HomeMy WebLinkAbout1075 TULARE DR - Building Permits CITY OF COSTA MESA
q BUILDING DIVISION
.�l 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
°. • FOR INSPECTIONS CALL: (714)754-5626
'ye�°"° '� PERMIT NUMBER: E10-00062
PERMIT TYPE ELEC STATUS: ISSUED
APN: 41211202 DATE ISSUED: 04/19/2010
ISSUED BY: KJB
•
JOB ADDRESS: 1075 TULARE DR CM • Suite/Unit:•
Vicinity: -
•
SCOPE OF WORK: CHANGE OUT FAU AND NC UNIT. NO CHANGES IN EXISTING LOCATIONS FOR APPLIANCES.
OWNER: YUEN,SHIRLEY J TR' Address: 1075 TULARE bR Unit:
PHONE: City/State/Zip: COSTA MESA,CA
•
APPLICANT: PUCHNIARZ,PETE " • Address: 628 S EAST STREET Unit:
PHONE: 714-776-1168 •
City/State/zZip: ANAHEIM,CA
CONTRACTOR: WESTERN COOLING License No. 525018
Address: 628 S EAST STREETUnit: PHONE: 714-776-1168
City/State: ANAHEIM,CA ZipCode: 92805 CELL:
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $41.70
Reinspection Fee $0.00
TOTAL FEES $41.70
•
•
•
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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 inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODER. INSPECTION TYPE DATE INTITIALS CODES INSPECTION TYPE DATE I61111ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical 5/1•11,0
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivel b license. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding.falsework,or demolition
Carrier: ��` ��/ or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This seaon need nal be can W tell nthe oemrta valued n red mnars(Stoo)wlexs.)
2,Arte Sec.341,Title 8,California Administrative Code).
Pol. umber: J
❑ As owner-builder, I will not employ anyone to do work which would
I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become ) t to the workers' compensation provisions of Section 3700 of - - - -
the La••, de forthwith comply with these provisions. Applicant's Signature Date
. (Q
�' Division of Industrial Safety Permit Number:
ray)
� Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
r ••NIN FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? El Yes 0 No
($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No
Lic.# = - Class#
ri (Section 25533 of the California Health and Safety Code, with some
— J 0 exceptions, requires registration with the Costa Mesa Fire Department by
((( 1 each business which at any one time has on hand a quantity of acutely
Yea; .-.--Tr—-.--Tr— Date hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
C• 'UC •N LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
• CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
License Law(Chapter 9 (commencing with Section 7000)of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the Califomia Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No
thereon,and who does such work himself or herself or through his or her own 8. (If'yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
control
sale. If. however, the building or improvement is sold within one year of officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
1:1I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Dale
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection os s. I agree not to occupy or allow occupancy of any building
authoriz byethis pe ' until nal inspection.
i Leal Dwmer(s) - -- e
Signature Dale LE ^ ._ I
305746(3/07) r/i —
•nwor i rthan zed Ap.i":71-1 Date
`0"WS CITY OF COSTA MESA
BUILDING DIVISION
> •`,,,„-,�,, ,' ,i Vi DEVELOPMENT SERVICES DEPARTMENT P RMIT NUMBER
vi w�I - PERMIT
� " BOO-01816
°R•a
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.t�LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1075 TULARE DR Status: ISSUED
Suite: Applied: 11/13/2000
Vicinity: Issued: 11/13/2000
Parcel Number: 41211202 Zoning: R1 R1
Applicant: FERGUSON, LEWIS
Address: ISSUED BY: .
Phone: 714-754-1000
Zip:
Owner: YUEN, HOPKINS TR
Address 1075 TULARE DR • -
• Phone:
COSTA MESA,CA Zip: 92626 '
"Contiactor: A PLUS SERVICES INC./A PLUS ROOF .
• Address: DBA: FOUNTAIN VALLEY ROOFING
FOUNTAIN VALLEY,CA Phone: (714)775-1947
11237 SLATER AV
Zip: 92708 License: 675241 .
Arch : Eng:
Address: Address:
Phone: Phone: . .
Zip: License: License:
SCOPE OF PERMIT •
REMOVE SHAKE ROOF, INSTALL SHEATHING, INSTALL EAGLE LITE DOUBLE EAGLE 7.2.LBS. PER SQUARE FT.
FEE SUMMARY • . 7
Plan Check: • $81.41 • .. . Calc Valuation: -$5,827:00 •
Permit: $125.25 -. -. - Claim Valuation: $5,827.00
SMIP Res: $0.58
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $207.24 .
PLANNING &ZONING .
SETBACKS .
MAIN STRUCTURE'Front 0-0 Rear- 0-0 Left 0-0 - Right .0-0. -
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right .0-a
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
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 Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
DECLARATIONS k ) 1-)
WORKERS'COMPENSATION DECLARATION: i • •
I hereby affirm under penalty of perjury one of the following declarations:
O I h and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
rk for which this permit is issued.
I have and will maintain workers'compensa' n insurance,as required by section 3700 of the Labor Cade,for the performance of the work for Mich this permit is issued.
My workers'compensation ur nee arrrt/i p`g1licy number are:
Carrier: �-�c Policy Number: u .v Q -
(This section need not be completed if the pe is valued et one hundred dollars($100)or less.)
❑ I certify that in the performance of the w for which this permit is issued,I shall not employ any person in any manner so as to becom subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these proves , ^,\
Applicant'Signature? d __,_...„ ../e 2.,_--t--5,.(.— Date: I t / I SiJU
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERA UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S AND CI IL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100.000).IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION: II
I hereby affirm that I am licensed under provisions'. Aapt- I om 4 'g with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect. attire i lTT__ l Classat : a
Contractor' dre: � � Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: _ _ Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file 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
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 for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and 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.It,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
O I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes ❑No Driver's License No. Expires:
Verification of Ownership by(type of document,I.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 WIII the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification
from the South Coast Air Duality Management District or from any other air pollution control district or agency? U Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code).
7 If a permit from the South Coast Air Duality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
SatlOf Legal Owner(s) / 1//3/56//3/56
cMldlOr.Aut rz Applicant Date
CODE t, INSPECTION TYPE gall URITIAI S CODE r INSPECTION TYPE PATE erTmAL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final208 Final Plumbing _
200 Final Re-Roof it-'1 210 Final Electrical
201 Final BIocldRetaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval _
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/0 upancy .
f ,34,4t` 4Grk. ,-1,4117.II/F Pte"" .iv .e7,?'1.- ., 71WFix L.kr" ra* cep - -",'._r. ,-... i 1.r ; ' W-zr4 -w'.-'.,irrJUW- yr 1i4 ?i1
11 J7.1.,
' / CHARLES A. JOHNSON, JR. ` :
Structural Engineer ' d /�
CLIENT: P.Q.Box`6284,2Garden GroverrA 92846 (714)898-6180 JOB NO. /` 07 ' ;f«'..
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CITY OF COSTA MESA REQUEST FOR OCCUPANCY
^sF
TRACT NO.16.? DATE /4/42-----
LOT
// 2-----
LOT NO. T9
ADDRESS. /6/1
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) 4`y/�/// (was or were) /jzA 'Q/1 /advised that this tract has
not been given frfi' al 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 (/;;;L/
Pu ch se
RECEIVED
CITY Of COSTA .MESA
PANNING DEPT. Develope afid/or authorized
representative
NOV 28 1972
AM PM
71819110111112111213141516 BY Lender
•
OWNER HELTZER Enterprises Costa Mesa DATE 2-8-72
\DDRESS 1075 Tulare Drive BUILDING PERMIT NO. 34156
.RAL CONTRACTOR George J. Heltzer DESCRIPTION of WORK Res.w/att.gar.
•AP-No. LOT 43 TRACT 6639 FIRE ZONE VALUE $ 33,700.00
INSPECTIONS ,S`ign/t r y Date GROUP T&T TYPE p1 ZONE p-1
GASL 1. - ./ �� SSU B CON TRACTOR I PERMITS ISSUED
Date Number Signature
WATER 'Q_, // mbn, J{�/,� y / ,, '/'J/
' ROUGH PLUMBING ilk/f/-:. ' ` O ��� (�/�Alry-
PROP. SWR. LINE HOUSE CON. V 'ter✓f-fl- /t. deti( 4.1 •c�-//-/�Na`e�,•�7TC/'
'SPRINKLING SYSTEM GI
MISCELLANEOUS �
ROUGH HEATING AND AIR CONDITIONING tr-d e- '/!/<�i
TEMPORARY SERVICE OR POLE
UNDERGROUND fl POWER ❑
ROUGH WIRING 4 L• .- 2 Heatin• ant Ven
��s� _
TRENCHES FORMS r STEEL REINF. �j 6 I' -^P .p !Q�7�i ewe ,. -� . 1.78,- '-
FLOOR SYSTEM ./ � 77 G'() p Q py,' / /_ 7-/o-pa 9738'
BOND BEAM El STEEL REINFORCE n (� /�
SHEATHING Of-
���/ 7/2�
F E AND FLASHING 7r�/`�'j///(
1 IG - IN Zi OUT p >?'�
PLATER, BROWN COAT �Y
STRUCTURAL, FINAL / i Allle�._.I
HEATING, VENT., REF RIG. AND A.C., FINAL lea 4--Ar '9111/�i7 //Pd1.rD�1.� ,3 fl ' ,------
PLUMBING, FINAL AND GAS TEST parnwarr
ELECTRIC, FINAL j/40A ,1'
_ - ..
•
34156 PALO
COSTA MESA BUILDING-SAFETY DEPARTMENT IAB -9-7?----00 351 ` x* 167.25
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECEIVE V DATE RECEIVED DATE ISSUED
ADDRESS 1075 Tulare Dr. Costa Mesa d�' ,' _3. 7� a t 7
PERMIT NO.
OWNER Heltzer Enterprises Costa Mesa A.P. NO. ----
BUILDING
ADIL • ADDRESS 1075 Tulare Drive
ADDRESS 740 No. La Brea Avenue //3y LOT V3 BLOCK
WW • TEL. (.213)1-Z CITY Los Angeles No• 937-2171 TRACTT6
Z C CONSTRUCTION NEW ADO ALTER REPAIR MOVING DFMOI ISH
-I-LENDER United California Bank i'
Z.----
a
co BRANCH Main Office JJJJJf
J N OWNER
m� ADDRESS 600 So, Spring St. •Los An eles VALUE
-03-1 ,c OR ENGINEER David Freedman nnip, 653L. -3852 USE .A $33. 700
UQ FIREV
W cr ADDRESS 113 N. San Vicente,Beverley Hills ZONE TYPE GROUP
aw - APPROVED ir
J Z CONTRACTOR George J. Heltzer BY DATE
CO Z
J,:c ADDRESS 740 No. La Brea Avenue
W LB TEL.(L13) ZONE NO.OF USE OF NEW, res a/ att
Z CITY Los Angeles NO. 937-2171 Rl PLANS 2 BUILDING garage
'W O STATE CITY YARDS APPROVED YARDS APPROVED
(DEC LIC. NO. 3144 LIC. NO. 1900 MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OFBLDGS.
LOT 7(FROM CIL(�S'TRE ET)
I NOW ON LOT FRONT / FT. FT.
USE OF
EXISTING BLDG. - F.SIDE 7 FT. FT.
I- SIZE OF NO.OF - ! /
Z NEW BLDG. • ROOMS STORIES 2' L.SIDE Ip FSST FT.
Eel EXTERIOR IN WALL. ROOF
aster COVERING REAR R3. A. FT.
_ COVERING 1'1 •
-
-I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. • BET.MAIN&
1
CL MAIN BLDGS. ACCESS.BLDGS.
Q VAR.# DATE
O Single Residence C.U.P.# APPROVED
I-
Plan #408 DROVED DIED -DATE 12-20-71
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U I hereby acknowledge that I have read this application and state HOLD FOR SPEC that the above information is correct and agree to comply with ....IAL Ri 4U�
all laws regulating building construction, and I shall not employ v"`I 1 1
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any person in violation of the workman's compensation laws of �r-J (/p
1A the State of California. iIt
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I hereby certify that I am properly licensed as a contractor undero
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VATION IS FOR
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF FSTAHL\SH\NG A PERMIT FEE ONLY: 0
am exempt from the r. isions of the State of California Business VALUATION
and Professions Code, e�- on 3,Chapter 9 N
p r 3� 70`bfev
/ 1jPERMIT FEE "�1i G�
Signature of N
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Permittee �� �; $ CK $ ii
Authorized Agent �� TOTAL FEE' $47 a
a OWNER YUEN, Hopkins DATE 7-24-75
JOR ADDRESS 1075 Tulare Drive BUILDING PERMIT NO. 40312
C RAL CONTRACTOR Ovner/8ldr. DESCRIPTION of WORK Patio Cover
Al- No. 412-1].1-02 LOT TRACT FIRE ZONE VALUE $ 1,120.00
•� INSPECTIONS Signature Date TYPE V GROUP J ZONE R-1
SOIL SUBCONTRACTOR PERMITS ISSUED
GAS
WATER
Date Number Signature
Plumbing •
k,ROUGH PLUMBING ,
PROP. SWR. LINE Q HOUSE CON. U
SPRINKLING SYSTEM •
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES O FORMS ❑ STEEL REINF. 0
FLOOR SYSTEM
BOND BEAM Ln STEEL REINFORCE In
SHEATHING
FRAME AND FLASHING
L IG — IN n OUT n
P. ER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
P1111 nING FINAI do I.f_ a__ti.)c.
PAI❑
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40312
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200. COSTA MESA,CALIFORNIA 92626
For Applicant
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FZ CITY 7/y /yam - NOL���j7�`/ TRACT Vb ✓ / f LOT �J BLOCK.
Z'C CONSTRUCTION/'l/ra�/ / NEW ADD ALTER REPAIR MOVING 17FMOI ISH
Orn LENDER /V C ��j/ I��
J D N BRANCH OWNER/ )roP�`4C f s..i
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ADDRESS , /�z / j��if}� ��yf VALUE���/�r�J OV
J CO OR ENGINEERITECT /tc,ur TEL. USE t //��0��(O Y�+rt,•. $ ///�(/
NO.
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ADDRESS • ZONE 'TYPE __GROUP L
JZ CONTRACTOR �,/,ly/�./. J APPROVE , DATE 011`/5
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J ADDRESS _�9
W Lu ZONE n NO.OF USE OF NEW 1,� ��
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ZF CITY NO. /` PLANS 2 BUILDING Gr/rCy�
-0 STATE CITY YARDS APPROVED YARDS APPROVED
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NCL LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
7 0 (FROM C/L STREET)
SIZENO.OF BLDGS.
OF LOT I NOW ON LOT FRONT nigt74-eni) FT.
USEOF
E BLDG. R.SIDE 12FT. t FT.
I- SIZE OF �[yI n ' NO. OF �'
2 NEW BL -"ix
i 0 ROOMS STORIES L.SIDE iel FT. - FT.
Q EXTERIOR WALL I ROOF
_o COVERING COVERING REAR 2CjFT.% FT.
J USE OF BUILDING AN WOR T BE PERFORMED DISTANCE BET. BET.MAIN&
1 �EtwN6 b12 fine) MAIN BLDGS. ACCESS. BLDGS.
Q VAR.# DATE
O - C.U.P.# APPROVED
I- APPROVED/7 P•O• .S
fn .BY L-tel�R _DA
Z - • SIAM
0
UI hereby acknowledge that I have read this application and state w
that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ •�
AX
I— any person in violation of the workman's compensation laws of
CO the State of California. SI° � L m
2 I hereby certify that I am properly licensed as a contractor under SO. FT. p
the State of Calif. nia Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and the such licenses ars in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; R
am exempt fro t e provl ions of he State of California Business VALUATION //I
and Professions •o e ivi ion 3, • .•ter 9. 42, _ w
PERMIT FEE $ IN
Signature of /` - n GY•V m
Permittee J•, i -/ $// %D PLAN CHECK $ E
Authorized Agent
TOTAL FEE $ / sr