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Home My WebLink About3405 SANTA CLARA CIR - Building Permitsb'�� AOP�icant lo fill in a11 soaces ezcept inose within neavy borOer lines ana sign aIl apD�opriate Ceclarations. CITY,DF COSTA MESA CONSTRUCTION PERMIT � �.. Project Address 3405 Santa Clara Cr. ApplicanYSMailingAddress 126 Commercial�, C.M.� 92627 Owner's Name Phvl l i c Wi n51 nW Phone 549-1 783 Address 3Q05 Santa Clara CY:. Costa Mesa Arch/Eng. "� License No. Address Contracror'sNama Crank Bros. Rcofing Phone 548-5569 Addresslmailing) 126 Commercial�, Costa Mesa 92627 City License Na � 9 LiCENSED CONTRACTOR DECLARATION I hereby affirm tnat I am licensetl untlar provi5ion5 of Charter 9(commencing `, with section ]000) of oivision 3 ot the Business antl Professions Cotle, antl ��O my license is in full force antl eftect. � License Claj� — LiCens No. — �^ Dat{�.�C //) k L 5'9 t �( fJ `� � WORKERS' COMPENSATION DECLARATION �I hereby affirm that I M1ave a certificate of consent to selt-insure or a certlficate. of Workers' Compensation Insurance, or a,certifietl copy thereof (Sectlon \ aeoo, �b. c�dP85362466 Fremont Indemnity Policy No. Company Certifietl m0Y is he�eby fumishetl. d ��,, c rt�tie cop ' iletl witb the ciTy_q�ur iariko��'r°o5 ��00 lt ❑ Da APPlicant X q EXEMPTI N FROM WORKERS' COMPENSATION OECLARATION (This section neetl not be completetl if the permit is fo� one huntlretl ($300) or less). 1 certify that in the pe�fo�mance of the work for which thls permR is issuetl, I shall nol employ any person in any manner so as to become subject to the Workers' Compen5ation �aws o( Calitornia. � Oate Signature 'NOTICE: 1t, a(ter makin9 tnis tleclaration, you shoultl bewme subject to the Workers' Compensation provision5 of [he Labo� Cotle, you must forthwith comply wltn such provisions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby affi�m that there Is a const�uction lentlinq agency fot [he perfo�mance of the work for wnich this permi[ is issuetl (Section 309� Civ. CJ Lentler'S Name Lentler's Nddress , OWNER BUILDEH �HCLARATION I hereby affirm [M1at I am exempt trom the ConVactor'S License Law for the following reason (Section 7031.5 Business antl Professional Cotle: Any city or county wnich requires a permit to construct, aiter, improve, tlemolish or repair any structure, prior to its issuance, also requires the applicant for such permit [o fi�e a signed statement that he/she is licensetl pursuant to the provisions oi the ConVactor'S License Law (Chapter 9(commencing with Section 7000) of DiviSion 3 of the Business antl P�ofessions Cotle) o� that h¢/she is exempt therelrom antl the basis fot tM1e allegetl exemption. Any violation of Section ]031.5 by any applicant tor a Oe�mlt subje<[5 [he applicant to_ a civil penalty of not mor¢ than five huntl�etl tlollars ($500). ❑ I, as owner of the property or my employees with wages as their sole campensa[ion, will do the work, antl the structure is not intentletl or offeretl for sale (Section ]044, Business antl Professional Cotle: The Contractor's License law tloes not apply lo an owner ot a property who builds or improves thereon, anG who does such work himself/herself or through his or her own employees, provitleO [hat such improvemen[s are not intentletl or otferetl fo� sale. It, howeve�, the builtlinq or improvement is Soltl within one year of com- pletion, the' owner wilt have the burtlen Of p�oving he/she tlitl not builtl o� irn- p�ove tor the pwpose of sale). ❑ I, as owner ot tM1e property,.am ezclusivety'contracting wlth IicenSetl con- t�acto6 to mnstruct the project (Section ]044, Business antl Profe55ions Cotle: The ConVactor's License Law tloes not appty to an owner of property who 'builtls or improves thereon, antl wM10 contracts fo� such prolects witb a con- tractor�s` license pursuant to the Contiactor'S Li[ense Law). I am awar¢ that proot ol their Wo�ke�'s Compensafion insu�ance shoultl be provitletl to me. ❑ I am exemo� untler Section � 8. & P. C. Por thls reason TVPE OF CONSTRUCTION LJ NEW U ADD XJG ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WOR�c/USE OF BLDG. �xistinq apply 3/ply fiberqlass w hot asphal . 7YPE OF PERMIT GRADIrvG F.oUrvDATION SrRVGruRAL ❑ TENANT ❑ ELECTRICAL ❑ PI.UMBING, ❑ MECHANICAL ❑ OTHER ' PRQIECT DESCRIPTION 5Q. F7. �-,OOO pCCUaANCv �Slilq 2 'CONSTRUCTIO , YPRi(�PI'1�'lB] VALUATION$ 1'SB9_OO ZONE GRADING CLL VOS. ACRES' i Remarks: Sink Preventer Irrigation tuk�s Drinking Fountains Floor Drains Floor Sinks GasService Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee $15 Boiler ' Duct- Under Ground DUCt - $tfuC W fdl Duct - Ventilating Exhaust System ❑ Multiple Firepl/Pact. Blt. ICBO # Date � Owner Heating System & Ducting I hereby certify that I have reatl this application antl state that the aCove ❑0.100,OOOBTU �100,OOOBI information is correct. I agree to como�Y with all city antl county ortllnancez antl state laws relatin9 to builtlin9 consVuction, antl hereby authorize repre- sentafives ot this city to enter upon the above-mentlonea prooeriy for inspectloqburpm�s�O ./ /7 , , - Signature7 �� '�'z�� Date /�T/fL , i Drivers' License or 55 � — — Reinspettion Fee $15 CMF OB65-46, rev. 10/84 White - Builtling; Canary - qpplicanq Pink - Accounting; Goltlenrotl - AssesSor Showers Service Sink Sewer Cap Sewer Connection � Solar Collectors ' Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Issue Fee iANICAI Hood or Type I ❑ Canopy Type I I ❑ Refrigeration Sys[em —❑a,o�a000—eTu —❑,00,000 SVstem eNY pair/Alteration Fire Dampers Registers � � . �—.� _.. (, Issue Fea • FEES $ 3 $ 3, A.P. # S Main Buildi E T Front e Rear A C Right K Left S Ping. Ref. # Plannin9 Notes: Auromatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispoul Generator �0.5 KW �5-15 4984 10/13/B6 Zone Accessory ELECTRICAL 7ransformer ❑ 15�W KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel . � Motors �0.1 HP � 1'/: - 8 Inc. Solar �9-15 HP 016-15+ Microwave Pole Light � Ran9e ; Standing Seitiom Trash Compacror Reinspection Fee $15 luue Fee� DEVELOPMENTSEHVICESREQUIREMENTS: Zonin9 APP�oved BY ' � .� Building Approved By Appliqtian Issued BV 0 15.50 TL FEES $ 3 Z O N I N G R E Q M T S �� , SUMM/pp�Ry�OhF EES �•� BUILDING PERMIT $ �� SMIP $ � ;� �LAN CHECK . $ � PERMIT PLUMBING $ �SSUANCE $ PLAN CHECK 25% $� ENERGY P.C: $� ELECTRICAL $ GRADING $, PLANCHECK 50% $ MICROFILM $' �'j� �CHANICAL $ TOTAL FEE $ � `� " N CHECK 3bk $ CONSTRUCTION ANP PLANNING POOL & SPA " APPROVALS Permit# Date Inspector p,ppROVALS 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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 Dreins 64. Plumbing System - Final 14. Rough Plumbing 65. Elecvical-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 Fireplece APPROVALS Permit # . � 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping OGas ❑Oil �23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 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 PREV. FINAL . ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT-r� .;; 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 pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation � � E X P � R E D � ��. 44. Landscape Irrigation SYstem Incomplete nspec � 45. Sound Attenuation . (n1$Ig ______-�- ' 46. Handicap Regulations �47. FINAL STRUCTURE & BUILDING ;,'�. �' ' , �. 48. Special Requirements Completed . 49. Electrie Release to Edison _ 50. Gas Release to Southem California Gas Co �51. CERTIFICATE OF OCCUPANCY ' No. pate rI � / PHOJECT pUDNESS: 3 4 O S SANTA CLARA C I OWNEN'SNAME: HECKMAN, ANNE M TR aooeess: 3405 SANTA CLARA CIR COSTA MESA,CA 92626 549-1783 PFCHIENGINEEP: nooness: flEG.NO.: UNIT: uxir: PEflMITTEE: CRANK HROS ROOFING CO ( 719 ) 598-5569 nooaess: 126 COMMERCIAL WAY COSTA MESA CA 92627 LICENSEo CONTNFCTON oECIABATION: � nereby affirm tnat t am �icensee unaer W� � Cnapter 9(commencing witn Section 7000� of �rvision 3 oi t�e Business and Pmfessions CoEe en my licensa - fulllo and ciTru�00�99a�T4086 " c ss: oate: _ � Signamre:. _ _— WOHeEfl COM ENSATION OECIABATION: I here0y alfirm ��a I �ave ceailica o� consent to sell-insure or a certificate oi Workers' Compensation Insurance. or a cenifie0 copY ihereof (Secnon 38 . Lab. ). voucvNo.: 285-94UNIT224 E%P.OFTE: OSIOIISS comraxr: STATE FUND ❑ Cenifie0 o0Y is h e6y Wmis�ed � Cerlilied copy's �i d wiN tA cit Building �ivision. �[ � Oate: 7— ADPlican�: E%EMPTION FBOM WOHREPS' COMPENSATION OECLAPATION: Qhis se Iion neea � be c� pletetl i� the permi� is tar one huntlretl (8100) ar @55�. I cetlily �hat in Ihe petlormance of lhe wark �or whic� Ihis permi� is issue4 I sh I not e ploy any De�son in any manner so as to become sublecl Io Ne Workers' ComOensatian Laws oi Calilomia. Oa�e'. Signalure: NOTICE:II, a�ler making �his dedara�ion, yau should become Sublectio the Workers' Compensation provisions of �he Labor Cotle. yau mu5i brt�with comply wi�� such pmvisions or ihis permi� shall be Oeemed revoke0. CONSTFUC710N LENUING AGENCY: I nereby aflirm that ihere is a consimttion IenUing agenty for ine pedormance ot tne work for w�ic� Ihis permil is issuetl (Section 3097, Crv. C). LENUEH: RODPESS: OwNEB BUILDEH OECLABRTION: I hereby atiirm �hat I am exempl imm ihe Caniractors' State License Law for the (ollowing reason (Section 7031.5 Busmess anA Pro�essional Code: Any ciiy o� counry which repuires a permi� ro cons�mct. al�er, impmve, Jemolish, or reDair any stmcture. D�ior lo ils issuance. also require5 �he apDlicanl br suc� permii �o lile a 5igneA sta�ement Ihat he/she is licensed pursuam m ��e pmvisions o� I�e Contramors' Sta�e License Law (Cnapler 9(commencing wilh Sec�ion 7000) of Divisian 3 0� the Business antl Pro�essions Co�e) or Ihat he/she is exemp� �herelmm ana Ihe basis Por �he allegeU e�emp�ian. Any viola�ion ol Section 7031.5 by any applicanl for a permi� SuUle�ts Ne apPlicanl lo a civil penalry o� no� more ��an �ive Auntlred Oollars ($500). I. as owner of ine o�operty or my employees wilh wages as Iheir sole compen5atian. will tlo the work, an0 ihe ❑ s�mclure is not intendetl or oifered �or sale (Seciion 704a, Business and Professional Code: The ConVacmrs' State License Law d�es nol apply �o an owner o� a pwperty who bui105 or impmve5lhereon, antl who tloes such wo�k �imSelVherseA or �hmugh his or her own employees, providetl t�at such impmvemen�s are noi in�enOeA o� offered lor sale. I(, however ��e builtling or impmvemeni is soltl wi�hin one year of comple�ion. Ihe owner will have 1he hurUen of proving he/she Oi0 no� Dui10 or impmve ror ttle purpose oi sale�. L as ownerai�he Droperly,am excWsively coniractinq wit�licensed contractorsto constmcithe pwlect�Section 7044, Business ❑ and Pwlessions COUe: T�e Contrac�ors' State License Law tloes not apOty to an owner of pmpeM who builtls or impmves ihereon and who conirac�s �or such pmjects wilh a coniracloqs) license pursuant�o ��e ConVactors' S[ate License Law�. I am aware tha� pmoi ol their WaBer'S Compensatmn insurance 5hou10 be pmvided to me. � I am exempt untler Sec�ion: B. 8 P. C. for �his reason: oaie: ow�e�: I tlo �ereby cenily ihat I am aware of ana untlerstantl ihe requiremenis of Calilomia Healih anA Safety Code Sections 25505, 25533, antl 25534 and iha� I or any �uture buileing occupanl will/will nat (ci�cle one) neetl �o comply wiih saitl slaie codes antl Ihe requirements tor a permil �or conslmc�ion or modilica�ion Imm Ihe Nu Oualiry Managemenl DisVici. ResiUen�ial constmdian apPlicaiions are evempt �mm I�¢SC pfOv151005. Oale: ApPlicant: I �ere�y cer�ity t�al I have reatl Ihis apPlication and stale �ha� Ihe a6ove in�arma�mn i correct 1 a e Io comDty wilh a0 city antl county or�inancesa Stalelawsrelaling�obudamgcons�mciionantlhe �byaNhoriz repr en �ives nSciryloenteruponNeabove�mentionetl pmperly �ar nspecti n purpases. �ale: � S� Signature' i � Dd�ers License or Sociai Securny a: 1fi4La6 Wnne—Bwltling; Green—Cotle EniorcemenL Canary—Applicant: Pink—Revenue; Goldenrad—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 066071 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE; STR JOB DESCRIPTION ; T/OFF REROOF W/FIBERGLASS SHINGLES PERM NO: B 066071 GOVT; N SUPP: N PURPOSE: OTH SQ FT: 4,951 CLAIM VALIIE: 4,951,00 CALC—VALUE; 4,951.00 GROUP OCC: R-3 / COMMENTS; AEROOF W/FIBERGLASS SHIN, SMOKE DETECTORS REQUIRE�('�([� � �*��*�**�,��**��*�.�*,�*****��*��,�,�*��*��,��**,��*��*�* x�,�. ��CT'O Z O N I N G R E Q U I R E M E N T S �E�U'RE� S E T B A C K S ------------ MAZN BUILDING ---------- --------- ACCESSORY HUILDING --------- �—• FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL: 41206312 ZNE: REF NO: PLANNING NCST'ES> s..� � ` iF it if iE ik iE ff ik it if if ik if it if 7f iE iE iE iE if iE iE iE il-iE iE 1F iF iE �E iE jE iF jE it iF iE iF iE 1F iF iE fE jF ik iF iE iE �F if jE iE iF ff iE iE if iE i� iE iF?E iE fE iE iE it 1�-�{E * 1E iE �E 3E iE jE iE �)f D E V E L O P M E N T S E R V I C E 5 R E Q U I R E M E N;T 5 ZONING APPROVED BY , PATE; BUILDING APPROVED BY ; DATE; APPLICATION IS5UED BY: L�ATE; Z(�� iE�EiFlEifiEiEifiE�fifiEikiEiFiEiEiEdfiE3E1E fEiEiEiEiFiFiFiEjE9f if iE 1E 1E ff 1E iE iE 1E 1ElF �)E if iE iE iE iE fE iE fE iE �E 1E if 1flE iE if !E if if 9f if ik if !E itlf �E iE iE if iF iE aE 3f if �E �F 1E iE if iE iE if 3f iE �E 3f �)t iE iF {f fE dE �E 3F iE 1E jt jf �E N� 9F �E 1E if iE iE jf LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING PERMIT 72,00 50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 72,50 0.00 0.00 72,50 72.50 ,00 REC�ENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECK 72,�� ,50 �f if !E iElE if iE iE iE i! if if iF if i! k 1f if ik tE iE+E �f i!!f k �f �E �E ff iE !E iElE iflE iF if iE #f iE 1t 1t * fE 1E if iE iE iE if fE �f �E iE 9f jF 1E it 1! iE iP if iF iE iE ih iF iE iE iF if 1E iE iF if * jf if I N D I V I D U A L F E E B R E A K D O Yi N TYPE SFR QTY D E S C R I P T I O N 4951 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES UNIT COST TOTAL COST 1,00 4,951,00 �1 OD1554S6-0015545� T Ci T 72,5Q DA7Et 02/18/94 7IME: 11:37 CO{NS-TRUGTION AND PLANNING POOL & SPA � APPROVALS Permit # Date Inspector qFPROVALS Permit � Oate tnspector � t. Temporary ElectricaE Service ar Pole �_ 52. Pool & Equipment Location 2, Soi! Pipe�Undrgmd. _. 53. Steel Reinforcement - � 3. Electrical Gonduit Utiiity-Undrgrnd. 54. Forms ` 4. Elecirical Conduit-Undrgmd, 55. Electrical 8ondir,g 5. Stee! Reinforcemenc 56. Rough Plumbing & P�essure Tes! 6. Eiectrlcai UFER Gmd. 57. APPROVRI TO COVER-GUNI7E 7. Footings 58. Electrical Conduit�Undry:nd. --� 8. Foundation ---� 59. Gas Pipe, O Undrgrnd., Test •.. 9. VJater Pipe-Undrgmc. `� 60. Backwash Lines, RTrap, _! Undryrnd. \` � 10. Structural Ploor SYstem �� , 61. APPROVRL TO DECK 15. Propeny Sev,er li,�e & 4iouse Connection 1 62. Backwash & Recepior�Pinat _ � 12 Sewer Cap �i 63. Heater & Vent-Final ( 73. Roof Drains •�� ' 64. Plumbing System - Pina! % ' tA. Rough Pl�mbing 65. Elecvica6�inal 15. Rough Electrical�Conduic '� 66. Solar System-Finai 16. Rough Electric Wiring � 67. Fencing & Access Approvai 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Fiough Electrica6T Bar Ceiling 69. POOUSPA SYSTEAnS FINAL 19. Rough Heating & Air Cond;tioning FIRE DEPT. REQUIREMENT 24 Rough FactorY Firepiace APPROVALS Permit # 21. Ouccs, in Structure 70. Underqround Hytiro 22. Ducts, Ventilating 71. Protiuct Piping Ci Gas L OiI 23. Gas Pipe�Rough & Test � 72 Underground Flush 24. Roof Framing 73. Undergrnd. Storaqe Tank u Gas ❑ Oii 25. Rooi Sheath"sng '> ZZ �� L,�� 74. Overhead Nydro i 26. T�Bar Ceiling fStructural) & A4onocoat 75. Drv Chenucal I 27. Framz and Rashing 76. Dry Standpipe 28. Lathing & Siding 77. F;XED SYSTEh�t FINAL 29. Insul2tion 78. FIftE PREV. FINAL 3Q Drywall Nailing HEALTN DEPT. REQUiREtiiENT � 31. Plaster Brow�n Coat 79. FINAL INSPECTION 32. Elecirical Pow2r MeterFinal 80. FOOD CERTIF7GATE lSSUED � 33. Finai Electnc Notes: � 34. Finat Heaiing & Air Condi2ioning 35. Finai Gas PiPe-Test 36. Hood or Canopy 37. Final Factory Fireplace � i�I 38. Final Plumbing 39. Water Service-Pinal 40. Gas Szrvice�Pinal 41. Solar pomesticFinat 42. Backflow Preventer „ I 43. Backfiow Irrigation � 44. Landscape irrigation System , � 45. Sound Attenuation . � 46. Handicap Regulati ns • � � _ 47. F�NAL STflUCTU�RE & BUILOING �.j8� �� 48. F{NAL PLANNfN6='; �;.. � 49. Electric Release to��e`diso,n 50. Gas Release to Southern California Gas Cn 51. CERTIFICATE OP OCCUPANCY No. Date OWNER HELTZER ENTERPRISES-COSTA riFaA DATE 9-16-69 JOBADDRESS 3405 Sn.,rs ct�r� c;r�ta BUILDINGPERMI7N0. __30920 No. _ LOT �5 TRACT GAS WATER SWR. LINE � :LING SYSTEM ROUGM HEATING AND AIR C0� TEMPORARY SERVICE OR POl UNOERGROUND � POWER ROUGH WIRING REINF. BONO BEAM ❑ STEEL SNEATHING FRAME ANO FLASHING LATHING - IN � OUT PlASTER. BROWN COAT HEATING, VENT., REFRIG. , P�UMBING, FINAL AND GAS EIECTRIC, FINAL BUILOING, FINAI SUBCONTRACTOR � 309vG �t Z . e- U ZQ ON a m J � J � CD J J m Q UN Z a W � a w W Z J � m Z J � W w o= z� w� N � �O k01� j �'(9PAIDOO 458+� *** 1$2.?S CMSA COS7A MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT Fo� Applicant to Fi!l in Completely FECEIV D TE REC IV D DATE ISSU p sui�oir+c 3405 Santa Clara Circle -o? , SEP 2 G 1�b9 ADORESS i�pp� OWNER Heltzer Enterprises-Costa Mesa q,p,ryp, PER�;'��J�/ MAIL 740 N. La Bied AV2. BVILDING �/ ADDRE$S ADORESS �D�J � � et CITV L.A. Cal. No�'9 -2171 TRACT 6638 LOT65 BIOCK CANSTFVCTION United California Bank �' ^ P LENDEFi Main Office BRANCM 6th and Spring o'/�NER . ADDRE5S VALUE � ARCHITECT F. Gonzales TE�. 532-687 S � $� °�6� r OR ENGINEER �/ ADDRE5S 1336 E. Chapman Ave.,Orange,Cal. Zo E TVPE GROUP ✓ CONTRACTOR United California Bank ByPA�VED DATE ADDRESS Main Office TEL. 20NE NO.OF USE OF NEW ng e cirv 6th and Spring No. 532-6878 Pi-p.Ns BUILDING W t. •i STATE CITV VARDSAPPROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUIL�ING ACCESSORV BUILDING S12E NO.OF BIOGS. (FROM GLSTREET) OF LOT NOW ON LOT qONT T. FT. USE OF /� EXI5TING BLDG. 5 FT SIZE OF NO. OF NEWBLDC. :�OOMS STORIES L.SIDE FT FT. EXTERIOP W�+LL ROOF � COVERING COVERING REAR FT. FT. USE OF 9UIlDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDCS. ACC65. BLDGS. Residence with attached garage �AR # onre QU.P.qW qPPRpVED Plan No. �494' y0,3 �ROVED � I heraby aeknowletlge [he[ I ha�e reetl thls applicotion antl stete thot the ebova intormation is eorreet and ngrea to comply wlih /69 nll lows repulatlnp building connruction, antl I shall not employ rf � nny pore0� in violetion of the workman'a compensotion Iaws ot cho Stato of Celitomla. �4/�r..� . � I horeby carti(y thaY 1 em praparly Iicansatl ae a cOn[racror untler SQ. FT. �[ y/ � O tha Sm[o of Californla Business end Professions CoGe, Oivisicn 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR Chapmr 9, antl the[ such licenses are In full fOrca antl et}ett, or 1 THE PURPOSE OF ESTABLISHIN A PERMIT FEE ONLV: Q om oxamp� 1�om Me provisions of theStero of Calltornie B�siness VALVAT�ON ontl Protossiona Cotle, Di ision 3, Cf ter 9. �s� � / PERMIT FEE 5 � SIB^o[uro of ,/ Ci��-7z�, ��Q�% � O 11 � m aermktea A S ��✓ PLAN CHECK 5 r/ E I ' �`' /3. S'o ° AuthOrizBtl ABont ,�i TOTA�FEE 5 / l� F � OW. a � y F � W F a 0 � a > r .a a w a °a � a Z S 3 � �� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant ro Fill in Completely — Use Ink Only BVILDING 3 y�f S^�?wY� Gt.�� G. ADDRESS OWNEF �/.�I• �i�..v //.EC/Z�/"-.ri.1� MAIL '� . _ �..r � . _ . �. TEI. CITV � G�,s BRANCM ADDRESS ARCMITEI ADDAESS I' ADDRESS /,�j 4 �+Q S /�/ffti�✓R ,( �v TEL. CITV J �.4J� �� NO.SJ� L C NO. �r' "�Z�` LICVNO.� SIZE / NO.OF BL[ OF LOT ��j' X IG>�� NOW ON LC USE OF �r EXISTING BIDG . %' � /". �2'�.I Separate permits are required for electric, plumbing and heating work. USE OF BUILDING �+ND WORK TO BE PERFOFMED � ��i eioiieo APPLICATION FOR STRUCTURAL PERMIT A.P.NO.� `��-�� BUILDING �.j yO� ADDRESS j TRACT C G / Y y FIRE � ZONE A O BV .� ZO NO.OF G66' °'^rs . VARDSAPPROVED I haraby ecknowlatlpe t�et I heva �eatl thia aDV��eNon anE rtnro Mnt tfie nbova Inio�mntlon ts correct antl apree io eomply w{ffi all lawz repuletlnB bulltlinB connruction, and 1 shall not employ eny paraon In violet�on of Me workman's compansallon lews af Ma Ste<e of Calitorn�a. I heraby eertify that � am properly Ilcensetl as a conirector unda tha Smte of Californ�a B�elnesa antl Profeuions Code, Oivislon 3, Chapmr 9, and thet suc� Iicenzes are in fuil force entl effeet, or I em eaempt from Me Prov�sions ot the State of California Business entl Professionf C j fvisiof� , Chapter 9. SIB�ature oi �C� //� y �_ , y�� Peimittee "�� A✓ «y� Authorizatl ABont R. SIDE �`� L SID � S� REAR � DISTANCE BET. , / �J P T N � ` Ji1..-fi,." CG�s c LOT L� i� BLOCK 10.50 Tl� VALUE �O[rlw. $ ��GROU� z � DATE �� USE OF ` BUILDING��b - VARDS APPROVE� ACCESSORV BUILDING BEf. MAIN & THE AMOUNTSHOWN UNDER VALU iHE PURPO6E OF FSTABLISHING A PERI VALUATION PERMIT FEE E � PLAN CHECK E $ �� O TAX 5 TOTALPAID § n m i m m N OP m .V: � e N n m 0 � u � .� _; Z . a V F- Z Z Q O v~i am J � J V1 Q W 0] J . 0] J Q U N Za W � aw W Z J Q m Z J � W W � _ Z f- w� N � 70 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFOFiNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVEO BV �ATE RECEIVED DATE ISSUED BUILDING ADDRESS PERMIT NO. OWNER A.P. NO. MA�� BVILDING ADORESS ADDRESS TEL TFACT IJ LOT B�OCK CITY NO. CAN5TRUCTION W ADD A E P LENDER BRANCH OWNER ADDRESS VALUE ARCHITECT TEL. 5 $ OR ENGINEER N . FIRE ADDRESS 20NE TVPE GROUP APPROVED CONTRACTOF BV DATE ADDRESS TEL. ZONE NO.OF USE OF NEW CITV NO. P�� BUILDING STATE CITV �'APDSAPPROVED YAFOSAPPFOVED IIC. NO. LIC. NO. MAIN eU1LDING ACCESSORY flUILO1NG SIZE NO.OF BLDGS. IFROM C/ 'S�REETI OF LOT NOW ON LOT FROM FT. FT. USE OF EXISTING BIDG. S E FT. FT. 512E OF NO. OF NEWBLDG. ROOMS STOPIES L.SIDE S FT. FT. EXTERIOR WALL ROOF �� COVERING COVERING REAR FT. FT. USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCE55. BLDGS. P� O �J VAR. # DATE C.U.P.� APPROVED APPROVEO ' �' I hereby acknowledge that I have reatl this aOP�ication and state that the above intormation is correct antl agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of Californla. I hereby certify ffiat I am properly licensetl as a conttactor under SQ. FT. tha State of California BusinesS antl Protessions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF Chapter 9, and [hat such lican5es ere in full fOrce antl eftect, or I THE PURP�E OF ESTABLISHING A PEFMIT FEE ONLY: am exempt from the provision5 of the State of California Business VALUATION antl Professions Cotle, Division 3, Chapter 9. PERMIT FEE S Signature of Permittee $ PLAN CHECK $ Authorizetl Agent TOTAL FEE $