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Home My WebLink About639 DANUBE DR - Building Permitsi _ AOO��cant to fill in a�l spaces except thosa within neavy bortler Iines antl sign all avPropriate aeclarations. CiTY OF COSTn ME A CONSTRUCTION PERMIT ProjectAddress �� Qti�� 1�V�— , Applicant's Mailing Address Owner's Name � Phone Address � �� h��-� , Arch/Eng. License IJo. Address • Contrecror's Nam � S ' � /e' g=s�13 Addresslmailing) ��-�� l��r� `T�T City License No. ��,q 3 LICENSED CONTRACTOR DECLARATION ' - 1 hereby atfirm tnat I am iicensetl untler provisions oi Charter 9(commencing with section 7000) of DiviSion 3 of the Business antl Pro(essions Cotle, anG . my license is in ful(u, orce antl eftect. '" � License Class `+ Lic e o. � �1� Date ��— Q Siqnature � �;'^fORKERS'COMPENSATION DECLA'RATION `g�: iereby afiirm that I have a certificate ot consent to self-insure or a certificate `z r Workers' Compensztion Insurance, or �a certitietl, copy thereof (Section - 3800, Lab. C.)A `, PolicY No ��1C-` ��1��,3 ComPanY NO � \. Yl �],Certifietl copy is hereby turnishetl. '• . �.Certitietl copy is filetl with the city Bui}ryn�iviSiQnT Date APPlicant Y- � EXEMPTION FROM WORKERS'-COMPENSATION DECLARATION (Thissection neetl mt be comoletetl if the permit is tor one huntlred ($100) or less�. I certify tM1at in the perfo�mance of thE work fonwM1ich this perm�t is i55ueQ I. shall not employ any pe�son in any manne� so as to bewme zubject to t�e . Workers' Compens5tion Laws of Califomia. Date � $i9nature NOTICE: If, after makin9 this tleclaration, you shoultl become Subject to the � Wo�ker5' Compensation provisions of Ihe �abo� Cotle, you�must forthwith mmply �wilh� such provisions or NIs pe�mit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV ' I hereby aftirm that the�e i5 a consV uctlon lentling agency fdr the pe�formance of the work for which this Oermit is issuetl (Section 309] Civ. C.) Lentler's Name Lender'S Atltlre55 � OWNER 6UILDER DECLARATION�� I hereby affirm that I am exemp[ from the Contractor'S Cicense Law for the followin9 reason (Section �031.5 Husiness antl Professional Cotle: Any city or munty whi<h requires a permi[ to wn5[ruct, alter, imP�ove, tlemOlish o� r¢pair any st�ucture, ptim to its issuance, also requires the ap0licant fOr such permit to file a si9netl statemeM that he/sne is licensetl pursuant to the provisions of the Contractor's License Law (Chapter 9(commencin9 with Section 7000) of Division 3 ot the Business antl Professions Cotle) or that M1e/she is exempt therefrom antl the basi5 for Ihe alleqetl exemplion. Any violation of Section 7031.5 by any applicant far a permit subjects the applicant'to d tivil �. penalty ot not more than five nuntlretl tlollars ($500). � ❑ 1; as owne� of the pro0e�ty or my employees with �wa9e5 as their sole compensalion, will do the work, antl tne structure is not intentletl or offeretl for sale (Section ]044, BuSiness antl Prote55ional Cotle: The Cont�acto�'S Licente Law tloes not applY to an owner of a properfy who builds or improves thereon, antl who �ues such work himselt/berself m tM1rougM1 his or her own employees, provi0etl that such improvements are not intentletl or offeretl for sdle. It, however, the builtling or im0�o�ement is soltl within one year of com- D�elfon, the owner will have [he burtlen of proving'he/She tlitl not builtl or im- ��ov0 fo� the purpose of sale). I, as owner of the property, am exclusivery cont�acting with licensetl con- Vactors to tonst�uct [he prolect (Section ]044, Business antl Protessions Cotle: The ConVactor's License I�w tloes not apply ta an owner ot pronerty who builtls o� Improves thereon, antl who mnVacts for such projects with a con- tractor(sl license pursuant�to the�Contractor'S License Law). I am aware that proof af their Worker's Compensafion insurance sM1oultl be provitletl to me. ❑ I am exempt unaer Section B. & P. C. for this reason Oate Owner � I hereby certify that I have reatl this application antl state that the aGove in(ormation Is correct. I aqree to comply witM1 all city antl county ordinances antl state laws relating to builtlin9 mnstruction, antl hereby authonze repre- sentativ f lhis city to en[e��4 pOn fhe above-mentionetl property for inSpeCtio po s ` Signaturx �d��` ��n l ��—� Drivers' �� C � �F 2—� --- - - .,,... ,..,. TYPE OF CONSTRUCTION NEW P.DD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH OTHER. ' A p # , -DESCRIPTION OF WORK/USE OF BLDG. . . � - S Main Buildi TVPEOPPERMIT, cRaDiNG FOUNOATiON ❑STaucTURAL T Front ❑ TENANT �LECTRIGAL ❑ PLUMBING' ❑ MECHANICAL B Rear ❑ �OTHER ' . � %� PROJECT DESCRIPTION SQ. FT. ' occucarvcv � C Right K left CONSTRUCTIONTVPE � VALUATION$ g 20NE GRADING CU.YDS. ACRES Ping. Fef. # Remarks: � Planning Notes: i Bar Sink Backflow Preventer Backflow Irrigation Drinking Fountains Floor Drains � � FloorSinks - GasService OuHets� � Interceptors � Kitchen Sink . lavatories ' P-Trap Roof Drains . - � Reinspection Fee $15 Boiler Duct�- Under Ground Duct - Structural , Duct - Ventilating . Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heatin9 System & Ducting ❑ o-i oo,000 eTu O i ao,000 Reinspection Fee � $15 CMF 0865-46, rev. 4/84 White - Builtling: Canary - Applicant; Pink - Accounting; Goltlenrod -Asse55or Showers Service Sink ' Sewer Cap . Sewer Connection Solar Collecrors Solar Pipin9 ' Sotar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater � Water Service Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Issue Fee FEES Aufomatic Washer Construc[ior Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F,A.U. i Fiztures ' Device eoxes � Outlets Switches Garbage Disposal Generatar �0-5 KW � 1931 II/06/B4 Zone Accessory Building: ELECTRICAL Transformer ❑ 15-50 KW - ❑ 50+KW Meter LJup to 100 amps Meter ❑over 100amps Sub Panel Motors �0-1 HP �1 Y. - 8 Inc.Solar �9-15 HP �16-i Microwave Pole Light Sign 'Standing Sections 15 KW Trash Compactor s�aa !r� FEES $ 3 I �— ReinspeMion Fee $15 luue Fee $ 3 FEES DEVELOPMENTSERVICESREQUIREMENTS: . - Zaning Approved By Date Building Approved By Date ApplicatiOn IuUBd By �� Dat� $ 3 Z O N I N G R E Q M T $. SUMMARV OF FEES � BUILDING PEFMIT $ SMIP $ PLAN CHECK $ ' PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ � GRADING $ PLAN CHECK 50% $ MICROFILM 5 Q�� MECHANICAL $ TOTAL FEE $� l L J PLAN CHECK 25% $ � � POOL & SPA � CUNSTRUCTION AND PLANNING 1 ' APPROVALS Permit# ' Datei Inspector AppROVALS Permit# Date Inspector . 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. - ' � 53. Steef Reinforcement � 3. �Electrical �Conduit Utility-Undrgrnd. : 54. Forms , -4. Electrical Conduit-Undrgrnd.� � .' 55. Electrical Bonding 5. Steel Reinforcement {. . 56. Rough Plumbing & Pressure Test � 6. ElectricalUFERGrnd..• ' - - 57. APPROVALTOCOVER-GUNITE � .7. Footings � • � - � 58. Electrical Conduit-Undrgmd. , � 8. Foundation _ � � 59. Gas Pipe, � Undrgmd., Test �9. Water Pipe•Undrgrnd: ' � 60. Backwash Lines, P-Trap. O Undrgrnd. 10. Structural F�oor System , 61. APPROVAL TO DECK 71. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap �, , 63. Heater & Vent-Final ' I 13. Roof Drains � _ � -: 64. Plumbing System � Final 74. Rough Plumbing � 65. Electrical-Final � 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Elertric Wiring . : - 67. Fencing & Access Approval 17. Rough Wiring Sign � . " 68. APPROVED FOR PLASTERING . 18.'Rough Electrical-T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT , 20. Rough 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. Storage Tank O Gas ❑ Oil 25. floof Sheathing . 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical , 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & SicJing 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � � � .e,� Notes: 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-Test . � 36. Hood or Canopy . � 37. Final Factory Fireplace 38. Final Plumbing � . 39. Water Service-Final � 40. Gas Service-Final ', 41 . Solar porrlestic-Final 42. Backflow Preventer . 43. BackflowJrrigation ; , .. . __ . • 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 Relea;e to Southern California Gas.Co . 51. CERTIF,ICATE OF OCCUPANCY No. Date Applicant to fill in all spaces except those witnin heavy borOer lines ana sign ?II aoP�aoriate tleelarations. CITY OF COSTA MESA � " " ' CONSTRUCTION PERMIT � Project Address J � ' �7 Appl"ca Ys Ma'I' g�d dress r3 �� L.Q �i � ��//JA n„��o. < Nama �. 1 A.t/ . 1' a;� n �� n k� rnone�2�l�L9 Addreu 5� i}� i'- � Arch/En9. License No. ' Address Contractor'sNam �a"� �' ' � � ho�f ��' � Atldress lm "�' ,� IS33 I Ip' � l IA:A�i ' �f'/".r /q 0 City Licerise No. ��'? o � ^ ` LICENSED CONTRACTOR DECLARATION . \I:h¢�eby, affi�m lhdt I am liGansetl untler provi5io05 of Chdrt¢� 9(COTmendng with section 7000) of �Ivision 3 of tne Businesz antl Prote55ion5 Cotle, antl \my Ilcense i5 in full to3ce andeifect �/ ��'�—n \ Lic¢nSe Class Censq No. � Date �—�u—�V Siqnature � � ' �� • "OHKERS'GOMPENSATION DECLARATION ' iereby affirm that I have a cerlifltate of consen[ ro salf-insure or a certlticate � ,('Workers' Compensatlon Insurance', or a terUflea copy thereof (Section' 3800� Lab. CJ D, /�, / � ��Jfll/F_2� �.(�S � PoliCy No. 7� Y— Company �ertifietl copy is hereby fumishetl. � Cer1ifietl copy is�fIletl with Ihe city B Iltling D��Ialon,. 1 Date /��-S�Gy- aooiicant��nlwJ�iC ,C7 . n.._.!..�nl E%EMPTION FROM WORKERS' COMPENSATION DECL'ARATION � '� �(This section neetl not be completetl i1 the perml[ is for one huntlretl (E100) or less). I certiry that in the oerformance of Ihe work tor wnich this permR is issuetl I snall not employ any person In any manner so as to bacome subject [o t�e Workeis' Compensaqon laws of California. . Date Si9nature NOTICE: If, atter making this tleclaration, you snoultl become sub7ect to the Worker5' Compensatlon provi5ions ot the Labor Cotla, y0u�must forlhwith comply with suc� � Orovislons or (his parmit shall be aeemotl revoketl. CONSTRUCTION LENDING'AGENCV " � I hereby at(irm [hat there is a tonstrucdon lentling agency for the performance � ot lhe wOrk tor wh(Ch• [hls permit is issuatl (SeCHon 3097 Civ. 'C.)' L.enUer's Name _ _ - , , Lender's Atltlress OWNER BUILDER DECIARATION / � 1 heraby affirm that I am exempt from the Contracior'S Licenso Law for the rom antl the basis forthe allegetl ezemption. Any vlolation c i by'any applicant for'a permit sub�e<ts the appllcant t y of not more than five huntlretl tlollars ($500).' as owner of tha property or my employeez with wages as :nsation, will tlo the work, ana thn structure is not IntenGetl � le (Section 7044, Buslness antl Profes51ona1 Cotle: The Co e Law tloes not apply to an owner of a property who.builtls or n, antl.whmtloes such work himself/hersal/ or through his o� vees. orovitletl tha[ such improvements are not.lnfentletl or o' sale. If, however, the builtlin9 0/ Imp�ovemen[ I55o1� withln Ona y¢ar Oi Com- pletion, the owner will �have the burtlan of proving he/she Eitl not builtl or Im- �rove foi the'purpose of sale). � • : LJ I, as �owner ot the Droperty, am exclusively contracting with Ilcensetl con- tractors to cons[ruct the project (Sectlon 7044, Business antl ProfesSions Cotle: - The Contractor'S Llcense Law dOGs mt apply to an owner of prOPerty who builtls or improves thereon, antl who contracts for suth orojects with a con- , tractor(s) Iicense pursuaM to tnc Contractor;s Ucense Law). ❑�I�am ezemot untler Section B. & P. C. for this reason � Date � Owner _ I'hereby cmtHy tha[ I have reatl "intormation is correct,- I a9ree to c antl state laws relatlng to bulltling sentatives oi� this�clty to enter Inspectlon pur o �5 Signature � ,� Drivers' Litunse or 55 � rev. ]/83 White-Bui n antl state that the above dty antl county ortlinances'� dntl hCrebY au[horlie rapre- TVPE OFCONSTRUCTION LI NEW -LJ ADD� LI ALTERATION lJ REPAIR ❑ CONVERS�ON ❑ DEMOLISH ❑ OTHER � q,p, # DESCRIPTION OF WORK - - S Main Buildin E TVPE OF PERMIT GRADING FOUNDATION ❑ STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL � PWMBING ❑ MECHANICAL A Re3f ❑ �OTHER ' � C Right � PROJECT DESCRIPTION 54. F7. _ oCCUPaNCv K CONSTRUCTION T'VPE VALUATION S S �eft -- 20NE - GRAOINGCU.YDS. ACRES PIng.Ref.# , Remarks: ' � Parkin0 Req./Pro� nk ow Preventer ow Irrigation ibs . ers asher ing Fountains Drains � Sinks . Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping' - Solar Tank Swimming Pool w/Spa Gas Service OuUets Water Closet .. Interceptors� � Water Heater Kitchen Sink � Wacer Service Lavatories � " - �. P—Trap . � . � . Roof Dreins - � � � � . Reinspection , Fee Duct - Under Ground Duct - Structural Duct - Ventilating � Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting Oai oo,aaa eTu O i oa,000 Date � d-��`� , � � � painspection Fee : Canary - APpllcant: Pink = Accounting; Goltlenrotl - Assessor $25� Issue Fee , - 1ANICAL Haod or, Type I ' ❑ . Canopy Typell ❑ � Retrigeretion System 00700,OOOBTU ❑100,0008 System Repair/Alteration f Iwue Fee - ' FEES Use of Building Planning'Notes: Automatic W[ Canstruc[ion Cooking Unit Dish�vasher Dryers �Ga� Fan 4039 2/08/84 � .. ` v� ' ' Zone Accessory Building: � Park: Fees $ � . ied � � ELECTRICAL ' Trenstormer ❑ 15-50 KW ❑ SO+KW ' Meter ❑up to 700 amps Meter ❑over 100 emps � F.A.U. � 0 G� Fixtures . Device Boxes • Outlets Switches Garhage Disposal ' � Generator OP5 KW �5-15 KW $'3 $ 3 5.00 TL Z , , O- ' N I N G R E � U � _ q ' E , M E T Sub Panel ' � � Motors 041 HP �1'h - 8 Inc. Solar �9-15 HP �16-15+ Microwave Pole light Range � Sign ' Standing Sections • Trash Compactor ' I Reinspection Fee � ' I$25 � �uue Fee � �� $ 3 I PUBLICSERVICESREUUIREMENTS: � ' � ' � � 2oning Approved By Date � Appliwtion AOProved /By/ � Date� Appliption Issued�By� "�✓ � - � Dat SUMMARV OF FEES � ' , BUILDING PERMIT $ SMIP ' $ PLAN CHECK $ PERMIT � PLUMBING � $ � D U � '��UANCE $ PLAN CHECK $ ENERGY P.C. $ � ELECTRICAL $ � GRAOING �$ � PLANCHECK $ MICROFILM � $ - !- MECHANICAL $ TOTALFEE � $ �'�r 01`� ' PLAN CHECK ,$ , � � CONSTRUCTION AND PLANNING POO� & SPA APPROVALS Permit# P��D�Z' Date Inspector AppROVALS Permit# Date Inspector� 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - . 2. Soil Pipe-Undrgrnd. � , 53. Steel Reinforcement .3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55..Electrical Bonding � 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test � 6.� Electrical UFER Gmd. . 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation � 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, 0 Undrgrnd. 10. St�uctural 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 Drains 64. Plumbing System - Final - . 14. Rough Plumbing � 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final � 16. Rough Electric Wiring �� ' 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling ' � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. DuCts, in Structure , 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing � 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & 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. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing �f l2�j!'% (,ED 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final ' 42. Backflow Preventer 43. Backflow �rrigation . - ' 44. .Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � , 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co � 51. CERTIFICATEOFOCCUPANCY No, Date Pfl0.1ECT RDOflE55: ( 3 j DANUBE DR owxen•seame: ROSE BEI5EL nooxess: 639 DANUHE LR COSTA MESA 557-2386 FPCN/ENGINEEF: RDOXESS: ast +- o ioi+ir: �• NEG.NO.: UNIT: PEflMITTEE: NOClC PLUMBING ( 714 ) 895-1246 aoosess: 11610 SEABOARD CIR STANTON CA 90680 UCENSEO CONTNpCTOfl DECLAPFTION: I here�y aHirm that I am licensetl unEer pmvisions ot Chapler 9(commencing with Section 7000) ol Division 3 ot I�e Business an0 Pmlessions Go�e, anU my licenn is' in lull furce antl eliecl. cirruc.: 0503� i��p�ELIC.' 511971 �j�'^SS' C-36 �F�� —ls„z: � � o / SignaWre: —�� WONREBS' COMPENSATION �ECIAIiATION: I hereGy aflirm t�at I �ave a c¢rii�ica�¢ o� consent to sel4insure o� a ceriiliwte o� Workers' Comoen5a�ion Insurance. or a certdie0 cooY ��e�eol (Secfion 3800. LaG. C. aaucrxo.: 1167992-93 E%P.ORTE: �3IOS�Ji camrnxr: STAiE 7 Ce�ili¢e copY is �er¢by lumish¢a, � Cetlili¢tl capY i5 /h�l�y/q� IAe ciiy B�u/il/Ji�n�@ Divi ' �/7/� --p3tq `� � (,OI.�C.� qpplicantv��i.L� ''9!E'4:f/(/ / "— i . EXEMPTIONFflOMWOflNENS'COMPENSl�710NOEG�IBRTION: QhissectionneeanotbecompleteaillhepermilistaronehundreU�8100�orles5�. � I cetlily t�al in I�e pedormance oi ihe wark �or Which �his permit is issuetl. I 5hail not employ any Oeroon in any manner so as �o hecome I suDlecl lo ��e Workers Compensation Lawt ol Caiilomia. �I Oate: S�Anamre: NOTICE: II. al�er making t�i5 Eetlaralion, yqu Shoula �eCome Subleti Io I�¢ Workers' Compensation pm�ons oi t�e Labor COCe. you must fart�vnth compty wit� suc� O�oWsions or t�is Deimil s�all �e AeemeA revakeA. CONSTBUCTION LENUING AGENCY: I �ereby atlirm �hat ��ere is a conSVuctian lentling agency lar �he p¢tlormance oi the work fo� whlc� Ihis permil is issuetl (Section 3097. Civ. C�. LENOEfl: ADOflE$$: OWNEN BUILUEB OECIANRTION: I her¢Oy alli�m Ihai I am exempt Iwm Ihe ConlractoK Sta�e License Law for the I011owinA �easan (Seqion 7031.5 Bu5ine55 and Pm1e55ionai COOe: Any Cily of tounly whit� reQuir¢5 a permit ro tOnS�mti, all¢r, imprwe, tlem0lish, Or repair any SimCtUre. prior Io its issuanC¢. als0 feQuires Ihe apPlicant �Or Suth permi� b file a Sign¢4 Slalemeni I�a� �e/5he i5litenutl pursuam io tne Omvisions ol Ihe Comrociors Staie License Law (ChaO�er 9 �commencing vnih Section 7000) ol 0ivision 3 oi the Business and Prolessions Cotle) or iha� he/she is eKempt IAerelrom antl ��e Easis �or I�e allegetl exemption. Any viola�ion ol Sec�ion 7031.5 by any applicanl br a permi� subjetl5 ih¢ applican� �o a civil penaliy ol noi mor¢ I�an live hundretl Gallars �55001. I, as owner oi ��e pmp¢rty or my ¢m loyees vn�h wages as Iheir sole compensalion, will Oo �he work. anA Ihe ❑ slmc�ure is noi intended or alleretl br s2�e (��on 7044, Busineu antl Prolessional Cotle: The Contractars' State Liunse Law aces not aODN �o an awner ol a D�oDenY w� �uilOs or impmves ihereon. antl who Ooes such work himseli/�ersell or thmup� �is or �er own emDloyees. D�oviAea ��a� such impmvemems are noi intendeA or afiereA for sale. II, however the builGing or impmvement is sold vnthin one year ol completion the owner will �ave ihe Ouraen of pmving �e/s�e Oitl nat Ouiltl or impmve ' lor �he purpose ol sale). I, as owner of ��e pwpetly, am extlusively wntratling wiih lic¢nsetl tonlrattors lo tOnstrUt� �he pmjeCi (SeClion 70ad, Bu5ine55 ❑ ana Prolessions CoOe: T�e ConVaclors' S�ale License Law tloes not apply �o an owner o7 proDetly who �udds or impmves �hereon and who coniracts lor such pmlecls wil� a con�rac�or(s) license pursuanl lo �he Con�rac�o�s' $�2�C UL¢1152 L3W). I dlll dWdf¢ tha� Orool ot Iheir Worke�'S ComOensatlon insurance should be pmvi0ed �o me. � 1 am exempi untler Section: B. 8 P. C. for I�iS reason: Oate: �e� I ao he�eby cenily Inat I am aware of antl un0er5�anA ine requiremenls ol Calilomia Healih anJ Salely Caae Seclions 255Q5, 25533, ane 25534 and lhat I or any lulure builtling occupan� willlwill not (circle one) neeU la com0ly wiU saitl s�ate cotles anU Ihe reQuirements lo� a permil lor Con5lmCiion or modilica�ion Imm Ihe Air �uahty Managemen� Di5lricl. ReSiUen�ial tonSVUt�ion applita�ion5 ar¢ exempl imm Illese provisi0ns. Dale: Applipani: I here�y c¢Nly ��al I �ave read l�is appli[alion an0 Slaie �hat Ihe above in�ormalion is correct. I agree lo compry wilh all ci�y anE coun�y arGinance5 anG slate laws relating io OWtling cons��uaion antl h��i� aullwr¢e represenia�ivu ai this pry t nier upon Ilre a0ove-menlione0 pmperly �Or inspetlion Durpose5. / ,/;�� `t� � !U � �( .� / / '6ate: Signalmif f Driver's �icense or Socia� Security x: � I6Gt�66 White—Boiltlinq: Green—Coao EnlJrcemenC Canary—ApplicanP, Pink—qevenue: Goltlonrod—Assessor CITY OF COSTA MESA — BIIILDING PERMIT PERMIT NO: P 063452 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PER.MIT TYPE: PLU JOB DESCRZPTEON : CHANGE OUT OF A WATER HEATER PERM NO: P 06345� GOVT: N SUPP; N PCJRPOSE; OTH SQ FT: CLAZM VAi,UE: 76.00 CALC—VALUE: GROUP OCC: R-3 / COMMENTS: SMOKE DETECTOR RE�UIRED IN THE HOM£ PRIOR TO THE FZNAL �r*�*��r*�r�r*�*�#*�rx��r��r*�t****�e ***x****�**�r*�tfr�t**�#*#**�#**#��r**#**��**�*x�##��t*�r�t Z O N I N G R E Q U I.R E M E N T S S E T B A C h S ------------ MAIN BUII,DING ---------- --------- ACCESSORY BUZLDING --------- F'�1NT: FT IN REAR: FT IN FRNi: FT ZN REAR: FT IN LEcT; FT ZN RGAT: FT ZN LEFT: FT IN RGHT: FT IN PARKING REQ : PROV: PARCEL: 93405075 ZNE: REF NO: PLANNING NZSTES> ***�*��****�**��r*�r�**��*��*x�***�**�*��**�x��**ii��r�**�********x*�r*##+r�r�r**�#**�t* �— 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• BUILDING APPROVED BY APPLICATIOIv ISSUED H 3f iE 1E iE iF iF # iE ik if iF iF if iE if i! iE iE if if IE iE if # 1f if if iE iE 3f �f iE 1E iE �lf if if # if if LEGALIZATION:N 3LDG PMT . �. _ DATE: � � DATE; D ! " ` � . c� � 3E . .. iE1ElEifillElE�lfiElE�iF' yc ieif iEiEiEiE#�klflfififiElEiFiE',EiE-1EififitiEiF#ih�h it#lfik#iF�EifiliEif#fEiEiFiEIEiE�1FiE##1EiFi(�-1f#iF�IFiE�lfit F E E S U M M A R Y STRUCTURAL SEGMENT:N PERMIT PLUMBIoo ELECTRIC MECHANIC FIRE SMZP/RES GRADING ^` SMIP/NON—RES PLAN z5$ i ISSUE FEE 20.00 �' BJILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7,00 20,00 ;. 0.00 27.00 27,00 ,00 REVENUE �IVISION TOTAiS--> COLLECTED• 27,00 OVER/SHORT• 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECX 2%,�� if iF iF 1E iE ik jF iF iE i(-iE iE iE if iF �f iF iE iE iF iE iE if if iF if 1E iE if if 1E iF if if iF�# 1E iE iE 3F 1E iE �lf if iE iE iE 1(� iF # iE iE # iE iF �lE # iE # if iF �lE iE # iE iE iF if iE iFlE if if iE # fE �lE if i! i N D I V I D U A E.'� F E E H R E A K D O W N c' TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST J PLU 1 WATER HEATER AND/OR=VENT 7,00 7,00 END OF FEES � � i� .l 01 00144674-00144674 Tt] T 27.00 DATE: �3/70/93 TI11E� 12:D,i CONSTRUCTION AND PLANNING POOI � SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector t. Temporary Electrical Service or Pole 52. Pool & Equ�pment Location 2. Soil Pipe�Undrgmd. � 53. Steel Reinforcement 3. Electrical Conduit UtilitV-Undrgmd. 54. Forms 4. E ectrical Conduit�Undrgrnd. 55. Electrical Bonding 5. S:eel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgmd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor Sys:em 61. APPROVAL TO DECK 71. Property Sewer Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap � 63. Heater & Vent•Final 13. Roof Drains 64. Plumbing Sysiem - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final ? 16. Rough Electric Wiring 67. Fencing & Access Approval � 17. Rough Wiring Si9� 66. APPROVED FOR PLASTERING 18. Rough Electrica6T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � 79. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVAIS Permit # 21. DuCts, in Structure 70. Underground Hydro 22. Ducts, Venti�ating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe•Rough & Test ' , 72. Underground Flush 24. Roof Framing � � 73. Undergrnd.StorageTankOGas OOii 25. Roof Sheathing 74. Overhead Hydro � 26. T�Bar Ceiling (Structurall & 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. Dryevall Nailing � HEAL7H DEPT. REQUIREMENT 31. Plaster Brown Coat ; � ' 79. PINAL INSPECTION 32. Electrical Power Meter�Final 80. F000 CERTIFICATE ISSUED 33. Final Electric Notes: �.��_ �QI-- �y�� P� %7�_aAt1.7�4��.�� ,1lic 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � { , 36. Hood or Canopy � � . 37. Final Factory Fireplace , ' 38. Final Plumbing ��p� � 39. Water Service�Final 40. Gas Service-Fina� ! 41. Solar pomestic-Final 42. Batkflow Preventer 43. Backflow Irrigation � 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILOING � � 48. FINAL PLANNING � 49. Electric Release to Edison i-- 50. Gas Release to Southern California Gas Co '' 51. CERTIFICATE OF OCCUPANCY No. Date �j�r�+-a/�/l, �18 �,_ 38095 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COS7A MESq,CALIFORNIA 92626 Fill ADDRESS _ OWNER HELTZER Fv�TERPRISES-BROOKVIEW MAIL ADDRESS 740 N. La Brea Avenue cirv Los Angeles, CA 90038 N�L 937-2 CON57RVC710N LENOER United California Bank BRANCH Main Branch ADDRESS (�(1(1 C Cnrinn cr i n onnci. `�""'""" Fields & Sil OR ENGINEER verma nooaEss113 N. San Vicente, CONTRACTOR George J. Hel ADDRE55 740 N. La Brea aTv Los Angeles, CA 90038 $TATE uc. No. 3144 SIZE OF LOT USE OF EXISTING BIDG. SIZE OF NO.OF WALL P1aSLET JILDING AND WO L. TEL. No. 937-2171 CITV LIC. NO. �— INO.OF BLDGS. NOW ON LOT None Z . _- - ; � .-- � .... :��.1: APPLICATION FOR BUILDING PERMIT �tVF.D�BY DATE RECEIVEp nnTc iSsui YER F ESS.i�1�==L TpACT�ti-T fl FIFE ZONE APPROVED NE NO.OP USE OF NEW�� CONpO 3 — <� PLANS �Z BUILOING � � ��, VARDSAPPqOVED YAqDSAPPROVED MED DISTANCEBET. MAIN BLDGS. / VAR.# c.u.a. ��C— -i3-- PPPROVEO I hereby acknowledga that I have reetl t�is appllcation antl state that the above information is correct antl ap�ea to comply with all laws regulating builtling construction, end I shall not amploy any person in viala[ion of [ha workman's compensation laws ot the Stace of Calitornia. 1 hereby certify that I am proparly licansatl as a contractor untler the S[ate of California Business anq Professions Cotla, Divieicn 3, Chapte� 9, antl that such licenses are in f�ll torce antl affact, or I am exampt trom the pf isions of the $fata of Calitornia BuSinezs antl Protessions Cotle vision 3, Cqap/ter 9. Sipnature of 1 �n� Parmittae � C!� � �`�� Authorized Agent , ' BET. MAIN & ACCESS. BLDGS. ' DATE r' APPROVED A �Z�"7 5'�'!losa. FT. �l> o G�2'` / THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESfABLISHING A PERMIT FEE ONLY: VALUATION PERMIY FEE S O O B //y� ��U `�� PLAN CHECK $ / �/i? ✓ (