HomeMy WebLinkAbout644 DANUBE DR - Building Permits�
CfTY OF COSTA MESA
BUILDING DIVISION
wl
ROOF COVERING CERTIFICATION
Property Address
Owner
Contractor
State Contractor License Number
�
.
- . ��r� � . • + .
Classification � � v '
I hereby certity thai I have installed, or caused to be instalied, a minimum Class C roof covering at the
above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building
Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the
manufacturer.
Q I further certify that I am the owner of the property. (Owner-Builder permittee only).
:y�\ I further certify that I am:
❑ Owner of sole proprietorship company
❑ Full partner of the company
❑ Limited partner of the company
� Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make
this ceRification, which shall be binding on atl successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building
Oivision for acceptance.
Received by Building Division
By:
�'�-� 9�� /P3
Initial ete �
�
� Compeny a rpyo�rete N e �
`�
\ Atltlress
V �
._ - - 3
Signature' Dete
��C'�1���G� �I��ly1
Printed ar ryped name
PflO1ECT AOOHESS:
OWNEH'SNAME: 644 DANUHE DR
noosess: 644 DANUBE DR
C.M. 92626
AqLM/ENGINEEH:
AOUflE55:
UNIT:
FLOOD: X 47
flFC.NO.:
UNIT:
PERMITTEE: DP PLUMBING 6 INSTAL. ( 800 ) 301-9477
RDONESS: 1SHS S. ANAHIEM BL p B
LICENSEO CONTHALTON OEC RATIONM I hereCy allirm that 1 am licen5ea un0e pwvisions oCChOaD � 9lcammencinp wi�h Seclion
7000) ot Urvismn 7 0l I�e Business an0 Prolessions CoOe. an se is in full fo¢e an0 ailect.
GTY LI � A LIC.: S
�"^50'7 _ 563793 '' EXP; 06/94
�at _ Si9namre: '�_ ,� _ ,
REBS' COMPENSRTION OFClABA710N: I �ere�y aHirm ina� I nave a ceni rtate ol consem m self-insure ar a cenificate af WOMers'
OmOe����on InSwante, at a cerlilie0 tapY �hereot �Sedion 3800. LaO. C).
voucrr+o.: N01079446 E7(P.ORTE: OL/O2/9S
comraxv: MID CEN.TUP�
/❑� Cenilietl cooY is AereDy lu ¢netl. Certilied py� a n t� �ision.
lpafe: � ' AODlicani'
E%EMPTIONFflUMWOBKEflS'COMPENSATIONOECUPATION: Qhi55ec1ionneetlnol0e[omple�eOil�hepermilisloronehuna�e0�f100�or1e55�.
I cerlify Ihat in I�e �erformance o� ihe work for whic� I�is Oermi� is is5ue0. I shall noi employ any person in any manner so as lo Eecome
su0lecl lo t�e Workers' Compen5ation Laws ol Calilamia.
oate: Signama:
NOTICE: II. after making t�is declaration, you should become sublect to t�e Warkers' Compensation provisians ol t�e Labor
Cotle, you musl fonnwith camply with sucn D�ovisions ar Ihis permit sAall �e Oeemea revokea.
CONSTflUCTION LENOING RGENCY: I �ere�y aliirm ihai IAere i5 a wnSiruCliOn lentling aAency lar l�e pedOrmante ol I�e wark tor
wttic� INs permii is i55ue0 �Section 3097, Gv. C�.
iexoee:
RODPESS:
OWNEfl BUILDEB OECIAHRTION: 1 �ere�y a��irm tAai I am exem0� ��om t�2 Cantraciars' State license Law tar ine followinp reason
(Seciion 7031.5 Business and Professionat Coae: Any city ol coumy whicn mpuires a permit to consimc6 alter, impmve. aemolish, or
repair any Simtlure. prior to iis i55uante, also reQuireS ihe applitanl �or Suth Dermi� �o file a sign¢G Slaiement Ihal he/She i5liten5e0
pursuam to the D�ovisions ol the Camracmrs' Stale License Law �C�aO�ar 9 kommencing wilA Sec�ion 7000) o� Division 3 0l Ne 9usineu
ana Prolessions Cotle) or ihat nelshe is e*empt tAertimm an0 ine Gas6 lar t�e allegetl exemption. Any violation af Seciion 70.37.5 �y
any apD�itanl for a permit su�ie��s Ine appliWnt lo a civil penalty ol not mare itWn live hunareE Eollars (3500�.
I, as owner ol ihe pmpeny or my employees wiN wages as �neir sole compensation, will tlo ihe work, ana ihe
P f i n I 4: Th Comractors' Sia�e License Law
❑ simcture is not intenOeU or ofleretl lor saie (Seclion 7044, Business anU m ess o a Co e e
� Goes not apply lo an owner ol a D�openy who bml0s ar impwves thereon, anA who tloes suc� work himsell/hersell ar t�muA�
his ar ner own employees. pmvi0etl itut such imDmvemenis a�e nol intenUeO o� olieretl br sale. II. however the buildinp or
impmvemenl is solC ret�in one year of complelion. I�e owner will �ave �he OurAen ol provinq �e/s�e EiG nol huila or impmve
lor ��e purpose ol sale�.
I, as owner oi ihe pmpeny, am eKclusively comrac�ing wiih licensetl conirac�ors m conslmct tAe Drole�� (Sec�ion 70a4, Business
❑ an� Pmfessions CoOe� ihe Contracmrs' Slate License Law Ooes not apply to an owner oi pmDert9 w�o bwl0s or impmves thereon
antl who [oniracts lor suc� pwle«s wit� a cantratlaqs) license pursuan� to I�e CAntractors' State License Law�. I am aware
� Ihat pma� oi I�¢ir Worker'S Campensation insu�ance 5�outA he D�oviGeO lo me.
I� I am exempt un0er Section: B. a P. C.
lor ihis reason:
�ale: Owne[
I Do here�y cenity Ihal I am aware ol antl untlerstantl I�e requiremenls oi Calilomia Heal�� antl Sa�eiy CoOe Sec�ions 25505. 25533, antl
2553a antl tnal I or any Iuiure builtlinA occupanl willlwill nol (circle one) nee0lo comply wil� saitl slate codes antl ihe requiremen�s �or a
permi� Im consimclion or modificalion Irom Ihe Air Ouality Managemenl Oislric�. fleS�Aenlial consimction applications are e�empt �mm
Ihese Omvislons.
Date: Applicam:
I �ereEy certify Ihai I have reatl ihis aDPlicaiion antl sta 11 ove in�ormalion is correc�. I aAree �o comply with all city antl county
�Lrdinances and stalelavrsreialinglo builOmg consimclio ana er Ey I�orizerepresenla�ives o��his cityto en�eru0anihe aGove�mentione0
pm0 �Y br in5 eciion pur es.
� Signaiu '
�er's License or Social $ecurity x: �
�6a��a6 W�ne—BmlGing; Green—Cotle EnbrcemenL Canary—Applicanl; Pink—Revvnuo; Goltlenratl—Assessor
CITY OF COSTA MESA — BUILDING PEP,MIT PFRM NO� P OF414F
PEAPIIT NO; P 069198 , PLAN CHECK NO; N GOVT; N SUPP; N
CONSTRUCTZON TYPE: PERMIT TYPE; PLU PURPOSE: OTH
JOB DESCRIFTION ; REFLACE DISHWASHER
CLAIM VALUE: CALC—VALUE:
SQ FT;
GROUP OCC: /
COMMENTS: REPLACEMENT ONLY
jE iF iE if iF it iE jf iF iE� itif� dk # it �1E �IP iF if if i(� if -%it iE it it iE jE it df # �`h if i! if it 1E it �� iF iEit it it N� ik i�k �%# M ih ir iE iF M it �Y iE if i! df ik �1f ic it iE 9!-if �� iF if iE k## if if
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 BUILPZNG ---------- --------- ACCESSORY HUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
LEFT; FT IN AGHT; FT IN LEFT; FT IN RGHT; FT IN
FARKING REQ• FROV; PARCEL; 93405079 ZNE; REF NO;
PLANNINC NOTES>
>
!E # iE t! 1E tf iE if it iF iE .i' ik i! iF iF iF ic iE iE iE iE # it �E iE iE # if if ?t iE 1! iE f! it iElE fF 1E 1k il� iE it iE if iElf iE 1f �k iE t(- # iE it it iF 1f 7l� 1f if # iE i! it it iF iE if 1f it iE iE iE # 7E ##
D E V E L O P M E N T S E R V I C E S R E Q U 2 R E M E N T S
20NING APPROVED BY ,
BUILDING APPROVED HY ;
APFLICATION 2SSUE➢ BY: ( J',/J�
�k if it if 3t it �t it ir it it iE # iF it it iE iE it �E iE it ir iFTr3F x�F �e3'F TtiF ir x� i'r� �,c+r—"[?z�F x� iF rt iF�F3F x��r
+�*�t�r�tx*i�x�at*it*�t**jt*�r*�rtr�*�r*�r*+t�titx-*x��r�t�r+t*�t�ri�**�x�t*#*�rar+t�rt*
LEGALIZATION:N F E E S U M M A R Y /
BLDG PMT PLUMBING ELECTRIC MECHANIC .
PERMZT 7,00 �
25A
PLAN
ISSUE FEE 20,00
BOILDING—DIV—> PERMIT ISSUE PLAN—CRE ;
TOTALS----> 7,Q0 2Q,00 0. 0
RE��ENUE DIVZSION TOTALS--> COLLE��EI�; 2
BLDG PMT PLUMBING ELECTRIC MF_ AN C r'IFE
27,00 1 �
7
_ DATE;
DATE;
T�ATE : IO (y�
� a 1F' N�iFiEiEiE?(� x itx � 9F%'
i MiliplF#ififlliEiElFiEfftflf 1fiFi!#
� STRUCTURAL SEGMENT:N
RE SM7:/RE� GRADING
SM P /NON- RES
'AID DUE
2�, � � , � �
CE /S'iORT; 00
TO GRADING AN—CHECK
**�t�r*�*�r******�r�r�**�-�-**�r�rit+f�r�rer�r�at��x��-**i *****it�rx� *ati ie��Y,t+r****** :er****ir*itiex�*irtt�
2 N D I l� I D G" A L F E E B E A K D 0 W'
TYPE QTY D E S C R I F T I O N UNIT �JST TOTAL COST
-,�:�»_ -
PLU 1�— HW "HE p�+ 7,00 7,00
� � � � B�O���! S
q V
`` �AY� �/ S�G. ' 02 00159062-00159062 TOT 27.Q0
. . - '�"�-�' oA7E: 10/05/94 TIhE: 09:`S
CONSTRUCTION AND PLANNING t.,JL & SPA y ,
APPROVALS Permit# Date Inspector APPROVAIS Permic# Date Inspector
t. Temporary Electricai Service o� Pote 52. Pool & Equipment Location
2, $oil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit UtiFty-Undrgrnd. 54. Forms
4. E ectrical Conduit-Undrgrnd. 55. E�ectrical Bonding
5. Steel Reinforcement 56. Rough Plumhing & Piessure Test
6. E�ectrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Elecvical Conduit�Undrgrnd.
8. Fnundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe•Undrgmd, ' 6p. Backwash Linos, P�Trap, O Undrymd.
10. Sttucwral Floo� Svstem 67. APPROVAL TO DECK
7 t. Property Sewer Line & House Connection 62. Backwash & Recepior�Final
72. Sewer Wp 63. Nexter & Vent•Final
13. Roof Dreins 64. Plumb�ng System - Final
14. R<�ugh Plumbing 65. Eiectrical-Final
15. Rough Electrical�Condu�t ` 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 6S. APPRpVED FOR PLASTERING
18. R�ugh Electricai•T Bar Celling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
2�. Rough Factory Fireplace APPROVALS Permit #
27. Duccs, in Structure 70. Underground Hydro
22. D�cts, Vemilacing 77. Product Piping � Gas � Oil
23. G&s Pipe�Rough & Test . 72. Underground Flueh
24. Roof Framing 73. Undergmd. Stora9e Tank � Gas ❑ Oii
25. Roof Sheathing 74. Overhead Hydro �
26. T�F3ar Ceiling (Structural} & Monocoat 75. Dry Chemicat . ..
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. F�NA�
30. Drywall Nailing HEALTH DEP7. REQUIREN7ENT
31. Plasier 8rown Coa: 79. FINAL INSPECTION �
32. Electrical Power Meter�Finai 80. FOOD CERTIFICATE ISSUED '
33. Final Electric Notes:
34. Final Heating $ Air Conditioning
35. Final Gas Pipe•Test
36. Hood or CanopY -
37. Final Factorv Fireplace • �
38. Final Plumbing
39. Water Service�Final
40. Gas Service�Fina� " �
q�. �lar Oomestic•Final
42. Backflow Preventer �
43. Batkflow Irrigation �
44. Landscape Irrigation Systam
45. Sound Attenuation
46. Hendicap Regulations
47. FINAL STRUCTURE & BUILDING
46. FINAL PLANNING
49. Electric Relea:e to Edison
50. Gas Reiease to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PflOJECT AOOflESS: 6 4 4 DANUB E DR
OWNEX'SNAME: LEWIS� PAT
� aoneea'�: SAME
966-1405
AflCNIENGINEEfl:
PDOflESS:
NEG.NO.:
UNIT:
UNiT:
PEpmi"EE' N�6KOPSEABOARD CIR � �14 ) 895-1 �46
aooxEss: STANTON CA 90680
IICENSEU CONTflFtTOB UECLABATION: I hert0y affirm t�at I am licensed unaer pmvisions of Chapter 9(comm/en�cing wit� Sectian
7000 0l Oi� i uvness anG Prole i ns C ntl licrose is in lu br d ellec/� i_—�—
' ���'.��`� �11�`)� /J�`"uo-!��—
ciTx uc.':�/.� p sTaTe uc.: �/ cwss:
Dale: _/���L_/ Signalure: Y/
WOflREflS�COM NSpTION OEClA8FTI0N; I here�y allirm t�at I �ave a cenibwte ot consem m sel4insure or a cenificate of WOBers'
ComPensauo� �s�a�e��y �cQt� coov tnereot (Secuon 7eoo. �ao. (�.3 / O 1/ 9 2
POLICY NU.: E%P. OATE:
' COMPRNY: STA 1 E }(
❑ Cenifie0 copY a �ere0y Iumishe0. L'J Cenifiea coOY �s file�GilUin Divbian. ��
Date' � POlicant:
� � A
�
E%EMPiION OM W RREBS' COMPENSRiION DECIABATION: (ihi55ectian nP¢d no1 be comDle�eO iI �he permil i5larane hunare0 (5100) ar less�.
1 certify tha� in ihe pedormante a� �he work lor whic� ��is p¢rmit is i55ue4. I 5hail nol employ any person in any manner so as �o Oecome
su6�em m tne Workers' ComDensation Laws ol Califomia.
Oa�e: Signamre:
NOTICE: II. afte� making iAis declaration, you S�ouIG Lecome suble�� �o t�e WOAers' CampensaGon pmvisions o� ihe Labor
CoOe. y0u mu5i Iatlhwii� [omply with SUCh pmviSi0n5 Of I�is permil SAall Ee AeemeO fevoke0.
CONSTflUCTION LENOING AGENCY: I Aere�y af�irm Iha� Ih¢re i5 a Cons�futlion 1¢nGing aBenty �af lhe petlormance 0� lhe work �or
whic� ihis permil is issuetl (Sec�ion 3W7, Civ. C�.
LENOEfl:
ADOflESS:
OWNEB BWLOEP OECLAHA710N: 1 her¢�y aflirm I�at 1 am eeempl �mm I�e ConVactoR' S�a�e License Law for ihe lollowing reason
(Seclion 7031.5 Business and Piole55ional Code: Any ci�y ol counry which repuires a permrt Io conSlmci, al�er, impmve, tlemoiish, or
re0air any simcNre. prior to its issuance, also requires the aDDlicam lor suc� permit to lile a signe0 statement t�at he/she is licensetl
pursuanuo the pmvisions of �he Contractors' State License Law (Chapler 9(commencing wiih Section 7000) of Division 3 0� �he Business
ana Prolessions Cotle� ar Ihal he/she is exemp� I�ere�mm and Ihe basis �ar Ihe allegeU eremp�ion. Any viola�ion o� Sec�ion 7031.5 by
any applicanl br a permil sublecis the apPlican� Io a civil penal�y o� not more than live �unUred tlallars ($500�.
I. as owner of I�e pmDeny or my employees wilh waAes as Iheir sole compensation, will do tAe work, and ihe
❑ sbuaure is nol imenEeA or oifered lor sale �Section 7Ma. Business an0 Pmiessional Cotle: The Cantractors' State License Law
tloes not apDly Ia an owner al a pmpeny wno ouiltls or impmves inereon, ane who aoes such wark himsell/neRell or tAmugA
, �is or her awn employees. pmviQeU I�ai suc� impmvemenls are not intentletl ar ollereA for sale. I�, howev¢r the buil�ing or
impmvement is 5010 within one year ol comple�ion. IhE owne� will have ��e buraen of pmving he/she tlitl not buila a� impmve
for tlte pur0ose of sale�.
I, as owner ol the pmDe«Y. am exclusively con(raciing wi�h Iicense0 conVactors m conslmcl ihe D�ojec� (Section 7044, Business
❑ antl Pmtes5ion5 Code'. The Contratlo�s' Slate Licenu law does no� aD01y �o an owner o� pmperty who hmlds or impmves [hereon
ana wno comracts lor such pmiects wiln a contractm�s) license oursuant to the Comractors' State License Law1. I am aware
Na� pma� ol Iheir Worker'S Compensaiion insurance s�oula be D�aviQeO �a me.
� I am exempl un0er Sec�ion: B. 8 P. C.
br Ihis iea5on',
�ate: Owner.
I do �ereby cenify I�at I am aware ol an0 untlerslanC I�e requiremenls ol Cali�amia Heallh and Safety Code Seclions 2550.5, 25533, antl
2553a and t�al I or any Iuiuce OuilOing occuo�ni wilUwill nol (circle One) nee0 la camply wii� sai0 5tale ca0es and the requiremen�s �or a
permi� tor consimc�mn or moaJicalion irom �he Air Oualiiy Managemen� Dislrici. Residential conslmciion ap0lica�ion5 ar¢ eKempt Imm
IheSe provisions.
Date: ppPlicani:
I �ereby certity I�at I �ave read IhiS aDDlication antl slate thal ine aUove inl0rmalion is mrr¢cl. I aA�ee lo compty wil� all cily and counry
ortlinancesantl5lalelaw5relaiingtobuiltlingcon5tmclionantl�erehyaW�orirerepre5¢nla�iveso� hisci�y�oen�eruponlhe vcmenlione0
pmpetly for inspection pwDoses.
Da�e. _��// �/ Signaiure: _ ����
�rive�'s �icense ar Sau� Secmity r: `
t6ai�46 W��te—Bmltlmg; Green—CoOe En�orcemem: Canary—ApPlicanC Pink—Revenoo: Goltlenro0—Assessor
CITY OF COSTA N,ESA – BUILDING PcRNIT
PERMIT NO: P 054772 PLAN CHECK NO; N
CONSTRIICTION TYPE: V–N PERMIT TYPE; PLU
J03 DESCRIPTION : CAAi�GE OUT �,�IATER HEATER
CLAI:�t VALUE;
CALC–VALUE:
C.t(t NU; 1 U]9 / /•:
� � : nurr� iv
FiJRPOSE: UTH
SC� FT;
GROUP OCC; R-3 /
COi�1MENTS: MAIL IN PERMIT
iF if iE iE �k iE �lf -k 16 df df��lE fE �1E �%iE-1FiC dF�?: �7f �)t 3f �x-af �k iE 1E 1f ii X�9t� 7F �IE �%��7E 3f iE 1E �tE if -1f aE �%�lf �)E 3f iE�1E iF �Y iE iE �lt if �R�dF i(-if �l(� dF lE �1F iti �%�k if �� df 9E �lf iE #�y'r #' �tE �1F �1E if
Z O N I N G R E Q U Z A E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BliILDING ---------
FRNT: FT IN REAR; FT ZN FRNT; FT IN REA.R: FT IN
PARKI3JG Rc9T IN RPROV: FT PARCEL; 3340�075 ZNE; 1N RGHY: rT IN
PLANNING N6TES> ` SiVIOI��D�TECTO�
' � N ��'��'J�e i H �':.ki1�F
lF iE iE �1F # iE if� 3i� 1F ic iF 3F?f if� 1f �f lf if if 14 if if iE iE iF 3F if iF K� 3E iE 3e # iE iE if df je # 3Fif aE iE �E iF iE 3(-3f i(�-lE iE if iE 3t� dE iE±E jF iE' �E iE iE 1(� N if
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 • DATE;
APPLICATION ISSUED BY:� � DATE• :��h�
�E�%fE1Fik�1EiE1FlEIFiEiF3Ei(�Y.-iEif��ItlfiElfiF�% ;r3F1t�Ft '.�r. r . .lFTe . 7'riF'7FiF7F�iF�FaFYiFiFiFiFi'rTf�Fir�IEiEikiElFiC�leif)eiG �Ibii�
1EdEK��M`IF3FK-�IFifiE1E1FK�7F*�1FIM1iFicN�leiE#'�iFtE�N�iEN•ififiFihiE1E3E1 . : if#'riEiF�F1Fif�N�lFif�3i�lE1F1Etf•if1FK3f1f3fN•iFif#t��lfiflF3��lEifki(�if3Eif�1litlFli�
LEGALIZATTON:N F E E S U M M A R Y STRUCTJRAI� SEGMENT;N
BLDG PMT PLUMBZNG EI,ECTR'�G~ MECHAN3C FIRfi SMIP/RES GRAD'I.NG
PaRMIT 2,00 •
25Y , SMIP/tvON–RES
PL}W .:. ,
ISS[3E r EE 3, 00 '». ��
BGILDING–DIV–> PBRMIT ISSUE P.j.AN–CHECK TOTAL PAID DUE
TOTALS----> 2.00 3.00 .. . 0.00 5.00 5.00 .UU
REVENUE DIVISION TOTALS--> COLd,ECTED; �_0.0' OVER/SHORT- 00
BLDG PMT FLUMBLNG ELECTRIC hFECHAN�TC FIRa SNIP/TOT GRAD'ING PLAN–CHECK
5 . 0 U �:: :, a,
L�;
iE if ih iE if iFiF #-7F iE ie if� 1E iF 1E h:�lF?f iE it 1f ie iE iF Y.� if IE if if-�f Y lE iE 1S-le 1! #iP �7E iF iF iE iE�N-iF 3f� iE if iF IE ic 1'r !F 1e iE if )E 1f i'r i4 iE ie if iF�3E ik-1F i4 if !E i(� if iF?e'1k if iE ii N�
I N D Z V I D T7 A'•.I. ;', 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 TOTAi, COST
PLU 1 WATER HEATER AND/O�t VEN�I' 2.00 2.00
,�ENI? OF rEES
I' � �
t'' �
J �
,l • � '•i_- _
CONSTRUCTION AND PLANNING P0. eL SPA
R�'PROVALS Permit # Date Inspector p�ppROVALS Permii # Date Inspector
/ ='
1. Temporary Electriwl ServicG: FPole �� • 52. Poo� & Equipment Location
'r e
2`Soil Pipe-Undrgrnd. �� `" � 53. Steel Reinforcement �•�
3. Electrical Conduit Utility-Ur.sdfgmd. �� 54. Forms �
4. Electrical Conduit-Undrgrrld. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plum6ing & Pressure Test
6. Electrital UFER Grnd. 57. APPROVAI TO COVER�GUNITE
7. Footings � 56. Electrical Conduit�Undrgrnd.
8. Foundation 1� � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgmd. = ���1 60. Backwash Unes, P-Trap, O Undrgrnd. � ��
10. Structural Floor System ,'�L 61. APPROVAL TO DECK �:
11. PropertY Sewer Line & Hou$g,Connection ��. 62. Backwash & Receptor�Final �
12. Sewer Cap � ;' �
63. Heater & Vent-Final
13. Roof Dreins , 64. Plumbing System � Final
14. Fough Plumbing / r � � 65. Electrical-Final � �
75. Rough Electrical-Conduit � � 66. Solar System-Final ���
16. Rough Electric Wiring ' 1 ' � 67. Fencing & Access Approval
1�7. Rough Wiring Sign 68. �qPPROVED FOR PLASTERING /
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FI�NAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit #
21. DuCts, in Struc[ure � 70. Underground Hydro �
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe•Rough & Test 72. Underground Flush .
24. RoofFraming 73. Undergrnd.StorageTankQGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Freme and Flashing 76. Dry Standpipe '
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL �
30. Drywall Nailing � " HEALTH DEP7. REQUIREMENT '
31. Plaster Brown Coat � � 79. FINAL INSPECTION
32. Electrical Powe� Meter-Final ) 80. FOOD CERTIFICATE ISSUED
33. FinalElectric � '�--; Notes:(� �(%(J f�aoNEl�pY��-[,IF'FTC,6Qp-C..�
34. Final Heating & F,ir Conditioning � /�(�,l��R( KD �/Y� �Ny�-- LEL7�('�ItO��r6�
35. f-inal Gas Pipe�Test � (rZ$!`TZ �oOlv�� �ot•r�:hi-LuEFt�GRQ�-��
36. Hood or Canopy
37. Final Factory Fireplace �
38. Final Plumbing (�'�`�Z LEO
39. Water Service-Final ���
40. Gas Service�Final
41. Solar pomestic•Final . '
42. Backflow Preventer �
43. Backflow Irrigation •
44. Landscape Irrigation SYstem '
45. Sound Attenuation
��
46. Handicap Regulations
a7. FiNAL STRUCTURE & BUILDING ' � �
48. PINAL PLANNING - -
49. Electric Release to Edison � �
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
l�u��-DinJ.; # /9
�:3
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
, ,, _ �-. : ., - .- ,.. ; ;
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APPLICATION FOR BUILDING PERMIT
bIYED BV DA?E RECEIV6D �.,.r� �oo���
BVILDINU"'j)`_ _ '�`- � ` r.."�""��'�`
ADDRE55
PE
OWNEF HELTZER ENTERPRISES-BROOKVIEW A.P.NO. �U�\-c3 1% -
BUILOING �
ADDREss 740 N. La Brea Avenue .4DDIiES ' �
a U CITY j,OS An eles CA 4�038 No�937-2171 TRACT�� � LOT BLOCK
Z Q CONSTRVCTION
N W ADD ALT F P
o N �eNoea United California Bank
am
� � HRANCH Main Branch
-� � OWNER
m m ADDRE55 (�OO S. S /�j � q�� (/� �
ARCHITEGT TEL. USES� 5 0
� a oR EN�iNEEk'ields & Silverman N. 6 3-0 60
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w¢ ADDFE55 113 N. San Vicente Beverl Aills ZONE TYPE � caouP
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APPROVED
� � CONTRACTOR Geor e J. Heltzer er oare
�z
�� nooaess 740 N. La Brea-Avenue
w w TEL. NE NO.OF � USE OF NEW 3 LpNI�J
Q� CITY LOS E�II eles CA 90038 No� 937-2171 3� P�'� <-- BUILDING UAr
W� STATE CITV YAqDSAPPROVED YARDSAPPROVED
N 2 uc. n,o. 3144 LIC NO. MAIN BUILDING ACCESSORY BUILDING
�� SIZE NO.OF BLOGS. IFROM C/L STREET)
OF lOT NOW ON LOT None FRONT fFT. FT.
USE OF
EXi5i1NG BIDG. I FT. FT.
I- SIZE OF NO. OF
Z NEW BLDG. FOOMS STOFlIES 2 L.SIDE � FT. FT.
a E%TERIOR WALI RQOF �1�I{' !
�% COVERING Plaster COVERING WOO(I REAR �� �r FT: --
J USE OF BUILDING AND WORK TO BE PERFORMED DYSTANCE BET. 6ET. MAIN &
a Resid ntial MAINBLDGS. ACCESS.BLDf35.
a '/ [' / y-
a � CJ�� %`..J , `C C URP. # �,` '7� -� APPROVED � -z�-�3
�
i� F' APPFOVED
�
a� !�ST'i-',
VI hereby ucknowletlge that I have reatl this aOPlication antl state � �� !
� chac the above information is cortecc and agrae to comply with
� all laws r0gulatin8 building conShucYion, and � shall not employ `�
� a�y qerson in violaiion of che workma� s compensation laws ot T
the State of California. //�� / G, n m
Z L' �� SQ. FT. �/�J�` �"�. o
I her¢by certity that I Jm p�o0erly lirensetl as a contractor vntler
che Scate of Galifomia Business antl Protessions Code, Divisicn 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR ^
Chap[er 9, and that such licenses are in fvll torce antl ettect, or I THE PURPOSE OP ESTABLISHING ,4 PERMIT FEE ONLY: m
' am exempt trom the provisions ot the State ot Calitornia Business VALUATION
antl Professions Code, � ion 3, Chapter 9. p�qMIT FEE 5 � O
� ' /
Signatura ot L / � �i� N � !f ' �` '
Permittee ��/��:. � '�"'f'�� 5 ��� ��G� =° PLAN CNECK 5 � � � ` E
� o
Aothorized Agent - ' LL
TOTAL FEE S .