HomeMy WebLinkAbout1057 VISALIA DR - Building Permits ADDRESSOF MMLMHG: 1.0 / VISALIA DR • • LIME CITY OF COSTA MESA - BUILDING PERMIT V '--'w (Jt) al !' ......--
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OWNERS NAME IF KNOWN:SENDER, DAVID P PERM NO: E 87606
A ESzSENDER, CINDA L •
�-
RJENNINGS PROPERTIES PERMIT NO; E 087606 PLAN CHECK NO: N GOVT: N SUPP : N
!2606 HIGH VISTA LANE APPLE VALLEY,CA 92307
APDL.MAILING ADORESS: ' CONSTRUCTION TYPE: V-N PERMIT TYPE : ELE - PURPOSE: 0TH '
ARCNRECT ORENGNEER:' UK.NO.: JOB DESCRIPTION : REPALCE FAU & ADD AN A/C UNIT. • SQ FT:
•
ARCH.ox ENC.'S ADDRESS: UMT:
CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /
CONTRACTORS NAME:CRYSTAL AIR ( 714 ) 534-2593 -
CONTRAC•TORSMMUN01180' MAC STREET • COMMENTS: ELEC . WORK FOR FAU & A/C .
ADDREs .GARDEN GROVE CA UC.NO: 655036 **********�r***K*�r*****aL***x****�L*****>ESL**�L****�r+ ***************><•***�t>t�r>E** ** K->t
92641 ZONINGN G REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby aim under penalty of perjury that I am licensed under prwidms of Chapter 9 S E T B A C K' S
•
(commencing wiLhsecfi7004 d Division 3 d the Business end Professionsc«gand m license is in lull force end effect.
A0,042006 uc.cuss: C-20 uC.NO.: 6550336 EXP: 03/98 MAIN BUILDING ACCESSORY BUILDING _--
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
/ate:, -i--4 Contractor: 1p" LEFT: FT ' IN RGHT: . FT IN LEFT: FT IN RGHT; FT IN
WNE UILDER DECLARATION:1 hereby elfin under parlay of perjury that I em exempt from the Contractors License Law for the
a ' reason(Section 7031.5Sunless and Professions Code:Any ay«county which requimsapermit toconstruct,alter,improve, PARKING REQ: PROV: PARCEL ; 41210438 ZNE; REF NO:
h.or repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES>
pursuenl to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)cc that he or she is exempt therefrom end the basis for the alleged exemption.Any violation or Section > -' .
7031.5 by any applicant for a permit subjects the applicant toe dvg penalty of not more than five hundred dollars 155001). ********************************************************i*i****************7i***
❑ I.as owner of the property or rny employees with wages ea their sole compensation,will do the tack.and the structure is not intended DEVELOPMENT SERVICES R EQU IR E 'M E N T S
or offered for sale(Section 7044,Business end Profesacne Cade:The Contractors License Law does not appyto en Owner or property
who buida or improves thereon,end who does such work hlmsetl or herself or through his or her own employees,provided that such
improvements ere M intended or offered for sale.n.however.the building or improvement is sold within one year of completion.the ZONING APPROVED BY' DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).El 1.I,as owner of the propery,ant exdusivey contracting with licensed contractors to construct the project(Section 7044,Paginate and BUILDING APPROVED BY : • DATE:
Professions Code:The Contractors License Law does net appy to en owner or property who builds or improves thereon end who
contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). APPLICATION ISSUED B Y; DATE:IDtem exempt under Section: ,.leNnea
n: B.A P.Cr rvon: ************************************************ ****************
Dalt Owner LEGALIZATION:N F E E SUMMARY STRUCTURAL S ME1 T:N
I do hereby certify that I am aware of and understand the requirements or California Health and Safety Code Sections 25505,25533,and
25534,and that l«anyhture building occupant will/wit wl(droe oro)need to own*with said sole rodeo and the requirement°b BLDG PMT PLUMBING ELECTRIC MECHANIC . FIRE SMIP/RES GRADING
a permit for construction«modification horn the A'Duality Management District.Residential wnstngion°ppicali«ns are exempt from these pERMIT 11 . 00
provisions.
Date: Applicant: PLAN •
50& SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty or perjury one d Ne fallowing dedv°lions: ISSUE FEE • 22 . 00
❑ lhave and wit mameMeediu.dconsent tosen.mwmfor workers'wmpeemon:aeprwdedl« Section d
3700 of BUILDING DIV > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
Coda t«the performance or the we*tor which this permit is issued. TOTALS----> 11 . 00 22 .00 0 .00 • 33 .00 33 . 00 . 00
R] I have end coil maintain workers'compensation insurance,as required by Section 3700 or the Labor Code,for the performance of the
work for whim this canna is issued.My workers'compensation insuranceraer and policy number are: REVENUE DIVISION TOTALS--> COLLECTED : 33. 00 OVER/SHORT: . 00
• Carder: • BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
•Pdcy Number:
33 . 00
.(This section need not be completed 1 the panne is for one hundred dollars(Slog)or less)
• •L.J, Icenfy that in the performance dthe work for which]itis permit isissued,[shall net employ any person in any manner so oto ******************************************************if***if********************
subject to the workers'compensation laws of California, end agree that i becomeI should subject to the workers'
peneatiw Section Sion 3700 of the Labcode,I shall I Ih comply with those provisions. IND IV I D U -A L F E E BREAKDOWN
ate: q'1-C Applicant: l
• TYPE QTY ' DESCRIPTION UNIT COST TOTAL COST
Mg:Failure to secure workers'compensation coverage Is unlawful,and shell subject an employer to criminal penalties and
Sectione3�to
fthe Labor Code,Int�«.ekandaiomeysiefo•.addition cost of romp.n.enon,'°meg..as Providedfor in ELE 1 MOTOR/POWR APPARATUS 1 . 1 - 10 . 0 HP 11 . 00 11 .00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penant of Perjury That there is a construction lending agency for the • END OF FEES
•
performa_me of prink work for which this pk is issued(Section 3097,Civ.C).- • .
LENDER'S NAME: I
LENDER'S ADDRESS: • . '
I certify that I have read this application end Mate that the above inlonrstlon is correct.I agree to comply with all aye county ordinances EXpI D •
end stats laws relating la building constructionte hereby authorize r°pr°sen cores of this city to enter upon the above-mentioned property X 1
or inspectfon.2.-s.RALPH BELL l /fig/OD 84-07-1998/18:88141/$33.88
• Pym Name a 11/I�i (/
DATE— `—� FERMITPT087606
Date: C/r 'lD
•
Sig :ure of s er/Agent/Appkcan entracte( ,
(5151d5.WP) White-Building A Safety;Green-FI., anew-Applicant;Pink-Revenue;Goldenrod-Assessor ' •
•
CONSTRUCTION AND PLANNING y P &SPA .
APPROVALS +Permit# :i - 7 -Bate Inspector APPROVALS_ Perritit# - 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 .
6. Electrical UF ER Grnd. - •
57. APPROVAL TO COVER-GUNITE • •
7. Footings _ 58. Electrical Conduit-Undrgrnd.
B.'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 - • 1 64. Plumbing System •- Final .
14. Rough Plumbing :65. Electrical-Final i
•
15. Rough Electrical-Conduit. . _ 66. Solar System-Final _ -
16. Rough Electric Wiring • a- 67. Fencing & Access Approval i
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 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. 'T-Bar Ceiling (Structural) & Monocoat . . 75. Dry Chemical '
27. Frame and Flashing 76. Dry Standpipe - .
t
28. Lathing& Siding • - -• 77. FIXED SYSTEM FINAL
I
29. Insulation � 78. FIRE PREV. FINAL • • .
30. Drywall Nailing - • HEALTH DEPT. REQUIREMENT
31. Plaster &own Coat ' 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 1)4I
ili
33. Final Electric Notes: . i
34. Final Heating & Air Conditioning '-
35. Final Gas Pipe-Test „ - • .
36. Hood or Canopy Li
37. Final Factory Fireplace I I
-
38. Final Plumbing - •, -
39. Water Service-Final • • ti ,
40. Gas Service-Final C_,
41. Solar Domestic-Final • . 1 ;-- .. -
42. Backflow Preventer
• 43. Backflow Irrigation
•
44. Landscape Irrigation System •
45. Sound Attenuation •.. •
46. Handicap Regulations .. .
47. FINAL STRUCTURE & BUILDING ,
43. FINAL PLANNING �•
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ....----�.•
51. CERTIFICATE OF OCCUPANCY I • •
, No - Date
IUD / VISALIA DR • _ ._CITY OF COSTA MESA .- BUILDING PERMIT g —0010(0
ADDRESS NAOPBNLMNO:SENDER, .DAVID P - --uMf: - - - - - - - •-- - - - - - 5
wmERSNAMEIPr3awN.SENDER, LINDA L �• PERM NO: M 08760
ADOXE� %JENNINGS PROPERTIES PERMIT NO: M 087605 PLAN CHECK NO: N GOVT: N SUPP : N
22606 HIGH VISTA LANE APPLE VALLEY, CA 92307
APPL.MAJLDNG ADDRESS . . CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: 0TH
ARCHITECT ON ENGINEER: JOB DESCRIPTION : REPALCE FAU & ADD AN A/C UNIT. SQ FT: •
ARCH OR ENG.'S ADDRESS: INT: CLAIM VALUE: CALL-VALUE: - GROUP OCC : R-3 /
corlTRAcroirsNAI�:CRYSTAL AIR ( 714 ) 534-2593 -
33N111ACi3ASYMUNg 11801 MAC STREET COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT
GARDEN GROVE CA 655036 *+E************+E* *****************************+E********************4****** 0**
• /'DOfl 92641 LW.NO.: ZONING REQUIREMENTS
D"T` SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I ant licensed under provisions of Chapter 9 '
(commando° ) )d Division 3 d the Professions 1' mere isin eM
c No.: 8 uc.cAss: LIC. � 03/98 MAIN BUILDING ACCESSORY BUILDING
• �y�^yy!C\' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
11-0 -1? Contractor "V�'y, LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
R BUILDER DECLARATION:I hereby affirm under penally d la th
perjury that I am exempt from the Contractors License law e
'cab ' reason(Secion7031.5BusinessandProfessionCode:Am=ityoroountywhimrequiresapermittornswn,ah«.improve, PARKING REQ: PROV: PARCEL: 41210438 ZNE: REF NO:
emdoh,or repair any structure.prior to its issuance,also requires the applicant for such pemN to Be a signed statement that he or she PLANNING NOTES>
a licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting wish Section 70W)of Division 3 of the >
Business and Professions Code]or that he or she is exempt therefrom and the basis for the allegeddrempion.Any 500)). and Section *******************************************************************************
7031.5 by any applicant for a permit subjectso the applicant to a civil penalty of not more than five hundred dollen[5500)).
❑ I,as owner d the properly or my employees with wages as their sole rompensdion,will do the work,and to structure is not intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Sedan Two.Business and Professionscode:The Contractors License Law does nolapuf la an Owner of properly
who bolds or improves thereon.end vito does such work Nmself or herself or through his or her own employees.provided that such ZONING APPROVED BY DATE
improvements are not intended or offered Mr sale.If.however,the building or improvement ie sold within one year of completion,the •
owneN builder will have the burden of proving ha or she dal not build or improve for the purpose of ale).
❑ I.as owns of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED BY : - DATE:
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon end tithe . 7
contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law).
I
• ❑ lameerptad«sena : B.aP.c.,ro this anon: . . . .APPLICATION ISSUED BY: • OM, - DATE: /�` f
********************** t . .**********. .r . .**
Dale Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SE - ENT : N .
•
I do hereby certify that 1 am aware of and understand the requirements of California Heath and Safety Code Sections 25535.25533.and .
25534,and that I or any Mute buiMing occupant will/will not(circle one)need to coMply with said state codes and the requirements tor BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit lamnstmction or modification from the A'n rexry enagemenl District.Residential construction appfutons are exempt from these PERMIT 26 . 50
provisions.
Dam: Applicant: 25% SMIP/NON-RES
•
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE 22 . 00
❑ Ihave and wilmaintain acertificate ofcoraentloself-insure tor wokem'compemelan,asprovidedlorSection WOO BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,fortheperformanceofteworkforwhihthispermitisissued. TOTALS----> 26 . 50 22 . 00 0 . 00 48 . 50 48 . 50 . 00
❑ I have and MI maintain workers'compensation insurance,as required by Section 3700 of the Labor Code.for the performance of the • -
• work for which this permit leissued.Myworkers'compenamcanter REVENUE DIVISION TOTALS--> COLLECTED: 48 . 50 OVER/SHORT: . 00
Carder:
BLDG PMT PLUMBING ELECTRICMECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
• Petry Number:
48 . 50
11his section need not come completed a the pee is Air one hundred dollars(Sfax(or less.)
t'❑ lathy that in the parlormacedthe work/pr which No permb is issued,lshall not empty any Fenton aany manners as to *******************************************************************************
abject to the workers'compensation laws of Caltamia, . . nee that a I should become subject to the workers'
•penee0on provisions orlon 3730 of the Labor Code.I wall f. y�• ply wth Nose provisions. I N D I V I D U A L F E E B R E A K D O W N
4---1-4 Apdaanc . Iia _1t
•
Fagunbsecure walkers'ce compensation coverageunlawful,
l• end shall ll subject employer roulMnlpene/tlu end TYPE QTY D E S C R I. P T I O N UNIT COSTTOTAL COST
cnes 06ocaeLaborCots,eEeHn(5mney'eAbWd/tlonroMecuto/rompenaatbrr,damages uprovWWbrin •
MEC 1 INST FORC-ATR/GRA\, FURN <= 100 K BTU 13 . 25 13 . 25
Section sTad of on LaboredthousandCode, aold eebms00 las. 7
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the MEC 1 REFRIGERATION SYSTEM <= 100 K b TU/H 13 . 25 13 . 25
performance of the work for wits this perste is issued(Section 3097,Civ.C). END OF FEES •
-
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and stale that the above information is corrin.I agree to comply with all ally and county ordinances •
EXP T
and state laws Mang to building construction and hereby authorize represent Mites d this city to enter upon the above-mentioned properly iLM' L -
forinsPelionpuroosea.RALPH BELL M� c 04-07-1998/10:06 N41f48.5O
• Print Name MICE �� a a �" F�ERh1IT aT087605�
J�of / Dale v—� ��
Sign ureal r/AgenVApP4ceM'.O rector
(5151J6.WP) White-Building&Salety:Granule, dry-Appkcant;Pink-Revenue:Goldenrod-Assessor - -
• ' CONSTRUCTION AND PLANNING, - - PO i SPA -
. APPROVALS Permit#-, - - - Date Inspector - Date Inspector
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 .
' 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. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
, 10. Structural Floor System • • 61. APPROVALTO�DECK • '
11. Property Sewer Line & House Connection .62. Backwash & Receptor-Firial •
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•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 ci Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush 4
w
24. Roof Framingibri
73. Undergrnd.Storage Tank O Gas ❑Oil tlif rtl,
25. Roof Sheathing ; , . 74. Overhead Hydro t'-
26. 'T-Bar Ceiling lStructura0 &Monocoat75. Dry Chemical ' •.
27. Frame and Flashing 76. Dry Standpipe . Lid . '
I
28. Lathing & Siding '" 77. FIXED SYSTEM FINAL 1
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 Notes: , ,
34. •Final Heating & Air-Conditioning "
35. Final Gas Pipe:Test -.
36. Hood or Canopy. _ ,
..
37. Final Factory Fireplace
38. Final Plumbing :.j - •
39. Water Service•Final
40. Gas Service-Final
41. Solar Domestic•Final _
42. Backflow Preventer -
43. Backflow Irrigation
44, Landscape Irrigation System I '
45. Sound Attenuation • -
i - 46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING _.� _ •
I I 48. FINAL PLANNING - ` •
.
49. Electric Release to Edison
50. Gas Releafe to Southern California Gas Co • -- .
I, 51.. CERTIFICATE OF OCCUPANCY
l No Date
ADDRESS OF BUILDING: 1057 VISALIA DR 11/4T: CITY OF COSTA MESA - BUILDING PERMIT
I
owNEesPaIFmcon: SENDER, DAVID P
ADDRESS: SENDER, LINDA L PERM NO: P 072763
%JENNINGS PROPERTIES PERMIT NO: P 072763 PLAN CHECK NO: N GOVT: N SUPP : N
59 LANSING LN COSTA MESA,CA 92626
APDL.MMUNO ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: 0TH
ARCHITECT ORENGMEER: UC.NO.: JOB DESCRIPTION : C/O DISHWASHER SQ FT:
ARCH.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
CONRIACTORSNAME: NOCK PLUMBING ( 714 ) 895-1246
CQ4TRACTORSMHUNG 11612 KNOTT ST COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
ADDRESS: GARDEN GROVE CA ucNo., 511971 +t#SrBESr#iEitat*+tit*xitRtatitRERErtaERtitBE#chit*ataEatxitihirBkRk****#Sk*stat;IE#x*Sr*ik*aE*aEBEieNitBEit*aEatiFie***Bk***+Frtat
92641 umt 17 Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.
PYLIC.NO.: 38 uc.cuss, uc.NO.: 15^-11971 EXP: 02 /96 MAIN BUILDING ACCESSORY BUILDING li
�f 7/? c Comedr:�k�{ - PI-UM FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
at � � LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
HER BUILDER DECLARATION:I hereby affirm under penally of perjury that I sat exempt from the Contractors License Law for the
°lowing reason(Section 7031.5 Business and Professions Code:Any city r°aunty which requires a permit to construct,alter,improve, PARKING REQ: PRO V: PARCEL: 41210438 Z NE: ' REF NO:
demolish.or repel any structure.prior to is issuance.also requires the applicant for such permit to file a signed statement that he or she
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>
Business end Professions Cede]of that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >
7031.5 by any applicant for a permit subjects the applicant toe civil penalty of not more then frye hundred clothes 145001). ***************************************************************************.lt***
❑ I as owner o the properly cc my employees with wages as their sole compensation will do the wank.and thesuuclure is not intended DEVEL OP MENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not appy to an owner of property
who bulds or inproves thereon.and who does such work himself or mseherself or through his or her own employees,provided that such
improvements are not intended or offered for sale.If,however.the building or improvement is sold within one year of completion,the ZONING APPROVED BY •
• DATE:
ownenbuilder wit have the burden of proving he or she did not build or improve for the purposed vele).
❑ I,as owner of the properly.am exclusively oontrectip with licensed contractors to construct the project(Section 7044,Business and
Professions Code:The Contractors License Law does riot apply to an owner of property who builds or improves thereon end who BUILDING APPROVED BY : DATE
contracts for such projects with a cruredor(s)licensed pursuant to the Contractors License Law). y �I ('w
❑ I am exempt under Section: B.AP.C.,orthis reason: APPLICATION ISSUED BY: � * DATE: (/% 1 1
************************************** * ******************* - ***
Da Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL EGMENT: N
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,end
25534.and that I or any More building omrpam will/will not(circle one)need to comply with said state codes and the requirements for
a perm fog construction r modification from the Ak eu�i ty aragement District.Residential constructionSon°en exempt from these PERMIT BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions.
Date: Apply,,,; 25% SMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penahy d perjury one o the following dedadions: ISSUE FEE 20 . 00
I have and will maintains certificate o consent toseninsure for workers'compensation,as provided for t
by Seod n 3700 the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the pedmmaa.dn.wont for wHoh this panne is leered. TOTALS----> 7 . 00 20 .00 0 . 00 27. 00 27 . 00 . 00
I have andwit msMein workers'compensation
n insurance, required by Section 3700 of the Labor Code,for of the performancethe
\r which this permit is workers'issued.My compensation insurance canter end policy number are: '
Carder: SATE REVENUE DIVISION TOTALS--> COLLECTED: 27 . 00 OVER/SHORT: . 00
Policy Number: 116 /991-95 03/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN— HECK
(This section need not be completed el the perml is for ern hundred doilies(Stool or less.) 27. 00
•
❑ I eerily 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 subject to the workers'compensation laws of California. me that B Id become subject to the workers' *******************************************************************************
compensationp�w9 yf Q i«m 3700 the Labor cave. a n n campy es
tho dame. INDIVIDUAL F E E BREAKDOWN
Dae: c 7 ( Applicant:
Warning:Failure to secure waiters'compensation coverage is unlawful,and shall subject an employer to criminal penalties and TYPE QTY D E S C R I P T I O::N UNIT COST TOTAL COST
civil lines up to one hundred thousand dollars(6104000A In addition to the cwt of compensation,danuges as provided for In
Section 3706 of the Labor Code,interest,and attorneys Mee PLU 1 DISHWASHER 7 . 00 7 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction tiding agency for the END OF FEES
performance of the work for which this monk is issued(Section 3097.Civ.C).
LENDER'S NAME, T
LENDER'S ADDRESS:
I certify that I have read this application and date that the above information is correct.I agree to comply with all dry and county ordinances EXPIRED 4
and state laws misting to buildup construction end hereby authorize representatives of this -m
city to enter upon the above-mentioned properly LAN
4
for inspection purposes,RON NOCK DATE . ,
Am. Name Q ` ,
Date: 6 [ ( 9 r01 0018387.2-00183872 'reit ? j
VIII . .urea. T ca
nt/A..kntir:. to DATE: 06/0'/rte ilrE: 0924i}
/ / ,.,
(5151-45.WP) Whiteuidig&Safety:Green-File;Camey-Applcant:Pink-Revenue:Goldenrod-Assessor �h
-S
IIIIme..-
.
CONSTRUCTION AND PLANNING; PL .. & 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 I
-t37.Electrical Conduit-Utility-Undrg?nd. 54. Forms .
'24'''lectrical Conduif-Undrgrnd.' 55. Electrical Bonding S'
• .5. Steel Steel Reinforcement 56. Rough Plumbing & Pressure Test Ct I'� - 1
16. •Electrical UFEFi:Grhd. - 57. APPROVAL TO COVER-GUNITE
'".TFootings 4 • 58. Electrical Conduit-Undrgrnd.
•_8. `Foundation t' - 59. Gas Pipe, 0 UFldrggrnd.,Test .1
9.•Water Pipe-Undrgrnd... - 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. _Stwctural Floor System - - 61. APPROVAL TO DECK'..
11. Property Sewer Line.& House Connection 62. Backwash & Receptor-Final
12. Sealer Cap 63. Heater & Vent-Final - `
13. Roof Drains _ 64. Plumbing System - Final _ 1
14. Rough Plumbing. _`) . _ 65. Electrical-Final
15. Rough Electrical"-Conduit 1 66. Solar System-Final
16. Rough Electric(Wiring-, c 67, Fencing& Access Approval -
•
17. Rough Wiring Sign - 68. APPROVED FZ$R'PLASTERING '
18. Rough ElectricatT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning - y _ VFIRErDEPT„REQUIREMENT
20.-Rough Factoy' R eplace r r,r - -� -i APPROVALS• Permit # '
21.•Ducts, in.Structure ' •2 O „ _ 70.` Underground Hydro -
22.,Ducts, Ventilating;t •
�'' , -Z �°'- 71. Product'Piping DGas O Oil
23.`Gas,Pipe-Rough & Test 71 e . t*• 04: •_ 72, Underground Flush '. . • ,,,
u.1 iThz
24.4 oof•Framin§' c - `±'1 i- „ ': 73. Undergend.StorageTank OGas 00il 114 . t1
25. Roos Sheathing u , - ;---i ..21, 74-. Overhead Hydro _, t >Li-- '
26.-T-Ba`r Ceiling (Structural) & Monocoat 4 --r 75. Dry Chemical ' " - r7"1
.v
27.-Frame and Flashing: � ;, t c >• '0 x. 76. Dry Standpipe-. -7t- -i: s
28. Lathing'8i Siding;: • c: ", E_ 'i. 77. FIXED. FI
SYSTEM• NA`LY q '.
29. Insulation 1 78, FIRE PREV. FINAL ' ' x !Tr,:
30. Drywall Nailing E.7.-1 , K i_ i .HEALTH DEPT'.-REQUIREMENT
• 31. Plaster Brown' oat. r . r s 1. 7 79. FINAL:INSPECTION -
32.,;Electrical Povaer Meaei--Final 80. FOOD CERTIFICATE ISSUED
• 33. Final Electric;. r ;r. - ti Notes: e -
9 e�sai�l_kiar ,4e -r once
134..Finai:Heating-& AirlCoriditioning~ - < - ''; - - - //�/
'. tf - ,. . H F-.l' i- I. /l/L6-
35.'Final'Gas Pipe-Test: t-. - r;;= . -`.,
36. Hood or Canopy to ' - a. = '- - : 7" - r
., - ' .. .7: ._. * 'T7 m
' . 37. Final:Factory Fireplace, , - . - - ,: _ t,i
38. Final•Plumbing := - .r m
39. Water Service-Final` '" ' - ' `" '`
40. Gas Service-Final • -• - 4. :c a.
41. Solar Domestic-Fin11 - _ 0- I .j
42. Backflow Preventer ` i- : c
43. Backflow Irrigation.` _ --• _ p t
. - '- - -
;44. Landscape Irrigation Systemz' ?.? _ + -. - ;' :�=^ r Pi c
:45.Sound Attenuation,' - . : , r °
r _ _ . -
-46.'Handicap-Regulations r 677 _ •�- r
47. FINAL STRUCTURE & BUILDING -
4$. FINAL PLANNING 0-,c• . ` ,
- r - r er
49. Electric Release to Edison 17, -
•
50. Gas Release to Southern California Gas Co - r- . = n:
\ 51. CERTIFICATE OF OCCUPANCY r
No. Date
I
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. CSL/ c--- DATE yr?
LOT NO. ( sr
ADDRESS /O 7 /y Q_2
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that (he-she-they)
(was or were) ...-01“1-1"---"4". advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
BY L 00 . Q...4;21.
RECEIVED Purchaser /
CITY OF COSTA MUSA BY ,✓}�y�,.,�/�o--�i�rsA
Developer and/or auth4rfzed
T %9 representative
JUIAM PM
7,81911011102111253141516 BY
Lender
OWNER HFT,T7F.R FNTFRPRTSFS DATE 8-28-72
JOB ADDRESS 1957 Visalia Drive BUILDING PERMIT NO. 5289
GENERAL CONTRACTOR HPltzen DESCRIPTION of WORK Rps w/ ntt epr
AP No. LOT 45 TRACT6245 FIRE ZONE VALUE $ 2Z 6on on
INSPECTIONS Signature Date GROUP T R. T TYPE r5 ZONE
SOIL 1Lj-SZO7z-'7Y SUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
W AT ER1IgMt/vlc?yy _ Plumbin•
a
ROUGH PLUMBING � i d ilir 21,-aA " Wt`n ni��`nnnEr
PROP. SWR. LINE Ey HOUSE CON. 11 ":/ -3. • 10 y ' ; , 4' -7-Vci. 73 baa far
—
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING ' W q 7*
TEMPORARY SERVICE OR POLE
UNDERGROUND fl POWER ❑
ROUGH WIRING 0.711- 17.1/4 Heating and( Vent.
TRENCHES FORMS ES-STEEL REINF. @'014)73A f fl9 u ^ c' / ,:w64/�, 74 1-
FLOOR SYSTEM 7�/ , r 'Y4/6_ 91 12
BOND BEAM rl STEEL REINFORCE rl
SHEATHING "kid Jf//-5
FRAME AND FLASHING i //73
7;3LATHING - IN OUT U �i'l-P>
PLASTER, BROWN OAT 5-r,11-13
STRUCTURAL, FINAL �1������ 1Elgcl.e.�is¢ n' n3 /r/
HEATING, VENT., REFRIG. AND A.C., FINAL /OVAL° 11-1073 Awn() ,(iX(�(�(t Li, 3-A17 ?Caf /U—
PLUMBING, FINAL AND GAS TEST f nyI/o 1'(V 73
ELECTRIC, FINAL r1/C 7-k '71
., .....r r..... '.0//.1---, -7 L.'7-t
PAID * *,t¢
3528.y ' AUG 30-7K:ii.:002080 130.65
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A
APPLICATION FOR BUILDING PERMIT
For ApplicanttoFill in Completely . V
BUILDING / RECEIVED'BY DATE RECEIVED DAT& ISSUED�
ADDRESS / 0 S / \)/`S a4C tea, p A,I %.+rye.. O,-. 7 X7/2'- f
PERMI3NO..U<
OWNER Heltzer Enterprises-Costa Mesa A.P.NO. v.
MAIL BUILDING •
ADDRESS 740 N. La Brea Avenue ADDRESS O S 7 V/5 a Z./4
L.
CL U CITY Los Angeles, CA NO. 937-2171 TRACT 6245 LOT 45 BLOCK
ZZ NEW ADD ALTER REPAIR MOVING DEMOI LSH
H LENDER CONSTRUCTION United. California Bank
ON
a mf/
J J BRANCH 'Main Office
Jo, ,^tF OWNER r
m J ADDRESS 600 South Spring Street, L(21i)
1 ) VALUE
J m ARCHITECT TEL (2 .1 USE $
Q OR ENGINEER David Freedman No.OL.3-3852
m FIRE
� 1/�l
WIC ADDRESS113 N. San Vicente, Beverly Hills ZONE TYPE Z GROUP`/^/
a w APPROVED
mO CONTRACTOR George J. Heltzer BY DATE
Z
-m ADDRESS 740 N. La Rrea Ave ,\`
IOW TEL. (213) Z E NO.OF r� USE OF NEW 7�l r�.tlf /VCI
CI CITY Los Angeles, CA 90038 NO. 937-2171 PLANS e2 BUILDINfwea.�p
AP
O STATE CITY YARDS APPROVED YARDS PROVED ` '/�'
W m LIC.NO. 3144 - LIC. NO. 1900 MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/LSTREET)
SIZENO.OF SLOGS.
OF LOT I NOW ON LOT FRONT 5 I-5 FT. FT.
. USE OF
. EXISTING BLDG. R SIDE 6 FT FT.
I- SIZE OF NO.OFn
Z NEW BLDG. ROOMS STORIES Z L.SIDE / FT. FT.
UEXTERIOR WALL ROOF /'
_ COVERING COVERING REAR �a.-6 FT. _ FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
a
a MAIN BLOCS. ACCESS BLOCS.
VA
Q Single Residence Plan 458-0 CORP#-L0 OT FRONT
I— APPROVED f J a.. •ATE 1S �1
z li -t_r_ eY i
p sr r-_
V I hereby acknowledge that I have read this application and state 6-3.L vn Sl "-JAL flEQ[J 7RE_\XVNTc
that the above information is correct and agree to comply with Al-31k
a all laws regulating building construction, and I shall not employ aG ���_
any person in violation of the workman's compensation laws of \Tey ')
Nthe State of California. zr4 n - 490,40 n co
Z call SO. FT. ]Y o
I hereby certify that I am properly licensed as a contractor under Lj%
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER V AL ATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a
am exempt from the Prov' ions of the State of California Business VALUATION ,(¢ Cr:,
and Professions Code, Di 'on 3,Chapter 9. �rq
J✓ n�,i PERMIT FEE'$ D
Signature of 6� m JO
Permittee PLAN CHECK $ I� 13E
// ...5-'
o
Authorized Agent �AL FEE $ V/ 9 CC
�- ?