HomeMy WebLinkAbout635 DANUBE DR - Building Permitsraw.aa,�o-wc.n�sr�H `Z �� /
,U Applicant to fill in all spaces exceDt tho;e wil�in heavY Dortler lines antl sign all approp�late tleclarations.
PERMIT PE�M�T NO. �, � ;� TFACT NO. LOT NO. UNIT NU.
�
CITY OF COSTA MESA NSTR�.ICTION
ProjeCCAddress ��S �i9-N(%��� �[��7/•
i
, Applicant's Mailyyi /p�Ad�d,ress /� �-ry
Owner's Name �IS[ /L—�'�SJ� � LL / 7'7/lphonry;��� 1Q "P�3
H
Address. IC2 �S^ > > � � � ✓ � � �
�
ArohlEng. License No.
Address ���c�'
Contractor'sNam���.�..(3�4-�L�ThC7�II. Phone�.,.1�JT
Addresslmailing) �n�S � /if/�-�CT B/(�ft •
City License No. n�� U� 3 �-
LICENSED CONTRACTOR DECLARATION
I hereby a/fi�m tna� I am �itensetl untler provisions of Chdrte� 9(commencing
with zectlon ]000) of oiy�sion 3 0l tM1a Business antl Protesslons Cotle, antl
my Iicense is in tu1'orc ap etfecL / r/ O��j
License C ass �.l 2fI5C NO. � �� h
Date Signa[ure . �
WORKERS'COMVENSATION DECLARATIO
nereby aftirm tha[ 1 have a certifica[e oi consenl to self-insure or a certiticate
�f WO/ke�s' ComOensatio❑ Insurance, or a certifietl copy thereot (Settlon
3800, l.ab. C.) �1 �j / Q � ' r
Poli<y No. ��/ / / �1-, Comna�� J � �
❑ Certlfied copy Is hereby fumishetl.
E%EMPTION FROM WO�S' COMPENSATION DECLApAT10N -
(This mction neetl not be completetl if tne permit is tor one huntlretl (5300) or
Iess).
I cBrlify Ihat in the Perfo�mance of the wo�k for which this De�ml( i5 ISSuetl, I
shall not employ any oerson in any manner so as to become subject to the
Worker5' CompCnsalion L.ews of Calitomia. •
Da[e Si9nature
�NOTICE: If, afle� making [his tleclaratiOn, you shoultl b¢COme suDjecl to Ihe
Worke�s' Comp¢nsation p�ovision5 of Ibe Labo� Cotle, y0u must forthwith
comply with such � provi5ian5 ot this p¢rmlt shall be� d¢emed �ovoketl.
CONSTPUCTION LENDING AGENCV
I be�eby d/fl�m that tnere is a consi�uctlOn lentling a9enry for Ihe performance
of fho wotk for whicq thi5 permR Is issuGtl (Sec[ion 309] Civ. CJ
LenGer's Name
Lentle�'s AtlC�e55
OWNER BUILDEH DECtARATION
1 nereby a(firm that 1 am ezempt irom Me Contractor's Llcense Law for the
following reason (Section 7031.5 Buslne55 antl Professional Cotle: Any ci[y or
county which reQuirez a permit [o construct, all¢r, improve, tlemolisn or repair
any slructure, priOr to itS issuance, dlso requires Ihe applicant fo� Su<h pe�rtiit
�o filu a signetl statement that he/she Is Ilcensetl pursuant to the provlsions ot
e r,...r.���n.�< i ironv ��.., irnanro. 9 �cnmmencina wifh Sectlon ]0001 ot
.tnerefwm dOd [110 bd515 i0I Ih2 d1189C'4 8%CTpLIOO. Hf1y VIOIdL10l1 OI p¢C[�Vn
7031.5 by any dpplicant fo� a pe�mit su�ject5 the applicant to a civil
�enally of not more Man fi�e huntlretl tlollarz (5500). . �
LJ I, as owner oi the property or my employees with wa9es as their sole
compensation, will tlo tM1e work, ana the ztructure is not intentletl or of(eretl
tor SaIC (Seulion 7044, Bu5ine55 antl P�ofe55ional Cotle: The Con[rador's
License Ldw tloes not apply to an owner of a pwper[y wbo builtls or improves
thereon, antl wM10 tloes iucn work nimself/nerself or tnrough his or her own
employees, Orovitletl that such improvaments are not intendetl or otfuretl for
sdl¢. II, Itow¢ve�, the builtlin9 or Impruvemen[ i5 sOltl withln one yea� ot COm-
ple[ion, tbe owncr will have lne burtlen of proving he/she tlitl not bulltl or im-
�rOve fOf the pufpo5e ot 4alc).
I, as own¢r o� the pr4perty, am exclusively mn[raciing with IicCn58tl con-
Iracto6t0 consVUGt the project (Sec[lon 7044, BuSinesS and Professions Cotle:
The ConVactor's Licens@ �aw tloes not appry to an owner ot pro0arty who
builtls or imo�oves thereon, and wno contracts for such o�ojects wlth a mn-
tractor(sl license purzuan�'�o the ConVattor'S license Law�. I am aware that
prooi ol their Wo�ker's Compensalion insutance Shoultl De prOvltletl t0 me.
❑ I am exempt unaer Settion B. & P. C. tor this reason
Datc
1 h¢r¢by ce�tlfy that I
iniormation is carrect. I
antl Stale laws relating �
SCO�diIVCS O( 1�115 CFly
inSpeCtlon Ourp 5 5./
Signature ��
Drivers' License or 55 �
Owner
ve reatl this applicatlon antl state Ihat tne above
ree to comply with all city antl county o�tllnanGes
builtling mnstruction, antl hereby authorize reore-
enlarrpon th¢ above-mentionetl'Property fo�
TVPE OF CONSTRUCTION LJ NEW LJ ADD IJ ALTERATION lJ REPAIR
❑ CONVERS�ON ❑ DEMOLISH ❑ OTHER �
DESCRIPTION OF WORK/USE OF BLDG. .
TYPE OF PERMIT LI GRAOING LI FOUNDATION LJ STRUCTV RAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT pESCN�PTION Sa. FT. ' ocCUaArvCY—
CONSTRVCTION TVPE VALUATION $
ZONE GRADINGCV.VDS. ACRES__
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Baihiubs
Clarifiers . -
Dishwdsher
Drinki ountains
Ploor Orai
Floor Sinks ��
Gas Service � utlets �
Interceptors �af13
Kitchen Sink �
Lavatories .
P-Trap �
Roof Drains �
Reinspection Foe . � $15
Boiler .
Duct - Under Ground
Dutt - Structural
Duct - Ventilating
ExhauSt $ystem ❑ Multiple ❑
FirepUFact. BIL ICBO #
Heating System & Ducting �
❑ ai oo,000 sru O i oo,000 sr
Reinspection Fee � I S75
CMF OB65-46, rev. 30/84 Whit¢ - Builtling: Canary - Applicant; Pink - Accountin9: Goltlenrotl • A55855or
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Co11ec[ors -
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet �
Water Heater
Water Service
Auio-Wash ,
Issue Fee
Hootlor Typel ❑
Canopy Typell ❑
Re(rigeration System
OO-t00,000BTU ❑700,000
Sysrem Repair/Alteration
Fire Oampers
Registers
Issua Fee
A.P. #
S Main Buildini
E
T Front
6 Rear .
A
C Right
g Left
Ping. Ref. # �
Planning Notes:
0766 I/23/87
Zone -
Accessory Building:
Parking Req./Provided
ELECTRICAL ,
Automatic Washer - Transformer ❑ 15-50 KW
Construction PoleSub. . ❑ SO+KW
COoking Unit � Meter ��p ro 100amps
Dishwasher • - Meter Oover t00amps �
Dryers ❑Gas ❑Electric $ub Panel �
Fan Motors �0.7 HP O1 K- 8
F.A.U. Inc. Solar �9-15 HP �16-15+
Fixtures Microwave �
Device Boxes Pole Light
Outlets Range
Switches Sign
Garbage Dispoul ' Standing Sections
Generator �0.5 KW �5-15 KW Trash Compactor
$ 3 '
Reinspection Fee $15 Issue Fee
FEES . :
�DEVELOPMENTS@RVICESREQUIpEMENTS:
2oning Approved By
Building Approved By
Aooliration Iszued 8v
$ 3
5,0� TL
2
0
N
I
N
G
F
E
Q
M
T
$
FEES
$ 3
SUMMARY OF FEFS
.� BUILDING PEfiM1T $ SMIP , $
- PLAN CHECK $ PERMIT� ���
- ' , PLUMBING $ � �SSUANCE $
PLAN CHECK 25% $ ' ENERGY P.C. $
ELECTRICAL $ GRADING S
PLANCHECK 50% $ ' MICROFILM $
- MECHANICAL $ 70TALFEE • $ `�': O-a
PLAN CHECK 25% $ �
CONSTRUCTION AND PIANNING POOL & SPA
•APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. TemPorary Electrical $ervice or Pole 52. Pool & Equipment Location
2. Soil Pi.pe-Undrgrnd. 53. Steel Reinforcement
3. Elec[rical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. EVectrical Bonding
5.� Steel Reinforcement 56. Rough Plumbing & Pressure Test
� 6. -Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings - � 58. Electrical Conduit-Undrgrnd.
8. Foundation . 59. Gas Pipe, O Undrgmd., Test
9. Wate�;Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural�Floor System � 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Qreins 64. Plumbing System - Final
14. Rough'Plumbing 65. Electrical-Fi�al
75. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rouc�h Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEM$ FINAL
19. Rouclh Heating & Air Conditioning FIRE DEPT. REQUIREMENT .
20. Rouclh Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
'.22. DuctS, Ventilating 71. Product Piping �Gas ❑Oil
23. Gas PiPe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Siructural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. DrY Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FVNAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Noces: /d��� [,�pr ��, �,E�
34. final Heating & Air Conditioning �.Id,,, �{� ���L�,(,� 1�:5 rfJ�-�•3 V�� L��
35. Final Gas Pipe-Test -
36. Hood or Canopy ,
37. Final Factory Fireplace
38. Final Plumbing
39. Watet Service-Final i}Z
40. Gas Service-Final ���
41. Sular pomestic-Final �
: �'�
42. Backflow Preventer �•�� �
43. Backflow Irrigation
44. Landscape Irrigation System .�
45. Sound Attenuation �
46. Handicap Regulations '.��
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas C4
51. CER7IFICATE OF OCCUPANCY '
No. Date
/
^.�
�
PXOJECTROOflESS: 63S DANUBE DR
owxen s Name: pASCO MANAGEMENT CO
nooeess: p O.BOX 2968
COSTA MESA, CA 92628
641-0593
� AflCMIENGINEEfl:
nooeess:
flEG.NO.:
UNIT:
uNiT:
PEHMITTEE: ORION CONSTRUCTION ( 714 ) 363-0727
• aooecss: z 8 OAKCL IFF DR
LAGUNA NIGUEL CA 92677
LICFNSED CONTBRCTUP DECNflRTION: I hereUy a�firm IAaI I am licensed untler provi5ions ol Chapl¢r 9(commencing wilh Seciion
]000) ol avision 3 oi ��e Busmess ana Pmlesvons Coae. antl my license is in iWl lorce an0 ellec�.
cirr uc� q O 10 srnrc uc.: q g 5 qr�g� cuss: ��
Oate: � Signature���X t �
WOflNE S' COMPP ISATION OECLAflFT10N: I �ereDy u t I �ave a certilicai consem Io nsure or a ceM1ilicate ol Workers'
Compensation Insurance, or a cenilied copy ihereol �5 ion 7800. La�. C).
roucrr+o.: 046-93UNIT03554 EXP.�RTE: OSIOII94
COMPFNY: STATE FUND �
❑ Cenifietl coDY is herehy fumished. � Ceniliea coDY is IileO with tAe ciry Builtling �ivisian.
Dale: ; Applic5nt:
EIIEMP ION iR M WOBKEPS' fAMPEN5RTI0N OECIAHRTI : is sec�ion need no� be cp pleteG i� IAe p' is lor one AunOreA �E700) or less�.
1 cerlity ihai in I�e Oer�ormance o� Ihe work lor whic� ��is permil is i55ueJ. I shall nol employ any 0 5 in any manner so as �o Uecome
sub�e[I lo I�e Warkers' Compensa�ion Laws oi California.
Date: Signature:
NOTICE: II, afler making ihis Ueclaralion, you shoul0 become sublect to ihe Workers' Compen5ation provisions ot ihe Labor
CoOe. you mu5i Iorl�wiih comply wi�� such pmvisions or tNs permi� s�all Ge tleemed revoke0.
COhSTflUtTION LENDING RGENLY: I hereby aflirm ihat ihere is a CahtiNciion lending agenty for the pehormance al t�e vroM1 for
wNtli I�iS Dermil R isiu¢J (Seqion 3W7, Civ. G�.
LENOEX:
FDOflESS:
OWNFB BUIWEB OECIABRTION: I nereby afiirm i�a� I am exempt Imm t�e CanVactors' State License Law for the followinp reamn
(Section 703L5 Business and Prolessional Cotle: Any ciry ol county wAic� requires a permit m coretmct, alter, impmve, Aemolis�, ar
repair any s�mcture, prior �o iis is5uance, alm repuires �he aD�licant br SucA permit �o �ile a signea statement Ihat he/s�e is licensetl
pursuanl Io Ihe provisions oi Ihe Comracmrs' Slate License Law (Chapler 9(commencing with Section 7000) oi Division 3 0l ihe Business
antl Piolessions Cotle) or Ihat he/5ne is ecem0� thereirom anU Ihe Oasis for ��e alleged exemp�ion. Fny violalion ol $eclion 7031.5 by
any applican� lar a De�mi� sublects I�e aD0licant �o a civil penal�y ol not more ihan �ive hwCreC dallars �5500�.
I. as owner ol the pmpetly or my emoloyees with waAes as Iheir 5oie compensation, will do lhe work, and ��e
❑ SlmtWreis nol inlentled orollereUfor sale (SeClion 70d4, Busine55 antl Pm1e55ionalCotle: The Conifat�ors' S�ale License Law
tloes not a001y to an owner ol a pmpeny who 6uilA5 or im0�oves ihereon, ana who aoes such work himsell/Aerseli ar Nmugh
his ar Aer own employees, pmviOeC llul 5uth imprwement5 are nol intenaed or Oflerta �Or sale. II, how¢ver I�e Euilding or
imOmvemeni is 5old within one year ol wmpletion, Ihe owner will �ave �he �urtlen ol proving he/S�e GiG not GuiIG or impwve
' for Ine purpOse of 5ale�.
1, aS owner oi �he prOpetly. am ¢�tWsively comracting wiih licensed comrac�ars ta cons�mtl the Owle�� 1Section 704d, Buvness
❑ anC Pwleuions Code: T�e Camracmrs' State L¢ense Law Ooes not appty to an awner ol O�oce�y � bwl0.s or improves IAereon
an0 wtw talVatis �Or wth D�Ojecls wi�h a[Ontra[tOr�S) litense pursuani l0 ihe fAnlrati0fs' $Iaie L'Kenu Law�. I am aware
Nal pmof Of Iheir Worker'S Compensa�ion inSurance S�oula �e pmha¢A Ia me.
� I am ¢dem0� unaer Sec�ion: 8, 8 P. C.
�ar this reason:
Daie: Qwnec
I tlo �ereby cenify ihat I am aware ol and unUerslanU Ihe reQuiremenls oi CaliPomia Health and Safery Cotle Sections 25505, 25533, antl
2553a and iha� I or any IWure bwltling occupani will/will nol (circle one) neetl lo comply with said s�a�e coaes antl �he requiremen�s �or a
permil lor con5tmciion or mo0ilicalion �mm Ihe Air Oualiry ManaBement �isiric�. flesitlenlial consiruction applicalions are ¢xempl I�om
ihese pmvisions.
Dala Fpplicanl:
I here�y retlily Ihal I �ave reatl IhiS aD0lita�ion and Siate Iha11Ae above in�orma�ion is CorreCt I agr¢e �o Comply wiih all tiry anA counry
arAmances an0 slalelawl relalinglo builCing constmclion anG aulhoniereD�eS¢ntativeSo��Nsciryto¢nterupon��e a0ave�men�qnetl
o�openy tor,ipspeclian purposei _.
/.
Daie: � 3 si9namre�
Driv 's license or Social Secumy /:
i6aba6 WMe—Builtling; Green—Cotle Enlorcamenl Canary—AOp���N: Pink—Revenuo: GolEenraO—Asseswr
CITY OF COSTA MESA — BUILDING PEAMIT
PERMIT NO: B 063680 PLAN CHECK NO; N
CONSTRUCTION TYPE; 5—N PEAMIT TYPE; STR
JOB DESCRIPTION ; REPLACE SIDING NERIt224 UNITS 635 6 639
PERM NO: H 06368
GOVT; N SUPP: N
PURPOSE: REP
SQ FT; 1,200
CLAIM VALUE: 1,200.00 CALC—VALUE; 1,200.00 GROUP OCC; R-1 /
COMMENTS: X
�e �r * �r �r �r �r �r x �e * r �r x �r � r �t �t * �r �r *+t �t �t �t �t �r �t �t � �e �e �e+t �t * �r �r * �r �t �t �t �e x * � * * �t �r �r �r * �t �t �t �t * � �+t �r �r * �r * * �r �r �t �r �r �t �t �r *
2 O N I N G R E Q U I R E M E N T S
ssTBacxs
------------ MAIN BUZLDING ---------- --------- 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 N(51'ES>
i "
iFiFikkikikifkkkifkifikitiE�fififkiFifiFiflFilifikif�Elfk�klkififikMiElE�f�k�FikikkiFlEkitlEiEkifiFiFkiE�filiflEiFikiliEifiFl��EkiEiE�FifitiE*1t
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 T1 T S
ZONING APPROVED BY DATE; '
BUILDING APPROVED BY : DATE; •
APPLICATION ISSUED BY; �=' DATE; � 2 73
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1F�k �k k 1! 1FiE if k �f �flf k iF k if if �F If 1f 1f if �f �ElFlf k �f iF �f if iE k k iF iF If 1f !f iE iFiF iE if if if iEiF k�k i� 1Eik k if �f If iF ik k if If 1E if ik iE 1E 1f iF 3F if if k iE ik ik 1E ik iF
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 29,00 50
PL� SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 29,50 0,00 0,00 29,50 29,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 29,50 OVER/SHORT; 00
BLD29PM��T PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING PLAN—CHECK
. , . ��a.. , _
k iE if iF ik k 1kiF k if�if iF if if �F iF i! �f iF ik k if 1k ik if 1f ik iE �! 1f �f k if 1Flf it ik iF 1kiF if iF iE iF if if �E iE k ik if !f 1E iF If if �F ff if if if if k if df 1F iE iklFlE if i! fE iE 1f k if �f iF
I N D Z V I D U A L F E E H 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 1200 ALTER HY VALUE RESIDENTIAL NOZONE
END OF FEES
1,00 1,200,00
OS QD145796—OD145797 T O T ?9,5Q
DATE� O8/?6!93 TI17E: 13:4b
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
t. Temporary Elecirical Service or Pole 52. Pool & Equipment Location
1:
2. Soil Pipe�Undrgrnd. V i - 53. Steel Reinforcement
��9��Electrical Cond�it Utj�ity-Gndrgrnd:' 54. Forms
�A, E!�tritel CondviC-Uqdrgmd. �;- 55. Electrical Bonding
� 5.�Steel Rainforceinept_ _, � � 56. Rou9h Piumbing & Pressure Test �
',6'.`-E:fctricalUFER:�x�. � : 57. APPROVAITOCOVER-GUNITE �t
•i7•,kootings ' �.•' � �� 58. Electrical Conduit-Undrgmd.
l � r'1 r
��g, Fo�7ndation �' `, 59. Gas Pipe, � Undrgmd., Test '
9. Water Pipe-Un�gcdd. . 60. Backwash Lines, P-Trap, O Undrgrnd. �
1t1:�StructuralEloorSystem .:�. � 67. APPROVALTODECK�
11. Property Sewer lin@,& House Conn"�.rtion 62. Backwash & Receptor�Final
12. Sewer Cap = � 63. Heater & Vent-Final
r�
13. Roof Drains -� 64. Plum6ing System - Final .
14. Rough Plumbin�, - " 65. Electrical-Final
75. Rough Electricy],Condu�t 66. Solar SYstem-Final
16. Rough Electric�Wiring 67. Fencing & Access ApP�oval
l7. Rough Wiring S��n 68. APPROVED FOR PLASTERING
18. Rough Electrical<T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. flough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
� `J U' ^� ;- r. . . ;ii
20.t�ough ��;tory Fifeplace � i,i*� .i,•�; n �'� Ci l�'s <,qppROVALS �'_�CBerrnft # ' '-' '�'
r, i 1•�^ �1.! �Taa ��a�• r li' �
�. ' C 1 F�� :":'. F �-1 'ti y.. r Q ' :a�� .t l l�l
21. RuctS, in Str�ctuc'e.� �.. .. �.;,-, rJ � �x .: i0. l�ildergroupd Ny10
22. Ducis, �.!entilAtin9:+� i G�S :.� S -:�x'! r.� 1. Product�Piirlg ��iH� ❑Oil
23.`Gas PipeORou� &'Test ' '� ' `r "'� � � Jz, Under roua�1 Fli f�v,, � F:: ,.�
�-� �. r �q �," .e rr, 4' .f, Qt..% 1 9 4 i �+
v.
24.:Roof�Fr@ming• �r i �.c-. �.'•F� �� �-. �� 'T a « :q3.�llndergmd?Stora�qct`I'ank OGas ❑Oa'
� i-,
25. Roof'Sh�athing ;. � _ ��� "'� �rr.', � .�x x `j4.�verhead I{ydro~0'�" .
26.�T�BariCeiling (Structuraq & 11�tonocoat � n �i .n�� a 75.oDry Chemical � i = � � - �.
27.'frame and Flashing* -; � i ; b, � 1. � x 76.� DiY Standpi�2 �� y '''' '
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
.FocAoolicant to Fill in Comoletel�/�itr �.
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ADDRESS�j'jT"t.�b[�' �` � C�v�—�-qt
OWNER HELTZER INTERPRISES-BROOKVIEW
MAIL
ADDRESS 740 N. La Brea Avenue
cirv Los Angeles, CA 90038 nTio�
937-217
CANSiRUC710N
LENDER United California Bank
BRANCH Main Branch
nooRess 600 S Snring Sr., T_a_ qnn56
ARCHITECT TEL.
OFENGINEERF1ELdS & Silverman No 653-016
nooaess113 N. San Vicente, Beverly Hill
CONTRACTOR George J. Heltzer
ADDRESS 740 N. La Brea Avenue
CITY Los Angeles, CA 90038 No�� 937-217
L C No. 3144 LICVNO.
512E NO.OF BLIX'�.5.
OF �OT I NOW ON LOT NO❑
USE OF
E%ISfING BLDG.
SIZE OF NO.OF 2
NEW BLDG. ROOMS STORIES
EXTERIOR WALL ii00F
COVERING Plaster COVERING WOOd
USE OF BUILDING ANO WORK TO BE PERFORMED
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APPLICATION FOR BUILDING PERMIT
TRACTpF-�
FIRE
ZONE
APGROVED
lOT
DATE
B
N,2E _<� INO.OF ,� I BUILDING EW�' GONP�
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YARDS APPROVED YARDS APPROVED
DISTANCE BET.
MAIN BLDGS.
VAR. �W
c.u.r. ,ww�C— -73'�
APPROVED
BET. MAIN &
-�o -�3
I hereby acknowletlge tho[ I have reatl this applicaiion antl state , ,T7t
that the above information is correct antl agree [o comply wii� �'
all laws regulatlnB building consttuction, antl I shall not employ
any persan in viola[ion ot Me wofkman's CompanSaiiOn lews of
Me State ot Califomia. /� /� \/�i„i m
G��d-�SQ. FT. G-� O C�G-'c� k o
I hereby certify that I am properly licensed as a contrector under
tha State of California eusiness antl Pro(essions Cotle, Oivislcn 3, THE AMOUNT SHpWN UNDER VALUATION IS FOR �
Chapter 9, antl that such licenses are in tull force antl affact, or I 7NE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
am exemp[ irom [he p� visions of the State of California Business ¢
VALUATION
antl Professions Cotla vision 3, Chap2er 9. PERMIY FEE 3 Q
Sipnature of � ��/ n��. i �� /i � m
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Permittee G 1 � L� _ 5 I l•� `��/U PLAN CHECK 3/ L�i `�i o ,
/ �y � i
Authorizetl Agant - '
LL i
TOTA� FEE $