HomeMy WebLinkAbout3437 SANTA CLARA CIR - Building Permits��oF COS7n MESA CONSTRUCTION PERMIT
- Project Address 3437 Santa Clara Cr.
Applicant's Mailing Address 126 Commercial Way, C. M. 9262
Owner's Name Gayle Harbison chone 540-526$
Addreu 3437 Santa Clara Cr , C M_ 92626
Arch/Eng. License No. �
Address
Contracror'sName— C�rank Rmc_� Rt�nfinn Phone SdA—SSFi9
Addreulmailing) 1i6 ('.�mmprrial Wav� f M 99Fi97
Ci�y License Na. 0(1599i' "
LICENSED CONTijACTOR OECLARATION
[� 1 hareby atfirm thal I am IicenSetl untlerprovisionz of Cbarter 9(commentin9
�C wlt� section ]000) of Division 3 ot the Business anE Professions Coae, antl
o my Ilcense is in tull (orce antl eftect. 1 ,��'-� /
. Licansfl Class C-39 y License Nry .,8�[..(,�
WORKERS' COMPENSAT�ION AT10N - \
� I hereDy affirm tnat 1 naGe�a,t i' ate ot mnsent to selbinsure or a certiilcate
ot Workers' Compensation. n rancl, or a certlfietl Copy thereo( ($ecNon
3800; Lab. C�P85362466
Policy No. Company F fllOn TpC� mni t- �
n�.{ Ccrtifietl <opy is hereby furnishetl.
J(.J(Certi ietl op i etl with the city Builtli�!9j� Iy�� or✓ ' //
Date C � qpplicant /-�'"� �/�f slf�
E%EMPT� WORKERS' COMPENSATION OECLARATION
(Thi55¢ction nee not be campletetl if the permit is fOr one h�ntl�etl (§300) o�
less).
I c0rtify (hat in tlt¢ Perfo�mance of the work for which this perm�t Is Issuetl I
Shall not employ any pe�son in any manner'so as to become suGject to t�e
Workers' Compensatlon laws of Califomia.
Da[e Signature
' NOTICE: If, a/ter making-this tleclaration, you shoultl become subject to tne
Worker5' Compensation provisions ot the Labor Cotle, you must lortM1with
comply wi[h such provision5 or this permit shall be tleemetl revok¢tl.
CON5T0.UCTION LENDING AGENCV
I hereby aftirm inat ttlere iz a mnstruction lentling a9ency fo� tite pertormanG¢
oi the wark for which this permit is issuetl (Section 309� Civ. GJ
Lentler'z Name
LentlEr's Atltlress
OWNER BUILDEN dECLARHTION
1 M1ereby affirm that I am ezem0� irom the Cantractor'S License Law for Ihe
following reason (Section 7031.5 8usiness antl Profes5ional Cotle: Any city or
county wnich �equires a Oe�mit to <Onst�uct, aller, improve, tlemoll5h Or repai�
any structure, pdor to ils issuance, also requires tne apo�icant tor such permit
[o til¢ a Si9netl slatement that tte/she is Iicen5e0 pursudnt t0 the provi5ion5 Of
the Contracror's License Law (ChaPter 9(commencing with Section ]000) ot
DiviSion 3 ot the-Business antl Professions Cotle) or that he/she I5 exempt
lhCref�om antl th¢ Dasis for [he allegetl ezemption. Any violation ot $ectlon
7031.5 by any apD�icant tor a permit subjects the applicant to a Civil
�¢nalty of no[ more [han five nuntlretl tlollars (§500).
I, a5 owne� of the property ot my employees with wage5 a5 �h¢Ir sole
compensation, will tlo tne work, antl Ihe structure is not intentletl or ofieretl
for sale (Section 7044, Business antl Professional Cotle: The Con[ractor's
l.iCenSe ldw tloes nOt aOP�Y [o an own¢r Of a p�operty wh0 builtls or ImprOv¢s
thereon, antl who tloes zuch work himselt/hersel( or through hls or h¢r own
employees, providetl tha[ such improvements are not IntenOetl or ofteretl tor
ule. If, however, th¢ builtlin9 or improvement is soltl within one year of com-
pletion, tne ownOr will have the burtl¢n of proving he/She tlitl not builtl or im-
�rova ior the purpo5e of sale).
I, as owner of the proper(y, am exclusively contracting with Iicensatl con-
ttactoRto construGt tlle Oroject (Section ]044, Businez5 antl Profe55ion5 COtlM
The Conlra<[oYs Licenze Law tloes no[ appry to an owne� of P/oPerty who
builtls or Improves thereon, antl who mnVacts tor such projects wilh a con-
Vactor(51 license Du�suant to lhe Contractor'S Lit<nie Law). I am awa�e that
proot Of their Worker's Compensatlon insu�ance shoultl be provitletl t0 me.
❑ I am exempt untler Section B. & P. C. tor thls reason
Date —
I nereDy certi
Information is
antl state laws
sentatives of
InSpeGtian pur�
' Signa[ure _
Driver5' Lic
CMF 0865-4 , v.
— Owner —
I have reatl [his
I agree to comp
to builtling mn
tn enter uod
Y
to /ill in all spaces excepl those within �eavY �ortler lines antl si9n all aOP�oVriale tleclaratlons.
'�NyT)NO.� _v, �// TRACT NO. LOT NO. UNIT NU.
TYPE OFCONSTRUCTION LJ NEW U ADD i'J ALTERATION IJ REPAIR
❑ CONVERSION ❑ DEMOLISH �� res. ; remove flat roof, '4'P' #
DESCRIPTION OF WORK/USE OF BLDG.
a 1 3- 1 fiber lass t s Main Buildi
— E
TVPE OF PERMIT GRAOING FOUNDATION � STRUCTURAL T Front
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL B R¢af
❑ OTHER p'
l S(1(1 OCCUPANCV C Right
PROJECT DESCRIPTION Sc2. FT.�_�._._� —s.}p��e— K
CONSTRUCTIONTVPE re5. VAWATIONSZ:��S'r+"OO g Left
ZONE GRAOINGCV.Y�S. ACRES p�ng.Ref.#
Remarks: Planning Notes:
Sink
Preventer
Irrigation
Clarifiers
Drinking Fountains
Floor Drains
Floor Sinks
GasService 'Outlets
InterceptOrs
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee
$15
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
FirepVFact Blt. ICBO #
Heating System & Ducting
❑ o-i oo,000 eTu O i oo,oao
&!'�!//'�R �/V U � oatrA/'/�/ •/J b �
. or 55�� ' _ Reinspection Fee
10/04 White - Bulltling; Canary - Appllcant; Pink - Accountlng; GoltlenrOd - AssesSor
$15
Showers
Service Sink
Sewer Cap
Sewer Connection .
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Issue Fee
$ 3
Hood or Type I ❑
Canopy Type I I ❑
Refrigeration System
❑0.100,OOOBTU ❑100,OOOBTU
System Rep ir/Alteration
Fire Dampers ��( � � R j
Registers �i1COfT1 �E}0 ���5
Uate �.� - �
Issua Fee $ 3
Automatic Washer
Cons�ruction Pole Sub.
Cooking Unit.
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Gar6age Disposal
Generator �0�5 KW C
Fee
5674 10/21/86 15.50 TL
2one
Accessory Building:
Z
O
N
I
_ . . . . N
G
R
Parking Req./Provided E
Q
M
S
ELECTRICAL .
Transformer .❑ 15�50 KW
❑ 50+KW
Merer ❑up [0 100amps �
Merer ❑over 100 amps
Sub Panel
Motors DO-1 HP � 1'/, � 8
Inc.Solar 09-15 HP �16-15+
Microwave
Pofe Light
Range
FEES
5�15 KW Trash Compactor
{
$15 luue Fae . . $ 3
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building AVProved BY —��
SUMM V O FEES c
BUIL ING PERMI7 g-. /�. n� � SMIP $ . 7 �
PLAN CHECK S �- PERMIT "
PLUMBING � $ � ISSUANCE S
PIAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL $ � GRADING $
PtRNCHECK 50% $ MICFOFILM $�
MECHANICAL $ TOTA�FEE $ �
PLANiHECK 25% $
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector qppROVALS 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, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
17. Property Sewer Line & House Connection 62. 8ackwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final '
13. Roof Drains 64. Plumbing System - Final
' 1�4. 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 #
27. Ducts,-in Structure 70. Underground Hydro
22. Ducts,�Ventilating 71. ProductPiping�Gas ❑Oil
23. Gas Pipe-Rough & Test 72, Underground Flush
24. Roof Framing , 73. Undergrnd.StorageTank �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. Lathin9 & 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 MeterFinal 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
44. Landscape Irrigation System E X P I R E D
45. Sound Attenuation P 8@ IlSpBG IOfIS
46. Handicap Regulations Uate _ $igB
47. FINAL STRUCTURE & BUILDING �
48. Special Requirements Completed �
49. Electric Release to Edison ,
50. Gas Release to Southern California Gas Co �`
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER HELTZER ENTERPRISES-COSTA MESA DATE q_26-69
JOB ADDRE55 3437 Santa Clara Circle BUILDING PERMIT N0. 30912
No. - LOT 57 TRACT
GAS
DUP 1 A J TYPE
SUBCONTRACTOR
ROUGH PWMBING
PROP. SWR. LINE HOUSE CON.
ROUGH HEATING AND qIR CONDITIONING
TEMPORARV SERVIC� OR POLE
UNDERGROUN� � POWER �
ROUGH WIRING
FLOOR SVSTEM ' /�,(� <��2/-]O
BONO BEAM � S7EEL REINFORCE � � �
SHEATHING q �6� �j �, ��
FRAME ANO FLASHING rl/�Y/-fa
— IN �I OIIT
IG. AND A.C., FINAL
GAS TEST n
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
1�Y 12-6����� 449 106.50
CNSA � �**
APPLICATION FOR BUILDING PERMIT
ForApplican[ to Fill in Complefely RECE ED V 9�} TE RE EIV DATE ISSUED
ADIDRESS 3437 Santa Clara Circle `%�' -b SEP 2 G 1969
Heltzer Enter rises-Costa Mesa PERMI'6�N01/�
OWNER P A.P. NO. ''l.lil � /
MAIL BUILOING L �-y
ADDRESS �40 N. La Brea Ave. nooRess i
CITV L.A. Cal . No ' 937-2171 TRACT 6635 LOT 5 BLOCK
CONSTRUCiION United California Bank
LENDER
eanNCH ,Main Office
ADDRESS 6th and Spring� L.A. OWNER
ARCHITECT TEL. S � VALV$ /(7 I] �l�iJ
a oc
OR ENGINEER
FIRE ' / �
ADDRESS 20NE TVPE v GROUP
APPROVED
CONTRACTOR eV DATE
ADDRESS
TE�. ZONE NO.OF USE OF NEW S ng e 8.
PLAf�15 BUILDING r
CITY NO.
STATE CITV 1707 YARDSAPPROVED VARDSAPPROVED
IIC. NO. �LOIO9H LIC. NO. MAIN BUILDING ACCESSORV BUILDING
512E NO.OF BLDGS. (FROM C/LSTREET)
OF l0T NOW ON LOT ONT FT. FT.
VSE OF /
EXISTING BLOG. FT
SIZE OF NO. OF /
NEWBLDG. ROOMS STORIES L.SIDE v'FT. FT.
EXTEHIOR WALL ROOF
COVERING COVERING REAF PT. FT.
USE OF BUILDING ANO WORK TO BE PERFORMEO OI5TANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BIDGS.
Residence with attached garage vAR.# oare
C.U.P.# APPROVED
Plan No.401 APPROVED �D
I heraby acknowletlpe that I have reatl thls appllcailon entl ftero
thet tha ebove informetion Is correct antl apree to eomply wlth X
ell tewa .epuleNnp buildlnB eo^enueNon, end t shall not employ �/ //��
any parwn In violetlan of the workmen's com0encetion lewe of �7
t�e State of Celifornla. . �
I hereby cartify thet I am properly Ilcen�etl aa a contractor under SQ. GT. o
the Steta of Californle Buainess end Profeasione Cotla, Division 3, THE AMOUNT SH WN UNDER VALUATION IS FOR a
Cheptar 9, entl that �uch Iicanaea era In full forca antl effact, ar I TNE PURPOSE OF ESTABLISHING A PERMIT FEE ON�V: Q
am exempt from Me Orovisiona ot the Smte of Calitornla Bualness VALVATION � �
ana Profassione Cotle, DI slon 3, C or 9. � N
PE MIT FEE 5 ]
Sipnetura of /� ^ .�^ L ��%
K! m
Permlttea $�y�----/--�-- �C ECK $ / U E
i U p �V o
Authorixatl Apant � �� r3 � LL
TOTAL FEE $