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HomeMy WebLinkAbout1068 SAN PABLO CIR - Building Permits CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO, 6638 DATE 6-2-71 LOT NO. 4 ADDRESS 1068 San Pablo Circle 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- xy) (was o xtxe0 ) advised that this tract has not been given final inspection nor hcs it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. r BY9/)41 e- Cykirv'_ ' k" Purchaser B17 ‘ Developer and or authorized representative BY Lender Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. • TRACT NO. LOT NO. •BLDG.NO. B2‘..)34t?�Gld�l�r� 29.,7l 7- 'i - CONSTRUCTION PERMIT A Sq t 9 ' (o'L -- 4 • 0 . . ( Project Address SOC 1 YIN T 46!-J,c't'a%.9-/rasa- TYPE OF CONSTRUCTION • - • Owner �`Uk+an/ 7�,qQ//n4 Phone S#V 5,L 7 ❑ NEW . L'lADD 0 ALTERATION' • • N Address /064' SAN int. a. ea.174 /9,s4-11- ❑ REPAIR ❑ CONVERSION ❑DEMOLISH t Arch/Eng. License No. 0 OTHER A PZONING REGULATIONS S DESCRIPTION OF WORK -jl� D0.1-/© 4IZ— / Address - q 7 v/ -I / a / i' ZONE PLNG. REF. " Contractor rER /a x `'/ / /I BUILDING -! '( Bl1 ILDIl.IG " /��/lyJir f�4/�`�_Phone to -J/�r2 . TYPE OF PERMIT ,,.�,,, �� SETBACK C/L ST. A4.-,ICH �fl BUIL V LINE/m-Tt(,L'�' Address SA.r� . - 0 GRADING . 0 FOUNDATION .5 UCTURALDET YARD LICENSED CONTRACTOR DECLARATION '❑ TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICAL SIDE VA I hereby affirm that I am licensed under provisions of Charter 9 (corn- - f , RIGHT '7-- 4�� . mencing with section 7000) of Division 3 of the' Business and 0 OTHER - Professions Code, and my license is in full force and effect. REAR YARD(TO P/L) 20—O-# PROJECT DESCRIPTION _ _ License Class License No. PKG.SPACE REQ. PROVIDED Date Signature - SQ. FT. - . STREET WIDTH PARK FEE$ WORKERS'COMPENSATION DECLARATION - OCCUPANCY - CONSTRUCTION TYPE ZONING APPROVED BVr�� cv DgTE I hereby affirm that I have a certificate of consent to self-insure or a VALUATIONF1 'ZONE lcc`533 (Z'-2.1-'-Q� certificate of Workers' Compensation Insurance, or a certified copy .1' - v- SPECIAL CONDITIONS: thereof(Section 3800, Lab.C.). GRADING CU.YDS. ACRES Policy No. Company - - - • - • ❑ Certified copy Is hereby furnished. REMARKS: - - • - . ❑ Certified copy Is filed with the city Building Division. - ., EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - - - -- - (This-section need not be completed if.the permit is for one hundred - - - ($100) or less). I certify that in the performance of the.work for which this permit.is - issued, I shall not-employ any person I manner so-as to become -PLUMBING PLAN CHECK ' - ELECTRICAL - • PLAN CHECK ' "' - subject to the Workers'Compensation__ f Ca'fornia. -- UWhLLING -- taMHHIE X /-J-�I6'"5 JJ7 'e h' BATHTUBS SHOWERS SQ FT SO FT ' Date Signature,% NOTICE: If after making this declaration,you should become subject 'TOILETS URINALS GENERATOR'- 0-1 KW_1-10 KW - "- to the Workers' Compensation provisions of the Labor Code,you must - _ TRANSFORMER ' forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS - - APPLIANCE 10-50 KW •_50+ KW - -revoked.- . -- .- -. . - - CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS - . 0:1 Hp—• 7 0'HP - I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS' ' SUMPS - - (INC.SOLAR) • •10-50 HP -50 +HP - formance of the work for which this permit is issued (Section 3097 - - ' Civ. C.). - FLOOR SINKS - FLOOR DRAINS FIXTURES OUTLETS 'SWITCHES - - Lenders Name • _ _ • - Lender's Address DRINKING FOUNTAINS- -' - GAS TUBE SIGNS - - - - - OWNER BUILDER DECLARATION - INTERCEPTORS CLARIFIE-Rs• • - ' POLE LIGHTS ' ' - - - - I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP -- - - LUNSI NULIIUN. - Any city or county which requires a permit to construct, alter, POLES METERED SUB improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION - PANELS MAIN -SUB - - - '-' quires the applicant for such permit to file a signed statement that he . ... - - - is licensed pursuant to the provisions of the Contractor's License Law GAS SERV ICE OUTLETS SERVICE AMP • - -(Chapter 9 (commencing with Section 7000) of Division 3 of the - ' Business and Professidds Code) or that'he-is-exempt therefrom and-the WATER HEATERS BTU OUTPUT - -" • - ' - ' " - - -- - - --- •- - basis for the alleged exemption. Any violation of Section 7031.5 by - - any applicant-for a permit subjects the applicant to a'civil'penalty SEWER CONNECTIONS r . - - - - - -- - "'- of not more than five hundred dollars ($500). - rr. ♦fi I, as owner of the property,or myemplo-yees-wtthvmeages:as •their- _SOLAR TANK - COLLECTORS' ` - - - '" - -- .. -- ' - ' ' ' sa4e-COTRfJERSatsER, will do the work,and the structure is not intended • _ _ or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. -ISSUE FEE' Contractor's License Law does not apply to an.owner of a.property. _ __ _' - r "' "" '" APPLICATION APPROVED BY who builds or improves thereon, and who does such work himself or ISSUE FEE 'DATE� � through his own employees, If, however, that such iming or i ents.are not intended or offered for sale. If, however,the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES. DATE/fr. sold within one year of completion,the owner will have the burden - - of proving he did not build or improve for the purpose of sale). BUILDING - - HEATING SYSTEM 0-100,000 BTU PERMIT ti / - ' SMTP' $ • '�� ❑ I, as''owner-Of the property, am exclusively contracting-with AND DUCTING - - licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK $ II- 37 PERMIT• , and Professions Code; The Contractor's License Law-does not apply-to - ISSUANCE '$ - an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts fro -projects-with a contractor(s) •licesnetl -pursuant to SYSTEM' - "' - - . . . $ - , - GRADING . $ the Contractor's License Law). (/ 100,000+BTU PLAN CHECK _ '- ❑ I am exempt under Section YO V/ B.&P.C.for this' - $ 0ttl��le _ ,sem,�title. BOILERS BTU ELECTRICAL $ reason /� P - - MICROFI UN $' Date'/�- r-, W2_Owner 71-047-6:41 -rat re7.OA , SYSTEM REPAIR,ALTERATION 'PLAN CHECK $ TOTAL FEE$ - MECHANICAL $ - _ - I hereby certify.that.l have read this application and state that the above EXHAUST SYSTEM MULTIPLE •I LESS AO- ' information is correct. I agree to comply with all city and county - 'PLAN CHECK $ -- " VANCE PC $ - • ordinances and statejaws relating to construction,and hereby authorize • • representatives on i city to enter upon the above mentioned - 'J 9r��ry property fdr.,i on' •Ol:Roses. p .. / Signature, a'- • / -/-< 7-O - ' - - ' CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting:Goldenrod-Assessor • CONSTRUCTION AND PLANNINGG� • - �^-OOL&SPA \ APPROVALS Permit# 66117 Date - Inspector APPROVALS . Permit# Date Inspector 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location • 2. _ Soil Pipe-Undrgrn' 44. Steel Reinforcementi V 3. Electrical Conduit Utility;Undrgrn _ . _- _ 45. Forms 4. Electrical Conduit-Undrgrn - - . s 46. Electrical Bonding . . - - :5.,- Steel Reinforce 47. Rough'Plumbing & Pressure Test - . - 6. . Electrical UFER Grq_ _ 48. APPROVAL TO COVER-GUNITE - 7. Footings _ . rt^(o"S-2- 13< 49. Electrical Conduit-Undrgrn - • 8. Foundation. _ . • __ 50. Gas Pipe, ❑Undrgrn,Test _ 9. Water Pipe-Undrgrn__ 51. Backwash Lines, P-Trap, ❑Undrgrn ' - . 10. Structural Floor System - 52. APPROVAL TO DECK 11. Property Sewer'Line& House Connection _ 53. Backwash & Receptor-Final , - - 12. Street Sewer Connection - - . 54. Heater & Vent-Final 13._ Rough Plumbing -_ - - 55. Plumbina System -Final ' - 14. Rough Electric-Conduit •56. Electrical-Final 15. Rough Electric-Wiring - 57. Solar System-Final ' -- 16. Rough Heating & Air Conditioning,- •-- - _ 58. Fencing &Access Approval 17. Ducts, in Structure' 59. APPROVED FOR PLASTERING • - - - 18. Ducts, Ventilating - - - \ - - - - ' . 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL ,.• , 20.- Roof Framing - _ 21. Roof Sheathing - - - - . . - - - . . 22. Frame and-Flashing - -- - NOTES: - • • 23. Insulation - - - - _ • - .. 24. - Lathing & Siding -- - • _ . _ - 25. Drywall-Nailing - . - . - . - 26. Plaster Brown Coat -. - . - - 27. Electrical Power Meter-Final - . _ - . . -. . . -- 28. Final Electric - - - - . - 29. --Final Heating & Air Conditioning _ - - • - - - 30. Final Gas Pipe-Test . ... . _ _ ._ - . • - • ' 31. Final_Plumbing - _ -- - • 32. Water Service-Final - - _... - • - • -33. Gas Service-Final -. - - - ' 34. Solar Domestic-Firial - ' - 35. Landscape Sprinkling System • 36. Sound Attenuation - _ - - ' 37. Handicap Regulations - - 38. FI NAL STRUCTURE & BUILDING - r ;, 39. Special Requirements Completed . • - • - • - - ' . - . 40. Electric Release to Edison - •- - -' - - - 41. Gas Release to Southern California Gas Co. • - - - • 42. CERTIFICATE OF OCCUPANCY - - I - ' ' - Ne Date • .. SI W y . A�`� - APPL STRUCTLRL APPROVAL ONLY m rt+y o{ , _,,est.. A a tJ; a SEPARATE-N,IRMITS ARE REQUIRED , FOR EI?;ICTRIGAL, PLUMBING, Hr DATE_ O HE,ATI�4° VErmLATING AND 'NESE PLANS MUST BE ON JOB m • REFRIGERATION WORK MAK NO CHANGES WITHOUT PRIG N GARAGE OF DEFT.. / • - i I f r " " -- - - TIE ISSUANCE OR GRANTING OF A PERM q, pr _ 6-c / OF PLANS'-$1C 1PECIFICATIONS SHALL NOT �I // I E # , - ,;2011,PANY TO BEA PEN ft POR, OR AN APPROVAL OF, -Ox OF AI Y OF t11L, PROVISIONS OF THIS CODE. A Z• q / �"`'� • ALL I,.J, ,,. i:QUESTS SUMI G TOov AUTHORITY TO VIOLAT 0 • •• 22'-O" _f_ �• PROV 3IONS OF THIS CODE SHALL BE V. FAR 13 THE WORK OR USE WHICH IT AUTI v$ u ' fa , ___ :; .> -.AL.,c rt::SONS ARE TO I A3 0' : • DE t'"_o(:D, nE S'IGGEST THAT THE I THE ISSUANCE OF A PERMIT BASE I. ST„FL OF G ::.:b D!l�iS!ON OF SPEC 'ICATIONS SHALL NOT PREVENT THE ` Z o. IND;0 ,L S TT; EL CONSULTED FOR •FROM ER REQUIRING THE CORE �' V ,- , t... -EME —_^ IN Si:,E ID PLANS AND SPECIFICATIONS Of ADD, ��\:._ R�vEOI±?_AtNT$. -, 'EUIINC OPERITKINS BEING CARRIED OE' _ ._ ;IIN VI RATION OF THIS CODE OR OF AN ..:*/ . .. . • CIF TI E CITY. T _ - � ' y 'APPROV:. r. t Ea CITY OF COSTA N = • ANNING DEP _`.nR wcf TO BLDG. DEP' Li- I O” / BY 9-1041 DATER • 4 -- • -- — •y7'=195" — • / .14 eD _ .01t ioo =a " prtovaarY� < "ROS iKOw�' PROPGA>Y Li:vs LINi 70 BEAR- A2O1.rrt r.. t.'av:e 1 PLOT PLAN /3z= � =o" t or s.s.. = 6'0 ,_0 4x ,OO ; O - . . • i . APRFSS: 106 V SAN PABLO COSTA MESA (A OWNER : FL o12EA1..- TASOADA TRACT 44-663H LOT 44 4 DATE : DECEMBER a-T, 1982 A PATIO COVER DETAIL - 12/9/81 — NOT TO BE USED FOR SUNDECK, ETC. -"-' TYPICAL JOIST ANCHOR r r- p a ....STATE-`--�� 'Ss +C SPACING SPAN r,�j "', -'t' • SIZE ^ OVERHANG !.2 - O 12 • t•N ;,,. RAFTERS:�i. . r2Thin �� FOR DRAIN m M . 1/4 J �' J 4 STALENGTH - --SLOPED '- 11 i f ,. ' - t O MAXIMUM /7 SPAN ♦ CONTINUOUS V 3/8.x 5"Lags 32% LEDGER �.'� Blocking ,. 4' % MAXIMUM Predrill Ledger l �///� Predrill Existing Deep i\` i JOIST HANGER BEAM or other approved methods of support tie. NOTE USE REVERSE SIDE FOR PLOT PLAN. "x ISTATE SIZE RAFTER SIZE AND SPACING ALL LUMBER DOUGLAS FIR No. 1 No.2 `la3/16X2'•-T-STRAP UBC STD.TABLE UBC STD.TABLE ** CONSTRUCTION GRADE FOR 25-214-6 25-21•R-1 i TABLE NO. 1 For open egg crate alumi- num or plastic roof Shingles or built up 4#2 OR BETTER FOR TABLE NO.2 covering. roofing. I MAXIMUM SPAN SIZE SPACING MAXIMUM SPAN zPOST-BEAM 17'2" 2"x6" @ 12o.c. 12'0" CONNECTION 15'7" 2"x 6" @ 16 o.c. 10'5" C I 'r-. 13' 8" 2"x 6" @ 24 o.c. 8'6" ''� POST 10'11" 2"x 4" @ 12 o.c. - x ^ I "J 8'.11"" 2 2" x 4" @ 4 o.c. - 8' 8" 2" x 4" @ 24 o.c. .J SHOW SIZE SHOW SPACING 1 '. SHOW LOCATION ON REVERSE SIDE. ` I4 - ^ f RA - ATDROP PATIO FLOOR 11, ----• SLOPE TO DRAIN— 2" max.@door NOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO WALLS S .. " . _ ^ . o ,.. �::.3T� THICK SLAB ^ '" -• , ARE TO BE BUILT. USE NO. 2 CHART ONLY. 6 , e /• PUDDLED " SAND FILL FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO WALLS Vx 2" R :-4 w ARE TO BE BUILT SUBMIT COMPLETE HOUSE AND ADDITION eTAA1 Remove Grass And Weeds Down To Natural Grade PLANS FOR APPROVAL. 12 CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT POST ANCHOR I -.'-." 7# GALLONS PER SACK CEMENT. For Pipe Post, Embed r12'--1 Provide 26 Ga G.I• Flashing At Wood Floor Const. COSTA MESA BUILDING DEPT. Pipe in Footing to within 3"of Bottom,and Provide detail of Flange or Weld Plate Screwed or Bolted to Frame. 77 FAIR DRIVE INSPECTIONS: 754-5627 CMF 0012-46(EU 40)rev.12/81 ept i tv_' All TIMES APPROVAL R APPROVAL CONSTRUED VIOLATION 'ERMIT PRE. THE SO AUL. / . CIPL WS TLNG VH EN ANC' s 4 .. PROJECT ADDRESS: 1068 SAN PABLO CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: 'B 058151 OWNER'S NAME: TABOADO FLOREAL ' ADDRESS: 1068 SA& PABLO CIR PERMIT NO: B 058151 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT 540-3167 ARCHIENGINEER: REG.NO.: JOB DESCRIPTION : T/0 REROOF W/ROCK SQ FT: . 3, 360 ADDRESS: UNIT: CLAIM VALUE: 3, 360 . 00 CALC—VALUE: 3, 360. 00 GROUP OCC; R-3 / PERMITTEE: TOM BYER ROOFING ( 714 ) 894-9618 ADDRESs: 15641 PRODUCT Al2 COMMENTS; SMOKE DETECTOR REQUIRED IN THE HOME HUNTINGTON BEACH CA 92647 *************************** ****************************•**********Te*****est**W** LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQUIR EMENTS 7000)of Division 3 of the Business and Professions Code. e,'/and '/�myy license is i full force and effect. SETBACK S CITY LID. O 4732 STATE LIC.: 4740 t f C C 39 �trme: �04 cl1-- Signature:_ i MAIN BUILDING ACCESSORY BUILDING FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affl that l have a a• irate of /sent to selbinsure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensationslya e.,o(acv�tltied copy thereof(Section 3800.Lab. POLICY NO,: I 3 1`L L`L EXP.DATE: 4 /01/93 L ' COMPANY: STATE �5s/I PARKING REQ. PROV: PARCEL: 41206105 ZNE: REF NO: CI Certified copy is ereby furnished. L'1 Certified copy' filed with the cring Division. PLANNING N TES> Date: Applicant "1'"i•lh- *********************ff*********************If*************************.********** EXEMPT IN ROM WORKERS'COMPENSATION DECLARATION: (This section need completed if it is for one hundred($100)or less). D E V E- L O P M E N T SERVICES REQUIR E M E N,-T S I certify that in the performance of the work for which this permit is issued,I s 1 or employ any person in any manner so as to become ZONING APPROVED B Y DATE subject to the Workers'Compensation Laws of California. C Date: Signature: BUILDING APPROVED BY : - Al j DATE: NOTICE: U.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor — Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: C ,7,,,,,, DATE: ,2—..--- which which this permit is issued(Section 3097,Civ.c). ***'***"***************'*****'**** LENDER: **************************************************************3c*****.0*irk******** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 63 , 0G 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 licensed SMI P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business P LAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500), ISSUE FEE I. as owner of cite properly orwages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE my employees(Sectin044. vTOTALS----> 63 , 50 0 , 00 0 , 00 63, 50 63 , 50 , 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State 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 employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 63, 50 OVER/SHORT• 00 improvement¢soMve)hln one year of completion,the owner will have the burden of proving he/she did not build or improve loporthe purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as Owner of the property,am exdusive(y contracting with licensed contractors to construct the project(Section 7044,Business 63 , 00 , 5 0 ❑ and Professions Code: The Contractors'St ate License Law does not applyto an owner of property who builds or improves thereon *************************************.****************************************** and who contracts br such projects with a contractor(s)license pursuant to the Contractors'Slate License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL- COST Date: Owner: SFR 3360 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 360 . 00 I do hereby cendy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant witl/will not(circle one)need to comply with said state codes and the requirements for a , permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from • these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above inform: on correct.I agree to comply with all city and county • ordinances and st,te laws relating to building construction and reby authorize 6,esen tives of this city to enter upon •,above-mentioned property lrrrinspection purposes. tiL� 01/ Signature: tttttt 31: i . Driver's License or Social Security a: it 0 1641-46 White—Building:Green—Code Enforcement:Canary—AoolicanC Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service-or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVE R-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 l 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 20. Rough Factory Fireplace - APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73, Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing l61z 06.6.k. 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 I I 78. FIRE PREV. FINAL 30. Drywall Nailing I I I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat i 79'. FINAL INSPECTION 32. Electrical Power Meter-Final ' i' 80. FOOD CERTIFICATE ISSUED 33. Final Electric • I " *i • 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 ; I 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations / 47. FINAL STRUCTURE & BUILDING ?,Z!- v. Ie✓- 48. FINAL PLANNING 49. Electric Release to Edison706-_l%J✓ `-fid At 4%"t),(v 50. Gas Release to Southern California Gas Co / 6" 51. CERTIFICATE OF OCCUPANCY No. Date ADDBEssoPBUILaN9: 1068 SAN PABLO CI WIT: CITY OF COSTA MESA — BUILDING PERMIT \` ITYantomm oimTABOADA, FLOREAL FLOOD : AH-38 PERM NO: B 081042 ADDBES3:TABOADA, NORMA ALICIA 1068 SAN PABLO CIR PERMIT NO: B 081042 PLAN CHECK NO: N GOVT: N SUPP : N OSTA MESA,CA 92626540-3167 APPL.NNUNG ADDRESS CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE : OTH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF SHEATH & ROOF SLOPED AREA W/COMP SQ FT: 2 , 622 WICK oRfDa•s ADDRESS: INT: CLAIM VALUE: 2, 622 . 00 CALC—VALUE: 2, 622 . 00 GROUP OCC : R-3 / cnNTRACTaffwTUE:PRIMO ROOFING ( 714 ) 841-4456 CcNTRACTOR'SMAILING17066 PALMDALE ST COMMENTS: REROOF 1300SF SLOPED AREA W/COMP, SMOKE DETCETORS REQ W/COMP ADORES&HUNTINGTON BEACH CA UC.NO.: 331120 ******DT +E**�P*�E*SEN-�Eic-iE*****i�ft**�E***�E�E -***x-�E**�E****wit* -************ -*�t�E*at-*N-ic*****ac*iE 92647 , ZONING REQUIREMENTS SMOKE DETECTOR SETBACKS UCENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury Dal I em licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in lug force Med. pp��-- CITYLICNO.007639 mcuss:C-39 mato, 31120 XPI 03 /97 MAIN BUILDING ACCESSORY BUILD!' EQUIF�'IC /l D FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN \ J Date:l`a-,7'J Contractor:/ VW , LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I ern pt from the Contractors license Law for the following reason(Section 7031.5 Business and Professions Code:Any city or corony which requires a pend h construct,alter,improve, PARKING REQ: PROV: PARCEL: 41206105 Z N E: REF NO: demolish,or repair any structure,prior to its issuance.also requires the applicant for such permit lo file a signed statement Mal he or she PLANNING NOTE S->" 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 end the basis for the alleged exemption.My violation of Section 1' ' 7031.5 by any applicant for a permit subjects the applicant loe ovil penalty o not more than five hundred dollars j55001). *********************************************************************"********* ElI,as owner of he property or my employees with wages as Mei sole compensation,will do the work,and he stoic-lure is no handed D E V E.),L O P M E N T SERVICES R E Q U I R E M E N T S or offered for sale(Section 7014,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who bolds or inproves thereon,end who does such work Nmself or herself or through his or her own employees,provided that such -, improvements ere not intended or offered la sale.If.however,the building or improvement iS sog within one year of oomplelion.he ZONING APPROVED BY DATE: cT_, owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ Las owner of the property,am exclusively conceding with Licensed contractors to construct the polled(Section 70a,.Brain+and BUILDING APPROVED BY : DATE: r+, Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon end who contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). APPLICATION ISS,* g. UED BY: • DATE: F "*' ❑ Ism exempt under Section: B. ion: B PC.,for this reason: *************** **************************** *******************V ** Date: DN1Bf LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of California Health end Safety Code Sections 25505,25533.end . 25534,and thatt or any Mwe building continent willl wit not(drele one)need to comPh•with said datecodes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for constructionix modification from the Ail: Giety Management District.Residential construction appfaniou are exempt from these PERMIT 74 . 75 provisions . 50 Date: Applicant: PLAN SMIP/NON RES WORKER'S COMPENSATION DECLARATION:I hereby of ons under penalty of perjury one of the following dederetione: ISSUE FEE ❑ Ihave and ail maintain acenifiWedconsent toself-insure for workers'compensation,mSection BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE code,for the performance ofthe sock for which thipermit iieued. Section 700 of the_ TOTALS----> 75 . 25 0 . 00 0 . 00 75 . 25 75 . 25 . 00 X❑ (have and will work for whidr hi ntain workers'perm ti issued.My eaten insuranceInsurrancd carrier end policy number a e:.for the performance of the Cane wok°rhe EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 75 . 25 OVER/SHORT: . 00 Policy Number: 8241soa 11 /01 /97 BLDG PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOTOGRADING PLAN—CHECK (This section need norpuma completed I the pea is for one hundred dollars(s100)or lea.) ❑ I may that in the performance o 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'compenwion laws o California. end agree hat a l shoo, . subjedyo, . workers' ******************************************************************************* compensation provisions of Section 3700 of the Labor Code,I shall f..,, comply with I . . -. / INDIVIDUAL F E E BREAKDOWN '--) Dm: /---6 `97 Applicant Arv.-i....Al /,Lava,4i Warning:Failure to secure workers'compensation coverage le unlawful,and shell sub • an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil lines up to one hundred thousand dollars($104400),M addition to ha coat of conp«uation,dansepas ea provided for In Section 3706 o he Labor Code,Interest,and attorneys fees. SFR 2622 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 622 . 00 CONSTRUCRON LENDING AGENCY:I hereby affirm under penally of perjury that there i a constriction lending agency to the END OF FEES performance of the work for which this permit is issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction end hereby authorize representatives of this dry to enter upon he abwe'mentioned property lo'inaPedienpu'posew1OM LIEBHERRiii 01-86-1997/82:21 Pq/f75.25 /� P RCPTN:81-8080884 `77 4 J4 // s 4t�/ Dale:/�li _�7 PERMIT:e81042 Sgnmy'e o /Agenl/Appica 'ttrrmor (S15t daW P) White-Buihvq 8 Safety:Green-RIe:Canary-Rppicant:Pink-Revenues Goldenrod-Assessor a 1111.11 CONSTRUCTION AND PLANNING . - POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole' 52. Pool & Equipment Location • 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - •. 4. Electrical Conduit-Undrgrnd. • 55. Electrical Bobding 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, C 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 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing .�y-q7 6Lv6f- 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat l V 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 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE& BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date OWNER IELTZER ENTERPRISES - C. M. DATE 9-26-69 JOB ADDRESS 1068 San Pablo Circle BUILDING PERMIT NO. 30859 GENERAL CONTRACTOR Sage DESCRIPTION of WORK Residence W/Att. Garajze AP No. _ LOT 4 TRACT 6638 FIRE ZONE . VALUE $ 29,563,00 INSPECTIONS ,Signature Date GROUP I & J TYPE V ZONE R-1 SOIL PNtr7 3-3o'9CJ SUBCONTRACTOR PERMITS ISSUED GAS Date Number Signature WATER 154-3-n, kilns- ^ Nu bind ROUGH UMBING a S J�,l a_tc_ 0 e- /- PROP. SWR. LINE HOUSE CON. [yd / 6 .16X70 /f .4,-Y-�o ,y07q SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING ANC) AIR CONDITIONING 714 c S'--2 (J TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER n ROUGH WIRING ' ti�t .-2-Jo /. Heating an Vertt. TRENCHES FORMS STEEL REINF. Zn 3.,o• PO /J' ' / // n�''d r;7/� 7.457,27-- FLOOR 7� ''-- FLOOR SYSTEM x~21 / i/Y y- �->01/riii' JJf1.�f`j.F'rFs/C', �--:c�-7, 7i:,< -s1 BOND BEAM n STEEL REINFORCE [1 SHEATHING 9"XC-ft FRAME AND FLASHING Cyto LATHING - IN n_ OUT [xi c11.2-/A-t6 PLASTER, BROWN COAT / `41/44177.0 STRUCTURAL, FINAL �� ��� p., /�� Elena/ HEATING, VENT., REFRIG. AND A `01145 NI2 q- u�o ALLc L . ±5'-, /'-7o `I/1,.Z3 PLUMBING, FINAL AND GAS TEST f, w- /4'ZU ELECTRIC, FINAL rl t o - BUILDING, FINAL ,Z7I(sr • A `e X0859 ':Ov 12-69Pa1900 389* ***152.25 • CFlSA - COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely — R ECW Df DAT RECE}WEP DATE ISSUED BUILDING 1068 San Pablo Circd / E57*%. EP 2 6 15° ADDRESS Meltzer Enterprises-Costa Mesa A.P. O PERM`J1TTl,I79 OWNER '/ yam/ 11 t���JJ MAIL BUILDING !01 , �A /� ADDRESS 740 No. La Brea Ave . ZZ��33 ADDRESS / Iv0 iCL.Is'+.-// ri1O LU • O CITY L.A. Cal.UJ TEL 6638 TRACT 6638 I LOT 4 BLOCK H Z Z < CONSTRUCTION United California Bank NEW lADD(ALTER REPAIR MOVING DFMOLISH — I- LENDER JJIIII 0- m Main Office _ID BRANCH Q WADDRESS 6th and Spring, L.A. OWNER 44 CO J VALVE Ylws 0_co ARCHITECT Frank Gonzales TEL. 532-687 s . $ OR ENGINEER NO. f� (1 w X ADDRESS 1336 E.Chapman Ave. ,Orange,Cal . ZO E TYPE ✓ GROUPt��k• d W J Z CONTRACTOR George J.Heltzer & Associates ByPROV ED DATE CO ZADDRESS 740 No. La Brea Ave. W W ZONE NO.OF USE OF NEW Sngl. ram. ZF CITY L.A. Ca. NOL937-2171 Rl IPLANs 2 BUILDING Res. w/att. gar. W-O STATE 201098 CITY 1707 YARDS APPROVED YARDS APPROVED to Q LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF SLUGS. (FROM C/L ST�tREET) OF LOT NOW ON LOT FRONT 5d FT. FT. USE OF L/ EXISTING BLDG. R SIDE J FT, FT, I— SIZE OF NO.OF 99 •,Y/ Z NEW BLDG. ROOMS STORIES L.SIDE O FT. FT. UEXTERIOR WALL ROOF / _ COVERING COVERING REAR R(FT. 6 FT. -- J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAINS. 0 a MAIN BLDGS. ACCESS. BLDGS. VA DATE a0 Residence with garage// attached C.U.P..* APPROVED I.• Plan 1x.04- 7G� APPROVED WI.D DATE Z44 l0/& / 67 0 C~.1 I hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ L F any person.in violation of the workman's compensation laws of ��??/ J CO73 the State of California. m Z �/ �11J/ . FT. r-/v oI hereby certifythat I am properly licensed as a contractor under - the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLIS ING A PERMIT FEE ONLY: am exempt from the provisions of the State of California BusinessIC and Professions Code, Divishn 3,Chap ar 9. VALUATION 0 °— n PE MIT FEE $ Y O7�S Signature of / i 06 ~O d r13, 7 [0 Permittee _ $ a P CHECK $ - 'S E �„t dr"' f 33 ro Authorized Agent ` K • 46.361 TOTAL F E S /��' LL F/ /!. 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 BUILDINGDREIv (pi c/ I� f ^ 19I 6 Cut ADDRESS V b /'1 /�F ✓- PERMIT NO, OWNER A.P.NO, MAIL BUILDING Z ADDRESS ADDRESS W W TEL. CITY NO. I TRACT 66 S LOT y BLOCK W W Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOLISH d cn LENDER J r BRANCH Jin OWNER m J ADDRESS VALUE J CO ARCHITECT TEL USE $ C OR ENGINEER NO U Q • FIRE W 2 ADDRESS ZONE TYPE GROUP tl W APPROVED W Z CONTRACTOR BY DATE J0 co Z JCC ADDRESS W W — ZO NO.OF, USE OF NEW Z= CITY NOTE. �' PLANS l� BUILDING F W- 0 STATE CITY YARDS APPROVED YARDS APPROVED N 9_ LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING _0 SIZE ANO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT ((.G FT. FT. USE OF /` EXISTING BLDG. R SIDE / 5 FT. FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES - L.SIDE FT. FT. VEXTERIOR WALL ROOF _ COVERING COVERING REAR 2-0 FT. 6, FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 a MAIN BLDGS. ACCESS. BLDGS. DATE a f L/d 3 CUP. W APPROVED 0 H CD APPROVED All- � DATE !!/^ Q Z • 0 VI hereby acknowledge that I have read this application and state D that the above Information is correct and agree to comply with EC all laws regulating building construction, and I shall not employ F, any person in violation of the workman's compensation laws of CO the State of California. co to Z I hereby certify that I am properly licensed as a contractor under SO. FT, o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses ere in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 am exempt from the provisions of the State of California Business R VALUATION and Professions Code, Division 3, Chapter 9. CO n PERMIT FEE $ D Signature of m Permittee $ PLAN CHECK $ E 0 Authorized Agent TOTAL FEE $