HomeMy WebLinkAbout3271 TURLOCK DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 3271 TURLOCK DR
Suite:
Vicinity:
Primary Occ: R3
Parcel Number: 41206214
Type of CansWction: V-N
Zoning: R1
Applicant: ALUMINUM ROOFING SPECIALISTS/DIAL ONE WINDOW REP
Address: 1621 E ST ANDREW.PL . . � ,
ISSUED 8Y:
StaWs: ISSUED
Applied: O6/30/2005
Issued: 06/30/2005
� � . � Phone: , -(714) 259-5120 , .
SANTA ANA„CA , . . _ . � � ; ZIP:.. .92705 �� � _ .
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Owner. DORN'�JAMEST%"`'. � - — l � ' _'
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Address�3271 TURLOCKDR i ��':- .r - -_�_� ` ,�.��; � � ��� < ,
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i ,. . % , _ 1, . _ ' Phone. _ ' _, .
� � ' COSTA MESA; CA� �; "� Zip: 92626 � _ � � � - � .
Contracror: ALUMINUM ROOFING SPECIALISTS/DIAL ONE WINDOW REP ��� ,
Address; 1621 E�ST ANDREW PL �. '
� ;' ' ; � f,%;'� ' �Phone: (714) 259-5120 � .
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�` �� ,�� SANTA�ANA, CA " . - • . - -, _ - ��`�••
�� _Zip:� 92705� _ __ �_ '�Cicense:�=•�523043 - . ' .
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� �Zlp:, � , � -- " License:
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CHANGE OUT 7,WINDOWS TO VINYL; L•IKE FOR�
-`� � Eng:
� � " � . Address:
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� ='� :SCOPE OP�P.ERMIT � r�•���� ,�`�
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Phone:
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License:
FEE SUMMARY -
Plan Check: $0.00 Calc Valuation: Ss,000.00
Permit: $12525 � - �_ . : . Claim Valuation: , , Ss,000.00
SMIP Res: $0.60 , � „
SMIP Com: , $0.00 �
�Other . �:. $,0.00 � - �. � ,� . .,
�Inspection � `$0.00 � � �� � '
� ' :�'� .:�'�� . ,- ;; � - ,'� .
� '7otal: � $125.85 ^� � ." ' ' �/,
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SETBACKS� �� '
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MAIN STRUCTURE �Front ' 0� 0 � - �Rear
,-. . � . .� ._ _
ACCESSORY Fronf, ��0-0 V� j� � `Rear
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PARKING Existinq `-�0'- ' �.�Required:
NOTES:
PL`ANNING & ZONING ,; ! � �!,r �; ,
:
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�6- 0- � , � ; Left � 0- 0 . _ � Right �� �`0- 0" �
_- - - - - - �'t� �
�0.0 Left 0-0� � Right���0-0�"� �
, r r_�.� ,_ -� �-_Y_ _ , . `� .. ,i��,;,
. 0 J Proposed: � 0' _ - - ��
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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 it work is suspended or abandonetl
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
� required inapeetions end final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permlt.
I FOR INSPECTIONS CALL: (714) 7545626
zaaers �s�oo�
WORKERS'COMPENSAnON DECLARATON: ' �
I hereby ettirtn under penelry of perjury one ot the following declaretlons:
❑ I heve and wlll meintein e ceNfiwte of consent t0 self-Insure for workers' compensatlon, B5 provided tor by seMion 3700 ot the Lebor Cotle, for Ihe pedortnance of the
wak�for.whiC� Ihis pertnit Is issued.
�;!�"1. t��vaan�wlll malntain w ers' cqmpen insurance, as required by sectlon 3700 of Ne LeOor Cotle, for ihe perfortnance of Ihe work for w�lch this pertnit is issuetl.
Fi( woMers'wmpen n n r ce rier d numberare: �/^/�� �(�
Carner������2-�R� Policy umD'ec^� l�lV�� uC__C�,
YTh/s section`n'eed not be camp/eteb il fhe p rmlf !s ve/ued et one huntlretl tlollare ($100) or /ess.) "- ��
❑ 1 cenily ihat in [he performance of the work for which Ihis pertnit is issued, I shell not employ any person in any manner so as lo become subject to ihe workers'
compensation laws of C a, en ihat 1 I should Dacome suD�ed to the workers' compensa[ion provisions ot Section 00 oi t�e Lebor Code, I shall forthwit�
complywiththese ions ' //��
Appi—IceniSipnaNre:" & ate:, �% q/��
WAiiNIN(3.'FAICORETOr REWORKE0.S' NSATIIXJWVERAOEISUNLAWFULrWDSHALLSUBJEGTAN OYEHYOCHIM�TIESANDCMLFlNESUPTOONEMUNDRED
TMOVSAND OOLLARE (E100.000),IN ADDRION TO THE �ST OF COMPENSATION, DAM4GES AS PROVIDED FOR IN SECiIIXJ 3]O60F TFE LABOR CODE, IMEREST, AND ATTORNE`fS FEES.
LICENSED CONTRACTORS DECLARATION:
(commencing with Section 7000) of
and Prpteqsions CoAe, and my license is in full
CONSTRUCTION LENDING AGENCV:
❑ I hereby effirm that ihera is a construction lentling agency for Iha pertortnance oi t�e work for w�ich Nis pertnit is issued. (Sec. 3097, Civil Codej.
Lender's Name: Lender's Address: �
Signature:
OWNER-BUILDER DEGLARATONS:
Date:
I hereby eflirtn that under penalry oi perjury that I em E%EMPT FROM THE CON7AACTORS LICENSE LAW for the follawing reason (Sec. 7031.5, Business and Professions
Code: Any dry or counry which requires a Dermit �o construd, elter, improve, tlemolis�, or repair any structure, D�or to its iuuance, also requires ihe applicant br such pertnit
ro flle e signed statement t�at he or she is Ilcensed pursuant to ihe proWslons ol the Contractors License Lew (Chepter 9(commendnq with Section 7000) o} Divislon 3 of the
Business entl Professions Code) or Nat he or she is exempt Iheretrom and the basis for the alleged e:emption. My violetion o1 Sactlon 7031.5 6y eny epplicent for e pertnit
sub�ecta ihe applicent to a civil penelry of not mare than fiva hundred dollars ($500).):
❑ I, es owner o1 the property, or my employees with wages as Iheir sole compensation, WILL DO TME WORK, and Ihe sirudure Is not intanded or oXeretl for sale (Sec.
7044, Business antl Protessions Code: The Contractors License Law does not epply to en owner of proparty who builds or improves Ihereon, and who does such work
hlmseN or herself or ihrough his or her own employees, provided ihet such Improvements ara not intended or otterad tor sale. If, however, the building ar Improvement is
sold within one year of comD�etion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). '
❑ I, es owner oi lhe pmperly, em E%CWSNELY CONTRACTING WITH LICENSED CONTRACTORS lo consWct the projecl (Sec. 7044, Business end Professions
Catle: The comrectors LJcense Lew Aoes not eppy ro an owner of pmperry who builtls or imprwes Ihereon, end who contracis lor such pmject with e contractor(s)
license pursuent to Ihe Coniractors License Lews.).
❑ I em ezempt under sec.
SignaWre:
Owner ID veAfied Dy tlrivefs license. ❑ Yes
Verilicetlon of Ownership by (type oi documenL i.e.
Business end Professions Cade tor this reason:
❑ No DnverS LiCenSe No.
property �B�c blll or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Date:
Expir09;
❑ I hereby cetlity thet no excevation tiva (5) or more feet In tlepth into w�ich e pereon is requlretl ro descentl, wlll De mede in connection wlih work euthorizeC Dy t�is
pertnit, end Ihat no builtling siruclure, scattdding, falsework, or demolition or dismantling theraot, will be more than Ihirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, Title 8, Celifomla Atlminisirative Code).
❑ As owner-builder, I will not employ anyone to tlo work which woultl require a pertnit tram the Division ot Intlusinal Sefery, es noted ehove, unless such person hes e
permit to tlo such work trom Iha division.
Signature: Date:
Division oi Industriel Safety Permit Number:
CEHTIFlCATE OF COMPLIANCE IWD AUTHOROATON OF EMBY: I certify under penelry of perjury that 1 heve reatl t�is epD�icetion end stete thet the intortnation given is
wrrect. I egree to comply wtlh ell stete laws and ciry ortlinances relating to builtling construction, antl aut�odze represeMetives ot the Ciry ot Coste Mese ro entar upon Ihe
ebove-descnbetl properry tor inspeclion pur�wses. I egree not to occupy or ellow occupancy ot any builtling authonzetl by �his parmit until final inspeclion.
COpE 1• INSGECTIONTYPE QAff.
1816 Fixed System Final Fire Prevention
1288 Pool Spa Final
200 Final Re-Rooi
201 Flnal Block/Retaining Well
202 Final Fectory Fire Place
203 Finel Sign
204 Flnel Demolition
� �QQ[( INSPECTIONTYGE
206 Final Mechanical
20B Final Plumbing
270 Finel Electrical
212
220
Flnal Fire Prevenlian
Finel Planning Approval
222 Finel Site
250 Flnel Bulltlinp/Occupency
PAg 1t�Lfl
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. �i 24a`'- DATE � 3i
LOT N0. 7L�(
ADDRESS �� 7/ ��,�l.a.�,� ,�/�%.�,
�
The developer of thQ 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)
�y� (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 tim� 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 unders
aforementioned uncompleted condition.
R�CEiVED
C�T'/ 0.`' Cu�iA i'�E�A
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.�LL ^ 1 I�IJ
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7i8i9iiuiltii2�ii2�3i4i5�6
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by reason of the
er
BY �i ��o✓�t.-c n �
eveloper an /or aut ized
representative
BY
Lender
OWNER
JOB AC
LOT ah TRACT �oLS FIRE
i. c
WATER
ROIIGH PLUMBING
PROP. $WR. LINE HOUSE CON. '
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDEAGflPUNO � POWER �
ROUGH WIAING
TRENCHES FORMS � STEEL REINF.
FLOOR SVSTEM
BONO BEAM [� STEEL REINFORCE ❑
SHEATHING
FRAME ANO FLASHING
LATHING — IN OUT ��
�4
� "GR. BROWN fOGT
H¢..i ING, VENT., REFRIG. AN� A.C., FINAL
PLUMBING. FINAL ANO GAS TEST n
ELECTRIC, FINAL
RIIII nlNf.. FIN41
DATE
JUP I� f TYPE
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
PA[0
hUC,30-72cnsc,�0217�,+t +=�*173.u5
APPLICATION FOR BUILDING PERMIT
For Applicant to Fi/l in Completely � REceiveo V DATE RECEIVED DX�' � jl '7
ADORESS � � / � � � �/ �fO U / Z
BUILDING
' �,� PEflM J`J� I l..
OWNER Heltzer Enter rises-Costa Mesa� A.P.No. -
MAIL BU�LDING �
ADORESS 740 N. La Brea Avenue /aDDRE55 � ,
TEL: TRACT 6245 LOT ]I{ BLOCK
cirv Los An eles CA 90038 "o.
corasraucrioNUnited California Bank �' Aoo n P
LENDEF
BRANCH j�'�lll Office
aooaess600 S. Spring St., Los An ele OWNER i
VALUE
AflCHITECT David Freedman NE�OL.3-3852 5 $
OR ENGINEER '
FIRE �
ADDRESS113 N. San Vicente,Beverly Hills ZONE TVPE _J�:-- GFOUP i'
APPROVED
CONTRACTOR Geor e J. Heltzer BV DATE
ADDRESS 740 North La Brea Aven Le ZpNE NO.OF USE OF NEW (/�J f �
CITV jp3 An eles CA 900 No. 937-2171 P�� � BUILDING � �`�)
STATE � CITV �AROSAPFROVED VAPDSAPPROVED
uc. n,o. 3144 uc. No. 1900 MAIN BUILDING ACCESSORV BUILDING
SI2E NO.OF BLIX'.S. (FROM C/lSTREET)
OF LOT NOW ON LOT � RONT T.' FT.
USE OF
EXISfING BLDG. S F. FT.
SI2E OF NO. OF
NEWBLOG. ROOMS STORIES L.SIDE FT. FT.
EXTERIOR WALL ROOF
COVERING COVERING FiEAR FT. � FT.
USE OF BUILDING AND WOFK TO BE PEf±FOFMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLIX'S.'
Sin le Residence Plan 407 F Rev. cuRP a� APPROVED
C!i . � �Ra Li -z3hz—
ATE -
I hereby acknowled8e thai I have read this application and state �l ✓ r ��' , qL RE�
that the above intormation is correct antl agree to comply with "S �~�
all laws repulating builtling consttuc[ion, and I shall not employ T�
any person in violation of the workman's compensation laws of
the State of California. �
�/� �
I �eraby certity that I am properly licensed as a contractor untler SQ. FT. dE � (� o
the State o! California Business and Protessions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VAlUAT10N IS FOR ��
Chapter 9, antl that such licenses are in fvll torca and etfect, or I THE PURPOSE OF ESlABL1SHING H PERMIT FEE ONIV: m
am exempt from the provlsions of the State af California Business �
and Protessions Code, D i ion 3, Chapcer 9. VALVATION a! y
PERMIT FEE $ �� �
]
$ignature of � m
Parmittee � 5�'OQQ � PLAN CHECK $ � " a
� LL
Authorizetl Agent TOTAI FEE $ �
U