The URL can be used to link to this page

Home My WebLink About3111 SUMATRA PL - Building Permitsri • PROJECT ADDRESS: 3111 SUMATRA PL — UNIT: t-1- • CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B Ob3120 OWNER'S NAME:O'TOOLE, TERRENCE ADDRESS:O' TOOLE, SANDRA L PERMIT NO: B 063120 PLAN CHECK NO: N 'GOVT; N SUPP; N 3111 SUMATRA Pi ,� COSTA MESA, CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT J'. ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION T/O ROCK & APPLY "ELK PRESTIQUE" COMPO SQ FT: 1 , 300 ADDRESS: UNIT: tB • CLAIM VALUE: 1 , 300 . 00 CALL—VALUE: 1 , 300 . 00 GROUP OCC: R-3 /M-1 PERMITTEE: TERRENCE O' TOOLE ( 714 ) 435--1416 ADDRESS: 3111 SUMATRA PL COMMENTS: SMOKE DETECTORS REQUIRED�ESE>EPER THE 1991 EDITION OF THE UBC p COSTA MESA CA 9' .626 **************************TESD ** xx**>E*�E*St**SE�Ex�E****�E*rfx* **4fl L)Y im I�7 V3 Oft LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions. Chapter 9(commencing with Section 2 ONING REQUIREMENTS M 7000)of Division 3 of the Business and Professions Code.and my license is in full force and e •ct. SETBACKS ^ I�CG D CITY LIC.: STATE LIC.: CLASS: /Vll Date: Signature: MAIN BUILDING ACCESSORY BUILUT FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure, a certificate of Workers' LEFT; FT IN RGHT; FT IN LEFT; FT IiN RGHT; FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). POLICY EXP.DATE: COMPANY: PARKING REQ; PROV: PARCEL: 13915222 ZNE: REF NO:ElCertified copy is hereby furnished. LICertified copy is filed with the city Building Division. PLANNING Ni3 TES> Date: Applicant: *********************************************************************E********** • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This seen pleted if permit is for one hundred(51W)o ss). DEVELOPMENT SERVICES R E Q U I R E M E NFT S I certify that in the performance of the work for which this permit- ued.I shall not emplo anyjper r so a5 to bee e subject to the orkers'ComPfsafion Laws of California.,e�rl� i� ZONING APPROVED:B Y DATE: NT Date: 7 � na / �' Signature: .......-- / \7ILDING APPROVED BY . ^ DATE: Coe, :If afterstmohd g this declaration,wiyou should become t i sp permtit t e e Workers' rempensation provisions of the Labor \\ i��E x * � /! % /�-� Code.you must forthwith comply with such provisions or this permit all he deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; C�.--� DATE: 2.0 which this permit is issued(Section 3097.Civ.C). ************************ * * ***.* *' *** **x***************** x- 1 * LENDER: ************ft******************************. ***********************1F.******3D*** ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC ,MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve.demolish,or P ERM I T 31 , 00 " 50 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN ft 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 penalty of not more than live hundred dollars($500). ISSUE FEE , I, as owner of the properly or my employees with wages as (heir sole compensation, will da the work, antl the BUILDING—DIV—.> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 31 . 50 0 . 00 e/` 0 . 00 31 , 50 31 . 50 .00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through i his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 31 . 50 OVER/SHORT: 00 tot thee purpose of sold le). one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN—CHECK mr the purpose of sale). 31 . 00 . 50 I.as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).l am aware **M'*********************3E*'*****dD*****-*****"********************************-***** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL: FEE BREAKDOWN I am exempt under Section:B p7044 B.8 P.C. for this reason: ALL WORK BY OWNER / TYPE QTY U E S C R I P T L O 'N UNIT COST TOTAL COST - Date: 7/�' o/ 9 Owner: _._S o' SFR 1300 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 300 . 00 I do hereby ertify that I annp///aware of and understand the requirements of California Health. i Safely Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply said state codes and the requirements for a •9 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from t these provisions. A' Dale: Applicant: /( I hereby certify that I have read this application and state that the above i ormation issprrecl.I agree to comply with. ity and county • ordinances and state laws relating to building construction and hereb Drize representatives of this city to•nP .'in the a/VV.-mentioned ( / properly for inspection pu poses 6 et Date: Signature: Y ! DATE001 0143 07/20 9314TIME:3225 1`24 31•5O Driver's Icehse or Social Security Y: 1641.45 white—Building':Green—Code Enforcement Canary—Applicant:Pink—Revenue:Goldenrod—Assessor • . !, . 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 - .. ' 5. Steel Reinforcement 56, Rough Plumbing & Pressure Test • .I 6. Electrical UFER Grnd. 57..APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. r ' 8. Foundation59. Gas Pipe, 0 Undrgrnd., Test . 9. Water Pipe-Undrgrnd. I 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System i 61. APPROVAL TO DECK , _ 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap / 63. Heater & Vent-Final , ' 13. Roof Drains i 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 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 0Oil 25. Roof Sheathing /t793 ///"``"'"``"'" 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27.. Frame and Flashing - 76. Dry Standpipe 28. Lathing& Siding i 77. FIXED SYSTEM FINAL 29. Insulation ...-1; 78. FIRE PREY. FINAL 30. Drywall Nailing I 1 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat $ 79. FINAL INSPECTION 32. Electrical Power Meter-Final I - ' 80. FOOD CERTIFICATE ISSUED / 33. Final Electric 1 Notes: !/r O �j�� I I 0 fig, 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test . i '•'i 36. Hood or Canopy ` I , i - 37. Final Factory Fireplace 38. Final Plumbing j i 39. Water Service-Final , 40. Gas Service-Final { t 41. Solar Domestic-Final _ , 42. Backflow Preventer ( t 43. Backflow Irrigation 44. Landscape Irrigation.System 45, Sound Attenuation - 46. Handicap Regulations ' , 47. FINAL STRUCTURE & BUILDING 1-7 `q3 4,44,_ 48. FINAL PLANNING - 49. Electric Release toEdison 50. Gas Release to Souifierim;California Gas Co 51. CERTIFICATE OF.OCCUPANCY . ' No. Date OWNER SW1MERLAND-LAND 00. DATE 4-24-57 3i/1 JOB ADDRESS 1"a8 Sumatra Place BUILDING PERMIT NO. #41899 GENERAL CONTRACTOR , Owner Dldr VALUE $ 10,686,00 LOT 72 BLOCK TRACT 2353 Res. w/att. gar. , GROUP 1 & a TYPE V ZONE R1 FIRE DISTRICT 419255 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR Q� DATE NUMBER Footing Trench ri+'�', F-7---s ti Foundation Forms and Grade to Garage�y � Rough Framing l- Wa�246 • S7 it Plumbing,Rough to Slab - S --17,-..C7 a . . .S. - I/- 3a-S7 9x33 g,./..- Plumbing, /Plumbing, Rough Complete {&as .Z-2-5--3-7 i x Temporary Pole Wiring, Rough 0774, Q-•2.)t 77 ( )2,,n :�� _ 6-/o2-:7 7 7L?/6 Heating,Rough ,FI e5 4 '015<Y7 G:- by eiry 0 - .,eri. _/r-- ' / 0 a--9-3 ,/- Heating, Heating,Final , x S ',2"717.4-7 4.1-ewer House .. Sewer,St. -yi e S 7.14,,{7 0_ .R-c- C 7 is7 y Septic Tank or Cesspool L Lattfing, In Out a ,r'i 8 - Plastering L,/E 1.0-3 "4' Plumbing,Final,Fixtures Complete ,f 1fi' ig_-y-.57 Plumbing, Final Gas Test /S 41.90 /7.-q-s, ."---,/ e -Z-_ -- Zr �,,. Wiring, Final r L I/ jLa)`: /[ `a « C�.. ' 'J 7 .t9, Occupancy f,=$ 7:2--4,-.3-7 I FORM 210 3M 10.55 .-. , .s.- 492FES RECEIVED COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. P.O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDREBUILDING 1--:, :3 Suimatra Place BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. P4899 OWNER Suinmerl.and Land_ no. two RECEIVED BY DATE RECEIVED DATE ISSUED MAIL ADDRESS 112k So. Beverly y �-.-1 fG-.2.,7-5� APR 2 4 1957 TELvre-obcd BUILDING CITY T.nc Anmcl ea, fol 4f NO. 5-o C ARCHITECT LIC. OR ENGINEER '7-7111 c.mc. NO. COSTA MESA. CALIFORNIA -::3. ..' -7 - O FIRE ADDRESS 11Phc'. -_ flet/ r y-T.os I-]nge r?5 ZONE SUSIIlTlerl and L / ranU d CITY LIC. ZONE.^ NO.OF TYPE GROUP CONTRACTOR Co. NO. ( 618'9 (//n I PLANS ±-1. 1:1- 30. 6everly ' TELUre$k V eW. APPROVED ADDRESS T.ne A DPI Po /151 i fNO. 5-do2o BY DATE LEGAL LOT CORRECTIONS DESCRIPTION NO. 7.2 BLOCK TRACT 2"Ir 2 A.P. NO. ' I SIZE NO.OF SLOGS. OF LOT Anon I NOW ON LOT norm , USE OF EXISTING BLDG. 1. • SETBACK LINE FROM rjr, CENTER OF STREET IV a REAR YARD 29 SIDE YARD RIGHT 7 LEFT 51 DESCRIPTION OF WORK- NEW •I ALTERATION ADDITION REPAIR MOVING I DEMOLISH BUSIE GING 1 22)1 ROOMS L� IZSTORIES 1 EXTERIOR WALL, ROOF COVERING �. ;111`f'n COVERING Bonk USE OF NEW BUILDING Single Ili 14 Tlwel 1 i no. 1 -a V R/ r . 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 PERMIT FEE $ 26_.00 SIGNATURE OF • PERMITTEE ....• e" /O ///PLAN CHECK $ 13.00 Iia.a./l • $ IO CCC/// Lam/ f TOTAL FEE S 39 00 �M` AUTHORIZED GEN /