HomeMy WebLinkAbout191 16TH ST - Building Permits ADDRESSOPBNLODIC: 191 E 16TH ST war: CITY OF COSTA MESA — BUILDING PERMIT
; CJNEitioinPoowNICAZARIAN, ARTHUR S TR ...SEAM NO: B 077117
ADDRESS:917 VIA ZURICH CR
NEWPORT BEACH,CA 92663 PERMIT NO: B 077117 PLAN CHECK NO: N GOVT: N SUPP: N
673-7708
APDL.MAILWIO ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCNrTECT OREi NEER: UC.NO.: JOB DESCRIPTION : T/OFF REROOF W/BUR 6 1SQ ELK PRESTIQUE SQ FT: 3, 200
ARGIL OR ENG.'S ADDRESS: INT: CLAIM VALUE: 3, 200 .00 CALC—VALUE: 3, 200 . 00 GROUP OCC : R-3 /
cof(mAcwristaME.METRO PACIFIC ROOFING ( 714 ) 998-4496
carrmACTORaUMllND17853 SANTIAGO BL COMMENTS: REROOF W/BUR & 1SQStSESt -SE+ESE
DECORATIVE ELK PRESTIQUE
ADDRESS:VILLA PARK CA u.No.: 337094 ***+Effx�ESExSESEx-SESESESE+tSE+E�ESESE*�f*St SE * *StSESE*SE�E�E*Sr**SfSE ******+E+tSESESE*SE*****+tSE+ESESESt+f+tSESE
92667 uxT: 107 ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commenting v.4th Section 7000)of DMsion D of the Business and Professions Cade and my license is in lull force and ea
m .No.058218�Q /uC.cuss:B uC ND 33'7094 \ EXP: 08/96 MAIN BUILDING ACCESSORY BUILDING
an:: L/ —
9 / b camraa , ./ a-' LEFT: FT IN REAR: FT IN LEFT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWN BUILDER DECLARATION:I hereby affirm under rjury that I. pl from the Contractors License Law for the (�
I mason(Section 7031.5 Business and Pmleaaiana Any city or county requires a permit to mnsbud,altar,improv. PARKING it t.8 PROV: PARCEL: 42534120 ZNE: REF NO:
mdeh,or repair any Svucore,pier to is esuenee,Abe requires the appliunl la'' perm°to file a signed etatemenl Owl he or she PLANNING NOTES> •
licensed pursuant to the provision el the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
'mass end Professions Code)or that he or she is exempt therefrom and the basis for the Meed examplian.Any violation of Section >
431.5 by any applicant for a permit subjects the applicant to a civ°penalty d not more than five hundred dollars(55031). *******************************************************************************
❑ I.as owner of the property or my employees wth wages as their sole compensation,will do the work.and the structure is nol intended D E V E ''L O P M E N T SERVICES R EQUIREMEN T S
or offered for sale(Section 7044.Business end Professions Code:The Contractors License Law does not apply loan owner of property
who bolds or improves thereon,and who does cudn work himself or herself or through he cr her own employees.provided that such ZONING APPROVED 'BY DATE:
improvements are not intended or offered for sale.O,however,the building or inpovement a sold within one year d completion,Na ,
owner-builder will have the burden d proving he or she did nor build or improve for the purpose d sale).
❑ I.asowner of the progeny.amexokmvelycontnadiy eels hemmedcwrad«e le construe the Protect(Section 7044.Dustmen and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors license Law does not apply to an owner d progeny who builds or improves thereon and who
contracts for such pgade with contreaor(e)loaned pr.uant Lathe Contractors License Law). APPLICATION ISSUED BY: ' - DATE:
•
o hem exempr under Section: B.AP.C..for this reason: .. ..--T-T-L.
*,**,**,*,**************** ************Ri•
Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California Heath and Safety Code Sections 25505,25533.and
25534,end that I or any future building°rapant will/wit nor one)need to comply with said state code and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit lor construction or modification from the Aiwiry enagement District.Residential constructionappiratioru are exempt from these PERMIT 87 , 25 . 50
provisions.
Date: Applicait: PLAN SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ Ihave and will maunanacendwedconsent loself-insure for workers'c cation•nprovidedlabySection37WdtheLabar BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code. TOTALS----> 87. 75 0 . 00 0 . 00 87 .75 87 . 75 . 00
X❑ I have and wl maintain workers'compensation insurance,ea required by Section 3700 et the Labor Code.for the performance d the
"el' which this xb
f«whigemSued'Mywarkat crritrtiaderaddkY
pnumb" re: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 87 . 75 OVER/SHORT: . 00
Carrier: 285 1047 96 01 /01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Polity Number
87 . 25 . 50
his section need not be completed il the perm/is for one hundred dollars ISI00)or less.)
U I cenfy Nal in the performeroed the work for which this permit a issued,)shell no.employ anY Person in SAY manner SO as to *******************************************************************************
become subject to the workers'compensation laws of Calfomia, and agree that f I should become subject to the workers'
()compensation provisoredSado'.So'.3700 d the Labor Code.I she h cdnpy with s{q[s. INDIVIDUAL F E E BREAKDOWN
AJ-7-9.4; Applicant:
TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
miming:Fain to swung wodera conpenutloncoyenps Is and shall • n employer to criminal penalties and
civil lines up to one hundred thousand dollars( eta A In addition to the coat of ensation.Gamgee as provdd for In
Sec
Secdon3706ofNsLaborCodeiterestaMatfomer,IMP SFR 3200 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 200 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty d perjury that there is construction connuction lending agency kr the END OF FEES
performance d the wok for Meth the pane is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and stele that the above information is coned.I agree to comply with all ply end county ordinances
and state laws retailed to building conmudian and hereby authorize representatives of this city to enter upon the above'mentioned property
fariris pectionrcupaeesVIRGINIA MAYABB
Print Name - r - `•. • 'L
•
74.6 - - •
led , ..//ivy Date: - _ •.
S .
q . .l::*f:.yR.!d
1\ (5151J6.WP) Whit. Ideg&Safety:Green-Fie;Canary-Appicant:Pink-Revenue:Gakenmd-Assessor
1
r'sCONSTRUCTION AND PLANNING POOL A
� APPROVALS Permit# - Date Inspector APPROVALS Permit # • Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
-
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electrical ConduitHUtility.Undrgrhd. 54. Forms -- •-•
'.4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •'•
5. Steel Reinforcement:, 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - ' ' 59. Gas Pipe, 0 Undrgrnd.,Test J
9. Water Pipe-Undrgrnd. r1 i 60. Backwash Lines, P•Trap, GI-Undrgrnd.
10. Structural Floor System - 61. APPROVAL TO DECK
11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final ,
12. Sewer C8 P / '•
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 Electricet-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating &,Ait Conditioning - - , FtRE DEPT/REQUIREMENT
�r
20. Rough Factory Fireplace ; 7 r -- * APPROVA[_S Permit#
21. Ducts,in:Structure i _ _ - - 70. Underground Hydro
22. Ducts, Ventilating; - - 71. Product Piping CI-Gas 0Oit
23. Gas Pipe`-Rough & -rest _ - -: - 72. Underground Flush
24. Roof Framing 1s% - - -- - ` ' 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing .r. tI f p-ek 6_44: 74. Overhead Hydro -
26. T-Bar Ceiling (Structural) & Mobocoat - - 75-. Dry Chemical ,. • .
27. Frame and Flashitrg, - 76. Dry Standpipe -, •
28, Lathin & Sidin - .
9 9 - 77; FIXED SYSTEM FINAL
29. Insulation : ._ •• . _ ,. 781 FIRE PREV. FINAL •
30. Drywall Nailing . - 'HEALTH DEPT. REQUIREMENT
31. Plaster Brown_Coat - ', 79. FINAL INSPECTION -
, , \ .
32. Electrical Power Meter-Final + 80: FOOD CERTIFICATE ISSUED
33. Final.EtccthC, _ _ _ • r _ Notes: _
34. Final Heating-& Air conditioning - -
35. Final Gas Pipe-Test (, - , _, ;• _
- 36. -Hood or Canopy - _ -
• C l
- 37. Final Factory Fireplace , '
• 38. Final Plumbing ' _ •- _
39. Water Service-Final
40. Gas Servide-Final -_ _ , - •- ,
41. Solar Domestic-Final t •- • - •
7.
42. Backflow'Preventer ' _ _ - _
43. Backflow Irrigation r
X44. -Landscape Irrigation System - a, - - • • - -
45. Sound Attenuation:- •• •• • r - - ' -
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING t(L,(G=c 64;4,- ,
48. FINAL PLANNING
49. Electric Release to Edison
50.,-Gas Release to Southern California Gas Co :.> •
51. CERTIFICATE OF OCCUPANCY
No Date
ADDRESSOPBUILOWO: 191 E 16TH ST WIT; CITY OF COSTA MESA - BUILDING PERMIT
OWNERSNAeEIFIDc*W KAZARIAN, ARTHUR S TR PERM NO: B 080178
ADDRESS: 917 VIA ZURICH CR •
' NEWPORT BEACH,CA 92663 PERMIT NO: B 080178 PLAN CHECK NO: 04317-96 A GOVT: N SUPP: N
509-5599
ADPL.MUNE ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT
ARCNRECTOREtbNEER: B .C. MONBERG mm.: C15536 JOB DESCRIPTION : SEE UNDER COMMENTS SQ FT: 7, 500
ARCN.ORPNO.'SADDRESS: 127 E 42ND ST UMT:
N,B , CA 92663 CLAIM VALUE: 7, 500 . 00 CALC-VALUE: 7, 500 . 00 GROUP OCC: B /
cOWTBACTOIrsNAJ: ACME STANDARD DOORS ( 714 ) 548-5555
CONRIACTORS MAKING 869 CONGRESS ST *D*********DD*****RI.D*ROO****UPGRADE
********O*****OSE**********EBI*********�E�E�F -u-+Ax SESr SE*
ADDRESS: COSTA MESA CA UC.yp_; 448559
92627 WIT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby afam under penalty of perjury that I am licensed under provisions of Chapter 9 S E T B A C K S
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effece.
CmLIc.No.:030593 LIc.CLASS: B MAO.: 44 559 EXP : 08 /97 MAIN BUILDING ACCESSORY BUILDING
7 1FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: /�'-��/ `�C con. / EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the
following reason(Section7031.5 Business and Professions Code:Any city«munty which requires a permit tocenstmct.eller,improve, PARKING RE PROV: PARCEL : 42534120 ZNE: C2 REF NO:
demolish,orrepakany structure.Prior to ifs issuance.ae°requires'he eppliceni for such rem°tufle asgned statement thaaheor she PLANNING NOTES> INT ALT FOR A 12 SEAT TEA ROOM W/ SUPPORT OFFICE & KITCHEN.
licensed Wnuanl to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)01 Division 3 of the
JSkieSS and Professions Code]cr that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Sectbn > WILL COMPLY W/ REST/BAR REQS INCL PROVISION OF 5 'D PEANTER.
7031.5 by any applicant fora permit subjects the applicant to advdpenalyct not more than Die hundred dollars(MOOD. **************************ee****************************************************
❑ I,as owner of the properly cc my employees with wages as their sole oompensation,will do the work,and the structure is not intended D E V E L O P M E N• T SERVICES R E Q U I R E M E N T S
or offered foe sale(Section 7044,Business end Professions Code:The Contractors License Law does not andel,'an owner of property ,,who Weds or improves thereon,end who dorso sod)work Itself or herself or through he or her own employees,provided that such • /
improvements ale ndintended oofferedf«eale.Nthe or ltnprovemeraisseldwithmone Yew dpgmpaion,Me ZONING APPROVED BY 6' E DATE: I0-2-4-9 C,
owner-Wilder will have the burden of proving he or she did not build or improve for the purpose of sale). Ly/
❑ I,as ownerof the property,amexclusively contracngwith licensed conhect«etoconstruct the projec(Sed'on7Ml,Business end BUILDING APPROVED BY : SFA. /(3D� DATE: (.D 23 ' !11
Professions Code:The Contractors License Law does rot apply to en owner of properly who builds or improves thereon and who l /
contracts for sod)projects with a contractor(s)licensed W rsuent to the Contractors License Law). i.-!,' l O 9j
❑ lam exempt oma Section: B.a P.c..wthe reason: ***************1******E**************************** * **0****D*****************
Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.end
25534.and that lorany future buildingad,pa+twillfwmno(drdeone)needmpon*wmsaiddaegmesandtherequirementsfor BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit to construction or modification from the A:Qanag.m ant District.Residential constndbn epplcetidale e exempt from these
provisions. PERMIT 137 . 25
Date: /0 ^29 Applicant SMIP/NON-RES
PLAN 22 . 30 1 . 58
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ Ihave and wilmaintanacertificate al consent tosefinure for wakers'compensation.as provided foLySe01on370adthLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
c«.,r«Ineped«maneoftnew«kf«wxnmspemd .esgea. TOTALS----> 138 . 83 0 . 00 22 . 30 161 . 13 161 . 13 . 00
❑ I have and Ml maintain workers'dimpenesfon insurance,as required by Section 3700 of the Labor Code,for the performance of the
w«kl«which mspam.Myw«ke�compensationvpolicy
insurancemeraanambaare:
Carrier
REVENUE DIVISION TOTALS--> COLLECTED: 138 . 83 OVER/SHORT: • , 00
ad«:
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
insection need not be completed I the pent is for one hundred dollars($1001 or less.) 137 . 25 1 . 58
'C.I I cenly that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so an to
become subject to the workers'compensation laws o California.and agree Lha 1 I should became subject to the workers' *******************************************************************************
[' compensation provisions of Section 3700 of the Labor Code,I shall forthwith ply*Ph those w
e pr ®«a. INDIVIDUAL F E E BREAKDOWN
Z Date: /O 2 9 Applicant: � /2 —�^
r\ Warning:Failure ropenalties TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars(Slogan In addition to the roar ofcomperuadon,damage
s u Provided for In
Section 3106of the Labor Coda,Inmost,and attorney's fees. SFC 7500 ALTER BY VALUE COMMERCIAL NOZONE 1 . 00 7, 500 . 00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a COnarudion lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:ADDPLUMB ING TO KITCHEN
P081241996
certify that I have read this application SEat the above information a correct.I agree to comply with a0 city aand county ordinneaand stale Tawe retains to building constructionaion d hereby authorize representatives of this city to enter upon the above-memianed propend11«nnsp« purposesn purasHARRY DODGE
�s Print Name
KNKit s urAOwner/Agent/Applicant/Contractor Dat CITY.OF COSTA MESA
(5151'46wP) White-Building&Safety;Green-File;Canary-Appicant Pink-Revenue;Oddenrod-Assessor
•QONSTRUCTION AND PLANNING POOL PA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1.,Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test •
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 61/ Backwash Lines,P-Trap, 0 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 FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace • APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
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 //r?� Z6. Dry Standpipe
28. Lathing& Siding • - 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing /2 -V-4 HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing ,
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
•
43. Backflow Irrigation
44. Landscape Irrigation System -
45. Sound Attenuation •
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 4-711 ire/ ,
48. FINAL PLANNING 7�CC /�
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
ADDRESS OF BUILDING: 191 E 16TH ST SMT: CITY OF COSTA MESA - BUILDING PERMIT
OWNERS NAME IF IDKINNKAZARIAN, ARTHUR S TR PERM NO: M 081472
. 0u %917 VIA ZURICH CR r
NEWPORT BEACH, CA 92663 J _ R PERMIT NO: M ' 081472 PLAN CHECK NO: N GOVT: N SUPP: N
509-5599
APM.PLUM ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: ALT
ARCHITECT OREIaNZER:B .C. MONBERG LLI C15536 JOB DESCRIPTION : ADD WALL HEATER TO OFFICE SQ FT:
ARCH oRum'sADDRESS: 127 E 42ND ST uhAf:
N.B . CA 92663 CLAIM VALUE: CALC-VALUE: GROUP OCC: B /
IONTRACTatSNAMEACME STANDARD DOORS ( 714 ) 548-5555
cGRRACTORSWC 869 CONGRESS ST COMMENTS: REF B-80178 / RESTROOM AND OFFICE REMODEL
AorREss:COSTA MESA CA uc.No_ 448559 *****************************************'******************itftrtx**rtSt*R(-RERt******SEK-
92627 WIT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby Slim under peaty of perjury that I am licensed under provisions of Chapter 9 S ET B ACK S
(commencing with Section 7000)d Division 3 d the Business and Profession Cole.end my license is in lug force and effect
ctyuc.No.030593 uc.cuss:B uC.No.:448559 EXP: 08 /97 MAIN BUILDING ACCESSORY BUILDING
Date: Z' S-- 97— DaContractorContractorContractorT1v✓— FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
- LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
under BUILDER DECLARATION:I hereby affirm der penalty of perjury that I am exempt hon the Cont ors Lyme law for the
followkg reason(Section 70315 Busies'and Profession Cade:Any city a corny which requires rt attune to cantinas.Stec.improve, PARKING REG: PROV: PARCEL: 42534120 ZNE: REF NO:
demd'Sh.of reqs any enctae,oda ais eauerce,abo raga"the applicant la ash Penwto fie a signed statement thaf he a she PLANNING NOTES>
(:_ (7,licensed pursuant to the provisions of the Contr•daWenn ense Law[Chapter 9(mrunendng will i bd Section 7000)d Dion 3 the
'v`y.,�Business and Prde"ionu Code)a a she is exempt therefrom end the bests far the alleged exemption.Any viold tion Sect ion >
4 o3l.5by Pr
03I.5 for a Perrot subjects the applicant to advil penalty ofnd more than five hundred dollen IS5W1). {EIE#1E1E1FiE1F1EiEikfhlE****-0E*#fE1Ef!•1EfE1!•fEfE-0EiEiE*1EiE1!*iE****fE-0E#itlEiEiElEfE1E1E1E3EiE#IEfEltlEiflFlE#fEiEiE1E1E1E1E#1E1E1FiE***
❑ I."owner of the proceflY Of MY emPloyees with wages as Ulu sole compensation.sell do the wort end the structure is r101 intended DEVEL OP MENT SEA -VICES REQUIREMENTS
or Stared for sale(Section 7044.Business and Professions Code:The Contractors License Law does not spay loan Owner&properly
who buil or Mamas thereon.end who does such work tinsel(a herself a through he or her own employees.provided that such
improvements are not intended or offered to sate.If.however.the building orieprovemed is sold within one yea of completion,the ZONING APPROVED BY I DATE:
owner-builder wiR have the burden of proving he Of she did net build Of improve for the pupoee of sale).
❑ Las owner of the property,am exclusively catoditg teth licensed contractors to cm"nrd me project(Sedan 7044,Business and BUILDING APPROVED BY DATE:
Professions Code:The Contractors License Law doe•root apply to an owner of progeny who builds or improves Ihereon end who
contracts for such projects with a contractor(*)licensed pursuant to the Contractors License Law).
❑ I am exempt under Section: B.aP.C..lot this r°aean: APPLICATION ISSUED BY: -- DATE: z- 5:-.
Date: own.: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT :N
I do hereby candy that I em aware of and understand the requirema"of Celomic Neat.and Safely Code Sections 25505.25533,and
25534,and that I of any hon building oompent.MO/will not(acts one)reed m comply with said state codes end the requirements for
a permit for construction o dimh
modionanthe Al OuasyMaagenra District.Residential conatdis
ruapplications S exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
Provision. PERMIT 13 . 25
Dae: Applied/1: 25% SMIP/NON-RES
PLAN
WORKERS COMPENSATION DECLARATION:I hereby affirm under penal of paps,as of the following declarations: ISSUE FEE 22 . 00
❑ Ihave and wSmadman ace1 edaonatlantwa•arworkers'compensation.asprovided for bysed'on3700dLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.for the performance dthe waN& oissued. TOTALS----> 13 . 25 22 . 00 0 . 00 35 . 25 35 . 25 . 00
❑ I have end wig manias workers'm "
acs' mpeainsurance, requiredon "ur . by Section 3700 d the Labor Core,for the pedmd
aance the •
work for Mia the remit is issued.My wedeln'compensation insurance twin and policy number we:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 35 . 25 OVER/SHORT: . 00
Potty Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
This section need not be completed I D.pant is for an hundred dream(3I00)or leas) T 35 . 25
A❑ I tally that in the p•doroams d the work For which this remit is sand.I stag recd employ any parson in any manner so"to
b•cane°ubpd"the wockars co per®lion Ian of California.end agree IM should I s1baailed to the*Odom. *******************************************************************************
compensation provisions al Section 3700 d the Labor Code.I erred forthwith with lnw`h ply wthose provisions. IND I V IDUAL F EE BREAKDOWN
)r Date: a4-, _ / 7- Appl'an: /, / P
Warning:Fagunhrnoun workers'conpaatoncoverape le unlawful,and Mel sublectan employee to crfwlU"
Srelpand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines tag to one hundred thousand dollen(5fO4000).is addlUpn to the=We nn veneetiO L dares as provided for In
Section 3705 of the Labor Code,lnta"L ahe.Nartny.n". MEC 1 INST/RELOC RECESSED WALL HEATER 13 . 25 13 . 25
CONSTRUCTION LENDING AGENCY:I hereby el under sanely d perjury that there Is a construction lending agency for the END OF FEES
rerlanance d the wank to which the Fermi is hared(Section 3087,Ch.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify has I have read this app4utia g ji)ha the above itamati n a coned.I agree to comply with at ray end candy ordinances
and stale laws relating to building aswwsn and hereby authorize representatives ofthis oily to enter upon the atom-mentioned properly
for inspection purposessARRY DODGE
82-05-1997/12:34 PM/f35.25
Pim NameRCPT8:81-8881636
_�� Dale:
2—r 79 PERMIT:081472
(5151 a6.WP) White-Buidg A Slay:Green-Fe:Canary-Appbcant:Pink-Revenue:Goldenrod-Assessor
'CONSTRUCTION AND PLANNING POOL 'A
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7.,Footings 58. Electrical Conduit-Undrgrnd. •
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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 FIRE DEPT. REQUIREMENT .
20. Rough Factory Fireplace • APPROVALS.. Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating - - - ' 71. Product-Piping 0 Gas 0 Oil
23. Gasflpe=Rough& Test - 72. Underground Flush
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 - •
28. Lathing & Siding • - 77.. FIXED SYSTEM FINAL
29. Insulation • 78. FIRE PREV. FINAL
30. Drywall Nailing • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat '-- 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:A_2A z r n &IX
Go Final Heating& Air Conditioning • p‘IL -
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing -
39. Water Service-Final - -
40. Gas Service-Final -
41. Solar Domestic-Final
42. Backflow Preventer •
43. Backflow Irrigation.
44. Landscape Irrigation System - - -• .
45. Sound Attenuation •
-
46. Handicap Regulations _ -47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
ADBEssc'BOLW'a 191 E 16TH ST LINT: CITY OF COSTA MESA - BUILDING PERMIT
CYE31ERSNMIEIPKNayx: KAZARIAN, ARTHUR S TR ! /PERM NO: P 080255
ADDAES4i 917 VIA ZURICH CR . 1
NEWPORT BEACH, CA 92663 PERMIT NO: P 080255 PLAN CHECK NO: N GOVT; N SUPP: N
509-5599
APPL.IwuNo ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: ALT
ARCHDECTORENmIER: B . C. MONBERG UONo.: C15536 JOB DESCRIPTION : SEE UNDER COMMENTS SQ FT:
ARCH.OR EMI ADDRESS: 127 E 42ND ST WIT:
N.H . CA 92663 CLAIM VALUE: CALC-VALUE: GROUP OCC: B /
CONWAmestAla: ACME STANDARD DOORS ( 714 ) 548-5555
CONTRACTORS MMLINO 869 CONGRESS ST COMMENTS : ADD INTERIO ROOMUPGRADE TOILET TO MEET ACCES . , PLUMB RE: B80178
ADDRESS: COSTA MESA CA uc o. 448559 **+A*****+EStitxx*******SESE�ENitieit4***N*+E*+t**StfE�t*****iErt******x*u*�r**at BEN•*SEftat**Skatitx***it*
92627 IWT: Z O N I N G REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby elm wider penalty of Parpry IS I em leaned ander prosiest.of Chapter 9 SETBACKS
(commencing with Section 7000)of Diwon D d the Business and Professions Code.end my kerne is in lea brce and elled.
CITY VC.NO.:030593 MC.CLASS: B UC.NO.: 4 8559 EXP: 08 /97 MAIN BUILDING ACCESSORY BUILDING
/O-3/-4C Contractor: - FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
°° LEFT: FT IN RGHT: FT IN
LEFT: FT IN RGHT; FT IN
OWNER BUILDER DECLARATION:I heathy affirm under prrlty of perjury that I am exempt from the mFactors License Law for the
Sewing reason(Section 7031.5 Busts and Professions Cede:Amy city r aArry WW1 requires•snail to dawbtd.atm.improve. PARKING REQ: PROV: PARCEL : 42534120 ZNE: REF NO:
demolah,or repair my structure.prig to is Suess also renes the apparent la such panne to fib a signed seined that he or she
j^''limned pursuant to the provisions d the Contractors License Law(Chapter 9(corseting with Satan 7000)d Divbon D d Ihe PLANNING NOTES>
uwnea and Professions Code)or that he or she is exempt'hat.,'and the besis t the aiaged exemption,Any violation d Section i" > --
4 %oi.S by any apples to a permit subjects theapprare to a chi penalty of not more than Ewa hundred lotus(MOD. *********.ik*************************************'********************************
d
L a ownerlhe palmIT a my=Morass nth wages as to sole conversation..0 do the work. id the stoats is not Wended D E V E L O P M E N T SERVICES ') R E U I R E M E N T S
a renSed for e(Section 7O44,Business and Professions Code:The Contne License law does nil apptyto an Sneed popery
Q
who bolds or improves thereon.and who does such wadi himself or herself or wash his or her own empbaas.Provided that such
imr.""amae nil Intended Msale.
ordedlo11'kmever.the nald'igor inpraemrd ssddw.thowd
neycompdion.Ne ZONING APPROVED BY -' DATE:
ownertiro will have the burden d proving he a she did no bold or improve for the purpose d sale).
PNasioc.er coormeCthe us Lk.f. awdern exclusively oe.g nhtensed m `�'oaarolp w,obconstruct the a'tp(Section r h emBusiness:w BUILDING APPROVED BY : - DATE:
contracts to such projects wvwd
h a draa(°)Stormed pursuant sraLicensetl to the Cos License Law)..:., ^
0 Iamexempt under Section: B.BP.C..tor this reason: // APPLICATION ISSUED BY: DATE: I0-3I'Cit°
Dale: Owner:
IdohemwmrayNwIamawreof and understandter.doren«moCaN«daHeath ardSmdyCode Secionssss05,sssv.and
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT : N
25554.and that I or any Mus building omrpenl will/wit not(circle one)need m oanpy with said state codes and the requirements for
epermh for contusion or modification from lheAiOeneganrt DVS.Residential mwnmim'potations are execute from these BLDG PMT PLUMBING ELECTRIC-' MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 37 . 25
Date: Applicant: 25% 1 SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under Pest),of Pens one of the lofiowirg dadrators: PLAN i ,-
E !MVO and will mainand consent tosetiw
nr°leworks'r workcornpersdion.as provided for by Section 3700d Me Labor ISSUE FEE 22 . 00
Code.for the performance of the work for with the permit BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
o Ihave and wilaintai„nha,.'omnwmlionisures.inr.nmed by Section d N
ion 3Te Labor Code.fix performance of the TOTALS > 37 , 25 22 . 00 0 . 00 1. 59 . 25 59 . 25 . 00
work for stud,this pond is Sued.My workers'mmprsdcn insurance caner and poky number we: .,
crw; REVENUE DIVISION TOTALS--> COLLECTED.: . 1 ' 59 . 25 OVER/SHORT: 00
Policy Number: - • BLDG PMT PLUMBING ELECTRIC MECHANIC ' FIRE SMIP/TOT GRADING PLAN-CHECK
,his action need not be completed ldr Pal S ler one hundred doter,(S100J o less! 59 . 25 .- C ,'j
AD I petty that In the performance d the work ler which tern permit s srd.I sMl not employ any Secs in any mern w oto ^ I —.
been nibiea to the wothine mrnpeneatidn sun d CeMasa.and ape°der d I should begone waled to ted weed.' **********************************irk****1E**if* **********************************
mmprsegn motions of Section 3703 of the Labor Code.I shall l�waymn°y with mmon soviets
/ I N D I V I D U A L ' F •E E B,-R E A K D O W N
Dee: /D - 3 /— 9 < ptm
Apt: �...�1/ ���� I •r ) / ''3
Warning:Failure to secure voters'mrrorwton coverage iswawA4 and shall sublet:an employer rocriminal Prams and TYPE QTY D E S C R I P T I .O' N;. UNIT LOST TOTAL COST
civil fines up to one Modred thousand dollen($704XOA in addition to the oast of compensation damages as provided tor In
Section3706 of the Labor Coda,Interest,end attorney's r». PLU 1 SINK, KITCHEN ^ +1, 8 . 75 8 . 75
Winn rPd n b a
CONSTRUCTION LENDING AGENCY:I hereby m ider ally perjury the thee rms:tion larding agcy err the PLU 1 WATER CLOSET ( TOI L'ET) ',a 8 , 75 8 . 75
p.namemdthe work for which this parrot nissued(Section 3og.Cie.p. PLU 1 WATER HEATER AND/OR' VENT, 11". 00 11 . 00
LENDER'S MANE PLU 1 SEWER CAP / DEMOLITION EACH 8 . 75 8 . 75
LENDER'S ADDRESS:ADD PLUMBNG TO KITCHEN END"OF FEES
I certify that I have read the section , m
the above information s n correct.I agree to comply with at city and county Ordinancesand etre laws relating to budding amtlu&iion'e ahreby authorize repesentades of this airy to enter upon the above-mentioned property
for inspection purposes.
HARRY DODGE - -`, �. J
Peu Name -.2'�f.. 01 00218251-00218251 TOT 59.25
Date: ,e-”"27
' -- DATE: 10/31/95 TIME: 12:06
SSignatureol MSer/lrp°m/AppY�IpCaAnd_a
1 (5151-e0.WP) MO-Building 8 Safety:Gar-Rs;Caary-Appdcant:Pink-Revenue;Goldenrod-Assessor ,
CONSTRUCTION AND PLANNING _ POOL 'A
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' r
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •
3. Electrical Conduit Utility-Undrgrnd. 54. Forms -
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
•
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. 1'
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Updrgrnd.
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 e
14. Rough Plumbing , .1 / _n 4 65. Electrical-Final
•
15. Rough Electrical-Conduit / 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test ..9472. Underground Flush
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
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: //-- 7 5_6 n&o /6.. ?Qk/ tea6,ia
34. Final Heating & Air Conditioning
C �7�
35. Final Gas Pipe-Test €r
36. Hood or Canopy
•
37. Final Factory Fireplace
es Final Plumbing 1 -1&-97 ?0\( rIrvaLi2[ £) I(f
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
ADDRESS OF BUILDING: 191 E 16TH ST OMT: CITY OF COSTA MESA - BUILDING PERMIT
mursNAIIEIFIINOWN:KAZARIAN, ARTHUR S TR PERM NO: E 080254
ADDRESS: 917 VIA ZURICH CR
NEWPORT BEACH, CA 92663 PERMIT NO: E 080254 PLAN CHECK NO: N GOVT: N SUPP : N
509-5599
APPL.MAIUND ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: ALT
ARCHITECT OR ENGINEER: B , C , MONBERG uc No.: C15536 JOB DESCRIPTION : SEE UNDER COMMENTS SQ FT :
ARMOR ENG.'S ADDRESS: 127 E 42ND ST UMT:
N.B . CA 92663 CLAIM VALUE: CALL-VALUE: GROUP OCC: B /
CONTRACTOR'S NAME:ACME STANDARD DOORS ( 714 ) 548-5555
CONIRACTORSMMUNG 869 CONGRESS ST COMMENTS : ADD INTERIO ROOM UPGRADE TOILET TO MEET ACCESS, ELECT RE:880178
ADDRESS:COSTA MESA CA uC.NO.: 448559 ****************#iE***************+E********************* 4********sE ***+F*+E*****
92627 DMT: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect.
clTYLIc.NO.:030593 LIC.CLASS: B LIC.NO.: 448559 EXP: 08 /97 MAIN BUILDING ACCESSORY. BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: /e '3/' 4/ Contractor: _..le° �� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from thetracOSn all License law for the
following reason(Section 7031.5 Business and Professions Cole:Any city or county which requires a permit to consvud.alter,improve, PARKING REQ: P RO V: PARCEL: 42534120 Z N E: REF NO:
emol'eh,a repair any swcture,prior to its ssuarrce.also requires the applicant r such permit to fib a signed statement Met fa or aha
licensed pursuant Io Iha provisions d the Contractors License Law(Chapter 9'(commencing with Section 7000)d DWeion 3 d tiw PLANNING NOTES>
9 fls siness and Professions Code]or that he or she is'axempt therefrom and the basis for the alleged exemption.Any violation of Section > 4
C 4131.5 by any applicant fore permit subjectstheaplilicant to a civil penalty of not more than five hundred dollam[S500]). *********************************.**********************************************
❑ I.es owner of the property or my employees with wages es their sole compensation,will do Un work,and the stmcture is not intended DEVELOPMENT S E? R V I C E S R E 'U I R E M E N T S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not applyproperty to an owner of Q
who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such
improvements ere not intended or offered for sale.If.however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE:
ownerbuilder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I,as owner of the property,am exdusiely contracting with licensed contractors to construct the project(Sedioh.7o44,Business and BUILDING APPROVED BY '7 DATE:
Professions Coda:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who
contracts for such projects with a convador(s)licensed pursuant to the Contractors License Law).
El I am exempt under Section: B.AP.C.,for this reason: .. APPLICATION ISSUED BY: DATE: 1tJ^31r C
Date: Owner: ..'x ************************************************ ***************4*********44**
LEGALIZATION:N F E. E SUMMARY STRUCTURAL SEGMENT:N
I do hereby certify Mat I am aware of end understand the requirements of California Health and Safety Code Section 25.505.255.3,and
aperm for thatloanyrmoswiMigomthaA will Ou will ed(gmetDlanddtocomply aw4hsalddataposaens reerempimmmthforse BLDG PMT PLUMBING ELECTRIC, MECHANIC FIRE SMIP/RES GRADING
epermitfor a I or an future modification ocom cupant
ant GueNy Mategamaote)nee Residential constructionapplicationscode andthe requirements
provisions. PERMIT 84-00 '
Dale: Applicant 0%? SMIP/NON RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE 22 . 00
❑ Ihave and witmaintain aoarercaleaconsentlosef-��nf, �'conpenation,asprowdadfobySection3700ofthelabor BUILDING-DIV-> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
Code,f«the performance of M.work for which this TOTALS----> 8 . 00 22 . 00 _ 0 , 00 30 .00 30 , 00 . 00
o I have and will maintain workers'compensation insurance,es required by Section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.My workers'compensation insurance Tamer and policy number are:
Caniar: REVENUE DIVISION TOTALS--> COLLECTED : 30 ,00 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
,his section need not be completed N the permit is for one hundred dollars/5100/or less.) 30 . 00
"
)❑ I certify that in the performance of the work for which this pent n is issued.I shall not employ any person in any manner so as to
become subject to the workers'wenpansaiion Iawe of California,sod agree that g I should become Bubjed to the workers' *************************************iE*****************************************
compensation provisions of Section 3700 of the Labor Code,I shall forth 'h ply with Mose provisions. INDIVIDUAL ;"F E E BREAKDOWN
Dale: /0-9/ YeC Applicant
dl
Warning:Failure to secure dworkers'compensation coverage In udt and coat fact an on,p.netion,employer to es as provided for
YPE QTY D E $ G R I P T I N- UNIT COST TOTAL COST
civil onsa up to one hundred thousand dollen ttomey00),In addition to Ms cost of mmpanaefbrr,damages as provided In
SapNon37osafMaLabo,coal,ln..ac.na.mrnay.feas. ELE 2 FIXTURES, LIGHTING 4 ST 20 EA. 1 . 00 2 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the ELE 3 REC EPT/OUTLET `1' ST 20 EA. 1 . 00 3 . 00
performance dthe wank for which this permit is issued(sealer 3097.CA.c). ELE 3 RECEPT/SWITCH 1 ST 20 EA. 1 . 00 3 . 00
LENDER'S NAME:
LENDER'S ADDRESS: )DPLUMBING TO KITCHEN END OB, FEES
I certify that I have read this applicationpelsAaRat the above information is coned.I agree to comply with all dry and county ordinances ,
and state laws relating to building construofion anThereby authorize representatives ofthis dry to enter upon the above-mentioned properly .
for inspection purposes.
HARRY DODGE 01 00218252-00218252 TOT 30.00
PdrtNy/ J DATE: 10/31/95 TIME: 12:06
c Data Ala 7/ f f
nalur� genVAppliranUContreaor
(5151.46.WP) White-Building 5 Safely:Green-Rte;Canary-Applicant:Pink-Revenue:Goldenrod-Assessor
ICONSTRUCTION AND PLANNING POOL PA
1' J APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location!
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �� f
3. Electrical Conduit Utility-Undrgrfid. 54. Forms
4. Electrical Conduit-Undrgrnd. ,, 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ",
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 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 '1 64. Plumbing System - Final
14. Rough Plumbing / 65. Electrical-Final ,
15. Rough Electrical-Conduit /j II �q ir- ' 66. Solar System-Final j 1
16. Rough Electric Wiring 67. Fencing & Access Approval `
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
i
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
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
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78, FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final a 80. FOOD CERTIFICATE ISSUED
33. Final Electric 2l Z Notes: - 14 p/C To j 5u1C(fr
34. Final Heating& Air Conditioning !
NC-E-13 W ;ring C
35. Final Gas Pipe-Test /-x-97 e_O
36. Hood or Canopy `7 �IJ,...
C�
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final •
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation,
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PE IT TRACT NO. LOT NO. UNIT NO.
CITY OF COSTA MESAppLCONSTRCTION PERMIT ` n6� A.P.# Zone
Project Address ni/ Fat /(0) •Y/ 1�2' '- r ' S Main Building: 1 Accessory Building:
Applicant's Mailing Address V/"2/ LP//, /flwv TYPE OF CONSTRUCTION IJ NEW LyADD LI ;RATION) U REPAIR E Z
v ,per /� ❑ CONVERSION ❑ DEMOLISH OT t T Front D
Owner's Name UST/s f" ��P7+bne (1 B N
l /se-
� /6l�_ DESCRIPTION OF WORK/USE OF BLDG. �f1 A Rear _ y I
Address . 1 I - - s:u __ - f t
Arch/Eng. License No. TYPE OF P' ^ IT • GRADING ll FOUNDATION I♦ STRUCTURAL I C Right N
G
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left R
Contractor's Nam! '��qq.4; —t / 'i " one 2� L ❑ 'OTHER Ping. Ref.# Parking Req./Provided E
Address(mailing) f2��Ll2149( �1l .5117 PROJECT DESCRIPTION SQ. FT. OCCUPANCY n ¢ — M
CONSTRUCTION TYPE VALUATION$ RS PlanningNotes:
City License No. 1549 3 ZONE ' GRADING CU.YDS. ACRES T
S.
LICENSED CONTRACTOR DECLARATION //�l /� L
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: 1/� �C I ( O! {./' . A/ �,�� ,
with section 7000) of Division 3 of the Business and Professions Code, and 1717 1 1 l/C/d1
my license is In /ul fore nd effect. ELECTRICAL FEES
License Class L' 6 No.
Date Signature PLUMBING FEES Automatic Washer Transformer 0 15.50 KW
•
WORKERS'COMPENSATION DEC TION -Bar Sink Showers Construction Pole Sub.
0 50+ KW
, 1 hereby affirm that I have a certificat' f consent to self4nsure or a certificate
','•f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
''?1800, Lab. CJ Ud/✓- #
-Policy800, Na g Company ��/ Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
❑ certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Date jfieQccyp�y,is filed with the city Buildin ivisi . Bathtubs Sewer Connection
Date it Applicant Fan Motors 00-1 HP ❑1%-B
EXEMPTION FROM WORKERS'COMP TION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if th ermit is for one hundred ($100) or F.A.U. inc.Solar 09-15 HP ❑16-15+
less). Dishwasher Solar Piping
I certify that in the performance of the work for which this permit is issued, I Fixtures
shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE:If,after making this declaration, you should become subject to the Outlets
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked. , Range
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign
1 hereby affirm that there is a construction lending agency for the performance
Of the work for which this permit is Issued (Section 3097 Clv. C.) Garbage Disposal Standing Sections
Lender's Name Interceptors Water Heater
(�,\ Lender's Address
OWNER BUILDER DECLARATION Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor
V
\ I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
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 Laundry Trays
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 Roof Drains
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 - Reinspection Fee $15 Issue Fee $ 3
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
enalty of not more than five hundred dollars($500). DEVELOPMENT SEAVICES REQUIREMENTS: •
`\ LI I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date
. compensation, will do the work,and.the structure is not intended or-offered
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or improves yJ_71�.SK';
thereon, and who does such work himself/herself or through his or her own Application Issued By !late 8 ••��ZZ__CC77��SS
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 0 SUMMARY OF FEES
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 PERMIT $ 17. Do SMIP $ - . 50
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
'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 PLUMBING $ ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con-
tractor(s) license pursuant to sne Contractors License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers • MICROFILM $
PLAN CHECK 50% $ C'
Date Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ 1 7. 50
1 hereby certify that I have read this application and state that the above 0OA00,000 BTU ❑100,000 BTL PLAN CHECK 25%
Information is correct. I agree to comply with all.city and county ordinances $
and state laws relating to building construction,and hereby authorize repre-
sentative •f this city to enter upon the above-mentioned property for
inspecti• os•s. r��,�j( •
Signatur-- . _ �.•-_ 1 T. Date�a( QO Reinspection Fee $15 Issue Fee $ 3
Driver
# 01 00013106-00013107 TOT 17.50
Drivers' License or SS '-_���:
0865-46,rev. 5/88 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod- Assessor DATE- 08/29/88 TIME: 09:59
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit # Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •j
2. Soil-Pipe-Undrgrnd. • 53. Steel Reinforcement . I
3r, Electrical Conduit Utility-Undrgrnd. 54. Forms •1
4. Elecvical Conduit-Undrgrnd. 55. Electrical Bonding :1
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '
6., Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE `I '
.1
,7. Footings • 58. Electrical Conduit-Undrgrnd. ,.
'8. Foundation -; 59. Gas Pipe, 0 Undrgrnd.,Test .I •1
9. Water Pipe-Undrgrnd. • I ,, 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Stfuctural Floor.Sys'tem 61. APPROVAL TO DECK
•
11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final• -
•
12. Sewer Cap • ;y 63. Heater & Vent-Final
•
13. Roof Drains • .I. 64. Plumbing System - Final •
•
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
116. Rough Electric Wiring 67. Fencing & Access Approval f
: 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough EIeetrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL i
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
-20. Rough factory Fireplace APPROVALS Permit#
21'. Ducts, it/Structure '1 70. Underground Hydro 11
22. Ducts, Ventilating 71. Product Piping 0 Gas, 0 dii
23. Gas Pipe:Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank;D Gas ❑Oil
25..Roof Sheathing 74. Overhead Hydro I AAA 9
26. T-Bark�iling (Structural);&�Monocoat 75. Dry Chemical �p� ( °�f1A�,rr7�
27. F,came`a{d Flashing 76. Dry Standpipe �� C�
28. Lathing'& Siding 77. FIXED SYSTEM FINAL
• 5 I
29. Insulation - - 78. FIRE PREV. FINAL
30. Drywall Nailing r1 HEALTH DEPT. REQUIREMENT
31. Plaste? Brown Coate t 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric . 1 Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backf low Preventer
43. Backflow Irrigation •
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fit in all spaces except those within heavy border lines and sign all appropriate declarations. .
CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO.
CONSTRUCTION PERMIT ,F�//7C 2466 10/ 17/A5 ,I0FE TL
•
Project Address 1 91 F 16th RTRFFT TYPE OF CONSTRUCTION al NEW U ADD LJ ALTERATION LI REPAIR
Applicant's Mailing Address : 621 LUNAR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone
Owner's Name ReCl Dlnion Catering Phone DESCRIPTION OF WORK Tnctal latinn of hnnd f„ Annt oy_etarr
Ansul Dry Chemica S Main Building: Accessory Building: 2
Address 191 R. 16th STRF.F,T E O
TYPE OF PERMIT ❑ GRADING L I FOUNDATION STRUCTURAL T Front N
Arch/Eng. License No. _ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICALB Rear I
Address ❑ OTHER A N
Convector's Name Master Protection Phone 990 3473 PROJECT DESCRIPTION SQ. FT. OCCUPANCY^ / ,y1 C Right G
Address(mailing) 621 LUNAR Area CA 92621 CONSTRUCTION TYPE VALUATION S ! ,ti•4w $ Left R
E
City License No. ( -.5"3,9- S ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ Q
U
LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided I
I hereby affirm that I am licensed under provisions of Charter 9(commencing /� R
with section 7000) 01 Division 3 of the Business and Professions Code,and
//C.���7 Use of Building: E
my license Is in full force and effect. '(•
License Class C61 Lice No 377907 PLUMBING FEES Planning Notes: M
Date 9/17/85 Signature - E
N
- WORKERS' COMPENSATION DECLAR�ON Bar Sink Showers T
Backflow Preventer Service Sink S
cri hereby affirm that I have a certificate ofconsent to self-insure or a certificate - S
''of Workers' Compensation Insurance, or a certified copy thereof (Section
-
3800, Lab. C.) Backflow Irrigation Sewer Cap ELECTRICAL • FEES
Policy[� No. CT1816588 company TNTFRC !MTV
Ln Certified copy Is hereby furnished. Bathtubs Sewer Connection Automatic Washer - Transformer 0 15-50 KW
La- Certified c y is filed with the city Building Divisi
Date 9/17/81 Applicant Clarifiers Solar Collectors Construction Pole Sub. ❑ 50+KW
EXEMPTION FROM WORKERS'COMPENSATION CLARATION Dishwasher Solar Piping CookingUnit Meter ❑u to 100 amps
(This section need not be completed if the permit is fg/one hundred ($100)or P P
less).
i certify that in the performance of the work for which this permit is Issued Drinking Fountains Solar Tank Dishwasher Meter Dover 100 amps
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel
Date Signature
NOTICE: If,;after making this declaration,you should become subject to the Floor Sinks • Urinal Fan - - Motors 00-1 HP ❑1%-8
Workers' Compensation provisions of the Labor Code, you must forthwith
Ncomply with such ,provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet • F.A.U. Inc.Solar 09-15 HP 016.1 5+
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance Interceptors • _ . Water Heater ,- Fixtures Microwave •
of the work for which this permit Is Issued (Section 3097 Civ. C.)
\
Lender's Name Kitchen Sink Water Service Device Boxes Pole Light IJ
\ Lender's Address, _
OWNER BUILDER DECLARATION Lavatories Outlets Range
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional'Code: Any city or p Switches Sign
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 Roof Drains Garbage Disposal Standing Sections
to file a signed statement that he/she Is licensed pursuant to the provisions of
the Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator ❑0.5 KW ❑5-15 KW r Trash Compactor
livision 3 of the Business and Professions Code) or that he/she is exempt P
terefrom and the basis for the alleged exemption. Any violation of Section
• ,031.5 by any applicant for a permit subjects the applicant to a civil Reinspection Fee 3
enalty of not more than five hundred dollars($500). Pa $25 Issue Fee - $
•
C I, as owner of the property or my employees with wages as their sole . MECHANICAL Reinspection Fee $25 Issue Fee $ 3
compensation will do the work,and the structure is not Intended or offered - FEES
for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or Improves Boiler - Hood or Type I 0 t
thereon, and who'does such work himself/herself or through his or her own Zoning Approved By Date
employees, provided that such Improvements are not Intended or offered for Canopy Type II 0
If, Duct-Under Ground 91;
sale. however, the building the Improvement Is g within one year of tom- _ Building Approved By � Date/291;
T(,>
pletlon, the owner win have burden of proving he/she did not build or im- // j
prove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By Datg"O��� �S
O I, as owner of the property, am exclusively contracting with licensed con •-
tractors to construct the project (Section 7044,Business and Professions.Code: Duct-Ventilating ❑0.100,000 BTU 0100,000 BTU SUMMA WEES '
The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT '$ SMTP '$
builds or improves thereon, and who contracts for such projects with a con- Exhaust System ❑ Multiple❑ System Repair/Alteration O
tractor(s) license pursuant to the Contractor's License Law). • - PLAN CHECK $ - ' / PERMIT
❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# c�- PLUMBING' $ ISSUANCE 1$
Date owner, Heating System& Ducting _ PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above- - ❑4100,000 BTU 0100,000 BT - ELECTRICAL GRADING $
Information is correct. I agree to comply with all city and county ordinances $
and state laws relating to bui •Ing construction,and hereby authorize repre- •.4.-:-: - PLAN CHECK 50% $ MICROFILM $
sentatives of this c - tory- ter upon the above-mentioned prope ty toy..inspection purpose •
Signature �/ Date MECHANICAL $ TOTAL FEE $ c3/:gS—
Drivers' License • SS . Reinspection Fee I $25 Issue Fee $ 3 PLAN CHECK 25% '$ _ -
CMF 0865-46 rev.12/83 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'
1 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 -,..7 • -
6. Electrical UFER Grnd. , • 57: APPROVAL TO COVER-GUNITE' . - s
7. Footings 58. Electrical Conduit-Undrgrnd:
8. Foundation 59. Gas Pipe, b Undrgrnd.,Test. .
9. Water Pipe-Undrgrnd. - • 60. Backwash Lines, P-Trap, OUndrgrnd. ' . '
10. Structural Floor System 61. APPROVAL TO DECK - - ' -
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final . _ -. .
'
12. Sewer Cap 4 • , 63. Heater & Vent-Final - -
13. Roof Drains 64. Plumbing System !Final • - - - •
14. Rough Plumbing 65. Electrical-Final • . • - , ' • -
15. Rough Electrical-Conduit 66. Solar System-Final -- - . - - _
16. Rough Electric Wiring 67. Fencing &Access Approval
17'. 'Rough Wiring Sign 68. APPROVED FOR PLASTERING -
. 18. 'Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL ` • •
19.-Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT. .
20. Rough Factory Fireplace APPROVALS Permit# - - ,
21. Ducts, in Structure 70. Undergrdund Hydro ' ' -
22. Ducts, Ventilating 71. Product Piping O Gas '0 Oil - ,
23. Gas Pipe-Rough & Test 72. Underground Flush.
r '
24. Roof Framing 73.' Undergrnd.Storage Tank 0 Gas O'Oil
25. Roof Sheathing 74. Overhead Hydro - -
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical •
WV& CP •
27. Frame and Flashing . 76. Dry Standpipe i , �}, /�
28. Lathing & Siding 77. FIXED SYSTEM FINAL '_>.
29. Insulation 78. FIRE PREV. FINAL )).•5
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79., FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED '
33. Final ElectricNotes: _
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy -
37. Final Factory Fireplace 1 , -
38. Final Plumbing . ;- ,
•- 39. Water Service-Final -
40. Gas Service-Final
41. Solar Domestic-Final •- . -
42. Backflow Preventer _ -
43. Backflow Irrigation - ' ,
44. -Landscape Irrigation System •
45. Sound Attenuation - ' ' -
r
•
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING - . . '
48. Special Requirements Completed t - `
•
49. Electric Release to Edison - - - •
50. Gas Release to Southern California Gas Co - ' ,
51. CERTIFICATE OF OCCUPANCY - -
No. Date - - _ - ' 1 ,- . - - -
4-PP. i
RLftCk f3ACRGRWNO BEIGE t G(Y-D 4.F., IT ia_ . I
Ext Efl-M
'� f � - P12y woo P
i -fs / S.r' f/ .
_ j� _
IA-1- I -7(t'l- 9-1-1
___
1 .
.:: ._ :.J._. r_. ...,
i ! ►�
_sem== •-•c:::::::::::1 �=
s
J
II VA; i 1 % P
fes P}��,P/
II : - � air
r
� ��
_ 's
_ IAVLA :at! 'N I,.-te a. ---(M • 1 ' :.
G � . "",
eo
r
-- ezatso
:i
1 / . . • --) ___.- ...7.. -06---i*'. �SWWA -PA WW5 -.
; • 8r c�GU Apt
:::
1 e'EMA16-S_ _SAT•---- a� be a� 7
C_UTRIT ON EMI 'AR- 41--," `~rr��s
I _11.1014- OV1ERBE�i'�5-ESP— a
WEie3.KCo f1TROL . ' �
'� CITY OF COSTA/m-
A MSA ' �,
'' PLANNING DEPT. /°
' <. DEPT. •• • /. `///-�
Th BUYER TO /". r/,
`, �_ • Of PIAN i .
i;/ . ons •
``fit® #`
QU ,o „ddtag , e\ FS
�ok cost) ''v" ��t p - Q P�
FpP
c'\t`I �Q.,�/i pW p0. .-.tent
V • �0. '.,jH qE0
N NS ^ES \ 1\ t\03\
t1p • :i,1\t 5N so
11•P..0 \ ^EE\..
OF 050.E\• ,,,,\V, .`\};0-
NO
0E •' OFF g
\0 0 •, s. ., 00.0.00.
0500\'C �'S °T .4,Ot`0' •.�EVEN�N N
?..: \ t\{E `\,. -. j`- \OE0. cast,
FP1`Ns-k0
N0 -w• .;'� c-ASO
pOINP
0- v . 0
gp: .. .00,0A . '.o pp p0. 0 i
\�0;`v vt\ONOF *vs 11 \11�'� �•,1V
„ X11
U+
,c) t0\l
• 0.... .0....-
V.......
0
CITY OF COSTA MESA
BUILDING DEPARTMENT
DATE />Z/s5
In consideration of the City of Costa Mesa granting a permit for
the erection of a sign to be located within ten (10) feet of the front
property line at /9) i6 -ta 5-7-,eL c= ,
the undersigned, for himself, his successors, executors, administrators,
' and assigns, hereby agrees to move said sign at his own cost and expense
in the event the City desires in the future to widen the right of way on
which said sign fronts, as provided in Section 7 (c) of Ordinance No. 95
of the City of Costa Mesa.
11t7 re/1.er acre/ate.
;1/1/ F
3 copies
26
CITY OF-COSTA- MESA-
f QY �
-at . Buddirig � 9 - $ - . _ __ _ { ` 374l) SStiv *.,15C0 .-
r
•` Safety-Department ' Type of SI n
l� .F C.Elec. ® Non Elec. l . '` , -
• s •
•— Application for permit for the fabrication of classified signs. - - - • I. . ' ' • FOR'OFFICE USE ONLY •
Location .w: ( "
, _ Date�Iisued - - * + Permit No.
Building Site Address +'��`= — - - % - - - I - '
_ , Fire Zone - ' Type - - " __Group
Name of Leasee-- ,w, • 'All ^ =r v -:' `,Phone'_ _ ' ,: Approved by-•-"' Date .�^ Sa,,6.
•
Contractor e
LANNINGDEPARTMENT "' -
Er h ,.,State License No
• -"` 'v _.::r...,..• -* r- _City LicenseNo e - A P No ' +ff 1 f "' k -
. City: • - _ . . ,� .
� 1 '•r
s - . + 1° Phone , ' �-
Bldg.Site Address -
AlChltaci Or _ e T �'x 1, `:h r� h`,x,: ` ' "° -- '' 1-,' e.� j
Engineer
' • ,.< . a . tat _ _ .
e Ice a-No
L- caner - � '
A
. . Address • Phone
City
t, ,t �.', Description ❑ Tract Sign'- r ' - Roof Slgn Area of Sign Vft In. . X J ft./ in r/s •?'
s - ,Description: k .,,/ ' x `. :--; -..� , ,;t:' •,',..-',._ ^r �: :_ _� .;;' Required Bldg..Setback to.,` If a:
_2. Appurtenant and Incidental Advertising •Sign b--Gas Tube Elec Sign j Center line of Street '-
_ n
-❑ Off-Site Advertising Copy:Sign - '' - Lo`dation of Si _ 4--.- - ' a--'- - _ ,
. - ;�,, _ . _ , Behind Bldg.Setback Line ❑ - � . • ; -
Two.coples"of:,plans.and„specificationsshall be submitted with'application:for perm it for each sign Plot on,plan , - ' - -
- - -�_ ,; n,, _ etween Property,Line
proposed location of sign and locations ofalliother signs'at site Minimum siie.sheetsSHALL be 18 2x'24 - `"•- rte. ❑ e'
- ,® Idg Setback Line r ,�9
and'non-erasable. -, _
• . . '+1 -'Front ' , _ ,.:y-=i. Feet. +�..,.• . ..,1 to
p ALL APPLICATIONS MUST BE FILLED-OUT'BY THE APPLICANT.ALL FOOTING, FRAMING;ELECTRICAL ttRight - - -3 'rd?"- .4 Feet - - - ' -`"
AND FINAL INSPECTIONS SHALL BE CALLED, -� " - - - -
� ,: n , . . '. i_ .. •^ fit -. ' Left ' - - Feet 'a'— F ` -
j
., Signature of Permittee .ivProjection Feet
Y s-
'
t - -` - ' a-- Ground.ClearanceFeet'.• AuthorizedAgent _.-.
w ._ _ - C. U.PC . DateAppove •,
• - - - A-The showmunderValuation is fortheipulipose:of�
' - : • .>. °�Clearance Chaps V I I I Art. 5,Section 8504r(b)d - ,....--,-,--:•;,,-
_ - establishing a permit fee only . - - .1'1.- -.,m1,'•
,
1 .03
}r ,� - - ,;.:� , (7.. -- Si nature Plannin
I rf ,,��// , VALUATION PermitFee $ w 9 (Planning _ ,
Recd. by. ,�' '-• - Date.µ '�'" ..7 1'_,. $ ! -j "4'r ^ Plan Check,$ 1 . •Signature(Dept. of Public Works) 11. -
Y •
• z Total Fee $ 11-733- _ Date: • r‘,.! ffr -
Form BU-30(Rev:1 _ - „
. t
_ oMesa Buildi ;�
itf1 -4E1
ft
?- f }- tT+ - T + I -, _ +-a - L -+ -+ - !'--�- -�- - --!- I
- - rt_ . ._ _ _ _- - _.
�-Hill
APPROVAL - _� �- 111-11.1/21:11:_1\1:-I,
t 1 -�-- - TISRAMING'OF-A`PERMIT-OR � . 1 __ - ,� • . , : : - PPROVAL OF.-ANYVIOIATIRE __ • _ _ _
:10°Flu
PLAKSFOR.F ORTPN A SHALL NOT NO PERMITR PEO
+ + _ . _ . • - BE,P FERMI IS COD « � __ - __ _ _ + + • ,
PROVISIONS OF--114VIOLATE OR CANCEL THE R : L:
1 --- I_ _
ANY OFTHE AUTHORITY TO EXCEPTINSD
�: - +BE.VALID. ISUI �e� �T , - �- -. _ + -• SMING 70_GIVE -CODE
SNALL - + lll/// � .-. �-• - __
PROVISIONS OF ,THIS USE WNICN 17 AUTNORIZ6 ,�_ _ - FARASTHEWORK - ---'- ED UPON PNS..AN6- - -- - +1-
-`-- ''- - •' ._ - -�__ __.4__
_ _ _ CE S A PERMIT BAS OFFICIAL
Ar- ENS SH PREVENL(HE�BUILDING ./P,. .
,--�_ - � l �;, . CIFA7iDL--NOT- ERRORS • -. - - �-_' .._ �_ _ _ .-- t -__ _ �_ .-. - - - - _- _.--_.- ♦-- - : --t-
•--- tAFTER. REQUIRING THE CORRECTI
M OF
-ERRORS
. - - - - . _ .FROtd THESi` SPECIFICATIONS OR.FRO, PREVE5 _ .__ __— -.. . __ __ • __ _ - _ _ _ - _ -- . i_ _ r
�f
/� _ _ IN SAID PLANS AND ,, / _ �. _ .�/ __
0 cLIONS BEING CARRIED ON THEREUNDER 'SEN "_//
///� arfin OF IRIS CODE OR OF ANY OTHER ONDIN�NCE
I OF TH }TY.
ilk
/ y a 7Th
+
f F � _
4�
. / I 1
Za : Irk �T'
- + _ ♦ . _ . +- - , + . . - + - , ll. / a
_- .. I . /��a�S 1/,✓c.JP U/aL job + - . _ : . G , ; � }
' C - ��_ APPROVED s . . , - ♦ 4 ♦ + - -
. . . .• • ,- , an f Of COSTA MESA' •
�- - _ . tiO . -i i - t ,
r`" •
PLANNING DEPT. ( ( �_ — . ,
/'� _ _- • ♦ - , � TO KDO. UEPf. REO. • [1 tt�`1 ����- . + - . - , ; + j « , ,
l/// J P�• • 3 QP Ue / .. r
+ + 6Y1�=�—DATES I-_ . — + . IP kq' - . a Q l� . . _ . . ,
•
OLLLCTOR Or PLANNING - -_. r/ - t _ _ _-.-. '_ F ,a��. . + + .
,. . HOLD R�SPE�I�A� RE I« V-- Bae` II - -y�iw — }
COSTA MESA B L&rwO DE, .etTMENT NQ .7 jpO c
111 East 20th Street -'
Costa Mesa, California _
Date 2,7 ,.2
CITY OF COSTA MESA
CERTIFICATE OF OCCUPANCY
r 4116
Building Permit N/o..:-.:..t a,[tlectrioal Permit No '��i s-k.Plumbing Ppi-mit No.J} 2A/7
Use of Building...L1/Zb.C—' ef' /4C/!il --c—e.... ._ '1�'-..—.X...
The building located at. tit, 4 ' / `�-'� {
Lot......
(2.--• .l'e'ek!'" lits ..i1,: JcrSet./.9ttazel
(Se reverse side for Metes and Bounds)
has been inspected and'found to comply with the provisions of all City of Costa Mesa Or-
dinances applicable thereto for a Group /^ - c Occupancy.
ISSUED TO: it /1 A. JVOLZ
f `• .Ir-^-q.4�ri. ,,.. fi City Building,Ofli seal f
(Owner of Building) ./ By.tell ....e:..:f..s.&--C-d(rt.:.L.C'-'
CC: ❑Original—Owner ❑1st copy—Gas Co. D 2nd copy- 'on C/3rd copy—File
Form 206 Q-H 1M 12-55Alkori
` r
BUILDING SAFET FARTD_ .AT N•� J �
P.O. Box No. 317 1 b
Costa Mesa, California
Date girl./ l / .. /94n
CITY OF COSTA MESA
CERTIFICATE OF OCCUPANCY
Building Permit No./) 2r2 Electrical Permit No. Plumbing Permit No
Use of Building k r T, It i, �/ Tit R kr Ni
The building located at /9/ f.,ell/ ....5r: (.. '.J n M r- 4
Legal Description
(See reverse side for Metes and Bounds)
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordin-
ances applicable thereto for a Group 'Ft- 2. Occupancy.
ISSUED TO:
City Building Official ft
(Owner of Building) ( By /1M
CC: 0 Original—Owner 0 1st copy—Gas Co. 0 2nd opy—Edison Co. P 3fd copy—File
Form 206 S-B P IM 1-60 U
"CAI; o
1 •
* A
�A [ � �3 ��6� �
:,,. 6513 U"
'E05FA ' SQA $UILDING DEPARTMENT - 3' , g-
" U Lc
P.O. Box 317 FIANCE DEPT.
COSTA MESA. CALIFORNIA
�,/� CITY PC itp y rcr
/! / FOR APPLICANT TO FILL
IN ` APPLICATION' FOR PERMIT
BUILDING / 6 �-/� Cry7 1 BUILDING
ADDRESS n /
O A MESA. CALIFORN FOR OFFICE USE ONLY
`�� RECEIPT NO. PERM?$ NO.
OWNER 1,A /i n {/D Jr/3
MAIL VVV '�// ea- - a RECEIVED BY- / DATE RECCEIVED OAT ISSU D
ADDRESS 1// 1/C L1 (LH/��9}�� �,A._//7"^�E/ y�f3— 4/2-3-6� 3 2//
CITY / TN O.4 c. g 4s-e ADDR EISS / /n+ / �i• th ±=4 /
ARCHITECT LIC.OR EN
NE
ENGINEER NO.
COSTA MESA. CALIFORNIA
• FIRE
•
ADDRESS ZONE
ZONE 9 NO.OF TYPE GROUP
ticz CI Y LIC. PLANS _.
CONTRACTOR( y,G /t�L.y�Q�.'O.
/ ///
ADDRESS P� �. J TNO. Ay PROV r•p DATE —Si S Cr
LEGAL LOT. SIV CORRECTIONSI
DESCRIPTION NO. it BLOCK TT/RRAA'CCTT
A.P. NO. 1 7 _ / J 7 INW }� ��/{ ,p�q
SIZE /) � NO.of BLDGS. {� y p� n .
OF LOT (7, 7{ $ 1 (f i f/ NOW ONB
LOT .,Ij.f yip C �O// Y a D
USEOF EXISTING BLDG. "Z.-i'L ,E CITY OF -STA MESA
'1 PLANNI ',, DCF I .
SETBACK LINE FROM
CENTER OF STREET 0 REAR YARD 1/‘• y SUBJECT TO JG. DEPT. REG.
L:SIDE YARD RIGHT Ip LEFT C Q i! ;'. O I �'/ ��
DESCRIPTION OF WORK BY :a DATE �f
1 PI AN T CH iN
NEW X ALTERATION II ADDITION + �� �p 7( f� Et '
'_
REPAIR/ MOVING I DEMOLISHB {t '[�L{'}j.. 1{811y Q pBV
SIZIE DING A �OX IG R0 MS -O.OF 1,�ff STORIES , 0 rI� }0 I i G r F�
EXTERIOR WALLS 7 ROOF /ICAC+" !(1`-� 'V' rN•�{ !L ii t Lai } 1
COVERING ./ COVERINGedit
USE OF NEW b / X01d
Ln
.
BUILDING a�Vi( e.4�.. en..Yt A/ _
AfisEp3_-_-3. 8. .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND HOLD FOR AGREE
SPECIAREOrY]!RF*4tIV
T.+CTHAT THE ABOVE IS CORRECT AND L COMPLY WITH ALL
CITY ORDINANCES A ATE LAWSREGULATING BUILDING CONSTRUC.
/
TION. VALUATION
SIGNATURE OF A•�r�eQJ� 3' c‘0_0 PERMIT FEE $ ...,a2,SERMITTEE
74525Elaa
PLAN CHECK S 6
AUTHORIZED AGENT TOTAL FEE $ / P — \Pe
•
, 1 . 11756 i a h. ,-z ,� „ . I_
.COSTA MESA BUILDING-SAFETY DEPARTMENT .-b.4- 4'$-bO
P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT.MM
SA
For Applicant fo Fill In Completely APPLICATION FOR COSTA
TYPE OR PRINT
BUILDING / / 6 ie ei 5F BUILDING
/
ADDRESS •
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. F/J
PERMIT NO./
OWNER - C. e / ! t A 1 G
MAIL q RECKI ED BY DATE "C WED {O,E
ADDRESS / 7 / ; I ss�--- �I ,I t/ I I ��3 laa
/' ,•/ /�� TEL. , 1( BUILDING i )IC
CITY G () S 7 /l / '/Q S 14- NO. 6 /OC3 ADDRESS , I /(p ��
ARCHITECT C14.-E-.-i.&j..e.o ..
. .,TEL. COSTA MESA. CALIFORNIA 1
odENG Ff'ER / w t irC NO.
.---'
ADDRESS t •2e_ FIRE
.ZONE TYPE,
y - GROU/
/
BPROVED (fesDATE /1/ /CONTRACTOR Ca-E---07-Ca-E---07-<-9-,/ . -. J3%“.H�,pev/ Y
ADDRESS / /j — �4rig cr.
ONING
ZOHB1IO.N66BUO
F NH
CITY // �F_ / r/- p-Pe-+ -• BUILDING I i
STATE TEL. LEGAL
LIC.NO. NO. DESCRIPTION OPI ��� I - 4,
SIZE I NO. OF BLOCS. _ I
OF LOT 57.$ A I i t •9‘ NOW op( LOT I \ A.P.NO. / / -7 — / 3b— .57
USE OI �J • / YARDS EVES
EXISTING BLDG. V --1 R ti --4. _e_to J APPROVED ALLOWED ,,(
SETBACK UNE PROM / (CENTER LINE ST. ��yT .r17//( -� //
CENTER OP STREET REAR YARD FRONT , V FT. 7- q fY/"'f abet
�,. 1
SIDE YARD I LEFT I RIGHT `� 'NYG1f/!!//�
R.SIDE �S' TJ FT.
IN.
DESCRIPTION OF WORK L.SIDE FT. 6 IN.
NEW 1 II ALTERATION I II ADDITION I .< REAR // ) 6` FT. IN.IN. .
REPAIR ,yA MOVING I NO. OF 7II DEMOLISH I py Y��.l.�+Arian(/�jJ/`DyA �E {(�]I++ { C/
BUILDING - X2 0 ROOMS .7( STORIES I 1=1+ i_n :i L Q/ �7d
SIZE9(
EXTERIOR WA p I ROOF //t/ c.��{ _ - f"� !TV (•� rvr� -{ D
COVERING c�+c�s• COVERING '(tet 6' / I,' !L' `IC/) F r�!7 N
LIOF BUILDING AND WORK TO S PERFORMED 1.1,....' :..d b L L'% Ld
7c .9 . ,..„ • - 0 cfr
-gra i _0?I-.yr:4 .4_145014. _ 4 .. .....
(o I Or VAR. N.1.f, APPROVED -it;
I HEREBY ACKNOWLEDGE THAT I HA RE THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCT N. VALUATION JI n-
SIGNATURE OF • `JiC ., ]q' _ _ ' _ PERMIT FEE $ /ll
PERMITTEP Lg�(� ✓YYY �L^-c�L/t-7(/`/ . ,�[[ �L S
Sl
ele
PLAN CHECK $ V/l r
AUTHORIZED AGENT v, ��1/ fl
a
/ TOTAL FEE $,A...1 y
OWNER VI'S PIE COTTAGE DATE 11-211-59
JOB ADDRESS 191 E. 16th St. BUILDING PERMIT NO. 911j3
GENERAL CONTRACTOR Kersh Signs VALUE $ 120.00
A„ No11(-1j0-17 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Sign
PECTIONS DATE I GROUP TYPE ZONE C 2
Underground Soil U.G. Water PERMITS ISSUED / C
Underground Gas SUBCONTRACTOR DATE NUMB (.2
r0
Overhead Water and Gas
Rough Heating .,
s 1-
Rough Plumbing r • ,
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test / . i i
Construction Pole /'.q '
Underground Power V
Rough Wiring
Trenches Forms Steel
Floor System _ _ _
Steel Reinforce Chimney Re-Rod t+=
Em eemJtp Ms(a-. pr-'Q-f f _.
T 'king
P. ..ie and Flashing
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final _
Electric Fixtures, Final �� , — ,. -
Building, Final ,2:.u/I'\) A I 5--)Y49
OCCUPANCY
Form 210-3M-459
011.2
RECE04
r'.. -EE
•� EE `All' 4pplications Must Be Filled Out By Applicant
. • _ k/stoivw 9143
Department of Buildings Application No.—
FINANCE DER . -
CIT( OF COSTA MEEPPLICATION FOR THE ERECTION OF SIGNS
To the Building Official of the City of Costa Mesa, Calif.:
Application is hereby made for the erection 27 alteration ❑ removal ID of an advertising structure
'in accosetnno �{ormation herein set forth. (Check square what is.to be done).
CC�l DD RR JJ (Use Ink or Indelible Pencil)
3L SIDE - R 1 R EAR LOCATION
Building Address / 9/ E ' /6 z' ••
Lot Block____ Tract A. P. No. /17 ' 13 b — 17 Zone Cl....4
Owner's Name VI S -Peg Co r rrG c Owner's Address /9/ 8. 44 zZ Sr 1 )
Contractor's Name /( /2 S// S S/US State License No.
Contractor's Address 4bv/" x7445 NE'w,K+°TPhone OR. S .&7t 7 City License Nocg l
ver - DESCRII3TION OF SIGN .
(Sketch showing location of proposed sign on-back side of this sheet. Plans and other data must also
be filed.) '/ y
Size of Sign—Wi5ith '7"' ft. Height_.4 ft. Height above Grade /4 ft.
Thicknesses in. Weight lbs. (Including Electrical Transformers, etc.)
State location of other signs on building tio12E r. •
The undersigned hereby agrees to construct the advertising structure in strict accordance with the
provisions of Ordinance 95, Section 39, of the Electrical Ordinance of Costa Mesa, and all-amend-
ments thereto.
ALL • 'PEIC-A1PIONSsMUST FILLED OUT BY THE APPLICANT. INSPECTION MUST BE CALI"
FOR UPON O
CITY OF COSTA MESA Sig ( Here .5e-t/C-i-", _^,- 4-,. .)
PLANNING DEPT. / S
SUBJECT, BLDG. DEPT, REQ. ( By . �/�'� - CL'��/ d/S��
BY PLAN DAT •,I•PARTMENT USE ONLY
. L
Pool. •y Ab€FA41*.1 I s C cked Permit No.
0
A 1 _ ' 111
Date Recvd. FE ' Date Issued
4 $ . H Plan Examiner Al— ;4(--5-fFORM 214 IM'1.57 (over)
/.
s ',96J 1'
Q. .''4. '
FILL IN ALL DIMENSIONS' • -
SHOW A.4.3STRUCTURAL MEMBERS
r _'✓vtRUill
-"Win AT0a io ma
FOR SELF-SUPPORTING SIGNS 5 1 G N
Size and Location + .'• , T t • ; •
Section 7 of Ordinance No. 95
Sec. 6 of Ordinance No. 95. '
_
-- �
4 * .
Width of Lot -2'.S. -o\ --tI.
`
�J/O-J^/itv !- ruts, _
Sign Area- ' ...� ' 2!:rin n "un -71)19 L
. v 1) ,..a..4.. so
1O% Deviation - pt, it
from C/L of lot I " 4 0,4-.F
ti
c p.
-t--.1;,•.---r-74H! fiff
I Property
C\' _,•moi )_ Line
S6L eC a Af
Al Ns
1 - - - II - .
Curb .,
STREET OR HIGHWAY �7/ 14 ,' i' \ if
f_ " �' ,+GptICCC'7E
- ice..X./AN \r --
•
- - - -
• Fo t.J— 1]c PrJy, '1 vt tPetu C -
•
a-'OWNER BpartDIIq DATE 5_20-74
CJOR ADDRESS 191 E. 16th St. BUILDING PERMIT NO. 381425
( IRAL CONTRACTOR Bill Berry DESCRIPTION of WORK Block Wall
Ai- No. 11T-130-51 LOT TRACT FIRE ZONE VALUE($30.00
INSPECTIONS Signature Dote TYPE 111 GROUP J ZONE C2
SOIL
SUBCONTRACTOR PERMITS ISS} Signature GAS Date
Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. I]
SPRINKLING;SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING Heating and Vent.
TRENCHES E FORMS ❑ STEEL REINF.
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
L' VG — IN LI OUT fl
P. £R, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING. VENT.. REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
...... .....- n C.77. 'It
38425PAID ***-:„....,:.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to FillinCompletely RECEI VG //F�e/Y I DATE RECEIVED . .- '
ADDRESUED
BUILDISS /// 4t 7c, ' 7° { . �o'7 J
//� z A.P.NO.fl 1--130—S. MIT NO.
OWNER 11q,il,�(,.z�..t
MAIL ABU•sD ��
Z ADDRESS L �c�
wwU •j� TEL. _rALT 'ILOTr� BLOCK
CITY C0..4_, ' .9� v NO.
ZZ
< CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLISH
OV) LENDER
am
JV) BRANCH
J N OWNER
m J ADDRESS VALUE (/v _
J Q ARCHITECT TEL. S .L_!_ _ A . i_ �7 $ ��
N OR ENGINEER •
UQ ,
W cc ADDRESS
0-1-1:1 APPROVED
J O CONTRACTOR „�/(J Q DATE
CO Z O a , s
J ADDRESS -- —, 'r'� f26''en
W C ZONENO.NO.OF/� USE OF NE
Zi CITY TEL. ten' �Z PLANS_. BUILDING r �QC LJ. LL
STATECITY YARDS APPROVED YARDS APPROVED
p-)CC LIC. NO. /94t i . LIC.NO. 4 3 MAIN BUILDING ACCESSORY BUILDING
D O IF ROM C/L STREET)
SIZE NO.OF BLDGS. '
OF LOT NOW ON LOT FRONT FT. l\ FT.
USE OF
EXISTING BLDG. B._SIDE FT. —4a' FT,
H SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. Ile FT.
✓ EXTERIOR WALL ROOF
_ COVERING COVERING REAR FT. gerFT. : r
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
o_
a MAIN BLOC'S. ACCESS. BLDGS.
CX
VAR.# DATE
o to is "`/ r(lx// APPROVED
I— APPROVED`W 1DATE J
--2-0-751 wedge_ n C ^n BYz
o STAT
I—
C...) I 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 r
F-, any person in violation of the workman's compensation laws of TAA
fn the State of California. co
)9z I hereby certify that I am properly licensed as a contractor under SQ. FT. o
the State of California Business and Professions Code, Divisicn 3. THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0
CC
am exempt from the provisions of the State of California Business
and Professions Crime,Division 3,Ch r 9. VALUATION 4 a
PERMIT FEE $ N
D
Signature of —� E
ip
Permittee $ ��jo PLAN CHECK $
Authorized Agent
P �---- o
TOTAL FEE \
OWNER OMELET MAN DATE 5-23-74
JOB ADDRESS 191 E. 16th St. BUILDING PERMIT NO. 38450
r-FERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Non Elec. Ground Sign
, 40117-130-51 LOT TRACT FIRE ZONE VALUE $ 100.00
INSPECTIONS Signature Date TYPE V GROUP J ZONE C2
SOIL SUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
WATER Plumbing •
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE _
UNDERGROUND E POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES E FORMS ❑ STEEL REINF. ❑
FLOOR SYSTEM •
^
BOND BEAM L , STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING •
LATHING - IN n OUT n
P TR, BROWN COAT
S-i. _.:TUBAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL Co
RIIII niNC FINAI L „I CR-7— /9. �Y'
--....�_
CITY OF COSTA MESA • Ptit�
38450
Tag No. '"Y Ti-747..E_QO 905': *:.*r,1 7 f'L
+ Building Safety Department Type of Signe
❑ Elec. Non-Elec.
•
Application for permit for the fabrication of classified signs. . FOR OFFICE USE ONLY
Location • 523 .7¢ 38450
// cDate Issued Permit No.
Building Site Address./! 4 1� &( 51/ • �
-- // /�1� Fire Zone T pe Group
Name of Leasee ���/t°f ////j� Phone Approved by `Date 5->. 3 -74,
State License No.
Contractor_ �'—� PLANNING DEPARTMENT
City License No. Zone 60_7 A. P.No. //7 — / 3 0 - S 1
Address City
Phone Bldg.Site Address Jt ) c . j6 sli. Y./,
Architect or
Engineer State License No. Legal Owner
Address
Address_ City Phone
City
• 0 Roof Sign Sign: 'j 74 /
Description: 0 Tract SignArea of �ft. X J tt./yin = /�� �j-,
Required Bldg.Setback to
'Appurtenant and Incidental Advertising Sign 0 Gas Tube, Elec.Sign Center line of Street
Sec. 1.37, 1.44
•
❑ Off-Site Advertising Copy Sign Location of Sign:
Behind Bldg.Setback Line 0
Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on plan Between Property Line and
sheets proposed location of sign and locations of all other signs at site. Minimum size sheets SHALL be 18" x 24" ❑
Bldg.Setback Line
• and non-erasable. 4
•
Front critrQ -Parr
ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT.ALL FOOTING, FRAMING, ELECT.R L Right .SS. K Feet y/�)Y-
--
AND FINAL INSPECTIONS SHALL
,rBE�CALLED. ^ BSATE Left Feet e
Signature of Permittee /�`�[A /6/��( Projection . Feet
TAX
Authorized Agent Ground Clearance Feet
C. U.
The amount shown under Valuation is for the purpose of Clearance�VIII�cti�04(
establishing a permit fee only
P7041I0 ;e$ti , o 1.14 i)
`' VALUATION errt ee $. Signature(Planning Staff)
Recd. by Date _5;23 _�'7' $ /CO' lan Check $
t/ U v Signature(Dept.of Public Works)
Total Fee $ �1 ' Date: 6 c _ .--_,7.51/
Form Form BV-30(Rev.)
OWNER VI'S PIES DATE 6-25-62
JOB ADDRESS 191 E. 16th St. BUILDING PERMIT NO. 171411
GENERAL CONTRACTOR Neon Enterprise VALUE $ 101.00
An No.117-130-51 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Arrow Sign
I. !ECTIONS Signature DATE GROUP J TYPE IV ZONE R-2
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0t7rr ye7
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. 0
Sprinkling System
Construction Pole
Underground
Underground ❑ Power ❑ `�emf
Rough Wiring �� 'tee-70 err avitA.-ia. (.' 11'!e�- /7 7 q,—
Trenches 0 Forms 0 Steel n . _
Floor System
Bond Beam ❑ Steel Reinforce 0
Sheathing
Frame and Flashing
LPrl.ing — In 0 Out 0
I ;r, brown coat
e.ng. ❑ Air Cond. ❑ Final
Heating, Final
Plumbing Fixtures, Final _
Final Gas Test
Electric Fixtures, Final T/,7 /a—
Building, Final *"t
OCCUPANCY 1
CAFM FII&.5M _ 7.F1 1 /I11 t
I' LE. RCULIVCU
. . .4 t . CITY OF COSTA MESA 1'
Building Safety Department I 74 I Itib `` FAME I U3'
•
cm,/ CITY OF COSTA MESA
Application for permit for the fabrication and erection
of awnings, advertising signs or devices.
LOCATIO FOR OFFICE USE ONLY I V—
/7/ P /6 f Date Issued ��J �(o� Permit No. �"
Building Site Address __
( Fire Zone Type Group -1�i
Name of Leasee /e pl/nrs Phonei
1 _ Approved byl/?Z l DateO-0Ali
Contract "", - 'rte .c-n-- State License No�/O' - /Ja
�5�� U/. 1� Cite-4,7041 ?� `? 2 t ZONING
address Q� ✓ Phone Zone �t Use of Bldgs.
,8--hitect or A. P. No. 1/7- f ; 0 - S f
igineer — State License No. l� I �� �/1�
Bldg. Site Address
address City Phone
DESCRIPTION11 l e-PA _8
/� Legal Owner v 1.19'
aCutiL
Description of owning, advertising sign, or device: a�2Cu,u t•W Pe-Let, - �J-rr Addressr ' �/ /c �j
/ C
Awnings canvas metal Width: ft. in. Length: ft. in. /71-0-11-al Phone
El ���+++ rove cttt
Ground Sign 0 Projection Sign 0 Roof Sign 0 Wall Sign ElMetalLetter Sign
Yards Approved.
Banner ❑ Canvas Sign ❑ Gas Tube Electric Sign (Sub-section 1.44, Ordinance 313) El Large Sign in excess of 8 sq. ft. Setback from center line
Combination Sign ❑ Special Device (other) ❑ Explain: of street to front property line ft. in.
From property line to edge of sign ft. in.
Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on Side Yard Setbacks: ` •
plan sheets proposed location of sign and locations of all other signs at site. Minimum size sheets must be 18"
. by and non-erasable.
rea Left Side ft. in.
f within the 10-foot area of front property line, owner is to signQgwritten agreem T w th the City. Right Sidee2(1-#54in.
- - "�/ "uet .. cat. , Building Line Setback from
, of Sign — Thickness ft. in. }/ Height (/ ft. i Length ft. in. center line of street ft. in.
Weight lbs. Height above grade/, ft. in. Projection b ft. in. Area of Sign ft. in.
The undersigned hereby agrees to fabricate and erect awning or advertising structure within the intent and
meaning and in strict accordance with the provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of Height above Grade ft, in.
the City of Costa Mesa), and all amendments thereto.
Projection ft. in.
ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING AND ELECTRICAL IN-
SPECTIONS SHALL BE CALLED.
Length ft. in.
Signature of The amount shown under Valuation is for the purpose of Awning Height above Grade ft. in.
Permitee establishing a permit fee only,
Projection ft. in.
Authorized Agent A — VALUATION Permit Fee $ 3 er
/ _ Location and size , ,,
$ O/ CO Plan Check $ approved by � v (�l�
/ �c-a�S -(off/ / •"o / 2
Recd. by ` aero Total Fee $_-'3 Date !7' Z' S 6 —
Form 214-1M— 1-60—S-B P
OWNER KAZARIAN, JACQUELINE DATE 12-12-78
^8 ADDRESS 191 Fast ]6th Street BUILDING PERMIT NO. 47160
ERAL CONTRACTOR Jerry b3rC�n; F DESCRIPTION of WORK Non-electric Ground Sign
))) AP No. 117-130-51 LOT TRACT FIRE ZONE VALUE E 500.00
• INSPECTIONS Signature Date ,TYPE GROUP ZONE {`-7
SOIL PE/IMITS ISSI�ED
GAS SUBCONTRACTOR
Dale Number I Signature
WATER Plumbing
ROUGH PLUMBING I
PROP. SWR. LINE 171 HOUSE CON. El
YSPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND E POWER fl
ROUGH WIRING Healing and Vent.
TRENCHES IJ FORMS STEEL REINF. `--•••' - . P,
FLOOR SYSTEM __...... .— 1
BONO BEAM 11 STEEL REINFORCE C
SHEATHING F / _ -1
FRAME AND FLASHING 4 , - '
'NG — IN ❑ OUT ri I n 1 H
I .TER, BROWN COAT I ` % u 1
STRUCTURAL, FINAL t Electric ,
HEATING, VENT., REFRIG. AND A.C., FINAL d 4 CII1 -------
PLUMBING, FINAL AND GAS TEST n f .-r 'i.- 7 _ I- ` —
ELECTRIC, FINAL f Uhl
01111 r11 kin Flue!
ilex. ,i �'pry CITY OF COSTA MESA Tag No.
64 '7) 60 SIGN PERMIT �j°f2D!/�/s�
—� Planning & Building Safety Departments Type of Sign y 0490 1 2/12/76 20.50 Tt
�/�133 049[1 1'2/1'2/79
OM? 0 Electric XNor-electric n20.50CATL
0490 1020/21.024/47°71 60 rU IA
et Location /
173
/ w/,/'7 / > fir .Oyfice Use' y r <..•t�;{c�, r r. `, �` u •
�
Building Site Address Phone J r�14 iit 7_. if• �� W}m f ^ -
8 APtf.d onmgarlx' a<S`��� � -ter
Name of cbtex�Jee , - i✓.. �/ -s i Phone Stgh"Dis"t}s Cry,. ,�+-. k�D[e#Re 'P!.' �'� '
State License No.
lEgFr
C] Contractor �/, /i _ City License No. "4 ' .- ..y, C,' tv c` x f �.cr -
Street frontage L
W front <- , Street Ø4# s
QAddress City A M. i AP. Zip Right �fL Street'
O / Lett: ft's' StreeR -
Legal Owner of �. v )
i - / / / Phone Rea -ft. Street:' - - -' '
Building set back from•center line of street ft.
Address Anir, City Zip •
a
/�
! / Mostar Plan Highways'ulttmate nght o'fway -'ft
�. < Sign,Locauon.
a.
Descriptions Illumination .Y; � ,{ 't rvY'•E/ i
O ��,//!lt/) e F /—!�� Front Right - +Left �•Nsrr' r
_ ✓ w n ay
a rept
Ground l eD l/ ,❑i Canopy Non-illuminated Between property line&ultimatetightotweyr ' h
W /❑` Wall C I 17k400 nralC'"�L7 Attraction Board -Ground Signs'.
0 Roof NF�i /vs+ Slasisedre ❑ Advertising Statuar0146161 - ` r ''n tr .
❑ '7 ft & l5 sq«ft/ori Planter Area
O Projecting /.4„,--aygy f,,Jrjf, Other 0 Directly lighted q - r. r" 'e 4 .s b .
W 9/ a .$'' > £' s' :1•„' r '4k w°Stn s .- ,fs�+. J
0 Construction �. 0 Tract Sign(Security&Right of Entry Agreement) n r B
0 Convenience Urn' �+."SAO A 0 Special Event(Request form submitted) 'i ea o Sign" ? ft•'z�_ to �+ y'fl. tte
O Super Graphic ❑ Change of Copy(amortization) 0 Indirectly lighted .tir'• s2 dY` ,y,:' 4*' #.% xia<.� t pgSCt a -
W round Clearance:s Oz ',a.ra `i .. .. Sari; xr _ s
IL
(IL '' Overall height J•z 7"'C4r(r4v "-t.'" GY, 'd ,i+-r
x .s4 „e.
W Programs ,ps tL terheight ``,' r, A `( p(47':'I j.:4"f.- “'s`'t
lItein's of rnC itnatio - i .) C .? s .-. .�
❑ Planned Signing 0 Shopping Center/Integrated dev. 0 Variance •T j, . -
C.U.P.No. ❑ By Owner/or ❑ by City Total sq ft of all Signage - f v /t
W
(Date letter sent ) 0 Minor Variance - Amort ration
Subjectto Amortization: - 'yes- 0 . _ no°f
All applications must be filled out by the Applicant,all footing,framing,electrical and final Inspections shall be called. (714)556.5273 ExptrSon Date c - •
- . ,
Valuation: / --
Signature of Permittee $ Planning fee.pe �� - - Office Use Only —
(_J Buildin; t J _. ® ( Insp.Ril,Px B ;Px No. Fu}.., ,`:,"Pitt A - Pt2 Not
Authorized Agent
Total Fee $ - I.BL i ' ."'•a. i_s ir,
Received by Date Date Acif
pprov
ri x
Signature(Bldg.Staff) S' ature(Planning Staff)r1 v : -
Hf�,t,g FAR SIPPC_AL REOUTREMENI'` .
Date (Approval subject tote condition o r 74-25 Sec.III 3.d) -
CMF 0068-26 white - Building; Green - Customer; Canary - Planning; Pink - Finance; Goldenrod - Assessor