HomeMy WebLinkAbout603 BROOKVIEW WAY - Building Permits0
OWNEF'$ NAMF. B�j!
RODN[SS: ( 'J �
Cb1..
(714)
APCM/ENGINEEfl:
PD�flE55:
BROOKVIEW WY
IEW CONDO HOA
A., 92627
587-0399
flEG.NO.:
UNIT:
uxir:
PEflmiTTEE: MESA ROOFING CORPORATION ( 719 ) 548-3012
anonEss: $q3 W. 17TH ST
COSTA MESA CA 92627
LICENSE� CONTRACTOR DECLAXATION: I nereby zfixm Ihat I am hce^seJ untler pmvisions ol C�aDter 9(tommencing wii� Section
�, i0C91 ot �rv��s:on s ot ihe BuSIn¢55 anc1 P�olessions Codo, and my fic?;�e is in ^� an4 eifect.
� crtruc.: 035681 sTnTeuc.:5641 cuss: C-39
�7 �"
,I-�eie C � ��— Signatur _ __
� WOB�OMPENSRTION DECIARAT�4N: I here5y attir Ihai I �ave a rerti ,e ol con5en� I seli-in re or a certiticate ot Workers'
� Com�en:ation �i �ye� o� �c�r�'� �p� �nereoi �Seciio� seoo. �3'� b 7/ O S/ 9 9
voucv xo.: GOLDEN EAGLE E%P. DRTE:
L�MPANY: rY
� LI CertJietl capy is �ere6y furmsned. L� Cehilled c wM tne c�y Budtli. 5ree.
I�; Dare'. � ` - � _ / � AOD'�icam ��,c� _ -
� EKEMPTION fBOM WOBI(Efl3' COMPEN�ITION OEClA1UTl� . Rnis seclion nee0 oot De com0letetl il ihe p=�mi1 Is 1or one �enareA (St00� or less).
I ceNfy Nal In ihe GeAormance ol Ihe work br whic� IN5 permi: i5I55ueG. I s�all not emD�oy any person in any manner so as �o bewme
�I suble�� �a Ihe Vvbrwers' Compensation laxs ot Calilornia
�I Ozte: - Signx�ure-
NOTICE: If. after mal.ing Mis �eclaration. yoc SWulo �?:om6 suo�tct to the Vlorke!s' Compensa�ion provi5ior.s oi the La6or
Cotl2. you mu9 torlhw:iS nompl9 x%h su;h omwsions o� ifis oermh s�aA �e OeemeA revok0tl-
W05TNUGTION LENOING FGENCV: I her=by atllrm Inat there ¢ a cons!mcllon lentling a9ency tor I�e pedormanc^ of Ihe work tor
wn,C'i ih�5 �ermn is ISaeU �Seqiac 3C97. Clv. CI
LENUEfl:
AOUflESS:
OWNEF 9UILOcR OECLAHATION: i �ereby athrm'het I am exemC� irem t�e Cenuaciors' 9aie License Law tor ��e following reason
�Seci�on 7C?1 5 BGS'.n¢55 2�� Plo�es��onal OoOe' Any d�y 0� LGL�?ty N�¢h reduires a p2frtlit �0 GOnSVUG�, dl�¢f, improvE. d¢RAIiSh.Or
=.;v any s::uc�urz. prior t�� �;5 issuance. also recroses t�= ;ppllani tor such permil lo fiie a signetl sta�ement t�at �e/s�e I5 bcense�
cursuanuo Ina o�ovlsicn; �1 me Gon�racmrs' S�ate Gcense Lxw ICGapie� 9(commencing wr,h Sec�i�n 7000� ot Division 3 ot the Busiaess
�nC Pmfessions Code) or Iha� hershe :s exempt Iheielmm antl Ine �asis lor @e allegetl ?.Emption_ Nny violation of Seoiion 7W1.5 by
any ap01¢an� lor a Dermit subiects the appllcan�to a civd pena!ty o� not more than hve �unAred dolla:s (3500).
I. as ormer oi Inp O�operty or my empio/ees wi:� wages as t�eir sole compensalia�, will do �h? worM anC Ihe
❑ s.mciu�e I5 not in'entlad o� o��eretl b� sale �Sec�mr 70�d. Busmess antl PmfesSlonal CoOe Th� Con:;acrors State License Lxw
�oes no! apply Io an ownei ol a oro�efiy wno bu9�s or irrqmves Ihereon. antl w�o does suc� work �imse'1/herself or through
hG or "er mon em0loyeeS p�ovi�etl thai sur,n inp�ovem¢nis 2�e nol intenCeo or ofleretl �or sale. tl, however Ihe buildi�g or
Imp'.ovement is sold wl�hm One yez: of conpleuon. the owner x�tl' �ave i�e Curtlen of proving he/she tlid noi bulitl cr impmve
lor Ihe pumose ot saleJ
I, as owner ol Ihe pmperty, 2m extlusively confact�ng vr,h licenseo wntractors (c construc� Ihe pmlec� (Section 7044, Business
❑ an0 Pmfessions Code: The Gontracmrs' Staie License Lz�a aoes no� apply Ic an m�ner of propeny who buiips or im0�ove5 t�ereon
and who conlracis for sutn P�N"Cis wii� a conLactoqs� hcens? pur5uanit0 Ihe ConVactors' S�aie License Law). I am aware
��at pmol o� the�r Worker's Compen5aiion insurance shoultl be >moitl?c Io me
-� I am exemo� under Secuon� B E P C
tor m�s reason
o�re c:.,E
:.o neraby cenny i�al I am aware o� anC unae¢�ana me r=awremems o` L3irtornie Nealm and Safety Code Setlions 25W5. 25533. asa
2ii34 yntl Ina� ! o� anV �ulure bmltlinS occupan� wilnwtll not lnu:e onel -e¢: ;o LOTaIy vnth sala state co�es antl rtie requlremems;o: a
�P�.nil ior GOnSb�c�ion or motltliG3li0ii imm Ihe An Ouahly Manag�meo; DS,ntl Re5i0en03� conSlmciion apphc2li0n5 are eeempt �mm
_ifiE piCYIS�f15
02te _ QPPLCdnI
� i2�e0y cetldy I�ai I have roatl Itns AophCapon and slaie L�a! �he aCovg inlo�naUo� 6 correci I agree Io comply with all pty antl counly
�evnt°sanastate�avdseelaUngtp�wldingconsimclionannne�e9^ � ' ' _-'t" d�niscitytoenieruoontneaGove-�entioned
_'09P°.y IQii05pEChaO O�fpflSPi
_ �- � 7_—i��F� S�gnatu o _� li����--
7�.e: s �menso or Sociai Ser.unty �.
_ �_ Wm:e-Bmitling�. G�een- Gotle Enb�wmen•, Ganar� Fop�cam �i,.�-Revenue_ Goitlenwtl-Asseasor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 064027 PLAN CHECK NO: N
CONSTRUCTION TYPE: � PERMZT TYPE: STR
JOB DESCRIPTION : T/OFF, � 6 REROOF W/COMP SHINGLES
PERM NO: H 064027
GOVT: N SUPP: N
SQ FT;
PURPOSE: OTH
CLAIM VALUE: 8,645,00 CALC—VALUE: `8�645.00 GROUP OCC;�R-3
----�
COMMENTS: REROOF W/COMP SHINGLES INCLUD 60'3-605-607-609-611B�t90K�IEW
*«**x�rr****�e�r�r*�r�rr�r*��e*r***rw��rSex+r+�**xn�� r.�*r***r�r*�*�**'*r *,��r
Z O N I N G R E Q U I R E[� E N—'!' S
S E T B A C K S
8,645
/M—i
------------ MAIN BUILDING ---------- --------- ACCESSOEiY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKZNG REQ: PROV; PARCEL: 93405061 ZNE: REF NO:
PLANNII3G NOTES>
i
*�r�r**x�***�r��r****,«�r**,r,e,e**,r***�r**�r,«*�*x***�r*�r*,«x***�rx****��+�*«****��x+�x�*�***�***
D E V E L O P M E N T S E R V I C E S A E Q U I R E M E N T S
ZONING APPROVED BY ,
DATE:
HUSLDING APPROVED HY ; DATE:
APPLICATION ISSUED BY; DATE: /�' '
x**��e+e*�r**�*��*�e�r�rx�r�r�r r�+�x+c�r****�-�����r�
� *
1F k �f% i! k M 1f �e k�f iF tE if if%�f %k !f k iF k ftk 1Flf iflf 1f 1f M if if !f ik fE M4 k N M ff k 1f ifkM k fk 1E k1flE 1t ff ff 1f k 1E ?f1E If ff K!F 1F k ft if M iE !f iE if ff tE iF if
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMHING ELECTRIC MECHANZC FIRE SMIP/AES GRADING
PERMIT 108,00 86
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 108.86 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
108.00
TOTAL PAID DUE
108.86 108,86 ,00
108.86 OVER/SHORT: ,Od
FIRE SMIP/TOT GRADING PLAN—CHECK
.86
if if if 1f 1f 1f If 1f if iF 1F ff fE if ffit ff 1E if 1f If ffilif 1f ff If IE ifif if if # 1f If !f if 1f fE Y 1flF IE ilif 1f if 1E 1! 1F 1f M if fEiF If 1F 1E 1f 1f if 1! 1E if iF fE 1f 1E if if 1f k 1f if M 1f 1f if 1E
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
SFR 8645 REROOF BY VALUE RESIDENTIAL N020NE 1.00 8,645.00
END OF FEES
:�tV1J�E G� Iy�;;1CJ�i
REQUIREC
�./lr%//i�y �i _ - -
%L �_ fl. � _
COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 „�
APPLICATION FOR BUILDING PERMIT
eui�oiN ,71. `w V - � - _
AODRE$
r P�fvl
OWNER HELTZER INTERPRISES-BROOKVIEW A.P• NO. �J� -U3 �� •
MAIL BUILOIN �
2 . p
ADDRESS 740 N. La Brea Avenue ADDRE55
a v arv Los An eles CA 90038 No� 937-2ll TFACT G^ LOT e�ocK
�Z
Z Q ODN57RVCT10 W A A P
p m LENDER `�nited California Bank V
/�
� � BRANCH Main Branch > �� �.
-� � OWNER
m J ADDRESS 6�� .S. S T1I1 St. L.A. 90054 / q�lI�_ ��
m ARCHITECT�c TEL. 5 �` ^5 '""
J a OR ENGINEER 121a5 & Silverman N 653-0160
U N FIRE
w Q ADDRE55 113 N. San Vicente Beverl �']11 ZONE TVPE GROVP
p, W
APPFOVED
J O CONTRACTOR Geor e J. Heltzer BV DATE
m Z
�� ADDRESS 740 N. La Brea Avenue
w w TEL Z NO.OF USE OG NEW�. � �ih J�
Z� ciTv Los An eles CA 90038 No. 937-2171 ��'C� °'-^"S ��- BUILDING � Z_. ti�i
� STATE CITV ��+%�DSAPPROVED VARDSAPPROVED
y� uc. No. 3144 LIC. NO_ MAIN BUILDING ACCESSORV BVILDING
7� 512E NO.OF BLDC.S. (fROM C/L STR ET
OF LOT NOW ON LOT FROM 3� �T. FT.
USE OF ^
EXISTING BI.DG. �`-' FT. FT
F SIZEOF NO.OF 'L TOFT.O!�(' FT.
Z NEW BLDG. ROOMS STORIES L. SIDE
a EXTERIOR WA FOOF
V COVERING �las[er COVERING WOOa REAR ��+FT. FT.
J USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN 8�
a Res' dential MAIN BLDGS. ACCFSS. BLDGS.
a (� //
0 �l"`� /�/ � .K� C .lC C.V.P.qWZLC-7_3'� APPROVED���C'-��
~ APPROVED
N
p11\
UI hereby acknowletlga ihot I have reatl [his ap0lica[ion entl state �/ ,�, U
� cM1at t�a above iniormation is carrec[ antl agr¢e i0 comply with '
� ell laws regulaifng bviltling consVuc[ion, antl 1 shall not employ ;
r any pe�son �n violetion of Ihe workman'S compensation laws of
Me S�ata ot Celifomie. / � \ m
%< �
? I hereby certiiy that I am prop¢rly licensetl as a convactor an0er � n SQ. FT. �/ i!� ����� � o �
the State of California Businass antl Prafessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FpR �\/��
Chapter 9, and t�at suc� licenses are in full force entl etfect, or I THE PURPpSE OP ESTABLISHING A PERMIT FEE ONLV: m ���
am eKemOi from t�e provisions of �he State ot California 8usiness
VALUATION �%
antl Protessions Cotle, Div' ' n 3, Chepter 9. PERMIT PEE $ /l r
Sipnanre of '� � '/ � . / � �-{ /�) n• m
Permittce . ' / l / G. : .•JC ,' S � � �/ � / /, ./ PLAN CMECK S •/ ` �'� E
//�{—� f� A a
Aut�orized AOent ! . ! _ _ _ _ . _ LL
�: ✓il1�/sYJI �� _ _
, ;.".
COSTA MESA BUILDING-SAFETY DEPARTMENT �
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 .,�
_ �,�. ,r
�- ;
�'r 1 ,...< <;� ;�.c,:�- ..x:: i�_.]�
APPLICATION FOR BUILDING PERMIT
:EiVE[]/BV DATEAECEN6D nnrc����.
OWNER HELTZER ENTERPRISES-BROOKVIEW A.P.NO.
MAIL BUILDIN
ADORES$ 740 N. La Brea Avenue p.DDRESS
Z .
a � cirv Los An eles CA 90038 No� 937-217 TPACT �
�� LENDER�'��i7nited California Bank v A
am /�
� � BRANCH Main Branch
J N OWNER
m J ADDRESS 600 S. S rin St. L.A. 90054 ,/ . j
-' N OR ENGINEERF'lel(IS & Silverman oiE�'653-0160 us uiKG[-
U FIRE
W� ADORESS 113 N. San Vicente Beverl Hil ZONE
aw
APPROVED
J O CONTRACTOR Geor e J. Heltzer BV
m
�� ADDRESS 740 N. La Brea Avenue
LOT
DATE
1
BLOCK
W w TEL. NO.OF USE OF NEW� [.p�.l�c7
Z� cirr Los An eles CA 90038 No. 937-2171 � � P�NS Z BUILDING .�� A2
w O STATE CITY �ARDS APPROVED VAR�S �+PPROVED
jO uc. No. 3144 LIC. NO. MAIN BUILDING ACCESSORV BVI�DING
SIZE NO.OF BLOGS. (FROM Ul STR�
OF LOT I NOW ON LOT ROM 3 �
USE OF
EXISTING BLDG. �2-- F
F' SIZE OF NO. OF /J
Z NEWBLDG. ROOMS STORIES 2 L.SIDE TOF
a EXTEAIOR WA ROOF �J
V COVEFING �'laster COVERING wOOd REAR �/�±F
J USE OF BUILDING ANO WORK TO BE PERFORMED DISfANCE BET.
a Res'dential MAINBLDGS.
&
O �/`V l/S _(.(/ /[jf CURP.9y-�� 7� � APPROVED� �—
� .4PPFOVED
N
Z
�
UI hvreby acknowlatlBe thac I heve reatl this aoP���ation and state
� Iha[ [ho ebove intorma[ion is torrect antl agree to comply wlth
� nll laws rogula[inB builtling consxruction, antl I shall no� employ ,
� nny pe�son in violation of the workmen's compensation lows of `
� tha Stam of Cnlifomin. � � �
zI haraby cartily that I am properly licensetl as a con[rac2or untler - SQ. PT.
t�o Staco oi Californio Businoss en0 Protessions Cotle, Divisicn 7, THE AMOUNT SHOWI
Chap[er 9,�nntl ffint such licensos ere in full torco entl eHect, or I THE PURP�E OF ESiP
um eaompt irom tho proviSiOns Ot the $tate ot CnliSornie Businoss
ontl ProfessionsCotle, Di ''on 3, Chapter 9. VALUATION
/ F
Sipnomra of . /�� � / � ����"L/
Parmlttae ` G $ � �, F
Authorizetl Apant / _
/� 7q.�' m
� /� b
.i�lJ�//,� _ - O
VALUATION IS FOR �
A PERMIT FEE ONLV: \?
o`
LL
� CITY OF COSTA MESA
; _ � � -� BUILDIN6 DMSION
� DEVELOPMENT SERVICES DEPARTMENT
� PERMIT
��
l
" PERMI�
E99-00191
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
Owner:
603 BROOKVIEW WY
93405060
DICK JANTZER
HALL, DAVID P
Address 603 BROOKVIEW WY
Contrecror:
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1 OOOa
Motors l0 1 hp
Motors to tOhp
Motors to 50hp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panet to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
COSTA MESA, CA
ELECTRICAL PERMIT
Phone: 714-571-8380
Zip:
Phone:
Zip: 92626
Phone:
Zip:
License:
Status: ISSUED
Applied: 03/10/1999
Issued: 03/10/1999
SCOPE OF PERMIT
LEGALIZE 220LINE INTO EXISTING LAUNDRY ROOM TO CONVERT DRYER FROM GAS TO ELECTRIC .
$22.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$4.25
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Disl System / Lighting
Busway /100 k
Standing Section
Misc Electrical Equipment
Transformers up to 1 kva/kw
................up to 70 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage EQuipment
Low Volt Wiring System / Ckt
Misc. Conduit
Misc. Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$4.25
$0.00
$0.00
TOTAL CALCULATED FEES $30.50
COMMENTS / SPECIAL CONDITIONS
Quantity
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inepeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545628
y
WORKERS' COMPENSATION DECLARA710N:
I hereby eHirtn under penelry of perJury one of the following declarations: . —,.
� I have end will melntaln e certificeta ol cansent to 5eN-Insure for workers' compensatlon, es provided for by sedlon 3700 ot the Labar Catla, for Ihe peAormence o1 the
work for whlch this permit is Issuetl.
❑ I heve end will meintein workere' compensation insurance, es required by seclion 3700 of the Lebor Code, for the pedortnance ot the work for which this pertnit is issuetl.
My workers' compensetion Insurance cerder end policy number are:
Cerrier: Policy Number:
(This section need nol be comp/efed fl the pelmit /s velued af one hunUred tlollers ($f 00) or less.)
❑ I certity Ihet In the peAormence oi Ihe work tor w�ich this pertnit is issued, I shell not employ eny person in eny menner so es to become subject to the workere'
compensetlan laws of Celifomle, end egree that If I should become subject to the warkers' compensetlon provislans oi Section 3700 of the Labor Code, I shall farthwith
Comply with Ihesa provision5.
Applicant Signeture: Date:
WARNING: FAILURE TO SECURE WORKERS' COMPENSAPIXJ COVERAGE IS UNLAWFUL AND SHALL SU&IEGT AN EMPLOVER TO C(iIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUN�REO
TKKISAND OOILARE ($100,000), IN ADDITION TO TNE CQST OF WMPENSATION, DAAV�GES AS PRWIDED FOR IN SECiION 3]080F TNE 1A00q CODE, INTEREST, AND ATTORNEYS FEES.
LICENSED CON7RAC70RS DECLARATION:
I hereby eflirtn that I am licensetl untler DroNsions ot Chepter 9(commenpng with Section 7000) ol Divlsion 3 of the Business antl Professions Code, antl my Ilcense is in full
torce end eXact. Lic. # Cless M
ConuactoYs Signature: Date:
CONS7RUCTION LENDING AGENCY:
❑ I hereby e8irtn thet there is a construction lending agency for t�e performance of Ihe work for w�ich INs permll Is issued. (Sec. 3097, CINI Code).
Lentlefs Name: Lender's Atltlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eflirtn Ihat under penelty ol per�ury thet I em E%EMP7 FROM THE CONTRAC70RS LICENSE LAW lar the following reeson (Sec. 7031.5, Business entl Professlons
Code: Any ciry or counry whic� requires e permit to consiruc6 elter, improve, tlemolish, or repair any structure, pnor �o its Issuance, elso requires the applicant tor such permlt
to ille e signed stetement ihet he ar she Is Ilcensed pursuenl to ihe provisions ot the Coniractors Llcense Lew (Chapter 8(commencing wNh Section 7000) of Divislon 3 of ihe
Business and Protessions Code) or thet he or she is eaempt iherelrom end the basis tor Ihe elleged eaemptlon. Any violetion oi Sectlon 7031.5 by any applicent for e permit
sub�ecGs ihe eOP�icant to e clvll penelry of not more than five hundred dollars ($500)J:
❑ I, es owner oi Ihe properry, or my employees with wages as their sole compensatlon, WILL DO TXE WORK, end Ihe structure Is not intended or otteretl for sele (Sec.
7044, eusineu end Professions Cotle: The Contrectors License Lew does not epply to en owner of property who builds ar improves thereon, entl who does such work
hlmsell or herseli ar thmugh his or her own employees, provided thet such Improvements are not Intentled or otteretl tor sale. It, however, Ihe building or improvement Is
soltl within one year of completion, Ihe owner-builtler will have the burden ot proving Ihet he or sha tlitl not bulltl or Improve for purpose of sale.).
❑ I, es owner of t�e properry, flm EXCLUSIVELY CONTRAC7ING WITH LICENSED COHTRACTOHS to wnsiruct Ihe pryect (Sec. 7044, Business entl Pmfesslons
Cotle: The conirectors Llcense Lew does not apply to en owner of property who builds or Improves �hereon, antl who contrects tor such projec� with a conirector(s)
license pursuent lo the Contrecrors License Laws.).
❑ I am axempt w
SignaNre: _
Owner ID verifled by
Yes ❑ No
Business antl Professions CoOe For ihis reason:
Vedficatlon ol Ownership by (rype oi tlaument, I.e. - properry tan bill or deed):
DIVISION OF INDUS7RIAL SAFETY PERMR CERTIFICATION:
/ Date: ��
DnvefsLicenseNo.
Expires:
❑ I hereby certly that no excavatlon five (5) or more teet in depth Into which e pereon Is requlretl ta tlescend, wlll be meda In connection with work authorizetl by t�is
pertnit, end that no bullding strudure, sceRoldinq, felsework, or demolition or dismentlinp thereoi, wlll be more then thirty-six (38) feet high. (Chep. 32, Grp 2, An 2, Sec.
341, Title B, Celilornla Atlministretive Cotle).
❑ As owner-bullder, I will not employ enyone to do work which woultl requlre a pertnit from the Dlvision oi IntlustAal Sefery, es noted ebove, unless such person hes e
pertnit to do such work trom the division.
SigneWre: Date:
Divlsion ot Industrlel Safety Permit Number:
CER7IFICATE OF COMPLIANCE AND AUfMORIZA710N OF ENTRY: I certity under penelry ol per�ury thet I have read Ihis applicetion and state Ihet the Intormation given is
correcL I egree to comply with all state lews end ciry ordinences relating to building construction, antl euthodze representatives of tha Ciry ot Costa Mesa lo enler upon Ihe
ebave-descnbed property for Inspection purpasas. I agree not to occupy ar allow occupency ot any bulldinp authonzed by this permit until final inspeclion.
COOE 1, wsvecnoxme
tfi16 Fixed System Finel Fire Prevention
12fi6 Pool Spa Flnel
200 Final Re-Roof
201 Finel BIocWRetelning Well
202 Finel Fedory Fire Place
203 Finel Sign
204 Finel Demolitlon
zaaa4s
QS¢ ��,5 �QpFj INSPECTqNTYPE
20fi Flnel Mechenlcal
208 Finel Plumbinp
210 Flnal Eleclricel
212 Finel Fire Preventlon
220 Finel Plenning Appraval
222 FinalSite
250 FlnalBulldinp/OccuDency
Gdg
It1�dL4
03/10/1999 12:28 612468P�'5 DELISLE C0. PAGE 01 T�
r
M8lC}110, 1�
Dick Jarrtzer, Broker
California Brokers Network
P.O. Box 2652
Costa Mesa, CA 92628
Dear Dick,
Please use this letter as authorizntion to obtain the neceasary permits for the 2201ine in
the laundry room located at 603 Brookview Way, Costa Mesa, CA 92626. You estimated
the wst to be less then $50.00
If you nead any thing else please lot me know.
Best Regazds���e \\�
v� id Hall
Da
�
/
�
PflQIECTRODFE55: 6O3 BROOKVIEW WY
OWNEN'S NPME: PASCO MANAGEMENT CO
noosEss: P.O,BOX 2968
COSTA MESA, CA 92628
APCN/ENGINEEN: 6 4 1— � 5 9 3
noon[ss:
PEG.NO.:
UNIT:
uxiT:
PEflM1TTEE: ORION CONSTRUCTION ( 714 ) 363-0727
aooeess: Z7�gjyOA�jKCpL�Z'TF�F DR (.,
LILFNSED CONTBBCTOAOEEfAAAfIDA: l h=e6y e�lum—fnat � am licensea uneerCp wisio9ns o�Z`h�p�r 9 �commencinA wi�h Sec�ion
7000) ol Oivision 3 0l I�e Business antl Pmfessions Cotle. anE my license is in �ull �orce and e�lect.
crtr u�� 1 s� i TpTE lIC" 4 8 5 cuss:
IOa�e: SignaNre: i/�
WOBNE COMPE SATION OEClAN11tI0N: 1 here�y af rm t I have a cenilicate consent to se -i ure or a certificare a1 Warkers'
I Compensalion Insuran[e. or a cetlifietl copY �hereoi (Se n 3800, Lab. C).
-�icrwo.: 046-93UNIT03554 EXP.URTE: OLIOiI94
rtnvaxv: STATE FUNI�
J Cenifie0 coDY is �ere6y (urnishetl. i_j� Certilietl copY �is 1yile.E �with—the city Bu/iltling JOivision.
Oate: � Ap0lium: /Y/"�"'�•� "/f' `-�� Y�
EXEMPTION fNOM OPNEflS' COMPENSATION OEQAB�TION: Q�is section nee0 noi be c OleteO it the r n is lor one AunOreU (5100) or less�,
I certily �hat in ihe peAormance oi Ihe work for whic� �his Oermii is issuetl. I shall noi employ any D on in any manner so as to Eecome
subiect lo the Workeri Compen5aiion laws ai Califomia.
Date: SignaWre:
NOTICE: It, afler making Ihis declara�ion. you s�oula become suhlec� Io Ne Warkers' Compensation pmdsions oi Ihe LaUar
Cotl¢. you musl lort�with comply wilRsuc� O�ovisions or Ihis Dermi� shall be Oeemetl revOkeE.
CUNSTBUCTION LENOING RGENCY: I hereby aflirm thal ��ere is a canstmction lenaing aAency tor I�e peAormance ot ihe xrork lar
wNc� t�i5 permit is i<suetl (Section 309Z Civ. C�.
LENOEN:
AODflESS:
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 063672 PLAN CHECK NO; N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR
JOB DESCRIPTION : REPLACE SIDING NER#229 QNITS 603 6 605
CLAIM VALUE: 1,200,00 CALC—VALUE; 1,200,00
PERM NO: B 06367
GOVT; N SUPP: N
PURPOSE: REP
SQ FT: 1,200
GROUP OCC; R-1 /
COMMENTS: X
*�r�e�e�r��r�r�r�r**�r�r*�r��r�r�r**+�*��e�r*+r�r*�*�r**�r�r�e*******�r**�r*+��rx�r�r�r�*�r�r**�r*�****�r*�r*�r��r�r*
Z 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 FRNT; FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• � PROV: PARCEL: 93905012 ZNE: REF NO:
PLANNING NiSTES>/
ififMMkkififkMlfikif iFilitifiliFifiFilifiE�flk�FiElE�fififitiFlElflhffiEiFlfififiE�E�tiElEkifikifilkiEifitiflfififififlflf�E1E1E1fiE�FiEikiFiF�kik
D E V O P \M E N T S E R V Z C E S R E Q U I R E M E N T S
20NING APPROVE BY ;l; DATE:
BUILDING APPROVED BY /r DATE:
APPLICATION ISSUED BY• S1�— DATE: l� 217 �
iliklFkikikiFkkkkifikiFikkif�fif�flF�F i!1lk1FiFlfif�Flfif 3Fif
if 1f k M 3f iE iF if it iE iFlF 1E iE iE 1f if k it it if iE iF �f �E iE iE iE If if �k �E if iklk if iE ltif iE fk 1f ik i! 1! k iE iE if iE if iklF 1E iE if 3k iF if 1k 1F 1!!E ik 1f if 1E if 1EiF if iflE 1Flt 1E iE 1E iF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
OWNEBBUILUEBOELIAMTION: I�erebyaflirmthallamexemD���om�heConiractor5'SIaleLicenseLawlori�e�ollowinpr¢a50n BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Seclion 7031.5 Business antl Pmfessional Code: My trry ot counry whic� repuires a Oe�mit to consimct, aller, improve, Aemolish, or p ERM I T Z 9. � � , 5 �
repair any simcime. piior to iis issuance. also requires the apDlican� br such permil to lile a signetl s�a�emenl Ihat he/she i5licensed
pursuanl to ihe pmvisians of the Contratlors' Sta�e Licenu Law (Chapter 9(commencing vnlh $eclion 7000� 01 Uvision 3 0l ��e Business Shi1 P/N�N—R E$
an0 ProteSsions Cotle) or Ihai he/5�e is eM¢mp� th¢re�rom an0 ihe 6a5¢ �ar i�e all¢ged exEmO�ion. My viOWiion ol 5¢Ction 7031.5 Cy PL�j
any appliwnt tor a Dermil sublects t�e a00���nt �a a civil Denaliy o� no� more llun �ive �unAreO OOIWrs (5500�. ISSUE FEE
i. as owner oi me pmperty or my empioyees witn wages as meir soie compensauon, wii� da tne wonc, and tne BUILDING—DIV—>
� s�mcWre is nol intende0 ar oileretl tor sale (Section 70aa, Business antl Pmfessional Coae: T�e Coniracrors' Staie �icense �aw TOTALS ---->
tloes nol apply to an awner ol a pmperty who bwltls or impmves thereon, an0 wtio tloes such work himseli/�erull ar t�muAh
hi5 or her own emO�oYe¢5. D�ovided thai 5uth im0�ovement5 are no� inlGnOeJ or ofl¢re0 tar sale. II, �ow¢v¢r IAC huilOinA of
� impmvemem is so10 vnthin one year ot completion, ihe awner vrill �ave t�e hurtlen ol Dmdng �e/s�e Eitl noi bui10 or improve REVENUE D I V I S ION
mr the purpase ai uiel- BLDG PMT P
I, as owner ol lhe pmperty, am exclusivety conirac�ing with Iicenu0 contraclors lo conslmci Ihe pmjec� (Sec�ion 70dA, Business 2 9, � �
❑ anA Pmfeuions Cotle: The Comractors' State Lkense Law does not aODty to an ovmer of o�ocerty w�o Dutlds or im0��es thereon
ana who conVacts fo� such pmiects vnin a conVactorls) license pursuant to the fAniractors' $Iate Lkense Law�. I am awdre ************,*,*,�.*,
�hai proo� ot IAeir Worker's CamOensa�ion insurance shoulG Ue pmvi4e0 Io me.
� I am exempt untler Seclion: B. 8 P. C.
lor inis reason:
TYPE QTY
oate: Owner.
I Uo �ereby cenity t�at I am aware ol and understan0 t�e requiremenis oi Califomia Health anG Safety Code Sections 25505, 25533, antl $FR 1 z � 0
25534 ana Ihat I or any �uWre builtling occu0ani willlwill nal (circle one) nee0lo compty wilh SaiU Slate cotles antl the requirements �or a
permit lor constmclion or mo0itication Imm ��e Air �uali�y ManaBemeni DiSVic�. flesiGeniial con5imc�ion applicaiions are ¢eempt Imm
Ihese provisians.
Oale: ApplicanP.
I hereby cetlily tha� I have reatl�his applica�ian and slate��att�e above in�ormalion is correci.l aBree to [omply wii� all ciiy anA counry
ordinances antl s�alelawsrela�ingta Guiltling cons�mclion anA hereDy au�horizerepre5enlaiive5 ol��is ci�y�o en�erupOnlh¢ a0av¢�menlione0
pmpeny br ins0eclion Ourposes. `/�,� - �
Date: � Signalure: � � " r `�.-/�
Oriver Licens or Social Securi�y p: *�-� �� �
t641-a6 Whi�e—Builaing, Green—Gotle EnbrcemenC Canary—ApplicenC Pink—Rovenue; oltlenroE—Assossor
�
PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
29,50 0.00 0.00 29,50 29.50 .00
TOTALS--> COLLECTED: 29,50 OVER/SHORT: .00
LUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
.50
iF 1f iF iE iE iE iE iE iE iE iE 1f 1E 1E iF �F i! 1E �E �E If �E if if iE �E iE if k iElF �f iF 1f if iF iF k if if iE if iF iF 3E 3k if iF if iF iF 3f 1E iFiF iF iE 1f if iE iE �E �f
I N D I V I D U A L F E E B R E A K D O W N
D E S C R I P T I O N
ALTER BY VALUE RESIDENTIAL NOZONE
END OF FEES
UNIT COST TOTAL COST
1.00 1,200.00
oi 00145316—OU145317 T O T 2p,Sp
DATE: OS/26/93 TIt1E: 13:52
CONSTRUCTION AND PLANNING
APPROVALS Permit #
1. Temporary Electrical Service or Pole
2. Soil Pipe�Undrgrnd. � �
. �,_ Jectric3l Condui� UFHity-Undrgmd: �
�R_ �Ieptrica! Condvit-U�dr9��d.
r_ -
'5:.�teel Reinforce�ewt �
y�� __ ,. -
�`Ge.�:eytricalUFERGrpd. -.
--_ a
.>7.'footings '
P. .R SPA
Date Inspector APpROVALS Permit',�
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electriral Bonding
56. Rou9h Plumbing & Pressure Test
57. APPROVALTOCOVER�GUNITE
58. Electrical Cqnduit-Undrgrnd.
. 59. Gas Pipe, O Und�grnd., Test
. Water Pipe�Und�grrid. 60. Backwash Lines, P�Trap, O Undrgrnd.
76 �Structural Floor SYStem ' 61. APPROVAL TO DECK
17. Property Sewer Line,-& House Connection 62. Backwash & Receptor�Finat
12. Sewer Cap � 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing System - Final
74. Rough Plumbing` � � 65. Electrical-Final
75. Rough Elearical,Conduit 66. Solar System-Final
16. Rough Electric Gtliring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
1B. flough Electrica1-T 6ar Ceiling 69. POOUSPA SYSTEMS PINAL
19. Rough Heating & A�r Contlitioning FIRE DEPT. REQUIREMENT
20. �fioug�n Fa¢tory FirBplace i�s,�i -;'-J C^.x a IqppRONAC�.4U�iBermit,� � ��
'+ r fm .S k �1 IY� i(7 �'r-I�r Ip �t
21. {�uCiS; in`StrtlGtur�.�r I �..�.. . ` .. r` ' ; '7+ r ,L :� 9 � � '�Ylr� i I�7
� i �_i,g r` ,_„ .-�0. der round dro
22. buct� Vef+tilating �� �' a� �77, Produc[?i_'n'� O6a� OOiI
23.'Gas��pe-fjoug�&T�st ' '��' �, -` '�' � �j�z, Under rot�d�FlupFi�� � '' �
��- i .� ti . n �-r . � 9 . : +
24. �Poo -Frarx�ing.� X�� . � �t � •• r �� ' '*' � r .y3.'�Under9md'5torageTartk OGas ��OiP
.
25. RoofShya`thin " `L f�� . '� �' • � r� ' ,�
9 .� 4 , > '/4. �Dverhead Hydro ,
26. T�Bai,Ceilin (Structural) & . '
,, g �onocoat .0 �� � 75. Drq Chemical . �
27. ;Frame and Fiashing � � � , '� � � ; � 76. Dr{� Star.dpide ' � � � •
�28.'L'athing �i Siding � • � �:; ' J . . � 77. _rFIXED SYSTEM FINAL
�9. Insulatiori -' � � _ "' - '' 78.'�IRE PREV. FINAL � c
��
30. Drywall Nailiog > �� •� � 7- � � HEALTH qEPT. REQUIR
�37. Plasrer B�tiwn.Coat � � � �. � ` i7,9. •FINAL INSPECTION � �� '
�32.'L+Iectrical;Powyr MetierrFinal i ' �� � ; � , x i80. POOD CE �tIFI�TE ISSUED �~
�3.'�.in�!'ElecSric'� � . � ° .: ��� '.:"Notes: -', � i-'
i• > > �: I 4 r!
:34. �Fina�'HeaYin9� Air�on�Ji,tiorjii��. � � �: �` y ` - �; .; ,,
35. Fina3�Gas Pip��Test '� "� '� < <' '
L i-, . r , i � � r �
,� 6. Hoo or �Cano '' � ' �
� PY >� i , ..� ' S i, .
37. FFinaFFactory Fireplaw��� ' '�= -' � i
C y
38. FinalPlum6ing . V-r� i��� � �� ,
39. Water.Service�Final - ' ' • � �
•30. Gas Service-Final " r _ , �
41. Solar pomestic-Finak �: i'� •�
F42. -Backflow-Preventer '' -
43. Backflow Irrigation �� � � .
44. Landscapg Irriqatio�Systemr �.�:
•�... .
:45. �$ound Attenuation � r •
_ ,,
�6. Handica� Reg�lations ` � L,
47. �IN �L STRUCTURE & BUI'�ING
48. EIN1�L PLANNING; '
49. .Electric Release to Edison
50. .Gas Relea;e to Soutliem Califomia Gas i
No. Date
l
�
x•,
, `
: .
� :: x �. - . . -
- '�v a �l " � 71
', i
� ..�_,-, :
.. . - _. . ; ..
Y
Y
F
a
�
..i
Date � Inspector