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Home My WebLink About3298 TURLOCK DR - Building Permits(714)754-5273 • Fax(774)754-4856 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address Contractor: Address: PROPERTY REF:M99-00490 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 t000a Motars to 1hp Motors to t Ohp Motors to 50hp Motors to t 00hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole CITY OF COSTA MESA � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 3298 TURLOCK DR LEFT SIDE OF PROPERTY 41206401 CHESKES, MICHAEL S. 3298TURLOCK COSTA MESA, CA ELECTRICAL PERMIT Phone: (14)751-8000 Zip: 92626 CHESKES, MICHAEL S. & HARRIS, DIANE B. 3298TURLOCK COSTA MESA, CA Phone: Zip: 92626 CSR - CONTINENTAL SERVICE ROOFING 8 AIR CONDITIO 17300 17TH ST #J368 TUSTIN, CA Phone: p14)633-1690 Zip: 92780 License: 278770 PERMIT NUMBER E99-01006 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 10/27/1999 Issued: 10/27/1999 ISSUED BY: _�/ � � 0 . ' �, ► ,, i ♦ SCOPE OF PERMIT REPLACE EXISTING FAU & INSTAIL NEW FAU INCLUDING A/C CONDENSOR AT LEFT SIDE OF $23.50 $0.00 $54.50 50.00 50.00 50.00 50.00 50.00 50.00 $0.00 $0.00 i0.00 50.00 50.00 50.00 50.00 30.00 30.00 $0.00 50,00 50.00 50.00 50.00 50.00 $0.00 Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway/100ft 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 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit Misa Conductor Circus ( gen or ride) Cirws (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 578.00 COMMENTS / SPECIAL CONDITIONS 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 780 days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order (or the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all raqulred inspectlona and final approval must be obtained. Failure to obtain inspec�ions and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � WORKERS' COMPENSATION DECLARATION: � � I hereby�ettirm untler penalty ot perjury one ot ihe following tleclarations: ❑ I have antl will maintain a certificate of consent to self-Insure tor workers' compensation, as provitletl for by section 3700 of the La6or Code, for Ihe pertortnance of ihe work for which �hi5 pertnii is issuad. ❑ I have and will maintain workero' compensatlon insurence, as requiretl by section 3700 ot the Labor Code, for the performance oi lha work br which ihis pertnit is issued. My workers' compensation Insurance carner antl policy number are: Cerrier: Policy Number: (This section need not be campleletl iI the permit is veluetl at one huntlred tlollers ($100) or less.) ❑ I certity that In the peAortnanca oF t�e work for which this permit is issuetl, I shalt not employ any person in any manner so as to become subject to the workers' compensation laws of California, and egree ihat ii I should become subject to the workers' compensation provisions of Section 3700 of ihe Wbor Coda, I shall forthwith comply with these provisions. Applicant SignaWre: Date: WARNING: FAIWRE TO SECUFE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FWES UP TO ONE HIINORED THOUSANO DOLL4flE ($100,000�, IN ADDITION TO THE COST OF CqMPENSATIQV, DAMr1GE5 AS PROVIDED fOF M SECTION 3]O60F THE LABOR WDE, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirtn tha! I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 oi the Business and Professions Code, antl my license is in full 1ofCB and eflett. 11C. M CIa55 d Contractofs SignaWre: Date: CONS7RUC710N LENDING AGENCV: ❑ I hereby aHirtn that there is a construction lentling agency tor the peAormance ot ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby attirm ihat under penalry ot perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for iha following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a pertnit to construct, alter, improve, tlemolish, or repair any sWcture, pnor to its issuance, also requires the epplicant for such permit to file a signetl statemem thet he or she is licensed pursuant to ihe provisions oi the Coniractors License law (Chaptar 9(commencing wi�h Section 7000) of Division 3 ot t�a Business antl Professions Code) or Ihat he or s�e is exempt iherefrom and t�e basis tor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit su6�acts the appllcant to e civil penalry oi not more ihan five hundred dollars (5500).): �f I/� ❑ I, as owner�ot the�property, or my employaes with wages as iheir sole compensation, WILL DO Tl7E WORK, antl the structura is not intentletl or oftered lor sale (Sec. 7044, eusiuess.antl Protessions Cotle: The Contractors License Lew does not apply to an owner of property who builtls or improves thereon, and who does such work himself or herselfor�thioiig6��is or her own employees, providetl that such impmvements are not intentlea or oNeretl tor sale. If, however, the building or imprcvement is sold within one year of completion; the owner-builder will have the 6urden ot proving that �e or she ditl not build or improve for purpose of sale.). S �f ^ I, as ownei of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RAC70RS m consimct the project (Sec. 7044, Business antl Protessions Code: The contracbrs License'L'aw,-does not epply to an owner of pro rty who builds or improves thereon, and who coniracis for such projec� with a comractoqs) license pursuant to the Conhec�ors Llcense Laws.). ❑ I em exemp� "XA� ntl Professions Cotle for this reason: Signature: � Oate: Owner ID venfie y tlnve s licensa. Yes ❑ No Driver's License No. � � E:pires: �-(Y f-�f� Venfication ot Ownership by (rype of daument, i.e. � property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity Ihai no eacavation tive (5) or more feet in tlep�h into which a person is required to descend, will �e matle in connection with work authorizetl Dy this permit, and that no building siructure, scattolding, falsework, or demolition or dismantling thereof, will he more ihan thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ti�le B, Califomia Administrative Cotle). ❑ As owner-huilder. I will not employ anyone to do work which would require a pertnit trom the Division of Intlustrial Safety, as noted ebove, unless such person has a permii to do such work trom Ihe tlivision. Signature: Data: Didsion ot Intlusirial Sefety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTHY: I certity under penalty ot perjury ihat I have read �his application and state Ihat Ihe information given is correct. I a9ree to wmply with all state laws and dry�ortlmances rela' g to huiltling constmction, and authorize representatives of the Ciry oF Costa Mesa to enter upon the above-tlescribed pr p for inspaclion rpl e n to ec or allow occupancy of any builtling authorizetl by this permlt until final inspection. / --�'-' � i �� `�— L� ,�. �6' � � naWre egZrOwner(s) Date AnNOr Authonzed Applicant COUE �. INSFECTION TYPE � ��T� INT IAL 7616 Fived System Final Fire Preven�ion 1266 200 201 202 203 204 2468-4fi Pool Spa Final Final Re-Rooi Final BIocWRetaining Wall Final Factory Fire Place Final Sign Final Demolition C �E1 INSPECTIONTYPE 206 Finel Mechanical 208 Final Plumbing 270 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuiltlinglOccupancy D9L INTRIAlS ' M o � > _ r J - •�O+roxmm � (714)754-5273 • Fau(714)754-4856 Job Address: Suite No Vicinity: Parcel Number: Applicant: Address: owner: Address: Contractor: Address: ArchlEng: Address: PROPERTY REF:E99-01006 CITY OF COSTA MESA � BIIILD/NG DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 3298 TURIOCK DR LEFT SIDE OF PROPERTY 4'120640'I CHESKES, MICHAEL S. 3298TURLOCK � COSTA MESA, CA MECHANICAL PERMIT Phone: (14)751-8000 Zip: 92626 CHESKES, MICHAEL S. & HARRIS, DIANE B. 3298TURLOCK COSTA MESA, CA Phone: Zip: 92626 CSR - CONTINENTAL SERVICE ROOFING & AIR CONDITIO 1730017TH ST#J-368 TUSTIN, CA Phone: (714)633-1690 Zip: 92780 License: 278770 Phone: Zip: License: PERMIT NUMBER M99-00490 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 10/27/1999 Issued: 10/27/1999 SCOPE OF PERMIT REPLACE EXISTING FAU 8 INSTALL NEW FAU INCLUDING A/C CONDENSOR AT LEFT SIDE OF 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 Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50 514.80 50.00 50.00 30.00 $14.80 30.00 30.00 so.00 50.00 50.00 50.00 50.00 S0.00 50.00 50.00 $0.00 50.00 30.00 30.00 Quantity FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler . Commercial I ncineretor Domestic Incinerator Compressors / Absarption Systems Upto3hp/100kBTU 3To15hp/500k8TU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 7,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS I SPECIAL CONDITIONS Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 E53.10 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: 7his permit shall automatically expire and become void if work is not commenced within 180 days, o� if work is suspended or abandoned 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 Inspectiona end final epproval must be obtainad. Failure to ob�ain inspections and final approval will result in �he expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLARATION: � I hereby affirm under penalry of perjury one of Ihe tollowing tleclaretions: ❑ I have antl will maintain a certilicate of consent to self�lnsure for workers' compensation, as provitletl For by section 3700 oi ihe Lebor Cotle, for the peAormance of ihe work for which this permit is issued. ❑ I hava and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance ot ihe work for which this permit is issuetl. My workers' compensation Insurance carner and policy number ere: Carrier Policy Number: (This sectlon neetl not be cromp/etetl i! (he permi( is veluetl et ane huntlretl dollers ($100) ar less.) ❑ I certity that in t�e peAormance of the work tor which this permit is issued, I shall not employ any person in any manner so es to become subject ro t�e workers' compensation laws oi Califomie, and agree that if I should become subjea to the workers' compensation pmvisions of Section 3700 of the Labor Code, I shall forthwith comply with these pmvisions. Applicant Siqnature: Date: WARNING: FAILURE TO SECURE WORKER$' COMPENSATION COVERAGE IS UNL4W FUL PND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNpRED THOUSAND DOLLARE (5100.Opp), IN ADOITION TO THE COST OF COMPENSATION, DAM4GE5 AS PFOVIDE� FOq IN SECTION 3]OG OF THE L400F CO�E. INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aHirm tha! I am licensed under provisions oi Chap�er 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, antl my license is in full force antl eNecL Lic. k Class p ContractoYs Signawre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn ihat there is a constmction lending agency tor tha pertormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code�. Lentler's Name: Lendets Address: Signature: Date: OWNER-BUILDER DECLARATONS: I hereby aHirm that untler penatry of perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Protessions Cotle: Any city or counry which requires a permit to construct, alter, improve, demolish, or repair any s�ructure, prior to its issuance, also requires ihe applicant for such permit to tile e signed statement ihat he or she is licensed pursuan� b the pmvisions of ihe Contractors License Law (Chepter 9(commencing with Section 7000) of Division 3 of the Business antl Protessions Code) or that he or she is eaempt thereimm and ihe basis for ihe allegetl exemption. Any violation of Section 7031.5 by any epplicant for a permit subjects the epplicant to e civil penalry of not more than five huntlretl tlollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and ihe siructure is not intentlatl or ottered for sele (Sec. 7044, Business and Professions Code: The Contractors License Law dces not apply to an owner of property who builds or improves thereon, and who tloes such work himselt or hersalf or through his or her own employees, providad that such improvements are not intendetl or oHeretl for sala. If, however, Ihe builtling or imprcvement is soltl within one year ot completion, the owner-Duiltler will have �he burden of proving that he or sha tlitl no� build or improva for purpase of sale.). � I, as owner of the property, am EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to coretruct the project (Sec. 7044, Business antl Protessions Code: The comractors License Law dces not apply to en owner of property who builds or improves thereon, and who contrects for such project with a contremor(s) license pursuant to the Contractors License Laws.). � ❑ I am exempt untler c B in 5 Professions Code for ihis reason: SignaNr� � Oi 4J. Date: ' r- Owner ID venfi by arivers license ❑ Yes ❑ No Driver's License No. ��(� ��'}� Expires: �—OZi"�%� Venfication of Ownership by (rype of document, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity ihai no excavation tive (5) or more feat in tlepth into which a person is required to tlescend, will be made in connection wi�h work authonzatl by ihis permit, and that no building sirucWre, scattoltling, falsework, or tlemolition or dismantling thereof, will be more ihan ihirry-six (36) teet high. (Ghap. 32, Grp 2, Art 2, Sec. 341, Title B, Calitomia Atlminisirative Code). ❑ A5 owner-builder, I will not employ anyone to do work which woultl require a permit irom Ihe Division of Intlustrial Safery, as notetl above, unless such person has a permit ta do such work trom the division. Signatura: Date: Division of Indusirial Safery Pertnil Num6er: CERTIFlCATE OF COMPLIANCE AND AUh10RIZA710N OF EMAY: I cenify untler penalry of perjury that I have read this application antl state ihat the information given is correct I agree to comply wi�h all state laws antl ciry orainances relating to building constmction, antl au�honze representatives of ihe Ciry of Costa Mesa lo enter upon the above-d sc � rope for inspe tion I gree to occupy or allow occupancy of any building authorizetl �y this permit until final inspection. �� 4 �s �� . Siqnalure Of Legal Ownerls) ' Date AnNOr Authorized Appiicant COpE M, INSPECTIONTYPE QRjE NTILIpL 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWReleining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition � 2db6d6 COOE I INSPELTIONTYGE 206 Final Mechanical 208 Final Piumbing 210 Final Eleclncal 212 Final Fire Pravention 220 Final Planning Approvel 222 Final Site 250 ' Final Builtling/Occupancy �ATE IN IAL :- . � o` � �' -- f J •�pnoxm:C dP (714)754-5273 • Fax(714)754-4856 Job Address: Suite: Vicinity: CITY OF COSTA MESA BUILDING DIV/SION DEVELOPMENT SERVICES DEPARTMENT PERMIT 3296 TURLOCK DR HOUSE & ATTACHED GARAGE Parcel Nunmber: 41206401 ApplicanC Address: Owner: Address DAVILA, ELIAS BUILDING PERMIT Zoning: R1 R1 NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 08/23/1999 Issued: 08/23/1999 19651 EDUCATION LN. �. , r�- .,' r--> .- CA � ` ' '� - Phone: (774) 968=6135`_ C > `.- i;� HUNTINGTON BEACHr . � � �Zip: 92646 � - -- � �' .. �'tr/ � . ". � �_ , �i . � r �`:��.—��`,. � \ '�.-^ DISHMAN; C MICHAEL �, ' � � ' / � � ��'� � � �� 3 ' ' . '- � -...� ` � i -- i ��.,� � �n A � �� A C `�i- �. - Phone.' -' _�' � �. � : � �.'� � � � �'� A�V�. � � COSTA�MESA; CA � Zip: 92626 ' � � � �_�� i � � � � � ��% �� `ti_,��:A' �� .A�� , _ "�,�. " �.� Contractor.'L E'I �Addiess: �19E ✓l � CA i ,. j .�'� / , HU ��' 1� Zip',, 92E LN. BEACH ISCO �:��'�� ; `L��A , � \ �,, ti �� _,r Phone:, p14)968-6135 \"��<�, i �,,��i� „ ,� � �, License:� 672009 \�� `\��=' � �1�'� �. _ � �, , . .,i��. . . �\ ti � 'Arch �'� "�'�- � �. % � Eng: . �- '`�\, . Address�� . � r � /�- �, Address � � ' . � ',:' � , �, ',� ._ 'i� � , .!"'�',Phone •. � - � i, . . �i, PFon,e: .__ . •� . � �� - - �V.'i \ .' , � �A , �� - � ' ; �� . , . � � � \ , � � �, � Zip: o .�5� / - � �"� License: Lioense: , � � � ,��_ � ._ .- �� .,t_ „j ' . ,�t ^, ,, , '� ! � 1 � _ -- -. SCOPE:OF PERMIT - �, � � i„ , 1 i �,, ✓� REROOF EXISTING SINGLE FAMILK RESIDENCE��& AT7'ACHED GARAGE (31. SQ). TEAR�OFF EXISTING WOOD SHINGLE �: '} ROOF &'RESHEATH WITH�7/2"�OSB:�INSTALL i�-LAYER OF30# FELT UNDERLAYMENT-& REROOF WITH 25 YR. "ELK -% � �' " PRESTIQUE" COMPOSITION SHINGCES.� - � � - _ - � , � � � � r' . ,.. ' ,. - , i \� �{✓� ,PlanCheck:',� $0.00 v�` " ,Permit"';�.'$125.25 � ,SMIP Res: > .'. $0.57 SMIP Com ��, $0.00 � '�Other\ �',�A�$0.00 � �,. `-,Irispection:, $0.00 � \TotaL•. , % $125:82 . � .� _, ��,, -� SETBACKS�,:;� . MAIN STRUCTURE,�Front 0- 0 ACCESSORY Fronh �0-0 PARKING NOTES: Exis[inq: 0 � ' �`_J �, - PCANNING � Rear 0- 0 ARY�iL 4 � .�' �', ,�� l�. ti '� , C21C V81U8t1011 � r � � $5',670.00 � Claim Valuation ��,' $5,670.00 �' �' , � , ' ,/ — f • ��1. � J � i'i , � .: .-' . . ', c,. , �;� �� , ', : ,_ ;%' . Lek 0- 0 , Right Rear � 0- 0 Lek 0- 0 Right �. ' � Reouired: 0 Proposed: 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, 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 considered legal, such work must comply with all applicable codes, and all required inapectione and finel approval must be obtained. Failure to obtain inspections and final apProval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: I hereby affirm under penalry of perJury one of the following declarations: ❑ I have anC will maintain a certificate of consent lo setl-Insure tor workars' compensation, as providetl for by section 3700 oF the Le6or Code, for ihe pertortnance of the work far which Ihis permit is issued. ❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 of the Labor Code, for the perfortnance of ihe work for which this pertnit is issued. My w ers' compensaiion Insur�ance ^cerner and policy number are: �� 9_ 4� Carriec � 1�-T� �f� l) fJ 1� Policy Number. X � (Thls secfion need not be comO�e(etl il e permit is veluetl af one hundred dollars ($100) ar less.) ❑ I certity Ihat in ihe pedortnance of the work tor which this permit is luueq I shall not employ any person in any manner so es to become subject to the workers' compensation laws of Califomia, and egree that if I should 6ecom bjeci to the workers' compensetion provisions of Section 3700 oF the Lebor Cotle, I shall fonhwith comply with t�ese pr i • ^/� Applicam Signetura: �� i---Cx� �� • �.� Date: O � /a'�I —/ % WARNING: FAILURE TO SECURE WORKERS' WMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENPLTIES AN CIVIL FlNES UP TOONE HUNORED TFIOUSAND DOLLARE (3100,000), IN ADOfTION TO THE COST OF CAMPENSFTION, OAMAGES AS PROVIDED FOR IN SECiION 31060F iHE LABOR WDE, IMEREST, AND ATTORNEY'S FEES. LICENSED CON7RAC70RS DECLARATION: I hareby aHirm Ihat I am licensed under provisions force and eXect Lic. a Contractors SignaWre:� (wmmancing with Section 7000) of Division 3 ot the Business and Pmfessions Cotle, and my license is in tull �-- qass x � �'1 i ,V) OlAft(�.�-C Date: p ��a'3 G% �''/ CONSTRUCTON LENDING AGENCY: � I here6y attirtn that there is a consWction lending agency for ihe pedormance of ihe work tor which t�is pertnit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lenders Address: Signature: - Data: OWNER-BUILDER DECLARATIONS: I hereby affirtn �hat under penalry af perjury thai I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or couniy which requires a permit to consWct, alter, improve, demolish, or repair eny structure, pnor to its issuanca, also requires the applicant for such permit to tile e signed statement that he or she is licensed pursuant to the provisions oi the Contractors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 of tha Business and Professions Code) or that he or she is ezempt therefrom and the basis for the alle9ed e:emption. Any violation ot Section 7031.5 by eny epplicent for e permit subJecis the epplicant to e civil penalry oi not more than live hundrad dollars (5500).): ❑ I, as owner of the properry, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intentlatl or oNered for sale (Sec. 7044, Business antl Professions Code: The Contractors License Law does not apply to en owner of property who builds or improves ihereon, and who does such work himself or herself or through his or har own employees, provided ihat such improvements are not intended or oltered for sale. If, however, ihe builtling or improvement is sold wit�in one year of completion, ihe owner-builtler will have the burden oi proving ihat he or she ditl not builtl or improve for purpose of sala.). ❑ I, as owner oi the property, em E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct t�e project (Sec. 7044, Business antl Professions Code: The contractors License Law does not apply to an owner of property who buiids or improves ihereon, and who contrects tor such project with e contrac�or(s) license pursuant Io �he Contractors License Laws.). ❑ I am exempt under sec. eusiness entl Professions Code for this reason: Signature: Date: Owner ID venfietl Dy Onver's license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - pmperty taC bill or deed): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depih into which a person is required to descend, will be mede in connection with work authonzetl by this parmi6 end that no building stmcture, scafFoltling, talsework, or tlemolition or tlismantling ihereof, will Ge more than thirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 347, Ti�le 8, California Administretive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit from the Division of Industrial Safery, as notetl ebove, unless such pereon has a permit to do such work tram tha division. Signature: Date: Division of Indusirial Satety Permii Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity under penalry of perlury Ihat I have reatl ihis application and state ihat tha information given is correct. I agree to comply with all state laws and ciry ordinances relating to building consiruction, and authorize represemetives ot the Ciry of Costa Mesa to enter upon tha above-descnbed pmperty for inspection purposes. 1 egree not to acupy or allow occupancy of any building authorizetl by this permit uniil tinal inspection. Signature Oi Le a ner(s) Date � � -�r� •g � o,�r� o gia� �i� , AnNOr Authorize icant Date COOE I. INSPECTIONTYPE 1616 Fizetl System Final Fire Prevention 1268 Pool Spa Final 200 Final Re-Roof 201 Finel Block/Retaininq Well 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition 264&46 PA�T, INTITIALS Y� fI �� COOEt INSPECTIONTYPE 206 Final Machanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuiltling/Occupancy D�E Rl OWNER ;;�yTZER ENTIIiP JOB ADDRESS ' �pq8 Turlock GENERAL CONTRACTOR Hel AP No. LOT Y INSPECTIONS SOIL GAS WATER ROUGM P�UM6ING PROP. SWR. LINE HOUSE CON. SPftINKLING SYSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CONOITIONING TEMPORARY SERVICE OR POLE UNDERGROUN� �� PAWER � ROUGH WIRING TRENCHES �j FORMS STEEL REINF. BOND BEAM � STEEL REINFORCE [ SHEATHING FRAME AN� FLASHING - LATHING - IN n OUT n PLASTER, BROWN COFT STRUCTURqL, FINHL HEATING. VENT., REFRIG. ANO A.C., F' PLUMBING, FINAL AND GAS TEST Q/ ELECTRIC, FINAL BUILDING,�FINAL Date DATE DING PERMIT SUBCONTRACTOR • � 35�� COSTA MESA BUILDING-SAFETY DEPARTMEN' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 . For Applicant to Fill in Completely ADDRESS �� TU�C�.,QC�\ '�/C_ OWNER Heltzer Enterprises-Costa Mesa ADDRESS 740 No. La Brea Ave. TEL. cirv Los Aneeles No.937-21 �eNoeri�� United California Bank BRANCH Main Office ADDRESS 600 So. Spring St. Los An� ARCHITECT - TEL oa eNcwEEa David Freedman No 65: ADDRE55 113 N. San Vicente,Beverl� CONTRACTOR George J. Heltzer nooaess �40 N. La Brea Ave. TEL. eaia ;so-72��;�„002035:: **�14Z.89 �4. APPLICATION FOR BUILDING PERMIT FECE E V DATERECEIVED DA EISSUED ,� 8-.? =? �-.�8rr'7 PERMIT NO. A.P. NO. ADIDRE S ;�� TV�v�,�G� � � TRACT 6245 LOT � BLOCK :les �WNER� FLTL S S]N D U 3852 FIRE Hl�.1S �ONE APPROVED CITV Los Angeles Na� 937-'L1 Sic n,o. 3144 �ic�r,o. 1900 SIZE �Cx NO.OFBLDGS. OF LO��" NOW ON LOT VSE OF EXISTING BLDG. SI2E OF . NO. OF NEWBLOG. ROOMS STOFIES EXTERIOR WAL4 ROOF COVERING Plaster COVERING USE OF BV ILDING AND WOFK TO BE PEPfORMED Sinele Residence Plan 4k410B R ZONE NO.OF PLAfS VAR�S APPROVED MAIN BUILDING DISTANCE BET. MAIN BIDG$. VAR � C.U.P. # APPROVED . F..:'ur— DATE USE OF NEW s �L/ BUILOING ��„� �_ VARDSAPPROVE BET.I ACCE DATE 1 hereby acknowledga that I have reatl Shis aoPlication antl state /t V that the above intormation is correct antl apree to comply with � all laws re9ulaN�g building consttuc[ion, antl I shall not employ any person in violation of the workman's compensation laws of TAX Me State af California. )� 1 �areby certity Mat I am property Iicenutl as a contractor untler /�� SQ. FT. ��(G the Stace of Califomia Business and Frofessions Code, Divisicn 3, THE AMOUNT SHOWN UNDER Chaptar 9, and that such licenses are in full force and ef4ect, or I THE PURPOSE OF ESTABLISHING em exempt from the provisions of the State ot �alitornia e�siness VALUATION antl Professions Cotl, , ivision 3, C apt 9. ' PERMIT FE Signatura ot . � Permittee $��/� d.� PLAN CHE( Authorizetl ABe�t ' / TOTAL FEE FT � r m 0 ON IS FOR j FEE ONLY: m ¢ . / Ov m �� J m % E // OU ' j� CITY OF COSTA MESA REQUEST FOR OCCUYANCY TRacT rao. G'2 �(� LOT N0, / ADDRESS �'��,� /,�c�-�Q �•.� _ DATE The developer of the above entitled tract desires to sell the above set forth lot pri_or to the time that the tract has been completed and its streets accept�d by the City of Costa Mesa. The unciersigned, by executing this agreement, acknowledges that (he-she-they) _�c�r (was or were) �advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa a� having complied with the conditions o£ approval which were imposed by the ci�y 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 c:�• o� c�s-� :4��,;,a , -�.. ili� ? r �+'� " ,_ _ v 1�1.� AA9 7�Si9;'.'7�1`','w: °'; :`��4;5jE� � ��f��j/� � BY__�=c'y'� '_ Purchaser BY T 7�� /�� . � Developer nd/or aut zed represent�tive BY Lender \.