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Home My WebLink About624 DANUBE DR - Building PermitsCITY OF COSTA MESA BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT �M98-00201 PERMIT NUMBER (714) 754-5273 • Fan (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT .lobAddress: 624 DANUBEDR Suite No Vicinity: Parcel Nunmber: 93405083 Applicant: GREER, JASON Address: Owner: CHAKOS, STEPHAN Address: CHAKOS, BARBARA COSTA MESA,CA 624 DANUBE WAY #83 Contractor. KEMNITZ A/C & HEATING Address: 188 TECHNOLOGY SUITE C IRVINE ArchlEng: Address: ISSUE FEE Inst FAU <100 k 8TU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Boz Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 70000cfm Floor Fumace Floor or Suspend Heater $22.00 $1325 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 Quantity Phone: 2ip: Phone: Zip: 92626 Phone: 714 453-8500 Zip: 92718 LiCense: 695874 Phone: Zip: License: SCOPE OF PERMIT R/R EXISTING FURNANCE. FEE SUMMARY Repair / Alt Absorbtion Unit Repair I Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercia l Incine rator Domestic Incinerator Compressors / Absorplion Systems Up t0 3 hp / 100 k BTU 3To15hp1500k8TU 15 To 30 hp I 1,000 k BTU 30 To 50 hp / 7,750 k BTU Over 50 hp! Over 1,750 BTU Boilere Up to 3 hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check�Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Status: ISSUED ,�� p._, Applied: O6I0311998 �`'�/ Issued: O6/03/1998 (luantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 $0.00 50.00 E35.25 .R�� °° 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 requlred inspections entl flnal approvel must be obtained. Failure to obtain inspedions and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLAPATION: � I herehy effirtn untler penalty of perjury one ot the following declaretlons: ❑ I heve entl will meinlaln e certiticete of cansent to selt-Insure for workers' compensatlon, es provided for by section 3700 oi ihe Lebor Code, lar the peAormence oi ��e work tor which Ihis permll is issued. � . ❑ I have and will maintein workers' compensetion insurance, es requlretl by section 3700 oi the Lebor Code, for the peNormence of the work fo� which this permit is issued. My workers' compensation Insurence cartier entl policy number are: Cartier. Policy Numbar: (lhis secNon neetl not be comp/etea il Me permit is velued ef ane hundred dollars ($100) ar /ess.) ❑ I certify that In ihe pertortnance ol ihe work lor which this permit is issuetl, I shell nat employ eny person in eny manner so es to become subject to the workere' compensation laws of Calllamia� and e a that it I shoultl 6ecome sub�ect ro the workers' compensetion provisions of Sectlan 3700 of the Lebor Code, 1 s�ell forthwith comply with Ihese provisions. \ Q yx Applicent Signature: �] � Q�� Date: �9 J� / U WARNIN�: FAILURE TO SECUiiE WORKERS' COMPENSATION COVERAGE IS UNUWFUL PNO SHALL SU&IECf AN EMPLOYEF TO CflIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED THOUurWO DOLLARE (5100,000),IN ADOITION TO THE CO6T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECf10N 37080F THE LABOR CODE, IMEREST, PND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby effirm that I em licensed under provisions ot Chapter 9(commencing with Sectlon 7000) ot Didsion 3 of Ihe Business antl Protessions Cotle, antl my license Is In lull torce antl eHed. Lic. N Cless N CoNractor's Signeture: Dale: n ' ' �� CONSTRUCTION LENDING AGENCV: ❑ I hereCy affirm ihat there is a wnstruction landing egency for Ihe peAormance ot ihe work for which this permit is issued. (Sec. 3097, Clvil Code). Lendofs Name: Lendefs Atldress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affifm t�at untler penelry ot perjury ihet I em EJ(EMPT FROM 7ME CONTRACTORS LICENSE LAW for the lallawing reeson (Sec. 7031.5, eusiness entl Professlons Cotle: Any ciry or counry which requires e partnit to consWcl, elter, impmve, tlemolish, ar repair any sWcture, pdor ro Its issuance, also requires the epplicant for such permit to file e signetl statament [hat he or she is Iicensetl pursuent to the provisions of the Conlrectors License Lew (Chepter 9(cammencing with Section 7000) of DlWsion 3 ot the Business and Pratessions Code) ar that he or she is exempt Iherefram end Ihe basis tor I�e elleged exemption. Any violation ot Sedion 7031.5 by any epplicent for e permlt subjects Ue applican� to a ciNl penalry ol not more than five hundred dollare ($500).): ❑ I, es owner oi the O�operty, or my employees with wages es their sole compensatlon, WILL DO THE WORK, flnd the structure Is not Intendetl or ottered for sale (Sec. 7044, Business and Professions Code: The Contraciors License Law tloes not appty to an owner af property who Duiltls or improves thereon, antl w�o tloes such work himself or herself or through his or her own employees, providetl lhat such improvements ere not IntenCed or otlered for sale. If, however, ihe bullding or Improvement Is sold within ane year ol completion, the owner-builder will have ihe burden of proving thet he or she did not bulltl or improve for purpasa ot sale.). ❑ I, as owner of the property, em E%CLUSIVELY CON7RACTING WfTH UCENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business end Professions Code: The crontractors Llcense Law Coes not appy to an owner of properry who builds or improves thereon, end who conlreIXs for such project with a contractor(s) license pursuant to the Contractars License Lews.). ❑ I am exempt under sec. Signatura: Owner ID'verified by drivers license. ❑ Yes ❑ No Business and Professions Cotle for ihis reason: Verification of Ownership by (rype of dxument, i.e. - properry tex bill or deed): Drivers License Na. Date: Eapires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: ❑ I heraby certify that no ezcavetion Nve (5) or mare teet In tlepth Inro w�lch a person is requlred to descend, wlll be matle In connectlon wit� wark euthodzed by this pertnit, and thet no builtling sUucture, scaHoltling, felsewark, ar demolitlon or tlismentling Ihereol, wlll be more then thlrry-sis (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomle AtlministretNe Code). ❑ As owner-bulltler, I will not employ anyone to Ao work which woultl requlre a pertnl� from Na DNLsian af Intlustrial Sefery, es noted ebove, unless suc� person hes a pertnit ro do such work from the division. Signature: Division ot Industrial Safery Pertnit Number: Date: CER7IFlCATE OF COMPLIANCE AND AIITTIORIZA710N OF ENTTiV: I ceniry under penelry of perjury that I heve read ihis application and state thet ihe informetion given is conect I agree to comply with all stete laws end ciry ordinences relating to building construction, and emhonze representetives of the Ciry of Costa Mesa to enter upon the above-descnbed property for inspaction purposes. I eqree not to ocCupy or ellow acupanq ot any builtling euthoAzetl by Nis permit until tinal InsDecllon. CQDE I. INSVECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 7b+If � 200 201 202 203 204 2G4Fae Finel Re-Rooi Final Block/Retaining Wall Final Fectory Fire Plece Flnal Slgn Final Demolition DAff U�ALS �� Date COOE 1 INSPECTION TYPE 206 Finel Mechanical 20B Final Plumbing 210 Final Elec�dcel 272 Final Fire Preventlon 220 Finel Planning Approvel 222 250 Final Site FlnelBulltling/Occupancy �eg It�d64 f Costa Mesa EXPIRED PERMIT INSPECTIONS CONDUCTED BY BILL NUNES �N 8-�l -o� Address Permlt Tvne Sub Twe DescripHon _ rl n u � %.—�-w� �n Q Q� �i"�. 11 /'�l � I 1. _.� O n a'W 3. rq�-C��l ., 4. m��-�a3� „ 5. � �"�8:-c��7a ,, � -�`f'73 �I � Pfl0.1ELTA00flESS: ('Zt� DANUBE DR OWNEN'S NFME: PASCO MANAGEMENT CO AODPESS: P �,BOX 2968 COSTA MESA, CA 92628 641-0593 AflCH/ENGINEEfl: noosess: flEG.NO.: uxiT: uNiT: PENMITTEE: ORION CONSTRUCTION ( 714 ) 363-0727 aooAess: zg OAICCLIFF DR LAGUNA NIGUEL CA 92677 LICENSED LONiNAC70fl OECIANATION: 1 hereoy affirm IDat I am licensed un0er pmvisions of Cnapter 9(commencing wi�n Section 7000� ol Orvision 3 0l I�e Business anU Pmlessians Code. ana my bcen5e is in Iuil brce ana e0ec1. ciTr uc.: p q 1 p STATE LIC.: t� 8 S t� S 9 uss: g � � Oate: S Signa�ure: I WOPNEB$' OMPEN ATIONOELIABRTION: I�¢r¢byatlirm� Il�av at¢rtifiral¢oitOns t�osell�in oracetlifi[aleo�Workers' �. ^^mpensa ion Insurance. ar a cerlilie0 capy Ihereol Sectian a0 C. icvxo.: 046-93UNIT035S�4 E%P.UATE: �SIOLI94 urnraev: STATE FUND ❑ CenilieA coOY is hereby Nmis�eG. � Cenilie0 capy is fil W th tAe ciry Buddin ' i� on. Date: ApDliWnt: E%EMPTI NOM WO NEfl3' LOMPENSATION OECUMTION: ' ec6on nee0 nol0e �y ple�eA i� tAe per far ane hunArM (St00) or less�, I certily Ihat in 1he pedormance ol ihe nwrk lor whic� Ihis Dermi� is issu¢tl, I s�all no� ¢mplay any pers in any mann¢r w as lo Gecome SUGject l0 I�e Wo�kers' Compensation Laws al Cali�omia. oaie: signawre: NO71LE: II, alter making tAis declaratian, yau s�oule Gewme su01�� o tAe Workers' Compensauon provisions al tAe Labor Cade. you must Iarthvnih comply wiU such pmvisions or Ihis permi� shall be tleemeG revaked. CONSTBUCTION LENOING RGENCY: I �ere0y atlirm thal t�ere is a wns�mttion lentling agenry �or Ihe p¢dorman[e o� Ihe work lor wnicn Inis permit is issue0 (Section 3097. Gv. C). LENOEN: ADDflE55: �I OWNEfl BUILOEB OECLABRTION: I hereby allirm Ihat I am ¢x¢mp� �mm the Contracrors' Slate License Law for the lollowinp r¢ason (SeCiion 70.71.5 Busine55 and Pml¢SsiOnal CoCe: Any ciry o� Counly whith reQuires a Oermit to conSlmti, aller, imDmve. Oemolish, or reDair any simcture. pria� lo its issuance, also repuires the applicant br such permit to lile a signetl statement ihat ne/she is licensed pursuani m ine O�ovisions al t�e tontracmrs' State License Law �Clupter 9(wmmencing vnth Sec6on 7000) of Division 3 0l t�e Business an0 Pmi¢Ssi0n5 Co0¢) Or Itlai �e/5he i5 exemp� Iherelrom antl I�e UasiS �Or Ihe allegeU exemptwn. Any vioWtion 0� Se[ti0n 7031.5 Oy any ap0licanllor a permi� sublec�s Ihe apDlican� �o a civil penalry o� nol more �han �ive huntlretl �ollars (E500). I, as owner ot ihe propehy or my employees with wages as iheir sole compensation, will tlo tne wark, and tlle ❑ simcture is not imendea or oHerea for sale (Section 70aa, Business antl Pmtessional CoOe: T�e ConVactors' State LiCense Law Aoes noI ap01y �o an owner oi a Dmpe�y who builtls or improves �hereon, and who Ooes suc� woM �imseli/�ersell or Ihmugh ' �is ar her awn employe¢5. pmvi0ed Ihat such improvemenls are not in�endea or otfered lof 5aie. If, however �he builtling or imomvemen� is soltl wilhin one year ol completion, ihe owner will nave the huraen of pmvinA �e�she ditl nat builU or impmve Im tAe Durpose ol sale�. I, as owner of ihe OmDehy. am exclusively coniracting with licensea wnlracmrs to consimct ihe D�olect (Section 7044, Business ❑ antl Pmlessions COAe: The Coniraclors' Slate License Law Ooes not apDly lo an owner of propen who hudUs or improues ihereon and who [oniraCls lor SUCA proleds wi�h a conirat�or(5�lic¢n5e pur5uan� ta Ihe ConVactors' �tate License �aw�.l am aware t�al Orool ol Neir Worker'S Campensa�ion insurance shoultl �e pmvidea lo me. � I am exempt untler Sec�ion: B. 8 P. C. lor Ihis reason: Da�e�. 6wner i do nere�y cenily ihat I am aware ol ana un0erstana ihe reQuiremems oi California Healih antl Salety CoOe Sections 25505, 25533, antl 2557G antll�at lor any�ulu�e builaing occupanlwilUwillnoi (circle one) nee0 to comDly wilh 5aid slate wd¢5 and the�equiremen6�ora permii lor conSVucl�on or motlilicalion �mm Ine Air Dualiry Managemeni Dis�nct. BesiGen�ial consimction applications are exem0� ��om Ihese pmvi5ions. Date: ApPlicani: _ I�¢r¢Dy terlilyi�al Ihav¢ reatl��is apPlica�ion an0 Slaiethalt�e orUinantes and staieiaws relalinglo Ouiltling conslmction antl �erel pwperl/y �loi ins ction pm0Lases. Oa�e'. " / Signaiure ori�ers �¢ense o soc�ai secudty a: 1 agree m comply with all ciry and counly this pry Io enler upon Ihe above�men�ionetl i6ai�a6 W�ne—Buildino: Green—�e EnlorcemenC Canarv—Aoolicanl; Pink—Revenue: GolOenroC—Assussor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 063679 PLAN CHECK NO; N CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR JOH DESCRIPTION ; REPLACE SIDING NER#229 UNITS 624 CLAIM VALUE; 600.00 CALC—VALUE: 600.00 PERM NO: B 06367 GOVT; N SUPP: N PURPOSE: REP SQ FT: GROUP OCC: R-1 / 600 COMMENTS: X *�r�r**�r�+e*�t�r�r�t�t�e*+t*�e*�t�r�t�t�e+t�r�r*+r�t*+t+r�r�r*�r�r***�r�r�r�r�r�r�*x��t*�r�r*f��r�r**�r**�r�r�t*�r*x�***��r*�* Z O N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT ZN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 93405012 ZNE: REF NO; PLANNING NiSTES> i • �r �t �r �t �t «� �t �t * �t �t * �t �t *+e �t �t �e �t �t �r �t+t *+t �t,r �t � �t �t fr * x� �r �r �r * �e *,e �e �r * * � �t �r �r x *,r �r �r * * �t * �r x �e � �r �t x �+r �t �t,r �r �r �r � x� �r,e 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 20NING APPROVED BY DATE; BUILDING APPROVED BY ; DATE; APPLICATION ISSUED BY; � DATE: g 2i' iFkMkitifkkitiEkftlFMlfkltklfklfif iEififilifiFilikitit iFit ff�FlFlkklfiF�fffkMiFkMlfifiFkkiFltiFffkiFMiElElFlFiFifiFiFifiFifiFilkiFiFiEkikkifitkkiFklfkkifififkifiFilitifkifitiFkifkikkfFiElFkiFik LEGALI2ATION:N F E E S fJ M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 17,00 50 PL� SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PEAMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 17.50 0.00 0.00 17,50 17.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 17.50 OVER/SAORT: ,00 BLD17P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING PLAN—CHECK k k 1E iF M fFlF k 1f 1f k M if if 1f 1flf if if if if �f �F if if If �F 1F If iFif �t ff �f iEit k k if!! �k iE 1FiFif 1k iF if iF i! if if k if ik k!k!F if k if 1F 1f i6 if 1f ik ik 1k1k ik ik if iE 1F 1! if 1F IF 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 600 ALTER HY VALUE RESIDENTIAL N020NE END OF FEES UNIT COST TOTAL COST 1,00 600.00 01 00145794-0014579s T C�T I?,gn DATE: QE/?6/93 TFME: 13:46 J CONSTRUCTION AND PLANNIN � ..Jl & SPA APPROVALS Permit # Date Inspectoi pppROVALS Permit # Date Inspector 1. Temporary Etectrical ServFce or Pole 52. Pooi & Equipment Location :-. 2. Soil Pipe•Undrg�nd. � �,. 53. Steel Fieinforcement 9: E('�triwl Cond�it Ufility-Undrgrnd.' '' 54. Forms �.. � L � �}��lectrical Conduit�Undrgrnd. , 55. Electrica� Bondmg - 5:St�el Reinforcepient` _ 56. Rough Plumbing & Pressure Test -- �� Electrical UFEP�;Grnd. � � 57. APPROVAL TO COVER-GUNITE •.7:'�ootings - � 58. Electrical Conduit-Undrgrnd. � ;�'. Fot�ndation ' � 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe-UndtgrAd. � 60. Backwash Lines, P-Trap, O Undrqrnd. 10� Stwctural F!oor �ystem - 61. APPROVAL TO DECK it. Property Se�ver L�ne�& HvuseConriection 62. Backwash & ReceptorFinal 12. Sewer Cap = 63. Heater & Vent•Final � 73. Roof Drains 64. Plumbing System - Final 14. Rough Piumbing � 65. Electtical�Final 75. Rough Electricat-Conduit 66. Solar System-Final 16. Rouqh Electric�Wiring 67. Fencing & Access Approval 77. Rough Wiring S�ign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' i t" U'r � u� F � i c-• , 20.[�Ro � .,- -+ iph tory fiRzplace i`c'T. �;' � e 4.� o'x. �a tA�PPRONAuBa� i.Perrttit #+ '�. �- c�, r - + � x - ��:.. .� ,7� �r 21.��)u�}�,iq.JStrl��tu�e; � ..�.. ';� ' �.S 7 �,y.,,t, t� -�j70. W9dergoln- Hy`iro '; n; 22 � DuCti. �entijating- . � CJ �. A H rLA� ; biJ�. PfOCIUC� IA9 �s O�Oif 23��ias�Pipe�Rou h&Test ; s ; '� '�'�' F�i2, Under o�n1 FI�� "� � ;_i r. � .t -�S .. M v' Q.� t� 9 `7 4��-� .e f � 24.�rRoq�Frpcnirig f, i t�F� �••F� ��+;� O u' ��a� ti:�73:tUnder9rndtSrori A�fank OGas�O(3i1 , s 25. RoofSHe3thing S. W * i*1 *t O cJ•..; �/4�� ,��_o • �. <:, v � �. � > .,-,w t,(�Verhead F�lydro-� 26. T-Bar, Ceiling jStructurail &•Monocoat a� U � x. 75`�Dry Chemical • ��-� C• . 27.�-Frame an�d Plashing` ', � : �� , - � � �` 76� Dry Stand�ipe � � ' `' ' � 28. lathing�$i Sidin9 x�. ia,� cTr .. � x. 77:. FIXED Sl'�STEM.R:INAL� .� 4 r- '29. Insulation �' '� "" n" '�;, 78.�FIREPREV`Flljiql � - - - r � o i. . i�30. Drywall I�ailmg . . � z� �� HEAITH� EPT:FiEQUIREMENT � •.31. Plaster �[pwn Coat" � ' '� .79}�FINAL IN�gECTIQN � �'� � � � . • � .r,: : +; Pt � �t•.H x "-�. ;_.32,_Flectrical�Pov+,er Meter,Final� �, i,� � :80;-F�OD CE� TiF�C✓�rTE ISSUED 33.'Final ElectriC ^� ' t- '� :� , •. oi'e�s: T ='� 'n i r. i S �. t ] 7 r •`1 C� +, .,34.s �ina}� Heating�& Air�Cohditiojiing.; � , �� ; x - ��_ � � • ih 35.=FinAMGaa�Pip6-Test - '! ' "` �-� [� ._.,� .:ra :c�� .�C� '�S +� . -. T .. , v v � . ..� � .36.'Hoo�1 Or`'�anoPY �. i, u. 'c C�. < w x � f�U .� r • 87: rinaD Fa62ory Fireplace �� r •a x r, .- r. > (1 r. l i r • (� � • 7'. r . .. , . ' r w �38. Final Plumbing . � .. .. . , � x > � '. � y .39. Water Ser.vice-Final � � ' .� ~ �. � `+,'i . . � > > `'40. Gas Service-Einal � , ' � � � „ � ' .r- -t • � �t- �41. Solar pomestic-Finai • i' •• �- : � } 4 � : . r � �.�, .�� - -� � 42.�Backflow Preventer , . , _ .� • � � '` \ > � �� Y f 43. Backflow Irrigation� � ' �'� � ` -�{�= - ^ ^ Y. .' h I �. ��'44. Landscape irupation System� �;n .� i, .y � ,7 .�n , � , '' F ' ''' .� , . :45.:Sound AtteriLatiorr .�xr t�' � f ' ^• � �' ' � � � �''_ �i:K • + - !r s. -c ,{.46.-`Handica Re �latior�s •"�' � ' ", � . ..� . . P 9. � r. Y �. . . . �. .: •'> t�c S �b�.�FINAL STRIICTURE & 6U81.DING � ._c�i �� = - .. , r . J ,. 48.''FIP}AL PLANNING. � `�: 6 1 '' •. }' � r. _ c, . x : � �, ,49.`�Eleciric Release to Edison • ,- z, r� � . � i -n �;50.,Gas Release to Southern California Gas Co ? � r '�' _. . , , ,, '" :51. CER.7IFICATEOF,OCCUPANCY :�; A Y ,> �, ;.-�� ., a: �. __ No. Date �3uic.r>�n��.j' �Za � 3$.L00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 2 . ww a c� FZ Z� � N ^ a m J � J � Q W m J -m J Q U N ZQ W � aW WZ J Q m Z J � W w O= Z F- W � 70 F z Q U J 1 1 a 0 � y Z O H U � � r N Z BUILDING�;� ��'��/��'"r'�'t�� ADPRE55 p��U � � ' OWNER HELTZER ENTERPRISES-BROOKVIEW Mnl� ADPAESS 740 N. La Brea Avenue T E L. 2�_ cirv Los Angeles, CA 90038 r�o. 937-217 CpNS"7'RUC710N LENDER United California Bank BRANCH Main Branch aooAess 60o S Spsine st L A 9nns4 ARGHITECT ,.,, „ ,. �,.� . TEL.�� ,�.�,� ADDRES$113 N. S CONTRACTOF G ADORESS JGO N cirv Los Angel STATE L14 NO. 31 SIZE OF LOT USE OF EX15T�NG BLDG. SIZE OF USE OF BUILOING AND W; iJ/U � �-S e J. Heltzer Brea Avenue CA 90038 n�io�'937-2171 CITV IIC. NO. INO.OF BLDGS. NOW ON LOT�1,,.,„ NO. OF ROOM' ROOF COVER KTOB �] � � .:. . .... ;;;.t,, APPLICATION FOR BUILDING PERMIT E171EQ BY DATE RECEIVRD ner� iccin A.P. NO. �l' ' BUIL�ING ADDRES TRACT OWNER FIRE ZONE APPROVED NE NO.OF USE OF NEW � Gpt. '�—` PLANS � BUILDING G � VARDSAPPROVED VARDSAPPROVED MAIfV BVILDfNG ACCESSOFY HUILDI iOMC/LSTREE7) , DISTANCE BET. BEf. MAIN & MAIN BlDGS. ACCESS. BLD(35. � � P � �� -��-» /�ROVEDS-�o-�3 APPROVED I heraby acknowlotlge [hat I have reatl this applicaiiOn antl state ffia[ [ha above intormatian is mrrec[ antl agree to comply with a11 laN's regalatMg puiltling consirut[ion, and I shall not employ ��y person in violation ot tne workman's compensation laws of the S�ate af Calitomia. I heraby cartify tha[ I om pro0erly licensetl as a conttatior unEer '�` O SQ. PT. [ha S�ate of California Business antl Profeszions Code, Divisicn J, THE AMOUNT SH� Chaptar 9, entl that such licenses are in full force and effect, or I THE PUfiP�E OF E am exempt from Me pro�isio�s of the State ot Calitornia Businass VALUATION an0 Professions Cotle, � ion 3, Chapxar 9. � �� 1��- : Si nature of Permlttee , $ li'G G%L�:�� / / ! �� / AUMOrizatl ABen[ �, i.�1i( � m ��G'' = A-2 0 UNDER VA�UATION IS FOR ^ LISHING .4 PERMIT FEE ONL�': � TOTAL FEE 5 0 LL N