HomeMy WebLinkAbout1086 SANTA CRUZ CIR - Building Permits Lam— Applicant to fill in all spaces except those within'heavy border lines and sign all appropriate declarations. 7848II/25/86 I fl�
U STA MESA CONSTRUCTION PERMIT P MIT NO.203
^1 /• TRACT NO.�/. LOT NO. UNIT NO. -- _ , °nf� T�
P/ rolect Address /08G 5472T4 Ct(J� l 4/5� 01 36 �0 � 77 0 2.c. • • `.
t
TYPE OF CONSTRUCTION ❑ NEW IKADD LI-ALTERATION U REPAIR
Applicant'SMailingAddress _�M^� ) Q'CONVERSION ❑ DEMOLISH ❑ OTHER �q,p,# '`til• — Qv( / Z7 I Zone R '
•
Owner's Name �M �fW/CH Phone DE CRIPTION OF WORK/ SE OF BLDG. Ci 1JfA.1/NC-s •
Address AP 4C.. gat/'Y}� Crr)'', f FA44/LX a.c4 S Main Building: Accessory Building:• Z
• Arch/Eng. License No. TVP OF PERMIT GRADING FOUNDATION STRUCTURAL T Front A//ACNEb O
Address ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B a a I� xG N
Contractor's Name ❑ OTHER A Rear 7 b FIT��(ir Po/AirI
Srsh1 "IJ YE Phone co-so
PROJECT DESCRIPTION SQ. FT. 2.0/ OCCUPAN C Right ill Z' N
Address(mailing) Z9(o9 E- �� 1® A' �(� S�-S K Left / G
CONSTRUCTION TYPE —it VALUATIONS 2. $ 74/
GRy License No. 7 903 R
r- 1fs�\ LICENSED CONTRACTOR DECLARATION ZONE GRADING CU.YDS. ACRES Ping. Ref.# -Parking Req.//PPrroovided'�pp E
to I hereby affirm that I am licensed Under provisions of Charter 9 (commencing Remarks: Planning Notes: u � ill ON i K. PLCPt5E \ ERI F N M
s. with section 7000) of Division 3 of the Business and Professions Code, and _ R r""^✓ / T
my license is in full force and effect. /�
License Cla s !�'- - i •r�.i.• / • c• es-o - 8F A ,R sr. FfELb . CeMrtOv&&s' Ewsr5 AS 70 SEr(�gcg rtt,eae 1 $
7".....,„....Date ° -• . � Signature: ' j PLUMBING FEES Y J�ePT� P,C. ADPtT)DN ps4��/v ( r•,)),((�� CLOSCR. MAN
WORKERS' COMPENSAiI0N •- ' RATION Bar Sink Showers I / 7.5' TD teAfZ v E[eCTRrCA'L t' - FEES
I hereby affirm that I have a.certificate of consent to self-Insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section /
Backflow Prevent& Service Sink
3800, Lab. C.) Automatic Washer Transformer D 15-50 KW
Policy No. 4/i &. 784 Company ' 1C(.l'Ut• Backflow Irrigation • Sewer Cap / Construction Pole Sub., ❑ 50+KW -
eai_Certified copy is hereby furnished.
errfie cop filed with the city Bui n Bathtubs . Sewer Connection / Cooking Unit Meter Dup Co 100 amps
Date �/ Applicant
EXEMPTION FROM WORKERS'C P SAT ON DECLARATIO Clarifiers • Solar Collectors Dishwasher • Meter Dover 100 amps
(This section need not be completed if the permit Is for one hundred ($100) or -
less). Dishwasher Solar Pipin• Dryers ['Gas DElectric Sub Panel
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 Drinking Fountains Solar Tank Fan
Motors❑41 HP ❑1%-8
Workers' Compensation Laws of California. _
Date -Signature Floor Drains S ' ming Pool w/Spa F.A.U. Inc.Solar 09-15 HP❑16-15+
NOTICE: If,aster,making this declaration, you should become subject to the
, Workers' Compensation provisions of ttie`Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked. - L Fixtures Microwave L�.r
CONSTRUCTION LENDING AGENCV Gas Service Outlets • •.Water Closet r/�
I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light
IIIL of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater /
Lender's Name ,S Outlets Range p9
Lender's Address Kitchen Sink Water Service 2 Switches • Sign /
OWNER BUILDER DECLARATION g I _
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap ' ' LaundryTrays
any structure, prior to its issuance, also requires the applicant for such permit Y Generator ❑0.5'KW ❑5-15 KW Trash Compactor ,
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Dr.- s
the Contractor's License Law(Chapter 9(commencing with Section 7000)of . -
Division 3 of the Business 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
LJmalty of not more than five hundred dollars($500). •
I, as owner of the,property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee' $ 3 '
compensation, will do the work, and the structure is not intended or offered 1 - Reinspection Fee I $15 Issue Fee $ 3 •
for sale- (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES I
License Law does not apply to an owner of a property who builds or Improves - __ __ . .
thereon, and who does such work himself/herself or through his or her own - - - -- - DEVELOPMENT SERVICES REQUIREMENTS: -
employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 -
sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By A-1__ M✓Vl Date // '241P/a•
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground
prove for the purpose of sale). Building Approved By Datee_y f_3
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System AppBy _-.�-
1 tractors to construct the project (Section 7044,Business and Professions Code: •
hratian Issued Dat
The Contractor's License Law does not apply to an owner of property who Duct- Ventilating ❑0-100,000 : e ■100,000 BTU J SUMMARY OF FEE �T
builds or Improves thereon, and who contracts for such projects with a con- - 4 04.711:
�:
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 ?$y • Repair/Alteration BUILDING PERMIT $ 86 So SMIP $ `
II
proof of their Worker's Compensation insurance should be provided to me. y ' R � [, e PLAN CHECK $ �7` 06 PERMIT l
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers E X nT 4ISSUANCE $
Date Owner _ Heating System& Ductin• Registers IilcomPiete �1 tJi�JOGt r`� PLUMBINGN CHECK $ ENERGY P.C. $
_ PLAN 25% $
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU • 111,000 BTL { - y.QQ GRADING • $
Information is correct. I agree to comply with all city and county ordinances \ sig ELECTRICAL $
, and state laws relati to building construction,and hereby authorize recta- Date f 0 MICROFILM $
sentatives of this y t !r•-u9 the above-mentioned grope y orPLAN.CHECK 50% $ t/ /C97°°°inspection our MECHANICAL $ TOTAL FEE $
Signature Date C
Drivers' en r SS reinspection Fee I $15 Issue Fee $ 3 ! PLAN CHECK 25% $
_ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor s
s�
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspectgf
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
r
6. Electrical UFER Grnd. / 57. APPROVAL TO COVER-GUNITE
7. Footings Rh* CC 58. Electrical Conduit-Undrgrnd. , •
8. Foundation ' !b`-' 59. Gas Pipe, 0 Undrgrnd.,Test
I
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. i
10. Structural Floor System 61. APPROVAL TO DECK 1
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 I .
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
I
20. Rough Factory Fireplace APPROVALS . Permit# _ j
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • I
7
23. Gas Pipe-Rough & Test 72. Underground Flush
Roof Framing 73. Undergrnd.StorageTank Gas ❑Oil
25. oof Sheathing �j��� 74. Overhead Hydro `�
T-Bar Ceiling (Structural) & Monocoat �/, ��''J 75. Dry Chemical ;•�
27. Frame and Flashing *hop L",6'/�( 76. Dry Standpipe ' X 1
28. Lathing & Siding y/J r4> 77. FIXED SYSTEM FINAL i
29. Insulation 3 I AV 76. FIRE PREV. FINAL i
30. Drywall Nailing I fg ' 'r HEALTH DEPT. REQUIREMENT .
31. Plaster Brown Coat 79. FINAL INSPECTION ,,
I
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUEDS
`
33. Final Electric 7_7-81 J C. S J �?,
Notes: • -4 OA /s2/36
34. Final Heating & Air Conditioning d.o rt�.t0 / VS7 i/
•35. Final Gas Pipe-Test �� v" -f J'1/p d7/
36. Hood or Canopy - l •' _
37. Final Factory Fireplace
38.- Final Plumbing \ l i -
39. Water Service-Final 1 I i } .
40. Gas Service-Final
41. Solar Domestic-Final
1,.. . .y, ir
. . N
42. Backflow Preventer _ •'i
43.1Backflow Irrigation . . 1 �'
•44. Landscape Irrigation System - EXPIRE D •
.45. Sound Attenuation Incomplete nspections i • .. .
46. Handicap Regulationssia e�'6`L- , �
Date -
_7 - � •
47: FINAL STRUCTURE & BUILDING
,
1 481Special Requirements Completed r - ;���
49. Electric Release to Edison , •
/50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY . . -
No. Date -"'i
I.,
- CD/7 C/C3/17/ 8.011 TL
. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA / &l0 duel*MESA CONSTRUCTION PERMIT PEMT NO 9g,1TRACT NO. LOT NO. UNIT NO.
Project Address 0 £' c�Va Iyll o'1S ��>•}
f g. TYPE OF CONSTRUCTION U NEW !_ ADD LI ALTERATION
LI REPAIR )
Applicant's Mailing Address ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone
Owner's Name •‘4M �Q,C1 Phone DESCRIPTION OF WORK/USE OF BLDG. j'c7' A/AltyC-,-- o.n
COB(f •Sd�b-�.[•Q�i S Main Building: Accessory Building:
Address FAM L!y /vl
Arch/Eng. License No. _ TYPE OF PERMIT GRADING U FOUNDATIONt� LI STRUCTURAL T Front 0
Address CI TENANT CI ELECTRICAL CI PLUMBING X_1`MECHANICAL B Rear N
Contractor's Name NOLObPhone (.30 -08z/ CI OTHER A I
-^ PROJECT DESCRIPTION SQ. FT. Zo I OCCUPANCY (t-2 C Right N
Address(mailing) Z94,9 A, CO•en.U•e'Oo 4AJAL• K G
O CONSTRUCTION TYPE it N ..1
VALUATION$ /072- S Left
City License No. L7O4 3 RZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: aE 2Ca434. - Planning Notes: • M
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect. T
/� License Class 8 —/ • 0603 S
C
- Date.4j�SYA'J Signature PLUMBING FEES
O WORKERS'COMPENSATION D R Bar Sink Showers
I hereby affirm that I have a cer icate of consent to self-insure ora certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) •utomatic Washer Transformer 0 15.50 KW
Policy No...d 8(r 78.8 Company 727 r � Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
ertified copy is hereby furnished. •
Certlf}p$ opy's filed with the city Build' 'vii Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps
Date r "t7 Applicant
EXEMPTION FROM WORKERS'C SA DECLARATIO Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(Thissection need not be completed f the permit is for one hundred ($100)or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
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 Drinking Fountains Solar Tank FanMotors❑0.1 HP 0 -8 •
Workers' Compensation Laws of California. _
Date Signature Floor Drains Swimming Po• /Spa F.A.U.
' NOTICE:If,after making this declaration,you should become subject to the Inc.Solar ❑' HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. Micas •eve
CONSTRUCTION LENDING AGENCY Gas Service Outlets • .ter Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance 'ole Light
of the work for which this permit is Issued (Section 3097 Civ. C.) —
Interceptors Water Heater
Lender's Name p Outlets Range
Lender's Address Kitchen Sink .. Water Service Switches
OWNER BUILDER DECLARATION Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Dispose
following reason (Section 7031.5 Business and Professional Code: Any city or Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator X0.5 KW❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Dr.' s
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
Division 3 of the Business 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($500).
O I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code; The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves _ _ .. . . .. . _ _..
thereon, and who does such work himself/herself or through his or her own - - DEVELOPMENT SERVICES REQUIREMENTS: •
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 Zoning Approved By Date
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0
pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
prove for the purpose of sale). ��V O7
❑ I,as owner of the property,am exclusively contracting with licensed con- Duct-Structurel Refrigeration System Application Issued By CaDateO
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such protects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware thatExhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT
O I am exempt under Section B.& P.C for this reason Firepl/Fact.Bit. ICBG#73COI Fire Dampers 4- PLUMBING $ ISSUANCE $
Date Owner Heating System & Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,0008T _ ELECTRICAL $ GRADING $
information Is correct. I agree to comply with all city and county ordinances
and state laws relating p building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of this cit • to riser Pe a above-mentioned pro rty for (�. j�
inspection purposes - MECHANICAL $ 7'Do TOTAL FEE $ Cg‘ JO
Signature Dale
Drivers' Lice or 5 _ - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ •fl1)
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor -
CONSTRUCTION AND PLANNING / POOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1..Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Untlrgrnd. 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 COVE R-GUNITE
7. Footings - 58. Electrical Conduit-Undrgrnd.
8:Foundation ' 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. i 60. Backwash Lines, P-Trap, 17 Undrgrnd.
10. Structural Floor System ,, 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap • 63. Heater & Vent-Final
13. Roof 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 /u'ko COY FIRE DEPT. REQUIREMENT - _
20. Rough Factory Fireplace APPROVALS Permit# _
-
21. Ducts, in Structure 70. Underground Hydro 14
22. Ducts, Ventilating 71./Product Piping ❑Gas 0 Oil t
23. Gas Pipe-Rough & Test 72. Underground Flush . N
24. Roof Framing 73. Undergrnd.Storage Tank 0 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 C
28. Lathing & Siding 77. FIXED SYSTEM FINAL +cy
i
29. Insulation;' 78. FIRE PREV. FINAL ..
30. Drywall Nailing ,' HEALTH DEPT. REQUIREMENT SI
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 [�/ZQ�� /��J i !'
38:. Final Plumbing ! ' ; ; �i rl• . i": •
39. Water Service-Final -
40. Gas Service-Final .9 i ! • J
• tt •,. J
:41. Solar Domestic-Final /•i f
'42: Backflow Preventer - I /; L' ..
f . t
-43t Backflow Irrigation ' 1 , • L.. ' =V' j
• l
.44},•Landscape Irrigation System ,/ ;1i^ ! •"' • • j7 ''
45i,Sound Attenuation - "
46: Handicap Regulations (-,
47 FINAL STRUCTURE & BUILDING '.! '• `: t, ,;
48. Special Requirements Completed ' '
" 49. Electric Release to Edison
I
1 .
50. Gas Release to Southern California Gas Co '' t
51. CERTIFICATE OF OCCUPANCY
No. Date
I
H . V . LAWMASTER & CO . , INC .
7940 MAIN STREET — STANTON, CALIFORNIA 71CMS-679-002
828-8040
XXX
Field Data on Test Specimens Core Concrete Gunite Grout/Mortar__,.
Project Sam Stroich Pool Permit No. 32968
Project
Location 1086 Santa Cruz, Costa Mesa
Contractor Owner Bldr. Architect
Location in Structure Engineer
Date Moulded 4/27/71 No of Specimens 6
Slump Specimens Marked
Specified Strength at__28—days 2P110 P.S,I. Mix Designation
Age to be tested_t_days_28_days _days days
READY MIX PLANT AGGREGATE SOURCE
Weather Condition Good 1 Yd. Yd. Batch
Cement Colton Type II Cement, lbs.
Admix Sand
Specimens made by L. E. Sprague #4
Data by #3
Delivered by n 2
Date Delivered
,Q/ L
REMARKS: airel-c2 7� 7/ I Water, Gals.
BUILDING SAFETY DEPT
MAY 2 6 1971
FOR LABORATORY USE ONLY
Lab. No. 71612 71613 71614 71615 71616 71611 -
7 Day Test 7 7 Day Test 28 28 Day Test 28 Day Test
Date of Test 5/4 5/4 5/25 5/25 5/25
5.97X': .6.09 X 6.452X 6.45X
Specimen Dimensions 12..125_1.2..1.25__ 1.2..1.25 12.10 6.45 X 12.125 6.13 X 12.25
Area 27.99 29.13 32.63 32.63 27.99 29.51
Ultimate Load 37,000 50,000 69,500 91 ,000 73,000 88,000
Lbs. per sq. in. 1 ,322 1 ,716 2,130 2,789 2,608 2,982
H/D Corrected •
FORM M - et$ Pr F4M2fl7 14)1.-if:I
•
•
April 23, 1971
•
Mr. Sam H. Stroich %S
1086 Santa Cruz Circle
Costa Mesa, California
Dear Sir:
This letter is regarding t e private swimming pool
under construction on your property. _
In order that y r pool will be a safe one and for
the purpose of advising y of your -responsibility regard-
ing the requirements of the Costa Mesa Municipal Code, we
refer you to Section 8107, a copy of which is attached.
This le r is directed to' you in order that you
will be aware of r ordinances and can make a complete
safety check of your pool area.
Sincerely yours,
RICHARD HANHART
Building Safety Director
RH:dh
6:7;
/ � pCIITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO, 6P[Q 3 /} DATE
LOT NO. 7�
ADDRESS el , 1. '
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)
e / Ii • or were) _ 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.
BY /�..i.cq iii L. ortelt
Purchaser
B _ 40.740,49"a-H.... -
eve ope Id or authorized
representative
BY
Lender
OWNER HELTZER ENTERPRISES - C. M. DATE 9-26-69
JOB ADDRESS 1086 Santa Cruz Circle BUILDING PERMIT NO. 30878
GENERAL CONTRACTOR game DESCRIPTION of WORK _Residence W/Att.Garage
AP No. _ LOT 23 TRACT 6638 FIRE ZONE . VALUE $ 29.563.00
INSPECTIONS Si nature Date GROUP I & J TYPE V ZONE R-1
SOIL /n s '- eS SUBCONTRACTOR PERMITS ISSUED
GAS
Date I Number I Signature
WATER L+ ... . 7c' (i(YM t D"y PI mbin
ROUGH PLU BI G SG_ -70 3 .45=7a 5d ,or/
PROP. SWR. LINE ' HOUSE CON. Zig -/�-7Q fer f.Ya. .4 P-Z ,S ,7iJ
SPRINKLING SYSTEM �V.f
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING (Vis 6-.7nO
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0 ..rr
ROUGH WIRING f e•)7-7p < Heating a a Vent
TRENCHES FORMS Q. STEEL RE INF. fri- - fD �Q// �.yI/ �/ -1/(2V eta
FLOOR SYSTEM 4-19-70 :�f/.Y)f•(iI({/f✓q,Leez ', fl (T-iI54. I 177!27
BOND BEAM n STEEL REINFORCE n / /' J
, SHEATHING 547/070e
�i-f/>O/
FRAME AND FLASHING (� G I(�
LATHING - IN IX OUT /Y/./
PLASTER, BROWN COAT ri/7far e
STRUCTURAL, FINAL SEI q L 110 a"?//7bHEATING, VENT., REFRIG. AND A.C., FINAL v�LJ\G-l�If�'•!�� -G/
PLUMBING, FINAL AND GAS TEST n S9 - a*--7cELECTRIC, FINAL /2 -,,- a)
BUILDING, FINAL AC/C- .1/.'70
•
— X0878
nOV 12-69CMSA0-1-400 415* ***152.25
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
RECEID 011 O C DATE ISSUED
BUILDING 1086 Santa Cruz Circle N//f�j /(-j- EP 2 6 1969
ADDRESS
_ PERMIT
OWNER Heltzer Enterprises-Costa Mesa A.P.NO.G J p j- <11
0/8
MAIL 740 No. La Brea Ave. ADDRE S / od 6 ,
Z ' ADDRESS 213
a U CITY L.A. Cal. No ` 937-2171 TRACT 6638 LOT 23 BLOCK
I- Z
Z Q CONSTRUCTION UNITED CALIFORNIA BANK NEW ADD ALTER REPAIR MOVING DEMOI ISH
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ARCHITECT Frank Gonzales TEL.532-6878 USE $ �P��
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cc ADDRESS 1336 E . Chapman Ave. ,Orange,Cal. \�l' V
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VI hereby acknowledge that I have read this application and state
M that the above information Is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ �' l
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? I hereby certify that I am properly licensed as a contractor under SIifric2sO' FT. o
the State of California Business end 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: me
am exempt from the provisions of the State of California Business VALUATION
and Professions Code, Division 3,Cha er 9. //J .�1 N7It
PERMIT FEE Site F D
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OWNER STROICH, SAM H. DATE 4-19-71
JOB ADDRESS 1056 Santa Cruz Cr. BUILDING PERMIT NO. 32968
GENERAL CONTRACTOR c7wner-� '• DESCRIPTION of WORK Swam Yooi
AP No. 432-061-21F LOT TRACT FIRE ZONE . VALUE $2a00.00`INSPECTIONS Signature Date GROUP 0 TYPE 111 ZONE Hl
SOIL PERMITS ISSUED
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GAS SUBCONTRACTOR
Date I Number I Signature
WATER !77/cg-62-p-L (il /i-1c y-.y( -fir Plumbing
ROUGH PLUMBING �1 c-C[hti--LH,' sy1/49/7Y .CHC-6-5--r
PROP. SWR. LINE Q HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER fl
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS 0 STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM I-4-H- STEEL REINFORCE Ir /1-7 S47 -'3-t. ,z-,
SHEATHING J
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL p Electric ",
HEATING, VENT., REFRIG. AND A.C., FINAL APA Y`TT 7Z- Gtufrvt 4-, �/-1,-7/ ScP�4S
PLUMBING, FINAL AND GAS TEST IdF /�: 3dI-72
ELECTRIC, FINAL �°�' A. �/ ".21-72-
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' COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING (l J
ADDRESS / O III aC-, A3 (.t-+
PERMIT NO.
OWNER A.P.NO.
MAIL BUILDING
ADDRESS ADDRESS
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VI 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, end I shall not employ
I— any person In violation of the workmen's compensation laws of
H the State of California. 0
? I hereby certify that I am properly licensed as a contractor under SO. FT. ni
o
the State of California Business end 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: a
am exempt from the provIsions of the State of California Business Cr
VALUATION
and Professions Code. Division 3,Chapter 9. m
PERMIT FEE $ N
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Permittee $ PLAN CHECK $ E
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PAID
COSTA MESA BUILDING-SAFETY DEPARTMENT APR 20-71�NSAOu 930* ****34.50
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
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RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING
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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
F, any person in violation of the workman's compensation laws of
N the State of California. co
zI hereby certify that I am properly licensed as a contractor under S0. FT. 0
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in f II force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
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am exempt from the r.ovisions of the S to of C ifornia Business
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and Professions Cod. a ivision 3, Ch r 9. PERMIT FEE $ OL
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Permittee ' $ 700Di PLAN CHECK $ /7✓C//l� E
Authorized agent ` j r TOTAL FEE $2 f J`� LL