HomeMy WebLinkAbout3123 SAMOA PL - Building Permits�OWNER y�IGHT� JOHN
aJOB ADDRESS 3123 Sai
`. GENERAL CONTRACTOR i
� AP No. 139-153-23 LOT
�INSPECTIONS
soi�
� GAS
PROP. $WR. LINE
SPRINKLING SVSI
MISCELlANE0U5
UNDEFGROUNO
ROUGH WIRING
FLOOR
BONO I
� HOUSE CON. U
AIR CON�ITIONING
: OR POLE
POWER �
MS n STEEL REINF.
FRAME ANO FLASHING
LATHING - IN ❑
HEATING, VENT., REFRIG. PNO A.C., FINAL
PLUMBING, FINAL AN� GAS TEST n
ELECTftIC, FINAL
BUILOING. FINqL
ESCRIPTII
IRE ZONE
DATE g_21-70
BUILDING PERMIT N0. 32192
< Screened Patio Cover
VALUE $ 500,00
SUBCONTRACTOR
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. ,°` � 32192
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
dI1G?1-70�„SA00 954 o**i'**5.00
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECEI o av DATE RECEIVED
{� D(g� TE I^SSUED
ADIDRESS 3123 9amoa Place ` ' /+�V `�+'�V{`�_�o
OWNER tT01111 J. �'lrigh�Hilda �• A..P. NO. '� I,/ J—� �R'll
MAI L BVILDING
ADDRESS 3123 5amoa Place P.ODRESS 3
CITY CQ$t$ P:iesa' No�'5h9-077 � TPACT`� LOT�� BLOCK
CANSTFUCTION O�vner NEW ADD A R P
LENDER
BRANCH �
OWNER
AODRE55
ALUE
ARCHITECT Owner TEL. USE �� G�D.��o-
OR ENGINEER N
FIRE �
ADDRESS ZONE TYP GROUP
APPROVED S 3�
CONTRACTOR OWYLPT BV DATE
ADDRESS
TEL. Z ' NO.OF USE OF NE ��/-�
PIANS BUILDING /
GTY NO.
STATE CITV YARDSAPPROVED VARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE 6��X ZOO� NO.OFBLD(3S. 1 (FROMC/LSTRE T
OF LOT NOW ON LOT 1 FROfYT FT.
USE OF
E%ISTINGBLDG. ReS1dP.1ZCG 5 FT. FT.
N'EWBLoc. 15'8"x13ROOM$ 1 STOFIES 1 L.SIDE FT. FT.
EXTERIOR WALL ROOF Almminum
COVERING Screen COVERING REAP FT. � FT.
USE OF BUILDING ANO WORK TO BE PERFOFMED OISTANCE BET. BET. MAIN &
Screened-in TJ`dtil0 MAINBLDGS. Aa�,S$.BLDGS.
VAR.3F-` DATE
QU.P.iK .4PPROVED
APPROVED �
1 hereby acknowledga thac I have reatl this application antl state
thac ffie above information is correct antl agrea co comply wiffi
oll laws regula[ing builtling construction, and I shall not amploy
any person in violation of the workman's compensation laws af
the State of Calitornla.
I hereby cerxify thnt I am properly licensetl as a controctor untler SQ. FT.
the State ot Calitornia Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDEfl VAIUATION IS FOR
Chapter 9, and tha[ such licenses are in full force and efioc[, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am exempt trom the provisions o( the State of California Business VALUATION
antl Professions Cotle, Division 3, Chapter 9. � oO
,,,/// PERMIT FEE
Signawreof �, /%/ A���� ��O/
Permiitee wYi/n ) �. G /K4 PLAN CHECK $ ���
V ' � �
Authorizatl Agent � ��
TOTAL FEE
OWNER gU�,LAND LAND C0. DATE Z—ZB—S%
3�23
JOBADDRESS �,-Samoa P�ace BUILDINGPERMITNO. ��,y�(�9
GENERAL CONTRAC70R OWI12T BZCII'. VALUE $ 11 �({2L1.00
LOT 9'] BLOCK TRACT 23rj3 Sin�le res. 1��8tt. �3T'.
ROUP I Sc J TVPE V ZONE FIR
INSPECTIONS I DATE I SUBCONTRACTOR I DATE PIRMITg�Nl1Me
Forms and Grade to
Plumbing, Raug
Temoorarv Pole
Sewer;House`5�/{ Sewe
Septic Tank or Cesspool
Lathinq,ln� Out
Plumbing, Final, Fixtu
Plumbing, Fin,al Gas T
Wirina. Final
FOflM 310 3M IO�vS
•.. , � • 4522
�
. .-
�COSTA MESA BUILQING DEPARTMENT
a. o. eox 3��
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
�� , 3�a3
.�-� Samoa P].ace
COSTA MESA, CALIFORNIA
OWNER C
MAIL
pooREss 1
cirv T.n.e
ARCHITECT
OR ENGINE
ADDRE55 �
LEGRL ILOT
oescAiPrion NO.
A.P, NO.
s,=E 6ic
OF LOT
USE OF
EXISTING BLDG.
SETBPCK L NE PPOM
CENTEF OF STREET
TE6i
NO.
LIC.
NO.
LIC.
NO.
NO.OF BLDGS.
NOW ON LOT none
REAR VARO �j i
SIOE YARD RIGHT 7� LEFT ��
NEW
REPAIR
BUILDING
SIZE
EXTERIOR W�
COVERING
USE OF NEW
BUILDING
DESCRIPTION OF WORK
X ALTERATION ADDITION
MOVING DEMOLISM
NQ.OF
1 6 ROOMS 6 STORIES
LL IROOF
FEE RECEiVED
FINANCE DEPT.
CITY •OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
/"�!'� Fit- �4—J /Y �"
BUILDING
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
ZONE
20NE NO.OF TVPE �
PLPNS
APPROVED
BY DATE
CORF2ECTIONS
7Q
STnTE THf�T THE ABOVE i5 CORAECT pN0 iGREE TO COMPLY WITH ALL
CITY OflOINRNCES R $TATE L1W5 qEGULwTING BUILDING CONSTRUC�
T���' /� VALUATION
SIGNATURE OF // PERMIT FEE $'Z O
PERMITTE �� 1
�� ` J� �� ,/- PLANCHECN S�/���OO
5 / �
AUTHORIZED AGENT / TOTAL FEE S ��OO
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owNEx pUAGBETTA� AIBERT F. DATE 2_5-59
)OB ADDRESS 3123 Samoa pl, BUILDING PERMIT NO. �$601
ZONE PLAN NO.
INSPECTIONS I DATE I $UBCONTRACTOR PERMITSISSI
DATE I NUM
brown
Final Gas Test
r-
w
COSTA MESA BUILDING DEPARTMENT
P. 0. BOX 317
COSTA MESA CALIFORNIA
S7REET
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES ------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
�EB-4-5�PD��SnA2112 ***�*2.00
I �ta��L
� FOR APPLICANT TSO FTLL IN
BUILDING ADDRESS -� � Z 3 ✓�L`
Owner /�
Mail Addres� ��s J _,py�,r��� ,/�,
� o�G %h.l-� G" Ph � No.,,�/ �— S�/f��
City Lic. No. State Lic. No.
Size of Lot (o / X/ �� AP No. r— 0� 4�, "�%�. ��3'� �
Setbacks: C/L Street 5 O��-- 3�� ��
q
Side Yard - Right � Left b��
Type oE Fence �� i�N`� �� � �/"� '
1J 3� f�.su.l� .� ��. O/
I hereby acknowledge that I hade read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Iaws regulating building construction.
Signature
of Permittee il��'% � � �
FOR OFFICE USE ONLY
- y -S 7 I ,� -,5 =
VALUATION
Permit Fee $ o+�• ��
6'0
� � ¢�' Plan Check $ y
d�-0
TOTAL FEE � `� �
USE REVERSE SIDE FOR DETAILS