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Home My WebLink About1061 VISALIA DR - Building Permits CITY OF COSTA MESA TA A o ' BUILDING DIVISION F P 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us .1•+N, FOR INSPECTIONS CALL: (714)754-5626 ,;;;;.m PERMIT NUMBER: P09-00029 PERMIT TYPE PLUM STATUS: ISSUED APN: 41210437 DATE ISSUED: 02/11/2009 ISSUED BY: BJK JOB ADDRESS: 1061 VISALIA•DR CM • - Suite/Unit: - Vicinity: - SCOPE OF WORK: COPPER REPIPE TO 9 EXISTING FIXTURES IN A SFD. 1 PRESSURE REGULATOR, 1 VACUUM BRKR BKFLOW (1-4), 1 WATER REPIPE • • OWNER: TIN,HNIN-YU Address: - 1061 VISALIA DR ' PHONE: . City/State/Zip: COSTA MESA, CA APPLICANT: BROOKS,JOHN Address: 1371 TITAN WAY : PHONE: 800.649-7511 City/State/zZip: BREA; CA CONTRACTOR: CAL COAST REPIPING INC . . License No. 636649 Address: 1371 TITAN WAY - _ - - . • PHONE: 800-649-7511 City/State: BREA, CA ZipCode:' 92821 - CELL: • ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: • • PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: $0.00 PERMIT FEE: $55.40- TOTAL FEES: $55.40 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No,92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE S. INSPECTION TYPE DATE INTITIALS CODEN INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical n ^ OW ' 1266 Pool Spa Final 208 Final Plumbing . -/d-OW lR N/ 200 Final Re-Roof 210 Final Electrical _ 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. 0 Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: _. ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. C- I have and will maintain workers'compensation insurance, as required by sec' n 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized Carter}/�{M 2./J- t G A H 7--Lt RAC H N$ by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp (Tlils section neer/not be completed rl the permit is valued at one hundred dollars($100)or less) 2,Art 2,Sec.341,Title B,Califomia Administrative Code). Percy:Number: U}CG 77 H— iJ 6 ' —/ ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subjec to the workers' compensation provisions of Section 3700 of the Labor Cod,I sh- forthwith c7 ply with these provisions. Applicants Signature Date a , _ (t -_O r, Division of Industrial Safety Permit Number: Applicant's Sig—nature• Date,'" 7 HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: W• - ING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes C No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑ No clef Licr _ 1 !1 Class_#� 34' (Section 25533 of the Califomia Health and Safety Code, with some " '7^�f-0 exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely 0 Contractors Signature ( oate7 hazardous materials equal to or greater than a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec. 3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑ No 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 (Section 65850.2 of the California Govemment Code requires that the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits). Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No thereon,and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 8. (If"yes",attach certificate of compliance from the appropriate air pollution sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sign tie of L I Owner(s Date Signature Date 21- 1 (--o7 305]-46131071 AnOlorau prized Applicant Date/ CITY OF COSTA MESA r SAKE REQUEST & PUBLIC ASSISTANCE FORM e� pp Date // 2 N 77 ' Time 0C e Caller's Name/ Address /n/ --Aed e Phone n-4‘10, Nature of Request: (location, type, severity) _Ts vro "dd. re( 0-€-±":":50 ar/ , Referred to OL // .err . . 7 I ' Call back n Di �� Al�Z ��,�^�j�, Service Only n p /7,079; 1pfotrfiation Only I❑I Person Receiving Call CriCireedi CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. 6744 S- DATE ..,/p�/ 7 .5 LOT NO. G /..,.// ADDRESS 41/0 Cl/ "i (1ED� 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) _A-0,--- 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. RE BYQ �. ��- RECEIVED Pulfchaser Cirri' OF COSTA MESA Developer and/61. author v el�dr U 1973 representative AM PM 7181900�1'•�12iit2t3A5 6 BY Lender OWNER HFLT7,FR F,NTFRPRTSFS DATE 8-28-72 JOB ADDRESS 1061 Visalia Drive BUILDING PERMIT NO. 35290 ( IERAL CONTRACTOR waltzer DESCRIPTION of WORK Res. w/ att. gar. LOT 46 TRACT 6245 FIRE ZONE VALUE $ 27,000,00 In_.-ECTIONS Signature Date GROUP T ,p, .T TYPE 5 ZONE Rl SOIL ✓/S/a 742..-22--, SUBCONTRACTOR PERMITS ISSUED GAS Date ( Number ( Signature WATER i e-;(- Y PI mbin•' . . ROUGH PL BING C 4,.... S"� PROP. SWR. LINE�HOUSE CON. e:., , t -•�;yn20 G.r/ JY ' /�� '�yC�� SPRINKLING SYSTEM /.! ��''3[/ �/ MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING 0/#01‘.--- V.-7_, TEMPORARY SERVICE OR POLE UNDERGROUND El POWER D --»» ROUGH WIRINGrnI� y� 5//7 73 Heating and ent. TRENCHES Lb--FORMS [� STEEL REINF. lJJ• Via-n-9.Y A/� ti/g. � �� FLOOR SYSTEM Alai; us"--- ---- SHEATHING REAM n STEEL REINFORCE f - SHEATHING t14'',2 ' '12.? -47'73 FRAME AND FLASHING •v s a /n- LATHING - IN A OUT III, 'Pr � , YLI -ER, BROWN COAT .4?J YL//J'/ T URAL, FINAL G ri ' HEATING, VENT., REFRIG. AND A.C., FINAL 7) AU73 )a-- � 4 U., L3--2J--13 SLI'11 PLUMBING, FINAL AND GAS TEST n ✓� 1-7v 73 / lr ELECTRIC, FINAL 77 Tic 73 01111 num: FINAI in/Ln T )..TL PAID 35290 AUC 30-72cusr.002081* ***182.89 COSTA MESA BUILDING-SAFETY DEPARTMENT • P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely • APPLICATION FOR BUILDING PERMIT RECEIVED BY .DATE RECEIVED DATE ISSUED BUILDING ( / / ��— o"e �� 2ADDRESS C./ (p U./ SL4IG ��Lf PERMIT NO. OWNER Heltzer Enterprises-Costa Mesa —A.P.NO. 2:`)On MAILBUIDDING / O 6 ) )// 5aZ, lt, 7, ' v Z ADDRESS 740 N. La Brea Avenue ADDRESS / (/ ///� (7- 1-cW.1 clry Los Angeles, CA 90038 NO.T �937-2 71 TRACT 6245 LOT 46 BLOCK z Z Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING nFhN11 ISH O N LENDER United.California Bank J D BRANCH Main Office_ /y_ {,'f_ t J fA OWNER /(-4_q i�/✓//�/�C 2---", /l// f CO J ADDRESS 600 S. Spring St. , Los Ang ics VALUE ARCHITECT TELL,� 3( )5 USE - $ 13 J N OR ENGINEER David Freedman NOOL, -38 2 U FIRE T o W 2 ADDRESS 113 N. San Vicente, Beverly Hillc ZONE TYPE (�. GROUP `�'9' . o..1-9 APPROVED J O CONTRACTOR George J. Heltzer BY DATE CO :Icc ADDRESS 740 N. La Brea Avenue Du 11-101 TEL. (213) 206 / NO.OF' USE OF NEW Z F CITY Los Angeles, CA 90038 ND. 937-2171 PLANS 12 BUILDING PA 5 .,� W-O STATE CITY YARDS APPROVED YARDS APPROVED to CC LIC.NO. 3144 - LIC.NO. 1900 MAIN BUILDING ACCESSORY BUILDING D O (FROM C/L STREET) SIZE I NO.OF BLDGS. OF LOT NOW ON LOT FRONT.So•cFT. FT. USE OF EXISTING BLDG. a.StoE S S Fi.. FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE 5 FT. FT. Q EXTERIOR WALL I ROOF _ V COVERING COVERING ' • •REAR .3. ;FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED. • DISTANCE BET. BET.MAIN& d a MAIN BLDGS. ACCESS.BLDGS. Q Single Residence Plan 410 C Rev. VAR.* APPROVED O ) I— Lt/ . / .1 APPROVED cQLD�' ,. ;'122,/7-2-- Z .ST, zt• " _Ili .nL,_t. .• ._.L-CENTS O -- UI hereby acknowledge that I have read this application and state / (�- . that the above information is correct and agree to comply with O// CC. all laws regulating building construction, and I shall not employ TAX any person in violation of the workman's compensation laws of N the State of California. ry /� /f m Z i7 SQ.'FT.I ^ (5-67) o I hereby certify that I am properly licensed as a contractor under o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ce am exempt from the pro sions of the State of California Business VALUATION { and Professions Code,Di Mn 3,Chapter 9. 9><- - cv PERMIT FEE $ Signature of / i) .� m .�/,(�. d ; r_ $ �J]DOD PLAN CHECK $ .17 o Permittee A[ G]/ C) CO f Authorized Agent / LL TOTAL FEE $ /1�/