HomeMy WebLinkAbout1083 SALINAS AVE - Building Permits:/ •
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
i CITY OF'COSTAMESAT y - { • � : 3,. 1' t-- I PERMITN - i TRACT NO. ; LOT NO. r • BLDG.NO. • . • ' ' • _
CONSTRUCTION PERMIT - I p." . _-. :y .6'60 aG-' O�4,5'r' I 7'�. , 't i :-• t ' I .- 1 � • E ;, ; ''. I 1 i '' J . .:
Applicant's Mailing/5dress '//`L s' z L Ja-9'-- Ci�U�' ,TVPE'OF CONSTRUCTIONS NEW U ADD.U ALTERATION-:U REPAIR:. - I `3 ° i '� -511,!1, T'9/06/e ^' ,TL
Protect Address in/ n - �i - • I q = i 1 .❑,CONVERSION ,0 DEM LIS ❑ RC I • . . • •• 'c' - +. ; r , . 4 ' 1 ' .0 i - I r•�4i'4•�`
�' ! %J /KE' l Ye'ent4 f r 75'10 039+ - o x P r /p7/{g
'°ESC RI 1° OF WORK 7." /J/'Br S - A..(12-17 Ali
I ' 1 '
Own`er's Nama / Phone• tr: I _ .: � ; F, I � • L ° : I R � !20NING'REGULATIONS--` f I '
Address'.'' 1 -'/0t •3 '��!/ Ci 4 i �' •i _ , u� .�v, c. /' �- •� ii.....v•_ •- • t
O •. r i . + p _;TYPE OF PERMIT 1 :U GRADING II--�"�''--CCOUNDATION .. STRUCTURAL , A P',,•;44,7�—TL�{OaC„( �([7'20NE Al r a. i I. L I
2.
Arch/Eng. - _ i License NO - ' ' - - ❑ TENANT C.ELECTRICAL LJ'.PLUMBING ❑.MECHANICAL , 1 ,p LNG.REF '#, �,•�`1 �” dBUILDING 4.` + //O'VI:
a / >7�'!
' r. .. • , • .- i !- "i ,,ill- *' ' _ - .,, �. _ • ._ ,•. - • i mecTwnrr Cti' cr, (/ X% '
Address �'/w✓_/`• '• _ �p/t Li 1 ❑,OTHER) t i r ! - .- , ,TO BUILDING- �J /•,,s, - r, 'M 1
1).Ont ctor,s Name' ' • 1 _ T' ' -Phone 17' PROJECT DESCRIPTION, SQ'FT.1 . t OCCUPANC •' _ PROPERTY LINE S £/�L.c,%^ ,REAR YARD(TO P./L) - 9- t -,
<.' I a _ I ;; { I + I ' ' + • I jot° •(LEFT Si DE YARD COI RIGHT SIDE YARD . ' • t _ ' 1
Address(mailing) - ' - ' X. 1 ' S CON STRUCTI,ONT.YPF + .VALUATION$ 4 -1 .-}
2 • , 1 i• I , , ZONEI.n • ' GRADINGCU.YDS: ' :ACRE< < PKG.SPACE REQ. I ' i PROVIDED -c _ ;C' '4
License No. ,. I . - .• r , -
LICENSED,CONTRACTOR DECLARATION I i 1• ' ( Remarks: i i , 1 I + -STREET WIDTH +t/ ; I , .PARK FEES '' - a I^Y.
Thereby affirm that I am licensed under provisions of 1Charter'9(commencing _ ' , t ' - ' '
with section 7000) of, Division 3 of the Business and Professions Code,and I 1 , I ` I 1 f • I i . 1 i • a, I I i Y , 'SPECIAL CONDITIONS: ,- I' !• I' i 1 �. 'J -I zy ,'�, ,,
my'license is in full force and effect. + - ,. 1 1 ( I I 4- r �p/1 in
- �� -
License Class ' ' ' 1 License No i •-• 1 ; 7 ! i i " I, I. I • PLUMBING 1 :; I i -i i 04 ( i - fC/ I 'I, i. • 1 .1 '
Date • Signature t '
WORKERS'COMPENSATION DECLARATION; 1- ( 1 Bar Sink' 1 i , I Sewer Cep f ELECT i j ;
•of hereby
affirm
f f itm that I have certificate
rtif iInsurance oi:consent ertit ed(f-Insure or a copy thereof certificate
on-1' -^ Backflow.Preventer _.;._. _i ... _.Sewer Connection .L Automatic Washer 1_ 1 _IMeter_❑over 100 amps I } 1-
3800, Lab. C.) ( - - _ - - �' _•
. - Construction Pole '-- 'Sub Panel - '
•+"•! i 1.- I Backflow Irrigation Solar Collectors i #.1.,,-1 I - I
Policy No. i ' • - Company h I _ "' - I Cooking Unit ;_ ' I 'Sub Pole 1 b• 1
BCertified copy Is hereby furnished. i Bathtubs I I - Solar Piping i ! I , t 1
Certified copy Is flied with the city,Building Division. a -, Dishwasher ' - IMotors 00-1 HP ❑1%-S i, 1
Date 4 Applicant ;
1 ' •- ' r.' Clarifiers ` . . Solar Tank I i • i • I
-1
EXEMPTION'F ROM WORKERS COMPENSATION DECLARATION--7---- Dryers'-OGasi DElettriC - Inc Solar:09-,15 HP ❑16-15+- l""'"1' - '•
' (This section need not be completed if the permit is for;one hundred ($100)or i • Di•shwasher I . 1 , i Swimming Pool w/Spa I { I
I 1 ('. j Drinkin Fountains ° ` Urinal I' 1 t - FanI' . ,Microwave ' i I i. 1.
, I certify;that in the performance of the work for.which this permit Is issued I g 1. i - -
shall;not employ any person,In'.any manner so'as to become subject.to the ; 1 ! -
, • 1 + - - F.A.U. 1 ,Pole ILi ht
Workers' Compensation;Laws of California.! ( Floor Drains+ 1 . Water Closet . - - 1 I I i' ; g ' I 16
Data" ; ,. . 1 Signature - 1 I ' ! : - i {.
. - i Fixtures ! •
.NOTICE:.if,after,makintheclaration,.you should.beoome subject to the_y. .._1, Floor Sinks_-___---}_-_.•_ • .`Weter-Heater,..-...0_.•_......;.i..... .r !-_-__ .__ ._ --1 - I '. I__- Range _ I' _s ) �,
' Workers'. Compensation-provisions of the Labor Code, you must forthwith - , -
` comply ,with( such L provisions'-'or thisEpermlt I shall be'deemed: revoked j � i Gas Service'[ [Outlets' 'Water Serve "' ' ' i t ' ( Device Boxes ! ( ; j �$Ignl i I 1
• - CONSTRUCTION-LENDINGAGENCY^," ' ' '7. ! .';•t 2- , `" 1 '( r. - •' Y Outlets
I hereby affirm that there is a'.construction'lentlmg agency for the performance .- 1 Interceptors try' r • . I T- „ h: 1 • ) ' i' • , 'Standing Sections t ; II i j
of the -work for which;this. permit 'is Iissoed (Section443o97 Civ. CJI ' I. - - _
Lenders Name' ' 4 . . C. "- ( • r +• 1 i - Switches ': I - I
1 '. 1 •, - r ++ Kitchen Smk t _ ,� I 1 j .0 _ 't 1 Trash Compactor ! 4 i i 1
'(.enders: Address - - t I , 1 1 Garbage Disposal I I' i i I ` !' I
OWNER1BUILDER DECLARATION 1 _ ) ,• ! ' i• y, i ._I ^ I. 1/4; Layatortes r r ' 1 ax r_, { '4.4' p' I i : T' 1 S ' I I i
I.hereby affirm that I am.exempt from trie)Contractur's License Law for the I -r: i I 1 I Generator 00=5 KW 05-15 KW i I I I 1 I
, following reason;(Sectionr7031.5 Business and Professional:Code: Any city or 1 , P rap! 4 ,_ I 1 '.1 u ; - 1 : i t; r " 1 j I. , , i i
.county which requires a permit-to construct,alter Improve;demolish'or repair r - 4 - r . - Transformer 1
:any structure, prior to its'.issuance,also requires the,appiicantfor such permit 1 ,`; • Roof Drains i j. _ i i t} - 1 ,- r i 015-50 KW y s , ? i
to file a signed statement.that he/she is licensed pursuant to the;provisions of- ' - •' 05U+KW+ '
'' •
;the Contractor's License Caw;(Chapter 9 (commencing withlSection,7000) of I . i - , 1 [ ' I .: - "'1 - .4 . , i i i ! IReinspection Fee i '( $15"
Division)3 of the Business,and;Professions Code)-ori that'he/she Is:exempt _ Showers 'r • ,;y it ; • ReinspectioniFee $15 '
i therefrom,and the!basis for the alleged exemption. Any,violation,of,section ; - _ Meter •Dup to 100,amps 'I • tissue Feee , 1 '$ 3 I
, 7031.5 by.tany applicant for a•permit-subjects the applicant to' a-civil I --
alty ofhot,more than five'huntlred dollars($500). i i Service Sink 'i I • ' ` . ,I Issue Fee- ' 1 $ 3 { ; —
property e (red loam g .. ' ^, ' Zoning Approved By l , Data —V--/-:.‘2_,/e___,3___
t '�, I;oas atioaer of,the, i r - _ ! ' . +, • t
.fornsale I(Sen' will.do the work;and the Professionalure'Is not :1Thoed or offered I 1 ' ' ' MECHANICAL' 1 i I i • I ;
: for sale/(Section 7044, Business,and' Code:.The I Contractor's - - — ---- --- --- -- _ Application Approved -Date
By !
License Law does not apply to an owner of a property:who builds or Improves , + - Refrigeration S stem ' 3� `
thereon,-and who. does'such work himself/herself or through his or her own •' ! Boder C I J I " I ,� �9 Y Applination Issued By ! •Date __(f
I employees, provided that such Improvements are!not Intended or offered'for - , ' ❑0-100,000 BTU ❑100,000 BTU - j
sale. If, however, the building or improvement is sold within one:yearof com- 1 I Duct 'Under4Ground '1 r .i , .1 , i _I 1 I i SUMMARY OF FEES -I I r • i
I oration, the owner(will have the burden of proving he/she did not build or Im- i -
-
roveforthe purpose of,sale): 1 ' I Duct-Structural I System Repair/Alteration .i 'I ',BUILDING PERMIT $ V' SMIP I y $ ' r5�
' U I,as owner of the property, am exclusively contracting.wlth(licensed con- • l ::.
1 tractors to construct the:project (Section 7044,Business and Professions Code: ' 'i Duct-Ventilating - ; ! 1 I 1_i _ -i 1 t 'PLAN CHECK $ 1 ' � PERMIT I !The-Contractor's'License'Law does not-apply'to'an owner of property who " r - -I I t 'I i 1 ISSUANCE I $ ' I _I I builds or Improves thereon,and who contracts for such projects with a con- Exhaust System ❑ Multiple 0% 'I a .I i (PLUMBING1. :1 $ r i i i, tractor(s) license pursuant to the Contractor's License Law): .i , t❑' am exempt under Section e ' e.& P.C.for this reason Firepl/Fact.BIL (CBO'# i I {PLAN CHECK1 1 $' .i •r j GRADING ; $:I •1 ..i i • 1e r ,ELECTRICAL' i $ -} ' 'i MICROFILM• •' $ ,' 1iDate - , - owner. I i + - , ! Heating system& Ducting - .j I Ijii .I , , ; ,
I_hereby, certify that_I have,.read this application.and.state.that,the.above..; •,I ❑0-.100,000'BTU 0106,000 BTU. �.•.;— PLAN CHECK $' '} _ i' Information is correct. I agree to comply with all city and county ordinances, , I - -! I 1-- Imo.- -'t '''I l - i ' i TOTALIFEE' t $ ' •r '
' and;state laws relating to building construction,-and hereby authorize repro- , MECHANICAL $ ' 1 •+ •j - Hood or TVPe I ❑' - , I , 1 :I
Isentatives of'thi •rpt to (•upon t e above-mentionetl proper[ fo -! I Reinspection Fee l - $15 !PLAN ; LESS ' - 1 1 .i
inspection s, i - •1( •' +y�•��• I Canopy. .Type 11 0, CHECK $'' - • ADVANCED PC ! $ `r i . I
•
Signature •. t.. .I Date /+[:(i O ,I r i .i I r i { I I .� , I h .�
! 1 i i Registers / i '� Issue Fee t $ 3 -�, i 1 'I •, I I FINAL PEE' s $ �J l[LLLL=/
I Drivers"License or SS# ) I r - ,
... -
,
' o ,E d,..:.,•. • -., POOL&.SPA 'i
CONSTRUCTION AND PLANNING r o Dat n Inspector. - .1,.:-- - - • ''. Date Inspector ;
•' ,�":,APPR5VAL'S f 'Permit# �JR•f0a-4O D ,x I, ,,-APPROVALS Permit'+ - • c
. Q] i1 . ,. mr fnS . - - .. ,.: _ x Dat _ - - . . 1 . . r1 ;
• 1.lTem-orar Electrical Servvice:or Pole =3' -" ' ` ' ;‘75
' b n �-. - i " - - ; -1
`•, T'- • E .Y I 1 til,.... ':: `4. .n 1 .- : t.. -:_$ _52.P..- a •;Equipmen. ,,, =i. '- :., 't I S
'2.iSoil'Pipe-Undrgrnd ` I :r+- ! x. I `rr I - '53 ;SteelRernforcement . ' r 1 . , 1
C3.IElectrical Conduit Utilitv1Undrgrnd, 1 ' - _ ;D ;•`Z _ ;5q For,ms^ '„.L °` -
,�', r4.1Electrical Conduit Undrgrnd_.- •-i { ,, .- i; _ 7.55 Electrical Bonding; f- I
.5.{Steel Reinforcement m ,:-.;'•'-'1., p m 5 ^56. "Rou l Piumbinl&'Pressure Test- ; ,-J . - • , . -
i 4 . 0 amu..• r17 ., .L ; E ,.c• rc _ - , .. r ., v . .ia
;6.; Electrical UFER,Grnd1 115. , 3: a57 APPROVAL TQCOVER-GUNITE;
• 7.�Footings '1 I ' I 1 3�c . 1 i .,: Taq f19'0, :•- A4 'r. ^58.;,Electrical Conduit-Unil rar'r.d':• , ; 41._ j .
8.1 Foulidaiion ; { I j I a A 1 o r ,, . , 1 ;- -X59 _Gas Pipe❑ Undrgrnd:,.Test 1 -
9.IWaterPipe Undrgrnd. I 1 a tc „ o I r ,_ d60. Backwash Lines P-Trap, O Undrgrnd. t.: -` : 1 I -
10.'Structural Floor'System p• - s -nJ f 1 ,�. _61 APPROVAL TO DECK '
X11.'Property Sewer Line & House Connection.: •
a_, 1 ;-' _E 1 162:'Backwash &'Receptor-Final . - 't
F2.'Sewer Cap' I ( ' i i rn I ' , `- ' v` :` '463.IHeater&Vent Final c ' '
13.iR�oofDrains _' j -9 1 ; = � 1 '64:[Plumbing;SYstem'- FInaf=d=.. .
e 14.1 Rough Plumbing' - ! I n.- I ; i; r r ' '- -c ., -65. Electrical-Final• ' - - - - • - • - -
-' ,--15=Rough'Electrical:Conduit ---'-' -7-- ' - -,'-- ?66: SolarSystem-Final -- - - --
- - - - - -
g Y tJlr , I'r 1rI i 1
:+16. Rou h Elec'tricWirin I E I 'l k - -I }'.'q-'{-' ' ' ' - ...-` --t- - -'17_ ' '
o 'r. m g T Inr - 9 ", ti r� !`. ,` i 3.TIT � 1 !� 167:,Fencin`g&Access.APP,roval - _ I t �I ,. 1 -
F. ' 17.�IR'ougFiWiring'Sign? N m ' 'AI li ti E t i a I ;;13 ;', i,� 168: 'APPROVED`FOR PLASTERING ; 1 0• : 1:., c.• : 1 ',
_ • 18. Rough Electrigl.T Bar Ceiling . I Ii 13 1= 1 !7.," [ . I4 :POO USPA'SYSTEMS FINAL - � , 1 ;
Cr
r; 19. Rough Heating& Air�Conditionirig .l I 1.. ! ' I. '; I I { I I FIRE'DEPT:REQUIREMENT, . r I ' ', '
20.c Rough'Fectory F,i;eplace { I �, ` i i' ' 1 APPROVALS Permit# - i • 0 r i „_I 1
I 1 1 1 1 I r t I r , 1 i ,
21.'.D'uctsLinISiracture, -? 1 i ! • Ii I I I , 1 , 1 �70; Underground Hydro 1 , I I
�22:1 Dlucts,!Ventilating_. I - l ' �t • i I 1 I 1 1 171. Product piping U Gas U Oil - ,
L 1' 23.rGas Plpe Rough &Test6. 1 I ij•. 1: r 17-i 1 i �T 172! Underground Flush ,_I1 I . I
nI �Isico II ' ' •
, 24.,RoofFramgI aI • •'q n• - 7z . 73! Undergrnd.StorageTank`DGa�'OOl '
e, r. 25 j Roof Sheathing i ; 1 4 I 1 Ii F: 11,- I • { J I, I,= b 1= I 0.,:1'1:: I741 Overhead Hydro I c ': ' ' : II : ' 1
+ r 1 I N ' , I c I c i 1 1 I i i
-26.';T Sar Ceiling (9tructuralh&Monoai?1 i I . I G I": ' I I` !75! Dry Chemical I r - '� .. •- I I I
1,. _1 . 1 I! I I i I ,: I I I r ' , , .
_27::I - . e an'd-Flashing -, I 1 i : p ii , ! I I76. Dry Standpipes .; 1 I 1 ;: ;
43 28.1(Lathing&Siding 0 c I II 11 I i I i ' 177:FIXED SYSTEM•FINAL. ''y I - I i -
•1.
` 29.x Insulations i N t n I I it it 1 i t I j I I '7g FIRE PIiEV. FINAL • _ 4 `
",30.�Drywall Nail ng-i i "-!, i 1 I1 �' 1 { 1 I i Notes: r 1 { ! I
,;31.'P.IasterBrown Coiat•, i I f I- - 1 I
i
1 .I t I 1 I I n I', ' 1 ' ! ' 't I 1 I ; . '. ; . I I - I
a �32.IElectrical Power Meter- inal 1 11 1s { I I I _ , I I I ( . I 1 ;. 1 I
} 33. Final Electric 1 I .I 1 I 11� M i_ I ;_.. _.1 I II i_.I_, : 1 --I. - I..' i^ �.
'g 34. Final eatirig1&4Air Conditioning;`:k ' 1 ' I I I 1 I 1 i i ! -' <
I- -.1 --int e .A ; •-i +t'.x •"y, I I I I I I { ! i' a-
.' cn
35. FinalGa; Pipe=Test '_ In. l n1 ifi•.T;111I - 17 rG 1 . • ; , Ir I _ �I , I - I. -," - .:1 - i
A 11 •C."9 NI I ^ .fit it I _ 1 2 ' 1 - . J '. F 1
36. Hood;or'Canopy. In,I e •_I -it- i J ._ 1'. 1 - 1 - I - ` � E ;i ' !T '�' ', ). .t -
h11 .� •.,� Ir I :- 0•
ell .' i . .- 1T' It1 I1 I ,,1 t ' Lai . 1^ . . r . -_ •q ,. ,
37. Final Factory Firepla_c- 1 01 .: 1 s I. 1I 1 •I +; - •'?
38. Final aPlumbingl ..*I -II I. • e1 ;'11 ! s' I< t 1 1' . I I • I •_ s1
I. y - a
39. WatergService`Final II It I V I -. +I I I I i I -. l 1 1 I ; ; ; . it: 1 ` `` _ H. •
- , .
I:
40. Gas Service=FinPil e I I I 1 ;,i;i. 1 � I I , I 11 I - I 1 1 ,": i .I. �a .+ ,
c ., , , •'n t _ . . '
41. Solar Domestico-Final 1 - 1 1 ! • ; I I ' I 1} I '. • e -
r,::.l '' 1 1 :JI h-- ,ii,__!^+--r• '-I`-r-_1-_•• ` -_'" I '-f---r-{_•: . _
-
42. Backflow Preventer 1 11 I ''ilrn' I I I ' ' 1 ' I i I ; _ i . '
lx' IL I.AI ' 1 1. .'. . ,N1„ - `' a •Q_ ,r; ;-- 1 ; 1� I 1
43. Backflow Irrigation i . i "t`:1: I: - - I° 1 ' ' '" I
_ c �,: m ', i- f ru l- !rl = t :, 1 ti n' I !
44. Lands`capeion;
IcrigatSystIeml 1 -'=i't'_ , - i r. , I ;I > 17I ` I_-''I •'I 1 ! -
45. Sound Attenuation 5 o I-. -'r 1 ' in ; ...1 1 ' ;1 :I I •� - ,i .. - -
-1. ._. 1 !_. 1IIil I Ii i ! �. I 1 C1 .. �� ' _ -
9N' . '- I - i 11. I I 1c I' t',- I nI ' I • 1l' Y .+ " -•1
46. Handicap Regulationsi j r I 1 I_ { _V 1 i `i - I I I ` ;• '
6..,t
47.•FINALSTRUCTUREI& BUIILDING � ,J I 1 ' 1 ' 1
48. Special Requirements Conmileted II III I -{ a} . I I J I 1 I ' . _ - n
1'
I
r: Ir 'r 1 1 1,,__ 1___14,___1,___. 1 - i �
49. Electrllc:Release.tolEdlson- I 1 . - H..;}___;,,,-.r __k_.,_ 1 i 1 ! I . I ..
50. Gas Release• ato Southein California Gas j 1 I11 I { 1, i ! { -<v 1 u;l • ` I I • 1
c ., 11 Iii CoI 1. I i .
51.-CERTIFICATE•OF OCCUPANCY ! _ I " j' j
No iV I i/ i Date i 11 II I J. __1; , J_ t
Ili-.^ `,i ,-:In_..J•N Date-Va-4e./�.Jt�.r -r _ . - _ _ .v c. y_ - - ww
. TYPICAL 611 CONCRETE BLOCK FENCE
Cement Coping Optional _—> A MB 1_;,� • GENERAL— NOTES
Channel Block With 1-3/8
Fences
Top of all %. _ e
Fences MORTAR: One part Plastic Cement, and
Three parte Sand
For Fences 5'or Less .. i' x ,� , J GROUT:: One Part Cement Three and
s One Half Ports Sand
cc
Vert-Bari 3/8" Dat 4' -0"O.C. o COPING: One Part Cement, Three
5' I- � I Parts Sand
For Fences Higher Than O.C. —� u • _ CONCRETE: Well Mixed 1:2-1/2 : 3-1/2
Vert. Bars 3/8" Oat 32" OY w
� x Max. of 7- 1/2 Gallons cf
Fill Cells Solid With-Grout I > Z 'i "
Where Steel Occurs Water Per Sack of Cement
G GROUT MAY BE POURED FROM THE TOP
Reinforcing Steel.Shall —� N f Up
Conform to Sec.A-15-•39 w O __ _1.111
OF THE FENCE IN CELLS WHERE STEEL
' w n ii 1-_I'� OCCURS.
A.S.T.M. CELLSANDAREASOFHORIZONTALREIN-
All Steel t0 be Lapped - _ I FREE OF ALL MORTAR DEBRIS,ETC.CLEANFORCEMENT SHALL BE CLEAR, &
IS"Or t0 Code 1111 Ell
I�
NATURAL GRADE Q BONDS SHALL SE PROVfDED BY LAYING
C "`1 -•% �y�;�1'IL9 R70 ' V.4 _ '" II BLOCKS IN STRETCHER COURSES SO THAT
�� e ' ■O I.
' ' . - o VERTICAL JOINTS ALTERNATE IN EACH
�.T= . . .on,_ � e • a - COURSE.
TWO 3/8"ID BARS 7 'p'1� �• a e -
CONTINUOUS TOP
&BOTTOM • Fes--WIDTH . TO 16' 0.C. MAX. • o
o.L• SEE SEEOCART < < DEPTH OF EARTHTCOTH
y I/3 THE HEIGTH OF FENCE
o' L. BELOW BOTTOM OF FOOTING
e e
s' 3'
to lo" 3.s� — SCALE: 1/2" : I'
•
•
FOOTING REQUIREMENTS CHART
WALL HEIGHT 6 ' 5; 4' 3'
WIDTH 14" 14" 12" 12"
THICKNESS 10" . . 10" 8 " 8 "
DEPTH OF EARTHTOOTH . . . 24" . . . . . . .20" 16" 12"
SPACING OF EARTHTOOTH. . 12' 14' 16' . 16'
OWNERS NAME: DELL/-/#44' 16thr
City of Costa Mesa, California JORMAPEITDD REMBER _10x7 .�1,� � _ _
Building Department SIGNATURE, .,( �i _ _ _ _ _ _ _
STRUCTURAL APPROVAL ONLY,
SEPARATE PERMITS ARE REQUIRED Id 87 522Q S
FOR ELECTRICAL, PLUMBING,
HEATING, VENTILATING AND /
REFRIGERATION WORK / ��a�u�� `�
APPROVED
•
p� ROM g [, �R4 # �� a CITY OF COSTA MESA
of C \Citl �] 4\ THIS NUMBER MUST ACCOMPANY PANNING DEPT:
trryy ®® Dept. ALL INSP"tCTIOR! REQUESTS wdEer TO BLDG..DEPT. a�
C'Hy of Costa Mesa Building 1 /
! er/JLtC,IJEO DATE DEPT.
_
---_ , ,�,:� .. . , _--,r---„S ARE TO
TIMES I ., o!LC't,dSJ r,r�-':+_i cnJCH OI[ECTOI T N ..
TIr
DEPT• AT ALL I � BE E6tiFL ::, VIE Surft: 1- THAT THE
N --- ON JOB . ... . _ -. ;..,_.-_ : . . .. ..
MN
ESE PLANS.MUST BE PR100. APPROVAL r C'',LiF iar.!A DIVISION OF
SH_; WITHOUT Sj��p i'
MARE NO CHANGES { � !�?.,SIR Lr¢� ET! BE CONSU TE�FI�i�G
OF DEPT. R APPROVAL I I_t ..= , t ,REMF,CO FI'
PERMIT G• u-- :g
G : GRP,VTING OFA NOT EE CONSTRUED - .
THE IScL�RNCE SH^LL VIOLATION i__ _.. _. �
OF PLANS IND SPP IFICATION APPR VAL OF. ANY lG0/� 60
PC THE FC I, OR PNI CODE. NO PERMIT PRE-
TO EEA o THE IPC 'l;{GP;S OF THI in rANCEL THE - -
S ANY G, w,,.._ . • . . i ,
TOS CF\'E I UT COD13 EXCEPT ' I ,
PRE-
SUMINGlH } CODE SHALL BE VALID, LAWFUL. - ,
FARPARVIS THS CF H F AUTHORIZES IS LA
AS THE WORK R USE W'HIO ZC1 2O. - ..
UPON PLANS AND - - ..
FERMI BASED , r OFFICIAL I ( � !��
THE INSU I. L CF A PREVE IT II -- OF ERR()SPECIFICATIONS SI ‘LL
TH . COI RECTION
SPECIFICATI' N3 I R FROM PREVENTIN 1
FROM THERCRFT-
INSLID PLANS A' 0 IED 1 N THEREUNDER WHI V
.H 3 CODE OR JF A IV OTHER ORDINAN' E
E JILDING CPE64 3NS BEING CAR 1 S 3 �1
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CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. 6638 DATE April 6 1971
LOT NO. 71
ADDRESS 1083 Salinas Ave. , Costa Mesa, Calif.
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)
Erwin Earl Poulson (yaso;.4err�)- Sue W. Poulson 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. �o
BY (. 1, ccI tegge-e-/
,-t—
Purchaser -Erwin Earl Poulson
BY ;lcBm40 ��:'''�
eloper and/or -uthorized
representative DESOTO ESCROW CO.
BY
Lender
OWNER HELTZER ENTERPRISES-COSTA MESA DATE 9-26-69
JOB ADDRESS 1083 Salinas Avenue BUILDING PERMIT NO. 30926
GENERAL CONTRACTOR Same DESCRIPTION of WORK Residence W/Attached garage
AP No. - LOT 71 TRACT 6638 FIRE ZONE . VALUE $ 18,973.00
INSPECTIONS Si nature Date GROUP I & J TYPE V ZONE R-1
SOIL MS K—e7?d SUBCONTRACTOR PERMITS ISSUED
GAS ,/ Date Number Signature
W ATER'et,/L9S/.rjL3-,7O P bbiiinJs��/j,'
ROUGH PLUMBING P -,:.;7 7.1-.4-.! Z/1" C�7y 3/_ --i-a7-7c} .7 749
PROP. SWR. LINE alHOUSE CON. iY� 7L� SS1: jj� T-C1 /O .1S41&/
SPRINKLING SYSTEM J�
MISCELLANEOUS aq"�q_ �^
ROUGH HEATING AND AIR CONDITIONING 4 A/eC' .j-V-74
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER ❑
ROUGH WIRING E� 1 7-L]-7c /' Heating and Vent"
TRENCHES a FORMS IJ STEEL REINF. gN (/—/17.-70,f�fl (�f,/( ti= a ///%f.7G�y�Jy
FLOOR SYSTEM^ ef 4'24(-7'0 n�.yy //J/ir k-/g/7e 7 , 2 /j S
BOND BEAM I 1 STEEL REINFORCE n /`_ ��,��� ✓✓✓���/'�" / /
SHEATHING/ if yy�y
FRAME AND FLASHING ) O� TG
LATHING — IN C OUT Pc '�.'✓ Sir
PLASTER, BROWN OAT ` � 'r Sir
STRUCTURAL, FINAL f /' / (
HEATING, VENT., REFRIG. AND A.C., FINAL /I// //-�7f-7/ - '.../ . AY , &" A- 0 , I. 7/
PLUMBING, FINAL AND GAS TEST 7 J/'1'7/I� (v—7#
ELECTRIC, FINAL - //7 ?o
BUILDING, FINAL / i L!Y F-P✓4w /
09995
l' NOV 12-69PA1600 465* ***106.50
COSTA MESA BUILDING-SAFETY DEPARTMENT 65A
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEI ZrATE RECEIVED DATE ISSUED
BUILDING
1083 Salinas Avenue /o�— x/"027 -bADDREy SEP 2 6 1969
Heltzer Enterprises-Costa Mesa A.P. NO. \ PERM E.NlQxr
OWNERp /`
•MAIL 740 N. La Brea Ave. ' ADDRESS /�p_�_���
ADDRESS
2
ILI TEL. 214 6648 I 71
d0 CITY L.A. Calif. No. 937-2171 TRACT LOT BLOCK
Z < CONSTRUCTIONUnited California Bank NW EADD ALTER REPAIR 1 MOVING fFMOI 15H
O N LENDER
o- oo . Main Office
J r BRANCH . /
_I Chm J ADDRESS 6th and Spring , L.A. OWNER -/ VALUESi !!(t '
Jm ARCHITECT F. Gonzales TEL. 532-687 USE , /it r $/(JOt /e/�
< OR ENGINEER NO. `/ 1 �1/
FIRE
C.)
a 1336 E. Chapman Ave. ,Orange,Cal ZONE TYPE {/ GROUPt'''JJ
W ADDRESSCCCIII
a LLl APPROVED
W Z CONTRACTOR George J. Meltzer & Assocs. B,. DATE
JO
mZ
J z ADDRESS .Same as above •
IP W - --- ZONE Na OF USE OF NEWSIUgIe Fain.
TE0= CITY NO. RL PLANS 2 BUILDING
Z Rea. w/att.Glar.
w 0 STATE CITY YARDS APPROVED YARDS APPROVED
V)cc LIC.NO. 201098 LIC.NO.1707 MAIN BUILDING ACCESSORY BUILDING
D 0 - (FROM CIL STREET)
SIZENO.OF BLDGS.
OF LOT I NOW ON LOT FRONT 5)-FT. FT. •
USE OF Q
EXISTING BLDG. 13—SIDE /8 FT. FT.
I— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
0EXTERIOR WALL ROOF
_ COVERING COVERING _REAR
FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
1
a- MAIN BLDGS. ACCESS.BLDGS.
'C • Residence with attached garage VAR.# DATE
0
C.U.P.# APPROVED
I— Plan No:1Tfrt 943 APPROVED 11�//d l6 j
n
CO ....__BY 1'�'D- /� - DATE l
Z /VIA
0
~.1
fI 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 /690 5 '��
I— any person in violation of the workman's compensation laws of n �J fJ
CO the State of California. 1�J�.. // aan 0
ZI hereby certify that I am properly licensed as a contractor under �/ ✓ SO. FT.b�[ 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 PURPCGE OF ESTABLISHING A PERMIT FEE ONLY: Q
am exempt from the provisions of the State of California Business VALUATION T j�� ��ryj �/ �.�_V��
and Professions Code, Division 3,Chaster 9. / m
PERMIT FEE $ r
Signature of �, - /C
/'Y// PL CHECK// $ ✓/ �^)� "' - E
Authorized Agent ` �r�--n% TOTAL / o��O LL
•
' r`3 c�. �p.� `" AUG 22-77PAta001789* ****20.50
:(C .:.o No CMSA
• COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
API LI(AT ON FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only '
�/{v, [A7 cc __ REC IV D DATE RECEIVED •
Y
ADDRESSIL)d_ ..QCT',hoz- e. C. M . / //.. IS /S
PERMIT NO.
MAIL
mt 5c
it
' CITY Oa •TNEs•. �� t. LOT BLOCK
i -
CONSTRUCTION :. NEW ADD ALTER REPAIR MOVING OFMOLISH
LENDER .
BRANCH •
OWNER
ADDRESSARC ;. � teV /bra
VAL E
FIRE - ,,//–
ADDRESSr. 1.--
ZONE TYPE .4.---.4.--- GROUP �/
APPROVED Of2Z-.
Ii.w:tLg.i_ccz5arniirn/j/ BY Jr'� DATE /
ADDRESS SC,Pte QS 47
TEL. of NQNO.OF USE OF . /'7" ') All
CITY NO. PLANS z BUILDIN /o.' ��
i–• STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC. NO. MAIN BUILDING . ACCESSORY BUILDING
`
fid SIZE NO.OF.
6. OF LOT IF (FROM C/L STREET) •
NOW ON LOT i . FRONT FT. .I\. - FT.
Q ., USE OF ``
cn
EXISTING BLDG. . . R.SIDEt i I FT.
W i
' F Separate permits are required for • L.SIDE FT. A FT.
electric,plumbing and heating work. REAR /\B'/�f 'yN`V FT.
(W., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. v BET,MAIN&
G ; ' MAIN BLDGS. ACCESS. BLDGS.
s VAR.# DATE
1-7• •.jhgktrifik `IOH 6,�. Arr +tong v' C.U.P.#�/� � � / APPROVED
>1• r j tower Mek. heti • ti4 6s'.i ROV dtee g-a�-77
T1tH �, e� F 21 1 1 --- .i ill /_. 313
Q I hereby acknowledge that I have read this application and state •
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e.
a., that the above information is correct and agree to comply with
m
L .. all laws regulating building construction, and I shall not employ
Z any person In violation of the workman's compensation laws of y m
W the State of California.
• I hereby certify that I am properly licensed as a contractor under SO. FT. w
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN VALUATION IS FOR co
co
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTA G A PERMIT FEE ONyy s "–
am exempt from the provisions of the State of California Business GE(_� 'p
j. VALUATION I FEE v
lil and Professions Code, Division 3,Cha ter $ 2//n m
PLAN CHECK $ —• ' o
Signature of
Permitte / : $fin TAX $ rO U.
U
• Authorized AgentTOTAL PAID aI f /
a
+ COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING C
ADDRESS I 0 9 T J.t7. A�IiL(I/ (2„4"..)
i PERMIT NO.
OWNER A.P.NO.
MAIL BUILDING
Z ADDRESS
ADDRESS
0- 0 CITY NOI. TRACT(, d I LOT 7/ BLOCK
ZZ
C CONSTRUCTION NEW IADD ALTER REPAIR MOVING DFMOI ISH
O N LENDER
IL CO
J D BRANCH
J In OWNER
CO J ADDRESS VALUE '
-CO
ARCHITECT TEL USE $
Q OR ENGINEER NO. •
Oct
FIRE
wQ ZONE TYPE GROUP
X ADDRESS
a.LJ APPROVED
W Z CONTRACTOR BY DATE
J Q
CD
J cc ADDRESS
W W TEL. ZONE NO.OF USE OF NEW
Z= CITY NO.
_ PLANS BUILDING
—0 STATE CITY YARDS APPROVED YARDS APPROVED
LU
In cc LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
0 (FROM C/L LOREET)
SIZE NO.OF BLOTS. (J
OF LOT NOW ON LOT FRONT FT. FT.
USE OF
EXISTING BLDG. R SIDE / r FT. FT.
I— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
V
1�I EXTERIOR WALL ROOF
_ COVERING COVERING REAR FT. C FT.
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C.
a MAIN BLOCS. ACCESS. BLDGS.
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O 1{l l� lJ C.U.P.# APPROVED
I— APPROVED (LW
11 / 7i
.1
N - AY � s Ll/ (/
O
VI hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
Vg the State of California. to
I hereby certify that I am properly licensed as a contractor under SQ. FT. 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 fun force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY;
am exempt from the provisions of the State of California Business CC
VALUATION
and Professions Code, Division 3, Chapter 9. e)
PERMIT FEE $ N
D
Signature of m
Permittee $ PLAN CHECK $ E
o
LL
Authorized Agent TOTAL FEE $