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Home My WebLink About729 16TH ST - Building Permits��ia� �sa-sz�s • Fex (�ia) �sa-aess Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address Contractor. CITY OF COSTA MESA -_� � svao�N� �nr�s�oN DEVELOPMENT SERVICES DEPARTMENT. PERMIT ELECTRICAL PERMIT 729 W 16TH ST C005 UNIT C005 42413106 ELM, GINA 27 SPECTRUM POINTE DR #309 LAKE FOREST, CA OLEN COMMERCIAL REALTY ENCUMBRANCEICORP NEWPORTBEACH,CA 7 CORPORATE PLAZA CURRENT ELECTRIC Address: 27 SPECTRUM POINTE DR #309 ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Nan Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to 1hp Molors to 10hp Motors to 50hp Motors to t 00hp Motors over 100hp Communication dmps Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole � Intermed Pole Phone: (949) 5883777 Zip: 926660 PERMIT NUMBER E00-00359 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: I SS U E D Applied: 04/19/2000 Issued: 04l19/2000 Phone: I.��K ]!� 47 \/ y" 2ip: 92660 �� Y 9g' � � Phone: (949) 5883777 LAKE FOREST, CA Zip: 926660 License: 488263 SCOPE OF PERMIT CHANGEOUT EXISTING 100 AMP ELECTRICAL METER FOR "MONOBIND" (UNIT C005). $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY Temp�Dist System / Lighting Busway /100 (t Standing Section Misc Electrical Equipment Trensformers up to 1 kva/kw .............._up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low VOIt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E54.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not�commenced wifhin 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor tha work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSATONDECLARATON: � I hereby ettirm under penelty ot per�ury one of the following declarations: ' ❑ I heve and will malntaln a certiticate ot consent to self-Insure tor workers' compensetion, es pmvitled for by sectlon 3700 oi the Labor Cotle, lor Ihe pertormence ol the far w�ich lhl5 Dertnit is issuetl. I �ave entl will maintain workere' compensation insurence, as required by section 3700 ot the Labor Coda, for Ne peAormance ot the woB for which this pertnit I5 iuuetl. My workers' compensetion Insurance certier and policy number are: . �O/D ��S o� Cerrier. /�fl��L TI.7S Policy Number. �J O (This secfion need nof be comp/e(etl i! fhe permitls ve/uetl ef one hundred dollars ($100J ar less.) ❑ I certiy thet in the peAormance oi the w c for which ihis peimit is issued, I shall not employ eny person in any manner so as to bacome sublact to the workers' compensation laws oi C i ia, e that if I should become subject to the workers' compensation provisions of Section 3700 of Ihe Lebar Cotle, I shall lorihwith comply with thesa pro ' i // /� ApplicantSiqneture: i Date: T��7 �� WARNING: FAILURE TO S RE WO RS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIEGT AN EMPLOYER TO CFIMINAL PENALTIES AND CIVIL FlNES UP TO dJE HUNDFED T1i0USAND DOLLARE (5100,000). IN ADDITION TO THE COST OF CAMPENSATION, DMMGES AS PROVIDED FOR IN SECTION 31O60F THE LABOR COOE. IMEREST, AND ATTORNEY'S FEES. LICENSED CON7RACTORS DECLARATION: I hereby aHirm ihat I am torce end enecl Lic. a_ Contractor's Signeture: of Chapter 9(commencing wllh Sectlon 7000) of Divislon 3 ot ihe Business and Pmlessions Cotle, and my license is In full Class k /U �ate: _ � / DD CONSTRUCTION LENDING AGENCV: ❑ I hereby aflirm thei ihera Is a construc�ion lending agenry for Ihe pedortnance ot the work for which this permit is issued. (Sec. 3097, Civil Cotle�. Lender's Name: Lenders Address: � Signature: Date: OWNER-BUILDER DEGLARA710NS: I hereby aHirtn thet untler penelry of perjury ihat I am EXEMPT FROM 7ME CONTRACTORS LICENSE LAW for !he following reason (Sec. 7031.5, Business antl Professions Coda: Any ciry or counry which requires a pertnit to construct, alter, improve, tlemolish, or rapair eny structure, prior to its issuance, elso requires �ha epplicant tor such pertnit to tile e signetl stetement IhaDhe or she Is licensed pursuam to the provisions of ihe Conirectore License Law (Chaptar 9(commencing with Section 7000) ot Division 3 of the Business antl Protessions'Code) or lhat he or she is exempt therelrom anA the basis tor the alleged exemption. Any violation oi Section 7031.5 by any appllcant lor e permit sub�ects the appllwnt to a�civil penalty,otnai more than tive hundrad dollers (3500).): i ii,r�_ ❑ I, es owner oi the property; or my employees�with wages as �heir sole compensation, WILL DO THE WORK, antl the strucWre Is not intended or oHeretl for sale (Sec. 7044, Business entl Professions Code:'The Contractors Licensa Lew does not epPly to en owner of property who builds or improves thereon, entl who tloes such work himselt or hersell or Ihraugh his or her own employees, proNded that such improvements are not Intended or oHered tor sale. If, however, t�e hulltling or improvement is soltl within one year of comple�ion, the owner-builder will have the 6urtlen of proving Ihet he or she did not builtl or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED LONTRACTORS to construct the project (Sec. 7044, Business antl Professions Cotla: 7he coniractors License Lew tloes not apply ro an owner of property who builds or im0�oves thereon, and who comrects lor such project with a contractoqs) license pursuent to the Contractors License Laws.). ❑ I em e:empt under sec. Business and Professions Code tor Ihis reason: Signawre: Date: Owner ID venfied by tlriver's license. ❑ Ves ❑ No Drivers License No. Ezpires: Verification of Ownership by (type ot document, i.e. � property tex hill or tleetl): DIVISION OF INDUSTRIAL SAFETY PEHMI7 CER7IFICA710N: ❑ I hereby cenity ihat no excavation five (5) or more teet in depth Inlo which e person Is raquiretl to tlescend, will be matle in connection with work euthonzetl by �his pertnit, end ihat no builtling sWcture, scaffolding, falsework, or Oemolitlon or dismantling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle B, Calitornia Atlminisiretive Code). ❑ As owner-huiltler, I will not employ anyone to do work which wauld require e permit irom the Division of Indusirial Safery, es noted above, unless such person has a permit to do such work irom Iha division. Signature: Date: Division of IntlusMal Selaty Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certily untler penalty of perjury �hat I hava read this application end state ihat Ihe information given is correct. I agrea to comply wlih all state laws end city ordinances relating to building consiruction, end euthorize representatives of Ihe City ot Caste Mesa m enter upon the above�tlescri0ed property tor inspection purposes. I agree not �o occupy or ellow accupancy ot eny builtling authonzed by this permit untll final inspectlon. R�!'• �y.+ � _ �.: ��::f iw �uEr: '— ... CODE t. INSPELTIONTYVE 1876 Fizetl System Final Fire Prevention 1266 Poal Spa Finel 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Finel Fectory Flre Place 203 Final Sign 204 Final Demolition 2d48de �ff Vi7IDAL5 CODE � ' INSPECTIONTYFE 206 Final Mechanical 20B Final Plumbing 210 Final Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy PAIE It�ALS , __ (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Adtlress: 729 W 16TH ST C005 UNI7 C005 42413106 l ELM, GINA 27 SPECTRUM POINTE DR #309 LAKE FOREST, CA ELECTRICAL PERMIT Owner: OLEN COMMERCIAL REALTY Address ENCUMBRANCEICORP NEWPORTBEACH,CA 7 CORPORATE PLAZA Contractor. CURRENT ELECTRIC Address: 27 SPECTRUM POINTE DR #309 LAKE FOREST, CA Phane: (949) 5883777 Zip: 926660 Phone: Zip: 92660 Phone: (949)588-3777 Zip: 926660 License: 488263 ISSUED BY: Status: ISSUED Applied: 06/13/2000 Issued: O6/13/2000 SCOPE OF PERMIT ELECTRICAL PERMIT FOR INSPECTION OF GENERAL SAFETY & CODE COMPLIANCE PER INSPECTOR FOR "MONOBIND" (UNIT C005). ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole In[ermed Pole $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantiry FEESUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 700 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Cirws (mech ritle or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $o.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $49.50 TOTAL CALCULATED FEES 349.50 COMMENTS / SPECIAL CONDITIONS NOTICE: Tha work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requiretl Inspectlone and flnal epproval must be obtained. Failura to o6tain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALI: (714) 7545626 WORKERS'COMPENSAnONDECLARAnON: I hereby aMirm under penelty of perjury one of the tollawing tlecleretions: ❑ I have entl wlll melntain a certificate of conseni to self-Insure br workers' compensalion, es provitlad lor by sectlon 3700 of the Labor Coda, for t�e pertormance of Ihe work for whith this pertnit is issued. . ❑ I hava and wlll maintaln workers' compensetlon insurance, as required by section 3700 of lhe Lsbor Code, for t�e pedortnance oi the work for which Ihis permit is issuetl. My workers' compensation Insuranca carrier end policy numbar era: Cartier. Policy NumDer. (This secfion nestl nof be completed il the peimtt /s velued ef one huntlred dollers ($100) oNess.) ❑ I certify ihat in Ihe peAormance of the wPrk br which IhiS permi� is issueQ I shall not employ eny per9on in any menner so es to become su6jeci �a ihe workers' compensation laws of Califomia, and egree thet it 1 should become subject to ihe workers' compensation prodsions of Section 3700 of the Labor Coea, I shall fonhwith comply wiih ihese provisi0n5. Applicam Signature: Dete: WARNING: FAILl/RE TO SECURE WORKERS' COMPENSATION COVERAOE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES ANO CIVII FINES UP TOONE HUNORED THOUSAND OdlARE (5100,00p). IN ADDITION TO THE �T OF COMPENSATION, DAhNGES AS PFiOVIpED FOR IN SECTION 3�Ofi OF THE UBOR CODE, INTEREST, ANO ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I heraby attirm Ihef I am licensed untler pmvisions of Chapter 9(commencing with Section 7000) of Division 3 0l t�e Business and Profassions Cotle, and my license is in full torce and ettecL Lic. # Class a Contractor's Signature: Date: CONSTqUCT10N LENDING AGENCV: ❑ I hereby aHirm thei t�ere is a construction lending agency for tha pertormence oi Ihe work for which this permit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARA710N5: I hereby aHirm Ihet untler penalry oF perjury ihat I em E%EMPT FROM 7ME CONTRACTORS LICENSE LAW lor Ihe following reeson (Sec. 7031.5, Business antl Professions Cotle: Any ciy or counry which requires a permit to construct, elter, improve, demolish, or repair any siructure, prior to its issuenca, also requires tha applicant (or such permit to file a slgneC statement t�et he or she is licensed pursuant to the provisions of ihe Coniractors License Law (Chapter 9(commencinq with Section 7000) of DiWsion 3 ot Ihe 8usiness entl Proteuions Code) or that he or sbe is e:empt Iherelrom entl the basis for [he alleged exemption. Any violation of Section 7031.5 by any eppliwm lor a permit sub�ects the applicant to e civil penalry ot not mo�e than Nve hundred dollars ($500).): ❑ 1, as owner of Ihe property, or my employees with wages es their sole compen5etion, WILL DO THE WORK, entl the SimCture is nol intended or o@ered lor sale (Sec. 7044, Business antl Professions Code: The Contracbrs License Law tloes not eppty to en owner of property who builtls or improves thareon, and who tloes such work himself or herself or Ihrough his or her own employees, providetl that such improvements are not intended or oHeretl for sale. If, �owever, ihe building or improvemant is soltl within one year of completion, ihe owneo-builder will heve ihe burden of proving that he or she did not 6uild or improve tor purpose of sale.). ❑ I, as owner ot Iha property, em EXCLUSI�ELV CONTRACTING WITH LICENSED CONTRACTORS lo construct the project (Sec. 7044, Buslness antl Professlons Gotle: The contractors License Law does not epply to en owner of property who builds or improves thereon, end who coniracis for such project with a conirec�or(s) license pursuent to Ihe Contrecrors Licens� Lews.). ❑ I em e:empt under sec. Business antl Professions Cotle for this reason: Signature: Date: Owner ID venfied by dnvef5licen5e. ❑ Ves ❑ No Dnver's License No. Expires: Verification of Ownership by (rype of document i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: ❑ I hereby certly that no eacavation tive (5) or mora feet in depth into which a person is required to descenQ wlll ba made in conneciion with work authorizetl by this parmit, and that no building slructure, scettolding, falsework, or tlemolilion or dismantling Ihereol, will Ue more Ihan Ihirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celitomia Atlministrative Cotlej. ❑ As owner-builtler, I will not employ anyone to do work w�ich would require a permit trom the Division of Industriel Salery, as noted ebove, unless such person has a permit to tlo such work trom the divi5ion. Signature: Date: Division of Industdal Sefery Permit Numbec CERTIFICA7E OF COMPLIANCE AND AUTHORl��10N OF EMAY: 1 certify under penalry of perjury that I have read this application antl state that the information given is correct. I agree to comply all state laws and city ordinences relatinq to builtling consiruction, and authorize represematives of the City of Costa Mesa to enter upon ihe above-describetl pmperty ` inspection puryoses. � eqree not to occupy or allow occupancy of any building authorizetl by tNs pertnit until tinal inspection. CODE �. INSPECTIONTYPE 1616 Fizotl System Finel Fire Preventian 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 266646 Pdg IMIfIpLS COOE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 270 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Siie 250 Final Builtling/Occupancy /� gae _ � ' Date D� NT - /..'I�/ i! (714) 754-5273 • Fax (714) 754-4856 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address Conlraclor. I - - CITY OF COSTA MESA ' ' � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT ELECTRICAL PERMIT 729 W 16TH ST Aoo� 42413106 GINA ELM 27 SPECTRUM POINTE DR #309 LAKE FOREST. CA OLEN COMMERCIAL REALTY ENCUMBRANCEICORP NEWPORTBEACH,CA 7 CORPORATE PLAZA CURRENT ELECTRIC Address: 27 SPECTRUM POINTE DR #309 STARBRIGHT ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fi�Rs Recept Outlels Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a � Motors to 7hp Motors to 10hp Motors to SOhp Motors to 700hp Motors over 700hp Communication drops Sub panel to 200a � Pole Light Pkg IAKE FOREST. CA Phone: 949-588-3777 Zip: 926660 Phane: Zip: 92660 Phone: 949-588-3777 Zip: 926660 License: 488263 PERMIT NUMBER E00-00277 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 03/29/2000 Issued: 03129/2000 SCOPE OF PERMIT CHANGE OUT DAMAGED METER AND REPLACE WITH NEW 100 AMP METER IN SAME LOCATION FOR $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.ao so.00 so.00 Quantiry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / lighting Busway /100 k Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltaga Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is no4commenced within 180 days, or if work is suspended or abandoned for a period of 780 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectiona end final approval must be obtained. Failure to obtain inspections and tinal approval will result in �he expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS'COMPENSAnON DECLARAnON: I hereby aHirtn untler penally ol per�ury one of the fallowing declarations: ❑ I hava and wlll meintaln a certtlicate oi consent to sell-Insure lor workers' compensation, es provided for by section 3700 ot the Lebor Cotle, for the paAormance ot Ihe %�'ork tor which this permit Is issued. Q' I have antl will maintaln workers' compensation insurence, es requlretl by section 3700 oi t�e Lebor Cotle, for the perfortnance of the work tor which �his pertnit is is5ue0. My workers' c-o� pensaItion Insuranc6 cardar antl policy number ere: . � 1 �iG Certier. �A7.U�/',�. L�l1[ .i%l • . PolicyNumber. NIi��75 OS �S (This section need not be comp/etetl il the permit Is velued e( one hundred dollers ($100J or /ess.) ❑ I certity that in the peAormepqe ol Ihe work lor which this permit is issuetl, I shall not employ any person in eny manner so as to become subjact ro the workers' compensation laws of Celil f� , entl e et it I should become sublect to ihe workere' compensation provisions of Sec�ion 3 00 of the Labor Code, I s�ell forthwith comply wit� ihese provisi s �/7� J�,��p`yy� ApplicaniSignature: P/ ��l`NI��/J�-� Dete: ------�0-�1�� < � WARNINGFAILURETOSECU ORKERS'COMPENSATIONCOVERAGEISUNLAWFULANDSHALLSU&IECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILPINESIIPTOONEHUNDRED THOUSAND DOLLARE ($100,000), IN AODITION TO THE COST OF WMPENSATION, DAMAGES AS PROVIOEO FOR IN SECTION 3]O6 OF THE LABOR CO�E, IfJrEREST, AND ATTORNEY'$ FEES.' LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provislons of Chapter 9(commencing with Sectlon 7000) of Division 3 of �he Business and Protessions Code, antl my license is in full farce antl aMact. Lic. N �� aass a l'-/b Contractor's Signawre: .�n � Date: � �� ZJ � Y //!l'- � � C CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm that Ihere is e construction lentling agency for ihe performence oi the work for which this parmit is issuetl. (Sec. 3097, Civil Cotle). Lentlers Name: ___ Lenders Atltlress: Signature: _ OWNER-BUILOER DECLARATIONS: Date: I hereby aNirm �hat untler penalry of perjury Ihet I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which requires e pertnit to construct, alter, impmve, demolish, or repair eny structure, prior to its issuance, also requires the applicent for such permit to file a signetl s�atement Ihel he or she is licensed pursuent to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot ihe Business and Pmfeuions Code) or thet he or she Is exempt therefrom end the basis lor ihe allagetl eaemptlon. Any violation ot Section 7031.5 by any epplicant for a permit sub�ecls Ihe applicant to e civil penalry of not more �hen five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensetion, WILL DO THE WORK, and the siructure is not intended or oflered for sale (Sac. 7044, Business antl Profes51on5 Cotle: The Conirflctors License Law Aoes not epply lo an axner ol property who Duiltls or improves Ihereon, entl who tloes such work himself or herselt or through his or her own employaes, provitleA that such improvements ere not intendetl or oHeretl for sale. If, however, Ihe building or improvement is sold within ona year of wmpletion, the owner�bullder will have ihe burden of proving that he or she did not build or improve for purposa ot sele.). ❑ I, as owner oi the pmperry, em EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to construct the project (Sea 7044, Business antl Professions Code: The wntrectors License Law does not eppty to an owner of properry who builtls or improves Ihewon, and who contracts for such project with a comractor(s) license pursuant to the Conlrectors License Laws.). ❑ I am exempt untler sec. Signature: Owner ID veniied by drivers license. ❑ Ves ❑ No Business antl Professions Cotle for this reason: Venfication ot Ownership Dy (rype oi tlaument, i.e. - D�oDerry ta< bill or deed): DnverS Litense No. Date: Expiras: DIVISION OF INDUS7RIAL SAPETY VERMIT CERTIFICATION: ❑ I hereby certity that no ezcevation five (5) or more teet in tlepth Into w�ich a person is required to descenq will be made in connection with work euthonzetl by Ihis permil, antl Ihat no Duiltling stmcture, scettolding, falsework, or demolition or dismantling thereof, will be more than thirry-six (36) feel high. (Chep. 3.2, Grp 2, Art 2, Sec. 347, Title 8, Celifomia Atlministretive Cotle). ❑ As owner-builder, I will not employ anyone to do work which would requira a pertnit from the Division oi Industrial Sefety, as noted above, unless such person has a permit ta do such wark fram the divisian. Signature: Date: Division af Industrial Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTRY: I certity under penalty ol perjury that I have read ihis apPlication and state lhat the intortnation given is correct I agree to comply with all state laws and ciry ortlinances relating to building construction, antl authonze represeniatives of Ihe Ciry of Cwta Mesa to enter upon the above-descnbed properry tor inspecti9rGpuryoses_I agrea not to occupy or allow occupancy of eny building authonzetl by ihis pertnit until flnal inspection. GOOE �. INSVECTIONTYPE D9IE IN�AL$ 1616 Flnetl System Finel Fire Preventian 1266 200 201 202 203 Pool Spa Finel Final Re-Foof Finel Block/Retaining Wall Finel Fectory Fire Place Finel Sign 204 Final Demoli�ion 2a48-a8 CODE♦ INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuiltlingiOccupancy PAIE �GI .�w � CITY OF COSTA MESA � � 9UILDING DIVISION ��i f � DEVELOPMENT SERVICES DEPARTMENT �• PERMIT PERMIT NUMBER �� E98-00915 (714) 754-5273 • Fax (714) >54-a856 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: 729 W 16TH ST SUITES C3 AND C4 Parcel Nunmber: 42413106 App�icant: SHELDON, LEE Address: -�i-�•�-, . i�. Owner. OLEN COMMERCIAL REALIY Address CORP�� - 'i . -' NEWpORT BEACH,CA � � ' ' �� 7 CORPORATEPLAZA " ' ;"i i� . , . , , �� - i;' , "i; ��,- . -��: Contrector - Phone: 909-947-9799 Zip: Phone: Zip: 92660 Address: ' � „ - Phone:� � � _ � - : � Zip:'' � . , , � - � ' � License: . , � `� ,- . ,� _ - _ ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool I Spa . � Li9htin9 Fixts - � Recept Outlets - Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Molors to 1hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole status: ISSUED Applied: 08/27/1998 Issued: 08/27/t998 � ' � SCOPE OF PERMIT REMOVE EXIST TO UPGRADE TNO 100 AMP METERS IN SUITES C-3 AND C�. � ` � $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 854.50 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity _ '/ 0 0 0 0 0 0 0 0 2 0. 0 �,. 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY � . � Quantity , �,��* � . - Temp Dist�System9tighting, $0.00 0 -- � � Busway /100 ft � ; ' $0.00 0 - -�- Standing Section � $0.00 0 Misc Electrical Equipment $0.00 0 � Transforiners up to 1 kva/kw $0.00 0 ................up to 10 kva/kw $0.00 � 0 .................up to 50 kva/kw $0.00 - 0 ' .................up to 100 kva/kw $0.00 � 0 . ..................over 100 kva/kw $0.00 0 Low Voltage Equipment $0.00 0 ", Low VOIt Wiring System / Ckt $0.00 0 - � , . Misc."Conduit � $0.00 0 � Misc. Condudor $0.00 � 0 - ,� Circus ( gen or rida) $0.00 ' 0 � � Circus (mech nde or lights) . $0.00 ' 0 � � � � . Christmas Tree Stand $0.00 0 , Fireworks Stand $0.00 0 Other Electrical Fee $0.00 . Investigation Fee $0.00 - � Plan Check Fee � $0.00 , , Rainspection Fee $0.00 TOTAL CALCULATED FEES E76.50 COMMENTS / SPECIAL CONDITIONS EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or If work is suspended or abandoned for a period of 180 days. INSPEC710NS: in order for the work aulhonzed under this permit to be considered legal, such work must comply with all applicable codes, and ell requlred inspaetlona and final approvel must be obtained. Failure to obtain inspections and final epproval will result in the expiretion of this permit. FOR INSPECTIONS CALL: (714) 754-5628 WORKERS' COMPENSATION DECLARATION: I hereby eflirtn untler penalry of perJury one af the following declareNons: ❑ I heve entl wlll maintein e certllicete of consent to seli-Insure tor workers' compensation, es provitletl for by sectlon 3700 of ihe Lebor Code, tor the pertottnance ot tha Or wnich Ihis pertnit is issuetl. I have antl wlll maintain workers' compensetlon insurence, es required by section 3700 of Ihe Labor Catla, fw the peMormance of the wwk tor w�ich tliis permit is iswed. My worker3' �m nsatlon, /In1surence carrier entl policy number ere: � G/n �� Carrier. �Q/ L%� PdiryNumber. (7ids secHon neBd nat be comp/eted I! fhe perm/t is va/uea af one hundred /tlollers ($100J or less.) ❑ I certiy th8� �� Ihe peAormance o he wo�which,tl�s perrylCs issued, I shall noi employ eny person In any menner so es to become subject to the workers' compensetion laws of Celifomi tl egr i I s 6uld be dfi�e subJect to the workers' compensetlon provlslons ol Section 3700 of the Labor Catle, I shall farthwith co th thesa provlsion �j' plicent we: Date: �� / � WARNINO: FAI�URE TO RE WORKERS' COMPENSATIIXJ ODVEiiAGE IS UNLAWFIIL AND SHALL SUBJECT AN EMPLOVER i0 CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAN�DOLLARE� 00,000),INADDITIdJTOTHECOSTOFCOMPENSATION,DAMAOESASPROVIDEDFOfiINSECTION31060FTHELABORCODE,INTEREST,ANDATTORNEY'SFEES. UCENSED CONTAACTORS DECLAflATION: I �ereby eflirtn thet I em licens�d un�mvis) with Section 7000) of DIv151on 3 of the Business and Professions Code, and my license is in tull Cless q Date: � CONSTRUCTION LENDING AGENCY: ❑ I hereby aHi� ihat ihere is e constroctlon landing egancy for ihe peAormance of tho work for which this permi! Is Issuad. (Sec. 3097, Civil Cotle). Lendefs Name: Lentlers Address: Signeture: OWNER-BUILDBR DECLARATIONS: Date: I hereby attirtn that under penalry oi pe�ury thei I am EXEMVT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7037.5, Business and Professions Code: Any ciry or counry which requlres a Dertnit to construct, alter, Improve, demolish, or repair eny structure, pnor to Its luuance, elso requires ihe epplicem tor such permit to file e signetl sta�ement ihat he or sha is Ilcensed pureuant ro ihe provislans of t�e Comracbrs License Lew (Chapter 9(commendng with Sectlon 7000) o� Division 3 of the Buslneu end Prafessions Cotle) or that ha or she is exempt theretrom and the 6asis lor ihe alleged e:emption. Any Nolation of Secllon 7031.5 Dy any epplicant lor a permit subjecis Ihe eppli�nt to a civll penalry of not more than Trve hundred dollars ($500).): ❑ I, es owner ot ihe propeny, or my employaes with weges as their sole compensatlon, WIL� DO TNE WOqK, entl the siructure is not Intended or oflered for sale (Sec. 7044, Business entl Professions Cotle: The Contractors Licensa Lew does not apply to an owner 01 property who builds or improves thereon, and who tloes such woAc himself or herself or through his or her own employees, provided thet such Improvemenis ere not Intentletl or oflered for sale. If, however, the bulltling or improvement is soltl withln One year of completlon, the owner-6uilder will have the Durden of proving that he or she tlitl not bulld or Improve for purposa of sale.). ❑ I, es owner of the properry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTAAC70RS to construct the projact (Sec. 7044, Businass entl Professions Code: The ��iredors Llcense Lew tloes not eppty to an owner of proparty w�o builds or improves ihereon, entl who contracts for such project wlth e contredor(s) Ilcense pureuaN Io Ihe Conirectors License Lews.). ❑ I am exempi untler sec. Business end Professians Code lor this reason: Signeture: Date: Owner ID veritietl by dnvefs license. ❑ Yes ❑ No Drivefs License Na. Expires: Vedficetlon of Ownership 6y (rype of documeN, I.e. - properry tax bill or tleea): DIVISION OF IN�USTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby ceAity that no ezcavetlon tive (5) or more feet in depth Into whic� e person is requiretl to descenQ wlll ba matle in connectlon with work eulhodzetl by ihis permit, end lhat no building structure, scaflolding, talsework, or tlemolition or Uismanlling thereat wlll be more then thirry-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, 71t1e 8, CalHomia Atlminlstretive Code). ❑ Ae owner-bU�lder, I will not employ anyone to do work which woultl repuire e pertnit fmm Ihe Division of InOusMel Sefery, as noted ebove, unless such person hes a pertnit to do such work from the division. Signature: Date: Division oi Indusirial Safery Pertnit NumDer: CERTFICATE OF CAMPLIANCE PND AUTHORI7ATION OF EMRY: I cartity under penalty of per{ury thal 1 hflve read this applicaliw� and state thflt the iaformation givan is correct. I egree to �mply with all slete laws flnd ciry ordinances releting to building conswction, flntl aulhonze representatives ot the Ciry of Coste Mese to enter upon the above-described p�operty for inspection purposes. I egree not to occupy or ellow occupancy of any builtling authodzetl by this pertnit until final Inspeclion. LG7EJ. ItlSPECL4M�1'�E 1616 Fixed System Final Fire Prevention 7266 Pool Spa Final 200 Flnel RB-Root 201 Finel BIak�Retaining wall 202 Finel Feclory Fira Plece 203 Final Sign 204 Final Demolitian 244GC8 Gd7E U�lL4 �ppF1 ixsveenoxrrve 206 Flnel MeChenicel 20B Flnal Plumhing 210 Fine� Electdcal 212 Final Fire Preventlon 220 Flnel Planning Approval 222 Flnal Site 250 Final Bullding/Occupancy ��U Date OAg It1�llS `� � � AOONESSOFBUILOWO: %29 W 16TH ST - ormEnsruMe�vaoxx:OLIN PROPERTIES moness:7 CORPORATE PLAZA NEWPORT BEACH,CA 92660 644-6536 wx. �u�ea �oo�sa MCNRECT OH FNCd�lHA: IiPCH OP FNG: S dWIlESS: coNrnnaars u•�. CWfNAL10R4YN1II10 �ODflE54: UNT: uc rio: UNf: 11C NJ_ UNT: 110ENSED CONfF�CTOFS DECLAH�710N; I hereby dfrm udr penely ff pvyry thet I em ficenead urdr pormu d Cheqr 9 (mmmene�q wnh Section ]000) d Oivuion � d �M Buaroa end Pmhae'vo Coda. ud mY Goerw a in IuA Iwu eM efletl. cmuc.no.: uc.cuss: uc.r+o.:. EXP; «OWNER BIIIL�EX OECIAfl�TON: 1 taeby dfirm uM« penely d perjvy Rw I em emmq liam IM CoMratla� Lironss Law la Ihe :.Idbw'xp resron (�w^ )OJ1.5 Buaiwes uM PMauions CaEe: R�ry cry ar oountY �iM requiree e pemiil b wmvun. Mer. imDrove. Eemduh, v rpv ury evueluro, pv b ib ewaMe, ebo mpui,m iM eypliree4la mch pame to Rb e epnW Nelamenl IIW M a�M u �icensad pum��eru �o �he pwi�ione d Na CoMreCon Limnas Lew �Chaqa 9(cammendnp wuh Saeion ]000) W ONeion a d iM Businem end PrWaveiona Code� or ihel M w ehe ie aRemp tMrehom ard tha Euis ta iha ellepeE exemption. Nry voW ion d Seaion )O�t.S by eny eppliuru la e permA wbpae Ihe eppliceM to a wA peiulry d M mae Ihan frve huMred ddlen �55W��. x] I, se oxner d IM propenya my anpbyees wih wepea m Ihei ede mmpemetion, wpl do iM xark, end iha nruc�uro e M imeMaE , ordteredlaeele�SMion'lOOI,BueinependProlaeeioneCab:ThaConlrenoreLicensalewEoeerwleppN�oenownxolproperty 'I who WiCe a inprmr iherson, xd xfio Aoes euch xwk NmroM w henel w Nraqh he a M oxn ampbyw, prwkeE Ihet wch � imqovemeMa era mt imeMed «d1ertE la eeb. X. howerer. �he buiNirq or inpaemeM b sold Milhin one ym al compbtun, tlr owner-0uiuer wi�� n.v. in. euken w o�'��e ne « ene ala �a wlu «fmo�e iw �ne wm�e d w.l. � I. n oxw tl �M poponY. am utlu�i�NY contree�q xah 4cxueE conirectas b conW W Me P9^d (SW un )OM. Busmm� aM Pmleviw�+ Codo: TM Conireaon Licmae lew doae nal eOMf lo en ownu d qW�Y who bu5h a cnPa'r iherson ud Ma caMrecls la wtl� D�M�e'^Mh a mmretlor(e) Icenead Wnueni �o the Comredon lioen�e Lnw). � I em uemq � ' � B. 8 P.C� Date: � � i m i+�eM �•nM ma i em .�,.. a w �oba.w�a me na�«m d c� � �.een .ne sebai coee s.aion. nws. nsaa. w 255]�, vd Ntl I a any Mun Wiki�p omipent xtlll / wil rwl (ticb meN�eaa ro mnqv .'�n .ae met. ood.. ene in. i.nuirem.r�d br a pemM Iamumclion a moddimiantranlM� �iaTy I.�empemeN Dimnrl. RmkauW mmt�utlion Wpfution+en exemq Iram tlw� pwievn. on.: �oa�: WOXKER'S COMVEMSATIqi DK4NATION: I Mraby eNmm uMa pauky d pspvy an d tM ta0orriiq dedumum: � IhmeMrrilmeiNenecen!'cm�dwwntlo�Wimwebrxaken'camperctlbn.npwidsdlmby5eqionJ]QOd�MIela Coda. la iM palmiwKa d Na wh la wNch Ow pemE o iwusd. ❑ in...�a,w��m�.�wa.•oo�o.�:M��.m�a��esrsw�,aiaoaw.i.n«cae..r«mec.�«�w.dm. w� ��.Md� w. o�a o m�.e. Mv .aw.• �v.,.�� m.�. d�;..�d cw:.v �na a.: c�.: Pd'cy Numbr: (RJs saeim meG rat h romP�ed i Ns ro'mt u In ms huMiW EoOen IS/rol a bn J I� I cenM � u� iha pMamerca a� ihe wuk hr whbh ihn pemiN u esueE. I ahell na empoy ariy p«mn in em� menn« o n io bxcme wbjed lo iM wYnY mmponWion bws d CeNanie. ard epme tlw ! I ehwN becone nibjW to tM woM1en' mm0enaelbn D��iom W Sedqn J]00 d IM lebo� Code. I ehdl IMhw4� wmD�/ wEh tlpee p�a�i�ian. Dma: �pq�: Weminp: FalNn ro ueun worton' compwuetlon eoronp� ls unlawNl, an0aM11 su6/sel en employw to eNMnel p�mlHu �nC c/H/ flnu up ro m� huntlrM fhouuntl tloll�n /S10q000), M etltlltlon (o M� emf ol rompm�eWn, demepu u povM�tl br /n Sxtlon 9)p6 0/ IM Lebor Cocb, Inronsf, eM efromey'� /su. CONSTFUCTION LENDINO ROENCY: I Mmby etFrm under peneXy d parlury ihet iMre ia e emnruabn IeMinp epercy br tM pertormarce d tM Mork fa xfiich th'v pamA ie ewed (Seaion 3091, Cn. C). LENDEN'9 NAME: LENUEN'S ADDNESS: � CB111h' �� h9VB IBBd lhl8 9VV�C6�qtl Blb BIBIOIhPo I�1! 9bW<III�q111B�p1119 COIIBtl. � BQA! �O Cq110�Y WI1�1 B� tll)' 0114 CqIM% Ol�If1VKB! vM eiele Iax+reWiq to WiWnp con9r�mon W hereby eWar¢s reprumta�ive� dihu aryto aMer upon IM ebwe�meruioned pmpeM ��'°'tl�"'0�"'PHILLIP RITCHZE .wiv�yr ` oma: � F�T —�59^�wnnlOner/�/P Iran✓Comeaaa (S�S1eBWP) WMs-&uldiq65e1MY:Giwo-Fib:CeroeyJ�VG�:RM-Rweeu»:Qakeuod-Aaw�or CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B U86849 PERMIT NO: B 086849 PLAN CHECH NO: 00456-98 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT JOH DESCRIPTION : INSTALL WALL 6 CEILING FOR PHOTO STUUIO SQ FT: 1,000 CLAIM ��ALUE; 1,000,00 CALC-VALUE: 1,000.00 GROUP OCC; $ / COMMENTS: INSTALL A WALL s CEILING TO CREATE A PHOTOGRAPHY STUDIO ik if it iE iE iE if IF 1f if iE 3F iF if iF if iE if iF iF iE iE 1E if iF iF 1E ik if if iE if iF iF iE iE iE iE iE iE if'1f iE if iE iE'1E iF if iE if'K' iE'lE'1E if'1E iE iF')f # if'1E?f 1F'lE if iE iF iE iE if iE if'1E'lE if if if Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY bUZLDING --------- FANT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42413106 ZNE; MG REF NO: PLANNING NOTES> INTERIOR AL.TERATION FOR A COMMERCIAL PHOTOGRAPHY STUDIO . > IN A�I.EXISTZNG INDUSTRIAL BUILDING. ' iEik1lk!!!filiEiE3EiEitiFiEiEikiliEiE9b iEitiFiliflflF�EiEiEltiflEikiEiElEiEitlkifiEifl4iEiEjEiEiEiEi:lEiFifiEik�flFiFlEfEi(�ifiEiflEitlFif�flE9EiF3FlEiEiE1E D E V E L O�P; M E N,.T� S E R V I C E S R E Q U I R E M E N,.T S� ��L�K ZONING APPROVED BY � W(�v� DATE: Z" BOILDING APPROVED B]�;% i� DATE: � .': % APPLICATION ISSUED`FiY; '� +J DATE: 2 ��V �l iEifiE�EiEiliEitiEitiEitlEik?tjE�EiEiEiEifk � iF �E�EifiEiEif�F�EiE�E �iEiF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL� SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/RES GRADING PERMIT 34.75 PLAN 22.59 ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTALS----> 35.25 0.00 22,59 REVENUE DIVZSION TOTALS--> COLLECTED: HLDG PMT PLUMBING ELECTRIC MECHANIC 34.75 SMIP/NON-RE5 .50 TOTAL PAID DUE 57.89 57.84 .00 57.84 OVER/SHORT: ,00 FIRE SMIP/TOT GRADING PLAN-CHECK .50 22.59 1E iE iE i! ik 1E iE �k jE �f 3k �f iF fE �K iE iE jE jt iE iE iE if iE �E iE iE ik iF �f iE �)E if iE iF if k iE iElk 1E iE iE iE iE �E �E 1E iE ik �f iE if !! dE 3ElF �E fE �E jE iE dE iE �E iE iE if !t if if iE iF ie jE �f if 3E iE I N D I V I U U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNZT COST TOTAL COST SFC 1000 ALTER BY VALUE COMMERCIAL NOZONE 1,00 1,000.00 END OF FEES 82-84-1998/18:46 NM/f57.B4 RCDTU:BI-B819211 PERMITe086849 CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit � Date lnspecto� ,yppROVALS Permit # Date tntpector 1. 7emporary Electrical Service or Pole 52. Pool & Equipment �ocation 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. `54. Forms 4. �lecirical Conduit-Undrgrnd. 55. Electrical Bonding 5. 5teei Reinforcement 56. Fough Plumhing & Preswre Test 6. Electrical UFER Gmd. 57. APPROVAL TO COVER•GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. 8. Goundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe•Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor SVstem 67. APPROVAL TO DECK . tt. Property Sewer Line & HouteConnection � 62. 8ackwash & Receptor�Fina1 12. Sewer Cap � 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing Sys2em � Final 14. Rough Ptumbing �� 65. Electricai-Final � 15. Rough Electrical-Conduit 66. Solar System-Final i6. Rough Electric Wiring 67. Fencing & Access Approval � ll. Rough Wiring Sign . 68. APPROVED FOR PLASTERING 18, qough Elettrical-T Bar Ceiling ' � 69. POOUSPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT 20. Fough factory Fireplace � APPROVALS Permit # 21. Oucts, in $tructure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping CJ Gas ❑ Oil 23. Gas Pipe-Rough & Tett 72. Underground Flush 24. Foof Framing 73. Undergrnd. Storag2 Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling IStructurall & Monocoat 75. Dry Chemical 27. Frame and Fiashing Z �� 76. Dry Standpipe 28. Lathing & Siding � 77. FIXED SYSTEM FINAL 29. Insulation 76. FIRE PREV. FINAL 30. OrvWall Nai�ing ?��p' � HEALTN DEPT. REQUIREMENT 31. Ptaster Brown Coat � 79, FINAL INSPECTION 32. Electricai Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Eleciric 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. $olar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System � 45. Snund Atte�uation ', ' 46. Handicap Regulations ? 47. FINAL STRUCTURE & BUILDING � ' � 48. F1NAL PLANNfNG � ` � u 49. Electric Release to Edison .� r. ,� 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date .� �oop;a-auaaild! 72g W 16TH ST ��'�-.-. uHr: py_� avNursr+k�F�v+own: HONSAKER DEVELOPMENT —`��._.,_„_. _ + � '�°D"�� 17761 MITCHELL �^' CRVINE CA 714-863-1390 �xcxnecronu«a+�n: HIMES—PETERS ARCHITECTS °FNOi C008764 urcxonu+c.•seoo�ss: 3505 CADILLAC �r+T� L-5 COSTA MESA CA 92626 ��T� � MAY COMPANY (909)674-8977 LWf1iAtTORSYYIQIC 13037 EDGEHROOK DR �ooxEss: CORONA CA ucxo: 518254 91719 uxr: , 110EN5ED COHfFACTOFS OECLAfl�TION: I Mmby dlim uMer penely d�a'ury Mtl I un licanaetl uMs poviabm d Cheqm g (aommenrmY wnA SecYon )000) d Divuion J W tM &ieiroa ud Profomm + e. eM mY liceme u in tu0 bm eM Weq. cmuc.No.:043155 uc.cuss: g uc.w . �,g� q XP: 00/00 om.: /Z�/—�i� ��,�: a l OWNEfl BUILOEN DECLAPITION: I haeby elfum ivMv psiely d par'µy Ow I em exemq Imm Ihe Cora Licema lew lu tM Idbwq ieewn (Seaon 10�1.5 &nir�� W PNs�nan� CoCa: AnY �AY a mun7 whiN n9wms e Gertn� to mmvud. Mx.'unYwe. demdih, a repv eiry evunun, pior io Ia ewrica, eleo rpuine iM epplireni la euch pemiil to Rb e eqmd aietemenl Met M a eha o lironead pu'wenl lo iM yvneane d iM Con�reqws Ucenea lew �CMqer B(cammendiq xilh Sepion 1000) d Orveian � d ihe 8umron eM Ndaeivu COMI a �IW M a tlr u uemq tlwelmm ud tM bm Ip Na NpaE e�ampion. My vioWion N Spfion 103t.5 Ey eiry epp6unt la a parmu +iAp� Ihe epplceM to a dW per�etly d nol mon Ihen 1'vs hundnd EWe�e jii00�. � I, m owror d�ln propeely a my employaae W h wepm m Ihei We eompenee�bn, will Eo Ihe xwk, eM Ne a�iw.tun v ml inleMed w Mmed la eeb (�� ]D11. Buei�wn uM Prdnebna Cods: The Comrapwe L'xanw law daae rot apply lo en owiwr ot popeM who buitla v inP� IMiem. W wM Eros suM xwk limtep a Mnel a Nruq�lie a her mm amGbRe�, p�ed thtl wch 'vnpv.emmU ve nd'weMM a a11enA br ub. tl. nowawr. �M biNirp a inpro.sneM u wld wil�in awYw d mmpblm. Ne owrcr-0uiNr WI heve tM buNen d pwi�q M ar Me Ek na buiN a'unprwa ta tM puryme W eele). ❑ I. m ox�re W iM propeM. � eRduervey conireaiq wiih limsed wnVetlaa to eanqruq tM vrol� (Sedion IWG. Buvir�e e�d Pedeea'vu Cab: TM Convram t'r.enw law don m� epply b en oxiwr d papMy xfio buitls a impwa �hxaon ud who cmvem br arh pqepe wiN e mruretlor(v) IicennE punueM to iM Conirmon Lioema lex�. ❑ I em eiemq urder Senbn: B. 8 P.C.. br Ni� �aeaon: I do hsaby cvnily Net I em awars d vd �vda�ewM IM �ui�emema d CelCartielbeM W Selery CoEe SeG'vm 25505. 255.V. arW 2551a, uk thet I a eny Muro dnkirq oawpent will / wil nm (drcb aro) naed io comply wih wd mma ooda eM iM requiremenn br apertnnlormnelrudimwmodAimionhomlhsA'x ue�ty enepemenlDietrid.RmlEenlielmnetrud'pnapplicetionserae�mmqlmmihsea wwisione. Deta: Applicenl: W OFKEfl'S COMPENSATION OEC4NATION: I Mraby elfi�m unAer parW�y d pwjury ww d ths blbwirp detlaretione: ❑ I hero eM xil meiMein a eMAieele d aonseni �o eaM�imun b xmkees' oompemelion, u qwided /a by Ssaion �100 d �M Lebor CaM, la �M peAmnarice d IM xork I« xtich thi� permn n W uM. QI heve eM vnl meiMein wakere' oompeme�ion inaurence, m nyuireE Ey SaGion 9)00 d IM leEar CoEe, br �M pe�wmerwe d IM woM /or whiM thie partnh ie imuad. My wukere' wmpeneelion ineurence cemer vM polity number era: cd,�.�: STATR F�1Nn EXPIRES va�r+�mna ZZg=osp,pnn��ns O1/OS/96 (This eMion meC rrof bs comdefeE / Ihs perm� re/a are hundred Cdbn �S100J w Nae 1 � I canly thm in �M pa�ormanu A �he wak lor whk� Ihie pertnn ie oeu I ehall rat employ e�ry panon in eny mennm o u to beeome wbjsd to �M xwkeii oompeneetion 4xs d CelBomie. iss Ow if I 4rouN bsewr v�bi �o iM xvebn' mmpemmbn piwuions d Seqbn �]OD d tM lebor Cods, I tlull l h' oom � oe�s: 2 //'� � �ow��. 2G.�� Weminp: FeNun ro��cun woA'w�'rompxwtlon eowrp� 1� unl�wlW, �nd �lyll wbNef en NnployN ro eNM�vl pxultlu eM nro nn.. w ro ar. nu�er.a �rouu�a daun ltia4000A m.eeiaon ro m. cw� or m�ro��nn a+m+a�• .. po�a.e ror in Sxtlon 91P6 0l tiv LaDor Cob, InMwf, md ettomryY Iwa CON4TNUCTION LENOINO AOENCY: I hereby elfirm under pnNry d perN'Y �� Mn I� e canpiutlian bndirp epemry br tlro parlamerce d IM wk br whitli thu pxmi u uwed (Swion �W'!, CM. C�. LENOEN'S NMIE: LENOEH'S �UONE55: I cenih Ihe� I lwe reW Nn epW'sNian eid aua thet IM �bwe inlormetqn w cortM. l prse to comply xi1A NI My aM oowiy aE'uwcae ud �bts lewa �aW M w buildiq oonso-utlan entl herW/ �ulhorrs� eapewuetnm W Ihu ely b�Ns uG� tM ebwe.meMioneE pWeM fwimpeclion ow. PAUL MAY / Pn a LtiL�.�l Dme: �Z ��—� S SigneiundOwmr/ApenVAppf uComreun (5t5td6.WP) WMs-BubnOdSdery:Onen-Fb:Carory-Appf�ani:Pink�iw�snw:Oddwad-Aeeean CITY OF COSTfP�.�— BUILDING PERMIT � r4�✓`""' PERM NO: B 075542 PERMI'I'' #'��'�42 PLAN CHECK NO: 04722-95 A GOVT: N SUPP: N CONSTRUCTION TYPE: V—N ' PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : FIRE DAMAGE REPAIRS—BLDG—A / PARKING LOT tSQ FT: 1,300 CLAIM VALUE: 130,000.00 CALC—VALUE: 130,000.00 GROUP OCC: B-2 / COMMENTS: PIRE DAMAGE FROM 10-27-95 +��atat�at**�**��*********�rit*�rat�t*+�at*�****+t�r��at��*+�**��*+�*�+�*��t�*+��*ie*+�***itatit�**it** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42413306 ZNE; MG REF NO; PLANNING NOTES> FIRE DAMAGE REPAIRS; INSTALL HANDICAP HATHROOMS; RESTRIPE > PARKING LOT FOR COMPLIANCE WITH TITLE 24 REQUIREMENTS;" IF iF iE k 1k if if i!'k �F 1E 1E �If M iE'lk if 1F 1t 1E iE iE 1f iE it iF iF iF �f 1t 1t ik it iF iF iEiE ik 1k IF aE iF it iF iF iF �E iF iE iF M�IE �E iE �E iE M'If 1E ik if iF iF iE if iE�F iF if �Ik iE iE 1E if 1F iF it ik 1f D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T•S ZONING APPROVED HY '� : G E DATE: �?'+��'n9S HUILDING APPROVED �BY :��_ DATE: ?'�� 7S / APPLICATION ISSUED BY: C/_- DATE: IZ'iI' ifiEiFlEiE1EiE'IEiEif�Fif7EiE1F'IEik�ikififiE'I('��f��f�iF��i�ii�{F��i�ifiFiF��iEifififlfiElflEf!'IE�� IEif LEGALIZATZON:N F E E S U M M A R Y STRUCI'URAI.;SEGMENT:Y BLDG PMT PLUMHING ELECTRIC .MECHANIC FIRE SMIP/RES� GRADING PERMIT 744.50 i . ". SMIP/NON—RES PLAN 120.98 , 27,30 ISSUE FEE �' BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 771.80 0.00 120.98 892.78 892.78 .00 REVENUE DIVISION TOTALS--> COLliECTED': 771.80 OVER/SHOAT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 744.50 ' 27.30 , 1F iflE 1E 1E 1E iE if if 1E 1E 1E if iE 1Elf 1E 1E iE 1! 1E 1E 1E1E 1k iF 1E 1E 1k iF �F �F 1F 1E 1E'k fE fE 1E 1E 1E 1! 1k 1E IE 1f 1E 1E IE 1E 1t k 1E 1E 1E 1k If if 1E 1E 1E iE IElE 1ElE 1E ik iF 1F fE �E 1E 1F 1E IE f! ik IE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFC 1300 FIRE DAMAGE /$100 �COM NOZONE 100.00 130,000.00 END OF FEES / . �, f + (�� i1.1- ._ i. Ti T ' �1. i: a . ' . . _ . ; CONSTRUCTION AN� PLANNING PqL` a` SPA +l PPROVALS Permit# Date Inspector qPPROVALS Permit# Oate (ospector �� 1.�: e(nporary Electrical Service or Pole 52. Pool & Equipment Location. 2. Soti:Pipe�Und�grnd. W � 53. Steel ReinforcemenT � G3. Electrical 6en8uitdJfility-Undrgrn�. 54. Porms � � ;"�9'Electrical.Ctrn�uit�`tihdryrnd.n � 55. ElectricalBondiny �-.5?_Steei Reinfarcement" 56. Rough Piumbing & Preesure Test ' 6- Electrical:LF�=f;[nd. 57. APPROVAL TO COVEft�GUN1TE - .� .•J , ��-7i:: Footings ��.; � �= 58. Electrical Conduit,Undrgrnd. ' 'i �� =8. Foundatian�' �' � 59. Gas Pipe, O U�tefrgmd., Test 1 r �' , `'9. Water PipP=Undrgrr�d. � 60. Backwash Lines-P��TraR, 0 Uhdrgmd. r - - - 7d.5tructural'�PioorSystem 1� _ 61. APPROVALT(�,L§ECK�.� �, t t. PropertY SF,ewzr, Line & House'�Connection eyizor _Final �, 62. Backwash & Rec j 1.72. Sewer Capy �v 63. Heater & VentFirlel ', r p, 3. Roof Drains `,- . -�� 64. Plumbing System - Finai ' 7. Rough Plumbiog: ^. ,..; 65. Electricai-Flnal ' 1�. Aough Ele'ctrical Cott�duit - ��' 66. Solar 5ystem�Fira� 1fSF Rough Electrie �irir,e�g, 67. Feneing & Acc23s-ApProval � 17.� Rough Wi�ing S'§n j 68. APPftOVED FQR�LASTERING 18� Rough EleCtrica�T Bar Ceiling � 69. POOL/SPA SYSTE�MS PINAL 79. �Rough Hea:ing & Air ConditionTng, �, � , �, �^ ,� FLRE pEPT. SEQUIF�EMEI�T . f. n ' .-i . .^ ._ w' m �-1 `�-• � - g �:' 20.; Rough Futor,yF Fii��lace _ ��_ r � ; �c ` �APPftOV/;'CS�.c.. Permit # 27. �Duct'r in'Struiture'� !� - •• •• '' � '� ` c '"� 70. �ndergrauRa H"dro "� � n. cx m ^ r�,r. e, r. .� '' 22. C�LctS; V2rttilat+ng�� , _ y� � c.y :' 71. Produ��iping',J'1(3as �Oil t - ^ 23. G s RIpe�Rough & Test ^ ,;� � �� !'n 's �r - 72. Undergro; �tl Fi�tlsh'4 :;. - o r� � 24. k �otfraTin .. �.,> �.� -� r _ 7' i �: ^ � r-+.' • (�S 9 cc t . �. ^ • 73.+ Undergrnd. Sto('a��nnk•-�7 Gas ❑ Oil 25. R o4;Sheathing _* n: ��/L_��q�` '! 74�•�vefiiead Nydr�rt. �;. .,, .. - �, '-_/��'� ' 26. �-Bar Ceiling (}Struc`2yra1) & Moriosoat Lj�Z��j'6 �� 7�y.�-Rry�hemical ; � �� J -. 27. frar�}e an�3�Fidshinq.�-x� ; _ ^ ../�� .n' ., � 76. Dry Sta (s�e r M � _y �; � -28 Lathing$�Sidfi9 ^"� ��`Y �- 5*`" "�` 7,��., FIXED,�'a1f$T�tY�INA�r c'. a; C*'�. '�7,F J�c :"t* ! +' 29. Insulatioi[ v. ��.� ��. � . .. �'�'=:�: �� - ' b` 7$= PIRE PREV. F�� `L `` � `� !, !- n- c: ��'� r- s G ? 0. prywall tVailir'ig . '� c . `� H t r, ,-� `� - i � � < i�H�EALT�iDEP�.'REQUIR�EMENT .� £ 7. Plaster Brow�"Coac .r �� i p-�; " i '* .' 79 V PINAL I�SPECTFON � � 132, kjectricai�ower Nle�r+Final ' '� n�� j �i_ -' SQj FOOD CERTIF�'F�TE I�,S{tED_. � t, .n . � 33. Final-�lectric� r��a :ti : C^ �* � ' ':� � � Notes:� '�" � � . ... .�.. ,.. , ia � c e�1:; �oo� �.�.s�� JZ-Z6-4J G►�i___ -�34. Fina�He��ng`,J�t. Air EqTcfitiortirgs ,�? ,y;` � � •* � sr S C'�.,'T'_� n � : �•- I t /�C�Go .�l �c' .(/v/��.. ��G�. 35. Finai Gasf?ipe•Test a: � •�. S* �--� � `'� _ % =�/ � r% �� -^ _ _ . .. i. �/�'.j/�'�, `�'�y� z. � 36. Hood ,orr' noPY ` � A ' �' � �. a ,:� t � ' it : :c�•�� `�' t n �_ n �.; , t s ;Tt ^.cc x;*'! o-- . ( .. . ; .' '. --37. �inal.EaCt9ry FirePlace x ; (-+'-, " -* ., � * � � � �•: ♦ � 38. Final,Plumbirig. :: m:� ' `� �x ' C � � `J '� ."" �' --- x� -r � C - �'�. � : ,_ , . ,.�� - � . ' 39. Water Ser:yice_Final .� ; � _ ��:, . � !: ;. " ;� . ' z _ _ �� r y4Q. Gas Serviee-Finai '" �'! ::^:^ S'r =x - �* v n z�. �� +' (�i :� � nt r, ,r.7:e j . • t-. . - F S, �41. Solar pom2sti,s�,-Finai� " =�; ��Y � , r• %�;� _ F �� = * � 42. Backflow �Preventer � +�% � � '� � � � ^ '' ' * � - � �, n -- �. �'k �, �. [^ " � �r F c r _ � c .-i ... . � . - _ 43. Backflow Irrigption y „ ; j:z M s: J - �. "` , x - (l o A4. Landscape IrraationtSystem'A��„ ;T,� �;,y �' � �, ��`' � ti � ;�� 'ti e 45. �ound Atieni�tion- -". .. � �;: ` ^7 ^ �• ��: F-�� ' - _ - ,�, ..r, 46. Handicap Reguiation5 '- n=' * M T" S• --. ; _ - c-- ��=/ - ..,� . 47. FiNALSTRUCTUF�&BUItOING ';Z',Z/ Qf - � i � ^v 48. F1NA�L PLANNING � =" _ . "` ' ;* ' ': N � % `�; '' 49. �I'ectric Relea� to Edison � ' .� " �. � i � e, � 50. Gas Release ta Southem Califor�ia,Gas Co " , t .y� '� � 1 _, 51. CERTIFICR7EOPOCCUPANCY " ^ " ' No. Date ADDXFSSOiBNldNO: '�'2fj W 16TH ST °M` A—D . °""E"s""'"E"'°'°w": HUNSAKER DEVELOPMENT � ' WONESR 17761 MITCHELL ; �pV�N�F��A 714-863-1390 �� uiceirEcronrf+rn+�nn: HIMES—PETERS ARCHITECTS "cN0 C008764 urcx.on�seooness: 3505 CADILLAC °M' L—S COSTA MESA CA 92626 C0"'"ACfO"51A1� MAY COMPANY ( 909 ) 679-8977 ca+m�crorts�uimo 13037 EDGEHROOK DR AD°"�u CORONA CA �G�= 518254 91719 uNT: IJCENSEU COMNACfONS DECL�P�TION: I hmeby Nim under per�ely d perpuy Nq I am fcereeC uWm powiona d Cheqx 9 (commamiq xilh $aciion )000) a�A^ 3 d the Buaima eM Prdesama Ce. eM mY �� o in IWI brte enE ellaa. cmuc.wo.:09315/5 uc.cuss: B uc.N . 5182 4 XP: 00/00 Oaie: �Z ��'� 1 Canveea: L � OWNEN BUILOEH OEttAP1TI0N: I hertby dfirm uMer pmNy d perlN�y ihet I em eRemq fmm IM CoM Licems lew la Ne � IWbwip raeeon (Seaion'l031.5 Busnees eM Prolewione COEe: Any cny a muniy whidi reyuirea e pe�mn to wnawn, Mer, improro, Eemdoh. a repei eiry evuctive, pia io ea euurce. ebo npwma �he wplkanl la urh pemi! lo fib e ep�E eteiemmt Nn M u aM u licenasd pureueM to IM panvme d iM Contreaon lirome Lew jCheqer 91�me�x'vq xnh Sauion J(q0) d Uv'sion ] d Ihe Busnee� eM Prdenione Cade� a �hm M a she ie ezemq thareham eM Ihe ba�is far Iha eflaped a�emqbn. My videlon M Saaion ]03i.5 by vry eppliwil la e permil wbjem �M epplirem to e rnil perieliy d nq more �hen frve huedred Edbn �5500��. � ❑ I. m owmr d �haO�V�Y w my empbYeee wvh wepea ea iMi ede e«npenmibn, xiA Co Ihe woek, eM �he vlruqun e �wl inbMeE. or oflereE fa ule (Sec�ion ]OCO, Buaiiwp anE Proleeaiona GoCe: Tha Conlrectois Licenee lawdoes na eppyto en ownr W pmpaM wlw buldn or inpoves Ilw�son, eM xfio doee cuM v.aM Nmull a Mne/ a Nrpph hb a Mr oxn amqv/wa, prwNaE IIW wch ' impwemeriu ere nd inieMetl a Wsed lor eele. X. Mwaver, iM W iNirq a mqwemem ie edtl wnhin aw yw d comde�bn. �M1e owner-buiNer will heve �ho buMen d provirp he ar ahe did no� buiM or improve lor ihe Ouryoae M eeb). � I. m ox�wr d iM properry. em exduvMy oonlradiq wilh IicemeE contrectm ta canmm ihe projed (Seeon ]ON. &ni�e udT' Pmlemime Coae: The Camreaon Lieenx Lew Eoee m1 eppy lo en owner d propeM � a+iNa « impavaa thereon eed xfio conlrecin lor euch D�al�e wilh e mmreaor(e) Ikenaed pureueni m the Canlredwe Licema Lew�. � I em wemp u�Mer Sxtion: 8. b P C.. la Nia reeaan: . J Dete: O.mec I do hareby ceNty IMI I am ewera d enE �MersteM �M1s rtauiremenb d CelCanie IbeXh eM Satery Cada Seaian 25505, ?5it3, eM 2553a, end �hm I a e�ry lulure buiWiip arupent will / wJl nm (drcb me) naed �o wmDh w�h eeid pe�e cotles vM iM reQuiremenU la e paimn tacauirvctiona mod'dre�ion han�MAi�S'ueTiiyl�anapement piprid. ReWEeMeI mm�uaion eppirmiom en azemp tvn ihsea a�. o�e: �oa�: WOHKEN'S COMPENSATION DKUfl11T10N: I MraEy effirm uMx peretly d pajwy me d I!a bPox'vq ErWetbm: � I luw eM W maiNen e terNiu�e d m�wnl to eW timun b xqke2' compenselon, ro prwideE la Ey Sed'qn 3]00 d iM leba� Caae. la tne pMameMa d IM xak lu wlic� Nu pmm� u iaued. ❑ in��a�;��m.:,ww<��w�a,��w,�.m�ea��a�rs«a�amoau,s�e«coee.ro'meo�«�dma � won i« »i,�e� w. w�n a m.�e. Mr.«�n �o�,w� �w��s �« �e w�r M,mn« �a: camr: RTATF FfTNn EXPIRES P«�N�m� aa9-9suooa3�os O1/OS/96 (fiv eMian med iw Ce mnWMeOl iM P�] u b orro M�ndmd dativc (it00� w Mv.l � 1�enly iAei in Ne pMm�unce d iM wak br which thu p«mn u'vqr�d, I e1Wl nol empby eiry penm in erty men�r eo m lo bxmie eubpe io iM �Y wmpmWbn bws d Cefdomie. /ma�epree Ihm E I Mwk become wAjea m tM xarken' �c�+d� wo+oo�. a s.a�, a�ao d ine �ew coe.. i.nmJ bn/h �Ah vl�wdh Nw� a om.: �'L—l/'lf � r,va�--f"A4v� � r. / Weminp: Fellun ro ueuro wort�n'rorrymutlon rov�rp� b unNwNl, aiM sNll aub/�cNn xnpl ro MMroI p�naMu mo cIH111M� W h m/ �1ntliM flrouYM AWI�n (SIU4POOA M Meltlon b MI ewt oI roni�tloM1 EemeW� Y 0�vldM Mr In Sxtlon 9lW o/ M LeDor Coh. /Msns4 W�rtom�Y'� Iwa. CONSTRUCPON LENDINp ROENCY: 1 Mreby eXlrm uMm per�elly d peryury �hm �here is a m�st�uaion MMirq epw y la Ne perlormarca d IM xak la whiM Ihe prmi o ewed (Swion ]ar), CM. C). LENOEN'S NAME: LENOEP'S �DDPE55: I ceniry �Am I heva reed �hie epplicetim end bate �hei the ebova int«metion ia crorix,t. l eprae lo wmpy wilh ell fily enE caunry aEineMeo eM aieta levn releling io Wild'vp wnsrvaion end hereW eWwrrze represanie�ivae d ihis my io m�ar upan iha ebwa�meniionad propeM la in,vqdpn purpmea. PAUL MAY �P/nm� /1 e Gt,�n.- I C // ar oa�e: � s�o��reaowronnoe�unv uco„vma � (5151A6 WP� Whne-BuiMip 6 Sdely: Greer�Fb: Cere�y-Appiranl; Pink-Revenue: (3oldenro�Avsamr CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 075543 PERMIT NO: E 075543 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ALT JOB DESCRIPTION : FIRE DAMAGE REPAIRS—BLDG—A / PARKING LOT SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS: FIRE DAMAGE FROM 10-27-95 / ELECTAICAL / AE6 B-75542 **�r*�r�r***�x�x ��r�r��**�r��r�r*�*+rx x�x*******x��r�*�r�r**x�x+r�r�r**�x��x��*+�***��*�*�+�x ��* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT ZN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARI(ING REQ• PROV: PARCEL; 42413106 ZNE: REF NO: PLANNING NCSTES> i iE 1f Ik 1E 1E 1E If 1E if if IE 1f iE 1E iF iF 1E 1f 1E iflE 1k iE iE iE 1E 1f 1k if iF iF ik if iE 1E iF ik ik if �E iE 7E 1E iE 1F 1E I! 1E IE 1E k 1k 1E 1ElE 1E k if 1ElE 1E 1E 1f 1E iE fE iE 1E 1E �f' 1Elf iE iE iE If iE 1E iF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING ApPROVED BY , BUILDING APPROVED BY : APPLICATION ISSUED BY: i atitatx��tx�*x��tifx*�t*�riciEieieie�r* LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 42503 DATE: DATE: / DATE: IG' 3F7F7�*x��r+r*+�+rf� *x� *x� STAUCTURAL SEGMENT:N FIRE SMIP/RES GRADING SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 42.90 15.00 0.00 57.90 57.90 .00 REVENUE DIVISION TOTALS--> COLLECTED: 57.90 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 57.90 1E fE 1E iF M IE iE iF iF iE 181f 1E 1E 7! 1F i(� ik if iE iE if if iE 1E 1E 1E iE 1E if k M 1E ik ik 1E 1E 1f 1E if 1E 1E 1E 1f k 1E 1EM ik if 7k 1f iE 1F 1E It 1k if if if 1k 1E 1E 1E 1E 1E i! 1F'IE k ik if 1E ik fE k if iF ik I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 13 FIXTURES LIGHTING 1 ST 20 EA. .75 9.75 ELE 20 RECEPT/OGTLET 1 ST 20 EA. .75 15.00 ELE 2 RECEPT/OUTLET ADDITIONAL EA. .45 .90 ELE 7 RECEPT/SWITCH 1 ST 20 EA. .75 5,25 ELE 4 MOTOA/POWR APPARATUS 0.0 — 1.0 HP 3.00 12.00 END OF FEES d: CL:;.<,: . -' .�6:'?_ �i_ ' -- - �n,7[ .' _ �. _ . , ,� _ � .. R, � � C�1(�fSTRUCTION AND PLANNING P��` "` SPA I Date Inspector � Date Inspector .,APPfiOVALS Permit# APPROVAIS Permit# . � 1, ; etnporary Electrical Service or Pole 52. Pool & Equipment Location��' 2. So�.Pipe-Undrgrnd. �� 53. Steei Reinforcement ' ,-3.Electrical,�n�.u�L6t(lity-Undcgmd. 54. Forms � �,g_ Electrical C¢�O�S��t4r��grnd. 55. Electricai Bonding �;bsSreel Reinforg�rqer,it��' S6. Rough Plum6ing & Pressure Test �� ;�_�nElectrical�'U�EA:Q3:nd. 57. APPROVALTOCOVER�GUNITE ��7�Footings ;' � "�T � 58. Electriwl Condpi�,Undrgrnd. .. �: �8.'_FOundatiot�i � C 59. Gas Pipe, O Uniir�rnd., Test � r, � r .. 9. Water PipeUndrgr�wt. ;' 60. Backwash Lines;-,l=-�rap, O Undrgrnd. _. ^ W i0. St�ucturaFFloor Svstem ' � 61. APPROVAL TQ-(TgCK' ' 11, Pro'perty �ewe�line & House,�onnection 62. Backwash & Receetor-Final � 12. SewEr Cap� �` ;�• 63. Heater & Vent-PirSal , 13. Roo9 Drains ;, •• 64. Plumbinc� System � Final • 14. Rough Plumbie;g� �r; 65. Electricai-Final �. ' • 15. Rough El4etricaf-Eortdult �' � 66. Solar System�FiRa� G � 16. Rough EleCtricb�rirti§'� a 67. Fencing & AccessApproval 17. Rough Wiri�g Siga � S8. APPROVED FQ.R`PLASTERfNG J18, Rough Electrica�i" Bar Ceiling" yLi 14� .(t�';r,l 69. POOUSPA SYSTEMS FINAL 19. ROugh Heating & Air Conditioning FI E D PT.q EQUIREMENT ' i i rr� - r � ��- L� !T; . r- `i ': � n 20. ROugh F�IorySFirrep}ace � '�_"..T' 'Q' ' -' t �, tr,�,"k 1 .APPROVAL'S�'�.,Per"rjiit # 7 �' •, ' = r�-, 27. Ductsyin StrucYur� y � •• �• -k S H .� � .70. [7nderg'ibrF,7?d Hqdro � 22. nucts.Veatildti�9,`J� � '' x-i i,; �:y 71. ProducHPiPingl�G,as �Oil � � 23. Gas Fipe-�ough & Tost '*;' � t*t T��^. �. 72, Undergro`rind Ftvsh ` 24. Ftoo{-Fre�ing~ �.,,'� -` "� ; � � r„ �,73r.Undergrnd.Sror%geTank'�OGas ❑Oil� � 25. Roof�She�thing < � �. v �!: � -;, _ � : y � 7q' Overhead HydrN�.�, .�: � 1� l.i �� T. C H 26. T�Bar''Ceiling (Stru�,`jtiral) & ��pcbat { ` r - :� Y 752�Dry Cher�ical • - � � C�rr T " 27. �arr� and,FlashinH � `x: z; � m . �i �� 76 Dry Standpipe E� = � � -� n: -28. Lathing &�Siding �.; v �`t ^ � ' E .. ..i. 77,� FIXED SYSTE $INA�' � .. 'T" E'' -�-_ * fl�t, n �:% - 29. Insulatio4� _`X v S � � � � � �� 78= FIRE PREV. FIN�S�L � - = � ` "30. Dt4�vall fd,�iling ,yr F, k �.., ; '�. :-' �EALT�'DEPI�. F(E(jUIR�7E{jIT . j31. PlBster Brown;Eoat�. ,��. � p-,: a �� • 79 JFINAL I�ECTfON� � c � �V 32. E7ectrical;po�,r Met�r�Fai , * r� f ^ ! �. "80'-�FOOD CERTIFICY�� I$rSU�D� �- a. 33. �ynaFEle�ric� ti�_M . . ^�'l;".1,. Q`fY" rk �N<ltes: -`.; ^i-a �+:-. ., �� •^ ( � � �-34. Eina{iHea'Fing & Air'�ondiCionini�}-� � � x � + '^ � ^'`-� ��" '� = _ `T �' M1; .� �,. ;r: �: � � h' U r : i F� "' * = G -, / 35. F''�,naPZ'ias pi eTes � - . 'r. - -' I l. P t'7fi �_ �y '% _ .,� . �J �'J`�f W (Ui._�C��R _`' _ '"36. Hood>or C-.anopy C» _ •' : a i� '� � -t _ f. r`�: y -=,. " f: 7.r.� '.1 r N C- ��• .•M1� - M1 _:.� f. i•� -•37. FinarFac[prvFirep'tyce �• E.�-, _ •: � 'a . t JJ�. n: '_38. FinalAlumbing �# c !` ` " �y ^ � - "a -� - r � �-�, �- -J i �� . � ,.. . v. '�3g. W020f JCf�21C8'Flfld��y -. �: T ty: Ly f •.t-'p�(^y rt !, ^ ;.y40. Gas Servipe-Pinal cx m <'t+'t" 5 ' ''7 I � .� O% a'a� � • • - r-� ': r Y� i �s • � F, x�C, ti41. Solar pomestiaFihai�: = ��,.' � ' y`'" � '�K r� -`;� �- �^ p ^42. Beckflow-.P,reventen r � c� ' ' + - : r !: �`" c' a: , . �, ^ r �-. 43. Backflow`t?rig,�ution � ` ; S S � a * , � `� i , . . . -'. �_ gq, Landswpe.'Irrtqatian�System �''7^ `S �"" C h` '� ,_ -� � i y �" '-''n'�''' r, t .�r E � i ,J c. K � �'- 4b. Sound Attenuation r ^G.J . *•`.. - ;�' mr - c^ - u.J hr' . Q,�b, Flendicap Regu�ationa� � t r. ' %. - h S _ < ^ [� q�. FINAC STRU�TURF�,& BUILDING �; p , � �t ' �`� "' � � � 48. �_iNA1: P�ANNING s' ' "_, � : ' �: ri 'C � • � 49. Electnc Releas€ to Edison * •, « ' } �t � 5D. Gas Release to Southern Califorrtia6as Co ` ' _ ': ''' - < -- x � 57. C�RTIFICATE Of OCCUPANCY � • " • �- � '� ' � No Date � � r, ,wonessoeemiuxc: 729 W i6TH ST uNr: A—D °�`'"E"s""""e�v'": HUNSAKER DEVELOPMENT - �noness: 17761 MITCHELL .., IRVYNE CA 714-863-1390 �vr�. Muuno �ooness: �xcxnec,on�aN�n: HIMES—PETERS ARCHITECTS 1010' C008764 ��ARCN.OHENG.'SADOPfSS: 3SOS CADILLAC °NT L-5 COSTA MESA CA 92626 coxm�crarsxu,e: MAY COMPANY ( 909 ) 674-8977 CQANACTORSYNIIIlG 13037 EDGEBROOK DR �no�ss: CORONA CA ucxo: 518254 91719 uHT: LICENSED COMflACTOHS DECLAqATION: I hereby elirm urder penally d pei ry Ihet I em licensad uMer provisions d CAepter 9 (mmmendnp xil� Seclion 1000) d D'msion 3 d tha Buaine� end Prafeasions a, eM my IKerua is in full b2e enC ad. cmuc.No.:043155 uc.cuss: B uc.No.: 5 825 •[}/(�P. 00/00 oete: f7-/�-�.$/ comreao,: /Y OWNEN BUILDEN OECIANATION: 1 hereby eHrm under peneMy d perjury �he1 I am aeempt Irom ihe Contmaan Licenae law Im the �lolbwvg reawn (Seabn ]031.5 Businxs eed Proleasions Cotle: Any eiry a munry whieh �equirm e permil �o eonsWcl, eller, improve, demd'ah, w repei e�ry svueiure, peior w es'swenee, e6o raQuiree iha epplirant fa eueh permn io fib a aprcd eWement thtl M w eha q IicensaC Wn�a�l lo IM povisionf d IM Conlreqqa License Lew jCheper 9(mmmma�q wilh Setlun ]000) d Diveqn 3 d IM B�si�ress eM Proleaiana Code� w ihei he or sM is eaemp thaehwn vM IM bavs Iw tl�a elbgad uemqion. My videtion d Sedon )03t.5 by eny epplifant for a permil eubpds Ihe applican� to a dvil penelry M rwt mas then I've huMrad tlo�len R500j�. � 1, es owner Mthe Oroperly a my empbyeen wR� wepes aa Ihe'x eole mmpenaeiion, xill do Iha vrork, enE IM sVUMure e �wl intandeE woMaredlorsele�Secuon)OOd,Busineasend ProleasionsCode:TheCon�redon LicenaelewdoearalepptyioenownerW propery wM WJEsa'vripem�.eslhereon.enE xta doea sueh waeklvmaNlorhene� athraph ha a herawn employeea.provideElheteueh improvementa ere not inleMeE a dlereE Iw eda. H. hawever, ihe WiNiip a'vnprareniem ie sdd wnhin ms yeer d camqeton, Iha owr�er-0uiMa� will heva tM WNen d poviip M or sha d'N mi buiM a impwa /a IM purposa ol mle�. ' � I. ea owner d IM pmpeM. � eachnively canireniq xiih I'xamed mnlreclon to conmrw iM prqea (5ed'on ]Wd. Buairima eM Prole»iom COEe: Tiro Conlredon Licenae law doee rwt eppFy to en owner d propaM �a �ilda a�impavea iherean e�M wfio C0111f0C1]IO! BYCII'PIOI�= �M1 0 DJ11�l8G0l�8) IICBf19BE pIlRU811110�M1B CMV941IXH LIMIIBB �BWJ.� �,.� � I em esamq uMer 5 otion: B. 8 P.C., lor thn reemn: �' l� De�e: O.mx / I Eo M1ereby ceniy IM1et I em ewma af arM uiderslend the requiremenn d Cellomie Haellh eiM Sefery COEe Seabns 25505, 2553�, arM 2553C, end Ihe� 1 ar eiry iNure W iWinp o¢upent vnll / wil nd (orcb one� nead b campty wnh eek pme mdea vM the requiremeMe lor epaim�lormmvuciionormodifrationhomt�eA'u ue�8 i1TyrTanegemanlDimria.Reaidemidconc4udioneppliralimaereazemptimmihese pavisiona. Dete: Avd�� W ORKEF'S COMPENSATION �ECL�PATION: I hereby elfirm uMer penelly d pajury ane d tM Idbwirq dadumvn: � I heva end wiG mvmem e cerlHkela d mnaeni �o eeN-inwre 1« wurkero' compenwion, ee pwided lor by Sedion 3100 d Ihe lebor coae, �« me wno'mence o� uw won� ro, whicn m�e oa�n i. isa�ea. �I haw uM xil meinten waken' mmpenaetion iroureze. a+ repuirad by Seeion �]0p d Ne Lebor CaEe, br IM pa�lamence d IM work iw whiM Mis permn ie ivued. MY wakere' mmpense�un insurence fe�ner erd pdie� wmber ara�. c,m..: gTnTF �nntn EXPIRES Pa�'"°'^"°' 2a�-95B0003705 O1 /O1 /96 (This sxYion need na 6e complefeC l lhe pemia u fw one hundred Eolkrs �51Ctl) a IwseJ ❑ 1 centy ihel in Ihe perlormence W �he wah br whch �hie permn ie iaeueE e I nd smpby e�ry penon in eny menner eo ro to bacome eubl� �o tM waFeie' rnmpenea�ion bwe d CalAanie, end thm A 1 ehwld becwn wbjeq �o he v.ofkare' mmpanW ion D�+sion+ d$eqion 3)00 d Ihe labor Code, I ehdl fonh h p wX p o'' D�<: _/?- // T � .od�,: Weminp: Fellun b�xuro worten' compxuatlon roverap� b unlewNl, entl tlull �uD/�ef en emplay�r fo etlMrw/ pan�l0u entl civll Mir� up ro ons hunOrstl fMu�em/ dMlen (5100,000J, In �dltlon ro Uls ro�f o/ compsnaat/on, Wmsp� u provltlM br In Swtlon 9106 0l Ms Labor COM, InMest, end etromsyY Nu. CONSTXUCTON LENDINO �OENCY: I hareby elfirm uMar par�elry d PorI�+rY �� b e mnAiutlion bMi�p eyem.y M the peROrmatKe d IM wik �a MiM IM1e Osm�1 n ewetl (Sad'qn JOBJ. GN. CI. LENOEH'S NI1ME: LENDEH'S ADORESS: I cenAy �hm I heva ned �his applcetion enE Ae�e thel Iha ebova inlormetion is roiree. I eprea to mmply wnh all ary eM munry oNinancee eM sW a lews raktiq Io buildip mnatrueion eM hareby eWarae eepremn�eMes d�ha dly lo anler upon ihe ebwe�mentioned proparry lor inspxl'pn pur se 9 PAUL MAY LI �//•� Pn ! _�y C�-. Dme: � �" ! Sgnelu�a d r/AgenVA DYcenUCont�adn (5151<6.W � Whno-Buildvp 8 Sefely; Greeo-Fle; Canery-RppFram; Pink-Favenue; GOIEenmC-/uansor i' � CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 075544 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PERM NO: P 075544 GOVT: N SUPP: N PURPOSE: ALT JOB DESCRIPTION : FIRE DAMAGE REPAIRS—BLDG—A / PARKING LOT SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: H-2 / COMMENTS: FIRE DAMAGE FROM 10-27-95 / PLUMBING / REF 8-75542 �r��r�****x��***�r**�+�+r*�r�rx �r�r�r*��*�*�x��*****+rx��rx�+rx��r***+r*****x�x��rx *x ***�**��+�**�r�** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 92413106 2NE: REF NO: PLANNING NOTES� C� � it 1k ik iE 1E IE 1E 1f 1k iE iElE 1E 1E fk 1F 1E if IE fE IE 1E 1E 1k if iE 1E fE 1E 1E IF fE iE 1E 1ElElF iE 1E 7E 1E 1!!E 1E 1E 1k 1E if�1ElE 1E 1E iE 1E 1E if ik iF1f if 1E 1E IF iklk fF fE 1E iE 1E 1E 1E ik 1E 1E iE iE ff ik D E V E L O P M E N T S E R,V I C E S�, R E Q U I R E M E N T S Y � ZONING APPROVED BY :_ _______ � DATE: BUILDING APPROVED HY : APPLICATION ISSUED HY 1k 41E iE 1E 1E If 1E 1! iElE iE 1E 1E 1k 1E IE 1E 1E fE ff ` DATE: DATE; �� ikiElEiE1E1EiE1E iE�E LEGALIZATION:N F E E ✓ U�,M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMHING ELECTRICt MECHANIC FIRE SMIP/RES GRADING PERMIT 98,00 .ti �� 252 ! ' SMIP/NON—RES PLAN ^� �� v ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN=�CHECK TOTAL PAID DUE TOTALS----> 98.00 20.00 F-' 0.00 118.00 118,00 .00 REVENUE DIVISION TOTALS--> COLLEGTED: 118.00 OVER/SHOAT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 118.00 � � '� / �F 1k iE 1E 1E 1E 1E 1F iE 1E 1! 1E fE fE iE1k iE 1E 1E IF 1E 1E 1E ik if 1k 1E 1! 1F iFlklk 1f if 1E1E �E if �k 1E 1E 1klk 1f 1E k!E 1f if if 1k 1E iElE �F IE1E IE 1f 1E 1ElE 1E iE 1!!f 1f iF 1F 1f fE 1E 1E 1E iE 1E �E If 1E I N D I V I D U A L''' ," . F E E B R E A K D O W N � c. � TYPE QTY D E S C R I P T I O�N;i� , UNIT COST TOTAL COST PLU 1 SHOWEA PLU 6 WASH BASIN �� 7,00 42.00 PLU 6 WATER CLOSET (TOILET,),�y�'� ` 7.00 42.00 PLU 1 WATER HEATER AND/OR..VENT/� 7,00 7.00 ENp 1'OF�FEES S` • S'% �� OIO:t=°':-'�UP�r,?^_6 ?��tf ii°,:'Q /� 4p?� 1', � , � ... 7 — � r — � ^ . _ �, /J .' GbF45TRUCTION AND PLANNWG PO,G.. e SPA - APP,ROVAIS Permit #,- Date Mspector APPROVAIS Permit # � jL 5e`mporary Electrical Service or Pole 52.� Pool & Equipment Loca[ion 2. So,�Pipe-Undrgrnd. w- �� _ 53. Steel Relnforcement SL-- - - - ,�-, • , ��.-Electrical.GonduiS�Udiity-Un�cgrnd. 54. Forms .•�4�,Electricai�on�ua`tf{tlrgmd. 55. ElectricaiBonding -;�5�Steei Reiqfqrc,�77 pRt � - 56. Rough Piumbing & Pressure Tesi -^B."'Elearical�7FE� � d. 57. APPROVALTOCOVER-GUNITE �� 7TFootings R;.-; � 58. Elactrica! CondE,uLUndrgrnd. i�^g:'Foundatiofi•"'• G a 59. Gas Pipe, O Urrdrgmd., 7est 4� .9. W3tgr Pip6;Undrgre,d. '� 60. Backwasfi LinesfF,?Trap, � Undrqrnd. }a. StrwcturaEfluor System , �, . 67. APPROVAL TQ-DECK �". i l. Pro�ertV Sew � line,& House nnection r, � , �° 62. Backwash & Recegtor-Final 12. Se�uer Cap� ' 63. Heater & Vent-Firtal E- - 73. Rc�'f Drains r'� • �� 64. Plumbing System - Pinal '� 74. RoughPiumbirx�. -•: y �/6-�Ii;G//-![Y 65, Electrical�Pinal �. ' 6 1�4��' 15. Rough El�etricat� oxui; 66. Soler SVstem�F{nal. i 6. Rough Electric '1�jrine. 0 67. Fencing & AccA53-Approval +t7. Rough Wiring Si�n 68. APPROVED F(Sf�P�ASTERING �, u: +. 16. Rough Electrica� Bar Ceiling 69. POOUSPA SYSTEA"S FINAI 19. Rough Heatin�& Air Cond�tio�ing p�E p,EpT.�EQUia EMENT ' � �'S T" 7' F V1 : C%� C' n ,? r C' IT - 20. E3bugp F�ctor�Fi�ace � =' . ,�`. � '' �* .:APPRlJVQL-�"�`� `� x �' �~' _ • S r- S �� ti� .. ,i;.. Pertnit # = r_,._ - - .. 21. t3uCfs-�inatrudure•;�`� : .. .. .`-�• �.i S � �'" 70.'[�nder�i `� u�i �`. -!• 'T -:�_ i �r_ x � C1�x 9 �`ii �dro �. 22. QuttY,Ve'tt�tii�ing_..�. ' X;� Q�j ,,...w :7t. ProduCti�ipiogy�fias GOit 23. Gas pe�Rout�h & Trtst � T� tr < y i� C� G+ 72. Undergr�iind F(jlsH F ji 24. Roof`-�Pratn-ing'� `�' � r� ��F x � � r �,r ••7� Undergmd.Stocac�Tan4cyOGas ❑Oil� 25. Roof�Sheaihing y,_ r". � v.� C � r�� 74? Overhead HyAr�'n, i� 26. �"�Bar;Ceiling (Stru�rai) & hA�-o�wcoat x � j� �fi 7� Dry Chernical c, j�. J� � - ��• c „ - .. 27. Fiarrlean�-Piashing;* - _ r D x 76. Dry Star�¢fpe `'^� * f - "' - _ � �-, y ;- �7, : � -'28. Lathmg A#$iding �.,� "� C.�<< O ��`'. ` .. ..3 7�r FIXED �T $�� F +� ��ti�Ale� C1 eC:�= �y29. Insulatio� O*�J S ... � �," � i" 7✓9'IRE EV.F'{�C�L *% `^ '"' ` . n . - :� 30. D:ywall I�siling ".�'� F, . ;� E.., i 5�;�� p''�,_°ALTH;DEP�. REQUIREMEI� i i A � �. :' 37. Piaster Brovvnifioat r. 5: '�T'.:T' ! � i. 79� FINAL l^3F'EC7l�N * "� X ` �'32 �J,ectrital��ow2�� MP'r�`r�Finai � "� n' �� 8CCFOOD CERTIF4rC�ltTE IS�S E ` � "� Date � InspeCtor � � i� t� � T 4.: 1: I r1� ! l. .�(. �Y. t/ � _. .n � -.:� � ' . t•l � t-� :33. �tnal��temiic7 1.�� M. 6 * �� No"tes: ^ i '� r' _� , �. �. i �� -�6��a��r v�m ♦.�on c__cb_..c'__b} n:: m__.i..:....k...^.S :�i r��'�F� . : ik . Q'. _ �-. _ %`["i. ri.r�:iF:a ��36. Hood'or �nopy '' r =' '"�� "' � � - c� � � . n � =. r•. �n . � o � r- ,. -37. �'Enal F.act�qry Firepjxe ,�c: F-�-- �- � ;38. Final�lumbing �Xr,� : " r ``39. 4VateP"�erv�ce-Fina,�:� g �, �` x r, .T.40. Gas Servit�-Final "+" �'% �' '" s "• " X r �. ti T (. -41. Solar porjF�sticFin�l� `�,s�� w � 42. Beckflow'P.reveoteP�* ^� � ^ L ^F1 * i- 43. BackflowrirrigGelion � � c r c a0.. �andsCape��lrriaation}15ystem � a;�; � ^'" [�t � -� c.:- 45. Saund AKent�tion * �-+ .. .. * ` Q6. Handicap RegutationE " = � � < x< 47. FtNAt STRUC7UR� & BUIL'OING '* F 48. FiNAL P�ANNING * � - � * � A9. Electric ReleaSe to E�dison � X; 50. Gas RSlease to SouthYrn Calitorrtia�as Co X SL CERTiFICATE OF OCCUPANCY� * No. Dete � ;x z -�c� - - �e. ;q �e: s R: ! ! ': <t _m r �. �� ._ -- ._ ■ C'., �k r• -� � # � � .� � ` . X � 'r h��. t f*' : �� o� x c, 1 ` � . . r. CT' . d Y T. ,'_ r I 1.: Cc � i-� � C. r. !� f�: t*; O x F -tc� � _ y, _ �" ^ . . . . ,� ��_,� ac�o h GY (ti R. �-+ x^ r 'J 00!'G � Q" £.� '-� O= x' S F C :r,* `y � �.... EC-`-�-. ..F� K ...v x � _ , s v I, : � m O r � i , �,� 1� t` * r,' r- . , m .' w - I ;� su � x G � � �y �� t a i- �. - � _ c- c ti; _ * .� _ �^' . ' x _ =-. o �-; • -, ... c � � \ \ � �upn�sspFem�oc�c: �Zg W 16TH ST °'�'Eas""uE"'wo�'": HUNSAKER DEVELOPMENT il00NE5k 17761 MITCHELL . � ARCNRECiOfl ENtlNEEN: ARCX.Ofl FNO.'S AOOPE55: CONTRfCTOR'S NAME cam�croxs wuurxi ADDRESS: urr: A—D 714-863-1390 HIMES—PETERS ARCHITECTS 10N0i C008764 3505 CADILLAC °NTi L-5 COSTA MESA CA 92626 MAY COMPANY (909)674-8977 13037 EDGEBROOK DR COAONA CA �ONp 518254 91719 unr: LICENSEU COMPACTONS DECLAHA`ION: I hareby ellim unEer peneEy d pe'ury Mel I em IiwnwE uMer paneiom N Chepter 9 (cpnme�ip wiih Senion )000) d Oivision 3 d the Buanw enC Proleeeions , vM my liceme ie in hA lorce eM MM. cmuc.no.:043155/ uc.cuss: H uc.No.: 5 8fz5 XP: 00/00 Dete: r��J Gonveaa: . �l OWNER BIIILOEN DECIANATION: I hereby eMrm uMer peeWy W perjury �hel I em exemq Imm �M Cont liceme Lew Ia Mw Idbw'vp �aeeon (Setlion'l031.5 &n'vims eed Prdeasions Code: �m/ c1y or OouMY �� nV�iref e plrmil lo trucl. ellar. impraw. Eemd"sR or repei enY siruclure. pior to ea'ssuerice, eW reVuim iM epplimnl la wch prmn to Rb e sqnaE ete�ement Net M or ehe o IicenaeA Wn�e�l lo IM provivons d Ur Conveaon l'xense law IChaqar 9(�meix.'vq xnh Saeun )000) d D'veion 3 d �Ir B�eineas eM Prdessions Code1 «thu ha a she e exemq Ihereham eM iM bavie lor iM ellepeE exempion. My violelion d SeUion )0�1.5 by eny epplrcant la a parmil subpds the eppl�ant to e avil pe�aly d rol more Ihen ive huMreE tloAen �5500��. � I.mox+wrdtMpeopMYamYa^DbY�s�hwepeaeatheiwkwmpa�reetbn.xillEotM1e�wrk.eMlMal�uduresrwliMeiMed a oflereE br eale I�� )�. B�Mss eM Prdassiana Code: The Contreaaa Lioeme lawdoee rwi epplyto en omierd poperry wlw Wlda a inproves IMreon, and xfio does autl� wuM himseM a Mner or Ihrouph he a har own emplvyeee. prwided Ihet wch im0�'emema are mt imeMeE a oHered br sale. X, however, t�a Wikirp n imprwement is cotl xilhin pw yeer d mmpletion, the owriarbuiNer mll neve iM buNen a qoving he or ahe dN nd buile w imo� �« iM puryme d aeb�. ❑ �. es ovmer d iM a�ooeM. em e.duavelr mntreanv wnn �imnxe canveciwe io cmmua �ne v�iea Isecun �aaa. aisl�s m,d Protasione Coda: Tha Conlreciore L'cense law Eaes rwt epply lo en oxmnr d propeny Mro builda w impwea iherean ard who comrecb la euM pral�a wuh e mMretloqa) Icemad Wnuent ia the Conlmdom limnae Lew). ❑ I em uemq under Seclion: B. 8 P.C., la Ihis meaon: Deie: �a I Eo MreW cenity thet I em ewara W and uiMerslend ihe reQuiramems W Celdomie HaeM1h end Sele�y Coda Seniona 25W5, 25533, eM 255�0, enE ihel I a eny Mure buiWiip oaupent will / will nrn (Nrcb ane) need Io comply whh eeid elele cades vM ihe reQuiremenh for apermnlmmnairunionamotlifirationhom�heAv u�6Ty'f.lanegammtDislnp.RaeiEenlielmnsliudanepptirelionaereeaempt/romNese o�oviaionn. WOPKEH'3 COMPENSATION DECL�N�TON: I Mraby alfirm wdx penehy W pe�ury ww d �he bllowi�p Jetlareloru: � I heve entl xil meinten e ceni�cele W mnsen� lo veMiruuro fa wwkero' compemelbn. m povidsC lor by Sermn 3)00 d ihe lebar Cotle. l« tM peAormence o/ Ihe xak im xtich Itiia pmnX i� ieeueE. ❑ i neve ene �;� �m.�.on�• oomwosmbn �murenm. re �ev��ee M see�m mao d m. �n« ceaa. m, me ��m.�,� a m. R work ta whitli I�is permn is iaued. MY workere' campanaetion iruurvwa wner eM potiq numbar me: G�.: ST�TF FrrNn EXPIRES aa�r+�mn« ��4_ocrTnnnz�nS O1/O1/96 �ma sxr�on �eee �n m mmde�ee r� v�� u ra are nu�n�ve ddre�s /s�ool a rma.l ❑ I cenN � m Ne pMormerce d �M wwk iw v.fich thn pmmn ia' I mi emqq enY pe�wn in em� men�wr w es to Eacoma wqea m tna xwkas' compensetion kxs d Celilomia. eg Net ii I Mouk eubjee m tM Mwken' compariambn qaisiom d Seeion 3]00 d tM labor COEe. I ehell lon ' h py xi� D�e:�Z—II—�� A�w�: Waminp: Fellun ro sxuro worken' compens�tlon cove�ps 6 un1�wN1, m! �NI/ �W/�cf en mp/oyn ro c vl p�naMw en0 clvll flM� up N ons hundra! tMurM dollan (S10Q000), M�Afltlon b M� cwf ol rompxu�fbn, u proNdeJ br In Sxflon J)O6 0/ Me Le6or COM, Infsrwt, end ettornsy'� /eu. CONSTqUCTION LENOIN6 RGENCY: I hereEy effirm uMer penelry d perNrY �hel �Mn u e const�uUan brMing egercy la tlw �no�e�m m ine �� r� .n��n ma �� a e�,ad (seaa, aae�, cw, cl. LENOER'S NAME: LENDEH'S AODNESS: I canity �A� I heve read ihis epplicelion end atate Ihe� iha ebove inlwmetion ia comeq. I ep�ee to compy wnh ell cny end counry wdinenwa endsieielevn ' pmbuildingconsvutlbnaMherabyamhorrzereprosemaiivesdlhiecilyroenleruponiMeCove-menlbneEproperry lor inapedio ury us. PAUL MA Name � Dme: I �i/I'� ( SigneWre o� er/NgenVA UCanlrazla (5151<fi W P) While-Buildiq d Saley; GreerFle: Canery-ADD��: Pink-Rawnue: OdCen�oE- Avsema PERMIT NO: M CITY OF COSTA MESA — HUILDING PERMIT 075545 PLAN CHECK NO: N PERM NO: M 075545 GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: ALT JOH DESCRIPTION : FIRE DAMAGE REPAIRS—BLDG—A / PARKING LOT SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS: FIRE DAMAGE FROM 10-27-95 /MECHANICAL/REF B-75542 x **�rx ****�r*+�*x��x�*�x�*�r**x�**x�*****�**� ��x�*�*x�x��*****x�x�****x�*x�*+��r+�x�**x�+r�+�+�**�*x x�* Z O N I N G R E(� U I R E M E N T S S E T B A C K S — MAIN BUILDING — FRNT: FT IN REAR: FT LEFT: FT IN RGHT; FT — ACCESSORY HUILDING IN FRNT: FT IN REAR; IN LEFT: FT ZN RGHT: --------- FT IN FT IN PARRING REQ: PROV; PARCEL; 42413106 ZNE: REF NO: PLANNING NOTES> i ✓� ik 1f 1E 1flf if ik iE iE 1k 1E 1f 1k iE 1E 1E iE iE iE 1E1E 1E i! it 1E 1E 1E iFlE 1F 1E 1F i! i! 1E M i! 1E 1I' 1E iE ik iF if ik ik 1k k iF 1E 1E iE iE 1F �E 1E iE 1E 1E1E 1E 7E fE 1F 1F iE iE i! IF Ik iE1E 1E fE k 1E 1E iE 1F D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S f. ZONING APPROVED BY �` DATE: HUILDING APPROVED BY : r'� DATE: APPLICATION ISSUED BY: �`�' DATE: 1E 1! fh 1E 1l' iE If 1E 1E 1E iE iE 1E 1F 1F!! 1E 1k iE 1f 1f 1F 'lE'k'IE 1E 1F iE iF 1F iE 1E��{F1E 1E LEGALIZATION:N F E E ,S [7 M�M, A R Y STRUCTUAAL SEGMENT:N .� BLDG PMT PLUMHING ELECTR'IC MECHANIC FIRE SMIP/RES GRADING PERMIT ' " � trn121 . 50 +' ��i 25R SMIP/NON—RES PLAN ;�-; : �, Y r ISSUE FEE ,� �15.00 BUILDING—DIV—> PERMIT ISSUE P,LAN—CHECK! TOTAL PAID DUE TOTALS----> 121,50 15.00 � f-✓•0.00 136.50 136.50 ,00 REVENUE DIVISION TOTALS--> COLLECT�ED: I 136.50 OVER/SAORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANZC FIAE SMIP/TOT GRADING PLAN—CHECK �13'6 '..5 0'. - � � : r 1E 1E M fI� Ik 1E 1E 1E ff 1E 1E 7f 1f 1E iE 1E 1! 1E 1E ik iE iE iE if �E iF iE 1flf 1E 1E 1E M 1k iE 41E if� 1E 1E 1k 1E IE 1E 1E IE i(� if iE 1E 1E 1E 1f if 1f iF if 1F if if if if iE i(� 1E iE if' i(�'1k iE if iE 1F II� Ik 1E 1F if if I N D I V I D U A L�, '�'F� E Ey .' B R E A K D O W N TYPE QTY D E S C R I P T I O�N��i( �.� UNIT COST TOTAL COST » � ` �. MEC 6 AEPAIR/ALT COOLING UN'IT/SYS 6I/CNTLS 9.00 54.00 MEC 6 REPAIR/ALT HEATINGiy'UN3T/,SYS W/CNTLS 9.00 54.00 MEC 3 VENTILATION FAN CQNNiTO'/.SINGLE DUCT 4.50 13.50 _ END �OF� �FEES � ^� �/ � !��) ?� e{ co:s.� ,,,.,_� y-�,,-� - -- � -�• J..� 4 l.S�.C�� D9TE[ 2:. _ '.r � ��c _.S .to N �C(�TSTRUCTION AND P�ANNING P�f+- a SPA ��. APPROVAI.S Permit# Date Inspector APPROVALS Permit# Date Inspector i 1, : emporary Electrical Service or PoJe 52. Pool & Equipment Locatio�'� , ", 2. So�l'Pipe•Undrgrnd. �' 53. Steel Reinfarcement � _ =;_ElectricalGonc}G�a;U.t�Aity•Undegrnd. 54. Forms i n� '��:_Electrical �0��1��Jr�lt9rnd. �55. Electricai 8onding . _,; �F�teel Reinforeqngrp:� 56. Fiough Plumbing & Pressure Test �" ' 6F-Electrical�'��A'�?�d. 57. APPROVALTOCOVER�GUNITE � �'7:• ��7:,footings �� '�� "' 58. Electrical Con��iii't_`l�jndrgrnd. �'S:'Poundatio�qC� u a 59. Gas Pipe, � UnBr�md., Test M • ~:�3. WaYer Pip��Undrgrn�. _ 60: 8ackwash LinesEP_Trap, O Undrgmd. SD. Structurak�loor Svstem 61. APPROVAL T�CK � 1 t. ProPerty Sc'wer 4ine & House �onnection 62. Backwash & Rece`g't�orFinal 12. SeK%ar Cap� `` � `� • 63. Heater & Vent-Firial 13. Ronf Drains �� 64. Plumbing System � Final •. 74. Rough Piumbiag=l �-+ 65. Electrical�Final 15. Rough El��ctrical•Condvit - ,� 66. Soiar SYstem-Fioa�. ' 16. Rough Eley{tric �'�{ring' 67. Fencing & AcceSSRpproval ' i 17. Rough Widng Sign 68. APPROVED FQ�`PLAS7ERING ' 18. Rough Electrical� Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditionin � a,._ r„F�RE t�EPT. f�EQUIREMEN�T r �.:"' 20. ouq�Fa oryyFir �ce ' q� �'; "'� '� � �"* PPi�V L'5.�:GPee�] it# * : '`'r� � � c� I S i CC <� F .-i C/. �..... r-. �P -�-n= r. 21. (3«��ct4-in StruCiurfl'.: .. .• �-+ � '=• '-+ x -70. �hdergr"b"a��i� Hy`tJro � f 22. 4ucts'Veatilayng � T � ��, �-, � ��, 71, Produqt�fiping CI� ps CJ�OiI 23. C�iaS �:Pe�R�oughl.& Test _ ^!• r Rt H �*' -'7z• Undergrouhd FIi,75Fr `. •`' r 24, Roof�ra�ng�" .^.; ' c'�" '�' `` � ,_,A „7�Undergrna.Stora�r'�Tank�}uGas ❑Oilrt� � r 25. Roof She�hing `' w ., �. v.x � � ti�� 74�Overhead HydreS�� * 26. F=9alrCeiling (StruEi�iral) & NFomFoat x G �' rr''�'.;. 75t-Dry CherfliraJ F.� �-' ` -r."j� ;; 27. FJamean$.Flashing;, ��,- Ka� >+ �'a 76�. DryStan��e i-�� n �'d' �... nt �ZS. LathrFi9 �iding �" c� �x� X r� ..,.`* 77�. FIXED SYS7E�j�INAL" H�l �x ; ,�29. Insulatiorc G�a' � ' � � � j !' 7�FIRE PREV. FIN�L -� � '^ ��-� �30. Drywall Iiling ,�K ,_, ;� E., � S ��1LTI�UEP'�: fi'ECiDIRiE,ME'��qT .^31. PYaster Brpyvn,Eoat �> s � r .T' � �� 79�JFiNA� If�S?ECTf'ON * � C`d. � r. � • c- - �.32. E��ctrical4'�owe`r Mqter-�S�ai ' Y "' � j � �80�FOOD CERTIFCCATE I$SUED� =S �. „r _.. .-. o, �, _ � ,: , . ., . � . - ^33. �nal�lec�ric �. r:�,: ,,-, � r t X �Nutes: �'g'�� "' G - . �� '� %P�'.2Z�ysz.- ��34. �hal2ieaiing&Ai{�onditioning== � 2�'Sa6 /�/�� ._t�`-fy! _�F��7Q,*��/ �,��- ��Q�, t^ t a ` �,'=l �C_✓ � , � � ' �c v� ��` -r•r� �---� - 35. Finai Gas�iPe�7est,^,;: r� . � ra , r//k DY2-'GY�%�K`'��„F - n �:'36. HoodTor C3noPY K'- _ �- a x r' � r 2 rr'' �7'- �� .�.� C�..yNpr��?^� .-. � r. _. - . �r^ �,: r ir .a -�c� 1�� - -'�" �-C�=D'.�- - �. � -� �-c . . � � �� -37. Final�ac�ryFirepl�ee��,- � F._. � 1 re; 2=-' -q� m ��y�_�_ _ .. �' L_�,� _ -38. Final�?Iw*rbing : _' � �' � � ^ � � �e �.,�" � �.,C s � i .��,n „39. Water Ser'g,xe�Fina�� : M tr, i 'r ^ . � „ _ � ��•. � -. J�J` � ��1(- iv40. Gas Service�-Final � k'^ "':T[^ *[T: Gr� ".'" r, T ron m hnv .4F �: � E-' ' �S � � ��41. Solar �orti2sticFinelr � :� � �" � N; .-�c � r. : � � , ^42. Backflow�f'reventer�� n� = r � I � a7 �F r-' r r '1 r+ -, � r� � C'J �: � i-� 43. Batkflow�lirig3£ion � �F`c'- � � /- Y ✓ i� -•�� 44. LandscapA9rr�2tionSystem - em r r� �. ^ p, w�^,�. . i�� .�e x a r G� ''' 45. So'und AtSenuaTion �' . `;.`- `- ` ' � . $ ['! RI ,K . o� _ Q F Ci X t 4�`. Handicap Reguletions - * '' � = r'� - - x -' q7. �i�NAi: S7RU�TURE & BUILDING � ., * . '� i � �. � 48. FtNFtL PLANNING � � �- r:'} � '� :l r' �,: x _. a � i 1'r i� ') �k � 49. E9'ec[ri� Release to Edison ' � i � `' - . r� -� K 'JN'- � 50. Gas Release to Southun Califorrtia 6as Cn ' " �-- �' = C ' G ''' ti C .��.� $ d OG:� 8h. CERTIFICATE OF OCCUPANCY '• ' - �� • � -� ' '- No. Date January 25, 1996 �� • , CITY OF COSTA MESA �, . CALIFORNIA 926284200 � P.O. BOX 1200 , DEVELOPMENT SERVICES DEPARTMENT May Construction ATTN: Paul May 13037 Edgebrook Drive Corona, CA 91719 (909) 674-$977 (909) 674-8107 RE: HANDICAP ACCESS UPGRADE FOR ELECTRICAL SWITCHING AND RECEPTACLE DEVICES AT 729 W. 16TH STREET, UNITS A-D ELECTF2ICAL PERMIT NUMBER E 075543 Dear Mr. Paul May: The branch circuit distribution system wall switching and receptacle devices are required to be made accessible to the physically disabled. This requires height adjustments of these devices. Switches installed at a maximum of 42 inches and wall receptacles a minimum of 15 inches to the bottom of the device are the code r�quirements. This adjustment was triggered by the extensive electrical modification and replacement of damaged devices and branch wiring systems due to a building fire. Please do not hesitate to contact me if you have any questions regarding the above matter. I may be reached at (714) 754-5230. Thank you for your prompt attention to this matter. Yours cordially, �.�c_1� R bert Cochran Chief Electrical Inspector cc: file 77 FAIR DflIVE Building Division (714) 754-5273 • Cotle Enforcement (714) 754-5623 • Planning Division (714) 754-5245 FAX (714) 754-4856 • TDD (714) 754-5244 Pq0.1ECT �DDHESB: 7 2 9 W 1 6 1•f1 $ T OWNEH'SN�ME: jIUN�AKLSR �oonesa: 17761 MiTCHEI.,L IRVINF. �flCH/ENGINFFfl: �ODflES3: NEO.NO.: uNrt: p UNR: r�pMiTTEE: WYA1"P ]'NDUSTRIES (714)735-'7230 �ooeess: � 21'71 MADERA WAY ltIC�ERSIDE CA 92507 11CFNSED fANTMtTOH OECIAMTION: I IareUy alfirm tlut 1 am IicenseG uMer D�� ol Gupter 9(mmme�np wit� Sactlon 7000) of Oivisian 3 0l tAe Business an0 Proteuroia CoOe. anC rtry license Ls in M1AI loae and effecl. . cmuc.:04�9923 srerEuc.:2640ii91.n � �f' � � � U . Oate: a-��-- 9 0 Sipnawa: �� L-��-� W08KEBS'COMPENSRTIONOECIAFWTION: Ihea6y affirmthatllwveaceNfiwtaofconsrntroselNnsureor tlificateaiWorkers' fAmD��iiwl In511fante of a ttllitie0 COpy IIICrEo�'Setflun 3800, LaU. C�. , wucv xo.: 1 15 4 4 3 7 ocr, o�h: 10 / 21 / 9 0 ornr�xr: �TATE I'UND ' .,� CenifieG copy is �ere0y Iumi5lieG. ❑ CetlifieE copy is fy� wit��uilAin�6ion. /. / / / / Data: '� �/ 3'� 4 � Appliant: �U� O //( � IXEMP110N FROM VIOPNENS' COMPENS�TION OECLAMiION: (Ilis ucum �eA not Oe compMteO if Ne pamt 5 i dre hunOretl (5100) a less). I certity that in t�e perfarmdnce of t�e wOrk tor WNth thk pefmit ¢ issu¢0, I stull �wt employ dny persOn in any manner 50 ds [o Oecome ' Su01e� �o ihe Workars' Compen5ation Laws af Califomia. - oate: a - l sianaWra: � NOTICE: Ii, atler makin0 �his Oeclaralion, you s�oulE Eecome suhlect ro IAe WOMers' Campensation pravisions of tAe Lahor CoOe, you must IorttrNith wmpry wit� wU prov5bn5 w this permt sliall be OeemeE rewked. CONSTPOCTION LENUING �CENCY: I �ere0y atlirm that Nera is a ca�tructim IenOinq a0ency far Ne pedormance ot eM xrork for wAich Ihis De�mit is issueA (Section 3097, Gv. C�. lENOER: , ROOHESS: ' OWNER BUILOEP OFCIAMTION: 1 hereby atlirm Wt I am eaempt trom tAe Cant2ctws' State license Law tw Ne tdWxinp reason (Section 7031.5 Business an0 Prolessbnal CaOe: My ciry oi counry Mticl� repures a pemdt ta conctruct, alkr, imD�%'e, Oemolis�, or repair any stmcium, pdor Io its issuanca. also reQuims Na appllwM lor wch permn m file a siOneE gatement tlut AUSAe Is IicenseE pursuant ta the D�� ol Ne CanVaclars' Sute lhe�e l�w (Cluptu 9(mmmexinq witl� Section 7000) ol Division 3 0l Ue Business ana Prohsslons COGe) or WI twJslre is axempt therelrom arq IM basis iw t�e aVepeE ekemDtlw. My NOWUon of Section 7031.5 Uy any app�kant �ar a permit suCjens me applkam �o a cNil penaM o� �rot more tnan five �u�MaO aNWrs (5500). I, u ox+rcr ol Ihe propeM a� mY emplayea vrii� xapes az Ureir sole comDew��, � �o I�e vrork, anC the ❑ structura n �rot inteMW ocolferM Iw sa�e (Sectbn 70ad, Busnea an0 Professimal Code: Tlre Cprcacrors Sute Liume Law Aas not appy ta an ovmu ol a pmperty wM 6WCs w ImD� �erean, an0 x1n Ooes sucA work Nmsell/hersell or tArouph �u or �er own empbyees, 0«� �� wc� improvemems are mt inteiMeO or olfere0 for sale. II, tqwevar tAe �uil�in0 or � Improvemeni B 5010 wltNn pre year al mmpetion. Ue oxner wiA luve Ne WrEen of provinq tNs�e d10 not DuiM or ImPrave lar ine purpose ol ule). - I, u owner ol Ne properry, am exUuSNeN comractl�p wit� ficense0 contnctors m construct Ne Draject (SecGon 7014, 8usness O aM Prolarims CuOe: TM Coniractars' Sute License Law Eas ml appP/ la an ovmer of D�rry ��bs or impmues Uereon an0 wlw conmctt for such D�� +U a convattnr�s) ticense pursuant ro IM Conmctors' Sure Lkense Law�. I am aware tAat Oroof ol t�elr Worker's Campensatlan insuro�a s�oul0 ba DrouiOeE ta ma. � I am eeempt unGer Sectlon: 8. 8 P. C. for inis reason: Date: � tr+vner. C I Oo nereEy certity IAat I am aware of anA unCerstaM ihe repuirements ot Calilomu Healih an0 Salery CoEa Sectlons 2 , 25533, antl 25534 anC t�at I or any lutura CuilCinp acupant wilUwill not (cirde one) nee0 ro comDN �� a state co0es an4l�e mauiramams lor a perMt lor canstructlon or moEiliratlon Imm Ile r ualiry ManaOemmt pstrict. NesiCential construction aDP�iutions are exempt Irom tAese OmdSions. ' i �ate: Mv�� ' I hereCy cenity �hat I Aave reaE tNs aDPliwtion anE state tlut t�e aEme inlarmation ls corrxt I apree ro compty wit� all ciry an0 counry ortlinances aM state Wws reWtinO to Aulldinp consVuciron ard hereEy autlar¢e re0�ntatives o1 chis ury ro enter upon t�e aDovamentloned prOpefly lof inSPltiiOn DurpOseS. n,, n,,o /,� Oate:o�%-L3-R�� Sipnaturc:�V�`-1 `��/�� oriver's Licenu or Social Securiry x: 1601-48 W�i�e-BuilEiiq; Greer�-Cotle Enforcemani: Cenarv-Applicant: Pink-Revenue: GdEenroC-Asses}or CITY OF' COSTA t4GSA - BUILDINC �'ERMI1' PF:RM NO: B 046040 PLRMIT NO: H 04604II PLAN CHECK NO: _ N GOVT: DI SUPP: N CODISTRUCTION TYPE; III PERMIT TYPE: STR PURPOSE: ALT JUB DGSCRIPTIOtJ : RGROOP SQ FT: 6,048 CLAIM VALOE: G,048.U0 CALC-VALUE: 6,048.00 GROUP OCC: B-2 / COMMENTS: +tx�it��t�t��t�tit�*ititn�it***�r***�t**�t*�t*�r�t**�t**itrtit�r*�t�tx��ttx��t*�tftfr+Eit*�it��*�t�r�-+r*�t***�r+rir**rt�r*-x* Z O N I N G R F.(� U I R E M E N T S S E T B A C K S -------- -- t4AIN BUILDING --------- -------- ACCF.SSORY BOILDING ----------- FRNT: [•'T I1•7 REAR: FT IN FRN'T: FT IN REAR: E'T IN LEFT: F'I' ItJ RGHT: FT IN LEPT: FT IN RGHT: F'P IN PARKINC REQ: PROV: PARCfiL: 11634003 ZNE: REF NO: FLANNINC NOTES> , > if iE ik k iE it i! it if iE iE 3E iE # ib if k k?E iE 3E iE 1E iE iE 1E it iE iE iE k iE iE iE 7f i! iE it iF iE if it iE it i6 iE it iE if iE iE !k �! jE iE iF IE ik it iE it # �(-1E i( k iE it it iE iE iE it%iE k M� 1t it D E V E L O P M E N T S E R V, I C E S R E c,� U I R E M E N�T S 7.ONING APPROVED �Y DATE: HOILDING APPROVED BY : ____ DATE: 2//��D , APPLICATION ISSU�D f3Y: � llA7'E: 2/� �D 1EIE1kk1l1li4iEM�ifkitififitikiEkiEif%it��fllt��{F�� .��'iFiFfEff3E3(�3EfFlk�Eiki�� ifif 1E iE if ft lf % ff k 1! N� 1k if fE 1f it iE 1f it 7Elf it iE fE if !E it �t if k �f iF k k 1F k iF iF if ih 1E k k!E!t!t k iE 1t ik i1� k if k if k iF if k� !F iF i!!f fE 1E iE fE k!E?E iF iE if iF if if ik if 3E fk LEGnLIZATION:N ' F G E 5 U M M A R Y STRUCTURAL SEGMENT:Y ALDG FMT PLOMBING ELT'CTRIC MF.CHANIC PIRE SMTP/RES� G,RADING PERMTT 90.00 SMIP/NON-RES YLAN .91.� ' ISSOE FEE �` DUILDING-L7V-> PERMIT ISSUE PLAN-CHECK TOTAL PAID ` DUE TOTALS----> 90.91 ,0.00 0.00 90.9t 90.9] .00 REVF•.NUE DIVISIODI TOTALS--> COLLECTED: 90.91 OVER/SHORT: .00 BLDG PMT PLUMBINC ELECTRIC MECFtANIC L'IRE SMIP/TOT GRADINC PLAN-CI{LCK 90.00 .93 �' 1t ik l4 dt if if # i(� %� i( iF k �k k i( k if if �1k iF ik M k 1E 3E iE iE k i! it iE ik 1t k i! if iF k it it iF it i! i6 fE if it it M k if If� iF iE it i61F i(� if +E lE k�� i6 i!� k ik k iE it iE it i! it 1t k it iF if I N ll I V I D U A L E' E E & R E A K D 0 W N 1'YPE SFC, QTY. G048 D E S C R 1: F T I O N REROOF BY VA1.UE COMMERCIAL NOZONE END OF FEES UNIT COST 1.00 '1'0�'AL COS1' ',6,048.00 f :, e O1000S3931-D0053932 TOY 90.91 DATE: 02/i3l90 TIflE: 13:1b CONSTRUCTION AND PLANNING POuL & SPA 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 ConduirUtility-Undrgmd. 54. Forms 4.� Electrical Conduit-Undrgrnd. . 55. Electrical Bonding ' �5 Steel Reinforcemeni 56. Rough Plumbing & Pressure Test 6._ Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings - 58. Electrical ConduibUndrgmd. ' 8. Poundation - 59. Gas Pipe. O Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' ' i 12. Sewer Cap 63. Heater & Vent�Final , 13. Roof Drains . 64. Plumbing System � Final � � 74. Rough Plumbing 65. Electrical-Final � � 75. Rough Electrical-Conduit • 66. Solar System-Pinal j 16. Rough Electric Wiring ' 67. Fencing & Access ApProval �i _ 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Elecirical-T Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning �� FIRE DEPT. REQUIREMENT 20.. Rough Factory F.ireplace _� , APPROVALS._� � Permit # 21. Ducts, in Structure� - '' � 70. Underground Hydro � - 22. Ducts,Ventilating �_ - ' �'.,' � �77. Product-PipingOGas ❑Oil 23. Gas Pipe-Rough & Test _ " � 72, Underground Flush - 24: Roof Framing � ' ' .73. Undergrnd. Storege Tank O Gas ❑ 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 PINAL - � 29. Insulation •� � � 78. FIRE PREV. FINAL � 30. Drywall Nailing ' _ ;; . HEALTFi�DEPT. REQUIREMENT 31. Plaster Brown Coat . . �'� 79. FINA� INSPECTION � ' 32. Electrical Power Meter-Final � 80._ FOOD CERTIFICATE ISSUED • 33.. Final Electric � � � Notes: - - � • - 34. Final Heatiny & AirConditioning= _ , ' ' " - , i . _ 35: Final Gas Pipe-Test ' . � - - - 36. Hobd or Canopy �� - � ' - � � -37. Final Factory Fireplace- : , . ' : _ 38. Final Plumbing ' � %� � = - � � ' 39. Water Service�Final• - � � _ " . - ' 40. Gas Service�Final -. � - � •�41. Solar pomesticFinal �- '. � � 42. Backflow Preventer ! • � ' . 43. Backflow �rrigation, -- � . , � 44. Landscape Irriga[ion System � ' �- . ' � ' 45. Sound Attenuation . , „ . - -.� '. � 46. Handicap Regulations - � � � - • . 47: FINAL STRUCTURE & BUILDING •- ' �V �,: '^' � � ( �, _ 5',e,� . 48. FINA� PLANNING � `��99; zd,6C - �yG 49. Electric�Release to Edison y " , �. ,. . 50.. Gas Release to Southem California Gas Co • � � � 51. CERTIFICATE OF OCCUPANCY � - - No. Date PfIQIECT ROOflE3E: 7 2 9 W 1 6 TH S T awxex�s x�Me: HUNSAKER nooxeu: 1776] MITCHELL IRVINF•. IIPCH/ENGINEEH: �OOflE38: HEO.NO.: UXIT: D UNR: PEflMI1TEE: WYATT INDUSTRIES ( 714 ) 735-72J0 aoosEss: 127.71 MADERA WAY RIVERSIDE CA 9250� UCENSEO CONTMLTON OFClAM7I0N: I AereEy affirm Nat I am 5unse0 uMer D«s oi Gupter 9(commendn0 �� on 7000) ot Oi�iUm 3 af ihe Businea aM Prolessiont Cade. anE my ficense is in M1A torce aM effect. ciTruc.:04992J sT�nuc.:26400 �� _1A/�/S,.[r�-3^�f /"J Oate: �—��U SipnaNre: `�"��✓( � • �� WONI(ERS' COMPFNSATION OECIAMTION: I �ereEy al/irm Ihat I Aave a ceNfiate oi concent ro uli-irxu r a certi/ipte of WaAers fAmDenSa�iun Insu2nce, ur a certitieC [opy NereOf ($etlion 3000, LaD. G7. ,roucr xo.: 115 4 4 3 7 IXP� o�T� 10 / 21 / 9 0 r�arnrexr: STATE FUD1D .� CeNfieE capy is �ereEy IumisheC. ❑ Cenifed wpy rs d wiN Ne ciry BWEinp ' i ion. 1 I Date: 02—�'3—�C� ADPGca�L Y��QL�� 14M IXEMPfqN FIiOM WOPKFAS' CONPFNSITION OEWHATION: (ils secuan neW � Ee c�etM il tle D� � a me hwEreE (510P1 a k¢I. I certity ttat in the ce�ormanu ot tne work tor wNCA Nis pemtit 6 isweE. 1 sha➢ mt empby . person in any rtunner so az ta �ecome suUl�� a ihe Warkers' Compensation Laws ol Ca5tomu. Date: �rt��jy 5'qnature: Q ' NOTICE: Ii, aM1er makng Nis EecWauon, you sInNO Uernme subject ta Ne Warkers' Compemation D�a ' ns of Ne LaDor CaOe, yau must fortMnl� mmpty wiN such O�o�� w Nis pemut slWl De OeemeC rewke0. fANSTNURION 1EN01NC �GFNCY: 1 �ertGy affirm tAat Nea 5 a crostruction IenENp apenry lor tAe petlormance al Ne work far whic� tNs pemut is issued (Secuon 3W7, GSv. C). LENDEN: RODNESS: OWNEB BUILOEN OECLAIWTION: I �ereEy attirm ttwt I am ezempt Imm tAe Caniractars' State L'¢ensa law tar t�e lollowinp reason (Section 7031.5 Business aM FotusionY CoOe: My dry of counry wlucn reqWres a permit m comtNci. alter. imprwe. Eemolish, or repair any stmctu2, D�or to Rs issuance, atso reQwu Ne app4cant lar wcl� permit to @e a siOneE sta[ement IIUI �e/she L9 Ilcensetl pursuant to tne proNsbns of tne Canirapors' Sute �icema Law (CMpttr 91�mmend(p witn Section 7000) al ONivon 3 nl Ne Buslness anE Prolessions Cotle) or tldt Mls�e is uempt Nerttmm an0 Ihe Cass tw itrc allepe0 exemption, My vioWqon ol Sectbn 7071.5 Oy any applicant far a Oermtt wojects tAe applicant to a chil penalry of not more tlun /'rva AunAreO Oallars (5500�. . � I, u owner al itce Droperty or my employea with wapes az Neir sole compensatlon, wlll Eo Ihe wOrk, anE IAB O siructuro is nat intenEeE or oflere0lor sale (Sectun 701d, Busi�a aiM Prolessional CoOe: TAe Cantrzpors' Staro License law Eces nol appty to an avmer ol a D�MM � hWl6c or ImD� ��ereon, aiM Mp Ooes suc� woM1 NmselUAersell ar t�mup� Ais or her axn emDloyeu. proviEeE ttat suc� imD«'emems am not intenEeE or oBereE tor sale. II, however tM huilainp ar � improroment is SOIE witNn one year ol completion, tM owner vn0 have t�a Eurden ol Dravin0 ��e EIU imt Cu110 or imprwe far tne o�mose of ulel. � I, az owner al the D�aDeM. am exclusivety comracun0 �� IicenseA wniraclors ta wnslrucl t�e pmjact (Sectlon 7044, Business ❑ an0 Professians Code: TM Coniractors' SUte license Law Eces not appry to �n o.mer ol P�r1y��tlEs or improveSlMreon an0 w�o coniracis lar suc� D�al�� U a conUacroqs) ticense Dursuant to the Cantractors' SGte L¢ense Law�. I am aware Inai Druul of ti�eir Wahet's Compensalion in5urance snoNa DO pNVMed to me. � 1 am exempt un0er Sectian: B. 8 P. C. lar �t�k reawyn:�p.�� Date: '�` �1 �-- L (/ '— Owner: -� I tlo �ea�y certity that I am aware al anE unEerStanG t�e requiremen6 of Califomu Healt� anA Safery Code Sectians 255 , 25533, antl 2553a anG Ilwt I or any future Wtlaing acupant wilUwill irot (cude oire) nee0lo compy xit� saitl state wCes antl Ne requiremenls far a permit lor constmction or moEifiwtion Irom �he Nr Ouabry Manapement OiStnci. HeSiEential conSlmciion aDDlications are exempt Irom Ihese provisions. ' . Oaie: ApplicaM: I �ere6y certity t�at I �ave read this aODfication anE state t�at tAe aGove inlormation is cortect. I a0ree to camply witA all ciry anU counry orAinances an0 state Wws relatinA �o Owlding mnctruclion aM hereEy autlm� reD�nuvres of tNs ary t mer upon the a�w o-mentioneE pmDeM �or inspection purpous. ^ �� L/�/�� „ / ' i / l � bSF oare:o��3—�LO Sianature: LY4� �[�/v/ Unver's License or Sociai Security x: � 1801-68 W�i�e—BuilEing; Green-Code Enlorcement; Canery—Applicant: Pink—Revenue; GOICenroG—Assaasar CITY OE' COSTA MESA — BUILDING PERMI'C FERM NO: D 046049 PGRMIT NO: D 04h049 PLAN CHECK NO: N GOVT: N SUPP: N CONSTROCTIUN TYPE: TII PERMI'f TYPE: STR PURPOSE: AI.T JOB DESCRIPTION : RGROOF SQ FT: 6,048 CLAIM VALUG: G,048.00 CALC—VALUE: • 6,048.00 GROUP UCC: B-2 / CUMMENTS: *��**�e*�r�***��xux�*�r�e�r?r**�**�*�*��x��*��*�r��r��r�r*+r*�xrt�*�r��r*�***��*****�r�r**� Z O N 2 N G R E Q U I. R E M F. N T S S E T B A C K S . --------- -- MAIN BUILDING ----------- ------- — ACCESF,ORY BUILDING --�--- --- FRNT: FT IN RGAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 11634UO3 ZNE: ' REF NO: PLANN.INC NOTES> � . it iF iF iE fk If k it iE iE iE K iE iE iE 3E it iE it iE iE iE it iE iE ik iE if iE k# it if iF iE iF iE jE i! iE iE k iE iF iE it iF iE 3F iE if 1E iF iE k iE jF iF iE it iF ik 3E iE 3E �F iE k it if � if if i! it iF iE iE iF D E V E i. O P M E N T 5 E R V I C E S R E Q U I R E M E N T S ZON:ING APPROVED BY DATE: %�.3 9 O AU.T.LDING APPROVED BY �. DATE: ��3 i� APPLICATION ISSUED BY: DATE: iE k iFlE k ik ik K� ik if it �� M iE iE iM1 if iF iF ih iF it . k iE iF ik!! iE iE iF iF iE��F if iF ft ik M# iE ik R if iE �E ik k iE iE If iE 1F it iF 3f ik it �E 1f ik fE fE fk 1k iF k k �f iElE !E * 1F k k if ik if if ik iE if M-0f 1E 1E �)f iE if it k k k ik if iE iF M iE 1E iE iE ik ih k!f iF iE 1k ib j! �E f!!f I,EGALIZAI'ION:N P G E � U M M A R Y STRUCTURAL S'EGMENT:Y DLDG P�4T PLUMBING ELECTRIC MECHANIC FIRE SM:IP/R$S GRADING PERMIT 90.00 • PLAN SMIP/N91_�7tF5 ZSSUL". J� 6� •BOILDING—DIV—> FGRMST ISSUG: PLAN—CHF.CK 'COTAL PAID�`,- DUE `TOTAI,S----> 90.91 0.00 0.00 90.91 90.91`. .00 REVENUE DIVISION TOTALS--> COLLECTEll: 90.91 OVER/SHORT:� .00 Bf,DG PMT PLUMBING ELECTRT.0 MF.CHANIC FTRF. SMTP/TUT GRADING PLAN—CHGCK 90.00 .91 ,, II iE1FiE%iFifilififiFifMifMkififi(-ifitk�rtiEiEM�IE#kiEfEkitifkiffEMiEiFitiEN�MitiFifif34iEiElEititik%1fkiElEilNlEiF3fiEikiEikic�lFiEkiE#itRiliE1( 7. N D J v r. n U A I� [ E E R R E A K D O W N TYPE QTY. D E S C R I P T I O N UNIT COST T�TAL COST SPC G040 REROOF BY. VAI,UE COMMERCIAI, D107.ONE ' 1.00 • 5,04�.00 END OL CEES A � i: 01 OU053933-UQOS3934 'Y'O T 40.91 DqTE: 02/13/90 TIFiE: 13:16 CONSTFiUCTION AND PLANNING � � POUL & SPA APPROVALS Permit # Date. Inspector APpROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole , 52. Pool & Equipment Location � i 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. � 54. Forms ' 4. Electrical Conduit�Undrqrnd. 55. Electrical Bonding � - 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. �Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footinqs , 58. Electrical Conduit-Undrgrnd. 8. Foundation ' 59. Gas Pipe, O Undrgmd., 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. Root Drains i 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 F�ireplace - , APPROVALS�" Permit # 21. Dutts, in Structu�e• . _ �' 70. Underground Hydro 22. Ducts, Ventilating . � 71. Product Piping �Gas ❑Oil 23. Gas Pipe-Rough & Test -- ' 7Q, Underground Flush _ 24. Roof Framing . . 73. -Undergrnd'. Storage.Tank O Gas ❑ Oil 25. Roof Sheathing � 74. Overhead Hydro 26..T�Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical . 27. Frame and Flashing 76. Dry $tandpipe . ' 28. Lathing & Siding __ � ' 77. FIXED SYSTEM FINAL 29. Insulation � _ ' 78. FIRE PREV. FINAL � 30. Drywall Nailing , , HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter�F.inal •' 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 pomestic-Final � � 42. Backflow Preventer - � 43. Backf�ow Irrigation- • � 44. Landscape Irriqation System ' ' _ 45. Sound Attenuation _ � � 46. Handicap Regulations ' �- ` ,y� �� S 9 47. FINAL STRUCTURE & BUILDING . -��- � 0 8 Gt�G _ 46. FINAL PLANNING � �� • 49.� Electric Release ta Edison ' . . � 50. Gas Release to Southern California Gas Co • , ' ' 51. CERTIFICATEOFOCCUPANCY No. Date i�l rxaecr �ounEss: � 2 y W 16 TH S T awxee•sx�Me: HUNSAKER nooxess: 17761 MITCHGLL IRVINE INCH/ENGINEEH: ROUflE33: REO.NO.: uxiT: � uxrt: r�pMmEE: WYATT SNDUSTRIES ( 714 ) 735-7230 '��u' 12171. MADERA WAY RSVERSIDE CA 92503 • 110EN5E0 CONTMCTOB OEClAN�1TtON: 1 �ere0y aifrm tlut I am frcmse0 unOer D«skns ol CAaO�er 9(mmmeridn0 �tA Section 7000) of Oivsion 3 af tne Business an0 Prolessbns COEe. aM my Gceiae h in fuB lorce aM etlect. ciTvuc.:04992J $T�TEuc.:2640U9�� o c �39 Oare: a` � 3—�U Spnature: '� � �� WOfliIEflS' fAMPEXSATION OFCUMTION: I here aflirm Wt I turo a certifiate ol consent to SUlanS or a ceniliWte ol Workers' Compensation Inwrznce, or a certifieG copy thereol�5ection 3800. LaE. L). =oucr xa.: 115 4 4 3 7 ocv. onrz: 10 / 21 / 9 0 ornreHr: STATE FUND . CertifeA capy a hereEy fumi5he0. ❑ CeNfieO copy� vn� �ildin0 .. i n. �� oate: �—I'1' RU qppecant: - IXEA1FfI0N FflOM WOfl16A5' COMPENSITION OBLAfl,1ilON: (iFit 5xtlm nceE nol Ee mmpkteU il tlie pemii is fa o �un0�� IS70q a I65�. I certify Nat in Ne ce�ormance ol Ne work tw wNch this pemrit 6 asue0, I shall not empby any person in any manirer so az to hecome suUl�t lo tAe Warkers' Compensatim Laws a1 Caf�tomia. Date:' ' $ipnama: NO710E: If, alter malang tAis declaration, you s�wM Gewme SUGject ro the Warkers' Compemation D�+sions af t�e Labor COEe, you must forlAxit� compy wiN wch p�ovisianc a t1Ys pemut stull Ce OeemeO rewkeO. CONSTHUCt10N 1FN01N0 �GENCY: I �ereCy alfirm WI Nem 5 a construcuon IenEinp a0enc/ far ihe Dertarmanca of Ihe woIX lor wAicA iNs Dermit ¢ issue0 (Seciion 3097, Civ. q. � IENOEB: RDOflF38: - OWNEN 9UIlDEP OELUMTION: I hereby allum that 1 am aemD� �rom t�e Contractors' Stata License Law lor I�e tallwnnp reasan (Section 7031.5 Business anU Professional Cade: rUry dry of counry wtuc� requira � Dermii ro wnstruct, alter, imD�wa, Uertqlis�, ar repair any strucWre, O�r ta ils fssuance. alw repuirts Ue appOwnt tor wc0 perMt to lile a spne0 statement tlut �e/slie I5 licenud pursuant to the D��ions al t�a Contacmrs' Sta�e License L�w (CIaD�er 9(commendnp wlt� Section 7000) of UNision 3 of tAe Business anE Professima Cotle) ar WI Ire/sAe is eKem01 merelrom a�M the Dasis lor the allepeE exemptlon. My violation ol Seclbn 7031.5 Oy any appliwnt br a permit subjects ihe applicant to a cNil penalry of no� mom tAan live hunEaU tlollars (5500�. • I, as awner ot l�e D�M or my empIoyees xiN wa➢et as Nelr sole compematlon, wlil ao ihe work, anU ihe ❑ siructura is nat intendea w atlere0lor sale (Sectiw 767d, Buvness a�M Pmlasianal COEet Tne Controctors' State License Law Oces not aDON �o in owner ot a D�operty wM EuilLLs or improves Nereon, aM wln Eoes suc� wnrk Nmsell/hersell or throup� Ais ar Aer awn emD�oyees. Dmviaea tnat suc� im0�ments am not imenAeO ar onere0 lor sale. II, nowaver tne Eullainp or � ImD«ment is SOIG wltNn ona year ot comqetpn. tAe owner will luve tAe UurEm of DroNnp �Ustro OIG not EuiIE or ImD�we lor tAe Durpose ol sale�. I, as awner al t�e O�operry am eeGusivery mnlnctin0 ��h Ilcenu0 contnctors ro constmct ihe O�olect (SecUon 7044, Business ❑ an0 Pralessims CaEe: TM Contncron' Sute Lkerae L�w Eces not apply ta an owner ol Droperry wAo OuilOs ar imOroves thereon and who wntracls far suc� pml� w+N a convumqs) 4cense W�want to t�e Contnctors' State �cense Law). I am aware tAat 0�� a� ��eir Worker's Compenutlon insuranca staul0 Ce Dravi0e0 to me. � I am e�empt unaer Section: B. a P. C. lor tMs reasM: ' - � Z n n DaiO: �--�' —r�� O+m¢r. I ao �ereEy cenity thai I am aware al an0 unGerSlanC tAe repuirements al Califomia HeattO an0 Safary CoOe Stttions 25 5, 25533, anC 25534 aM t�at I or any iNurc MrilGiflp ottupant wilUwill not (tirde One) nGlE to COmpb/ wiN ulE s�dte m0e5 anO Ue ropuiremenLs lor a permit for canstruction ar moCiliotlon Imm t�e N'�ManaOement qsinct. HesiGential constmction aDD�iwtions am eremp� Irom tAese Orovisrons. Date: Applicant: I here�y certiry tAat I have da this apP�iwtion an0 state t�at t�e aUave inlormalion is correct. I aqree to comply with all ciry anE counry ONiIIdnCCS dn0 SId�E WWS f2ldilfly 100111101110 CMSillltlldl dllE hE2 iNMf@ Rp1EY11IiIIVES 011 � Qly t0 EIItEf UpOtI lM d�0VtI11EI10011CA o�opem mr insceceon nQ��us. , �C�a.CC.( �[�(� � Date: � 'I � — L n SiqnaWre: � Dnver's License or Social Secunry x: � 1641-dfi Wnite-BuiltlinG: Green—CaCe En�orcemem; Canerv—Aoclicenl: Pink—Pevenue; GolCenroO—Ameswr ' r_ITY OF COSTA MESA - BUILDINC PERM7T PERM NO: 8 046050 FGRMIT NO: B 046050 PLAN CIIBCIC N0: N GOV1': N SUPP: N CONST'RUCTION TYPC: III PERMIT TYPE; STR PURPOSE: ALT JOB DESCR7PTION : REROOF SQ PT: 6,04B CLA7M VALUE: 6,048.00 CALC—VALUE: 6,048.00 GROUP UCC: B-2 / COMMENTS: ��t*x-�t***�r�r*+t*��**�t�-u��r�*ir+r*�r�r*r**�t**+r**�e*****�r*��t****�tx-*+e��c�*x�x�**��**x�***�r***��*x� 2 O N I N G R E Q U I R E M E N 7' S S E T D A C K S - ----------- MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IM REAR: FT IN FRNT: FT IN REAR: FT IN LGFT: P'T IN RGLIT: FT IN LEFT: FT IN RGHT: FT IN. PARKING REQ: PROV: PARCEL: 11674003 ZNE: REF NO: PLANNING NOTES% ' � _. ***�at**�r*�r�c��ert****r��*��t*�r*et**�r*x-*�t+t�r#�eit�e�-�at�**x*��eit*+t+tat�-��rat�tit*�**f�x�+�****x�at�** D F•. V E L O P M E N T S E R V Z�C E S R E� U 2 R E M E N.T S ZONING APPROVED'BY DATE: BUILDING APPROL'ED BY : ��7 � DATE: 2�I3f/�.a APPLICAT70N IfiSUED BY.: 1/ r"' DATE: Z�/3 �D *�t�tx-�t***��*��t***+��t*x�*�t ��F��i"�iF�ri��t��t**ir*�t±FiF�- #aF'iF*�r ik ik if ff ft it iE i! iE if k it k if iE ik it i! iE 1f i! ik it ik iE ik Y f! if it k iE i! 3! 1f fk iE ik ik iF if k if !E if iF iE ihik it iF iF ik i! ik jt # f! iE if ik ik iE i! i!!f jE iE iE iE k it if �f iE k±t iE lE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMDING F.I.ECTRIC MECHANIC FIRE SMIP/RL•S•� GRADING �LrtMrT 90.00 SMIP/NON—RES [�LAN :'.91 tssur•_ reE �, � BUILD.T.NC—DLV—> PERMIT ISSUE PLAN—CHECK TOTAI., PAID DUE TOTALS----> 90.9] 0.00 0,00 90.91 50.91� .00 REVENUE DIVISION TOTALS--> COLLECTED: 90.91 OVER/S1{ORT: • 00 BLDG PM1' PLUMBING ELECTRSC MECHANIC FIRE SMIP/TOT GRADIN�.PLAN—CHECK • � 90.00 .91 iE at iF 1t k ik iF if iE if ib if if If iE iE �! i(� k iE 1E if M M k 1F k if iE iF if it iF 1F it iE ik 1! iF 1! iE it i! ib k IE fF iflf if k Ih iE iF 1E fE k 1E if �F iE M M� if iF ik i! it k fE it if iE iF k!F iF i6 iE I N D I V I D U A L� F E E B kt E A K D O W N TYPE Q1'Y D F S C R I P T I O N UNIT COST 'fOTAL COST SFC 6040 REROOF BY VALUE COMMERCIAL NOZONE 1.00 . 6,04f3.00 END OF F.'EES ' r 0100053935-00053936 T17iY DATE: �2/13/90 TIHE: i3�17 9tt.41 CONSTRUCTION AND PLANNING . POUL & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole ,_ . 52. Pool & Equipment Location � � 2. Soil Pipe-Undrgrnd.- � � 53. S[eel Reinforcement 3. Electrical Conduit Utitity-Undrgrnd. 54. Forms . 4. Electrical Conduit-Undrgrnd. 55. Eiectrical Bonding �� 5. Steel Reintorcement 56. Rough Plumbing & Pressure Test 6.. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Condui[-Undrgrnd. ' 8. Foundation ' ' 59. Gas Pipe, O Undrgmd., 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 73. 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. Fough Wiring Sign 68. APPROVED FOR PLASTERING. ' 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � � 19. Rough Heating & Air Condi[ioning � FIRE DEPT. REQUIREMENT 20:. Rough Factory Eireplace ;� � - _ APPROVALS . Permit # 27. Ducts, in Structure �� . � 70. Underground Hydro 22. Ducts, Ventilating ' 71. Product Pipin9 O Gas ❑ Oil 23. Gas Pipe�Rough & Test ' 72. Underground Flush �. 24. Roof Framing �� . � 73: Undergrnd.StorageTank OGas OOiI 25. Roof Sheathing 74. Overhead Hydro� 26_T-Bar Ceiling (Structurap &�Monocoat , � 75. Dry Chemical . . 27. Frame and Flashing . ' 76. Dry Standpipe -� . 28. Lathing & Siding � � _ � ' 77. FIXED SYSTEM FINAL . � 29. Insulation • • • 78. FIRE PREV. FINIiL 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: - - � - . 34, Final Heating.& Air Conditioning _ , ' � � 35. Firial Gas Pipe-Test . � . � � � � - 36. Hood or Canopy ' - ' . • ' '_ ' ,., . -37.: Final Factory Fireplace - - _ r..+ � _ _ _. � 38. Final Plumbin9 � , • - � 39. Water Service�Final' � � - , - : ' . -40. Gas Service-Final • - ' � - � r - 41. Solar pomesticFinal' . , � ` � , -- 42. Backflow Preventer � 43. Backflow Irrigation � � 44. Landscape Irrigation SYsterri - - ', : � . ' � 45: Sound Attenua[ion -� ' ' , � � � 46. Handicap Regulations � . 47. FINAL STRUCTURE & BUILDING �� 3 �3 �` a� (� ,� G Q 48. FINAL PIANNING - ' � , 49. Electric Release to Edison � _ �50. Gas Release to Southem Calitornia Gas Co • , � � ' � 51. CERTIFICATE OP OCCUPANCY No. Dace Ci Address nYs Mai Name J(Address � /J�l1�( �/'iOn/-��h�{/�n� !� L.J� � Arch/Eng. . ' Licenu No. Address Contracmr's Name �, ohen: Address (mailing) City License No. LICENSED CONTRACTOR DECLaRATION ' I hereby aftirm that I am licensatl untler provisions of Charter 9(commencing with section 7000) 01 Division 3 Of th¢ Business anU ProfessiOns Cotle, ana my license is in full torce antl effect. License Class License No. Date Signature WORKERS'COMVENSATION DECLARATION I hereDy affirm Ihat I nave a certificate of consent to self-insure or a tertiticate of Worke�s' CompenSdtiOn Insurance, or a certifietl mpy the�eot (Section 3800, Lab. C.) Policy No. Company eCertifietl wpy is hereby furnishetl. Certitietl copy is tiletl with tlte city Builtling Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (TM1iss¢Ction neetl not be completetl if the pe�mit is fo� One huntlretl ($300) or Ie55). I cErtify Ihat In th¢ performance ot the wo�k for which thi5 permR is i55uetl, I snall not employ any person in any manne� so as lo become Subject to Ihe Wo�ker5' CompensatiOn tdws of Calitomia. Data Signature NOTICE: If, after making IhiS tleGla�ation, you sttoultl become subject to Ihe Workers' Compensation proNsions oi the Labor Cotle, you must forthwith comply with Sucn O�o��sions or this p¢rmit shatl be tleametl �evoked. CONSTRUCTION LENDING AGENCV I he�eby aHlrm that [here Is a cons[ruttiOn I¢ntling a9ency /o� the perfo�mance of tne work for which [his Oermit is issuetl (Se<tion 309] Clv. C.) Lentler's Namo Lentler's Aatlress OWNER BUILDER DECLARATION I hereby at(Irm that I am exempt (rom the Contractor's License �aw for the following reason (Section ]031.5 BuSiness antl Professional Cotle: Any city or county whlch requires a permlt to construct, alter, improve, tlemolish or repalr any St�ucture, prio� [O its issuance, also �eqW�es the applicant for Suth pe�mit [o file a signetl statement that ne/ihe Is licensetl pur5uant t0 th0 Provisions of the Contractor's Ucense Law (Chapler 9(commencinq with Sectlon 7000) of Dlvision 3 of t�o Buslnass antl Profes5wn5 Cotle) Or tha[ he/she is exempt ' tnerelrom antl the basis tor the allegetl exemption. Any violation of 5ection 7031.5 by any applicant for a permit subjects the applicant to a civll �enalty of no[ more Ihan five huntlr¢tl t1011ars (§500). I, as Owner ol the prOp¢rty o� my em0loyees with wages a5 their sole compensa[ion, will tlo t�e work, antl the structure I5 not intentletl or oHeretl for Sale ($ection 7046, Business antl PrOfessiOnal Cotle: The Con[raclor'S License Ldw tloes not apply to an owner of a properly who builtls or improves the�eon, antl who tloes su<h wo�k nlmself/her5elf or through hi5 or her own employees, p�ovitletl [hal su[h improvem¢nt5 ar¢ nOt intentl¢� or o�te�etl tor Sale. I(, howeveq the bulltlin9 or improvement is soltl wllhin one year oi com- DletlOn, lne owner will have tha burtlan Of prOving �e/sne ditl not builtl Or im- prova tor the ouroose oi sale�. ❑ I a5 owne� of the p�o0erty, am excluzlvely cont�acting with IiC¢n5e0 con- Iractors t0 wnstruct the project (Section 7044, Bu5ine55 antl Profe55iOns Cotle: The Contiactor'S License I.dw doe5 nOt appty t0 an owner ol property who builtls or ImO�o�es the�eon, antl who mnt�ac[5 to� such projects with a con- tractor(sl license pursuant�to ine ConVactor's Llcense Law). I am aware that Proot o( Iheir Work 5 Compensation insurance Shoultl be provitletl to m¢. ❑ I�m��ert�un r_� B. & P. C. �or this reason nave reatl tM1is application ana state Ihat the above agree to compty with all city antl county ortlinances o b il construction, antl hereby authorize repre- to r n Ihe above-Ten[iOn¢tl OroOertY to! Drive�LiEense or 55 � Type of Sign . ❑ E lectr ic � � � ■ � Description Canopy Attrection Board Advertising Stetuary Other Tract Sign ISecurity & Right of Entry Agreement Special Event (Request form submitted) Chenge of Copy (amortization) Ground Well Roof Projecting Construction Convenience Super Graphic L � ^ ELECTRICAL FEES Fixtures Device Boxes Outlets Switches Sign Stending Sections luue Fee $3 va�uation S 9' 33 �00 Plannin9 Fee $ �` Building Permit $ T � � � Plan Check $ � � • � �— Electriwl $ Plan Check 50% $ — SMIP $ • 7� TOTALFEE $ _� �/7,3 8 DEVELOPMENTSER' PWnni'g APProved BY: Building Approved By: AppRcdtion luued By: 0068-30, rev. 8/86 White-Builtlina: Green-CoOe Enforcemenq Ganary-ApO�icant; Pink-Revenue; Goltlenrotl-Assessor City of Costa Mesa SIGN PERMIT Programs ❑ Shopping Center/Integrated dev. ❑ By Owner/or ❑by City Date letter sent: e� /.� ■ � Verience Planned Signing C.U.P. No I llumination Non-I lluminated Interior Illumination Ezterior Illumination 5�� , sQq sti„r�„t,-� f•f- DW�• INSPECTION APPROVALS Sign Date Underground Conduit Foundations Rough Wiring T—_ I Framing Final Electric F- al Planning � � Final Sign �- �-% �'u _ Date --�;�_� — Date � Date (r '- �� Office Use Only ��/�� r.or,e«v M �T A. P. No. SP��-(-�/ �— Zonin Sign Dist.— r{e � Date Receive �� Received by �y+'� Street fronta �/� Front:=-`�v FL Street:_. /� � Right: J Ft. Street: left: Ft. Street: Pear Pt. Street Building set back from ultimate rightvf-way ft. Sign Lowtion Fronc Reer Right Left Sign Description Sign Dimensions Area Letter Height (1�� x � _ _Q � sq. ft. �� (21 x = sq. it. (3) z = sq, it. Itemsof Information: (1) � (21 (3) LLTotal for Activiry Copy Verbage ��<�� . Ground Sign: Overall Height Planter Area Ground Clearance Total Sq. Ft. of All Sienaee This activity Total Site Notes: /��((,� � 2�� \ Applieant to lill in all svaees within neavy borCer Iines antl sign all apprc COSTA MESA PERMIT NO. ' / TRACT NO. LOT NO `�'1 ��STRUCTION PERMIT �-/ �CJ y Addrea Address Phone ---� Licenu No. � Phone Address /.5`/`/�. -S�tpPf,�Of /�G . !S / LICENSED CONTRACT R DECLARATION I hE�¢by atH�m tnat -I am Iic<ns¢tl untle� p�ovlsb�5 of Cha�te� 9 mencln9 with section 7000) ot Oivision 3 of tho Busines Prafesslons Cotla� dntl_ Ty IlcenSe Is In full fo�ce„yqQ .i WOR�CE(IS' COMPENSNTION DECLARATION I hereby attirT that I have a c¢rtitiCate at Conzent to 5¢If-insu�e o� a •tiflra[e o( Wo�ke�s' ComoensatlOn Insu�an<e, or a Ce�tilietl cqpy LJ Certifietl copy is bereby turnishetl. - ❑ Certifi¢d COOY �s tiletl with ine city Builtling DivisiOn. EXEMPTION FROM WORKERS• COMPENSATION DECLARATION� (This section neetl not be completetl if tne permit is for one hunqretl ($100) or less). � I Ce�tify thdt irl th¢ pe�fo�mance ot th¢ work f0/ which tnis petmli is issuetl,.l shall not employ any person in any manner so as to become subject to the Workers' Compen5atlon Ldws of Califomla. , Da[e Signdture NOTICE: It afte� making thl5 tleclaratlon, you shoultl become subjec[ to tha Workers' Compensa[ion provisions ot [�e Labor COCe, you must forthwitb comply with such O�ovi5ion5 or this p¢rrt�i[ Thall be aeemeG �evoketl. � : CONSTRUCTION LENDING AGENCV I hereby affl�m tM1at tnere Is a con5tructiOn I¢ntlin9 agenty for Ihe per- formance oi the work for which [hiz permit is issuetl (Section 3097 Civ. C.1. Lentler'x Name I Lenaer's AdAress � OWNER BUILDER'DECIARHTION I hereby aftirm lhal I am exempt trom tho Contractor's Llcense Law lor tne tollowing reason (Section ]031.5 Businezz antl Profeszlons Cotle: Any city or counly whiGh �Gquires a pe�mit to consVuct, alter, intprov¢, tl¢m011sh or repalr any st�ucture, priOr (O ILS ISSUdOCC� d150 fC- qulres the appllcant fo� such permit to file a signetl sta[ement thdt he is Ilcensetl pu�ivant to tn¢ O�a��510n5 Of lhe Contractor'S License Law 'ChaOter 9(commencing with Sectlon 7000) of Divlsion 3 of the lusiness antl Pro}essions Coae) or that ne is exempt therelrom antl the �sis Por tM1e allegetl axemptlon. Any violation of Section 7W1.5 by any applicant tor a permit SUDjectS the applicanl to a civil penalty of not more tnan five huntlretl tloilars (E500). ❑ I, as owne� ot the pro0erty, o� my amployees with wa9es as their sol¢ Compen5dtion, wlll tl0 [he wOrk, antl [he st�ucture is nol Inl¢ntletl Or oll¢retl lor sal¢. (SeGtlon 7044, Bu5Ine55 and Profe55ion5 Cotla The Cont�actor'S Ucens¢ Law tloes nol apply to an ownGr Of a property who, bulltls o� impwves thereon, antl who tloes sucb work himielt or Intentletl or otferetl tOr sale. Ii, bowev¢r, tne ouuaing or �mprovemem is soltl withln one year o/ completion, the owner will have the burtlen oi proving he dItl not Ouiltl or imP/ove for tbe purpoze of sale). ❑ I, as owner of the property, am exclusively mnlracting with IiCensetl contraclors to conitruCl Ihe project (Section ]044, Business antl Professions Cotle: Tne Contractor's License Law tloes not apply ro an owner of property who builtls o� ImprOves thereon, antl who con- tracts from such projec[s with a con[racior(s) licesnetl Oursuanl to the ConVacto�'S License Law). . ❑ I am exempt untler SeCtion B. & P. C. lor this reason Date Ownar I have reatl lhi5 applicdtiOn antl Sta[e that Ih¢ above :cL 1 a9ree to comply with all city antl county laws relating to construction, and hereby au[horize Ihis c1Y [q enter� ypon the abOve mentionetl NO: TYPE OF CONSTRUCTION ❑ NEW ❑ ADD O ALTERATION ❑REPAIR ❑CONVERSION,❑DEMOLISH ❑ OTHER DESCRIPTION OF WORK T.VPE OF PERMIT ❑ GRHDING ❑ FOUNDATION ❑ STRUCTURAL ❑TENANT�ELECTRICAL OPLUMBING ❑MECHAI ❑ OTHER PROJECT DESCRIPTION ' 54. FT. OCCUPANCV_CONSTRUCTION TVPE VALUATION ZONE GRADING CU. YDS. � ACRES PlUM81NG TOILETS ' �� LA V ATO R I ES KIT. SINK$' $ERVICESINK$ FLOOR SINKS DRINKING FOUNTAINS INTERCEPTORS PLAN CHECK ' SHOWERS URINALS OOUBLE LAVS DISHWASHERS SUMPS FLOOR DRAINS CLARIFIERS PTRHP WATER SERVICE ALTERATION GASSERVICE OVTlETS WATER HEATERS BTU OUTPUT SEW ER CONNECTIONS SOLAR TANK COLLECTOR'_ SOLAR PIPING SYS. ISSUE FEE MECHANICAL aLArv cHECK HEATINGSVSTEM 0-100,000BTU_ AND DUCTING 300,000 + BTU _ REFRIGERATION 0-300,000 BTU_ SVSTEM 100,000+BTU_ BOILERS BTU SYSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE iignahre "''t' �0 Date � jrivers' l.icense or 55 � - i55UE FEE � CMF 0865-46 White-Builtling; Canary-Appliwnt: Pink-Acmuntin9: Goltlenrotl-Assessor `��4❑ � � 1',/ �.� 4oL ,� ZONING REGULATIONS � � A.P. $ ZONE PING. REF. � ' - REAR VARD (TO PKG. SPACE REQ. STREET WIDTH SPECIAL CONDITIONS: ELECTRICAL PROVIDED PARK FEE E DATE PLAN CHECK I � TRANSFORMER 0-IKW_1-lOKW�_ qPPLIHNCE 10-SOKW_SO+KW_ MOTORS ' ' 0-1 HP_1-10 HP _ (INC. SOLAR) . 70-SO HP SO + HP _ FIXTURES OVTLETS � SWITCHES GAS TUBE SIGNS � POLE LIGHTS - PHNELS MAIN� -' ' SU SERVICE ' � �( � (lr.vo ISSUE FEE APPLICATION APPROVED BV AMP SUMMARV OF FEES ' BUI�DING ' ' PERMIT E SMIP E PLAN CHECK E PERMIT . ISSUANCE E PLUMBING b ' GRADING S PLAN CHECK S ELECTRICAL S� § PLANCHECK $ MICROFILM g MECHANICAL E TOTAL FEE E LE55 AD- PLAN CHECK E ' VANCE PC $ FINALFEE y 'Da �/ — CONSTRUCTION AND PWNNING APPROVALS permit # � 1. Temporary Electrical Service or Pole 9. Water Rpe-Undrgrn 10. Structurel Floor System 11. Property Sewer �ine & House 12. Street Sewer Connec[ion i6. Rough Heati 17. Ducts, in Str 18. - Ducts. Venti 23. Insulation 27. Electrical Power Meter-Final 28.- Final Electric - — 29. •Final Heating & Air-Conditioning �-- — 30. Final Gas Pipe-Test 37. Ha 42. CERTIFICATEOFOCCUPANCY No ' Date ' POO L & SPA Date Inspector pppROVALS Permit 43. Pool & Equipment Location 4 . Steel Reinforcement 45. Forms 46. Electrical Bondin 47. Rou h Plumbin & Pressure Te� 48. APPROVALTOCOVER-GUNI 60. POOL/SPA SYSTEMS FINAL NOTES: 0 Date . I nspeMor ■A � Y ot Tp FAR 177R��p f BUIfOiNG ON NE�f r� G c;'r of o � „ ,� ' '� ;.� By,,.� C� r i�os� � � �--_.,,_ u� I ^�f 7 qKrHES6 P� ----�. � ` ..�� jt ; p NO c NS MUST ..' ----- D �� NAN�� V/�T �N .. BiE - (D ` \ Ho �Q Ar .....__� ,�E issu;;rr �r PR�oR pP� riM � A � l.,.O SN CR �'^iYT,�,� PR�� Y OrP� ,�`,�� FOR,� pR � �'.� JyFt PtRhiR OR AP � T� CIVE,40VIS10riS _..Np.�J,.:� NUT g£ �pN,PRpyq1 Hf WOqkT FpR USpOF� �h., L1 'v!O(ATE J p�� N eRAi� PT DN FAFr SNAIC NUYf P�k�'1/rlgR urMGR� S SFLAVjF� �E !✓S qN�RE4U1Rl�YGRTyc•7 TH� gUPp� p�NS_ OF rIONS � J�� ICAT pvs� �RRtC!lp1H /�F �FFIC1q�D THIS COD �ARRlFD R FROpf ERROpS f OR �F ANr OTyfRU�RpR A��G CITY OF COSTn MESA PLANNING DEFT. SUBJFCT 70 BLDG. DEPT. REQ BY�� DATE�.,'�� DIRECTO OF PUNNINO 2 v %'�(N% �3o a r�-� �� UC� °qR �'�9l �, � \�� / �= ��c- I /�<<l� /] F'� �TF pF yAp9 � H, Apj�lFCTq�'ibjTs �,Sp �,�r( FF �'' r,� C�� qqF'� O�ly _ e R/G+F.�� !i' , • r• �'Fn i�� ,G� ' 'r`' �'�l{�' > �! �'�-d< � ��/"� , �SPF � � , o`rQ S t�� P� ir� �� ,�� ! rC�'��y� � `-i��Tr�rl,�, �U�� I ��U/ayBc'' n 40nJOHs9�'� i� � � �- �� s..�. � �v , c �� Slrv/�n�[� �lo��5 T�� w l�� S'i Go.rT� /t`li-J',c� . C-'�, , `�' 2 G 2, � APDlieant to fill in all spaces witnin heavy bartler lines ana sign all appropriate tleclarations. CITY OF COSTA MESA ' a�q M�Il NO. - TRACT NO. LOT NO. BLOG. NO. CONSTRUCTION PERMIT f//l//�GD� � Address �.,.....�, — Arch/Eng. - • 1 Contrector License No. .LICENSEp COfYTRACTOR OECLARqT10N I hereby affirm th:.t I am Ilcensetl untler provlsions of i mencing with-sectlan 7000) o( OWfsion 3 of-the Protesslons Cotle, �antl my Iicense Is in tull (or< Litens¢ Class �- Lite e fy,p. ��, Date � b � Si9nature � WORKERS`COMPENSATION DE RATION I hereby affirm that I �ave a certi ' ate of consent to '+�tifiWte-of Worker5' Comp¢nsatiOn Insu�ance, o� a / TVPE OF CONS7RUCTION • � �� / ❑'NEW ❑ ADD ❑ ALTERATION � V�y�� ❑ REPAIR ❑ CONVERSION �.OEMOLISH . ❑ OTHER DESCRIPTION OF WORK �.1� TVPE OF PERMIT � ' ❑GRADING ❑ FOVNOATION ❑STRVGTURAL 9 (com- � TENANT ❑ ELECTRICAL OPLUMBING ❑MECHANICP ess antl -Q OTHER ��2�7 PROJECT DESCRIPTION , �/ _ � SQ. FT.� ' � .. / ' I OCCVPANCV_CONSTRUCTI TVPE ure or a VALUATION atl copy - ''��! �.i r i i GRADING CU. YOS. ��^ � .icYNo'1[.! �Z'-�"'r'��ComPanY "�'�6"� �I C¢�titietl copy is hareby furnl5hetl. � _ ' REMARKS: . ❑ Certlfietl coOY �s filetl with the tity Builtling Division. EXEMPTION FROM-WORKERS'COMPENSATION OECLARATION ' ' ' ' (This section.neetl uot be completetl if [ne perml[ is tor one huntlred ' (E100) ar less�. ' I c¢rtity thdt in [h¢ p¢rfo�mdOC¢ ot. [h¢ work fOr whiGh Ihis permit is Issuetl, 1 shall not emQloy any person in any manner so as to become PLUMBING . .PLAN CHECK suDject to the Workers Compensa[ion Laws of Californla.. Date Signature � 9ATHTUBS SHOWERS � NOTIGE: If after making this tleclaratlon, you snoultl become subject ' TOILETS VRINALS ' '- to the Workers' Compensation provislons of the Labor Cotla, you must forthwi[h compry witb such proWsionS or tbfs permit snall be tleemeU LAVATORIES DOVBLE LAVS ' revoketl. CONSTRUCTION LENDING AGENCV KIT. SINKS DISHWASHERS ' I hereby.affirm that',there is a construction lentling agency for the Oer- SERVICE SINKS SUMPS forman<¢ of the work for whiCh this p¢rmit i5 i55uetl (Sectlon 309] ��' �'�' ' - FLOOR SINKS � FLOOR DRAINS �Lentler's Name LentleYs AtlGrezs ' DRINKING FOUNTAINS ' " ' " OWNER�BUILDEF �ECL`ARHTION ' - � � � ' INTERCEPTORS - CLARIFIER$ I hereby aHirm tha[ I am exempt 1�om'the Conlracto�'s LicCnse LAw for t�e'fotlowin9 reason (Section ]031.5 BvSiness antl�Profe55ions Cotlr. SWIMMING'POOL' PTRP.P ' Any City or toun[y.,which �f¢qui�ei_a pe�mlt, lo const�uct„ altar, �� improve, Oemolish or'repair any'strutture, prior [o if5 issuan<e,.also�re-. yyqTER SERVICE •� ALTERATION '' t,��n¢55 antl PrdEssiOns Cotle) Or that h¢ IS ex¢mp[ th¢rGfrOm antl [he 'yyqTER HEATERS' - BTU OUTPVT � for tbe allegetl exemption. Any violation of Section 7031.5 by {(,-i.` appllcant for a permi[ subjects the applicant to a Uvil penalty SEWER CONNECTIONS -' - -- Lr nol more than live huntlretl Collars (5500�. ❑ I, as owner ot tne property, or my employees with wages as their 'SOLAR TANK '- COLIECTORS sole compensation,.will tlo Ihe work, antl the structure is not intentletl or offeretl tor sale. (Section 7044, Buziness antl Protessions COCe: The � SOLAR PIPING SVS. ` Contractor'S Lic¢nse law tloes nOt. apply to an pwner of a property who builtls or improves thereon, antl who tloes such work himsMf or ISSUE FEE � �� [hrougR.his Own emploYeeS, provitletl lhaLsucb Imp�Ovemen[5 a�e nol (nlentlCtl or offeretl for sale. If. howeveq tM1e builtling or improvoment MECHANICAL PLAN CHECK is soltl within one year Of COmpl¢lion„tite owner will have lh¢ burtlen of proving he tlitl not builtl or improve for [he purpose ol sale). HEATING SVSTEM 0-300,000 BTU ❑I, as�owner-of�the-property,-am�exclusively contractin9 �+'ith qND'�UCTING "• licensetl cOntractors ro construct Ihe proj¢Cf (Section 7044, Busin¢ss 100,000+gTV_ antl Protessions�Coae: Tne� Convactor's-License Law Eoes not apply to an owner ot property who builtls o� Improves thereon. antl who Con- REFRIGERATION 0-]00,000 BTU_ tracts irom 5uch�Orojet[s�with a contrattor(s) IlceSneA-pursuant to � SYSTEM - Ne ContraciOr'S License Law�. 100,000 � BTV _ ❑ I�am ezempt untler Settion - "B. 8 P: C. lor Ihis BOILERS BTV reamn - - Da[e Ownar SVSTEMREPAIR,ALTERATION 1 �ereby ceriifythdt I have reatl Ihis appliWlion antl siate that th¢ abov¢ EXHAUST $VSTEM MVLTIPLE information �is correcL I agree lo comply with all cily antl County ortlinantes antl state laws relatinq [o con5t�uc[ion, antl h¢reby autho�ize r¢PreSentatives of this cily lo e¢r upon tM1e above men[lon¢tl . property inspec "on u�pos . �O � Slgnature Date ' Driver5' - ense or 55 # � ' � ISSUE FEE � GMF 0865�•16 W,ryi�e-Builtlinq; Canary-Applicant; Pink-Accounling; GoltlenroU-Assesso� �-14i? V � "/�;.: 12vii � TL A.P. � ZONE � SETBAC, K C/L 5T. SIDFE VARO L5Ep T R11 G HT A�� ' REAfi VAR� (TO P/L) PKG. SPACE REQ. iSTREET WIpTH 20NING APPROVEO B SPECIAL CONDITIONS ELECTRICAL- �PLNTGp. RUEF. p� PROPE�RTY LINE ' � PROVIDED " PARK�FEES � • ' DATE • PLAN CHECK I - �crvons�.i�n '0-1KW_1dOKW_ TRHNSFORMER � APPLIANCE' 30-50KW_50+KW_ � MOTORS ' - - -Od HP_1-30 HP _ . � pNC.50LAR) 1O30HP SO+HP_ . �FIXTVRES - OUTLETS SWITCHES GASTUBESIGNS - ,POLE LiGHTS ' � - -' I I PANELS - MAIN w� ccovirc- — - ISSV E FEE 'LICATION APPRI �� a� �� SUMMARV OF FEES �_ - 'BUILDING - - -- - �PERMIT E SMIP. $ ,PLAN CHE[K E PERMIT ' � ISSUANCE b � ��LUMBING E� . � � . .GRADING� S PLP.N CHECK E• ELECTRICAL y ' ' S' MICROFILM 5 � �" iPLAN CHECK E ,MECHHNICHL E �� . TOTALFEE$ � 'PLAN CMECK- E ' �-E55 AD- • �VANCEPC $_ . FINALFEE $l�f • �� CONSTRUCTION AND PLANNING . POOL & SPA � . APPROVALS Permit # Date - Inspector qppROVALS .. -� Permit # � � Date InQector 1 t. Temporary Electrical Service or Pole 43. Pool & Equipment Location � - -� . 2. Soil ipe-Un rgrn ' � 44. Steel Reinforcement - � � 3. Electrical �ndui[ Utility-Undrgrn_., ._ 45. .Forms � -� - 4. Electrical �onduit-Undrgrn 46. Electrical Bonding � - � - tee ein arce - 47. Rough Plumbin & Pressure Test 6. ._Electrical UFER Grn,. � �48. APPROVALTO COVER-GUNITE - - - • 7. Footings_ � 49. Electrical Conduit-Undr rn • .8._ F.oundation. _ ' � � 50. GasPipe,.�Undr m,Test ..9. Water Pipe-Undrgm_ 57. Backwash Lines P-Tra ❑ ndr rn - '' 10. .Structural Floor SYstem � � 52. APPROVALTO DECK- � '� ' - ' ' ' 17. Property Sewer Line.& House Connection . " 53. Backwash $ Rece tor-Final - � • 12. Street Sewer Connection__ � _- 54.. Heater &'Vent-Final ' � . 13.. Rough Plumbing '� - ' ' ' ' 14. Rough ElectricConduit � - - - J �56: Electrical-Final � � • 15. Rough Electric-Wiring - � - - 57. Solar System-Final� � � " - 16. Rough Heating & Air Conditioning - - . � Pencing & Access Approval • ' 17. Ducts, in $tructure ' ' ' APPROVED FOR PLASTERING ' � 18. Ducts, Ventilating ��p. . _ _ . . 19. Gas Pipe-Rough & Test ' ' 60. POOL/SPA SYSTEMS FINAL � . 20. Roof.Frarqing - - - -� - -. � � - 21: Roof Sheathin � - - - - -� � - " 22. FrameandFlashin -- - - NOTES; '� �� , U�,,,� �, l' � 23. Insulation . - _ . . . ' - . . 24. Lathing & Siding - - - � 25�. Drywall Nailing - - ! � - • � � • 26: -Plaster BrOwn Coat ` � � 27. Electrical Power-Meter-Final - • � �� 28. Final ElecVic - � - ' � � � 29. Final Heating & Air Conditioning - � • � 30. - Final Gas pipe-Test � � ' � - � 31�. Final Plumbing ' '� � � � � � . 32. Water Service-Final - � � � ' 33. Gas Service-Final � � 34. Solar pomestic-Final � ' ' � • 5. Landsca e S rinklin S stem 36. Sound Attenuation ' • � - � � � � 37. Handicap Regulations � � � � • ' � � - 38. FINALS7RUCTURE&BUILDING �� 39. Special Requirements Completed - - ' � 40. Electric Release.to Edison � � � � - 41. Gas Release to Southern Californ�a Gas Co. 42. �CERTIFICATE OF OCCUPANCY . No ° Date . � W H Q 0 J Q i i J � W a 0 � 1 z w _ � F � � W d � � � Y N N S F COSTA MESA BUILOIn,.—SAFETY DEPARTMENT P.O. BOX 1200 Cosfa Mesa, Califirnia ADDRE55 � " Y C�TV C�'l /� :/ /�� / STATE LICENSE NO.�,�A� CITV LICENSE NO. NO. I1EM owemne. 59. Pr.� Gamge, $q. Ft. Firil 40 OWiets, each Ouilen, Addi�ionol Fin1 ZO FiaNroi, aa<h FiaWres, Additional Dryer Fan Heor�. Oven, Domestic Pole. Constmttion Range, Domeatie' Mi�c ' � Maors 13ee ScFedule� HP NP HP v Meren, eo. Permit Fee Sub-Total Fm� � 7afal Fae� �� ' B1J" BLDG. PERMIT NO. For items not listed refer to Fee Schedule G ' l / ! C - lt - i /li'!'/i7- i; i r TEI. NO.i'/. I • %G anss l - / lACN f11f i ^� � S �, nai 00 II�0',<.:::-'::.;:z.%5 PERMIT NO. TRACT NO. REC'D BY �n}�;�? ..' i'j l07 NO DATE ISSUED� BUILDING USE / � `. � � L..,.�� ./' L AD'DRE55 .Zl��, �l � ': !• /L �i %'%-� t'S COSTA MESA, CALIiORNI� NEAREST . i/� �,; �� CROSS ST. � C� OWNE2 /i�// �l� j � ��i/�.� � e •%, ./% il i ADOFESS.tJLl� /!r�-�ST ,jI n� �� "`J an�li r/� /�//L �...J �� .� /L/�/ TEI. NO. s'QTQJ I HEREBY ACK IEDGE THAi I HAVE PEAD TMIS APPII- CALION AND 5 TNAT TNE ABOVE IS CORRER AND AGREE TO COMPtY I1H AlL CITY ORDINANCES �ND STATE lAWS NEG UtATING LECTRICAL WINING. CEYTI% THAi I POSSESS TME ABOVE V�LID ST�TE OF LIFO¢HIA C(hSSfflUi10N OR 1 AM iNf LEGAL ONTlER OF THE SINGIE fAMILY RESIDENTIAI PROPERTY DESC0.IEED AeOVE. . - SIY�aNn ef �� J`"� / 1q. R[M EACN �lEf Sipn 6 1 Trons. 2.00 Trantformen KW Genawmrt I KW $ub�Tofal Fees APPROVALS COST4 MESA BUILf —SAFETY DEPApTMEqT NFi.. P. l OX 1200 ',�' 24-7b,�� 4''3 i��:.::'��10.50 Costa Mesa, Calitornia G � I � � I !�//O C PERMIT H0. y- y� TpACT HO. REC� BY �� -� ContIOC[Of �/ L 5 � I`! Z` l� i v'/ �I � f- LOT M0. ��i � BUI�OING USE OATE ISSUE� / AddrC55 i"J � LC�' C� v�'C' ` f t i�_ �L/ iL�J City i�r, i�i' / f r TcL < C•i/�' 1� C��-�r Jorv�ce �G -, State License No. 7 7 G �C�ess. (� _ t� 3 BUILDING �, � `I ,� / / � �� City License No. � � ^� ADDRE55 � N0. ITEM E�CH FEES COSTA MESA, C�LIFOFNI� NEA0.E5T � �'♦ � FAU, Wall, or Grav. � I Cfl055 ST. �(/ JY I�I !• y� Furn. lnct. Duc[s and Vents to 100 000 BTU over 700,000 eTU Vent lif not incl. abovel Sus ended Heater Alter or Replace 3 H.P. or Venti M isc. � Sub-Total Permit Fee TOTALFEES �o�u ev �x OWNER � 1 - �— � i MAIL AOORE55 � ' � CITY EL. N0. 1 hereby acknowlcdge at I have read this application and stem that lhe a ve is cortect and agree ro comply with all City Ordi ces and S[ate Laws reguVatinB Heac- ing, Ventilaun efrigeration and Air-Condizioning. 1 certi that 1 possess the above valid S[ate of Calit- omia' /�assitica[ion or I am the Icgal owner o( the single fam/iry residential property described above. � /J1gnature o( , Permittm ` ` REMARKS: _ i Ducts Underground Wcts in Stmct�re Ducts Ventilating Heating — Rough Hoods Rcfrigeration Lines Prossuro Tcsi AirvCond. Final Ventilating Finat Heating Final 3 (� Refrigera[ion Final Final Gas Test � hri Utility Co. Noti[ied 6LDG. VERMIT INSPECTOR I OATE J Z(l � • ' ��``� ��``�o Twiniaq Laboratories �f ��«E�«,� �a<<f�=�=«_� ��_�. �� 2 P.Q BOX a] . 3310 AIP?ORi �vAY . LOUG BJ,CH, CALIA 90801 . �213) 42p-7355 . �213� 636-2386 . �7H� 628�6<37 PfA.vf.� OFFlCES: TESTING �si�o�u�..sw-a.,5�,�.• ';�- r+..o.��,.u�..r.e„� Se-�a n.,e CdJc�.�e v]�ol %;z � tass Bedo�eo n.s.. PO. Bo. a piq s3iao.s F'� '�' ��e eee�R. eei,r voeai (zin� me.vee � =_�� .��"• December 14, 1973 Examination: SCJj-H166 COMPRESSION TE5T5 ON CONCRETE CYLINDERS Gle�n Lane Contraetor, Inc. 10770 Patnter Avenue Santa Fe Springs, California 90670 PROJECT ADDRESS SAMPLE FROM PRIME PROPERTIES 16th b Pomona St., Costa Mesa Paneis ARCXITFCT Robert S Sinee Coles, Inc. FNOIHEfR MIX DATE CAST DATE TESTED CYLINDER NO, COMPRESSION TOTAL LOAD, LBS. POUNDS PER SQ. IN. COMPLIANCE CYLINDERS 5.8 saek Pozzolith 3� 11-16-73 11-27-73 - S 11-Day 45,000 1.590 CONTPACTOR Bresnan Const. Co. SUBCONiRAC10R Glenn Lane Co�tractor, inc. SPEGIFIED 0 STRENGTH 2,Q00 ps) SIUMP 12-14-73 9 28-Day 64,000 2,265 28-Day test complies w(th specificatiorts. �uoe er Frenk Gienn DEIIVERED BY Dave 2FCf1VE0 ON 1l-26-73 o,STR�.�T�oN: �l1iLDING SAFETY ��: Glenn lane Contractor, Inc. - 2 I(�"� � t C j H �97� Bresnan Const. Co. 2724 Y1. Main St., Alhambra 91801 � R o b a r t b S inee Co les, Inc, fq -/ 701 W. 16th 5t., Costa Mesa 92627 � d / �Costa Nesa Bldg. Qept. l � �-�`�`.�-� �..�--�� 2�___.-:,.��_V.�- -, �lL NEVOAiS �RE SVBMITTED �5 TME CONFIOENTI�I pROVERTY Oi <L1ENT5, �UTHORIZ/.TION FOR PVBLIC/�TION Of OUP FEPOflTS. CONCLVSIONS. OF ER- TF�CTS FROM OA AEGARpING TXEY IS RESEPVED PENDING OVa Wp1TTEN APVPOV/.L �5 /� MVTU�I PROTECTION TO CLIFNTS, TNE PVBLIC �ND OURSELVES. 330 12 0 � .y 2 fN �,�2�� F��2 � TESTIN6 a Laboratories �f ��Lt�zi,t ��t��f�Z�t�n, �,L�. P.O. BOY, a) . 3710 AIF�ORi VlAY . LCNG BEACH CAtif. ?C"e�i .'213� a2o�3355 .'1i3� 676-2386 .]i<� 81'e 643t BaAVC� 0�-�-CES ISI��AcrrF4a.Ce.$..ee� '�--.� N�De�r..��.e'�vnq Sa��anne Un�o.�.ev1)Cl .�� 'assaea.•evn.e vp Bo.�� ' I��' S3� 20�5 �1d �� -� 9u ^ Ce � VO60� I4i3 OJe1lB6 'rv d j'.—„..' y� Al +�u� r December )0, 1973 ExaminaHon: SC73'7974 COMPRESSION TE5T5 ON CONCRETE CYLINDERS Glenn Lane Contractor, INc. 10770 Painter Avenue Santa Fe Springs, Californfa 90670 PROJECT PR�ME PRUPERTIES %�� ADDRE55 16th G Pomnna, Costa Masa SAMPLF FROM Panels ARCH�TECi E aobeRt b Sinee Goles, I�c. MIX DATE CAST DATE TESTED CYLIPIDER P10. COMPRESSIOPI TOTAL LOAD, LBS. POUNOS PES SO. Ild. COMPLIAPoCE 5.4 sack - 1'� c.c il-I2-73 11-20-73 1 8-Day 49,5a0 1,750 CONTR4ClOR I1resnan Const. Go. SUBCONTRACi00. Glenn Lane Contractor, Inc. SPECIFIED STRENGTH 2,000 ps) SIUMP 12-10-73 2, 28-Day 75,000 2,655 28-Day test complfes �oith speetf(catlons. MADE�BV DEIIVEREO BY ^ �y CYUNDERs Frank Glenn Dave �� msra�ounor+: 4/ /�� Glenn Lane Contractor INc - 2 RECEIVED ON I1-19-73 Bresnan Gonst. Co. � . � I �Ull��r SAFFN ��1'�, 272$ W. Main St., Alhambra 9li301 rtobert � Slnee Coles, tnc. p�� 14 19j3 %U1 �1. 16[h Street, Costa Mesa 92627 ��osta t9esa Bui Iding Department � �^ '. V.v 1�a1.o • ,vP;' _- .. i� ,. ♦lL NEVOYiS �PF SVBMtTTFD �5 iNE CONF�OENTI�L PROPERTY Oi Cl1ENi5 �VTNONIZ�TION iON Pl1BLIC.�TION �l[ O�.N RIPOrtT'� �`�N��'-Si�N'i Y E� TR�CTS iAOM OR PFG�RD�NG TNEM IS RESEPVED PENOING OVR WFIiTEN �PPFOVII. 15 P MVTI��L GROifCTION �O CIikHT�j TMi 4uH.�( �NO '� F+ iVf� 3 i0 12 � ,�`„ ��, PRIME PROPERTY DEVELOPMENT COMPANY l� � Dec�mber B , 1972 City of Costa Mesa 77 Fair Drive Costa Mesa, California Gentlemen: I as the owners agent on the property give permission to Kineti� Sales to install space heaters in their unit providing the installation does not conflict with government ordinances or safety codes. Very truly yours, No n Phillips Property Management N P: pu 501 SUPERIOR AVENUE NEWPORT BEACH, CALIFORNIA 92660 714•645-99dp � `�'' PRIME PROPERTY DEVELOPMENT November 2, 1972 Building Department City of Casta Mesa 77 Fair Drive Costa Mesa, California COMPANY � Re: Ventilation of offices in industriat buildings A, B, & C 729 W. 16th Street, Costa Mesa, California. Attention: Mr. Hanhart, We understand that our ventilating system for the ofFices may not obtain the proper air flow. We hereby agree to investigate and correct the system as required to obtain the two changes of air per hour. We are presently working with our Engineers to resolve this problem as quickly as passible. Sincerely, �. , Nor Phillips Property Management cc: Don Koll Company cc: File 507 SUPERIOR AVENUE NEWPORT BEACH, CALIFORNIA 92660 77q-645-3940 f +� .. 1 (p r .f` 5J�¢....o✓` - �RCL.4c' �.�c�iw�Ao+ 0 � �✓ � ��:.... r _ :.i.: . � . � � � C r NI --�'� �r,., ; h� - V e �� -�� , x � v�e� '�'f' � � y M.� C l� J�c V c(o �; Q./ a /, �� v /��' e a ` /Y �r a a O�' Re�:,r��✓ _ �Ss '��a s � e� uVe/d r w;'f' �n h Wy�r ,� c"f 6 � �'r �ei e� � V � I X �'8 d�e»:,,-� S = o`%Y.7 inz =. ��7 7-t C Fr� - �ts a x . �7 = 7 7 C �' �''( , , F c��.,- � u,• Me �..,,�-.� E c��.�.�„ ��. �-� � c�� P� T� (1-�-� tr � V..�� cL�� \�o w, w c�.., C�.•--�,c_. � . .,,.,�,�.. <ar.;; . � �c� . v �( �' - - ".�' . r1 , . ;. „ � II . , .. �..- -- • � � i � , f -- , . , _ _ _ v� � . �_, .�_..�.�. ,.._� a_. ;. .�_ _!-_ � �,..:r ' . � i _j . . ` _-f_ ; :' - � � . j �. '. �... ' i I ' � � q , s -�-� x « �F-F x � f ,� =; � /d 6 � ! �F �. 3 _�Q,-, � �� c� -I-w l �N �i-.,, a, � z s' ' � i ' � � .. I ' ' ; ' _ ! ; i t ; ; • , i � . . . . . . � i � � 3 ' : �_ .. � � r^ �� _ _ ___��__ _ � .�_i�.; _ � 7� o ; .e F M _ ' ' � ; _ �. � ! 3 � N,.:� ' ` 3 a � .; � , : i1 � - ; � , R �(��0� � . � J-�� : � � PRIME PROPERTY DEVELOPMENT COMPANY November 2, 1972 Building Department City of Costa Mesa 79 Fair Drive Costa Mesa, California Re; Ventllation of offices in lndustrial bulld[ngs A, B, & C 729 W. 16th Street, Costa Mesa, California. Attentlon: Mr. HanFiart, We understand tl�t our ventilating system for the offices may n� obtain the proper air flow. We hereby agree to invest[�ate and correct the system as'requtred to obtain the two changes of air per hour. Vve are presently working with our Eng[ne.ers to resolve this problem as �uickly as passlble. Sincerely, Nor Phlllips �� Property Nlanagement cc: Don Koll Comparty cc: File 501 SUPERIOR AVENUE NEWPORT BEACH, CALIFORNIA 92660 714-645-3940 �� . . 34I96 � �-7��„�"oo ze6 ��*��90.00 ^ COSTA MESA BUILDING-SAFETY DEPARTMENT \ - P.O.BOX1200 COSTAMESA,CALIFORNIA92626 a d APPLICATION FOR BUILDING PERMIT � ForApplicant ro Fillin Completely RE iveo v nr RECE�E OATE ISSUED B��o�N� -�— 3 a� � �S ADORE55 � OWNER � � �C.;J . A.P. O. /l7� O'O3 O PE�I I G BUILDING �� /�/ // � • MAIL ^7 � d n'�j ADORESS (��• ('7� ADDFESS ! �G- u. / ' dU CITY ��.!�' NOL�7`f��/�iJ TPACT LOTp�3 9lOCK � Z Z Q CANSTRUCTION //i /�. n_ 1/! W A A P O V~1 LENDER (�I/1•Y /T� � / d m ,L V J � BRANCH 4 � J fn �./ OWNEF C GS Oi m J A�DRESS � D/� VALVE m ARCHITECT A TEL. N' S $ J a OR ENGINEEF ��- N V� U N W� ADDRESS � ��' � C ff FIRE ZONE TV E GFOUP d W APPROVED 2 W Z CONTRACTOR �/ �p�� . BV � OAT�'" J Q m Z SS' � ,c /�� Y]1.�� J �- ADDRESS Z� CITV y/�� NO��yJ �t-7p ZONE � P�� BUILDING E.1ji/Q4fTiQI/GG �77- J � a w � STATE / CITY _ �'AFlOS APPROVED VARDS APPROVED y 2 LI0. NO. Z� 7{7 LIC. NO.�� ' : MAIN BUILDING ACCESSORV BUILDING � O (FROM C/L STREET) SIZE o NO.OF BLDGS. OF LOT � O (��,�/l NOW ON LOT �O ROfYT FT. FT. USE OF EXI5TING BLDG. � Q T. .Q + cr , F' SIZE OF NO. OF Z NEWBLDG. O D ROOMS STORIES�� L.SIDE . FT.. a EXTERIOR WALL np ROOF V COVERING ��u`C COVERING �� REAR FT. J USE OF BUILDING AND WORK TO BE PERF RMED DI5TANCE BET. a MAIN BLDGS. a < a �!`DUsi2�rAL % l% �'R.# � , c.u.a. # � aaa v � p HOLD FOI : VI hereby acknowletlBe thet I huva reatl this applica2ion antl sta[e n � � that ffie above iniormation is correct entl apree to comply with � all laws reBulating builtling construc[ion, and 1 shall not employ F„ any perwn in vialation ot M¢ workmen's compensation Iaws of the Siate of California. Z1 hereby cer[ity ffiat I am properly licensetl as a contractor untler � �O SQ. FT. [he State of Califarnia Businass antl Protessions Cotle, Oivisicn 3, THE AMOUNT SF Chapter 9, antl that such licanses are in full forca ond effect, or I THE PURPOSE OF am exemp m tho provtsions of the Stnte ot CelltorNe Business VALUATION and Profes ion Cod Division 3, Chapt 9. Slgnatura o �� ) � Permittee ✓ " $ /'� �„p A��ho,iia e�, ll�V' D� I'. � BET. MAIN & —7' /1 1I2E:;i=;�'.T� m 0 VALUATION IS FOR � A PERMR FEE ONLY: m ¢ �� m E $ � � Ks �OA� e `a �_� LL $ Z . aU Z Za ON am J � J � Q W p] J -m J Q UN Za W � aw WZ J Q m Z J � W W O= Z F— W � N � � � ".R � i-7i �M�°OQ 814� **'* 184.82 COSTA MESA BU�LDING-SAFETY DEPARTMENT � P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT forApplicant ro Fi!l in Completely . REcerveo av DATE RECEWED � DATE ISSUED BUILDING ADDRESS / � PERMIT NO. OWNER J G� A.P. NO. MAIL BUILDING ADDFESS ADDRESS TEL. TflACT LOT BLOCK CITV NO. CANSTRUCTION W A� LENDER � BRANCH OWNER AODRESS VALVE ARCHITECT TEL. S $ OR ENGINEER N FIRE ADOfiESS ZONE TVPE GROUP APPROVED CONTRACTOR �� BY DATE ADDRESS ZONE NO.OF USE OF NEW TEL. p�qrys BUILDING CITY NO. STATE CITV VARDSAPPROVED YARDSAPPflOVED IIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT NT FT. FT. USE OF EXISTING BLOG. I E T FT. S12E OF NO. OF NEWBLDG. ROOMS STORIES L.SIDE FT. FT. EXTERIOR WALL ROOP COVEFING COVERING REAR FT. FT. USE OF BVILDING AND WOFK TO BE PERFORMED D4STANCE BET. BET. MAIN& MAIN BLD('aS. ACCESS. 8LIX'a5. �VAR � DATE � G.U.P.3W APPFOVED APPROVED I hereby acknowletlga tha[ I have read this epplication and sta[e �7 that t�e ebove intormation is correct antl apree to comply with ell lawa roguletin0 buildlnB �onstruction, antl 1 shall not employ ( any pe�son In vlolatlon ot the workmen'S comp¢nsatiOn laws of � Me State of California. � �k / I hereby certity [hat I am properly IicanzaG as a convactor untlar SQ. F the State of Celifornie Business end Professions Coda, Oivision 3, � THE AMOUNTSHOWN UNDER VA�UATION IS FOR Chapter 9, antl tha[ such lieenses are in full force entl effect, or I TME PURPOSE OF ESTABLISMING A PERMIT FEE ONLY: am exempi from the provisianz ot Me State ot Calltornia Businacs VALVATION J� entl Profeszions Cotla, Division 3, Chepter 9. PERMIT FEE $ (/ �� Slpneture ot -� Permittee $ PLAN CHECK $ Authorizatl ABant � TOTAL FEE $ _., i , ,• 34I9% " n-7f�N��OO 287 onr�,r90.00 ' COSTA MESA BUILDING-SAFETV DEPARTMENT � . P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 !� / APPLICATION FOR BUILDING PERMIT '\ ForApplicanttoFillinCompletely !�r � qECEiVEDBV DATERECEIVED � DATE ISSVED BUILDING / � � ✓a/�% \ ADDRESS ! / C PER I y _ 11 OWNER ,' A.P.N �D�� /� �f BUILOING ` MAIL ADDRES$ 7� � � Z ADDRESS . �- � � p W W TEL.F TRACT 6f LOT �.l BLOCK d U CITV NO. 3 � ZQ CANST UCfION • W O N LENDER / . am r /nL JN BRANCH � OWNE �jl,.Gd J m J ADORESS VALUE J m ARCHITECT _ TEL. g a OR ENGINEEp N U Q FIRE w K ADDRESS ZONE TVPE GROUP � a w APPROVED J O CONTRACTOR � BV DATE � m Z J � ADORE55 `f K A,s'� W W ZONE NO.OF USE OF NE�e1� Z F CITY �� NOL. ^ —, / PLAN$ BUILDING� p�iy(�J/! O STATE CITV VAFDSAPPROVED VARDSAPPROVED ? O LIC. NO. B— LIC. NO. MAIN BUILOING ACCESSORY BUILOING SIZE NO.OF BLDGS. (FROM C/L STREET) OF lOT NOW ON LOT �— RONT FT. FT. USE OF /�-�� EXISTING BLp�, N. J � FT F SI2E OF /� NO. OF Z NEW BLOG. / D O ROOMS STORIES � L. SIDE O FT. � FT. U EXTERIOR WqL ROOF / � j COVEPING COVERING i' l REAR FT. FT. J VSE OF BUILDING AND WORK TO BE PER MED DISTANCE BET. BET. MAIN & a MAIN BLDGS. ACCES'u. BLDGS. a Q VAR.iW DATE O C.U.G.qW APPROVED ~ "��R Y. % - 3 --� N Z O HOLD FOR SPE A � r i VI hereby ack�owledge thot I have reatl [his eOP��cetion antl store � � [hat ffie ubove informe[ion is correct ontl aprea ro comply with � all Iaws roeu�¢i�ng builtling consnucUnn, entl 1 sball not employ F„ any person i� ��olation of zhe workmen'c compnnsation Iaws of y Me Stata of Californla. � ZI hereby certify xhnt 1 em proparly Iicensetl es a contractor under SQ. FT. o tho Stete of Callfornia Business antl Protessions Cotla, Divisicn 3, TME AMOUNT SHOWN UNDER VALUATION IS FOR ; Chepter 9, a�tl Net such licenses are In full force entl ef(oct, or I THE PURP�E OF ESTABLISHING A PERMIT FEE ONLV: m em axum om Ihe prOvisions of tha $teta of CalitOrnia BuSinoss Q antl Prot ssi y de, Division 3, hapter 9 VA�VATION m � PERMIT FEE $ j 519�atu e of O m Parmltte �� Qf�^�� PLAN CHECK $� � E l o.� o LL Autho ' ed qgent TOTAL FEE $ Z . d U � Z za ON d m J � J N Q W 6� J -m J Q U � Za W � aw W Z J Q m Z J � W W � _ ZH w� N � � � � �s�i�� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA.CALIFORNIA 92626 PAI� '° �i -7r..�.00 820�:� �*� 186.90 APPLICATION FOR BUILDING PERMIT ForApplicanttoFillinCompletely RECEIVEDBV DATERECEIVED DATEISSUE� BUILDING �� ADDRESS / PERMIT NO. OWNER A.P. NO. MA I L BUILDING AODFE55 ADDRESS TEL. TRACT LOT BLOCK CITY NO. CONS7'RUCfION W LENDER 1 BRANCH � _ � OWNEfl ADDRESS VALUE ARCHITECT TEL. S $ OR ENGINEER FIflE ADOFESS ZONE TYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. Z�NE NO.OF USE OF NEW CITY NO. PLAN$ BUILDING STATE GITY �'ARDSAPPROVEO VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUIL�ING SIZE NO.OF BLOGS. (FROM C/L STREET) OF LOT NOW ON LOT ROM FT. FT. VSE OF ExISTING BLDG. S FT SIZE OF NO. OF NEW BLDG. FOOMS STORIES L SIDE FT. FT. � EXTERIOF WALL . ROOF � / COVERING COVERING :�EAR FT. FT. USE OF BUIIDING AND WORK TO BE PEfiFOFMED DISTANCE BET. BEf. MAIN & MAIN BLOGS. ACCE55. BLDGS. VAR.aC+ DATE C.U.P.� APPROVED APPROVED ST I horeby acknowletl0e [hai I have reatl this applice[ion antl siete i si I that tha abOve intormatiOn is cOrr¢ct antl aBroa to comply wi[h / all laws repulatinB builtlin9 conrtruction, entl I shall not amploy � any persan in violatlon ot Ma warkman's compansation laws af t�e Stato of Calitornia. m I hereby certify that I em proporly Iicensetl as a convactor untlar SQ. FT. o the State of Californie Businass antl Protassions Cotla, Division 3, THE AMOUNT SHOWN UNOER VALUATION IS FOR Chapter 9, and that such licensas are in full force nntl ettect, or I THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLV: Q am exempt from the provisions of t�a State of Callfornla Bualnecs VALUATION D m antl Professions Cotle, Dlvision 3, Chepter 9. � pERM1T FEE $ �— "' � Slpnature Ot , m Parmlttae $ � P�AN CHECK $ E o` AUNorizadAOant �� LL TOTAL FEE $ 34198 � � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completety � BUILOING �7 rlODRESS � O' � � I Z . a twj Z Za ON am J � J N Q w tt] J • ¢] J Q U N Z a W � aW W Z J Q m Z J � W W O ZF W � 70 � z Q U J a a Q 0 H y z � F U � � H N Z OWNER MAIL ADDRE: CITV � BRANCH �(/�f�///(,(C/ ADDRESS APCHITECT OR ENGINEER ADDRESS S CONTRACTOR O� ADDRESS /775� r GITY ��N� STATE ��. No. [ 22� S�ZE 3, ��D /� OF LOT USE OF EXISTING BLDG. O SIZE OF NEVJBLOG.� EXTERIOii WALL/��_ �n� COVERING l.(JAJ�[.ql USE OF BVIIDING AND WO TEL. NO. CITV LIC. NO. INO. OF BL�DGS /� NOW ON LOT V , _ e-rP"°00 2as �**� 125.25 �r� APPLICATION FOR BUILDING PERMIT RECEIVEDBV �ATERECEIVED 7EISSVI � �' � /- /_7//A�.��i� PEAMIfi�� A.P. N BUILDING ADORESS ✓� OwNE FIRE 20NE APPROVED VALUE �NE_ �/ INO.OF� I USE OF NE�NO%i%�'/1 PLAPLS BUILDING YARDSAPPROVED VARDSAPPFOVED MAIN BUILDING I ACCESSORV BUILDING ROOF � ,L,��F COVERING 7��-� lC�' REAR iK TO BE PERF RMED DISTANi MAIN BI � /�� VAF.# /'/7 Co f C.U.P. A DATE APPROVED FT. 1 horaby acknawledBe [hot I hovo reatl this eOGlication antl state 9 � —" �� that t�e eCova informacion ia corract entl aprae to comply with '�" �� all laws rog�laUnB builtling cDnsttuc�ion, antl I shall not employ any person in violation al the workman's compenw[ion law� of the Sta[e of Calibmla. � I hatoby cartlfy that 1 om ptoporly Ilcansatl nz a con[ractor untler •� $Q. FT. O the Staro of Celtfornie B�sinoss antl Profazs(ons CoCa, D(viaicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chaptar 9, entl thet such licansas are in full (orco ontl of(ac[, or I THE PURP06E OF ESTABLSMING A PEflMrT FEE ONLY: m em exempt f the provisio�s of tho Stoto of Caiifornia Business ¢ VALUATION antl Protessi n5 otl Divlsion 3, C a rer 9. � N PEfiM1T FEE 5 ] SlBnature L �('� m Purmittou �� /v PLAN CHECK $ /��+ • E i � AU[Il0lI20 QOOL LL J TOTAL FEE $ � - ��' 3�ry,� •' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely lADFESS /�/ !�f I � OWNER MAIL Z ADDRESS W W TEL. d U CITV NO. ZQ CANSTRUCTION O N LENDER am J � BRANCH J � m J ADDRESS J m ARCHITECT TEL. a OR ENGINEER N U N Q w � ADDRESS d W J O CONTRACTOFi m Z J � ADDRESS w w TEL. �= CITV NO. Z � W � $TATE CITV N Q LIC. NO. LIC. NO. 7 � SIZE NO.OF BLDCaS. Of LOT I NOW ON LOT +Ar! 21-77�r',°60 871 � ��* 259.14 APPLICATION FOR BUILDING PERMIT RECEIVEDBV DATERECEIVED nercicciu BUILDING AODRESS TRACT OWNER FIRE ZONE APPROVED ZONE NO.OF PLAfS VARDS APPpOV E MAIN BUILDING (FflOM C/L STREET) PERM�T NO. LOT BLOCK � VALUE $ GROUP DATE USE OF NEW BUILDING VAROSAPPROVED H SIZE OF NO.OF Z NEWBLOG. ROOMS STORIES L.SIDE FT. FT. � EXTERIOR WALL ROOF �� COVEFING COVEqING REAR FT. FT. J USE OF BUILDING AND WORK TO�BE PERFORMED DISTANCE BET. BET. MAIN & �' MAIN BLDGS. ACCE55. BLIX'aS. a Q • - vaa. � onre O � C.U.P.� � APPROVED ~ AP�ROVED N z O rqT VI hereby acknowledge that I have reatl this application and state � [hat the above information is correct antl agree to comply with � all laws regulating builtling construction, antl 1 shall not employ $ F any person in violation of th¢ workman's compansation laws at �.' the State ot California. W N � zI hereby certify Mat I am properly IicenseC as a conttacior under SQ. FT. o the Stete of Cali7ornia Business antl Professions Cotla, Divtsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF � Chapter 9, antl ihat such licanses ere in tull torce entl effett, or I THE PURPa6E OF ESTABLISHING A PERMIT FEE ONLV: m am exempt from the provisions ot the State of Caltfornia Business � VALUATION �� entl Professions Cotla, Division 3, Chapter 9. m PERMR' FEE $ � J Signatura of m Permittee $ � P�AN CHECK $ E 0 AuthoNzed Ageni ' S u TOTAL FEE $ � c 2 . aV Z ZQ ON am J 7 J � Q W Q1 J J m Q U N Za w� aw w Z J Q m Z J Q w w � 2 2 H w� �o F z Q U J a a Q 0 H N Z � F- U � � H N Z ..—..�-��__ 3500� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely d �oREss y�9 w_ i�,T"s� '� _ OWNEF MAIL AODRE: CITV % BRANCN H CONTRqCTOR „jJ�� K��,t ln. ADDRE$Sj�OI �aL- TEL. CITY I�pv�.vE , 42L/_o NO�A73-3 STATE CITY uc.No.aa / 7G R-/ uc.No. SI2E l NO. OF BLDGS. OFLOT �aT'%��gt ,NOWONL07 USE OF ewsrirvG a�oc. IwJD V f s RIAt SIZE OF NO.OF NEW BLq(�, qOOMS STORIE: EXTERIOR WALL ROOF COVERING CeNL COVERINGAPPN.ftT1� VSE OF BUILDING AND WOfiK TO BE PERFORMED ADI7 L j/iaWCiPC Y- a�0Ao7tT � �_�.-F:.�� co��t �:,:�-�.34.65 r• P ICA �ON FOR BUILDING PERMIT RE DATE FEG6r�IYED DATE ISSUEO Z`/ ._2�7 0 A.P. NO. / _ 3 �O—�� BV ILDING /,�� ADDFESS 7 J • �y � Nf TRACTS� LOT �/3 BIOCK W x OWNER ,2 n,�� P2v ,�2T�1'-s ar � � 2 i.U�2n�f12 A�-TF vnws 11 � I FIRE i � .�.n ZON FROM GLSTR DISTANCE BET MAIN 8LOG5. VAR. aW C.V.P.qW APPROVED IJ I hereby atknowletlBe that I hgve reatl t�is applicatiOn and stn[e thnt the ebove Informetion is corract antl a0ree to comply with � �r� i � alt lews repuletlnB builtlinp construction, antl I s�ell not employ nny perspn in violallon of tt�a workmen's compeneailon lews of the Stat� of Calitomia. 1 heroby cartify thet I am properly Iicensatl asa contrector undar Sn' Me Statq of Calitorn(a Business antl Professlona Cotle, Divisicn 3, THE AMOUN Cheptar 9, antl thet suc� licensez ara In (ull forea anG etfxt, or I TME PURPO6E om exempt irom tha provlsions of tha State ot Celitornie Businesf VALUATION ontl Profpssionf Cotle, Dlvision 3, C�apter 9. SIBnaNrep^/�6n� �% !/!/� �/ `r� Parmitta 6_{�L�S6L --r./'6��^'L=` S Au[ho�liatl ABent �` USE OF NEW BUILDING � BEf. MAIN & Rd GA FEE $ u � 0 IS FOR � ONLV: m ¢ �i m rv � � m i-{ o` J� LL �� 35009 COSTA MESA BUIL�WG-SAFETY DEI P.O. BO% 1200 COSTA MESA, CALI FOR For Applicant to Fill in Comple� ADDRESS %x 9 LL/. %� � ~ s �, OWNER �p,.,i p �Pen �FOTi.e t .l BUILDIN6 ADORESS a 7�F....�'1 nag.:� ,��t3�'.65 FOR BUILDING PERMIT a U •.•••' -- •- - TEL. '�IiidCT�%� cirv � � 9.2G 6o No� • o 0 2 Q CONSTRUCf10N O N LENDER 1 m J 7 BRANCH �{/ (� —�� OWNEF /LiG m J ADDRESS � 6 T �� M Jm ARCHITECT TEL. INT�/�7V/TL a OR ENGINEER ! 7 SY' " 9 WV Q T� FIRE 2 ADDRESS J 7�% / KYPq�( G [ .[�p✓i ZONE T aw W Z APPRO J O CONTRACTOF � Kp�l BY m Z J � ADDRESS % Q � _ ' 7EL. ZONE , P�� Z� cirv 1 v� R�Z G rvo. 77- O O w� STATE CITV YARDSAPPROVED j O LIC. NO. 'Z ( 7 B—� LIC. NO. MAIN BUILOING S12E NO.OF BLDGS (FROM C/l STREET) OF LOT 7 C j NOW ON LOT NT FT. VSE OF EXISTING 84DG. � / F SI2E OF NO. OF Z NEW BLOG. ROOMS STORIES L. SIDE FT. U EXTERIOF WALL FOOF � COVERING COVERING (�7L L7 REAR FT. = VSE OF BUILDING AND WORK TO BE PEFFORMED D4STANCE BET. n' MAIN BLDCS. a Q � VAR. qW O Q w C.U.P.#t ~ APPROVED n cn �a ri r�o i�u GU A L Z O VI hereby acknowletlqe th0t I have reeG this appiltation antl stete � ihet the above information is comeci entl epree to comply wit� � all laws �aqulatinp buildinp construttlon, antl I shall not amplOy yOI.D FOR SPi F,. any Darwn in violetion of Me workman's compensation laws of y Ma State of Celitornia. ? I haraby certify that 1 em properly IlcanaeG as a conbactor untlar SQ. FT. the State ot California Buziness antl Professtons Cotla, Divisicn 3, THE AMOUNT SHO' Chapter 9, antl thei sueh licenses are in }ull torce entl effxt, or I THE PURPOSE OF E5 am exempt from Me O�ov(sions of ihe 5[e2e of CelHornla Businass VALUATION end Pro(eszions Cotle, Dlvislon 3, Chapmr 9. � Sipneturaof �/ ��0� g ^�, -O Permlttee ,� �lf �R �OW Authorixetl Agenf a3 " �;(1r1Q (6'c� �.j'l_ �LOT G� i BLOCK �1 ��OPFF-� � F'S � / VqyUE �LT� lao�S E GROUP f � ' DAT�� USE OF NEW i BUILDING � BET. MAIN & 2 C �� W O VAIUATION IS FOH ^ A PERMR FEE ONLV: ¢ � N : $ ) � m Ks � E � J LL $ _ . ._ _..y� . . . . . ,. .- 3501 I � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626 For qpplicant to Fi!l in CompletelyB BUILDING �N �S ADDRESS ] ((/, OWNER P" f . `O. MAIL _ � CITV ,1a y � CpNSTRUCTION LENDER BRANCN ADDRESS ARCHITECT OR ENGINEER . ADDRESS / ; ADDRESS CITV STATE UC. NO. S12E OF LOT ' USE OF EXISTING E 512E OF NO.OF ROOM< ROOF NG AND WOFK TEL NO. TEL. . .,_;-°" on �oo:; k::�.::39.22 :ATION FOR BUILDING PERMIT BY DATE RECEIVED pATE ISSU � u2"'7 � i�_. �i_ / o -63 I '"; A.P. NO. ��b— �� AD'DRIE S/ l� I/�%. I� � c � cr�"��"� ��o G r 3 OWNER�F� ��`� � iul FLfUA2 , ' oisi FIRE ZONE APPROVE /I , NO. f f f- CITV LIC. NO. INO. OF BLD(3S. NOW ON LOT ZONE�/NO.OF PIAN$ j VARDS APPFOVEO OISTANCE E MAIN BLDG VAR. #�' C.U.P.�W APPROVED USE OF NEW /�(/� ,Fi�� BUILDING ��F�� VAROSAPPROVED ACCESSOftV BUILDING eET. MAIN & ACCE�. BLd DATE MPROVED I hereby acknOwletlge that � have �eetl this applicetion end itete that iha above {ntormation is correct antl agrae to comply wlih v _ ell laws regulatjng builtling constr�ction, and I shall not empioy :10]�l} ��R any person in ��olatlon of the workman's compensation laws of Me State ot Cdlifornia. I hereby cer[if� that 1 am property licensed es a conttactor under SQ. FT. the Stete ol Cq�ifornia Business antl Professions Code, Dlvisicn 3, THE AMOVNTSHOWN UNDER Chaptar 9, entl thet such licenus ere in full torce entl affact, or I THE PURPOSE OF ESTABLISMING � em exempt trom [he provisions ot t�e Stete of California Business VALUATION antl Protessioni Cotle, Divislon 3, Chapter 9. PERMR FEE Slpnature ot Permlttae §�� PLAN CHEC Authorized Agani TO"TAL FEE JZ b" :w. " o 1'FJJATION I FOR ' �tMIT F ONLV: � ¢ � m S � � m g E �� ° � LL . �SOIG -�'��yOO 095�, ,t�A,iZ1.O9 COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTq MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applican[ to Fill in Complefely RE I V O DATE RECEIVED DATE IS^SUED ADDRESS /�9 � /C �d ST• C�G �O`� PERM p n A.P. NO. � -�J O` O 3 vV I� owNEa �PR/ME r.POPL 7�6S�6V.�a. C, MAIL 9� ADDRESS %� / L(J � � y1 Z ADDfiESS � �%O d.! N d U CITV r rl Z G� d NOL 3 J. TFACT�S• �(� ' BLOCK Z Z Q CANSTFUCTION W A P ON LENDER ��(/IO _. J 7 BiiANCH �(% � _ J N /� OWNEF � � � mJ ADORESS fw er C� '7 VALUE J a OR ENGINE R C7 NE`SYG�� O3!J S / g U N FIRE �• Q W K ADDRESS /' 7j �jj �(R� jL ZONE VPE' GROU a w APPROV JO CONTRACTOR � L BV � DAT '�'�'� m w¢ ADDRESS �% �py ZONE NO.OF USE OF NEW r z� CITV 11�V! No`.��3j_;�7 � PLAN$ � BUILDING�(Q �j "" �- —� STATE CITV �'ARDSAPPROVED VARDSAPPPOVED y� LIC. NO. �" z%') G B'� UC. NO. MAIN BUILDING ACCESSORY BUILDING � O (FROM GL STREET) 512E NO.OF BLDGS. OF l0T 3• a 7 nC�P R S NOW ON LOT ROM FT. FT. USE OF ExISTING BIDG. ✓f' ,p / 51 E F F"' SIZE OF NO. OF J/ iri( Z NEW BLDG. ROOMS STORIES L SIDE (�> FT. - a EXTERIOR WALL/- ROOF r L% COVEFING C ONG COVERING I �( �F LL fiEAR FT. FT. J USE OF BUIIDING AND WORK TO BE PERFORMED D�STANCE BET. BEf. MAIN & d MAIN BLDGS. ACCESS. BLDC'6. a a � C URP # APPROVED o A�o i s�: 6• ,' �ou� wA�L F APPROVED 16 -7 N nr'' � N GiJ /. f� Z Z O VI hereby acknowletlge ihat 1 have reatl this apPlication antl stare � ihat the above intoimation is correc[ antl agree to comply wlth � all lawz regulatinB builtling cOnstruction, antl 1 shall not employ � � any person in violation of the workman's compensation laws of m y the tat¢ o a i orma. � Z1 hereby certify that I am properly licensetl as a coniracior untler SQ. FT, o the State of Califomia Busineaz antl Protessions Cotle, Divisicn 3, THE AMOUNT-SHOWN UNDE ION IS POR � Chepter 9, entl that such licanses are in full force end eftect, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m am exempt from Ne provisioqs of ffie Stam of Colltornie Business Q VALUATION m antl Professions Code, Division 3, Chaptar 9. ERMIT FEE S �� J Sipnature ot � � / � m Permittee LC//l��CG. �.�' �,,..r $�� PLAN CHECK 5 ' E h .� `o Authorizetl Agent r LL TOTAL FEE 5 � " 35392 ' COS7A MESA BUILDING-SAFETV DEPARTMENT P.O, BOK 1200 COSTA MESA, CALIFORNIA 92626 - For Applicant to Fil/ in Complete/y ADIDRE5S 729 w /L _N � OWNER PPiL�F YFnPCOriF f .D.fu !_�. Z v .� W W aU CITV EWpo T ZZ Q CONSTfiUCTION O N LENDEp / 2 (d J � BRANCH J N m J ADDRESS FWVo m ARCHITECT J a OR ENGINEER L ! UN Q W � ADDflESS J � / aw w Z CONTR4CTOR J Q m Z J � ADDRESS /�% D w w Z� CITV .Q. w 0 STATE N� LIC.NO. `'J Z � 7L � O 512E OF LOT �. STL TEL. NO. TEL. No. 833- CITV LI0. NO. INO. O LF B�D('S. NOW ON LOT PAIO SEP 13-72�M�A00 422� �***34.6�i FOR BUILDING PERMIT BUILDING ADDRESS ED 20NE NO.OF PLANS �'ARDS APPROVED [ USE OF NEW BUILDING VARDS APPROVED ACCESSORV BUILDING H SIZEOF NO.OF /�� Z NEW BLq(�, ROOMS STORIES L. SI E FT. FT. U EXTERIQq WALL ROOF �' .�.L� ��p/oP. COVERING COVERING PEAR FT. FT. J VSE OF gUILDING AND WORK TO BE PERFOFMED DISTANCE BET. BET. MAIN & d MAIN BLDGS. ACCESS. BLDGS. a Q I2�o� (�,V / Ltl LL C.U.P,qW APPROVED � APPROVED/' //� fq B L 'Ti ! . IL � // — �^'N/ I� Z O VI hereby acknowletl8e that I have reetl ihis application antl state 8 � that the abova InformeNon is correct and agrae to comply wii� � all laws regulatin8 buil0in8 consnuction, antl 1 shall not employ F any peryon in violation ot the workmen's compensaiiOn laws of y the Statg ot Calitornia. S/�f, m N ZI hereby certity thet I am properly licensetl es a contractor untler SQ. FT. o the Statp ot California Businass and Professtons Cotla, D(visicn 3, TNE AMOUNT SHOWN UNDEF VALUATION IS FOR � Chapter g� anC [hat such licenses are in full torca antl effect, or I THE PURP�E OF ESiA8L5HING A PEflMIT FEE ONLY: am exempt from Me provisions of the State of California Businezz ¢ VALUATION Q�-- antl Professions Code, Division 3, Chepter 9. U' Q �7 FEE $ � 7 SiO�ature of K� .�j m PermlttQe � �.1� S /�� P�,qN CMECK $ E OL/ `o � LL Authorizatl Apent TOTAL FEE $ . �is� .. . _ 38265 �� -9-,��P"�`ao 335'> �a�r:Z2.i0 • COSTA MESA BUILDING-$AFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applican[ to Fill in Co ple y 2-��47 RE IV BV D/aTE ECEI D D�E ISSUE BUII.DING +J `'/ J/ U ADDFE55 /� K� /!! pSiA�%%P.S9• �� Q /%• , <0.2 f.Al/l..L� � 3� O� 3C� PE OWNER �{/ /�I�l�ij�7�� S. A.P. NO. �Jy ,// BUIIDING ,// // Z . �/' /��,r7 ADOFiESS/f. `� �E� �S� ADDRESS �(/,(6/ � � aU CIT , �� 5�%'(' [� . NOL � -y�� ` TR�CTM�,��i� LOT�pV BLOCK Z Z Q CONSfRUCTION �LU��y�, W ADD A P ON LENDER C�� a m ' J � BRANCH J N OWNER m J ADDRESS VALUE d�� ARCHITECT TEL. S - g /�/r/t/ � J a OR ENGINEE � d' .L N � wN �. �) �' � ADDRESS �•� /�/ /f,{/�E' �� ZONE VPE � GROUP � 4- w APPROVED i W 2 CONTRACTOR Cf BV DATE � J� m Z J � ADDRESS , �(�-��/� w w TEI..:�3 ZONE NO.OF USE OF NEW �� z= CITV r :�(///J' NO. ZJ'" L7%U PLAN$ Z BVILDING `�� F w � STATE � �• CITY ��+RDS APPROVED VARDS AVPROVED y� ��c. No. 5�9�SCiol LIC. NO. MAIN BUILDING ACCESSORV BUILDING �� SIZE NO.OFBLDGS. (FFOMGISTREET) OF LOT NOW ON l0T RONT FT. ' FT. USE OF EXISTING BLDG. SI FT � FT. H SIZE OF NU. OF ( f Z NEW BLDG. ""' ROOMS STORIES L. SIDE \F . FT. a EXTERIOR INALL`-" �'l/� RQOF V COVERING I�L�y� COVERING REAR FT. FT. ' J USE Of BUILDING AND WORK 70 BE PEFFORMEO DISTANCE BET. BET. MAIN & n' MAIN BLDCS. ACCF.�. BLDGS. a O �/l�c.�' S�%)i JCiLJJ� 9"fL/ i• — C URP. q� APPROVED � APPF±OVED _�µ fA ' 1 z 0 VI hcreby acknowletlge thet I have reatl this application ond state A � Ihat ihe above informa[ion is corhect antl aBrea co comply with � all laws regulating builtling constrUttion, antl I shall not employ � F any person in violati0n Of the wOrkman'S compensation laws of N the State ot Calitornia. � � zI hereby cerUty Mat I am properly licensetl as a contrector untler SQ. FT. T� o the S[ate of California Business and Professions Code, Divtsicn 3, THE AMOUNT SHOWN UN�EF VALUATION IS FOR � Chapter 9, antl ffiat s h licenses a In full torce antl ettect, or I THE �UFP06E OF ESTABLISHING A PERMIT FEE ONLY: m am exempt from tt rovisions ffie li ia Business ¢ VALVATION m antl Profezsions iv' ion , apter 9. � PERMIT FEE 5 � J Sipna ure of �d �n( m Perm tee $/� ��Ol PL,P,N CHECK 3 V/ �~b LL `o Authorizetl AOent TOTAL FEE 5 � .' 4357fl ' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant [o Fill in Comple[ely — Use Ink Only BUILDING � !Z q � � � � S'/ ' C �� S+ ADDRESS ( OWNER ( " / V,v�� ADDRESS � ��r CITV C� <�"1��' No`.6tia�i83 CONSTRUCTION � � i. 1 /� LENDER �� V BRANCH ^ ADDRESS ,/� � OR EN INEER '\� �n aL�J�/l'� / NEL G y �O � I AODRESS N�.V/'�LLi,i l.i�pi(,•(�(�, REC ADDRESS FIRE ZONE APPROVED v.,�= "�?4-77�„<•O1�t799: �:`*��46.7C FORSTRUCTURALPERMIT i-�>��7io` w. /G �s�- ADDRESS '� � � ///�� TEL. �� NO.OF USE OF NE _ CITY ^ NO. P� BUILD .F+ STATE CITV Y.4RD5 APPROVED VARDS APPR � LIC. NO. '—' LIC. NO. MAIN BUILDING ACCESSORY B' (y SIZE NO.OF BLDGS. (FROM C/L STREET) 0. OF LOT NOW ON LOT RONT FT. FT. a VSE OF .�. EXI5TING BLDG. $I FT H � Separate permits are required for L SIDE F 0 electric, plumbing and heating work. REA F � VSE OF BUILDING AND WOftK TO BE PERFOFMED F DISTANCE BEf. B MA & Q MAIN BLDGS. ESS. BLDGS. � :a /�/D ('�7��/C' CURP # APPROVED a � �Q Z AW'ROVE r a / X O w � I hareby acknowlad e t�et I ha B Va reatl this applicetion and rtate (y�, ihat the ebove Information is correct entl eB�ea to comply with d ell lews reguleting bulltlln0 �onatruetion, and t snell not amploy z nny percon in vlolation of the vaorkman's componsation laws of Zthe State ot California. 3 I hereby certify that I am propo�tY lieensed as a contrector �ntler SQ. FT. ihe Steta ot Callfornla Business end Profeulons Code, Dlvision 3, THE AMOUNT SHOWN UNDER VALUATI Chapter 9, and that such Iicenae5 are in tull forca enA effect, or I THE PURPOSE OF ESTABLISNING A PERMIT em exempS trom he.peevlsions } the S{et b Blltornia Buslnacs VALUATION PERMIT FEE S` and Professlons tla, DI Islon , hop � SlBnetura ot � / � PLAN CHECK b Permittae � S�� 7qX E Authorizetl Apent TOTAL PAID § I n m i m R m e a u� n ' �V U + ' - � ot �O � - COSTA MESA BUILDING-SAFETY DEPARTMENT . P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Complete/y BUILDING Iy /J(y �� / /� i� � Z . W W o- U Z ZQ � N d m J � J N Q W m J •m J Q U N Z a W � d W W Z J Q m Z J � W W O ZF W � � 0 F z Q U J a a Q � H N z � F U � � � N Z OWNER ��.'�j� ✓�'r�/ICV MAIL ADORESS CITY CONSTRUCiION BRANCH ADORE55 ARCHITECT TEL. NO. TEL. CONTRACTOF f/�/(�(�� N AODRESS TEL. CITV NO. STATE CITV LIC. NO. IIC. NO. SIZE I NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLDG. SI2E OF NO. OF NEWBLOG. ROOM$ STORIE: EMERIOR WALL ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED 'PR 70-7��;�:0(J 363 n�;:*:.l{�� ,!`� APPLICATION FOR BUILDING PERMIT RECEIVEDBV DATERECEIVED neTcicciu BUILDING • ADDRESS � TRACT FIRE ZONE APPROVED ZONE NO.OF PLANS VAROSAPPROVED MAIN BUILDING (FROM C/l STREET) DISTANCE BET. MAIN BIDGS. VAR. 3W C.U.P.y� APPROVEO � VALUE F YARDSAPPROVED BET. MAIN ACCESS. BI DATE I hereby acknowle08a [het I hava reatl this applicacion antl sm�e ��W% that the abova lntormation is corract antl aprae to comply with all laws reg�latinB builtling canztruction, antl I shall not employ eny person In vlolation of tha workman's compensation lews of t�e Stata of Calitornla. m 1 �ereby cerNfy that I am proparly licansatl es e eanireetor �ndor S�. FT. 'o [he Stata of California Buziness antl Profeuions Cotle, Div(sicn 3, THE AMOUNT SHOWN VNDER VALUATION IS FOR � Chaptar 9, antl thai such licanses are In full torce antl elfeet, or I THE PURPp$E OF ESTABLISHING A GERMIT FEE ONLV: m am ezempt from tPe proviaions ot Ne $tete of Californla Busina[s ¢ antl Profazsions Cnoe, Oivislon 3, Chaptar 9. VALUATION m PERMIT FEE $ • � �" � Slpneture of m Parmlttee $ � PLAN CHECK $ �� E . � O Au[horized Agent LL TOTAL FEE $ 43773 CnSTA MFCA RI111 nInIG_S4FFTV f1FPARTMFNT �A1� �-a -E-��«:�,oa �L.�r� �.:: � � �5.50 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 PP ICA ON FOR STRUCTURAL PERMIT For Applicant to Fi4 in Completely — Use Ink Only R c eo DATE RECEIVED p i SUED BUILDING r� � + _ � _ ADDRESS � �/ PERMIT NO. OWNER D - ^ A.P. NO. � BUILDING � �y � MAIL ( L�{ � ADDRESS �R ADORESS CITY �= NOL G�.Z' • TRA � LO BLOCK CANSTRUCTION A� P LENDER BRANCH OWNEfl ADDRESS Z^�� /qLUE A"�� ARCHITECT TEL�� 4 �� S k-'u'itr g OR ENGINEER � FIRE ADDRESS ZONE PE GROUP APPROVED CONTRACTOR L ev � OATE �- G � ADDRESS 7El.. �.ON NO.OF USE OF NEW PLANS BUIL�ING CITV NO. STATE CITV YAFD APPROVED VARDSAPPROVED IIC. NO. LIC. NO. MAIN BUILDING CCESSORY BUIIDING S12E NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT qOfYT FT. USE OF EXISTING BLDG. � F7, Separate permits are required for �. sioe T. FT. electric, plumbing and heating work. REAR FT. FT. ' USE OF BUILDING AN� WpRK TO BE PERFORMED OISTANCE BET. BET. MqIN & MAIN BLDGS. ACCESS, BLDGS. VAR.# DATE P Q (-f� / C.U.P.9W APPqOVED � /�D APPROVE � '� Y' I hereby acknowledBe ihat 1 have reatl this eppliceNon antl stete '^ n ihet the ebove Info�metlon Is correct end eB�ee to comply with m ell lews re9�leNnp builtlihp conrtruc2ion, antl t shell not empioy � nny person In vloletlon Oi Me workmen'a eompensation laws of m the Smta of Calitornie. � � I haraby cariif that I am SQ. FT. rv V prope�ly Iicensatl as a contractor under the Steie ot Cellfornia Byg�neas ontl Professlons Cotla, Dlvlaion 3, THE AMOUNT SHOWN UNOER VALUATION IS FOR m Chepter 9, antl thet such Ilcenaes are in full force entl effect, or I THE PUIiPOSE OF ESTABLISHING A PERMIT FEE ONLV: � am axampt from the p�ovisions of the State of California Buciness VALUATION PERMIT FEE $ � � antl Professlons Cotle, Ivlsion 3, Chepter 9. m PLAN CHECK E ^� Sipnncure of �j� � � Petmlttea S�Y/D TAX E ,SO i �� U Auihorizatl AOant TOTAL PAID E S� O