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Home My WebLink About3103 SUMATRA PL - Building Permits -- • - _ _. . - - Applicant to fill in all spaces except thos•e within heavy border lines and sign all appropriate declaratio_ns._ CITY OF COSTA MESA C NSTR CTION P �iMIT FERMI NO. TRACT NO. LUl NO.; UNIT NO.; i , . , i 1 i ' 310 lt& (R I' o�bg�a , : ;5759 X4/09/67 f 5410 :TL Project Address �/�I7lf1 d n ,�,� - Applicant's Mailing Address r �' / (�.{'�[�if P,1' l TYPE OF CONSTRUCTION U NEW 'U ADD U'ALTERATION I(d REPAIR• • 6 ' . - 9�oGaa�J ❑ CONVERSION 1171 DEMOLISH. ❑ OTHER _ _ _ _ _ _ ��.1 Phone85 _62a. A'.P.# t. , Zona Owner's Name ,DESCRIPTION OF WORK/USE OF BLDG. /p Address �� 4. • ' 1 l--l' I S Main Building: I Accessory.Building:; ; Arch/Eng. - - License No. ' ' TYPE OF PERMIT ❑ GRADING: L,YFOUNDATION ❑ STRUCTURAL - T Front . - : _ . p • ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B ' ( N Address - Rear • Contractors Name ,I , •. I IL.'I I - Phoq S ❑ OTHER._ _ ... - '. •_ . A _ - I ►n Ti I V7/ PROJECT DESCRIPTION_ SO. FT. OCCUPANCY C Right : '. -G I Address(mailing) "ma 1` �'` 1 Y City License No. t/ CONSTRUCTION TYPE 'VALUATION 5 s Left j ZONE GRADING CU.YIDS. ACRES I I • R LICENSED CONTRACTOR DECLARATION , - - . 'Flog. Ref.# Parking Req./Provided E ' I hereby affirm that I am;Iicensed under provisions of Charter 9 (commencing Remarki: _ , , Planning Notes: M with section 7000) of,Division 3 of the Business and Professions Code, and ( • REG T ' my license is in full and effect: L �f,,-� _ _ , I• - - LIVED APR: 6 1987. • S DLate lass / ion b No. Ili)/y(( u _ • - • . • :. _ 1 Date .N Signature IJFiWL. I '- •/ 1 ._ PLUMBING .FEES WORKERS'CO NPENSATION DE LARATION • Showers • ELECTRICAL FEES \ I hereby affirm that I have a certificate of consent to self-insure or a certificate • - j • • =t , • - of Workers' Compensation Insurance, or a certified copy thereof (Section _ 3800, Lab: C /�2 pp r I ,Backflow - - Service SinkAutomatic Washer Transformer ❑:15.50 KW' - •• •- Policy No:�� y'f'1_\ 7\ 1 Company64E1 - r`U 1 •Backflow Irrigation ®. Sewer Cap - - M� 0 50+KW Construction Pole Sub. MI ertified copy is hereby furnishetl.❑ cer itysfled with ytliig1vb� AT / Bathtubs, ® . 'Dula' • samps Date f Appcant - 1 EXEMPTION ROM WORKERS'COMPENSATION DECLARATION ' „ • Meter •Iamps. ® (This section need not be completed if the permit Is for one hundred ($100) or Dishwasher , • ■ ■ I certify that in the performance of the work for which this permit is issued,to shall not employ any person in any manner so as to become subject to the Drinking Fountains ' Solar Tank ' ' ' Workers' Compensation Laws of California- Il 6 ■1 1 HP ■ Date • Signature Floor • • • I Inc.Solar D9-15 HP ■ NOTICE:If;after making this-declaration, you should become subject to the • Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ” Urinal . , , , Fixtures , ' ' Microwave . comply with such .provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING ,AGENCY RGas Service Outlets ' VVater Closet ' • Device Boxes ) Pole Light , . I hereby affirm that there is a construction lending agency for the performance , of the work for which this permit 'is issued' (Section 3097' Civ. C:) Interceptors ' • t . Water Heater . ' Outlets . i ' Range t . „ Lender's Name• ' Lender's Address - I - - - - - - - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law•for the IL .. . ' following reason (Section-7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repairTraystor ■1 ■ ' any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to'the provisions of • ' the Contractor's License Law(Chapter 9 (commencing with Section 7000) of ' Division. 3 of the Business and Professions Code)- or that he/she is-exempt- therefrom and the basis for the alleged exemption. Any violation of Section '7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars ($500). , I, as owner of the property or my,employees with wages as their sole Reinspection Fee $15 . compensation, Will do the work,and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor'sI ' MECHANICAL • , FEES License Law does not apply to an owner of a property who builds or improves • thereon, and who does such work himself/herself or through his or her own : - • !Ji :. .iiPta*•' • employees; provided that such improvements are not intended or offered for sale. If,,however, the building or improvement is sold within one year of com- ■ •' te pletlon, the owner will'have the burden of proving he/she did not build or im- • - •, , rave for the purpose of sale). . Building Approved By 0 I, as owner of.the property, am exclusively contracting with licensed con- •. tractors to uctthe project (Section 7044,Business and Professions Code: I. The Contractor's License Law does not apply to an.owner of property who • ■1 'l l 000 B ■ 11 I00 ' 'builds or improves thereon,and"who contracts for such projects with a con- ,tractor(s) license pursuant to the Contractor's License Law), I am aware that ■LIkPPPi!11usrsurnE1.Iu-.. JJnui proof of their Worker's Compensation insurance should be provided to me:❑ I'am exempt under Section , B.& P.C.for this reason . Fire Dampers ' ,• - C/ Date'; - Owner - - Heating System & Ducting Registers I hereby certify that I haveread this application and state that the above • - 0o-100,000 BTU 0100,000B1-L • information is correct.-1 agree to'comply with all city and county ordinances - - '' • ' and state laws relating'to building construction,and hereby authorize-repre- PLAN CHECK ' ,and of. his city.to enter 6 upon •th• above-mentioned property for - - ' •- ' -- • . 3 - ' 1 'inspection pu •se. - i - , �] • , Signature Vs a .A . /4- a - - Date •• a t • - . . - Drivers' License'or SS# p $ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 1/ 1 CONSTRUCTION AND PLANNING POOL & SPA - , APPROVALS Permit# Date IInspector 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: ' ' < ' i. 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 44:i� 5? Steel Reinforcement 56. Rough Plumbing Pressure Test 6. Electrical UFER Grnd. • 57. APPROVAL TO COVER(GUNITE • • • 7. Footings 4 58. Electrical Conduit-Undrgrnd. . 8. Foundation • 59. Gas Pipe, 0 Undrgrnd., Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, Ds Undrgrnd. ' 10. Structural Floor System61. APPROVAL 11. Property Sewer Line & House Connection62. Backwash & Receptor-Final • 12. Sewer Cap 63. Heater & Vent-Final . 13. Roof Drains 64. Plumbing System - Final • - 14. Rough Plumbing 65. Electrical-Final . 15. Rough Electrical-Conduit '66. Solar System-Final • 16. Rough Electric Wiring 67. Fencing & Access Approval. 17; Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - - 69: POOL/SPA SYSTEMS FINAL 191 Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20:Rough Factory Fireplace - APPROVALS Permit# - 21. Ducts, in Structure70. Underground Hydro 22: Ducts, Ventilating 71. Product Piping ❑Gas ❑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 - 28. Lathing & Siding 77.. FIXED SYSTEM FINAL 29. Insulation • - 78. FIRE PREY. FINAL , • 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION . • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' 33, Final Electric - Notes: , 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory yireplace /- . 38. Final Plumbing 5/7,47 CM? - 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.•FINALSTRUCTURE & 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 SUMPIERLAND-LAND CO. DATE 1,-2h-57 SiOa JOB ADDRESS 4696 Sumatra Place BUILDING PERMIT NO. #4901 GENERAL CONTRACTOR Owner Bldr. VALUE $ 11.424.00 LOT 74 BLOCK TRACT 2353 Res. w/att. gar. GROUP I et J TYPE V ZONE Rl FIRE DISTRICT 4927 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench g--14 .3--/a - r7 - Foundation Forms and Grade to Cara•• ) Rough Framing _ _"VW" ( , -.7,4- 7 ' r� t:!;' marl- 7- 2 A- .c0,,,o, //-3o-S7 9- ✓ Plumbing,Rough to Slab • Yv�- ..% T s 2 ii~ Plumbing,Rough Complete e5 6-.2 p •y �' Temporary Pole y,� n Wiring, Rough pill)? = 16->1 c //IC Zkrt- �,-I.2-S 7 i'/9/ 3' ../Heating,Rough V&E S als rz cf.- .6-= c2c -& C M, _ $ -.7"7-:5". 1 c7 2- '7'J J t/ Heating, Final ky/G S '/-SI-S"7 1 ' Veva! CPT Sewer,St. 114es 7-vg.4.7 a_�ik,a,wgy Go.w.� .q-5- g 7 R s$/ Septic Tank or Cesspool / / Q (r • Lathing, In Out . Q..,5-4.- / :Y R —a-2.':f7 Plastering t--i 9- 3 r' Plumbing,Final,Fixtures Complete 4 CS_U.-33-7 Plumbing;-Final Gas Test jr ).1.(G S j1.- 'S'7 ` . 4' / 5 l!_ Wiring,Final i.7T J=3i ,( . '`HAUL(6 r / - _l" �/� Occupancy Sir n r--.Pi - - "-Pbn M2 i0 ...Si. 10-93 - 4927 FEE RECEIVED � � COSTA MESA BUILDINGG DEPARTMENT i � � � , P.O. BOX 317 FINA CE -DEPT. COSTA MESA, CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ABUILDING ,DDRESS3SSumatra Place 3 BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. P4901 OWNER Sw;unerland Land Co. TE RECEIVED BY DATE RECEIVED DATE ISSUED MAIL ADDRESS 112L- So. Beverly 9-;,.-67 J' APR 2 4 1957 TELQrestview BUILDING CITY Los Angeles , Calif. NO. 5...ati28 ADDRESS ARCHITECT . LIC. OR ENGINEER Williams NO. COSTA MESA. CALIFORNIA ADDRESS 112k Soo Beverly-Los Angeles ZONFIRE E C ZONE NO.OF TYPE GROUP Summerland Land CITY LIC. / o j] PLANS CONTRACTOR Co. NO. 61}85v 17'� , (/ t/ 112 . So. Beverly TELCrge3Warl. APPROVED`' ADDRESS os Arc-el es, Cal . NO. IIJJ VV BY DATE LEGAL LOTCORRECTIONSDESCRIPTION NO. 7II BLOCK TRACT 2143 A.P. NO. SIZE6000 NO.OF BLOCS. OF LOT NOW ON LOT none . I USE OF EXISTING BLDG. SETBACK LINE FROM • CENTER OF STREET 501 REAR YARD 31 1 SIDE YARD RIGHT g 1 LEFT 51 DESCRIPTION OF WORK NEW X ALTERATION I ADDITION . REPAIR / M MOVING [ DEMOLISH BUILDING 1316 ROOMS U STORIES 1 EXTERIOR WALL ROOF 1� COVERING Stuec COVERING Rock USE OF NEW BUILDING 'One Family Dwell ing C ?G 9, Cts _ ri - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC• TION. VALUATION SIGNATURE OF PERMIT FEE $ 28.00 PERMITTEE�f � �A A // V.2 // PLAN CHECK S14,00 AUTHO E / TOTAL FEE $ 2.00 °"'F /