HomeMy WebLinkAbout1079 VISALIA DR - Building Permits CITY OF COSTA MESA
05141 t• BUILDING DIVISION
r I� I 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
�. ra 1 FOR INSPECTIONS CALL: (714)754-5626
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• PERMIT NUMBER: BX09-00256
PERMIT TYPE B_MISC STATUS: ISSUED
APN: 41210433 DATE ISSUED: 12/23/2009
Zoning: R1, ISSUED BY: RMD
JOB ADDRESS: 1079 VISALIA DR CMSuite/Unit:
Vicinity: ROOFTOP Primary Occ: Const Type :??
SQ. FT: 0 Valuation: • $3,000.00
SCOPE OF V1JORK: .
ADDITION OF NEW ROOF TOP SOLAR PANELS TO AN (E) ROOFTOP SOLAR PHOTOVOLTAIC SYSTEM WITH 1 INVERTER, 1
DISCONNECT MISC CONDUIT AND EL EQUIP.
OWNER: FAUTH,THOMAS Address:: 1079 VISALIA DR Unit
City/State: COSTA MESA, CA Zip Code: 92626-2116
Phone: 310-847-9099
APPLICANT: MOORE, BILL Address: Unit:
City/State: Zip Code: •
Phone: 949-289-8549
CONTRACTOR: SUNTREK INC .License No. 859460
Address: 5 HOLLAND Unit: UNIT
215
City/State: IRVINE, CA
Zip Code: 92618 Phone 949-348-9276 Cell:
•
ARCHITECT: License No.
Phone •
ENGINEER: License No.
Phone
FEE SUMMARY
Building Plan Check: $54.11
Building Permit: $83.25 •
Electrical Permit: $73.30
SMIP Residential $0.50
SMIP Commercial $0.00 .
•
Bldg Std Admin Fund $1.00
TOTAL FEES $230.36
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.
CODER. INSPECTION TYPE DATE INTITIALS CODE# INSPECTION TYPE DATE INTnIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing /7
200 Final Re-Roof 210 Final Electrical /Q {'G
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site /1n
204 Final Demolition 250 Final Building/Occupancy �// ,7/ !'� /IJV gut{
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O 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.
❑ I have and will maintain workers'compensation insurance, as required by
section 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 ❑ 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
Carriec-
STAT. /y�� by this permit,and that no building structure,scaffdding,falsework,or demolition
` or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm
(This setlon need not be completed R the permRa valued al one hundrred dollars($1(MO)or less) 2,Art 2,Sec.341,Title 8,California Administrative Code).
Policy Number: tit(' 10007C-7..2-&
❑ 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 subject to the workers' compensation provisions of Section 3700 of - - - - Applicant's signature Date
the L ode,I sh.11 rthw,th omply with these provision§§§s.
Zo. 3)D�j. Division of Industrial Safety Permit Number
cr
�g ae Date / HAZARDOUS MATERIALS AND EMISSIONS CERTIFIfiATION:
WARNING: 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 ❑ 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 andel effect. /- a registration form for acutely hazardous materials? 0 Yes El No
ei
JS�g41b Class# G yV (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
,(.1/(/�/(�_0r — /.2/.23-0 each business which at any one time has on hand a quantity of acutely
Contrar;'S t e Date 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)? ❑Yes ❑ 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 Safely 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 (Section 65850.2 of the California Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications fa non-residential building permits).
License Law(Chapter 9 (commencing with Section 7000)of Division 3 of the
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
8. (If yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
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
ID 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.
SignawOwnre of Legal O ..) Dale
Signature Date -023-e29
d i^]
7057-46(3le7) u oozed ' t e-`Dat
--Date
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. j, !-2/.S DATE 27 7/ 5
/
LOT NO. A-7,
ADDRESS 101-7 q
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) €,..?„,-rc�/_--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
Purchase
BY
J f
' Developer d/or arized
representative
BY
Lender
I,
4111
CITY OF COSTA MESA III • ' • r• r
•• = BUILDING DIVISION
sir ;',I.. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
It! In , FOR INSPECTIONS CALL: (714)754-5626 • .
PERMIT NUMBER: BX08-00291
PERMIT TYPE B_MISC STATUS: ISSUED -
•
APN: 41210433 DATE ISSUED: 11/05/2008
Zoning: R1, ISSUED BY: RMD
JOB ADDRESS: 1079 VISALIA DR CM .;Suite/Unit:
Vicinity: ROOF OF A SFD -Primary Occ: I - Const Type :??
SQ. FT: 405 '` Valuations $41,400.00 "i _ "
is
SCOPE OF WORK:
INSTALLATION OF A SOLAR ELECTRIC SYSTEM ON THE ROOF OF AN EXSITING ONE-STORY'SFD.4.7 KILLOWATTS ELEC: 1
SVS TO 200A -
OWNER: FAUTH,THOMAS-A. Address:: 1079 VISALIA DR`' - Unit
City/State: COSTA MESA CA:':. 26
Zip Code: 926-2116
Phone:
APPLICANT: MOORS 'BILL ' r`S,< i -:," il": :7:1 -Address: . 5 HOLLAND BLDG 215 - • Unit:
•
City/State: IRVINE,'CA ,; Zip'Code 92618
Phone: 949-269-8549 -
CONTRACTOR: SUNTREK INDUSTIRES INC _ _ - .. , License No.•:,,859460 .•-5
Address: 5 HOLLAND -" - - - Unit UNIT
215
City/State: IRVINE CA _ -
Zip Code: 92618 - ' Phone- 949-348-9276 ,.'Cell: :.
ARCHITECT: ' License No. .°. k. ._
Phone '" - r ' .
ENGINEER: License No. - -
Phone ' a,..
• FEESUMMARY
Building Plan Check $366:24 - • .
Building Permit . $563.45 .- - - ,
Electrical Permit $85,65 „ V,
•
SMIP Residential $4. 4,. ,,. t)
SMTP Commercial0. 0® '
TOTAL FEES $1049.48 ` taws
3
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomiastatutes and related
regulations.(Ord. No.92-28,§ 1,12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. .
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE I. INSPECTION TYPE ESTE IN7111AL$ C008S INSPECION TYPE p t INTmALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical , •
1266 Pool Spa Final 208 Final Plumbing ` ✓�/tl'
200 Final Re-Roof 210 Final Electrical /f *Ott f OE LIrO
h l
201 Final BIocWRetalning Wall 212 Final Fire Prevention /
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site q
204 Final Demolition 250 Final Building/Occupancy (I-/q-d/ hi/ Pia )
WORKERSiCOMPENSAT1ON DECLARATION• Owner ID verified by drive tense. ❑Yes`❑No
I he, by affirm under penalty of perjury one of the following declarations: .Driver's License No. ,--"-^ Expires: -
Vie 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
, /
p-e-,rformanceof the work for which this permit is issued. -
H
I have and will maintain workers'compensation insurance,as required by.:
section 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
( i _5779-re- �1 �J:-1 by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: l 7✓ y� or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This sedon need not
t/beee coom�pple'ted�(the pemQI is va ed at one hundr W9ars(S100)or less.) 2,Art 2Sec.341,Title B,California Administrative Code).
PD11cyNumber:
0 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 subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature Dale
the Labor •.e,I shall fort.with comp with these provisions.
` 1/ � // -0� Division of Industrial Safety Permit Number:
�� �gpplicanf t 7 / Date, HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: 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 ❑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 isinfull(ore and effect. /' / -�ja registration form for acutely hazardous materials? ❑Yes 0 No
(Lic.#- 3,5 9t /0( Class# C i/Vb _f(NT (Section 25533 of the California Health and Safety Code, with some
�J-�, t7 "f/L5 exceptions, requires registrationat ywith the Costa Mesa Fire Department t y
Ili- each business which at any one time has on hand a quantity of acutely
tract s __.--Date hazardous materials equal to or greater than a weight of 500 pounds, or a
-alvolume 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)? ❑Yes 01No
(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? 0 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 CENSE 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&c.ounry which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alterYlmprove, d�molish`;or repair. anyratNelure, prior to its any other air pollution control district or agency? ❑Yes ❑No
issuance,also req-ulres the a Otani r sucfi'perrtiit tofilejsign�tl sta-went< . bon 65850.2 of the California Government Code requires that the requested
that he or shenls hci;nsed (pursuant to the provisions ofsthe Contr<`actors ttnfFer•
mation be furnished on applications for non-residential building
License Law(Chapter 9(commencing ailSection 7L000)24Division 3 o trie ^7 PP permits).
Business and Professions Code)or that he or she is exempt'the'refr 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 000 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).
O 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 0 No
thereon,and who does such Work himself or herself or through his or her:own 8 (I(yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for •
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
city ordinances regarding Hazardous Materials anEmissions.
❑ I, as•ownerof the property, am EXCLUSIVELY CONTRACTING WITH -. .and,
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,lhat
❑ 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: i. 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.
Si nature of Legal• jv (s) Dale
Signature ' ' Date J Fr
305746(3/07) ` r -- " u /�-4-3---0
/e.dh,� thonzed •..--- Date
- 35294 PA'AAi30-72A002085' 142. 39PI
COSTA MESA BUILDING-SAFETY DEPARTMENT •
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely , ,�
/ ,r� �7 RECEIVED/Jp� BY DATER RECEIVED DATE IISSSUUE'D7�
BUILDING `Z5Cf /`7" D � vC7M 72 '72- Nr-A -n
ADDRESS f
PERMIT NO.
OWNER Heltzer Enterprises-Costa Mesa A.P. NO. 7 c-nn 4
MAIL
BUILDING _ V�j.,/
r ' >
a/ D ( , .
Z ADDRESS 740 N. La Brea Avenue (213) ADDRESS/ 0 9 I{
a_0 CITY Los Angeles, CA 90038 ui TEL
937-2171 TRACT 6245 LOT 50 BLOCK
I- 2
ZQ CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DEMOLISH
O I- LENDER United California Bank G"'..CL - /
V BRANCH Main Office /...,,,_p___ 1/
_IV) OWNER
m -I ADDRESS 600 S. Spring St. , Los Ang VALUE
ARCHITECT TE `-38 USE P-.-e---c, $
J Q OR ENGINEER David Freedman N LOL.3-3852 . - -
U Q 'FIRE
W CC ADDRESS 113 N. San Vicente, Beverly Hill: ZONE TYPE T GROUPlir
0_LU APPROVED
W Z CONTRACTOR George J. Heltzer BY DATE
m- Z
wEC ADDRESS 740 N. La Brea Avenue
LIJTEL. (213) Z�{E NO.OF USE OF NEW G7//M11 P-4� P°
O F
WCITY Los Angeles, CA 90038 NO. 937-2171 (Y`-I P`-40IS BUILDING LA) �rT- �.Mt
O STATE • CITY YARDS APPROVED YARDS APPROVED
v)CCO • LIC. NO. 3144 LIC.NO. 1900 MAIN BUILDING ACCESSORY BUILDING
SIZE INO.OF BLOCS. (FROM C/L STREET)
OF LOT NOW ON LOT FRONT cV.S FT. FT.
USE OF •
EXISTING BLDG. R ASIDE FT. FT.
I- SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES --
L.SIDE b-S FT. FT.
V
I EXTERIOR WALL ROOF _
_ COVERING COVERING REAR �3.' FT. FT. •
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN8.:
•CL
CL MAIN BLDGS. ACCESS.BLDGS.
•
DATE
Q Single Residence Plan 410 C VAR.#
APPROVED
0 -
APPROVED s3 .
•
in SCJ, f - is - -...m.-, /L_ .> _ 13 '2
Z STATE
O hereby acknowledge that I have read this application and state A.
f�i� Vli �1�"r� T F (J(R F;(TE,N,J,C
Ur'/ A Rur1
p that the above information is correct and agree to comply with r
all laws regulating building construction, and I shall not employ -
....
any person in violation of the workman's compensation laws of TAX
I-
CO the State of California. �j� n ! 7 m
Z 9SD. FT.FX V � 6
I hereby certify that I am properly licensed as a contractor under �O
the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION LS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a
CD
am exempt from the provisions of the State of California Business
VALUATION
and Professions Code,Div' I n3,Chapter 9. O co
PERMIT FEE $ 9� O
Signature of / 0.4e m
Permittee (� $aDOQ PLAN CHECK $ �7 E
• 0
Authorized Agent / TOTAL FEE $ /4/1/ 40 LL
.
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CITY or s ;_ N \, i w
COSTA V. ��
PLANNING DIV. D
SUBJEC210 BLDG. DEPT. REG. \ - -
GE
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4 gY--- DATE 1 S'/`t i' \
17
0 364 u,(,�..) e.,c-Qo swre \ j1 0
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b o \ fPermit # v7q .3
Y
\\� THIS NUMBER MUST ACCOMPANYUEST • _
�'\ ALL INSPECTION REQUESTS
DIVISION OF BUILDING SAFETYcs Po
.... , t .
' CITY OF COSTA MESA W w O
f14.5466. AQP ruaE ArTROVEIY
o
ny L,y Date 1
This set of plans and specifications MUST be kept on this job at all times and h is uMa U
make any changes or alteration on same without written permission from the DMsion of Build'
and Safety,City of Costa Mesa.
The stamping of this plan and specifications SHALL NOT be held to permit or to be an approval =�kJ1
of the violation of any provisions of any City of Costa Mesa Ordinance and/or State law.
These plans and permit shall expire by limitation and become null and void if the building cr
work i.;nc;commenced and maintained active per UBC§303(d)within 180 days of issuance.
OWNER TTFILT7.VR Fnrr*"DRTSES DATE 8_28_72
JOB ADDRESS 1079 VisaL rive ',UILDING PERMIT NO. 35294
GENERAL CONTRACTOR He.Lt.zer DESCRIPTION of N, . Res. w/ att. gar.
AP No. LOT 50 TRACT 62145 FIRE ZONE VALUE $ 27,000.00
INSPECTIONS Signature Date GROUP I & 3 TYPE 5 ZONE Rl
SOIL SUBCONTRACTOR PERMITS ISSUED
GAS � Date Number Signature
WATE �nrfcfo 39Jj 'n /` pp Pla Ing
ROUGH PLUMBING •� fir- K �/y�QO. Ir o<ct ����-'��h7 Gi ,'T/O
PROP. SWR. LINE HOUSE CON. G�= y-j-7fri//per �� 9-9 7.3 /�YYJ�
SPRINKLING SYSTEM / 'JJ" �'✓ (!� LJ/
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING 6/497,A Y-1)
TEMPORARY SERVICE OR POLE
UNDERGROUND El POWER 0
ROUGH WIRING 413 Heating and V nf.
TRENCHES 0 FORMS STEEL REINF. ser- /C•he•7L- ✓,jinMO /JIC //Zj/{/[%/_/moi 9 /��`l
FLOOR SYSTEM /��2i0'�no-in- T.ct L. A.7 /X-/fi-.C5/ �/c•/
BOND BEAM El STEEL REINFORCE II.
FRAATHING �! 7�3 1 _
FRAME AND FLASHING
LATHING - IN! OUT i-JI / 4^i 0.--5
PLASTER, BROWN OAT Yr' /JILT /eft -4r23
STRUCTURAL, FINAL /)/
HEATING, VENT., REFRIG. AND A.C., FINAL /'tnZ�'p 7 /( 73 ,�r _Q/G,rr laces 13 362/7.c.
Y
PLUMBING, FINAL AND GAS TEST fl V -1/ .73
ELECTRIC, FINAL 12,o 7.// 7 - i
.."1 ^1"1' run' 'm.49 •7/I"IS