HomeMy WebLinkAbout1088 SALINAS AVE - Building Permits F 9 CITY OF COSTA MESA
4 BUILDING DIVISION
> • ,,,,rwa �4I $ DEVELOPMENT SERVICES DEPARTMENT PERMIT N BER
1. 1 s� s
4 OPPca PERMIT
: el
02-00525
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca:us 77 FAIR DRIVE,COSTA MESA,CA 92626
MECHANICAL PERMIT
Job Address: 1088 SALINAS AV Status: ISSUED
Suite No Applied: 12/05/2002
Issued: 12/05/2002
Vicinity:
Parcel Number: 41206143 ISSUED BY:
Applicant: DEANGELIS, DON: '7' `
Address: 14 SANTA CATRINA
Phone: (949)5896592, x - i -..'-
RANCHO SANTA MARGARITA,CA ` Zip: -92688 . /
Owner ,"LEGGETT,'CLARY-C "-
Address:" ' 1088 SALINAS AVE' '':\`\; ` ,' `,,,
\/ \\
Phone:
' COSTA MESA,CA Zip: 92626
2 ''A
Contractor - COAST AIRE - -
Address: 14 SANTA CATRINA - -
, .. Phone: (949)589-6592_ -
RANCHO SANTA-MARGARITA,CA " Zip: 92688
�7
License:355425 - _ \rz \,
SCOPE OF PERMIT .
' ' REPLACE FURNACE(INST FAU<100K BTU) - - - - -
FEE SUMMARY `•
,
Quantity . � Quantity-
ISSUE FEE $23.50 ', -., _ Repair/Alt Absorbtion Unit • / ,$0.00 0 ' , ,
Inst FAU<100 k BTU $14.8Q •_•_. 1 __..,,i' - _ _ _ v ;Repair/Alt Refrn Unit ' $0.06 0' ,
Inst'FAU,>100 _ igeratio
k BTU ' $0.00- 0. - - Ventillation System '-d $0.00 0 -
Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler ;;' `$0.00 0
Inst/-Rep.Recess Wall Htr $0.00 0 Commercial Incinerator Cr, $0.00 ,0 ,
Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator / $0.00 1 0 ,
Refrig Sys>100 k-BTU $0.00 0 Compressors/Absorption Systems . ( ,
Gas Piping v , . $0.00 0 .,�, _.Up to 3 hp/100 k BTU G�',/ '"$0.00, 6 /
Factory Fireplace - " $0.00 0 `'3 To 15 hp/500 k BTU 7-/,' $0.00 /0
Hood w/Mech Exhaust ', ' , $0.00 0 15To.30 hp/1,000 k BTU -� ; 50.00/-,0
VAV Boz, ., - /- . $0.00 0 - 30 To 50 hp/.1,750,,,k BTU ',// $0.00 0
Vent Fan/Single Duct ' $000-;:0: ,- ' Over 50 hp/Over,.1;750:BTU;'/' ' / $0.00 '0
Appliance •, ,7� -'$0 00 0 - - Boilers
Fire Dampers \ j' $0 00 .0 ,. , „`Up ���/ � $0.00 0
Smoke Dampers $0 00' 0 A - -- - 3 To 15 hp -2� !,$0:00 0
Inst or Relocate ApptVent $0.00 - 0 - - - '
Air Handlers< 10000cfm _ , $0.00 0 - - 30 to'50-hp - - ,, ' ' . ' ' - $0.00 0
Air Handlers> 10000cfm , - '$0.00 ' 0 Over 50 hp . ' . $0.00 0
Floor Furnace v , $0.00, 0 ' , Other Mechanical Fee \ - -1,,,,
Floor or Suspend Heater - .$0.00 0 Investigation Fee $0.00
- - - Plan Check Fee ' ' $0.00
. .. . Reinspection Fee ., ' $0.00
- . . . - ' TOTAL CALCULATED FEES $38.30
NOTICE: The work-:authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.'92-28,§1, 12-21-92) '
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626 •
2446-46(6/00)
DECLARATIONS f 1 (" 1
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
-❑ ' I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued.
My workers'-cosation Insurance ar' d policy number are:
-Cerrier: r/`W'e0 A -..Policy Number:
-(This section need not ecdmd if the erm valued at one hundred dollars($100)or less.)
IC,I certify that In the performance of the for which this permit is issued,t shall not employ any person in any manner so as to become subject to the workers'
-\ compensation laws of Califor�n/ia. an`.roe that If I should become subject to the workers'compensation provisions of Section 3 00 of t Labor Code,I shell forthwith
comply with mese provision I 6Th—
WARNING:Appliccant Signature: / Date:
WARNING:FAILURE TO SECURE i ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT Ml EMPLOYER TO CRIMINAL PENAL ES MD CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100.000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I.hereby affirm that I am license d s(Shooter 9(commencing with Section 7000)of Division 3 of the Business ro ions Code,and my license is in full
force actl es ect.Lic.N __P Classal : M �
Contractors Signature: Date: 2.-
CONSTRUCTION
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or 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(5500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes ❑No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by pusinesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND ORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the Information given Is
correct. I agree to comply with all : laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for ins.: on purposes.I agree not to occupy or allow occupancy of any building authorized by this permit unfit final inspection.
r/Si• ature Of Le.. a...: 2AW5te,
— ' And/Or Authorized Applicant Date
CODE I INSPECTION TYPE Mg INTRIALS CODE I INSPECTION TYPE DATE MALU
1616 Fixed System Final Fire Prevention 206 Final Mechanical C? '17" 03 ¢e_
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Well 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign _ 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
PR ODRESS: 1088 SALINAS AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 059497
' oWNEW'SNAME: LEGGETT, RAYMOND E
N ADDRESS: LEGGETT CLARY C PERMIT NO: B 059497 PLAN CHECK NO: N GOVT: N SUPP; N
1088 SALINAS AVE
COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT
540-2557
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF W/TIBERLINE COMP. SQ FT: 2, 495
ADDRESS: UNIT:
CLAIM VALUE: 2, 495 . 00 CALL—VALUE: 2, 495 , 00 GROUP OCC: R-3 /
PERMITTEE: HOMESTAR ROOFING ( 714 ) 538-1878
ADDRESS: 1539 ORANGEGROVE B COMMENTS: SMOKE DETECTOR REQUIRED
ORANGE CA 92665 ****************SE>t*>E*>ES6*>Ear* ***SERE*x-**N-***>E-x-*#*N->F**** - *****N*oc*****-x-*#* x-rkx- -xu
LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIC.: 044971/ STATE LtC.°51.6205 CLASS: C-39,
ate'. IO / 19 /0i2— Signature: r. 4L C1.1ti. —." MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm 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.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: PWC114317-00 EXP.DATE: 09/01 /93 •
COMPANY: GOLDEN EAGLE PARKING AE(Q7��• PROV; PARCEL; 41206143 ZNE: REF NO:
Certified copy is hereby/ -dw
furnished. ® Certified copy iisfiled with the city/`Building Division.
PLANNING NOTES;>
a 1 v/ PI !L/.L Applicant: \ CO-t€4 ********#***** **************************#*************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($101)or less). D E V E*'L 0 P M E N T SERVICES REQUIR EMEN 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 APPROVE BY
Date: Signature.
NOTICE:It.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : .- DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. ,F rA
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: < DATE• �
�
which this permit is issued)Section 3097,Civ.Cl. *******# - ***„sE.-Ir#left**
LENDER: ****************,************************** . 4c *********************************
ADDRESS: LEGALIZATION;N F E E SUMMARY r— STRUCTURAL SEGMENT: Y
7,
OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/1FES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 , 00 v 5 0
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensedSMIP/N N—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business m>1
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 s,,4 uv -...., .1,.-- '
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—> PEAMIT ISSUE PLAN—CHECK TOTAL PAID( K DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 54 . 50 0, 0 0 0 . 00 5 4 , 5 0 -,--,i5 4 . .641 59 . J- • 0'0,
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through it 4.
I his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 54 , 50 OVER/SHORT: `• ,..•<:-/,
/
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
for me purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN— HCK,
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
54 , 0 5 0 ) j
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon / r1 • ..2 '...CC(
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). l am aware ********************************************************-IS*********g(',*******ff jf**ry{.,
thatproof of their Worker's Compensation insurance should beprovided to me. S
p I N D I V I D U A L F E E B R E A K D, O W N h
❑ I am exempt under Section: B.8 P.C. Br
for this reason: TYPE QTY DESCRIPTIO N UNIT COST /4: TOTAL COST
it
Date: owner: SFR 2495 REROOF BY VALUE RESIDENTIAL NOZONE , 1 . 00 2, 495 . 00
I do herebycertifythat I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
q y END OF FEES
2e534 and that or any orfuture building occupant the ir/Dui not Mn(circle one)need to comply with saidstate codes and the I aconstructionfromAirDistrict.Residentialconstruction exempt from e%:1 4
(hese provisions. EXPIRED rt fi ^
Date: Applicant: q f
Incomplete •Inspections ,� i 1s
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 • �' Sr ✓''1
1
prolwoyesand spection purpose to building construction and hereby authorize representatives of this city to enter upon the above-mentioned i n /`" ;=•� '1
property far inspection purposes. ` � S)p `" ,
mate: ' O ` Signature: \ --*--�-LK Date /�{f'/ .. .-1
:.
Driver's License or Social Security i:*::s t-t ; -
164146 Mute—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
I
I .
.,
• CONSTRUCTION AND'PLANNING - POC SPA _ •
bate Inspector Date Inspector
tom. APPROVALS Permit# ( - - APPROVALS Permit # _
1. Temporary•Electrical Service of Pole' - 52. Pool & Equipment Location .
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. - 54. Forms . • .
4. Electrical Conduit-UnC:grnti. ; - 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, 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
- -
13. Roof Drains ' -, 64. Plumbing System - Final
14. Rough Plumbing" 65. Electrical-Final
15. Rough Electrical-Conduit - - ' - 66. Solar System-Final i
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 I - APPROVALS' "Permit # - •
21. Ducts,in Structure . i 70. Underground.Hydro
22. Ducts, Ventilating • r. '71. Product Piping0Gas 0p
23. Gas Pipe-Rough & Test , • , , . , , 72. Underground Flush, - i
24. Root Framing 73. Undergrnd Storage Tank O Gas 0 Oil r
25. Roof Sheathing 42,, -74. Overhead Hydro - ' -_
26. T-Bar Ceiling (Structural{ & Monocoat 75. Dry Chemical -
27. Frame and Flashing76. Dry Standpipe
tr
28. Lathing & Siding77. 'FIXED SY_STEM.FINAL c i
1
29. Insulation - ,I,�`3I 78..FIRE PREY. FINAL
• SJ. Drywall Nailing �_il HEALTH DEPT. REQUIREMENT •
31. Plaster Brpwn-CoatI� i I. 79. FINAL INSPECTION I I '
32. Electrical Power Meter-Final i80. FOOD CERTIFICATE ISSUED
t
33. Final Electric. I j� Notes: ,
34. Final Heating & Air Conditioning I .4 i I • i.
(
35. Final Gas Pipe-Test 1 I I r l ��`
36. Hood or Canopy - tI ''../\ I'
-
37. Final Factory Fireplace I.` I 1`�,
38. Final Plumbing
_ �_ I l
39. Water Service-Final I i !
40. Gas Service-Final I I I -
i
41. Solar Domestic-Final - L I
42. Backflow Preventer, I 1 i
43. Backflow Irrigation
6j"►�6�
44. Landscape Irrigation System -
45. Sound Attenuation •
46. Handicap Regulations 0_qt lt.=`�'0dYL_ /J- m _
47. FINAL STRUCTURE & BUILDING •
I I v'I 7L/ �
4 ar
48. FINAL PLANNING I I 'VI' .
49: Electric Release to Edison I !XI. EX-PT fED
I H,: speetions
50. Gas Release to Southern California Gas Co I I/VI
51: CERTIFICATE OF OCCUPANCY "i l.Ydtc d _ i
I
No. Date
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO, 6638 DATE Feb. 27, 1971
LOT NO, 42
ADDRESS 1088 Salines Ave. , Costa Mesa
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)
Donald Ray Baker (was--o-r-a,;ere-) Judith M.Baker 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 vas 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.
BY ' 1 . . Pte/
Purchaser- Dona d Ray Baker
BY .• �//
Developer or authorized
representa ive
BY
Lender
BUILDING SAFETY DEPT.
MR 1 1971
OWNER 1FT,TZER ENTERPRISES-COSTA MESA DATE 9-26-69
JOB ADDRESS 1088 Salinas Avenue BUILDING PERMIT NO. 30897
GENERAL CONTRACTOR Same DESCRIPTION of WORK Residence W/Attached Garage
AP No. _ LOT 142 TRACT 6638 FIRE ZONE VALUE $22,031f..00
INSPECTIONS Signature Dote GROUP T R. .1. TYPE V ZONE 1:2-1 _
501E /12S'�'���7n SUBCONTRACTOR PERMITS ISSUED
GAS Date Number I Signature
WATER jig/145 uyS Zv- Plu,bing
ROUGH P MBING �M) /yr Y-i"-�O' /� / G ,3-�'� -�/j �� ��
PROP. SWR. LINE HOUSE CON. ® JaI 7�0 ��{� oils. K- 7o 5 -'
SPRINKLING SYSTEM in.
/ "�/
MISCELLANEOUS -r��11
ROUGH HEATING AND AIR CONDITIONING 4.45L -ji—iC
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING SAW-2 `-' - �• Hea�tin. /d�V-n D'��-
TRENCHES 6 FORMS 12 STEEL RE INF. �s r/-F'r' '' //��/9,..47. /� _z A '
FLOOR SYSTEML, A` -(7-i2. / !/�I/ j7 a -. .
^ s
BOND BEAM H STEEL REINFORCE El -) ./ -
SHEATHING U 6/C/ '
FRAME AND FLASHING ' k. 4 ki/T1)
LATHING — IN J1 OUT Ind. r OE,. /yi/t
PLASTER, BROWN COAT ,.be rd _
STRUCTURAL, FINAL n C (f E��i i�s/ Q
HEATING, VENT.. REFRIG. AND A.C., FINAL /' a fit'/--1 ,l('tt- I teic 6-76-7° ,W1.?-2,—
PLUMBING, FINAL AND GAS TEST G .y� ////VVVV
ELECTRIC, FINAL ` !j/d`./A'S/-7O
BUILDING. FINAL f,b-'11
30897
NOV 12 69PA1B00
COSTA MESA BUILDING-SAFETY DEPARTMENT cnsa 434* ***124.50
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECE V DA•RE V D DATE ISSUED
BUILDING07 -�
SEP 2 6 1969
ADDRESS 1088 Salinas Ave.
PERMIT,((
OWNER Heltzer Enterprises-Costa Mesa A.P.NO. �' 11, 7
BUILDING � //
MAIL 740 No. La Brea Ave. 213 ADDRESS /Df�".eSti�CE
ZLULL ADDRESS
d U CITY L.A. Cal. N ]-2171 TRACT 6638 LOT 42 BLOCK
I— Z
Z Q CONSTRUCTION UNITED CALIFORNIA BANK N7 ADD ALTER REPAIR (MOVING DEMOLISH
O N
to •
p- m Main Office
J D BRANCH
<CO 6th and Spring OWNERsc--
�t
CO J ADDRESS VALUE if.�1_J Q ARCHITECT Frank Gonzales rEL532-6878 srSE g�v�r0 -�
OR ENGINEER N
5 co IRE
W '/ �
2 ADDRESS 1336 E . Chapman Ave.Orange,Cal ZONE TYPE v GROUP��7 ✓
d w APPROVED
J Z CONTRACTOR George J. Meltzer & Assocs. BY DATE
m Z
J m ADDRESS Same as above
W wTEL. ZONE Na USE OF NEW single Fat.
ZH= CITY NO. ( O.PLANS 2 BUILDING Res. w�att.Gar.
_
Lll STATE 20198 CITY 1707 YARDS APPROVED YARDS APPROVED
to CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
DO i (FROM C/L STREET)
SIZENO.OF BLDGS.
OF LOT I NOW ON LOT FRONT SST. FT.
USE OF
EXISTING BLDG. R.SIPS FT. FT
I— SIZE OF NO.OF / l.,// < _ 7��tt/M'
2 NEW BLDG. ROOMS STORIES L.SIDE 7 T. ` 1 �(,.a.- FT.
�aEXTERIOR WALL ROOF —
.1
_ COVERING COVERING REAR ).Q FT. _ FT. '
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
a_ MAIN BLDGS. ACCESS. BLDGS.
0
Q Residence with attached garage VAR.# DATE
O C.U.P.# APPROVED
I- Plan No.402 APPROVED
Z _BY GILD DATF 16'ti /69
0
t~.1 I hereby acknowledge that I have read this application and state
D that the above inform ation is correct and agree to comply with
EC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
the State of California. 0 %s iej� co'9
zI hereby certify that I am properly licensed as a contractor under /y9 SO. FT. /c/��..�!" o
the State of California Business and Professions Cade, Division 3, THE AMOUNT SHOMN 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:
am exempt from the provisions of the State of California Business CE
VALUATION
and Professions Code, Division 3, Cha 9. '3r (,7d pi
///// ^/ /l 2lJ/�C PERMIT FEE $
Permittee Signature of `� � '' $C2C Cl✓/ PLAN CHECK $ /�� E
I/ O
Authorized Agent /2 YS—O LL
TOTAL FEE $