HomeMy WebLinkAbout602 RHINE LN - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 3446 - 9/19/86
CITY OFV'OSTA MESA Co NSTRUCTION PERMIT PERMIT O. TRACT NO. LOT NO. UNIT N0. 5.00
Ruject Address &'OO s �'.(1 P.. >. as39a r'
Applicant's •
r V I I^ `-' TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION EPAIR r
Mailin Address > .�. /
f ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ A.P. Zone _
Owner's Name
CAL°, Phpne L.7�'q. I DESCRIPTION OF WORK/USE OF BLDG.
Address S Main Building: Accessory Building:
Arch/Eng. License No. '• 7 TYPE OF PERMIT ❑ GRADING U OVNDATION U STRUCTURAL T Front . ZO
Address r71.• `. ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear • , N
Contractor's Nam• LLf�'V//�� ,Mae Phone 01 1/uS - CI OTHER A I
Address(mailing) • r /rl��1 T# OPROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G
//'11 ll CONSTRUCTION TYPE VALUATION$ S Left
City License No. 23(/ ,9 y ZONE GRADING CU.YDS. ACRES - R
.LICENSED CONTRACTOR DECLARATION rr' Ping. Ref.# Parking Req,/Provided E
Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing. ''Remarks: Planning Notes: - M
with section 7000) of Division 3 of the Business and Professions Code,and' ', RECEIVED SE!p 11 1986my license is in full r d effect: T
Date Signature i PLUMBING FEES •
I WORK RS' COMPENSATION DECLARATION * • gar Sink Showers
`,, ' hereby affirm that I have a certificate of consent to self-Insure or a certificate - ELECTRICAL FEES
Workers' Compensation Insurance, or a certified copy thereof (Section
1 ;00, Lab,. 0 � Backflow Preventer Service Sink ❑ 15-50 KW
� ��v� Automatic Washer Transformer •
Policy No.� Company A �• IrrigationSewer Ca 0 50+ KW •
d./ VLJ�a/tici z Backflow p Construction Pole Sub.
ert ified copy is hereby furnished.
Crws� opy Is filed with the cit d v�le '.. •1 - - Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date "I Applicant N DECLARATION
LiI
EXEMPTION FROM WORKERS'C NSATION DEC ' _ Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred($100)or,
less). : / #�: Dishwasher- •, Solar Piping Dryers OGas ❑Electric • Sub Panel
I certify that in the performance of the work for which this permit is Issued l
shall not employ any person In any manner so as to become subject to the` Drinking Fountains Solar Tank Fan Motors OQ1 HP 01'14-B
Workers' Compensation Laws of California. ^ -
Date Signature ' Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE:if,after making this declaration, you should become subject to the - _ Inc.Solar 09-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures -
comply with such provisions or this permit shall be deemed revoked. _ Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
1 hereby affirm that there is a construction lending agency for the performance Pole Light
, of the work for which this permit is issued (Section 3097 Civ. C.) / i •
Interceptors Water Heater Outlets Range Lender's Name L'� g -
Lender's Address - -. .- Kitchen Sink - Water Service - - —
OWNER BUILDER DECLARATION Switches ' Sign
I hereby affirm that I am exempt from the Contractor's License Law for the• Lavatories Auto•Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or _ 9 P Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator 00-5 KW 05-15 KW .
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a Signed statement that he/she is licensed pursuant to the provisions of Roof Drains '
the Contractor's License Law(Chapter 9(commencing with Section 7000) of
• Division 3 of the Business and Professions'Code) or•that he/she Is exempt -
herefrom and the basis for the alleged exemption. Any violation of Section ,
031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). -
o I, as owner of the property or my employees with wages as their,sole Reinspection Fee ! $15 Issue Fee $ 3
.compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee • $ 3 •
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
. License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler ZoningApproved
sale. If, however, the building or improvement Is sold within one year of com- PP By Date
pletion, the owner will have the burden of proving he/She did not build or im- Duct-Under Ground • Building Approved By / _' Date
prove for the purpose of sale). ��'jl /�
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural . Application Issued By Date V— /7-tr6
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ■s sl sss BTU 0100,000 SUMMARY OF FEES - _
builds or Improves thereon,and who contracts for such projects with a con •
-
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 BUILDING PERMIT $ SM IP . $
proof of their Worker's Compensation insurance should be provided to me. • PLAN CHECK $ SVC)
' PERMIT ..
#
0 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG Fire Dampers
PLUMBING $ St///11V ISSUANCE $
Date - Owner Heating System& a PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that -I have read this application and state that the above 0 000,000 BTU ■ s0,000 BTGRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ •
and state laws relating to building construction, and hereby authorize repre-
sentatives of his city to enter upon the above-mentioned property or •
•
MECHANICAL $ G�•
Inspection s•.. -
f / - TOTAL FEE $ \
Signature IV,.
e .
Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
r,
P
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement -
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .n
5. Steel Reinforcement 56. Rough Plumbing & Pressuie=Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER IJNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
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8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Tesj
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O=Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof 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 0 Gas 0 Oil
23. Gas Pipe-Rough&Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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:trf7M7 LcrC42rl , (La
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test �7 14, d /
36. Hood or Canopy jza/.. "o 7d.y U aClam
37. Final Factory Fireplace •%A
38 incl PI tubing
3 Wa • e-Final
40. Gas Service-Final
•
41. Solar Domestic-Final - -
42. Backflow Preventer -
43. Backflow Irrigation •
•
44. Landscape Irrigation System
45. Sound Attenuation •
46. Handicap Regulations •
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
•
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY 1�
No. Date
1
38102 -r- nr 5'7 • . :. E
•
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
or-Apt/tea i o Fi I 'n Co. .e R =. :v +• - . ..
BUILDING „ - '�4.- " i �`'" _ ��
/ �` : DATE ISSUED
ADDRESS I•a#� ''ij .-- . .
------/ PERn,7g�y
OWNER HELTZER ENTERPRISES-BROOKVIEW A.P. l`
DING -OG1 -03,1'fft7 - n'02'
• MAIL • BUILDING - •
/ ' f .j*'.-t
Z ADDRESS 740 N. La Brea Avenue 213 ADDRE - t
t- 0 CITY Los Angeles, CA 90038 NOL 937-2171 TRACTB2_t4/ LOT BLOCK
I- Q CONSTRUCTION United California Bank NEW ADD ALTER REPAIR MOVING DWDUSH
a m LENDER
' J D BRANCH Main Branch X ,
JN OWNER `•oL,_.G... 1_,_,,,__........, L� .0 .. 7
m
ADDRESS S. Spring St. , L.A. 90054 'i C,LUE ;::{.
-CO ARCHITECT h'
J Q OR ENGINEER Fields & Silverman TEL. 653-0160 USE / .$ /
U Q FIRE �//
wet ADDRESS113 N. San Vicente, Beverly Hills ZONE TYPE GROUP /V-----
CI- w APPROVED
Ul Z CONTRACTOR George J. Heltzer BY DATE
m- z
- CC ADDRESS 740 N. La Brea Avenue
W in TEL
F.QN NO.OF t. USE OF NEW q cc*)Po
z I- CITY Los Angeles, CA 90038 NO. 937-2171 l� `C� P NS BUILDING ,r P4(�
STATE CITY YARDS APPROVED YARDS APPROVED
V)2 LIC. NO. 3144 LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D 0 (FROM C/L STREET)f,
SIZE NO.OF BLDGS. ,�44// TF6.
OF LOT NOW ON LOT None FRONT 4o-0 FT. FT.
USE OF
EXISTING BLDG. R_SIQE 21 FT. FT.
I- SIZE OF NO.OF ,1 .� l a-
Z NEW BLDG. ROOMS STORIES 2 L.SIDE 3 -"FT.&S FT.
Q EXTERIOR WA ROOF
0 COVERING Plaster COVERING Wood - REAR 96FT.Lit. FT.
1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
M JResiders iaa/h. //,,f /�,'G/ MAIN BLDGS. ACCESS. BLDGS.
Q (f/l.! /,'�S '�/L p/ //fir/ cU.P# ?E-73-7 DATE
p'`20�?j
O • i
s I- APPROVED
'l u) �.Y DATE
/STATE>\\
• Mr
p 9 hereby acknowledge that have read this application and state , �J✓ 1
,.,', D that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of nnAX
co the State of California. CO
ln/�. o SQ. FT. `42-0 t'f`r- o
z o '
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 wail'
Chapter 9, and that such licenses are in full force and effect,or I THE PURPC6E OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business VALUATION ///{{{
• and Professions Cod Division 3, Chapter 9. / "/
(,..t PERMIT FEE $ efl JJJ
Signature of /nQ B
Permittee /• P�� $ / /�71-.9n� PLAN CHECK $ �� E
7/Authorized <
Agent / a
TOTAL FEE $ 16
Yf.