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Home My WebLink About3116 SUMATRA PL - Building Permits PROJECT ADORESS: 3116 SUMATRA PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 057847 2 OWNER'S NAME: FRANK BROWN e — k ADDRESS: 3116 SUMATRA PL PERMIT NO: B 057847 PLAN CHECK NO: N GOVT: N SUPP: N y C.M. CONSTRUCTION TYPE: V PERMIT TYPE: STR PURPOSE: ALT ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REROOFING - - SQ FT; 3, 600 ADDRESS: UNIT: PERMITTEE: CLAIM VALUE: 3, 600. 00 CALC—VALUE: 3, 600 . 00 GROUP OCC: R-3 / ADDRESS: CHAMPION ROOFS ( 213)898-8600 3257 VERDUGO RD COMMENTS: REROOFING SFD LOS ANGELES CA 90065 **************+FkE*+Ek ****aE**aE***SE**+E+EIE+t******** -x- ******aE+t+PkE*+EyE**+EaE***at->E+E******** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: 042725 STATE LIC.: 429481 . 39 Date: ( ,... )44--9"L__ Signature:— — MAIN BUILDING ACCESSORY BUILDING WORKERS OMPENSATION DECLARATION: I hereby affirm that I ye a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: 0257297 EXP.DATE 05/01 /93 COMPANY: STATE FUND PARKING REQ: PROV: PARCEL: 13915311 ZNE: REF NO: 0 Certified copy is hereby furnished. E Certified copy is ed wit a Building Division. PLANNING NOTES> ( C' SL— *> Date: �� Applicant: ************BE*it-If*********************1F********1E**************it************iF**** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V E': L, OPMENT SERVICES R E Q U I R E M E 'N 2T S 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 •"'"-- e%" subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: r: Dale: Signature: / NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: .,-,.Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. / Q CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• , t DATE; CO / (... which this permit is issued(Section 3097.Civ.C). **-1E******************fE*********Bt#****3F******* * ******************* . . . . ** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby a0irm that 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 ERMI T 6 3 , 0 0 f'1 . 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 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ' PLAN td 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 property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—D IV—> PERMIT ISSUE PIAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 50 0 : 00 .4.. 0 . 00 63, 50 127 . 00 —63 , 50 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 employees, provided that such improvements are not intended or offered for sale,If,however the building or 1 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION -TOTALS——> COLLECTED: 63 , 50 OVER/SHORT• . 00 for thepurposeotsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 63 . 00 , 50 ❑ 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 a contractor(s)license pursuant to the Contractors'State License Law). I am aware **.**.**.**.**.**.*.*****.*.N-*******.*****.T(:**-*.*.*.*.N.*..If.N.***.*.**.*.****.*.**.********************.N.*. that proof of their Worker's Compensation insurance should be provided to me. ❑ am exempt under Section: B.8 P.C. I N D I V I D U A''r L F E E B R E A K D O W N for this reason: TYPE QTY D E S C R I P T I 1O N UNIT COST TOTAL COST Date: owner: • SFR 3600 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 600, 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety 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 with said state codes and the requirements for a - permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from I./ these provisions. Date: Applicant: I hereby certify that I have read this application and slate that the above inform tion is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby out ruer resentatives of this city to enter upon the above-mentioned ordinanopertY(�9andstateln purposes 0; 0011'741-00).1774E T:49 +�?•.'l' pJ� OATS: 06/14/42 TINE': ^144.9 Date./ Q ` -q L Signature: • • Driver's License or Social Security C: 164146 White—Buddino:Green—Code Enforcement:Canarv—Aoolicant;Pink—Revenue:Goldenrod—Assessor ' 'NQTR UCTION AND PLANNING' POOL & SPA APPROVALS Permit# - Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service oVPole 52. Pool & Equipment Location - 2. Soil Pipe•Undrgrnd. - 53. Steel Reinforcement 3: Electrical Conduit- iVtility-Undrgrnd. 54.-Forms J. 4 Electrical Conduit:Undrgrnd. ' - 55.-Electrical Bonding 5. Steel Reinforcement c. 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. , 57. APPROVAL TO COVER-GUNITE - 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation ' . 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. -' j . 60.-Backwash Lines, P-Trap, 0 Undrgrnd, 10. Structural Floor System Y�, 7 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 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 - - - C . - ` 1, roduct'P 7Piping OGas ❑Oil 23. Gas Pipe:Rough &Test : , . '72. Underground Flush. - _ 'r, 24. -Roof Framing, •r,+ . -. _ - - ,73.-UndergrntStorage Tank O Gas ❑Oil 25. Roof Sheathing 6` p4 74:`Overhead Hydro ' 26. :T-Bar Ceiling (Structural) & Monocoat - • 75..Dry Chemical . -- •1 27. Frame and Flashing' s _ - 76. Dry Standpipe - r 28. 'Lathing & Siding - 4.;_ _ . _ INAL . 77. FIXED SYSTEM-FV 29. Insulation ' • I I ( 78. FIRE PREV. FINAL : . a ,` 30. Drywall Nailing - I f .HEALTH DEPT_:REQUIREMENT 31. Plaster Brown Coat I I j - 79.CFINAL INSPECTION - 32. Electrical Power Meter-Final i i I I- . .80.-FOOD CERTIFICATE EIISSUED : 33. Final Electric I I; eNote. = • 1LhY �- Air- 34. Fina) Heating•& Air-Conditioning: -, �� - 35. _Final Gas Pipe-Test • • - - -_ 36. Hood or CanoPY - -_l.- - . 1 • 37. Final Factory Fireplace , '• i ^ •r� - , . � .. -38. Final-Plumbing .. . - - = 39. Water Service-Final. '' r• L 40. Gas Service-Final ' - �,• . ' , , l - _ .41. Solar Domestic-Final . - - - - . 42. Backflow Preventer- : ' I r' ' - 43. Backflow Irrigation• - . 7 - - - 44. Landscape Irrigation System.._, - C -, ., - - a ,j 45. Sound Attenuation -••I • - 'i - r 46. •Handicap Regulations I • s 47. FINAL STRUCTURE & BUILDING [(234Dp ' - - 48. FINAL PLANNING u _ J 49. Electric Release to Edison ' / •' -" - - •50. Gas Release to Southern California Gas Co - I I ` - _ 51. CERTIFICATE OF OCCUPANCY - _ �- No. Date OWNER SUMt4ERLAND-LAND CO. DATE 2-28-57 . i ll W JOB ADDRESS 4681 Sumatra Place BUILDING PERMIT NO. #hL51 GENERAL CONTRACTOR Owner Bldr. VALUE $ 11,421 .00 LOT 79 BLOCK TRACT 2353 Single res. Watt. gar. GROUP I & J TYPE V ZONE FIRE DISTRICT 1y501s INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED fg! LL _ DATE NUMBER Footing Trench trl-f/G 4 -IS-s Foundation Forms and Grade to Garage Rough Framing �� 6 -3 -1 Plumbing,Rough to Slab .P.v y;,�GsS :'': 4 i Cis•I .. .Sv .3-2 -,S 7 ?i‘? 3 v-- Plumbing, Plumbing, Rough Complete 141 t4,...5 ,S-._...5- Temporary Pole r�rr,�� Wiring, Rough JUN 3 1957 VCB e . I-L C 2..t okata..c. S 3 -57 9 7 30 ✓ Heating,Rough lr e 5 6--23-57 Q , 1# , rak,L, S -0-7-57 9V C/ ✓ ewer, Final mc S IO-a.-i-7 ]�, 1 6„....k. p iAewer, House Sewer,St. f4frs (�-2 s-/ ) o� v4- .3-S-s 7 8C 6 Septic Tank or Cesspool C ,/ V Lathing, IV OutK - . 6-/D -s,7 Plastering j.44 P 'A0 f Plumbing,Final,Fixtures Complete J$2L1 /b -1-•17 r Plumbing,Final Gas Test /S {u GS (a-}-(7 '- ;ti o- 7�.<7 >7%-:-,_:-.3 ? Wiring,Final d fT fd-K- i /s2'�G + Occupancy 3 1 r j^.-u_1i FORM 210 3M 10.55 • • .�: 4504 FEE . RECEIVED COSTA MESA BUILDING DEPARTMENT P.O. BOX BIL - FINANCE DEPT. COSTA MESA. CALIFORNIA �Ty �F (;�$jp y� FOR APPLICANT TO FILL IN APPL ICACP O9 C ( EPaMIT BUILDING 3116 BUILDING ADDRESS .a_b ^_,= Sijmpf:Tnn. Pl pr A _ COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PE I OWNER Sum lerland Land Co, 4'S�- MAIL RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS 17.24 So. Beverly cc a- A 7FER 9 8 1857 TEL. }y Ce JADILDING CITY Los Angeles . Celif. NO. - Litt ADDRESS ARCHITECT LIC. COSTA MESA. CALIFORNIA OR ENGINEER Williams NO. ADDRESS 112111 So. Revert v-1,X18 PIA$ ZONE Summerland Land CITY LIC. / p ZONE NPLANS TY PE// GROU CONTRACTOR Co. NO. 9185 4 �/ ADDRESS 7.I S9 A Lin?pl°eel.011f NO.r e-tjl 2N APPROVED DATE LEGAL LOT /T CORRECTIONS DESCRIPTION NO. 79 BLOCK - TRACT 2..1 A.P.NO. , SIZE NO.OF SLOGS. OF LOT 5100 NOW ON LOT none USE OF EXISTING BLDG. G SETBACK LINE FROM CENTER OF STREET 501 REAR YARD 311 SIDE YARD RIGHT C 1 ' LEFT 1l I DESCRIPTION- OF WORK NEW 1( ALTERATION ADDITION REPAIR MOVING NO.OF / SIZE DEMOLISH BUILDING 1310 ROOMS STORIES 1 EXTERIOR WALL Stucco ROOF COVERING £ Ri Al nm COVERING Honk USE OF NEW BUILDING Si ncl p TJn rI1 v TlnwAl 1 inn' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE AB IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCE NO STATE LAWS REGULATING BUILDING CONSTRUC- TION. ire / VALUATION SIGNATURE OF / /�/j��tj i/ I7 . PERMIT FEE S 25.00 PERMITTEE 4 IGar (((JJJ```��GGG��KKL��G( �N y/ a. / $ /3 V.2J PLAN CHECK $ 14.00 AUTHORIZED AGENT /Gti��i TOTAL FEE'S 42.00 I VB.r OWNER BROWN, FRANK J.; JR. DATE 2-5-59 JOB ADDRESS 3116- Sumatra P1. BUILDING PERMIT NO. u. 8594. GENERAL CONTRACTOR Better Bilt Fence j Co. VALUE $ 227.00 AY'ko353-18 LOT 79 TRACT 2353 FIRE ZONE DESCRIPTION OP WORK . Block WaLl GROUP • TYPE ZONE PLAN NO. 8594 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER TrenebesX Forms Steel / b "5 Floor System ' Steel Reinforce Chimney Re-Rod Bond Beam Frame and Flashing Lathing, In Out Plaster, brown coat Underground soil W/G Pipe Test Top Out Furnace Gas Vents Rough Plumbing Cesspool Septic Tank Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating Final Plumbin. Fixtures, Final Final Gas Test Construction Pole Underground Power Rough Wiring Fixtures, Final -OCCUPANCY - :y+�j-; _.s-3wMr Form 210-5M-1- 7 — r 8594 COSTA MESA BUILDING DEPARTMENT . - qe-4-s9Pghs—a2o4T *****2.00 P. O. BOX 317 I 8594 COSTA MESA CALIFORNIA FE• �•. RECEIVED C.L. OF STREET�� B 4 �.' �� d' FOR APPLICANT TO FILL IN FINANCE . EPtf. BUILDING ADDRESS 3// ....!.Gtr-CZ:q P.Q. �iPROP. LINE — _ _ _ _ CITY ]F COS 14 P.IIESA Owner '- ----.41' �- . 10 FT. FOR 60 FT. STREET{� 12 FT. 61N. FOR- i� I Mail Address 3 // // + -+.-, e «c 1 �50 FT. STREET � � .,� I I City �-!•-�LCcA hePh. No. /\ / 13n/CA-Ce" I I Contractor .9 7 .a 4 ev Ph. No /'= ' 74/17.9.I Address 73/2 0Oo-iie—e� .fiGeti...r ��/(: .�s�..A 50 F1I I F FRONT City Lic. No. State Lic. No._J a )O0 / 10F PROP. — 150 FTS m Size of Lot AP No.Lot--79165,.wP4 3 A ct N3- s . bne /S- i- wI \ Setbacks: C/L Street +57� '-' Rear z ii f 1 ix J� al a Side Yard - Right Left m r d O Type of Fence 2 4 ALLEY QR FROP, LINE ¢I o / O '. 0,07 \-5- ' -s 0. d NA, al J 1=ii.= It I --1 .I I hereby acknowledge that I have read this application and state v _ •j p ( that the above is correct and agree to comply with all City Ord- 1 O wco wf .- 1-.E ' F yF w I • inances and State Law egulating building construction. "Ivy t„ O ca I Signature Q'o — ~- Dn o p 10 I of Permittee u/r -fes �11�^.-L o d - I Cr: U o FTI I Agent /1 rho . ~ - 37 Ca FT. 6 IN. �� _ ;' J I 40 FOR OFFICE USE ONLY - z U 2 a I F T 1 I Permit No. o I X969 4 it _ 60 FT ST. _4 Received by Date Received Date Issued r I` .�-'-rs- a - - -y a- �� 1150 FT. ST. cli_. t 1= PROP LINE -- - "- - I — _ _ - - _ VALUATION •— =— O / Permit Fee $ d_0 to / I 66 I I $ 5 a 7 Plan Check $ C.L. OF STREETS _ I TOTAL FEE $ a - n 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