HomeMy WebLinkAbout623 LAKEVIEW LN - Building Permits,
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
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AODfiESS
OWNER HELTZIIt ENTERPRISES-BROOKVIEW
MAIL
nooA�ss 740 N. La Brea Avenue
TEL. -
CITV Los Angeles, CA 90038 No_937-2
CONSTRUCiION
LENDER United California Bank
BRANCH Main Branch
ADORESS 600 S. Sprine St.. L.A. 9005
no cH^TEC o Fields & Silverman : ��'653-0
�7
CONTRACTOFi George
ADDRESS 740 N. La
CITV Los Angeles,
STATE
uc. No. 3144
SI2E
OF LOT
USE OF
E%IS71NG BLDG.
SIZE OF
iRtOR WALLPl
ERING
OF BVILDING
NO.OF
fi00M5
ROOF
COVERI
K TO BE
TEL.
g No. 937-
CITV
LIC. NO.
INO. O LBF�DGS.
NOW ON LOT
2
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'is,�-?i:,.—..�:nr. �,s- �_.:-:j?_5.3�
APPLICATION FOR BUILDING PERMIT
qEifj� BV []QTE �ECE1V�D DATE ISSUI
/�/�� �� /i %I1
FIRE
ZONE
APPROVED
PERMII`gl�l�
� , ._. _.
DATE
NO.OF USE OF NEW �
PL4N5 % BUILDING
APPROVED VARDSAPI
BUILDING ACCESSORV
.STREETII
DISfANCE BET.
MAIN BLDGS.
VAR. #
C.U.P. �� ��
APPfiOVED
�{�
FT.
FT,
BEf. MAIN 8�
ACCESS. BLOCS.
� APPROVEDQ ��0"/�
1 hereby acknowletlpa that 1 have reatl Nis epplication anE rtate �
Mat Tbe abOve iMormetion is correct entl aBree to comply wiffi
all laws re0ulatin0 builtlinp consnuction, enC I shall not amploy
any Oerson in �iolation Of Me workman's compensation lews of
me State ot Califomia. m
I �ereby certify that 1 am prOperly licansetl as a contrector untler O $Q. FT. ��� R� O
the State of Califo�nfa Busineu antl Profassionz COCe, Oivfzicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOfi r
Chapter 9, and Mat such licenses are In full force and effect, or 1 THE PUFPO6E OF ESTABLISHING A PERMR FEE ONLV:
am ezampt from Me provisions ot the State of CalHornia Businaa VALUATION �
an0 Profeszions COCa, {✓ on 3, Chapter 9. PERMR FEE $
� � 7
� L� m
Sipnatura ot / V�qN CHECK $ I/ " E
Parmittea S J O�, (l�D
' O
Authorizetl ABent LL
Tp7A� FEE $
i
�'4:; .
i
qpplicant to fill in all spaces except those within heavy bortler Ilnes antl sign a11 aooropriate aeclarations.
:i7Y OF COS7A MESA CONSTRUCTION PERMIT
Proje�t qddress 623 Lakeview Lane
Flpp�icant'sMailingAddress 623 Lakeview Lane
ow�ers Name Glenn H. Cwieka Pnone 546-1678
A(JAfH55 623 Lakeview Lane
Arch/Eng. License No.
Addr@ss
Contracmr'sName—E. S. T. - Phone $98-5113
Addr@ss Imailingl 11600 Monarch,' Garden� Grove
Cicy License No. 32193
LICENSED CONTRq�TOR DECLARATION
I he�Qby alfirm that � am licensetl untler provi51on5 of Charter 9(commencln9
with soctlon ]000) of Division 3 oi the Buslness antl Professions Cotle, antl
my IlCense is in (ull t�ce_antl effect. . _ _ _ . _ _ _
'late /�+'-�n n n $i9nalure �/�//�/� /! ��'
1 hEreDy aitirm that I have a certifiCate ot consen o se i¢ate
of Workers' Compensation Insurance, or a certitietl wpy thereof (5¢ction
1 ssoo, �ao. c.� IV-85-339382 F
�.+_ aoncv No. comoa�v _remont Indemnity
' Oa(�(r��tietl� ' is hereby fumishetl. � �• T•
� "tn the City Builtlin rvi on.
A licant
I PTIOH FqOM ft5' COMPENSATION OECLARATION _
(This e completetl it the permit is tor one huntlred (5300) or
,� lezs�.
1 certity (hat in the Oe�formdnce of [he wo�k fo� which this perm�i is iSsuetl 1
� shall not employ any perzon in any Tanne� so as to become subject to I�N
' Work¢rz' Compensation laws ot CaliPornia.
�Date Si9natur¢
NOTICE: If, after making this tleclaration, you s�oultl become subjet[ to lhe
Worke�s' Compentaiion provisionb o! the Labo� Cotle, you mvust forthwitn
comply wi[h such provisions.ot tltls De�mit Shall be tleemetl revoketl,
CON$T0.UCTION LENDING AGENCV
I hereby affirm [hat roeie is a constructlon lentling aqency for the performance
of tho work for which thi5 p¢rmlt is i55uEtl (Section 3097 qv. C.)
LenCer's Name -
Lenticr's Atltliess
OWryER BUILDER DECLARATION
I horoby attirm tbat I am exempf trom the ConVacto�'S License Law fOr the
follo�ying reason (Section ]031.5 BuSiness antl Professional Cotle: Any city or
courlty which r¢quires a p¢rmlt to Const�uct, altN�, improve, Gemolish o� �¢pai�
any St�utture, ptlo� to its issuanc¢, also requires the applicant for suclt permit
to 111e a Si9netl sta[emen[ that he/she i5 licensetl pursuant to the proviSiOns of
- t0e Contractor'S License Law (CnaO�er 9(commencing with Section 7000) of
Divlsion 3 ot the Businezs antl Prolessions Cotle) or that he/stte is exemOt
ther9�rOm and th¢ Dasis for the alle9eC exemption. Any violation of $eclion
7031.5 by any ap0��cant fo� a permf[ Subjec(s [he� applicant to a ciWl
�endlty of not more lhan tive huntlr¢tl Collars (§500).
�, ds owner of the pro0erty o� my employees with wages a5 thei� 5010
combensation, will tlo the work, dntl the 5tructU�e is no[ intentletl o� o(fer¢tl
for 5a1¢ ($ection 7044, Business antl Professional Cotle: The Contractor's
license Law tloes not appy to en owner of a property who builtls or imvroves
the�(on, antl wM10 tloes such wo�k himself/he�501f or tivough his or her own
¢mployee5, provltletl that such improvemen[5 a�e not intentletl o� offeretl (O�
sale. It, howeves, [he builtling cr improvement Is soltl within one year of com-
pletlon, tne owner wi1l. have Ihe burden ot proving he/she tlitl not bulltl or im-
��`/0 for [he pu�pose of sale). � .
LI I as owner oi the property, am exclusively tontracting with licensetl con-
[�actorsto constructthe project (Seclion 7044, Business antl PrOfessions Cotle:
. The ConVactor's License Law does not apply lo an owner of property who
Euiltls or improves thereon, ana who contrac(s tor such projects witn a con-
Iracto�(sl license pursuanl to [he Cont�actor'S L.iGense Law�. i am aware [hdt
o�oot of Iheir Wo�ke�'S Compensatlon insuranGe Shoultl be Provltl<tl to m¢.
❑ � am exempt untler Section B. & P. C. (or this reason
Da[u Owner
I heh¢by certify Ihat I have reatl thi5 applicatiOn antl
intormation is correct.'I agree to complY with all city a
antl sta[e laws r¢latin9 lo builtling conSlruCtion, and M
519na[ure _��
Drivers' Licenso Or 55
ing; Canary
TYPE OFCONSTRUCT(ON U NEW I� ADD LI ALTEftATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
TYPE OF PERMI� IJ GRA�ING LJ FOUNDATION LJ STRUCTURAL
❑ TENAIVT ELECTRlCAL Q GLVMBING ❑ MECHAfY1CAL
❑ OTHER
PROJECT DESCRIPTION SQ. FT. OCCUPANCV_
CONSTRUCTION TVPE VAIUATION $
ZONE GRADINGCU.VOS. ACRES—
R¢marks:
Sink
Preventer
Irrigation
iking Founlains
�r Drains
�r Sinks
Service DULICLS
rcentors - �
Kitchen Sink
Lavatories
P—Trap
Fioof Drains
Reinspection Fee � $15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fatt. Blt. ICBO #
Heating System & Ducting
O ai oo,000 eru O i oo,000 sr�
/ I I Reinspection Fea I $15
_�+`—
nk - Accounting; Goltl¢nrOtl - A55e55or
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Colleciors
Solar Piping
Solar Tank
Swimmin9 Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service -
Issue Fee
Hood or Type I ❑
Canopy Type II ❑
Refrigeration System
❑0�100,OOOBTU ❑100,000
System Repair/Alteration
Issue Fee
FEES
A.P. #
S Main Building:
E i
T Frant .
B Rear
A
C Right
K
g Left
Ping, Ref. #
Planninp Notes:
Automatic Washer
Construction Pale Sub.
Cooking Unit '
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Ffxtures
Device Boxes
Outlets
Switches
Garhage Dispoul
Generator [J65 KW �5-15
6639 II/04/86
2one
�ccessory Building: �
FIVED 0�1 [ � ��o�
ELECTRICAL �
Trensformer � �15-50 KW
❑ so+Kw
Meter ❑up to 100 amps
Mere� �over t00amps
Sub Panel
Motors�0.7 HP�tY.-8
Inc.Solar �9-15 HP �16-75+
Microwave �
Pole Light
Sign
� Standing Sections
Trash Compacror
Load Memf.
$ 3 �
Reinspection Fee $15 luue Fee
FEES
DEVELOPMENTSERVICESRE�UIREMENTS:
' 2oning Approvad By
Building Approved By ��
Applifation Issued Bv
$ 3
e.00
FEES
��
$ 3
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK 3 PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% S ENERGV P.C. $
ELECTRICAL S 8•OO GRADING 5
PLAN CHECK 50% $ MICROfILM $ jY
MECHANICAL $ _ TOTAL FEE $ o ' ��
PLAN CHECK 25% $
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CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # � Date Inspector AppROVALS Permit # Date Inspector
•1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. , 53. S[eel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �-
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings ,� � 58. Electrical Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test
' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK
it. Property Sewer Line & HouseConnection 62. Backwash & fleceptor-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
i 6. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring.Sign . 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling • • 69. POOUSPA 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 O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing . 73. Undergrnd.StorageTank �Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling �Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing � 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Urywall Nailing � � 'HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION �
32. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
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 ;�j-� �
40. Gas Service-Final �7,-� � � � ' �
41. Solar pomestic-Final j��� �:7�
42. Backflow Preventer d �-� .��
?�n
43. Backflow Irrigation . q .� ? =
..:� �
44. .Landscape Irrigation Systern� -� ,
45. Sound Attenuation cv v
v
� 46. Handicap Regulation a�� c� �^' � �
47. FINAL STRUCTURE � BUILDfIdG
48. Special Requirements Completed �
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY '
No. Date