HomeMy WebLinkAbout622 LAKEVIEW LN - Building Permits�
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFOHNIA 92626
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APPLICATION FOR BUILDING PERMIT
RMtfViDlV DATEFECEIVFA nerciscw
BUILDING � ��4 �1 V1YW'�� �—
ADDRE55 I �
`r P.E
OWNEF HELTZER ENTERPRISES-BROOKVIEW A•P�NO. T � O�
MAIL BUILDING r •
ADDRESS 740 N. La Brea Ave. nooaess
W W TEL. 1 TRACT�2 LOT BLOCK
a Z arv Los An eles CA N�' — A P
. Z Q WNSiRUC710N
O N LENDER United California Bank
d m
� � BRANCH Main Branch '
J N OWNER
m J ADDRESS fjOO S. S T� A E
J m ARCHITECT TEL. 'g ,
Q OR ENGINEER F�21(IS & Silverman N 653-0160
V � FIRE
w2 ADDRESS I.�.3 N. S8R Vicente Beverl �i111S ZONE TVPE GROUP
a w APPROVED
J O CONTRACTOF George J. Heltzer BV DATE
m Z
w� ADDpESS 740 N. La Brea Avenue ZO NO.OF USE OF NEW 34pQJQ'!�
\ Z� TEL. p�p,� BUILDING V ��
cirv Los An eles CA 90038 No 937-2ll1 �- Z
0 STATE CITV �ARDSAPPROVED VAFDSAPPROVED
� Q uc. No. 3144 LIC. NO. MAIN BUILDING ACCESSORV BUILDING
�� SIZE NO.OFBLOGS. (FROMC/LSTREET)
OF LOT NOW ON LOT M FT FT.
USE OF (�
E%ISiING BLDG. O� �O FT.
I" SIZE OF NO.OF +
Z NEW BLDG. ROOMS STORIES 2 L SIDE �� FT ' FT. /
a E%TERIOF WA ROOF �j 1
V COVERING �18SY2L COVERING WOOd REAR C O FT.�! FT. �
J USE OF BUILDING AND WORK TO BE PERFOFiMED DISTANCE BET. BET. MAIN &
a Residential MAIN BLDGS. ACCESS. BLDGS.
Oa �J� DI'�_
3�� ��� C URP. yE pJ.i ���� APPROVED Q Hi —�
F APPROVED
� I horeby ecknowlatlBa IM1et I �ave roatl Mis application antl rtate STAT /
� thet Me ebo�e Informetion is correct and agree to comply with
� � ell lews reguletlnp builtlin8 consttucNon, antl I shell not employ
� any person in violetlon of M¢ workman's comp¢nsaUon lews of Ta'Y
y the Stata of Calitornia. /^ m
? I hereby certify that I em properly licansetl az a contractor untler �5�. FT. ��S "^� O
Mo Stam of Celifornla Business entl Profeuions CoOe, Divisicn 3, THE AMOUNT SMOWN UNDER VAIVATION IS FOR i
Chaptar 9, antl tha[ such licenses are in f�ll force antl eHact, or I THE PURGO6E OF ESTABL6HING A PERMR FEE ONLV:
am eaempt irom M Orovisions of t�e State of California Businasz VALUATION .�/�O �
antl Protessions Co Ivision 3, Chepter 9.
PERMR FEE $
Slpnature of / nn � m
Parmlttee $ U�` n il n� PLAN CHECK $ � E
Q (� v (� `o
Aut�orizad AOent _M ��� � u
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�ooxEssoFeuaarc: 622 LAKEVTEW LN
°""Eas"""E"aawr`VALERIE SKAGER
"0Dfl�622 LAKEVIEW LN
WPL. YNIRM ADDRESS
ARCNRECT OX ENf�NEER:
YiCN.OPFNG.'SADURESS:
UNT:
FLOOD: X 47
uc. rq.:
UNT:
coxm�crarsru�:NOCK PLUMBING (714)895-1246
caxrn�croxs �auac 1 1610 S EAHOARD C Z R
AD°"��STANTON CA �GNOe 707775
90680 ""T'
LICENSED COMNACTONS DECLAfl�AON: I Mreby �� �� pa��y d pxjury Net I em fcense� uMm prwieims ot Cheqm 9
(comme�M xnh Senion ]000)y� Drvoion 3 M iha &ni�rem uM Prdeaeons Code. vd mY Ibensa e in IWI bru enA NIM.
ilk't'�"o0503.8f�, uc�Sss:C_36 �`�D)77� EXP: Ot'/97
�WI1�N BUILOEN DECIAPATION: I hereby eifirm ur�r penely d perjury Ihat I em ssemq tmm Iha Coniraqon lirorea—Caw%riR4
�xinB ieaqon (Setlian )031.5 Buaiime eM Pmfeaqns Cade: R�ry ciy a oouMy whiN 2yuiree e pennn to mmWd. eNx. impwa.
nol'oh, a rapei eny sWciun, p'v ro ia awence, eyo �quirea the epplimnl la vuch parmu lo fib e sgrnE etalamani �hm he a sM
., liceraed W�%�1 to iM pari+iw d IM Lont�eaory �iue Lew IChepm 9(�menoip xi�h Smion )000) d Dviion 3 d �he
Burinev erd PrMmsbv Cadal a Ihel b n ahe u az9mq �haelmn eM �he bem I« the elke� uemqion. MY vidmion d SMion
]W 1.5 by atry eppliraN In e pmmil vubpde IM epplc4m �o a dvil pe�aly d tal mae �hen (ve hwdrad ddlen �5500�).
� I.esowiwrdthepoG?�Yai^YemNW�xihwpasav�Miaaboom0���.willtloMe�w�k.eMtheNnwYure'vml'nna�MeE
a ollered br sab (SacUon )010. BusiraeM Pmfeseiona Coda: Tha Comrmae licansa fawtlom not eCWY �oen ownard propery
wM buiCs a inpmvea tMreon. uM v.fw doee auch ��¢ery or henetl a Waqh he a her own empbyees. pwked thm such
improvemeNe era rot imeMeC a oHeraE Im eab. M, howavar, ihe buiNi�p w'vnpwemem ia cold xilhin om yav d mmplMion, Ne
ownxbuiNa will have IM buNen d pavirq ha p yhe did mt Wik a impmva la IM puryoee N eela).
� I, ee owmr W the pmperly. am eRdueivey mnvm�g �h liceneed conlrectwe to conn�ua Hre Orol� (Sedion ]016. 9usir�a eM
Proleaeione Cade: The Conlredan licenae Lew p� �q epp�y lo en owrier d qapeM � buitle w imqovea thereon end who
convecls M eudi WQ�a wnh e comreaor(s) licenaetl Punuent to ihe Conlredan Licerue Lew).
❑ i.m e.�w ��� s«i�: a. a v.c., i« m�. �:
Dme: Owner:
i eo n..aev �r u� i� ew�. a�e ��ea.�e me �n����u. a cd��e �nn �a s�.n coae see�,. uws. zssa�. d,e
2555a. aM thet I a e�ry iNure buikvq omrye�u will / v.�l M(dacb an) med ro canpF/ wYh seiE atete cadm ud tM �equiramenb /or
.mmnlmm�svuctionamoEifrationhaniMAi e�v vaoeniantqetrid.ReaiEeMWmnmiueuneoofutiomusecemqlromNeaa
Dele: ADWcaM:
WONKEN'S COMPENSATION DECL�RATION: I Mrayy ¢(fi� uMer pe�y d perjury ma d ihe lollowiip dadere�ona:
� IhevevMxilmeintenacerlilkmedmneenttoaeH�insurobrv.wkertcompenWion.a+povkedlorbySedun3]OOdiMLeEar
Coda, la tM peRormence d tM v.ark 1« x1ic� tlu� p�p 4 iaued.
.,p in.ro.�e�;��m�.,o�.noom�ma,mw�.m�a���aMs.a�aroodu»�n«coa..n.m.wn«�osam.
wpk /a whidi Mia pertnil o ieaued. MY wake�e' cpnpemmion iruureMe famer end pdiry number ue:
c�: Gt�T.T7FN RA(;T.F EXPIRES
_ Pd'ryNumb«: N� q71141n1 09/O1/97
�i�119 8M1p1 IlI['J /KK � COI11C�[!If/ / (�1! (1M1�1 l8 /S OII! �II/fl�/B4 ��l9 �i1W� CV /J88.i
❑ !y Nel in Ua pMomaMe d Ihe wwk tor whKh ihb permil ia l duA amploy erry penon m enY menner eo u la
nim �o �na �9o«mva� bw. a ce�aan� uw nwu exome euqea m m. .o�«s�
com nxlion omvi% d Sediorytfl00 M Ihe Lgpa �ode, I z IMh ' mmpry� proviaims.
�nlnp: Fslluis t�iseuro woMen'rompwuatlon awsrap� h unlew/v( �ntl Msll aubNct en xlp/oy�r ro eAMrul peru�
clW/ Ilnu �q ro wro huitlrW tMuuid Jo/Nn (Slqqpppl, M Mfltlon b tln cwt ol ronpenufbM1 Gimp� u pnNdW br In
S�ctlon 9)(I6 0/ Ms la6or Code, /ntxssf. �M attoTsy'� Iw.
CONSTRUCIION LFNOINO A�ENCY: I hneby etF� �Mx pereXy d perlNry �het �Mre b a om9rutlian bMiiq epency br Ne
peAqmeMe d IM v.wk f« xfiidi ihe peeml a uaued ($�p� �p91. Civ. C).
LENDER'S NI1ME:
LENDEN'3 AODPE55:
I ceNiN �het I heve reeE �hie epplimion enE qa�a ihet I!y ap� iniormetion ie careU. I epiae lo comply wnh ell dly ard mumy oNine�en
end etele lewe reletnp w builEnB �9���aion eM Mreyy e�nhw¢a repreeen�e�iren of Ihia cily �o enter upon ihe ebove-meMioned propeity
lorinspeclbn purposae
RON NOCK
Pn e
omel 7
Sigrwure d nU pf.•"
(5151<6.WP) Whna-BuiNip 8 Sdery: Grae�-Fle: Cerery-ADP��: Ank-Ro-renua: GONanm0.bseewr
CITY OF COSTA MESA — BUILDING PERMIT'
PERMIT NO: P 080911 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
IJOB DESCRIPTION : C/O DTSHWASHER
PERM NO: P 08091.1
GOVT: N SUPP: N
SQ FT:
PURPOSE: OTH
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
at+t******� � itit**it�t�tit�***+�+�at+F*******it*�tat***��r�� ���t���*� � *****���� ��t**it�**�*+�*���at*
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
------ ---- MAIN BUILDING ---------- --------- ACCES50RY BUILDING ----------
FRNT: FT IN REAR: FT IN FRNT: F'P IN REAR: FT TM1i
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKI EQ: PROV: PARCEL: 93405013 ZNE: REF NO:
PLANNING OTES>
%
ik if 1E iE 1E if 3E 3f fF iE iE iE 1E 1E iE iE iF IE �F 9E if 3E 3E if �E iElE iElE if if iE iE iE 1E IE iE iE 1E iE iE iE �)E iE iE �f iE fE iE iE 3E 1E if iE if iE if if 1E iE iE 3E fE iElf i(� if 1E 3E �E fE IE iE 1f fE 1E 1E IE 1E
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 .
HUILDING APPROVED HY :
IAPPLICATION IS
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LEGALIZATION:N
F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 825�
PLAN
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 8.75 22.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLOMHING ELECTRIC MECHANIC
30.75
DATE:
DATE:
DATE; (/ � (n
��***�*�t�**�t *�
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
30.75 30.75 .00
30.75 OVER/SHORT: .00
FIRE SMZP/TOT GRADING PLAN—CHECK
If iE iflf iE jF iE iE IE �E 1E fE fE 3E iE IE fF iE iE 1E 1E �)E 3E 3E iE if iE iF if iklF if iE iE 3k iF ik iE 1E iE 1E 1E 1E iE �E 9E �E �E 1E �E iE iF 1E 3E 1E fE 1E iE �F �E fE ik if iE iE 1E 1E iE iE iE IE dE 3E !f �E 1E IE IE IE
I N D I V I D U A L F E E B R E A K D O W N
T•'^r (�TY U E S C R I P T I O N UNIT COST TOTAL COST
PLU ]. DISHWASHER 8.75 8.75
END OF FEES
EX I� REI�
DATE_�O L�I-��' Ll�
D3 Dt�?214d9-00221469 TCET 3p„5
�ATE: 12f?4/95 TFttE: Q9:43
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CONSTRUCTION AND PLANNING .
,APPROVALS Permit# " Date �nspector qppROVALS Permit# •- Date Inspector
1. Temporary Electricai Service or Pole ' . 52. Pool & Equipment Location �
2. Soil.Pipe•Urtdrgrnd. � - 53. Steel Rein£orcement .�
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' '
4. EleCtrical Conduit-Undrgmd. 55. Electrical Bondin9 _'
5. Ste¢I Reintorcement • 56. Rough Plumbing & Pressure Test � .
. �
6� Electrical UFER Grnd. �� 57. APPROVAL TO COVER�GUNITE �
7: F��atings - 58. Electrical ConduirUndrgrnd. . �
8. Foundation . � 59. Gas Pipe, C Undrgrnd., Test �,
9. Water Pipe-Undrgmd. .- 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structurol Floor Svstem � � 61. APPROVAL TO DECK
it. Property Sewer �ine & House Connection 62. Backwash & Receptor-Pinal
12. Sewer Cap � . , 63. Heater & Vent�Final _ �
73. Roaf Drains . 64. Plumbing SYstem - Final
14. Rough Plumbing 6b. Electricai-Final
15. Rough Elec2rical-Conduit . 66. Solar SYstem-Final "
i6. Rough Electric Wiring 67. Fencing & Access Approvai � •
t7. Rou9h Wiri�g Sign . 68. APPROVED FOR PLASTERit�lG
18. Rough Electriral-T Bar Cefling '� 69. POOUSPA SYSTEMS FINAL � '
79. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREM19ENT
20. Rou9h Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure . 70. Underground Hydro
22. Ducts, Ventilating , 71. Product Plping OGas LJOiI
23. Gas Pipe-Rough & Test 72. Underground Flush .
i. _ ,. �
24. Roof Praming 73. Undergmd.StorageTank CGas ❑Oii 4' �
25. Roof Sheathing 74. Overhead Hydro �__ j
� .
26. T�Ba� Ceiling {Structural) & Monocoat 75. �ry Chemical � r=-; �
27. Prame and Ftashing 76. Dry Standpipe `-�- � '
• _�:
bv �
28. Lathing&Siding 77. FIXEDSYSTEMFINAL
4 '
29. Insu�ation 78. FIRE PREV. FINAL '"
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster 8rown Coat 79. FINAL INSPECTION
32. Elettrica! Pawer MeterFinai 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes;
34. Fin81 Heating & Air Conditioning .
35. Fina� Gas Pipe-Test
36. Hoad or Canopy
37. FinAI FactorY Fireplace '
38. Fin3l Plumbing .
39. Water Servlce�Final
40. Gas Service�Final .
47. Solar pomestic�Final
42. Backf�ow Preventer
43. Backflow Irrigation
44. Landscapa IrriGation System
45. Sound Attenuation
46. Handicap Reg�lations
47. FINALSTRUCTURE&BUILDING . -
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Re{ease to Southern Ca{iSomia Gas Co
51. CERTIFICATE OP OCCUPANCY .
No._�_� Dace _