HomeMy WebLinkAbout3386 CARMEL DR - Building Permits1:�T
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(714) 754-5273 • Fa�c (714) 754-4856
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
JobAddress: 3386 CARMELDR
Suite:
Vicinity:
ParcelNunmber: 41210307
npp�icank SELL ,RON
Address: 17072 ROSEBUD
Owner:
Zip:
ACCESSORY
PARKING
NOTES:
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LINDA CA
SHAKE
BUILDING PERMIT
Zoning: R1 R1
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PERMIT NUMBER
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 07/12/1999
Issued: 07/12/1999
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/,,, Ph no e: 714-9933328
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/ �� Zip: 92686
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� Phone:
ZiP: 92626 O
COMPANY �
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Phone'_.;s� 714-9933328
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Claim Valuation:
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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, § t, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 deys, 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 w@h all applicable codes, and all
required Inapeetlona and final approval must be obtained. Failure to obtain inspections and finel approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 � � �
WORKERS' COMPENSATION DECLAHATION: .
I hereDy atfirm undecpenalry of perjury one of the following tleclaretions: � •�
❑ I heve end will maintain a certificate of consent to selFlnsure Por workers' compensation. es D�o��detl for by section 3700 of the Labor Cotle, for the pertormance of the
/work for which Ihis permit is issued. '
[� I have and will meintain ork ' compe� tion insur e, as required by section 3700 of �he Labor Cotle, for the peAortnance of tha work for which this permit Is issuetl.
M workers' com � nc a er and number are: / i-(�
� Y D�3��i. 4Fj[� F . �� �P C.S� [
Carrier. �L X � � �i� . - Policy Number:
(This sectian need not ' completetl ll fRe permit is velu d ef one hundred dollare ($100) or less.) .
❑ I certify Ihat in the peAormance ot the work for which this permit is issued, I shall not employ eny person in any manner so as to become subject to the workers'
com ' aws o ' 'a, and Ihat if I houltl become subjeq to Ihe workers' compensetion provisions ot Section 3700 of the Labor Code, I shall forthwith
mply_withihese (Frov3ions. �p�� /L / ( _ � D
ppli OISipOBiure: � / /t ��'�`�1 D2�0: �7
RE TO SECUPE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE (5100,OOp), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVI�EO FOR IN SECTION 37060F THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
iby.aHt�rm Ihal I am
end ettect. Lic. M
with Section 7000) of siorL3a4 tl Professions de, and my license is In full
- �� Class�� � �� _ _
Date: i
CONSTRUCTION LENDING AGENCY:
❑ I hereby ettirm ihat there is a constmction lendlnq agency for ihe pertormance oi ihe work tor which this pertnit is issued. (Sec. 3097, Civil Cotle).
Lentlels Name: Lendefs Address:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby attirtn ihat untler penalry ot perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or county which requires a permit to consiruct, alter, improve, demolish, or repair eny stmcture, prior to its issuance, also requires the applicant for such permit
to file a slgned stetement that he or she is licensed pursuant to Ihe provisions of Ihe Contractors License Law (Chapter 9(commencing with Sectlon 7000) oi Division 3 of the
Business and Protessions Code) or that he or she Is exempt Iherefrom antl the basis for ihe alleged exemption. Any violation of Section 7031.5 by any epplicant for e Dermit
subiects the applicant to a civll penalty ot not more Ihen five hundred dollars ($500).):
❑ I, as owner of the property, a my employees with wages as their sole compensation, WILL DO THE WORK, and the stmcture i3 nol intandetl or oHered for sale (Sec.
7044, Business antl Professions Code: The Contractors License Law dces not apply to an owner of property who builds or improves thereon, and who does such work
himsetl or herself or through his or her own amployees, providetl �hat such improvemenis are not intended or oRered for sale. If, however, the huildin9 or improvement is
sold within one year of completion, ihe owner-builder will have the burden of proving ihet he or she did not build or improve tor purpose ot sale.).
❑ I, es owner ot Ihe property, am E%CWSIVELV CONTRAC7ING WI7H LICENSED CONTRACTORS ro construd the projecl (Sec. 7044, Business and Professions
Cotle: The contrectors License Law tloes not epply to en owner of propeny who builtls or Improves iheraon, and who contracts for such prqect with a coniracror(s)
license pureuant to ihe Contractors License Laws.).
❑ I am exempt untler sec. Businass and Professions Code for ihis reason:
Signature: Date:
Owner ID vanfied by tlnver's license. ❑ Ves ❑ No Dnvels License No. Expires:
Verificatian of Ownership by (�ype ot document, i.e. - property tax bill or deed): '
DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N:
❑ I hereby certity that no ezcavation five (5) or more feet In depth into which a person is reQulred to descend, will be matle in connection with work authonzed by this
permit, and ihat no builtling siructure, sceRolding, falsework, or demoliUon or dismantling Ihereot, will be more than thirry-siz (3fi) feet high. (Chap. 32, Grp 2, Art 2, Sec.
347, Title 8, Calitornie Administrativa Code). .
❑ As owneo-builder, I will not employ enyona to tlo work which woultl require a permit from the Division of Intlustrial Safery, as noted ebove, unless such person has a
permit to do such work fram the division:
Signature: Date:
Division oi Indusirial Satety Pertnit Number.
CEPTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I certity under penalry ot perjury that I have reatl this epplication and state that the intortnation given is
correct I agree ro comply with ell state laws end ciry ordinances relating to building constmction, and authorize representatives of Iha Ciry of Costa Mesa to enter upon Ihe
above-descnbed property for inspection puryoses. I agree not to occupy or ellow acupancy of eny hullding euthorized �y this permit until finel inspection.
COUE 1. INSVECTIONTYPE � -
1616 Fizetl System Finel Fire Preven�ion
1266 Poal Spa Finel
200 Final Re-Roof
201 Final BbcWReteining Well
202 _ Final FeCtory Fire PlaCe
203 Final Sign
204 Final Demolition
2446-06
Applicant
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CODE� INSPECt10NTVPE
206 Finzl Mechanical
20B Final Plumbing
210 Final Elactrical
212 Final Fire Prevention
220 Final Plenning Approvel
222 Final Sita
250_ FinalBuilding/Occupancy
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Date
Pd� .Iarm��5
OWNER I�LTZER Flrterprises�Costa.Mesa
GENERAL
AP No.
GAS
W ATER
ii�nw�un
SPRINKLING SVSTEM
MISCELLANEOl15
— ROUGH'HEATING AN� Flft CON�ITIONING--
TEMPORARY SERVICE OR POLE
UNOERGROUNO � POWER �
ROIIGH WIRING
TRENCHES FORMS STEEL REINF.
F�OOR SVSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AN� FLASHIN6
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PLASTER, BROWN COA
DATE 2-8-72
BUILDING PERM
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G. ANO A.C.. FINAL fJ��%��//�V/-'�1.%'/J�/�._ I�/%iJ{Y/G%TI�VA/..�I/I'L{-//i-%'�I _`�L'i%/_/.� /
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� COSTA MESA BUILDINGSAFETY DEPARTMENT 4 - �� '. -
, , � P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ' " . - � - � "� �
� . � � �APPLICATION FOR BUILDING PERMIT �'��
„' . �. � ForApplicant to Fill in Completely aeeei D BV '"DATE RECEIVEO .
DATE ISSUED
' BUIIDING �' ' � ' � � �^.3^�
' ADDRESS 3386� Carmel Dr�._ Costa Mesa . a� —� 7
, ' - . . - •� .. . PERMIT NO. �
owNea'Heltzer Enter rises Costa Mesa� A•P•N . -----
.. MAIL . ' . • � BUILDING . � � � � . .
ADDRESS 740 �No. ��I;aBrea Avenue �+DDRESS 338 C //
a U CITV- j�OS ARh 0105. ' � NOL � ' TRACT � LOT(Q(U BLOCK
.Z Q CAN5TRUCTION • . ' ' W A O�A T P ..
o N �eNoea United California.Bank '' S�'
am . .
.� � BRANCH. 'Main`Office . -
J V1' � 'OWNER V �� ' � .
a w ADDF:ESS 600 So. S rin St. I,os. An 01E5 � - VALUE
mm ARCHITECT�-� '� � TEL. ' SE ��`� �v��
� a 'oR eNcweea David Ereedman N. 6'S3-385 .
U N ., . ' � " 'FIRE � ' -
, w�'. ADDRESS 113 N.San�Vicente�Beverle 1?1115 ZONE �' TVPE GROUP
aw ..• . . •' ,.y. . • • . APPROVED . . , �
J O� CONTRACTOfl Geor e J��Hel�tzer �g� oarE -
' m Z' : - . . '-� ' .
�� ADDRESS 740 No. LaBrea Avenue �
W w ' 'TEL. � �ONE - NO.OF. USE OF NEW' -
z� 'cirv. Los An eles No� 937-2171 R� °'J`ns, 2 BUILDING dPd @
.w� -STATE-' ` ' CITY�. VARDSAPPROVED - VAROSAPPROVED �
y 2 LIQ NO. 31/�,[� ' LIC. NO. -],900 ' MAIN BUIIDING � ACCESSORY BVILDING
, � � SIZE � . , . NO:OF BLDGS. (FFOM C/L'STREET)' „ � .
- � OF LOT � ' ' NOW ON LOT " " . RONT '� FT.'. ' FT. '
USE OF .. ' - . ' I ' , �
' EXISTING BLDG. � �� - ! I 'F . • �FT. �
. F SIZE OF � � " NO. OF.� ,�' : � � ' i � . ' ..
Z NEW BLDG. ' ROOMS� � STOflIES � L. SIDE -�S FT. FT.
a EXTERIOR WALL ROOF' ' � � ' � ' � .
L% COVEFING Plaster COVEFING REAR �, FT. FT.
J USE OF BUILDING AND WOFK TO BE PERFOfiMED', . DISTANCE BET. BET. MAIN'& �
a - MAIN BLOGS. . ACCESS. BLIX'¢. '
a
Q ' r . � VAR.# DATE
0 �Sin le Residence c.u.a.# • nraaoveo
� P an �k40 . aPraoveo WLD 12-20-71
z . AM rlb
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.. V I hereby acknowlatlee that I have reatl Mis application and ��aze HOLD FOR SPECI, L.REQUIFEM..F,��
� that the above intormation is correct and aBree to comply with
� all �laws regulatin8 builtlin0. consVuction, and I zhall not employ � - ,
F any'person in violation of the workman's compensation laws of - '
ffie State ot Calitornia. ' �m
b
z1 hereby certity that I am properly licensetl as a conttactor untlar �� 'SQ. FT. - -� � o•
.the State of California 8usiness and Professions Cotle, Divistcn 3, THE AMOVNTSHOWN UNOER LUATION IS FOR ��
Chapter 9, antl that such licenses are in -f�ll force antl effect,'or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
am exempt trom the pr visions of Me State of Califomia.Business:' - � ¢
` antl Professians Cotle, ision 3, Ch pter - . VALUATION ��
' ' � ' PERM T FEE $ ^ �
Si9nature of . l� ' • ' � I �-/ /�— , m
., .Perm{ttee� � ` � 4�� $ ,/' � PLAN CHECK $ �i - E �
Auihorizetl A9ent .. ..• � • . .. V ��J �� / ad LL .
TOTAL FEE $
JOB ADDRESS
� GENERAL CON
o�AP No. k12-]
� INSPECTIONS
SOIL
� GAS
� WATER
1' ROUGH PLl1MBING
�� PROP. $WR. LINE
SPRINKLING SVST
MISCELlANE0U5
FOUGH HEATING ANO AIR CON�ITIONING
DATE
SUBCONTRACTOR
_ —_ I .I. —'. -II � _— . '� - — - . _I�_, _— _I— — —I ____ _
UNOERGROUNO Lf POwER U
ROUGH WIRING
TRENCHES � FORMS STEEL REINF.
FLOOR SYSTEM
BON� BEAM n STEEL REINFOFCE �
SHEATMING
FRAME AND FLASHING
F
�' . . .. _..
.jBJ�fid ` IUPi 73-74��,��Oi07S„ .'�**::35.0�
���� COSTA MESA BUILDINGSAFETY DEPARTMENT �� y ' .
P.O. BOX 1200 �COSTA MESA, CALIFORNIA 92626,. "�
1
- � � � � A L CATION FOR BUILDING PERMIT
� Fo� Applicant to Fi!l in Completely - - .
� , R CEI V; �ATE C I Ep D TE ISSUED �
-BUIL-DING �2 � . �A,pNAr—� i� fJ • �� .
ADDRESS ./ 1'tR:.l��i V�r
- " .. _ 1 • ^ . . . PE T .�
� OWiJER ....`,� A.P. NO. -.� Q � �
MAIL . . BUILDING .
Z .
ADDRESS. � � R�� ' ' ' .4DDPESS � 8
d U CITV ST - M� � N� � TRACT LOT BLOCK
H Z
Z Q CONSTRUCTION ' W ADD A R P
O N LENDER ' . ,
am ..
J � BRANCH
J fn .. , � OWNER - �
a w ADDRESS
OOJ ' � VALUE ��j�_0'�7
Jm ARCHITECT f . TEL. " S O- - S JVU'�
a OR ENGINEER " - N . '
��ZN
Q .. ' .. ' . . , . �.. ' . . ..FIRE ' • '
w,2 ADDRESS i-,; ZONE TVPE � GROUP
a w Uk-F- , yN' : � •1 ' BVPROVE ' DATE � �`
'J O � CONTRACTOR
' m Z . . ,
J� ADDRESS �C%.'• �O
W W }-. ' TEL. ZONE ' � NO.OF USE OF NEW � '
Z� CITV rOV TA�YJ VY�L�� NO. 'Z3�O ' PLAPiS BUILDING ��
O STATE � � CITV '1'ARDSAPPROVED VARDSAPPROVED
� CL UC. NO. ' - � LIC: NO. '' MAIN BUILDING ACCESSORV BUILDING
� � � SIZE • ' . NO.OF BLDGS. (FROM C/L STREET)
� OF �OT NOW ON LOT I FRONT � FT. '
USE OF
EXISTING BLDG. � � � S FT. FT.
f" S¢E OF X NO. OF , . �
Z NEWBLDG. �O ROOMS� STORIES L.SIDE FT. FT. '
U EXTEFIOR WALL � ROOF
COVEFING COVERING REAR FT. FT.
J USE�OF BUILDING AND WORK TO BE PERfORMED DISTANCE BET. �. �BET. MAIN&
a . " - � MAIN BLOGS. _ ACCESS. BLDGS.
a ^
a PFtI ( O S SM� U� ' C VRP # APPROVED
�
~ � - � ' APPROVED
N
Z S(P
O
VI hereby acknowletlBe ihat 1 have reatl this application end stere � �
� thei the above information is correct and agree to comply with `
'� all'laws regulating builtling consVuction, and I shall not employ p ' " �(
� � any person in violation of ffie workman's compensation laws of �77i Rn^
' y the State ot Calitomia. •' .��' m
�
-? I hereby certify ffiat I am properly licensetl as a contractor untler Q• FT. o
' .Me State of California Business antl Professions Cotle, Divisicn 3, TNE AMOUNT SHOWN.UNOER VALUATION IS FOR �
Chapter 9, and thai such licenses are in full force and effect, or I' THE PURPpSE OF ESTABIISHING A PERMIT FEE ONLV: m
' am exempt from tlie provisions ot the State of Gallfomia.Business - �
� antl Professions Cn�ie, Oivision 3 h pter 9. ' . VALUATION 0007 - W�
- - • ' • - '� ", PERMIT FEE $ J� �
]
SiB�amre'of � � ' m
Permittee $ PLAN CHECK $' '• E �
- 2�Ov y/ o .
� Authorizetl Agent " " ` � ' TOTAL FEE $, / '� LL