HomeMy WebLinkAbout1670 TORONTO WAY - Building Permits S n3308 B /4? 29s— Type of Sign air ue,TUV1c -) City of Costa Mesa
sr`l-JO I��n ��I�1 ❑Electric [ Non-electric SIGN PERMIT 0569 4/(13/95 ;;Ilan'l ill
Project Address ,•
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Applicant's Mailing Address I-422 XL ZD b(2 fi LtCAX1. Description Programs
Owner's Name 4470-1-1ye Con? Phone 4I 172-1") ^/
❑ Canopy � Shopping Center/Integrated dev.
Address 1�� SU WP"L- ❑ Attraction Board By Owner/or III by City
Arch/Eng. License No. ❑ Advertising Statuary Date letter sent:
❑ Other Office Use Only
Address
Contractor's Name
.I Ita101 1 J 1.1 rn tkk Phone QJ ❑ Tract Sign (Security& Right of ❑ Variance Property
7 Entry Agreement ��1 Gz
Address(mailing) ( ' e �� �,I- n 44$ �� ❑ Planned Signing -7-' — JL--t,.�y Zoningrn r
--f ❑ Special Event(Request form submitted) A.P.No.
City License No. IO(--s)Ie ❑ Change of Copy (amortization) C.U.P.No —Three ! `�
LICENSED CONTRACTOR DECLARATION Sign Dist. Date Received 4T/3I/��
❑ Ground Illumination II ` pyo
I hereby affirm that I am licensed under provisions of Charter 9(commencing ❑ Wall Received b W
with section 7000) of Division 3 of the Business and Professions Code, and Non-Illuminated V
my license is In full force and effect. ��7 �1 �] ❑ Roof ❑ Interior Illumination
License Class (�ealz.s�-_Li se o._-O`Y'7�/Z ! Street frontage:
,s �.� � /`may ❑ Projecting Exterior Illumination q� q4j ,/,,,
'.7 Date Signature Js l� f �` U Construction Front: /�1 Ft. Street: `L7/ nil AU
WORKERS COMPENSATION DECLARATION J Convenience Right: Ft. Street:
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 ❑ Super Graphi — ,s Left: Ft. Street:
3800, Lab. C.) ,.., ,,/ rI 1 /ems^/n��n C�J��sL^_
I Policy No. / /..S95b`DCLF Company / /4AW Rear Ft. Street:
Certified copy Is hereby furnished. fc. G.> /-e
Corti I filed with the Bul Divi Building set back from ultimate right-of-way ft.
1 Date �}1/Z/ Applicanty la " ELECTRICAL !EC-TJ +ti ALS
‘••••... E%EMP}IGrfl FROM WORKERS'COMPENSATION DECLARATION Fixtures Sign Date Sign Location
(This section need not be completed If the permit is for one hundred ($100) or
less). Front Right Left
I certify that In the performance of the work for which this permit is issued, I Device Boxes Underground Conduit
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of California. Outlets
Date Signature Sign Description
NOTICE: If,after making this declaration, you should become subject to the Switches Sign Dimensions Area Letter Height
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. Foundations fl
CONSTRUCTION LENDING AGENCY Sign (1) ' r J x ' I • 5 5q.ft. o'-
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Standing Sections II
Lender's Name
Lender's Address Nom (2) /I . x I = / • Jr.J sq.ft.
OWNER BUILDER DECLARATION Rough Wiring
I hereby affirm that I am exempt from the Contractor's License Law for the (31 x = sq.ft.
following reason (Section 7031.5 Business and Professional 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/she Is licensed pursuant to the provisions of Items of information: (1) (2) / Li (31
the Contractor's License Law (Chapter 9(commencing with Section 7000)of ,] n1 V
Division 3 of the Business and Professions Code) or that he/she is exempt Framing .rs Ilt�l ,L,t�!f
therefrom and the basis for the alleged exemption. Any violation of Section . . . n�'nW(Ttd_a RO(A ctivity
7031.5 by any applicant for a permit subjects the applicant to a civil Issue Fee $3 l 1
penalty of not more than five hundred dollars ($500).
❑ I, as owner of the property or my employees with wages as their sole Copy Verbage
compensation, will do the work, and the structure is not intended or offered Valuation $ OV • Q C.
for sale (Section 7044, Business and Professional Code: The Contractor's Final Electric
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
employees, provided that such improvements are not Intended or offered for Planning Fee $ ).l0
sale. If, however, the building or improvement is sold within one year of com- r
pletion, the owner will have the burden of proving he/she did not build or im- Building Permit $ '70'O O
rove for the purpose of sale). Ground Sign: Overall Height �/ Planter Area iQ�
I, as owner of the property, am exclusively contracting with licensed con- Plan Check $ 6 •CO Final Planning
tractors to construct the project (Section 7044,Business and Professions Code:
The
/
The Contractor's License Law does not apply to an owner of property who Electrical $ Ground Clearance //
builds or improves thereon, and who contracts for such projects with a con- Plan Check 50% $
tractor(s) license pursuant to the Contractor's License Law). I am aware that
proof of their Worker's Compensation insurance should be provided to me. $MIP $ 0 Total Sq. Ft.of All Signage
❑ I am exempt under Section - - B.& P.C.for this reason q Final Sign J
TOTAL FEE $ �1 This activity Total Site �-/
Date Owner 1-1264-8S
I hereby certify that I have read this application and state that the above
all is correct. I agree to comply with all city and county ordinances Notes:
and state laws relating to building construction,and hereby authorize copra- DEVELOPMENT SERVICES REQUIREMENTS'
sentatives of this C. to •n •r p.n the above-mentioned property for
inspection purpos,./ ' / Planning Approved By: CAG WA Date g 3 RS
Signature ✓,L -.42 - - _ Date Building Approved By: Date-
f L
Drivers' License or SS 7# .� Application Issued By: Date (7 s/654•1
CMF 0068-30, rev. 7/84 White-Building; Green-Code Enforcement; Canary-Applicant; Pink-Revenue;Goldenrod-Assessor