HomeMy WebLinkAbout3264 TURLOCK DR - Building Permits� . ;
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(714) 754-5273 • Fax (714) 754-4856 • wV+�'�ci.costa-mesa.ca.us 77 FAIR ORIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: 3264 TURLOGKDR
Suite:
Vicinity: RESIDENCE & ATTACHED GARAGE
Parcel Number: 41210608
npplicant: VAN BOERUM, ROSS
Address: 5011 ARGOSY AV #12C
HUNINGTON BEACH, CA
owner: MAHLE, ROBERT M
Address 3264 TURLOCK DR
COSTA MESA, CA '
Contractor. TOP NOTCH ROOF CO
Address: 5011 ARGOSY AV #12C
HUNINGTON BEACH, CA
Zip: 92640
Arch :
Address:
Zoning:
Phone: (774)846-8625
Zip: 92640
Phone:
Zip: 92626
Phone: (774)846-8625
License: 696973
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 11/17/2000
Issued: 11/17/2000
- Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF: T/O EXISTING, INSTALL 1/16" OSB, 30# FELT ASTM, APPLY "ELK" 40-YEAR COMP SHINGLES.
25.5SQUARES
Plan Check: $0.00
Permit: $125.25
SMIP Res: $0.53
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.78
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existin : o
NOTES:
Rear 0-0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
C1aim Valuation:
Right 0-0
Right 0- 0
$5,310.00
$5,310.00
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, § 7, 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 order for the work authorized under this permit to be consitlered legal, such work must compty with ail appficable codes, a� all
requlred inspectlona and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
2446d8 (6/00)
WORKERS'COMPENSAnON DECLARAnON: � �
I hereby aHirm untlar penalry oi perjury one of the following tleclaretions:
❑ I heve antl will malntain a certificate of consent to self-Insure tor workers' compensation, es provided for by section 3700 of tha Labor Code, for the peAormence of Ihe
work for which this permit Is Issuetl.
;� I have and will maintain workers' compensation insurance, as requiretl by section 3700 of Ihe LaDor Code, for the pertormance of the work for which this pertnit is Issuetl.
My work� rs' compensation Insurance carner and pollcy number are: ��`
Carner. I//vG.n/i/AU/�F– �1�/ S Policy Number: (/i/ G 3/ Z�//% S �
(This sec7on need not De comp/eted i/ the permit is uetl at one hundred tlollars ($100) or less.)
❑ I cenify t�at in the peAortnance e woA�or whi is pertnit is issuetl, I shall not employ eny person in any manner so as to become subject to the workers'
compensation laws ot Cali� nd r thef if s uld become sub�ect ro the workers' compensatlon pmWsions of Section 3700 ot the Lebor Code, I s�ell torihwith
wmpty with t�esa prov� � �
ApplicantSigneWre: Date: /�/��/�d
WARNINO: FAILURE TO SE RE WORKERS' COMPENSATIO GE IS UNIAWFUL AND SHALL SU&IEGT AN EMPLOYER TO CRIMINn1 PE IES AND CIVIL FlNES UP TOONE HUNDRED
T/10USAND OOILARE �E100,000). IN ADDITION TO THE LOST OF COMPENSATION, DAM1KGES AS PROVIDED FOR IN SECTION 3IW OF THE LABOR CODE, INTEREST, ANO ATTORNE`fS FEES.
LICENSED CONTRACTORS OECLARA710N:
I hereby eNirm that I am IicenseC un�de�r jpro��visi�c
force end eflect. Lic. a__�_�Ge��e-11L2
Contractofs SigneWre:
(commencing with Section 7000) of DlNsion 3 of ihe Business and Professions Code, end my license Is in full
�� Cless M C– - 3 �
Date: //�i -7�„I _ _
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirm that Ihere is a construction lentling agency for the peAormance of the work for which ihis permit is issued. (Sec. 3097, Civil Gotle).
Lentlers Name: Lentlar's Adtlress:
Signatura:
OWNER-BUILDER DECLARATONS:
Dete:
I hereby aHirtn thet untler penalry ot perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7037.5, Business end Protessions
Cotle: My ciry or wunry which requires a permit to construct, alter, improve, demolish, or repair any strucwre, D�or to its issuance, also requires �he eppllcaN tor such permit
to fila a signed statement that he or she is IlcenseE pursuant to the provisions of the Conirectors License Lew (Chapter 9(commencing with Section 7000) 01 DlWslon 3 af the
Business and Pmfessions Code) or Ihat he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by eny applicant for e pertnit
subjects ihe applicem to a civil penalry of not more than five hundred dollers ($500)J:
❑ I, as owner of the properry, or my employaes with wages es their sole compensation, WILL DO THE WORK, and the structure is not intentletl or oflered for sele (Sec.
7044, Business and Protessions Code: The Contractors License Law tloes not apD�Y �o an owner of properry who builtls or improves Ihereon, antl w�o does such work
himselt or herseH or through his or her own employees, provitled Ihat such improvements ara not intended or oHeretl for sale. If, however, the builtling or improvement is
sold within one year ot completion, the owner-builder will have the burtlen of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner oi the pmperty, am E%CLUSIVELY CONTRACTING WITH �ICENSED CONTRACTORS to consiruct the Oro�ect (Sec. 7044, Business antl Protessions
Code: The conirectors License Lew does not epply to an owner of property who builtls or Improves thereon, antl who contracts lor such projact with a conirector(s)
license pureuant to ihe Comractors License laws.).
❑ I am e:empi untler sec. Business and Professions Code tor this reason:
Signafure: Date:
Owner ID venfied by tlrivefs license. ❑ Ves ❑ No Dnvers License Na.
Veniicatlon ol Ownership by (rype oi document, i.e. - pmperry tax bill or deed):
Expir85:
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICA710N:
❑ I hereby certity ihat no excavetion live (5) or more feat in depih into which a person is required to descend, will be mede in connecilon wlth work euihorized by this
pertnit, and ihat no building structure, scaffolding, falsework, or demolition or dismantling t�ereoi, will be more than thirty-si: (36) fee� high. (Chep. 32, Grp 2, Art 2, Sec.
341, Ttle B, Calitomia Atlministretive Cotle).
❑ As owneo-builder, I will not employ enyone to do work w�ich woultl require a permit irom the Division of Intlustnal Safery, es noted ebove, unless such person hes e
permit to tlo such work trom the tlivision.
SignaWre: Date:
Division ot InduStnel Safe�y Permit Number:
ICEHTIFlCATE OF COMPIJANCE AND AUTHORVJ1710N OF ENTRY: I cehity under penal�y OF perjury Ihat I have reatl �hi5 epplicalion end 5te�e �ha� �he infortnatlon given i9 I
correct I agree to comply with ell state laws ana ciry ortlinances relating to building construction, end authorize represematives oi t�e Ciry ot Costa Mese to enfar upon Ihe
ebove-descnbed property for inspecijodpurposes. I egree not to occupy or allow occupancy of eny building authonzed by this permit until finel inspection.
CODE 1' INSPECTIONTYPE —
i676 Fizad System Final Fire Preventian
1266 Pool Spa Final
200 Final Re-Rooi
201 Final BIocWRetaining Wall
202 Final Fectory Fire Place
203 Flnel Sign
204 Final Demolition
PAI& i�Lfi
D OS O/ �
COOE 1 INSPECTION TYGE
206 Final Mechanical
20B Finel Plumbing
210 Finel Elecincel
212 Finel Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
PLIE Iti�LH
0
CITY OF COSTA MESA RE9,UEST FOR OCCUPANCY
TRACT N0. G�'`t�! �
LOT N0. / �
ADDRESS _?� ,�lf' %.cc/c�LE-c�i'
i�
DATE ���
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
aforementioned uncompleted condition.
RECEIVEp
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J�_'��� 1 i 15i3
AMi PM
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7
Purchaser
BY � " `
Developer nd/or a rized
representative
�
Lender
OWNER �,TZER ENTERPRISES DATE �_?fi_7?
JOB ADDRESS �264 Turloek IIrive BUILDING PERMIT NO. 3�5
I:FNFRAI fnNTRA('70R vel+..e.. f1FG('RIPTIf1NniW(lAK n__ ._/ _u ___ -
vo. � LOT ln T
�_.�
GFS
PROP. SWR. LINE
SPRINKLING SYST
AIR CONDITIONING
UN�ERGROUNO LJ POWkR U
(iOUGH WIRING
TRENCHES FORMS STEEL REI
FLOOR SVSTEM
BOND BEAM [, STEEL REINFORCE r
SHEATHING
FRAME AN� FLASHING
LATHINf. - IN � OIIT�
iTER, BROWN COAT
�CTURPL FINAL
FINAL ANO
BUILDING, FINAL IdG!/'<-. l'- G
SUBCONTRACTOR
����'�_'� . 352Li5 ' � � . �1L'G 30-'?_�a;°OOzo34# �t�+130.65
� COSTA MESA BUILDING-SAFETY DEPARTMENT � �
� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � ,
APPLICATION FOR BUILDING PERMIT
ForApplican[ to Fill in Comp/etely qECEIY�ED,BN D/bTE RECEIVED „oT� �«����
svi
OWNER Heltzer Enterprises-Costa Mesa
ADDRESS 740 No. La Brea Avenue
TEL.
CITV Los Aneeles,. Ca. 90038 No.937-2
BRANCH Main Office
ADDRESS 600 So. Spring
ARCHITECT ., . , ., ,
ADDRESS 113 N: San Vicente Beverl y Hi
CONTRACTOR George J. Heltzer
nooaess 740 No. L'a Brea Avenue �
TEL.
cirv Los AnQeles "0 937-217
�Ic n,o. 3144. uc�No. 1900
SIZE ' INO.OFBLDGS.
OF LOT - NOW ON LOT
USE OF
EXIS7ING BLDG. �
SIZE OF � NO.OF
EXTERIOR WALL ROOF
COVERING ' P185i0Y COVEFING
USE OF BUILDING AND WORK TO 8E PER
le Residence. . Plan
�� i
I her¢by acknowledge that I have read this application antl state
ihat the above information is correct antl apree to comply with
all laws regulatinp building consvuction, antl 1 shall not omploy
any parson in violation ot the workmsn's compensation laws of
Me State of Calitornie.
I hereby certify Mat I am properly licensetl as a contractor un0er
the State of California Business and Professions Cotla, Divisicn 3,
cnap2er 9, and tnat s�ch licenses are in full force antl effect, or I
am exempx from the pr isions of the State of Californie Business
antl Professlons Cotle, D i ion 3, Chaptar 9.
Sle�ature ot
Permittee
Authorizetl gent
BVILDING �] � /
ADDRESS ,JT\j �
.TRliCT 6245
OWNER
FIRE
ZONE
APPROVED
20NE� NO.OF
PLAN$
VARDSAPPROVE
MAIN BUILDING
DISTANCE BET.
MAIN BIDGS.
VAF. #
C.U.P.�
APPROVED W
LOT LO
VALUE
DATE
USE OF NEW �
BUIIDING �
VARDS APF
ACCESSORV
BET. MAIN &
ACCESS. BLD
DATE
P3PROVED
7 L
J
/. 6s
7� " n � �
Q. FT.�JF ` O
THE AMOUNT$HOWN VNOER VALUlaT10N IS FOR
THE PURPOSE OF ES'fABLISHING A PERMIT FEE ONLV: m
¢
VALUATION �/ O� �p
PERM�T FEE $ �O �
�
� m
$� 6�O � PLAN CHECK $ � "� E
0
/ � /'TOTAL FEE $
UWNtK GIBBS. L. A. UAIC 9-24-7F
JOB ADDRES$ 39hG Tnrinrk n�-i��A � BUILDING PERMIT NO. d979�.
GRS
WNTER
SWR. L
LING 5
R
UNDERGROUND �� POWER U
ROUGN WIRING
TRENCMES FORMS STEEL REINF.
BOND BEAM U ST
SNEATHING
FPAME ANO Fl.qSHING
LATXING - �N n
PUSTER. BROWq [OA
REFRIG. ANO A.C., FINAL
ELECTRIC, FII
B111L01NG, FIN
FIRE ZONE
SUBCONTRACTOR
---
ti' _ _... .
� COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely. — Use Ink Only
BUII.DING .,, G
ADDRESS B GA
oWN� G;.dbs
MAIL /`/ '
ADDRESS �'2 ` ] �N�/�G
TEL. p
� CITV �C 0. P� Q' NO. SS � P�
CONSTRUCTiON Y-nQrl ��-
1 FNfIFR
R I
A.P. NO.
BUIIDING
ADDRESS
BRANCH
' OWNER
ADDRESS
ARCHITECT V� �r �� NEL �� Se�9S US
OR ENGINEEF /�
�/ � a FIRE
ADDRESS ./�Z� � r!`C��� ZONE
PAii.,
'�FQ �?-70�„—�)Oi�st.;;= :::.•�:.:;,Q.SP.
A ION FOR STRUCTURAL PERMIT
�J DATE ISSy ED
. E� I/ 0 _ �J//_ �J'/ '
LOTY�i7 I BLOCK -
APPROVED - �
�CONTRACTOR — C% �p. � ` � BV DATE �
ADORESS � pr j Q "' �'
L�.�n yr p ZO NO.OF USE OF N
CITY O/Q�L e � � NO.J / / J .� /S P�� -BUILDING �
i-�i STATE p CITV � �'AROSAPPROVED � VARDSAPPROVED
LIC. NO. G 3� � p 3 LIC. NO.. MAIN BVILDING ACCESSORV BUILDING �
� SIZE , � NO.OF BLDGS. (FROM GLS EET)
0+ OF LOT ' NOW ON LOT RONT I
a USE OF '
� EXISTING BLDG. 7, �
�
� Separate permits are required for L SIDE T. i
Q electric, plumbing and heating work. REAR Fr. i
H US BUI 41NG AN ORK TO BE ED DISTANCE BET. BEf. MAIN &
QQ / O- II �� MAIN BLDCv. ACCES.S. BLOG
VAR.# DAT
Q . C.V.P.� � —
7 APPROVE P G�
�' ' � �
�
a ,.
w
0 I hereby acknowletlBe thet 1 have reetl this epplication and scaro ,
y� that tha above Informatlon Is correct ontl epree to comply with
Q+ all laws repuletlnB builtlinp co^rtruetlon, antl 1 shall not employ . .
Wany person In vlolailon of the workmen's compensailon laws af ' -'
� ttie State of Celifornle. �
3 I heraby cettify ihat I am properly IlcanseC as a contracior untler SQ. FT.
the Siate of Cellfo�nie Busineo entl Protessions Cotle, Dlvlston 3, - NE AMOUNT SHOWN UNDEF VALUP
C�+apter 9, end Net a�ch 17cenaes are In full fofcB and BffOct, Of I THE PURP06E OF ESTABLISHING A'PERM
am exempt from Me provislons o1 the Stete of CBlit nfe Business VALUATION PERMIT-FEE E
antl Professtons a, Division 3, C�epter 9. , �
I'� PLAN CHECK E
$�8f18tUIB Of '� � �-
Parmitte �' S � TAX E
Authorizetl Apani � � � TOTAL PAI D S
n
m
�
0
N
IS FOR m
ONLV:
b
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N
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