HomeMy WebLinkAbout609 RHINE LN - Building PermitsI
PROJECT ADDRESS: 613 RHINE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063676
OWNER'S NAME: PASCO MANAGEMENT CO
ADDRESS: p O.BOX 2968 PERMIT NO: B 063676 • PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CA 92628
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: REP
ARCNIENGINEER: 641-0593 REG.NO.: JOB DESCRIPTION : REPLACE SIDING NER#224 UNITS 613 SQ FT: 1 , 200
ADDRESS: UNIT:
CLAIM VALUE: 1 , 200 . 00 CALC—VALUE: 1 ,200 . 00 GROUP OCC: R-1 /
PERMITTEE: ORION CONSTRUCTION ( 714 ) 363-0727
ADDRESS: Y8 OAKCLIFF DR COMMENTS: REMOVE SIDING REPLACE W/STUCCO UNIT 150
LAGUNA NIGUEL CA 92677 ************************************Sr+tr***EES6Er*xsE***st*s ****************EE E*EE*****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business ano Professions Code.and my license is in lull force and effect. SETBACKS
CITY uc.:: 0 4.010 STATE LIC.: 48545 CLASS:
Date: Signature:— MAIN BUILDING ACCESSORY BUILDING
WORKER COMPEN TION DECLARATION: Ihereby atfi t have acemficat Iconsent t -insure oracenilicaleolWorkers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
Compensation Insurance.or a certified copy thereof(Sect CO.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 046-93UNIT03554 DRUM: 01 /01/94
COMPANY: STATE FUND PARKING REQ. PROV: PARCEL: 93405012 ZNE: REF NO:
0 Certified copy is hereby furnished. EX Certified copy is filed the city Butdin n. PLANNING NOTES>
yyy��� l >
_C Dale' �'/7 al Applicant: *******************************************************************************
J
EXEMPTIONFROMWORKERS'COMPENSATION DECLARATION: tion need not be cam ted if the per or one hundred MOO)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued.I shall not employ any per - any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPR tO BY DATE:
Date: Signature:
NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APP OVED BY DATE:
Code.you must forthwith comply wilhsuch provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION SSUED BY: DATE• cM 2 d
which this permit is issued(Section 3097.Civ.C). *********** **************************** ************************* ****** **
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E S U M MAR Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 29 .00 . 50
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7W0)of Division 3 of the Business SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than lie hundred dollars(S500). ISSUE FEE
1. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> . PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS——--> 29 . 50 0 . 00 0 .00 29 . 50 29 . 50 . 00
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 employees,provided that such improvements are not intended or offered for sale.II,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 29. 50 OVER/SHORT. 00
for the purpose of sale). BLDGPMTPLUMBING ELECTRIC MECHANIC FIRE SMIP/TOTT GG ADING'PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business
. 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts or such projects with a contractors)license pursuant to the Contractors'State License Law).I am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me, INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
min this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
0d1e Owner:
er SFR 1200 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 ) 1 , 200 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Dale: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and stale laws relating to building construction and here authorize representatives this city to enter upon the above mentioned
property for insp don purposes. 01 00145788-00145789 TOT 29.50
__,j Date S Signature: Y –r
DATE: 03/26/93 TIME: 13:44
Drivel License or Social Security
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
/
CONSTRUCTION AND PLANNING POOL & SPA
- APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole i 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
,3. Electrical Conduit Utility-Undrgrnd; " 54. Forms
,_¢7, la ctrical CondtY;t.lfrydrgrnd. 55. Electrical Bonding
25 •Sorel Reinforcelnegt� 56. Rough Plumbing & Pressure Test
eJ ..
-,Cilectrical UFEFIGrnd. 57. APPROVAL TO COVER-GUNITE
•
P7 Roofings :;:i � - 58. Electrical Conduit-Undrgrnd.
- y 1 , ,
'- I Fecindation " 59. Gas Pipe,0 Undrgrnd..Test
9; Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
lb? Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Lino& House Cgnnection 62. Backwash & Receptor-Final
12. Sewer Cap r. 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-1'T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating,,� & Air Conditioning FIRE DEPT. REQUIREMENT
20..f�`ougn F.gi torty Frrr-eplace i Cr. i'1 .. •D r-, •r! 4 tAPPROVALS';,CPerD t # { •1
• , m
21. Duali, Stretu r
1 0. a
. n i a.. rFri :: ".' : O. lftdergrou'-rigFly o r.
22. Ducts, t tmtilating.v+ I G,' ti •ye ' '-71. Product Pi iltg O't es 0Oil
23.c asLPipe'•`Rotj S&'?Est �^ • `" "' i t72. Under roueJJFhs� ' `
1�•.tt 1 t. 1 Tl:i '• '•1 F -,. •jf 11 g R 1 Iv+ .. t• ...
24t6ogt;Framing, ,', . i t • -, ••t-, e .> "" +n i V3.1*Undergrncf StorugttTa�k OGas 0Oil
25. Roof Sh2 thin Oz f1 1x ^ ' :'! '' '� '"""G
�Shiathing _ ,, •.r ,, y� - _ ;; � � 74.,�yerhead I�ydro,- :
26.4-Bari Ceiling (Striicwral) & A9000coat t A ,• 12 m 75. 'Dry Chemical + r , •r,
27. Frame a d Flashing! •D i ' y a, �' ` ^476:D?y Standp-i y �'s 2 • 1
Ir8.•Za_ttung Sidin9tr. , + � t¢t.. '1 e7/T; _ ••• • 77.'�FIXEDSYSTEMIFANAL. -
=29. InsulatiO y ' r' ' .� •• '• ,• x • 78.}1IRE PREY. FINIAL a y s >,
Z v S 1 1 ,. , r a. s 1 1
tr30. Drywall'Nailing 'y.+HEALTH DEPT✓REQUIREMENT
C31. Plaster 8r can Coal.' _ i. - 2 t�79.CFINAL INSPECTION 7 -
Ca2.tElectrical'Power Meter-Final t [� . ,.1 s s-. .$0.'1FOOD CERtIFICATE ISSUED t.
•
c ' . . , .
33.•Final'Electric�; }}i, r .1 • ' u Nole : -�1 i*i - ' 1 - '; .
.151 Nig r 1. 1 J, [ _ i t I 4 -I.%
.34.,Fina4Heating' .1 oncljtio9ieyy 11 ! . .5 r-
y . •1 .. 1 � i -1
35..EinalGas.Pipe1Te'6 A 't' '1 I t r ' ^ * : S•
36. Hood or CanoPYL7a, ;¢ 1 a t. ' +. ,-,
37.CeinacFaclory Fireplace' _ 1 •: r " ' x •
A 1 .. .S .'� w .. ], Yom' >• _
38. Finai;Plombing ^.t o 5 - T r
4 -. -
, 9. Water Service-Final- I ^ _ a C'' ' '-t -
3O. Gas Service-Eli-pal . �• _ . . :D' • . "
:41. Solar Domestic-Final • . . r• x r r ' '-
'42.‘Backflow Preventers - .V •'- • I ' _ �`'' 1 -,
'C •. • . J 1
43. Backflow Irrigation* :,r s
., o c .
-44. Landscape Ird(gatio System r'c'` ' ° ;,
46. sound Attenuation. .--4X*- r- A r r•7 r•- ' + '-. To• tt i
146.`FlandicaP RelAlatio2s =
47.•FINA /0/0L STRUCTURE & BUILDING '.rte✓ •
48.•PINAL PLANNING; - x " -r. ,
-49.=Elediric Release to Edison 1 s
:50. Gas Relea,)e to Soutflern Calif orgie Gas Co • x C,
T
."S1. CERTIFICATEOF'P000PANCY' s . 1 • . , , t,tt, X ;
No. Date
.
q Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
• CITY OF COSTA MESA G PERMIT NO. TRACT NO. ' LOT NO. BLDG.NO. -
CONSTRUCTION PERMIT iP - /al `j 9 9827 5/03/84 5.00 4
Project Address / 7 e ' TYPE OF CONSTRUCTION U NEW U ADD LI ALTERATION' ❑ REPAIR - -
Applicant's Mailing Address /5:33n 11 G/•f�t1e�41 '' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A,P.. 1 Zone _
Owner's Name %T/1c%C//A S ///AS//P 11/r-O/4 Phone 4`/ -9r'7 DESCRIPTION OF WORK
•
SJR mS Main Building: Accessory Building: Z
Address J TYPE OF PERMIT LI GRADING FOUNDATION U STRUCTURAL E Front - N ,
Arch/Eng. License No. El TENANT ❑ ELECTRICAL PLUMBING 111 MECHANICAL B Rear • I - • . I
•Address . ❑ OTHER • - A N
Contractor's Namel/t/" 0-41-1, !'Wvn{sed f 7 /c! Phone22-r -.3ss 7o PROJECT DESCRIPTION SG. FT. OCCUPANCY C Right - _ - G
•
R
//I. PS'`/4 I CONSTRUCTION TYPE VALUATION$ S Left
Address(moiling)IT-91 lei 6
• - E
Sri - ZONE GRADI NG CU.YDS. ACRES Ping. Ref.# Park.Fees $ - Q
City License Na. U
LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided - j
Azi 1 hereby affirm that I am licensed uncle,provisions of Charter 9 (commencing Use of Building: - R
with section 7000) Of Division 3 of the Business and Professions Code,and E
my license is in full force and effect. M
- ,s /R, S-7 PLUMBING FEES Planning Notes: • _ E
\ Daens Class - License •
"_
Date - a-'MP Signature dri:CLA ' —' Bar Sink Showers l N
WORKERS' COMPENSATION DECLARATION '
I hereby'affirm that I have a certificate of consent to self-insure or a certificateBackflow Preventer Service Sink - 1 •
of Workers' Compensation Insurance, or a certified copy thereof'(Section- - - - -' • - - - S
3800, Lab. CJ T Backflow Irrigation Sewer Cap •
ELECTRICAL FEES
Policy No. • O��S�ro Company�BA d e A- L'✓3 I , . .
k�yl�`.ertified copy is hereby furnished. Bathtubs • Sewer Connection Automatic Washer- ,Transformer 0 15-50 KW
C7 Certyied copy is filed with the city�B}tilding i isiop./Kes - 0 50+KW +
Date -✓.?-O 'rF4- Applicant/' ( fl .0 c,4-ir -IJ Clarifiers Solar Collectors Construction PoleSub. ,
-EXEMPTION-FROM WORKERS'COMPENSATION DECLARATION - ; Diihwasher - Solar Piping - Cooking Unit . . Meter-❑upto 100,amps '
(This section need not be completed if the permit Is for one hundred ($100) or
less). '
I certify that in the performance of the work for which this permit is issued. I Drinking Fountains Solar Tank Dishwasher r Meter Dover 100 amps
shall not employ any person in any manner so as to become subject to the
Workers' Compensation.Laws of California. , Floor Drains' Swimming Pool vv/Spa/Spa '
Dryers ❑Gas ❑Electric Sub Panel
Date - Signature - -
NOTICE:if,after making this declaration,you should become subject to the / Floor Sinks 7 Urinal _ Fan ❑0.1 HP ❑1'/x-8
•
workers' Compensation provisions of the Labor Code, you must forthwith - -
CONSTRUCTION LENDING AGENCY - _ _ Motors .
comply with such -provisions' or. this,permit shall be deemed revoked. Gas Service ' -'Outlets Water Closet , • F.A.U. Inc.Solar 09-15 HP 016-1$+ •
-
I hereby affirm that there I5 a construction lending agency for the performance Interceptors Water Heater - c- Q!7 Fixtures I •
of the work for which this permit Is issued (Section '3097_ Civ. ,C:) • 'Microwave
Lender's Name - ' - Kitchen Sink . Water Service • . - Device Boxes ' Pole Light '
Lender's Address Lavatories '
OWNER BUILDER DECLARATION �, Outlets Range
I hereby,affirm that I am exempt from the Contractor's-License Law for the p-Trap - -
•
following reason (Section 7031.5'Buslness and Professional Code:-Any city or P - - Switches Sign
county which requires a permit to construct,alter,improve,demolish or repair '
any structure, prior to Its Issuance, also requires the applicant for such permit Roof Drains . , ' - - ' - Garbage Disposal • Standing Sections '
to file a signed statement that he/she Is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of - Generator ❑0.5 KW ❑5-15 KW Trash Compactor
Division 3 of the Business and Professions Code) or that he/she is exempt - - - . P
• therefrom and the basis for the alleged exemption. Any violation-of Section - , '
7031.5 by any applicant for. a permit subjects the applicant to a civil -Reinspection Fee $25 Issue Fee'. - $ 3
penalty of not more than five hundred dollars($500). f'
I, as,owner of the'property or my employees'with wages as their sole - Reinspection Fee . $25 Issue Fee - $ 3
o tien, will do the work,and the structure Is not Intended or offered - . MECHANICAL I FEES �`
fsale
for sale (Section 7044, Business and Professional Code: The Contractor's , w — PUBLIC SER VICE$REOUIREMENTS: -
License Law does not apply to an owner of a property who builds or improves Boiler - „ Hood or. Type I 0 V' I •
thereon,'and who does such work himself/herself or through his or her own a Zoning Approved By Date
employees, provided that such improvements are not intended or offered for Canopy Type II 0 .�i
sale. If, however, the building or Improvement is'sold within one year of com- Duct,; Under Ground Application Approved By Date
platten, the owner.will have the burden of proving he/she did not build or im- • g y y sr� ��•�/Q,
t(_rove for the purpose of sale). Duct-Structural ' Refrigeration System Application Issued B b, /'�r / Data c ✓ if
LJ I,as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating _ �• -SUMMARY OF FEES
The Contractor's License'Law does not apply to-an owner of property who BUILDING PERMIT •
builds or improves thereon,and who contracts for such projects with a con- i Exhaust System 0 Multiple ❑ System Repair/Alteration • $ SMIP $
•
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT '
❑-I am exempt under Section B.&P.C.for this reason •
Firepl/Fact.BIL ICBO•# - - - fit-
. - PLUMBING ) $ . .d-a 4s'v 'ISSUANCE , $
_ PLAN CHECK $ ENERGY P.C. $
Date owner' I Heating System& Ducting � -
I hereby certify that I have read this application and state that the above _ „ ❑0.100,000 BTU-❑100,000 BTL— GRADING ' $ '
information is correct'. I'agree to comply with all city and county ordinances - 1' - - - ELECTRICAL $ .
and state laws relating to building construction, and hereby authorize repre- PLAN CHECK $ . '- MICROFILM $ , •
sentatives of t is.city to enter bn the above-mentioned property for - ,
Inspection put ses. / •Y; MECHANICAL . $ ef"d
Signature ,U I�a met- .V /1'"Q�N.� Date 3� �-F 7" I - TOTAL FEE $ J
Drivers' License or SS Reinspection Fee $25' Issue Fee $ 3 - PLAN CHECK ' : $ - kx •
CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;-Goldenrod -Assessor - -- - - - - - - - ' - - - . - - - - - `� --- - -
CONSTRUCTION AND PLPAINIgyr. - POOL&SPA
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
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 Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8; Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ 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 ❑Oil
23. Gas Pipe-Rough &Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑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: 7/ t6FrC42.O, CEO
34, Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing Wit Co p
39. Water Service-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
No. - Date •
PROJECT ADDRESS: 09 RHINE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064048
OWNER'S NAME: BO VIEW CONDO HOA
ADDRESS: 6PAULARINO PERMIT NO: B 064048 PLAN CHECK NO: N GOVT: N SUPP : N
CM. , CA. , 92627
CONSTRUCTION TYPE: �r� •• PERMIT TYPE: STR PURPOSE: OTH
ARCH/ENGINEER: ( 714 ) 587-0399 JOB REG.NO.: DESCRIPTION "�
T/OFF, & REROOF W/COMP SHINGLES SQ FT: 8, 645
ADDRESS: UNIT:
CLAIM VALUE: 8, 645 .00 CALC—VALUE: 8e6-45700 GROUP OCC: R-3 /M-1
PERMITTEE: MESA ROOFING CORPORATION ( 714 ) 548-3012 r-----
ADDRESS: 843 W. 17TH ST COMMENTS: REROOF W/COMP SHINGLES, INCLUDED 6 —613-615_61"7 RHINE LN
COSTA MESA CA 92627 ****Er*************�c�e*�r�L**********�E********XE* **********+k***XE*********Xr*****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIR EMENTS
70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. $ E T B A C K S
CITY LIC.: 035681 STATE LIC.:564& .' a •
�— Date: —Z?- 9.'3 Signature: _ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby a irm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 3800. Lab,C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: PWC24167500
EXP.DATE: O7/01 /94
COMPANY: GOLDEN EAGLE PARKING REQ: PROV: PARCEL: 93405096 ZNE: REF NO:
❑ Certified copy is hereby furnished. I Certified copy i ' • ' ' out vi ion. • PLANNING NOTES> -
Date: Applicant: ********************************************************************iF**********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit i5 for one hundred($100)or less). D E V E 'L. OPMENT SERVICES R E Q U I R E M E N._T S
I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become ,;,"...'
subject to the Workers' Compensation Laws of California. ZONING APPROVED/BY •
DATE: %^'
Dale: Signature:
NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. . DATE:/ )
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for r /
which this permit is issued(Section 3097.Civ.CI. AP PL ICA*ION ISSUED B Y:**********Ceek
DATE: • / j 1 7
LENDER: *******************************************************************if***********
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm mat I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 108 . 00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed . 86
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES
and Prolessions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—) PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is net intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 108 . 86 0 . 00 0 . 00 108 . 86 108 . 86 . 00
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 employees.provided that such improvements are not intended or offered for sale.II, however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED: 108. 86 OVER/SHORT: 00
forme purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 108 . 00 . 86
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the ContractorsState License Law).I am aware ******.********,**********.**,*****************,************************************
Thal proof of their Worker's Compensation insurance should be provided to me.
❑ am exempt under Section: B.&P.C. I N D I V I D U A L F E E B R E A K D O W N
for this reason: • TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
•
Date: Owner. SFR 8645 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 8, 645 .00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a
permit for construction or modification from the An Quality Management District.Residential construction applications are exempt from
these provisions. /^�
Date: - Applitanl'. ` =j?r
I hereby certify that I have read this application and state that the above intormation is correct.I agree to comply with all city and county L'F \e` DE��AL-w. 1
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned 4r �O n r
property for inspection purposes, l�7
�_ SQUIRE
�— Date: 9?-3 7 3 Signature, �'� �AT00147530-00147531 93 7TOT hr.86
1 Driver's License or Social Security#:
Applicant:Pink—Revenue;Goldenrod—Assessor
ITCONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit Date Inspector
• 1. Temporary Electrical Serve&e or Pol_aa, -
52. Pool & Equipment Location
3'� iI
Lur.oSotl P- e•Undr redn r.'
rec; _ 53. Steel Reinforcement
v?r taictr.ea. Conne±.otJ;:hty-Undrgrno..= 54, Forms
o' _d.l,A,ctr'CaI Condi,p`=i^ .drgrnd. �'� 55. Electrical Bonding
"r;` ' O S3. -m I :
,q,,`}•-�eteel einforcr ter ,t -;;; 56. Rough Plumbing & Pressure Test ^t
6.ct'ectrkg; UFE t1ri:d. '0 57. APPROVAL TOCOVER-GUNITE•
co
^l-F1-tt`Sx CJ -,F'1 •.i 58. Electrical Conduit-Undrgrnd.
' L
a Psrundation ti 1 59. Gas Pipe, 0 Undrgrnd.,Test
I
I T. Vater Pipe-Uncggrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd.
! 10. Sructu-a' FlooKSystem 161. APPROVAL TO DECK
11. Property Sewer�'Lin'e& Hc-�se Conri`ttian 62. Backwash & Receptor-Final - 1
12. Se..er C-:p -- o. a o.
! 63. Heater & Vent-Final
r113. Roof Dramsi • 64. Plumbing System •• Final
14. Rough Piumbini� 1 65. Electrical-Final
1
15. Rough Electrical-Conduit 66. Solar System-Final
-16. Rough Electri iris
g 67. Fencing & Access Approval
17. Rough 'NJ ing Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ce16nc 69. POOL/SPA SYSTEMS FINAL
19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '
„1_ �-n Ct. -;"'✓_^-C_e�,e; m Ma • -+ 'V c'- :.7 i- tE i.. co
20.•Ho�.!: it-actor-1r' F r1:ace 1 xr, .g'a S r+ C,* : PPR......+AT2$:0r-1. :� >4 'o";_
i . Fr, l-`.C.-- �+--•-'i-'-,_+ 4":,-:E in
21.rtu$.s, 'oStr;�;turar r-iS > S q r- %70, lr'ndergr5tiidiHya3ro
22._Due,�-s, V ntitin``'- '-Ix- + = ••••%.-I. �I - b<;.'
;� ,¢ ?�;+ i C. r rt .,r . <.J1- ProducG,l7.tr 9 G`4s OZPO
23 was Grp= iouyh & yest 1 m 7 .
r- ^ g ;r, "•.t --V2. UndergroiCld Fiu-iii t 'k 0 i
0 -i'I i -1_ n1 • r c. `�� -:.-•.�.c_t ',n_: n :e t:_a,_
( 94'rfloc37 Frninq' ; 1 `'`' •" t• } ; ;73.4JndergrndStorAe ..-nk Irl Gas ❑dr?
_ r + •
25. Rauf.Shriething p r . /J2 r , -74 triDerhead Hydro'D +
2657•B?t Cailtng (Str{ck urall & Z!a'oat / * ` ;•� t- 75.Q{y Chemicaj, r'� * - `�- r�
~
•
--a
27o-harne aPd FlashC ;C + r< >. .» * 76. Dry Stand .a; F• f
.... -.... -_,t, .sir=._r ›.s1 z_;-dr:r _ r, �•-•.. _-4
-18. Lathnn' Siding;'
'?"�'N " 1. = '•1 •'I "I' a 77°'FIXED S • EM -i,NAL+. 1.,i - zr• }Ij
'S9. n uia o=, vs S +4 71 I I + s 78. FiRE PREV. FINA'Q. :� ,y_ >4
130. Drywall itiai, g •.*** I I-4t ' 1 MLTH(--, ..Rti�6EET
IQGIR _
031. Plaster f`,jowrCoe4, s i n-r,. x 0. F r79, tINAL li •tcRi.CTIQ�.•',J . v 1
t <i•-C-tn- ! i `^ ! 1 f-+- 3C>._--N+ *_z1-i"-�z --- _i
i-32.''eeir:ea;Pol~ar !)- ePFdna! } �' I P * no.-meg?:OOD CERTIFIe-ti IS=UPD �i - {
v
_1 ..
I CP + rr1 it f t^ Cl •-]:`- x r�1 _ _-1
33.<Fing4 Electrpe- ,tib t-rl 1 < ` F. » Notts: -I ';r t y 0 01 O, 1
1
-1-1----t...----1-7--<-=.'•.-:Y r b: - .-t- Ft,-., I •c-ia! )-+ _.•+ci- ___
k 1
-,R -.. n in 4 Nu''1im $t A't'tCoru9itioni-2 0 .'1 a I :a o; i1... a S ^cJ I
y_ -. -14 11_ r1 'i FCU .t „Q v. \
35.`''inal• 'GASPiP -T t . CO T -) '.) is�� :-r'S- i�- rte.' I
tom, .-. * -1
.-. T ,•S t -l n1._.�.Y-`--moi -__� -__
126. Hoo f or Canopy C'* G t to`1 .o ri E: C10 `.,.tr,
--r• �' -r =ti �n t :S rr .J tri .44:4> 3 n art
t`-"117.:� na;:F�sjorY FlrtC-,r3ceI-i E.4:- a 4
138. FintCP'6btbing t '+ P; I 6 � C. _)n. .
•S9. Water Service,"rirfaly _ o' i n
'-71. a
ry0. Gas Serv:i�e-F;nal•a , rr, core `s t -•; ;1 J 70 CU i ' ---" t
-1. Solar Opr,}Ses -Find 7 i Cr , ;-C `, i
rj : ... kJ - .•. D. S
'42.3ackflotry;Preventor t 'U t ft r a: :. • + : I
1: ---C144.., t a ni 1--LCI "9 „ I
' 43. Backflow IrrWationt tit * h sii *s ;I,�a ; '' i ; -- 7
i:, X:- TG. :---*rte-- ,
. +-t.' ,, '
rrt4. Landscape Ir•igatort Systemm to .; t t•1 t7 U C•'+ s x Cu 7J r-i ^•G CU 0^
r . _. _ rn .4 T. n F 1-'A .+ t> - rr J..--. o;C: d 1
=-d5.sound $tentlation ;, ,- r .7 ni (in _ c. _,v v
_46. .Nandicap•RegularZigs .-. O 1 t4- r n •s ';-n a
S'
47. INAL STRUCTURE & BUILDING 's .,.„.0.a;:
" n`-`
��9 9�t in r,
48.jINALPLANNING. ; En F--• t v Is t 71 ri t -J
_. a I its'', a v
'.49.-£Iecilic ReIe a to Edison t I 1 • --t' ' r_ = t
-- ti ++ 1 I e 'Y in 6 _ I
G 7 I 1 .r _`,__n c, ._._
-M:0.:Gas$eleese to Southern California Gas Co t .1 -r • • • t
51. CERTIFICATE OF:OCCUPANCY a ' 2.-
No. Date
ainitv/' 79,x,3
'- 38103 PAID
"19 18-74n;=00 538"' trir* 140.7
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
Fo Appli an t. Fill i C. . • ify,
BUILDIN r y r' . /I,','�,Ile�� iy� r lain BY DATE ISSUED
ADORE ' Illitaia-men ..! •—fi•al 2.
OWNER HELTZER ENTERPRISES-BROOKVIEWnrts
A.P. NO.1 (tG(-c33 h(- '� PER ®q.03
BUILDING ,' M �s,� irr-�
MAIL
ADDRESS 740 N. La Brea Avenue ADDRESS ` 1p`atuni.`� r— -'1
Zui . — qq44
0-0 CITY Los An:des CA 90038 NOL• —TRACTS/., LOT BLOCK
Z
CONSTRUCTION W EMI
'� ' Lae
o N LENDER United California Bank
J D BRANCH Main Branch
�i�JN OWNER 24� /
eCf'eG
m tv ADDRESS 600 S. Spring St. , L.A. 90054 sof LUE s re
m ARCHITECT TEL S_ 7 ',�►��/J_ti.. • $ "/
J Q OR ENGINEER Fields & Silverman NO 653-0160
ZQ FIRE a
W 2 ADDRESS 113 N. San Vicente, Beverly Hill ZONE TYPE GROUP
0_W APPROVED
W Z CONTRACTOR George J. Heltzer BY DATE
J Q
CO
¢
zADDRESS 740 N. La Brea Avenue ScoNao
W w TEL. ZONE NO.OF USE OF NEW
ZF CITY Los Angeles, CA 90038 NO. 937-2171 , �3-� PLANS BUILDING 4-GA1Z
w 0 STATE CITY YARDS APPROVED YARDS APPROVED
en 2 LIC.NO. 3144 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
_0 SIZE IND.OF BLf1C.S. (FROM C/e�L STREE 1
OF LOT NOW ON LOT No, . RONT a2-+ FT. IL . FT.
USE OF !!''7`—
EXISTING BLOC,. R.SIDE T FT FT.
1 SIZE OF NO.OFJ- �/..
Z NEW BLDG. ROOMS STORIES 2 L.SIDE 2 'FT.14 FT.
Q EXTERIOR WALLPl .ROOF
o COVERING aster COVERING WOOd REAR 3rT.b
er FT.
J USE OF BUILDING AND WORK TO BE PERFORMED
� 1 DISTANCE BET. BET.MAIN&
0- Resside al MAIN BLDGS. ACCESS.BLCGS.
CO 5 o /// Jt � `7 �epeCU #e-73'7OROVED
_20-73
tb 4.. I-
APPROVED
O N EY _DATE
:n ZO SLAW
N I— y 52)
'may V I hereby acknOwletlge that I have read this application and state �
N n that the above information is correct and agree to comply with
x all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of TAX
N the State of California. //�j ��j '9
zI hereby certify that I am properly licensed as a contractor under r` o pSO. FT. ���5 ^/L o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR >>> ` i
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the p visions of the State of California Business
and Professions Code, ion 3,Chapter 9. VALUATION 244.5e)PERMIT FEE $
Signature of /3/. 26 E
Perm lttea /SF $ /3 BOO PLAN CHECK $
LL
Authorized Agent TOTAL FEE $