HomeMy WebLinkAbout1086 VISALIA DR - Building Permits r 'p
CITY OF COSTA MESA
BUILDING DIVISION •
0:1 .AI� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856'• www.ci.costa-mesa.ca.us
°. FOR INSPECTIONS CALL:(714)754.5626
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PERMIT NUMBER: P07-00449
PERMIT TYPE PLUM STATUS: ISSUED
, ...,,DATE ISSUED: 07/09/2007
::,:?q:-ISSUED BY: RMD
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JOB ADDRESS: 1086VISALIA DR`CM Suite/Unit
�.0 ED
Vicinity: I L
� � $ �� -E
SCOPE OF WORK: WATER HEATER CHANGE OUT FOR SFD. XP
DATE O� •
OWNER: KING,JOANN F 'ay Address: ` 1086 VISALLA DR
PHONE: r -.-City/State/Zip COSTA'MESA CA
APPLICANT: HICKS, KEVIN Address:• 360:MEMORIAL DR : _
PHONE: 866-293-3031 ;;•`" • City/State/zZip: CRYSTAL LAKE IL •^' - I
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CONTRACTOR: PLUMB IN TIME'- : '_- - -...:License No.. .868068:.. .
Address: 360 MEMORIAL DR- • ' - •• t'• PHONE: H:866-293-3031
City/State: CRYSTAL LAKE IL", • ZipCode 60014 . CELL: '
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PLUMBING PERMIT'FEE SUMMARY:. •
PLAN CHECK FEE: $0 00
PERMIT FEE: $35.80
TOTAL FEES: .$35.80
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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 I INSPECTION TYPE DATE INITIALS
1616 Fixed System Final Fire Prevention' ' 206 Final Mechanical
1266 Pool Spa Final - 208 Final Plumbing
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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
40 .1
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driv, se. ❑Yes 0 No
I hereby affirm under penally of perjury one of the,_ ..mg declarations:' - Driver's License No. Expires:
0 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.permitis 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 ❑ 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
Carrier.
l 7.S Ft ee I nsu /k;(`r 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,Gm
(Tilts section neednot be completed if rhe permed valued at one hundred dollars($700)orress) 2 Art 2Sec.341,Title 8,California Administrative Code).
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Policy Number: `I CA CP 1 I Li'7 a a
❑ 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 Lab C e,I shall orthwith comply with these provisions.
`�( (C i/14 Division of Industrial Safety Permit Number:
Applicant's Signature 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
NrelePENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
ase of a hazardous material? 0 Yes 0 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
Lic.# % Qr Class# C 3� (Section 25533 of the California Health and Safety Code, with some
Li — 't(;�) .� // /O-7 - exceptions,in requiress registration with the Costa Mnda Fire Department
y
�pQ / ( each business which at any one time has on hand a quantity of acutely
Contractors Signature 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)? 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 0 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? 0 Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government 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? 0 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 suchimprovementsare 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 and Emissions. . '
❑ I, as.owner of the property, am EXCLUSIVELY CONTRACTING WITH ..
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.
•'
S'; aWre of 4dga • err\\ 7/4 o'2
Signature Date (//
305746 t3107)
Aed/pr Authorized Applicant Date
1,0
I . ty�� Idh�. �A iii babOrntori08 Of G3OUrl2ERvL `ULI/OTILUA, J72C.
_ter ,L
`� ''l ,10TESTI 2'183, BOX 41 . 3310 AIRPORT WAY . LONG BEACH, CALIF. 90801 . )213) 426-3355 . )213) 636.2386 . )714) 828.6432
I P.O.1 BRANCH OFFICES:
/ TESTING 1511,0 North Harp.,Snor Non D.Vruc1.N..Iinq
S.nb An.,Gf(OrN.vbOl ' 'aa~fin. 7955 R.da
ende A. .PO.Bo.47
17111 571.7045 .' 1� 31 tong B..cI,Call 90801 12131 612 2318
November 3, 1977 ���7
EXAMINATION: 77-6321
GUNITE
COMPRESSION TESTS ONXXVIG [EXE CYLINDERS
Bob Henderson
17817 San Rafael
Fountain Valley, California 90708
PROJECT SWIMMING POOL _
ADDRESS 1086 Visalia Dr. , Costa Mesa, California
<.
SAMPLE FROM 1,2,3 deep end wall - 4,5,6 shallow end near spa
ARCHITECT CONTRACTOR
Charles King - Owner
ENGINEER SUBCONTRACTOR
Robt. Culson J S J Gunite
SPECIFIED
MIX 3.80 per ton STRENGTH 2,000
DATECAST 10/27/77 SLUMP
DATE TESTED 11/3/77 11/3/77 11/3/77
CYLINDER NO. 1 3 5 ,
COMPRESSION 7 days 7 days 7 days
TOTAL LOAD. LBS. 115,000 120,000 122,000
POUNDS PER SO. IN. 4,070 4,245 4,315
7 day average: 4,210
COMPLIANCE 7 day tests comply. with specifications.
MADE BY DELIVERED BY RECEIVED ON
CYLINDERS Allen Henderson 10128/77
DISTRIBUTION:
r
Bob Henderson - 2 '�1
Costa Mesa Bldg. Dept. 7
/9 /1
IL
PASLACLI
p . ne u rnI n. T e w. N I. • o zw . CLIE NTY. , I w.uN Pen u. . N P n . ON On n cx-
TRACTS FROM OR REGARDING THEM IS RESERVED PENDING OVR WRITTEN APPROVALRAS A M UTUAL PROTECTION TO CLIENTS.THE PURLICC AND OURSELVES.
K 2
PROJECT ADDRESS: 1086 VISALIA DR UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 0 /0330
OWAzT'sNAME:KING, JOANN F
•) aooRESs: 1086 VISALIA DR PERMIT NO: B 070330 PLAN CHECK NO: N GOVT : N SUPP : N
COSTA MESA•CA 92626
CONSTRUCTION TYPE: V-N PERMIT TYPE: SIR PURPOSE: ALT
556-1736
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF W/BUR SQ FT : 1, 500
ADDRESS: UNIT:
CLAIM VALUE: 1 . 500 . 00 CALC-VALUE: 1 , 500. 00 GROUP OCC : R-3 /
PERMITTEE:LEE ROOFING (714 ) 642-7223
ADDRESS: 1653 SUPERIOR COMMENTS : SMOKE DETECTORS ARE REQUIRED AS PER U.B .C . 1991 .
COSTA MESA CA 92627 ***OE** X-x>E iE�E�E>F�E>f*iE�E**>F�EOE>EOE�E�EOEOE*f��E �E�E�E�E�E�E*�E�EiE******* >FX�riEOE***OE*iE*IL*OE*OE* 1E******
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 '
CITYuc.02.8751. STATEuc,349686 ss: /s EXP : 03/95
Date:_L/��/9`'� Signature; _/ �_ - .�i� - -"-- - MAIN BUILDING - ACCESSORY BUILDING
of M FRNT: FT IN REAR : FT IN FRNT: FT IN REAR : FT IN
WORKERS'CO PENS ION DECLARATION: t hereby affirm that l e a certificate of consent to self-insure or a cenificate of Workers' LEFT : FT IN R GHT : FT IN LEFT: FT IN R GHT: FT IN
Compensabort/ln`upncp„prreaerld4copy thereof(Section 3:•r,LabOC�i/3 0/9 5
POLICY NO,:S'TTATTEE FUND Ex .DATE. PARKING REQ: PROV: PARCEL: 41210521 ZNE: REF NO:
COMPANY: PLANNING NOTES>
Certified copy,Is hereby/ furnished. Certified copy is filed wi - :icy 'Ming Division >
•
Date: it/�L/y7 Applicant: et ... � **':****'7E')E*1E****iE**'7E'7E****'JE*****iE*********'7E*'3f**'!E*'3E*'3f*1E********'7f**** *M*****'Jf*X#**
EXEMPTION,rr/ROM vv�fiRKERS'COMPENSATION DECLARATION: (This s'• on need not be completed if the permit is for one hundred($100)or less). D E V E L O P M E N T S E R V I C E S R E Q U I R F M E N;,T, S
I certify that in the performance of the work for which this permit':issued,I shall not employ any person in any manner so as to become i
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY _______ _ ________ _ DATE:
Date: signature: BUILDING APPROVED BY : DATE:
NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor —. ------- — -- — — _ -
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: _ DATE
which this permit is issued(Section 3097.Civ,Cl. -X*************'!E******dt'1F*' X 'SF3F3E'(f')FSF JFihiFi �f 3F' f'ff****A'*' F-$F**********;',47.--.3f - **�
LENDER: ************)E********************'X******''X**********'3E*****************.*' *** **IE*
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: 'I hereby affirm that l 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 PERMIT 35 . 00 . 50
repair any structure.prior to its issuance,also requires the applicant far such permit to tile 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 PLAN �
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by -
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred ollars (5500). ISSUE F E E
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
TOTALS—--—> 35 . 50 0 . 0 0 � 0 .00 35 . 50 3 5 . 50 . 00
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. It, however the building or REVENUE DIVISION TOTALS-'-> COLLECTED : 35 . 50 OVER/SHORT: 00
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
for the purpose of sale).
35 .00 5 0
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon **,X.X*,.X*Jf******************************'X*********'M*************,X*******IE'JE**')E3E***
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me, INDIVIDUAI F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
forthisreason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST
•1
Date: Owner: - SFR 1500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 500 . 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
these provisions /
Date: Applicant: V///
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereb authorize represent.' •s of this city to enter upon the above-mentioned
property for inspection purposes. • 01 000173260-00173261 TOT 35.50
GATE: 12/12/94 TIME: 09:21
Dale'14-..t/4/ Signature: /- se
Driver's License or Social Security
1647 46 White—Building;Green—Code Enforcement:Canar pplicant;Pink—Revenue;Goldenrod—Assessor
,\
I "CONSTRUCTION AND PLANNING POL -v SPA
u APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
I1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
I2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
I3. 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.
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
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11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ,
-,
12. Sewer Cap •
• 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
r
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 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test •
72. Underground Flush
24. Roof Framing • 73.. Undergrnd.Storage-Tank OGas DOH
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • .
27. Frame and Flashing 76. Dry Standpipe
28. Lathingi& Siding 77,. FIXED SYSTEM FINAL
29. Insulation - 78. FIRE PREV. FINAL
30. Drywall Nailing I 'HEALTH.OEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-final - 80. FOOD CERTIFICATE ISSUED
33. Final Electric - Notes: /L/�/y9 -b5 �, 8 ��
34. Final Heating& Air Conditioning _
35. Final Gas Pipe-Test / -
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
44. Landscape Irrigation System
45, Sound Attenuation - - -. ..
I
46. Handicap Regulations / -/ / - .
47. FINAL STRUCTURE & BUILDING /U�y/�Y j{
48. FINAL PLANNING _/- 1 ,
49. Electric Release to Edison ; -'
50. Gas Release to Southern California Gas Co - : =- - •
51. CERTIFICATE OF OCCUPANCY „
No. Date
►1
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. 4-", DATE G/ 7/ .75
LOT NO. 1/7/` J
ADDRESS /C ' ZtL( ,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)
_//e_ (was or were) 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.
1
BY V ? 1111 ' ,iAl
RECEIVED Purchaser
CITY OF COSTA, t S;1
Develope d/or orized
UN n 5 1973 representative
AM PM
718i91ivaiili2111213iui516 BY
A Lender
CITY OF COSTA MESA
BUILDING SAFETY DEPARTMENT
Registered Deputy Building Inspector - Certificate of Compliance
Date of this Certificate /0- 2- 7 71
Building Address f c 1(%-'-��"-�• t (±12,t
Owner
(121.4-14.S--1--4-
C' ( r! n
Contractor
Address 7"I G/ Ata
7 7062_ 1
Permit No. Vie 7/ 7 Date Issued 2- 17- 7,7
To the Director of Building Safety:
I hereby certify that the following portions of work on the buildings at
the above address which required continuous inspection and which I was
employed to inspect, were inspected by me and comply with the provi-
sions of the Building Code applicable thereto.
[ [Concrete [ ] Masonry [ ]Welding
[ ] Reinforced Gypsum [ ]Special Cases
Swimming Pool Size EOC-L7 [t-]'Gunite [ ] Hand Pack
Sacks of Cement /96 Tons of Sand ,C11
Approximate percent of water in aggregate
This report covers work completed during week ending
REMARKS: _
- Registered�Deeeputy Building Inspector
C Name ht7.c'�i:"/4•-�d�c,..
-no 72,4a V ED Address 7 7 . '
HD V L4977 %rJ Car
3
1
Laboratory 77o 'v1"'— Telephone 96 3 .5 C1
CMF 0406-46 (BU 6) f///
OWNER KING, CHARLES a. DATE 9-2'f-77
JOB ADDRESS 1006 Visalia Drive _ BUILDING PERMIT N0. 44717
GENERAL CONTRACTOR Owner-_uildl DESCRIPTION of WORK pvrt _jn_p9.9L4 Spa
AP Na, 412-105-21 LOT TRACT FIRE ZONE VALUE + 6,000.00
INSPECTIONS Signature Date GROUP V TYPE ,T ZONE R-1
Pool Location /9G /0•Z071 . SUBCONTRACTOR PERMITS ISSUED
Date I Numbcr T Sianature
Forms
•
Main Drain
I Steel Reinforce
Elec. Bond Electric i
At-Approval to Cover C. /0-Jo-?71)41n(41-•1 het) 9 a7. 7 ya 4 h .
(yl Underground Electric APC, /�'/- 7)
p Gas Pining Test e� i/-/.)2 gqPlumbing IJ q �1 J �J�J q
Filtering System Lines . /9' ;7 �1r r ac4 F-. 1-? r /oJ 2�4r/
Backwash Lines and Recep. RC- j/'/'»
Electrical Final R //'41 7
Heater and Vent Final _
Filter System Final
Backwash and Recep. Final
Fencing Final �r
A. .._......1 f... C:..:..L. RC AI/-2.7 1
•
` 3�2�� PAID
2069* ***173.45
z- • COSTA MESA BUILDING-SAFETY DEPARTMENT
. P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
• For Applicant to Fill in Completely
FtECEI�D �! DArai%ED D o ISSUED
• BUILDING /� y� //�,J VI L- j1S 7
ADDRESS /a.;8.� II/5A LI A /7r� V -A
PERMIT,-N6.
OWNER Heltzer Enterprises-Costa Mesa A.P. NO. ,5;"17 I (
MAIL ADDRESS
S a/08'b V/5r7L/A fi
-
e
Z ADDRESS 740 No. La Brea Avenue ([13)
•
ul LI
CITY Los Angeles -
a O IJ/
- TEL. (Z1-3)
TRACT 6245 LOT 34 BLOCK
• I— Z
Z Q CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DEMOLISH
o I-LENDER United California Bank
am
BRANCH Main Office
OWNER
m ADDRESS 600 So. Spring St.- Los Angeles )) VALUE
•c0 ARCHITECT--i< OR ENGINEER David Freedman •
TEL
659�'2iR55_ USE $
ZQ FIRE T
w CC ADDRESS 113 N. San Vicente, Beverly Hills ZONE TYPE GROUP IS-,
a W • APPROVED
J Z CONTRACTOR George J.- Meltzer BY DATE •
mZ .
Zi CC ADDRESS 740 No. La Brea Avenue ��/ , /
W w TEL. (213) ZONE p NO.OF USE OF NEW sin' F/�^` {/
z.. CITY Los Angeles NO. 937-2171 /L! PLANS-2 BUILDING / C
44
O STATE CITY YARDS APPROVED YARDS APPROVED
NCL LIC. NO. 3144 LIC.NO. 1900 MAIN BUILDING ACCESSORY BUILDING
D O I (FROM C/L STREET)
SIZENO.OF BLDGS.
OF LOT • I NOW ON LOT FRONT J c
O'5FT. FT.
USE OF • '
• EXISTING BLDG: R.SIDE S FT. FT.
• SIZE NO.
Z NEW OF
BLDG. ROOMS
ZSTORI ES a- L.SIDE S FT. FT.
CrEXTERIOR WALL ROOF - Q
COVERING • PL aster COVERING - REAR Y Q FT. FT.
•USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
MAIN BLDGS. ACCESS.BLOGS.
Single Residence Plan 407F CARP# DATE
CO �� ) ��y.¢..�� C.U.P.# 147
//����LL APPROVED
APP �f
;113A1"..-:
F "•
O r Fir .:?
~ , I hereby acknowledge that I have read this application and state >,.it1L f(£^* T^
LI That the above information is correct and agree to comply with
cc all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of _
N the State of California. /012.44
// o �9 CO
Z SQ. FT. 41; .. .//D 0
I hereby certify that am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALU TION 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 provisions of the State of California Business m
- and Professions Code,Divisl Chapter 9. VALUATION //� m
PERMIT FEE $ N
la Be 16
Signature of ..{{ da PLAN CHECK $ l�1 E
Permittee $ 5 Ab0
�v// rl /�J coOd LL
Authorized Agent TOTAL FEE $//�
•
47SEP 27-77�MSp001426'* ****54.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
AP A ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
/�L REC Y DATE RECEIVED DD TIED ISSUED
)6,UILDING //!//( /215e1P.2 Dr . c lcCJ 7�
///� 4 A.P.NO. 472 -/or -2./ E MI NO.
OWNER l:./k/I4 i /Kaci Jr.
1/4/ r BUILDING '
MAIL •me ADDRESS`6 !� (/
ADDRESS ScJC4 / //��r ��/�/',
//1. y�/f
TEL. TRACT h?21S. LOT&4 BLOCK
CITY �--f2C/-a ,/Zcalo NO.,4.34173G
CONSTRUCTION / NEW ADD ALTER REPAIR MOVING OFMOLISH
LENDER
BRANCH y,Q&CS
OWNER G /V ice
ADDRESS �y''j Jas `l�s VALUE
ARCHITECT TEL. USaLO'/ ��p.,�— $ 0-01)
OR ENGINEER NO 1 JJJ
FIRE
E �rA/
ADDRESS i8 �. r ZONE YP ' '/ GROUP
I J/
' _ APPROVED 2
CONTRACTOR--r �-_.. _ - _ BY r/ DATE -
ADDRESS D
TEL. ZONE /J NO.OF 7 USE OF NEW-70-61—,f{
CITY NO. /C. / PLANS Lam• BUILDING /�%J�� �I
•-i STATE CITY YARDS APPROVED YARDS APPRO EO D
5 LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING'
W SIZENO.OF BLDGS. (FROM C/L STREET
0. OF LOT I NOW ON LOT FRONT /y FT. rn
FT.
Q USE OF
cA EXISTING BLDG. - R_SIDE SFT.G FT.
toCir
F Separate permits are required for •
L.SIDE FTC FT.
electric,plumbing and heating work.
REAR FT. FT.
-
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q Mask
\^ .J.r�'� / MAIN BLDGS. ACCESS. BLDGS.
]�/ ask - W)tr✓/r,i/I'f7 ! OQVAqk
CUR. # DATE
'14 •' '^/ APPROVED '7
/ ,pet . I/ ROVEpili�/tl r• `� • DATE / 2L- / 7
a S v !/W/t
Iz
Lu . .
OI hereby acknowledge that I have read this application and state (n
a
that the above information is correct and agree to comply with ---
co
0w all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of
the State of California. ��
I hereby certify that I am properly licensed as a contractor under SO. FT, NI
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONY: -
am exempt from the provisions of the State of California Business to
VALUATION PERMIT FEE $ v
and Professions Code,Division 3,Chapter 9. _ I, L '^„
, ..4` . PLAN CHECK $ / er& 2
O! A o
Perms to U.
Permittee - +- til - $ Q 0 /f TAX $ 9)
1 V ,�/•w O
Authorized Age TOTAL PAID $ 4 4,0
OWNER Hp
T(TZER ENCERPRTSES DATE 8-28-72
JOB ADDRESS 1086 Visalia Drive BUILDING PERMIT NO. 35278
GENERAL CONTRACTOR Heltzer DESCRIPTION of WORK Res. w/ att. gar.
AP No. LOT R1 TRACT 6245 FIRE ZONE VALUE $ 15.000.00
INSPECTIONS Signature Date GROUP T R .T TYPE 5 ZONE Rl
SOIL f' fit.p•72-- PERMITS ISSUED
GAS SUBCONTRACTOR
Date Number Signature
WATER JJ'/'/ll MS/p-(7.�y _ Plu bi ng
ROUGH(PCUM9ING /J 22 y�)� may. &_3•..gi.l,q ,o • �_//C1 Ate//7 /..e,/,e7 /7 n _;"---
PROP. SWR. LINE �fIOUSE CON. Er '. 2'i 0,C/% ,(D 'tax) c :116yLJ -1 irarj/7y'
SPRINKLING SYSTEM 7 / ///
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING ./3 1//l4_ 3, X71
TEMPORARY SERVICE OR POLE `��6SJ' YY �-j�
UNDERGROUND ❑ POWER ❑ '} -
ROUGH WIRING ` /9-.1' 3 y) Heating and V}nt. //JJJ�//11/ !J
TRENCHES j FORMS STEEL REINF. r t ic'-c -72 J;t,44..µp4 /I_/G' '/Wo/7F t4 3
FLOOR SYSTEM /-1 f0-14'72- C t _ el A U//'/TjT_/S✓'� O/94 iw
BONO BEAM ❑ STEEL REINFORCE ❑ N
SHEATHING r J n,- 3
FRAME AND FLASHING /r/�•�...J q,;.-
LATHING — IN [M OUT N. /�1.n't/ ) 4/.1.47-3PLASTER, BROWN COAT fl4!) tit 0,73
STRUCTURAL, FINAL - Electric
O _ /
HEATING, VENT., REFRIG. AND A.C., FINAL ".,[q ^4 -_"""",I' /,,I -j/-c. , . 7/.5S. :..9-5',R-?/-
PLUMBING, FINAL AND GAS TEST ❑ C.y4 73 '
ELECTRIC, FINAL
BUILDING, FINAL LLw f 4R