HomeMy WebLinkAbout3413 SANTA CLARA CIR - Building Permitss,-•
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CLARA CIR
COSTA MESA, CA 92626
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�,��� PRIMO ROOF'ING ( 714 ) 841-4456
ca+m�croas�uuxo 17066 PALMDALE ST
��� HUNTINGTON BEACH CA ���, J31120
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LJCENSED COMNACTOHS DECIAF�TION: I henby � m under penetly d perjury ihet I un IinmeE uMm pwidav ol Cheqr 9
(cwnmanrirp wqh Section )W0) d Oiviaion � d Ilq Binirwm erM PMeceiana Cade, end m ticeme u in tu0laca xM Woq.
cmuc.No.:007639 uacuss:C-39 uc.No.:3311�0 E�{P 03/97
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OWNEN BUILDEF OECIAPATON: I MreEy dfrm uMar psaly d perjiry �hel I em q han iM Comreaon lbenea lrw ta Ne
Idbwiq raeaon (Sedbn 90.t1.5 Busrosa vN Prolepions COCe: Airy GY a countY �� �Vu'vea e pa�mil to cauhucY. ellar.'unprow.
Mmoluh, a ropv vry n�uctu'e, pv m da ewenq, a6c rpuim iM appliau 1> such pertM lo fib e sipwd Mteme�a thn M a�he
u FmmaA pumu�l to �he pvnmana d the CaM�dy� �icanae lew �CAeqa 9(�m�q �h Setlun ]000) d Umion � d ih
Buavwn eM Prdev'vn Codel a RW he a sha 6 examq tMehom end tM Emu la Ihe a0eped axsmpion. My vitlmion d SWnn
]031.5 by eiry epp6wil la a permX whjem the e�iraN lo a rixl pw�My d ml mas �Iw� Me hundleE EOAv� jS50pp.
� I. m owror W Ihe D�GeM ar mY emVM�+ Mt� we0m ec thei vob mmD�wion. xiA do tha Mak. eM Ne etructu�e e�wl iMeMW
a dlmedtor veb (Se lion )ou.8ueirou eM Prdmdwn Cotls: The Cammeae licenae lew dros na ewN�o enowner d popany
wM diiM w inpwse ihaeon. end who do4 suM xak IimWl a Mnel u WouW he or Mr own emN^Yw�. pw'ided iM wM
impmxnena e�a nd imeMeE a allsad lor �y, tl. lwwwar. tM buiNi�q a inpweineN e wtl wi1Nn ons Ysv d mmpMon. Ns
owMr-0uJder xill heve IM buiden d pwiip M w eM dtl M WiN a impws 1> IM qvpwa d aeb�.
� I, m axner d Ihe papeM. ��a�h �nlreainp wilh lioenaed convectae ro crostrua ihe pqea (Seaion ]w,, &ninma end
Pmlwiare Code: The Conlredon Licensa lew tloas M epply lo en owner d prapeny who Wilde a impoves Ihereon uM Mw
conlrMs /a wN O�q�a wnh e mnlrador(e) IceneaE W��� �o Ihe Conlredore Umme law).
� I em uamq uMer Sxtion: 8. 8 P.C.. M ihu reemn:
Date: Orme�:
1 do MrtM rorM' MN 1 am ewereW enE uMe(s�end the re9u'vemaMa d CeKanu Hsetlh vd SehiY Code Ss1bn� 2Si05. 2S5.tt. mM
255J�. end Nq I a enY hnive buiNuq ooaP�t x`itl / wa m� (a�cb ons) need io camNY wi� uid dete codes eM tM n0uinm�nb br
e psma IpmeutruNiana modCrelion6m�IMAi�y�g0mwtl pvlriy. Rapdptlal mrW�WWun appiratam se ypnq hdn Nw
a�.
Dma: Appi�am:
WOPKER'S COYPp14�T10N DEC WIATION: I ryyapy Nfum wAs psxpy d prp�y ans d Ihs b0ow'vq ddanioro:
� IhmeMrilmeintenecanL'cNadmumtlovaLu�mabMwken'compweetion.ropo+dsdlvhySnion�]OpdtMLeEar
coa.. i« m. c.n�. a u..m� �« wra� �w v� e w�.e.
yf] � n....nd Mi� meim.n..oMert� mmre�� i�w,e�a. e� rca��a M seaion alao a un Leba coa. k, in. w��o. a �ne
wani �« �d� iks p«mu e issuee. My waken�n�nw�m imurerca w�br rd pd�cy numbar rs: E X P I R E S
c'm°` 11 / 01 / 9 7
Pdiry Number:
(Thia eecfbn need nd be romplered / the pelm! A Ia aro hvMred dolWa �51001 a Isaf.)
� I cenAy Ihel in ihe parlormence d iM wak In whch ihu parmn la iaeueE, I ehell iwl employ eiry panm in vry menns eo n �o
pecwne wbjetl lo �M wakre' canpemelon lewe d Ce4lwnu. ud epma Nm R I ehouM bew e`s ��o tM norken'
compe/nulion peovieom d Setlian 9JW d tM labar Code. I Mell lo � wmpy wbh iho rav' i m.
Dme:,( � �� '�� Aod' �:
W�minp: RNun ro s�cun roA�ri rompauaVon rov�rep� l� unl�wNl. �nE �HII �6N N�Ploysr ro cr/MrW p�n�ltlu uM
dvN flnu �q ro om MnErM ttn�uM tlo1W� (JfOqPWA In M1ldon ro tln cwl o/ mmpwu�tbM1 tlamepu u provWM lor In
Sectlon 9�06 oI1M 1�60� COW. IM�rw4 ene attormY�� Isu
CONSTtiUCf10N LENDINO AGENCY: I hereby elfirm uMer penetly d perjury tAm tMee u e oonsvwion 4M'vq epanry br iM
pe�lwmerce d iM wak la wM1itl� I�e pamiY b'oqued (Smion �oB]. C'v. CI.
LENDEN'S NAME:
LENOEP'S ADDFE55:
1 ceNity ihn I Mve rtM ino epqice�ion end 9ma �rym ryie ebove iMamdion u cortacl. I pma �o mmply xnh ell tlry W m�vXy W'vwicw
eM etms lews nbtip io buik'ep connrumon aM haraby eNharrta ropevemativee d ihc tly ro enbr upon Ihe ebwe�memioned popMy
'«'"°°°"'°"°"`D°'°°TOM LIEBHERR
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C]TY OF CUS7'A MESA — HUILDING PERMIT
PERMIT NO: B 080421 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
,PERM NO: B 000421
/
GOVT: N SUPP: bl
PURPOSE: UTH
JOB DESCRIPTION : T/OFF RESHEATH ; COVER W/25YR F/G CUMP SQ FT; 2,446
CLAIM VALUE: 2,446.00 CALC—VALUE: 2,446.00 GROUP OCC: R-3 /
COMMENTS: RESIDENTIAL REROOF/ SMOKE DETECTORS REQUIRED PER 1994 UBC
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Z 0 N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- -------- ACCESSORY DUILDING ---------
FRNT: FT' IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: F1' IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ; PROV; PARCEL: 41206310 ZNE: REF NO:
PLANNING NUTES>
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D E V E�.L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY .
HUILDING APPROVED BY ;
APPLICATION IS5UEU BY:
fE ififit iE IE 1E 1E �f iF 1f 3E 1E fE iE 1E iE !f if iE iE if
LEGALIZATION:N
F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 74.75
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 75.25 0.00 0.00
DATE:
DATE:
^ DATE: ��'�.3�
��1EiEiEi6lEiFiffEiEfE�� iEaE
STRUCTURAL SEGMENT:Y
FZRE SMIP/RES GRADING
50
SMIP/IJON—RES
TOTAL PAID DUE
75,25 75.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 75,25 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
74.75 ,50
IE If iElE iE IE ik fE iE if 1Elf !f 1E 1E 1k 1E 3E iF iE 1E If IE jf iE if iE 3E if 1E 1k ik if if 1E iklElE iE 9E iF IE 1E iE iE iE fE 1E iE IE 1E �E fklE iE 1E iE iE IE iE iE If if iE if if iE if iE 3f iE k if iE �E fE 1Elf k
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2446 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 2,446.00
END OF FEES
01 �p21907�-002I9D71 T Q T 74,y5
OATE: 11I13/9S TIt1E: 12:19
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�►• CONSTRUCTION AND PLANNING � POOL & SPA
APPROVALS Permit # - Date Inspector APPROVAIS Permit # � Date Inspector
7. Temporary Electrical Service or Pole 52. Pool & Equipment Locatiorj �
,
2. Soil Pipe�Undrgrnd. � 53. Steel fteinforcement • �
3. Elearical Conduit Utility-Undrg7rtd. 54. Porms �:
4. Electrical ConduibUndrgrnd. 55. Electriwl Bonding -.� �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE �
�=
7. Footings 58. Electricai Conduit-UndrgrnC. ��•
B. Foundation 59. Gas Pipe, O Undrgrnd., Tesi '
9. Water Pipe�Undrgmd. , 60. Backwash �ines, P-Trap, � Undrgmd.
70. Structural Floor SYstem ,�• 61. APPROVAL TO DECK '�
17. Property Sewer Line & House Cormection 62. Backwash & ReceptorFinal-�
�2• SQ''�e� Cap � � 63. Heater & Vent�Finai �
13. Roof Drains ' • 64. Plumbing System � Final . "
74. RoughPiumbing -� � 65. Electrica6Final ! .
15. Rough Electrical-Condutc 7 66. Solar System�Final /���i �
76. iiough Electric Wiring _ 67. Fencing & Access ApPrdval :
17. Rough Wiring Si9^ 68. APPROVED FOR PLASTERING ."
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace APPROVALS Permit #
21. Ouas, in Struccure 70. Underground Hydro
22. Ducts, Ventilating �1. Produa Pipin� C Gas ❑ Oil
23. Gas Pipe-Rough & Test 7z, Underground Flush
24, Roof Framing �" 73. Undergmd.StorageTank OGas ❑Oil
25. Roof Sheathi�g /�-/y �6 /(yy- 74. Overhead Hydro
v�
26. T�Bar Celling (Structurai) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Ory Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PflEV. 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: 1
34. Final Heating & Air Conditioning �t `LSI �C (�,f(�,y-C�O� �n�•
!
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 pomestio-Pinal
42. Backflow Preventer
43. Backflow Irrigation _ .
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STFUCTURE & BUILDING I,�� ,
48. FINAL P�ANNING
49. Electrie Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
OWNER HELTZER ENTERPRISE:
JOB ADDRESS 3413 Santa ClF
GENERAL CONTRACTOR Same
AP No. LOT 63
INSPECTIONS
SOIL
GAS
W ATER K9 N7 S�!J �Jf�
ROUGH PLUMBING
PROP. $WR. LINE HOUSE CON.
SPRINKIING SVSTEM
MISCELLANEOUS
ROUGH HEFTING AND AIR CONOITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND � POWER �
ROUGH WIRING
TRENCNES �J FORMS � STEEL REINF.
FLOOR SVSTEM
BOND BEAM �J STEEL REINFORCE n
SHEATHING
FRAME ANO FLFSHING
LATHING - IN � OUT .�Q
PLASTER, BROWN COAT
STRUCTURAL, FINAL
MEATING, VENT., REFRIG. AN� A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
BWLOING. FINAL
DATE
BUILDING PERMIi
SUBCONTRACTOR
'�"� 309 � �
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. eOX 7200 COSTA MESA. CALIFORNIA 92626
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PA10
�iW 1?_-69�„SpOO' 455# TM�� 152.25
APPLICATION FOR BUILDING PERMIT
ForApplicant to Fillin Completely qEGEIV o e a EIVPE DATE ISSUED
BUILDING 3413 Santa Clara Circle ��yv SEP�2 6 1969
ADDRESS
Heltzer Enter rises-Costa Mesa �— PERM;T.MO.
OWNER P A.P. NO. �,)�'� I
BUI IDING
MAIL 740 N. La BT28 AV2. ADDflESS � yj� � ,v
ADDRESS
cirv L.A. Calif. No`937- 171 TRACT 6638 �oT 63 e�ocK
con�srRucrioN United California Bank W
LENDER
Main Office
BRANCH
6th and Spring OWNER
ADDPESS VAWE h � ��
ARCHITECT F. Gonzales rE�.5326878 5 $�[ �alo
OR ENGINEER
1336 E. Cha man Ave. Oran e Ca FIRE �!
ADDRE55 P � g� Z�NE TVPE GROUP
CONTRACTOF
George J. Heltzer Ft ASSOCS. ByPROVED DATE
ADDRESS S3lile' aS above
TEL. ZONE NO.OF USE OF NEW ng
CITV NO. P�� '1 BUILOING �B � gtt.G T
STATE •LOlO(�a CITV 1707 YARDSAPPROVED YAqDSAPPROVED
LIC. NO. �IC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FROM C/L STREET)
OF�OT NOWONLOT FROM bFT. FT.
USE OF /
E%ISTING BLDG. F7,
SI2E OF NO. OF
NEW BLDG. ROOMS STORIES 1.51DE �' FT FT.
EXTERIOR WA4L ROOF
COVERING COVERING REAR FT. FT.
USE OF BUILO�NG AND WORK TO BE PERFORMED DIS7ANCE BET. BET. MAIN &
MAIN BLOGS. ACCESS. BLDGS.
Residence with attached garage VAR.3i'+ DATE
C.U.P.qW qPPROVED
Plan No. 48� yQ� AR'ROVED �D
I hereby acknOwlatlBa thet I �eve reatl thia epplication antl ztate
thet tha above ���ormation is corr0cl anE eprea to comply wi[h
all lews re8ulatlnB builtlin9 constructlon, entl i shall not employ �7 .�
eny person in ��olation of tha workmen's compenzaHon laws of � G' �S
Ma Sta[e of Cn�ilomie. m
b
1 hereby carUfy t�at I em properly licansatl as a eontractor untlor SQ. FT. o
the Smta of Ca��fornin Business antl Profevlons Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapror 9, nntl �ho[ suth Iicen583 ere In tull forca entl affect, or I THE PURPp6E OF ESTABLISHING A PEFMR FEE ON�V: Q
am axampt from tho prov(sions of Ne State of Catifornia Businecs VALUATION
entl Professlons Cotle, Div Ion 3, Cho tar 9. r
PERMIT FEE 5 " ]
Slpnotura of �Qd ��j m
Permlttee S � PLAN CHECK 5 �� —' " E
Au[horizatl ApO�t �L/ �3� � /33. E vs — LL
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERM�T
For Applicant to Fill in Completely
RECEIVED BV DATE RECEIVED DATE ISSUED
BUILDING -
ADDRE55 (,
PEflM1T NO.
OWNER A.P. NO.
MAIL BUILDING
AODRESS /+ODRESS
TEL. TRACT LOT BLOCK
CITV NO.
CANSTRUCfION W A A P
LENDEF
BRANCH
OWNER
ADDRE55 VA�UE
ARCNITECT TEL. SE g
OF ENGINEER
FIFE
ADDRESS 20NE TVPE GROUP
APPfiOVED -
GONTRACTOR BV DATE
ADDRESS
TEL. ZONE NO.OF USE Of NEW
4�TV NO. P�� BUILDING
STATE CITV VARDSAPPROVED VAR�SAPPROVED
�IC. N�. UC. NO. MAIN BVILDING ACCESSORY BUILDING
51ZE NO.OF BLOCS. (FROM C/L STREET)
pF LOT NOW ON LOT RONT FT. FT.
USE OF
�XISTING BLDG. $ FT. FT.
$IZE OF NO. OF �
NEWBLDG. POOMS STORIES L.SIDE FT. FT.
�MERIOR WALL ROOF
COVERING COVERING REAR FT. FT.
USE OF BUILDING AND WORK TO BE PEFFORMED DISfANCE BET. BEf. MAIN &
MAIN BLOGS. ACCESS. BLDGS.
O � VAR. aY-` DATE
C.U.P.� APPAOVED
APPROVED T
(i
� hereby ecknowletlga that I have reatl this aOP��cetbn antl sWte
ihat ihe above i�to�metion is correct and aB�ee to comply with
all laws regulatin8 builtling connrucrion, antl I shell not employ
a�V Person in violation of the workmen'S coTpensation laws ot
ihe State ot California.
� hereby certify chat I em properly litensetl as a tontractor untler SQ. FT.
the Stete of California Businest end Profauions Cotlo, Oivlsicn 3, THE AMOUNT SHOWN UNDER VAIVATION IS FOR
Chopter 9, antl t�et such licenses are In tull forca antl effect, or I THE PURPOSE OF ESTABLISHING �+ PEflM1T FEE ONLV:
am exempt irom the D�o��sions ot tha Stete of Californla Buslness yA�UATION
a�tl Protesslons Cotle, Oivision 3, CheDier 9.
PERMIT FEE §
SIB^ature of
Parminee 5 PLAN CHECK $
Auihorized Apent TOTAL FEE $
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