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HomeMy WebLinkAbout1070 TULARE DR - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ _ .._ TA MESA CONSTRUCTION PERMIT PERMIT NO. / TRACT NO. LOT NO. , -T- �y� /y� '5 Cl �` UNI T NO. A.P.#I Zone ddress /Qy0 /• ' - , - l �• _ J S Main Building: • 'Accessory Building: tpllcaot's Mailin Address !" ' . _s ' - c�./✓� . TYPE OF CONSTRUCTION U NEW Li ADD- U ALTERATION ❑ REPAIR- E Z �gy 1 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O Owner's Name / it/i�//�1� • MPP/5--s"...,p Phone (ti%5`-XS DESCRIPTION OF WORK/USE OF BLDG. B Rear N . - Address 2& �. /nc4ll/PS PI,-off.� Cl�i(i '//�- A'. - P Arch/Eng. V// License No. ; oz`� TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION Cl STRUCTURAL I C RightN - G ❑ TENANT ❑ LECTR ICAL ❑ PLUMBING ❑ MECHANICAL $ • Left - R Address -V rrJ' y ®[� gle5 . Pc4- 41000 'E OTHER - ,C.7/OO Contractor's Name Phone� �'?�Z7Ping. Ref.# Parking Req./Provided - E PROJECT DESCRIPTION SQ. FT, /5-0e OCCUPANCY 0 Address(mailing)City License No. (l/t3^y� - v, ' Planning Notes: M ^ , '(I•C O N ST RUCTION TYPE VALUATION$ 1.--OD'— T ZONE GRADING CU.YD5. ACRES S. LICENSED CONTRACTOR DECLARATION - al,ft% �q - s(� I hereby affirm that I am licensed under provisions of Charter 9.(commencing Remarks: Q�, i ilT .S.5.5•I with section 7000) of -Division 3 of the Business and Professlons Code, an ^��� !! ihy license is in full force and ffect. 7- ' : .` 3r Y�l�'T 9.142* / ?! -7 ELECTRICAL FEES 'cense C_la WLIP/T Z-CI�o-O 7 ��J - -�` /-�`�'" �� � U License o. / I FEES Automatic Washer. Transformer 0 15-50 KW Date Signature .I/'� e>ti--- PLUMBING i ',1 WORKERS'C MPENSATION DECLARABYON ' Showers Construction Pole Sub. 0 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate' Bar Sink. of Workers' Compensation Insurance, or a certified copy thereof (Se tion Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 3800, Lab. C.) f^,,l�/' f^ Ppjjc9 No. � y7/- Company vl CRry€ rccc{ Backflow Irrigation Sewer Cap • • Dishwasher Meter Dover 100 amps Certifietl copy is hereby furnished. /7 -y— Dryers ❑Gas ❑Electric Sub Panel Certifi`edd c y�s r with the city B • D�jv islo Bathtubs • Sewer Connection Date ' !� lAppl'cant j Fan Motors 00.1 HP ❑LX'-8 EXEMPT! N FR M-Wd'RKERS'COM ENSAT N D CLAR TION Clarifiers Solar Collectors (This section need not be completed.itthe.permit is for one hundred ($100)or F.A,U. Inc.Solar 09-15 HP:Q46-15+ less). '-. . .h Dishwasher Solar Piping ' I certify that in the performance of the ivoik for which this permit is issued, I - shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank FIXtUr¢5 MICIOW¢Ve Workers' Compensation Laws of California:' Device Boxes 1 Date Signature Floor Drains Swimming Pool w/Spa Pole Light ,• NOTICE:If,after making this declaration,you should become subject to the Otlt Workers' Compensation provisions of the.Labor Code, you must forthwith Floor Sinks ,Urinal Outlets Range ' comply with such provisions or this permit shall be deemed revoked. - - Sign CONSTRUCTION LENDING AGENCY ' Gas Service Outlets Switches I hereby affirm that there is a construction lending agency for the performance - Water Closet 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name - • Lender's Address Kitchen Sink Water Service • Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - I hereby affirm that I am exempt-from the Contractor's License, Law for the Lavatories - - Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or • ' county which requires a permit to construct,alter,improve,demolish or repair ' P-Trap - Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit .to file a signed statement that he/she Is licensed pursuant to the provisions ofRoof Drains ' • the Contractor's License.Law (Chapter 9(commencing with Section 7000) of - Division 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee ! $15 Issue Fee $ 3 therefrom and the basis foi the alleged exemption. Any violation of Section 7031.5.by any applicant for a permit subjects the applicant to a civil penalty of not more than five-hundred dollars property ($500). DEVELOPMENT SERVICES REQUIREMENTS: I, as owner of the or my employees with wages as their sole Reinspection-Fee I, $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or-offered Zoning Approved By— Date for sale (Section 7044, Business and Professional Code: The Contractor's' _ MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves -- • 1 � thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type 0 Application Issued By Date 1.(0^z t�T'•'y)9„t employees, provided that such improvements are not intended or offered for yP sale. If, however, the building or improvement is sold within one year of com- - Canopy Type II 0 SUMMARY, FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground /� trove for the purpose of sale). - BUILDING PERMIT $ 514SMTP $ - (J- LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural ' Refrigeration System PLAN CHECK $ PERMIT tractorsto construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0o-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ - - builds or improves thereon. and who contracts for such oroiects with a.con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ _ ' proof o their Worker's Compensation insurance shouldrbe provided to me: - - - ELECTRICAL $ GRADING $ _ •& 0 I am exempt under Section B. 'P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers -it - PLAN CHECK 50% $ MICROFILM $ Date !O//. Qg Owner _ ��' Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ 1 hereby certifythat I have read this app cation and st.te that the above ❑O-100,000 BTU 0100,000 BTL Information is correct. I agree to comply with all city and county ordinances• PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- i sentatives of thi4i y to enter .on the above-mentioned property for : Inspection Our. - /' - ,�6 (-L— Signature is.&P/f/ _ Date 6/ �'S Drivers' License or 5S ; Reinspection Fee I $15 Issue Fee $ 3 • 0865-46;rev. 5/88 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 01 00018039-00018040 TOT 54,50 DATE: 10/27/88 TIME: 16:34 ,;JSTRUCTION AND PLANNING-- _ POOL & SPA Date Inspector „'yPROVALS Permit APPROVALS Permit# - , . ' emporary Electrical Service or Pole i. 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. :Date Inspector 53. Steel Reinforcement 3: Electrical Conduit Utility-Undrgrnd. 54. Forms • 4: Electrical Conduit-UndIrgrnd. ! 55. Electrical Bonding. 5. Steel.Reinforcement 56. Rough Plumbing 8i Pressure Test ,.; 6-', Electrical UFER'Grnd. 57. APPROVAL TO COVER-GUNITE - ' 7. Footings • , I 58. Electrical Conduit-Undrgrnd. • . 8. Foundation 1 ' I 59. Gas Pipe, 0 Undrgrnd., Test ' _ . 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. . 10. Structural Floor system 61. APPROVAL TO DECK . ' - 1 11. Property Sewer Line & House Connection ' • 62. Backwash & Receptor-Final • 12. Sewer Cap; 63. Heater & Vent-Final / ' 13. Roo? Drains ' 64. Plumbing System - Final 14. Rough Plumbing _ 65. Electrical-Final ', - 15. Rough Electrical-Conduit 66. Solar System-Final - :1'6. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign68. APPROVED FOR PLASTERING • 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test • i, 72. Underground Flush 24. Roof Framing - • . - - 73. Undergrnd.Storage Tank 0 Gas 0 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. FINAL ' - 30. Drywall Nailing , HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coati 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 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final ' 41. Solar Domestic-Final J 42. Backflow Preventer 43. Backflow Irrigation ;--" _ 1 44. Landscape Irrigation System - . • 45. Sound Attenuation . 46. Handicap Regulations Weir p 47. FINAL STRUCTURE & BUILDING �7/�/p /� .^-/48. Special Requirements Completed • ! /O C C7 49. Electric Release to Edison n, 150. Gas Release to Southern California Gas Co t ? c;. - 51: CERTIFICATE OF OCCUPANCY t. I i:' ;el '-.17.1 Date 'r1 :. CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. 06.35 DATE ��L///--� LOT NO. age, /// ADDRESS /,7t 4;le. 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) /jai 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. BY Purchaser BY �tw— ' .i Develo er and/or authorized representative BY Lender ADDRESS OF BUILDING: 1070 TULARE DR UNIT: • CITY OF COSTA MESA — BUILDING PERMIT MINERS NAME IF pgWN: EDSON, THOMAS A FLOOD: AH-38 PERM 'NO: B 08470/ ADDRESS: EDSON, DAWN M • 1070 TULARE DR PERMIT NO: B 084704 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92626 APPL.MAIUNDADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION • T/O ROOF INSTALL TERRA SHAKE #4966 SQ FT: 3, 500 ARCH.OR ENG: ADDRESS: WIT: CLAIM VALUE: 3, 500 . 00 CALL—VALUE: 3, 500. 00 GROUP OCC: R-3 /U-1 C 4TRACTORSNAME GALLA—RINI CONSTRUCTION ( 714 ) 974-6424 CONTRACTOR'S MOILING 346 E MEADOWBROOK AVE COMMENTS : X AODRE54 ORANGE CA UG NO.: 663983 ****** '*x*xxxxx**ie*ir********iE ie**xxxx "*******ii ii-ic ii******ie ii iE****** ie**r'**.****r:**** 92665 Om: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby.Bim under penalty d perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Dbisan 3 of the Business and Professions Code,and my license is in full bone and affect. CITY UC.NO.: LIG CLASS: C39 sic.NO.: 663983 X MAIN BUILDING -- ACCESSORY BUILDING / FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Done: q/ / `(�� Contractor � LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER(((DECLARATION:I hereby affirm under penalty of perjury that I ant exempt from the Contractors License Law for the following reason(Sedan 7031.5 Business and Professions Code:Any city o county which requires a permit to construct,aa«,improve, PARKING REQ: PRO V: PARCEL : 412.11101 Z NE: REF NO: demolish,or repair any structure.prior to hs issuance,also requires the applicant for such permit to Rb a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES.> ' Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant foe permit Subjects the applicant to acivil penally d not more than five hundred dollen[55001). **a*****is ieieieieieirieiEiE%iiieri******* ie*it*i ****ii**i*h iEiRii*ie*****a*****}i*-jt***a *"iei<^rlc3cirr.i*** . ❑ I.as ovmer of the property or my employees with wages as their sole compensation,Mg do the work and the stnxture is not intended D E V E L O P M E N T SERVICES R E Q U I R E M E N-T S or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does hal appy loan bvmerof property who bulds or improves thereon,end who does such work himself or herself or through his or her own employees,provided that such .. _ improvements are not intended or offered for sale.I,however.the building or improvement is sold within one years completion,the ZONING APPROVED BY • DATE: owner-builder will have the burden of proving he or she did not (wild or improve for the et/Mose of sale). . - ❑ 1,as owner of the property,am exclude*contracting with licensed eovacn«alo construct the project(Section 7044.Business and BUILDINGAPPROVED BY DATE: /`) Professions Code:The Contractors License Law does not appy n to an owed r property who builds a improvas thereon and who - contracts for such prerace with a mmrador(s)licensed pursuem to the Contractors License Law). .1 ' a .. o lamexempt under Section: B.AP.C..forthereason: APPLICATION ISSUED BY: r /` \r DATE: i/ (c/7' . ****** ****************x**x*xxxx. xxxxxtxxx*dr*di*xttxxxxxxxx*********i`xxtTstx**x*4irr" Der°' Owner. ne LEGALIZATION:N F E E SUMMARY STRUCTURAL' SEGMENT: Y I do hereby certify that I am aware of and understand the requirements of Caliomia Health end Soley Code Sections 25505,25533,and 25534,and Jet laany haunt building occupant will/wit not one)need to comply with said slats codes and the requirements ler BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for construdian or moddration from the Al ueeky anagement District.Residential construction applications en exempt fon these pradsans. PERMIT 87. 25 . 50 Date: Applicant: SM I P/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following ded«°tbn°: ISSUE FEE 0 Ihave and wilmamamacertificate of consent tosell-insure for workers'compensationasprovided lot bySection 3700ofLai ;or BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for the performance dthe work for permit is w:hhiapeaaaae. TOTALS----> 87 . 75 0 . 00 0 . 00 87. 75 87 . 75 .00 4 I have and wit maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,force the performanof the work for whir,this permit is issued.My workers'compensation insurance canter and policy number are: Canter STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 87. 75 OVER/SHORT: . 00 • ' PalkyNumber: 1 ?ti481V-9 / 07/01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need nor be completed if the permit is for one hundred dollars(5000/or leas.) 87. 25 • 50 - • ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person In armee aas to agreecompensationCalifornia, to t... . ***:c**:sire****************a**ii*ilii*****if*a******.iiia**if*ii****aa*r**kilt*2.i**iiziii i—aii*sic __— compensation. .� .ions d--.ion 3700 d f..the labor Cade.l shall hwsl j • with Mose. . .. INDIVIDUAL FEE BREAKDOWN „Date: Applicant: / _ Warning:Failure ro'aecure w•*ere compensation coverage Is unlawful,and shall subject an employer to crlmrn l wattles ane TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST MO fires up to one hundred thousand dollars($104000),in edditlon to the cost of compensation,damages as provided for In Seaton 3706 of the Labor Cob,Interest,and attomeye tau SFR 3500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 500 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES performance of the wak for Much this perm)is issued(Section 3097,Cis.C). ' LENDER'S NAME: LENDER'S ADDRESS: ' I certify that I have read this application and state that the above information is coned.I agree to campy with all city and county ordinances and stale laws relating to buildig constnWion end hereby aWwka representatives of this city to enter upon the above-mentioned Progeny for inspection psi • AR/<' ••• CONSTRUCTION AND PLANNING - -, POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location '. . • 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. • _ 54. Forms -- . 4. Electrical Conduit-Undrgrnd. - - 55. Electrical Bonding - - • 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test • • 6. Electrical OF ER Grnd. - 57. APPROVAL TO COVER•GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. ' ' 8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test • 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System • - 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap - 63! Heater & Vent-Final 13. Roof Drains , c '64. Plumbing System - Final • 14. Rough Plumbing : . -65. Electrical-Final • 15. Rough Electrical-Conduit - ' 66. Solar System-Final • A 16. Rough Electric Wiring v 67. Fencing•.8( Access Approval • 17. Rough Wiring Sign _ -68. APPROVED-FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL • 19. 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 0 Gas 0 Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 6j-/G• (' 4 74. Overhead Hydra 26. T-Bar Ceiling (Structural) & Monocoat - •�/ 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe r 28. Lathing & Siding 77, FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 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 Notes: 34, Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy • 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final • 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System • • 45.'Sound Attenuation 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING SJIcJ1 48. FINAL PLANNING ' 49. Electric Release to Edison • • 50. Gas Release to Southern California Gas Co 511. CERTIFICATE OF OCCUPANCY No. Date OWNER MELTZER Enterprises Costa Mesa DATE 2_8_72 JOB ADDRESS 1070 Tulare Drive BUILDING PERMIT NO. 314123 GENERAL CONTRACTOR George J. Heltzer DESCRIPTION of WORK Res.w/att.gar. AP No. LOT 20 TRACT 6639 FIRE ZONE VALUE $ 33,700.00 INSPECTIONS Sign t Date GROUP TM TYPE I ZONE R-1 SOIL Q$7/_f 4r/72 SUBCONTRACTOR PERMITS ISSUED GAS Date Number Signature stare WATER Plum inq ROUGH PLUMBING / � /.�//,�� ��s�y�y /Q-J��'J�- PROP. SWR. LINE HOUSE CON. [� 11(7..4' ,/AG/ I�,I',(,Y�� _ +/t�l`/1q fa'`S7/^ SPRINKLING SYSTEM • MISCELLANEOUS L ROUGH HEATING AND AIR CONDITIONING (1,1,# `.i7J'.--..--- TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER f y ROUGH WIRING " k`Z 7/: rHeatinq and era.TrrrJJJ ���jjj FLENCHES LOOR SYSTEM FORMS STEEL REINF. j� �j�7�>� ' 6��,� / a w BOND BEAM n STEEL REINFORCE 7 ,rJi"SSl%' /f/,((((((///"' SHEATHING (g' 4tJ/-7� FRAME AND FLASHING 2 1."-� LATHING - IN ©/OUT •7f1 2� PLASTER, BROWN COAT &IP 71eV,VS------- STRUCTURAL, FINAL yth-9.0-12, �/' j�I a HEATING, VENT., REFRIG. AND A.C., FINAL ` 977- � Q.r 7e4 j 214 P-R d 4?o PLUMBING, FINAL AND GAS TEST n U /�/C�--7L. ELECTRIC, FINAL /O.J 7'y-. Klin nluf. Flue! In_%w-17, 20 34133 . 7_PAID327* * ENi„Uno 167.25 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED B DATE RECEIVED ACEI ,�� 'DATE ISSUED BUILDING /a-3-91 _ 2 ADDRESS 1070 Tulare Dr. Costa Mesa ___ PERMIT NO. ' OWNER Heltzer Enterprises-Costa Mesa A.P. NO. MAIL BUILDING ADDRESS 740 North La Brea Avenue ADDRESS 1070 Tulare Drive 0 0 CITY Los Angeles, CA 90038 NOL937- 2171 TRACT "�J LOT BLOCK ZZ NEW AD•' ALTER REPAIR JMOVING OFMOLISH Q CONSTRUCTION // O N LENDER United California Bamk a m . ....1D BRANCH Main Office 600 S. Spring St. M co - OWNER Srdir � .. m m ADDRESS Los Angeles, California D900L. .14 VALUE J Q OARCHITECT R ENGINEER David Freedman AIA TEL. 3852 USE S sc�3, 7��- UQ - FIRE 1�, Z ZONE TYPE — GROUP 7 V tL CC ADDRESS 113 N. San Vicente Blvd Suis a uI 306, Beverly Dills CA APPROVED J O CONTRACTOR George J. Heltzer BY DATE 03 7-ICC ADDRESS 740 N. La Brea Avenue ZONE NO.OF USE OFNEVECS B/all w0= TEL. R1 PLANQ BUILDING garage z H CITY LOS Angeles, CA 90038 NO. 937-2171- - 0 37-2171- O STATE CITY YARDS APPROVED YARDS APPROVED ' N CC LIC.NO. 3144 LIC.NO. 1900 MAIN BUILDING ACCESSORY BUILDING - D O (FROM C/L STREET) SIZENO.OF BLDGS. ,^ OF LOT I NOW ON LOT FRONT ry 7 FT. FT. USE OF EXISTING BLDG. R SIDE 6 FT, FT. I— SIZE OF NO.OF Z NEWBLDG. ROOMS STORIES L.SIDE 7 FT. FT. VEXTERIOR WALL ROOF A 4, _ COVERING I COVERING REAR ci(1) FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& d 0- MAIN BLDGS. ACCESS.BLDGS. Q VAR.# DATE 0 Residence with attached garage • C.U.P.# APPROVED N Plan #408 _APPROVED WLD DATE 12-20-71 z • AM/rib o U I hereby acknowledge that I have read this application and state HOLD FOR SAP ME/ that the above information is correct and agree to comply with O EQAl. RF r CC all laws regulating building construction, and I shall not employ Q 'f / QUir�t,i"�rs I„ any person in violation of the workman's compensation laws of ,..aj(v C0 the State of California. -9 �, ��� co ZI hereby certify that I am properly licensed as a contractor under rrr�J/"'GGGY/'/ SQ. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VA ATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; i cc am exempt from the pr I ions of the State of California Businessou VALUATIO(J //� �L and Professions Code, ion 3,Cha.t-r '. \ 'P N ER IT FEE $,,. N / 2.1 Signature of / �'��r / - �����I '/` S �S ) .S L P61fJ C�1ELK$ ' , Permittee $ /J\\ 'y' Authorized Agent 1 /7 s u TOTAL FEE $/(p j