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1076 SALINAS AVE - Building Permits
,. - . .. - _ _ "applicant to fill in all spaces except those within heavy border lines and-sign all appropriate declarations. _ - V CITY OF• COSTA-MESA CONSTRUCTION PERMIT n PERy}T NO. TRACT NO. LOT NO. , UNIT NO. • .. Protect s • 6 - ;At/ - • ! - EVEE • 17,511 ' TL • '• _ TYPE OF CONSTRUCTION ❑ NEW ❑.ADD H ALTERATION H REPAIR • Applicailing Address 1/4jfA✓r/f/7•I/.A 92702- OG S� CONVERSION ❑ DEMOLISH ❑-OTHER _ AP # Zone Owner's Name 4^/iserr7T.0 tiaJ1•Ea Phone?7-32.3, - DESCRIPTION OF WORK/USE OF BLDG. ��.e-.0Ff g0(et Qo0F Address / 076 74-)/,a41 'N4/6 -a `y •.t: .- - aces] /2.C/' eo.a, . rILA,o.,t S Main Building: . . Accessory Building: - Z Arch/Eng. License No. . TYPE OF PERMIT ll GRADING ❑ FOUNDATION III STRUCTURAL T Front 0 Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g N ❑ OTHER . _ i / A Rear Contractor's Name S•sx4.r4 /pie; NKr Fede .Trf Phone � s r-ncr7 p C Right, N P2702-- PROJECT DESCRIPTION SQ.'FT. /r OCCUPANCY G Address(mailing) �O•47o 455' f54w?H A•!/4 P2702--OG.ST . •CONSTRUCTION T.VPE VALUATION•SS ����'N K Left o ' City License No. .'7357G,•f" . •ZONE ' GRADING CO.YDS. ACRES s R LICENSED CONTRACTOR DECLARATION Ping.'Ref.# Parking Req./Provided E 0 I hereby affirm that I am licensed under pro+isionS of Charter 9 (commencing Remarks: - , Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and T 4 • my license is in full force and effect I • S License Class C—3 9' g—L�ice/se No. Date&'-/n Signature ' .�,Lea,Z l".�,.. • PLUMBING FEES a WORKERS'COMPENSATION DECLARATION - Bar Sink , Showers - - ' • ELECTRICAL ' ' FEES 1 I hereby affirm that I have a certificate of consent to self-insure or a certificate - , '� of Workers' Compensation Insurance, or a;certified copy thereof (Section Backflow Prevanter Service Sink 3800, Lab. C.) • Automatic Washer : Transformer 0 15-50 KW • Policy No. 2-fl OPrI¶/SO Company ST.rt r2c. 7.-44e/42 I Backflow Irrigation - Sewer Cap - ❑ 50+KW - ciCertified copy is hereby furnished. ' - Construction Pole Sub. Certified copy is filed with.the city Buil n9 iv'sion. / Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date PT/O-e-7 Applicant L /ATI64 _ - E%EMPTION FROM WORKERS'COMPENSATI LA Clarifiers ' Solar Collectors Dishwasher • Meter ❑over 100 amps (This section need not be completed if the permit is for one hundred ($100) or _ less). Dishwasher - Solar Piping Dryers ❑Gas DElectric Sub Panel 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 Drinking FountainS $Olar,Tank Fan - • _ Motors❑0-1 H P ❑VA-8 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 ❑9-15 HP'❑i6-15+ _ .. Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' comply with such provisions or this permit Shall be deemed revoked. Urinal Fixtures Microwave • CONSTRUCTION LENDING AGENCY t ' Gas Service • Outlets • Water Closet Device Boxes ' , Pole Li ht I hereby affirm that there is a construction lending agency for the performance 9 of the work for -which this permit is issued (Section 309] Civ. C.) - - Interceptors ' Water Heater Outlets Ran • Lender's Name 9e Lender's Address- - - -•- - ' Kitchen Sink - - Water Service - - 'Switches - Sign - OWNER BUILDER DECLARATION • I hereby affirm that.Lam exempt from the Contractor's License Law for the Lavatories : Auto-Wash following reason.(Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator❑0-5 KW❑5.15 KW Trash Corti actor , any structure, prior-to-its issuance, also requires the applicant for such permit Conipactor 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 -- - - - _ -' 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 _ • ' penalty of not more than five hundred dollars($500). •❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $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 Hood or Type I 0 , - j sale, If,-however,'the building or improvement is sold within one year of com- ' -Canopy ' Type II ❑ • Zoning Approved By 'Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground ; rove for the purpose of sale). Building'Approved By ,�j��• Date ry' y� y U I, as owner of.the property,am exclusively contracting with licensed con- Duct-Structural ' Refrigeration System Application Issued By r�/ {/� Date A /(J�a 7' tractors to construct the project (Section 7044,Business and Professions Code: . . `j _ The•Contractor's•License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU - SUM��V�I�FEES - builds or improves thereon, and who contracts for such projects with a con- - - - - - - • [(J/ �j� • tractor(s) license pursuant to the Contractor's License Law). I-am aware.that - BUILDING PERMIT $ SMIP: $' f� - proof_of their Worker's Compensation-insurance should be provided to me. Exhaust System 0'Multiple 0 System Repair/Alteration • _ I _ PLAN CHECK $ - PERMIT .- 0-lam exempt under Section B. & P.C.for this reason � Firepl/Fact.Blt. ICBG# Fire,Dampers PLUMBING $ ISSUANCE '• $ - Date • Owner Heating System& Ducting Registers _ • - -• I PLAN CHECK 25% $-. - ENERGY P.C. $ I hereby certify -that I have read this application and state that the above 00-100,000 BTU ❑100,000 BTL - ELECTR ICAL $ • - GRADING $ . information is correct:II agree to comply with'all city and county ordinances and.state laws relating-to building construction,and hereby authorize repre- MICROFILM $ . sentatives of this city to enter upon the: above-mentioned' property for - - ' ' _ PLAN.CHECK 50% $ , , 7 • inspection pur••ses: MECHANICAL $ • TOTAL FEE,. $ (./17•C(.2 Signature ,0:-' ��_� Date y�/u fjf I .Reinspection Fee - $15 Issue Fee $ 3 - • PLAN CHECK 25% $- - - Drivers' License or$5 r _ ' CMF 0865.46,rev. 10/84 White - Building; Canary -ApplIcant; 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 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 !f - 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 Electr I-Conduit • 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiririg 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 PREY. 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: 34. Final Heating & Air Conditioning - - 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 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 El /Et co_ 48: Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • OWNER HELT7•RR ENTERPRISES DATE 9-26-69 JOB ADDRESS 1076 Salinas Avenue BUILDING PERMIT NO. 30894 GENERAL CONTRACTOR Same DESCRIPTION of WORK Residence W/Attached Garage AP No. - LOT 39 TRACT 6638 FIRE ZONE . VALUE $18,273,00 INSPECTIONS Signature Date GROUP I & J TYPE V ZONE R-1 sow N(Si,?-70 PERMITS ISSUED GAS SUBCONTRACTOR /�� Dote NumberI Signature WATER Li Q IicL(ysl-70 7 Pl un1binq . �i G ROUGH PL MBING /V s l„�3 �I/7 / 3-N/� Y ”- (O PROP. SWR. LINE 'HOUSE CON. "O�O h_O SDQI/ SPRINKLING SYSTEM VV //" / MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING al — 23 TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ / ROUGH WIRING 6'/ !1.21-7a+ Heating an Vent �J,,/ �// TRENCHES ® FORMS g_ STEEL REINF. © V-'7-70' ///244.--J7 /,/�it( /�/A 7111,7- `0' FLOOR SYSTEM^ S/-/6-T9 f'��fLLb4L[;�=1 O l4" G-./C:47 7?!7 '� BOND BEAM [ J STEEL REINFORCE 11 SHEATHING FRAME AND FLASHING I Q,VC CSCfie LATHING — INA OUT 'cV fr /BJJ 771 /7 PLASTER, BROWN COAT !O� R/ym�D AL P� / n T ry q • HEATING,STRUCTURAL,V ENT INR EFRIG. AND A.C., FINAL �`�-14?-2/61--7: a �y�LQ.L�. rl<• 4,-7(p p a"//-�{ //� PLUMBING, FINAL AND GAS TEST L4my" �Y%jJ/J 7��/!!! i ELECTRIC, FINAL Willa" i�,Q�7p BUILDING, FINAL ,�QS'/�ryi (^6^7I f 30894 JOV 12 69cnsaPAtB00 431* ***106.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT RECEIV /� DA R C�1 D DATE ISSUED BUILDING 1076 Salinas Avenue r 7 SEP `L 6 1969 ADDRESS Heltzer Enterprise-Costa Mesa PERMITNQr. e OWNER p A.P.NO. ,j .dl I/1 Lin BUILDIEG O71,34f r MAIL 740 No. La Brea Ave. ADDRESS /r[� (cc".CCC�1t�r7 ZLu ui ADDRESS Z113yq d 0 CITY L.A. Cal. TEL9,i7-2171 • TRACT 6638 I LOT .39 BLOCK NOI- Z Z C CONSTRUCTION N7 ADD ALTER REPAIR (MOVING DEMO(ISH OF- LENDER United California Bank - a m Main Office J 7 BRANCH 4 w 6th and Spring, L.A. OWNER crot to J ADDRESS VALUE ' J Q ARCHITECT Frank Gonzales TEL532-6878 USE $��cZlt�°0 N OR ENGINEER NO J� 2 FIRE Z a 1336 E. Chapman, Orange, Cal. ZONE TYPE GROUP ��jr w cc ADDRESS (/ d IL APPROVED J Z CONTRACTOR George S. Heltzer & Assocs. BY DATE CO J cc ADDRESS Same as above WW TEL. - ZONE INO.OF USE OF NEW Single Far. ZF= CITY NO. PLANS 2 BUILDING Res. w/att.Gar. W O STATE CITY YARDS APPROVED YARDS APPROVED rn 2 LIC. NO. 201098 LIC, NO, 1707 MAIN BUILDING ACCESSORY BUILDING D O (FROM C/ TREET) SIZE I NO.OF BLDGS. OF LOT NOW ON LOT FRONT 12 ac,FT. FT. USE OF 2- EXISTING BLDG. R-SIDE 5 FT. FT, I- SIZE OF NO. OF 2 NEW BLDG. ROOMS STORIES L.SIDE ` 6 FT. FT. C.1 EXTERIOR WALL I ROOF _ COVERING COVERING REAR / a FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& d a MAIN BLDGS. ACCESS.BLDGS. Q Residence with attached garage VAR.* O APPROVED r I- No. 141#0... APPROVED D 0 UI hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ CC /69,0 I- any person in violation of the workman's compensation laws of /_.? N the State of California. //2 i/? co zI hereby certify that I am properly licensed as a contractor under ty{'\ ✓SO. FT, 0 the State of California Business and Professions Code, Division 3, THE AMOUNT S OWN UNDER VALUATION IS FOR j Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 am exempt from the provisions of the State of California Business cc VALUATION ��,>'-U m and Professions Code, Division 3,Ch er 9. Q d PERMIT FEE $ / U N Signature of 4/41,1 ;�, '1-, •' ad �/7,C a/ .�7 m Sture i/"nh/�/ $ JOy -5:3-- PLAN CHECK $ 0-II(-IFI-C./`� `-' E Authorized Agent +s 33 �--J� c y! �63� T TOTAL FEE $/o 6/.-.J �/ .. • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely /� / //� (LA-0-- PERMIT BY DATE RECEIVED DATE ISSUED BUADDLDINGRESS /Q / 6 S(Qi!.4,1,1 � (LA- PERMIT NO. OWNER A.P. NO. MAIL BUILDING Z ADDRESS ADDRESS W W TEL. TRACTI (•)h 39 I LOT f BLOCK ZC CONSTRUCTION NO NEW ADD FALTER REPAIR I MOVING DEMOLISH O N LENDER am _ID BRANCH • J N OWNER m J ADDRESS VALUE CO• ARCHITECT TEL. USE $ J Q _ OR ENGINEER NO. " ' - ' O Cr) FIRE WQ ZONE TYPE GROUP < ADDRESS d W APPROVED W Z CONTRACTOR BY DATE J O Ca J cc ADDRESS W W TEL. ZONE INO.OF USE OF NEW 0= CITY NO. PLANS BUILDING ZH W O STATE CITY YARDS APPROVED YARDS APPROVED fn CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D OI (FROM C/L STREET) SIZENO.OF BLIPS. OF LOT I NOW ON LOT FRONT 40 FT. FT. USE OF / `-----. EXISTING BLDG. R SIDE c J FT. FT. F SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL ROOF �1 / _ COVERING COVERING REAR /I/ FT. (' FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& 0 a MAIN BLDGS. ACCESS.BLDGS. Q VAR.* DATE O C.U.P.# APPROVED H 140 APPROVEDteaV" ei) __BY rdL/TE 9-19 7/745) Z 0 UI hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of N the State of California. eo ZI hereby certify that I am properly licensed as a contractor under SO. FT. 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: 0 am exempt from the provisions of the State of California Business o: and Professions Code, Division 3,Chapter 9. VALUATION CO ry PERMIT FEE $ O Signature of m Permittee $ PLAN CHECK $ E f.Authorized Agent TOTAL FEE $