HomeMy WebLinkAbout3255 TURLOCK DR - Building PermitsCITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. G,`Z cYi S� DATE /
LOT N0, G G
ADDRESy �j'� 5�.� %�rc�t�Lh'�
-�
The developer of the above entitled tract desires to sell the above set forth
lot pri_or 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) ,�G-�-�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.
RECEIVED
CiTY GF COST�t f�IESA
„ :'lii;!; q; �>?.
r�.u� � �s�3
AM PM
7i8�9�10i11;1?i1 �2�3;4�5E6
�
�
BY � i
Purchaser h
�
BY � E,,/�t r ,t �
Developer uaizd/or a ized
representative
BY
Lender
�
�' M
4 �
O
>
J��
(714) 754-5273 • Fe�c (714) 754-4856
Job Address:
Suite:
Vicinity:
CITY OF COSTA MESA
BUYLD/NG D/VISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
3255 TURLOCK DR
HOUSE & GARAGE
Parcel Nunmber: 41210417
BUILDING PERMIT
Zoning: R1 R1
PERMIT NUMBER
(/B99-01262
77 FAIR DRIVE, COSTA MESA, CA 92626
Applicant: COAST ROOFING ISSUED BY:
Address: 21681 IMPALA - - ,,� .,. r �, � -
H.B. CA
Owner:
Address
��-, ,
ractor. �C
�;
Idress: 21
,/f %/ H.
`�2ip�� 9�
Status: ISSUED
Applied: 08/10/1999
Issued: OB/10/1999
- /:r�-. - ' _
.- '., ,. �'� - _, rPhone: 714-968-8754 = _'� j ; -
; � / - - , Zip; 92646 i �„��
�rf._ , / i ��� ��
=NNY Y � /� � :�, : ;
� �, � ' � , _`��
:LOCK�DR � _ _ - ` ..� ; ��. `
`� �� 'j -Phone:� �. .- .� ! `; � �� �A
IESA,-CA� Zip: 92626 �` � � � ��,,� � \ V �
V / � � :�,�A ; � / � ��7`,A
-ROOFING `� �~ �\��`' � i \�,�
�A�/ ����\�� / �/ �����
i-�i �\\��' i 1��,,
: / Phone: . 714-968-8754 \-,; � . ,�' V �,�, �
. r �'���. / .�`, ���A
�, , �
`�•A-. _.) .�� A�A
Lfcense: �• 450393 . - . A,�� \ .
. �_ . . .. : ' �- , .. � , ���
��,vArch \ ;,_�f�: , � � ' j/'_,. .: Eng: - _ �;,',,i �i'��'.
Addrees� � � ,� �� -�, r _ _� .� �..�"� Address: � � �� `, . -
._ " �.. � ,� �
� �,. ' -'
, . � �
. a � , � `% , � .� ' Phone. _ - .. � ' , . .� ,, ��. Phone: . ' ; ,
�j ' � �C
� � ,,� � �� a�� , : ' � � �`` ,r ,� � �'
� �.;� �Zip. +�,,-b� �i License: , � Licedse:
�
rl r \ �.
� � � � �'1 '�r i i � \. ' �
i f
�� � •
, ,�, % I �,, - SCOPE OF PERMIT � / „', '
. f REROOF,- T/O, INSTALL 1/2 � OSB BOARD, 2:LAYERS OF,30# FELT & LIGHT WEIGHT EAGLE LIGHT ICBO #4660� . � \�
. �, TILE ROOF. ; _ , _, _ , . _ - .... .. _ , . _ . . _ , � � - -, y, .
;1;, . ..,, . - � - , � - �
, A` � �,`r' -� FEE SUMMARY � � � , , � �� �
����PIan�Ch�eCk�� �^� "� $0.00 � � �. — - : / � �, i r ,i, . . :. ,
.�.� � �f � , � Calc Valuation � $7,895.00;
� �l � � Permit � � � $15325 � - _ - -- _ _ � ; ,i . � _Claim Valuation %; $��,ass�.00'
����SMIP�Res\:;��" $079 � ' . ���' �_ � ,',�r�
V��SMIP�Com ����,., $0.00 _ - - ' � //; ' ' � l
���� Other ��,�$0.00 - _ � � �r�� , � ,i�r
�Inspectwn: ', ��_$0.00 , � . � � � �" `/!
, � �. � ...� ;� ;,ii/ >;" /,�,
,�� � .-'� �`\A., ' � � , �'
�,; ,.
� �Total: $154:04 '-'`�� � � � . � �/% ,;, /
�� �� �'' �`��� � �, `� � � ' __ . �_ -.�� �� %, �
��� � ti�}F" P-LANNING & ZONING ; g � "/ j' - � �� ,�
�
\'C' � � ,r � �
SETBA KS�� c% � � � � � �C � ��;',
�_ �;• _�:.. ,.. _ , ,: . //,�i
�`�. '-i; � . . . ��i;,
MAINSTRUCTURE�Front��0-0 �, Rear Ob .�, �Left .� 0-0 � Right� 0.0,' /-;- f
� �� � � _ __ . .
ACCESSORY Front �0-0 , ,� Rear' 0-0 Left 0-0 Right�� 0-0�,';�'
� � i
PARK�NG Existinn:� 0�„ Required: 0 Proposed: 0- � ,'. .
�
NOTES: " - . , . , < - . .
NOTICE: The work authorized by this parmit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: 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. .
INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspectlone and flnal approval must be obtained. Failure to obtain inspections and final approval will result in tha expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
y�iRKERS' COMPENSATION DECLARA710N:
fiereby attirm under penelry of perjury one oi the tollowing tleclarations:
❑ I have antl will maintain a cenificate of consent to self-Insure for workers' compensation, as provided tor by seciio� 3700 of Ihe Lebor Cotle, for ihe pertormence of the
work tor which this permit is issuetl. ,
❑�I have flnd will maintain workers' compensation insurence, as required by section 3700 ot the Labor Code, for Ihe pedormance of ihe work for whic� �his pertnit is issuatl.
My workers' compensation Insur nce carner end poliry number are:
Carrler: �fi/A"fP i �a� Policy Number. ��� �o —�� l�n�� �� �ijL S S�
(ihis section neetl not be crompleted i! the permit Is valued et one huntlred dollars ($100) or /ess.)
❑ I certity ihat in the paAormance of the work for which Ihis pertnit is issueQ I shall not employ any person in eny manner so es to becama suhject to the workere'
compensation laws ot Califomia, antl agree that it I should become subject to the workers' compensation provisions oi Section 3700 ot t�e Labor Code, I shell forthwith
comply with these provis� ns. I
Applicant Slgnature: �J'iii /A. �l �.A i� .c� Date: _�� �I 0� �q°1
WARNING FWLURE TO SECURE WORK 5' WMPENSATION EPAGE IS UNLAWFUL AND SHALL SU6IEGT AN EMPLOYER TO CRIMINAL PENALTIES AN� CIVIL FINES UP TOONE HUNDRED
TFIOUSAND DOLLARE (5100,000�, IN AODITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31060F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm �hat I am
force antl ettect. Lic. a_
ContractoYs Signature:
of Chapter 9(commencing with Section 7000) of Division 3 of the BuSiness antl Professions Cotle, antl my licanse Is In full
Class # �.
� � (�en Date: � I,�` 0. �I
CONSTRUCTION LENDING AGENCV:
❑ I �ere6y ettirtn thet ihere is a consiruction lending agency for the pertortnance ot tha work for which ihis parmit is issuetl. (Sec. 3097, Civil Cotle).
Lender s Neme:
Signature: _
Lentlers Atltlress:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm ihat untler penalry of perjury that I am EXEMPT FROM TNE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Prolessions
Cotle: My ciry or counry which requires e permit to constmct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit
to tile e signed statement that he or she is licensed pursuam ro the provisions ot Ihe Coniractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business antl Professions Code) or that he or she is ezempt theretrom anA t�e basis tor the alleged exemption. Any violation of Section 7031.5 by eny applicent for e permit
sub�ects ihe applicant to a civil penalry of not more than five hundred dollars ($500).):
❑ I, as owner ot tha property, or my employeas with wages as thair sole compensation, WILL DO 7HE WORK, antl the structure is not intended or offered tor sale (Sec.
7044, Business end Protessions Code: The Contractors License Lew does not apply to an owner of property who 6uilds or improves thereon, antl who does such work
himself or herselt or through his or her own employees, proNded that such improvements are not intended or oHared for sele. If, however, �he building or improvement is
soltl within one year of completion, the owner-builder will have the hurtlen of proving ihat he or she tlid not build or improva for purpose ot sala.).
❑ I, as owner of ihe property, am EXCWSIVELV CONTRAC7ING WI7M LICENSED CONTRAC70R5 to consimct the project (Sec. 7044, eusiness and Protessions
Code: The contractors License Law tices not apply to en owner of properry who builds or improves Ihereon, and who croniracts for such prqect with a coniractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business antl Professions Code tor this reason:
SignaWre: Date:
Owner 10 venfied by tlriver'S license. ❑ Yes ❑ No Dnvefs License No. Expires:
Venfication of Ownership by (type ol document, i.e. - properry tax bill or tlaetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certlty that no excavation five (5) or more feet in depih into which a person is required to tlescend, will be metle in connection with work authonzetl by ihis
permit, and that no building siructure, scattolding, falsework, or tlemolition or dismantling ihereot, will De more than ihirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Title B, Cfllitomia Atlminisirative CoOe).
❑ As owner-6uiltler, I will not employ anyone to do work which woultl require a permii from the Division ot Industrial Safery, as noted above, unless such person has a
permit to do such work from the division.
Signeture: Date:
Division of Indusirial Safety Pertni� Number.
CERTIFlCATE OF COMPLIANCE AND AUfHORVATION OF ENTRV: I certify undar penalry oF perjury Ihat I have read this epplication antl state ihat the information given is
wrrecL I agree to comply with all state laws and city ordinances relating to building constmction, and authorize representatives of the City of Costa Mesa to enter upon the
above-described properry for inspection purposes. I agree noi to occupy or allow occupancy of any building authonzed by t�is permit until final inspection.
CODE �. INSPECTIONTYPE
1616 Fixetl System Finel Fire Prevention
1266
200
201
202
203
Pool Spa Final
Final Re-Roof
Finel BIocWRetaining Wall
Final Facrory Fire Place
Final Sign
204 Final Demolition
2d48-6s
PAT_E INTRIILS
�i I I D �4 � te
-T� oa�e
LOpE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 , Final Builtling/OccUpancy
BAIE � INTITIALS
OwNEr�ELBY DATE 8-9-79
JOB aDDRESS 3255 Tur ock BUILDING PERMIT N0. 4�g6I3�- ,
AP
[U:F+
Gn5
W NTER
PFOP. SwR. LINE �_ � NOUSE CON
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEnTING ANO RIq CONOIT
TEMPOB>RV SERVICE OR POLE
UNOERGROUN� � POWER �
ROUGH wIRING
TRENCHES I I FORMS ST
FLOOR SYSTEM
BOHO BEAm [-1 STEEL REINF
SHEATHING
FqqME ANO FLASNING ^
LATXING — IN `� OUT ` �
PLRSTER_ 9ROWN COAT
Ei"RI0. AND A.C�. F
ELECTRIC. FI
SUBCONTRACTOR
F
�
L
Q
.�.�
�
S.'
F
_ COSTA MESA BUILDING-SAFETY DEPARTMENT
' P.O. BOX 1200 COSTA MESA_ CALIFORNIA 92626
a,? 0 8%09%79 23.0� TL
�. • - • - _.
APPLICA7'ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completety — Use Ink Only
REC V�V DATE RECEIVED OAT� ISSUEO
BUI�DING . G y- 7
A�DRE55
OWNER y1 A P N� ,/��z .� /��— � PERMIT NO.
GY
MAIL BUILDING
ADDRESS ADDRESS
�^ TEL. T T L BLOCK
CITV �/1 d NO. �J�
CANSTRUCiION O EW ADD A ER P IR
LENDER
BRANCH
OWNER
ADDRESS VALUE �
ARCHITECT TEL SE ' S '
OR ENGINEER N
FIRE
A�DRESS ZONE TYPE GROUP
• APPROVED
CONTRACTOR � BY DATE
ADDRESS ^ ��[
TEL ZON� NO.OF USE OF NEW
/ PLANS BUIL�ING
CITV � NO. O {
STATE CITV �'/aRDSAPPROVED VAROSAPPROVED
LIC. NO. ,� LI0. NO. � MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. � (FROM C/l ST EET)
OF LOT NOW ON LOT I FRONT FT.
USE OF /� Q
EXISTING eIDG. • I E��o FT FT. �
� Separate permits are required for � �, sioe / FT. d Fr.
electriq plumbing and heating work. j�
PEAF � � FT. `�' FT.
USE OF BUILDING AN¢WOfiK TO BE PERFOFMED DISTANCE BET. BET. MAIN &
MAIN BLDf'aS. ACCESS, BLOGS.
' � VAR.# DATE
QU.P.� APPROVED
� APPROVED /J. n �p /-� 7
l.W I\ W
I heraby acknowlatlge t�et I have reaA this appllcallon antl state
that ihe above information is cortect antl agree to comply wiih
all Iaws regulatine building consttuction, and I shall not employ
any person in violation of the workman's compensation laws of
the Stete of Californie. ��
I hereby certify that I am properly Iicensetl as a conttactor untler SQ. FT.
rhe Sxare of Califo�nia Business antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and thet such licenses are In full force and atfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from xhe provisions of the State of Califo�nla Business
VALUATION PERMIT FEE S � O"D
and Profe55ions Cotle, Oivision 3, Chapter 9.
PLAN CHECK y �SD
SIB�ature of ���]� �/�/� �
P¢rmittee �WC�-. $ ( /YN1Y1 ��� TAX S . , 5'Q
'� V V
AuthorizetlAgent TOTALPAID $''L3 Q p
I
OWNER �,TZER EN7
JOB ADDRESS _ �
GENERAL CONTRACT6R
AP No. LOT
GAS
PROP. SWR. LINE �✓HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONOITI
TEMPORARV SERVICE OR POLE
UNDERGROUND � POWER �
ROUGH WIRING
TRENCHES m)" FORMS STF
FLOOR SVSTEM
BON� BEAM U STEEL
SNEATHING
FRAME AND FLASHING
LATNING - IN I� OII"
STRUCTURAL, FINAL
MEATING. VENT.. REFRIG. AND A.C.
BUILDING, FINAL
NG
REINF.
DESCRIPTII
TRACT Fi745 FIRE ZONE
DATE 8_28-72
BUILDING PERMIT N
E
SUBCONTRACTOR
353 I C,
� � ' COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COS7A MESA, CALIFORNIA 92626
For Applicant to Fill in Completety
BUILDING e-> ... _ — �� � D /% /'7
OWNEF Heltzer Enterprises-Costa Me
MAIL
ADDRESS 740 N. La Brea Avenue
arv Los Angeles, CA 90038 NOL
CONSTfiUCTlO
LENDER `iJnited California Bank
BRANCH T'J81i1 Office
""""'"' David Freedman
OR ENGINEER
nooaess113 N. San Vicente
CONTRACTOR George J. Helt
ADDRE55 ]L}O N. Ld Brea Ave
ciTv Los Angeles, CA 90038
uc No. 3144
SIZE
OF LOT
USE OF
EXISTING BLDG.
SI2E OF NO. OF
T
aur,: '�Ms�OC210�� �}�`*130.65
APPLICATION FOR BUILDING PERMIT
'qEI,�V�EDBV D�yATE�RpECENED D TE�'�
L!D' /I'L/J�7Z ��.
�� PEAMIT NO
ADOFESS� � � ( �I
_2171 TRACT 6245 LOT BLOCK
W ADD P
OWNER
VALUE
�-3852 se '" 8
FIRE )�
.1115 ZQNE TVPE J= GROVP �
APPROVED
eY DATE
TEL. �"
No. 937-
CITV
�IC. NO. 1
�
INO.OF BLDGS.
NOW ON �OT
EXTERIOR WA�L I ROOF
COVERING COVERING
USE OF BUIIDING AND WORK TO BE PERFOFMEO
SinQle Residence Plan 411 B
ZONE NO.OF �
PLPNS a
VARDSAPPROVED
MAIN BUILDING
REAR �C I
DISTANCE BET.
MAIN eLDGS.
VAR. �W
QU.P.aR
n??�� wL
I hereby acknowled0e thet I have reatl this application antl state 6� FQ$
that the e0ove informacion is correct antl aBree to comply with
ail laws regulating building conshuction, antl I shall not employ .��
any perwn in violation of Me workman's compensation laws of
Me State of California.
I hereby certify that I am properly licensetl as a conttactor untler ��� $Q. FT.
tne Staxe of California Business and Professions Cotle, Dtvisicn 3, THE AMOUNT SHO
Chaprer 9, and t�at such licenses are in tull torce and effect, or I THE PURPOSE OF
am ezempt trom the provisions of the State of Celifornia B�stness VALUATION
antl Professions Code, Div' i n 3, Chapter 9.
Signat�re ot (
Permfttee ` �J� / �
Q� ��7�0�
Authorizatl AOent
USE OF n
BUILDING
VARDI
BET. MAIN &
3hz
'/rl m
�Y"� V � o
WN UNDER VALUATION IS FOR �
ESTABLSHING A PERMIT FEE ONLY: Q
�/ � m
PEFMIT FEE $ NJ �
J
ap m
PL4N CHECK $ � E
� LL
TOTAL FEE $