HomeMy WebLinkAbout1094 VISALIA DR - Building Permits • •
•
'44p M@ 9 CITY OF COSTA MESA •
BUILDING DIVISION
•r , . DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
PERMIT
• — B02-01761
ss6o
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.caaU�LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1094 VISALIA DR Status: ISSUED
Suite: Applied: 10/28/2002
Vicinity: Issued: 10/28/2002
Parcel Number 41210523 Zoning: R1 R1
Applicant: HERMAN, RICHARD ISSUED BY:
Address: 4050 1/2 BROTHERTON
Phone: (714)736-5677
CORONA,CA Zip: 91719
Owner: HERNANDEZ, RICHARD
Address P 0 BOX 40443
•
- Phone: • ,
PORTLAND,OR Zip: 97240,0443 - EXP
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Contractor: HERMAN ROOFING DATE • 9 03 �� '
Address: 4050 1/2 BROTHERTON • /
Phone: (714)736-5677
CORONA,CA
Zip: 91719 License: '348265
Arch : Eng:
Address: Address: • -
Phone: Phone:
Zip: License: • ' _ License:
SCOPE OF PERMIT
' TEAR OFF EXISTING, RESHEATH AND COVER WITH 30 YR COMP SHINGLES.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: • $5,000.00
Permit: $111.25 Claim Valuation: $5,000.00
SMIP Res: $0.50
SMIP Com: $0.00 - -
Other: $0.00
Inspection: $0.00
Total: $111.75 •
PLANNING &ZONING
SETBACKS - . .i c- -
MAIN STRUCTURE Front -0-0 ; c. Rear 0-0 - Left , 0-0 Right . 0-0
•
ACCESSORY Front 6-o- Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 t Required: 0 Proposed: 0
NOTES: .
•
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: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
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.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
1 '
DECLARATIONS (Th j ) •
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'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 nsurance,as required by section 3700 of the Labor Code,for the performance of the w rk for which'this permit is issued.
My workers'co entio s an e ca rte A.policy number are: .c...• `
Carder: X./ <yY Policy Number:
.is/section need not be completed if the pe it is valued at one hundred dollars($100)or less.)
cc LLQ I certify that in the performance of the work for why his permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
��l\ compensation laws of 'lifomla,: d a•ree •.•'' should become subject to the workers'compensation provisions of Secticn 3700 of pe Labor Code,I shall forthwith
comply with these tit S. i� (0 �1 c 0�1
Applicant 'z-+ • - - -1��� /, Date: L Af v
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES D CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.N r. Class It I ///
Contractor's Signature: - ice%i : , -_AL Date: I (4.7Y/
I ( a L/ _
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement.that he-o&she'is'Ilcensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Coiie)•or.that he or'she is exempt therefrom and the basis for the alleged exemption.Any violation o1 Section 7031.5 by any applicant for a permit
subjects the applicanfto idyll penalty ofn'ot more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves 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 sale.If.however,the building or improvement Is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business end Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes 0 No Drivels License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized 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 2,Art 2,Sec.
341,Title 8,California Administrative Code).
•
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division. ..-
Signature:
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Cale requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely 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 temperature and pressure).
3 -Does-43r will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the 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.
4 If an RMPP is presently required,has Section 25534 of the California Health end Safety Code been fully complied with? ❑Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application akPermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes LJ No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If yes-,the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Duality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No
8 (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state taws and city ordinances relating to building construction,and authorize representatives of 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.
/ ii
/ al SignatureOf Legal Owner(s) I •
And/Or Authorized Applicant r Date
;ODE 1 IMSPEC110M TYPE gaig MEWS CODEI INSPECTIONTYPE all D
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1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
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
Property Profile ' page 1 of 1
Property Profile
02003 DataQuick Information Systems
This information is compiled from public documents and is not guaranteed.
Primary Owner: HERNANDEZ,RICHARD
Secondary Owner:
Mail Address: 1094 VISALIA DR
COSTA MESA, CA 92626
Site Address: 1094 VISALIA DR
' COSTA MESA, CA 92626
ax�� . Telephone Number:
stAAPN: 412-105-23
10,0; �
' ' a Reference AN
:
CAt IFORNA Census Tract: 639.071
Housing Tract Number: 6245
Geo Level:0
Lot Number: 32
Page Grid Old: 27-E2
Page Grid New: 859-B4
Legal Description: N TR 6245 LOT 32
Subdivision:
Property Characteristics
Bedrooms: 3 Year Built: 1972 Square Feet: 1,683
Bathrooms: 2.0 Garage: Lot Size:
Total Rooms: 7 Fireplace: Number of Units: 1
Zoning: Pool/View: Use Code: Single Family Residence
Heating/Cooling:
Sale & Loan Information
Transfer Date: 06-29-1998 Seller: Document: 0000412102
Transfer Value: $225,000 Cost/Sq Feet: $133.69 Title Co.: Guardian Title
First Loan Amt: $180,000 Lender: Tricor Mortgage Last Trans W/O$:
Lending Inc
Loan Type: • Interest Rate Type: F Last Trans W/O$ Doc:
Assessed& Tax Information
Assessed Value: $243,195 Percent Improvement 34.30 Homeowner Exemption:
Land Value: $159,779 Tax Amount: $2,790 Tax Rate Area: 15034
Improvement Value: $83,416 Tax Status: current
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http://www.gotitle.com/cgi-bin/profile.asp?rmt=TOPS&graphic=%2Faccounts%2FT07378%2Fcompan... 04/14/2003
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. G X,rc S" — DATE
LOT NO. 5,2
—
ADDRESS / r 14I /fe(a se a."
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)) .,0,. a_d_--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 /+�I'/7G.%l�
Purchaser ta./
RECEIVED BY
CITY OF COSTA MESA Developer /or aut ed
,' r...—
representative
JUL 1 0 1973
AM BY
71819j1Ui11,121112l3143$6 Lender
•
' . _ Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. /
' CIT 'OF COSTA MESA 1151 6/24 83 29.37 IL
I PERMIT NO. TRACT NO - LOT NO. BLDG NO. _ j
CONSTRUCTION PB 3MIT ` �� � ' �j2
Applicant's Mailing Address N ' moi' 1 ' - • TYPE OF CONSTRUCTION- : U NEW LJ ADD.. LiALTERATION.-L_I REPAIR - • _ _
Projec•t Address l "'I -_5A-inF •' ' •' Q. ' ' ❑ CONVERSION ❑ DEMOLISH 0 OTHER'- --' - • - I �' r.
Owner$'Name .��r ?/� ���-�-•�/�Phone 97/-r�D ,.DESCRIPTION,OF WORK / 'ZON�G REGU LAT/ N '
• r5/9-2P/a- G d/ Baa S oar rKo�r .
Address _ TYPE OF PERMIT U'GRADING r FOUNDATION STRUCTURAL 12-MK A.P.gI /2�/O/% i'r�J ZONE I '
Arch/Eng.. - - - ' License No. '- ❑ TENANT. 0.ELECTRICAL ❑ PLUMBING ❑ MECHANICAL - .BUILDING •
-
PLNG.REF.,#
.1 . . . CFTRnr`K P/1 CT- ,
Address ' ❑OTHER • . d0 BUILDING - REAR YARD(TO P/L) ..
Contractor's Name 'Ow z9'Pr IJ u f td'(K'.Phone PROJECT DESCRIPTION SQ. FT.• - -' OCCUPANCY 'PROPERTY LINE - - _
CONSTRUCTION TYPF M—'2--- VALUATION$• /Mpfd LEFT SIDE YARD RIGHT SIDE YARD
Address(mailing) _ V '1 -•
' , ZONE GRADING CU.YDS. • ,ACRES PKG.SPACE'REG. 2/'_(�-igh PROVIDED
License No. .. vi / +' -
LICENSED CONTRACTOR DECLARATION • ' Remarks: - ' STREET WIDTH • ' ' PARK FEE.$ - ,
I.hereby'affirm that I am licensed under provisions of Charter 9(commencing - - - -
' with'sectIon 7000) of Division 3 of the Business and Professions Code,and I • ,I I •. SPECIAL CONDITIONS: - -
MY Iicensels In full force and effect. ' ' .. -
License class' - License No. ; PLUMBING 1 ' - - 4/ 1 I
l'
Date•- - Signature ' '
'YORKERS'COMPENSATION DECLARATION - Bar Sink Sewer Cap ELECTRICAL ,
ereby affirm that I have a certificate of-consentto•self-insure ora certificate _ Automatic Washer. ' 'Meter_Dover 100 amps _ .
workers' Compensation Insurance,.or a certified copy thereof (Section Backflow Preventer' Sewer COnnecti0n - _
i ! - -- -- ' Construction Pole
I .400, Lab. C.) - - Sub Panel •
.+• Backflow Irrigation I Solar_Collectors i
Policy No. Company - _ Cooking Unit Sub Pole
H
Certified-copy Is hereby furnished. Pt.. Bathtubs Solar Piping '
Certified copy is filed with the city Building Division. • • n Dishwasher - Motors ❑O-1 HP ❑1%-8 •
Date ' ,Applicant i I __; Clarifiers • _ _ Solar Tank • . .1 - •'
EXEMPTIONIFROM WORKERS'COMPENSATION DECLARATION Dryers ❑Gas' ❑Electric- Inc.Solar'❑9-15 HP 016-15+
(This section need not be completed if the-permit is for,one hundred ($100)or ! Dishwasher . • , Swimming Pool vv/Spa '
less):. . .. . . „ Fan Microwave '
I certify That In the performance of the work for'which this permit is issued I : Drinking Fountains ' Urinal I.
shall-not employ any person In any manner so:as to be e ct.to the • � - , F.A.D. Pole Light 1 '•
Workers�Co�ppe Safi Laws oft Calif ?p1p ,� SyGY�/J�f/6� Floor Drains` Water Closet I . - , g I "
X Date IE If a Y-'� S •this /you should.
e a f/ - _ _. . •
.-. ._ _.
/� 'NOTICE:If;after making:this declarat n,you should'becoubjeorthwihe .' Floor Sinks ---- - - •- • --Water Heater - Fixtures ! .Range _
Workers' Compensation provisions-of the Labor, Code, you-must forthwith - _ • - .
comply with. such .provisions-•or this -permit shall be,deemed revoked. . p Device Boxes Sign. I -
CONSTRUCTION;LENDING AGENCY - I I Gas Serviced Outlets ; WeteLServite i ,• r , 9
•
I herebyaffirm that there is a:construetion-ientlin a enc for the performanceI - , ' �! ,
of th ,work for;.which- g g Y� . • ! IntertePtoro . t I - f1 .-- • Outlets Standing Sections I
this- permit -is /issued -(Section -3097 Civ C:) i -
' Lender's, Name,' - ' ' " ' . Kitchen Sink- i . �' , r .-; Switches Trash Compactor '
'Lender's 'Address. •• •• • ' ' +:_ - .. - .( .- . •
I • - ' , I , -r ' Gartiage Disposal , I I
' OWNER,BUILDER DECLARATION'. ; I ' I . c; Lavatories - f 1
I I hereby:affirm that I am"exempt from the Contractor's,-License Law for the P Tr- 4. - Generator ❑0.5 KW 05-15 KW •
following reason-(Section 7031':5 Business and Professional Code: Any city or r _17-, api •
'county which requires a permit to construct,alter improve;demolish'or repair , - _ „ - • Transformer 015-50 KW . l• • '
-'any structure; prior to Its Issuance, also-requires tl!e applicantfor such permit • -• • Roo;Drains, - "
to file a signed statement-that he/she Is licensed pursuant to the-provisions of - - I ' - '
❑5U+KW 'Rein son Fee
x Contractor's License Law;(Chaptfe 9 (commencinglwith Section-7000) of 1 c ! - , $pact $15-
.$from'and kin 13 of the the, asBusiness'
is for the allegedllProfessions.
ption.A y violation of;Section t , I Showers -f 1• z ReinspeuKiom Fee • t' $15 i Meter ❑up to 100 amps I I ,Issue Fee " '$ 3 ' •
x;'1.5 by;-any applicantfor'al permit subjects the[applicant to a' civil I • - C •I .
kr7'`naity of not more than five hundred dollars($500)'. : •'. ( - I I Service Sink _ , Issue Fee - $ 3. - - P a - - -e '/I1J-✓ i
❑ I _ Zoning Approved By % 'Date
Ipe sationer illthethe rkth employeesctwith intentheir sale • r� �s G.�
compensation"will70 the work,and'the structure Is not The
intended or 's f r. - _ - ! ( -• MECHANICAL I I Application Approved By Are 'Date CO d s O I
'tor sale-(Section 7044, Business}and Professional Code:.The,Contractor's -" /J�s ! I�t� p, p
License Law does not s;applysuch:
to'an owner of a property. builds or improves '' • Boiler I Refrigeration System { i ' *i. p jication Issued B_ ( L/' / Date l 0.J
I hereon,:and who tloes;t suchWork himself/herself or through his or her own ; i- ,U 4 - PP. Y
•
I employees, provided that such-improvements issolt tended or offered for , - ❑01100,000 BTU 0100,000 BTU 'd I
' sale, If, however, the building or improvement sold within otone-year-of com- Duct'UnderjGround i , I SUMMARY OF FEES I
pletion,the owner'will have the burden of proving he/she did not build or im- I ...
rove for the purpose of sale). • i ) _i { Duct-Structural 'i "I I System Repair/Alteration y' BUILDING PERMIT $' r2 '�"'' SMIP • $ m"S �
U I, as owner of the property,am exclusively contracting(with:licensed con-
..tractors to construct.the project.(Section 7044,Business and Professions Code: ' -_ Duct-_Ventilating__- -. PLAN CHECK- $" r(..f t PERMIT - I ,
The Contractor's License Law does not apply to an owner of property who - - • ISSUANCE ' $ -
' builds or improves thereon,and who contracts-for such projects with a con- , • Exhaust System D Multiple ❑, „ '. PLUMBING $ GRADING I $ • I
tractor(s) license pursuant to the Coytr r' Licer e Law). - • -
' ❑ lam exempt under cttt�nK� ` ?/ �s,t��& P C.for this reason , Fi•repl/F•act.Blt. ICBG#k I i }PLAN CHECK: - $ ) e i • '
" 'ELECTRICAL $ ' ' 1 1
Date -Z r , ' owner: }�J�r• d/ '. I Heating'System&Ducting I : ) I I I , - I • t MICROFILM $ - l
-I hereby certify•that•hhave read this application and-state'tnat'the-above" - 00:100,000iBTU'❑100,000BTL •- - - r, - PLAN CHECK' $ I 1
Information is correct. I agree to:comply with all city and county ordinances ) ' I I , I ' TOTAL FEE $" '
' and,state laws relating to building construction,'and hereby authorize repre- - , i _ MECHANICAL $ ' l , !
•
sentatives of'this city!to enter'upo e above-mentioned property for Hood or Type I ❑ I I Reinspection Feet • •+$15 - t I LESS '
! inspection p ser .�' i i Canopy: Type II ❑: I i PLAN CHECK, $
/y sAer.:el �. ` ' —7--• ! ADVANCED PC $
Signature Datei 1 - , , • t i
k =Drivers' License or 55 :� _ _ Registers { ; { { Issue Fee • ) $ 3 ( • I FINAL FEE 1• ' $L .
CMF 0865-46 rev.12/e2 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor
e iS
_ ti . -- 'n ,�C...3t. - "n'O'77r POOL'_,:,• A t .c_
n nCONSTRUctION-AND'PLAN ING 3 m cam' 5 taw." �0�1 io=o7"' - - e. ' 7' : c c•o
N. A `` ±•--1 v ° •°n1I,'7(95� �%Date•q + `Inspector• --t=APPROVALS,, Permit# ": �- - n Date - :Inspector ,
r _APPROVALSPeri "'. iL _
r. rr*: Te_mp"orary Electrical Service Or Pole i yc .' " c A.", 66-2 TO ti :'529 Pool,&,Eq.uipmeut.Location';yds r= •-•. • -;i _ 'per -
v ` - - I 1 o c: "-'b; I Q : 14; TR c-•r-+, -a,._ _ .,^ -y' ,-,,. t. .”
lv 2J. Soil Pipe-Undrgrnd:_ F ;. ; I i g, r_V s r u., - • ....53 Steel Reinforc"e hent ° ' . :' .
•
cl ' FrP I `n :::‘,z,7;
W. EleectriaConduit Utility-Undrgrnd.1 _, S y ; 0.1 54 t7:Fo,1 rm1 s -t `i.f.!.-.•,'":,_•7-,---,' :. _.,� a , :i v ° I''
v. 1O
_ •- r 4
iv2 4;IElectr.cal Conduit-Undrgrrid r t fr . c 1 v?„ r.i0 EFS;,. :.55: Electrical-Bonding: -
,-te ..:c,
5'- Steel-Reinforcemnt' • i f^ e'`= t tt': ' ` Nq ° a ;,56 Rough P.lumbmg.&Pressure`Test _` ;, F ..
a • ci'+;•‘.., i' �
' ltIn. m ` c ':a ; 5APPROVALTOCOVERGUNITE -'6:. Eeoricl UFER Grnd.i' t .3y' s : - . •, .
7. Fob iings !/i • :yrt I 1, .,.-1!... >:46 iA i.:58. Electrical Conduit_,Undrornd • " __ '',...1.1; r_ '
8. Foundatlior -! i -I i ..r.rj 1 Io t i-. r• �� '59. Gas Pipe D-Undrgrnd; Test'' _ • ir .
9. Water Pipe-Uodrgind. I 1 ‘0'i t i I. '•- . tir60. BackwashilLinei'�P-,Trap,;U Undrgind..' r ,t.'.' 1
1,071
10. Structural Floor System I ,F C I . E ,.. :' ,a 61. APPIROVAL_TO;DECK r - •',: st ^ ?AI : o I
11. Property.SeLiti
wer ne;& HousetConnection. E ' '- P . -o 62. Backwash& Recepor _tFinal ` �, r !
12. Sewer`Cap 1 I I ' I ' F , •• ' = I • ;72 al `J_.S: •63. Heater&:Vent-Final - ..t- l,i -'e^ I ,
. I - ' mss•
13. Roof Drains 1 1 I I I -`'a • , w' 2F ;'; ;164. PlumbingSYstem,'F,inal: - c- ^ 'g -� ,
4 14. Rdugh;Plumbikg ' I 1 ^n . I : ' I -�' ti ='65. EledtricaWliial��='= " :r- ' 7 i7. • r °: '
y75?Roigh-Electeical-Conduit r -�r- 1 i T -66. Solar System=Firian. - 1-•- r^--)- ---, -
:R ,.... 6. .1- i ,. I_ I. I i'. r 1, l 1, . . .! • . . . • 1 ,
� i6: !RoughrElectrie Wiring, ,,, I '' 1' 11 I v_ -ct';'i .,• , -'67: F ne cing-&7AC'eess Approval 'T - - `; ;i-
3> .AP-L. � II r�• '�I ..i �� ^
4`_17. Rou hs. . -t.g- 4-,-. t tr-I ? I N+ I cp.- 1 `i I .1, I ^ ;,; 68.)ARPRO,V,ED FOR'PLASTERING• t i :t It i.e. ' _
, 11� if� - ri _. }. � , i 1' I_ ! J 1 O m 1.� 1"4:: J -_. .. - - n
18. I,RNughElectnpl T Ba^Ceiling! II I- t -, I-1 1 I I.;517, i ;, ; t 69,1 BOOL/SPA SYSTEMS'"FINAL I ? 'i r- ! ' i. -i '
P
a el 19. .h-oughoHeating& k"ir Conditioning II I ? 1` I ( I I ri i i 1 , FIRE DEPT,•REQUIREMENT ; _ ! I ' - ' ,
r. 1 H I t I • I i , , j i i -w •1
� ' 20. tgough.Factory Fireplace i I' i) I I N I APPROVALS' I Permitl# ' t - i '
z
r. ' 4 ri, • "r L_. n ' - ? I s . I . 1 I I I i � ' I _ ; I. I -
5 21. vDucts in S{ructur'ek. '' 1 i I, in ij I I I I I 1 i ! 70.! Urideiground Hydro 1 1, I I ` I " ; 1 I
e
6 pt22. Ducts, Veniilaiing ;r I r I 1 I I I 1 71.'Product Piping U Gas U Oil i If. • I I
g!I': +• + -1 • •..., I I, II' i Ili i I I 1 r I I I
.� •.,, I .•�----r---'-i �- -Tail r----._- --, -. - - -
1.23.'Gasi'ipe"Rough& Tesi ^ I I IIT ' I 1 I 1 7 r Underground Flush 1 p+ t r t 1 I •
11 F24. [Roof FrarimiA I I',� ` 1 I • lI ilcs I J I i NI c„ leo.I n I c�;• 7:3.I Utideigrrd.Storage Tank,1U Gas �;OiI' I I ' I
[polo! I n ", 1 . i c _ , .
z L25. iR1gof,Sheathtdo i ( ? I Iti I -1 I !Q i V I ' 74.'Overhead Hydro i I ,' I
----0t •n 1 r, c. 1 ` 1 L �I.. 1 ..-1 t 1 r.I. m 1 I +. .. . 1 c i
o`1-26. rJ_Bai Ceili g (Structural,&'MonolicoW I = i I S.I li I' 1 I 1 t 75.'Dry Chernica1 I ' ; a - 4' _ + I I
- ifn Ir , I 1 11 _ 1 1 ti 1 '. _ - 1 1 p 1 I • -- - r '!•
ii 27. (Frame and Flashing; , 1 I Ii I 1 I 1 ( I° I i I i76. Dv Standpipe I `' i , I ' I
c " I Ii .77.I FIXED SYSTEMiFINAL a 1
28. thin 8 "Sidin
, � [i� 9 - g; ; a f i I' ii ; I i I ' ��1 I r •( i " � i I
al •o-29.jInsulatiori ^ l -; ? , , I !;• iI i I I I ; i I I I78,j FARE PR,EVI, FINAL , . I , I I I I r
c �Y30. Drywall• •Nailing ' ° ., u, I I Ii II 11 I I I. I ; I iNotes:I `31 1 elfi^ I ,
u i:31. f(aster Brown1.`I Coat i I I Ii I^= I I i 1 .1 I i I i 1_S� 1_ I ., i a-�6�„Q i { I
Il :4 32. 4EleciricallOwer MeterfFinal. I 1i (t,_.t f -;_ .t , i -_ 1 I 13// Ii. I 1 1 • .,'�• `A I I , '�
2 ;I 33. (+Final Electric !I 1. : ' '' l - I t I ' t 1 1 '^"'n.-C IL ,-
_Cr
34. Final Heating&IA 1 Cond_is ioI I-r-ling 0. I I i I I 1 I I i I j . ' I'
r.
,, 1 _ , I _I 9I� - I 1r +^ C.!'
_: I7 ._.]I, +.r • y a c - - c
35. Final �ias,Pi 'SIesI 7..,I - °t i fi o r � � I : , > I _ � - -_ -
V 1, 1� •`"-•� 1�' Inl pi it I< I1 'Ji� (;?I L'1` , I- '.t ( 11:-.F _ _ .. � _
36. Hood ?Jr Canopvwi- o a , : I n 4 I " 1 .c.„ I Z ' H 'I" { . ' •1 ' 'IT, - ;, T
, I' - .crt I'i I oI ,1 1 - I ,- 1 x ^ t I I t o 1 - I _ _ < _ _
37. Final Fac[or,Y F ITT. .ie•n I i r•I I . 4. 115: 1 - PI I I I 3'i 3 ' • I
u ' - ' ' ; rs I l I I- i ,1;t:
a - y_ 1
38. Final Plumbing I 1 I of i ` i` I 1 1 I I I I r ! , : c I
. I (. . ! 1 1 i
39. Water SerVwce-Final1 i I ;
40. Gas Service-Final I I .•1 I .I Itt_ I I I . I ,. I i I i I ! , - i '. i
41. Solar Qomestic-Final I .I I. I 11 '_ t i •i___I !�_ I-�__' _ I_ _ I
42. Backflow•,Preveriter1 > I i . t • i it=.ir- -4--4--i-t -t-I---I- -r---;'_ •i - : i - '
2rr'1 ••i �I -i I I •' 6I" i41 ' I . '121 .. '1 ° i'�.I 'i � - ,
43. Backflow Irrigation I �� c 1 v , - I 1 . - i I - '
lye ..r I •- v r - d_i r . t1 - t - G, _ ..
44. Landscape irrigation SYstem I I i I, i-? 1:2,_ I i d i i I ;1 i I ! 1i I• + I- i I ''t • '• _ - - _
u•. a _ -, -., ... +
I
45. Sound Attenuation cL°,' l.zi .I ••N 1f I I ;1° i " I =1 e, 1 ( = 1 -r, ' . 4 ? `i - . 4
•
46. Handic piReguletions I. I trA I I il i t 1i ' ;off I I I. I ;I I 1 I ' rf a _ - ,, •
47. FINAL!STRUCTURE& BUKDING ! i$ I ! I"I t- . I 1 ! ; ti [ - ,
Y is I I • I I- I 1 + ' 7 T
/3- 3' rei1 ' 1 i'T . , '
48. Special Requirernerits Completed: t; I I I .31 I ' ; 1 I I 1 I `• • ;'
n r 1 1 if 1 I 1 I I� i .. 1 11 1 it .
49. Elect` c Reteaselto Edi`sonl 1 I _.._.1._ •_.i_;'---:--__'�I 1 i ' 1_ _ IN .i •"
a 1 I I i 1 1 1 t 'I , T t i s i , I ,1"•-
I
r.. _
50. Gas Release to Southern CalIr ifornia Gas ,I 1 I i I i 1 , ' i i I I i " I I I I
'V t I I I 'tt Cot t I I 1 I I • I i'I I' 1
51. CERTIFiCATE•OFIOCCUIPANCYd T_i 1- I _i .4_4..1_ +-1---i-4-4----1--!-:- , i 1 ;
No 'I, i i I Date I , A t I i i I ,i �:
:r..4-..-”s...,-,4&,,i,-.4-..--.1,-._-,-,In...--4._.a_ .-. ,__.� ._ :_-t_-•___-_-t_._I_ _. . -n- , -__ s_. -,_ ,r .. }.
' I
TYPICAL . 6" CONCRETE BLOCK FENCE • . '
•
• Cement Coping Optional _ ® --
�' '�' GENERAL- NOTES
Channel Block With 1-3/8 — a 1111 ,1 III 1
0 Horizontal Top of all ��
Fences •-- •- -- - imii MORTAR: One Part Plastic Cement, and
. . _ v :. Three Parts Sand
For Fences 5' or L'ea.- GROUT . One Part Cement Three and
ds ', 't �I,®,� One Half Parts Sand
Vert.Bars 3/8" Dat 4' -0.'O.C.. ° COPING: One Part Cement, Three
Parts Sand
For Fences Higher Than 5: I`
Vert. Bars 3/8" 0 at 32" O.C. cc w MI . CONCRETE: Wel I Mixed L2-1/213-1/2
.
a = Max. of 7- 1/2 Gallons of
Fill Cells Solid With Grout > Zpi �," „-!' Water Per Sack of Cement
Where Steel Occurs _. .. - -
Reinforcing Steel'Shall- ..•.. GROUT MAY BE POURED FROM THE TOP ill '
Conform`to Sec:A'15'39" " " ,
. w11 i— . 1111 OF THE FENCE IN CELLS WHERE STEEL
—
w — --1 It 111 OCCURS.
A.S.T.M. ll U 1-
CELLS AND AREAS OE HORIZONTAL REIN-
2_
NT
All Steel to be Lapped _ FREE OFOREMAL SHALL BE CLEAR,CLEAN&
LL
24"or to Code • - ' -, �I� . HOLES AT THE BOTTOM OF CELLS CON
NATURAL GRADE
" ��_. ;�� �� �, TAININGBONDS SHALL VERTICAL REINFORCEMENT.
' `_ , BONDS BE PROVIDED BY LAYING
PITA' i•4•4•V4�Y� ° 1I_ BLOCKS N COURSES EAO CH THAT
—:',',%/A,(�` 4i COURSE.
VERTICALJOINTS ALTERNATE IN EACH
\\y\ ° ° 9 iv n • ° COURS
TW03/8"0BARS a �. ° .s •
CONTINUOUS TOP —
&BOTTOM --I • �W'IDTH TO 16' 0.C. MAX. Il
I
p' SEE CHART ,
ALL STEEL MUST BE TIED IN 9 BELOW e DEPTH OF EARTHTCOTHPLAC
INSPECFENCE
• TION.
TION.AT OF TRENCH 6E=LOW 1/3 EBOTTOM OF HEIGTH F FOOTING.
INSPECTION. �p' L ' ' L
°e 3
• lo" o" T 2.. SCALE: 1/2" = 1'
FOTING REQUIREMENTS CHART
WALL HEIGHT 1 6 ' ' 5. 4' 3!
WIDTH 14" 14" 12" 12" '
THICKNESS 10" 10" 8 " 8 "
DEPTH OF EARTHTOOTH . . 24" 20" 16" 12"
SPACING OF EARTHTOOTH.I . 12' 14' 16' 16'
•
OWNERS NAME: i/t " ±,..-_n�'i�/p_ _i'. CO�� —
City of Costa Mesa, a ifornia JORMATDDRESS: � 2� �3" `rte
Building Department • SIGNATURE:
1'0:x+ PU75_2M_r1-62
I .. :
s f•
•
•
•
•
•
•
•
IV•F OSTAi71
.. PLANNING DEPT.
.WUBC1 TO Ino, Der. a
• Goemeotla DA ' �� �A
. or 1{AlYltllt! .
•
•
' a ''',5,"'/V...4-.--•..-/- ..�syR5a 1' x1 : rt
RER
RESIDENCE .•
- matt 'RERUIEMCR r3REE14E110E - 'n
ri - a r _
- r + , r s r
: .
•
•
t 7t-'''.7
• STREET 6 - ;: -
OWNER HELTZER ENTERPRISES DATE 8-.28-72
JOB ADDRESS 1094 Visalia Drive BUILDING PERMIT NO. 35276
GENERAL CONTRACTOR - DESCRIPTION of WORK q-s w 4,tt _ _.
AP No. LOT 42 TRACT 6245 FIRE ZONE VALUE $ 23,600.00
IV''ECTIONS Signature Date GROUP T R. •TTYPE 5 ZONE R1
ypZ
/ `Q- '� SUBCONTRACTOR PERMITS ISSUED
Y
G. Date I Number I Signature
WATER/4g m 570-47-7-2---' (/ 3 99 �) Pbu in•
ROUGPLUMBING
PROP.SWR. LINE 'HOUSE CON. [' i/ ' ;� :J4/ l MIWAYE raig IL7 - '.
SPRINKLING SYSTEM n /v /
MISCELLANEOUS .y l
ROUGH HEATING AND AIR CONDITIONING 9
_ , 4( 3 2/,3
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑ -
ROUGH WIRING 30 Heating and Vent.
TRENCHES f44 . FORMS - r �a)y e.-. - • - ,Y ' Al gh i�/j� y‘�7 //
FLOOR SYSTEM^ /Sara; _ z - 'r L Y [�M-7-7 9Gl�/1 "---
BOND
BOND BEAM STEEL REINFORCE n �AL N
SHEATHING 4 2 12'13
FRAME AND FLASHING /2r-µ {J,-djo''3
LATHING - IN 14 OUT d m l y`/ Y" l H•A[[/�``` '23
PLASTER, BROWN COAT +7.yy-•7
STRUCTURAL, FINAL Ele t!<
HO--.NG, VENT., REFRIG. AND A.C., FIN / 7J 6r64.•,,,,,,, �01- ,.n•s�g �3 0Ca/7�
F ZING, FINAL AND GAS TEST a..fA+dn/ry1 111
ELtCTRIC, FINAL e.:r1-'j-%7555
BUILDING, FINAL /'24tm i 1-1.-7/+-;
- ' - • 35276 PAID
iif 30 7GPA10A0067' ***130.65
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
((�� ' / �t /I p RECEIV Y DATE RE IVSD � /7/�ED
BUILDINGADDRESS to9 1 VI,54/ /A De - v�� �� D � •- /
PERMIT NO-
OWNER Heltzer Enterprises-Costa Mesa A.P. NO. -."{Fr), t6
MAIL BUILDINGDRS /0951 VWSAL/ ,r
ADDRESS 740 No. La Brea Avenue ( ) ADDRESS /{
a 0 CITY Los Angeles .90038 TEL.937-2171 TRACT 6245 LOT 32 BLOCK
ZQ CONSTRUCTION NEW ADD ALTFR REPAIR MOVING OFMOI ASH
—co LENDER United California Bank
am
D BRANCH Main Office X.
UN . OWNER
m —IDDRESS 600 So. Spring St, Los Angeles VALUE
Jm ARCHITECT TEL. (213) S $
Q OR ENGINEER David Freedman NO. 653-3852 SP linnli
N
w cc ADDRESS113 N. San Vicente, Beverly Hills ZONE TYPE GROUP bQY--
a W APPROVED
J O CONTRACTOR George J. Heltzer BY DATE
CO
Zi cc ADDRESS 740 No. La Brea AvenueW Li �-�t�,�NO.OF USE OF NEW 5//U rrlr"t Oil
or TEL. (213) PLANS BUILDING
z CITY Los Angeles NO. 937-2171 I a u//47T ernk
O STATE CITY YARDS APPROVED YARDS APPROVED
N cc LIC. NO. 3144 LIC. NO. 1900 MAIN BUILDING ACCESSORY BUILDING
D O I (FROM C/L STREET)
SIZENO.OF BLOCS.
OF LOT I NOW ON LOT FRONT 50 FT. FT.
USE OF 6
' EXISTING BLDG. • B,SIDE ` ` FT. �• .y I'FT.
I— SIZE OF NO.OF —I ��f�Cf+we Line v
Z NEW BLDG. ROOMS STORIES ._ L.SIDE F YY FT'.
Q EXTERIOR WALL ._., ROOF 2-0
'T _,
V COVERING aster I COVERING REAR !� FT. FT.
—I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1
a • MAIN BLOCS. ACCESS.BLDGS.
QSin le Residence PlC.U.P.#411A Rev # DATE
0 g C.U.P.sF` APPPRPR
OVED
y [4 / / 4.GK/ APP—.IED 1j/ 0-2- 2Z
Z / �7'
O . . . . - - porn Ffln Cnr`TkT nnfTt_aL;,:
UI hereby acknowledge that I have read this application and state y s— •• � ""'(.� �I�
D that the above information is correct and agree to comply with TAX .
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
N the State of California. / ��ff o '/ _ .p/ to
Z A02-0 SQ. FT. l_fv _. .S`"� 3— Q 6
to
I hereby certify that I am properly licensed as a contractor under T/
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER V ALUA ION IS FOR
Chapter 9, and that such licenses are fn full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0
am exempt from the provisions of the State of California Business. CC
O/and Professions Code,Div' i n 3, Chapter 9. VALUATION O P Oi o
PERMIT FEE $ [j N
7
Signature of / / :' / .4.0m
Permittee / $iQ /OD PLAN CHECK $ 47111-2 E
y 00
a.
Authorized Agent TOTAL FEE $ /r�/