HomeMy WebLinkAbout1074 SANTA CRUZ CIR - Building Permits 1 41$ CITY OF COSTA MESA
66 BUILDING DIVISION
>4y PERMIT NUMBER
,.;,,. �r DEVELOPMENT SERVICES DEPARTMENT
f t 7.� .
," PERMIT
4# P02-00018
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 1074 SANTA CRUZ CI Status: ISSUED
Suite No Applied: 01/03/2002
Issued: 01/03/2002
Vicinity: `
Parcel Nunmber: 41206122 ISSUED BY: i J
Applicant: NOCK, RON
Address: 11612 KNOTT ST
SUITE 17 Phone: 714-895-1246
GARDEN GROVE,CA Zip: 92841
Owner: COCHRANE, JOHN RICHARD TR
Address 1074 SANTA CRUZ CIR
Phone: '
COSTA MESA,CA Zip: 92626 •ci I'i
Contractor: NOCK PLUMBING
•
Address: 11612 KNOTT ST 0
Phone: (714)895-1246 ,
GARDEN GROVE,CA Zip: 92841
License: 707775
Arch / Eng:
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
WATER HEATER CHANGE OUT.
• FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 - Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer - $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal , $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00' 0
Gas(1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER -$0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease, Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $35.80
COMMENTS/SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
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.
FOR INSPECTIONS CALL: (714)754-5626
•
2446.46 WOO) .
DECLARATIONS I
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to sell-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
,. work for which this permit is issued.
Id' 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 permit Is Issued.
My workers'compensation Insur ce carrier and policy number are:
Carrier: 1 / / Policy Number: /--'00-1•1( / Jay 452
(This section need not tie completed i the permit is valued at one hundred dollars($100)or less.)
•
❑ I certify that in the performance of 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'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: ER6'fArt Date:
WARNING:FAILURE TO SECURE WORK PENSATION COVERAGE IS UNLAWFUL AND SHALL EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED
THOUSAND DOLLARE(S1 W,WO),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provis'ons.DtQhan4e'ommencing with Section 7000)of Division 3 of the Business and Pro(9ssioajCe,,and my license is in full
force and effect.Lie.# / / // Class#
C�
Contractor's Signature: a Date: / '— c7 'o J
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that i . stfUCyon ng agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: C/ / Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penally of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she 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 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).):
O I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within ono year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
O 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 property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
O I am exempt under sec.' .. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 1,0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has e
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California 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 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 temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management end Prevention Program for acutely hazardous materials)?
❑Yes 0N
(Section 25534 of the California Health and Safety Code provides that the 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.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code).
7 If a permit from the South Coast Air(Duality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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.
Sign f Legal Owner(s) D, _v
7
And/Or Authorized Date
EWE 1 INSPECTION TYPE PATE INTIIUL5 CODE( INSPECTION TYPE DATE =ALE
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing B0-010_ rl-S- �
200 Final Re-Roof 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
CITY OF COSTA MESA
fut
wIL:,Q BUILDING DIVISION
t77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
• 4ro.. 044-- FOR INSPECTIONS CALL:(714)754-5626
PERMIT NUMBER: M09-00026
PERMIT TYPE MECH STATUS: ISSUED
APN: 41206122 DATE ISSUED: 03/19/2009
ISSUED BY: KJB
JOB ADDRESS: 1074 SANTA CRUZ CI CM Suite/Unit:
Vicinity:
SQ. FT: 0
SCOPE OF WORK: FURNACE CHANGE OUT FOR SFR. NO RELOCATION OR NC ADDITION.
OWNER: COCHRANE,JOHN RICHARD TR Address: 1074 SANTA CRUZ CIR Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: JACOBY, ERIC Address: Unit: .
PHONE: City/State/zZip:
CONTRACTOR: SERVICE CHAMPIONS License No. 799170 09-00U26
Address: 22911 SAVI RANCH PKWYUnit: PHONE: 714-777-7777
City/State: YORBA LINDA,CA ZipCode: 92887 CELL:
•=2
MECHANICAL PERMIT FEE SUMMARY
MECH ITEM FEE: $38.30
PLAN CHECK FEE: $0.00
INVESTIGATION FEE: $0.00
REINSPECTION FEE: $0.00
Cr
TOTAL FEES: $38.30
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.
coDE s, INSPECTION TYPEq/yg PIMPLE CODE[ INSPEC110N TYPE }� Mag INTmAI
1616 Fixed System Final Fire Prevention 206 Final Mechanical 'rte)7-Oct R
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory l=ire 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 drivers license. ❑Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have 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 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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: person is quand to no descend,ngl tr made in connection with work authorizedm
by this permit,and that no building structure,scaffolding falsework,a demolition
or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp
(This section need the compeeled tithe pennt is valuedat one hundred donars(S100)or less.)
2,Art 2,Sec.341,Title 8,California Administrative Code).
PQaca...:..-tee(; C.zrf°gn Efr n '(9 7 s-a
❑ 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
T Applicant's Signature Date
the L Code,I shall \ hwith comp)$with these provisions3 . 5D�/
�
-3//
Division of Industrial Safety Permit Number:
• •••l. '•�• :w7e I�J1/ l D (!!!-`l g HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILUR: •e 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 0 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 ffulforce and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
/ . CI a 7_ 0 (Section 25533 of the California Health and Safety Code, with some
i exceptions, requires registration with the Costa Mesa Fire Department by
<u..• / 1 d g each business which at any one time has on hand a quantity of acutely
".tlL si., • e - Date `� hazardous materials equal to or greater than a weight of 500 pounds, or a
( volume of 55 gallons, or 200 cubic feel of compressed gas at standard
CONSTRUCTION LENDIN AGENCY: temperature and pressure).
El 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 this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑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? ❑Yes ❑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? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California 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 pan 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 feet 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).
❑ 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 Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑No
thereon,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 pollution
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 of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
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
❑ 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.
g Signature Of Legal Owner(4) / Date /a
Signature Date 21 • ` A. r;
3057-46(3/071 utuopree April tit
r
•co
�, Ia�J' „
_ ro Twining Laboratories o/ sL'tLtfiEZ22 eL��f�,;,2LR, �,_c.
`�2 ' Al- RO BOY 49 . 3310 AIR'ORT WAY . LONG BEACH. CALIF 00801 . ,213; 4263355 . 1713) b36-2JBe • 17(4) 828-6432
EOANC•• nr=.CES
TESTING a .c v,.o.•s:.... t
�'—a, m..-0.,• .:..,9n•nq
se •e A-e Ca.b•..a 4]101 , 3oss x.aA
o'ac ...P O Bo.41
n•1 53F 7145 ��t 1 _enh ceL: 4001 (x1]1 c16?38e
.
November 29, 1971 Examination:
SC71-677444
COMPRESSION TESTS ON , GUNITE CYLINDERS c /7
Jos. M. Henley
1973 Newport Blvd.
Costa Mesa, California 92627
PROJECT 11 ' x 32' Swim Pool for H. KLEIN
ADDRESS 1074 Santa Cruz, Costa Mesa
SAMPLE FROM #1 : Bottom Deep-end #2: Side wall Deep-end
#3: Bond Beam Deep-end
ARCHITECT CONTRACTOR
ENOINEER EUECON eali An Pools
Farrel T. Miles Century Gunite
SPECIFIED
MIX 4.0 Sack - 1 ton STRENGTH 2,000 psi
BI : 5-1/2"x12-1/4"
DATE CAST 11-18-71 SIZE: #2: 5-1/211x12-1/4"
DATE TESTED #3: 5-3/8"x12-1/2"
11 -25-71 11-25-71 11-25-71
CYLINDER NO. 2 4 "HOLD"3 5 "HOLD"
COMPRESSION 6 "HOLD"
7 Days 7 Days 7 Days
TOTAL LOAD, LES. 64,00o 45,000
54,500
POUNDS PER SQ, IN. 2,694 1 ,895 2,402
COMPLIANCE
7-Day test complies with specifications .
MADE RV DELIVERED IV RECEIVED ON
CYLINDERSJos M. Henley
. Jos. M.
Henley11-19-71
DIETRIEUTION: G,- r/1— / BUILDING SAFETY DEPT.EPT.
Costa Mesa Bldg. Dept. 1971
Automation Pools DEC 1
Century Gunite
Jos. M. Henley
Clint Jackson
FL✓ ,. .u, 5 R,• 1.1, a ,..1 LCv• nry . rnorcnrt -1 . v1s .• TNOr• 9.TID„ . n • p, ., w , w4,r FYS nwc LOS,ONE DR C.
w.• w w a .•f • .. .✓.r of Y� •e(, l „ Nri• • • •n, ••.•• r A M i D, t .RD (. R•1(L VCS
i•
November 5, 1971
•
Mr. H. Klein
1074 Santa Cruz Circle
Costa Mesa, California •
Dear Sir:
A building permit has been issued to A - mation Pools to
construct a private swimming pool on your property.
In order that your pool will e a safe one and for the
purpose of advising you of your resp ibility .regarding the
requirements of the Costa Mesa Municip Code, we refer you to
Section 8107, a copy of which is attached.
This letter is direc d to you $n order that you will be
aware of our ordinances_ and make a complete safety check of
your pool area.
Sincerely yours,
•
RICHARD HANHART
Building Safety Director
RH:dh
. _
411 ,
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO, 6638 DATE Nov. 18, 1970
LOT NO, 21
ADDRESS 1074 Santa Cruz Circle, C. M.
The developer of the above entitled tract desires to sell the above set forth
lot prier 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)
Herbert C. Klein (was-or-were)Jean G. Klein advised 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.
At
BY � / 40, • i� dcs, �
Purc..ser
RECEIVED .
f. Ai,
BUILDING SAFETY DEPT, Developer and or authorized
representative
NOV ID 1970
AntPm BY
wt91101111121112i3i4;16 Lender
a
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. .
CITY OF COSTA MESA PERMJT�N�� TRACT NO. LOT NO. BLDG.NO. 859 6/pe/BU
CONSTRUCTION PERMIT f5.00 TL
Project Address /0717' SANTA CRUZ C/R. TYPE OF CONSTRUCTION ❑ NEW H ADD I�ALTERATION LI REPAIR }
•
Applicant's Mailing Address , p ❑ CONVERSION ❑ DEMOLISH El OTHER A.P.# - I Zone '
" Phone hi7-/7&'2 DESCRIPTION OF WORK
Owner's Name a. S Main-Building: Accessory Building: • 2
Address /0 $r9/ CIW
VTAZ C/e,coSTA /t2!- qts 240
7 — '/ TYPE OF PERMIT ❑ GRADING i❑•/FOUNDATION ❑ STRUCTURAL E Front N
Arch/Eng. License No. ❑ •TENANT ❑ ELECTRICAL LIG PLUMBING ❑ MECHANICALB I
Rear N
Address ❑ 'OTHER A C Right G
Contractor's Name
//-C. /t-/ORP (Y Phonali PROJECT DESCRIPTION SQ. FT. OCCUPANCY K R
L- o
Address(mailing) //570 . ofrxn noac1 cv4 vno711/?D6Q7 CON STRUCTION TYPE VALUATION$ s Left E
City License No. -30052 ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ • O
U
LICENSED CONTRACTOR DECLARATION Remarks: Parking ffe C�i�N �_��T Parking Req./Provided - - I
I hereby affirm that I am licensed under provisions of Charter 9 (commencing v R
with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: E
my license is in full force and effect.
License CIa G- . icense . .1.I`e7 OO PLUMBING FEES Planning Notes: M
Daterii Signature N
WORKERS'COMPENSATION DECLARATION Bar Sink Showers •• T
I hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink S
of Workers' Compensation Insurance, or a certified copy thereof (Section
3800, Lab. C.) Backflow Irrigation Sewer Cap ELECTRICAL FEES
•
Policy No. Company
Certified copy is hereby furnished. Bathtubs • Sewer Connection Automatic Washer,, Transformer 0 15-50 KW
Certified copy is filed with the!city Building Division. •
❑ 50} KW
Date Applicant Clarifiers Solar Collectors Construction Pole Sub.
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION /; Dishwasher OG Solar Piping Cooking Unit Meter ❑up to 100 amps.
(This section need not be completed if the permit is for one hundred ($100) or
less).
I certify that in the performance of the work for which this permit is issued, Drinking Fountains Solar Tank Dishwasher ,,, Meter Clover 100 amps
shall not employ any person in any manner so as to become ubject to the I
Workers' Co pe n Laws of Californni$p _ / Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel
Date ' l i(/117 Signature yI'[- '7 really
NOTICE: If,of er making this declaration -you shou d be,•. ubject to the Floor Sinks Urinal Fan - Motors 00-1 HP 01%-8 -
Workers' Compensation provisions of the Labor Code, you ust forthwith
comply with such ,provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet F.A.U. Inc.Solar ❑9-15 HP 016-15+
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance . Interceptors Water Heater • Fixtures :Microwave .
of the work for which this, permit is issued (Section 3097 Civ. C.) •
Lender's Name - - Kitchen Sink ' ' Water Service Device Boxes 'Pole Light •
Lender's Address LavOWNER BUILDER DECLARATION - _ Outlets Range
, I hereby affirm.that I am exempt from the'Contractor's License Law for the P-Trap -
following reason (Section 7031.5 Business and Professional Code: Any city or - Switches ,Sign
county which requires a permit td construct,alter,improve,demolish or repair -
any structure, prior to its issuance, also requires the applicant for such permit Roof DrainsGarbage Disposal Standing Sections '
^„e file a signed statement that he/she is licensed pursuant to the provisions of -
_ - - - _
-a Contractor's License Law(Chapter 9 (commencing'with Section-7000) of -
;-:vision 3 of the Business and Professions Code) or that he/she is exempt _ -- Generator-00-5 KW ❑5-15 KW Trash Compactor
feferefrom 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 Reinspection Fee $ 3 •
I
'
penalty of not more than five hundred dollars($500). pe • •I $25 Issue Fee '
LJ I, as owner of the.property or my employees with wages as their sole Reinspection Fee $25 ,I ssue,Fee . $ 3
•
compensation, will do the work, and the structure is not intended or offered • MECHANICAL FEES. ,
for sale (Section 7044, Business and Professional Code: The Contractor's •-- - -
, - - - - PUBLIC SERVICES REQUIREMENTS: '
License Law does not apply to an owner of a property who builds or improves - Boiler Hood or Type I 0
thereon, and who does such work himself/herself or through his or her own - - Zoning Approved By _ i Date
employees, provided that such improvements are not intended or offered for Duct-Under Ground Canopy Type II Elsale. If, however,the building or improvement is sold within one year of com- - Building Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- ;
rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By_ti. 61.E Dat
/ LI I, as owner of the property, am exclusively contracting'with licensed con- ❑0-100,000 BTU ❑100,000 BTU i (/
tractorsto construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT - •$ -
builds or improves thereon, and who contracts for such projects with a con- , Exhaust System 0 Multiple 0 System Repair/Alteration :$ • SMIP'
tractor(s) license pursuant to the Contractor's License Law). , - - - PLAN CHECK ,:rp$ _ PERMIT - - Q ^—
❑ I am exempt under Section B.& P.C.for this reason I Firepl/Fact.BIL ICBG# - PLUMBING �; ,9 ' ,a.t o ISSUANCE •$Heating -
System& Ducting - PLAN CHECK 25% $ - ENERGY P.C. $
Date Owner • y
I hereby-certify that I have read this application and state-that the above --- 00-100,000 BTU ❑100,000BTL --- . - - - - i • GRADING $ •
information Is correct. I agree to comply with all city and county ordinances - ELECTRICAL $ ,
and state laws relating,to building construction, and hereby authorize repre- - PLAN CHECK 50% $ 'MICROFI LM ,$
sentatives of this'cityy��to enter upon he above-mentioned prop rt for i
inspection purposes.,/ ( � - MECHANICAL $ TOTAL FEE $ 57 00
Signature �/ ` ��_ Date
Drivers' License tS3S� Reinspection Fee - $25 Issue Fee • $ 3 PLAN CHECK 25% ,$ - _ •
CMF 0865-46 rev.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - -- .
_ U
CONSTRUCTION AND PLFNINING , POt SPA -" . •%') . -4‘.
Ir/� 3,5', Date Inspector - ,Date - lnspecior '
- APPROVALS Permit# 'APPROVALS Permit# }, o
` 17 Temporary Electrical Service or Pole . e 52. Pool &_Equipment Location - - ' " -_-ij
2. Soil Pipe-Undrgrnd. • - 53. Steel Reinforcement' 4
3.' Electrical Conduit Utility-Undrgrnd. -• 54. Forms - '. '- _ .- ' - %-'
4. Electrical Conduit-Undrgrnd. _ '55. Electrical Bonding -• :'-
5. Steel Reinforcemerit . - . 56. Rough Plumbing & Pressure Test: I,
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE - ' ' 1
7. Footings - - - 58. Electrical Conduit-Undrgrnd. • _
8. Foundation - 59. Gas Pipe, ❑-Undrgrnd.,Test r
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, ❑-Undrgrnd. _
•
10. Structural.Floor System 61. APPROVAL TO DECK ,- r .
11. Property Sewer Line &.House Connection _ 62. Backwash & Receptor-Final 1
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 11 - "-
- 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 ' „ p
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 ' l
253. Gas Pipe-Rough &,Test 72. Underground Flush •
24. Roof Framing 73. Undergrnd.Storage Tank'O Gas 0 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 • •
31. Plaster Brown Coat 79. FINAL INSPECTION ,
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: ti
34. Final Heating & Air Conditioning - -
35. Final Gas Pipe-Test , ' - ' ,
ql
36. Hood or Canopy - I . - 1{
_
37. Final Factory Fireplace ' . it , - T
38. Final Plumbing L//67(9r( (,gp - - "1.
39. Water Service-Final - ' ' ' '
.
40. Gas Service-Final '' • -
41. Solar Domestic-Final - - - - 'I
42. Backflow Preventer - . - - - .. .I
43. Backflow Irrigation . • • , - Ir
44. .Landscape Irrigation System • •
45. Sound Attenuation _ - � 'r , t
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING ' s ..1
48. Special Requirements Completed . , r -
49. Electric Release to Edison - - ,
,
50. Gas Release to Southern California Gas Co I F
•
51. CERTIFICATE OF OCCUPANCY ` - - - -- - --. -- ( ; • '
•
No. - Date � -. . -_ _ _ I _ .. _ !f - -
' \I
PROJECT ADDRESS: 10 /4 SANTA CRUZ CI UNIT: CITY OF COSTA MESA - BUILDING PERMIT . —PERM NO: B 070271
OWNER'S NAME: COCHRANE JOHN RICHARD TR FLOOD : AH-38
ADDRESS: 1074 SANtA CRUZ CIR PERMIT, NO: B 070278 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA, CA 92626
• CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT
557-1782
`N ARCHVENmNEER: REG.NO.: JOB DESCRIPTION : T/OFF RESTH S REROOF W/EAGLELITE SQ FT: 8, 200
ADDRESS: UNIT:
CLAIM VALUE: 8, 200 . 00 CALC-VALUE; 8, 200 . 00 GROUP OCC : R-3 /
PERMITTEE: VIEJO ROOFING ( 714 ) 586-3887
ADDRESS: 23382 MADERO B COMMENTS: SMOKE DETECTORS ARE REQUIRED, EAGLE LITE 5 . 4PSF a6+t ICBOH4660Cq nl
MISSION VIEJO CA 92691 ****** **+r•*****z******** *,e***a:*r.#r***** a#**+sic*r*w+a****+c*****+o-*******4- E ,�a t 4f
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS T SSMOKE U
7001 of Division 3 of the Business and Protessions Code.and my license is in lull force and amt. SETBACK S ('1
y'.� STATE uc.: 693049 CLASS: C-3° F':• • 1J
e- j/ a� MAIN BUILDING ACCESSORY BUILDINR
EQ`�� —
{'�. �/ , Signature:_ FRN?; FT IN REAR ; FT IN FRN?: FT IN REAR. 4..._ FT IN
n ORKERS'COMPENSATION DECLARATION: I hereby affirm that I n niiic , consent to selbinsure or a certificate o1 Workers' T'•�
'I Compensation insurance,or a certified copy thereof(section 3800 . .Cl
LEFT: FT Z N RGHT: FT I N LEFT : FT I N RGH FT I N
POLICY CONO.: EXP.DATE: PARKING REQ: PROV: PARCEL : 41206122 ZNE: REF NO:
COMPANY: Q
J Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES>
> .
Date: Applicant: *****************************+E*************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it t •permit is for one hundred $100)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued.I shall not employ.• person in any manner •as to become
subject to the Work rrxs'Compensation Laws of California. 1 / ZONING APPROVED BY DATE:
Date: 4,_ _Z Signature: "<.•
e.
/
• ICE:If.alter making this declaration,you should become subject t• e niers' •• t*sation provisions of the Labor BUILDING APPROVED BY DATE
Co.".you must forthwith comply with such provisions or this permi - all.e deemed • • ed.
•r ST UCTION LENDING AGENCY: I hereby affirm that there is a con • on lending agency for the performance of the work for APPLICATION ISSUED B Y: � DATE,
cortico is permit is issued(Section 3097,Civ.C). **********************'* ' '*• • • "**� ` * ' * ' " "**********/ T inn* 1
y LENDER: ******************************.****************************************.fk**, *****
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I herebyatfirm that l 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 408 . 00 . 82
repair any structure.prior to its issuance,also requires the applicant for such permit to lite a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN SMIP/NON-RES
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(5500). ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, antl me BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS————> 10882, 0 , 0 0 0 . 0 0 1 0 8 , 8 2 2 1 7 . 6 4 —108 . 82
does not apply to an owner of a properly 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: '-- 108 . 82 OVER/SHORT: 00
Mrtheemeposesold ofse)hm one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
Mr the puropse of Sahel.
I,as owner of the property.am exclusivelycontracting with licensed contractors to construct the project(Section 7044,Business 10 8 00 . 82
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to theContractors'State 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.A P.C.
ter this reason TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Cate, Owner: SFR 8200 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 8, 200 , 00
I do hereby certify that I am aware of and understand the requirements at California Health and Safety Code Sections 25505.25533,and END OF FEES
25534 and that I or any future building occupant wilt/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification Iron the Air uality 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 information is correct.I agree to comply with.1 city and county /
.m nces and state laws relating to building construction and hereby authorize representa. -of thn city to- er um ?above-mentioned
prop•ty for ins ection urposes
4 x 7 Signature' / • ille�— — DATE:::i112/07/94 T01E: 2 z46 108.82
1c, D vets 'cense or Social Security y: `.
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING PC < SPA
APPROVALS Permit Date Inspector APPROVALS Permit # Date I 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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation / 59. Gas Pipe, 0 Undrqrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Uncirgrnd. ,I
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 C Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing ,,,///� 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing /2/0y .4 j� 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
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
4 . Handicap Regulations
47. FINAL STRUCTURE & BUILDING Wpy/t
i
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date _ -
OWNER HELTZER ENTERPRISES - C. M. DATE 9-26-69
JOB ADDRESS 1074 Santa Cruz Circle BUILDING PERMIT NO. 30876
GENERAL CONTRACTOR Same DESCRIPTION of WORK Resitienpe W/Attached Gare
AP No. - LOT 21 TRACT 663$ FIRE ZONE VALUE $18.273.00
INSPECTIONS MSiy nature Date GROUP I & J TYPE ZONE R-1
SOIL ' L S'','--.---'76 SUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
WATER 14 Q �7o PIV bin
ROUGH PLUMBING % G-/-740 y��j 1 /,_,?.S_ ia708R.-
PROP. SWR. LINE [Y�HOUSE CON. [ SG"ld( ?Q �. -BfJ_L.(CU/ /s O-, trtS'aC "--
SPRINKLING
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING MC &- j--70
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0 -
ROUGH WIRING C-1T.7O --Heating an Vent
ia-
TRENCHES FORMS STEEL REINF. 14- . -y0 f ey j�l' '`$,/s 4--- 7Q. ---
FLOOR SYSTEM (t-r]"70 .�(/w.s yf.({. near- *-2 7/#A--
BOND BEAM n STEEL REINFORCE n ,��J / !
SHEATHING . A P4.7/47"C
FRAME AND FLASHING I. - b//r/tD
LATHING - IN v34 OUT a nn' .1n* 1 /t{
PLASTER. BROWN COAT R -W�� gift/ne _
.-
STRUCTURAL, FINAL .^ ,f�Q� ' I� `P ���j�/��� { �I J./
7 //
HEATING, VENT., REFRIG. ARp.a6ij.4I!C- /w!fq7- j.`/0 4--Zie) aA./.('Xl. 6-.1-70 J/ir'Y- -
PLUMBING, FINAL AND GAS TEST n S
ELECTRIC. FINAL s� 9-2S 7C,
BUILDING, FINAL i r,� �Z")`�
rr
30876�. / COSTA MESA BUILDING-SAFETY DEPARTMENT NOV 2-6 00 413* ***106.50
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECE E Y D TE AEC IV D DATE ISSUED
BUILDINNG G 1074 Santa Cruz Circle y V-4-c2 SEP 2 6 1969
PERMITM4
OWNER Heltzer Enterprises-Costa Mesa A.P. NO. ,/ ole:—I )S-C-7R
MAIL 740 No. La Brea Ave. BUILDINADDRESS /4:,79f
d 77 � v
zADDRESS L,,, 13
1 U CITY L.A.al ui Cal . NO 1637-2171 TRACT 6638 I LOT 21 BLOCK
zC CONSTRUCTION NEW I ADD ALTER I REPAIR I MOVING DEMOI ISH
O-N LENDER United California Bank /Ill
a co Main Office
J 0 BRANCH
a CO 6th and Spring, L.A. OWNER ti
ADDRESS
m-i VALUE /dog/TO
J Q OR ENGINEE-03 R Frank Gonzales TEL.532-6878 USE E
N ( /I
Z a 1336 E. Chapman Ave. ,Orange,Ca: • FIREE TYPE // GROU / f
W S ADDRESS
d W APPROVED
til—10
CONTRACTOR George J. Beazer & Assocs. By DATE
Ca
J ADDRESS Same as above
W W IZONE NO.OF USE OF NEW Single Fan.
ZiTEL. Ri PLANS 2 BUILDING
F CITY NO. REB. w/att.Gar.
—0 STATE 201098 CITY 1707 YARDS APPROVED YARDS APPROVED
to K LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
=U SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT FRONT SFT. FT.
USE OF �
EXISTING BLDG. R.SIDE 6 FT. FT.
I— SIZE OF NO.OF /
QNEW BLDG. ROOMS STORIES L,SIDE !6 FT. FT.
U EXTERIOR WALL ROOF •)/)'1
_ COVERING COVERING REAR )/)FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED
S DISTANCE BET. BET.MAIN&
MAIN BLDGS. ACCESS. BLDGS.
0
Q Residence with attached garage V R.** DATE
APPROVED
IO C.UPlan No. kb'r ve, APPROVED I DAl6 !/
CO �Y WLD ovy _DATE / 1 /
0
UI hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ 4I9 0 573
I— any person in violation of the workman's compensation laws of ((OO
V) the State of California. (] i 1, 3 � 0
? I hereby certify that I am properly licensed as a contractor under 1'-'rl� /✓—SO. FT.1-41973— o
the State of California Business and Professions Code. Division 3, THE AMQUNT SN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business VALUATION Cr��/(j/TT///��
and Professions Code,Divis •n 3,Chapter 9. VO PERMR FEE $ 7/0° N
Signature of / i E MCI,T FDEt ''J ce
Permittee _ yt�r��/l 0 ✓ PLAN CHECKS .T6 I� E
Authorized Agent
[i/ 'J' /33r,j O /-
0,
r u
. �7U/O s'7� TOTAL FEE $ L !✓
OWNER KLEIN, Herbert C. DATE 11-3-71
\-/JOB ADDRESS 1074 Santa Cruz Circle BUILDING PERMIT NO. 33781
GENERAL CONTRACTOR Owner-B1dr. DESCRIPTION of WORK Legalize Patio Cover
AP No. 412-061-22 LOT TRACT FIRE ZONE VALUE $ 500.00
INSPECTIONS Signature Date GROUP J TYPE V ZONE R-1
SOIL I PERMITS ISSUED
GAS _ SUBCONTRACTOR
Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS fl STEEL REINF. L '
FLOOR SYSTEM ^
BOND BEAM STEEL REINFORCE I
SHEATHING
FRAME AND FLASHING
LATHING - IN rl OUT n
PLASTER, BROWN COAT ;-
STRUCTURAL FINAL Electric
HEATING, VENT„ REFRIG. AND A,C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
BUILDING. FINAL C] //I@ 1//�/p
I
_ 3:3 78 I.
PAID . ..� /"011/I -1-71Ef..,.0t)
I� .�f 1? 9 o4.t*
•
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely• gECE V ED8 V DATE RECEIVED DATE ISSUED
BUILDING /0941 S-AMrA Croj elnck e ry, /i^3-7/
ADDRESS
,/ / L.,A.P. NO. `. —OW— . a PERMIT NO.
OWNER (T PRG c XZen I
BUILDING
MAILDADDRESS /07
Z ADDRESS $A•'IC
W W TEL. ' ,O LOTBL
CL U CITY OS77} a L\ NO. ti •• e
•
_ NEW ADD ALTER REPAIR MOVING DFMOI ISH
ZQ r, "1
-_
am
J L/ 9
Q W ,,J(n OWNER �\ 0!/j/(/
. ••- _
CO J AQ VALUE
ro USE /✓. / � $ 5/"C.
J Q IJJIJLISI; SJnJ.
•
U-N
Q FIRE /
W CC ADDRESS ZONE TYPE GROUP
a.Ori APPROVED
J a .7
By .ATE
03 Z
J cr ADDRESS
W W ZQ1P� I NO.OF USE OF NEWTELf
Zx CITY • 1(/( ,1 PLANS :UILDING t
W O STATE CITY YARDS APPROVED YARDS APPROVED
to Cr LIC. NO. L IC.NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/L STREET)
OF LOT • ON FRONT Jam/) FT. FT.
BLDG.USE OF
EXISTING '423
R.SIDE FT FT.
-FSIZE OF NO.OF-
2 ROOMS L.SIDE _ •f . t s FT.
UEXTERIOR WALL ROOF
_ COVERING COVERING REAR _0 FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DLSTANCE BET. BET.MAIN&
a
a e
• . ACCESS.BLOCS.
((�� /' J/ VAR.* DATE
p AO PA-no Cove/a. �z ^/ ‘1 APPROVED
2 -• • I3 /II^. /
CO D•TE 1
0 �� ha
I— I hereby acknowledge that I have read this application and state >4 e
7 that the above information it correct and agree to comply with / ' 1(�
CC all laws regulating building construction, and I shall not employ /�/ `///� (�/. - 0 j G 2 O v /J n
I— any person in violation of the workman's compensation laws ofIIIIIIILLA / [// -
co the State of California. U
to
? I hereby certify that I am properly licensed es a contractor under SQ. 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 are in full force and effect,or I THE PURPCBE OF ESTABLISHING A PERMIT FEE ONLY: 0
tc
am exempt from the provisions of the State of California Business VALUATION r—
and Professions Code, Ivi Mn3 Chapter 9. S • ^ n
PERMIT FEE $
Signature of /,(��/////'�/� .tri m
Permittee Code,
\ $ - ( . PLAN CHECK $ E
O y o
Authorized Agent 5 LL
TOTAL FEE $
-OWNER KLEIN, H. DATE 11-4-71
JOB ADDRESS 1074 Santa Cruz Circle BUILDING PERMIT NO. 33818
GENERAL CONTRACTOR Automation Pools DESCRIPTION of WORK Pvt. Swim Pool _
AP No. 472-061-22 LOT TRACT FIRE ZONE VALUE $ 2,900.00
\\INSPECTIONS Signature Date GROUP j TYPE IIT ZONE R-1
SOIL SUBCONTRACTOR I PERMITS ISSUED
GAS '^ Date Number I Signature
WATER C.2...41." Yv/1 /✓7 S //-.L->/ Plum inq �/
ROUGH PLUMBING /14 S//fl-7 f 704 /7-2-7/ y� '/ A
PROP. SWR. LINE ❑ HOUSE CON. 0
SPRINKLING SYSTE1 `-�J/_, A/1 S?/+f�+7
MISCELLANEOUS v 's_ /r '
ROUGH HEATING AND AIR CONDITIONING ,�..rr
TEMPORARY SE 1. [ /4 S// 72'7/
UNDERGROUND P //"2-47-77"
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS 0 STEEL REINF. 0
FLOOR SYSTEM
BOND BEAM ®/STEEL REINFORCE 5((-/Z—J/
SHEATHING �r� /4S/�-7--2i
FRAME AND FLA HING // J
LATHING — IN fl OUT 7
PLASTER, BROWN COAT
STRUCTURAL, FINAL t _ E ectric // qq nq /,
HEATING, VENT., REFRIIG.pANNDD AA..C.., FINAL O%�T ri. //-p�-7/ 0��(J�y
PLUMBING, FINAL ANDic4 Vn 9X , /j 72- -? -2 I
ELECTRIC, FINAL SLS i -2f7/
aim n Iua r MAI AA enYn , hS.
`i✓GGf!GC.e- i • - , ,
7/d .,d-/- 7/ — o 7- /f95; 0?-1.4e),27 est
338'I
PAlb
r "OV -4-71-ar,00 2391. *Cc*e 3' .ri
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant`to Fill
in Completely'rRECEI/yy,,EE''pp/9/fir DATE
[R/FGEIV
/Ep DAT/E ISS ED7
BUILDING 7Y r7�Kr}� ��V � r,/Ate. ,!/ /I I / // 1 // —v- /
_ADDRESS //// ./ / ,/ v,I y/
OWNER ,/t '<ten A.P. NO. AL/) �G�(- a- 1J P� Kir
BUILDINGMAIL ^ �1 /1
Z -ADDRESS ea2a/ s'4urg ('1W? Gly ADDRESS /f77� s3 l7 A G'2v2
d O CITY COS;A /"/GS NOL ,C.5-7-yes Q Ili TE . TR ACT NL'30 LOT al BLOCK
f_ Z -
- Q CONSTRUCTION G/�s H- NEW IADQJ ALTER REPAIR MOVING DEMOLISH
O-w -LENDER /9PC
a m
J D BRANCH — ''// {
J(n - OWNER K• g46///
CO J _ADDRESS'� / 1 • VALUE
J< _OR ENGINEER ER ! pl•CO ARCHITECTy gf NOLHS^'OI e/R �S� 51.c/.4.-•-•
���I $���0 `
O Q
FIRE
Z
w ADDRESS /a/Q S "ober 7_5-0-1,., ZONE TYPE ! GROUP
APPROVED //[/... Z
J ZO _CONTRACTOR At/r n#7 i - Po ors- BY �Gt' DATE/ /
m z
J ¢ ADDRESS 34'13 �; . (it/ASH///6TC -46'c/.
W W - TEL. ZO/pi)� / NO.OF USE OF NEW/ r /
zi _CITY coni ry)e✓CO` NO. 726-0/ll IR �1 PLANS Y BUILDING
O STATE CITY YARDS APPROVED YARDS APPROV'D
IL
N 2 LIC. NO. 263 7Sc 6 LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D O -SIZE
(FROM C/L STREET)
OF LOT bQ -Lib ° INOWONLOT FRONT FT.
FT. Id
-
USE OF
-EXISTING BLDG. R.SIDE FT. FT,
I- SIZE OF /. NO.OF �
ZNEW BLDG. 3S'Z CA C7 ROOMS STORIES L.SIDE FT. I.t FT.
Z _
V EXTERIOR WALL ROOF
_COVERING COVERING REAR FT, G FT.
-I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
O.
_ SLC) t'r1 ?on' MAIN BLDG$. ACCESS. BLDGS.
Q VAR.* DATE
O - C.U.P.# I I APPROVED / /^
H _ APPROVED /J/ ,�// ATE .f 11 �/ / /
z �B- `�vv✓, 11
O i
UI hereby acknowledge that I have read this application and state
O 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
CO the State of California. m
to
zI 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 are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: •
cc
am exempt from the provisions of the State of California Business
VALUATION
and Professions Code,Division 3,Chapter 9. 0(J PERMIT FEE $�� • O N
Signature of /J_ _tL rkl d1/�0-6 $ al9O PLAN CHECK $ /1 CoJ E
Permittee [(G(/Lr/��J -!/"' ff//trZJtxi r/� V
Authorized Agent ,L__
L„, -(71-1-1C4-4-"e52 •. TOTAL FEE $