HomeMy WebLinkAbout3254 TURLOCK DR - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JabAddress: 3254 TURLOCKDR
Suite:
Vicinity: SIDE PROPERTY LINE
Parcet Number: 4121061 1
Applicant: DAO, LEE VAN
Address: 3254 TURLOCK DR
COSTA MESA, CA
owner: DAO, KRISTINE H AND LEE V
Address 3254 TURLOCK DR
COSTA MESA, CA
Convactor: O W N E R-B U I LD E R
Address:
Zip:
Arch :
Address:
Phone:
Zoning: R1 R1
Phone: 714-803-8070
Zip: 92626
Phone:
. Zip: 92626 .
Phone:
License:- 000000
Eng:
Address:
Status: ISSUED
Applied: 03/21/2003
Issued: 03/21/2003
Phone:
Zip: � � License: ` License: '
SCOPE OF PERMIT
INSTALL 5'9" HIGH BLK WALL, 5 LF ALONG RIGHT SIDE YARD. INSTALL 7'6" HIGH BLK WALL FROM SIDEWALK GRADE, 28 LF ON RIGHT
PROPERTY LINE PER CITY STANDARDSFOR 8" BLOCK. NOT TO EXCEED 7'6" HIGH. �-� � ,
DENNIS JOHNSON OK TO WAIVE HEIGHT RE�'T FOR CORNER ADJACENT TO REAR NEIGHBOR DRIVEWAY.
Plan Check: $35.10
Permit: $54.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $89.60
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existin : 0
Rear 0-0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposetl: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
$1,500.00
$1,500.00
NO710E: The work authorized by this permit shall comply with all applicable handicap access requiiements under California statutes� and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
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.
INSPEC710NS: In order for ihe work authorized under ihis permit to be considered legal, sucli work must comply with all applicable codes, and all
required Inspeetions and final epproval must be obtained. Failure to obtain inspections and (inal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
!64G46 (NW)
WORKERS'COMPENSAntlN DECLARAnON: . — � �
I hareby aHirm untler penalry oi perjury ona of the following tlaclarations: � ..
❑ I have antl will melntain a certificate of consenl Io selbinsure for workers' compensetion, as pmvided for by section 3700 ot Ihe Labor Code, tor the Oertormence of the
wark far which lhis pertPii Is issued.
i
❑ 1 �ave and will maintain workers' compensation insurance, as required by section 3�00 of the Labor Code, br tha peAormance ot tha work tor whiU this pertnit is iuued.
� My workers' wmpensal�on Insumnce carner antl policy number are:
Carrier: Policy Numbar:
(This sectiar nee0 nof be caPp�eted il fhe permit /s veluetl a( one hundred dallars ($100) or less.)
�certify thet in the peAormance of the for which t is pertnit is issued, I shall not employ any person in any manner so as to become suDject to Ihe workers'
compensation laws oi Galitomia, and gre that il I s uld become sublect to the workers' compensation provisions of Section 3700 pf the Laby Code, I shall torthwith
omply with ihese provisians. / / Z
Applicent Signeture: Date: 31 / � /
WARNINO: FAILURE TO SECURE WORKER ' BMPEMJRiRAPC04ERAGCfS UNLAWFUL AND SHA�L SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES� C� FMES UP TOONE HUNDRED
T/10USAND DOLLARE (5100.000), IN ADDIiIIXJ TO THE COST OF CAMPENSATIIXJ, DPMAGES AS PFOVIDED FOR IN SECTIdJ 3]O60F THE LABOR CODE, INiEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn that I am licen5etl under provisions of ChaO�er 9(commencing with Section 7000) of Division 3 ot the Business and Professions Cotle, end my license is in tull
force and ettect. Lla a Class a
Coniractofs SigneWre: Date:
CONSTRUCTION LENDING AGENCV: �
❑ I hereby ettirm that Ihera is e consiruction lending agency for the pertormance ot the work For which this pertnit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lender's Atltlress:
Signature: Date:
OWNER•BUILDER DECLARATIONS:
I hereby attirtn thet under penalry of perjury that I am EXEMPT FROM T11E CON7RACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions
Code: Any city or county which requires a pertnit to construct, alier, impmve, demolis�, or repair any structure, pnor to its issuance, also requires t�e applicant tor such permit
to file a signetl s�etement Iha[ he or she is Ilcensed pursuant to the provisions of the Contractors Llcense Lew (C�apter 9(commencing with Sectlon 7000) of Division 3 ot the
Business and Pratessions Code) or that he or she is exempt theretrom and tha besl5 fOr the ellegetl exemption. Any violetion of Section 7031.5 by eny applicant for a permit
subjects the applicent to a civil penalry of not more than five hundred dollars ($500).):
❑ I, as owner of ihe property or my employaes with wages as their sole compensation, WILL DO THE WORK, end Ihe structure is not intended or oflered lor sale (Sec.
7044, Business end Pm�essions Coda: The Contraciors License Law does nol epply to an owner ot property who builds or improves thereon, antl who does such work
himself or herself or Ihmugh his or her own employees, provided ihat such impmvements are not intendetl or oHered tor sale. If, however, ihe builtling or improvement is
���[[[ sold within one year ot Gompletion, the owner-builder will have the burden of proving ihai he or she did not 6uiltl or improve for purposa oi sale.). '
�7 1, es owner of the propehy, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions
� Cotle: The comrectors cense Law aoes not apply to an owner ot propeny who builtls or imprwas tharaon, antl who comracts for suc� prolecl with a comractor(s)
license pursuant to t lractor License Lews.). / /
❑ I am exempt under ec Business and Professions Code for this reason: �-�/�
Signature: Q L t� Date: �// �� / /
Owner ID verilied by�irteert5� Ves ❑ No Driver's License No. �� Ezpires:
Verification oi Ownership by (type ot tlocu e t, i.e. - properry tax bill or deetl):
DIVISION OF INDUSTRIA4 SNFETY PERMIT CERTIFICATION:
❑ I hereby cenify thei no excavation five (5) or more feet in depth into which a person is required to descentl, will be made in connection with work euihorized by ihis
pertnit, and Ihat no building structure, scaHolding, falsework, or demolition or disman�ling ihereof, will be more than thirry-six (36) feet high. (Chap. 32. Grp 2, Art 2, Sec.
341, Title 8, Celifomia Adminisirativa Code).
❑ As owner-builder, I will not employ anyone to do work which would require e permit irom Ihe Division of Industrial Safery, as noted above, unless such person has e
permii to tlo such work from the tlivision.
Signature: Date:
Division of InduS�riel Sale�y Permi� Number:
CERTIFlCATE OF COMPLI E AND AllTHORIZATON OF EHTAY: I certify under penalry of perjury that I have read this appliwtion and state ihet Ihe iniortnation given is
wrrect. I egree to comply It all state laws antl city orAinances relating to 6uiltling consWdion, and authorize representatives of Ne Ciry Costa 5a to enter uDon ihe
ebove-tlescribed prop ny or i ection pu �s�5.lag�ot to wcupy or allow occupancy ot any 6uilding authorized by this permit until fin inspecti�
� D?i- ,��/D 3
e egalOwner(s) ate �
� .---
Antl/OrAuthodzetl Applicant Data
CODE t• INSPECTIONTYPE
1616 Fixetl System Final Fire Prevention
1266 Pool Spe Final
Q�¢ IMffIALS
200 Final Re-Roof q �
201 Final BIocWReiaining Wall ��Z 1��
202 Final Factory Fire Place
203 Final Sign
204 Final Demoli�ion
COOE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
270 Final Electrical
212 Final Fire Preven�ian
220 Final Planninq Approval
222
250
Final Site
Final Builtling/Occupancy
Q�g It1TIiIALS
c%t-y o f co�t-a� M�
WALLS, FENCES, AND LANDSCAPING
DARDS AND SPECIFICATIONS
R-� z NE: APPROVED
CITY OF COSTq MESA
PLANNING DIVISION
F � ,�� , SUBJECT TO BLDG. DEPT. RE
� I V` �'�E: �YDDITIUA� DEC.ET 1
� � � ; OR CORRECTTONS SHA B
rFi� � PPROVED By THE PLAN ING
I �'� ti;
I 3 � '' 36" maximum
j •,c r' Y• IVfence h'
�,�d &: 3 2 �
j � - . 03 - S?�
4.'J
I `�iy
� .',�?; 6' hlgh
I 3 "' °`' ce line
,�,;::
i � ��';s 3�54
,. [,,�
I 9. �5�;? i"TL`�k I ,
j 1 , `;�` � RNE �
' ;«,
� 35 k.
�;l _
.�
; � . . ;.
35 fl. � �
e
� 5 o w;.i�rH
_�._._._._._._._._._._._._
' � 6°
' (�e �tcr sr�ie> , ZgCo�� i
/
� �
� ��T 3 2 `� � /�/�'cc�c,K'.
�l� � `��' r� �/� f
v
a/�'-a'ti`'' Z�.�
-- , -- —�-- --
Section A-A �
6' high
wall/fence line
j 36" maximum
I wall/fence height
i
i I
-._._._._._._._._._._._._._._._._..�
Height of walls, fences, and landscaping shall conform with Figure 1(on reverse side
of this hand out) to allow for visibility at intersections and driveways.
NOTE:
• Corner/stree[ cutoffs may be increased or decreased by staff due to street
desig n/configuration.
• Any walls or fences exceeding the specified height limits require discretionary review and -
approval.
• Check with the Building Division for any additional requirements.
R2—MD, R2—HD, & R-3 ZONES:
Walls, fences, and landscaping shall conform to the standards and specifications for the R-1 zone.
Exception: On corner lots, wall and fences in excess of 36" in height shali be set back 5 feet from the
street side property line.
COMMERCIAL/INDUSTRIAL ZONES:
No fence or wall shall obscure the setback landscaping required adjacent to a public right-of-way.
0 ft.
�
FIGURE 1
SECTION A—A
a
rs- rs-
� �:.
\ i
��
nDOPTID BY RESq1mON : NO. 01-29 on May 7, 2001
, ..` ,�.
,. � .
,
;
�
cwa��i�ce
�
�. �H
� -�urLock
•°' � + e� ;oE
v�m•
�
Cement Coping Optlonol
Chonnel block wlth one 5/8 /
Hwkontal Top of all Fences
For Fences B' Mgh �
Ved. Bars 5/8" 0 af 16' O.C.
All Cells Sotid GraotAed
Reinfordng Steel Sholl
Conform fo Sec. A-1539 A.S.i.M.
NI Steel to be Lapped
24" or to Code
NATURAL GRADE
�
Two 5/8' 0 Bais � �
Continuous Top . —1I
and Bonom
Horiz. Steel musl be tied In place
at time of irench Inspection
:T
TYPICAL 8" CONCRETE BLOCK FENCE'
c
O� N
� LL
x
� m
c °
� �
I�—
Wldih
See Chart
Below
FOOTING REQUIREMENTS CHART
Wall Height . . . . . . . . . . . . . . . 6' TO 8'
Wltlth ......................16'
ihickness ...... ... .......... 12-
Depth of Earfhfooth . . . . . . . . . . . 36'
Spacing of EaAhTooth. . . . . . . . . . . 8'
Dlomefer o� EaAhfooth. . . . . . . . . 12'
BUILDING DIVISION
GENERAL - NOTES
MOAar: One Pnrf Plastic Cement,
and lhree Ports Sand
Grouf:
Coping:
One Port CemenL Thiee
and One Half Parfs Sand
One PaA Cement and
Three Ports Sand
Concrete: Well MUced 12 - 1/2:3-1 l2
Max of 1-1l2 Gallons of
Water Per Sack of Cement
Grout may be poured from ihe
tOp Of ih@ f0nC2.
Cells and areos of hodzoMal
ieinforcemen} shall be Clear,
cleon and free ot all morfar
debris, etc.
NOTE
woll in ezcess of 6 feet in helghi
requlre discretlonary revlew and
opproval process fl��hroU�gh� �hg
)F �4�ie��l'eose
OFC ningDMslpn.'.
pppROV
ay
This set of plar�s d specdicatia�s MUST 6e kept ai tlus I� � au ti�s a�d d is un
make any charbes ar ane�;ti�<m s�me wdMie w� P�"�q"�p"0�e Oivisim o
and Saiw'�, i:�y ct C�sa iac; �. ab be an
TtwStam�ir�gatUdsPf�a'��^is:,:ot_S!;4iNOTbehddWCe� a
oi tha +wlatim oS �y ��r-•;�:- ca a�y cry a co� � a�"� �0f •
The�e �•hns �^' i�T�'� shati e�re by Fnitatinn and be�me �fl an0 vold'd d�e t
wo�C'rs nc ccmmar,c�i anC mainiained aG� per UBC §3031c� �°1 �� ta}s ci
270.546
• iHI5 SKE7Q-I IS FOR INFORMA770NAL PURP066
ONLY. APPIJCANI LS RESPONSIBLE FOR PROVIDQJG
AN ACCURATE RFPRFSFNfAT10N OF Tt�R PROPERIY
A1 USE TI-IE SFiAPE AND SIZE DO NOT CDRR6P'OND
WIIH 7i� WFORMATION PROVIDID ON'I}�S SiIEEI'.
• SOUD WALLS/FIIJQ�S BEIW�N 2'6' k 6' Pl }¢]CFif SFIALL
BE SEIBAIX A71FJSi 30' FAOM FRONT PROPFRTY LAIE.
• 90[ID WALIS/FFNQ�S SFfALI. NOT B7(� 2' 6' IN I-IDGIi7
WfIHIN ld OF 2HE FRONf PROPER'IY IINE (NOT CURB I3�IE).
• VERII�Y DLSTAIJ� FROM CURB TO PROPEKIY fA1E
AND 9-IOW ON P1.W. VIIt�7G7ION FROM 2HE Q7Y5
FNGAfEF3tA1G DIV670N S REC;UIRFD. GLL (71�) 754-5343
POR INFORMATION.
STREET
BLOCK WALL LAYOUT FOR UILDING PERMIT
� � � �-( � c� _
PLANNING DIVISION
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. �,2l,!_� DATE
LOT N0. � � �L�7 � —
ADDRESS �' - ✓
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) .��c--+c..,� 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.
�EcFrvl�Q,
��i`� �'1: n�-.;•' ..-%.�.
�
��,''� - - �'�'�-'
.;
AN! p�
7i8jgiiuiii�;��l��:,3z4�5��
�
BY „_ �
urchaser
BY ✓L-e':�-,-p��� �
�v�and/or a " rized
representative
BY
Lender
PflOJEC7A0DXESS:- 3zS4 TURLOCK DFi
OWNEq'SNpME: LEE U. DAO
.eT ypODflESS: 3ZS4
3254 TUALOCK
COSTA MESA,CA
AHCN/ENGINEEfl:
AUOqESS:
92626
UNIT:
HEG.NO.:
UNIT:
PEflMITTEE: CENTURY ROOFING COMPANY ( 719 ) 722-1984
nooeess: 2531 ALDER LN
C.M. CA 92627
LICENSE� CONTPACTOfl DECLABATION: I here�y aHirm ��atl am licensed under O�o�isions of ChaD�er 9(commencing wiih Section
7000) ol �rv� i I I e usiness antl Pmle si ns C�QDe, p�nd my license is in full force ana efiecl.
c�uc.:����&` STFTEUC.:��4"1J cuss:C39
oa��I�' Z1 � 3 si9nawre� `
u�^°I(EBS' COMPENSATION �ECIAHATION: I hereby affirm Ihat I have a cetlifica�e o� cansen� �o sell-insure or a cetlificate oi Workers'
Compen5a�ion InSurante, or a Cer�ilietl topy I�ereof (Setlion 3800. La�. C�.
POLICY NO.: E%P. UATE:
COMPANY:
� Certi�ied copy is hereby lumishea. ❑ Cerlilietl copy Is Iiied wilh Ihe ciry Building Division.
Daie. Ppplicani:
E%EMPTION FBOM WOBNEHS' COMPENSPTION �ECUNPTION: Qhis section nee0 not be completetl iI the permit is ior one huntlrea (5100) or less�.
I cetlify that in Ihe pedormance ol ihe work lor w�ich Ihis Dermit is issue�. I shall not employ any person in any manner so as to �ecame
subie o Ihe workeR' Comoensation Laws ot Califorrya.--�
C, s� ' y�
ate: �-Z1 � 5ignalur¢; Y��
IOTICE: II. a�ter making Ihis declaraiion, you should Oecome 5ubjeci lo IOe Workers' CamOensation pmvisions ol �he Labor
CoEe. you mus� fotlhwith comDly wi�h such pmvisions or this permit shall be tleemetl revoketl.
CONSTXUCTION LENOING AGENLY: I here6y afiirm Iha� Ihere is a consimclion IenOing agency for the peharmance of �he wark �or
wAich Ihis permil is i55ued �Seqion 3097. Civ. C�.
LENOEP:
AODflE55:
OWNEB BUILOEX DELLRflFTION: I �ereDy alfirm Iha� I am exem0� ��om �he Coniractors' State Llcense Law lor I�e lollowing reasan
�Seclion 7031,5 Business and Pmfessional Gotle: Fny ciry o� county which requires a permi� to constmc�, alier. improve, tlemolish, or
repair any slmcWre. prior lo ils issuance. also requires ihe applicant br such permi� �o Ule a signetl slaiemen� I�at he/she i5 iicensed
' pursuanito�he prtivisions o���e Contractars' S�ale License Law�Chapler9(commencing wi�h Sec�ion 7000)oi �iviSlan 3 o�the Business
and P,mfessions Code) or Iha� hefshe is exempi �herefrom and the �asis lor Ihe allegea exemplion. Any violaiion of Sec�ion 7031.5 by
any aDPlicant lor a permit sublecls �he applicanl to a civil penalry o� noi more �han live hundreA dollars (5500).
� �" I, as Owner oi ihe proDeriy or my employees with wages as �heir sole compensation, will do �he work, an0 the
-,� -= 5lructUre is not intentletl or offerea �or sale (Seclian 704a, eusiness antl Pmtessional Cade: The CoNraciors' Sia�e License Law
-�; aoes nol ap01y to an owner ol a pmpeny w�o �uiltls or impmves t�erean, and who does such work him5etl/hersel� or thmugh
his or her own employees. pmvitled tha� such impmvements are nol inten0ed or ottere0 lor sale. Ii, however �he �uiltling or
� impmVemeni is sold wi�hin one year af comple�ian, Ihe owner will have Ihe UurUen o� proving he/she ditl nol builtl or impmve
�or ��e purpose of sale�.
I, as owner of �he pmperty, am exclusively coniracting wi�h licensetl coniratlors �o conslmc� the pmlect (Sec[ion 7044. Business
❑ anU Pmlessions Cotle'. The Conlraciors' Slaie Llcense Law tloes no� apply to an owner o� pmperly who builds or impmves Ihereon
ana who contracts lor suc� pmlecis wi�h a coniracbr(5) license pursuant to �Ae Contrac�ars' S�a�e License Law�. I am aware
Ihat D�ooi of iheir Worker's Compensation insurance 5�ovia be provitletl to me.
� I am exempl unaer Section: B. 8 P. C.
for I�is reason:
�ate: Ownec
I tlo Aereby cetlify i�al I am aware oi antl untlersiana the reQuiremems of Calilomia Heal�h and Sately Code Sec�ions 25505. 25533, an0
25534 and Ihai I or any lulure building occupant will/will nol (circle one) neetl �o compty wi�h said s�a�e cotles antl �he requiremen�s tor a
permit lor constmction ar moaifica�ion imm Ihe Air Ouali�y Management DiSlricL ResiAeniial cons�mction apPlications are exempl trom
IheSe pmvisions
�aie: Applicanc
I hereAy ceridy IAa� I nave read �his applicaiion and slale �hat �he a�ove inlormalion is correcL I agree �o camply wilh all ciry antl counry
or0nances nnU sia�e laws relaling Io builamg cons�mction and �erehy aNhor¢e represeniatives oi Nis ciry to enter uDon Ihe above-mentioneA
proper�y loiinspeciion purposes.
"� 2� Z ,� 3 '�
yeie. Signa�
- r�s �icense or Socia� Security �:
16aLa6 Wmie—Buileing: Green—Coee Enlorcemem: Wnary—Applicanf. Pmk—Revenue; Goldenrad—Assessor
!____ "_ _ _ -
CITY OF COSTA MESA — BUILDING PERMIT •
PERMIT NO; H 065461 PLAN CHECK NO: N �'O'pT-�SDP�k�—
CONSTAUCTION TYPE: V—N PERMIT TYPE; STR�Cp����60 PURPOSE: ALT
JOB DESCRIPTION ; T/O , RESAETH 6 REROOF W/LITE EAGLE TILE SQ FT: 8,05�
CLAIM VALUE: 8,050.00 CALC—VALUE: 8,050.00 GROUP OCC; R-3 /
COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC
****�r**�*�r+r+r+r*r+r*�r**x+r+r+rx��r��****�r***�r****�r�r�+�*r*r**�x�**���r*+r+�*x�*�r�r*�r*�**�r�r+�e*�*
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 ---------- --------- ACCESSORY BUILDING -----�---
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT ZN RGHT; FT IA1
PARKING REQ• PROV: PARCEL: 42501318 ZNE: REF NO:
PLANNZNG N6iss>
) _�
if fE if iflE iE i!!f 1f!! 1!!k iflf 1f 1E k 4 iE if if !E!F k 1E 1f �E 1! 1E 1Elk iflk iE if iE 1E 1f i! i! iE 1f 1E k!i 1t iF if iE 1F if fF k iF 1E iF iF 1E 1E 1E itltlf iElE 1Flk iE 1t iElE if 1E 1E if * 1E 1F M
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
1 ' l..
ZONING APPROVED BY. DATE: �%.
HUILDING APPROVED BY ; DATE:
/,• , .
APPLICATION ISSUED HY: DATE; �
1E 1F 1E iF 1f 1flklF k it M ff ft 1t 1tltlf iF fE 1E 1F iE if IE 1E iElE 1E iF k!E 1F��iFiE iE
1f 1F iF 1t k 3E i! i! ik 1E iE 1f M!F iFit iF 1f 1F 1E if 1E iE if iF k it 1t k iE ft it ff iflE 1E 1F if 1t it 1E 1f if 1F iE if iF 3Fit fF 1F i! 1t k if 1k If if iE 1F 1E iF iF 7k 1F i! iF %1h iE 1f iE 1t iE af iE �lk 1E 1F
LEGALIZATION:N3 F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING
PERMIT 108.00 `����� p������t^�� g1,
v 3J �J SMIP/NON—RES
BUILDINGEDIV—> PERMIT ISSUE P rld��HE��� TOTAL PAID �� DUE
TOTALS----> 308,81 0,00 0,00 108,81 108.81 i� .00
REVENUE DIVISION TOTALS--> COLLECTED: 108.81 OVER/SHORT; �� .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING"'�PLAN—CHECK
i08,Uo. _. ,el 1�I
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I N D I V I D U A L' F. E E H 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
SFA SO50 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 �� 8,050.00
END: OF FEES fy
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01 Q01.`+?817—G01.;2E18 Ti_i7 108.81
�ATE: 27.12$i93 �'t�7[: L19:4Q
�ONSTRUCTION AND PLA[JNING
�APPROVALS Permit �
i. Temporaty Electrical Ser'„�ciceor Pole
2. Sqil Pipe�Undrgm�. _+
POO L & SPA - . . �
Date . I�spector APPROVALS Permit # Date inspectar
, 52. Pbol & Equipment Location �
53. Steel Reinforcement
54. Forms
:�4. El�trical Coridaii�Undrgrnd. 55. E1Cctrica� Bbnding
.-5. .SG�SI ReinforCecient 56. Rough Plumbing & Pressure Test
.�6. �'E�g'�tncal UFcErGrnd � 57. APPROVAL TO COVER-GUNITE
7. ��tings �,., y � - 58. Elec.rical Conduit�Undrgmd.
�
8. Foundation ;,,-' � . - 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgmd. 60. Backwash Lines, P�Trap, �7 Undrgmd.
70. Structural FI¢ar Svstem 67. APPROVAL TO DECK
1 t. Property SewFi Line & Ffouse Connection 62. Backwash & Receptor�Final
12. Sewer Cap "' � 63. Heater & VenbPinai
73. Roof Drains �4 64. Piumbing SYstem � Final
14. Rough PlumtY(ng '" 65. Electrical-f�nat �
15. Rough Eiectrlwl-Condwc . 66. Solar System-Finai
16. Rough Electrl Wiring 67. Pencing & Access.4pProval
17. Rough WiringSign 68. APPR4VED FOR PLASTERING
18. Rough Elecir�al-T Bar Ceiling 69. POOVSPA SYSTEfviS FINAL
79. Rough Heating & Air Conditioning PIRE DEPT. REQUIREMENT
_. �.� . _ . - : �. � �.,at- r - i- ;o
20" Rowgh'Facttlry.&iiePlace � �-�:; �� ': v � �'r * . APPR'DVp �-� Pk9mit# i' >' ''
r, c � .t : 5 :� . Y'. � S � -r +- :. ' .. C::.., �-. � -r-r-�E,�-
��' y��S � . . ^ rt .1: � < ',J �3, T
21.i Di:"tcs,•y� SLn,ctye �..-.. :y_. rar x: 70.�ilncfergr�l:ai f�Sdro t' �
' t- ry
22, Ducts, VenPkla2 x i C'�, .' S�; a c• �-� r,
. � 'i^3r . r• � �- 1 �.�-i�> .. � 71. Produ;x�iPing���ras ''�rtJOi�
23,. G� Pi�-Ra7j�gh'Si�Test � ,:,5 `: �yf-o. � ^'� ,� 72. Unde g�pu.- p�ys.�� ;i p`, �
247 R�f Eraming � , i ;-6 � �' X � :+ 73'� •�, U�dergrt'�.�Sto7��f� �L�Gas ..'7�i�
. : .. ,
25. R��f S�.~"eathing'r y 't' �j,=j„ '' � k 7,4;�_(,lverhead H dre ���
.,k ��.- R-23y�=e�� Y , x:
28_ T�?qr Ce�6n919ndcturail �F.'nnocoat � ' ��' � 7` Dry CheCi,cai �v� � �� � �:
27' Frame and �IasC}1.`�9 *� V r ^
o . � =�•�. � _, r,•� 7o.`�Jry Star��Pe��� +� � "�' �i
28. l.dihi gi&�idir}qy' y.y� .:: t' � ••� � 7a FIXED��T���INA;L� �„ �
29. Insulation `; n:F '� � M .. r�' t ,' r 76 FIRE PREV. F)f�`AL .�,�e � y
30. DrywattiNatt�ng�-�� s+�l � �` �x ra �H�ALT'hDE`j-y- NrRECUIREMENT
31. Plaster �roy+ Ca� � i � �` ' 7�: �IP.JAL 4�j1,�EC'�'�abN �' "
� i� .�`� S I t=' :' � fx a r. ; ��
� ---�-
32 Electrr,s+d PW,vee'afeCCr�Pinal � ., � � ii :F c B�+i FOOD CERTIf?1:�ATE ISS D�
.. � �y�� •.;' t t . .. .� t.. ..� rr
3� Fi'�I EitCt�C � � � �• r ;r � < a � 1��6t25: � '� y� Y .y J ��i_
'j T ' ,a r .^��-,�: � � � '� . r' ' � . � F_."_-
34; F:sel :jatir,g 8r�4?�! l.nr.dirio�rm . e � `.j# s . a' � � �e C+C�
�... X. n
=�__. ,_ - . � - N - .
35,^ FiF31 C�y` s P+"�e�Te�f �� � r. i I r t� C': , �� -i .? �� " �.;n
.� _ � 1 -' i ` > !'
36. Hf�pd or Canop ,- s. '�'--� -��-
Y t c^ ^� � " `
' ._ .., � ` ..-n < m �-!'- _
3� F,riAt F�ctory F,�replate, � 4 �' ''0� -� i C', # �' ~ � ;,':
FH ( I
� i � �.
38. Fi�al FLimbing.-,,, �,; ; .. •. �. � � # : n; p
-�?.--•,a-y , '
39. WSCer Service�FG�t� � i r, , r � , • •...r � �� .:
m rn" -r.G ' Y: �-' x S
40. Gb�ye��ice�s�n�l ;. -; �: t - : " O^J' ��'U * , � .
„r :;, � �.. -
� �t""!.�T�'i�T'�_I_ ; . v ..
41. So},��COme'i[ic•FinaF ( � •. r� � s it.� � :�
c. '- n r .t �i m �:. �. ;, :n
4t' BaC�)�p� Preve�i� � %c Y� � � (�. :� i.: ;� ... C. i�
tL.Tr� . z : --��-�r:--�- . i'•7i'..,.
43. BatkfltrN If!Sga` n r'S`: # { x, x�- r- �, -!
4A. LanliscaPeikri4�IpnSYsterr�x j ��n r, Ct; a� N �i °-� :�-^Cu a �
-r-= ._. ., .. , �-,�' "` ' .-_ =' d � ^
.4�; So�nd AttQwa;:dn r+�:r . '' � �� "T � �'' `j `� = C4 s .
.-„ , x �y �: r�� E r+ c HG
46,: Handi . �7 '5 :. t-: .. •.• ' " � �--
, c�i'o �gutatipns ,,, � $ .� c _, c�, ,� .
47:;FI�tlAL STR11CTltRE & BCi1LDING 1-�J-g'rjG -��� S+
aa4 FI�AL PLANNING � �''� ` '
� %� 4- � � �Y � n
' ��Z
49= Elaitric�fie!ease ta Edison + � � :� +�
s _ fi t{ �
5Q G��.RPi.'�'ase to So�`thern Ca�ifgr�a Gas Co ; j j �; �-' r`.,'
51. CFc(iTIFICATE 0 OCCUP'� YvCY ;; x.� �j
!o. Date - .__- - .. .
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OWNER ��7,gt �EgpRISES DATE $_2$_72
JOB ADDRESS ur oc ive BUILDING PERMIT N0. 3 2 7
GENERAL CONTRACTOR e zer DESCRIPTION or woRK es, w a, gar.
AP No. LOT 13 TRACT z 5 FIRE ZONE VALUE $ 35,000.00 —
GAS
WATER
ROUGM PWMBING
PROP. SWR. LINE � HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO FIR WNDITIONING
TEMPORARY SERVICE OR POLE
IIN�ERGROUND � POWER �
ROUGH WIRING
TRENCHES FORMS - STEEL REINF.
FLOOR SVSTEM
BOND BEAM � STEEL REINFORCE n
SNEATHING
FRAME AND FLASHING
LATHING — IN � OUT
PLASTER,BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AN� A.C., FI AL
PWMBING, FINAL ANo GAS TEST
ELECTRIC, FINAL
BIIILOING, FINAL
SUBCONTRACTOR
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!1„-ff COSTA MESA BUILOING-SAFETY DEPARTMENT
7�� � P.O. BOX 1200 COSTA M�SA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING��. ie 1 �_. . � . � .�
OWNER Heltzer Enterprises-Costa Mesa
AODfiE55 740-No. La,Brea Avenue
TEL. �Z13
cirv Los An eles - No. 0'3�_9i
�
CONSTRVCTION
LENDER United �.'$
BFANCH Ma1R Office
ADDRESS 600 So. Sprin
ARCHITECT
OR ENGINEEfi David Free
nooaess 113 N. San Vicente, Beverlv
coNTRncToa George J Heltzer
ADDFESS 740 No. La BYea Avenue
TEL.
arv Los Angeles No. g37-
uc No. 3144 uc�No. 19
SI2E � NO.OF BLDGS.
OF lOT I NOW ON LOT
EXISfING BLDG.
SIZE OF
NEW BLDG.
EXTEFIOfi WALL
COVERING Plaster
USE OF BUILDING AND WOI
Single Residence
/,s/ /r/�7.T �i//.
OF
TO BE PERF,ORMED
Plan
P"'° 173.45
;1UG 30-7?cr;—$,007_Q46++ ***
APPLICATION FOR BUILDING PERMIT
A.P. NO. ��^
BUILDING ��� �
ADDRESS
TRACT 6245
OWNER
U5�
F�RE
ZONE
APPROVED
BV
ZON I NO.OF
PLANS
VARDS APPROVE
MAIN BUIL�INC
DISTANCE BET
MAIN BLDCS.
VAF. #
1 �eraby acknowl¢dga that I havg reatl ffiis appltcation antl siate
thei the above information is corract antl �agree to comply wlth
all laws regulatinp_building construMion, antl I shall not employ TAX
eny person in violation of the wdrkman's compensation laws of
the State ot Calitornia. ,
1 hereby certify that I am properly �{�ensetl as a contractor unGer
the 52axe of California Businass antl Professions CoAa, Divisicn 3, THE AMO
Chapter 9, antl that such licanus are in full force antl eifect, or I THE PURPi
am exempt trom ffie,prp visions of thaState ot California Business VALUATION
and Protessions Code, Sv' ion 3, Chap� 9. / � �
/� � C
SIB�ature of jEiy;
. e , �, �
Permittee
/
Authorizetl Agent
PERM
J (c (.O
�or 13
VALUE
DATE
USE OF NEW
BUILDING /I
BET. MAIN &
ACCESS. BLD
DATE
SHOWN UNDER V
)F FSTPflUSHING A
TOTAL FEE $
—� �-
P✓
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0
ON IS FOR �
FEE ONLV: m
¢
5 b� m
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