HomeMy WebLinkAbout3396 CARMEL DR - Building PermitsPFOJECTADDRESS: 'jj9( CARM&L DR � ux�T: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 069674
OWNEN'SNAME: CONTALDO P.TTILIO FLOOD; AH-38
aooness: 3396 CAR�IEL DR PERMIT NO; P 069674 PLAN CHECK NO; N GOVT: N SUPP: DJ
COSTA MESA,CA 92626
COD7STRUCTION TYPE: 5—N PERMIT TYPE: PLU PURFOSE; REP
557-3840
AHCHIENGINEEN:
AOOPESS:
PEG.NO.:
I1NIT:
PEflMITTEE: APEX PLUMBTNG (719)557-1899
nonxess: 3012 GARFTELD AV
COSTA MESA CA 92626
LICENSEO CONTNRCTOfl DEQAflRTION: I nere�y atlirm IOai I am li[ensetl unaer pmvisions ol C�apter 9lcommencing wilh Sec�ian
7qp� ol Division 9 of t�e Business ana Pmlessions COEe, anE my littnse is in lull lorce anE ellect.
ciTruc.: 097783 STATELIL.:SS2O79 „ cuss: C�36, EXP: OS/95
�Oate: _� � , 1 8 • 4 � Sipna�ure: ��� � — �
WOHKEPS' COMPENSASION UECLAPRTI6N: I �¢i¢�y alti�m l�a ave a cenificate ot caxem to seH�insu�e o� a cenilicate al Wo�ke�s'
CAmoensat�on Insurance. or a teridietl coDY ��ereol (Seclion 3800, Lab. CI.
POLICY NO.: E%P. DPTE:
COMPANV:
❑ Cenifiea coDY �s nereDy fumishee. ❑ Ceniliea cooY �s IileU wiln ine cily Builtling �ivision.
Date: AppliCanl:
E%EMPTION iflOM WONI(Efl5' COMPENSITION OECUflATION: (Thb section neeE noi �e Compl¢Icd il IAe permii is lor ane AuMrM (f100) w kss�.
I[¢tlily Iha� in Ihe petlormante 0� I�e work �Or wAiCb Ihis Oermil i5 issue 15ha�1 noi employ any erson in any manner 50 as lo OtComE
su0leci lo t�e Wo�kers' CAmp¢n5diion Laws o� Calilomia.
,g,Jr
�_I o i 8. 9 ti Sipna�ure: �
NOTICE: If. afier making IAis Ee[laration, you S�oule Oecome su�� I lo Ihe Workers' Compensation provisions o� t�e LaOor
CoOe. yrou musl forl�wii� comON mID 5u[� prOnsion5 Or ��is permii shall be Geemetl revoke0.
LONSTRULTION LENUING RGENCY: I �ereby alfirm t�al Nere is a consimction IentlinA aAency for tAe Dedormance ol lhe wark lar
whkA inrs oermit is issue0 ISec�ion 3W7. Civ. CI.
LEN�Efl:
AODXE55:
OWNEB BWLOEB OECLABATION: I �ere0y aflirm ��� � am ¢�¢mpt Imm ihB ConlraclaK State �icense Law for Ihe IMlowing reason
(Section 7031.5 Business anE Pmkssional CoOe: Any ciry of county which rtpuires a permii m consnuct, alter, impmve. Gemolah, or
reoair any stNctme. pnor to ils i55uance. also repuhes ihe ao4���ani for such pe�mii to fite a SipneO Siatement lhat nUs�m Is ��cercie0
pursuant to ��e pmvisions ol itle Coniracmrs' $ta�e License law (ChaD�er 91��mmencinq wilh Seclion 7000) of Division 3 0l the Business
an0 Profes9on5 Coee� or t�al �elshe Is exempt t�eiefmm anE ihe hasis lor ihe allepeC exemptioa Fny violation of 5¢ction 7037.5 by
any apo�icant for a permit subjecis Ihe aoPlicant to a civil penalry of not more inan tive hun�reE dallars (5500�.
I, as owner of t�e O�oDeny or my employees with wages as their sde compensation, vnll �o tAe xrork. anE t�e
❑ sVucNre is noi intentletl or ollered for sale (5eciion 70aa, Business anG Pm�essional Code: The Contractor5' State LitenSe Law
tloes no1 apD�Y ta an awner ol a pmDeny w00 Duilds orimproves ihereon, antl who Ooes such vrork himsell/ners¢if or througn
�is or her own employees. O�ovi�eG IOat such impmvements are nol inlentle0 or ofleretl for sale. II, �owever I�e OuilAinq or
imOmvement is solE within one year ol comVletion, ihe owner vnll have ihe hurAen of pmving he/s�e Oi0 nat �uld ar impmve
larihe Purpose o� Sdtel.
I, as owner of Ne propeny, am exclu9vely cOnVacting with Iicense0 canlraciors Io constmci t�e D�oletl �Settion 7b14, Bu51nes5
❑ an0 Protes5rons COGe: TAe CAniraclof5' $Iaie License Law does nai appy Io an owfier of pmperty w�o EUAES OnmproveSlAereon
antl wtw comrac�s for wcn projects with a convacmqs�license pursuant m Ihe Contractars' Sta�e License Law�. t am aware
«� 0��� of I�eir Warke�'s Comp¢n5aiion insurance 5hou10 be pmH4e0 to me.
� I am eaempt unaer $ection: B. 8 P. C.
lor I�iS reason:
Date: Uvner.
I ao hert�y cenify tlWl I am aware ol ane untlersland �he repuiremenis of Califomia Heallh anA Salety fqEe SKtions 255�5. 25533. ane
2553C antl t�at I o� any tuture 6uilGinq acupant wilV��l not �tircle one) neeE to camply wilh sai0 stale cotles an0 the requirtmeNs lor a
p¢rmii IorWn5lrutlion or mo0ditaiion Irom I�e /Lr Oualiiy Manaqement �iSViCi. R¢SiOenlial conSlrutiion apO�iCalion5 3r2 ¢�emD� �rom
mese v�ovismns.
Oale: AOV�it3��:
I �ereCy C¢tlity Ihal l �ave reaG thi5 a00���w� anU S�ale Ihal l�C a00v¢ inlarma�i0n i5 COrreCt. I aA�ee IO mmply wil� all Ciry an0 c0uniy
orauWnces aM slale Wws ieWtinp lo UmI0m0 fAnsifuction anG nere�y aulMtve represenlalives ol Ihis ciry to enler u0on ihe aGWtrmentioneG
Df00etly IO�ipSpCCI100 O�fpnSCS. /��\,.,�
n,�e-��.��._! N SignaW�e: \ r. R—✓[,i
oriver's i¢ense or Saiai Securiiy r:
t6ai�e6 Wm�e-9untling; Graen—CoOe Enlorcemem; Canary—Applicem: Pink—Revenue; GoWenroE—Assassor
JOB DESCRIPTION : REPIPE KITCHEN DRAIN SQ FT;
CLAIM VALUE: CALC—VALUE: GAOUP OCC: R-3 /
COMMENTS: REPIPE KITCHEN DRAIN FROM OF KZTCHEN
at�ti�**�r*at*****�r�r*irrar�t**itiF�t****�t**�t�t***i�*atrr****ic�*****r*�*it�r****�c***�rr*r�tia��t**+t*
2 O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN FANT; FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARKING RE • PROV; PARCEL; 41210302 ZNE; REF NO;
PLANNING N TES>
�
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONZNG APPROVED BY ; DATE:
BUILDING APPROVED BY : DATE:
APPLZCATION ISSUED BY: ` DATE; �o�a7
*****�r**�r�**�ir�er*****�t�3F�r�ri��rr�*iFiF'iFiF�r3F3Fri'ir+r�iF'SF��* r�r��******+r*+r�iFiF*�r
itilitMiEifM�lMifMaf4itifMlfifMkilitkififillfilitifjfifiEkiPMif�kiFrilifilifMifiFififififffMifMifrlfififiElEM�fNiflfif V 1fMiflfMifkMiEit
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING
PERMIT 7,00
25t SMIP/NON—RES
PLAN
ISSUE FEE 20,00 "
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
TOTALS----> 7,00 20,00 0.00 27,00 27.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 27.00 OVER/SHORT; ,00
BLDG PMT FLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
27,��
ilifiFifMMMiFifihiFMiflfitifif�lifjfifififafafMkifififiliEffiflflfilkkititiflfitifilifiEifltMMlEililififlFifkifaf4*ifrrtMlflfiliFififififiEifN
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 REPAIR/ALTER DRAINAGE/VENT PIPING 7,00 7.00
END OF FEES
u� oo na�ss-ooi7o�vs T o T 27.00
6AiE: 10/31/9S TYfiE: 15:51
CONSTRUCTION AND PLANNING POOL & SPA
qPPROVALS Permit # Daie Inspector APPROVALS Permit # Date Inepector
1. Temporary Electnca� Service or Pole 52. Pool & Equipment Location •
2, Soil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility•Undrgrnd. 54. Forms
4. E�ectrical Conduit-U�drgrnd. � 55. Electrical 8onding
5. S�eel Re�nforcemen! 56. Rough Plumbing & Pressure Test
6. E'ecr�ca'. UFER G-�d. 57. APPROVAL TO COVER�GUNITE
7, Foot�ngs 56. Electrical Condurt�Undrgmd.
8 Foundation 59. Gas P�pe. C Untlrgmd., Tes[
I 9. 4'vater P�pe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgmd.
10. Structurel Floo� SYstem 61. APPROVAL TO DECK
7 i, p•operiy Sewer line & House Conneciion 62. Backwash & Receptor�Pinal �
72. 5�ver Cap . 63. Heater & Vent-Final
73. Roo� Drains 64, Plumbing System � F�nal
14. Rough Piumbing 65. ElectricabFinai
75. Roagh Eleariwi�Condwt 66. Solar SYstem�Final
16. Rough E'ectric K'iring 6>. Fencing & Access ApP�oval
77. Rough Wirin9 Sign 68. APPROVED FOR P�ASTERING
78. Rougfi E4ecViul�T Bar Cc�ling 69. POOL/SPA SYST£MS FiNAL
73 Ro�gh Heac�ng & Air Conditionin9 FIRE DEPT. REQUIREMENT
20. Ao.,gh Factory Fireplace APPR�VALS Permit #
21. O�cts, �n Strutt�re � � 70. Underground Hydro
22. Dutts, Venrlat�ng � 77. Product Piping CGas GOfi
I23. Ge� Pipe-Rough 8 Tes; - 72. Underground Flush
24. Roof Pram.ng � � 73. Undergmd.StorageTank OGas ❑Oil
25. Root Sheathing ' 74. Overhead Hydro
26. T�Bar Ceil'ing (Struct�rall & Monocoat 75. Dry Chemical
27. frame and Plashin� 76. Dry Standpipe �
28. Lathing & Siding . 77. FIXED SYSTEh1 F�NAL
29. Insu�2tia� 78. PIRE PREV. FINAL
3p. prytivall Nailing - NEALTH DEPT. REQUIREMENT
31. Ptastes Biovin Coat 79. FINAL 1NSPECTtON
�
32. Elzctnczl Pow2r Meter•Final � � B0. FQOD CERTIF�CATE ISSUED
33. Final Eleciric ' . Notes: �
34. F�nai Heating & Air Conditioning -
=! 7Q- �l - -
35.'Finai Gas Pipe-Test ' .
36. Hood or Canopy .' � � i
37. Final Factory Fireplace ' . '
38. Final Plumbing � ,��
39. Water Service�Final -
40. Gas Service-Final . � .
47. 5olar pomestic-Final
42. �Backflow Preventer
43. Backflow Irrigation
44. l.andscape Irri9ation $ystem
45. 5ound Ai[enuation �
46. Handicap Regulations � '
47. PINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Elecvic Release to Ed�son � .
50. Gas Release to Southern California Gas Cn ,
57. CERTIFICA7E OF OCCUPANCY
No. Date •
:
�
�
�
OJECTRODflE:� -33�6 CARMEL DR? �
OWNEN'SNAME: CONTALDO ATTIL1�U�a
nooness: 3396 CAR�7EL DR
COSTA MESA,CA 92626
APCH/ENGINEEH: 5 5 7— 3 8 4 0
nooness: MICHAEL D MILES
UNIT:
flEG.NO.: C4 85
5976 KLUSMAN DR ��'
PENMITTEE: �'TA LOMA CA 9 2 316
nooness: �VANTAGE ROOFING ( 714 ) 877-0242
125 HRYANT ST
BLOOMINGTON CA 92316
LICENSEO CONTBACTON OECIAPATION: 1 M1ere�y aHirm Ihat I am IicenSeE unaer pwvi5ion5 0l ChaD�er 9(commencing with Sec�ion
7000) ol Division 3 0l Ihe 9usiness anE Pmlessions Cotle. anU my license is in �ull fo¢e and el�ecl.
cirruc.: 05527a� 3 sT"TE"c.:468941 _ c�ass: C-39
Daie: �/�`/ � Signamre: �G�7���
WOBHEPS' LOMPENSATION DECLAMTION: I �ere�y aifirm Ihal I have a ceniliwie nl wn5eni �0 Selt-inSUre ar a ceni�icaie ol WOrkers'
Compensation Insurance, or a cer�ilieU copY �hereo� (Seciion 3800, LaG. C�.
POLICY NO.: pj.jC 1 8 Q 2 rj rj EI(P. ORTE: O i I S O I 9 3
camvaHr: GOLDEN EAGI�E
j� Ceni�ietl coDY is hereby �umishea. Cenitied capy is fileE wilA I�e ciry Builtling Uivision.
Date'. !f�-��' / z AOOlicant' —.�G �.l./.�1�
E%EMPTION PBOM WOflI(EflS' COMPENSATION OEClAl1ATIDN: (T�is sec4on neeA iwt De completea if �he p¢rmii ¢ �or ane hunOreO (5100) or less�.
I cetlily t�at in Ihe pedormance ol Ne work br whic� �hi5 permii is issuetl. I shall no� employ any person in any manner so as to become
subject �o Ihe Workers' Compensabon LawS oi Califomia.
Oate: SignaNre:
NOTICE: If, alter making this tleclaration, you shoultl become subiect to Ine woriters Compensation D�ovisions of �ne Labor
Code. you must lonhvnt� comply with suc� pmvisions ar ihis Dermit s�all Ge Eeemed revoke0.
i, CONS7HOLTION LENOINc RGENCY: I here�y alfirm that tnere is a consimction lentlinp aqency lor ihe Dedarmance o1 ine work for
' whicA t�is Dermit is issued (Section 3097. Civ. C�.
LENUEfl:
POONE55:
UWNEB BWLDEP OECIABpTION: I �ereUy allirm that I am exempt imm ihe Conirac�ors Slate License Law Por t�e follovnng reasan
(SeCtion 7031.5 6u5ine55 antl Pmfessional COEe: Fny Ciry oI toUnry w�iCh reOUireS a p¢rmii lo Cons�mC�, alf¢r, impmve, demoli5h, or
repair any slmcWre, Orior to its issuance. alm repuires ihe appliwnt lor sucA permii to lile a signe0 statement tM1al he/she is licensetl
p0�50d0i10111C pfOV151005 OI�IIE COltlfdt101S S�ate License Law�Chap�er9(commencine wi�h Seclion 7000)0l Division 3 o�lhe Business
ana Professions CaOe) or that he/s�e is e�empt therelrom anG t�e Dasis lar t�e a11eAe4 exemption. Any violaiion of Section 7031.5 Dy
any appliCani for a permii suEleClS ��e apD�itanUO a tivil Denally oi no� more I�an �ive hunGreC tlollars (5500�.
I, as owner ol ��e D�oDeRy or rtry employees w�t� waAes as ineir sole comDe�sa�ion, will do ��e wark, an0 Ihe
❑ stmcmre is no� intenAeO ar olleretl for sale (Section 70na. Buvness antl Proleuional CoOe: The Coniractors' State license Law
does not apply lo an owner o� a pmOerlY who CuiIGS or imD�avet �hereon, and w�o does such wark himselV�erself or Ihroug�
his or Aer own employees. pmvide0 Ihat suc� improvements are not intentle0 or ofiered lor sale. II, �awever Ihe builtling or
impmvemeni is sold wilAin ane year of tompleiion, I�e owner will have Ne OurUen ol pmving Ae/she Uitl nol huiltl ar improve
tor Ine ourpose ol salel.
I, as owner ol tAe DroOerty. am exclusively contractinq witA licensed contractors to consimct Ihe O�olect (Section 7fW4, Business
❑ anU Pwlessions CoAe: The Comractors Slate License Law Uces not aD�N �o an owner of pmpeM � bml0.s or impmves thereon
antl who coniratls br sucn pmjecis with a toniractor�s) license Oursuant to Ihe Coniractors' Stale License Law),I am aware
�hat O�ool oi Iheir Worker'S CAmDe�iion insurance S�ouIG Oe pmnUed lo me.
� I am e�empl untler Seclion: B. d P. C.
for t�is reason:
�ate: �e�
'. I Do Aere�y cenity ��at I am aware ol antl untlers�antl t�e requiremenis oi California Heatt� an0 Safety Cotle Sectians 255Q5, 25533, an0
I25534 ana Iha� I or any fulure �uilEing occupant wiilhxill no� (ci¢le one) nretl �o comply wilh said 51aie cotles antl the re0uiremenis lor a
permil lor constmction or motlilica�ion Imm I�e Air OuaLiy Managemeni Oisincl. flesiAential consiruction apD���ations are eKemp� irom
Ihese pmvisions.
Oate: ADDlicanl:
I hereby ceriify �hat I have reaOlhis ap0lication antl s�ale Ihal Ihe above in�ormalion is wrrecL I agree to comply wi�� all city antl counry
ortlinances ane slale lavrs relating lo GuilAing con9mction anG �ereby aNMr¢e repre5entative5 oi INs ciry �o enter upon ��e a6ove-mentioned
properry for inspection pu}rposes. �/
�ale:!'� ����` Signature: f/�1A1 �
Oriver's License or Sociai Searity a:
164P46 While—Bmltlino: Green—Code EnforcemenL Canarv—Aoplicanl; Pink—qev¢nue: Galdenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 05855
PERMIT NO: H 058553 PLAN CHECK NO: 03051-92 S GOVT: N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION ; AEROOF 3100SF RESID W/TILE FROM HEAVY SH SQ FT; 8,598
CLAIM VALUE: 8,598.00 CALC—VALUE: 8,598.00 GROUP OCC: R-3 /M-1
COMMENTS• TILE ROOF ICBO#4660 WEIGHT lOPSF MAX
�r+t*�r�rxx�r�r�r�r�t*r*�r*********�t*�r�t�t*+ar�r***+t�r�rx�x**�r�e�t**+t�r*�e�t*�t�e+a*ir��r +,�� rar}�. �
Z O N I N GS ERTEHQAUCIKRSE M E N T 3�IuIV�LJC 1�G I��,—�
------------ MAIN HUILDING ---------- --------- ACCESSORY BU�iN��"s�� ---
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT ZN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REO• PROV: PAACEL; 91210302 ZNE; REF NO;
PLANNING NBTES>
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N'T S
ZONING APPROVED BY DATE: _
BUZLDING APPROVED BY : DATE: �"i'
APPLICATION ISSUED BY: � DATE: � �I t
iFifk�fififikifikltif�ltkiEiFlE�ElfifkltiFaF7f7F"iF7f3F'{fif7FiF3FiF�F�F3f�Fafifi�Fif7F�fiFiFiF�3FiFkffifiFifikiFlfif iFik
�f 1flf 1f if it iE k!f fflf ik 1flE if ft if iF 1f ik k it it if it itif it M iF if 3f k M If 1flF �flk 1F k iflf itlkiflflf k!f k if iFif k it if ikif it if IE�t �k IFklf ik M ik 3f iF If it �k itlF 1k 3F
LEGALIZATION:N F E E. S U M M A R Y STAUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERNIT 108.00 ' ,B6
PLAN 70.20 ", i SMIP/NON—RES
ISSUE FEE �
BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK ,• TOTAL PAID DUE
TOTALS----> 108.86 0.00 --'70.20 � 179,06 179,06 .00
. i
REVENUE DIVISION TOTALS--> COLLECTED: 179,06 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/TOT GRADING PLAN—CHECK
108,00 ,86 70,20
iF it it it iF iF k �f 1liflf If i! i! iflFlf k k�k k k�k If it �F k�k k if �klF 1F �E if 1f it �t iE iF k if iti! 1k i1iF if iF if if it itil iflF iF it"� �it If �F if 1k�f it if iF �t iF fF iF IE iF k if �F
I N D I V I D U A L F E E_ B R E A R D O W N
TYPE QTY D E S C R I P T I O N
SFR 8598 REROOF BY VALUE RESID
END
NIT COST TOTAL COST
1,00 8,598,00
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permitm Date Inspector pppROVALS Permit,� Date Inspector
1. Temporary Electrical Servl�'e or Pol J� 52. Pool & Equipment Location
f 2. Soil Pipe�Undrymd. .. '- 53. Steel Reiniorcement
`��,Fl4ytryca{'Cp�duitUtlGty-U'ndrgrnd�A, � 54. Forms
:4L ElCctrical�anduiT-lltldrgmd. �� � 55. Electricai Bondmg
',� `.�Cgel Reirrforcerde�it, "- 56. Rough Plumbing & Pressure Test `��
s6.,gj�trical�UFER �tid. 57. APPROVAL TO COVER�GUNITE
=7.�FoPtings.,; �- 58. ElectricalCondwrUndrgrnd.
tr,8,; �oundatio,�' �� t- 59. Gas Pipe, � Undrgrnd., Test �
�-
9� Water Pipe,Unckgmd. 60. Backwash Lines, P�Trap, .� Und�grr.d,
10. Structuraf ftoor SYstem � 61. APPROVAL TO DECK
77. Property Sewar Lina'& HoGse Conneetlon 62. Back�vash & FioceptorFinal
12. Sei6rer Cap y y � 63. Heater & Vent-Final
13. Roof Orains - �- � 64. Plumbing System � Final
14. Rough Plumbrrt§ 65. Electrical-Final
15. Rough ectrical•Conduit 66. Solar SVstem-Final
16. Rough E(ecuiCLViring 67. Fencing & Access ApProval �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough ElectricahT Bar CeiHng 69. POOL/SPA SYSTEMS FIPlAL
79. Rou9h Heating & Air Condi:ioning FIRE DEPT. REQUIREMENT
- - - tr�m � z F - v
20.rtioifgh Fa'�torj� Fi�c�;face ��T w f � S� 7F r� PPRWAT.rS�-�9ernTit # �` �' `'
f" p
> C_ � -' --� n > �
21.�'pupLs.inStratctuiQ� i .. �_, � S - -�r. 0. UadergrqiaYct7Hy�o �� �
22.�Ducti, VantiAtin'�+� • (7S ^ � �S T� k• 7. product:�'pir�g G`Q�s ❑�7i1
23.�fjas•Pipe��iough&"�est i �S g � ` S�K�;j2, Undergrouj�FlusFy�� � -
24.�#ioo�Framing• -: '��- -'� - �c%�3.�lndergmcPStorag�yi�lkQGas'OC!'if
25. Roo[Sheathing °'� S -�g'� -C�` (Q � . ,� ` 4;;Q�erl�.ead HYdro~ s
26. 3�Bar, Ceifi�9 (Str�cturalS & jclonomat `� T" .T.* t 75.�ry Ctfe i al � �"' = z
_ �
27.''frame and Flashin "` s " t "'' r a p�. ; 5 r x
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`.28. �.athing & 5idingf'+c ; �:ts x c F_ ••< x 77,�FIXED SY$ E-� NAL� _
l
'29. Insulatioo `: ,`�, ' � ^ �� � ` � v „ 78..f IRE PREV. FINAi a � r
� i_ .
30. Drywall Na�ling •cre s n t HEALTH DEPT:Rf�IHR • ENT
c
.31. Plaster Bcpwn Coa�,x S -- .� r 79 r'FINAL INSP.f�CT�Q�I �" - 7
�
��2. flectricaHPower Pfieter+„Final �� c�; s u�$0.' EOOD CERTIFICXY7E IS3i1 D
s �
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- = t�l�/ t
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47. _EINAL STRUCTURE & BUIGDING v +/9 gL �L„�« : .� � i �
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48.'FINAI PLANNING' � '_ = t �; • (. r - - { e -
.
99. �lectric Release to Edison , � ^ S .:, � _ � v
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50. �Gas Release to SouQiem Cali}otnia Gas Co y .',� �' " :.�;". � - •
'31. CERJIFICATE OFDCCUPqN � w R >. ; .,c �,� • ! .
No. Date
�-�� �
JOB ADORE55 b arme r ve BUILDING PERMIT N0.
501 L
GAS
W ATER
ROUGH PLUMBING
PROP. SWR. LINE � MOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
NOIIGH MEATING ANO A�R �ONORIONING
TEMPORNRV SEFVICE OR POLE
UNOERGROUN� � POwER �
ROUGH WIPING
TRENCHES FORMS STEEL REINF
FLOOR SYSTEM
BON� BEAM n STEEL REINFORCE (�
SHEATHING
FRAME ANO FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COPT
STRUCTURRL. FINAL
HEATING, VENT., REFA�G. ANO A.C., FINAL
PLUMBING. FINAL AND GRS TEST n
ELECTRIC, FINPL
BWLOING, FINFL
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX i200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUI LDING
ADDRESS 3396 Carmel Dr. Costa Mesa
OWNER Heltzer Enterprises Costa Mesa
MAIL
ADDflESS 740 No. LaBrea Avenue
7EL.
cirr Los AnQeles No.937-21�
BRANCH Main Office
ADDRE55 OS A eles
ORENGINEER Dav�d Freedman nTio�65 - 2
ADDRESS113 N.San Vicente,Beverley Hills
CONTRACTOR Geor�e J. Heltzer
Aooaess740 No. LaBrea Avenue
TEL.
CITY Los AnReles No� 937-2171
�ic No. 3144 uc�No. 1900
SI2E NO.OF BLDGS.
QF LOT I NOW ON LOT
USE OF
EXI5TING BLDG.
SIZE OF NO.OF
=RIOR WALLp1dSteT, ROOf
ERING COVERING
OF BUILDING AND WOFK TO BE PER
_�� 9'77Ph1UOO 371�` ***
r,nsti 129.0�
APPLICATION FOR BUILDING PERMIT
RECE VED BV DATE RpECEIV�7ED DATE ISSUED
� � � J —/ — �' �
YERMIT NO.
A.P. NO. —�—"
BUILDING
ADDRESS
TRAC�i�� LOT(Q BLOCK
W A D A T R P
OWNER
VALVE
se O - laDO�
FIRE �
ZONE TYPE GROUP
APPROVED
BV DATE
ZONE NO.OF
PLANS
VARDS APPROV ED
MAIN BUILDING
(FROM C/L STREFSF
DISTANCE BET
MAIN BIDG$.
VAR. #`
0.U.P. AE
APPROVED
r
USE OF NEW PQS.
BUILDING att_T
VARDSAPPROVED
BET. MAIN $
I hereby acknowledge [hat I have read this application and stare nuLD FOR SPECI L RE
that the above information is corract and agree to comply with
ap laws regulating builtlinB consvuction, antl I shall not employ
any person in v(oletion of ihe workmon's compensation Iaws of
ihe State of Califomia. �/��
� hereby certity tbat 1 am Oroperly licensetl as o convactor under SQ. FT.
the Staxe of California Business and Professions Code, Dlvisicn 3, THE AMOUNT SHOWN UNDER VA
Chapter 9, and tAet such licenses ara in lull force and effect, or I THE PURP�E OF ESTABLISHING A P
am ezemp[ trom the pro i ions ot tha State of California Businass VA�VATION
and Protestions Cotle, D r on 3, Chaptes 9 PERMIT FEE :
8ignature of � t
Permiitee � $ \/�y PLAN CHECK 9
Authorizetl ABenx �✓ �+� ` � v
� TOTAL FEE
m
O
ON IS FOR �
FEE ONLV: Q
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OWNER f�LTLER Ehterprises Costa Mesa DATE 2�8_72
JOB ADDRE55 3396 CaT'mel Drive BUILDING PERMIT
GENERAL CONTRACTOR Ge�r e J. Heltzer DESCRIPTION of WORK Res.w/at
AP No. LOT 61 TRACT 39 FIRE ZONE VALUE $ 23 OC
INSPECTIONS S�a�ar�.e Dare GROUP I&J TYPE V
soi� �� SUBCONTRAC70R PERMITS ISSUED
�A5 Date Number Sio
WATER I � Qiwpbinq . /f
ROl1GH PWMBING � J -/�jy p� O� ,� '
PROP SWR LINE HOUSE CON j� r% U J�J /pAy )�j / p'%
ROUGM HEATING AN� AIR CONOITIONING
TEMPORARV SERVICE OR POLE
UN�ERGROUNO � POWER �
ROUGH WIRING
TRENCHES FORMS � STEEL RE
FLOOR SYSTEM
BON� BEAM � STEEL REINFORCE
SHEATHING
FRAME ANO FLASHING
LATHING — IN fr� OUT �
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HEqTING, VENT., REFRIG. ANO A.G, FI
PLUMBING, FINAL ANO GAS TEST I��
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COSTA MESA BUILDING-SAFETY DEPARTMENT
� �vnoeun ooc�a
PhIL
%FB 19-7�+�,T�.00 719" *-*-•�5.5Q
A P ICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
/ �pM R BV DATE RECEIVED DATE ISSUED
AD'DRESS �.��T / b LTG'OVt. �. ��i /�� �� �
OWNER /� Yi�L�O G�o�✓yA��o A.P.NO. �'� � O PERI4DTj���
JIJp
MAIL sA�+F AS• /Q��•�E ADDRE S� /^
ADDRE55 j
CITYf��S�!A �+'��rA NOL��%SQ TRACTIQ � LOT � BLOCK
CANSTFUCTION �Q�� W ADD A P
IENDER
BRANCH
�, OWNER ,/
ADDRESS VALUE �
ARCHITECT TEL. S D S �
OR ENGINEER � N .
FIRE �
ADORESS '� ZONE TVPE GROUP
CONTRACTOR OI✓i✓G'C'8 y" BYPROVE DATE �
i
ADDRESS
TEI. �ON NO.OF USE OF NEW
PLAN$ BUILDIN ) /_
CITV NO. �
STATE CITY �'ARDS APPqOVED �A DSAPPROVED
LIC. NO. LI0. NO. MAIN BUILDING SORY BUILOING
SIZE / � � NO.OFBLD(dS. (FROMGLSTREET) � x� � �� /
OF LOT aO %! /DD NOW ON LOT � FRONT FT. I G FT.bPi .
USE OF � �/
EXISTING BLDG. �^^ � S FT. � F7.
SIZE OF �� � �� / NO.OF r
/I
NEW BLDG. ROOMS $TORIES L. SIOE FT. p FT.
COVE ROINGALL � COV�ERING 2 X�'r REAR FT. � C IS' �FT.
VSE OF BVILDING AND WOFK TO BE PERFOFMED DISTANCE BET. BET. MAIN&
MAIN BLDf3S. ACCESS. BLDGS.
�%L � G �Dn/ B r �c �/ �OA %%O VAR. �k DATE
C.U.P.# APPROVED
APPROV I � ��/ ��
/ .
I hereby acknowletlga [hat I have reatl this applicaxion antl state $TAY/�
that the ebove information is correct end agree to comply with �
oll lawz regulating builtling conshuction, and I shall not emplOy �
ony person in violation ot the workman's compensatiOn laws ot
m
the S[ate ot Califarnia. �' �
I hereby certity � SQ. FT. T� o
THE AMOUNTSHOWN UNDER VALUATION IS FOR �
THE PURPOSE OF ESiABLISHING A PEfiMR FEE ONLV: m
¢
VALVATION � m
PERMIT FEE $ �
c�(��� `�D �
Signature of A m
Permlttee �rv1 S (f / PLAN CHECK $ E
� `o
LL
A�thorizetl Agant TOTAL FEE $