HomeMy WebLinkAbout1084 SALINAS AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
OTA MESA ' CO S RUCTION PERMIT PERK= TRACT NO. LOT NO. UNIT NO.
CN- e+ __��-L
Prm.' dress 109L1�' 1 �� LJ-
• epplican:•s Mailing Address Oso A 1 (0 '/n C eeV TYPE OF CONSTRUCTION LJ NEW H ADD ALTERATION H REPAI R
/'1$_J /� (,,.1 I -M 14 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER e
• Owner's Name 1Y Phone `V c-1 �1' D S I TIO 0 WORK/USE OF BLDG. E -
Address • ,
• Arch/Eng. License •No. r=-„a TYPE OF OF PER
T GRADING 111FOUNDATION ElSTRUCTURAL
Address • ❑ TENANT CIELECTR CAL CIPLUMBING ❑ MECHANICAL
Contractor's Name C. ‘)e,.‘3‘)e,.‘3 "(-� 5 i•'t"r`C4--' Phone sag loll ❑ 'OTHER (Q.,-C
JlReL# , r:ngReq./pv!ed .ng.
�1 2 PROJECT DESCRIPTIO
N SQ. FT. - OCCUPANCY e
Address(mailing) Q �T�1 Ito -J ice-, ��� Planning Notes
/ () CONSTRUCTION TYPE ‘i LI VALUATION$ /WI
City License No. ZONE GRADI NG CU.YDS. ACRES I S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks:', / ��,yyy///ssss1 '
with section 7000) of Division 3 of the Business and Professions Code, and ��`+""-�`f'D-I„�) �µe��� �'�
my license is in f J •r =and effect. G (L Q �- ■ ELECTRICAL FEES
License Class • a Lie ait;e No:Li / D S77 I- c5 �4 � ditty, ((� �r (2L0
I Date - S.-• Signature« .�f13\' PLUMBING FEES Automatic Washer Transformer 0 15-50 KW
WORKERS' COMPENSATION DECLARATION' Construction Pole Sub. 050+ KW
•I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers
t'
-f Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter Duo to 100 amps
3800, Lab. f //�� I I Backflow Preventer Service Sink
Policy No. l�) r !ln. Company S: kr /V`t ma( . Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100_amps•
•pert if ietl copy Is hereby furnished. Dryers ❑Gas ❑Electric llSubPanel
Certified coRJ*� Jed with the cit iltli Divisio Bathtubs Sewer Connection •
Date 2', -K� Applican • Fan
Clarifiers Solar Collectors Motors❑I. -HP ❑1 h 8
EKEM TION FROM WORKERS'C M NSATION DECLARATION - I
less).section need not be completed if the permit is for one hundred ($100) or s F.A.U. pillar ❑9-15 HP 016-15+
less). Dishwasher Solar Piping •
I certify that in the performance of the work for which this permit is issued, I Fixtures ' Microwave • 1
shall not employ any person in any manner so as to become subject to the Drinking Fountains olar Tank !
Workers' Compensation Laws of California. r
Date Signature - Floor Drains Swimming Pool w/Spa Device Boxes Pole Light y •
NOTICE:If,after making this dedlaratlon,you should become subject to the , Outlets Range Workers' Compensation provisions of.the Labor Code, you must forthwith • . Floor Sinks Urinal 9 1 -
comply with; such provisions or this permit shall be deemed revoked. Switches
CONSTRUCTION LENDING AGENCY Gas Service - Outlets Water Closet Sign - -. ,
I hereby affirm that there is a construction lending agency for the performance ,
Garbage Disposal StandingSections
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater - . g p
Lender's' Name '
Lender's Address - Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash •
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays
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 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 Reinspection Fee $15 Issue Fee $ 3
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). DEVELOPMENT SERVICES REQUIREMENTS:.
LJ 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 Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By a a // Date
' 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 Application Issued By aaJAC0W•L�a.�_ Date
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
-
, sale. if, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY r F FE'
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). - BUILDING PERMIT $ 72 '` ec) SMIP $ • S-0
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refri ation System
r- tractors to construct the project (Section 7044, Business and Professions Code: PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating • 0-100,000 BTU ❑100,000 BTU ISSUANCE $
PLUMBING • $
builds or'improves thereon. and who contracts for such oroiects with a con-
ENERGY P.C. $
• tractor(s) license pursuant to tne Contractor's License Law). I am aware that Exhaust System 0 Multiple System Repair/Alteration I PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me. It ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG Fire Dampers PLAN CHECK 50% $ MICROFILM $
I Date Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ 7 , ,...119I hereby certify that I have read this application and state that the above ❑o-100,000 BTU 0100,000 BTL
information • correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state relating.to b ilding struction and hereby authorize repre-
sentatives • this city to nter ave-mentioned property for
Inspecti• Poses.'p y/
Driver
P-Q � � ����� Date /!�-�•V7 �� 0 / . .
Driver -nse or SS# Reinspection Fee I $15 Issue Fee •
$ 3 2fG
0100025001-09025002 TOT 72,50
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 01/25/89 T111_: 09:26 _ -- - - - —
CONSTRUCTION AND PLANNING .... .7.**
Cl\ \�i�) POOL&SPA
PPROVALS Permit Date Inspector APPROVALS Permit - Date Inspector
emporary Electrical Service or Pole 52. Pool & Equipment Location -
3
2. Soil Pipe-Undrgrnd.rr
53. Steel Reinforcement
Electrical Conduit Utility-Undrgrnd. ' - 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement; - ' 56. Rough Plumbing & Pressure Test
6a Electrical UF ER Grnd. 4 - . 57. APPROVAL TO COVER-GUNITE -
.:Footings 58. Electrical Conduit-Undrgrnd.
0:Foundation - - 59. Gas Pipe, ID Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System61. APPROVAL TO DECK
11. Property Sewer Line & House Connection -, 62. Backwash & Receptor-Final
12. Sewer Cap ; .• 63. Heater & Vent-Final
1
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plumbing'_ 65. Electrical-Final
15. Rough Elecfri,al-Conduit 66. Solar System-Final
.1'
16: Rough Electric Wiring 67. Fencing & Access Approval •
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceilings' - ,69. POOL/SPA SYSTEMS FINAL
'19. Rough-Heating & Air Conditioning FIRE DEPT. REQUIREMENT
.20. Rough Factory Fireplace I C7 APPROVALS Permit#
1. Ducts, in Structure } / 70. Underground Hydro
22. Ducts, Ventilating V --y / 71. Product Piping 0 Gas 0 Oil ,/
23. Gas Pipe-Rough &Q %t -.1; c't- i 72. Underground Flush
24. Roof Framing 'rt.- 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof;Sheathing e.j" 74. Overhead Hydro
,J
26..T-Sar^eiling (Structural) &Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding . :i. 77. FIXED SYSTEM FINAL
29. Insulation - .tic 78. FIRE PREV. FINAL
30. Dryawll Nailing • 3.L1 "HEALTH DEPT. REQUIREMENT
31. Plaster. Brown Coat'C i� 79. FINAL INSPECTION
32. Electrical Power Meter-Finals 80. FOOD CERTIFICATE ISSUED
33. Final•Electric f.- 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 / "� I
41. Solar Domestic-Final - / ,2- 1,-
42. Backflow Preventer �7 it f if
43. Backflow Irrigation - •
44. Landscape Irrigation System ;'.6,%% -'
•J•
45. Sound Attenuation �' `y,-4i
46. -
7HandiLap RegulationsguAlf .f
47. FINAL STRUCTURE & BUILDING ?Alf( ��:!'C� �
48. Special Requirements Completed ( �/ ��
49. Electric Release to Edison % , _
•
. 515). Gas Release to Southern California Gas Co -P„\ - ;
51. CERTIFICATE OF OCCUPANCY y ,
'.1-/
No. Date
•
•
_ _—. Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. I
nITY OF COSTA MESA ( � r P J IT NO. - I 'TRACT NO. LOT O. . BLDG NO - ) .• JJJ"'
! L%1NSTRU( ON PERMIT, C' ' I 2 t i :, w I
'726 4. - 7 i
Applicant/Mailing Address 1 '/Ci�^�/ fat,N.4-5 - - TYPE OF CONSTRUCTION- LI;NEW• U1 ADD Li ALTERATION :LI REPAIR• �. . -ds {c t , y-�t{' 4
� Prbjebt Address- 1 `5'4,341.' •• • - I 1. { r% ❑ CONVERSION ;❑ DEMO IS ❑ THER1f _ 1 •• 1 •-• I : tr(f/f/•- ra . i ++ 1 : .C, • ;_ 1 j ! 0 ,
��<ac Yi a c<}_� �o, 95� c &AaJZE 0- r•
DESCRIPTION-OF WORK t.
Owners Name ;..� I Phone 9 -1 r - / , - - • ZONING LA y � 7yU�
ACdress i t ' -1• c S:d�i Kt 14-S _ • _z i .. 1 _ ' c •
�/' /-4.1 !
/ •�a•g•4 _ , r- 1 ? r
,- , 7 I , , . 1 1 • 1 I r . 1 TYPE_ OF.PERMIT ' Id •
G RADING' LI FOUNDATION STRUCTURAL •D i . ' A.P.Ohl �. •Q�e . I ZON'_ j 'I'(1��,/7 _.• I �-- C
Arch/Eng ' - •' '- License No. ' - , '❑ TENANT ❑'ELECTRICAL ,❑'PLUMBING ❑•MECHANICALL I I UTLDIN „ fir, a rill c •� '
c' : I r 1 i i • , , r , L rPLNG.REF. ?- ''t' ,cF E t14.S _ i1 1VI E..A•
Address - " i _❑MOTHER "' - I ... 1 1 .TO BUILDING '„ 1 + A 1 ' ".' �/ •//OItc •
•-i .] - 4 f i =' r i 7� �! I 'PROPERTY LINE M ! ,- REAR V RD (TO P%LI_./t-!' e
• ' Contractors Name -C'w^° ' : !' ('Phone 5� O°/� PROJECT DESCRIPTION' SG,FT,' • ' QccuPArvc/Y+/ - _ _
1 i i CONSTRUCTION TYPE -k • ! VALUATION$- ' $'6 O,�' ALEFT SIDE YARD I ' i• -' RIGHT SIDE YARD 9/L7 0- :•f ! - "
Address(mailing) t
i t i I r . ' 1T ' , ¢ONjE i - ' GRADING CO.YDS: I IACREG - • - PKG.SPACE�REQ. r ' . 1 . I PROVIDED - ( r-K I V, , G � '' .J ' .pJ
•
License No- '___.. . . _ _. . .. , _
I.LICENSED CONTRACTOR DECLARATION I I , I 1 1 - ' 'STREET WIDTH , : 711.0y JP ! L 'PARK FEE . a (`
Remarks: I I 1 1 +- $ '
1 with .,- ,7000) of Division 3!of the B'slneis and Professions Code,and ! _ 1 1 I I '-• I I ' i I SPECIAL CONDITIONS: I C, + R; ; e' 1
riY llcen4e'I• s in full force andleffect. i I - - - { - 1 I • .. 1 • q•..
? 1 i - , t -- 1 • ;a : j
License Class 1 , " I I `• I License No. •C I , PLUMBING i ;; i , i 1 1 , ! , I �:
C Date I ' ! i Signature f . • ' 1 ' ' f
•- • - Bar Sink ' , Sewer Cap : - I 1 I I' i 1 i ELECTRICAL F. f • 1 1 I
WORKERS'COMPENSATION DECLARATION ' • 1 I I `
' I hereby.affirm.that.I.have.a.certificate of.consent.to self-insure ora certificate.- .._ _! -:. -- ! ._- _ . - Automatic Washer_; - „ S,Meter_❑over 101-- amps _ 1 - -
' of Workers' Compensation Insurance,'or a certified'copy thereof (Section 1 i Backflo•w Preventer i- -Sewer Connection-- h j'*" ' - --. b '-
3800, Lab. C.) i 1 I I I - 1 - - i Construction Pole ' , ;Sub Panel. I I ! 1 I • :
t i Backflow Irrigation' i - ! Solar Collectors + . •
. Policy No, ' ' Company ' .. ._. _ i + i •
9 Certified copy is hereby furnished 1 j • ! i ' I Bathtubs II Solar Pipmg I i I I - I Cooking Unit I ! iSub Pole i
Certified copy is filed with the city Building Division. -i Dishwasher Motors ❑'0-1 HP 011/28 •
Data ! 1 I _ADDlicant ' _ I _,_ Clarifiers 1 Solar Tank I . 1 ' I i ! !
EXEMPTIONI FROM WORKERS COMPENSATION DECLARATION, ( : - , - Dryers ❑Gee DElectric •• ' - Inc1Solar•❑9-15 HP ❑16-15+' I
I (This section need not be completed If the permit is for one hundred($100)or I • Dishwasher ' ' 1 Swimming Pool W/Sp - 1 !
f • • , i - Fan i ' • .Microwave I.- •
I I certify,that In the performance of the work for which this per R is Issued I i t Drinking Fountains , Urinal ' • 1 1 1 i I
shall not employ any person In any (banner so as to become ubject.to. he �.. ' I
•
Date; IY after MakingtSirtlture n,I. u•'-V A.U. )-C e/I-I•--Ater C- u a ' 1 F.A.U. , I , Pole Light , i •I , ,
, workers' Combpeq satip Laws of California. I. \n, •, , I Floor Drains I I I I Water 11 -
•
• ' Date' �;efter h • his-dture �t-t< <V�ould-b '. c. /i'w �' y� - r, i he Labor.
t -, - l Q,- Fixtures•1 , ,Ran e 1 I ' i f
theh r - - Floor Sinks-;---- Water'WI -- _ .. _. _ .-_. ,.__ _ 9 ,_ __.-_. ,: _...
• comply Compensation' provisions this
hpermlt • Cotle,. :d emet'f 1 ' r"•: - t•1 1 .-� 1 Device Boxes i , , $i o! ' ' )
CONSTRUCTION.LENDING AGENCY i• I .J - i *• i Gas Service. 1 �Outlats I , Water a Y t L 9 I I• {I
I I hereby affirm that there is a:construction lending agency for the performance '• ; i Interceptors, c�, , 7:.� i 's" ' 4'I -1 1--• I r Outlets I , 'Standing Sections - 1 1
. of the work for, whicqh'this) permit is -issued•(Section :3097, Civ E:)" - - l ,
• ! Lender•sl Name' ! q$1 C.N1v- ' " ° "'i -• l ' , Kitchen:Sink - I r I ,. 1 1 Vv ' , .1.v- t } -- Switches �.. I (Trash Compactor , 1• }
tender's' Address % 1 .r' 1 t ' _• i m i • " r } c i / Garbage Disposal i 1 '
OWNER/BUILDER DECLARATION' , i I •
1 , ; .t • _ a Lavatories f rr , 'sae 7 i
I herebyiaffirm that I am-exemptlfrom the'Contractor's,License Law for the , _VJ' ; / - Generator 00.5 KW 05-15 KW ' I I i '_I ,' • I
following reason:(SectionC7031-5.Business and Professional:Code:-Any city or P Trap, - , I i - • r
'county which requires a permit-to construct',alter,Improve,demolish:or.repair 1 - " _ i ( I
Transtormer ❑15-50 KW ! •
'any structure; prior to its:Issuance, also requires the scant o thea such permit )+ 1 Roof'Drains A- -CI s ;. 1 ' I , r I . • I 1 1 I i• i y
' to file a signed statement-that he/she is licensed pursuant to theiprovisions of 7 _ - - - ❑5U+KW! { 1 Reins etion Fee
I the Contract the
eicensi Law.(Chapter 9 ons(commencingl that ectihe isj 00)of 1 , ',- : 1 l1' - 1 $15
Division,3 of the,Business ane+Professions Code) ori that,he/she:is'exempt I Showers 1 I 'M + 2., I Reinspection)Fee $15 - -
. therefrom and the,basis for the alleged exemption:Any violation ofi Section 1 ` I ' - . ' i Meter ❑u to 100 ams I } ' i
any applicant for-a' ermit,subjects fthe'a I , s' -1 ' PP ' I Issue Fee: ! ! '$ 3
.]031.5 of P 1 PPlica n[ to a'civil i I j ' f - ! f :'! 'I •
eoalty not more than five hundred dollars($500)- • :• ; IT i ! i I p , ServnCe Sink , . ' Issue Fee�; $ 3 Zoning Approved By ! I l i Date ' i
'rally
as towner oft the Property - - - 1 i • ; 3
w,.,,.r,......,Nn wrllido the work and the:structure Js not intended or offered 1 i .a l I _` , 1 = 'MECHANICAL !' I - , i - Application Approved By • I I 1 'Data Sit��r;Q,�
for sale;(Seciion 7044', Business`and)Professional Code:!The:Contractor's 1 -- - �- -_ - - ----- - i { - , , Z `f
License Law does not apply to-an'owner of a property who builds or improves ; Boller- ' i 'n , , Refrigeration System F I , 1 , ez
! thereon,land whoaoes.such work himself/herself or through his or her own • 1 ' 1 Application laiued By - ' --Date
employees, provided that such-improvements are;not intended or offered for 1 - ❑o.,100,000BTU 0101000 BTU - -
sale. If, however,the building or improvement is sold within one'year.of corn- ' Duct=Under:Ground j t , ! .; 1• I , , SL1MMARV OF FEES ' t t
'notion,the owner,will have-the burden of proving he/she did not build or im- ' I
LJrove for the purpose of sale). , i { - ; , 1 I Duct-Structural I i System Repair/Alteration IBUILDI NIG PE RMIT $ L.J.00 SMIP I $ t _ ..• P
I, as owner of the property, ain exclusively contracting.with!licensed con i + - 4 1 i ,1 • f 1
:tractorsto,construct,the:project (Section 7044,Business,and,Professlons-Code:. ' _.`y. Duct-Ventilating-ij_.....1......_! - ......_,J. ,...•,-. ...._, _4,.....1 -' , PLAN CHECK' $ 17 71 •, PERMIT
The Contractor's License Law does not apply to an owner of property who 1 i - ' ( ISSUANCE 1 • $ I I I
. builds or improves thereon,and who contracts for such projects with a con- ` ' Exhaust System 0 Multiple ❑i I I ; PLUMBING $ 1 • '
tractor(s) license pursuant to the Contractor's License Law): 4 j I { ' ( I 1 .1 1 I I. .� GRADING $ .1----L-_ _I
0 'Pam exempt under Section B,&P.C.for this reason I Firepl/Fact.Blt. (CBO# I. ? ! ; PLAN CHECK, ? $
I I I i I t • , ' i r + 1 ELECTRICAL' $ 1 I 'I 1 I $ ,
Date "' • ' • Owner.) 1 t 4 Heating,System& Ducting t I I I
f t '{ I ' MICROFILM �I $
'-i-'herebyy-certify that. I'-have•read-this-appllcation-antl state tnat-the above-, - Ob100,000'BTU X100, 'I hl -• -- - __. 'PLAN CHECK. $ 'I + I i I
informatlonais correct,1 agree to comply wlthsall city,and county ordinances I :r ! - ' I� I - 'I i I I I TOTALIFEE,! $ I '
and:state laws relating to building construction,.and hereby authorize repro- , • ' MECHANICAL , $
sentatives_ of tt this'city1 to ler;upon thbb above- entioned 'property for • i Hdod or. Type I ❑' ., • I '` Reinspection Fee; I $15 I { '' ' I LESS - 1 I
r Inspection,putposes try---..? , - : Canopy, Type II ❑ I 1 i I PLAN CHECK + $ '1 I
SI nature _ c- 0n ' T'� I �y O¢ IADVANCED PC $
g R if 'L - . l' Dates. it ri T I i , 1 4! - • i I I •1 .
Or Wers'Licen or55# i 1 I Registers t - r I Iswe Fee I $ 3 �p8 PC' f -t. FINAL FEE; i $�3�• ��
I '
CMF 0865-46 rev,12/82 White-Building;Canary-APpltcanh Pink-Accounting;Goldenrod -Assessor - -
OWNER HELTZFER RNTRRPRTSFS-COSTA MESA DATE 9-2C-69
JOB ADDRESS 1084 Salinas Avenue BUILDING PERMIT NO. 30896
GENERAL CONTRACTOR Same DESCRIPTION of WORK Residence W/Attached Garage
AP No. - LOT 41 TRACT 6638 FIRE ZONE VALUE $29,563.00
INSPECTIONS Si nature Date GROUP I & .1 TYPE V ZONE R-1
SOIL MS 4'- 1---7t1 SUBCONTRACTOR PERMITS ISSUED
GASDate Number Signature
WATER()( Ctr_ r-Ka urite-
n6ingc. pPROP.PLRMLINGf1 '�d IP:
�/� d-ad...7.0 /
PROP. SWR. LINE HOUSE CON. L� `� � - 17%D'--ger
9-��796 �-di.'l
SPRINKLING SYSTEM YL-
MISCELLANEOUS x�
ROUGH HEATING AND AIR CONDITIONING l,uC &-it--,o
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER ❑
ROUGH WIRING f� 6.7?-70 , Heating and,Vent,a�y{��/yC�! y /�
TRENCHES fMl' FORMS lit STEEL REINF. In 4-k To /(/�(� fyy/�Z:XC.�T�//ice Zceo
FLOOR SYSTEM 11_r7-73 A 1 d J.1 7n7/9
BOND BEAM n STEEL REINFORCE fl
SHEATHING ' tin
FRAME AND FLASHING t t XF C.�,�IV
LATHING - IN S�4 OUT k 'n'' I �a't- J/.D
PLASTER, BROWN COAT f%C„ tat
PLASTER,
STRUCTURAL, FINAL IQ 9 EI �ifr�il�`
HEATING, VENT., REFRIG. AND A.C., FINAL �/y/ 1j '31:p77° /CI",(��/ BGC/. r-.�/4-,Q :313//
PLUMBING, FINAL AND GAS TEST �� .. 'r'/I `�A-��
ELECTRIC, FINAL ,,.(6--10
BUILDING, FINAL f—fret(
52.25
30696 NOVLOV 12 64�pSF�O 433* ***
It
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
RECEel D /�V D DATE ISSUED
BUILDING 1084 Salinas Avenue ? SEP 2 6 1969
ADDRESS
PERMIT nip
OWNER Heltzer Enterprises-Costa Mesa AP NO. ,//d" Y(a
BUILDING `to n
i11_ �
/ A '
MAIL 740 No. La Brea Ave. ADDRESS / `,.„
✓�-O
Z _ADDRESS 213_—-
Lu ui
tLU CITY L.A. Calif. NOL. 937=2171 TRACT 6638r LOT 41 BLOCK.
HZ
' Z < CONSTRUCTION United California Bank NEVDD ALTER REPAIR (MOVING DFMOLISH
U I--
LENDER
0- 03 Main Office
J D BRANCH /i
QC w 6th and Spring, L.A. OWNER �'
ADDRESS •
J _ ,
VALUE /?
J cc OR ENGINEER Frank Gonzales TEL. 532-6871 USE s Jlo�/
U u) FIREh,„ ^ o
1336 E. Cha man Oran a Calif. ZONE TYPE / GROUP . � ty"
w Ir ADDRESS p r g > o
o_ W
J o g
CONTRACTOR George J. Heltzer & Assocs. APPROVED
BY DATE
03 Z Same as above
J 2 ADDRESS
W w TEL. ZONE NO.OF USE OF NEW single ram.
ZI- CITY NO. Rl 'PLANS 2 BUILDING Res. w/att.Gar.
W U STATE 2-1098 CITY 1707 YARDS- APPROVED YARDS APPROVED
co CC LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D U SIZE NO.OF SLOGS. (FROM Ch.STREET) _
OF LOT I NOW ON LOT FRONT I
SFT. FT.
USE OF
EXISTING BLDG. R SIDE S FT. FT.
I— SIZE OF NO.OF
Z NEW BLDG. ROOMS . STORIES L.SIDE 7. I 4' /
FT. FT.
V7 EXTERIOR WALL ROOF /
_ COVERING COVERING REAR FT, b FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
D.
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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
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I hereby certify that I am properly licensed as a contractor under e
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VALUATION
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PERMIT FEE $ N
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