HomeMy WebLinkAbout1079 TULARE DR - Building Permits 9tsSOFSMW010: 1079 TULARE DR WIT' CITY OF COSTA MESA - BUILDING PERMIT -� -_____L :I00
'e, affliEWSNAMEIFKNOWfl: BANK, GREAT WESTERN FLOOD : AH-38 PERM NO: B 079911
r. A0ORES& SUITE 600
222 W LAS COLINAS BLVD PERMIT NO: B 079914 PLAN CHECK NO: N GOVT: N SUPP : N
IRVING,TX 75039556-1622
APDL.SWUNGAD011ES9n CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
•ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION T/OFF RESHEATH //US TILE ICBG 3523 SQ FT: 7, 000
ARCH OR ENG.'S ADDRESS: UNIT:
CLAIM VALUE: 7, 000 . 00 CALL-VALUE: 7, 000 . 00 GROUP OCC: R-3 /U-1
CONTRACTORSNAIIE CONSUMER SERVICES ( 714 ) 839-4549 ('�l ' `
caucTorrsMING 16702 MT BAXTER COMMENTS : LIGHT WT TILE 3 . 38 PSF/ ]iiz Ei 3Ep E .wy/(4( j•" ( S7 --**'**10r***********
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ADDRESS) FOUNTAIN VALLEY CA uc.No.: 676090 *****-*-*******x-****�E->EEE******* -RE******- **-*'* * +F* +E *** 'its * 3E-iF*RE*****RE***
92708 WET: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under panty of perjury that I am licensed under provisions of Chapter 9 SETBACK S
(commencing with Section 7000)of Dwision 3 of the Business and Professions Code,and my license 9 in full force and Wed.
CRY LIC.NO.: 0617 2 uC.clAss: C39 MAO.: 76090 EXP: 10/96 MAIN BUILDING ACCESSORY BUILDING
�7 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
XN\ Date: �� (Q 16 os....: NntC� LI�E'P LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I ern exempt from the Contractors License Law for One
following reason Rusiless and Professions Code:Any ay cc county whim requires a permit tconstruct alter,improve, PARKING REQ: PROV: PARCEL: 41211204 ZNE: REF NO:
demolish.or reps 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(commenting with Section 7000)of Division 3 d the PLANNING NOTES> _
Business and Professions Code]or that he or she 9 exempt therefrom end the basis for the alleged exemption.My violation of Section >
7031.5 by any applkant for a permnsabjem the applicant to a civil penalty dnot more than Pre hundred dollars MOOD. ************************************.*******IEIEfkiE*-0E******1E********if*****ill***3f****
❑ 1,as owner ot the property or my employees with wages as their sole compensation.will do the work.and the structure is not intended D EV EL OPMENT S ER VIC ES REQUIREMENTS '
or offered for ate(Section 7044.Business end Professions Code:The Contractors License Law does not apply to an Owner of property
who builds or improves thereon,end who does such work Nmat or herself or through he or her own employees,provided that such
improvements are not intended Or offered for sale.N.bewares,the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I.as owneroftheproperty,amexclusiveycontred'mgwihlicensedcontractorstoconstructteprojet(Secion'roa,Busir,asand BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does nd apply to en owner d prtgerly who builds or improves thereon and who _
contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). �A/
❑ lam exempt under Section: B.AP.c.,f«Ntsresson: APPLICATION ISSUED BY: ger
DATE: �` b
D ate Owner: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
I do hereby certify that I em aware d and understand the requirements of California Neave end Safety Code Sections 25505,25533.and
255ep".a«that Ior l l y«°ser robuilding°ccupant mteAAioma M age one)need tR.°aaa aconslwith aduao'ate codes n o�e:ex requirements
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 124 . 75 , . 70
D ate: Applicant: SMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE F E E
❑ I have end will maintain a cedifirate al consent to self-insunt for workers'compensation,a provided for by Section 3700othe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the performance of the wok for which this permit is Sued. TOTALS----> 125 . 45 0 . 00 0 . 00 125 . 45 125 . 45 . 00
R] I have and will maintain workers'compensation insurance,as required by Section 3700 a the Labor Code.for the performance of the
work for which this perms 9 issued.My workers compensation insurance carder end policy number are:
Caner GOLDEN EAGLE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 125 . 45 OVER/SHORT: . 00
Policy Number. NWG2S412600 03/23/97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need nor be completed if the permits for one hundred dollars(SIX)or less) 124 . 75 . 70
❑ I certify that in the performance of the work for which this permit is issued.I shell not em person' manner so as to
become su ' to the workers'compensation laws of California. • . agree that R I to IM workers' *******************************************************************************
cornpunsati prows ne 3700 d the Labor Code,I shall I... con •
5C (p (p�� / iii
pry I N D I V I D U A L • F E E B R E A K D O W N
Date: Appliaanc/ .
Warning:Failure to secure workers'compensation rover •eis. lawful,end shall whin,anemplu` rW penadesane TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($lOt •.),M e
••Won to the cost of compensation, as provided for In .
Section 3706 ol the Labor Coda,Interest,and atrium 's f .. SFR 7000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 7, 000 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm • .. penalty of perjury that there 9 a construction lending agency for the n END OF FEES
performance of the work for which this permit is issued(Section 3097.Ow.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances
and state laws relating to building construction end hereby authorize representatives of this city to enter upon the above-mentioned properly
for inspection purposes. •
JON• WIHO GI
aa
Dl 602TOT 125.45
erC e1:iVI ” ' Date:
1m
DATE: 10/10/95 TIME: 15:59
Signature of Oona/Age•. pblranUComredor
C 1-46.WP) White-Building&Safety:Green-Fle:Canary-Applicant:Pink-Revenue:Goldenrod-Macer •
C
POOL & SPAONSTRUCTION AND PLANNING
�� • 'Date inspector.is. - Date Inspector
APPROVALS Permit # -_ APPROVALS - Permit #
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 4
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 UFER 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 & HouseConnection62. Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent- Final
13. Roof Drains 64. Plumbing System - Final •
14. Rough Plumbing 65. Electrical-Final
. 15. Rough Electrical-Conduit . } 66. Solar System-Final - .
•
16. Rough Electric Wiring67. Fencing & 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 /o-1y4, �j 74.'Overhead Hydrd
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 PREY. FINAL
I 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Poveer Meter-Final 80. FOOD CERTIFICATE ISSUED
I 33. Final Electric _ Notes:4O-Tf_I:4-
.
.._ 4 /1[ C--a,a-,01 3l¢%`
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test, a
/
36. Hood or"Canopy . • . i
I37. Final Factory Fireplace ' -
38. Final Plumbing - -
I 39. Water Service-Final, .
40. Gas Service-Final , -
I -
t 41. Solar Domestic-Final -
I 42. Backflow Preventer -' - -1.
'
` 43. Backflow Irrigation' -
44. Landscape Irrigation System, . -
45. Sound Attenuation . " - - - "
•
46. Handicap Regulations - -i _ ,
I47. FINAL STRUCTURE & BUILDING /0/Z1/1.1 �rullr.,
,48. FINAL PLANNING," ,. • -'
49. Electric Release to Edison - • _
i0. Gas Release to Southern California Gas Co
i1. CERTIFICATE OF OCCUPANCY -
f. Date '
�rt- ��- Z s —
i"sat' L� Applicant to fill In all spaces except those within heavy.border lines and sign all appropriate declarations. _
'.: 2- PERMIT NO. TR CT NO L -14; UNIT NO. '
• P of OF COSTA MESA CONSTR UCTI IO1N PERMITnSPE 34528 CO
Project Address /67 TUG,4,P f.' i/e- Cocra M_L?� _
Is Ap> - s Mailing Address CO.014-t QZA,}r/y - TYPE OF CONSTRUCTION NEW U ADD U ALTERATION H REPAIR ' 1
\ I ��� ;❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. # %it - I 1 2- -' 04., I Zone ] -
Owner's Name CAD _Phone 41- 20.3g,' !'DESCRIPTION OF WORK/USE OF BLDG. `,
Address /n 7� TULARe ae - Lr'-c7 4 /m7L,g} , i /' • r - • S Main Building: Accessory Building:
E Z
✓ ,Arch/Eng. License No. TYPE,OF PERMIT -❑ GRADING El FOUNDATION 111 STRUCTURAL T Front 0
Address �❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
(/.{�^/'I/
113 OTHER I
Contractor's Name 0/ Phone 1 C Right N
Address(mailing) PROJECT DESCRIPTION' SQ. FT. 3 OCCUPANCY ��tL�t�_ K Left •
G
,CONSTRUCTION TYPE \I t� VALUATION$ 14 ` $ R
City License No. ZONES GRADING CU.YDS. _ ACRES
LICENSED CONTRACTOR DECLARATION ' •r Iu- ' . _ Ping. Ref.# Parking Req./Provided E
Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:', I .p�)w 4 QTY ,W4U Planning Notes: U-5 O'�\t1f M
with section 7000) of Division 3 of the Business and Professions Code, and v"-"-` /'/ny-/�� 'v" T
my license is in full force and effect. : _ ^-'� �` / I U Y _ �\ s ty V 2 ,DML $
License Class License No. '�wTIN `////'r . U//IVU-�,'�`ff�/'y`5'Cli
Date Signature � - • . PLUMBING - . FEES ' �A 44.
WORKERS'COMPENSATION DECLARATION I Bar Sink - Showers ' 2 r% ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate '
of Workers' Compensation Insurance, or a certified copy thereof (Section -
Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW - ,
Policy No. Company -Backflow Irrigation _ - Sewer Cap Construction Pole Sub. . ❑ 50+ KW - , -
8 Certified copy is hereby furnished.
•
Certified copy is filed with the city Building Division. ' Bathtubs- • Sewer Connection 2 ti • Cooking Unit • Meter 9 u to 100amps
Date Applicant _ -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors . Dishwasher ' Meter Dover 100,amps
(This section need not be completed if the permit is for one hundred($100)or
less). Dishwasher Solar Piping • . - Dryers OGas DElectric Sub Panel '
I certify that in the performance of the work for which this permit is issued, I ,
snarl not employ any person in any manner so as to become subject to Drinking Fountains Solar Tank - Fan Motors 00-1 HP 01%-8
Worke Comp ati yVs of California. ...------�������}}}��— / /
Date - - /S"ignaecla / �` _ / L.t�\ Floor Drains Swimming Pool w/Spa - F A.U. - Inc.Solar❑9-15 HP 016-15+ -
NOTIC If,after mak § this declaration, you would bec a subjec o the - 1 - '
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this: permit shall -be deemed revoked. ''J
CONSTRUCTION LENDING AGENCY Gas Service Outlets I Water Closet - I 2- W Device Boxes Pole Light
1 hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 30975•Civ. C.) interceptors Water Heater Outlets' Range 3 r..)Lender's Name - -
Lender's Address - - - Kitchen Sink Water Service • - Switches - - • .. .r ._
OWNER BUILDER DECLARATION �,, Sign
I hereby affirm that I am exempt from the Contractor's License Law.for-the Lavatories Auto-Wash
Garbage Disposal Standing Sections
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 Generator ❑0-5 KW❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9 (commencing with Section J000) of
Division 3 of the Business and Professions Code) or that he/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 ($500). •$ 3 I r
u I, as owner of the property or my employees with wages as their sole Reinspection Fee $16 Issue Fee _
compensation, will do the work, and the structure is not intended or offered Reinspection Fee I $15 Issue Fee - .
for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL I FEES
License.Law does not apply to an owner of a property who builds or improves DEVELOPMENT SERVICES REQUIREMENTS:
thereon, and who does such work himself/herself or through his or her own Boiler • Hood or T ¢I ❑
employees, provided that such improvements are not intended or offered foryp Zoning Approved By �� I Date
_ 5-,V 729g
sale, If, however, the building or improvement is sold within one year of com- Canopy Type II El •
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By - Date
r e for the purpose of sale). - 1 •
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - c -->1/4 Date -W
tractors to 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 00-100,000 BTU ❑100,000 BTU SUMMA iV OF FEES cy
ouilds or improves thereon, and who contracts for such protects with a con- , A.99 •
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust
pioof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $System ❑ Multiple 9 System Repair/Alteration BUILDING PERMIT $ �12/— $MIP $ _
4l0— PERMIT
Li I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers I - _ PLUMBING $ R ISSUANCE $
Date /_ / 2 Owner Zara '• - Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $-
I hereby certify that I have read this ap.lication .nd state that the above ❑0-100,000 BTU ❑100,000BTL— ELECTRICAL $ I8"°' GRADING $
information is correct. I agree to comply with all city and county ordinances _
and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of this city to enter upon the above-mentioned property for /
inspection purposes. /�� MECHANICAL $ TOTAL FEE $ 1410 0
Signature ( `-s-�'o Date 7-,S -Pj • ,
Drivers' License or SS# l - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
so n
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor 01 0000Y626-00004630 TOT 146.30 ,
CONSTRUCTION AND'PLANNING} ' - POOL&SPA
Date Inspector - ,Date Inspector
'APPROVALS IP,ermiY# I. ' - APPROVALS Permit#.- _
1.rTemporary Electrical-Service or Pole 52. Pool & Equipment Location -
2. Soil Pipe-Undrgrnd. ' . 53. Steel Reinforcement ' • i a •
3. Electrical Conduit Utility-Undrgrnd. 54. Forms , "' '
•
4:Electrical Conduit-Undrgrnd. 55. Electrical Bonding :, .1
5. Steel Reinforcement 56. Rough.Plumbing & Pressure Test
, 6. Electrical LIFER Grnd. , 57. APPROVAL TO COVER-GUNITE
7. Footings,; j : 58. Electrical Conduit-Undrgrnd. ' .
, 8. Foul-dation i. • • 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. %'r 60. Backwash Lines, P-Trap, 0 Undrgrnd. -
10. Structural Floor System 61. APPROVAL TO DECK •• • _
11. Property Sewer Line & House Connection - , 62. Backwash & Receptor-Fnal -
,
12. Sewer Cap63. Heater & Vent-Final
j
13. Roof Drains 64. Plumbing System -Final u
. 14. Rough Plumbing g-z vk' LCD 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring - 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR...PLASTERING 'ice
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL -�-7;
vi
' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ,±;Lie '
-
20. Rough Factory Fireplace APPROVALS Permit#
•
21. Ducts, in Structure70. Underground Hydro -- - '
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough &Test 72. Underground Flush U.1
24. Roof Framing
73. Undergrnd.Storage Tank ❑Gas 0Oil ,
25. Roof Sheathing 74. Overhead Hydro l n_ , •
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical `} l- '
Tl
27,.• Frame and Flashing • - 76. Dry Standpipe Y .1
U i- . 'S
28. Lathing & Siding 77. FIXED SYSTEM FINAL t` • 1
29. Insulation • 78. FIREPREV. FINAL •
30. Drywall Nailing , HEALTH DEPT. REQUIREMENT • al
31. Plaster Brown Coat 79. •FINAL-INSPECTION Cr.'% li
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric '/ ?o &e„t, Notes:, /U �le a �e r ',
34. Final Heating & Air Conditioning / ¶2
35 •
. Final Gas Pipe-Test •'�, - - - LY.]
36� Hood or Canopy • ) \ t ,
37.: Final Factory Fireplace - -" r • ' ' ' 1,;.;f1 V
• .38. Final Plumbing • • 44-n) Le() ti
„39.,Water Service-Final - v 'J_
40. Gas Service-Final •• • . ' - �y
I-.
- I
'41.. Solar Domestic-Final G { __ - - _ y
421 Backflow Preventer
o L• .
:43. Backflow Irrigation rt, a }� -
44.. Landscape Irrigation System / - • Y j 1,.-
•45: Sound Attenuation `•' - ` , -
46. Handicap Regulations - / - f i'.
47. FINAL-STRUCTURE & BUILDING
V2- ,402#. o✓ `'
48. Speciak,Requirements Completed '
. 1
49. Electric Release to Edison `
50. Gas Release to Southern California Gas Co I le7;
-
51. CERTIFICATE OF OCCUPANCY
No. • 'Date _
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. G (r 8 7 DATE i!///i049/17-7
LOT NO. r
ADDRESS 10 9 4,0,e,_4 / -
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he-she-they) (was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
20
n
BY o•. ' . .chaser -try :LI
''` r1973
TO .� Pri,ait 9BY ,/
o LA PM Developer nd/or au l:rized
-p 8}9}101412}1}2}39.}4}5}6 representative
cA A BY
Lender
OWNER HELTZER Enterprises Costa Mesa DATE 2-8-72
JOB ADDRESS 1079 Tulare Drive BUILDING PERMIT NO.34158
GENERAL CONTRACTOR George J. Heltzer DESCRIPTION of WORK Res.w/att.gar.
AP No. LOT 45 TRACT 6639 FIRE ZONE VALUE $33,700.00
INSPECTIONS Signature Date�-y GROUP T&J TYPE V ZONE R-1
SOIL ,r yv-./�4 SUBCONTRACTOR PERMITS ISSUED
GAS ." / Date Number I Signature
WATER J Plums" • /
ROUG
BING
PROP.SWR.LINE HOUSE CON. -- - ` / , / ?t r �
SPRINKLING SYSTEM
MISCELLANEOUS /
ROUGH HEATING AND AIR CONDITIONING 4 4e- /41-72:--
•-72:--
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING ``J, /'�'z/ 7L Heating and Ven /
TRENCHES IuT]'/FORMS STEEL REINF. le-6--.Vid-r- / Jy/', -.1, 74 g. ..)67 .-----
FLOOR
FLOOR SYSTEM 5� 7 ,7 7Z✓ .� yd/.ti ALI et// 7-/p%)o2 J/K D -�
BONO BEAM ❑ STEEL REINFORCE n
SHEATHING ✓ [[[ 2....
LATHE ANO FNASHING 6 " aLATHING D IN OUi �� 3
PLASTER, BROWN COAT
STRUCTURAL,
FINAL
� s/
HEATING, VENT., REF A"^ ^ n-F4N L r(i /+ //7-7Z-r/ !e-- t ' sht-11
,W--
PLUMBING,
PLUMBING, FINAL AIcC ,,LYS ]� , /lps7
ELECTRIC, FINAL //-2/•77�-
. -
..... - 34158 -FE: -9-7?-00 353* ***167.Z5
EMSA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ,
• APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECE V D BY DATE RECEIVED
ADDRESS 1079 Tulare Dr. Costa Mesa ` tz -3-2
. PERMIT NO.
OWNER Heltzer Enterprises Costa MesaBUILDING '
MAIL
ADDRESS 740 No. La Brea Avenue ADD
ESS 1079 Tulare Drive
Z (213)
W W TEL.
a c.) CITY Los Angeles • NO. 937-2171 BLOCK
I— Z
Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
o 1- LENDER United California Bank /
am
JrAr
BRANCH Main Office ..
mJ ADDRESS 600 So.Sprin• St• Los An_•eles OWNER 1.0�� rt, VALUE
-i Q OR ENGINEE.03 R David Freedman TEL. 213
213 s_ /L �.i $ `� UO
Za FIRE
aw ZONE
TYPE GROUP
APPROVED /
--1O CONTRACTOR Geor•e Heltzer BY DATE
CO
J cc ,ADDRESS _
LU lL 0 O - • A 1 TEL. ZONE
Z F CITY Los Angeles NO. 937-2171 Rl - . . . . -
STATE CITY YARDS APPROVED YARDS APPROVED
NCC LIC.NO. 3144 LIC.NO. 1900 MAIN BUILDING ACCESSORY BUILDING
DO SIZE - NO.OF BLDGS. (FROMC/L STREET)
OF LOT NOW ON LOT FRONT FT. _V// • FT.
USE OF 0
EXISTING BLDG. R-SIDE FT. FT,
I— SIZE OF NO.OF
ZNEW BLDG. ROOMS � STORIES �L.SIDE 5 FT. 'FT.
Z
V EXTERIOR WALL ROOF r-I S
COVERING Plaster COVERING REAR .7 TFT- FT.
1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& '
a MAIN BLDGS. ACCESS.BLDGS.
Single Residence c U.P# APPROVED . '
Ln Plan lb 408 APPROVED WLD DATE 12-20-71
Z •0 AM/ lb
tiI hereby acknowledge that I have read this application and state HOLD FOR SPECIAL RE •G r
D that the above information is correct and agree to comply with UI il'f'� r
er all laws regulating building construction, and I shall not employ _ 2 J j/
F'- any person in violation of the workman's compensation laws of fo
(A the State of California. co
W
zI hereby certify that I am properly licensed as a contractor under v SO, FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDE ALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPC6E OF ESTABLISHING A PERMIT FEE ONLY: •
am exempt from the pro Ions of the State of California Business ///z ,�/ m
and Professions Code, Di s n 3,Chapte 9. VALUATION
/ �/a� PERMIT FEE $ 7
Signature of jt/ ✓ / r �� CO
D
Permittee - //�� z1! $ r E
Authorized Agent r rifirszi LL