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HomeMy WebLinkAbout1095 SANTA CRUZ CIR - Building Permits • M CITY OF COSTA MESA :, ,ty ►, BUILDING DIVISION - , , ,, , �ERMITNUMBER � DEVELOPMENT SERVICES DEPARTMENT \// k rat PERMIT %ape,an B99-01398 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 , BUILDING PERMIT Job Address: 1095 SANTA CRUZ CI Status: ISSUED Suite: Applied: 09/01/1999 Vicinity: Issued: 09/01/1999 Parcel Number 41206126 Zoning: R1 R1 Applicant: JULIO GONZALES ISSUED BY: Pr Address: - r -Phone:' 909'278-4888 Owner: MARICH(SANDOR , \ • t / _ Address 1095 SANTA-CRUZ CIR �- - - _ i - _ , . / i �, i - Phone• 714-540 8929 •v ,4,/,/COSTA MESA;CA Cl.,",.;.--, _ - Zip 928-26'----*-- .::'N .N - •;\;-, \=-;„A Contractor9-i MILLENNIUM ROOFING ;",NC,:‘,- y i / y; v Address: \801'RANCH-VISTA RD. / A „i CA ��,„� Phone: (909)278-4888 - � - - '- CORONA;' 6' Zip: 91i10,'” LicenseT, 758692 "Arch : ?i : : ' Eng: I • , . N. • 'Address: ' ' - r --,✓ - Address: c Phone: -,. i- - , Zip: / / •4,o,�" -License: 2 A'; License: , • `-`- ' ` --' SCOPE OF PERMIT -4 ` , ' • ' , T/OFF,SHEATH AND REROOF 1600SF RESIDENCE W/LT WT TILE(5.95 MAX WT),ICBO#3748.SMOKE DETECTORS REQ t 7/ PER 97UBC. 7 - h_ " - .� -/ - . t t t. - FEE SUMMARY - '- Plan Check: $0.00 ;, Calc Valuation: ,$4,000.00 Permit $97.25 - '' ` I' �� ' ' -Claim Valuation: , - $4,000.00 • ' SMIP Res:' . $0.50 % ' SMTP Com: $0.00 y Other "- $0.00 — :Inspection:, $0.00 _• . — } Total: $97.75 - PLANNING &ZONING.- , - - - SETBACKS`. '/,', i MAIN STRUCTURE Front 0-0�. _ Rear 0-0 Left - 0-0 - - Right - 0-,0� '-' ACCESSORY 'Front. 0=0 -, '1 Rear 0-0 Left 0-0 Right -- .0-0 ,' PARKING Existing: -0 "Required: / 0 ' Proposed: 0 - NOTES: ' , EX�'� .ED DATE a� I D I 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: 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 DECL IRATJOHS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-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. ❑ 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 Insurance carrier and policy number are: / Carrier: / Policy Number: (This section need not be 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 lif nia, nd 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 pr isi n . / [, Applicant Signature: _ / Date: 1 — —G 19 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),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 license qt!d9r rPYisions of Chapter 9(commencing with Section200)00)of Division 3 of the Business a,Prg pssions Code,and my license is in full force and effect.Lic.# 'L,T b' d Class# .5'] Contractors Signature: 4 1 �� ' Date: i- I 1', v Y 1 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty 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).): ❑ 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 one 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.). ❑ 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivels license. 0 Yes 0 No Drivers 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 B,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 a 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? ❑Yes ❑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). --_.-.-.. .i.l..th... r future occupant ...t.ofile ...n-- .. .. --... .. No... .................. ................ 2 Does or will the applicant or present or building occupant need to file a registration form for acutely hazardous materials? ❑Yes ❑N (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 t to present future .. i occupant to RMPP n Prevention Does or will the applicant or present or urbuilding occupant need to prepare an M (Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (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? j�Yes 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? ❑Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). from..._...._f..-armthedistrictoragenred-._.rhew_._.wch__....theu_.ject..ofhs.. 7 application,a permit v South CoastlosAir Quality Management is Health or otherdSafetyair pollution controln42303 been agency is Yes for the work which is the subject of this have all of the disclosures prescribed by California and Code Section made? ❑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: i1/4certify under penalty of pe,rjury,that I have read this application and state that the information given is buil correct. I agree to comply with all state laws and city ordinances relatinglo building construction,endauthorize representatives of the City of Costa Mesa to enter upon the above-described pro erty for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. .1143.3 ture Of Legal Owner(s) _ — et vClate And/Or Authorized Applicant / '^^6161 ate C D M INSPECTION TYPE DATE INTRIAL$ CODE N INSPECTION TYPE PATE INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / 208 Final Plumbing 200 Final Re-Roof 7 !y/IU t4”44 210 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 _ 2446-46 • CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO, 6638 DATE Nov. 20, 1970 LOT NO, 25 ADDRESS 1095 Santa Cruz Circle -Costa Mesa, Calif. 926z6 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) Joseph Mixsell (was-or-were) June L.Mixsell 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 tine 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_ • Pur'- has- • RECEIVED 4 // t F .' BUILDING SAFETY DEPT. eveloper and or authorized representative DEC 91970 BY AM PM Lender 18,010,ll,L,1,2,3,4'5'iB S OWNER HELTZER ENTERPRISES - C. M. DATE 9-26-69 JOB ADDRESS 1095 Santa Cruz Circle BUILDING PERMIT NO. 30800 GENERAL CONTRACTOR Same DESCRIPTION of WORK Residence W/Attached Garage APio. _ LOT �5 TRACT 6638 FIRE ZONE VALUE $22.034.00 j�;.7CTI ONS Signature Date GROUP I & J TYPE V ZONE R-1 SOIL . 15 41-21--70 PERMITS ISSUED GAS SUBCONTRACTOR Date I Number Signature WATER y(�0/70 / /'� PIymbing J ROUGH PL MBIN tiA1/5 ')l o z`ztr .0...6� ( J 3/°.`.2ti- ° L3/0�/-‹—. PROP. SWR. LINE HOUSE CON. /-1 SG-116-7v V�%/�! . �� V n/� JJgOO..'- SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING M cit-Y 70 TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER ❑ ROUGH WIRINGr� /P 6-17-90. t Heatin and Vent g IE--TRENCHES FORMS STEEL REINF. t /(/J[ 4/-3-Y' / -t n1.4tz�.y/tra.rA eip �j0L -- FLOOR SYSTEM /(�]fLy,lp'� 41 -IC tZq rte.,..„/ L,witz 64 w;i .7, /7/ac BOND BEAM n STEEL REINFORCE n / G / SHEATHING r rh% FRAME AND FLASHING as "Y/ G/6 /q' LATHING - IN k. OUT 9!R! 0 PLASTER, BROWN COAT /�'/ C 5' CTURAL, FINAL94� _ rra�jj , ` /jEle�jtJ�i�sJ,.�� 7. ,/I [���.I/ 4 NG, VENT., NO A. FINAL ripf-pcd , Ate`-GC�C� CC.E;CC'�' ap-3-/0 CILl/ /l PLUMBING, FINAL AND GAS TEST � 77ELECTRIC, FINAL it2 7o BUILDING, FINAL CwYil It-r.-Ye 0880i(1V 12-69CMSAPAI0,, 417* ***1211.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT RECEIyJ V Dg3E RECEVE DATE ISSUED BUILDING 1095 Santa Cruz Circle ,/J'}21 `Jay ADDRESS SEP 2 6 1969 PERMIT rte., OWNER Heltzer Enterprises-Costa MESA A.P. NO. / q•�.✓�1t,�r�s tK1��(%i,. BUILDING /O �,✓i��',�/'_ •wry- (/ MAIL 740 No. La Brea Ave. ADDRESS J �[/ix-GA. Z ADDRESS 1133 al U CITY L.A. Calif.al W No1937�'L171 TRACT6638 l LOT 25 BLOCK Z CONSTRUCTION NEW ADD ZOy LENDER United California Bank / 9 G ft TER REPAIR MOVING 0- m 6th and Main, L.A. v / J r BRANCH J to OWNER Q W ADDRESS y m m VALUE/t/J Dom,/ J Q OR ENGINEER Frank Gonzales TEFL. 532-687 S r $ r JY` A /� ��/ NO Z¢ 1336 E E . Cha man, Calif. ZONE TYPE 1/ GROUP �Y W 2 ADDRESS p Orange, o_ W W Z CONTRACTOR George J. Heltzer & Assocs. APPROVEDPRDATE CO Z Same as above Zi ccADDRESS W W TEL ZONE 1NO.OF USE OF NEW Single Fall. Z=F CITY NO. RI PLANS 2 BUILDING Res. wIArf.r:/ir. _ W 0 STATE 201098 CITY 1707 YARDS APPROVED YARDS APPROVED fn CC LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING 0 512E NO.OF BLOCS. (FROM C/L I S OF LOT NOW ON LOT FRONT I//TREET) FT. r /L FT. USE OF EXISTING BLDG. &SIDE e-FT. FT. I— SIZE OF NO.OF 2NEW BLDG. ROOMS STORIES L.SIDE CCT. FT. 'Cr C.1 EXTERIOR WALL ROOF COVERING COVERING REAR 1 FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 a. MAIN SLOGS. ACCESS.BLOCS. < Residence with attached garage VAR.# DATE 0 C.U.P,# APPROVED I— Plan No. 402 APPROVED Z —BY WLD ow, DATE I 0/7 717 9 0 UI hereby acKnowledge that I have read this application and state D that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ . H any person in violation of the workman's compensation laws of //II y the State of California. /�qO (/ //C- to B ZI hereby certify that I am properly licensed as a contractor under / SD. FT. 7J �/3 0 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: am exempt from the provisions of the State of California Business CC VALUATION �J ' end Professions Code, Divisio 3,Chap r 9. PERMIT FEE $ C3 �i GPO N Signature of {n y'/ Permittee $e>�t2 Wn / PLAN CHECK $ /4.5-0ig Authorized Agent TOTAL FEE $ //�Y/� u ` OWNER MIXSELL1 J, C. DATE 2-25-71 _PDS ADDRESS 1095 Santa Cruz Circle BUILDING PERMIT NO. 32759 GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK patio Cover AP No. LOT 25 TRACT 6638 FIRE ZONE VALUE $ 1,000.00 1 =CTIONS Signature Date GROUP J TYPE V ZONE R-1 'SG'- SUBCONTRACTOR PERMITS ISSUED GAS Date I Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND E POWER El ROUGH WIRING Heating and Vent. TRENCHES RK:j FORMS ❑ STEEL REINF. ❑ .f'( 21-3.6-1/ FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN in OUT n • PLASTER, BROWN COAT ST"'ICTURAL, FINAL Electric I NG, VENT., REFRIG. AND A.C., FINAL PLuMBING, FINAL AND GAS TEST n f ELECTRIC, FINAL '�yytt,�� 1� �t BUILDING, FINAL t (M@ 3//r/` 32759 FFR 7.5-7lcesa00 866 0***10.00 7C1- OSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT BUILDING For Applicant to Fill in Completely DRESS 0�7 S`S/at to CQ�Z CI„ai RECEIy F�q D;TEZR EzCE�/ �T����rt/7 NER t�. VII �S L`L APP.NNOO/✓L L���� PERMIT 7 AIL ADBUIDRESDINGS / VS" `- i/j DRESSPv``'hvC ADDRESS Qill lli TCos'1`I]� t�4t`50�• NOLSJ,� Y��� TRACT I%�� ILOT ��f` BLOCK NSTRUCTIONO /t� NEW ADD ALTER REPAIR Iv10VING f)FMOLLSH NDER OtGANCH (� ^OWNER `) L DRESSt/// VALUE PAID RCHITECT //�� wr TEL. USE $ ENGINEER l/ ��/` , NO, FIRE ZONE / TVP GROUPDDRESS . / /� /J /� �U �7)LY -Z ©WN le le.... . APPROVED //O _ATEzA ��*// J O CONTRACTOR 6 �'S" �X'Khy a3 Z J (L ADDRESS p LJJ L TEL. /LONE NO.OF USE OF NEW pin 031 O= CITY NO. ( rI PLANS BUILDING <+p��2 Z ••�` 0 STATE CITY YARDS APPROVED YARDS APPROVED N CC LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING D O (FROM C/L S,TAI EET) SIZE NO.OF BLDGS. (5LIOF LOT I NOW ON LOT / FROM (J FT. FT. USE OF EXISTING BLDG. �C.-S- R.SIDE (>171'. O171'. FT. I— SIZE OF /6 V^ 1..J ry C / I' NO.OF / �T Z NEW BLDG. ROOMS STORIES L.SIDE . FT. U EXTERIOR WALL ORrA/ ROOF S//✓ / __- r1 t COVERING COVERING J1f'/ ICS REAR SV FT. — FT. ..J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN 8, d MAIN BLOCS. ACCESS.BLDGS. < AR.* DATE 7f4 / o / D Co` Lie-le - C.U.P.# /// APPROVED/ s/ i N ROVETE Z O _ aI 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 _ CO the State of California. co ZI hereby certify that I am properly licensed as a contractor under SQ. FT. 6 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s 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 f L ovisions of the State of Cal fornia fornia Business VALUATION andIgature f• r • •n rapt ry 0.6 PERMIT FEE $ /Q D Signature of 1 /`y/��/�/t� E Permittee , $ / V V✓ PLAN CHECK $ E Authori •-• Agent / /D a� a TOTAL FEE $