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HomeMy WebLinkAbout1065 SAN PABLO CIR - Building Permits • 'F i CITY OF COSTA MESA - ,. 1 4r ) BUILDING DIVISION >• DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1 'Own r PERMIT v !o41601-00355 41N•PoRmscH s41. (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1065 SAN PABLO CI Status: ISSUED Suite: Applied: 03/19/2001 Vicinity: Issued: 03/19/2001 Parcel Number: 41206115 Zoning:-....R1 R1 Applicant: REYNAGA, RUBEN ISSUED BY: ____Kr,___. Address: Phone: 562-698-2535 Zip: Owner: HILLER, KURT E TR Address 1065 SAN PABLO CIR Phone: COSTA MESA,CA Zip: 92626 Contractor: R C MASONRY Address: 9002 BRIGHT AVE. CA Phone: (562)698-2535 WHITTIER Zip: ' 90602 License: 619912 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT 60 LF BLOCK WALL AT REAR PROPERTY LINE PER CITY STANDARD. FEE SUMMARY ' Plan Check: $29.15 Calc Valuation: c, 51,200.00 Permit: $44.85 Claim Valuation: / . Moo. SMIP Res: $0.50 SMIP Corn: ' $0.00 - Other: $0.00 . . " Inspection: $0.00 - - � Total: $74.50 .." PLANNING &ZONING / SETBACKS �. � , j / , : MAIN STRUCTURE Front "0-0 Rear 0-0 Left 0-0 - Right 0-0 " ACCESSORY Front 0-0 ' Rear 0-0 Left 0-0 Right 0-0 , ' PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: 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 it 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 2446-40(6/00) DECLARATIONS I If . ,,",l WORKERS'COMPENSATION DECLARATION: . I hereby affirm under penalty of perjury one of the following declarations: ' - CI 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 insu nce,as uired by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensati Ins r ce carrier ber are: Carrier: L Policy Number: (This tion need not be completed if the peri valued at one hundred dollars($100)or less.) 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 nd agree that if d become subject to the workers compensation provisions of Section 37of the Labor Code,I shall forthwith comply with these provision 3r1 C _Applic :ant.Signaturet .UJ Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATI ERA�LAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in lull force cand.effect.Lic.R Class A Contractor's Signature: ' L,7c y4'it Date: -- ) 19 / (,) I CONSTRUCTION LENDING AGENCY: / O 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: Lender's 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 end 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.). O I,as owner of the properly,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 0 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: O 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,California 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: I 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? 0 Yes 0 No (Section 25505 of the Califomia 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 Califomia 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 end 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 businesses 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes L-I 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 AUTHORIZATION.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 state 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 inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ✓�////_ Si�gnatur egal Owner(s) 3J T/^, DDat / Dyte // rAnd/Or Authorize Applicant t Daattl DODE 1 111=141110-1 DATE' RiTtnALS CODE I INSPECTION TYPE PIE 18.1111515 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof xi 210 Final Electrical 201 Final Block/Retaining Wall Sr Z9""/ 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 t 40 i •THIS SKETCH IS FOR INFORMATIONAL PURPOSES •SOLID WALLS/FENCES BETWEEN 2'-e&6'IN HEIGHT SHALL ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST 10' FROM FRONT PROPERTY LINE. . . . M I: _ • ar- - -- - - - --- ---------e -._o,-. mal' PROPERTY N me 117.1-.1.,-;'. :4j• ••N• CORRESPOND •SOLID WALLS/FENCES SHALL NOT aCEED 2'6•IN HEIGHT 2C t 417,0‘. :a ..i; i�, :DIVIDED ON THIS SHEET. WThLIN Id OF TETE FRONT PROPERTY UNE(NOT CURB LINE). CITY OF COSTA MESA •VERIFY DISTANCE FROM CURB TO PROPERTY LINE PLANNING DIV. AND SHOW ON PLAN. VERIFICATION FROM THE CITY'S ENGINEERING DIVISION S REQUIRED. CALL(714)7545313 SUBJECT TO BLDG. DEPT. REG. �(—D°3 FOR INFORMATION. BY DATE .3 0 d s• raci 1 X Y y1 U I IS90EMCE •CSpCE PP EM I l .t t1 es I 60' B(ockwct l _ _ __ s I k • I _ e V Q g € a • I I RESIDENCE RESIDENCE RESIDENCE RESIDENCE I WI I I I I W .. V ` 6' I -1400c 1I gr BAI \--____ _ DIVISION F B1: I:li 7 Y _ ' ' ROVE1 1065. fie .5 //q/D Sct tA Per 6 In L RY ofSMURTtw Isis NI this job at&f ilmes andf is nlawful l flakeeany dtetgesaAeration onsame*Mout acepemisebnhaefteDiisim%Bump' aad Safely,CIyof Costa Mesa. BLOCK WALL LAYOU t ntataLg a stet . These plans and perms shall expire by fmltation and become null and void f the building. .n0i COM•nrn.eA n-r maF.r.,i"., 2,1/1r.-: 'I ir.MI IM within IPO d"E a iSs'1R^. °1 — COSSS I .1 PLANNING DIVISION L.1ll;t1. • ": T -: YPICAL 6lt CONCRETE BLOCK FENCE Cement CopingOptional 1 / 0 . , sit NI -II iii GENERAL- NOTES Channel BlOck With 1 J/8 Horizontal Top o1 all t� ii �� Fences :. - - i MORTAR: One Part Plastic Cement, and Mil Three Parts Sand For Fences 5'.o Lest illi v1 O - '� �' GROUT: One Part Cement Three and Vert.Bars 3/8" at 4' 0"O.C. d One Halt Ports Stand a x - COPING: . One Part Cement, Three For Fencei Higher Than 5' u . .Parts Send Vert.Ban 318" at 32" O.C. !�I 'a i �' - - - - Si CONCRETE: Matt Milted l -1/2:3-I/2 of Fill Cells Solid With Grout �II1 > a zI „ �I��' Mot of 7- 1/2G o1:C n5 en Where Steel Occurs �•}�1I1 > - - Water Per Sack of Clmenl Reinforcing Steel Shall 1■■1 ci t to I �. GROUT MAY BE POURED FROM THE TOP Conform to Sec.A 15.39 1■• w O OF THE FENCE IN CELLS WHERE STEEL A.S.T.M. III 0 F- fi— -, 1111111 OCCURS. i 2 Illi CELLS AND AREAS OF HORIZONTAL REIN All Steel to be Lapped I'I '� - FORCEMENT SHALL BE CLEAR.CLEAN& FREE OF ALL MORTAR DEBRIS.ETC. 24"or to Code lit NAT URA RADE , AINif V , q 1111 !! . ME NI SHIM . TWO 7/B"O BARSI• _ S�Z C a- 4 .r &BOTTOM I 1- WIDTH _ TO 16 0 C MAX U .A •0- Li C Q �. SEE CHART '` .� { o n - _ + _ HOQsx.STEEL MUST BE TIED IN BELOW o - U� F. v: 1 - 1 PLACE AT TIME OF TRENCH - OC T/, ('/. i 4RTNTCOT M; ,g o' c i INSPECTION. 1/3--THE HEIGTH O'F;y F,E NCE ,. - B♦^COW BOT TOM1 OP IFOOTINGC c lie--I I_.ID" *. c I SCALE lien.: II • v � 1s - FOOTING REQUIREMENTS CHART `''• �, �� . ' - n. '2 I WALL HEIGHT 6' 5 4' -.LU' - I ;- ;31} --, -- - WIDTH 14 14" 12". i '12" �. :k' THICKNESS 10" 10" • 8 " r;. " -° r '8 " zr. :f DEPTH OF EARTHTOOTH 24" 20" . 16" -C01 4712" " - ` SPACING OF EARTHTOOTH 12' • 14' 16' Ac` =I6' �4: X; •2 F. a , - 4 Ill BUILDING DIVISION - 1 -5 THtQ r? ay,t= -\ B01-00355 BUILDING PERMIT Job Address: 1065 SAN PABLO CI Status: FINALED Suite: Applied: 03/19/2001 iciiit : Issued: 03/19/2001 Parcel Number: 41206115 Zoning: R1 R1 Applicant: REYNAGA, RUBEN Address: Phone: 562-698-2535 Zip: Owner HILLER, KURT E TR Address 1065 SAN PABLO CIR Phone: COSTA MESA,CA Zip: 92626 Contractor: R C MASONRY Address: 9002 BRIGHT AVE. CA Phone: (562)698-2535 WHITTIER Zip: 90602 License: 619912 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT 60 LF BLOCK WALL AT REAR PROPERTY LINE PER CITY STANDARD. FEE SUMMARY Plan Check: $29.15 Calc Valuation: $1,200.00 Permit: $44.85 Claim Valuation: so.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $74.50 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existinq: 0 Required: 0 Proposed:. 0 NOTES: ADDRESS OF BUILDING: 1065 SAN PABLO CI UMT: CITY OF COSTA MESA - BUILDING PERMIT ammliNMIEIRIDIDIm: HILLER KURT E TR FLOOD: AH-38 I,PERM NO: P 079594 AODREss: 1065 SAN PABLO CIR f COSTA MESA,CA 92626 PERMIT NO: P 079594 PLAN CHECK NO: N GOVT: N SUPP: N APPL.MMUG ADDRESS: Q `I CONSTRUCTION TYPE; V-N PERMIT TYPE: PLU PURPOSE: OTH ARCHITECT OR ENGINEER: LC.NO.: JOB DESCRIPTION : C/O WATER HEATER SQ FT: ARCH.OR ENO.'S ADDRESS: UMT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / CONTRACTORSNAME: NOCK PLUMBING ( 714 ) 895-1246 CQGRACTORSMMIDC 11610 SEABOARD CIR COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT ADDREss STANTON CA uCNo, 707775 **** ***sP,ter******* nit*************SE*+E*xAr*****:PTPx** *x*****x*******+r+E******SE***** 90680 UMT: Z ON ING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby elm under penalty of perjury that I ant licensed under provisions of Chapter 9 SETH ACK S (commencing with Section 7000)of Dineen 3 d the Business and Professions Code,and my License is in full force end effect. Cm LIC.NO.: 0 5 0 38 6 uc.cuss: C-36 UC.NO.: 797775 EXP: 02/97 MAIN BUILDING ACCESSORY BUILDING �O��_- �d��� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN pi) �G c«mada LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN NEP BUILDS ECLARATION:I hereby elfin,under penally of perjury that I em exempt Icon the Contractors License Law la Ur I lovigreason lSecM70315Bueinmaand PnlessfomCode:Any city or county which req!nmaPermit t000mtrw,altet,kfp«/e. PARKING REQ: PROV: PARCEL: 41206115 ZNE: REF NO: demolish,or repair any structure,prior to as issuance.also requires the appfica l for such peons to file a signed statement that he Or She PLANNING NOTES> is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Prdessnns Code]or that he or she is exempt therefrom and the beds for the alleged exemption.My violation of Section > _ 7031.5 by any applicant Id a permit subje a the applicant to advd penalty of not more than five hundred dollars j5500W. ***4*4******************************4*****4***4:******************************** ❑ I,as owner of the propey o my employees with wages m then sole compensation wild°the work,and the structure is not(Mended DEVELOPMENT SERVICES - REQUIREMENTS or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to en owner of popery , who bolds or improves thereon.and who does such work himself or herself a through he a her own emthat su ployee°.provided ch improvements are not intended or offered for sale.I,however,the building or ionprovement s one d sold within e yeas completion,the ZONING APPROVED BY li.''" DATE: owner.buitder wig have the burden d proving he or she did not build or improve for the p tpme d sale). - ❑ I,as owner of the property,am exclusively contraakg with licensed contractors to comtrud the project(Section 7044.Business and BUILDING APPROVED BY : ••r. DATE: Professions Code:The Contortion License law does net appy to en owner of property who Wads or improves thereon and o -- / ©�� contracts for such projects with amcontractor(s)licensed pursuant to the Contradors License Law). C o leexemptunderSection: B.SPL.,for this reason: APPLICATION ISSUED BY: TP DATE: *4********4****************************** * ********.4444****** . . . . . , .** Dale: Owner LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby certify Mal I an aware el and understand the requirements of Cancans health end Safety Code Sections 25505,25533,end 25534,and that l or a0'foure building occupant will/wilt nor ore)need to comply with said pate mdseed the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a ped focaatruction or modification from the Ar OueklyManagenent Dmdd.Reeidauel oorutrudion eppimtione are exempt from these PERMIT 11 . 00 provisions. Date: Applicant: 25* -• SMIP/NON-RES PLAN y WORKER'S COMPENSATION DECLARATION:I hereby effuse under penally./perm one of the foaowing daivatire: ISSUE FEE 22 . 00 o Ihave and wiimaintain ecertificate dConsent tose5inuvekir wken:compnsation,espoidedfobySection 3700dthe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code, wkf«Mich memae issued. TOTALS----> 11 . 00 00 22 . 00 1.. 0 . 00 33.00 33 . 00 . 00 RT I have end veil maintain eskers'compensaion insurance.'required by Section 3700 d Laborthe Cods,for the performance d the _ work for which permit peis issued.My kgworkers' ig are q r�pd Police e are: EXPIRES REVENUE DIVISION TOTALS-->ky namCOLLECTED: 33 . 00 OVER/SHORT: . 00 Carrier: Policy Number: NHL 32113101 09/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed 1 the perm!a Ao one hundred down/$IW)or lass) 33 .00 ❑ I certify that in the performance of the work for which this pend e' , .•,I shag net employ any person in any mem"eo m to 1 i become subject to the compensation lawn d hadd become subject to the workers' ***********************************.**********************4********************* compensation nm of ion 3700 of the Labor Cade. *, ply Mth t provisions. I N D I V I D U Arte F E E BREAKDOWN bApplicant: Warning:Fu to wcompensation coverage unlawful,and shall an employer to cnl penalties and -`TYPE QTY ..r.,_Q. N UNIT COST TOTAL COST civil Ones to to one hundred thousand dollars($100000A N addldon to the cost of compensation,damage.se provMM for In Section 3706 ol Me Labor CodAlntars.L and attorney's fees PLU 1 WATER HEATER AND/OR' VENT 11 .00 11 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a wmnwion Meng agency for the 7END OF FEES performance of the work for which the penni is issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have reed this application and date that the above information Is coned.I agree to comply with all dry and county ordinances end state laws ret tig to budding construction and hereby authorize represeNatves d this"yip enter upon the abacmentoned properly for inspection purposes. -ON ' K 01 00215448-00215448 TOT . 33.00 -sr Pio , ...rear DATE: 09/23/95 TII1E: 10:40 •t a Daae )lam — Signature d•e .(:y- Apptcan inti �' (5151-45.WP) White-Building&Safety:Green-Re:Canaiy-Applcant;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING- POOL & SPA `` Date Inspector i•-: Date Inspector APPROVALS Permit# APPROVALS Permit # - 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � - 53. Steel Reinforcement j. r - 0 8:Electrical Condgirti ity-Unddrgrb 'd. 54. Forms ��:{Electrical CondLi[' tdrgrnd`n� -' 55. Electrical Bonding -- • - .-, _ .ir ^5:Steel Reinforcement .j 56. Rough Plumbing & Pressure'T�est " -e^'s ,-,we _$`'Electrical UFE C'-jrnd" 57, APPROVAL TO COVER•GUNITE - ' r ;- c7i Footings -.D f n 58. Electrical Condutr-Undrgrnd. c ,..•8 foundation C i _' 59. Gas Pipe, 0 Upc7Tgrnd.,Test . . ;4.9, Water Pipe•Undrgtnd.j 60. Backwash Lines�tF-Trap, 0 Undrgrnd. 1. -'F10. Structural Floor §stem / 61. APPROVAL l`1bECK 11.-Property Sewer Line & Hous[cognection 62. Backwash & Receptor-Final 12.:-Sewer Cap c �. 63. Heater & Vent-Final 1• 13. Roof Drains v 64. Plumbing System - Final sr 1. 14. Rough Plumbing _ 65. Electrical-Final 11 _15. Rough Electri4-Conduit r: - 66. Solar System-Final { , ' .,1 16. Rough Electric3Nirin t r, ? 9 9 ^ _ 67. Fencing & Aces�Approval =17. Rough Wiring S•ygn "u ' l 68. APPROVED h Qi PLASTERING ci 8. Rough ElectricaLT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT i , 20.,S.Rotgth cto`.4 Fe,eplace t.ni q•-: * O . x• (.r. APP: OVAi:�n Per _mit # • ^ ' 21.�u,+Mt� ,rt_Str;T�ru * • E-i-- x,' -` "` '' -* < F <"',-ia' tan * m 21.,,Put, _ F' x S ;j Win .. 70-JinBergkeis4d r•tydro 22.•Dugs, Ventilating_t. Ls;S: t c <* r7 71. Product aping-raGas C Oil ..0 J-• f ,-• f v .Cr. r 23. ,as-rPipe_Ro h &`Pest r ' y s * m e ` s,-, 72. UndeFgceund u. 24.c,-Root Framing: -,* F r. - * > O c * S 7B. Undergcd.Stene Tank O Gas 0-Oil r Y r- ,Y 25. RootShreeathing �y n: * t'i n p 2; S 7 . Overhear Hydro` y .7T-B Ceiling (Stryic ural) &•Mnnocoat ,v-4 y mfiqtr 'r 26. - 7 'r-' 75.. Dry Chemical *. .- - _ 27. Frameand Flashinyi~ tv r - Q' m* 7£. Dry Stat1ipeb±w * -' . - r, p x '-is-1:r-r.,;1?- -:rr,rJ .7' :ti x • i • t, c_' 1. _, 28.`Lattiing'� Siding* rn y �� k E * a FIXED STf RCN/4.1... 29. Insulatioy � ,. c " "4 , I Fr 9._4FIREJREV. FINAL .n > ¢' '•'t� - 30, DrywalliNailing f..* i• I � * r+ l0• L'I•HtleALT-F1DEfi.T-REOUIfEMENT z.., sav c Pec' rC' 31. Plaster �row2.Co9} , rim * f ,�: �, 79.=�' I�IA2�N•JSPEC'a(ON *• - u, F 32.,�Electrical'Pow5er sVeIer-Final j. E * N I F1i, 8% FOOD SETITIFIE`ATE ISSUED 33.*inST Elaltric' %* a + K NDtes: /pT_ o "� �: 34.rFinal Heatin & !�'fj�C�ri¢itionlagS 1 T. I tx in= k S >r S - . -� .:: ' . , r-C ?; 35.rEinal Gas Pipe Tast* y * •,* C: n t'l S r * ' r, .. -r ^ .. * r, �* -� O tin. is c-r^ 36.'Hon or Canopy" ' ' I * r i ' . x r � . pyrj.y ' r'] A. * n I ac S E nG r v _ : 37.cFinat Factory Fir4ptate^ ' S'r Li * r• I I < x rri A tr' *: 38. Final.Plumbing `�0: •• - `o W� (Z ..� `t S ,... s . . 39. Water Service-Final*.. _ - .r ,x W?i*IT' 40. Gas Service-Final xcr. f k I n, :` T C G ji, 41. Solar Domestic-Fina! 7_7. t- •• * 0. ' f ' x ..- * I i cr • 1-10 ' X x t.. 42.-Backflow Preventerx `- r'. I I r, -L.' Y • ,c- 43. Backflow Irr ation.- .-4sS * - T C p.• i r.- I. r. -• ,: 7-44. Landsccpe Igrigatiob Syste n•rx " r c cr c T. F 1=. r - _ •- �45.ISound A tertuatione ce•. i*' x S I" - i`-.* .-, c.. cC' t ., .r .. .. .. Y ,- rrs rr • <. it G• < . [-tT 46.FHandicpRegulatio s * J • ra - - 47.,f lNf L STRUCTURE & BUEtDING - t " i ' C.'� S ra ..'' .r. ,. - r i r n t-. 46. IP( LPLANNING`., t r! i '.-'-la t- �. < .' _49.�-r Eleetric Release to Edison e . • �-'"t a" .; -' I x R -r' ,, - --50._GasRelease to Southern California Gas Co n 1 _1- ` • Cr. I. 51. CERTIFICATE OF OCCUPANCY - -rt- i. No. Date ' • • Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRICTION CA T PER`MIT NO. TRACT NO. LOT NO. UNIT NO. Prdject Address 7/06.`S -Corral /4r4 14 CiA . v 33 4 i 3 a 01E3 5/09/E.' 1."'.50 7/ TI Applicant's Mailing Address TYPE OF CONSTRUCTION 0 NEW U ADD U ALTERATION U REPAIR Owner's Name /"' /mite Phone.) 7-vvr-3 0 CONVERSION 0 DEMOLISH ❑ OTHERa • A p # • Zone S r< DESCRIPTION OF WORK/USE OF BLDG Jr E.�BCO le JO.e S/ezen 7-ig _ Address AnE/e S/,/['/ S Main Building: Accessory Building: Arch/Eng. License No. - TYPE OF PERMIT 0 T ' o GRADING U FOUNDATION U STRUCTURAL Front Address ,�/,.- > /! .,// ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N Contractor's Name �417EE,JSL4tt2 "4,74.�gph r'a(-7/'c0 ❑ OTHER . ..... L� PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(mailing)9522 A/00//O ...57: / a.�EA to K G 39yG \ CONSTRUCTION TYPE JN VALUATION$ it040 - S Left R City License No. V ZONE __ GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E Q I hereby affirm l0)) I am licensedion.3 under provisionsness Charter i (commencing Remarks: T7�s r./�- Planning Notes: M with sense is n f I of a and eff ct. the Business and Professions Code,and 1�•IK1 V(-�I T my license is in i I •rce and effect, p t � License _Class - >•� Li ense No3/ . C $ Li Da — `'r A Signature O Z ' -.514,-.... PLUMBING FEES WORKERS'COMPENSATION DEC ARATION Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have'a¢ertificate of consent to self-insure or a certificate - of Workers' Compensation Insurance; or a certified copy thereof (Section Backflow Preventer Service Sink "' 3800, Lab.. CC,.I). i r Automatic Washer Transformer ❑ 15-50 KW Policy NotQe$273.7SB Company t... .- --...-. e. . / Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+ KW ❑ Certified copy is hereby furnished. Certified ppfyi filed with the city B iding Divis Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date ti--7 •Applicant V���,-./i - EXEMPTION FROM WORKERS'COMPENSATION D CLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit Is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric 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 Solar Tank Fan ' ` tWorkers' Compensation Caws of California. - Motors❑0-1 HP 011/2-R Date 'Signature Floor Drains Swimming Pool w/Spa F.A.U. • Inc.Solar ❑9-15 HP❑16-15+ NOTICE:If,of ter-making this declaration,you should become subject to theep _ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY "Gas Service Outlets Water Closet Device Boxes 1 hereby affirm that there Is a construction lending agency for the performance P01¢ Light ( of the work for which this permit is issued (Section 3097 Civ. C.) --- Interceptors Water Heater Outlets Lender's Name Range _ - Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION 0 I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections -_, 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 Generator 00-5 KW 05-15 KW Trash Compactor 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 , 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 - p.enalty 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 I for sale (Section 7044, Business arid 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 Hood or Type I CI SERVICES REQUIREMENTS: • employees, provided that such Improvements are not intended or offered for Boiler sate. 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 prove for the purpose of sale). Building Approved By Date ❑ 1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By j.AN Date S-=dI' 8ts3 tractors to construct the project `Section 7044,Business and professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY F FEES 77 builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration ' BUILDING PERMIT $ 13 •— SMIP $ Q-'-•prooff of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ` 0 l am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# FireDampers ISSUANCE $ E X P I R - U PLUMBING $ ' Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑0100,000 BTU 0100,000 BTL— Incomplete lnsae ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city_to enter upon the above-mentioned property for inspection our sec. MECHANICAL $ Signature ��/raj /���, Date 5"--9. ? Date — 'fir TOTAL FEE $ /3 S Drivers' Licersgor S5/ft � Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 1 i CONSTRUCTION ANd PLANNING 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. Footings58. Electrical Conduit-Undrgrnd. 8. Foundation I 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 ' 20n 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 ❑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 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 • • 143. Backflow Irrigation 'f 44. Landscape Irrigation System - EXPIRE b ;,45. Sound Attenuation Ince plete Inspection - 46. Handicap Regulations Date _7 -L 47. FINAL STRUCTURE & BUILDING 2 48. Special Requirements Completed 3 • 4 /49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. GERT.JF{CATE OF OCCUPANCY No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 5627 10/21/86 /.�— CI7y Of COSTA MESA CONSTRUCTION PERMIT PERMIT at TRACT NO. LOT NO. UNIT NO. a C P)ject Address 1065 San Pablo Cr. �+ I Applicant's Mailing Address 126 Commercial, C.M. 92627 TYPE OF CONSTRUCTION LI NEW LI ADD Kg ALTERATION ❑ REPAIR Kurt N Hiller El CONVERSION ❑ DEMOLISH ❑ Gres. • - Remove flat roof Owner's Name Phone_SST-4443 A.P.# _ I Zone • DESCRIPTION OF WORK/USE OF BLDG. I Address 1065 San Pahl O rr C M 97626 S Main Building: Accessory Building: a••1 • •: sy -n •• ••_ — E Z �l Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING MI FOUNDATION MI STRUCTURAL • • T Front o Address ❑ TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL B Rear N Contractor's Name Crank Bros. Roofing Phone 548-5569 ❑ OTHER C Right N Address(mailing) 126 Commercial Way, C M 92627 PROJECT DESCRIPTION SQ. FT. 1 700 - OCCUPANCY ai nal e K G 005993 CONSTRUCTION TYPE res. VALUATION$ 2.920 00 S Left City License No. ZONE __ GRADING CU.YDS. ACRESR LICENSED CONTRACTOR DECLARATION Ping. Ref.# .Parking Req,/Provided E I hereby affirm that I am licensed un• r provisions of Charter 9 (commencing Remarks: - Planning Notes: • Q with section 7000) of Division 3 ofe Business and Professions Code, and M .....4 my license is in full force and effect. • T 0,0 License Class-_—x-19 License N. i &.. S ‘ Date10/22 8/ 6 Signature _ ��/P 0 PLUMBING . FEES it.,n WORKERS'COMPENSATION D-• ATION Bar Sink Showers • ELECTRICAL FEES - I hereby affirm that I have a ce ate of consent to self-insure or a certificate . of Workers' Compensation I ance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. -WP8536246. Fremont Indemnity - - Automatic Washer Transformer 0 15-50 KW �� Policy No. W Company Backflow Irrigation Sewer Cap0 50+.KW Construction Pole Sub. ❑ Certified copy Is hereby furnished. [j(Certi4•s.�y 2 led with the city Bulldi iv n/ ® Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps Date -I- L���� Applicant �(��� EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers • Solar Collectors - Dishwasher - Meter Dover 100 amps ' (This section need not be completed if the permit is for one hundred ($100)or - - less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub-Panel I certify that In the performance of the work for which this permit is issued, I t shall not employ any person In any manner so as to become subject to the Drinking Fountains Floor Drains Solar Tank �_ Fan F.A.U.• tors 0611 HP 01%2-8 Workers' Compensation Laws of California. Date Signature- Swimming Pool w/Spa .A.U. _ NOTICE: If,after making this declaration, you should become subject to the InaSolar 091S HP 01615+ 1 Workers' Compensation provisions of the Labor Code, you must forthwithFloor Sinks Urinal Fixtures • Microwave • comply with such provisions or this permit shall be deemed revoked. — CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name " Range ' • Lender's Address - Kitchen Sink - . Water Service Switches - - - ( OWNER BUILDER DECLARATION Sign I hereby affirm that'.I am exempt from the Contractor's License Law for the Lavatories Auto-Wash GarbageDisposal� following reason (Section 7031.5 Business and Professional Code: Any city or P 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 any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor 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 - - - - - /I 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 ) i enalty 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 I 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 ❑ ZoningApproved sale. If, however, the building or Improvement is sold within one year of corn- Canopy Type II 0 pP By . - Date pletlon,the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date LIrove for the purpose of sale). // .1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By a.) Date /p/2/ eir tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0o-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or Improves thereon, and who contracts for such projects with a con- T tractor(s) license pursuant to the Contractor's License Law). I am aware that- BUILDING PERMIT $ I') O'l9 SMIP ' $- . S o proof of their Worker's Compensation insurance should beExhaust System 0 Multiple 0 System Repair/Alteration' C. provided reason me. PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P. for this Firepl/Fact.Blt. ICBO# Fire Dampers PLUMBING $ ISSUANCE $ Date • Owner Heating System&Ducting Registers- PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this applicaC- . d sae that the above- 00.100,000 BTU 0100,000BTL ELECTRICAL GRADING $ information is cyl.Ct. I agree to comply wit • y a•• county ordinances - $ and state laws j3,-ting to building const uc ••• .nd eby authorize repre- PLAN CHECK 50% $ MICROFILM $ sen[af ive5 Of t tF city • enter upyt . ve- ' Honed Property for inspection pure•--5. / MECHANICAL $ Signature �_ / y �• Date TOTAL FEE $ I -SD Drivers'LI'" e or SS# ••— '— Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ 1 CMF 0865- erev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor 1 CONSTRUCTION AND PLANNING POOL &SPA Date Inspector Date Inspects 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, 0 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 SYSTEMSFINAL 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 0Gas 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 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: 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 045:-Sound Attenuation - "'46. Han icap Regulations ( 47. AL STRUCTURE & BUILDING / ..mss 7 48. Special Requirements Completed �� " 49. Electric Release to Edison 50. Gas Release to Southern California Gas C1 51. CERTIFICATE OF OCCUPANCY a No. Date .' i OWNER WET(P7.FR ENTERPRISES - C. M. DATE 9-26-69 JOB ADDRESS 1065 SAM Pabin Circle BUILDING PERMIT NO. 30869 GENERAL CONTRACTOR same DESCRIPTION of WORK Residence W/Attached Garage AP No. - LOT 14 TRACT 6638 FIRE ZONE VALUE $ 24,636.00 INSPECTIONS Si nature Date GROUP I & J TYPE V ZONE R-1 SOIL --C-e?"al it}0 SUBCONTRACTOR PERMITS ISSUED GAS Date Number Signature WATER (/Q , S- --17- CS'-.24 � Plymbin ROUGH PLUMBING ' /V Z )O i L 8-4F-7/7 C7 O/ PROP. SWR. LINE na HOUSE CON. PA M56,/ (j' 0G -7 ' �� G27-8--7,,,w-Ndjit.-' SPRINKLING SYSTEM J MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING /L/S 5--1-?7m TEMPORARY SERVICE OR POLE UNDERGROUND fl POWER fl r ROUGH WIRING / I 6 -q-,n / Heatin a Ve TRENCHES FORMS n STEEL REINF. ® y t(_t''re 1j�'i ‘,z-t/ � .5-/f 77c 7_0^3}x, FLOOR SYSTEM , I',II 4r-re-.7D (J�ej. tvoiJf/t /'f?4 gl-;,iS-Jo /y/J<l -Ilea a' BOND BEAM n STEEL REINFORCE n ' • SHEATHING T Af/]O FRAME AND FLASHING li 6/{/1-1/+[0 LATHING - IN IuQ OUT 4 l0 6/1-/re lA PLASTER, BROWN COAT IV /kf/70 STRUCTURAL, FINAL - //``� HEATING, VENT., A.C., FINAL /1„-Lc(t i2 c,c y(/ EI Eric 6_3-70 .. ///7 iiy7 , PLUMBING, FINAL AND GAS TEST n 9 /-%7,- Q ^N� ELECTRIC, FINAL //'jf 7o BUILDING, FINAL I1/.-(frit/ 30869 PAID COSTA MESA BUILDING-SAFETY DEPARTMENT iiOV 12-69DM$A00 401* ***133.50 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT RECEI V DA E REC IV ❑pTE2I U BUILDING 1065 San Pablo Circle Qv Y-67 P 1 PERMITiNG. OWNER Heltzer Enterprises-Costa Mesa A.P. NO. .WItDh9 MAIL BUILDING Z ADDRESS 740 No. La Brea Ave • ADDRESS /Od,f CL U CITY 2Lilui L.A. Cal. NOL. 937-2171 TRACT 6638 LOT 14 BLOCK I— Z Z I- CONSTRUCTION United California Bank NEW LS Appgy7FR REPAIR MOVING DFMOLH - I— LENDER am Main Office J o BRANCH m J ADDRESS 6th and Spring, L.A. OWNER VALUE ) /p0 J Q ARCHITECT Frank Gonzales TEL. 532-6878 USE $O1�It;43(o— N OR ENGINEER NO, , / � //qq_`` W 2 ADDRESS FIRE 1336 E• Chapman Ave.,Orange,Ca ZONE TYPE v GROUP k---ill a. 1.9 APPROVED W Z CONTRACTOR George J. Heltzer & Assocs. By DATE J m z Same as above J cc ADDRESS W w TEL. ZONE NO.OF USE OF NEW Single Faun. Zr CITY NO. RI PLANS 2 BUILDING Res. w/Att.CL'3I. LL- U STATE 2—, _09 CITY 1707 YARDS APPROVED YARDS APPROVED on K LIC. NO. t LIC. NO. MAIN BUILDING ACCESSORY BUILDING DO SIZE NO.OF BLDGS. (FROM C/L SEE-1) OF LOT NOW ON LOT ROw & FT. FT. USE OF / ----- EXISTING BLDG. L J FT. FT. SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE 5T, FT. tai EXTERIOR WALL ROOF COVERING COVERING _ REAR 9.4/ FT. FT. _ J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& O. a MAIN BLDGS. ACCESS. BLOCS. Residence with attached garage CURP.#0 APPROVED I– Plan 403 APPROVED WLD J/� (( /% Zr —DATE t-vl N j 0 UI hereby acknowledge that I have road this application and state ✓ that the above information Is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I— any person In violation of the workman's compensation laws of (q the State of California. /.6 la 50. FT. /]�j3 �OO 0 I hereby certify that I am properly licensed as a contractor under 0 the State of California Business and Professions Code, Division 3, THE AMOUNT$ OWN 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: If am exempt from the provisions of the State of California Business tC end Professions Code,Divii•n 3,Ch:•ter 9. VALUATION ‘71700 N PERMIT FEE 5 Signature of / �/t / LC m Permittee • $ p` Xir� � PLAN CHECK 5 �j O o Authorized Agent 3.3 SA u_ v TOTAL FEE $