HomeMy WebLinkAbout1083 REDDING AVE - Building Permits CITY OF COSTA MESA
A o - BUILDING DIVISION
gel
•i 5.1• 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.cosla-mesa.ca.us
r
7•1. FOR INSPECTIONS CALL: (714)754-5626
41)- - PERMIT NUMBER: M10-00141
PERMIT TYPE MECH STATUS: ISSUED
APN: 41210504 DATE ISSUED: 11/3012010
ISSUED BY: RMD
JOB ADDRESS: 1083 REDDING AV CM Suite/Unit:
Vicinity: CLOSET -
SQ. FT: 0
SCOPE OF WORK: MECHANICAL PERMIT TO REPLACE A 100 K BTU FAU LOCATED IN HALLWAY CLOSET FOR SFD.
COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT.
OWNER: GRAFF,MILES W Address: 1083 REDDING AVE Unit:
PHONE: 714-546-6268 City/State/Zip: COSTA MESA, CA
APPLICANT: YENULONIS, LAURA Address: Unit:
PHONE: 909-213-1640 City/State/zZip:
CONTRACTOR: ARS AMERICAN RESIDENTIAL SERVICESLicense No. 645050
•
Address: 1225 GRAPHITE DRUnit: - PHONE: 951-280-3113
City/State: CORONA,CA ZipCode: 92881 CELL:
MECHANICAL PERMIT FEE SUMMARY
MECH ITEM FEE: $38.30 •
PLAN CHECK FEE: $0.00
INVESTIGATION FEE: $0.00
REINSPECTION FEE: $0.00
TOTAL FEES: $38.30
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE S. INSPECTION TYPE DATE IN1111ALS CODEC INSPECTION TYPEDATE
` , INTmAL
1616 Fixed System Final Fire Prevention 206 Final Mechanical . 1-r'f-I i OA_
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition " 250 Final Building/Occupancy
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driv, ..cense. 0 Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
aI have and will maintain workers'compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number erstructure.'Cl are' \ person is required to descend,will be made in connection with work authorized
Carder Y C
L1 U. by this permit,and that no building scture,scaffolding,falsework,or demolition
or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp
"(]hissecton need not be plet he pemrit is valved al one hundred dollars(5100)or less)
2,Art 2,Sec.341,Title 8,California Administrative Code).
Policy,Number: vl�J�.,- -51508(O 3t 01.V
f__:, 0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
thL ab r Code.I sha rthwith comply with these provisions. Applicants Signature Dale
\\--93-to Division of Industrial Safety Permit Number:
rptligont'S Signature D to="•
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: RE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license
�_is1 in full force and effect. )s� \I 1 a registration form for acutely hazardous materials? ❑Yes 0 No
Licr#t.QL OC DO CCTV ass-#-'2Q l C.J(p (Section 25533 of the California Health and Safety Code, with some
1,.. ...... (� 1^ exceptions, requires registration with the Costa Mesa Fire Department by
JVLl-1 Q4CYYLASO \\_ �' vk.J each business which at any one time has on hand a quantity of acutely
-Contractors-Signature oarc,z hazardous materials equal to or greater than a weight of 500 pounds. or a
'- 1- , volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors (Section 65850.2 of the California Government Code requires that the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
information be furnished on applications for non-residential building permits).
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No
thereon,and who does such work himself or herself or through his or her own 8 (If"yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and _
Professions Code:The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature o gal Owner(s) Date
Signature Date ...
ate _ e ( - Mx \\,60.-‘13305746(3I0]) ArNlprA hoizad.Applicant—�' O'_
145t��
•r .
Simplified Prescriptive Certificate or Compliance: 2008 Residential HVAC Alterations CF-I R-ALT-HVAC
Climate Zones I and 3-7
Site Address. En arcementAgencv: Date: Permit it:
o2,; wca&j\ ci mesa \'-3o-)o miD-OPIL-I
Conditioned Duct insulation
Equipment Type List Minimum Efficiency' Floor Area requirement Thermostat
❑Packaged Unit
mace C9 AFUE�Iq
A ❑COP Over 40 ft of ducts tback
❑Indoor Coil OSEER ❑ HSPF Served by system added or replaced in
sf unconditioned space (Unor alread Y present,must be
❑Condensing Unit ❑EER 0 Resistance ❑ installed)
R 6 (CZ 1,3-5)
❑Other
1, Equipment Type:Choose the equipment being installed;if more than one system,use another CF-IR-ALT-HVAC for each system.
2.Minimum Equipment Efficiencies: 13 SEER, 7&%AFUE,7.7HSPF for typical residential systems.
Contractor(Documentation Author's/Responsible Designer's Declaration Statement) •
• I certify that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this
Certificate of Compliance.
• I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24,Parts I and 6 of the California Code of Regulations.
• The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable
compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with the permit -
application. •
Name: �i-c•-)¢ Ca- A f K! Signature: • 1—
Company: n �`J l� Date: \\- Jo-'
Address: (7-7op r / License: I _ VS OS O
(OLIO c'
City/State/Zip: ^J/A--^J/A-- ( Tf/ G q 7-23'8' phone: lr ,244a _SSlJ
•
•
2008 Residential Compliance Forms March 2010
-
CITY OF COSTA MESA
0501 t BUILDING DIVISION
Pt:
�',. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: B09-00114
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 41210504 DATE ISSUED: 06/3012009
ISSUED BY: BJK
JOB ADDRESS: 1083 REDDING AV CM Suite/Unit:.
Vicinity: FLAT PORT OF ROOF ONLY
Squares: 1700 Valuation: $5,000.00
SCOPE OF WORK: REROOF RESIDENCE AND ATTACHED GARAGE FLAT ROOF ONLY: REMOVE ROCK ROOF AND APPLY 4 LAYERS
B.U.R.ON FLAT ROOF. 1700 SQ FT
NOTE:TILE SECTION OF ROOF NOT PART OF THIS PROJECT.
OWNER: GRAFF, MILES W Address: 1083 REDDING AVE Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: TAYLOR,ROB Address: 8602 LOWMEAD DR Unit: :
PHONE: 714-964-8131 City/State/Zip: HUNTINGTON BEACH,CA
CONTRACTOR: TAYLOR ROOFING License No. 784622
Address: 8602 LOWMEAD DRUnit: PHONE: 714-964-8131
City/State/Zip: HUNTINGTON BEACH,CA 92646 CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $111.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $112.25
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28, §1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE O. INSPECTION TYPE ATI INTfALS CODE# INSPECTION TYPE DATE INTTALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final / 208 Final Plumbing
200 Final Re-Roof 7_ 7_ &2 6 i 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition _ 250 Final Building/Occupancy
—
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
sL have and will maintain workers'compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: / / f—O person is required to descend, will be made in connection with work authorized
.IJ-t't.lt-,Co lF— by this permit,and that no building structure,scaffolding,falsework,or demolition
;Carrier: ' Gln or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This sector need not be completed dlhe permit is valued at one hundred dollars(S100)or less.)
2,Art 2.Sec.341,Title 8,California Administrative Code).
Policy Number: Obv27b56 - 2OD `
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature Date
the Lab Co , I shall forthwith comply with these provisions.
c ,go ,Der Division of Industrial Safety Permit Number:
!!! gppliwnt's6igna re Dale HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SCURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license isin full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑No
Lic.# �5`1 b ZZ Class#- C (Section 25533 of the California Health and Safety Code, with some
/olk/' /^ 6 - �o 'D7 exceptions, requires registration with the Costa Mesa Fire Department by
CL / each business which at any one time has on hand a quantity of acutely
coniractor'sS nature Date hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? CIYes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement
(Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
information be furnished on applications for non-residential building permits).
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
El I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No
thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for.purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code:The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct: I agree to comply with all state laws and city
ordinances 'relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
sRaiut of LCgal-fkri r ) Date
Signature Date
A�licant - O
3057-46 13/07)
And/or Authorized
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. oil //5--- DATE 7.7f73
LOT NO. .R
ADDRESS IC' K3 .( -cel-e .7 CL li�c,
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted' by the City of Costa Mesa.
The undersigned, by executing this agreement , acknowledges that (he-she-they)
(was or were) __. advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
BY /(/*45 ✓rrCiT y Purchase
CITU OF ccs E D
1:1 ,n,„ ., „� atesn
uI,.0 Pr( I BY
1 , ��/3 Developer - ./or aut . -d
AM representative
718191I01II1Pi1.2i3141S 6
A BY
Lender
OWNER HEI.MER ENTERPRISES DATE 8_28_72
JOB ADDRESS 1083 Redding Ar t.e 2 DING PERMIT NO. 35272
GENERAL CONTRACTOR Heltzer DESCRIPTION of WORK nea_ w/ alit en
AP No. LOT 28" TRACT 6245 FIRE ZONE VALUE $ 15.000.00
INSPECTIONS
"tare Date GROUP T Pe .T TYPE 5 ZONE B1
SOIL �J /6'4.7zSUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
WATER4q/ys/0-fl-71 � / Plumbi
ROUGH PLUMBING 1 +� -y /Jf��. Z. /
PROP. SWR. LINE HOUSE CON. 41 A %6r/L/fr L 1NO fre % (o ff
d 2' itis. 7xgb 1/24(2 Jv. EXeJ g- -93 if-has
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING 'tern� 7
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑ �L �3I2 AA
ROUGH WIRING /Y D Heating and Vent.
TRENCHES ❑ FORMS ❑ STEEL REINF. ❑ it",�, �� 1JC' i.„,* 4 .7 �.<
FLOOR SYSTEM AnSiO 777v .F. C, ! /, / 3
BOND BEAM Fl STEEL REINFORCE [1 /It SHEATHING /It 2. A03
FRAME AND FLASHING /01-•--- 3'1-3.73
LATHING — IN n OUT n /0'0 [/-/r'73
PLASTER, BROWN COAT 7-693
STRUCTURAL, FINAL ��// �J ElectricTq .,74/73
�//f�''//�/y
HEATING, VENT., REFRIG. AND A.C., FINAL c 44' 97J I GM4 FPor'. • '�' "J 36'" ./se. l
PLUMBING, FINAL AND GAS TESTVri e- -L9- 7 '
ELECTRIC, FINAL 1/ (.'�.(1' /.
RUILDING FINAL "_.1U) 'S
PAID
35272 IUG 30-72cf�<,002063* *** 173.45
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECD g V DA E R EIVED
BUILDING L (, -7�Y ' '
<ISSI_ADDRESS / o S3 �•DD Ia) e( A- f % EISS' MIT NO.
OWNER Heltzer Enterprises-Costa Mesa A.P.NO. - 2.r.'Y 7 )
BUILDING �p�-�.�
MAIL 740 No. La Brea Avenue ADDRESS [pg9 te-tfJ,)//&( AUG
ADDRESS
w tji TEL. (213) TRACT 6245 ( LOT 28 BLOCK
n. c.1 CITY Los Angeles NO. 937-2171
I-Z
Z Q CONSTRUCTION NEW ADD ALTER RFPAIR MOVING OFMOI LSH
d m LENDER United California Bank
J r BRANCH Main Office
_ILO OWNER
row W ADDRESS 600 So. Spring St. Los Angeles VALUE
-03 ARCHITECT J Q OR ENGINEER David Freedman T4)1:653(2-313852 =o $
U co FIRE
wlr ADDRESS 113 N. San Vicente,Beverly Hills ZONE TYPE GROUP Y-
2 tL APPROVED
mZ CONTRACTOR George J. Heltzer BY DATE
Z
J ccADDRESS 740 No. La Brea Avenue
w w TEL. (213) ZONEe NO.OF USE OF NEW S' Q(
f/v mnt /
Z I- CITY Los Angeles No.937-2171 � PLANS 9., BUILDING wienzr_enigfc
0 STATE CITY YARDS APPROVED YARDS APPROVED
two¢ LIC. NO. 3144 LIC.NO. 1900 MAIN BUILDING ACCESSORY BUILDING
D SIZE NO.OF BLOCS.
(FROM C/L STREET)
OF LOT NOW ON LOT FRONT SII•S FT. FT.
USE OF
EXISTING BLDG. R.SIDE S FT. FT.
F SIZE OF NO.OF <
Z NEW BLDG. ROOMS . STORIES S L.SIDE S FT. FT.
EXTERIOR WALL„, ROOF 3
o_ COVERING aster COVERING REAR -1 FT. FT.
..J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1
a MAIN BLDGS. ACCESS. BLDGS.
VAR.* DATE
Single Residence I / Plan #407F ✓ CU.P.# APPROVEDQ �/
I-
f/) a,?//e tt'/ W A si*1 �6 _ DATE U/�- ,t'�
2 /
0
o I hereby acknowledge that I have read this application and state 1z::
1'C.j� SI CIAL RE tU that the above Information Is correct and agree to comply with — '� QUIREME!\'I'all laws regulating building construction, and I shall not employ AX
any person In violation of the workman's compensation laws of
fA the State of California. �J�.( .r��1 ,/p e
zI hereby certify that I am properly licensed as a contractor under �'!"r SO. FT✓}X /}�J� o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
CE
am exempt from the pr cions of the State of California Business VALUATION
04 co
and Professions Code, on 3,Chapter 9. PERMIT FEE $ //�j'" N
O
Signature of / ,a' G Qd D
Permittee ' $3te V
-o-0 ' PLAN CHECK $ , E
Authorized Agent / / be u
TOTAL FEE S ///