HomeMy WebLinkAbout3395 CARMEL DR - Building Permits, CITY OF COSTA MESA
� BUILDING DIYISION
F DEVELOPMENT SERVICES DEPARTMENT
� � PERMIT PER NUMBER
! l��,�P
898-01530
,(714) 754-5273 • Fex (714) 754-4856 77 FAIR ORIVE, COSTA MESA, CA 92626
BUILDING PERMIT
�ob Address: 3395 CARMEL DR
Suite:
Vicinity:
Parcel Nunmber: 41210202
Applicant: WILLIAMS, LARRY
Address:
owner: BOLIENBACH, GLENN R TR
Address 3395 CARMEL DR
COSTA MESA,CA
Contraaor: ADVANCED BUILDERS
Address: 18092 SKY PARK
e
IRVINE CA
� Arch / Eng :
Address:
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
Zoning: R1 R1
Phone: 714-756-1266
Zip:
Phone: ,
Zip: 92626
Phone:
Zip:�� 92714
License: 654713
` Phone:
Zip:
License:
SCOPE OF PERMIT
TEAR OFF, INSTALL 7/i6" OSB BREROOF WITH CONCRETE TILE 10.0 PSF. ICBO# 2370.
$105.46
$162.25
$1.00
$0.00
$0.00
$0.00
$268.71
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Exlstinu: o
` NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY .
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Pro osed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
Status: ISSUED
Applied: 08/24/1998
Issued: 08/24/1998
sio,000.00
s�o,000.00
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 Inepeetlons and finel approvel must be ob�ained. Failure �o ob�ain inspections and final approval will resul� in �he expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5628
WORKERS' COMPENSATON OECLARATION: �
1 hereby affirtn under penalry of pe�ury one of the following tlecla2tions: �
❑ I heve end will meintain e certificate of consem to setl-Insure br warkers' compensetion, es providad for Dy section 3700 of the Labor Code, tor t�e peAormence of the
work for which this permit ig �ssuetl.
I have end will meintain wofl�ere' campenseUon insurance, es requlred 6y section 3700 oi Ne Lebor Code, tor ihe peAortnance of the work tor which this partnit is issueC.
My workers' compensetion Insurence cartier and policy number ara:
Certler: Policy Number:
(This sec6on neetl not be comp/e�ed U the peimit is ve/ued ef one huntlretl Collers ($100) or less.)
❑ I cetliy that in the pertormence o1 the work r Ich this pertnit is issued, I shall not employ any person in eny manner so es ro become subject to ihe workers'
compensation laws o1 Ca mia, ena eg t e f I oultl �ecome suGject b the workers' compensation provisions of Sectlon 700 of the Labor Code, I shall fonhwith
�� . ��
Appl ent Slgneture: J / ete:
WMNINO: FAILUPE T E WORKERS' OMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN ' PLOYER TO CPIMINAL P ALTIES D GVIL FlNES UP TOONE HUNDRED
E(5100.000),INADIXiION OTHECQSTOFCOMPENSATION,OAAMGESPSPflOVIDEDFORINSE OFTHE CODE,INTEflE5T,MIDATTORNEVSFEES.
LICENSED
9(commencing with Saction 7000) of
ana�. u�. a
rs Slgnature:
CoCe, and my Iicense �s in full
CONSTRUCTION LENUING AGENCY:
❑ I hereby aflirm thet ihere is d��struction lending agency lor the pedartnance ol the work tor which Ihis permit Is Issued. (Sec. 3097, Civll Code).
Lenders Neme: Lenders Address:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby efrirm ihat under penalry of perjury ihet I flm E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business and Pratessions
Code: Any ciry or counry which requires a pertnit to construct, elter, improve, Oemollsh, or repair eny siructure, prior to its issuance, also requires tha epplicant for such permit
to fle e signetl statement that he or she is licensetl pursuani to Ihe pmvLsions oi the Contrectors LJcense Lew (Chaptar 9(commencing with Section 7000) oi Division 3 of the
Business and Professions Coda) or that he or she is exempt iherelrom antl the basis for ihe elleged examptlon. Any violation ot Sedion 7031.5 by any epplicant for 9 pertnit
sub�ects the applicant to a civil penalry of not more Nan five hundred dollars ($500).):
❑ I, es owner of the property, or my emplqrees with wages es t�elr sole compensa�ion, WILL DO THE WORK, end ihe structure is not intended or otfered for sale (Sec.
7044, 8usiness and Professions Code: The Contractors License Law does not apply to en owner of property who builds or improves thereon, antl who does such work
himself or herself or through his or her own employees, provided ihat such Improvements ere not intended or oHeretl for sale. If, howaver, the building or improvement is
sold within one year oi comp�etion, the owner-builtler will have �he burden of proNng that he or she tlitl not build or improve for purpose of sale.).
❑ I, as owner ot tha property, am EXCLUSIVE�Y CONTRACTING WfTM UCENSED COMRAC70RS to construct Ihe pmjact (Sec. 7044, Business and Professions
Code: The contradors License Law does not apply to an owner of properry who builtls or improves ihereon, and who contracts for such projeci wi�h a contractor(s)
license pursuant to Ihe Coniractors License Laws.).
❑ I am exempt under sec. Business antl Pm(essions Code tor Ihis reaso�:
Signe�ure: Date:
Owner ID veritietl by dnvefs license. ❑ Ves ❑ No Dnver's License No.
Venfiwtion of Ownership by (rype a� document, i.e. - property tan bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
Expires:
❑ I hereby certify ihet no ezca�atlon 11ve (5) or more feet in depth Into which a person is requireA to descend, will be matle in connection w0h work euthodzed by t�is
pertnil, and Ihet no builtling a��+cture. scefrddinq, felsework, or demolition or dismantling thereol, will be more then thirty-six (36) teet high. (Chap. 3.2, Gry 2, An 2, Sec.
341, Tltle 8, Celifomle Atlministretive Cotle).
❑ As owner�builtler, I wlll noi employ enyone to do work which woultl require e pertnit from the Dlvislon af Industrlel Safety, as noted ebove, unless such person hes e
pertnit to do such wark from Ihe division.
Signature: Deta:
Division of Industrial Safety Partnil Number,
CERTIFlCATE OF COMPLIANCE AND AUIHOR ON OF EMRY: I ceriify under penalry of perjury thet I have read ihis application anC state that the infortnation given is
cortect. I agree to compl1�/�th all state IBws ciry rdinances reiating to building conshuction, arW euttwrize representatives ot the Ciry ot Costa Mesa b enter upon tfie
above-describetl propeMJp� insp�ctlon u . I a ee nWiu acupy or allow occupency of any huilding authonzed by Ihis Dermlt until final inspection.
COOE �
1616 Fixe s em inel Fire Pr
1266 Pool Spe Flnal
200 Flnel Re-Roo1
201 Finel BIacWReteining Wall
202 Finel Fectory Fire Plece
203 Final Slgn
204 Fnel Demolition
2aa8d8
I,m�L1c
9-?�9�t __ '
COUE I INSPECTION TYPE
206 Finel Mechanicel
200 Finel Plumbing
210 Final Elecidcel
212 Final Fire Prevention
220 Final Planning Approvel
222 Final Site
250 FlnelBullalnp/Occupancy
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TESTING
Aprf 1 24, 1973
Laboratories �,f =��,��t�==,= ��,��f��,�«:, �,_�.
GO 80?; aJ . L!0 AiSFp�' VJAY . LOM1'G BEACH C^LIF. �Cfi01 .�213� qLe 1JSS . �1iJ) b1b�[Jtlo . I��o� eta�e4�[
9:P�:G'� OF-�[5
i�• � . e.5r,:e. u.npe�.r„cr.ele���q
c ; ...
5e��e�-eCe��a��.ano� 6°� �`2 �aSSReda�don.a POBm.r
♦�[p2C�5 g 5 q• �- n�M1 Ca•: oCP01 I1O10]53If0
�4.�����'F�,
Examination: SL)j'2$82
COMPRESSION TE5T5 ON CUNITE �YLINDERS
Mr. L. E. Sprague .
5041 Roanoke Avenue
Irvine, California 9z705
aRO�ECT Swtmming pool for G. R, BOLLENBACH
ADDRESS 3395 tarmel, tosta nesa
SAMPIE FROM �-4 Bo�d Beam: 2-5 Shailow End: 3-6 Deep End
A0.CX1(ECT
ENOINEFR
MIX
DATE CAST
DATE TESTED
CYLINDER NO.
COMPRESSION
TOTAL IOAD, LBS.
POUNDS PER SO. IN
SIZE:
COMPLIANCE
CONTRACTOR
Owner
SUBCONIRACTOP
Goast Gunite Co.
SPECIFIED
Gunite - Pre-Mix STRENGTH
4-17-73 SIUMP
4-24-73 4-24-73
i 2
7-Day 7-Day
95.500 90,500
3,523 3,33a
5-7/8" x 12-3/S" 5-7/8" x 12-1/2"
7-day test eo�lies with speciffcations.
Permitd36372
2,000 ps(
4-24-73
4 "HOLD"
3 5 "HOLD"
6 "HOLD"
7-Day
63,000
2,426
5-3/�+" x 12-1/2"
MADE 6Y DEIIVEREO BY RECEIVEO ON
CYLINDERS L. E. Sprague DaVC 4-19-73
oisTeieuTioH: �'�t'LDfI`'l7 Jn,l'LI Y� �J�:� , �
Coc*� an•a Bldg. Dept.
Don Cur�te �,,�� 2 51°73
Coast Gunite Co.
L. E. Sprague - 2 �
I � �
�'4 �,�,� � ,
��`�.�� „ , .
,
•LL REPOAiS �RE $UBMITLEO .�5 THE CONFIOENTIIL pFOPERiV OF CLIENTS, �VTMOFI3�TION fON GVBLIC�TION O� OUF NEnORTS. CONCLVSIONS, OY E��
TN�CTS fROM OR FEG�IROIMG THEM IS RESEFVED GENpINL OVR WRITTEN �V>NOV�L �5 � MUTU�L PROTECTION t0 GIIENTS, TML PJBLIC /.ND OURSELVES.
330 12
OWNER
I_l •�:[�
:j
� Pool Location _
�Forms
Main Drain _
Steel Reinforce
Elec. Bond _
Approval to Cover
Underground Electric �
Gas Piping Test
Filtering System Lines —
Backwash Lines and Recep.
Electrical Final
Heater and Vent Final �
Filter System Final
Backwash and Recep. Final
Fencing Final �
J'
DATE
BUILDING PERMIT N0.
6�y�
ZONE VALUE
DUP J TYPE
SUBCONTRACTOR
Electric
Plumbing
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' � 36372
COSTA MESA BUILDING-SAFETY DEPARTMENT
P_O_ RnX 1200 COSTA MESA. CALIFORNIA 92626
r:,=.v ;:39.=�C
'�1-�-7:'c:�-��� 487. :...
ForApplicant to Fi!l in Completely APPLICATION FOR BUILDING PERMIT
^ RECEIVEDBV DATERECEIVED DAT ISSUE�Df�
ADIDRESS �/J �"'^�tL �.I�OcJ1����1 � � �U
�� ��_O� P RMITNO
OWNERmQ��R (� �ClQ�1I� A.P. NO.
MAIL BUILDING ,Qr �� `
/'i .. � /�S��m� ADDRESS /J
ADDRESS ��IC/477 w / / �j �%
TEL. TRACT(p(p3/ LOT / BLOCK
cirv No. /5/�
CAN5TRUCTION EW ADD A R P
LENDER
BRANCH /
NER ( �EN [�
ADDRESS
VALUE
ARCHITECT TEI.. d BB't� $
OR ENGINEER N .
FIRE / �-`+
ADORESS �ONE TVPE L' G UP v
/� APPRO V E
CONTRACTOP (,V/�JCIL- B�' DAT �
ADDRESS�hYMe. ZON NO.OF USE OF NEW S
TEL. p�„q� gUILDING
CITV NO.
STATE CITY YARDSAPPPOVED V/�RDSAPPqOVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BVILDING
SIZE NO.OF BLDGS. (FROM C/L STREET)
OF lOT NOW ON LOT FFONT FT. FT. ET
USE OF
EXISTING BLpG, S E FT. FT.
SIZE OF NO. OF
NEWBLDG. ROOMS STORIES L.SIDE FT. FT.
EXTERIOR WALL ROOF
COVERING COVERING REAR FT. FT.
E OF BUILDING AND WOFK TO BE PEftFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
VAR.,$ DATE
(�j �y\ 0 C.U.P.# qPPROVED
APPROVED
I hereby acknoWletlge that I have reatl this application antl state
that the above informa[ion is correct and aBree to comply wi2h
ell laws regulati�9 builtling construction, and I shall not employ
any person in v�olatian of the workman's compensation laws of
ffie State ot Calitornia. �
b
I hereby certify thai I am properly licensetl as a conttactor untler SQ. FT. o
the S[ate ot California eusiness antl Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOfi g
Chapter 9, antl that such licenses are in full force antl effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLY: Q
am exempt froc� [f e provisions ot ffie Stare ot Calitornia Business VALVATION �
antl Professions Cnue, Division 3, Chapter 9.. �
///���n^ /'/// � PERMIT FEE $ j
SiBnawre o�ll� . `/i/ 9,�t/� �// / � � � m
7 �TTTL' "P�—UQ-�� C E
Permittee F �- .� $ � PLAN CHECK $
/ o
Auffiarized Agent �'
TOTAL FEE $
OWNER GLENN BOLLENBACH DATE 11�2�-�9
JOB ADDRES$ Z�qS f.armel Dr ive BUILDING PERMIT N0.
re
GAS
W ATER
ROUGM PlU!
PROG. SWR.
SPRINKLING
MiSCELLANI
ROUGH HEnI
TEMPOR4RV
UNDERGROU
ROUGH WIRI
LINE I I HOUSE CON.
1NG ANO NI
POWER
BONO BEAM IJ STEEL REINFORCE U
SNEATHING
FRAME PNO FLASNING
LRTMING — IN � OUT (�
PL�STER. BAOw'N C04T
STRUCTUR4l.FIN�L
HEr1TING. VENT., REFRIG. AND �.C., FINAL
PLUMBING. FINnL nND GAS TEST I�
E�ECTRIC, FINnL
SUBCONTRACTOR
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�ar�I iiiaii�a ��5010 TL
� COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION FOR STRUCTUR.CL PERMIT
P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92fi26
REC BY PERMIT ' -
For Applicant [o Fill in Completely — Use Ink Only M� 4 8 8 9 3
BUILDING A.P.NO. � � �IO 2 � d.Z
nooaEss �?9S GA/PM t! DR /V �
OWNER OR o ADDRE55 3 39S �/YY�2.V
TENANT GLE N R. �� nJpfJG
UNIT OR
ADDRE 5�3�IS G /PME� SPACENO.
TR.NQ.� LOT / � BLK.
CITY COST ESA NOSSi-�3GY �� �o
. NEW ADO ALTER REPAIR MOVING DEMOLISH
CONSTRUCiION
LENDER /�u N 2
i
BRANCH
OWNER
ADDRESS
ORENGINEERL E 8 � MQ TEL. _O�p� USE �. LUEE/�/�D
(O
coRo�vq ,p
ADDRESS J Scr3W CS iQ ZONE /� I VPE GROUP
r APPROVED
CONTRACTOR /�� BY DATE /I ��
ADDRESS G��S �w4t •
CITV �.�.v�3.� No`.��Z-37�F2
LIC. NO. �{I/ L I J�Z I.ICyNO.b[��Q APPROVED SETBACKS
512E NO.OF BLDGS. (FROM GL STflEET) ��
OF LOT � X ( O U NOW ON LOT � ONT FT.
i
USE OF �
EXISTING BLOG. �,� @�� i o
Separate permits are required for L. SIDE
electric, plumbing and heating work�. �,
REAR FT. e
USE OF BUILDING AND WOFK TO BE PERFORMED PLqNNING ACTION �ya.
:J
A'i � r C 1� I � E � J< i.. DATE
PPPROVED
r f �. Y D APPROVED`W�/] �� IO oZL
�C
I heraby ecknowletlBe that I have reatl this epplicetion antl imte �
Met che above Infarmetion ia correct entl apree to comply with
all lews ragulatinp builtlinB �onrtrucNon, antl I ahall not employ �
any person in violation of Me workman's compensatlon laws of °
the State of Califomia. S�� .:
m
I hereby cenity that I em praparly Iicansetl as a contractor under SQ. FT. �
tha Stata of Cali(ornia Businesa antl Proteulons Cotle, Divlsion 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR m
Cheptar 9, antl thet such liconses ere In tult force end effeet, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: �
nm exempt trom tha provisions of the Stote ol Celifornia Businesa VAI.UATION pERMIT FEE E q
antl Professiona Cotle, Dlvision 3, Chepier 9. , �� u+
n
SlBnature of PLAN CHECK E� �O o
Permlttee � �� 5/S ��O TAX E / � u
or
AuthorizatlAgant Da[e ?� TOTALPAID E
S•io
OWNER �,�g g�terprises Costa Mesa DATE p_g_7p
JOB ADDRESS 4�95 Carmel Th�ive BUILDING PERMIT N0. ql��$� ,
AP No. LOT 69 TRACT 6639 FIRE ZONE VALUE $
SUBCONTRACTOR
ROUGH PLUMBING
K P.11
ROUGH HEATING AND AIR CONOITIONING
UNOEftGR0UN0 U POwER
ROUGM WIRING
FLOOR SYSTEM
BONO BEAM � STEEL REINFORCE
SHEATHING
FRAME AN� FLASHING
LATHING - IN OUT
PLASTER, BROWN COAT
$TRUCTURAL, FINqL
HEATING, VENT., REFRIG. ANO A.C., F
PLUMBING, FINAL qND GAS TEST �
ELECTRIC, FINAL
�I 3418.2 P"'n
, '' , � - '-F -9-72cM;.00 379'+ ¢*� 171.00
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COSTA MESA BUILDING•SAFETY DEPAHTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
ForApplicant to Fill in Completely qECEI ED B V DATE RECEIVED DATE IS UED
ADIDRESS 33 5 Caxmel Dr. Costa Mesa � Z�s- p� � 7a?'
PEFMIT NO.
OWNEF Heltzer Enterprises Costa Mesa A�P�NO. -----
MAIL BVIIDING
ADDRE55 740 No. LaBrea Avenue ADDRESS 395 Carmel Dr/ive
TEL. TFAC � LOT(�J BLOCK
cirv Los An eles No•937-2171
L�ENDEq�ION United California Bank W A� A P
BRANCH Main Office
OWNER /
ADORE55 600 So. S rin St. Los An eles
ARCHITECT TEI. ' VALUS �SvOO
OR ENGINEEF David Freedman N. 65 -38 2
FIRE �
ADDRESS 113 N.San Vicente,Beverle H111S �ONE TVPE GFOUP
AGPROVED
CONTFACTOR Geor e J. Heltzer BV DATE
ADDRESS 740 No. LaBrea Avenue
TEL. ZONE NO.OF VSE OF NEW I�ES W t
CITV J,OS An eles No.937-2171 R� P�� 2 BUILDING dY•a e
L C No. 3144 LICyNO. 1900 YMAIDN BU DING ACCE SORVPBVILDING
SIZE NO.OF BLDGS. (FROM C/L STRE.ET)
OF LOT NOW ON LOT ROnfT �FT. FT.
USE OF
EXISTING BLDG. S^ T FT.
SIZE OF NO. OF
NEWBLDG. ROOMS STORIES L.SIDE FT. FT.
EXTERIOR WALL ROOF
COVERING Plaster COVEPING REAR � FT. FT.
USE OF BVILDING AND WORK TO BE PEflFORMED OISTANCE BET. BFf. MAIN&
MAIN BLDGS. ACCESS. BLDGS.
VAR. �i'+ DATE
Sin le Residence c.u.a.9w APPFOVED
Plan �k 407 .oaPaoveo WLD 12-20-71
AM rlb
1 horeby acknowletl8a that I hava reatl this applicatiOn antl stata HOLD FOR SPE�IA
[hat tha abova informeNon iz correct entl agrae io comply wit� �F!F .fT-
all lews .ee��ai��e builtllnp consttucHon, antl I shell not employ
any person In violation of tho workmen's campansation laws ot
R °
t�o Stato ot Colitornia. �
I hereby cartify that I am O�oOerly Iicensetl as o contrecror untler SQ. FT. D �
tha Stete of Californie Businesa antl Professions Cotle, D(visicn 3, THE AMOUNT SHOWN UNDER AIUATION IS FOR
Cheptar 9, entl that such licansas ara In full torce antl affact, or I THE PUFiPOSE OF 6�ABLISHING A PERMIT FEE ONLV: Q
am exempt from Me pr tsions of the Staie of California Businass VALUATION � q
antl Profasslons Cotla, ' ision 3, Chep ar PERMR FEE 5 � �
SiB^atura of �yJ '� a
Permlttee 1� 5 �,,,� PLAN CHECK $�i �i � E
�' o-� c
Authorizetl ABent � � u
TOTAL FEE $