HomeMy WebLinkAbout644 TERMINAL WAY - Building Permitsv.
�noness ov euaar�c: b 9 4 �1 �:ttM 1 NAL W Y
owxEnsaweivunw,c SCHAUPPN��, VERNON E TR
moxcsx 3730 STH yVE t,
CORONA DF,�' Mlar�, CA 92625
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��CTOPEl![iNFFA:
ARCX.OR �p,'8 ADUXE55:
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uc. qo.:
UNT:
ca+mararsru� STEVE GUYER ( 714 ) 537-2021
ca+rnacroxs�uie+c 12091 DIANE ST
noo�ss:GARDEM GROVE CA ucw_ 704238
92640 u�:
LIGENSED COMRACTOq4 OECLAfl�TON: I henEy eRim uMa perely d pmjury Nm I em limneed u�der pwu'v�e W CMqm 9
(eommenaeq �ilh Saetian ]OW) d Oiwion � d tla Buamea W Pmlueom COEe. aM mY Gwme b N IW latt mtl Mea.
cmuc.No.: uc.cuss:C 36 uc.No.: 704238 EXP:
�OW NEp BUILDEH DECIApATION: I Mmby elfirm under penally d perNrY Ihet I em eramq Irom IM Canretlon Licenae Lew ta tha
IWb"'"q roeaon (Seeion ]0.t1.5 Bueiieaa vM Pmiwbre Cade: My c1Y a oouMY wfiidi mVuirm e M�m410 mubun. etlar.'unprare.
demd4h, a rpei arry sVucturo, pior b ea uwerce, e6o reQu"um IM epplirenl la vch prmu to fib e dpnad �tmemeM Nal M a ehe
o�mee w� �o ue wo�,. a m. cwreao�. um� �w �cnea« e l�«mw wun s.ao� �000) a oHe� a a we
Bu�wya ud Rdettbv COCeI a �Iw M a ehe e uamq �Isehon md tM besa M IM eAaB� azamNion. My videlion d Seeion
�m�sW,�v aod�p �«. v.,ma we�a, me evd�a �o . wa p.,,,ny a��. m.� r. nwe�a em.�. RsooU.
❑ �.dow�«diMc�renramr�^dmres.v,+nwa�e.ma:.a.romro���.�neoma,.oix.da�ns.vuct�nm�avnenme
a dlxaE la aeb (:aclion 10u. Buainaa vd Prdeasiona CoEs: ThoConirmas lloense lawtloea iM epplyloen owner d popeny
wAo Wide n inpm'ea �Mnm. mM rAn Eoa awh work h'vnaetl a MnM a Nrwpl� h"v a her own amOMe^�. V�b tMl ach
�mpwa,,.m. ma m nrc.�wee P w.w w..a». u. ro..�. m. waeMa a mwo.«�.r+s,de.nn;n «» re.. d o�d«o,. ab
o.,mrw�d.,.nn n,v, m. w�e«� a wadm ne « sne ed �u ww «�ma� �« m. wmme a.da1.
❑ I. ea o�.ner d the P�M. em aatlusneN mntreeM wil� limneed wmeanwe to eonavwf ihe o�len (Seeion )Oa1. Bueinse eM
Arofeaobne Code: TAe Conireame Licenae lew does M epply io en owr�er d p�ope�ly xfia buide a impovm �heraan vM who
Canvecte Iw eud� prol��'�h a wmmqmla) IraneeE Ounuenl lo Ihe Coniredore Lioense Lewl.
� I dn eaemp uMer Saciion: B. 8 P.C., lor Uti� rsemn:
Date: Owna-
I Eo hqrepY ��M Nm I em ewers d ud uMaswW Ne nW've^aqa d Cdiarve IbeM end Sele�Y Cods Saaiam P5505.25533. W
`�' . vM tlw I a eM' Muro WilEiiq ovvpen� xin / wA m� (drtb ons) roM ro oomdY wh uiC mb catlm ud �M i+0ui�emarta br
ewmNlwcanvucuonamodifiraiianhamilw�i e�v -aiwwemsnDim�ia.ResiEenlielaonprud'oneoofratbmarte�anotlmnN»s
WOflKER'S COMPENSATON DECL�NATION: I Mraby aff�m �udu psnelly oi prjvy pp d the Idbwirp dedeeduro:
❑ 1 heve eM wil meiMein a cenilicele d mneenl to aetlinsu�a b xpkare compenxton, m pwided lor by Sepion J)00 d tha labor
Coda, lar �M pMomunn W IM xak lor which I�ia parmn i+ inued.
�[] � nev..�a .a meima6.M.+• oomo.�� i�nerce.., �.mab M saann a�ao a me �me. coae. ror me w�«meno. d me
wax�«�,n�m�.r�n4�.e.Mrw�.GO�DEN EAGLE '�'���u� EXPIRES
c�:,:
raryN�w rvwc.ti i� oa-vv OS/08/98
(This aaion meC rat 6e amWnd I iM vmmt u M aro hurdrM ddbn 131ro1 w 4n.1
❑ I canN ��� Perlamarce d �he vrok la whch thu parmn i� imueE. I Mall m� empby arry peinn in yry meniror eo m to
bscpm abjen �o �M worYns' compeiuelbn kwa d Celilomu, uW epiee Nq il I slwuM become abptl lo IM v.v�ken'
eomD�ation pm+siom d_SWion 3]00 d �he labor Cads. I YUAlw�4Y��h 9�9Ob-Y� Noae pwiriwu.
W�m�np; Hllun ro ascun woM'eri rompwu�tlon rowraps l� unNwN{ entl �IWI wbj.ef an �mplay�r ro MM�uI p�n�Mu antl
clvll p� yv ro om hundnC fhous�nd dolHn (f10q0001, M W/tlon N!M ro�f o1 rompm+etbn, Wirupu u prvv/tlM br In
9�etl� 3106 0l tlro Le6or COW, Ineres( �nd �ttorvy� Iwa
CON$ipUC110N LEHDINO AGENCY: I herapy elf uMr panetly d paWy ihm �Mra e e aa�rtewion Mnd'vp eper�ey lar ihe
c.Namenc. a m..,ax �« .A�Cn ins o«m+ e¢w.e (seea, xw. cH. cl.
LENOER'9 NMIE
�ENDEN'S ADDRES9:
I rsni�y IM1et I heve ieaE Mu epplicelion aM nme IMt Ma ebwa mlpmelon b conea. I epiee io cvnply wnh ell tlry ud muruy ad'maMea
eM alme lewe Me�iq to buJdiq canebudion vd Mreby eiNvrts repaeen�mivee diho ary io eMx upon IM eEove-memoned poperiy
�«��ipedpnpurpo"'STEVE GUYER
Pinl Name � I � �
. A
(StStde.WP) WhGe-B�nld'np85elary:OnerFb:Lviyy-Appicsn�:pink_qa.��:�ddaiwU-Aiwm
CITY OF COSTA MESA - IIUILDING PERMIT
jPERMIT NO; P 086931 PLAN CHECK NO: N
CONSTRUCTION TYPE: 5-N PERMIT TYPE: PLU
iJOH DESCRIPTION : REPAIR BROKEN DRAIN LINES
CLAIM ��ALUE: CALC-VALUE:
PERM NO: P OE6931
GOVT: N SUPP: N
PURPOSE: ALT
SQ FT:
GROUP OCC: R-1 /
COMMENTS: REPAIR BROKEN DRAIN LINES
��r**� **�*�*��+�*��*� � �*� * x�r*�r� ��*�rt��x �*� n ��e �*+r+t�� * �� �r �** r**�*�x+�* x�** ���*�r x-n#� x*
'L O N I N G R G Q U I R E M E N T S
S E T B A C K 5
------------ MAIN HUILUING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT TN RGIiT: FT IN LEFT: FT IN RGHT: FT IN
PARRING REQ: PROV: PARCEL: 42546204 ZNE: REF NO:
PLANNZNG NOTES>
>
�**it***�**�rft�r***�r+�v��*�*****+t+�*�*�*�*�+e+t*�*�*�***��+tiE+r+�+���rit********+��**�***�**�it
D E V E L U P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY
DATE:
bUILDING APPROVED BY : {-� DATE: //
APPLICATION ISSUED bY; i1'7 DATE: L��L ��
itiE*iEiE�riE�-it�-�fiE�-***itititieiflEiF3FiFiF���FiF3FiF +'F 3FiFiF"iFifiFiFiF'iFTF£�3FiF3F�F3F'iF"iFiF3FiFiFiEitit*�E�E�+EifiFiFiFiF#.'-7��i-'�it+�
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 17.50
25R '
PLAN .
ISSUE FEE 22.00 �
HUILDZNG-DIV-> PERMIT ISSUE PLAN-CHECR
TOTALS----> 17.50 22.00 O.OU
REVENUE DIVISION TOTALS--> COLLEC'�ED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
39.50
TOTAL
39.50
SMIP/NON-RES
PAID UUE
39.SU .00
39.50 OVER/SHORT: .00
FZRE SMIP/TOT GRADING PLAN-CHECK
!E i$ iE iE iElE iE if 3E �' iF iF if ik iE ik � if 9f iF if iE iE jE iE if fE if 1f iE 1E aE jF if iF ie'iE iE iF iE aE �E �)E 3E 1E iE iE if if fE IF ik 1f if �E fE iFlF iE iE iE 3E iE iE if ik iE i! iF iE iE iE ie i� �' jE if iE iE
I N D T V I D U A L �F E E B R£ A K D O W N
TYPE QTY D E S C R I P T I O N: UNIT COST TOTAL COST
PLU 2 REPAIR/ALTER DRAINAGE/VENT PIPING 8,75 17.50
END OF FEES
E,xp
�� �� a � BZ-12-1998/12:12 PM/f39.58
� PERMITPTg86931
CONSTRUCTION AND PLANNING PG..� & SPA
APVROVALS Permit# Date Inspector pppROVALS Permit# Date Inspector
7. Temporary Electrical Service or Pole 52. Pooi & Equipment �ocation
2. $pil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utiiity-Undrgr�d. 54. Porms
4, El2ctrical Conduit-Undrgrnd. -_ 55. Electrical Bonding -
5. Steel Aeinforcement 56. Rough Plumbing & Pressure Test i
6„���ectrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE
Z Footings 58. Eloctrical Conduit�Undrgrnd.
Br Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe•Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. .
10. Structural Floor Svstem ' 67. APPROVAL 70 DECK
11. Prpperty Sewer Line & House Connection 62. Backwash & Receptor-Finai
12. Sewer Cap 63. Heater & Vent�Final
73. Raof Drains 64. Piumbing SYstem � Final
14. Rough Plumbing - 65. Electrical-Final
15. Raugh Electriwl•Conduit 66. Solar SVstem-Finai
16. Rough Electric Wiring 67. Fencing & Access ApP�oval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING "
18. Rou9h Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. ROugh Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Under9round Hydro
22.Duets,Ventilating �S.ProductPlpingC7Gas ❑Oil
23. Gas Pipe-Rough & Test 7z, Underground Flush
24. Roof Framing 73. Undergr�d. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 7q, Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical
27. Frame and Flashing 76, Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FWAL
29. insulation 78. FIRE PREV. FINA�
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final � 80. FOOD CERTIF�CATE ISSUED
33. Final Electric . Note .� c2� ��OOL�_�,Q� x �,���.._ �/
f� fA �Y
34. Fi�ai Heating & Air Conditioning
a_�g_q$_unru�R_sieQ oK . E�_nl
35. final Gas P(pe-Test
36. Hood or Canopy
37. Final Faaory Firepiace ^
38. Final Plumbing �
39. Water Service•Final
40. Gas Service-Final
41. Sotar pomestic-Final
42. Backflow Preventer
43. Backfiow Irrigation �
44. Landscape Irripation System
45. Sound Attenuation ,�
46. Handicap Regulations �' �
47. FINA�STRUCTURE&BUILDING . . - _'
48. PINAL PLANNING ' i
49. Electric Release to Edison ' -
50. Gas Reiease to Southern California Gas Co ' �
5L CERTIFICATE OF OCCUPANCY
No. Date
._ ,�.,
CITY OF COSTA MESA
` ; __ � � BUILDING DIVISION
� DEVELOPMENT SERVICES DEPARTMENT 898-00851
�• • PERMIT PERMIT NUMBER
��
(714) 754-5273 • Fax (714) 754-4856 BUILDING PERMIT �� FAIR ORIVE, COSTA MESA, CA 92626
.lobAddress: 644 TERMINALWY
Suite:
Vicinity:
Parcel Nunmber: 42428104
Applicant: FORD, E.L.
Address:
Owner: SCHAUPPNER, VERNON E TR
Address 3730 5TH AVE
CORONA DEL MAR,CA
Contrecror: HOLMES ROOFING
Address: 00947 NORTH ELM
Zoning:
Phone:
Zip:
Phone:
2ip: 92625
Phone:
ORANGE CA Zip: 92667
License: 607894
Arch / Eng : '
Address: .. �
Phone:
2ip:
� � License: � -
SCOPE OF PERMIT
reroof 6250sf commercial building w/built-up
Plan Check:
Permit:
Other:
Inspection:
Total:
S0.00
$124.75
$0.00
$0.00
$125.37
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
NOTES:
Rear 0-0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
LeR 0- 0
Proposed: 0
Status: ISSUEDSRis
Applied: OS/18/1998
Issued: OS118/7998
Calc Valuation: $o.00
Claimed Valuation: Ss,zao.00
Right 0- 0
Right 0-0
�
EXPIRA710N: This permit shall automatically expire and become void if work is not�commenced within 1B0 days, or i( work is suspended or abandoned
for a period of 780 days.
INSPECTIONS: In order for ihe work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permR.
FOR INSPECTIONS CALL: (714) 7545628
WORKERS' COMPENSATION DECLARATION: . �
I �ereby effirtn under penalry oi perjury one ot Ne fWlowing deGaratlons: � �
❑ I have entl will malntein e certificate ot consent ta selt-Insure far workers' compensation, es proviAed tor by section 3700 oi Ne Lebor Code, for the peAortnanca ot the
vrork for whlch thls pertnit Is IuueE. .
❑ I heve arM will melntein xroAceB' cOmpen38tion insurance, es required by seclion 3700 ot the Lelwr Code, for the perfortnance of the woAc (w whidi Nis pertnit 45 issued.
My vrorkers' compensetbn Inwrance ceMer erM policy number are:
Carrier: . Polity Number.
(rnfs secuon need nor be comp�ereo u rne permit �s vaNed et one nunored doners (S 100) oi less.)
❑ I certify Ihat in t�e peAortnance oi t�e work for which this pertnit I5 i55ueQ I shell not employ eny persan in any manner so as to become sub�ect ta Ihe workers'
compensetion laws at Celitomia, end egree thet It I should become sub�ect lo the warkers' compensetlon provlslons of Seclion 3700 ot the La6or Cotle, I shall tonhwlth
comply wlth t�esa provislons.
�
Applicent Slgneture: �� � Dele: � �� d' � 5�
y WMNINQ:FAILURETOSECUREWOFKERS'CAMPENSATIIXJCAVERAGEISUNLAWFULAN�SHALLSU&IECTANEMPLOVERTOCRIMINALPENFLTIESANDGVILFINESUPTOONEMUNDFED
/ TYIOUSANDDOILAHE(5100,0OO1.INAODfTIONTOTHEWSTOFQOlAPENSIITION,DAMAOESPSPROVIDEOFORINSECfIIXJ3]O60FTHElABO(iCOOE,INfERE5T,ANDATfORNEV5FEE5.
�
LICENSED CONTRACTORS DECLARATION:
1 hereby eHirtn thet I em licensed under provisions of Chepter 9(commencing with Sectlon 7000) af Divlsion 3 of t�e Business and Professians Cade, end my Ilcense is In full
force end ettect. Lia x �o J i� S y Cless M c– ��l
ConVectofsSigneture: ,I� 2— ��,,,_o Date: j�/ i,r / S¢
i CONSTRUC710N LENDING AGENCY:
�i ❑ I hereby affirm that there is e wnstrucuon lending agenry tor tha peAortnance af the work tor which Nis permit is issued. (Sec. 3097, Civil Catla).
I Lentlefs Name: Lentlers ACdreu:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eKrm Ihat under penalry oi per�ury thet I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions
Cotle: Any ciry or counry which requires a Oermit ro consWct, alter, Improve, demolis�, ar repeir eny structure, pdor to its issuence, also requires Ne eppliwnt for such permlt
ro file e slpned statement that �e or she Is Iicensad pursuant to Ihe provislons ol Ihe ContreMors Llcense Law (C�apter 9(commencing with Section 7000) oi �INsion 3 of the
Business entl Professions Coda) or thel he or she is exempt iherefrom and ihe basis for Ihe elleged exemption. Any violatlon oi Section 7031.5 by any epplicant for e permlt
subJecLs the epDlicant to e civil penelry ot not more Ihen five huntlretl tlollars ($500).):
❑ I, es owner ot ��e property, or my employees with weges as their sole compansetlon, WILL DO 7ME WORK, an0 Ihe slrucNre Is not Intended or otteretl tor sele (Sec.
7044, Business entl Prolessions Cotle: The Contradors License Lew does not apPly ta en owner of propeny w�o 6uilds or improves theraon, and who tloes such work
hlmsalf or herself or ihrough his or her own employees, provitletl that such Improvements ere not Intentletl or ofleretl for sele. If, however, the hulltling or Improvement Is
sold within one year ot completion, ��e owner-builder will have the 6urden of proving that he or she tlitl not Dulltl or improve for purpose of sele.).
❑ I, as ownar of Ihe property, am EXCWSIVELV CONTRACTING WIT}1 LICENSED CONTRACTORS to construd the pro�ect (Sec. 7044, Business and Professions
CoCe: The contrectors License Law tloes not epply to an owner ol property who bullds or Impmves thereon, entl who contracts for such proiect wlth e wntrectoqs)
Ilcense pursuant to tha Contractors License Laws.).
❑ I em exempt under sec. Business antl Professions Cotle for ihis reeson:
Signeture: Date:
Owner ID verified by drivels licensa. ❑ Yes ❑ No Drivers License No. Expires:
Venfication of Ownership by (rype of tlacumant, i.e. - property tac blll or deed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFlCATION:
❑ I hereby ceRify �het no excevelion tiva (5) or more Feet in tlepth into which e Derson Is requlretl to tlescend, will be mede in cannectlon with wark authoAzetl by thls
pertnit, entl t�et no Dulltling structure, scafFolding, falsawork, or tlamolitlon or dismentling thereof, wlll be more ihen thirty-six (36) feet high. (Chep. 32, Grp 2, Ah 2, Sec.
341, Tltle 8, Cellfomie Administrative Code).
❑ As owner-bullder, I will not employ anyone to tlo work which would requlre e permit Irom Ihe DMsion oi InAustnal Satery, es noted ebove, unless such person has a
pertnit to Eo such wark trom tha division.
SignaNre: Date:
Division af Indusinel Sefely Pormit Num6er:
CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTAY: I cehify under penalty of perjury ihet I have read Ihis application end stete Ihet Ihe informatlon given is
correct I egree to comply wlih all state laws and ciry ortlinances relating to building consiruction, entl authodze represeniatives of ihe Ciry of Coste Mese to entar upon ihe
ebove-descnbed properry for Inspection purposes. I agree not to occupy ar allow occupency oi eny builtling authorizad by this permit until finfll inspoction.
1' ..2 �,., ,1 s � / i � / S a'
� Sign ure Of Legel Ownar(s) Dete
� AnNOr AuNorizad Appliwni Date
LO�E �. INSVECTIONTYVF
1616 Fixetl System Finel Fire Preven6on
1266 Pool Spe Final
200 Finel Re-Raof
201 Finel BIocWRetaining Wall
202 Finel Fectary Fire Place
203
204
z4a&4e
Final Sipn
Fnal Demolition
GAff II�ALS
. L�R� ��
COOE � INSPECTON TYPE
206 Finel Mechenical
20B Finel Plumbing
210 Final Eleciricel
212 Final Fire Preventlon
220 Flnal Planning Apprwel
222 Finel Si�e
250 . Finel Building/Occupanc
�
I��
�nnn�syuceawuc: _ 644 TERMINAL WY
' 'a��xs�l�a+own:SCHAUPPNER VERNON E TR
' .nonrss 3730 STH A�7E
CORONA DEL MAR,CA 92625
�
�vv�. wuiwn �ooxew:
IANCXffECiOX BlCdlffP:
ANCII OP FHG'8 �OOXFSS:
uc. No:
um:
uxr:
cam�crarsxu¢ AIR MANAGEMENT SYSTEMS ( 619 ) 390-7803
CONfP�CfORSYYI➢q 9369 QUAIL CANYON RD
enoxEs4EL CAJON CA ucra.: 547240
9 2 019 urr:
4CENSED COMflACTONS OECLAXAiION: I henEy dlim �uder penely d porjury �IW I un IicercaE uMs pwi�ims d Choqm 9
(wmmananp xilh SxUon )OW) d GYubn 9 d Ne Budroo ud Prdpaiona Code, uM my I'ra�ne u in lull lau erd aflsd.
cmuc.No.: uc.cuss:B uc.No.: 5y47�29�0j EXP:
Dme: / Z-7 �" S�7 toroaaa: LG/L /� ����/
.
OWNER BUILDEIi DEttAFRT10N: I hnab/ dfim� uMr pme�y d per'Fvy �hel I un aasmq han iM CaXMm Liwne lew Ip Qr
� Idb�+q isemn (Setlian )W t.5 &niwea enE PMmvom CoCe: MY dY a cau'uY �hidi iN��b a M�i io m�unucy. etls.'unVm+.
demd'eh. a repei ary avunuie. p'v lo hn eweroe. e6o repuues iM epplimN la w�ch pen�w �o fJs e dproE MamM Ihtl M a aM
o i�..e w�u �o in. a�e a u» comreea. uoe�e ie. Icnea� c(aw�m«mw .vn seao, �000l a p.:cn a a i�.
ewfne�. ena v,weaian coeel o. imm �. «.M e exemq insdrum .m m. nex. �« m. eMpM az.mqon. Mv •idmon d s.eon
)0'lt.5 W vry epplifanl Iw a permn wbprl� Ihe applcam �o a axl per�eM1y ol nq mpe ihen �va hurdreE AOAen �5500��.
� I.eaaxnerd�hepopeMamY�WW��nwepesu�haiedemmpeneelan.xilldoMewak.e�MiMSWcturoerwlinlmMed
or ollered br Wa (Senion 1ou. Bumma arM Pmlmabna Code: TM CaNrrJae lioeme Lewdoea mt epply io an ownerd popany
who buida or in0�'es �he�em, vd who Eom euch v.ork limrtl u hend a Nraqh he a M own employee�, pwkeE ihet ach
'mpwemmla ere nd inieMed a dlaiad la s+b, tl. hawarer. tAe buJdirq «inpeowmaN u eoltl wil�m or»Y� d eanpbtion. Ne
ow�wr-0uilder v.ill heve �he WNan d pvriip M w Me Etl nd butltl a'unpoue la iM pwpooe d velel.
� I. u oMner a11M CWeM. em utl�.d/ wnvm�q MiN 4oemaE conveciae b mrm�ud Ihe V9� (Satlion ]OM. &ui�w� eM
vMeeeians Gode: The Caueeuan lieaw lew daee nd e00N �o en oww a pWMY who battla a impm'« tAs�on end Ma
wnVecla tn aM p9bs wGA e mN2tl0�1s) ICwM W�aueN lo iha GoNmWa� limnfa lsw�.
❑ I un eaemq uMer SMim: B.8 P.C.. br Nie �savan:
Dale: " �
I do henby ceNty Ihtl I em ewere d erd urdentaM iAa raqwramapa d Cellomu IbeM end Selely Coda Sed'aa 25A5.255�.i, eM
25531, eM �Iw I m eny Mun buikmp owpent will / wil nat (orcle aria) need lo comply xih veid aete mEm erd tM rpuimnmNs M
epamillamnnructimamoEifimtionhamiM�i u3eilTyl�epenwnlDiatritl.FmiEeMielwn&rud'anappimbmuaeaemplrom0�ne
o��.
Dma: AGW�
WOflKER'S COMPEN5ITION DK W1�TION: 1 Mroby elfvm �vda paWly d prp�y aw d tM IOAowinp dedereiom:
� I Mw ud xil me'viten e cMilkYs d m�ueni to �atli'mne lar v.aken' mipa�union. n pwidsd frc by baeion 3100 d iM labar
Cods. l« tM pMmmencs d IM xM In w1Yc� Nb pamX u u�ueE.
❑ � nme.m vri� me�aen wonw.• aomo«uno� um,rerce. ea nw�e W seaim a�oo a m. �.n« coa., m. m. v�� d m.
work Iw xhitli Mia Va�� u eeueE. MY waMeis' comW��ion'vwrerce wrpr ud VdkY wmEer ue:
c�: CpL INDEMNITY EXPIRES
awry N�mn�: R30T£7S3F 0 7/ O 1/ 9 8
(Thia secfion neeC na 6e comdeted I lhs perml b M one huMred dolbn (Si00/ a Ism.)
� I wrlM Ihe� in �ha peAmrenca d tM wwk br whch Ihro permN h iseued. I J�etl m� ampby enY Vabn in enY men�wr m n lo
Wwme wbl� to �M wohare canpen�etion kwe W CeGlan4. uM epree Ihet tl I ehauN becanw wbpn to tM v.oNen'
�omro�w� wwa�. a see� a�oo d in. �eo, cods. i wu m„�,n�%y% l�°
om.: /Z-29-97 �cw�: « ""' �
W�m/ip: F�Nun ro ucun woikwi rompwu�tlon covxap� li u awNl, �ntlWll u!/�cl en Nnploy1r ro MM�uI pwulflN aM
c/vll 11nu'q ro am huiEisd flnuuM EWNn (SIOO,OOpA N edsltlon b M� eaf o/ rompmufbM1 Eemep� u pvvMM br /n
s.cno� na o� ur. leeo, coa, mM..c .,w.rrom.r. r.«.
CONSTRUCTION LENOINO ROENCY: I Mreby elfirm uMar penelly d perwry IIW iMn o e mnalr�dion bMiy penry la Ns
perlrnmen[e ol Ih1 w0A 10!'.MINI lhe W�ml If eeUBE ($lCtnl1309). L'w, C).
. LENUEW9NMIE:
LENDER'S ADDRESS:
I cerlily Ihet I lieva roeE �hia epdKmim enE aels Ihet iM ebova iMamdion n mrtp. I prae io compty vmh dl dry erd oouMy oMirieMsa
eM omle lexw mWnp to Wik'vp conaVuabn eM hereby au�hwae mpeeenlelrvee d Ihu tily lo enler upon iM abws-menliwiad pmpeM
�«��°���°��°�JOHN WING
P iN
� �� �� om<: /2-z9-97
Spnm d /ApenVAppYranVCont
, (5131de WP) WhOo-BuilEvp 8 Selely; Oreeo-Fle; Cenery-AppYcent: Pink-Fevenue: GoldwmE-N�aaaor
CITY OF COSTA MESA — HUILDING.PERMIT.
PERM NO: B 086322
PERMIT NO: B 086322 PLAN CHECK NO: 04988-97 A GOVT: N SOPP: N
CONSTRUCTION TYPE: I PERMIT TYPE: STR PUAPOSE: ADD
JOB DESCRIPTION : SPAAY HOOTH W/CHEM FIRE SUP. SEPARATELY SQ FT: 10,000
CLAIM VALUE: 10,000.00 CALC—VALUE: 10,000.00 GROUP OCC: S-3 /
COMMENTS: "TIAMO MOTORCARS"
+�atvr*�r**�at�*atat*�*a�at**atat*at**�t�r�t*�t�*ar**+t+a��*atat*+r+r+c**�t****at***+e�tat�*if+t+t*�t**it*�rie+a*+tat�
Z O N I N G A E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT, IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PAAKING REQ: PROV: PAACEL: 42428104 ZNE: MG REF NO:
PLANNING NOTES> INSTALL SPRAY BOOTH AND CLEAN ROOM. INSPECT SITE TO SEE IF
> VENT IS SCREENED FROM RESIDENCES TO NORTH. A�MD REQ P.. ..
'k'Ik'kiFifjtiFiFifiEiEdkikif�FlfitaF�fifil'ifiFiiiFikifit3fikifititit�kik3hikik�IfiFitdfiF141E�Fif1k�IFiEifil�IkiFjF�f�fif'If i!'k'IkiEifiFiEikifiFiE:ik.iEikiF14i4�1E
D E V E L O P M E N T S E A V I C E S R E Q U I R E M E N T S�
ZONING APPROVED BY W C�vK— DATE; �Z �l l�l
HUILDING APPROVED HY : DATE; �—
APPLICATION ISSUED HY: vW\ � DATE: ���
ifiFjFjfitiFikik3kiEiiiliEikik3fiflfifiElFlkiF3fiF7FiF'�iFiFiFiFiFiFiF7F3FiFiFif�iFiFiFiF�F7f'3F iFkif'1flkifif'lEifik'1k 'kiE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES• GRADING
PERMIT 162.25
SMIP/NON—RES�
PLAN 26.37 2,10
ISSUE FEE ',
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 164.35 0.00 26.37 190.72 190.72 .00
REVENUE DIVISION TOTALS--> COLLECTED; 164.35 OVER/SHORT: <„ 00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN'—CHECK
162.25 2,10
1E iE ik ik 1F'lF iF iF 1f if'k'1F'k 1f iE ik 1f ii i! if if iF 1I� if 1E iE 1f ik'k iF iF %1E iE 1E 1k i! ik it iF 1E 1f iF if 1k IE it iE iE'lF'lE iE 1k iE iE iE ii if 1F if 1E iE 3E ik'k it iE iE 1E ik i!!E If 1k iF'k 1f iF if
I N D I V I D U A L F E E H R E A It D O W N —
TYPE QTY D E S C R I P T I O N UNIT COST TOTF.L COST
SFC 10000 ALTER BY VALUE COMMERCIAL NOZONE 1.00 10,000.00
END OF FEES
12-29-:997/i2:IC Gn/E164.35
ftCPT�:�i-�fi17s73
i�E➢2f7S"':G8b32�
\\
• POUL & SPA
CONSTRUCTION ANDPLANNING
APPROVALS Permit # Date Inspector AppROVALS Permit # Date � Inspector
j ,
+ 1. Temporary Electrical Service or Pole 52. Poo� & Equipment Location �
�.2., 9oil Pipe-Undrgmd. _ 53. Steel Reinforeement
•`y �.�lectrical ConduiC.Utility•Undrgrnd. 54. Forms =
' 4._Electrical Cond'uit=Undr9rnd. 55. Electrical Bonding
�- 5, Steel Reinfortement 56. Rough Plumbing & Pressure 7est
'`= g'Electrical UFER�Grnd, 57. APPROVAL TO COVER�GUNITE -
• 1 /
; �7'.��ootings �' � 3p/(f� 58. Electrical Condliit�Und�grnd.
�
�� S. Foundation _`" __ �`��� � 59. Gas Pipe, fJ Undrgmd., Test
-::9.'�/Jater Pipe•Undrgrnd.: � 60. Backwash Lines; P-Trap, O Undrgmd.
��10. Structural Floor.SVstem � 61. APPROVAL TO DECK
�11. Property Sewer'�Line & House�Connection 62. Backwash & Re�eptor-Final
v`
72._�$ewer Cap - 63. Heater & Vent�Final
13. Roof Drains 64. Plumbing SYstem - final
14. Rough Plumbin9 65. Electrical-Final
15. Rou9h Electrica!-Conduit •• 66. Solar System-Fina1
16. Rough Electric WirPdg 67. Fencing & AccBss ApProvai
17. Rough Wiring Sign 68. APPROVED PORPLASTERING
18. Rough Electricat-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19.;Fiough Heating &,-Air Conditioning .. - - •� FfRf_DEPT: REQUIREMEN�T
- - �:��0 n • ?� '
20. Roui�"h FactofN Fice�lace � T - _� _ � APPAOVi41$" � Permit # " '
:< � _, � a,
21 . Ducis, in.btruccuie . � � -�,: 70.rUndergro6nd F��dro
22.=0ucts. VehtiF�ting:� �� * = . `";. - 71. Prod4cx;Piping a,7'y�s E70i1 _ -
1 Y` K 1-� Y. � -•
23. �Gas �,ipa�Ao6�h & '�est - . r 1� � ' ' _r -,. - 72. Undergrau�d F}ush.n > o
24. floof Framing -� '' *�, "� - ��� _ Z3, Undergr�d.Sto;e�eTanK OGas ❑Oil
25. �Roof. Sheuthing k,,� - �. ' : - � �� 7 � 74_ Overhead Hydr9 � �
26. 7-Bar CeiVing (Struc[urall & Monocoat = 7 � �% ` 7��: Dry _Che.rpj�al r� 7
27. Frame and Fl�shing* -� _ `• " . � " = � " '' '_ , " -_�
_rt; >.� 76. DryStan�Wpe��- ..
28. Lathing&Sid�ng � 7:'=� '{ ^ 7J'. FIXED`SYST�NI�FINA'��� �� �
. 29. Insulatio� . ;��� c j � - , ,� . �. FIRE PREV. fINAL . � h 7
30. Orywall Nailing ' - � ��HEALTH DEPT�iEQUIREMENT
.
31. Plaster Brown�Coat,, -• � '' 79, FINAL KN$PEC"f�ON "-, _ `�
; 32. Electriwl�PoWer MeterF.inal � • - 807 FOOD CERTIFICATE ISSUED� _
33.�FinLY'Electric� �,y'`7 _, - ��. , Nates: .� -��� . � ���
.� 34.:Fina7;Hea'ting&AirConiiitionin'g' --=,�� - ' :..y -
� -, ti
35. Final,Gas;PipB�Testr =T ' ' �i � T . .-.` �. .
� - . . . _ e .. � �
36. Hoo� or CanoPY � - , _� -? :,� .
�
. � 37. Final'Fae,�ory Fireplace y : ' ' " , . _
Y � J
38..Einal'.Plumbing . �;�� • J -� � -
39. NJater SeY4ic'-Final � _ , ^ _' '� A �_
�
40..GasService-Fioai ' -,., _ �,; � . ',�_ ..-
� 41. Solar pomesfrc-Finai � - '7=� . ` . �
`I r : _ r __
42. Backflow;j�reventer , - , � ; _ ;; y � , " ,
43. Backfiow irrigation %� "'i z '- �
:i-
- ai� x-- • :I � �- - .� .
,'44. Landscape Irrigatioq Syscem- r^ � -. - �; ;;; e " • . ;, - �
45..Sound Attenuation' -: • • � , '- :°: c" - _ '� . �' •
-� �y. - ' . ..
46. Handicap Regulations � :. - : j_. ' ,
_47. FIN�kL STRllCTURE & BUILDiNG ' � �
-� - �,- - � 'c ' �• �
46.:fINAL�LANNING: � .- aJ.a�/_ Il�� ;yv, '����-kl.C_�I� 7� �
49. filectiic Release to Edison r :�: ( - . �
� M: ri
50. Gas Relea'se to Sout�em CalifocniaGas Co � � �- `� � '
� J .= .
'S1. CERTIFICA7E OF OCCUPANCY
No. Date
�
�
, .
PETROS,EDWARD '
From: BOUWENS-KILLEEN, WILLA
Sent: Friday, February 27, 1998 7:24 AM
To: PETROS, EDWARD
Subject: 644 Terminal Way
Eddie - Planning is ok with final releases for the spray booth at 644 Terminal Way. Willa
Page 1
�
IDonEssoFeuaoua: 644 TERMINAL WY
ow�eeaexaei?ioawx: SCHAUPPNER VERNON E TR
""""�% 3730 STH A�E
CORONA DEL MAR,CA 92625
�VPl.IW1IIl0 dDONE54
111CHRECTOIiENtiNFEA:
ANCH.OP FllG.'S AODNE55:
uc xo.:
uxt:
UNT:
��T�� AIR MANAGEMENT SYSTEMS (619)390-7803
cwrx�croas�u�wo 9369 QUAIL CANYON RD
�ss EL CAJdN CA ��= 547240
92019 uM:
IJCENSEU COMHACTOfl4 DECLAXATION: I Miaby ellim uMa penelly d pajury thet I em lieneetl uMm patiwu d GM1epar a
(oommenenp wuh Sxuon ]000) d Oiv'vion 3 d Ne Budnev and Piafmdau COEe. uM mY �� u in M iuw ud eliw.
cmuc.Ho.: uc.cuss:B uc.No.: 547240 EXP:
Dme: / 7 -?9 - �'i'7 Cmoaa«: �- � �'��
OWNEH BUILDER DECL�NATON: I he�aE�y elfirm ivda paWy M er�W IAet 1 am exemq han tM CaN�eam licenve lnw la ihe
�Eoxiq �ason (Sadian'lro13 Bwnea� and Rtlwom Code: AnV W a cuveY Miidi �ay�vm a V�R b mutrucl. eEa. rtnP�.
Jemd'e�, a repv vry auunve. qia io es eeuenro. ebo reQuim IM epplixM la euch pem�il to fib a aqred amemr�t Nm M n aM
u lioen»d W�^� �o tM pmbime d IM Contrmare lioenae Lew �Cheqx e(�m��q �h Sedion 1000) d Dweion 3 tl Ib
Bin'vieaa azd Rdm'vn CoEel «ihet he « ehe u ezemq Ihvahom end IM bmn la Ne dkpeA a�emqion. My videtion d Setlion
�oa�.s M�n roN� ior. w� �+�ne wps.m io e dw ve�.nr a �a �. mm, rH. M,�a ema, �Sswp.
❑ �. m o.,w w �na popenr «mv.mWweee �Nn rew! m iM: sob mnveneeiim. wJ� do ur wk. em �ne eiunu�a e ia imenaee
a aflereElor eeb lSxtun ]01/. Buvirow vM PrdessansCode: The Con�rrfon limue lewtloee iM npplyto en owner d popeny
who buids a in V� Iheeon. rd Mq Aow �uN wak limsed a henal a Waph he a her oxn amD�M�. qa'� thel wM
'unttwTM�sus se ria'vqeetled a aflareE la eab. tl. M1owwer. �M WYi^0 a inP��aq o eotl wnhm one 1'� d miWaion. tln
owrerbuJder xiu M1m iM EuNan d pwi�q M a ehe Nd na WOA n impove tn tM puryme d veb).
� I. ea owmr d iM pmpeily. em e�dvervey aonlredip wuh licrosed conl�aciwe b oon9rue �M pqea (Seaun 10�I. Buvineea eM
Prdaeiau Code: TM CoMreqm lironse Lew doee mi WVN �o an owror d popMY x1a builds ar'unD�'m ihemm enJ xho
contrecb br adi w9+ds rmh a mareqMe) GcemeE pu�uw to IM Comrea«� liomve Lewl.
❑ I am eaemp uMm Seclion: B. 8 P.C., br Nu �eewn:
De�e: O�mer.
I tlo hnaby cenCy tlW I em ewers d vd wdenbM iM reyuhsmaus d Cd/mds HeMI+ ud Sdery Cade See've 25505. t55�. end
TSS�a, eM tlw I a eny Muro Wikiip omipeni will / wil Mn (tlrcb one) �weE io comply wYh eeid peb coden uq �M reduinmsme fa
apermniacamVuclionwmodifiratanhomlheAk�u Ciyl.renepament0imna.Rmidemielm�nwoneppYratbnserememqimmiheae
a��.
Date: �Vd�:
WOHKEH'S COMPEMSATION DECLAN�TION: I Mreby eM urdx parehy M parjury orw d tM bllowi�q Eetlereliona:
� I hew eM xil meintan a unJirme d ooneent lo �eXim�n br xwkm' oompenotlbn. u w�� �a M Seaan 3ro0 d ths lebor
coae. �o. in. w��. a m. wwx �« ..r:u� mm c«mn s imwe.
❑ i ne.» �e w�� �m.n ��a.� �o«,�mo� �owr�..,..a���a M s.a� s�oo d ma �.nw c�. br me wa«� d ms
woilc Iw whitl� Ihie paimX ie ieeued. My wvFen compeneelion ineurer�cs wner eiM poliuy number are:
c�e�: CAL INDEMNITY EXPIRES
Pa�v �me« 0 7/ 01 / 9 8
(fiia aecTion nesd rrof M cande�ed / tM P�k n lw arro huMred Edlen IS'iOJI a bu.)
❑ � cenLy �nm in me w�+ormeM. a iM rux �n wncn �nie vom,N n bwee, �.�w� na m,Wov �y w�.� �� dn m.��m .0 .. �o
Eacane wbled �o iM wrYere' compenWion lawe G Cdilmtie. end Wres Uw X I ehouk Eecvne wMb b Ihs xwknn'
canpenwion pwiabm d Sedion J)d1 d IM Lebar COM. I�he0 fonhwil� py Oau piaro�o'u.7
o�.: / Z-29 - S-1 _ �oa�c %f'/ �✓ �
wamina: F.dw ro weun iroilew�'ror�vw+tlon eov�rep l. wMwN( nrtl �IWI ulNet.n �mproyw ro enmlrW pm�ltlu ane
GHI flnu ay ro arr huMrW fhouuM 0d4n (ifG0,000A b�Itlon b M� cwl o/ rompwwtbM1 WrMya u proMtlM br In
Sxtlon 9)OB o/ tli� IaEor Cods, /�rtMssL ��W �fronn✓s l�u.
CONSTRIICTION LENDINO �OENCY: I Mreby elfi�m uMer penelry d pe'jury ihet �has o a ewmriWion Imdiip aparcy lor Ihe
perlamenro d IM xak la whid� �he permi u uaM (Sadion 3W1. CH. Cl.
' LENOER'S N�IIE:
. LENDEH'S ROONE55:
I cMM Itut I hew rtM �ho eVWiution eM qaia Out Na ebave iMametian u conad. I eY�� �o canN/ wn� eA aY end rnwY adineima
aM eWe lawa ielelM w WJEnO cmttluRion eM M1srsbV eNhonxa �sP���� al lks e�' b eMa uD� IM ebow�meNianetl pWeM
�«��'°'�D"�"'JOHN WING
o�: / Z- 25- `j %
NTes-Butldiq 8 SiMY: dn«�Fb: Cuury-AVGk'�: Pink-Mwnn: OdEmro6-Nasnor
CITY OF COSTA MESA - HUILDING PERMIT
PERM NO• E 086323
PERMIT NO; E 086323 PLAN CHECK NO: N GOVT: N'SUPP; N
CONSTRUCTION TYPE: I PERMIT TYPE: ELE PURPOSE: ADD
JOH DESCRIPTION : SPRAY BOOTH W/CHEM FIRE SUP. SEPARATELY SQ FT:
CLAIM VALUE; CALC-VALUE: GROUP OCC; S-3 /
*��***�***�r**��**�*�+Rr��*�r�e******HOO�*fr�r+Rr**B******+r+�+r**�rxx���rr�+r���r***��**+�*�r�*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG ---------
FRNT: FT IN AEAR: FT IN FRNT: FT IN REAA; FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGAT: FT IN
PARKING RE�• PROV: PARCEL: 42428104 ZNE: REF NO:
PLANNING N TES>
i
�r*�r*******�r*x�*******�r+r**�rx�*�r+r+r�r**+r+rir�r�+r+r�r�r*�x�r****�*�***x ���r+r��*�r�x �*****�r*���r�r
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY � DATE:
BUILDZNG APPROVED HY : • DATE:
APPLICATION ISSUED HY: �� %� DATE: ��i �- �'1,�
1EIEiE1EiElfiFifiE�EikikltiEiEiF1F1F�kiFiflt iEififiEifiFiFiEiE1E ak
LEGALIZATION:N F E E 'S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 53,25
SOt SMIP/NON-RES
PLAN
ISSUE FEE 22,00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK
TOTALS----> 53.25 22.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
75.25
TOTAL PAZD DUE
75.25 75.25 .00
75.25 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN-CHECK
iE iE iElE iE it i! 1E 1E±E fF iE ik'lf �f 1E 1E 1k if M 1E k M 1E ik iE 1f if 1f iklE 1f ik M'lf iF 1f 1F 1E ik 1E iE 1f iE'lF k'k if k 1E iE iFiE if if ik if 1E 3! iE iE iE fk iE iE iF'IE iE if if 1(� if ib 3k iE k k�E ih
I N D I V Z D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 14 FIXTURES, LIGHTING 1 ST 20 EA. 1.00 14.00
ELE 2 RECEPT/SWITCH 1 ST 20 EA, 1.00 2.00
ELE 1 MOTOR/POWR APPARATUS 0.0 - 1,0 HP 4.25 4,25
ELE 3 MOTOR/POWR APPARATUS 1.1 - 10.0 HP 11.00 33.00
END OF FEES
12-29-:997/12:12 F';:/i7'�.2;:
5LPT4:°1«llsr?
�'EP.i=7I i e E�632s
�" CONSTRUC710N AND P4ANNING PV�� & SPA
l
APPROVALS Permit # Date Inspector qppROVAlS Permit � �Date� Inspec-or
`- 7. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soii Pipe-Undrgrnd._ 53. Steel Reinforcement
���_,� .r �
� �j3, ;Electrical Conde;i[;l.)tility-Undrgrod. 54. Forms -
'- �4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
�:�5j,Scee1 Rei�forcemer{`t < . 56. Rough Ptumbing & P�essure Teu - '
"-6t�ElectricalUFER:Grnd. - 57. APPROVALTOCOVER•GUNITE
,.
-._7°�footi�gs �i � 58. Etectrical Conduit'Undrgrnd.
'-�8. �Foundation �� � 59. GasPipe,O Undcgrnd.,Test �
�"�9. Water Pipe-Undrgrnd. ^' � 60. Backwash Line�� �'-Trap, O Undrgrnd.
9A. Svuctural Floor,-System ��_i 67. APPROVAI T bECK .
; i•1. Property Sewer Line & HousA�Connection 62. Backwash & REceptor-Final
12..Sewer Cap . �, 63. Heater & Vent�Final .
13. Roof Drains ^ 64. Plumbinq System - Final
14. Rough Plumbing, .-� ;� 65. Electrical�Final
15. Rough Electriral-Coaduit �• 66. Solar System-F,Fyifel
16. Rough Electric Wiring 67. Fencing & Access ApP�oval '
17. Rough Wiring Sign � 68. APPROVEO FC§F'PLASTERING
� .,,
18. Rough Electrical•T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. �iough Hgtting.& Ai[�Conditioning, ��. x,. :� r,� c�a - �• FtREttjEPT;QiEQVIREMENT �•i- •7
- ^'t:'� J ir' T r -t� -
20. Rough Fa2tory FiTsplace "- z. S ` � � �y � APP[{OV,A�S� i Permit #�� �'"� �
21. Ducts•, i�,-;Structure"« ,� = r� �j � ��r 70. -UndergrouNd H�dro
22.,Ducts.Ventilatingu* .�C' "� � �"<< 71. ProduCi�iping-.'
G�'l,�as Q Oil
, � ;n _: :. -:, e' `�.� �. � �- � � i .-i i � + r
23. Gas Pipe-Aough &Test - �� x' x . S r- 7z. Undergramd F}�sh �
24. Roof �F.aming �<� T � = x'-�* • 73? Undergr d. Stora Tank Q Gas ❑ Oil
,c. -i '� Na .- L' �
25..R00%Sheathing ` `: � �:-, .:-�j p� 74. Overhead HydrQr �
26. T�Bar�Cetling IStruccurap & Mdil6coat �� J „� 75: Dry Che'";cal ^_ "� -� � �
nr e � ..:,'i'-
27. �rartiEandf� hi ` ,�' ^ ^ .
� as ^� e =[~�' � a �: � ja 76. Dry Star�P�Pe.�ti �� -u -
. 28. Lathin9&Siding .Y� - 7..�' 7 �Y � � � i� 77} FIXED`3VSTENiPINP;�-' 1 -�L`'T�
29. Insulation "' ' �� ��- � � 78: PIRE PREV. F{iJ�1� . y y a�•
30. Orywall (Uailing r� ' ti' ' ;�H&ALTFI OEP4FREQUIRETV}EPFf
Y
-, 37. Plaster Biov.�n.Coai'. ' � « ' S 79. FINAL INS�'ECTI.pJ;I ; .� � -
; 32. Electrical�Pov✓er MeterFn�al •� � � 0: FOOD CERTIF7CATE ISSWEB' �
. _. - _, � - - , - < <. y
- 33. �Fina�iEle,ctric=: j" �� �' �� - - �'t�Y: r - .� �� ' �,l�r.
-, .. J>' X -+- Zi'� � Q".. _:•P �.1 - -'
;� 34. ;Finall-leating & Aic Conditioning'" 'y� -. � � ,� ,' �_y`; � -.
- ^�� t' Y,
35. Fina� Gas Pipe'-TesY `. - " ' ' � ' o ? ' * ;,;' } = ;
r � .�� . F .,� ..
+. �
' 36. H,00c�or Canopy ;;,�: "�+. ; � v: «' .r. . c . -,
_ - •'�' . •' �
.� 37. Final'Facjpry Firep�lace, ' ..' `� � :r r �a: � -+ �
_ j . . . :: J . -
=38. Final-blumbing . ; ��� r. , c � 'l �e - •
- ' .`; -,
39. Water Service-FinaY!' �: * � � ` '� l '� � 'n�%^
� ' r�� • . -t .,<:-
-� ' � . ^:*' � . . v-.. � : .
,. 40. Gas Service-Pinal � � '. �, �� � K; �., . �,... r a;
�
41. Solar pomestio-Finah x^ , T �'� tr' a-
i � r, �
42. Backflow,Qreventer ` " _.. �� � ; - � �� � -
., "
43. Backflow Irrigation a' _ * ^ � � ' ' ' ' ' '
.. � c' .k 3 G ,��
..r ~ � � .. . .
44. ;Landscape IrrigatiorySystem j ;_- - . ,, � - g g ��- . � �
45. Sound Attenuation'- • •• • :� ^ �* ` T � . - .
�- n + , i i �
46. Handirap'Regulatior�s :, �. �r , pr _ • - ^, " ' �
49. F�INAi STRUCTURE & 9UILDING ; . � 'w '" < �
- r r:� s ; � .�
48. fp1NALPLANNINGY� .'`� � " I ' ;� ,-� i�y c . .^t,
49. Eleclnc Release to Edison � • r . ; ¢ • � -' ��
: tj' r -
50. Gas R�lease to Southem Californi �Gas Co . � -" � _, �` � ' � �
51. CERTIFICATE OP OCCUPANCY
No. Date
�
�O��j�j SUBJECT:
JOURNAL�/ INSIGHT
�
�' Z�� i� /<Y G�G ' S Od l� �C l�
2' '18 O�S�I���/ �
G �/ �
1 W 4a8
wonEssaem�ara: G94 TERMINAL WY
owyeasxins�p+avx: SCHAUPPNER; 'VERNON E TR
�now�� 3730 STH AVE
CORONA DEL MAR,CA 92625
�vvi.wuw+o,�ooxess:
UNT:
�xcxrtccr a+�+m+ffn: uc. xo.:
APCN.ON ENO.'4 �DDPE55: UNi:
mNm�crarswu�:RIGOLI FIRE EQUIPMENT CO ( 818 ) 579-9830
CONfN�tTORSMYNq 2526 N LOMA AV
i1pONE54:SO EL MONTE 91733 CA uc.r�o.: 52�4299
UCENSED COMF�CTOHS DECLAFATION: I hereby Mim uMx pare�y d pe�ury �Iw I em liwed uMer pwieionv d Chepter 9
(wmmendrp wilh Senbn ]000) d Divnian 3 d Me &�sroas ud PMeae'vm Cotle. end mY &ame u In IUA Ipro vM elletl.
c�n o.:068227 uc.cuss:C 16 uc.No.: 5 299 EXP: 08/98
�,;_ �'30-�/'� cameas �-vc..�
/OWNEP IL�ER OECIANRTION: I Mnby dfiem uMx psWy d jry thet I em aremp hom tM Com�etlon lieane lew lor Ihe
�dw»ao +o� Isecion �a» s an:w�a dd v�dm.ians coee: nm ur «mwr wn:n nau�re. e v«�Y �o mrewd. Mx. �mvo...
bmol , or repei e�ry atrvctura, pia io Ca htuanro, ebo �epuiree Ihe applimnt la auch partnil b Na e apred n+tamem IAeI M a eM
' aed w�wwan� �o ihe P�s d Me Com�ee«s License lew [��N« 9loommenomq w§h Seaion ]000) at Divebn a d �ro
I Buarea end Ndanom todel «thet M«she u ezemW tAaMium ud tM Wm la Ne eAepeE uemqion. MY vidmion al Sadion
]W 1.5 W enY eOW� Iw e permM1 a�bjwa ihe epplium to e dvd panelly af nd maa Ihen Me huMred tldlere �SSOOU.
� I.nawrcrdlMpWs�Y«mY�WdM9vAhwegeamihsdeam0��.'�itlEoMav.wk.aMUaslewunurotiniendaE
ar ollerad f« eele (Saction ]066. Buvnea eid Prdesa'va Cade: The CwvrmwsLi'zrtvs law doee m� epp�yto en owner ol D�DaM
wlro WdEa w inpw» IM1e�eon. W wM tloae autli xak h'vn�tl a MnN « Wpqh hi u her own amployeee, pwkaA �I� wch
�mw��eme... na im«dee a anene �«.de. u. now«e.. ��. daivw o.:nw��a+u edd wanin ar veu a candeiion. u�e
o�,-wua« �;u n... ms w� d w�w ns «.ne m �a wu «�p„�, i« me wmm. a..b1.
i. m o�.. a me wwsro. ���++r owreeoo »vn x«�e �o-ti.a. m�aw u» v�d� csea� raa. ew�. d,e
� r�d..+�w coaa: Tne com�ma. �. �w ms. m aw�v m� owo« d ww�r »no a,�w «�ww.. m�.� �a .N,o
conVecb Iw eurl� propae wnh e mMredw(el Icensad qvauem �o iM Camrmwa liosias lawl.
� 1 un ezemq uMer SMlon: B. 8 P.G.. br tlua nuon:
Dele: �
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255�6. eM Ihet I a vry Mura build�q oovqem vri9 / wil rM (acb ma) nsed Io oomply xv� eeid mte mda� ud tM npuiromeMe br
eMm+nlaoomNMionamoEJralionhan�heA"r�i enepenamOmrie.RnkaniNmMMioneOV�ianenazemqlmm�Mu
pmiiams.
Oele: �VO�S�:
WONKEN'8 COYPENS�TION DEClA11ATION: I Mreby NNm unEx peretly d parpvy aw d Na Idbw'uq ddvm'vne:
� I heva aM wJ meiruen s cMAiWa d avueM lo sotl�inwia br wkon' mmpewtbn. n prwided Iv by Smim �]00 tl ihe lebor
COEe.Ia tM pe�lamence W tM wk lor wticn Uu qrmn u mued.
• �] � n.r..ne w ma'vuei, woiw..�.vmv�� �*,r.nce. e, i.wo.e W seion aloo a u» l.ba. cod.. fa. �n. w�� d �n.
14 wwxior»+��m�w�urem�e.wvws� CA�LCOMP� INS ����um�r�: EXPIRES
c�.,:
aativ N�me«: 0 2/ 15 / 9 8
(Thu udion rieeE rrolW canCbfeC f IM P�l 'u M aro huMreE Ldlers ISIP01 n Im.)
� I ' Nel in ihs pMormenes d iM wak M xhiN Ihis peemE u wuM. I YW nal amWry eiry pavan in ury mennr eo m to
eubpa w IM xaMn' canpen+etion lex+ G Cefdanu. uM ap�ea m il I ehouM Exoms wbl� lo iM v.wkeis'
� em� w�o� a s.a� a�ao a ine �e« coe.. i.nm ro.mn a N wn n�e.
s. 2� 30� wa�: -v�r..'C�—
am/ : FeUun N weun rork�ri conpwrutlon eovw�p� l� un (�nd Ntll ub/cl �n wlployx to cMln�l pxuMu �n0
�h n.. w ro m. nu�er.d �roww dwrr. ltru4000A N.mrw� ro an co.r o� ro�a.wucn s+� .. c+nvro.e ror in
tlon 9](I6 0l !h� LWor Cotls. InMut � aRomsy'� l�u.
ONSTHUCIION LENDINO PGENCY: I Iweby elfi�m uMx penaly d p>jury tAm iAxa u e mM�utlion bMvp epaicy M Ne
performerce d IM xvk la whitli ihu pomii u ewed (Setlian �09). Civ. Cl.
LEN�EP'S NMIE
� \ LENDEP'S �OONE53:
I cenity iM1m I heva reeE I�b epqicelion W Me�a ihm tM eEovs iNanaiion e cmw. I ep�ee io campy xi�h e0 ory rq mumy pdinencee
BM B�B IBv.91BI81iq 10 WIIdPq CMW V.]i.T BM MIBf/j GWhOf¢O eepMBn18�M0 d lM1u Gtly b GNY Up011 �M BbOM�I11GNqIyE plppBlly
ta�;o��w�v�JACl( EVANS
n
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(St51M.WP) W��O���dYqdSalery:Green-Fib:Gana�Appim�a:Rnk-fla.erv»:Gddenrod-Amswr
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: F 086340
CONSTRUCTION TYPE: I
PLAN CHECK NO: 05006-97 L
PERMIT TYPE: FIR
PERM NO: F 086340
GOVT: N SUPP: N
PURPOSE: ADD
JOH DESCRIPTION : CHEM FIRE SUPPRESSION SQ FT:
CLAIM VALUE: 1,000.00 CALC-VALUE: GROUP OCC: S-3 /
COMMENTS: "TIAMO MOTORCARS" FIRE SUPPRESSION FOR SRPAY BOOTH
�****�+���r��r*****+��r****+�*�r*�rir*****���***+�+r*�*+�***�***���*+�******��c***�c**�x ****�+�
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FANT: FT IN REAR• FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN AGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 92428104 ZNE: REF NO:
PLANNING NOTES>
i
1E 1f if if'14 fk 1k iF iF 1E iE if iE if if 1E 3! k iF if it 1E k ik ik ik fk ik 1E 1E iE IE iE iE iE if 1E if iE if 1E 1E if iE i! iF k iE ik iE iF�E * iE iE �k iE±E�k')F ik'1E iE iE iE �lf iE 3! iF it iE 1E 1E if 3E �k iE'� �E
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY .
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
kiflF3kfkilifkiFlElEifiEiElEiEk3FikfkikiE
LEGALIZATION:N F E E S M M A R Y
BLDG PMT PLUMHING ELECTRIC MECHANIC
PERMIT
PLAN
BUILDINGEDIV-> PERMIT ISSUE PLAN-CHECK
TOTALS----> 35.00 0,00 22.75
REVENUE DIVISION TOTALS--> COLLECTED:
HLDG PMT PLUMBING ELECTRIC MECHANIC
_ DATE:
_ DATE; "
�Fi��r�e*�D+�r*�*� *��
STRUCTURAL SEGM NT:N
FIRE SMIP/RES GRADING
35.00
65Y SMIP/NON-RES
22.75
TOTAL PAID DUE
57.75 57,75 ,00
57.75 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN-CHECK
35.00 22.75
if ik�lFiFi! �k iF 1E'14 �tt� �IE'Ik iF �IE'� iE �IEiF iE a4ikikif if jE ik if if if iF�F df it i4 �Ik �tt�')f iE'14'14 �k'N' iFiF M iF iF ikil� ik1! ik iF ik �IF it iF'k jFjF �tt� iE jf if iE�F it it ik if iF �k ik if �1E #�If �tt�'lk
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
FIA 35 FIRE EQUIP FEE (FROM BLDG VAL TABLE) 1.00
END OF FEES
35.00
12-"s�-1997/�9:5o A�Ji57.7�
:G?T;?:;;.- �517;1?
F'f'Ftt'+Z'4 a EsL363E!,
' CONSTRUCTION AND PLANNING POV� & SPA
' APPROVALS Permit # Date Inspector qppROVALS Permit # • Daie ^ Inspect�r
' y
` i. Temporary Eiectrical Service�or Pole 52. Pooi & Equipment Location • �
, 2. Soil Pipe-Undrgmd, - 53. Steel Reinforcement
� 3.';Electrical Conduii,�Utility�Undrgmd. 54. Forms -
; 4; `,fFlectrical Conduif�UFldrgrnd. 55. Electrical Banding
�'5; Steel Reinforceme�'t, 56. Rough Plumbing & Pressure Test �
'T1 6. �Electrical UFE'Fi Grnd. 57. APPROVAL TO COVER�GUNITE
T
_ '7.�'footings _ G _ 58. Hoctrical Conil�it�Undrgmd.
�s, 8. .Foundation �•. -� 59. Gas Pipe, O Utidrgmd., Test
.; 9. Water Pipe-Uncicgrnd. - • 60. 8ackwash Lines �P-Trap, O Undrgmd.
'10. Structural FlootSYstem 61. APPROVAL TO.DECK
�11: Property Sewer^Lin1;& HouseConnection 62. Backwash & Recep;or-Final
12. Sewer Cap � ; 63. Heater & Vent�Final �
13. Roof Drains ^ 64. Plumbing SYstem � F�nal
74. Rough Piumbing �, �� 65. Electrical-Final ,
75. Rough Electrical-Conduit �• 66. Solar SYstem- �riql
16. Rough Electric�Wirit�g � 67. Fencing & Access ApP�oval
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
18. Rough Efectricat-7 Bar Cei�ing 69. POOL/SPA SYS7EMS FINA�
79. Rough Heating &_��� Co�ditioning -.� . �.� �.y c!i -� -^ FiR�E�'OEPT.:REQUIREMENT �^
- - - -- -r. �-' : J � , i
20. �Rough FScmi�y Fi�e�lace � "� - -' "" „ APP,I�O�ZqkS�.; P,�fmit # , r
21.aAuc2s,irt;,Structur�- � - _ ':#.c 70:-�Unde�groUndHydro '
22. �Ducts, Ventila,ting;'" _ - � ��� � 77, produ5tflipinry_�-Gas OOiI .-.
23. �Gas �Pipe.RoGgh & Test - .. - - `� ��1 � _. � ,� 72, Undergruund Flush « r
24. Roof Framing ��+ _r " ?�: �� _ 7:3. Undergrnd. Storage Tank O Gaz ❑ Oil
25. Roof Sheathing ' = �� r-> > ��� e 7�. Overhead Hyd[o^
26. T-Bai Ceiling (StrUctural) & Mtinocoat .� � „ 75. Dry Chg�pical;�; : S �, � I Z9 9s �
27.,�Frame and Flashing . ` ;. �. 76. Dry Sta�dpipe� � . _ -, '
28. Lathing•&Sitling�•� - - � A' 7�. FIXED'�S45TEM-'FINAL' • ��
29. Insulatioo --� � - � �i }8. FIRE PREV. F,IPI'A� . � � _ ( 'L� %°� �'
30. Drywall Nailing ^ ° � � � - ;?HfALTW DEPT _REQUIREMENT
t � �+
� 31. Plaster Brown.Copt; ! ' � � `; ' 79. FINAL I�1�PECT]ON .. -
� 32.' ElectricahPower MteterFihal F� � � 60: F00� CERTIF.�ICATE rSSUED' "'
_� 33.=FinatElectric` ��- _ ¢ . ( i � Notes: -� �T' � ' ' '�'
"L -�' ' S
� • 34.-Final Heating�& Air;CondiNonin'g � - ; ; � 'a ; • r=� " ,-•�; . �� -
-y r '1 �l Y.� "
35. Final Gas Pipe-Tes? � -' T ' "' I ' -; , � ' ^ '
_r � � �. �
; ..
� � '.�_ _ .,� .
36. Hood or Canopy'_� s � . - �. � 7=-� � -� �'
r : ♦ u^ �
37. xinaf Factory Pireplace'� ; -_ � .� � '. ; ,� ,� � �
38.-Finai,Plumbing �^ .- . ! �-+ : V • y s
�
39.'VJater Service-Final-` -. � -' � rK ;. . � '� ..J -
'/, K , �J • t ,
.40.-GasService-Fina1:.�-'� -., _ - ' � � 't `-'• • , rd
� 41.�Solar pomesticFina� - *' . _ :' '�� � - : =
s . � vi _� S
42. BackflowPrevent��� - �' . � -�� �r.�: ,. J .,
�• .
- h- -,
43. Backflow �rngation' �' _ _ -� - ' _' '
x . ;u �
':44. LandscapelrrigationSystem�;:'- - , �r.:� . . .ir . - �
45. -Sound Attenuati0�" ' " ^ `� �' - � `^ ' � �
i t; � , .
;46. }iandicap'Regulatio6is ' � . � • .:j ' , .
47. PINALSTRUCTUAE&BUILDING r � r .. ,
48.;F.INAL PLANNING,. ' � Y ' � : ' . ,,: ..
c49. -Electric Release to Edison � � �. �� _
J "I
;50. Gas kelease to Southem Califoidia Gas Co - � -� n �. . �
St. CERTIFICATE OF OCCUPANCY '
No. Date
�noaessaeu�m'm 644 TERMINAL WY
aawemlw�eivpaaw SCHAUPPNER VERNON E TR
' �no�ss:3730 STH A{1E
CORONA DEL MAR,CA 92625
�vv�. �uiwo �oo�st
urcxnEcr�on FxaE[n:
YKX.ON ENO.'9 ADONESS:
uM�:
,� a
uc ra:
uxr:
cwm�crarcxua:AIR MANAGEMENT SYSTEMS ( 619 ) 390-7803
cam�croas�uina 9369 QUAIL CANYON RD
,�u: EL CAJON CA ucxo, 547240
9 2 019 uNT:
110EN4E� COMF�CTOfl4 DECLARATON: I MeW/ dlim uds penNy d perjwy Ntl I em IieanrE uMar prai�im� d Cluper 9
(mmme�iq xit� 6evMun 10001 d Oiriaion 9 d iM Bumea ud Peofineona Code. aM mY �xen�s u in IuA tace enE efled.
cmuc.No.: uc,cuss:$ uc.No.: q7240 EXP:
ome: / Z- z 9- cL% cow�+«
i
OWNEP BUILDEN UECLAPITON; I heraby dfirm uMx penely al ry �hm 1 em eRemp Iram ihe Camretlan Lironee lew la dw
�IloxnY ieefon (Sedion ]W I.5 &niieaa dd Raleuom COEe: Ivr/ UY a mvXY MhiN �Nwtet e W^�� to cqqhuGl. ellx. imVova.
.famdeh, a repai erry evui.turo. p'v lo u eeiwice. ebo reQimm iha epp6rant la wch prm5 to Ne a WnsE qaiameN Nel he a�he
m ro.,o,e w� �� �ne aw�e a m. com� t�� i... Wnaw« 9(�«�u wn s.a� �000l d o�e� a d me
e�zm�..na ardea.nru coa.l «�mm �. «dn u dmnq �ne,dmn, d,d tl» buu �« �n. Mab e.�pon. br ��dmun a s«abn
)a31.5 Ey eiry eppliceM Ia e pe�m! eubptls IM eppfceM 10 e cvi penelly d nal mm Nen �na IxiM�od Cdlais �5500�.
� I. m ovmer d�M qopeny a my mipbyesa M� wepea n tMi ede wmp»�on. wYI Go the wrk, uM Na ewmns e na'vueMed
w MereE br eeb (SxYon ]OM. Bimron vd Pmleatioro Code: Ths Caaemvsliorna lrndoee na epplyto en ownard papmly
Wlq bll�f Of �IIp10M 1�1OIOMI. BII� �liq �OlO iYC11 MVI{ hCll� R �NflO� R �IfU9h �1O Of �Mf OMT MIIGbYMs. P�� ��1GI WC�1
impmainero ma nol'vnwded a dMmJ la Wa. �. howers. tM dd1"vp a inpwanaa o wtl w'vlv� ane yaer d aomplelbn. Ne
w�w�war.;o n�. in. ww� a wwro n. «.ne m �a aaa «�wo.. io. �ro woo.. a.wl.
❑ �. e. aw,« a in. vw.n..m mu:�.h m.em.a .m� feen.e mvmon m omww m. wd.d lswion m«. 9u.:�.ne
ridse:m. coan: n,. wmmon tiae. la., mn. na maM m., o.,,. a o�roNr •ro wlC. « u�ww« �n«.m w.ro
wmem lor aMi pdb� r.M e mtlrtlMe) fvvsd P� u tha CON�amrs lioru� lew�.
❑ i.m ...ma �.w� s.�: e. a v.c.. m. m. �:
i ao n«.er �nnv uw i.m ..b,. w�e wb..we m. �w�+w a ceuo�:. �..en.oa sm.v coe. s.a�. zs.ws. us»..�a
35N, xtl Ne� I a am Min W'Idiq amqW wi I wa rcy (mde ua) ewd b wnHY wi� �eid �� oode md �M �Nu�wa� la
Deb: MVr�
WONKEN'S COMVENS�TON DEC WIATION: I heraby athm �dee pwtly d pwpry ana d iM kEow'vip ddermioro:
❑ I hm� W xY meimen. cenilce�a d mmem io wCi�n br vloM1as' cam0�ion. n O�+bb t« M 8aaim ])00 d tM labor
CoM. ln tM pMmvrce d ths wik In Mih Ne psmG o muM.
� I Mw eM vril meimen waFan' wmM�+dun inwrenoe. n nW'ved M Saim J]W d Ne lebar CoEs, br iM VeAormviw al ihs
wak lu Miich INs M�� b umuA. MY walan' camDM�ion nwrenca w�iar an0 VdkY mimbar en:
c.m«: CAL INDEMNITY EXPIRES
Po4ry Numbr. 0 7/ O 1/ 9 B
(ihia secfion neM rKK Ds romYNbJ IIM G��t e!a w» I�urWeE Eabn �YI WI a IwJ
� I ceNy Net in Na peAormvca d tM .vk la wTic� iNe pem�E b bweE. I 4vtl m� wnpby emy penon in enY mannar w u lo
bacome wbjetl lo �M xorken' m�pr�wion levn d CefRurva. W ep�es tM ! I�hwk bemme abjw io iM xaM1en'
canDM�ion pwuiom d Seaion a)00 M IM lebor Code. I dx0 fonAyh pwn N� Oaw pWuiau'
ow: /7- z9- 97 �oo�.�.: I�� "t /Y �
W�mInO: F�llun b ucun wlkwi �omv«�..uo� �w.�.w n�i..rw..�e.w�.�eM.� «ro�oy., ro c.rmw r.n.m...�e
nvn nn.. w ro m. n�ndne rrousw enw. (JfoqwoA F��n ro tlw ean o� ronp.nu�an wn.w. u povro.e ror �n
s�edm Jla6 0/ tln liDorCab, InIw��4 aW �tmm7. Iwa
CONSTIIUCl10N LENOINO AOENCY: I hsaEy dbm �vder penely M perjvy tMt Rw� u a mWiudion bntirp percy b Ns
perlamerce d tM work b wtiidi �Ifv D�Y u eaetl (Sequn �. Civ. C).
LENDEN'S N�IIE
�vioex•s,.uoness:
I cenM �nm � hcn iatl Nu roq'� eM nme iM tM eews'advmnion o c«ne. I ePM �o wmcN w<n aA diY eM muM' ad'vwce�
vd �tms lern reW Yq b d+idiq rnmuaion W �+ebV m@vice npeawefw d Nu my m Wr upan �M ebow�maMionod p�openy
la impxfion ND��.
.TOHN WING
��
!'✓�� om.: J7-L4- 97
�uro d GnM/pe�V a
(5151dB.WP) White-BwWiq 8 Selery; �reaMFb: Cuery4ppfrant: Rnk-Revenue; (bldenro�Meonor
��
CITY OF COSTA MESA - bUILDING PERMIT
PERMIT NO: M 086324 PLAN CHECK NO: N
CONSTRUCTION TYPE: I PERMIT TYPE: MEC
PERM NO: M 086324
GOVT: N SUPP: N
PURPOSE: ADD
JOB DESCRIPTION : SPRAY BOOTH W/CHEM FIRE SUP. SEPARATELY SQ FT:
CLAIM VALUE: CALC-VALUE: GAOUP OCC: S-3 /
COMMENTS: "TIAMO MOTORCAAS" SPRAY BOOTH, RE:B66322
**+r+r**********+r****�*x��**+�*+r+�******�*�+�+r**+��r*******�*+r****+r*�r**+��r�r�+r�***�r+�*��r**
Z O N I N G R E Q U I R E M E N T S
S E T S A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING AEQ: PROV; PARCEL: 42928104 ZNE: REF NO:
PLANNING NOTES>
> �
!F if iE if iE iE 1E 1F it M%i! it it k ik k iF ik M if iE 1t if if IE 1E if 1E ik 1E iE iE fk iE 1E i! iF 1E 1E k k itik fk it iF k if iklf 1E iflf 1E ik 1E if ik iE iE iE iE ik iE ik iE if if iE iE 3t 3k it k if iklk 1t
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY
BUILDING APPROVED BY
APPLICATION ISSOED BY
LEGALIZATION:N F E E S U M M A R Y
��
BLDG PMT PLUMBING ELECTRZC �,MECHANIC
PERMIT N 41:.25
.,,, 2 5 2
FIRE
DATE:
DATE:
DATE: IZ Z �l�
it�e�e*�r*�*� *
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON-RES
PLAN
ISSUE FEE 22.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHfiCK TOTAL PAID DUE
TOTALS----> 41.25 22.00 Ov00 63.25 63,25 .00
REVENUE DZVISION TOTALS--> COLLECTED�:; 63.25 OVEA/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC' FIRE SMIP/TOT GRADING PLAN-CHECK
63,25�
i
ik1lif'kifkififkifikikiFiliFikNikitififkiFikifkiFMikkkMiE1E1E1t1kMik41E'MiFMiFMikM�k4i4iFM1E1EfFlEitikiFikiFiEiFiFifilifif%iFkffikkiflkiFif
I N D I V I D U A L F•E E • B R E A K D O W N
TYPE QTY D E S C R I P T I O N � UNIT COST TOTAL COST
MEC 1 INST FORC-AIR/GRAV FURN->'� 100 K BTU 16.25
MEC 1 GAS PIPING SYS 1- 4 OUTI:ETS 5.50
MEC 3 VENTILATION FAN CONN TO""S�INGLE DUCT 6,50
END OFIFEES
(
16.25
5,50
19.50
12-29-1997/12:11 D'/i63.25
FC6Ta:c:- •�s��+
PtR� ZT : F�86�2�:
„.
CONSTRUCT�ON AND PLANNING P6.,� & SPA
` APPROVAI.S Permit # Date Inspector pppROVALS Permit # Date Inspector
7. Temporary E�ectricai Service or Pole 52. Pool & Equipment Location '
2. 1 oil Pipe-Undrgrnd. , 53. Steel Reinforcement .
.� 3.�Iectrical Conduit Uiility-Undrgrnd. 54. Forms
-� 4. Electrical Condwt-lYndrgrnd. 55. Electrical Bonding
,`5�5:�Steel Reinforce�ehC- 56. Rough Plum6ing & Pressure Test �
=16:� Electrical UFE%Ornd. 57. APPROVAL TO COVER�GUNITE
.1
�;.�Y.�ootings � 58. ElectricalCond�ik'�Undrgrnd.
.z S. tFoundation - 59. Gas Pipe, i7 Undrgmd., Test
-:9.'Water Pipe�UntlP�ind" 60. Backwash LinAs; �P-Trap, O Undrgmd.
;�i0. Structural FloorSYstem 61. APPROVAL 70 DECK
-1 L�Properry Sewer LinE& HouszConnection 62. Backwash & ReFeptor-Final
12..Sewer Cap " 63. Heater & Vent•Final
13. Roof Drains ' 64. Plumbing System - Final
14. Rough Plumbing ,� f 65. Electrical-Final
15. Pough ElectriwJ-Coaduit �• 66. Solar System-Fi�i
.�
76. Rough ElectricWiriny 67. Fencing & Acces�pproval
17. Rough Wiring �ign 68. APPROVED FbR PIASTERING
18. Rouqh Electrical-T Bar Ceiling 69. POOL/SPA SYST�MS FINAL
79. Nough V{gaiing &.Air Conditioning ,: �y �u ; - FtRE?'O.EPT;'REQUIREMEP}�7 ^:;?
_ ' .y.�.)� � m - v [nr
20.Sjtough FactoFY FIP�lace S� %C � �'� * � APPAO�LS"`' P�.Smit#'`�'�,"�_-
J f .'(^ '�-% r �KC.. d JJ �Gi J .�
21.`JDucts, in=$tNctu� ; ,�i-- ,r. . - �1 r 70iUndergoound HYdro
22.=0ucts, Ventil�atin§�t ,_, � * J '�_, � 1� . 71. Proclu"',�-tPfping_IJ.-�".,as �70i1 �
23. �Gas �Pipe�iioJ�h & l.`est �, ., _ j � ''� � � � y -, 7p, Underground Flush .. -.
24. fioof Framing �'� T� `� >'" ;-'�� �• 7�. Under r d.StoraJ Tan OGas ❑Oil
� v r. . . 7. 9� 9e �
25.. Roo� Sheachin9 '' =' � y �- - ' � .� � '
, M:�< 74�. Overhead Hydco-+ k
26. 7-Ba� CeiVing (Scvitcturall & M87iocoat +� � �, � r. 7�_ Dry Che��l ��� ` ��f '
27. Frame ad'd Flashin . ��^ ." a r n-.x -� r.0 +^ r•
.i 9. ,Jr,^� � �..,: 76. DryStaPdpiPe.f 1 � J . �.
28. Lathing$ Sid�ng�+�-. �c.:�- _ _y I ' • 77�. FIXED-SYST�TvI�FINA`L" �� % ��.
29. Insulacioq �a y ;� ,� ' .. 79. FIRE PREV. F.IN"�AL - 7 �, j
30. Orywall Nailin9 i' - �' �-� ' 4 " �'�MEALTH DEPf, REQUI MENT
i -,� -.
. 31. Plaster Brbw��Coat S �'� - _- ��` 79, FINALINSPEC�I,ON �; �.� ., ����
��1 32.-ElectricaHPower Merer�Final . � 't 80', FOOD CERTIFIC,ATE KSSTJED+ C
r -n r �
• 1 ^ n �;, x � '• ' "1 '-7:*7 i, .i G ' - .
� 33.=final,EleCiric,� �,. -. ,�^„ � y � 'a Ndtes: �n � ..,�= .
-� 34.�Fina�(Heating: �1r�Conditionin'g n/ ,� t 8� E��� �� x' �
'�$'�s �'f S
35. FinalGa�;Pipe'-Tesf' -�~ " � { - ��� ` ~`° '
. ; ; � _ _ �;1 _g(_9_s�_��
�; 36. Hood or CanoPV:*�.� r� r : ` a •: • -
- 2; S 8 .�RA
. �� 37. Final'Factory Fire'�iacey � " � . �N
- ,, ... ,. , ; � - �18�8 �_A$.�_i �S_T C�^K' �
- 38. Fina,Plumbing -.i� r:7 � r= , i�p' X %� /�'
- ' �.a l-�-NA,I I'Z/: Cl :; A 1�
39. Water S�Yice-Finai+ T- �� �- � �� =• 4 - �'
� v - • + 0 r�
'� 40. GasServiCe-Final . ' `==�_��� � ' 'v �. �:z; t ��
:� :
» 41. Solar pomestio-Pinal " " � �r • y'� ' + .- =
r � ^ 1 " K
42. Backflow,;Preventer+. � � ' ~ � ' `' { � -.
s y .- r
43. Backflow Irrigation >+ ' ' !' � �' `� ^ C� ' ' ,
,- : � ��. • t.: y. 't .
,. a .. . JT,.. T � 1 � .v .�� .
}44.��andscapelr�iAationSystertr��;�• ..� y �t � , r ; _ � � .
45.'Sound Atter�uation � • ^ � '� t*� � `- r tf • . _ +
� / y" ••
'.46. Han_cjicap Regulatiops y � ' • :: a .� ; '
47. �NAL STRUCTURE & BUILDING '� r "'
�
i � I - r �
48..�'y-,INALPLANNING, �- ' � w �= , _ .
49. Electric Release to Edison � � ; �: + •-�
�• 7 - t - �;.i
�0. Gas Release to Southern Califori�ia Gas Co .� ' -� y � = �� v v
- ,�
51. CERTIFICA7E OF OCCUPANCY �
No. Date
�i SUPPLE�1LNTAL � h1IS�'rLLfWCOUS Q MISSING PCP"'1N
CITY OF- COSTA MESA �, j/�
5 Type of Indtlent POLICG UGPARTMGNT E��•f�
Health Hazard Information
7 Dalc & l'imc Otcurretl � Oay 6 �oW[lon 9 Rp. pis[.
10-29-72 1130 Sunday � 644 Terminal Way 02
11 Vic[im's Namo 12 Adtlrezs 13 Res. Pn.
15 Person RepOrting
Melvin 4Ji11
24 Venicle UseC
16 Adtlreis 17 Res. Ph.
45 v s. 641 #A Shalimar 642-7552
0 CIT. STATLp1ENT
6. OR No.
72-27970
10-29-72 1130
18 BuS. Ph.
25
This officer responded to the above location and contacted the above informant ��ho stated
zc
�iid � CiUY" ���y' � aE}' �0'�i G� the pas � few morths t"e bui ldi 7g � l i1d45 �1"7d� � Cii i cC��y t0 I�.iic Y2di Ot
27 . . . . . . _' ' " ' ._ . . .. __ . _. . . .
his location at 644 Terminal Way, has been doing excessive amounts of fiberglassing at taork.
- - - _. _ �. -- - -
ze — � -
The informant states that during the period of time that the work is being performed, fiber-
— -- — - - . - - _ - --
29 _ _ -- -- --�
glass, resin, etc., type fumes flovi from the rear of the business into the area of his
30 .. . . . . . . . . _ _ . . ' '_' "_" . '
residence at 641 Shalimar �A. The subject further indicates that if the a�indows in the
31 - - - -- ---- - -
residence are left open, fiberglass dust-type particles will be found on all of the furniture
32 . ' ' —' . . _ . _ . . . . :. _ __... ... _._ _.. _ _ _ . .
and other' items inside the residence. The above informant relates that on numerous occasions
33 ._.. . _ . . __ . . "_ _ __ _" _ "' . '
when the bathroom aaindoai of his residence was left open, the fiberglass particles clung to
3M1 . . . . . _ _ .. .
the towels, kleenex, etc., inside the bathroom. The above informant stated on one occasion
35 ' , _ .. .. . . . _ _ _ _ . " '
he attempted to use the towel, at which time the towel acted in the manner of an abrasive
3G� " - . . . . . ..
scratching his skin, etc. At 1145 hours this date, Sunday, this officer noted the strong,
�> -
21iIlGSt iiYUSE'CU$ Suiei i Gi �`ibzrgiass resin �ype par•tic1�5. lilz SR1��� tG th75 OfF7C�P 4':d`_
3ft - . . . ._ . . _
extremely overwhelming, and it is this officer's belief that exposure for an extended period
time could cause health problems. The above informant relates that a new business has
ntly leased the building and he feels that adequate venting and shield type equipment have �
been installed for this type of work. This officer checked the business, could find no
� <z
business name, hotivever, the address again, 644 Terminal 4Jay, occupants not contacted at this
43
time. Request further action per wishes of inf rmant. � "'7'����
44 ��*-,� t�%G�C// � L��2��!�iC.�d�-e � �
4� � �(� - - - . _. _ . . ... . --- --- - �
!
Coplas to: Rpt. Ofticer Sor. NU. Typlst
� INVEST. � TftAFFIC E. W. Sutton �68 �C� '
�� OTHER � � ' Q t��` SUpBrvlso� ApO�ovin9 $er�NO. Cbrk
i : `(3 �, �; � :.��.� a.-_,,.
. � C . �_ `�., t..` � _ I�I
rurni Pp-l7 nev, 11/71
��oo ��ID(���G��C�� ��IC�o
R�.6CXR�3b�XxLiDi}9Q)Ei� / COSTA MESA, CALIFORNIA 92627 / PH: (714) 646-5639
644 TERMINAL WAY
May 19, 19?1
City Of Costa Mesa
P.O. Box 1200
Costa Mesa, California 92626
Attention: Mr. Richard Hanhart
Dear Sir�
We acknowledge your letter of May 18,19�1, regarding
the complaints of neighbors in the adjoining apartments, and
have taken the following steps to reduce the odors from
our operation.
The exhaust pipe from our spray booth has been ex-
tended seven feet higher, which extends it above the
adjacent apartment roof line. We have also made other
corrections in the flume to reduce the odors.
We realize that odors eminating from our fiberglas
operation are not desirous, however, there are other
Plants in the area� i.e., Adams Vacumn Forming, operating
twenty-four hours a day, venting their odors directly
towards the subject apartments.
We are sorry to have inconvenienced a�yone, and will
continue to maintain a clean and orderly operation in our
manufacturing processes� realizing our close proximity
to the adjacent apartments.
CERssjc
Yours very truly,
LIDO ND� INC.
li f. E. n
BiiiLDI�G SAFETY DcPT.
President
biAY 21 1971
FIBERGLAS FABRICATION
DATE
JOBADDRESS 6yl� Termir.al Wav / BUILDINGPERMITNO. 2Z29
1„'-���:ERALCONTRACTOR Galaxv COT1St. VAWE $ %SO.00
LOT �.{�'] BLOCK TRACT I1Wp1„ Mesa. Partition interior
INSPECTIONS
Footing Trench
Foundation ForMs and Grade to
Rough Framjpg
Plumbi� ght�—�
Plumbing, Rough Complete �
Temporary Pole
Wirino. Rouah
Heating, Final
S �, House Sewer, St.
S. .c Tank or Cesspool
Lathing, In Out
Plastering
Plumbing, Fin�al, Fixtures Complel
Plumbina. Fin�al Gas Test
Occupancy
c�,...... .�,
�� ZONE M� FI
DATE I SUBCONTRACTOR I—
PERMITSISSUED
I iINUMBER
Costa Mesa Bailding Department APPLICATION FOR PERMIT
� 171 EAST 20th STREET 224`7 B U I L D i N G '
,� '_ COSTA MESA, CALIFORNIA
ra.vr ri.eii�
Show locatlon and dis4inces Trom
property Iine and between huildinga
A•! r COST� � �s r .
�... —�•S�,Pflucsn �56� �...: �6.�Q
224: � .
• �!
OWNER
JOBADDRESS 61y4 Terminal wav BUILDINGPERMITNO. i(�3�
l =RAL CONTRACTOR �wner-builder VALUE-$ p��6pp,pp
LOT 1i07 �bdivisionB��K TRACT Tnrinatri8l
GROUP E3 TVPE V 20NE j�Q FIqE DISTRICT #i6�n
PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUM6ER
Trench
ion Forms and Grade to
Plumbi
Plumbi
�.m
Heating�, Final �,
� ^, House // Sewe
S., .�c Tank or Cesspool
lathina.ln Out
Plumbing, Final, Fixtures Com et ,SG6/ / iYD�
Plumbing,FinalGasTest� —yd�,� �
Wiring, Final /'Y. — j'
Occupancy.� ` �
Fnrm '710 R-H 1 fi00 1-55
a - ss
_ </ �-�
_ �osta Mesa Bailding Depaitment
. 171 EAST 20th STREET
�f- � COSTA MESA� CALIFORNIA
FOR APPLICANT TO FILL IN
Building " l
Address (n fi5� TY/Lv+..+.�d„
Costa Mesa, California
..e___�. „ , _
Architector
En9ineer
droSS
ContracMr
Address
APPLICATION FOR PERMIT '
BUILD�NG �
FOR OFFICE USE ONLY
I ReceiptNo. I /�r�t�
i 019551
Address
� Costa Mesa, California
Nearest
Te�. �/�•lj— CrossSt.
No. Zone I No.oT I Typr�' Group�
Lic. Q l/ Plans JL�
No. A �Y � Approved
of Lot �,Y /u0. O/ � Now on Lot
�f No.ot No.
tingBldg. � I Familles� Rou
ack Line from �/ �� Rear Vard '
New �
Repair I
� -�Iding , ,
nxterio� �
Covering /
Use of New
� � Demolish
Stories
��rering
..Y _ � � �
I hemby acknowledge ihat I have mad this Application
and state that the above is correct and agree to rnmply
with all CIty Ordinances u Stat Laws regulating
building construction.
8lgnatureof �
Permittea __
Valuation /6 � Permit Fee $ ���
r(j Plan Check $ .S
$ � � Total �
Fee
- n.none one e_nn ou a_va
APPROVALS
Foundation Location Inspeetor
Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Plaster, Int
Plaster. Ext
NAL
�1
PLOT PLAN ,
Show Iocation and distances from
property line and between buildings,
. �� '� �
'c. . .
= ` 22488
COSTA MESA BUILDINGSAFET! DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant ro iill In Complataly
TYPE OR PRINT
a�i�.oiNo �',4T �'�RM,NA
A�DRESY
COSTA ME9A, CALIFORNIA
CSO r
OWNER �L�-4 NIGt
:'�:.ee°e ia`F� ��i2titi.�,aL �,iJl�-�i
�.
STAT6 TfiL � _
LIC. NO. N
81 E g p��[ I O/ Now oN �� I
OFLOT ��
USEOP /.1_uu__ _ / _
E%16TIN6 BLDO. lrO Y�l�„��Vl.
G[TO�CK LIX[ I110Y � � (
C6NT¢w o� mt[R � RUR Y D
� �
SIOH YARD L[1R RIOM �
DESCRlPTION OF WORK
1 HlR6GY ACKHOWL[D06 TXAT 1 XI1V[ 116AD TMI{ AMLIGTION
I�ND 8TAT8 TNAT TX6 �GOV6 1� CORR[R�ANO AORH[ M COY.
PLr wITX ALL cITY onollUxCb AND �TAT[ LAWY q[OYLATINO
OUILCINO CONQ}RUCTION. �� �,
sioNwruReo� ��Leotil `Z1��A,�cS
� AUTHORIZ[DAG[ffT
�
FEE RECEIVED
FINANCE DEPT�. N2,� �g��
APP�,�BUILDINt3 FP�A
Fo. offrro u.� o�y
ZONING �
NO. OI /l YO[ O� N[W �/ J� .
•LAX) � �/�+ OYILDINO � �
U
llL- �oo=��
� . :C,� � c� o -�- T
IQ OV [RHAN6 BHALL �H LH88 TNAN
YARDB MPROV HO
MAIN BUILDIN6
tOM C/L iTRQlT I
o�arwnec eR.
MAIN BLDpD.
VAR. �
TXi /�MOUNT 6X01
•YRPOCt OP UT
VALUATION O
Q
/� �
f /�
/
/�
YARDBAPPROVfiD
ACCED80RY BUILDIN6
OAT6
�AT! � a'
a
m
� �
% �
0
v��u�non �e ron rx: 7
A P6qY1T �6H ONLY. ��
�� Rl
iT Fee �
_..__� � w°
, ' 2E468
COSfA MESA BUILDINCrSAFETY DEPARTMEM
P.O. BOX 12W COSTA MHSA. CALIFORNIA Y262E
For AppI1mM ro FJII In ComplNa/y
TYPE OR PRINT
ouaoiNa ��i 4 t.ciu� � �iJ
ADOREBY
COSTA MEBA, CALIFORNIA
� U
OWN6R ����N ��C RO.V�cS
MAIL �4, lL�,µ1.VA� W
ADDR
...l,. �..e�. i�ltiS A rn'
■ 9TATE
OF LOT 11'/G I \ l No. oI eLEO�.
MOW ON LOT
E%ST H6 BLDO. � lu�t-QGI /✓` �
BeTBACK LINt PFOY � � 1�
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DESCRIPTION OF WORK
WALL
1 HRR6GY ACKNOWLtW
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PLY WITH ALL CITY OR
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DEC 16-66
00 637 1����*2•00
/1rPlICATION FOR PERMR
BUILDINC
For Offic� Us� Only
A[C{�'T NO. r[11MIT MO.
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
anm 30.00
;ucit-7cr„��00 595� �*�*
APPLICATION FOR BUILDING PERMIT
Fo�Applicant to Fillin Completely RECEIVED BV DATE RECEIVE�
DATEISSUED
BVILDING ,/� �.. � _ {}�l 1��
ADDRESS e(� L N�i /j �� �
OWNER �L( . �
A.P. NO. � �D(/�'/ PERMIT NO.
BUILDING � •
MAIL ADDflESS
ADDRESS /14 C �C�
CITY •7' �f4rp NOL ACT �� LOT�CJ BLOC
CANSTRUCTION W ADD A P
LENDER �
BRANCH
OWNE
ADDRESS VALUE,�...,/(((/w/�/�I�.
ARCHITECT TEL. S YV �'-"
OF ENGINEEP N
FIFE L ]
ADOFESS 20NE TVPE GROUP G�"
APPROVED
CONTRACTOR BV 1 DATE � �I�
ADDRESS
TEL. 20NE NO.OF n USE OF NE
CITY NO. M� P�� o� BUILDIN ��$
STATE CITV VAROSAPPFOVED VARDSAPPPOVED
LIC. NO. LIC. NO. MAIN BUILDIN ACCESSORV BVILDING
SIZE NO.OF BLDGS. (FROM GL STRE )
OF LOT (� � � NOW ON LOT I FflONT T. FT.
VSE OF
EXISTING BLDG. �.� , SI F. FT.
SIZE OF NO.OF
NEW BLDG. - G X/ Lv ROOMS $TORIES / L SIDE T. FT.
EXTERIOR WAL ROOF
COVERING /' t' COVERING IVLO /i REAF FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED OISTA BET. BET. MAIN &
MAIN BLOGS. ACCESS. BlDGS.
VAR.�` DATE
C.V.P.aI� APPROVED
� L S '�ROVED� � Q�j �
CJ
I hereby ocknowledge tnat I hava reatl this application antl stete
ffiat [he above information is mrrect antl agree [o comply with
all laws regulating builAing construction, and I shall not employ
any pe�son in viola[ion of tho workman's compensatian laws oi
[he State ot Celitomie.
I heraby certify that I am properly licensetl as a contractor untler SQ. FT.
ihe Siate of Celifornia Business end Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapxer 9, antl that such licenus ere in full force antl e4fect, or I THE PUFPpSE OF ESTABLISHING A PERMIT FEE ONLV:
am exemp[ from [he provisions of ffie State of California Businezs VALUATION
antl Professions Cotle, Division 3, Chapter 9. PERMIT FEE S� O•��
Sipnacure ot � /�� ����/�/e �
Pe�mittee //9r ����� $ %"V PLAN CHECK 5 DI
/' �?�. ^
Authorized Agent TOTAL FEE 5�0�