HomeMy WebLinkAbout600 LAKEVIEW LN - Building Permits�7
_"1i
I-�
�raooeess: 600 LAKEVIEW LN
OWNEfl'SNAME:BROOKVIEW CONDOS CONDOS
aooeess:630 PAULARINO
CM., CA.,
AflCNIENGINEEfl:
AUONESS:
NEG.NO.:
uNir�
UNIT:
PEHMITTEE:MESA ROOFING CORPORATION ( 714 ) 548-3012
ADOFESS: 843 W. 17TH ST
COSTA MESA CA 92627
LICENSED CONTXPCTOP UECLAHRTION: I here0y af�irm I�al I am licensetl untler pmvisions of Chap�er 9(commencing wilh Sec�ion
7000) ol Division 3 0� �he Business antl Pralessions Code, anU my lice 'o-htlhla¢CZittl'clles
CITY LI�S��j�l ^��TE lIC.56415 cuss: �
� l�
oate: _ � � Signa�ure: _
WOBK S'COMPENSATIONOEClABA7lON: Iherebyaffir ihaUhaveaceniiWteolconsenttoself-insureoracenilicaleofworkers'
Compenution Insutance. or a cendietl tovY �hereol ISection 9800, Lab. CI.
eoucvNo.:PWC24167500 EXP.ORTE:OiIOSI9A
cornrnxr:GOLDEN EAGLE
) cen�rea coov �s nereey wm�snee. J�1 cenwea co - � ea vnl� I�e ciry BuilEing Division.
oa�e: � � Appiicanc �
E%EMPiION FHOM WONNERS' COMPENSFTIUN OECIANRTION: (T�i55ecii0n nee0 nol �e tomple¢b i� Ne permil is br one hundiea �$100) or 1¢ss�.
I ce�ily Ihal in Ihe perbrmance oi Ihe work lor whic� �his permit is isSueA. I shall not employ any person in any manner so as lo become
su�lec� �o t�e Workers' ComDensation Laws of Calilornia.
�ate: Signature:
NOTICE: I1, al�¢r making Ihis Oetlaraii0n, y0u ShOuld betome Sublet� �0 I�e Workers' Compensa�ion pmvisions ol I�e la�or
�� Caae, you must fonnwith comply with such orovisions or tAis Dermi� shall oe aeemed revoke0.
CONSTNUCTION LENOING RGENCY: I hereby a��irm I�al lhere is a canslmclion lentling agency for I�e peAarmance ol ��e woB for
w�ic� ��is permil is i=5uea (Seclion 3097. Civ. C�.
LENOEH:
nooeess:
OwNEfl BUILOEfl OECLANATION: I nere�y allirm ihat I am e�empt Imm Ihe Coniratlars' State License Law for Ine lollowing reason
�Seclion 7071.5 Business anA Pm�essional CoEe: Any city ol cauniy whic� reQuires a permi� �o consimcl, alier, impwve, tlemolish, or
r¢Oaii any simtlure. D�ior �o iis i55uance. also r¢QuireS the aOP�icanl for such permil �a �ile a 5igne0 slatemenl �ha� OPlshe is licensetl
pursuanl Io Ine piovisions of the Coniraaors' State License Law (Chao�ar 9(commencing vnih Settion 7000) of Oivision J oi ine Busineu
anG Pmfei5ion5 COde� or Ihai he/5he is eeemp� �heretmm antl Ihe basis lor Ihe allegetl exemption. Any vi0laiion ol Seclion 7031.5 �y
any apDlicani lor a permit subiec6 Ne applicant lo a civil penalty al nat more t�an live �undretl dollars (SSIXI).
I, as owner of ihe omperty or my employees wiih wages as tneir sole compen5alian, will tlo tne work, antl the
❑ simcmre is no� inten0etl or oflere0 for sale (Semion 704a, Business ana Pmfessional Coae: 7ne Coniracto�s' State License law
tloes nol apDly to an owner o� a pmperty who �uiltls or impmves Ihereon, an0 who Ooes such work Aimseli/hersell or lhmugh
his or her own employ¢es, pmvitled Ihal Suth impmvemen�s are nol inten0ed or oifere0 IOr 5ale. II, however �he building Or
� improvement is 5010 wit�in one year ol complelion. �he owner will �ave ��e burtlen of pmvmg helshe tlid nol Uuiltl or im0�ove
lor�he purpose of sale�.
I, as owner of ihe pmperty, am exclusivel9 comracling with licensea conirac�ors �o constmc� IAe pmlect (Section 7044, Business
❑ an0 Pmlessions Coee: Tbe Ganvacrors' S�ate License Lew Ooes no� aOPN �o an owner ai propeny vAio builGs or impmves thereon
ane w�o conirac�s br such pml��s wilh a wntracloqs) license pursuanl to the Coniractors' Slat¢ License Law�. I am aware
, Ihat proof ol �Aei� Worker'S CamOensation insuran[e shovl0 6e pmvitled to me.
I� I am ewempt un0er $¢ction: B. d P. C.
tor Inis reason:
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 064019
PERMIT NO: B 064019 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF, �& REROOF W/COMP SHINGLES SQ FT: 8,645
CLAIM VALUE: 8,645.00 CALC—VALUE: 8,645.00 GROUP OCC: R-1 /
*�*�****�r�r***��*�r����**�*�*�ww**(��r�****D*D*******wr*�*�***�r****r*w*x*���r+r*r*�*w
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ NAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; ET IN
PARKING RE • PROV: PARCEL: 93405023 ZNE: REF NO;
PLANNING N 'PES>
i
7F�tMMMMlfffftMlf/ffklfMiflkkifMlhlkiFMitkltMlfiE1lkiFiEiEfEffifk1f1f1fMMfFlfl�ifififMMiFitlfMff%fEM1f1FMMM%Mk1tiEMffitiPiflENMM
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 E M E lN �T: S
� !
20NING APPROVED'BY DATE: ��
/ '
SUILDING APPAOVED BY : DATE:��
4 /
APPLICATZON ISSUED BY; DATE;,� �O �
MMi1MMMMMMMMMifKiElFftMMMMM ffMMkkMMiFMM Ifif
IfMifMMMKfFMMMifIF'1FkifltMMMMiF1FMMIfIfMMMMMM1fiE1FMMMMMMMMlflflfMMifMMiFMkMM%MMifiFiEMMMN'1FKMMMiFffIFIfMM1f
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 108.00 86
PL� SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 108.86 0.00 0.00 108.86 108.86 .00
REVENUE DIVISION TOTALS--> COLLECTED: 108,86 OVER/SAORT: .00
BLDG PMT PLUMBING ELECTAIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECK
108.00 .86
itifMMitMitMifMkMMifititMikfffhiEMMMitffffMflMMifikitlEififitlfMMMMMMMMM1EiFitffMlFltMffffiEftMMMiFMMM1fMiEKKiFiEM1FMMit
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
Date: 0«ner: I SFR
I ao nereby cenily ihat I am aware oi an0 untlerstane Ine requiremenis ol Califomia Healin antl Safety Coee Seclions 2550.5. 25533, and
25534 antl I�at I or any iNure building occuoanl willlwill no� (circle one) need io comply wi�� saitl s�a�e co0es and itle requiremenis for a
permil lor consimc�ion or mo4ilicaiion Imm Ihe Air �ualiry Managemenl DislricL Resiaential cons�mc�ion applica�ions are exempt �mm
IIICSC pfON5iU�5.
Date: ADPlicant:
I hereEy ceriilylha� I have reatl Ihis application antl SIaV
oiainances an0 sla�e laws rela�ing to builaing constmtlion
property b� mspec�ion Durposes /
Dale:�� ��� Signa�
Orivefs License ar Social Searity a: �
I agree Io comply wiih all cily antl county
10S�eity Io enlef uDon I�e a00ve-menlioneG
i64na6 Wbne—Builtling; Gieen—Co�e EniarcemenC Canary—AOPlicanl: Pink—Revenue; GWaenroa—Assessor
8645 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
SfV'iU�:� D�TECTOR
REQU1RED
1.00 8,645.00
Oi 001474"v2—D0147493 Y+�T :98.3h
D�if: 'J;l23i^+3 ilitE: 1'1�44
'i � / - --- - - - - -
COA'STRUCTI01�! AP:D PLA\NING �' �' SPA I ' �
�' A�?ROVALS Permit;�- Date 'I Inspector I qpPROVALS Permit;x I Date � Inspectar �
�
r �
' 1. Tempor:.ry Eiecv�cal 5e�virx or Pole-C 52. Pooi & Equipment LocaCon
I fJ
� 1� {�I rq .l`7
.�.�� pe-Undry.nd,; .;a ��L, 53. Steel Reinforcement
� r :��-=�--�--"---a�T! - -
'"�3���lActrical Cond'r%it"�r�rdity•Undrgrnd''=� 54. Forms
- d...-� -_ 'K' -
o' � _^- tr tn
G�k�r;cY c;,l Condr-}�•U�d�g•nd. v� � 55. Electrlcai Bond�ng
'f ^ 1 K`---4-.�..-E---v"
:'?:�`};�•:' Fl:�^.io�ceu�.s�::� ��'7:C � 56. Flcc3h Piumbing & Pressure Test
.5�.�'__ .:• �t •� n �
�•;,y„�'a".,..:� �.c� UF����r��.a. ;4 �, 57. APaROYAL TO CO\'[R�GU��TE
�,�._r�.-----3+ -- -
n7:a��F�ooUngs x - ' 58. rlectriWl Condwt�Undrgrntl.
12^ _ :� . - --
"{� Fountlatron ^'.�'� � , 5�J. Gas P�pe, � Untlrgrnd., Tcst
I'�;3, V:am� P�pe�Unc�rr.d. �' E0. Bac!cwash Lnes, P-Trap, � U•idrgma
,-Fd
'��. S: �..ctura' FIo �5Y=tem � 61. APPROVAL TO DECK
-�--- -
i' F�ap�.�i �,Y Srrie.:�in�& Fto�;'sr. Ccnru;!ion E2. Backt:•ush & Recep�or-F�nal
:1--�---- '
�!2. Sutvci Cap % �- =' 63. Heater & Vent�Final
tl G
�" _ _-' ��
-� 3. Ho�' Orcins , _, 64. Plumbing System � F�mal
'-- --- �'- �-� ---T- -- - --
. i -. ;y�-�'. ?��mC�� I '� � 05. E!cctrical-Fi�,al
_ - y � _ ___
R,� , F.ectriC3f-Corcu•: � c
. � 6c �iar S;�stem�Fina�
� -c. - -- --
1 u. �9o��h tiectnm!�/iring � 67. Fencinq & Access Appro�al
'_`--
i�97. Rou9h�:Vinng�rn 68. APPROVEDFORPLASTEHING
h
7fl. Rouqh Electrica^-7 Bar Ceil�ng 6g, p00LlSPA SYSTEMS FINAL
�1��Fi�_�yh He�[i��g&%a}r Cai.J�tio�ry ,_�' * r., :s .;x }
i�I'� ��;i� `S� . T -fJ i ''_. .7' � +
�.�c�,�! �C:CV? �'� I.�T -�.� � S H i.
a-,:1 .:-D T �' - y3-�-=1, ,.
r?' "�J,�, �w5�.2ctu!�; T ��.. yS 1 S� 7 -�r y
I F C'., ' x i ', �r t G� ;-. :l t•
J�i �i___��j j �_" ' ,l.f A,
22�.D�.4;,� �"t�a.t;nj7:e i C.. t C� �^ .r1. Hh *
- i..,_�,:�_'j.-..i ,--�r, •--a� .x-c
�.,FIR_���'. RF_QUIR+�VIEN7� ,�� i
�' T
J���Vi.�R;.-��Ef�i[-" /-T-��-
_�-� -i n-I .f �y'r-�_ � � �
.. I�dc�q*a�LHy�ro '� �
-�'-'_f_'*'Sr-�'- t
. Product+i'C4ie9�G`�s �a0il �
-� i + I -'Fi�• Y rf ^�-
23.•G�?iPi .,��-iOGa�,h$t7�a5t 1 T;_; s m n� cy ;� � �.) , � I
,J Pt, ni :;�: i [n-n_�r � . S �.� q�.'"•/2. Undert�ro�iF,FItL?fi'» .: ,,. �
�.�y ..r 7 :' :7 � � � s �-+^
74:'iioGY Ff�r!ing w, '' p� ,� ] ;� J3.-Undergmc'�.Storcy+.:'�:1�k i'Gas „:Or: i�
�--t. _ ' 'F.� f' I.!� i�}- • 1' +I ��--�y-�_Y - Gl-k
�� ^'_ -- _ . ;
�, t7. Fioir�'oh,':.zthin vs �S '•� �'r r (] p -..
_- Y- , B n i --- ��(j3(��3-I �, .1 14. �cnc�ad HYdro�. _ �I_ ,
� �
L- 't S N �/' .� � r-�� + -�'^ -' 1 -i j ' i `
iE a F � C� I�r� iS r�r4�'� � 8'�`�'�oat �, � �, �,} ���75.j$SY Cherr�. � i c. . I
� '�1
�- . :,T --�'.`-" t- �t t -1-L; �70--E}c-�_v� -_ --__ _- ,
7_�rT.. � WJ Washfr,: �=:.� �. c• �, w* »� 75 Dry Starc;�,F? �-y • �
_n__� .-�-�-t -.m:�m ._ �_- -�.�3,`"= o I
I'""7h. L;th�n �-� 5����n �€'�. r .:.C:� x =. F. . ••• t C �.�, `7'' R ;r
c.� �n .c 9��r -���. G , 4.. 77.-7FIXEDS;.�E"�i;l'�J�ALs�-. .. �
: jr-- -----, +-v-~x^: -r-�-..-..-�• , ,., - f� . - -_�-_.. �� qy__, _�
. Ir•.�i9l�ctt . �Y c .. ' ft ` P 7 ' > _. N i
I-- 1��� � 78•`-FIRE REV. Fl�rt'
i:---- " -; � I z:: :; �--'-
jT3, D�ir.,: �.a��f;ng c;�'.-. ., f F �i �� S U�LTIiTO�_PT;R�QUIIiQ.tE'dT . ,�
i� . _ _T _� _ ' __C• --F� .-�f�-�..r 3`I +A-+'� - i
031. P�_�tu �'o,:F,Co2�" =. 'n.� • , � ; ?73. FINAL IP..,k'¢CTI�:': • �
lcu.-- - -^'�--�n"- --�" . � ^, � - _ �=� -'-- - -��-= '- i- '
�j3�:� �crtr�� Pop:er ��.^,.e�"F{�al � ,K �i � ( ,t � �'80.-'�=00D CERTIFIFj4�"t IS�'SI�D,y _ I---- - '-- ,
- .� -'� �-:�s-';--'�'--I_-*� 'TS__' ��: -7- - �-.. E'-- .. -R-� _--- - �
33r1-�r4rt ElectnG �a ��� i 4 + I � . � Nosos: ^ '[* �'7 O .Ln; �
I�y.�_ .. �,. . v'�i i': t_1t_-. ... _T_� I � .F+ ��_77�i-'' ti.S �__ _�
�Oi / E� �� 1��- c (� X I i v ct: S C1:•^. f � C..' C
�Q3a�]=i�,�.�iHxt�.nJ�l�„y#Cpir�t"i�:tio.ii.:3- �7 A'^ � �;1; � I �c' c '
�-�__'-�-�; ;��--_a_ _ - 1- '. --c3-----t�-^=4---�--:� _ _ -�
� i35r�'���' G��P�p�-T�il � rT .. > I p , � ,.o ._ _ ,,� ,
t- R- T- t�� tii-��1�- , ^ , ' V _ 'LI .l _ . �T��__i� - �
��'36._Nn:?uo�.Car�PYt.,r_� �:^'7 ^� �c� II +E S :io . rrm
s ;l � xm _. , r ;7 . ,1 -;i7
�'� �T.�: � . i---�-`-�--�'� i_�� '-_!_ r--_-" .
,��...F�ti.:oryF�rW-i'acaX :c,F, � V I I t ♦ :: < v � �
�_ _--F�1 rr , . .:1` ! �2_: - _ � _ _---_ _ _ '
�L'. Fm%,4 PI-7nbi � :� rJ; � �; � a � � - r =C � 7-
F L �'v! C 1 L1 1 I N M�. H �-�'^ t '1
"� .} i G� . �K"! .�� -'7'!r�'g� -_'�.fr-_" '-
''39. 1V;�{e} Sg,.viC�;Fin81� :<'. �x G; I .� � >� �» � �'
��.-- --... _ .. -. � 'r '7 .''.7.
T � , t;; c.lr?. ,;, .. :^ ' x Js, m'� f
< <i0. Gas Sarose�R+ialN; - �;; , � ' 4�-r -. . ��_ s -
�i___ _-_ri � .. '1�iJ i-�+ � i�1'_
I�iiuuJ ci� < � Y v T 7�U '+� �
. 501..' "iBS�iC-FljiFi� � T
._ ._(�.i--i.y.rT..�v . .1 i c _ __
^S2 2 .c.'�oCti Prev2niZ'r"i i: .k � � + :L' : : . r -; '
�F;'i ') ' . � :I !-� . .t � ?? �S+ f :^
�3: # ' � . l r 1 -�.,,�:_F.��_�T
�23. Bi1L:.fI01'/ Irrrc�ati2w♦ >, r�: t� N F •
r�*-- --`_�='=� 1 � :. » � �'. -
Ii't14. Ldndsca)?e �Frigatfol SYsterti^ ��7•� a: b.�i CJ C� C�'�� �f �: W -' -- •C�'� �a �; c�
�T'�__u-_ .. a �__�T :tl '• `� `._=..'_� '� E 2: O Q.., s � _
iT : ti-� T ; 1_ ��• i'�T={!-M�'^��r.'Q-T-�-
�75.�ound Q,tte,rr�,�ati0n � -y . ; � ;ti x xIr • c� a ¢ �-. � �r
I-' -F-fl�-r--=•=�Y x:,_ �.+.�..`�- _ _ ' --
��3�.�•Ha�d�rrRegu;ac�oca •� t� X �; 'r. •r :' a
� _.I.Q ..-,.� _,�:-_-
r� M17.-`fll�,L S7Ri�1;TV�E & BUILDING y ����� �. K
��,,.._a.^,�._-:>s. ��/�!I :/ r. :�.., .;. , i';
�2�FItVA,L?LANNING� � `•'"`' '
- � i t
:49 etec}iic.'�eleaseto �tlison � r
�--
' 60 53as31el@ase to Southem Cali"�omia Gas Co �`
_ t I c -: 7
151. CE6iTiFICATEOF'+JCCUPA�ICY {
Date I J I
r � x,
- s �
-��
.�
� ' � •
: � a `d �
vRo�EcraoonEss: 600 LAKEVIEW LN
OWNEfl'SNAME: PAUL W. DAVIDSON
nooREss: 600 LAKEVIEW LN
COSTA MESA
CA 92626
AflCHIENGINEEP: � 714 � 556—�858
aooaess:
NEG.NO.:
uxiT: CZTY OF COSTA MESA — BUZLDING PERMIT PEAM NO: B 06396
PERMIT NO; B 063969 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
uNir: JOB DESCRIPTZON : INSTALL TWO 2'0" X 4'0" SKYLIGHTS SQ FT: 500
PEFMITTEE: PAUL W. DAVIDSON ( 714 ) 556-0858
aooxess: 600 LAKEVIEW LN
COSTA MESA CA 92f�26
LICENSEO CONTPACTOB OECLAHRTION: I �ere�y allirm Itut I am Iicen5e0 untler pmvisions o� ha0�er 9(commencing with Sec�ion
7000� ol �rvision 3 ol Ihe Business antl Pwfessions Code. anE my license is in lull lorce and e�t¢ct.
CITY LIC.: STATE LIC.: CLASS:
Date: SignaWre'.
WOBREHS' COMPENSPiION OECIANATION: I hereCy alfirm t�al I have a cetlilicale ol consent �o selbinsure or a certifica�e al WOBers'
Compensalion Insurance. or a cetlitieA coDY �hereol (Section 3800. La�. C�.
70LICY NO.: EXP. ORTE:
� C�MPANY:
� Certihetl copy is hereGy lumishetl. ❑ Certilied coDY is liled vnth the city BuildinA Division.
Date: Applitam:
E%EMVfION FHOM WOPKEHS' fAMPENSATION OECIAflA➢ON: (Th¢ 5ecipn neeE rrot be completed il the permt is �w one huMreC (5700) or less�.
I cetli�y tha� in ihe petlormance of ihe work lar whic� Ihis Oe uetl. I all no� em0loy any person in any manner so as Io Oewme
su�jed Io the Wor ¢' Compensaiion Laws oi Calibmia. / //�
i ,.,�J
Oaie'. f ' � SignaWre' /I_w__L� //a
NOTILE: Ii, ali making ihis 4eclaralion. you s�o� become SUGjeci Io IAe Wo er�¢nsation pmvisions ol Ihe Labor
Code. yau must lort�vnth compry wilh suc� provisions or �Ns permii 5Aa11 Oe tleeme0 revokeE.
CONSTHUCTION IENDMG AGENCY: I �ereby a��irm Ihai Ihere is a constmction lenaing agency for ��e petlormance of the wark for
w�ic� ��is permit is i55ueU (Seclion 3097. Civ. C�.
LENOEN:
ROOPESS:
CLAIM VALUE: 500.00 CALC—VALOE: 500,00 GROUP OCC; R-1 /
COMMENTS: NO RAFTERS TO BE CUT / RE: ICBO# 4138
�r**r�r�r*k**�e�rx*�r*�r+r�+rr***w****�ew*�r�r�r�rr*�rxw***+r+r+rw*r�rr*�rr+r*r+e�e*�*�r***r*�x�r*****
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDLNG ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE • PROV: PARCEL: 93405023 ZNE; REF NO:
PLANNING N 'PES>
i
fFMifltikMiFiFlFlE%kMiFMMkNif MMMffikMlFlFMk1E1E1kMlE1f1k1flkifMifMMfllf iFMMItiFlFkiflflflflf fElfffffklFMiFlF1EM�Fff Mif IE1f�fMlFiflf
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 E M E N T S
ZONING APPROVED BY
BUILDZNG APPROVED BY :
n
ififMMMififMlFMMftiFlfltifitffifMifiFMMMiflfifMMMMKMMiFfFMlFifilMiFMifK#ifiEiF
LEGALIZATION:N F E E S U M M A R Y
OWNEB BUILOFR �ELUNATION: I h¢reby aflirm fhat I am eKempi lmm t�e fqniratror5' Slate License Law lor Ihe lollowng reason BLDG PMT PLUMB ING ELECTRIC MECHANIC
(seciion 70.37.5 6usineu ana Pmlessional Code: Any ci�y ol county wnich repuires a oermn to consimct, alter, imDrove. tlemolisn, or p ERM I T i$. � 0
repair any simcture, prior lo ils issuance. also requires Ihe aOPlicant for suc� permit to lile a signed s�atemenl t�at halshe is licensed
pursuant lo �he pmvivans ol t�e ConUaclors' $late License Law �Chapier 9(cammencing vn�� SecliOn 70W) o� Division 3 0� Ihe Business
ana Pmiessions Cotle) or Ihal he/she i5 exempt �herefmm an0 ihe basis �or �he a�legeA eKemplion. Nny violalion o� Sec�ion 7031.5 by pLpA� .
any aDPlicam for a permii sublea�s t�e applicant to a civil penalry ol not more i�an five huntlretl Oollars (E500�. j SSUE FEE
_ DATE;
DATE:
DATE: �
iF'�F7FMKiEiFiFMM1FIFM Kif
IFMMMM1fkMiF1FMKMMMKMifiFiFMMMMiF
STRUCTURAL SEGMENT:Y
FIAE SMIP/RSS� GRADING
SMIP/NON—RES
. ,
�, as owner o� me v�oveny or my employees wil� wages as meir m�e compensation, will do Ne work, and �ne BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID - D�.IE
❑ stmcmre is not imenUeO or afferetl lor sale �Section 7oaa. eusiness ana Pmlessional Coae: 7ne Camracars' State License Law TOTALS ----> i 5. S � �. � 0 �. � 0 1$ .$ � 1$ . 5 Q ' . Q Q
tloe5 noi apDly lo an ownef al a D�Operly who Duiltls ar impmve5 ihefeon, an0 wh0 does SUCh work himSelllhersell or ��mugh ..
his or her own em0loyees. DmviUea ��at suc� impwvemems are noi intentle0 ar ollereG for sale. Ii, Aowever Ihe 6uiltling or '
\ improvement i5 SOIa wiWn one year oi complelion, t�e awner will have I�e 0ur0en al 0�ovinq he/ihe �id not 6uiltl ar impmve REVENUE D I V I S ION TOTAI�S --> COLL ECTED : 15 . 50 OV ER / SKORT • • ' . 0 �
ro�meo��ooseoisaie). HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK
I. as owner ol tM1e pmDerty, am e�clusively conVactinp wil� IicenSeG conirac�ors Io cans�mci Ihe pmjeci (Section 7044, Business 1 5. 0 � ,�j Q '� '.
I j� an� Pmlessions COEe: ihe Comractors' State License Law Gces not appN �o an ovmer of pmperly who 6uilds or impmves I�ereon �,';
andwM1oconlrac�5for5uchprolecl5wi��aconiractor�s�lic¢nseDursuan�totheConlractars'Sta�eLicenseLaw�.lamaware *******�*********�******���***********************��****�*********��*********�*
Iha� pmol al I�eir Worker'S Compensatron insurance 5�auld Ue pmvi0e0 lo me. �
� i am e.empt unae� secuon: e. s P. C. I N D I V I D U A L F E E B R E A K D O W N
mnms�easo ��/ ,„p��J�j�� TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
�a�e'. � � - OW° �"'/ SFR S00
I tlo here�y cer�ify Ih I am aware of antl untler5lanU Ihe repuiremenls ol Calilomia Healih antl Sa�eiy Code Seciions 25505. 25533. an0
2553a an� Iha1 I or any IWure OuilOing occupanl wiil/vnll not (tiale one) neea Ia comply vnih sai0 siate cotles antl the reQuiremenis �or a y�
Oermit lor conslmclian or mo0ilication Imm Ihe Air Oualiiy Management Di5Vic1. Pesidential consirudion ap0lication5 are exempt Irom D
Ihese pmvisions. .
Oa�e: ApW�cani:
I hereby ceriily ��ai I �ave �eaC Ihis application antl state Ihal ��e above in�ormabon is wrrect I agree to camply vnih all ciiy anA coun�y
ordinance5antlstalelaw5relalingtobuAQingcon5imclionan�h t�or¢erepresenla�ive5o�ihi5 �oen uponl�eabove-men�ionetl
prop¢riy brin5p¢Ctio pmposes. /- /
Daie: / � SignaWre' �L�/�
Driver's License Saia� Searity >r
t64na6 WM1ile—Bvi�tling: Green—Code EnloaemenC Ganary—Appliwnq Pink—Revenue', Goltlenrod—Assessar
ALTER BY VALUE RESID�NTIAL NOZONE
END �OF FEES
EXPIRED
Irr,omPi�t� InsD�tinnc
�'..... � ���
l� .�...�"�"'°-�i —
�
4
1.00 500.00
ni D014b47,2-0014h433 T��T 1;.;0
DATE: Q9/?�/93 ?I7E: ?5:47
I
I CONSTRUC710N ARD PLANNIiVG
AP?ROVALS Permit;r Date Inspector
�.
1. Temporary Electrical 5-rrvicz or Po�e
�_
2 Sa�� P�oe Urd�omd. � � �
.�a'�.y�_tiy�l Condy.?�l1Vb!y.Undrgrr:7.
�'"�--Y=•-^c.__�.` r _ _
:a4. EI«Go7•e;l Contlu,:�J2�1�grrd.
^.��x� .it1A -`-----''7�- -
� �-;G,i-f:rtrt•:.zi UFEF'6t�1
�---�m.-�_- y.�--- - -
Ilv�h=suo_:iP�s �=[
s!U`� 7i
�,jour,tl,�ton G.
I'7- ;---5'�-
=9. 4'�ater p�pe�Undrg�d.
r10. S;iuctura� Fioor Systcr
7 L Fope^ty Serier �inuY3� Hous� Cannecnon
` - �r
! 'Z. S.�.r C�P �,
c�
r � q ��.� � ❑r�re :+
_ ,�
� 14. Ho.�n:� Pl��mm��; 1'
I 1j ip,;ah E'cCtf�GLCDr.C�t
!-- -- - ---r"----
i 1S. Ro��h Elec�r:�,tsiri��p
�r
� V. Fo�gh lV�ring �n
'$. ��ou�h Electrita�T Bar G�I�.rg
19 Rough Hearing & slir Co�ditroning
---.+-i^r-.+-r-.;. •-;+-*7
7_C.Rt a.C:l�; '.iCG�"' PiuT�laC¢ .:.[(:�
',� _C �t a. _� *_ __ }-
Li.yyTl'�� . '-^�$ift�£TU,ij;: � �...
�l.L. Uul::a,l�ntiC2Clnq��
_�-(1 _(! � :%:_.
Z3. ;!:o;`tiP�pq�io�,:.�'n &"1�:51
�- :�i-
24 a°o�' Frl:n.^3'
25. Ho�S%.Shs^Ihing
� - � _C_'-_
� 2�.•❑ �afl: �'..m�. Iscr
r27.' ,�Tea^; f:a:hi
��`
hF�a&.i���k'i���a s:;,i:�
�k.-i_ -� --.2
.�9. �Iljl1�4�.�. �,
�, - -r
c�o. o,.•�.d�i n�aa�,,
--�-
.�1. Pi85ier [��Yi;.�C:O
l� ti
�-3i. r'e rtn cu, Poq=r
�
J
PO & SPA � I
APPROVALS Permit i� Date I Inspector
52. Pool & Equipment Location �
53. Steel Re�nforcement � �
� I
54. Forms � I �
55. Efectrical8ond�ng -��
56. Rauah Plumbing L4 P�essure Tcst �� �
r�
57. APPROVAL TO COVCN�GU�Vi7F � CO
�I
�.__-_�_ _ -- �-,
' 58. Eleciricui Corduk�Urtlr rnd. `-�
A � __ `-=�
59. Gds RR�, 17 Undrqrnd., Tcst I °G �
-j
i
�. 60. BackwashLines,RTrap,"Undrgmd � � �
� 61. APPROVAL TO DEC�C I �--
-I- �
� 62. BaCavash h Recepro��F�n.�l � i ��
B3. Heatcr & Vent-Final
64. Plumh�ng System � F�n�l
65. Eloctrical�Final
66. Sa�ar System�F�nai
67. Fencing & Aceess Anproval
68. APPROVED FOR PLASTEHING
69. POOLlSPASYSTEi.iSF�NAL
FIRE DEPT. REQUIREUiENT I "
^9 �.^ C*'l-�F �-. 'y F N
I '
�_ -_ �
- �-'
-\.> s� r� J I4 • cy • �•�Ic� � � �
•�rS s S O�sa�'ti0. llndergrcup�"ti�y,$:�o + � I
__. �+-.'J ��-� : ' -�iE�-��-- --�
��� s I• .y� 'r �7. PrDd�Ct�:,�ih9 rnl�i L:�il � �
� ' "� Tt;l t='�.�4___�..r_1_ + i _�._-�
�-'r i H - i l C'1� t �'.:
b]' �Y :� ^ � �: :7>. YI:�Z. Undergr'o�rttqFlii=1�C:�-+ � H �V I i
'Ci . f1;'�'r'__"t'+._rlT7-r-rv-;>-Ry--a_-'�,_ J -J- .
. f � C1 � C A'iIS�3.�',jJndcrgmcC�Stora^..+�a•,k ?' Gas _� 6? � J
•r w �. I C^ r.} a.: �_.:t= V 1--_1_ '
�t .c n
.7 i �1 'C,. .Uc . ..�hU �- I . .
v , n ; %4.;�uerhead HVdm,7 :r. � �
�-��T'� �,�+�---�.-___-.'_�__ _- .feN__-•
, + � S I !'7;: i 75.a1)iy Chemical '7 % �� C� `S i .,,
r �-'tl_. ��: t ___i7'�L�.7' _i ^ _7' _ '
^ 1�-- 1 � < ; � - n-� •�� : � n r� � -- -R -
s ,� aJs < 7s.`biy std"c.�"Fce !-r_i � ;:, q
-?+---� -1--•--e;�F'-�-t:--�v�-�r,- �- --s-�-- -f---'
-• �* i; •. �•. ..t 77.c�FIXED S!r'S','E�!'Sniq�* i �n - I i
jn r� �_! �� -.<� .ii��a tl 7�__".,�.�._: �i-_i
.. �„� �:: a 78.�IRE PREV. PIf�Ftk� : �, a, � ',�, ' �
I `�s- -�-�---f , ti -v�--�=-�---_ _� -- ;
� JI I . r -y ;Ji:ALTH;t?EPTaR-fsQF:1Re�1'�E �_
:?-� __1.i.�L- �'1" __!_ _� _ _ , l�c__ - 1
;� I� ji ,�j �79.'Y-1NAL If�P�E"CTI(��J t O c � �- - - v I e
t - __ _-'Y.�-_ � _ .�.�' E� _ - -_i �_ _" _
a ra �jI x.^s0.,�00D CENTIF IC11',�E ISSUC �.J ' . ,
_ �} _-:J-___X�T-a._�..1 _-_ -`T___-.
iJ Y i+7 � I ' ` .t '}1�0i#. tl' 'J E � C�7 ' .
!� F .t. i' �7i s -] :� '17i�] �
^ -t t �--mr,---�-----��--- --- -�-- -�
^ �� i j* k _ 5 n..: a :� .70
Ce'� �s _'�'�' ' __A_ e-i�-L-__- _!.'_ _ _ __ - _-
-7 a� � ,: r: r: ms �. x 30 -1
r
-,r•-r ---- ,r-
hcFv-..�� 3i3]�er
_-T.--_ t�_.'�"
r �:i
ii) a 7'.0 z:
__�--A'?';1.
f-�Y.tr1 ^7-.,.:
yY �'h•L'
• U �• .. ..
cu � _•
- r•�vT : _
F
- _,�r.-�-
a :- �
4� t � • 'r' [n
:k -_T.�'c'
�i.LR'C�ina� 1
C:+1-•'•--�
'�x . � 1
i35.� �n5'G�tPiFk"�Te�-_r ��
- T��1 v- .-�
�c3G. Hood or�anopy �y _
y7.`,�?in��F�ory Fir�Umdci _
-is �.
,.$8. F�nziiPl��ibiny F,± �n
�r�y :�T
�:n9. �Vat?i Su?vice-final-'�
x �.i + i
:''0. Gas Sery;;e-F�nal ; �;
.t,
i51. Saiar pomesN2-Pin�d S
`"a2.�,ackflow Prev2nter� �'
_---t;�-s�i-
43. °ackflo��� IrrFgation�
i35 ��ound
• H ! J " O H F -� r•
-r 1 ���-.-.iT---?� T-_�"FTT__ -____ -
I'.. J a. >:l I�� t� � " !lU : r=[n �
i..cr'�3 . t ?L S'�'-, -- �t�i_.-�.nl- ------ -- �
i _�,(Ii 6 ! T I :f •�. �' • �.1
i r -• p ♦ � q „' + �➢ '
.. .. . i i �1 .j --c; _-T,-� --__--_ _ _'1
' a � t[ S r--� t CS .�1 i
t--� �. ' " _. ,� _-
w .i i 'F`. + �l ..i^� •. pt U �
x+�. r.i a S �
• '.f � � f - `. i�'�i-•-Y-�_�__._
� tr rt+ : s m I 1 j� fi O ru ;L.� N � �
i!-•i-^ i-}�s� ��---''�-'�-------
.. y: � {rx 7,n� :1
.� � � ti . �n .. V T .
== I
♦
c� - n � < c�
`+,�"...�--',v} .' .c
�-,'C�� ,. :t'�' H
..��'_.v��wv�l:.��oyv�a�.�.�a �� -
47.�If�: LSTR'�CTUFAE & BU!�DING
.:� � , ,
� •n •r
46._�IPI;jLPLAIVNING; �r,F
�9.xlecfl�c Re�ease to Fdis�n �
3�_._ .. n . �< �
wi0. fas.�ele_a'se to Sout�ern Cal�s'prAja,Gas
Date
4
� �
� �
s
s �Z:
q
� '
s ;
,
_ :. -�-
t s
. x �.',
n ; r
'7r x _c v V
s.-� � r�-
F � sp 1 �-s «-i
[^'! 'r 2-� ^' C'
.. .� � -:
�,o: a' •5
��--tz'+L��•
'r �voi�
:r�-� ___y
.' "r • �+� O r-+ ' I
�.
�C",F•p .! `J ' � --~
i i � • __�
._ ���__� ' __
:q : �V _
-ra_!y. ;. {� ,-F'- __ __ __ _. _ _ _ _ -I
.. - �
4,• �v .�
r+'�-F4__.� _ -_`_ __ _____ ' _ __ _1
:"X RI-R3E Di --` -- ---- - ---a
lplotB Irespections �.,
7�_a��:=��� ------
---... ---�� �� i�
� O
c.�' i1--�3
�"' O �'1 ' .
�-��a �a; �.
,r,o ,. r . .'�
AP No. 141-061 LOT
INSPECTIONS
SOIL
Gn5
WPTER .t/�q�_ •J S /.Z9�
ROUGH PLUMBING L
PROP. SwR. IINE � NOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
flOUGH HEATING AND llp CONDITIONING
TEMPORART SERVICE OR POLE
UNOERGROUN� � POwER �
ROUGH WIHING
TRENCHES � FORMS � STEEL RE
FLOOR SVSTEM
BONO BEAM ST�EL NEINFORCE
SHEATHING
FRFME ANO FLqSHI G
LRTHING — IN OU Y'
PLASTER, BROWN COAT �
STRUCTURAI, FINAL
HEFTING, VENT., REFRIG. AND F.C., FI
PLUMBING, FINRL ANO GA$ TEST I—I
SUBCONTRACTOR
,g�i��'a`6 .
• . 38
� COS7A MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
ForApplicantfoFilli3C�fnp�tely �
��' '
�N . . . � �i ' • n ii. `
Z .
ww
d U
Z
ZQ
� N
am
J �
J V1
Q W
¢1 J
•m
J Q
U �
Z a
w¢
aw
W Z
J �
m Z
J �
W w
� _
z F-
.wo
y K
70
F
Z
Q
U
J
a
a
Q
�
H
N
Z
O
F-
U
�
�
�"'
h
z
OWNER
MAIL
ADDRES.
arr L
WNSTFU
IENDER
BRANCH
ADDRES'.
ARCHITf
740 N. La Brea
TEL.
NO.
TE
nooAess113 N. San Vicente, Beverly
CONTRqCTOR George J. Heltzer
ADDRESS 740 N. La Brea Avenue
TEL.
cirv Los AnQeles. CA 90038 "�• 937-
uc No. 3144 LICyNO.
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT �
USE OF
EXISTING BLDG.
SIZE OF NO. OF
NEW BL FOOMS STORIE:
EXTERIOR WALLP1aSteL ROOF
COVERING COVERING WOOd
USE OF BUILDING AND WORK TO BE PERFORMED
PA1L
';"4 i e-7�:�„—<.00 52 ��� *•�* 10i.49
APPLICATION FOR BUILDING PERMIT
A.P. NO.
AP�qOVEO
�
DATE
E NO.OF^ USE OF NEW 7�G.ON
� 3—C PLANS /� BUILOING � �
YARDSAPPROVED YARDSAPPROVED
MAIN BUILOING ACCESSORY BUILOII
�
DI5TANCE BEf.
MAIN B�DCS.
VAR. qp
C.V.P.qW �� �
P.PPROVED
I hereby acknowletlBe that I hnve reatl thic application entl state
that che obove information is correct antl agree to comply with
all laws regulaHnB builtling consnuccion, en0 I shall not amploy
any parson in vloletion of the warkmon's compansallon lews ot
che Stata ot Calilornie. �
i he�eby certlfy that I am propa�ly licensed as a cOnitetta� untler
� d SQ. FT.
tha Ste[¢ of California Business antl Professions Coda, Dlvision 3, THE AMOUNT 51
Chapter 9, antl that such licenses ere in full force antl effoct, or I THE PURP06E OF
am exernpt from Ma provisions of the Stata of California Buslnasa VA�UATION
antl ProFessions Cotle, i Ision 3, Chap2er 9.
SiBnet�re of � / � // ///��� �
Parmittpe � 1 5 v •/I /��%� '�
�7 /� �A (±, k
Authoriiatl AB¢^t i
BET. MAIN &
ACCESS.BLD
DATE �
APPROVED 1
VNDER VALU
LISHING A PERI
-�3
r m
0
IS FOR �
ONLV:
O
LL
�