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Home My WebLink About3263 TURLOCK DR - Building Permits(714) 754-5273 • Faz (714) 754-4866 • www.ci.casta-mesa.c��ILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3263 TURLOCKDR Suite: Vicinity: WINDOWS Primary Occ: R3 DwBllings/ Cong Res <10 Parcel Number: 41206218 Applicam: GELB, GLORIA Address: 3263 TURLOCK DR COSTA MESA, CA ,�� Type of Constmdion: V-N Zoning: R1 Phone: 714-377�519 OFFICEISSUED BV: ��ZiP:�, 92626`2124\ /T�i� -f.: .---� — - Owner. GELB, RONAL'D-L/%i-,� �� r Address 3263 TURLOCK�OR��'� � 1 �� ///'� � 4 /, fJ��'.� � j-i PhoneS COS�TA MESA, CA -� ,�.� �`-�_=J Zip { f �:�`� �ZP'�/�%�,�� 'i I /l � � , �,; r III„! P' ��,f REFLACE 7 WINDOWS (LIKE-F � � �AOS,OT {�RE,MOVEINON-BEARIN( (� i i l"1 ; ,\� � WCLUDE�NEW FOAM FACApE � T�� otal: ' $0.00 ` I $209.25 \� �! $120 ( �� $0.00 � $0.00. � $0.00 \�s2�o.as , Phone: ••-� Phone: \�� License: 000000 �51 Eng: ;� Address: ��c" 1: ��'� �, o ,t"w�. . , �s: r.- o �._ %t' z ..- --.� : , r ; Status: ISSUED Applied: 0 9/1 32 006 Issued: 09/13/2006 �� CHANGE-OU� IN AN EXISTING ONE-STORY SFD. THE FRONT LIVING'F 'EEP 4'X6' EXISTING HEADER) REMOVED AND ONE\IN\OW WILL REf 1 THE�FRONT-WINDOWS�WITH�STUCCO APPLIED�.WITH THE REMOVAL �5.�=�,.�r";SE �� °; } �v� ' �n, ,. � � � �;;=� ��; . -:s,�Rear��,30�0��r� �,�ett c �0-0 ) "� � o ` ^ n � � � . l " �Rea�,;� 0� 0,�� L'eN ,. 0- 0 ' >> �`;°-�"�-�.. �� 0 ° ;a �,, ` �-�;. � �� r�-� rceawre¢�u��_�x_.-emooseo:-�;.u-- C Il f � , `'-----_--=�= ., �y--, � �� (/� �%�� {� �-��, �-� C=, �� U U � �-� i �.R'i � ��- '1 \��.� u�� i 1 t l � �.. %�,l i \,� — _ _' -�' � G ��, ,�, �. —�'—�G-�� c,,%>�--�:_..---_ Calc Valuation: Claim Valuation: � �� rr�� "J�// �� Ri ht� 0-'0/\ ij� C/�'�`� Right" �\0'�'��V%j „ cr J ��i �o/ J NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 We�k authorized undar this permit to be considered legal, such work must comply with all applicable codes, and all requlretl Inspectlona end flnel epproval must be obtained. Failure to obtain inspections and final approval will result in the axpiration of this permit. , FOR INSPECTIONS CALL: (774) y545626 2448-48 (fiN0) THE 0 WORKERS'COMPENSAnON DECLARAnON: � I �ereby aflirtn under penalry of perjury one oi the tollowing tledarations: ' ,� ❑ 1 heve entl will meintain e cetlificate ol cansenl to selt-Insure tor workers' compensetion, es providetl for by sectlon 3700 of the Lebor Catle, for the pertortnance of t�e work tor which NI5 permit is issued. ❑ I have end will maintein workers' compensatlon insurflnce, as required by sec6on 3700 of the LeOor Code, for Ne pertortnance of Ihe work for which ihls pertnit Is Issuetl. My workera' compensation Insurance cerrier end policy number ere: Carrier. not be comp/eteC i! tha permit is valued af one hundred dollars ($100) or less.) Policy Number: � I ceAly,iFiet in the peAormence of the work for which this pertnit Is issueq I shall not employ eny person in eny manner so as to �ecome suDiect to the workers' 'compensation laws of Celifamia, entl egree t�at 11 I shoulC become sub�ecl fo the workers' compensetlon provisions ot SecNon 3700 of ihe Labor COAe, I shall tan�wit� compty wilh these proWsions. ��% /� / ApplkanCSip� X/X_.K<..cJ D�D/ Date: z. 7— a. 0—/� f� �WAqNING'FAILURE TO SECUHE WORKERS' COMPENSATI DVERAGE IS UNLAWFUL AND SW1LL SUBIECT AN EM�ER TO CRIMINAL PENALTIES AND GNL FlNES UP TOIXJE HUNDfiEO THIXISAND DOLLARE (5100,000). IN ADdTION TO THE WST F COMPENSATION, DAMAGES AS PROVIDED WR IN SECTIIXJ 3]O60F 7HE IAeOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I �ereby attirtn Ihat I am Ilcensed under provisions of Chapter 9(commencing with Section 7000) ot Dlvision 3 ai ihe Business end Professions Code, and my Ilcense is in full force entl eNect. Lic. a Class x Conireqofs Signature: � Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirtn that Ihere is a constructlon lentling egency for Ihe peAortnance ot t�e work for which ihis permit is issued. (Sec. 3097, Givil Code). Lendels Neme: Lentlers Address: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby effirtn Ihet under penalry ot perjury thet 1 em E7(EMPT FROM TME CONTfiACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Busineu end Professlons COCe: My dry or counry which requires e pertnit to wnstruct, elter, improve, tlemolish, or repair eny strudure, prior to its issuance, also requires the applicant for such pertnit to tile e signed statement that he or she is Ilcensed pursuant to the provisions af ihe Cantreccors License Lew (Chapter 9(commendng wlth Section 7000) ot Divislon 3 of the Business entl Professians Cotle) or thet he or she is exempt Nerefram entl the Desis for ihe elleped exemption. Any violaUon of Sectlon 7031.5 by any eppllcent for e pertnit sub�ecls the eppllcant to a cMl penalty of not more ihen five hundred dollars ($500).): ❑ I, es axner o1 the property, or my employees with wa9es es Ihelr sole compensatlon, WILL DO THE WORK, end the structure is not intended or oHereE for sale (Sec. 7044, Business entl Professlons Coae: The Contrectors License Lew tices not epply to en owner of property w�o bullds or Improves thereon, end who tlaes such work hlmseli or herselt or ihrough his or her own emplayees, providetl t�at such improvemenis ere not Intentletl or ofFered for sale. It, however, Ihe bullding or Improvement Is r- sold within one year of completlon, the owner-builder will have ihe burden of proving ihat he or she did not build or improve Por purpose ot sale.). • � I, es owner of the property, em E%CLUSIVELY ONTRACTING WITH LICENSED CONTRACTORS to consiruct the projed (SecJ044, Buslness entl Professiona Code: The contraaors Llcense Law tloes not ppty to en owner of properry who Dullds or improves thereon, and who conirec�s for such project wlth e conirector(s) licenae pursuant to the Contractors Llcense ws.). ❑ I em exemp untler sec., Busineu antl Professions Code for this reason: ��,.,...^-�^:^+. � 0 _.,. � 0 � c—:—.:_._ _._ . _ , „ _ n ,. io �e�nea oy a�ars n��4. uyras ❑ No �o`�n,ers u�:e_sa No. Vedflcatlon o1 Ownership by (type oi tlocument, I.e. - praperty tax bill or DIVISION OF INDUSTRIAL SAFETY FERMR CERTIFICATION: ❑ 1 hereby certiy that no excavation five (5) or mora teet in depih into which e person is requirad to tlescentl, will be made in connec�ion with wark euthorizetl by �his pertnit, and Ihat no builtling slrucWre, scaHOlCing, falsework, or demolition or tlismantling ihereof, will be more ihen thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, CalHamia Atlministrative Catla). ❑ As owner-bullder, I will not employ enyone to do work which waultl require e pertnit irom the Division af Industrial Sefery, es notad above, unless such person hes e permlt to tlo such work Irom the division. SlgneNre: Date: Divislon oi Indusirial Satery Pertnit Number: CEHTIFlCATE OF COMPLIANCE AND AUfHORIZATION OF ENfAY: I certify untler penalry of perjury that I have read this epplicatlon an0 state thet the infortnation given Is correct. I agree to comply with ell stete laws end ciry ordinances relating to building construction, antl euthoAze reD�esentatives of the Clry of Costa Mesa to enter upon the ebove-describetl property tar inspection p es. I egree not to occupy or ellow occupency oi eny building eutharized by this pertnit until 9nel inspection. �/'1��1., �-�O/�- -9'- �a__- a 6 'Si�g=e�u e t Legal Owner s)' Date ��'y And/Or Authonzed Applicent Date CODE �. INSPECTIONiVPE QdIE 1N�IELS 1876 Fi:ed System Flnal Fire Prevention 1266 200 201 202 203 204 Pool Spe Final Final Re-Roof Flnfll BIocWReteining Well Final Fectory Fire Place Flnal Sign Final DemdiUon CO�E1 MSVECTIONTVPE 206 Final Mechanical 208 Final Plumbing 210 Final Eledrical 212 Final Fire Praventlon 220 Final Planning Approvel 222 Finel Site . . 250 Finel Building/Occupanq Pag It�1�L& G�2►/a (��+� ��x�r�s-r�� ,�_ ,, . , ,,�,�,;,� -, � �� G- �i � z �P C.! ,� �•, ��"'fiY �'� �.`12.� � �C 1('"`�� c (l� �� . ��'; `^� ,S> 'a _I �� C C I�.. r--I X C v � P r�i (:ri' ✓ I E`��S_�" h <, hc�,�(�v �� `G�XrS`�1�1� c�-.��- PoS-t" «l L��c�� I/�A'� t�l��f��.J �C�J � �c 8 F�h��- � f urs�7�� u r� � � � � v� � /�� .-G-'�. �✓�4m�,�i� is �u�,s� � •,a.. /� �� j ti''�'��•�� i .3 . ZI ,.,. - ' ,' i4ri� 'it,S . .i it� :��',�_ �• �1 , -�,�� LL � � . (714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us � 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job nddress: 3263 TURLOCK DR Suite: Viciniry: Parcel Number: 41206218 Zoning: R1 R1 Applicant HOLLEY, MICHAEL Address: - . - � " - - . " Phone: 9493383710 - Zip / . / �. �' � _ i owner. GELB;� RONALD LEE TR � Address 3263 TURLOCK DR � ' i - �' ��: � . - � Phone: - . � _ . `� . � , COSTA MESA, CA. Zip: 92626 " �� Contracror: `GREAT AMERICAN ROOFING OF ORANGE COUNTY Address: 23592 WINDSONG ' - � , - ' Phone: 9493383710 � � ALISO VIEJO, CA � Zip: 92656 .' : License: 797707 ; � Arch � � " � . - - � Eng: Address: � � � / Zip: Phone: � � License: Address: Status: ISSUED Applied: 09/18/2001 Issuetl: 09/18/2001 ISSUED BY: .. " . Phone: . . . \ - " � License: acurt ur rercnu i _� TEAR OFF SHAKE, INSTALL SHEATHING, APPLY CIGHT WEIGHT EALGLE LITE TILE: � .� - FEE SUMMARY Plan Check: $0.00 Calc Valuation: � Permit: - - --- � -- � - _ SMIP Res: SMIP Com: Othe�: Inspection: Total: $15325 $0.80 $0.00 $0.00 $0.00 $154.05 SETBACKS� � � �- MAIN STRUCTURE Front 0- 0 , Rear ' 0- 0 ACCESSORY Front 0- 0�� Rear 0- 0 PARKING Ezistinq: 0 Recauired: � 0 NOTES: / �: PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Claim Valuation Right 0-0 Righf 0- 0 .$8,000.00 58,000.00� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) 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. INSPECTIONS: In ordar for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all requfred inapections entl final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 taa�afi Ivao) WORKERS' COMPENSATION DECLARA710N: ! I hereby ettirm under penalry ot perjury one of Ihe followinq deGaratlons: ❑ I have end will maintain e certificate ot consent to salt-Insure for workers' compensetion, es provitletl tor by section 3700 of the Labor Code, Por tha pertortnence of the work fof whiCh thi5 permil IS issuetl. ❑ I heve end will melntain workers' compensetlon insurence, es requiretl by section 370Q,of the L.�or Code, for Ne peRortnance of the work for which this pertnit I5 issuetl. My workers' compensation Insurence cerr�r antl policy number are: � Certier: i! fh4 permit is velued et one hundred dollars ($700) or less.) Policy Number: rtity that in iha pertormanca of Iha work for which this permit I5 issuetl, I shall not employ any person In any manner so es to become subjact to t�e workers' compensetlon lews of Celifomia, end epree thet ii I should 6ecome sublect to the workers' compenselion provisions of Section 3700 01 the Lebor Catle, I s�all forthwith wmply with these provisions. � ' � � � � � Applicent Signeture: Date: WARNINQ: FAILURE TO SECURE WORKEqS' COMPENSATION GVVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINPL PENALTIES AND dVIL FlNES UP 700NE HUNDRED T/IIXISAND DOLIARE (5100,000). IN ADDITION TO THE COST OF WMPENS/TION, DAMAGES AS PROVI�ED WR IN SEGTION 3IOB OF THE LABOR CODE, INTEREST, ANO ATTORNEI^5 FEES. LICENSED CONTRACTORS DECLARA710N: I hereby alfirm that I em licensed under provisions ot Chapter 9(wmmencing with Section 7000) of Division 3 of the Business antl Proteuions Cotle, end my license is in full force entl eNect. Lic. q Cless q Contrectofs SlgnaWre: Date: � � CONS7RUG710N LENDING AGENCV: ❑ I hereby ettirm that there is e wnsWction lending agency for che performance ot the work tor which ihis permit is issued. (Sac. 3097, Civil Cotle). Lenders Name: � Lenders Address: Signeture: Date: OWNER•BUILDER DECLARATIONS: I hereby etfirm tha� untler penelry oi perjury that I em EXEMPT FROM 7ME CONTRAC70RS LICENSE LAW tor the tollowing reeson (Sec. 7031.5, Business and Profe551ons Code: Any ciry or counry which requires e pertnit to construc6 alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the epplicant tor such pertnit to fle e signed stetement ihat he or she is Ilcensetl pursuant to the provisions ot ihe Contrectore lJcense Lew (Chaptar 9(commencing with Sectlon 7000) 01 Dlvisian 3 o11he Business and Profeuions Code) or that he or she Is evempt theretrom anG t�e basis for the allaged exemption. Any violation oi Section 7031.5 Dy eny applicent for a pertN' subjects Ihe epplicant to a civil penalty of not mora than fve hundred dollers ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not Intended or oflered tor sale (Sec. 7044, Business and Professions Cotle: The Coniractors License Law dces not apply to an owner ot proDerlY who builds or improves iheraon, antl who does such work himselt or herselt or through hls or her own employees, provided ihet such improvements ere not intended or oflered for sale. If, however, ihe builtling or improvement is sold within one year of com0letion, the owner-Duiltler will have ihe burtlen of D�oving ihat he or she tlid not build or improve for purpose ot sale.). � I, es awner ol lhe properry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professions Code: The conireccors Licensa Lew does not apply to an awner ol propeny who builds or Improves thereon, antl who contrects for such pmject with e conhemor(s) license pursuant to the Contractors License Lews.). ❑ I am ezempt untlar sec. Business and Professions Code for this reason: Signature: Date: Owner ID veniied by drivafs license. ❑ Yes ❑ No Dnve/s License No. Verificetian of Ownership by (rype of daument, i.e. � properry taz bill or deed): Expires: DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION: � ❑ I hereby cartify thet no excevatlon five (5) or more feet in tlepth into which a person is requiretl to descend, will ba matle in connection with work authodzetl by ihis permit, and that no building structure, scattWtling, falsework, or demolition or dismantling thereof, will be more than ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Califomla Administrativa Code). ❑ As owner-builder, 1 will not employ anyone to do work which would require a pertnit from the Division ol IntlusMel Safery, es notetl e6ove, unless such person hes e pertnit to do such work from the tlivision. Signature: Date: Divl5i0n of Inaustrial Satery Pertni� Number: CERTIFlCATE OF COMPl1ANCE AND AIJTHORVA710N OF EMRY: I cenify under penelty of perjury that I have read this application and state thet ihe informalion given is correct. I egree to comply wiih ell state laws end ciry ordinances relating to building constmctioq end euthonze representatives ot ihe City ot Costa Mesfl to enrer upon Ihe above-descnbed property tor inspeclion purposes. I egree not to occupy or allow occupancy of any building authorized 6y Ihis permit until (inel inspection. Signature Of Legal Owner(s) �'/� Da� � AnNOr Authonzed Applicant Date COOE 1. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 200 Pool Spa Final Final Re-Roof 201 Finel BIocWRetaining Wall 202 Finel Fectory Fire Place 203 Final Sign 204 Final Demolition p�F ixmu�s LOOE� INSPECTIONTYPE 206 Finel Mechanical 208 Finel Plumbing 210 Final ElecMcal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Finel Builtling/Occupancy BAIE 1�L9 August 20, 2003 CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRNE • CALIFORNIA 92628-7200 DEVELOPMENTSERVICES DEPARTMENT BUILDING DIVISION NOTICE OF PERMIT EXPIRATION Ronald Gelb 3263 Turlock Dr. Costa Mesa, CA 92626-2124 PERMIT NUMBER (S): B01-01456 FOR: Re-roof PROJECT ADDRESS: 3263 Turlock Dr., Costa Mesa Our records indicate the above listed permit(s) were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of your last inspection for the project and additional fees may be required to finalize expired permits. According to our records, the permit(s) listed above have not had an inspection for a period exceeding 180 days. If you have a signed inspection card indicating an inspection was conducted within 180 days from the date of this letter, please contact this office so we may correct our records. A time extension may be granted if you intend to commence work and complete the project. Requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of completion. If you need to request an inspection please call our Inspection Request Line at 714.754.5626. If you do not contact this office within 10 days, your permits will expire on September 5, 2003. If you have any questions, please contact the B�ilding Division at 714-754-5273, between 8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of records affecting your property is our goal and we appreciate your working with us to resolve this matter. Sincerely, M ry Jane Weidenkeller Office Specialist II Bpilding Division (714) 754-5273 • Code Enforcement (714) 754-5623 • Planning Division (714) )54-5245 FAX (714) 754-4856 • TOD (714) 754-5244 • wvnv.Gi.cOs�a-mesa.ca.us . CITY O" 7STA MESA PROPERTY DETAIi�REPORT Owner: Gelb Ronald L Gelb Gloria J Resident: Gelb, R Site Address: 3263 Turlock Dr City/Zip: Costa Mesa / 92626-2124 Parcel Id: 412-062-18 Location: Costa Mesa City Neighborhood: Unknown Wealth Code: 8.0 Legal Desc.: N Tr 6245 Lot 70 Zoning: Unknown Subdivision: Unknown Usage: 001: Single Family Residential Style: Unknown Construction: Unknown Year Built: 1972 Stories: 1 Bdrms: 4 Baths: 2 Full Fieating: Unknown Cooling: Unknown Irr. Lot: Unknown Terrain: Unknown Water: Unknown Sewer: Unknown Sqft 1 st Sqft 2nd: Sqft Bsmt: Sqft Total: 1884 Market Value: $66,460 Assessed Land: $20,781 Assessed Bldg: $45,679 Assessed Total: $66,460 Percent Improved: 69% Delinquent Taxes: Sale Date: Jun-29-2001 Sale Amt.: Deed Type: Intrafamily Transfer Volume & Page: Seller: Gelb Ronald Lee Trstee Title Company: Multi-Parcel: No 3263 Turlock Dr Costa Mesa, CA 92626-2124 Ttl. Rooms: Bsmt.Type: Bsmt. Fin.: Gar. Type: Gar. - Cars: Gar. Sqft: Roof Mater. Roof Style: Attic Type: Condition: Lot Dim: Lot Size: Lot Sqft: Phone: �(714)979-6579 Phone: (714)979-6579 Tax Address: 3263 Turlock Dr City/Zip: Costa Mesa / 92626-2124 Own.Occ.: Yes School District: Newport-Mesa Unified Census Tract: 063907 Year Listed: 2002 8 Unknown Unknown Attached Garage Unknown Unknown Unknown Unknown 147 acres 6403.32 sq.feet Gross Tax Semi Ann.: H6920 Credit Semi.; RB Credit Semi Ann.: RBA Credit Semi.: Homestead Exemption: Spec. Assmt. Semi.: Tax Semi Ann.: Mortgage Date: Mortgage Amt.: Mortgage Type: Volume & Page: Lender: Mortgage Term: Mortgage Rate: Biktop Paving: Concrt Paving: Carport: Deck: Patio: Pole Barn: Pool: Fireplace: Gas: Electric: Units: $461.38 $461.38 Jun-29-2001 $203,000 Conventional Metrociti Mtg Llc 2031 Unk. / Fixed Unk. Unk. No Unk. Unk. Unk. No Unk. Unk. The information is deemed reliable but is not guaranteed. 2002-2003 Tax Year Copyright 2003 Haines Printed Aug-19-03 SOUTH ORANGE CA CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT (714)754-5273 • Fax(774)754-4856 Jobnddress: 3263 TURLOCK DR Suite No Vicinity: Parcel Nunmber: 41206218 Applicant: NOCK,RON Address: 11612 KNOTT ST GARDEN GROVE, CA owner: GELB, RONALD LEE TR Address 3263 TURLOCK DR COSTA MESA, CA Comrector. NOCK PLUMBING Address: 11612 KNOTT ST GARDEN GROVE,'CA Amh / Eng : Address:. WATER HEATER. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifer System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00. . $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $o.00 $0.00 $0.00 QTY PLUMBING PERMIT Phone: (714)895-1246 Zip: 92841 Phone: Zip: 92626 Phone: (714)895-1246 Zip: 92841 � License: 707775 Phone: Zip: License: � � SCOPE OF PERMIT.' FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 �Pressure Regularor $0.00 Process Piping (per 70 ft) $0.00 Receptors $0.00 Septic Tank $0.00, SewerCapforDemo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PERMIT NUMBER P00-00208 77 FAIR DRIVE. COSTA MESA, CA 92628 Status: ISSUED Applied: 05/01/2000 Issued: OS/07/2000 ISSUED BY: `� Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION 1' AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements 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. INSPECTIONS: In order �or the work authorized under ihis parmit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expira[ion of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARA710N: � — I hereby ettirm unaer penelry oi per�ury one of the following declarations: � � ❑ I heve antl wlll maintain a certificate of consent to self-Insure for workers' compensation, es providetl for by section 3700 ot the lebor Cotle, for the peAortnance of the work for which this permit is iuued. �� I have and will maintein workers' compensation insurance, as requiretl by section 3700 oi ihe Labor Code, tor ihe peAortnance of iha work for which this pertnit is issuetl. My workers' compensalion Insurance carner a liry number are: ) �� r��—� �.' Carriec �� L�%4� . Policy Num6er. /l�(�-/'--'T / / � Z% �� (This sect�on need no! be canp/efed i/ the permit is valuetl ef one hundreO tlollars ($100J or Iess.J ❑ I cetlity Ihat in Ihe peAormance of ihe work for which this pertnit is issued, I shall not employ any person in any manner,s o as to become subject to the workers' compensation laws of California, and agree that if I shoultl become subject to the workers' compensation provisions of Secti h 370 of ihe Labor Code, I shall fonhwith comply with these provis n Applicent:Signeture: ��7 �� 'Date,� WARNING: FAILUPE TO SECURE WOpKERS' COMPENSATIIXJ CAVER4GE IS UN WFIIL AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND qVIL PINES UP TO ONE HUNDRED THOUSANDDq1ARE(5100,000),INAODRIIXJTOiHEWSTOFCOMPENSNTION,D G«^<pqOVIOEDFORINSECilIXJ3/O60FTHElABbRCOOE,IMEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am Iicensady�pA�ry�rouiSii wi�h Section 7000) of Division Code, and my license is in full CONSTRUCTION LENDING AGENCY: ❑ I hereby aMirm that Ihera is a construction lending agency for Ihe peAormance ot the work for which this pertnit is issuetl. (Sec. 3097, Civil Code). Lentlers Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lentlefs Atltlress: Date: I here6y ettirm that under penalry of perjury that I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or wunty which requires a permit �o construct, alter, improve, demolish, or repair any sWdure, pnor to its issuance, also requires ihe applicam for such permit to tile e signetl statement ihat he or she is licensetl pursuant to the provisions of Ihe Coniractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Cotla) or that he or she is ezempt t�erefrom antl the basis tor ihe alleged exemption. Any violetion oF Section 7031.5 by any applicam for e permit bubjects the applicant to e civil penalry ot not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sola compensation, WILL DO THE WORK, and ihe structure is not Intendetl or oHeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to en owner of property who builds or improves lhereon, antl who tloes such work himsetl or hersetl or through his or her own employees, provitled that suc� improvements are not intended or ottered for sale. tl, howaver, Ihe building or improvement is sold within one year of completion, the owner-builder will have the burtlen of proving ihat he or she ditl not Cuiltl or improve for purpose of sele.). ❑ I, as owner of the property, am EXCWSIVELV CONTRACTING WITH LICENSED CONTRAC70R5 m construct the project (Sec. 7044, Business and Pmtessions Code: The contractors License Law does not apply to fln owner ot Droperty who builtls or improves ihereon, antl who contreqs for such project with a contrector(s) license pursuant to Ihe Contractors License Lews.). ❑ I am exempt under sec. Busineu and Professions Code for this reason: Signature: Date: Owner ID verified 6y driver'S licen5a. ❑ V85 � No Dnver's License No. Verification ot Ownership by (type oF Oocument, i.e. - property ta< bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Expires: ❑ I here6y certlty that no excavatlon five (5) or more feet in tlepth into which a person Is required to descend, will he matle in connection with work authorizetl by Ihis permit, and that no builtling sWcture, scaffoltling, falsework, or tlemolition or dismantling thereof, will be more than thirty-s�c (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, Califamia Administrative Code). ❑ As owneo-builtler, I will not employ anyone to tlo work which would require a permit fmm ihe Division of Indusirial Safery, as noted above, unless such person has a permit to do such work trom ihe division. Signature: Date: Division ot Industnal Sefery Pertnit Number: CER7IFICA7E OF COMPLIANCE AN� AUTHORIZATION OF EMAY: I certity under penalry of perjury that I have reatl this application antl state thaf the informetion given is correct I agree to comply with all state laws and ciry ordinances relating to builtling construaion, and authonze representatives of the City of Casta Mesa to enter upon ihe abova-described pwPerty tor inspection purposes. I agree not to acupy or allow occupancy of any building authonzatl �y this pertnit until linal inspection. � Signature Of Legal Ow — rC�_.. �'AnU/O�'Autharized Applican COpE�. INSVECTIONTYPE I�ijE �MRULS 1618 Fixetl System Finel Fira Prevention 1266 200 201 202 203 204 2d48d8 Pool Spa Final Final Re-Raat Final Block/Retaining Wall Final Fectory Fire Place Final Sign Final Demolition Dat 1 L %�/ ate COpE1 INSPECTIONTYPE �""-J p�E INTRIALS 206 Final Mechanical 208 Final Plumbing �� 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy '�.i Applicant to fill in all ipaces exeepi those within heavy OorCer lines antl.sign all appropriate tlecla�ations. COSTA /M�E�S�A CO'Nf/,��',T,R.j��f5 CT N-PERMIT - PERMir O._ . TRACT NO. ^ LOT NO. UNIT NO. � ,.rroject Address �SC.� / I�LI /( J `n � , ApplicanYs'Mailing�Addr e/� �- /li�A 1 . Owner's Nama �'T��' /� , � Phon��9�n?.� Address � Arch/Eng. License No. Address Contrector's Nam /! t� Phone � Address (m� I'nnl ' q ( • A l ' City License No A�J� �J. LICENSED CONTRACTOR OECLARFTION 1 hereby affirm that 1 am licensetl untler provi5ions of Charter 9(commencin9 wit� sec[ion ]000) b( Division 3 o('the Business antl Professions Cotle, antl � my license is in fu yfo �antl etfecL � . ��cense Qass � ic n F - ite Signature _ .ORKER 'COMPENSATION �ECLARATION ' I nereby aHirm tnat I have a certificate of conseot to self-insOre�or a certiticate ot Workers; Compen�r i %n�5�jaII� Pj—�y Certifietl copy th t(Sec io� 3800. Lab.F�l/'/ Il � WG-I�/�V/P� �s.n_. _ Policy No.�+�+' Company � � - �ert fietl coPY is f letlbwithrthenc [Y Bu� / J�'�� (////�� . Date APPlicant �,��`�`/ /��/ i EXEMPTI N F OM WORKERS' COMPENSATION DECLFRHTION (This section neea no[ be mmpletetl if the permit is fo� one huntlretl ($100) or lezs). I certify that in tM1e performance of ihe wo�k (o� which fhis permR is issuetl, I shall not employ any pe�son in any manne� so as [o become subject to the Workers' Compensation Laws of California. , � Date $ignature i�NOTICE: H, after makinq this tlecla�ation, you shoultl become subject to the i Workers' Compensation provisions of the Labor Cotle, you must forthwitn ' comply wi[h such provi5ions or this permlt shall be tleemetl revoketl. .CONSTRUCTION LENDING AGENCV • '� I hereby atiirm that there iz a mnsiruction lentlin9 a9ency for the perfarmance ot lhe work for which thi5. permit is issuetl (Section 3097 Clv. C.) Lentler's Name I' Lentler's Atltlress OWNER BUILOER bECLARATION ' II he�eby dffirm [hat I am exempt trom the GonVactor's LicenSe Law fo� tite following reason (Section 7031.5 Business antl Professional Cotle: Any city ar county which iequires a permit to const�uct, alter, improve, Cemolish or repair any sVucture, pdor to its issuance, also-requires the applicant for such permit o file a siqnetl statemenf that he/she is licensetl pursuant to the provisions of he Contractor's License�Law.(Chapter 9(commencing with Section 7000) o� Oivision 3 of Ihe Business antl Professions Cotle) or that he/she is exempt therefwm antl tne basis for the allegetl exemption. Any violation of Section �]03L5 by any appliCant'fo� a;permit subjects [he applican[ to a civil penalty of not more than five huntlretl tlollars ($500). , - ❑ I, as owner of the property or my employees.with� wages as their sole tompensalion, will tlo [Ite work, antl the st�ucture is not intentleG o� ofteretl for sale (Section 7044, Business antl Professional Cotle: The Contractor's License Law tloes mtapply to an owner o� a property who builtls or improves thereon, antl who tloes such work himseli/herseli or through his or her own emD�oYees, provitletl that such improvements are not intentletl or ofteretl fo� sale. If, however, the building or improvement is soltl witM1in one year of com- pletion, the owner will have [tle burtlen Of ptovinq he/she tlltl mt bui10 or im- prove (o� [he purpose ot sale). - ' ❑ I, as owner of the Oroperty„am exclusively contracting with licensetl con- tractors tb construct fhe project (Section 7044, Business antl Professions Cotle: The Con[ractor'S licenze Law tloez no[ appry to an owner ot property who 'builtls"or improves'thereon; antl who contract5 /or Such projects'with'a con- tractor(s) license pursuant�idthe Contractor's License Law). I am zware that proaf ot their Worker's Compensation inzurance shoula be provltleG to me. ❑ I am exempt untler Section � 8. &,P, C. �or this reason �i Date � Owner I�heretiy certity tnat I�have reatl intormation Is correct. I agree to t antl state laws relatinq to builtlinc sentatives of is c ty to ente inspection p se Signature Drivers• License or 55 � h above nances TYPE OF CONSTRUCTION LJ NEW lLl-AOD I ❑ CONVERSION� ❑ DEMOLISH ❑ pTHER � _ DESCRIPTION OF WORK/USE OF BLDG. — ALTERATION TVPE OF PERMIT LI.GRADING nL`I FOUNDATION LI STRUCTURAL � � ❑ TENANT ❑ ELECTRICAL'�YrLVMBING ❑ MECHANICAL ❑ �OTHER ' � F PROJECT DESCRIPTION Sq. FT. � oCCUPANCv CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.YDS. ACRES Remarks: Preventer Irrigation Dishwasher Drinking Fountains ' Floor Drains . Floor Sinks Gas Service Outlets I nterceprors Kitchen $ink. � 1.dVdLOf125 �. P—Trap Roof Drains , Reinspection Fee' $15 Duct- Under Ground � - Duct-Structural � 1 Duc[ - Ventilating � Ezhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting� ❑0.100,000 BTU � 100,000 BT t �Reinipection Fee =MF 0865-46, rev. 30/04 White - Builtling; Canary - Applicanh Pink - Accounting; Goltlenrotl - Assessor 0 $15 Showers Service Sink ' - . SewerCap Sewer Connection Solar Collecmrs Solar Piping Solar Tank Swimming Pool w/Spa Urinal Warer Closet Water Heater Water Service Auto-Wash laue Fee, !CHANICAL � Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑1( Sysrem: R epair/Alterati� � Fire Dampers i Registers , . � � Issue Fee FEES A.P. ;1� S Main Bu T Front B Rear A C Fight S Left 'Pln9. Ref. # Construct ion�Pole �Sub. , Cooking Unit ' � Dishwasher - � Dryers �Gas �Electric Fan � F.A.U. Fixtures Device Boxes Outlet5 Switches Garbage Disposal Generator �O-5 KW O5-' 7959 I/23/86 ��' Zone Accessory Buildin9: � � . Parking Req./Provided i ��C—�i3@tl � � ELECTRICAL Trensformer ❑'15-50 KW � ❑ 50+KW ; Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors �0-1 HP O1 %- 8 Inc.Solar 09-15 HP �16-15+ " 'Microwave Pole Light Range ; Standing Sections 5 KW Trash Compactor � $ 3 y ; Reinspection Fee � $15 luue Fee FEES-� _ DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By � ' � ' Building Approved By � . . Aoolication Issued Bv � � � 50�1 TI. 2 O N I N G R E Q M - T S i FEES $ 3 . ' � � SUMMAqV OF FEES , BUILDING PERMIT• $� �SMIP $ � PLAN CHECK $ � � � PERMIT � � PLUMBING ' $ ,'�i� ' ISSUANCE � $ PLAN CHECK � 25% $ ENEfiGV P.C: $ ELECTRICAL • � $ � GRADING $ MICROFILM $. � PLAN CHECK � 50% $ . � �'�� MECHANICAL ' $' � TOTAL FEE $ �"�`�v PLAN CHECK ` 25% $ � � ' ' ' �. CONSTRUCTION AND PLANNIfe J>PPROVALS Permit# . "1. Temporary Electrical Service or Pole ' `2. Soil Pipe-Undrgrnd. � . 3. Electrical'Conduit Utility-Undrgrnd. ; �4. Electrical Conduit-Undrgrnd. � 5. Steel Reinforcement � 6. Electrical UFER Grnd. _7.. Footings • � 8. Foundation -9. Water Pipe-Undrgrnd. . .10. Structural Floor System � I �i t. Property Sewer Line & House Connection 12. Sewer Cap � 73. Roof.Drains � � 14. Rough Plumbing -,15. Rough Electrical-Conduit _ 16. Rough Electric Wiring � 17,.• Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning � 20. Rough Factory Fireplace 21' Ducts; in Structure . 22. Ducts, Ventilating . , 23. Gas Pipe-Rough & Test 24. �Roof Framing � 25. Roof Sheathing � 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding � 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat � 32. �Electrical Power Meter-Final - 33. Final Electric 34. Final Fleating & Air Conditioning 35. Final.Gas Pi�pe-Test � 36. Hood or Canopy � 37. Final Factory Fireplace . 38. Final Plumbing ��- � 39. Water Service-Final � �� 40. Gas Service-Final 41. Solar pomestic-Final , , i"% 42. Backflow Preventer . . 43. Backflow Irrigation . _.._ � 44. Landscape Irrigation System''` 45. Sound Attenuation - , 46. Handicap Regulations , _ 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cc 51. CERTIFICATE OF OCCUPANCY No. Date � Date L & SPA Inspector AppROVALS Permit# 52. Pool & Equipment Location . 53. Steel Reinforcement � 54. Forms 55. Electrical8onding - . 56. Rough Plumbing & Pressure Test _ � 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. ' 59. Gas Pipe, O Undrgrnd., Test ' 60. Backwash Lines, P-Trap, O Undrgrnd. � 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final . 64. Plumbing System - Final 65. Electrical-Final 66. Solac System-Final . .. . . 67.' Fencing & Access.Approval � . . 68. APPROVED FOR PLASTERING 69. POOL/SPA SYSTEMS FINAL � FIREDEPT.REQUIREMENT� APPROVALS Permit# �� Date � � Inspector 70. Underground Hydro 71. ProductPipingOGas ❑Oil � �72. Underground Flush, � 73. Undergrnd. Storage Tank � Gas ❑ Oil, i 74. Overhead Hydro � - 75. Dry Chemical , . � 76. Dry Standpipe _ ' ' � � � 77. FIXED SYSTEM FINA� 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION � - - 80. FOOD CERTIFICATE ISSUED Notes: � Z3 -�3L Z`yJ O�-(,E i(pwt�: L�S � ' _ �' .•. � CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT N0. Gz[fs" DATE % LOT N0. 7 G � ADDRESS � �j. � �, �,�ecic.Cc�-c,� 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) .��-+�-�- 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 oi the a£orementioned uncompleted condition. RECEIVED CiTY OF COaTA idESA PL�M1�JICf, D:PT. .;U� : � �`�Z:S PM 7igi9il0illi12i1i2i3�4;5i6 �3 BY ' ��_ �� Purchaser BY /7�✓t�,� �ce�Cr�i(A DeT loper a' dh /or a ized representative � Lender ' ApPlieant to fill in all SDaees ezcept those wlt�in �eary �ortlar Iines anE sign all approD��ate GeelanHons. . 'CITY�OF COSTA'MESA. -•- - .` '_ -" - - - `— - � - ' - —, _ . , � . � PERMIT N TRACT NO LOT NO. BLD . �� ' i CONSTRUCT,ION PERMIT. ; � . - �:" _ ; " .�/,�'�„' � 'O , : � r, i ..� � w ! ;f � c + ' ;+ � � { a ! i �. ~, . .. . ,; . '> ,. ; ; _ : o .:, , - . ApplicenYs M2ili� AddlB S �3 � ' � r � TVPE�OF CONSTRUCTION; , � NEW � ADD � ALTERATION . , REPAIR' J � _ • � '� " � ' ' ' � � S�IM/-° r ' ' r � + • ' ) ❑,CONVERSION y❑ DEMOLIS ❑ OT ER � ' � � ' - ` ' � � ;�f 3U 9�Q6/�3� ; � v �?�� T�. Project Address ' � ' � _. .- . �;. 7� � i .r � . { . � � , t ' _• .' � �r 1 . . 1 � OWnEIsNeme 2�� T � 549 DESCRIPTIONOFWORK � �LAf!-� ��ALL F � - ' - _ , ��CL.� "-. � -ahone OZZ ' 1 ,t . '. � c . . i . ' � , '. t . 'n Z I G,RE ULATI S.; ! aadress+ .3263 iu R LOCFc � ' i � � " . _ • n . � � ; . � . � .. � � . (, TVPEOFPERMIT, � _',GRADING� � FOUNDATION , $TRUCTURAL ,� I A.P:'sW � 20NE { /oC, : ; i � ,C � r' • ,�r k AfCh/Eng - I ' � ( LiCBn58 NO.I � � - ❑ TENANT ❑ ELECTRIG/iL ❑-PLUMBING ❑'MECHANICAI � - ' BUILDING ' ( 7 . . 1 ; � C � �.. , ; ; `_ " i ' � . � ; ^ , ..�, ePLNG. REF Mt � I ` � . • 1 � . _. � - �. Qd'Q. 1 Addfeu. 1 :' - ' ` � ' y ' � 1 '- i 'Q.ATHER G F : . . l . 1 ' . 1 . ' � , TO BUILDWG• . ' i :� ; I ' ' � f�• �` I ' : 7 -' ' P PER V WE _O � � � ' � � 'QZY =PRQIECTDESCRIPTION- 5� FT �� ' � � � ^ � ' Uq/�,'.�,. � =REARVARDlTOP/LI ,. � .+ t ? COntlactOr'SNem � hOnO OCCUPANCV " . . . . .. . Addf25SlTeiling) f °- -� ' � z" � ' � � CONSTRUCTIONTVPE � ' � i :VALUi1TION$ � d'� [LEFTSIDE VARD O� ' = � fiIGHT�5IDE VARD ��:'t� � T. I � ' ' � - - - ��' ZON� � ` � GRADINGCU.VDS. �� ACRFc �PKG.SPACEREQ. — � P.ROVIDED � . i '^ Cicense No. t. . � . •�. j " � � - i �. • :i � I, . WCENSED CONTRACTOR DECLARATION I � � " � ; f { Ramarks: � �. � ... I � � � � j � �'t� � � { � ' l •STREET WIDTH � �� i � � - � � I �" �PAFK PEE $ .'� '� I.`..heieby atflrm that,l am II<ensetl untler provlslons aT"Chartei 9 (commencin9 ' ' ' ' ` ,. . � . � � ` . , with sactlon 7000) of Dlvision 3 01 the Builneu anC Profe351on5 Cotle, antl � � �, • � � ' �_+ � � ' � I �SPECIAL CONDITIONS: 7� { � � � � p . j my Ilcense is In full force anC effecA � � � , i � - � � � � . - � . �; � � . ' � �� - �. Cicens'e CISss � ; ' . ! ' License No ' t � : ` • � : . � PLUMBING • . � - j � Q I �Q�� f � � � � I �. ! . � I „ • ' I 5i9natura � ' � ' � � ' Ba'rSink � { '. SewerCaP' � . . ' � . � ' ELECTRICAL ' OtKERS' COMPENSATION DECLARATION �' � � � ' ' • - ' ' � ' � ' /eDy atfirin that I have a certifirate of consent ta Seliinsure ai a certlilCate ' .,,j ggpkflow PreVenter._. �._. , � AutomatiE Washer � 'Metef ❑'over 10a amps' � ..� Worker3"Compensstlon 'Insurance�• o� a cartlflatl! cbpy ttiereof�(Section � � . y � - �N'?�.Conn¢Mi .. _ � .. _ _ _ _....._ ... _ _ _ _ _ „ _ _ � , I �.3800, Lab. 0.� � 1 � rd, � � �:_ � . , � . � , . . � . - -. � CanstrucLon Pole . 'Sub Panel� � rS . ; ! , � , � ' t • : � , Backflow Irrigation f ' Y I � Solar Collectors n . � � . . f • � PoIICY No. � � � .. ' ComPanY f ' . � i ' - ---- . , . BCertltietl-cooY �s nereby furnishetl. ; "�r�� i ; � � � � i � Bathtubs ; ' � 1 � $pler Pipmg � , Cooking Unit �- j. � `Sub Pole . � ' •^, ` ' ! � Certitletl coOY Is�filaG with tha clty Bulltling Dlvislon. . � I i Dishwasher �' , j 'Motors �04 HP � 1'h-8 ' Date � � � ApP��nt � '�� • � ' ' � � - � � � Clarifiers � ! , j . SolarTank ; � � i � . : � . � r ' j ExEMVT10N�FROM'WORKERS �COMVENSATION'DECL'ARATION-"s "-' - r � � � � , . '-- Dryers "OG85r"�EleCttlC"" '^ "Inc.SOlaf�'09�15'NP-O7645+ "�"` � ,, (Thlssectlon neetl not be comDleteA If the permit Is for;one �unG�etl (S300) ar I �. Dishwasher r � � 1 Swimming Po01 w/Spe 1 � � � i lessl-- . �. 1..-. I :...,. � � , . t . . . . _ . ; � Fan'I' � ' ' ir�-..�: . Drinkin �Fountains � � � � � � ! :Mmrowave �, I cerUfy�that in tha Dartormance:of the wa�k tor which this Oe�mR ii isivatl I 9 � U�inal � � . I • .� � . . : , , , �. 1,. ! � i � shall�not employ any person�iMany manner sofas to become subjectio t�le � . . . . _ � ' ' ' � - : �� j � � „�� • • � Workers'�CompanmtloniLaws of California. � � j I ; � � : FlOor Dreins' ( } '� �' � i j � iPole�Light , t � � - t 1 . . , ! : Water Goset� j- A�� , . � i . � Date. ' ' '. cl9nature . ' .. . 1 . ' t ' � - . ' r Fixtures ' ' � ' ; ;,,NOTICE: If,,atter,making_this tleclaratibn, you shoul0 become_subject.to the_ j� .�,�_ FIUo� SinkS.,�,,, _ ... _: ..y,._..,y ._ Wate�,Heet¢�+�,.y_..,,,,,�,,. � ..v� ._� �_ ,. . ,,,_ I � _ ,.)._ . I Range . � _ �' . I i ' , 1 � Workers} Compensatlon piovlsions of She Lnbor� Cotle, you must torthwith . , ' . . ' - � . � �, compry �wlth; sucfi fprovislons'�or � this ;Dermlt � shall be ,tleemetl revokeC:� ��' Ga's SerJice' :Ou'tlets -� ��Water Service �' ! Device BoxeS � I i � �$i9�� { 1 � �' CONSTRUCTION i LENDING ��AGENCV... ` �: � •. � - ; '" � �-: � . ; " �. . �- .' ( =.. , 7 '- .•. . ; W� f ^ � - i ! ' y' � � � � 1 i neree attir that there I5 a:constructlan lentlin a enc for the ertormance. t :,; ; � ' � � � OuU2ts � � r m 9 9 Y P Interce tors � 4 - • R � i StandingSections {.� � ) � of the �work 'for which.' Ihis Darmi[ "is 7155uetl' �(Section ^'3097� Civ. C.J. _ - : P , � ' � -� � 1 ` r� , � � - ^' t� " � ` i , � � . , � , � i . Lantle'r's� Name.� � ' � � ' ` � ' � � � = + ` ' � �� i Kitchen�Sink� n� � � � '' t � :� � � � ir � . i, Switches 1 .��' V �Trash Compactor � � � � � � IsnCer'e Atltlress 1 c � . ; . :` : r.• i :.' i i _ � � i �_ t , ' . i ' . _ i � 1 ^, f . ; . . _ . � . 1 �. ''OWNERiBUILDER DECLARATION i�z� - ? ! G� � '�` � � : '� j � 'C� t �� yatorie� ! � ` � � i � � � ' r � � ; � �_ � � � GefbegeDi5po5al � � i � { ! j � � � � � i � f Ilowin"areasonth�clti �m'exempbfrom'the�Contractor's�Llcense L`aw forihe� i - � p_Tre � � ��, � �,� ^ .G� � ;,. � r I � { :y �' � Generator� �0-5 KW 05-75KW � � � � � � � � � � 9 �( 7031:5 Business anA Professional Cotla: Any city or � fi , P•� � � �. � county whlch'reQulres a permit;to construct, alter improve; tlemolish�or.repalr ' _ "" �. �_ ( � _ Transformer �15�50 KW � � { !' •^v structure; prior to Its Issuanca. also requires t�e'applicant tor such parmit Roof'Dreins � p. ,y � � � •� � r �� , � � !� ' ' 'ile a Slgnetl Statement that he/Sh0 IS IiG¢n58tl pu�5uant to [he�prOW5i0�s o(� ! _- � '; .' . _ ' ' ' " ^ ' � ' , _ "- ' � � � O5U+ KW, ' • � � ,ontractor's �icense L'aw. (Ghapter,9 (commenUn9�with�5attion 7000) of .- ' � ' � Z y �'i . r 1 �. � � ' ' f' ' t . �, , � I � � �ReinSpaction Fee � ,� $15' ;ion�,3Zot tne'Business'antl�Professtons Coae) or;thabhe/she�is�e%empt � �' Showers . f' �- - � � �i� ' , Reinspettion�Fee, $75 � �I ef,,,666rom anA the' basis for the alle9etl exemption .Any: violation�of Sactlon � � ' - � � � ' ^ � Meter ❑up t0100�3mps � ` .Issue Feel i � '$ 3 �i0� by;any"applicant for'_a:permiYsubjects the�applicani to a�avil � ' F � � � - � � � ; I � -'! __. . - ' � e ty o/ not more than five hunAretl tlollan (E500). • . � ServiCe Sink'� ^� � � ISsue Fee u' � S 3 ' - . � i � '- . , `' ) � , _ i " - F ju` i I _ t ,. � � t 2oninB APProvad BY : , � Date � q� 1;'as�owner of�therproperty or, � {MoyflS iNbemg ^ i � 1 r j � ; � � i, � cgmp�wselVen' wIII:Eo the work, and the structure Is not mtantletl or offeretl , f•� i � � y' �," MECHANICAC � �• �- j � � , { : ; i ' ]�) � ' �� : � Appli�ation ApproJed By� - � Date � ' for sale 1(Set�ion 7044; Business� anA � Professional Cotle: i The { Contractor'S � � � ` i�l.icense Law tloes not appry to,an owner of a property �.who bullCs or Improvas � Boilec ; ��' �'.; j-� Ref�igeratian System 4 ' � ' ° /j'� � j � � �- �p �l. � thereon,�antl who �tloes!such work hlmseif/herself or through his or her own � � � - �� - • ' - i. - - . j. I � Appliwtion liiued By � . , • � Date , . emploY eas, provieetl that such improvements are�not int¢nqatl or offared for i ! ' ' ❑0-.100,OOOBTU ❑100,OOOBTU; ; . � ' zale. If, however, the builtling or improvement Is Soltl wlthin one year of com- � • DuC['c Und2r;Gtound ) � � : i { � i a '7 t ' ' � ; ( � SUMMARV OF FEES F� �� I �� ! plation, the owner�wlll have Ihe tiurtlen of proving he/sne tlitl not bui�tl or im- . � � i , j � � • � � � � f � �� ,ove tor the purpose of sale). � . � �� : �, ., y . ; � ' 1 Dutt-Strucmrel i r � i System RepaidAlte�ation � � � ; �BUILDING PERMIT $� � 6 '� � � r SMIP . � $ ' - `s � � LJ 1, as ownei of the pioperty, am axclusivaly contractlnglwith.,licensetl con- . �- � � i � '� � tra<torsto constru<t [he project (Se<Uon �044, Business antl Pro(essions Gotle:� ; Duct- Ventilating � �� . , 1' j ;, :� j � %PLAN CHECK; � $ ��•�n� i PERMIT � , � �' �� r Tha Contractor'rGcense"Law•does'��nobapply�to�an-owneF of property�who , � . i - � � - . � ; � ; � ISSUANCE ! � � � builtls o['improves thereon, antl who contracts for such projects with a con- { Exhaust System ❑ Mukiple 0 � ; � : i �� f ! � �PLUMBWG 4 � $t � - - ' . � r$' � ; i tractor(5) Ilcanse pursuant to [ne Contra<tor'S License Law): � �' - - $ . � � i 1 � ! � I�am enempt unCar SecHon , e. & P. C. (or this reaion i ! Firepl/FaCt. Blt ICBO # � { i ' PL4N CHECK� • GRAOING ' $ : ' I � � �� V ! 1 f . . � . � .: . 1. � � , . � � f � i � ! i � ! ' j i $ � . 1 • ' t i� r� � ;ELECTRICAU $' ' � Date . ! ' � � o'wner� ' ' � % �- % � � i ' Heeting�System & Ducting ; � � � ; .' � �' �pLAN CHECK: , $� � � ; � MICROFILM � $ ' � � I hereby� certify t�at J�.have �reaE this applicatlon, anG state.,th�at the above_,F _.1 ❑G700,000 B,T.0 0100,OOOBT' .,,,_ _.� e.,��.�,; ._ ,.,,r , � � � ' • Intormation IstorrecL 1 agree to tomply with ail Nty: antl county ortlinances � t - � ` � µ � - ` � � MECHANICAL � � � {� { TOTAL�FEE; �� $� � � ' antl�state laws relating to builtling constructlon,�antl heretiy authorize repre- � - i � � � . � $� , cent0tives of thls.clt �to enter�u on the above-mentlonetl p ' { � , peinspectionFeel ' $15 � �' i � ' LESS s � � � i Y P pro erty Tor � HOOd or Typ2 I ❑j � ( � � 1 ( I � � i '<oection our es. t • � � Ca�no } .T e II ❑i � � i � , . PLAN CHECK� , $,' � ' : • ; � ��tura �. j i 3 D"ate �1-��—�3 : €� i ! � � � ; : t , .� � � . � � ADVANCEDPC � $ ! ; � �license or'S5 � � � • ' - � ' � � , . Registeis � E Issue Fee � S 3 � i � � � � � � � i �' � �.. - . �` . _ . . � , � I i � � ' 1 � �� i •' FINAL FEE, { $ , ��. . •�e\82"'Wtiite=Bulltlln .'Canar � � ' Atcountln9i . . . � 4 • • ; ' ""'."" �.".._ . ".—'. �----..-.._W-�--^�-.-�.«___-,- .,,..._ . / 9• Y="APPliwnt:'Plnk'- '.Goltlenrotl"-`Assessoi..`"--�""` ""'""'•' .""' •. '..'_ --..-�--__�.,.._. a .._.4_._ _._.�.. � , C T Y PI CAL 6�� CONCRETE BLOCK FENCE Cement Coping Outional � Channel Block With 1-3/8 -- 0 Horizontal Top of all Fences • ., For Fences 5' or Less -._ =_. Vert. Bars 3/8" 0 at 4' -0" O.C. ♦.. f For Fences.Higher Than 5': — Vert. Bars 3/8" 0at 32" O�C. Fill Cells Solid With Grout WhereSteelOccurs� • Reinforcing Steel.Shall,� .�i:- , Conform t'o Sec.A-15-39 •• • -- A.S.T.M. All Steel to 6e Lapped 15 " or to Code NATURALGRADE TWO 3/8"' 08ARS CONTINUOUS TOP & BOTTOM e o �.o' a = � � � > w ¢ _ a � z Q'— �r� WIO u r —WIDTH SEE CN4RT BEIOW p' b e . . . . . .� � . ) Le o � e' 3' � o" � � D e . o � I n F ♦ GENERAL- NOTES MORTAR: pne Part Plastic Cement, and Three Paris Sond GROUT :, One Part Cement Three and One Half Ports S�and COPING: One Part Cemeni, Three Parts Sand CONCRETE: Weli Mixed 1:2-I/2:3-I/2 Max. of 7-I/2 Gollcns cf M/afer Per Sack of Cement GROUT MAV BE POURED FROM THE TOP OF THE FENCE IN CELLS WHERE STEEL OCCURS. CELL$ AND AREAS OF HORIZONTA� qE1N- FORCEMENT SHALL BE CLEAR, CLEAN & FREE OF ALL MORTAR DEeRIS, E7C. BONDS SHALL 8E PROVfDEO BV LAYING BLOCKS IN STRETCHER COURSES SO THAT VERTICAL JOINTS ALTERNATE IN EACH COURSE. DEPTH OF EARTHTCOTH i/3 ThiE HEIGTH OF FENCE �OW BOTTOM OF FOGTING. SCALE: I/2�� = I' FOOTING REQUIRFMENTS CHART WAIL HEIGHT . . . . . . . . . . .6 �. . . . . . . . . . . . 5�. . . . . . . . . . . 4� . . . . . . . , . _ 3� W!DTH . . . . . . . . 14'� . . . . . . . . . . .14�� . . . . . . . 12��. 12�� THICKNESS . . . . . . 10��. . . . . . . . . . . .10° . . . . . . . . . . . 8��. 8�� DEPTH OF EARTHTOOTH . . 24�� 20�� . . . . . . . . . . . 16��. . _ . . . 12�� SPACING OF EART.HTOOTH. . 12� . . . 14� . . . . . . . . . 16�. . _ . . . _ . . . . 16� , OWNERS NAME: Q � N iZ L= � L3 — __ Cit of Costo Mesa California ��B A°oREss 3� 6 3_ z�� Q��__ Y ) PERMIT NUMBER _ _ _ __ _ _ _ _ _ _ _ _, Building Department SIGNATURE /`��,� _ _ _ _ _ _ _ _ �< < r L- � � 1 J � � �...,____--�— _ _--- -- �� I � ' City of Costa Mesa Building Dept. : 8Y_.�__'_�_ DATEL.l:C�i�1 THESE PL4N5 MUST BE ON JOB AT ALL TIMES I MAKE NO CHANGES WITHOUT PRIOR APPROVAL OF DEPT. �' THE ISSUANCE OR GflRNTING Of H PERMIT 6R APPROVAL Of PLANS AA'D SFEqFICFT10NS SHFLL NOT BE CONSTRUED TO BE A fERN,1T fOR, OR AN APPROVAL CF, ANY VIOLATION CF FNY OF THE PROV610NS OF THIS CODE. NO PERMI7 PRE- SWMING TO GNE AUTHORITY TO VIOIATE OR CANCEL TNE PROVISIONS OF THIS CODE SHALL BE VALID, E%CEPi IN SO � �R /S THE WORK OR USE WHICH ITAUTHORIZES IS IAkFUL. T4E ISSUFNCE OF A PERMIT Bl+SED UPON PLANS AND '"CCIfICAT10frS �NAIL NOT PREVENT THE BUILDING OFFICIAL `CC'�.1 THEREHFlE; REQUIRING iHE CORRECTION 0= ERROdS I`7 ,"11D fLANS !VD SPECIFICAT'OK7 OR FROM PREVENTING f' CCI�, CPEF.4T GNS BEING CAF IED 0'! THEREUNDE2 WHEN "_t' CV 0� '4;_ COOE 0.4 OF pNY O�HE't O..DINAryCE �i . . i i �. � •nrocrcc � W � ►. STRUCTURAL APPROVAL ONLY SEPARFlTE PERMITS ARE R��'!IP,ED FOR ELECiRICAL, P'i!`��? 'r. NEAT;�G, UFP:;"._c,��;}G f�id� REFRIGERATION V��ORf( �Pernait # �� THIS PtU��1BE({ ":P'Si ACCOiV1PANY ' ALL INSPECTlOiV REQ�J[STS � FOi; & tLDut:,; ',i'HC ;_ Pe:iSONS ARE TO � � � �E CS � ur� D, �;E 5.,,..cST 'iHAi THE ; ST,^.T ut C_r�°ir,;; D{I�ISION OF � �� IND;,�I'? �'L S: C!" BE C�P:SUITED FOR � � RGu�I �� 'tEQUIr;EMENTS. ; � � • .-'. . -._,.._-'-._= ' . . .. '--.... __._.._ ..__ ..__-- .,��L . bta� �'`�`/.. ' " ' ' ' w ' ' � �n .. _ . �r 7 c� (0� ; winnec N 1 � a _� � � _ �r �� c��oc� _ ��STREET � 3 � � 3 Tu.t�c'� � APPRO�ll : CRY OF COSTA MESA PIANNING DEP7. SUYFLT TO BLDG. DF.PT. Ql6. . . �,D�— DAT�:.:t.�=�..K.�. �� OItECfO! O�. KANN�NO � .. �J �. .�., ( � �. �-�.wa� : . , I '�.� � ' . . . . 1 .' 1. � . , ' � . M . ' . . . .. . . . . . ...,f.'" ' . .. . OWNER j�7,�y� INTERPRISES JOBADDRESS 3263 Turlock Drive GENERAL CONTRACTOR Heltzer AP No. LOT %0 TRACT INSPECTIONS Signatu cnii ____ A,n x GAS W ATEA ROUGH� PROP. SWR. LINE SPRINKLING SVSI MISCELLANE005 ROUGH HEATING 0 TEMPORARY SER� UNOERGROUNO � ROUGH WIRING TRENCMES ��F FLOOR SYSTEM BOND BEAM �J SHEATHING POWER iM5 �y STEEL ftEINF. STEEL REINFOftCE n FRAME AN� FLrlSNING LATHING - IN �j PLASTER, BROWN COA HEATING, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL AND GAS TEST n R�III`l11Nf. FIIJGIL ._ ' ��if%74 DATE _ $_2f BUILDING PERMIT DESCRIPTION of WORK Res, w� FIRE ZONE VALUE $ 26 6c GROUP I & J TYPE SUBCONTRACTOR Date Plum6ina , , Z . a cWj z za � N am J � J V1 Q] J J m Q U Q Z Q aw W Z J Q m Z J � W W O ZH w� N � �O � z Q U J a a Q 0 F N z 0 F U � � r � Z � .3531 ; COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 9T626 � For Applicant to Fill in Completely BUILDING � � / � '�--y�� /J' n^ I ADDRESS (p / ��.a�� J// / OWNEF Heltzer Enterprises-Costa Mesa MAIL ADDRESS 740 N. La Brea Avenue ,,,,,� cirr Los Angeles, CA 90038 No� 937-2171 CONSTRUCTION United California Bank LENDER BRANCH �lll Office � aooRess600 S. Spring St., Los AngeJ„e,s, AflCHITECT David Freedman rE�. OR ENGINEER NO OL.3-385: ADDRESS 113 N. San Vicente,Beverly Hills CONTRACTOR George.J. Heltzer ADORESS 740 N. La Brea Avenue TEL. CITY Los Angeles, CA 90038 No. 937=2171 uc No. 3144 �ic�No. 1900 SIZE NO.OF BIDf'�S. OF �LOT I NOW ON �OT USE OF EXISTING BLDG. ' SIZE OF NO. OF , NEW BLDG. ROOMS STOFiIES EXTERIOP WALL ROOF � COVERING COVEftING USE OF BUILDING AND WOFK TO BE PERFORMED Residence Plan 409 A I hereby acknowletlge that I have reatl this application antl state that the above information is correci antl agree to comply with all laws regulating building constt�ction, and I shall not employ any person in violation ot Me workman's compensation laws of the State at Celifornia. I heraby certify ffiat I am properly licensetl as.a conttacmr under tha Stace of California Business antl Professions Code, Divisicn 3, Chapter 9, and that wch licenses are in full force and effect, or I am exempt from the provisions of the State of California Business antl Protessions Cotle, Di i n 3, Chapter 9, Signature Ot Perm(ttee Authorizetl ABent ?,l!:">30-7^vaio0�2105� fr':*�UZ.g�i -��5; APPLICATION FOR BUILDING PERMIT EIVE, D BV DATE RECEIVED DATE ISSUI �/ �%.{�_ 7 7 4 � o ADORESS�a � ( 6[/j � TRACT 6245 LOT ]O BLOCK W A D A P OWNER ///''� � �� VAIUE USE // `--`� ^"� i $ FIRE Q 20NE TVPE � GROUP S� APPROVED Hv DATE ZONE r NO.OF � r PLANS VARDS APPROVED MAIN BUILDING DI5TANCE BET MAIN BLDGS. VAR. #` C.U.P. a1E � USE OF NEW�(�J BUILDING_�^� f�T VARDS APPROVE ACCESSORV BUILC BET. MAIN & ACCESS.BLd DATE TAX �/ "� m !/�SQ.FT. � yO O THE AMOUNT SHOWN UNDER vAlUAT10N IS FOR THE PURPOSE OF ESiABLISHING A PERMIT FEE ONLV: m ¢ VALVATION �,U � PERMIT FEE $ � ] ^ m $ /// / O� PLAN CHECK $ � E 01 b (7 `o Q� LL TOTAL FEE $ �