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Home My WebLink About1068 SANTA CRUZ CIR - Building Permits CITY OF COSTA MESA ,S�a'*, BUILDING DIVISION Nr? `1. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.uS F r .:....: 4. l. FOR INSPECTIONS CALL: (714)754-5626 ""^^eeim�� PERMIT NUMBER: B08-00247 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 41206121 DATE ISSUED: 08/29/2008 ISSUED BY: RMD JOB ADDRESS: 1068 SANTA CRUZ CI CM Suite/Unit: Vicinity: HOUSE AND GARAGE Squares: 1500 - - Valuation: $8,823.00 SCOPE OF WORK: TEAR OFF(E)ROOF MATERIALS, INSTALL 3"ISSO INSULATION BOARD(UL 3240), INSTALL 28#BASE SHEET, 1 LAYERS OF 11#FELT,72#CAP SHEET 4 PLY ROOF ON AN ATTACHED HOUSE AND GARAGE,APPROX 1500 SF. OWNER: MARZOLINO,JOHN M , Address: 1068 SANTA CRUZ CIR Unit: PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: WATKINS;EDWARD E'.a;' j Address: Unit: PHONE: 949-361-9555 ` City/State/Zip: CONTRACTOR: AERO-THERM CONSTRUCTION INC License No. 393321 Address: 289 LILAC LNUnit:' PHONE: 714-966-8303 City/State/Zip: COSTA MESA, CA 92627 CELL: ARCHITECT: - License No. PHONE: ENGINEER: License No. PHONE: • FEE SUMMARY • Reroof Plan Check: .-;$0.00 Reroof Permit Fee: $167.25 • Reinspection Fee: $0.00 TOTAL FEES $167.25 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. SOPS I INSPECTION TYPE DATE IN1mAt. CODE I INSPECTION TYPE p INTMALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1288 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof y— S — PJ . 210 Final Electrical 201 Final Block/Retaining Wall 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 WORKERS'COMPENSATION DECLARATION. Owner ID verified by dri ense. 0 Yes 0 No '~ - I hereby affirm after penalty of perjury one of the following declarations: Driver's License No. Expires: O I hA and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by.section.8700 of the Labor Code, for the performance of the work for whidh this permit is issued. 0 I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ^.- permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: ,/ rape person is required to descend,will be made in connection with work authorized Carrier: ' ATAt G1�rt fi& titfiec/ /Ns tt ANCE by this permit,and that no building structure,scaffdding,falsework,or demolition (This section need nal be completed dthe permit is valued at one hundred dollars($t00)m less.) or dismantling thereof,will be more than thirty-six(36)feel high.(Chap.3.2,Grp j 17 Z y y _ �� 2.An 2,Sec.341,Title 8,California Administrative Code). Policy Number: ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor Code.I shall forthwith comply with these provisions. (Ad4 A c #(49)(044 cf,Zt_G Division of Industrial Safety Permit Number: AppliWnt's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑ No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.it 3 T??" I Class N l 3i (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 Contractor's Signature Dale 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which ttis permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feel from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). O I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No (hereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air i polluton employees, provided that such improvements are not intended or offered for . sale. If, however, the building or improvement is sold within one year of control officer). completion. the owner-builder will have the burden of proving that he or she •CERTIFICATE OF COMPLIANCE:I certify that under penalty off-perjury the did not build or improve for purpose,of sale.). , information given aboveis correct. I agree to comply with all state laws and city ordinances regarding Hazardous,Materials and Emissions: 0 I, as owner of the property. 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 Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 I am exempt under sec. _ the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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. • Signature of Legal Owner(s) /Dale Signature Date 1'i c"'r/cc/vJir`-_ _[r �/ cr 3057.46(3/07) And/or Authorized Ap ,_cant 'Date CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. 6638 DATE NOV. 16 , 1970 LOT NO. 20 ADDRESS 1068 Santa Cruz 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-she-they) Lloyd R.Parsons(was or were) Margit L.Parsonel that this tract has not been given final inspection nor has 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. JLh er BY 2,7 ,'a RECEIVED Developer and/or authorized representative BUILDING SAFETY DEPT. NOV 23 1970 BY AM PM Lender .T,si9,ID,11,12,112,344:0 OWNER HEILPZER ENTERPRISES - C. M. DATE 9_26-69 JOB ADDRESS 1068 Santa Cruz C' le BUILI"`IG PERMIT NO. 30875 GENERAL CONTRACTOR Same DESCRIPTION of WORK _ .idence W/Attached Garage AP No. - . LOT 20 TRACT 6638 FIRE ZONE VALUE $29,563.00 INSPECTIONS Stiriature Date GROUP I & J TYPE , ZONE R-1 SOIL /(2)$ 4 -I-Z49 PERMITS ISS ED GAS SUBCONTRACTOR Date Number Signature WATER t4 QikSji1�7" PI mbin• ROUGH PLU/MBING VII/ iiiS G -1 –76 11•//i/{�,�]]• , '/ /, . - .9-�'7 O [22p c PROP. SWR. LINE HOUSE CON. W MS676-7e, / ire.. , _ay:7r ,-, ._ -i- / :' .� SPRINKLING SYSTEM / MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING Anc&-`j,:70 TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER f / LL // ROUGH WIRING / '.Aff H/'12c „ Heating an Vent. TRENCHES I FORMS STEEL REINF. w ��0--so (g-y-7o A (v ' tr'J/ 0 7,04'#' FLOOR SYSTEM ,�.a^o </-Ij-To f/• Z,n ea-/ 7l — BOND BEAM n STEEL REINFORCE n / , SHEATHING y( 4.„7„.,, FRAME AND FLArSyHHING !e `//r/',0 LATHING - IN PLASTER, BROWN COAT OUT -6"rill° STRUCTURAL, FINAL � � , le .i HEATING, VENT., REFRIG. AND-Alte.A �rv;>AL /�.� q--2-7 —..70�1O •.f_f /. c ' . .-,�- D_ . 1/#.3 — PLUMBING, FINAL AND GAS TEST I^n ��-9V ELECTRIC, FINAL . P_Zn e BUILDING, FINAL / N-/D-TO It 30875 PAID I;ov 12-6961100 411* ***152.25 1 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIV By DATy�2jREcc,Ely DATE !SS BUILDING 1068 Santa Cruz Circle , / "7 ..19-#• SEP 2 ADDRESS OWNER Heltzer Enterprises-Costa Mesa PER MITWIS. A.P. NO. �:VU75 MAIL BUILDING p� //� ADDRESS 740 No. La Brea Ave. 21 ADDRESS /r/ G(r 0 W W TEL. 93732171 TRACT 6638 LOT2 BLOCK a U CITY L.A. Cal . NO. F Z NEW ( I ( Z a LENsrRucnoHnited California Bank ADD ALTER REPAIR MOVING OFMOLISH ✓/ll1 LENDER ON a m Main Office J D BRANCH —ito OWNER �' < U.I ADDRESS 6th and Spring, L.A.co—I VALUE . Q OR ENGINEER ese .1 -03 ARCHITECTFrank Gonzales NOL• 532- 687 USE $o2 1,S�' N /� W 2 ADDRESS 1336 E . Chapman Ave. ,Orange,Ca. ZONE TYPE GROUP � , a W APPROVED W Z CONTRACTOR George J. Heltzer & Assocs . BY DATE 03 Z Same as Above JCC ADDRESS ZONE NO.OF USE OF NEW Single F.....W W =i TEL PLANS BUILDING z 1— CITY NO. Rl. 2 Res. w/att. e:r. W O STATE CITY YARDS APPROVED YARDS APPROVED to CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D 0 (FROM Cil TREET1 SIZENO.OF BLDGS. OF LOT I NOW ON LOT FRONT FT. FT. USE OF L/_ EXISTING BLDG. R SIDE 1-�F//T. FT. F' SIZE OF NO.OF Y" Z NEW BLDG. ROOMS STORIES L.SIDE 8• FT. _ E...) FT. a. EXTERIOR WALL. ROOF _ COVERING COVERING REAR q' .FvT. FT . J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 C- MAIN BLOCS. ACCESS BLOCS. VAR.* DATE a0 Residence with�1 attached garage C U.P.# APPROVED V) Plan 494 (d� _PROVED WLD �1 DATE io/6 76 0 UI 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 I— any person in violation of the workman's compensation laws of /y/� //r7 0 y7 Eq the State of California. Z I hereby certify that I am properly licensed as a contractor under re SO. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, end that such licenses are In full force and effect,or I THE PURPcSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the provisions of the State of California Businessa: VALUATION r and Professions Code, Division 3,Ch ter 9. //c.J Q 'o PE MIT FEE $ /'S D Signature of r7 d m Permittee PLAN CH 6K $ S-i/� E /0iq o Authorized Agent c 3V x -_-=,7;(53 J TOTAL FEE $