G'• Robinson VALUE $ i5,L05.°°
AP. No. LOT 69 TRACT 3115 FIRE ZONE DESCRIPTION OF WORK Res w Att/gar
GROUP I & J TYPE ZONE Al 'PLAN NO. 1204
IN'^ECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches p/Forms ,Q/ Steel AHS /-q S-q
Floor System
•
Steel Reinforce Chimney Re-Rod
Bond Beam t� d' . ,-b '
Frame and Flashing f. , - .a C J/
Lathing, In Out Slirail' — ci.
Plaster, brown coat - ."— • . - o- irlaiMMIMIIN
Underground soil Al.fc }tWW/G Pipe Tesyfl $ / /9�- Sy J ,y /�
Top
FOut /bSi'S^�7�l.i.vr.�./IA).�i/n/.LN•Q i;-�De RJLG a,A&4t.n�iSC 2 J T -. ggiZl" E , `�
Gas Vents // q
Rough Plumbing L W _ _ - / `. h; t _i . - 0- r - /
Cesspool Septic Tank +
Prop. Swr. Line-- Hou u.. St. Swr. Z/L j rel i- .......-Ir 6..._-(--- 3 h/> c / > e q./ • I
Sprinkling System
Heating Final 4445 r-,K'nig t 9
Plumbing Fixtures, Final / -m/R- ;
Final Gas Test /_C AW(4'-/sr-S-9
_C uction Pole I/,/c - . C---41 c-. /— I—fl 7 9,P<1U..__rground Power
Rough Wiring c i f_9- Jr 11r 3- y- do, Pas a
1/411)
Fixtures, Final t1
OCCUPANCY 4—/yam_; IJ
Form 210-5M-1-57
82l),4 DEC 9 -.458 eve'
•
• COSTA MESA BUILDING DEPARTMENT FI[1!ANCE DEPT.
P.O. BOX 317 CITY OF C@"T..4 MESA
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING BUILDING
ADDRESS 3082 Samoa Place
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
OWNER Mesa Verde Estates ;9-0 V
MAIDDL
RECEIVED BY DATE RECEIVED DATE ISSUED
ARESS 1701 Gisler St. )" - y77 re; —$7— _si n--q- S8'
TEL. ., BUILDING
CITY Costa Mesa NO. I 5-1751 ADDRESS
OR HITS EER J. R. Shelley LI C.
NO. C-2170 COSTA MESA. CALIFORNIA
ADDRESS Long Beach GE 9-0908 FIRE
ZONE
ZONE NO.OF TYPE GROUP
CONTRACTOR L. G. RobinsonCITY N . 1123 /I /
PLANS TYPE . -�^-r
ADDRESS 1701 Gisler NOL. KI 5-1751 BBVPROVED DATE
`EGA` CORRECTIONS
LEGAL
PiION NO. 69 BLOCK TRACT 31 15
A.P.NO.
SIZE NO.OF SLOGS.
OF LOT 7-x100 NOW ON LOT None
USE OF
EXISTING BLDG. ill
SETBACK LINE FROM
CENTER OF STREET 50+ REAR YARD 20+
SIDE YARD RIGHT 51+ LEFT 5*+
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION •
REPAIR MOVING DEMOLISH
NO.OF
SIZE •
BUILDING 1560 J ROOMS 6 STORIES 1
EXTERCOVERIOR ING WALL `Stucco COVERING Rock & Asphalt
USEOFNEW Residence & attached garage.
BUILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL ATION AND
STATE THAT THE ABOVE IS CORRJCT AND AGREE TO/COM Y WITH ALL
CITY ORDINANCES AND ATE AWE REGULATING/BUIL G CONSTRUC•
TION. 'VALUATION 0 a
_ PERMIT FEE $
SIGNATURE OF/ fin,"‘„,/-A 741/45—,
PERMITTEE �!� dv�I/N-�i-"Y a
$ /� 4/957 DCI PLAN CHECK $ 7. 5�.�
AUTHORIZED AGENT / TOTAL FEE $ S,�?_ `Si-J vBMi