HomeMy WebLinkAbout3115 SUMATRA PL - Building Permits __ Applicant to fill In all spaces except those within heavy border Tines and sign all appropriate declarations.
CITY OF COSTA MESA •
PERMIT NO. TRACT NO. LOT,NO. , BLDG.NO. ''d- ^ - 1 575 I I )02/84 ' 5.00. TI.
•
; CONSTRUCTIONPERMIT 1 P L(p0 se ,
3/ S tt,nt � rw p
Project Address is o �y7 ` 11' ` TYPE OF CONSTRUCTION U NEW 0 ADD H ALTERATION ❑ REPAIR 1
' Applicant's Mailing • ddress.. O <•sLI. r. (N.A(T ii) _Truk nt ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone -
Owner's Name F O-.��e'f_lllU• Phone DESCRIPTION OF WORK
^ - �� . _ •
S Main Building: Accessory Building: Z
Address ' - 0
•
I Ts•4{.+isv+� - TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front _ N
Arch/Eng,- License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL • B Rear
Address' '
NIA ❑ BOTHER - A . - - N
Contractor's Name MO_Ck Pwum/�,br g�S
. •Phone 9-900,57 PROJECT DESCRIPTION SQ. FT.- 'OCCUPANCY - C Right •
R
•Address(mailing) $ mCLfi�l�,A �1/1Q1+ 1rU�AQ CONSTRUCTION TYPE VALUATION $ S Left • . "
ZONE - GRADING CU.YDS. ACRES Q
•
City License No. �07';,S Ping. Ref.# Park.Fees $
LICENSED CONTRACTOR DECLARATION Remarks: ' I U
Parking Req./Provided 1
I hereby affirm that I am licensed under provisions of.Charter 9 (commencing R
with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: E
my license is in full f ce and effect. ;License Class Class Ly Lice��e N PLUMBING FEES Planning Notes: , M
Date 1Q b-$y Signature .•t/Ja... I - - E
WORKERS'COMPENSATION DECLARATION Bar Sink Showers •
T
I.hereby affirm that I have a.certificate of consent.to self-Insure or a certificate _ - -i
of Workers' Compensation Insurance„ or a certified co y thereof (Section Backflow Preveuter Service Sink - - S
3800, Lab. C �.a`(' ' ' Backflow Irrigation Sewer Cap ELECTRICAL FEES
Arty No. b 10 Company V ' •
;
Certified copy Is hereby furnished. I Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW
Certified 4p Is filed with the city Buj�d h}e Olvis�l}n. L 0 50+ KW
Date tO 4"/-6 V - Applicant /�:�C* �<r+.+�/�� Clarifiers Solar Collectors � - Construction Pole Su b. ' _ _ _ _ _ _ _, -: __ . •
.
' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION -
Dishwasher Solar Pi In
(This section need not be completed if the permit Is for one hundred ($100) or Piping Cooking Unit . Meter pup to 100 amps' l
less). . i . .. t . •
I certlfythat In the performance of the work for'which this permit Is issued I Drinking Fountains Solar Tank . Dishwasher • ' Meter Dover 100 amps '
shall,not employ.any person in any manner so as to beco�m Isu_�bje/ct to the , . -
Workers'iCy ens Laws of Calitoryyr �y� """""7 1 Floor Drains, l - Swimming Pool w/Spa Dryers ❑Gas DElectric Sub Panel
' Date /0 ite Signature �{R�a /!�� •
• NOTICE:If„after making-this declaration,-you should become subject to the . ' Floor Sinks Urinal ° - - - - -
- workers' Compensation provisions of the Labor Code,you,must forthwith • ' ' ”-"Fan" '" Motors❑0-1 HP'❑1%--8""
comply with such provisions or this permit shall be deemed revoked;. - . Gas Service- . Outlets -Water Closet. , ' F.A,U. ' ' Inc.Solar-09-15 HP 016-15+
' CONSTRUCTION LENDING AGENCY , (1
I hereby affirm that there Is a construction lending agency for thel performance. Interceptors '� ` ,' Water Heater (Rep I&L e) Z� Fixtures Microwave �.
of the work for which th s p rrr�t Is issued (Section 3097 Civ C.) ' - - :
Lenders. Name;. ' '/�� / -[7 ' Kitchen Sink'' • Water Service :. Device Boxes Pole Light _ -
Lender's .Address, - p(/P (/ � � • -
i. OWNER BUILDER DELL` RATION pt. ' 0 '• Lavatories, - - Outlets - • !Range
I hereby affirm that I am exempt from the Contractor's.License Law for the p-Tra
following reason (Section.7031,5 Business and Professional Code: Any city or 'i p - ' ' "' . . Switches Sign
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 Roof Drains: . , - - j . . , Garbage Disposal , ' t ' Standing Sections el
to file a.signed statement'.that he/sheis licensed pursuant to the provisions of ,. '
the Contractor's License Law(Chapter 9(commencing with Section.7000)of - _ - - Generator ❑0.5 KW ❑5-15 KW Trash Compactor
Division &of the Business and Professions Code) or that he/she-Is exempt , ' i.' i P i ,
therefrom-and the,basis-for the alleged exemption-Any-violation'of;Sectlon - ' ' - - -
- .7031.5 by-,any aplicant for'a1 permit subjects the,applicant to a.civil - - r- '
enalty of not more than five hundred dollars($500), I = • 1 'q , , •;.Reinspection.Fee 4. • $25' r Issue Fee - - $ 3' '- -
Li 1,as owner of, the property or my employees with wages as their sole' • - Reinspection Fee $25 •IsureFee , • ,$ 3.
compensation will do the work,and the structure Is not Intended or offered . - , _ ! . MECHANICAL . ; FEES -
for sale;(Section 7044', Business and Professional Code:'The Contractor's . •PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property'who builds or.improves ` • Bo'iler': - - - Hood or Type I 0 ; I I
thereon, and who does-such work himself/herself or through his or her own - ; Zoning Approved By Date ' ri
employees, provided that such Improvements are,not intended or offered for Canopy Type II, 0 - • ,.
sale. If, however, the building or Improvement Is sold within one year-of tom- • Duct-Under Ground -� Building-Approved By • - Date '-
pletlon,the owner will have the burden of proving he/she did not build or im- ' , . I I 1,� )
rove for the purpose of sale), . , I • • , -c t Duct-Structural , • Refrigeration System - , Application Issued By ' Date 11 2_
•
LJ I,as owner of the property, am exclusively contracting'wlthiicensed con- • ❑0-100,000 BTU ❑_100^000'BTU • VVV _ I
tractors to construct the project(Section 7044,Business and Professions Code: • ' Duct-Ventilating _ - _ _ , �) ' - SUMMARY OF:FEES ' , '
The Contractor's License Law does not apply to an owner of"propertywho • - - - _ BUILDING PERMIT $ SMTP' $
builds or improves thereon,and who contracts for such projects with a,con- • Exhaust System 0 Multiple 0 System Repair/Alteration . , _ , ,i • h
tractor(s) license pursuant to the Contract is cense Law). - PLAN CHECK $ ! PERMIT. ,
❑tam exempt under Section /�1J/f B.&P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING' $ __ 5,00 ISSUANCE '•$ • •
' Date • ' ' •Owner ` J ` ' - - Heating System&Ducting - - ENERGY P.C. '$ 1 ,
• _ PLAN CHECK 25% $
.I.hereby certify that I have read this application.and state that.the above -` ❑O-100,000'BTU 0100,000 BTU - - - - - - - ELECTRICAL �$ GRADING' $ • I '
Information is correct, I agree to comply with all city and-county ordinances l
•
and..state laws relating to building construction,and hereby authorize repre- . - MICROFILM . $
sentatives of this'city to e ter upo• th, above-mentioned property for PLAN CHECK 50% $ - ,
- inspection purposes, . / i ' 1 MECHANICAL ($ •TOTAL FEE ,$ J/ Co
Signature •' /-.(a 1.- ./. - Date ler.y-Jit • -
Drive•rs' L•icense or S _ I Reinspection Fee. I $25 • :• Issue Fee $ 3 PLAN CHECK 25% '$ - -
I CMF 0865-46 res.12/83' White-Building;Canary.-Applicant;Pink-Accounting;Goldenrod-Assessor - - ' `
•
CONSTRUCTION AND PLANNING ';i c "7 POOL &,SPA ,z {-v. _-. ' n ?_�� „�
3 - .. - . Date :Inspector.: - - nt • - _. ,
- APPROVALS Permit# - - p -'AFPROVALS •- •Permit# .";FDate Inspector, .
• • . _ . y., c _ .. -• 0.4 1 1 i t . - .
T. Temporary Electrical Service or Pole , . • c. • 2 ''/ . ;52: Pool 8-Equip hent Location -TI _ ' r '-
• 2 Soil Pipe-Undrgrnd.' - - '' --I ,y, ` ,5. 153) Steel Reinforcement g ' .0 ,° ; ' c ' ' `{
- 3. Electrical Conduit Utility-Undrgrnd.• .,. _ - -Cr-,;.'"H '54 ;Forms0� -•;;r37," - ' �': ' i = ' ; .'
4. Electrical Conduit-Undrgrnd. = - - ^ _ (Li • =55Electricalon
Bdi g u �: '' :1r ,. j „` rt
5. Steel Reinforcement . . • - - -- 56. Rough'Plumbing&<PressureTest:= -ot
6: ,Electrical UF ER Grnd, � 57. APPROVALTOSCOVER^GUNITE • . . :c: i• ,J L
7. Footings - :% R • . ;lt• 58'. Electrical Conduit-Undrgrnd. _ ' - I _2 '.
. . 8. Foundation - _ ';+ • . - •,59. Gas Pipe;O-Undrgrrid 7 Test' - SI. '_ -±„r. ••; _ „;
i
9, Water Pipe-Undrgrnd.' -,- _ �, r: - _ + 160: Backwash Lines, P{Trap, O Undrgrnd.-r` _ ~
10. Structural Floor System „,. <^ ^`%'; 61. 'APPROVAL TO DECK b"- s ? (.
11. Property Sewer Line & House Connection -r _/ t62. Backwash &7Rece'ptor-Final.-" , _ :_ ; , , ' - :-
12. Sewer Cap '" - -•‘:*3" _ 63. Heater &'Vent:Final_ ' '
-13. Roof Drains ' _ ^/. 64. Plumbing System-- Final ',
14. Rough Plumbing iii - - 65. Electrical-Final •-- ., • : t • . - �'-
15: Rough Electrical-Conduit : - - : : ' -- r- `-i- -1. 66.-Solar,System-Final .-"- .--1 -
"!- i 7-7-- !-'-"1 "'
„ 16. Rough-Electric Wiring t d -- _"�' '-':67:` Fencing&•Ac'cess Apprgval :-1x • :{-- }r I •t
17. Rough Wiring Sign" ' . _. - : I r' 1 '68.' APPROVED'FOR PLASTERING ' . F` _ ' -' • ' .r
- 18. Rough Electrical-T Bar Ceiling ' 169. POOL/SPA SYSTEMS.FINAL "' '_ ' c �- t .
19. Rough Heating & Air.Conditioning , • • ' I '- ; t = i E -
9 9 9 'FIRE DEPT.IREQUIREMENT-• , , ��,
20. 'Rough Factory Fireplace ; Permit# I
{ APPROVALS' ' I -9 ' j 4c f 1 :
21. Ducts, in Structure ; ' '„ `
70: Undergrountl Hydro 1 t • ,? { -< +
22 Ducts, Ventilating t 71 • Product Piping O Gases O Oil I , i J j t
.23. Gas Pipe-Rough & Test i , 72;-Underground Flush' 11 t I
•
24. Roof Framing - - 73 Undergrrid.Stoiage Tank•O Gas 0 Oil:1 i`' , ' '
• 25. Roof Sheathing ' . 74. Overhead Hydro 'I, E' t-. ' , • 1
26. T-Bar Ceiling (Structural) & Monocoat ' 175: Dry Chemical I I c, - • • ' - • • 1 1 I
27. Frame and Flashing ., - ' ' ' 1761.Dry Standpipe I ...- : " _ _ , j `. : : ( ' '
28. Lathing & Siding I 77.1 EIXED SYSTEM FINAL •- ' 1 4 J I 1 '
29. Insulation ' - 1• ' ! •78: FIRE PREV. FINAL t i, t '
30. Drywall Nailing t HEALTH DEPT. REQUIREM'ENTI I I. ,4 ' + ',cam , j i
31. Plaster Brown Coat ' - 79. FINAL INSPECTION • I + -
32. Electrical Power Meter-Final ! X80. FOOD CERTIFICATE ISSUED I 1 - I
33. Final Electric 'Notes: I ' 1 i I ' •; 1 '
- -
34. Final Heating & Air Conditioning' -•-J'• I j 1 ' • •
_ - T,i.
35. Final Gas Pipe-Test • - - - q _ 7
36. Hood or Canopy
37. Final Factory Fireplace' • - I I '' I ! ' ^1i t nI'• =, • ` ,
38. Final Plumbing y/I6/YS-- CC°gym ; I i . , I-; I , - - `,1• I. x - -
py. Water Service-Final ' t _ { 1 I.- t'•I - .
�;�4{�0. Gas Service-Final I .
d1. Solar Domestic-Final --i F_ 'DI ! • j } !
42. Backflow Preventer j i ' . • .• • ' '.
43. Backflow Irrigation _ • _ •. _, _,1 � �? ' 'i� t-
r• ,
44. •Landscape Irrigation System ,' l z t 4 I . ; -i• . . I -- i- I ; { . ,,t.. - .. r,
- 45. Sound Attenuation ' , - - I ' •• I ' ••• ' - ."" " _ fr.•' IT
46. Handicap Regulations 1 �_ _ ��^ ' - ' } I ' f' ,
47. FINAL STRUCTURE & BUILDING • - - ! , I ,• i ; i I1 , 1 ;
I ) , e, G r '? 1 r
•
48. Special Requirements Completed ' 1 i 1 i 1 ' 1 ' 'i •• I ,I i -a `0 '" '= " r;
, 1 ,
49..Electric Release to Edison I ' -"- -` -i -i----,!-- 1--i- '-f" "'-- - ' , � i ,
50. Gas Release to Southern California Gas Co ; I J ' I , ! I 1 1;1 1; t I
1 `7,!
51. CERTIFICATE OF OCCUPANCY '- - -- • 11• I
No. • _ Date' _ . _ I--_. J--'.- .=i_ _•. __
Pt _ -
c---JOB #11716 \ • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
OlTV OF COSTA'MESACONSTRUCTION PERMIT_ PERMIT NO. t- - . --- TRACT NO. LOT NO. - -" - UNI ,
ProjectAddress" 3115 Sumatra •Place. /fE19'0II - II ••`` :. - 1 ' - '3229 '5/20/85 15e50 cTL'
F CONSTRUCTION -❑ NEW -Lk,ADD ❑,ALTERATION' ❑ REPAIR' I
Applicant's Mailing Address,1441 So. Anaheim Blvd, Anaheim 9hi - - - ' -
Iu� CONVERSION El DEMOLISH ❑ OTHER+ A.p.# - .' I Zone'
Owner's Name Bessie Pdrmenter • Phone 546-1909 •
;DESCRIPTION OF WORK/USE OF BLDG'. roplarpmpnt of nKi sti ng ' - - - - I _
Address' 8/15 Sumatra Place, !Costa'Mesa 92626 FAP and instal atinn of air' cond /recidenre--hump - S Main Building , - - , Accessory Building; I -
Arch/Eng.- License No. TYPE-OF PERMIT GRADING`❑,FOUNDATI• IOl�NN ❑ STRUCTURAL; ' - T Front - . • - - i 0
❑ TENANT ® ELECTRICAL ❑ PLUMBING- Ld MECHANICAL - - B - N '
Address - - - - • - - - Rear ' ' -
Contractor's Name Kinney Air ('nnditinninghone 779-1441 ❑ 'OTHER C •Right I N
Address(mailing) '1441 SO. Anaheim Blvd, Anaheim 92805 PROJECT DESCRIPTION 5Q. FT. 1300' OCCUPANCY Sin41e K_ • _ - ^
G •
006218 • CONSTRUCTION TYPE - VALUATION $ ' 4, 746.00 $ Left , r - R
City License No. - ZONE ' GRADING CU.YDS. ACRES Ping. Ref.# Par king)Req.%Provided
LICENSED CONTRACTOR DECLARATION • • - -
I hereby affirm that I am licensed under provisions of,Charter 9 (commencing Remarks: • - • •
Planning Notes: f - M
with section 7000) of Division 3 of the Business and Professions Code,and : T
My I¢ense.is in full force and effec _ ' _ $ i
License Class C20 ' Lic No.' 151 975R 1
Date 1 Signature - ��' � • PLUMBING - FEES 4 1 1 - I
-6-83
WORKERS'COMPENSATION Dficate offcEOBSUn1CK -Kinney A/C '
I\ herebyInsure ora certificate Bar Sink Showers
I affirm that I have a certificate consent to self- ELECTRICAL ' ' FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
-3800,_Lab. C.)_ _ . . - _ 1 - _• - , - ,- - - - - - _. -._ Automatic Wa3her-: - - Transformer ❑. 15'-50 KW - - ...
Policy No.C243/103 3 company TWA Backflow Irrigation Sewer Ca 0 50+KW I
P /. Construction •Pole Sub.
\ Certified copy is hereby furnished. • -
Certified copy is filed with the ci `uildi �Division. , Bathtubs I Sewer Connection v^• . Cooking Unit • ''Meter Dula to 100 amps ,
Date 5-6-85 Applican ��a _ • - - -
''^-! 'F! e)!e. air • Clarifiers '
EX EM PTion nee WORKERS'CO - I• E Solar Collectors y Dishwasher - Meter Dover 100 amps; I
(This section need not be completed if the permit is for one hundred ($100)or _ _ _ __ _ ,.
less). ' - - - - t' , Dishwasher ; 1-- , Solar Piping, - - ^) Dryers '❑Gas ❑Electric Sub Panel , -
, 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,asto become subject to the . Drinking Fountains Solar Tank • Fan i - 1 ',Motors 00-1 HP 01%-8 i
Workers' California.-
Wk ' Compensation-Laws of Calif 4 ' - _ 2 fP 1. 50 _
. Date Signature Floor Drains Swimming Pool w/Spa• F.A.U. Inc.Solar ❑9-15 HP ❑16-151 '
-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 • Gas Service Outlets' Water Closet Device Boxes ' Pole Light ' •
I hereby affirm that there is a-construction lending agency,for.the performance' - - • -' - I I
- of the 'work for which this' permit is issued '(Section 3097 Civ. Cl ,' - - '
Lender's. Name Interceptors Water Heater - ,
Outlets Range I
Lender's;Address - - Kitchen Sink 1 Water-Service Switches •
OWNER BUILDER DECLARATION - - Sign , _ ,
I hereby affirm-that I am exempt from the Contractor's License Law forthe Lavatories - , - Auto-Wash ' . Garbage Disposal , Standing Sections
following reason (Section-7031.5 Business and Professional Code: Any city or •
- - - - - , -
county which requires a permit to construct,alter,improve,demolish or.repair , P-Trap ,- _Laundry Trays
V y Generator ❑0-5 KW❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit - - - P
,to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - '
.the Contractor's License Law(Chapter 9 (commencing with Section 7000) oft - - - ' •
Division'3 of the Business and Professions Code) or that he/she is exempt • - - - -
therefrom and the basis forthealleged exemption. applicant
of Section • - ,
7031.5 by any more licant for , permit subjects the applicant to a civil - _ I
penalty of not more than five hundred dollars($500). II - •
3 I
,0 I, as,owner of the:property,or my-employees with wages as their sole .Reinspection F,ee . 'E -$15 Issue Fee - $ -
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 end 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 himself/herself or.through his or her own - - DEVELOPMENT SERVICES REQUIREMENTS:'
employees, provided that such improvements are not intended or offered,for Boiler Hood or Type I ❑
sale. If, however, the building or improvement is sold within one year of com- ' Canopy : Type II 0 Zoning Approved By Da ,
• Date I
pl •
etioh„the owner,will have the burden of proving he/she did not build or im- Duct-Under Ground ' Building Approved By Date
•prove for the purpose of sale). - -- : - _ _ - G
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System , Application Issued By ' —Dat _ LV
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 I1 W0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES 1
' builds or improves thereon,and who contracts for such projects with a con- 4_ 00
tractor(s) license Pursuant to the,Contractor's License Law). I am aware-that - ' ' - • BUILDING PERMIT $ SMIP - $
of Exhaust System 0 Multiple-a, System Repair/Alteration
proof o their Worker's Compensation satlon insurance should be provided tome. PLAN CHECK $ PERMIT . 1
' ❑i am exempt under Section B.& P.C.for this reason ' Firepl/Fact.Blt. ICBO# ) Fire Dampers , 'ISSUANCE , $ '
1 I PLUMBING $ _
Date ' I Owner, ' •1 - - Heating S• ystem&Ducting Registers - 1 PLAN CHECK 25% , $ - ENERGY P.C. 41 $
$ I
hereby certify that t have read this application and state that the above 1 "100,000 BTU Di 00,000 BTL 50 GRADING $ _ • '
• information is correct. I-agree-to comply-with all city and county ordinances , - - ”' .. ' - - -4 00 ELECTRICAL $ - �•
and state laws relating'to building instruction, and hereby authorize repre- , , ' ' MICROFILM I $ _ I ,
Y PLAN CHECK 50% • $
sentatives of•his I y{to enter on the atlove- -ntioned property ,for ,
inspection ...i.oses� , - la, - ' GO
Signature y� • rate 5-6 R5 I MECHANICAL $CJ TOTAL FEE I$ _ 15.50 I
I Drivers' License or55# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% ,$ •
CMF 0865-46,rev.-10/84- .White --Building; Canary Appllcanh.Pink -Accounting; Goldenrod -Assessor �- - -- - - ' - - •
- - - _.— -- - --- - - ' - - - - - e.- -- - '
y
•, CONSTRUCTION AND PLANNING ., • ' - - POOL &SPA --
M' 9n/� Dater Inspector - - • Date Inspector'
APPROVALS - 'Permit# r/9/1-4/ APPROVALS ' Permit#
• 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 - ' •
J 6. Electrical UFER Grnd. - 57. APPROVAL`TO COVER-GUNITE .
s'. ' • 7. Footings58. Electrical Conduit-Undrgrnd.
• 8: Foundation • 59. Gas Pipe, 0 Undrgrnd.,'Test
, 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 Plumbing65. 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-I 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 • . Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil '
' 23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Fra+ning 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 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 - s/ZZiyj(��/7 Notes:
34. Final'Heating & Air Conditioning . cfria5- 141-5°35. Final Gas Pipe-Test / 7 - ,
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 -
J44. .Landscape Irrigation System .
_45. Sound Attenuation - -
146. Handicap Regulations'
47. FINAL STRUCTURE'& BUILDING '
l
48. Special Requirements Completed
49. Electric Release to Edison - - 4 - . . - • - -- • ,
'50. Gas Release to Southern California Gas Co
-51. CERTIFICATE OF OCCUPANCY _ _ _ 4 i
Iio. Date- - •
.. _ 1
. .- ,- - - . .
OWNER �J SUWERLAND -lA� C.O. DATE 4-24-57 -
3//s
JOB ADDRESS \N_. Sumatra Place BUILDING PERMIT NO. / 8.8
"GENERAL CONTRACTOR Owner Bldr. VALUE $ ll,L211.00
LOT 71 BLOCK • TRACT 2353 Res, w/att. gar. 1
GROUP I & J TYPE V ZONE R1 FIRE DISTRICT Oa
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
p DATE NUMBER
Footing Trench • 41--6- j O -fr
Foundation Forms and Grade to Garage
Rough Framing 6.--14<tiCdr Z6 ' ,,/1L7 f,�
Plumbing,Rough to Slab a.hte 5 f--s--7 / -* Toy., ,, _sen„,) 'y-30-S7 9 za.a
Plumbing, Rough Complete t1A,C5 A--a-4-7
Temporary Pole _
Wiring, Rough 7//,,"l it C - Yd-PI L° AY/c -.2e-c- {- 4//-/a-,�7 z9/4q/s—/
Heating,Rough ya� .a s Z. C4 ,L- C. i-aXafl v-./7-.<i / L, c 7 "3 _ ✓
Heating, Final // i2-y-57 r pF�
Sewer, House cat Sewer,St. C S '1i/8 11 01,Iii . _, -. 3- 6--S 7 p 3-7p
Septic Tank or Cesspool 'C 4 4
Lathing, In Out £— ` 8 - L1 7 •
Plastering 14- 6' k 1-3 Ss
Plumbing,Final,Fixtures Complete/W/ c /2.-44—,57
Plumbing,Final Gas Test /7- /4//.5 h--i/-57 `-I . - /
Wiring,Final T i- /Mutet Geo-eex4/�" art --
Occupancy MA'S f-y--fl' .,-
FORM 210 3M 10-55
f ..r FEE/�i RECEIVED
i . 4924 V`� D^-1/i9 r ; ac
NANC
•
COSTA MESA BUILDING DEPARTMENT FINANCE DEPT J
P.O.BOX 317 CITY OF COSTA MESA
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING 34/5- BUILDING
ADDRESS }.,,II Qn]Y/IHtT''n P1 POP
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. P!t8llll..JJlI 98
OWNER 0nwn-a•.r,l nr.r7 T aria On.
MAIL RECEIVED BY / DAT RECEIVED DATE ISSUED
ADDRESS 1124 S0. Beverly .��1'f-� 6/eJ_J'] APR 2 4
TELC1'CS A lV BUILDING //
CITY T,n4 dnutal P.C! (;Hl l f'a NO. -1- d�0 . ADDRESS
ARCHITECT ' LIC. COSTA MESA. CALIFORNIA
OR ENGINEER 1-r• 1 NO.
ADDRESSI12)1 en pp-up-pi I - ZOE
Tog �jh�_@S ZONE
Summerland Land CITY LIC. ZONE(`/n� OF
PLANS TYPE '/ GRO{//
CONTRACTORIfn NO. Al R5 \ v `O V 7
J] G So. yT��evenly TELCrestylf)i'i APPROVED l
ADDRESS LO fine:eres • t;al w NO. C_fiR7f3 BY DATE
-
LEGAL CORRECTIONS •
DESCRIPTION N071 BLOCK TRACT)2[',3
A.P.NO.
SIZE • NO.OF BLOBS.
OF LOT b000 NOW ON LOT none
USE OF
EXISTING BLDG.
SETBACK LINE FROM ,+
CENTER OF STREET KO t REAR YARD : 31 1
SIDE YARD RIGHT 5 i LEFT 51 .
DESCRIPTION OF WORK
NEW '}� ALTERATION 4 ADDITION •
REPAIR MOVING / ry DEMOLISH
NO.OF
SIZE BUILGING 1316 ROOMS 6 STORIES 1
EXTERIOR WALL. ROOF Comp S t tl n
WALL.,
l cco COVERING p t-ILp• LAS
USE OF NEW lryT' flv'el 1 lE O
J
BUILDING Slntl.e I''f.�aTlll.l n
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• p
TION. VALUATION PERMIT FEE S 28.CO
SIGNATURE OF
PERMITTEE /
$ it 5.4c.„?'
yPLAN CHECK S 14.00
-
AUTHOR! ED AGENT TOTAL FEE $ 42.00 ABMT
_, COSTA MESA BUILDING DEPARTMENT
P. 0. BOX 317 • I 8838
COSTA MESA CALIFORNIA
I" `� FOR APPLICANT TO FILL IN
C.L. OF STREET-"--
BUILDING
/
� ,� 9 BUILDING SS 3/7:3 .- • -r-i
_ __ __��PROP, LINE — _ _ � t` 4,, 1 - 'Agi\ Owner 71X-it
10 FT. FOR 60 FT. STREET pin 61FI-rOR 1 \ .F'I ESP Mail Address 3//b
i �J 50 FT. STR ET V�rk C ,ZPIM
I I F City ass 4 /1C.. Ph. No., 4 3"36 7r
V � 1
' I G\ Contractor,gene Ph. No. �/�
I Address_33/2 04 .,Q /�7- .1
• 50 TI IF FRON City Lic. No. , State Lic. No./16/00
I IOF PROP. F- —
50 FT A w Size of Lot ,AP No�GT 7/ �A• 3�
ca .__ { i
w WI \ N V
Setbacks: "C/L Street Rear — Q '-
laJI Side Yard - Right -- O0 "' Left
Ark,
Nr ----^� ---a� V Type of Fence
4 ALLEYQR PROP. LINE 01 c0i /,5/6/ - cs r� ( e°nriv»+• )
o, aI I / ¢
J 1 = .4 V\f�. --1 I Ry I hereby acknowledge that I have rea this application and state
ci al
IL- i c ,[ 46 I `I \\ that the above is correct and agree to comply with all City Ord-
i o Ntp . („ t J �@ ..-•
eS), I \ . finances and State Laws regulating building construction.
\ r—_ o ,a �. NI\ Signature /� ��
i U m j T\ Ly 10 I I I of Permittee .V-7t` Cil ,f-C� a —
C'' s V ` h- /• FT 0 C I Agent .�� /JL�I�
�;
g1� n 6, • C \' I v
FT s I N._ ci i I I 4O _ i FOR OFFICE USE ONLY
W YIE4 I~ m
z U m a
J \ I FT I Permit No.
a ; I I c123 P
0 I 60 FT ST. ,I Received by Date Received Date Issued
r- C 3 —i 3—/a-5-7
1.50 FT. ST. I I fen- ,
-'j a I — _ _ - - `' i VAL AII TION •
—�iPROP. LINE
Permit Fee $
I A99Y50
$ Plan Check $
C.L. OF STREETS -
TOTAL FEE $ - • 0-0
MAXIMUM 4 FT FENCE MAY BE PLACED ON DOTTED LINES -- — ---
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES USE REVERSE SIDE FOR DETAILS i