HomeMy WebLinkAbout604 LAKEVIEW LN - Building Permits�'C
PHOJECT ADOflE$S: 6 O 4 LAK EVI EW LN
OWNEN'SNPME: LINDA SCHWART2
aooness: 19922 SUMMER BREE2E
HUNTINGTON BEACH
CA 92648
719 536-2945
AHCHIENCINEEfl:
flEG.NO.:
UNIT:
AOOPESS: UNIT:
PEPMITTEE: LOVERDE PLUMBING INC. ( 714 ) 536-1449
aooness: 222 ADAMS ST
HUNTINGTON BEACH CA 92648
LICENSEO CONTPACTOB �ECLl�HATION: I hereby aflirm I�ai I am licensetl untler pmvisions oi Chap�er 9 �commencing wit� Seciion
7000� of Oivision 9 ol t�e Business anE Pmiessions COUe, ana my liren5e is in full brce anG eftecl.
cirvuc.:038.1r49 STATELIC.:47S2%O cuss: C-3
Da�e: � ^�-�4� � Signamre: _�� _ _
WOXKENS' COMPENSATION DECLANpTION: I hereby ailirm I�ai I have a certilicate ol conseni Io sell-insure or a certilica�e ot Workers'
Compensalion Ipsy�ay�g � 3 crpiWd coDY ��ereol (Seclion 3800. �a0. fJ `� 2 3/ 91
roucr No_ TRANSAMER I CA E%P. OPTE: �
�OMenNed copY is hereby furnished. ❑ Cenilied tapy is filed with �ih/e city Build/ing Oivision
Oale: � � 4-/ Applicant: �—`� — �� Iu �-
E%EMPTION FflOM WOFKEflS' COMVENSATION OECIABRTION: (ihis section �¢tl nat be mmplMed it the perrml is lar ane hundred (5100) or �ess).
I certify �hal in Ihe Dedormance oi ihe vrork for w�ich I�is Oermit ls issued. 1 s�all nol employ any person in any manner so as to �ecame
su�let� lo Ihe Workers' Compensation Laws of Califomia. '
Oale'. Signaiure:
NOTILE: II, a�ler making ��is declara�ion, you shoNJ hecome subjea to the Workers' Compensa�ion pmvisions ot Ne Labor
CoOe. you musl lort�wilh comply wiN such pmvisions or Iks permii shall 6e deemetl revokeE.
CONSTflULTION IENUING PCENCY: I hereby afli�m �hai Ihere is a constmction lending agency 1or Ihe pedormance of the wark lor
which Inis permitis issuea (Section 3097. Civ. C�.
LENUEH:
nooxess:
OWNEH BOILOEH OECLABATION: I here�y a�firm �ha� I am ¢xempl �mm the Conlractors' $late LieenSe Law lor lhe lollovnng reason
ISection 703L5 Business ane Prolessional Cotle: Fny cily oi caunty which requires a permit to wnslNct, alter, improve. tlemolish, or
repair any S�mcWre. pnor �o ns issuance, also reQuireS i�e apDlicani lor suc� permii lo �il¢ a 5igneA statemen� �ha� �elshe is licensed
pursuanl to ihe D�ovisions ol lhe Coniratlors' Slate License law (Chapter 9lcommencing vnt� Senion 70W) ol Division 3 of Ihe Business
antl Pmlession5 Code) or I�al �e/she is exempl t�er¢Imm and lh¢ Dasis fOr �he alleped exemption. Any violation al SEciion 7031.5 by
any applicant for a permit sublecls ihe applicanl lo a civil Denally ot not more tAan live huntlretl Uollars (55110�.
I, as owner ol ihe pmpeny or my emDloyees wit� wages as Iheir 501e campensalion, will do ihe work, antl Ihe
❑ simcture is not imenaed or oilerea for sale (Seclion 70aa, Business anA Pmlessional COUe: The Coniractors' State License Law
does nol apPty ta an owner ol a p�operiy who UuilUs or impmves l�ereon, anE w�0 aoes suc� work himsell/herself or through
�is oi �er own emDloyees, provitled ihat suc� impmvemenis are nol intentletl or oflere0 lor sale. II, �owever I�e builtling or
� imprOvemen� i5 Sa10 wil�in One y¢ar 0� COm0leiion. IAe awner will hav¢ Ihe DurOen 01 pmvinA �Q�SAe Did na� builtl ar impmue
lor I�e purpose ol sale).
I, as awnei ol the pmp¢hy. am ercWsively wnlraciing wii� IitenseA coNracmrs to constmd �he pmject (Sec�ion 70a4, Business
❑ antl Pmlessions Cotle: T�e Contractors' S�ate License Law Ooes nol apply lo an owner ol propetly who Cwlas ar impmves �hereon
antl wha conVacls lor such pwlec�s wi�� a Conlracior�s) license pursuanl Io Ihe Coniractors' Sta�e License Law�. I am aware
inal pmol ol ineir Worker's Comoensalion insurance sllould be pmvitlea lo me.
� I am ex¢mp� untler $et�ion: 8. 8 P. C.
�Of IhIS 12d50R
Da�e: Qwner
I tlo hereby cetlily Ihal I am aware ol ana untlerstand ine repuiremenls ol Califomia Healin antl Salery Code Sections 25505, 25533, ane
2553a antl Ihai I or any IUWre buil0ing occuDant wilVwill nol (circl¢ one) n¢etl to com0ly with saitl s�ate cotles ana �ne requiremenis lor a
Vermii lor con9mclion or modilica�ion Imm Ihe Nu Oualily Managemeni OistricL Fesftlential conslmction applications are exempt �mm
Ihese pmvisions.
�ale: Applicant:
I �ere0y cetltlyl�ai I�ave reaathis applicalion and slate thal��e aGOveinlormation is correcL I agreeto comply with all city and county
ordinances and stateiawsrelalinglo builtling constmction arb �e�e�yautlwnzereD�esentaWes ofihis tityto enter uponihe above-menlione0
pioper�Y �brinspjectio�n purposes //
�ate: � l � SignaWre: /�� � �/��L�
ori�ers �icense o� Socia� Seari�y a:
164L46 White—Boiltling: Green—CaEe EnlorcemenC Canary—ApplicanL Pmk—Revenue; Goltlenroa—Nssessor
CITY OF COSTA MESA — BUILDING PERMIT ,
PERMIT NO; P 049956 PLAN CHECK NO: N , ,
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : WATER HEATER CHANGE OUT SQ FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC; R-3 /
COMMENTS: P.EPLACE WATER AEATER
+�*x �**� ��x*x*x�*+��x�*x���r***�*x�**x*�****��c��*�*���*�a�x��*****��e*�r�c��*r*�*�x�x*+��+�
Z O N I N G R E Q U I R E M E N T S
sETaAcxs
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDZNG ---------
FRNT; F'T IN REAR; FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT: FT ZN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: Q0000000 ZNE: REF NO:
PLANNING NZ7TES> ' --'
i
�*�***�*�+���*x**�*,�*�***�***�***�*,«��**��*****�**���,�***,���***���**�**�c����*�*�
D E V E L O P M E N T 5 E R V I C E S�' R E Q U Z R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY :
APPLICATION ISSUED HY;
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LEGALS7.P.TION:N F E E
HLDG PMT PLUMBING ELECTRIC
PERMIT 2�5Y
�
PLAN '
ISSUE FEE 3 00
DATE;
DATE: ����
�EiFifiF�Y3F1FIfaF aFiF
if� iE if IF if iE iF it 3E iP if If iFi(� �7F if �E �E ik%iF iF iF if iE If i� if if iE iF iF 3F ip iE if iF iE
M M A R Y STRUCTURAL SEGMENT:N
MECHANIC' FIRE SMIP/RES GRADING
SMIP/NON—RES
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK. TOTAL PAID � DUE
TOTALS----> 2.00 3,00 0.00 5.00 S,OU .00
REVENUE DIVISION TOTALS--> COLLECTED; 5,00 OVER/SHORT: .00
BLDG PMT PLUMBZNG ELECTRZC MECHANIC FIRE SMIP/TOT GAADING PLAN—CHECK
5.00 �
if iFiE if iE iF 1E iE ik iFif 7F if if k if 1E af 1E M iF !E � iF iE 7E if 1f if iF k iF if iE i! it !F 1f 1f �f )t if # ff if k�f iE iE 1f �FiE 1E 3F if if ih fF ik if if%1f aE ik'�b ik if IF if if iE ik IE V. x��1F iE iE
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
PLU 1 WATER HEATER AND/OR VENT 2.00 2,00
END OF FEES
;
010�075bE3—U��756E8 3"�5Y S.Qt1
DATE� :2.�po/9D 7IISE: 11�35
�t. �,.
CONSTRUCTION AND PLANNING - POu��� SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcemen[
3..E�ectrical CqnduitSUtility-Undrgrnd. _ 54. Forms
4� Electrical Conduit-Undrgmd. • 55. Electrical Bonding
' 5.'Steel Reinforcement ,. 56. Rough Plumbing & Pressure Test '
��6. Electrical UFER �Gmd. . 57. APPROVAL TO COVER�GUNITE
7.`Footings . - ` • 58. Electrical Conduit�Undrgmd.
-„ :
8. F,6undation 59. Gas Pipe, O Undrgrnd., Test
9.' Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer L�ne & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap . , 63. Heater & Vent•Final
13. Roof Drains ' 64. Plumbing SYstem � Final
14. Rough Plumbing 65. Electrical�Final
15. Rough Electrical-Conduit � 66. Solar SYstem-Final
16. Rough Electric.Wiring 67. Fencing & Access Approval
17. flough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electriwl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating &%air Conditioning FIRE DEPT. REQUIREMENT
20. Rouyh F.actory Fireplace � - - APPROVACS � Permit # �
,., - ,
21. Ducis, in Str�ucture. �.. �. - � 70. Underground Hydro
22. Ducts, Ventilating - � 71. ProducPPiping OGas ❑Oil
23.. Gas Pipe�Rough & Test � . 72, Underg�ound Flush -
24. Roof Framing • • ' 73. Undergrnd. Smrage Tank �Q Gas ❑ Oil
25. Roof Sheathing � � � � . 74, Overhead Hydro-
26. T-Bar Ceiling (St�uct�ral) & Monocoat ' 75. Dry Chemical � - '
27. Frame and Flashing ' 1 ,, 76. Dry Standpipe � -
28. Lathing & Siding• �•� � ' • 77. FIXED SY�STEM FINAL'
29. Insulation .. � l 78.-,FIRE PREV. FINAL � . -
��30. DrywalbNailing? � HEALTH'DEPT.REQUIREMENT
- 31. Plaster Brown Coat - � .�� . 79t FINAL' INSPECTION ,
32.� Electrical Power Meter-Final � f,�n � 80.� FOOD CERTIFICATE ISSUED '
�" (Z 7 90 L�-C,a.eo- lYv o��om� L E��D
33,: Final Eleciric � � ��� ' Notes:
�34: Final Heating & Air Conditioning. � i�a � . _ � � �
35: Final Gas Pipe-Test � � \_, . ' � � � '
,��36� Hood or Canopy � ` i � , �
37.�Final Factory Fi�ePlace . - - '' ' �
..i
- 38. Final Plumbing • � � ( [,�f.• • ... -
39. Water Service-Final� ' ' '
S
; 40. Gas Service-Final . ., . - , ' �
-'41. Solar pomestiaFinal_ � -_ ' '
42: Backflow Preventer � , . � � _
43. Backflow Irrigation _i - � -
. 44. Landscape Irrigation Sysrem ; - , a � . • ' ' �
�'45.. Sound Attenuation � �- . ' �
46., Handlcap Regu{ations � � � � � �
�
� 47, FINAL STRUCTURE & BUILDING ' •
48. FINAL PLANNING /'�� � •
49. Electric Release to Edison ��� ' ' '
. 50.�Gas Release to Southem California Gas Co � j I`1�i ' - � .
51. CERTIFICATE OF.00CUPANCY , i �, � •
No. Date
r
f-•
,
t -,�6
, . � _ 3
� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFOFN7A 92626
i owNEa HELTZER ENT
MAIL
Z ADDRESS 740 N. La Brea Avenue
W W TEL,
a c� CITV Los An eles CA 90038 No. 937
Z Q OJNSTFUCf10N
o� LENDER United California Bank
am
J � BRANCM Main Branch
m J ADDRE55 fjOO S. S
J m ARCHITECT TEL
Q OR ENGINE a Fields & Silverman N 553-�
U N
W¢ nooaess 113 N. San Vicente Beverl 1
d W
J p CONTRACTOR Geor e J. Heltzer
mZ
�� ADDRE55 740 N. La Brea Avenue
W W TEL.
� z� ��T� Los An eles CA 90038 No. _
� STATE CITV
.' `N� uc.No. 3144 uc.No.
' 7 � SIZE NO.OF BLOGS.
OF l0T NOW ON LOT T
. i.
F��,:/� I '
� . ryn_f�--l%n 5��''' ....`. �%'i'!O
'
APPLICATION FOR BUILDING PERMIT
t�pyED BV qATE RE'IV DATE ISSUI
i
N '3-�y�- �
R
OWNER f`
USE�
FIRE
ZONE
APPROVED
�3—�IPLANS ` I eUILDING EW �GOK
+ G I
�ARDSAPPFOVED VAR�SAPPROVED
H 512E OF NO. OF
Z NEW BLDG. ROOMS STORIES Z L. SIDE S tFT. FT.
EMEFIOR WAL ROOF
V COVEFING `plaster COVERING wOOd REAq � FT. �� FT.
J USE OF BUILDING AND WOPK TO BE PEFiFORMEO DISTANCE BET. BEf. MAIN &
a Resid t181 MAIN BLDGS, ACCESS. BLDGi.
a r ^�
O �/l./ � �^� �[�L C URP.qk�E �� �� APPROVED ���'�J
F APPFDVED
N
Z
�
VI hareby acknowledge that I have reatl this application antl ztate
� �M1at the ebove informaiion is conect antl agree to comply witM1
� all laws reBulating building conscruetion, anG I shall not emD�oy
r any perwn in violafion of the workman'c compensafion laws of
y 2he State of Californla.
Z� hereby certity that 1 em proDerly IicenseC asa conttactor under �� SQ. FT,
the Statt of California Business antl Protessions Code, Divisicn 3, THE AMOUNT SF
Chapter 9, antl that such licanses ere In full force antl aftact, or I TME PVPPOSE OF
am ezempt from tAe provisions of t�a Stete of Callfornia Buslness VALVATION
ane Professions Cotle, � �'sion 3, ChaAter 9.
$ipnature of ��//j�� /� /^' �."
Permlttee � ��A�y%i/ �— $ �✓11 �c " J
Authorized Apent
e
n m
/+ �
0
VALUATION IS FOR
A PERMIT FEE ONLV: �
o`
LL
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