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Home My WebLink About3265 TURLOCK DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us BUILDING PERMIT � A: � ' .` .lobAddress: 3265 TURLOCKDR Suite: Vicinity: 2ND STORY Parcel Number: 41206217 Appiicant: STREIT, OSKAR Address: 3265 TURLOCK pR COSTA MESA, CA Owner. STREIT, OSKAR Address , 3265 TURLOCK pR . , . ,COSTA MESA, CA Contractor: . � Address: " ' Zip: . . .. Arch : � Adiiress� � � 0 Zip: Zoning: R1 R1 Phone: 714-546-41�4 Zip: 92626 Phone: Zip: 92626 Phone: License:�� Phone: License: !' i Eng: `="- Address: _ 77 FAIR DRIVE, COSTA MESA, CA 92626 �� I \ \. `- StaWs: ISSUED Applied: 02/24/2003 Issued: OZ24/2003 Phone: License: _. .SCOPE OF PERMIT. . _ FINAL ORIGINAL PERMITS FOR 813 S.F. �ROOM ADDITIONS. WORK INCLUDES: 1 BEDROOM AND 1 PLAY ROOM. REF.: 51489, 79269, 18261 AND 49122. . - . . . - " " . , FEE SUMMARY ; Plan Check: . $0.00 -_-- -- _ _ - Calc Valuation: �0.00 Permit: $0.00 Cla'rm Valuation: �0.00 SMIP Res: . , $0.50 SMIP Com: ' ' $0.00 Other: � $0.00 Inspection: $0.00 Total: $0.50 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existin : 0 Rear 0- 0 Rear 0- 0 Required: 0 PLANNING'& ZONING Left 0- 0 Left 0- 0 Proposed: o Right 0- 0 Right 0- 0 NOTICE: The work authorized by ihis p0rmit shall comply with all applicable handicap access requiremenis 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 ot 180 days. INSAECTIONS: In order for Ihe work autFrorized under this permit to be considered legal, such work must comply with a!I applicable codes, a� all requtred inapeetlona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. POR INSPECTIONS CALL: (714) 7545626 t4a6a6(Noo) WORKERS'COMVENSATON DECLARAnON: , , I hereby ettirm under penalty of perjury one of Ihe following declarations: � �' ❑ 1 heve entl will maintain a certiticate of consent ro self-Insure tor workers' compensation, as provitled for 6y section 3700 ot Iha Labor Cotle, tor Ihe peAortnance of Ihe work for which ihis permit is issued. � ❑ I have antl will maimain workers' compensetion insurance, as requiretl by section 3700 of the Labor Code, for tha pedortnance of Ihe wark for whlch Ihis pertnii is Issued. My workers' wmpensetlon Insurance carner anC policy num6er are: Cerrier: Policy Number: (This section neetl no( be comp/eted i/ fhe permit is ve/ued at one hundred dollars ($700) or /ess.) ��, I certify Ihat in �he pertortnence ot ' e w for which this e it is issued, I shall not employ any person in any manner so es to become su6ject to tha workers' compensatlon laws alifomia, e re that ii I shou bec e sub�act to the workers' compensatlon provislons oi Section 3700 of Ihe Lebor Code, I shall tort�with compty with these p o�i sns- � q ,/ Applicent Signeture: Date: /– � 1f ' 6J � WARNING: FAILURE TO SECURE WORKERS DMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALPES AND GVIL FlNES UP TOONE MUNDRED TKKISAND DOLLARE (5100,000), IN ADDITION TO THE CQST OF COMPENSATION, OAMAGES AS PROVIDE� FOR M SECTION 3]O60F THE LABOR CADE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aMirtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business end Profeuions Code, and my license Is In full force and eflect. Lic. M Class A Conirectofs Signamra: Date: CONS7RUC710N LENDING AGENCY: ❑ I hereby aHirm t�at there is a construction lending egency for t�e performance of t�e work for which this pertnit is issuetl. (Sec. 3097, Civil Cotle). Lentlers Neme: Lendafs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHlrtn t�et untler penalry of perjury thet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe tollowing reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which requires a permit �o construct, alter, impmve, tlemolish, or repair any structure, pnor to its issuance, also requires ihe applicam for such pertnit to lile e signed statement Ihet he or she is licensetl pureuant to the proNsions ot the Contredors License Lew (Chapier 9(commencing with Secllon 7000) ot Dlvision 3 0l the Business entl Professions Code) or Ihat he or she is eaempt therefrom and the besis for ihe elleged exemption. Any violetion of Section 7031.5 by any epplicant for e pertnit subjeds ihe epplicant to a civil penalry ot not more than five hundred dollars ($500).): ❑ I, es owner oi the properry, or my emplayees with wages as their sole compensation, WILL DO THE WORK, and ihe siructure Is not intendetl or aHeretl tor sele (Sec. 7044, Business antl Professions Code: The Goniraciors License Law tices not apply to an owner ot proparty who builds or improves ihereon, and who does such work himself or herself or Ihmugh his or her own employees, provided that such improvemenis ere not intended or oHered for sale. tl, howeve�, the builtling or improvemant Is sold within one year of completion, the owner-builder will have the burtlen of proving ihat he or she did not build or improve for purpose ot sale.). ' I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The conira�ors Liten�Lay�tloes not apply Io en owner o� property who builds or Improves �hereon, antl who coniracis for such prolect wlih e contractor(s) license pursuenytophe Cont tqls 4icensa Lews.). ❑ I am exempt un er s c. � Signature: � Owner ID verified by tlrivefs license. Venficetion of Ownership by (type of Business and Protessions Code for this reeson: G� —��– �3 Date: No Driver's License No. i.e. - property la< bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMI7 CERTIFICATION: Eapires: ❑ I hereby certify that no excavation five (5) or more feet in depth Into which e person Is required ro descenq will be mede in connection with work euthonzed by �his permit, and that no building s�ructure, ScaHolding, talsework, or demolition or tlisman�ling ihereot, will be more than thirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sac. 341, Titla 8, Califomia Atlministrative Code). . ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit trom tha Division of Industnel Safery, es noted ebove, unless such person hes e permit to do such work from �he division. SignaWre: Date: Division of Industnal Safery Pertnit Number: CERTIFlCATE OF COMPLI CE AND IZATON OP ENTRV: I certity under penalty ot perjury that I have read this application antl state that Ihe iniormation givan is correct. I agree to comply It all stat I ws ciry ordinances relating to building construdion, antl authonze representatives of the Gty of Costa Mesa to enter upon the above-tlescnbed property f r i p�ti p rp . nagree not% y or allow occupancy of eny building authonzed by t�is perrt7jluntil tinal inspection. � 11 � �LY Sig aWre Legal Own r(s) " Date , AnNOr Authonzed Applicant CODE�. INSPECTIONTYPE P9IE � p� 1676 Fized System Final Fire Prevention 1266 200 201 Pool Spa Final Pinal Re-Root Finel8lock/Relaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition ' CODE� INSGELTIONTYPE 206 Final Mechanicel 208 210 212 220 Final Plumbing Final Electrical Final Fire PreveNion Final Planning Approval 222 FinalSite 250 � Final Building/Occupancy DpTE �S F LG {J] L a h y x F G W F Q G a a > � .a x w o. � 0�. 6. Z � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUI�DING 3aG5 � TuR�.oe.� DR. � ADDRESS OWNER OR �y' AR STRG`// � TENANT (,/,'�yq MAILING 32 GS / �f�LGG,� �t/R� ADORE55 CITV C�%� /y�Ls� NO`a�yGy�� CANSTRUCTION A.P.NO.��G�� BUILDING ^J�/'S I�.f�E ADDRE55 J /o UNIT OR SPACE NO. TA�rYi� /� C LOT �—�r I NEW I ADD BFANCH OWNER ADDRESS r[� ARCHITECT TEL y/ USE IL 11RFNf:INFFRTRD D�si�NAss Nn. /qS��G� CONTRACTOR ADDRESS � CITV � STATE / LIC. NO. SIZE OF LOT USE OF T E L.� NO. CITY LI0. NO.� ' NO.OF BLDGS. NOW ON LOT Separate permits are required for . electric, plumbing and heating work: USE OF BUILDING AND WORK TO BE PERFORMED 2.�.aL . ' t�., I hereby aeknowletl8a that I have �eatl this application and state that the above info�mation is carrect antl a0�ee to comply with all laws reBulatin8 bui�dinB consnuction, antl I shall not employ any person In violation of Me workman's compensation lews of the Stata of Californla. I hereby ce�Hfy thai I am properly Iicensed as e eontrector untlar ihe State of California Business an fessions Cotle, ivision 3, Chepter 9, entl that such licen re i� full force an ef ct, or I em exempt tram th provisio s the 5 ate of �alito nia B iness antl Professions C de Divisio 3, hapt 9 Signaiura of Permittee or �' �� _ � Authorizetl ABent Date � ED APPROVED SETBACKS PLANNING ACTION onre �44 TL' MOVING DEMOLI54 �I� � GROUP � � 4TE � G—� �! 7/ , oe lu/_ • m � > d �'/3 SQ. FT. � 3• oo S' n,�- i� THE AMOVNTSHOWN UNDER VALVATION IS FOR m• THE PURP06E OF ESiABLISHING A PERMIT FEE ONLV: �, VALUATI� PERMITFEE $ 2�O(7 q' 3 Q ._ ^ � 7 O PLAN CHECK $ � $ � TAX $ � � U TOTALPAID $ � (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT JobAddress: 3ZGS TURLOCK DR � � Status: ISSUED Suite No Applied: 02/24/2003 Vicinity: Issued: 02/24/2003 Parcel Nunmber: 41206217 Applicant: STREIT, OSKAR Address: 3265 TURLOCK DR Owner: Address ConVactor: Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp Motors ro SOhp Motors to 100hp Motors over t00hp Communication drops COSTA MESq, CA STREIT, OSKAR 3265 TURLOCK DR COSTA ME$A, CA ISSUED BY: Phone: 714-546-4114 Zip: 92626 Phone: ^ Zip: 92626 " . � , '� `��'�. . t' �`Phone: • Zip: a , � � ' Llcense: m - - , SCOPE OF PERMIT _ FINAL ORIGINAL PERMITS FOR 813 S.F. ROOM ADDITIONS!WORK INCLUDES: 1 BEDROOM AND 1 PLAY ROOM. � ' - - ' � - -- � � � � REF.: 51489, 7g269, 18261 AND 49122. B03-00308 $23.50 50.00 $0.00 $0.00 SO.Op $0.00 50.00 � $0.00 $0.00 $0.00 50.00 $0.00 " $0.00 $0.0p $O.OD so.00 50.00 $0.00 $0.00 $0.00 Quantity 0 0 0 0 D 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 tt . _ Standing Section � Misc Electrical Equipment �� Transformers up to 1 kva/kw ................up to 10 kva/kw- . .................up to 50 kva/kw .................up to 100 kva/kw ..................over 700 kva/kw Low Voltage Equipment Low Voll Wiring System / Ckt Misa Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee e Quantity $0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 . 0 50.00 0 50.00 0 $0.00 0 $0.00 0 90.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 30.00 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, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspendad or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspecllons and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration oi this permit. FOR INSPECTIONS CALL: (714) 754�5826 2466d6IN00) WORKERS'COMPENSAnON DECLARAnON: � ' . I hereby aNirtn under penalty of perjury one ol the tollowing declaretians: ' ❑ I heve and will maintein a certificate of wnsent to self-Insure for workers' compensation, es pmvided for by section 3700 ot the Labor Code, tor t�e pedormance of Ihe work for w�ith lhis permit is issueQ � " ❑ I have antl will meinWin workers' compensetion in5urence, 85 required by section 3700 of Ihe Labor Code, for the perfortnance,of the work for which this pertnit i5 issued. My workers' compensa�ion InSurance terrier end policy number are: �'� Cartier: Policy Numbec (This section need not be canpleted il the permit is ve/ued et one huntlretl dollars ($100J or Iess.J . .. , �I certity thet in the peAormence of iha work For which Ihi ertnit is issueQ I shall not employ any person in any manner so as to become subject to the workers' compensation laws oi Calitomia, d gree that' � I become s4bjg�t to the workers' compensation provisions oi Section 3700 ot ihe Labor Cotle, I shall lorthwith compty with these provisions. � ; �i ,/ MGncent signeture: ,� J� h J Date: —. /� �C L 0 1i WARNING: FNLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMP�OVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDREO iHOUSAND DOLURE (5100,000), IN ADDRIIXJ TO TME COST OF ODMPENSATION, DAMAGES AS PROVIDED WR IN SECTION 3IO60F iHE LABOF CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aftirtn that I am Iicensad untler provisions of Chapier 9(wmmencing with Section 7000) ot Divislon 3 of the 8usiness end Prolessions Cotle, antl my license is in full force entl eHect. Lia k Class k Contractofs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby eMirm Ihat there is a conswction lending agency for the peAormance of the work tor which this pertnit is issuetl. (Sec. 3097, Civil Cotle). lentlefs Name: Lentlefs Aadress: SiqneNre: Deta: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penalry oi perjury ihe� I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the F011owing reason (Sec. 7031.5, Business end Professlons COCe: Any ciry or counry which requires a pertnit to construct, alrer, impmve, demolis�, or repair any structure, prior to its issuance, also requires the apD�icent for such permit to file e signetl slatement that he or she is Ilcensed pursuant to the provislons oi the Contractors License Lew (Chapter 9(cammencing with Sectlon 7000) oi Divlsion 3 oi the Business antl Professions Code) or ihat he or she is exempt t�ereirom antl the basis for ihe alleged exemption. Any violation of Section 7031.5 hy any epplicenl for e Dertnit subjects iha applicant to e civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees wit� wages es t�eir sole compensation, WILL DO THE WORK, and the siructure Is not intentletl or ottered tor sele (Sec. 7044, Business and Professions Code: Tlie Contractors License Law does not epply to an owner of properry who builtls or improves ihereon, and w�o does such work himselt or herseH or Ihrough his or �er own employees, provided thet such improvemenis ere not imendetl or oNered for sele. It, however, Ihe builtling or improvement is soltl within one year ot completion, the owner-builder will heve ihe burden of proving that ha or she did not builtl or improve for purpose of sele.). � �` 1' as owner of Ihe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo consWct the project (Sec. 7044, Business antl Professions �� Cotle: The conirectors License Law tloes not apply to an owner oi properry who builds or improves Ihereon, entl who contracts for such project wit� e contrector(s) licen5e pursuani Io Ihe nfr tors License Laws.). ❑ I am exempt se � Business end Professions Cotle tor this reason: Signature: } Data: — Owner ID veniletl by tlnver's ense. es ❑ No DriveYs License No. � � Eapires: �' -� I.Q —!�� Vedlication oi Ownership by (type ot docu e, i.e. - properry te�c bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby canify thet no exwvation five (5) or more feat in depih into which e person is required to descend, will be made in connection with work euthorized by this permit, and that no building sWcture, scaHolding, talsework, or demolition or dismantling ihereot, will be more than ihirty-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec. 341, Titla 8, Califomia Atlministrative Code). . ❑ As owner-builtler, I will nat employ enyone to Co work which woultl require e permit trom the Division ot Industnel Sefety, es notetl ebove, unless such person has e pertnit to do suc� work from the division. SigneWre: Date: Division of Intlustnal Sefary Permii Number: CERTIFlCATE OF COMPLIANCE AND A RI � T10N OF EMAV: I cenity under penalry of perjury that I have reatl this ap0lication end steta that the information qiven is correct. I agree to comply with a tate law a d ci y ordin�nc ating to building wnsiruction, and authonze represematives of the Ciry ol Costa Mesa to enter upon Ihe above-descnbed property for in e io pu s I g ee n t t occu or ellow occupancy of any building authonzed by ihis permit until final inspection. 02 - �_ �f - � 3 Signa ure Ot Le I Owner(s � Date , And/Or Authonzed Ap0licant COOE I. INSVECTIONTYPE 1616 Fi:ed Sysiem Final Fire Prevention 1286 Pool Spa Final 200 Final Re-Roof 201 � Final BIocWRetaining Well 202 Finel Factory Fire Place ' 203 Finel Sign 204" Final Demolition " �L�T€ I[QIDA4@ � CODE I INSPECTION TYPE � 206 Final Mechanical . 208 Final Plumbing , 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250� FinalBuiltlinyOccupancy BAIE s y�. cwn.�b i _.:=:., Ji... . i � OWNER pg� �gEIT DATE 3/23/81 JOB ADDRESS 3265 Turlock Drive BUILDING PERIAIT N0. 51489 ,.�.,�.,.. ,.,,..�.,.,r.,.. _ . ... ..�.�..,...�...� ,W...,� - -"-'-- ECTIONS n WATER RDUGH PLlIMBiNG PnOP. SwP. LINE �, _j HO�SE COH. � SPVINKLING SYSTEM MISCELL4NEOU5 ROUGH MEaTING ANO �IR CONDITIONING TEMPOR4RY SEliVICE OP POLE UNDERGROUHD � POWEB � 1� ROUGN WIRING '� TAENCNES FORMS STEEL REINF. � FLOOR SVSTEM BON� BEOM [�1 STEEL REINFORCE � .� SHEATHING N :RAME ANO FLRSMING � LATMING — IN ^� OUT n �Pl�STER.BHOWNC04T�q�p��( ��/f a STRUCTIIRAL. FIHAL NERTING. VENT., REPRIG. �ND A.C., FINAL PLUM9ING, FINNL AH� GA$ TEST � ELECTRIC. FiH4L 6WLD�NG. FINAL SUBCONTRACTOR y CITY OF COSTA MESA BUILDING DIV►SION • DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 3265 TURLOCK DR Suite No Vicinity: Parcel Number: 41206217 Applicant Address: Owner: Address: STREIT, OSKAR 3265 TURLOCK DR COSTA MESA, CA STREIT, OSKAR 3265 TURLOCK DR COSTA MESA, CA Contractor: � . Address\ esa.ca.us MECHANICAL PERMIT _, r PERMIT NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 � , � ! ,; - ..•'�; s. Phone: 714-546-4114 Zip: 92626 Phone: Zip: 92626 .. , " ,.Phone: � Zip: License: � � Stalus: ISSUED Applied: 02/24I2003 Issued: 02/24/2003 i� ISSUED BY: SCOPE OF PERMIT . FINAL ORIGINAL PERMITS FOR 813 S.F. ROOM ADDITIONS. WORK INCLUDES: 1 BEDROOM - AND 1 PLAY ROOM: '.." .�" .j -: "�r ," � - -� . ' , - '� . REF.: 51489, 79269, 18261 AND 49122. 603-00308 ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping � Factory Fireplace Hood w/Mech Ezhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handiers < 10000cfm Air Handlers > 10000cfm Floor Fumace Floor or Suspend Heater A Quantity $23.50 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 .. $0.00� -Or. 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00, 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 FEESUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation Syslem Evaporative Cooler Commercial I nci nera tor Domestic Incinerator Campressors / Absorplion SYstems Upta3hp/100kBTU - � 3 To 15 hp /'500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 l0 50 hp Over 50 hp Other Mechanical Fee Investiqation Fee Plan Check Fee Reinspectian Fee Quantity $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 30.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 $0.00 $99.00 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, 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 abantloned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this peimit. FOR INSPECTIONS CALL: (714) 754-5626 I 2416d6 (8�00) WORKERS'COMPENSAnON DECLARArON: . ' I hereby ettirtn under penalry of perjury one ol lhe lollowing dedaretions: , ❑ I heve end will maintain a certilicate of wnsent to selFlnsure for workers' compensation, es provided for by section 3700 ot lhe Lebor Cotle, tOr tTe pertortnence ot Ihe work for which �his pertnit is issuetl. . ❑ I have entl will maintain workers' compensation insurence, as raquiretl by section 3700 of the Labor Code, for tha peAortnance of the work for w�lch Ihis pertni� is Issued. My workers' compensation Insurence cerrier end policy number are: ' Carder. Policy Numbec ' (Tliis section need nof be comp/etetl i! tAe permit is va/ued et one huntlretl dollars ($100) or less.) . �1 certify that in the peAormance of the � for which this permit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' compensation laws ot ifomia, an gr e that i ould become subject to ihe workers' compensation provislons o1 Section 3700 ot the Labor Code, I shell lonhwith comply with t�ese pro si s. n,[ y, Applicant Signature: � Dete: � ' K.T � � / WARNINQ: FRILUflE TO SECURE WOflKER MPENSATIO COVERAGE IS UNLAWFUL AND SHALL SUflIEC� AN EMPLOYER TO CRIMIt�U1 PENALTIES AND CIVIL FlNES UP TOIXJE HUNDRED TYKKISAND DOLLARE (E100.000�. IN ADDITIIXJ TO THE COST CAMPENSATIIXJ, DAhNGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aFfirm that I am licensed under provisions ot Chapter 9(commencing with Saction 7000) ot Division 3 of Ihe Business and Profassions Cotle, entl my licanse is In tull torce and etteci. Lic. N Class N Contrectofs Signawre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn Ihat ihere is a constmciion lending agency tor ihe peAormance of the work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lenders Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I here6y aHirtn that under penalry of perjury thai I am EXEMP7 FROM 7ME CONTfiACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protesslons Cotle: Any ciry or counry which raquires a permit to construc6 alter, improve, demolish, or repair any structure, prior ro its issuance, also requires the applicant tor such permit ta tile a signetl stetement ihat he or sha is Ilcensetl pursuant to ihe provisions of ihe Conirectors License Law (Chapter 9(commencing with Sectlon 7000) at Divlsion 3 oi the Busineu and Proteuions Cotle) or that he or she is exempt lherefrom and Ne basis tor the ellagetl exemptlon. Any violation of Section 7031.5 6y eny applicent tor a pertnit subjects the applicant to a civil penalry ai not more than five hundred dollers (5500)J: ❑ I, as owner ot t�e property, or my employees with wages es their sole compensation, WILL DO THE WORK, antl the structure Is not intended or otteretl for sela (Sec. 7044, Business and Pmtessions Coda: The CONractors License Law tloes noi apply to an owner of property who builds or improves thereon, and who tloes such work himselt or herseN or Ihrough his or her own employees, provided that such impmvements are noi intended or oflered for sala. If, hmvever, ihe building or improvemem is sold within one year of completion, the owner-builtler will heve the Durden oi proving that �e or she ditl not build or improve for puryosa ot sale.). ' I, as owner ot Iha propeRy, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Busineu and Professions Code: The comrac re License La does not appN �o an owner ot property who builtls or improves thereon, antl who contracis for such projact wit� a contrecbr(s) license pursuant t t e Contr icenne ws.). �7 ❑ I em e:empt untl Business and Pmfessions Code for this reason: �' !K �" p� Signawre: Owner ID verilied by tlriver's license. �Yes ❑ No Drivefs License No. � � Expires: � Vedfiwtion ol Ownership by (rype of tlocu e t, i.e. - property laz 6ill or tleedJ: DIVISION OF INDUSTRIAL SAFE7Y PEF�MIT CERTIFICATION: ❑ I hereby certify Ihat no excavation tive (5) or more feat in depih into which e person is requiretl to tlescenq will be made in connection with work authorized by this permit, antl that no building siructure, scattolding, falsework, or tlemolition or tlismantling ihereol, will be more ihan thir�y-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Trtle 8, Calitornla Atlminisirative Code). . ❑ As owner-builder, I will not employ enyone to do work which would require a permit trom the Division of Industnal Safety, es noteA abova, unless such pereon hes e permit to tlo such wark from ihe division. Signature: Oate: Division ot Industrial Safety Permit Number: CERTIFlCA7E OF COMPLIANCE AND A RI TION OF ENTRY: I certify untler penalry of perjury that I hava read this application antl state Ihat the information given is wrrecc I agree to wmply with all� te law n c ty ordinan relating to building constmction, end euthonze representatives of ihe Ciy ol Costa Mesa to enter upon the above-described property lor ins0�uQ9 P% o e. I agre4 no to upy or allow occupancy of any building authonzetl by t�is permit un�i�inspecti� 1� '%\ G � Signat e t Legal ner(s) Date And/Or Authonzed Applicant CODE�, INSPECTIONTYPE �� 1616 Fixed Sysiem Final Fire Prevention 1266 200 201 Pool Spe Finel Final Ra-Rooi Flnal BIocWRelaining Well 202 Final Factory Fire Placa 203 Final Sign 204 Final Demoli�ion Q�� TIN RIALS COUEII INSPECTIONTYPE ' 206 Final Mechanical 20B Final Plumbing 210 Final Eleclncal 212 Final Fire Prevention � 220 Final Planning Approval 222 Final Si�e ' ' 250 Final Building/Occupancy Date � r� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626 Job Address: 3265 TURLOCK DR Suite No Vicinity: Parcel Nunmber: 41206217 Applicant: STREIT, OSKAR Address: 3265 TURIOCIC DR COSTA MESA, CA Owner: STREIT, OSKAR Address 3265 TURLOCK OR " COSTA MESA, CA Con V actor: Address: Arch / Eng : Address: ISSUE FEE Backflow irrigation BackFlow Preventer Bathtub Clarifier System Connect(Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof PLUMBING PERMIT 0 Phone: 714-546-0114 Zip: 92626 Phone: Zip: 92626 { . Phone: Zip: License: Phone: , . ' . � Zip: - � �icense:- Status: ISSUED Applied: 02/24/2003 I ss ued: 02/24/2003 ISSUED BY: SCOPE OF PERMIT FINAL ORIGINAL PERMITS FOR 813 S.F. ROOM ADDITIONS. WORK INCLUDES: 1 BEDROOM AND 1 PLAY ROOM. . . REF.:'S1489, 7g269, 18261 AND 49122. B03-00308 � AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 30.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 FEESUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Pipin9 (per 10 ft) 50.00 Receptors $0.00 Sepiic Tank $0.00 Sewer Cap for Demo 50.00 Sewer Connect $0.00 Sewer PriJate Line 50.00 Shower $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow�7-4) Vacuum Brkr Bkflow(5+) Wash Basin wash 6asin Set Waste and Vent System Water Closet (Toilet) Water Heater / venl AMT $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 50.00 QTY 0 0 0 0 0 0 0 0 0 0 0 NO710E: 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 tor a period of 180 days. INSPEC710N5: In order for the work authorized under this permit to be conside�ed legal, such work must comply with all applicable codes, and all requlrad Inspectlons end final approyal must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 750.5626 2446d6 (6/00) WORKERS' COMPENSATION DECLARATION: I hereby ettirm un0er penalry of perjury one of ihe following declarations: - ❑ I have end will meintain e cenificate of consent to self-Insure for workers' compensation, es provided tor by section 3700 of the Labor Gode, tor the perfortnence ot the work tor which this permit i5 issued. " ' ❑ I have antl will maintain workers' compensation insurance, es required by section 3700 of the Labor Cotle, tor the perfortnance of the work tor which Ihis pertnit is issued. My workers' wmpensation Insurance carder and policy number are: ' Carner. Policy Number: (This section neetl not be comp/eted it the permif is velued et one hundretl dollers ($100) or less.) . ��I certity Ihat in t�e pedortnance oi th work for ich t�is permit is iuued, I shall nm employ any person in any manner so es to become subject lo ihe workere' compensetlon laws ot Celifomla, e gree th I I uld beco ubject to tha workers' compensetlon provisions oi Sadion 3700 ot the Labor Code, I shall torthwith wmply with these provisions. �1 AppliceniSignature: � Dete: �' /X,�' �� WMNINO: FAIIURE TO SECURE WORKERS' CQNPENSATION COVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPIOVER TO CRIMINPL PENALTIES AND CIVIL FINES UP TOONE HUNDRED hKK1SAND DOLLAHE (5100.000�, IN A�INiION TO THE C0.ST OF COMPENSATION, �AMAGES PS PROVI�ED WR IN SEGTION 3IO60F THE LABOR CODE, IMEREST, AND ATTOHNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby effirm that 1 am licensed under provisions ol Chapter 9(commencing with Section 7000) of Division 3 of the 8usiness and Profassions Cotle, and my license is in tull lorce entl ettect. Lic. a Clau k Contrectors SignaNre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby eHirm that there is a conswction lending agency tor tha peAormance of Ihe work tor which Ihis permi� is issuetl. (Sec. 3097, Civil Code). Lentlefs Name: Lender's Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I �ereby aflirtn that untler penalry of perjury thet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Prolessions Code: Any tity or wunty which requires e permit to ton5truct, alter, improve, demoli5h, or repeir any sfructure, pnor to it5 issuance, also requires lhe epplicant for SUCh pertnit to tile e signeC statement ihat he or she Is licensetl pursuant to the provisions oi the Contradors License Ww (Ghapter 9(commencing with Saction 7000) 01 Division 3 of the Business antl Professlons Code) or thet he or s�e is exempt therefrom and the basis for the ellegetl eaemption. Any violation oi Sectlon 7031.5 by eny epplicent tor e permit sublecis the applicant to a civil penalry oi not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with weges es their sole compensation, WILL DO 7ME WORK, and Ihe stmcture is not intended or oflaretl for sale (Sec. 7044, Business and Profeuions Cotle: The Contractors Licensa Law does not epply to an owner of properry who builds or improves thereon, and who does such work himselt ar herself or ihrough his or her own employees, pravided that such improvements ere not intended or ottered for sale. If, �owever, the builtling or Improvement is soltl within ane year of completion, the owner-builder will have ihe burden of proving ihat he or she did not build or improve tor purpose of sale.). ' �I}.as owner of �he pmperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business entl Pmfessions Code: The wntractors License Lew does not apply to an owner oi properry who Cuilds or improves iheraon, and who contracts for such project with e comractor(s) licensa pursuant to the Contractors License Wws.). ❑ I am exemp Signature: _ Owner ID verified by Criver's Ikknse. Venlication ot Ownarship by (rype ot eusiness end Professions Code for t�is reason: ves ❑ No i.e. - property lac bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTFICATON: Driver's License No. Date: • 0 $ exPi�e:: 2-t8 - ob ❑ I hereby certify Ihet no excavation five (5) or more teet in depih in�o which e person is required to descend, will 6e matle in connection with work euthonzed by �his permit, and Ihat no building sWcture, scaNOlding, talsewoM, or demolition or dismantlinq ihereof, will be more ihan thirry-six (36) faet high. (Chap. 32, Gry 2, Art 2, Sec. 341. Title B, Celifomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit Irom the Division of Indusirial Sefety, es noted ehove, unless suc� person hes e permi� to tlo such work from the tlivision. Signeture: Date: Division ot Industrial Sefary Pertnit Number: CERTIFlCATE OF COMPLIANC D Al7TT10RVA710N OF ENTRV: I certily under penalry of perjury that I have read Ihis application and state �hat Ihe information given is correct. I agree to compy with 0 tate law nd��(((yyy ordinances relating to building consWaion, and authonze representatives of t�e Ciry of Costa Mesa to enter upon the above-described properry tor in Y n pu os 5.0 Agre^e noI IQ cc py or aliow xcupancy ot eny building authonzad by this p=rmit until�al ins�� n. ,/ �l/ / 1L� ii 2 oz Signature Of Leg I OwT4r(s) �- Date • a' Antl/Or Authorized Applicant Date CO�E A INSPECTIONTYGE 1616 Fixed System Final Fira Preven�ion 1266 Pool SDa Finel 200 Finel Re-Roof 201 Finel BIocWRetaining Wall 202 203 204 Final Factory Fire Place Finel Sign Finel Demolition' y_Ajf, . INTITIALS � LODE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site � 250 ' � Final Building/Occupancy D1TE I�L$ -a 5-0 � OwNER pSCAg STgEjT JOB ADDRESS 3265 Tu GENERAL CONTRACTOR APNo. 412�062-17L0 INSPECTIONS DATE 3/23/81 BUILDING PERAt1T N0. 51989 ��s . SUBCONTRACTOR w�i[a Plum6in RDUGH PLOMBING PAOP. SWA. IINE �: � HOUSE CON. � $oq�NKLING SYST�M MISCELLANEOUS ROUGN HE�TING AN� �Ifl COHDITIONING TEMPpRRHY SERVICE OR POLE UN�ERGROUNO � POWER � +� aoucN WIRING C. _ /-� Heatin and Ven�. '� TRENCHES i� . FORMS STEEL REIN�. � FLOOR SYSTEM BOND BEAM L STEEL REINFORCE .� SHEPTHING N FqqME RND FLRSNING )/� ��.// ��( �� C LATMING - IN �i OUT .�-�y auSrER, eaoww coaT y�,- ,y� y.f/. j /r (j� !e a STRURURPL FiN4� � NE4TING, VENT., pEFRIG. �N� A.C., fIN�L �' �LUMBiNG. PINFL qH0 GAS TEST � ELECTRIC, FINAL EVILDING. �IN4L '` Z ApD��ant to fill in all spaces except those wit�in heavy bortler lines anO sign all app�opriate tleclarations. i�� ITY OF CONSTRUCTION PERMIT PERMI�'„[VO.�; �,, , TRACT NO. LOT NO. � UNIT NO. P �, COSTA MESA . � P�ojpctAddress C,�L�� T�•L�LQ�ii{ ��.• . aFlpplicant's Mailing Address sA'�� Owner's Name 0$ ��'� �'� �% �� Phone-� Hp • OZ�� Address �Z�� T�'LOGK D� C•-et� Arch/Eng. �icense No. � Address Contracmr's Name ' Phone Address (mailing) City License No. � LICENSED CONTRHCTOR DEGLARATION 1 M1ereby affi�m that 1 am licensetl untler provi5lon5 o( Charte� 9(CommenCing with section ]000) ot DiviSion 3 of the Business antl Professions Cotle, antl my license is in tull force antl eHect. � . license Class License No. Date Signature WORKERS' COMPENSATION DECLAFATION I hereby afiirm that I have a certificate oi consent to self-insure or a certlficate ' of Workers' Compensation Insurance, or a certitietl copy thereo( (Section 3800, Lab. CJ � - � 'cy No. � company �ertifietl copy is hereby-tumishetl. . � CertifieC copy is filetl with the city Builtlinq DiviSion. �ale � Applicant . E%EMPTION FROM WORKERS' COMPENSATION DECIARATION (TM1is section neea nat be completetl if the permit is for one huntlretl ($100) or Iess). I certi(y that in [he performance Ot the work tor wM1ich thls pe�mk I5 i55Uetl, I shall not employ any persan in any ma er so(�s`q� becomg subject to tne Workers: Co^�p ensatjp�Law9of Calitor 'a ,'M , Date �O � 7/� t"� Si nature �. M w i0 NOTICE: If, afte� making this tlecla�ation, you sh ul beco e subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such pwvisions or [hi5 permit shall be deemetl revOketl. CONSTRUCTION LENDING AGENCV - � I nereby a�firm that there is a construction lentling agency for the pertormance of the work for which this permit is issuetl (Section 309� Civ. C.) l.entler's Name Lentler's Atltlress _ � OWNER BUILDER DECLARATION I M1ereby affirm ihat I am exempt from the ConVactor'S License Law for the following reason (Section ]031.5 Business antl Professional Cotle: Any tity or county which �equires a permit [o construct, alte�, improve, tlemolish or repai� any structure, prior [o its issuance, also requires the applicant for such permit to file a signetl Statement that he/She Is licensetl pursuant to the prOvisions of the Contrac(or's License Law (Chapter 9,(commencing with Section 7000) of 'Division 3 of the Business antl Professions Cotle) o� that he/she is exempt � therefrom antl the basis to� the alleged exemption. Any violation of Section ]031.5 by any applicant for a permit subjects the applicant to a civil �,'S, lalty of not mo�e than �ive huntl�ed t1011ars (5500). ;�.i °i''"�� aa owner ot Ne property ' es as ' �'jl,*'�M9ee5aFien, will tlo [he wo�k, antl the stru<tur¢ is not in en e Or offe�etl .:�.� sale (5ection ]oaa, Business antl Profezsionai Cotle: The Coniractor's � ucense Law tloes not appty to an owner ot a property who builtls or improves thereon, ana who tloes such work himseif/herself or through his or her own IemDloyee5, provitlEtl that such improvements are n0t intentletl o� of(eretl fo� � sdle. If, howeve�, the builtling or imp�ovement is soltl within one year of com- pletion, the owner will nave the burtlen of proving he/she tlitl not build or im- ove for Ihe purpose oi sale). I, as owner of the property. am exclusively copVactlng with licensetl con- ctors to wnstruct the project (Section 7044, Business antl Professions Code: The Contractor's License Law does not apply to an owner ot property who builtls or improves thereon. antl wha tOnVacts for such o�oi¢Cts with a con- tractor(S) I�cense pulsuan[ to [ne Contlactor'S LiC¢nse Ldw). I am awale Ihat ptoof of their Worker's Compensation Inw�ance shoultl be provi0etl to me. ❑ I am eaempt untler $ection B. & P. C. for this reason � Date Owner I hereby certify that I have reatl this application antl state t at the above information is correct. I aqree to comply with all city antl county ortlinances antl state laws relatin9,to builtlinq construction, antl'hereby autho/ize /ep�e- sentatives of this ci to n upoil the above-mentionetl property for inspection purpo5e5. O Signature Date��.r2� Drivers' License or SS � % / TYPE OF CONSTRUCTION LI NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER -� DESCRIPTION OF WORK/USE OF BLDG. - � TVPEOFPERMIT . GRAOING FOUNDATION STRUCTURAL ❑ TENANT C�ELECTRICAL ❑ PLUMBING ❑ MECHANICAL' . ❑ OTHER PROJECT DESCRIPTION SQ.FT. OCCUPANGV 'CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.YDS. ACRES Remarks: Sink kflow Preventer kflow Irrigation Clarifiers � Dishwasher Drinking Fountains Floor Drains Floor Sinks . Gas Service Outlets Interceptors Kitchen Sink ' Lavatories � Roof Drains Reinspectian Fee $15 Boiler Duct - Under Ground Duct - Structural . Duct- Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact BIt �CBO # Heating System & Ducting ❑ 0-100,000 BTU � 100,000 BTi Reinspection Fee � $15 0865-46, rev. 5/8B White - Builtling; Canary - Ap�licant; Pink - A<countin9: Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collector5 Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundry Trays Issue Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System _ ❑0-100,OOOBTU ❑t00,0006TU System Repair/Alteration Fire Dampers Issue Fee A. . # S ' Main Building: E T F.ront' B Rear A C Right S . Left Ping. Ref. # Planning Notes: ES Automatic Washer Construction Pole Sub. Cooking Unit '�.�� Dishwasher Dryers ❑Gas ❑Elec .,.i Fan �'� F.A.U. �� Fixtures � � � Device Boxes i Outlets � Switches Garbage Dispoul Generator DO-5 KW C $ 3 FEES $ 3 8uilding: Parking ReqJProvided ELECTRICAL Transformer ❑ 15-50 KW � ❑50+KW ' Meter ❑up to 100 amps Meter ❑over100amps Sub Panel . Motors�0-1HP�1X-6 Inc. Soiar �9-15 HP 016-15+ Microwave Pole Light Range �� Standing Sections 5 KWi Trash Compactor I Reinspection Fee '$15 I I Issue Fee DEVELOPMENT SERVICES RE�UIREMENTS: Zoning Approved By Building Approved By Aoolication Issued Bv �% � FEES $'t I N G R E � M T S. SUMMARV OF FEES . BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $, PLAN CHECK 25% $ —�� ENERGY P.C. $ ELECTRICAL $ eC�.d-� GRADING $ PLAN CHECK 50% $ MICROFILM $ '] MECHANICA� $ TOTALFEE $ o`�.� PLAN CHECK 25% $ . 01 �i1�r�6f3�-C^7p3o�SE 'F'o77`i � ----� GA?t. L5i30lES ?IIiE; — CpNSTRUCTION AND PLANNING POOL & . L ' �.ate Inspector Date Inspector � �� iPPROVALS Permit # APPROVALS Permit #, 1�. Temporary Electrical Service or Pole . 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. . � 53. Steel Reinforcement 3� Electrical Conduit Utility-Undrgrnd. �1 4. Forms ��- 4. Electrical Conduit-Undrgrnd. 7 S� 55. Electrical Bonding � 5: Steel,Reinforcement 56. Rough Plumbing & Pressure Test - �, 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE � 7. Footings � � � - -., 58. Electrical ConduirUndigmd. , � '_ �. 8. ,Foundation � 59. Gas Pipe, � Undrgrnd � Test � ' 9.: Water Fipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. ' � � 10.:Structural Floor System , 61. APPROVAL TO DECK 17.. Property Sewer Line & House Connection ,� 62. Backwash & Receptor-Final � 12. Sewer,Cap �� _"" 63. Heater & Vent-Final ! ,� 13. Roof Diains 64. Plumbing System - Final ; r 14. Rough Plumbing 65. Electrical-Final � , 15. Rough Electrical-Conduit 6. Solar System-Final 16. Rough Electric Wiring %// g 67. Fencing & Access Approval Ii ,. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �.. �13. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding ' � 77. FIXED SYSTEM FINAL . 29. Insulation � 78. FIRE PREV. FINA� 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric � ` �p Notes: 34. Final Heating & Air Conditioning �y 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing `\ 39. Water Service-Final � - � `-sl-. � 40. Gas Service-Final � =� '•� i :: 41, Solar pomesticFinal �; ��' 42. Backflow Preventer '�� ; 43. Backflow Irrigation •y 44. Landscape Irrigation System `�=�} ( `" 45. Sound Attenuation 46. Handicap Regulations �..j- . 47. FINAL STRUCTURE & BUILDING �v 48. Special Requirements Completed 49. Electric Release to Edison , �� r,: 50. Gas Release to Southern California Gas Co � v i1} 51. CERTIFICATE OF OCCUPANCY - ": " h ' •'`� No. � Date :.;• / � '�• t�� V ` . Applicant to fill in all spaces except t�ose within neavy eorCer lines antl sign a11 aoP�ooriate Oeclarations. CiTY OF COSTA MESA GONSTRUCTION PERMIT .�, 32 � r ruzzo« .�,e. � h, �oject�'�ddress . iAppiicum's Malling Address .J�l (�T %tt.eLQC(� -�Q- t-h' �I Owner's Name � � �� /�� Phone j W�' ��% �. Address �Z �f �OCOC%� L � • �L�OZ6 ArchlEng. -License No. Address Contractor'sName N�-� Phone Address(mailing) � �'�'�L�%��-� Ciry License No. ' LICENSED CONTRACTOR OECLHRATION 1 hereby affirm that I am licensetl untler provisions of Charter 9(commCncing with section 7000) ot �ivision 3 of the Business antl Professions Cotle, antl my Iicense is in full torce antl effect.'� I�� License Qass ic¢n5e No. Date Signature WORKERS' COMPENSATION DECLARATION ' ' I hereby aHi�m thal I have a certifiGate ot mnzent to self-insure o� a certlficate of Workers' Compensalion Insurance, or a certifietl copy Ihereof (SeCtion 3800, Lab.,CJ • . '�cy No. C m n t ]ertitietl copy is hereby fumishetl. PPP ; - Cerf�jjetl r�Qpy i��lq� with the city�i vi5ion.� Date � Applicant ' EXEMPTION F0.0M WORKERS' COMPENSATION DECLARATION (Thissection neetl not be completetl if the oermit is for one huntlretl (S1o0) or 1¢55). I cerli/y lhat in the performance of the w' k for whi this perm�t is issuetl, I shall not employ any person in any ma r so S o ecome subj to the Workers'�p m aen5ati Laws of Californi '. 1 � I Date �S ' Lb •� Signature NOTICE: If, aiter makinq this tleclaration, you shoultl become subj t to the Workers' Compensation provisions of-the Labor Cotle, you must Porthwith comply with such O�oviSions or this pe�mit shall be tleemetl revoketl. - CONSTRUCTION LENDING AGENCV - ' 1 hereby affirm that there is a construction lentlin9 agency tor the performance of the work tor whicM1 this permit is issuetl (Section 309] Civ. C.) lenaer's Name' Lentler's Adtlress � - OWNERBUILDER DECLARATION ' I hereby affirm Ihat ,I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business antl Protessional Cotle: Any city or counly which reqwres a pe�mit f0 conSt�uCt, altCr, Improve, tlemolish o� repair any structure, prior to its issuance, also requires tbe applicant for such permit to file a signetl slatement that M1e/sne is licensetl pu�5udnt to the provi5ioh5 of the Contractor's License Law (Chapter 9(commencing with Section 7000) of - Oivision 3 oi the Business antl Professions.Cotle) or that he/she is exempt roerefrom an0 Ihe basis tor the allegetl exemption. Any violation of Section ]031.5 by-any applicant fo� a permit subjects IhC applicant, to a civil �epalry ot not more than five huntlretl tlollars ($500). ' C I, as owner of the pwperty -c�y ^^Pln+/ -' •''n �anuc ._ •„-%• _�� pp^^^`�-^, will tlo the work, antl the structure'is not intentletl or offeretl ,t sale (Seclion ]094, Business and Professiona� Cotle: TM1e Convactor's �icense Law tloe5 no[ appry to an owner Of a property who builtls or improve5 thereon, antl who tloes 5uch work himselt/herself or through hi5 or he� own employees,-provitletl tnat such imp�ovements ar¢ nOt intentletl or ofteretl fo/ sale. I/, however, the builtling or improvement is soltl within one year oi com- ple(ion, the owner will M1ave the burtlen of proving he/she tlitl not builtl or im- nrove for the ourpose of sale). � �' ❑ I, as owner of the property, am exclusively contracting with licensetl con- tractors to const�uct the project ($ection ]064, BuSinesS antl Protesslons Cotle: Tne Contractor's License law does nOt apply to an owner of property.who builtls or imp�oves thereon._antl�who conVactS fo� Such-oroiects with a�on- � . tractor(sV.Lcense pursuani to ine ConVactor•s License Law). I am aware tha[ , proof o1 their Worker's Compensation insurance shoultl be provi0etl to me. ❑ I am exemot untler Section � B. & P. C. for this reason Date ^ ' Owner - • � I hereby certify that I M1ave reatl this application antl state that the above information is correct. I a9ree to comply with all city antl county ortlinances antl state laws relatin9 to bui tli construction, and hereby autnorize repre- Sentatives ot this c'�. to Ae pon the above-mentionetl property tor inipection purposei I� �' Signature J oate � �Z-is•s`� . Drivers' License or 55 � ��`�� - �� -��J � ��' TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH OTHER' � DESCRIPTION OF WORK/USE QF�BLDG. TVPE OF PER IT GRADING FOUNDA ION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL . ❑ OTHER PROJECT DESCRIP710N 50. FT. � OCCUPANCV ' CONSTRUCTIONTVPE VALUATION$ �QQd� ZONE GRADING CU.VDS. ACRES Remarks: Sink Irrigation Drinking Fountains Floor Drains Floor Sinks ' Gas Service Interceptors � Kitchen Sink - ' Lavarories P-Trap Roof DrainS ' Reinspection Fee � � $15 Boiler Duct- Under Ground Duct - Strucmral , Duct - Ventilating ExhaustSystem ❑ MWtiple'❑ Firepl/FaiC Blt. ICBO # Heating SVstem &�Ducting �" ❑0.100,OOOBTU �10 , OOeTI Reinspec[ion Fee 0865-46, rev. 5/88 White � Builtling; Canary - qpplicanp Pink - Accountinq; Goltlenrotl - Assessor + $15 PLUMBING Showers Service Sink Sewer Cap SewerConn Solar lect 5olar Tank . Swimming Pool w/Spa Urinal Water Closet ' Water Heater Auto-Wash laue Fee Hood or Typel ❑ Canopy Type II ❑ iefri tion System 100,000 BTU ❑ 100,000 System Repair/Alteretion Fi�e Dampers � � Registers � � Issue Fee A.P. # ` S Main I E T Front B Rear A C Right K . _ Ping. Ref. # Planning Notes: FEES Automatic Washer Construction Pole Sub. Cooking Unit . Dishwasher � . Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures- . ' Device Boxes Outle[s $wltCh¢5 i Garbage Disposal � Generator �0-5 KW C Fee Zone Req./Provided . ELECTRICAL . . Transformer ❑ 15-50 KW „ ❑ 50+KW Meter ❑up to 100 amps Meter ❑�over 0 amps � Sub Pa ' . . � . . � � ors�0-1HP�1N,-8 � Inc.Solar 09-15 HP �16-75+ �Microwave � � ' _Pole Light � ' . Range Standing Sections 15 KW Trash Compactor' $15 Issue Fee . FEES $ 3 O N I, N G R E Q M T S. $ 3 DEVELOPMENTSERVICESREQUIREMENT�� / Zoning Approved By �.Ly�J � .r- Date �l7" FEES Building Approved By •�Date��. Applica[ion luued By Date � � SU RV OF FEES �71 � BUILDING PERMIT $� SMIP $ Dv - PLANCHECK� $ ��%�s PEfiM1T � � PLUMBING ' $ ISSUANCE $ -� PLAN CHECK� 25% $ ENERGY P.C. $� , ELECTRICAL, $ �GRADING $� - - PLAN CHECK 50% $ MICROFILM $ �� j MECHANICAL � � $ TOTALFEE $ _1�= ' PLAN CHECK 25% $ �G1 OO�a39�i-O�J7Ss92:� �"Cr�" �1�-d5 S a aAT£: �5!?b/E4 T:t1E. �i'r�34 .�.. -- �CONSTRUCTION AND PLANNING POOL &: �.ate Inspector � -* Date Inspector :4PPROVALS Permit # APPROVALS Permit # r" i ' i. Temporary Electrical Service or Pole ` r� � 52. Pool & Equipment Location �� 2. Soil Pipe-Undrgrnd. 'fa A 53. Steel Reinforcement �i 3., Electrical Conduit Utility-Undrgrnd. � i;, 54. Forms � :'L `.^ 4.'Electrical Condu�-Undrgrnd. 55. Electrical Bonding ' � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � ,rl 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE _' "' �• - "� G ^ 7. Footings - -� 58. Electrical Conduit-Und�gmd. �� ;' 8. Foundation ' i` • ;�� ., 59. Gas Pipe, O Undrgrnd �, Test �-� V 9. Water'Pipe-Undrgrnd. ' , ' 60. Backwash Lines, P-Trap, O Undrgmd. .. � 10. Structurel Floor System '' "� 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final • i 12. Sewer Cap `� 63. Heater & VenrFinal 1 �% _� � 13. Roof Drains �} 64. Plumbing System - Final • � 14. Rough'Plumbing 65. Electrical-Final i � 15. Rough Electrical-Conduit 66. Solar System-Final �1�6. Rough,Electric Wiring 67. Pencing & Access Approval �7i Rough Wiring Sign 68. APPROVED FOR PLASTERING 18! Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19'. Rough.Heating & Air Conditioning FIRE DEPT. REQUIREMENT � - 20�. Rough Factory Fireplace - APPROVALS Permit # - / , 21. Ducts, i'n�Structure 7�.. 70�Underground Hydro i 22. Ducts, Ventilating , '71. Product Piping O Gas ❑ Oil � 23. Gas Pipe-Rough & Test �` 72. Underground Flush r' 24..Roof Framing / 73. Undergrnd.StorageTank OGas ❑Oil �� v 25. Roof Sheathing % 74. Overhead Hydro � � ; 26. T-Bar Ceiling (Structural) & Monocoat % 75. Dry Chemical 27�FrameandFlashing �� 76. DryStandpipe . 28. Lathing &�Siding ' 77. FIXED SYSTEM FINAL 29. ,Insulatibn � � 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT r 31. Plaster Brown Coat '} 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric . Notes: �34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test . � 36. Hood or Canopy ` � L �37. Final Factory Fireplace .38. Final Plumbing � � G S-o Z . 39. Water Service-Final , 40. Gas Service-Final . % '. 41 . Solar pomestic-Final • 42. BackflowPreventer � , yr i� . -- . 43. Backflow Irrigation � �� i ... 44. Landscape Irrigation System � i / - 45. Sound Attenuation , 46. Handicap Regulations � 47. FINALJSTRUCTURE & BUILDING l� 4( D ' 48. Specia�l Requirements Completed 49. Elec(ric Release to Edison • ,. . - • � , 50: Gas Release to Southern California Gas Co ' -- 51. CERTIFICATE OF OCCUPANCY � ",�� ✓ ' No. Date - �' �I 4. <. a�v oF oosra MEsa BUI LDI NG DI VISION P.O. BOX 1200 COSTA MESA, CA 92626 PERMIT EXPIRATION FORM To: (QA.crt..� >�Ji.rz.i�' Date: ,A•�,�$'F�'.� 37�� .`)a,�,�+rrn�Z �Jh . Permit # �riYNr'�-7 �,n �-�Y'��a 'r�r�► 9.�baH # �9.�� ' ' # /Q�61 Project Address: �a-m-a . # �19/.� � Our records show that the listed permit (s) was obtained for property improvement, or alteration, at the above project address and the project was not properly completed. This (these) permit �s) have expired on (date) 9-•a3- fi/ , and was (were) canceled on (date) /,�-�,�j—c,�� The permit (s) was (were) obtained by, ❑ Contractor �'Owner, Name Address Phone License Number Classification To construct or install �CXJri'1 t��i'�� ❑ Please contact your contractor and instruct him to resolve this problem. Please be on notice that without a valid permit and required inspections completed, you will have encumbered your property with an illegal structure. If you need assistance in this matter, please contact inspector �.Q �!7.i��i ("�.. at (774) ��S�i�-.5�93 , between 7:30 and 8:30 a.m. or 3:30�and 4:00 p.m. �' '_'`r s V.C. Newton Assistant Development Services Directar/Building Safety By li[ l' � l._.b'�'�!�[' , Deputy Building Inspector Whitecopy-owner, Pinkcopy-BuildingDivision, Canary-2oning CMF 0985-46 Z� 2 s �2��``� F�o2 Twininq Laboratories ��f s�u�EZ,= �a��fo2,t�, �,u. � 33�0 Aupne W, �/ M,u6ng Fl�tdress P.O Bo. u7 / Lon9 BeacF, CA 90801 / 1213� 426-3355 /(2131 636�2386 /(714) 828-6432 TESTIM6 [aa��ec�+OFFice i5i�-o rao,:n a,�•o�� Sv.•=_: � Sa�:a a�a. C� 9no3 i n�41 sai-zoas December 26, 1978 Exam�nation: SC78-6802 COMPRESSION TESTS ON GUNITE CYLINDERS Mr. Errol F. Heesch 12921 Aspenwood Lane Garden Crove, California 92640 PROJECT Pool for OSKAR STREIT ADDRESS 3265 Turlock Drive, costa Mesa SAMPIE FROM Cunite SW1IIlIIl1[Ig POOl ♦vcHn[Cr ENGINlE� Mix OATE CAST DATE TESTED CYIINDER NO. COMPRESS�ON TOTAt IOAD, IBS. POUNDS FER 50. IN SIZE: COMPLIANCE 4�-1 12-15-7$ 12-25-78 1 10-Day 101,000 4,450 5-3/8" x 1?_" corvivnC�oR Lakeside Pools $11000M9ACiOA S & A Gunite SPECIFIED STRENGTH CYIINDER SIZE 12-25-78 2 10-Day 104,000 3,530 6-1/8" x 12" 10-Day test complies with specifications. MADF 0� CYLINDERS Willie oisrcieuriow E. F. Heesch - 2 -Easta Meaa Bldg. Dept, oei�.vcAeo er Heesch 2,000 psi 3 "HOLD"� In Field 4 "HOLD" PkClli':D GN 12-18-78 $ECEIVEIf JAN � � �/� �,�%---�. ✓ .: ' ..�K"'—i')'� .. .,i. . . . i . .... i. .. ..� . r, � � n�., . o� ... . ...r..o.... o.. �oo � �a-,�c.� ot o o..� nr�oA�s s corcu:sov oA r. �. .s .. _ . , . -.� . _..i .�. .i._ .. _ ..� ....�,... .s . ........i oU�> rc� o�. :r.., r . s .. � oue,.ic .no o�os�i.�s 4� CITY OF COSTA MESA REQUEST FOR OCCUPANCY TR4CT N0. ��J Sl S� LOT N0. I� ADDRESS .7, �2 G � c�,</�i`c.��v_r��% DATE � � 7 `', � 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 of the aforementioned uncompleted condition. RECEIVED CITY OF COST� fv1ESA � '�!'�'' .. %�i r-.ur ° »�3 AM pM 7i8i9il0illi12i1i2i3E4�5i6 4 BY��e�w�.�C_L/ !X- �=a, ' 3++�"�. Purchaser �/ � BY �/�•2.6tir�/D�-� /�i`�`"�S�`w Developer �.ndl or autho� representative-. BY Lender OWNER INSf SOIL 6�5 RDUGH PLUMBING PROP. SM'H. LINE �� HOUSE CON. SPFINKLING SYSTEM MISCEIlANE0U5 ROUGM HEATING PND �IR CON�ITIONING UNDERGROl1N0 U POWER U 1� ROUGN WiRING � TRENCHES � ; FORMS STEEL HEINF. � FLOOR SYSTEM BOND BEAM [-1 STEEL REINFORCE ❑ .•� SHEATHING N FRAME ANO FLASHING � LATHING — IN r� � PLr15TER. BROWN COAT Q+ croiirruAei ciuei� HERTI FiNAI FINAI Yi:7_C�7 DATE 3/23� BUILDING PERMIT RIPTION o( WORK �p�n Addii ZONE VALUEf 34,8� PE V GROUP -R-3 SUBCONTRACTOR _ ( OWNER pg� JOB ADDRESS AP No. 412 INSPECTIONS soi� G�5 W�TER ROUGN PLUMBING PAOP. SK'R. �INE SPRINKIING SV51 MISCELL�rvE0t15 AOUGH ME4TING P MR CONDITIONING OA POLE UN�EAGROUND U POWER � -V ROUGN WiRING '� TRENCNES � FORMS � STEEL NEINF. � �LOOR SYSTEM BOr+D BEAM [� STEEL REINFORCE � .� SNEPTHING N FRqME ANo FLnSNIN� I�I � LPTHING — IN L�._ OUT 1 � � PL�STER. BROWN COAT��k�� /1 a $TRUCTURPL. FINAL HE4TiNG. VENT., REfpIG. AND A.C., FIN�L PLOMBING, fINFL RpD G�5 TEST rI B DATE SUBCONTRACTOR NG PERMIT N0. OWNER STREIT JOBADDRESS 3265 Turlock Dr ENERAL CONTRACTOR MaiShal P No. 412-062-17L0T ' INSPECTIONS oi� � G�5 PTER ROUGH PLUM6ING PROP. SwR. LINE �__j NOlISE CON� � PRINKLING SVSTEM MISCELLnHE0U5 ROUGH MEATING ANO AIR CONOITIONING TEMPORnRY SEFVICE OR POLE UNOERGROIIND �] POWER � ROIIGN wIRING TRENCHES I_� FORMS I STEEL REINF. � FLOOF SVSTEm BOup BEnM �1 STEEL REIN60ACE SHEATHING �RAME PNO FLASMING LATMING — IN _� OUT n PLASTER.9FOWN COAT STRUCipRGL FIN4L HERTING, VENT., FEFRIG. ANO A.L, FINRL PlUM91NG. FINoI 4N� GAS TEST ❑ ELECTRIC,FiNAL BUILOING. FINAL DATE 1-2-79 SUBCONTRACTOR r 0 NO. _tt n,r.��'�� . 1317 I/D2/79 �+a isi� iinai�5 . . 10.5SCAT� COSTA MESA BUILDINGSAFETY DEPARTMENT .� �I � I% 00004472 29 �� I il � P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ,_., , ._ . .. _ e.- APP CAT10 FORSTRUCTURALPERM[T • For Applicant [o Fill in Completely — Use Ink Only REC V DATE RECEIVED TE ISSVE BU�LDING ADDRESS 32�oS TQLOCK PEFMIT NO. OWNER STR l� A•P• NO. .Z � DiO� �� BUILDING / � /�� MAIL A'DDRESS (Q.� (�{,ti,t(.�LIe � ADDRESS - 2� VQLOC K / '/ CITV �Jj'�'A Q$fr NOLS7G"7�� TRACT 1p�T S LOT %� BLOCK ' CONSTRUCTION W ADD AL R R P LENDER � BRANCH OWNER ST IZ E �T ADDRESS � ALUE ARCNITECT TEL. S B OR ENGINEER N FIRE ADDRESS ZONE TV E. GROUP APPROVED CONTflACTOR m 2S /3LL 'F S4� BV DATE � � A�DRESS /.2� J e �IQ . � /'� Q q ZONE NO.OF USE OF NEW � LOCK CITY �J�D2� C'J/lOUQ NOLSJ%'/�3O �1 P�� BUILDING �,�.p�4 STATE CITV l.�� 'ARDSAPPROVED VARDSAPPflOVED l�0. NO. C29- a�j �j97I LIC. NO.� �f r� MAIN BUILDING ACCESSORY BUIIDING S12E NO.OF BLDGS. (FROM C/LSTflEET) OF LOT NOW ON LOT ONT FT. fT,�— USE OF /� EXISTING BLOG. FT � Separate permits are required for L SIOE FT. FT. �' electric, plumbing and heating work. REAR FT. FT. %�� USE OF BUILDING AND WORK TO BE PERFORMED DISfANCE BET. BEf. MAIN & MAIN BLOGi. ACGESS. BLOGS. , _ /' , � / VAF. # DATE L�/� K/ C.U.P.# APPROVED nwaoveo�, � �, �— ! �L ( 1 heraby ecknowletlpe that 1 have read this application antl s[ate '^ n that the above info�meiion is cortect enC agrea to comply with m all laws regulaNng building construction, antl I s�all not employ � eny person in violefion ot Me workman's compensation laws of .. m Me Stata of Californla. T. `O I he�eby certify that I em praparly Iicensetl as a contractor unde� � ihe State of Californle Business antl Professions Code, Divislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Ghepter 9, antl that SUCh 1(Censes afe In full force antl effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE O " am exempt from tha provis(ons of tha Smte of Calitornla Business y antl Professtons Cotle, Divislon 3, Cheptar 9. VALUATION � RMIT FEE $/ N - m .f�,,,,` � PLAN CHECK y ^� Sipna'tV'�% 7� / � Perm i�p� /"��a� � �'L�'� $ TAX S � � � U Authorizatl Agant TOTAL PAID S� Q OWNER OSCAR STREIT JOB ADDRE55 3265 Turlbck Dr: GENERAL CONTRACTOR Revco Sc AP No. 412-062-17 LOT INSPECTIONS SOIL G AS W ATER ROUGH PLUMBING PROP. $WR. �INE � HOOSE COM. � SPRINKLING SVSTEM MISCELLANEOUS ROUGM MERTING RN� Alfl CONDITIONING TEMPORARV SERVICE OR POLE UNOERGROUND � POWER � ROUGH WIHING TPENCHES [ FOHMS STEEL REINF. FLOOR SVSTEM 90ND BEAM [� STEEL REINFORCE ❑ SHEATHING FRAME ANO Fl.ASHING I.RTHING - IN � OUT n PLPSTER.BROWN COAT $TRUCTURAL, FINRL HEATING, VENT., REFRIG. AND A.C., FIN�L PLIIMBING, FINAI AND GAS TEST n ELECTRIC, FINRL BUILOING. FINAL DATE I:llll�dl:[�II�:ILIi�`[. ia SUBCONTRACTOR ' COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR'STRUC71'JRAL' PERMIT 5e50 .. ................ ...............,.......�......�......�..�.. RECEIV D PERMIT ( � For Applicant to Fill in Completely — Use Ink Only .BUILDING �J'�/ �' ��L`�,( D� A.P. NO. �f� � 0�� I / ADDRESS J uJ K, OWNER OR ADDRESS G TENANT ��{� �t"� �y,` UNIT OR AD�RE 5 �, ,r�Q� SPACE NO. TR.NO. LOT BLK. TEL.�(�� CITV C�� NO. � NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER �� BRANCH �� STR.�JIT OWNER ADDRESS VALUE ARCHITECT� TEL. USE S OR ENGINEER N . ADDRESS ZONE TVPE GROUP � APPR VED CONTRACTOR e, �' }�[. ,j�f(� B�' DATE ADDRESS G7L � Q TEL. CITV ��} �\ NO. ,�j'�I STATE CITV APPR VEDSETBACKS LIC. NO. � - S( LIC. NO. S12E NO.OF BLDGS. (FR M C/LSTREET) OF LOT NOW ON LOT RO FT. USE OF EXIS7ING BLDG. Separa[e permits are required for L SIDE Fr. electric, plumbing and heating work: REAR FT. USE OF BUILDING AND WORK TO BE PERFOFMED PLANNING ACTION �" � SOC-I l/� O�+t...l�\V�� O ROVED K � } x APPROVED I hereby aeknowlatl0a that I have reatl this application antl state that the ebove Informatlon is correct and apree to comply with all laws reguleting builtling consttuction, antl I shail not employ any permn in vioiation of Me workman's compansation laws of ' the Stete ot Californie. 1 hareby ceriity that I am properly Iicansatl as a conttacior untler SQ. FT. the State of California Businau antl Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl that such licenses a�e in fuli force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: am exempt from the provisions of the Stete of Celitornia Busineu VAIUATION 5'(� and Professions Co Oivisi 3, Chep 9. PERMIT FEE $ / / PLAN CHECK § Sipnature of (, Permlttee $ �oV TAX $ � or il,' Authorized ABent Date �T TOTAL PAID y S�� TL OWNER JOB AC GENER AP No. INSPEC �nii GAS WATER �S 3265 Turlock Driv )NTRACTOR Heltzer LOT 71 T 5 � NG NE OUSE CON.�� . SPRINKLING SYSTEM MISCELLANEOUS ROUGN HEATING ANO AIR CON�ITIONING TEMPOPARY SERVICE OR POLE UNOERGROUN� ❑ POWER � ROUGH WIRING TRENCHES FORMS STEEL ftEINF FLOOR SYSTEM BON� BEAM ] STEEL REINFORCE ❑ SHEATHING FRAME ANO FLASNING LATHING — IN� OUT � PLASTER, BROK'N COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. ANO A.C., FINAL PWMBING, FINAL AN� GAS TEST � ELECTftIC, FINAL BI1IL�ING, FINAL DATE DESCRIPTION of WORK FIRE ZONE V SUBCONTRACTOR � Z . aU Z ZQ 0 N am J � J � Q W n]'J J m Q UN Z a W � aw J Q m Z J � W ly� O z� W � �� o j; �/ _ 35315 / COSTA MESA BUILDINGSAFETY DEPARTMENT o n anv »nn rnare nncae rei �cncuie o�a�a r�LG 30-72anio002106� �`,t:+ L ��,;� 173. i5 � APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BV DATE RECEIVED DATE ISSUED BUILDING �^ ,n 1� - --�p. ADDRESS �7 jK/L� - � �/�� PERMIT NO. OWNER Heltzer Enterprises-Costa Mesa A'P'N�' T— �� ' MAIL BVIIDING �� S l� � A�DRESS 740 N. La Brea Avenue ADDRESS / TEL. TRACT 6245 LOT ]1 BLOCK ciTv Los Angeles, CA 90035 No. 937-2171 corrsraucr�oN United Cali�ornia Bank W ADD A r LENDER BRANCH Main Office � OWNER �� ADDRESS 600 S. S rin St. Los An �% � �� va�ue ARCHITECT ' TE 5 � w6/� / $ � ORENGINEEF David Freedman N L 3- 8 FIRE ADORESS113 N. SflII Vicente Beverl H11�.S Z�NE TYPE GROUP ' APPROVED CONTRACTOR George J. Heltzer ev DATE ADDRESS 740 N. La Brea Avenue ZONE NO.OF USE OF NEW �j'//�./ f/�IN f. TEL. � p�,qryg `� gUILDING (�/�p- � cirv Los Angeles CA 90038 No 937=2171 � STATE CITV YARDSAPPROVED VARDSAPPROVED uc. No. 3144 UC. NO. 19QQ MAIN BUILDING ACCESSOFV BUILDING SIZE ' NO.OF BLDGS. (FFOM C/L STREET) OF LOT NOW ON �OT FRONT O• FT. FT. USE OF EXI5TING BLDG. E F. FT. SIZE OF NO. OF � NEWBLDG. ROOMS STORIES i2 L.SIDE FT. FT. EXTERIOR WALL ROOF COVERING COVERING REAR � FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCF�. BLDGS. Single Residence Plan 407 F cuRP # APPROVED �. /�-¢r- APPROVED !r 1� Q Z l7Z- C/ Q�V V 5��' . OR S�E,.I r nc..r . - .. . I hereby acknowled8e that I have reatl this application antl ztare S ihat the above information is correct and aqree to comply with �� all lews regulating builtlinB construction, antl 1 shall not employ ,�� any Oerwn in violation of the workman's compensation laws ot the State of Califomia. � . �.! m X� �D I hareby certify that I am properly licensatl as a contractor under SQ. FT - () o Ma stnne o/ Caliiornia Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLv: m am exempt from Me provfsions of the S[ete of Calitornia Business � ¢ antl ProfessionsCode, Div' 3, Chapte� 9. VALUATION �� N PERMIT FEE $ � ] Signature of ' .5 pd °� Permittee $_�{Q"y�aD � PLANCHECK$ � � E C/.� V!/ � �7 Ba �i Authorizetl ABent TOTAL FEE $ / UWNCK JOB ADDRE T AP No. Pool Location Forms Nlain Drain Steel Reinforce Elec. Bond Approval to Cover Underground Electric _ Gas Piping Test Filtering System Lines _ Backwash Lines and Recep. Electrical Fingl Heater and Vynt Final _ Filter System Final Backwash and Recep. Final Fencing Final TRACT I_7 uA � ll_R_7R BUILDING PERMIT N0. SUBCQMTR-ACTOR lectric Plumbing E R_l _ F � L Q h H x F O F a c .] Q 7 i' a a w a � .Ki 4 z � 3 " �329 •_ " COSTA M�SA BUILD�NG-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 • For Applicant to Fill in Completely — Use Ink Only BUI�DING '7�1i � Tin�.-.�ri OWNER �5�� .)� (`4l I MAIL AODRESS ��T� C.M� CONSTRUCTION I1�11/ BRANCH ARCHITEI OR ENGINE ADDRESS NO. TEL. ADORE55 �p/`�j U�wAU1� N//'�� "�/ TEL./� CITV �� A� NO. �� L C No. z9�{qo3 \.i,J J lIC NO. SIZE i NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISfING BLDG, Separate permits are required for electric, plumbing and heating work. USE OF BUIL4ING AND WORK TO BE PERFORMED 'r APPLICATION FOR STRUC B V D E CEj�{B �� ` A.P.NO. �IF `^ ��o�� BUILDING ��? ..r�j ADDRESS FIRE ZONE _ T APPROVED BV ZO I NO.OF PLANS VARDS APPROVED MAIN BUILDING (FROM C/L STFEET) VAR � C.U.P. # APPROVED DATE USE OF NEW BUILDING G MAIN & PERMIT BLOCK S I hereby acknOwledge that I have raatl this application and state '^ that ihe above ��formation is correct and apree to comply with n m all laws reguleting bulltlin8 construction, and I shall not employ any person in violation of the workman's compensation laws af d the State ot California. ' I hereby certify that I am properly Iicensed as a cantracior untler SQ. FT. N rna sxare of Californla eusinass and Professions Code, Olvision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � m Chapter 9, antl that such licenses ara in full force and effect, or I THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLv: � am exempt from the Orovlsions of tha Stete of California Business a VALUATION PERMIT FEE $ � � antl Profassions Cad�Divislo� Chapter 9. m (�� Q PLAN CHECK $ � o SlBnature of `' � LL Permittae V � $�/ Tqx $ U AuffioFlzed AgBnt TOTAL PAID $ ! ',, � .i. N x .�" i�.� ��.4- .:Jf{ -k�f � ' F' r { �y � # �� . � . . - . : f4 :�r 1 t ��1r r'f,{ "yY �Z _ .. 4`�, , _ .', i, ra 5 r tt" ; V 5 .' C`y ��'.�S"Y.�i ��- L.s ri� $�3e:r8CC"fai . a' s � �' ".J � �.i � ' �' �r` `� y � �`£'� i�� .�T x ` CITY; OF COSTA MESA - J'%��s'�--/c(/'(('p�L')L�J,�'Building,;�,.;'_� -�DEPARTMENT� • � . - � � ��-'�" 'Address . � '�OP- -� -' � c_ = � ' �, � �� r�� .•;' �+ �j ' ,BUILDING�SAFETY aSlLpri $7IZE'r Ocmer • � ` �" . � ", < � i •.. - ` ' M1 _ 1�..�_ . :. � �,. . ,. . . r� /Cf_Sif�i�.,�[ � Con�tractor= `,iRegistered Deputy Suilding lnspector �' . i -.. � � �- .,-z,' � _, ..F 5 . - . Certificate of � Comp'Iiance :_: '. _ : �f/� .�.w •. '.: � •�� 4. _ . . . , � ..M1 �� rl �-.'Address. - r.:� -. Permit •"- Date Date of this Certificate ' � 702yNumber��ssued - � .-.'�, •. : ' - -... %2 /S_7� -� To the-Director of Building Safety: - - �� -.� - _' � � � � I hereby certify that the following portions of work�on the buildings.;'�_ �� at the above address which required.continuous inspection and which I was_�'- ` � employed to inspect,._were inspecte.d by me and comply with the piovisions f�:. 'of the Building Code applicable thereto. .� � ', � 1)� ,Concrete - . �3j' �Welding 5) Special Cases 2) Masonry �.� �; �,4j . Reinforced Gypsum .. Sw�n�ming Pool Size �G i( 3% Gunite �� Hand Pack - � Sacks Cement / f%� Tons of Sand -.�ei' � Approximate % of waeer in aggregate� �S%a - . This report covers work completed during week ending .� ��2 f� - 7�s . ' REMARKS: . - - � - -s,' ' � - - � L j . .. i - _ . . .. . _ . r � � .. , - "1 � '� '� (�TST .AFn vT Tv r r nr ir rn�enrrmns_ . 1._ -,�,::'.�: t. �� t "� r . . , , "�_ i�,,.. ' Laboratory'•_/ . , - , .. . _ s a" �.-, �t � '-�{-, Si. _:: a�. ,'. � �,- Nan �' +'-- - �. L ; � � k,-=.Adc v..vG' _Te] E �� 'rt i � Y' * � i- � K v� `�YC � 4r'ye�4 .- .. _ r' l.: '. : i. ' e', _Cr iess '��tp� epfione �� % ` � � 1 �4 z a �z y. µ � p L �3 , t'. _t _ , '. � y:. _ _ -R.� ::4`r s..,. - � . ... ... . . .. . . .• � `/ �. 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