HomeMy WebLinkAbout640 DANUBE DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
�ob Address: 640 DANUBE DR
Suite No
Vicinity:
Parcel Nunmber: 93405081
Applicant:
Address:
Owner:
GLOVER, LORIE
FOLGER, ROSEMAY C
Address 640 DANUBE DR
COSTA MESA, CA
PLUMBING PERMIT
Phone: 714-241-1414
Zip:
Phone:
Zip: 92626
Contractor: COAST ROOTER PLUMING HEATING & AIR CONDITIONING
Address: 2737 S CRODDY
Arch / Eng :
Address:
SANTA ANA, CA
Phone: (714) 241-1414
Zip: 92704
License: 529727
Phone:
Zip:
License:
SCOPE OF PERMIT
WATER HEATER CHANGE-OUT.LOCATEDIN GARAGE.
ISSUE FEE
BackFlow irrigation
Backflow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-0 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oip
Interceptors (Sand Auto )
AMT
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
�
FEE SUMMARY
AMT
Laundry Tub I Washer $0.00
Landswpe Irrigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 h) $0.00
Receptors $0.00
Septic Tank $0.00
Sewer Cap for Demo $0.00
Sewer Connect $0.00
Sewer Private Line 50.00
Shower $0.00
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
Status: ISSUED
Applied: 11/30/2000
Issued: 11/30/2000
ISSUED BY:
SumpPump
Swimming Pool
Trep Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping Qnst or Rep.)
Water Re-pipe
Water Service
Water Sokener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
50.00
50.00
$0.00
50.00
50.00
50.00
$0.00
$12.30
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: $35.80
QTY
0
0
0
0
0
0
0
0
0
0
7
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepaetlone and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
244&46IN00)
WORKERS'COMVENSAnONDECLAAAnON:
I hereby attirm under penelry of Derjury one ot the following tleclarations:
❑ I have antl will malntein a certilicata of consent to selt-Insure tor workers' compensation, es pmvided for by section 3700 of the Lebor Code, tor t�e pertortnence of the
work for which this permit is issued.
� I have and will meintain workers' compensation insurance, as requiretl by secGon 3700 of the Lebor Cotle, tor t�e pedortnflnce ol the work lor w�ich this pertnit is issued.
My wo rs' compensa[ion Insurence carrler antl pallcy number ara: , 1
Carrier. �I,���Yl'�'�M. PoliryNum6er:�vd%��FiR�9
(iliis secGon need nat be compleretl i! N pertnif is ve/ued et one hundred dollers (5100) or /ess.)
❑ I certify Ihat in the pedortnence of the woM for which this permit is issued, I shall not employ eny person in eny manner so es to become subject �o the workers'
compensatlon laws of Celifomia, and egree that it I shoNA become sub�ect ro Ihe workars' wmpensation provisions oi Sectlon 3700 ot the Labor Catle, I shall forthwith
com I with these rovision� i � /I
Applicam S gnature: � �— Date: �� � I �
WARNING: FAILURE TO SECURE WORKER$' COMPENSATIqJ COVERAGE IS UMAW R1L AND SHPLL SUflIECT AN EMPLOVER TO CRIMINAL PENALTIE AND CNIL NES UP TO ONE HUNDRED
hlIXl^uAND DOLURE (5100.000). IN ADDRION TO THE COST OF COMPENSATION, DAMAGES /S PROVIDED FOR IN SECTIpJ JN60F THE IABOR OODE, INTEREST, AND /TTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirm that I am licensad under pmvisions of Chepter 9(wmmencing with Section 7000) of Divislon 3 of the Buslness
torce entl ettect. Lic. a /% Class a
_�– —
(Contra�tofs SigneWre: � �— Date: _
antl my license is in tull
CONSTRUCTON LENDING AGENCY:
❑ I hereby aflirtn ihet there is a consimction lending egency lor ihe pertormance of the work for which this permit is Issuetl. (Sec. 3097, Civil Code).
Lendefs Name: Lentler'S Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I �ereby aflirtn that untler penalry of per�ury that I em EXEMPT FROM THE CON7RAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Cotle: Any city or coumy which requires a permit to constmct, eller, Improve, demolish, or repair any sirucNre, prior to its Issuance, elso requlres ihe applicant lor such pertnit
to file a signed stetement that he or she is Ilcensetl pureuant to the provisions ol the Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) of DlNsion 3 of the
Business antl Professlons Code) or ihet he or she is exempt iherelwm and the basis tor the alle9ed exemption. Any violatlon of Sectlon 7037.5 by any epplicant for e pertnit
suhjects the applicant to e ciHl penalry oi not more ihan live hundred dollars ($500).):
❑ I, as owner o� the property, or my employees wilh weges es their sole compensation, WILL DO THE WORK, end the sWcture Is not Intended or otterad br ule (Sec.
7044, Business and Professions Code: The Contractore License Lew tloes not appty to an owner ol property who builds or improves Ihereon, and who tloes such work
himsalt ar herself ar Ihmugh his or her own employees, provided Ihat such improvements are not intended or ofleretl for sele. If, however, the buil0ing or Impmvement is
sold within one year of completion, the owner�Euiltler will have ihe Ourden of proving ihal ha or she tliC not build or improva tor purpose of sale.).
❑ I, as owner ot the proParty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to wnstruct the project (Sec. 7040, Business and Profeuions
Cotle: 7Te contret�or5 License Lew does noi epply Io en owner ol property who builtls or Impmves thereon, and who contracls tor such pro�ect with e contractor(s)
license pursuant to the Contrectors License Lews.).
❑ I am exempt untler sec.
Signature:
Ownor ID verifietl by tlriver's license. ❑ Ves ❑ No
BuSiness and Protessions Code tor this reason:
Verificetion ot Ownership by (rype of daument, I.e. - property taa bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Drivers License No.
Date:
Expires:
❑ I hereby ceriity Ihat no exwvation five (5) or more feet In depih into which a person is required to descend, will be mede in connection wlt� work euthorized by this
pertnit, and Mai no builtling sirudure, scaHoltling, falsework, or demolition or dismantling ihereot, will be more then thirty-six (36) leet high. (Chap. 32, Grp 2, Atl 2, Sec.
341, Title B, Calitomla Atlmini5iretive CoOe).
❑ A5 owner-builder, I will not employ enyone to tlo work which would require e permi� from the Division of Industriol Safety, as notetl ebove, unless such persan hes e
permit to do such work irom Ihe division.
Signature: Dale:
Divisian at Industrial Sefery Permit Number:
CERTFlCATE OF COMPLIANCE AND AUTHORIZATON OF EN7RV: I certity under penalry of perjury that I have reatl this epplicalion and state that the intormation given is
correct. I agrae m wmply with all state lews and ciry ordinances relating to Guilding wnstruction, and authonze representetives of Ihe City at Costa Mesa to enter upon Ihe
ebove-tlescnbed property for inspection purposes. I egree not to acupy or allaw occupancy ol eny building authorized by this permi� until finel inspection.
GODE 1, INSPECTIONTYPE
7616 Fixetl Sysiem Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
///�3Va� G�
Dete
Q� lllTlfll�j �QQ[j INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Finel Elecirical
212 Finel Fire PrevenNon
220 Finel Planninq Approval
222 Final Site
250 Final Builtling/Occupancy
GAIE II�E64
�� G�
�
PflOJECi AOONESS: ( 4 O DANUB E DR
,OWNEP'SNAME:BROOKVIEW CONDO HOA
nooncss:630 PAULARINO
CM., CA., 92627
(714) 587-0399
RPCNIENGINEEFl:
RUOflESS:
flEG.NO.:
UNIT:
UNIT:
PEHMITTEE:MESA AOOFING CORPORATION (714)548-3012
aoon¢ss: BQ3 W. 17TH ST
COSTA MESA CA 92627
UCENSED CONTBRCTOB OECIANATION: I here0y allirm lha� I am ficensed un0er pmvisions ol C�apter 9(commencing wi�� Seciion
7WU) 01 �ivlvun 3 al the Business ane Pmlcs5i0n5 COGe�, an.m� ¢exee�irnrfelHm ef�ecl.
aTruc.:035681 S�T3ATELIL.SG�IS�1--_ cuss:�,%�9-.�
�ate: �' � � — / � Signatu � ��/ �����
flREflS' LOMPENSATION OECLABATION: I �er¢�y a��i m I�a �ave a cerlilicate ol consenl Io sell�insure or a[etli�ica�e oi Workers'
.npensation Insur n, ar a e di tl o y Ihereol (Sec�ion 3800, Lab C
voucvxo.:P�1��41�i�1��8 Ezr.onrE:0�1/O1/94
comvaNv:GOLDEN EAGLE
❑ Cetlified copy is hereby lumis�etl. � Cer�ilietl co0 with �he city Builtling Division.
oaie: �� � � L�� Aoo�
ENEMPTIONFBOMWONREBS'COMPENSATIONOECLANA i55ectionnee notbecam0leleUil�hepermili5taronehuntlre��5100�ork55�.
I ceriilp ��ai in I�e Oedormance ot the work tar whic� I�is permit is issuetl, I s�all noi em0loy any Oe�san in any manner so as to �ecome
su�le�� �o I�e Workers' Compensation Laws o� Caiilomia.
� Dal¢: Signalure:
NOiICE: II, alter making ihis tleclaration. you snoultl become subject to the Workers' CamDensation Dmvisions of the La�or
Cotle. yrou mu5i Iorthwil� comply with suc� D�a�isions or I�is Oermit siwll be Oeemetl revokeE.
CONSiNUCTION IENOING RCENLY: 1 nereey allirm ihat tnere is a consirUtlion IenAinA aAency br ine pedarmance of tne wOM tar
wAich I�is permit is issuetl (Seclion 3097. Civ. C).
LENOEfl:
ADDNESS:
r�
OWNEB BUILOEN OECLANATION: I here�y alfirm Ihal I am e�empt �mm �he Con�mctors' State License Law lor Ihe followinp reason
(Seclion 7031.5 Business antl Pmiessional Code: Any ciry oi counry which requires a permil lo constmci, alter, improve. Oemolis�. or
re0air any 9mcture. prior �o i�s issuance. also repuires the applican� tor suc� permit to lile a sipnetl Slatemeni I�ai �elshe is licen5ea
pursuant lo Ine O�ovisions ol I�e CanVaclms' Slate License Law (Chapter 9lcommencing vnt� Seclion 7000) ol 0ivision 3 of the Business
an0 Professions Coae) or Ihai �e/she is exempi I�e�elmm an0 I�e �asis �or the alleged evemp�ion. Any violation ol Sec�ion 7031.5 6y
any applicani lor a permi� su0le��s the aD0lican� to a civil penal�y ai no� more I�an five �untlreU Aollars (5500�.
I. as owner oi ihe pmpeny or my employees wii� wages as their sole compensation, vnll Oo t�e work, an0 Ihe
'❑ simcmre is not intendeA or oiferea lar sale (Setlion 7044. 9usiness and Pmfessional Code: TOe Contrac�ors' State License Law
Uoes nol apDly to an owner ol a pmperty w�o builas or impmves lhereon, an0 who tloes Suth work himself/hersetl or Ihmugh
�is Or h¢r own ¢mpl0yee5. D�oviOeG �hal Suth impwvemems are nOt im¢nAeA Of altereG 10r Sale. I�, �owever ��e builEing Or
imD�avement is so10 vnihin one year of comDletion, Me owner will nave ihe buraen of o�avinq ne/she Uid nol builC or improve
lor �ne purpose ol sale).
I, as ownero�the propehy.am ezclusively conlrac�ing wil�licensetl contmciorslo consttucllhe prolec�($ection 7044. Business
❑ and Professions Code: The Conlraclors' Slate License law tloes no� apply �o an owner ol pm0erly who builCs or imD�o�es ��ereon
an� who Coniratls lor Suth pmjetis vnl� a CONratioq5�litense pursuanl�o Ihe ConiraCiors' S�ale Lit¢nse Law�. I am aware
Ihai pmol oi their Worker's Compensabon insurance shaule be pmvi4eA Io me.
� I am exemp� un0et Seclion: B. 8 P. C.
tor i�is reasan'.
Oale'. Ownec
I Oa �ereCy tenily t�ai I am aware ol anE unaers�antl I�e requirements o� Calilamia Healih an0 Saleiy CoOe Sections 2550.5, 25533, antl
2553< an0 Itut Ioranytuiure Duilding occupaniwilUwillno��circle one�ne¢Oto comply vnl� SaiG staie coAes antlt�e requiremenis�or a
permii lor consimctian or mo0dicalion Irom ��e Ai� �ualiiy ManaAemeni Di9ritl. flesiGenlial consimtlion aDDlicalions are eKempl Imm
i�ese pmvisions.
Oate: ADPlicam:
I hme�y ceilily Ihat I have reatl Ihis application antl slate I�at Ilte a0ove inbrmaiion is mrrect. I agree lo comply wi�h all cii
arain;mcesantlsUlelawsrelatingtobmlehngCpn5lmciinn' 1011E1. > ��iryloen�erupon��eaho
pmp¢rIy 101�5 ciion pur0ose5.
oaie: G 2 3 5 ��
�rivefs License a� Social Searity >:
1 W ba6 wmte—Builamg: G�een—Coae En�orc¢mem: Canary—AppliwnC Pink—Ravenue: GOWenroE—Asseuor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064016
PERMIT NO: B 064016 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: Rm PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : T/OFF,�6 REROOF W/COMP SHINGLES SQ FT: 8,645
CLAIM VALUE: 8,645.00 CALC—VALUE: 8,645.00 GROUP OCC: R-1 /
COMMENTS: REROOF W/COMP SHINGLES, INCLUDED 642-644 DANUBE DR
+r*ir**�r�r�r*�rir***�c�rr******��rit�rit**r**�r**�r+tir*w***r+t+r*w«�r+tw�**«*+t+t�r*�r���r*irr*ic*it***�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: 93405081 2NE: REF NO:
PLANNING N13TES>
>
�rrxrw*�ririrkxit�r*fr��rit�rititftititititititit�rit**�rititrirft*w**irr�riritit*+t�ritititwfrwir�r***w+r+r+rir�*w�r*�r+��r�r*
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 HY . �
BUILDING ApPROVED BY ;
APPLICATION ISSUED BY:
MifMMMiFififNiFiFMMM1kMkMifiFiFiF M
MkkNifififMMMMMMMMiFkifiFMifififiFMMififMkMifitfflFlflF1f1f1fifMMkMkMiffFMifiE41f1FiF1tM
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
,PERMIT 108.00
DATE:
DATE:,
DATE:
it*rw*w*x7i���r*
IfKK4MM1F1fMifltMifMkItMMMiF
STRUCTURAL SEGMENT:Y
SMIP/R86 GRADING
SMIp/NON—RES
PLAN
ISSUE FEE
BUILDING—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 108,86 0.00 0.00 108.86 108.86 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 108,86 OVER/SHORT: .00
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIAE SMIP/TOT GRADING PLAN—CHECK
108.00 .86
lfkkffffikikkkkkklFMlfMMifkkifltftftk/tMfhfFMMftftlFiFikiFkifftfFMMM1FMMif1lMMMitifM4MMMMMMit/tifititftlFifM/f1lififMMitM
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 6 S C A I P T Z O N UNIT COST TOTAL COST
SFR 8645 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 8,645.00
END OE FEES
SIViOKE DETEC-fOR
REQUIRED oi ooi4�sc,E-aoi4�so� -ru-r ias.ab
DATE: 09/23/93 TIttE: i1�;9
1
I , CUNSTRUCTION ANO PLAN� ,;
, APPROVAIS Permii 5?
1. Temporary E�eCtricai Servl:z or PoY'�
��
,a�y�'ilP1pe�Undsmc!,� z' , '�ti
.�
�-?t-C'�--�^---= ^1-
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�"=.�C�T_'-�-'�i �- _"�-
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: �='r 1-l-__:'_F'T__ _-
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^-�^-.:..-...�� ---
`^�. kSu^dat�on ���
� l'Vater P�pe-Un Jgrnd. -T
10. Structure� F�ov Syitem '
it. Property SeweLliii� & Hq�use Co��?Cctiai
- - � 3-- --•:,--��--
12. Si wer Ca p ��.� ,... , c�
_� c
• POOI & SPA - � '--�
Date Inspec�or pppROVAIS Permit �k Date lnspecm. �
- �
52. Pool & Equ:f�m_r[ Locat�on �
53. Steel Reinforcemcnt j �
. 5A. Forms � '� .
55. Electrical8ond�ng �
-y.--�
56. Raugh Plumb ng & Pressure Test .� �
ad-�
57. APRROVAL TO COVER�GIfNtTC , � I
N
-_____'_ '-."_�_y ..
58. Electncal Cor.du��t�Undremtl. � � ;: ;
- -- --1--r-�-,
59. Gas P�pe. = il�u��- .,7.. Tcs: , ,
60. BaClavaSh l�,nas. P�'ra0. �. Untl:S_i�(1 �� _���.
67. APPFqVAL TO UFCK j � i
---- --- - -�----�
62. Backwash & Receptu Final _� '
63. Heaier & Vrnl�F:�.:i �
-_- __ _-i
73. Roof Drflins .., ;� G4. Plum6i�q Si,tcm � Fr�,31 �
^rb---�-- - --I---�--r-- -
71, qougn P�umh��-g , 65. ElectriCai�F,ra� _
�I 15. Ra�,�ghElects�;vbCor,du�t � 5fi. SofarSYsl.:m��in,._- I 4 �
a---- - --�------�---'--- -
76. Rough Electri6�Viring 67. Pencin� & Access Apurooal
17. Rough INinng�gn 68. APPROVED FOR Pl AS7ERING �
18. Rouyh Electri�l�T Bar Ceilin9 69. POOUSPA 5VSTEMS FINAI
- ------ - -- - --� --
19. Rnugh Neat�ng & Air Cordi: bn,r.g �.p��.�j�yT. PiE�UIR€N1ENty .� �
� �7 J � i� �yT �_'�.r� ,i %J IS� ,^! � 7.� � I
20:_:Ru_7h ,�y.etc?Y F`��o!ace ' �; � s,K i S I^ � i i �J`PPf{�VA-<a:�C�,�-.''� �-.-_:--c�-..,�','-� i
�. �:..»;. R�.:
i�i �# f . -�-,T,� '--�--i-`;'.+-� .7'3.'��:"3 ��--c"+7 r- - __
Z1y�uE!S,i�i'Str�iGtu^.k? � •••• �5 r S �❑ .-�4a •70. ."indergi3t11�Hw�o .t
. T' S' a I $.-r k H_l ♦ i ._� �� s
225D�tas. �.'.ryj�.nt`iti't > -�--r`� * C i3 r • r , �71. Prouuc:�,P�.�J �E7�; .-�O ___---��
-.-�%�-{.a--5•-•}-'•-i'-i--`-t. J � ,� r>-(---� :• Y'-+. --�"Jv �-t-_•:A_�,ti _ '
23.•Ga. PiP�'"Ra�h &�ses[ i :�?S <:, b' ^ :� w� 7H Z, Und��9rotiiifi FI.nC�o r F� rr,
. rn .�_��t : .•r ^y,r': ' .��i'_L;l �- + ::��_ �. a_
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24�Rcs F� miri "�' : . ..�.. �!� a• • t v� - Hn� � ,--v
� 9 r� E .:; x � x.� �. 73-1Undcrqm�. �tor��Fynk �1 Gas . u:1
ca ,�� 3-t g` --s uy�;n i-^}r-y�:_r�.-•---•�- ---.+",F_.-T--- --�- -
25. Rc3f SlrCathing C� `�' �, �'�%,?�}{ �y I 744'3r?r�rheatl Hydro- � I _
26.°T'�i�r Ce�'�nc, (Sr:a.�t..�.'� E�4^aF,..3caat ' � � `'f� ` 's � _- s � �_: �
y • :. ! _ : O � :7 . .i. 75;=Ej 1' Cherw� :;,+ . � ?7
'�-C^..- .. -1 . ,y : ..�-��"`-T-S`-Tr�r _- -- __ _ _
27.TFramc (�d P„.-�.5 ,�x pn..L _ � c' "'t. � 76. DryStan�ti�� �'�� #`� J
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T49:-?EleZric,�e!€ase to'�dison i � ' ` � `' ¢ •i�, j. � .�V i,
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'�1. CEt3�TIF�CATE OF'OCCUPANCY " r`--`�L-'-` "
No. Datc � I
f3vi�DiN.r, 7� �9 --
PAIU �
- ' 1' �3. .. �,",R 1R-74r.Fls•OD 53�•` �A*1C�.4S
COSTA MESA BUILDING-SAFETY DEPARTMENT
-'P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
�- o� Ap f t o Fill ' Comple ly o av DATE RE w
DATE ISSUED
BUIIDIN
ADDFESS
PE
OWNER HELTZER ENTERPRISES-BROOKVIEW A.P. NO. ��01'03 �
MAIL BUILDING
ADDRESS 740 N. La Brea Avenue ADDRES
Z . _ Q �/
0-U CITV L08 An eles CA 90038 No 937-2ll1 TRACT�JZT lpT BLOCK
�Z w n o n v
oN �NDER�'�N United California Bank
� � BRANCH Main Branch
-� N OWNER
m J ADDRESS OO S. S 1 A
J a OR ENGINEE�' le1dS & Silverman nT,E�653-0 60 SE 5� ��
V a FIRE
W 2 ADDRESS�,13 N. S8R Vicente Beverl x111S ZONE TVPE GROUP
d w APPROVED
J O CONTFACTOR Geor e J. Heltzer B�' DATE
m Z
.� � ADDRE55 740 N. La Brea' Avenue
W w TEL. NE NO.OF ^f USE OF NEW '� ��pnlOa
Z� C�TV Los An eles CA 90038 Na 937-2171 3� P�`"� ` BUILDING
w� STATE CITY VARDSAPPROVED VARDSAPPROVED
N K uc. No. 3144 �IC. NO. MAIN BUILDING ACCESSORV BUILDING
�� SI2E NO.OF BLDGS. (FROM C/L STyREET)
OF lOT NOW ON LOT None RONT +FT. FT.
USE OF }
EXISTING BLp(�, F FT.
F SIZE OF NO. OF Z L SIDE .G. FT. FT.
Z NEWBLDG. � qOOMS STOfiIES
EXTERIOR WALL ROOF q
V COVERING Plaster COVERING WOOd FEAP �/�.�. FT. �
J USE OF BUILDING AND WOPK TO BE PERFORMED DI5TANCE BET. BET. MAIN &
a Resid ntial MAIN BLDGS. ACCESS. BLOGS.
a �) �/ / ^�
O � (J/l! I / � ' �C C.0 P. sW �� '73 "� APPROVED � �.CO—?3
�I ~
N APPROVED
Q p ST T
UI hereby acknowletlge Me[ I have reaC this application antl sta[e ��
� that Ma above intormation is correct antl agree to comply wlth
� all laws regulating building construction, antl I shall not employ
F any person In violation of the workman's compensation laws of '
� � �! •5 2 m
y the State ot California. �
ZI hereby certify Mat 1 am properly licensed as a contractor untler O SQ. FT. � o
tho State of California Business antl Profassions Code, Divisicn 3, THE AMOUNT SMOWN UNDER VALVATION IS FOR �
Chapter 9, antl that such licensas a�e in full force antl efiect, or 1 THE PVPPOSE OF EyTAgLISHING A PERMIT FEE ONLV:
am exempt trom the provisions of the Stai¢ of California Business VALUATION
and Protassions Cotle, v' ion 3, Chapter 9. PERMIT FEE S • O ��/
Sipnature ot c��) //C E
/r
Permlttee $ �z/ ���0 PLAN CHECK $ l � �J
`o
LL
AuNorizatl qgent TOTAL FEE S