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Home My WebLink About779 16TH ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lob Address: 779 W 16TH ST Suite: Vicinity: WETWORKS GARAGE Parcel Number: 42413103 Applicane FRANKLIN, REBECCA Address: Owner: ODEGAARD, GERALD E Atltlress 2191 BULLOCK ROAD OAKLAND,CA Contractor: RELIANT SPRAY SYSTEMS Address: 2355 FOOTHILL BL LA VERNE, CA Zip: 91750 Arch : Address: Zip: Zoning: Phone: 909-596-9981 Zip: Phone: Zip: 97462 Phone: 909-596-998� License: 387020 Eng: Address: Phone: License: Slatus: ISSUED Applied: 09/02/2004 Issued: 03/02/2005 ISSUED BY: L11�L1 \►.J1O� ��O W J�9J PER� EXPIRES l-3/-06 Phone: License: SCOPE OF PERMIT INSTALL STATE FIRE MARSHAL APPROVED PRE-FAB AUTOMOTIVE SPRAY BOOTH FOR "WETWORKS GARAGE." REF: F04-00250 Plan Check: $72.31 Permit: $11125 SMIP Res: $0.00 SMIP Com: $1.05 Other: $0.00 Inspection: $0.00 Total: $184.61 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existin : 0 Rear 0- 0 Rear 0-0 Reauired: 0 FEE SUMMARY Calc Valuation: Ss,000.00 Claim Valuation: $s,000.00 PLANNING & ZONING Lek 0-0 Right Left 0-0 Right Proposed: 0 � f NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaas-ae �a�oo) WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalry of periury ona oF the following declarations: ❑ I have entl will melntain a certiticate oi consent to self-Insure for workers' compensetion, es providetl tor Dy sedion 3700 ot the Lebor Code, tor the pertormance of iha work for which this pertnit is issuetl. '� I have and wi�l maintain workers' compensation insurance, es require0 6y section 3700 of the Lebor Cotle, for the peAormance ot ihe work for which this pertnit is issued. My workers' coCmpensation Insuranc wrrier end policy number are: ��/�/ Garrier:--w-� VT/�}� ��/ l y� Pollcy'IJ m r. _�`T /(O l�� .�. Is section need nof be completed i/ the permit is Aelued a( one hundred dollars ($f 00J or less.) ❑ I certify Ihat in the p ance ot the work for whicry t's permit is issued, I shall not employ any person in any manner so as to becoma suDJect to ihe workers' compensalion lewabt C lifornia, and egree thet if I dp uld hecome sub�ect lo the workers' compensation provislons ol Section 3700 of ihe Lebor Cotle, I sha0 f6rthwit� �y w_ i'hesa pr sions. � � // Plicank�gneWre: ��+�-- _ate:� � —� "�5 WARNING FAILURE TO SE UFE ORKERS' COMPENSATIO VERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNORED THIXISAND OOLLARE (5100,000). IN ADDITION TO THE COST OF COMPENSATIIXJ, OAMAGES AS PiiOVIDED FOR IN SECTION 3�W OP THE LABOR CADE, IMEREST, AND ATTOPNEV'$ FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm Ihat I am force end ettecL� Cwurec ignetUr§ of Chepter 9(commencing with Section 7000) of Division 3 0l ihe Code, and my license is in full CONSTRUCTON LENDING AGENCY: ❑ I hereby aNirm that there is a constmction lentling agency for Ihe pertormance of the work for which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lendafs Name: Lentlefs Atltlress: Signature: � Date: OWNER-BUILDER DECLARATIONS: I hereby attirtn that untler penalty oi perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, 8usiness antl Professlons Cotle: Any city or county which requires a permit b constmct, elter, improve, damolish, or repair any stmcWre, prior to its issuance, also requires lhe applicant for such permit to tile e signed statement that he or she is Ilcensed pursuent to the pmvisions of Ihe Contractors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 oi tha Business and Professions Code) or lhet he or she is exempt therefrom and the basis for the allege0 exemption. Any viotation of Section 7031.5 by any applicant for a pertnit suhjecis the applicant to e civil penelry of not more ihan five hundred dollars ($500).): ❑ I, as awner of Iha properry, or my employeas wlth wages es their sole compensetion, WILL DO THE WORK, antl the s�mcNre Is not intentletl or oNered for sale (Sec. 7044, Business antl Professions Code: The Coniractors License Law does not apply to an owner of pmparty who builds or improves ihereon, and w�o tices such work himself or herself or through his or her own employees, provided that such improvements are not intended or oflered lor sale. If, howevar, ihe building or improvement is sold within one yeer of completion, the owner-builtler will have ihe burden of proving that he or she did not builtl or improve tor puryose oi sale.). ' ❑ I, as owner of the pmperty, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct iha project (Sec. 7044, Business end Pwfessions Code: The contractors License Ww does no� apply to an owner of property who builtls or Improves thereon, and who contracis tor such pmject with e coniractor(s) license pursuant to ihe Coniractors License Laws.J. ❑ I am ezempt under sec. Business and Protessions Code for ihis reason: Signature: Date: Owner ID venfietl by dnvers license. Ves ❑ No Drivefs License No. Expires: Verificetion of Ownership by (type of dacument, i.e. - property taz bill or tlead): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I here6y cenity ihat no eacavetion five (5) or more fee� in depih inm which a person is required to descend, will be metle in connection with work au�horized by Ihis pertnit, and that no buildinq strucWre, scaHolding, falsework, or demolition or dismamling thereot, will be more than ihirry-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, California Adminisirative Code). � ❑ As ownerbuilder, I will not employ enyone to do work which would require a permit from the Division of Industrial Satety, as notetl above, unless such person hes e pertnit to do such work fmm ihe division. Signature: Date: Division of Induslrial Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury ihat 1 have read �his epplication and state ihat the information given is correct. I agree b comply with ell stete laws and city ordinances relating to building consiruction, antl authonze representatives of ihe Ciry of Costa Mesa to enter upon Ihe above-descdbgtl propetly for inspec�ion puryoses. I agree not to occupy or allow xcupancy of eny builtling authorized by this permit until final inspection. CODE I. i616 1266 Fixed System Pinal Firo Prevention Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition D�TE INTITIALS Et INSPECiIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approvai 222 Finai Site 250 Final BuildinglOccupancy o�rE Im9L5 r � • WEIDENKELLER, MARY JANE From: MORGAN, BURT Sent: Friday, January 20, 2006 12:41 PM To: WEIDENKELLER, MARY JANE Subject: Permit extensions at 779 W. 16TH ST Mary Jane: I granted extensions on four spray booth permits at the above referenced address. They are as follows: 604-01546 F04-00250 E05-00173 M05-00099 Each of these has been extended through 01/31/2006. They should be scheduling today for Monday, 01/23/06 inspections. Thank you! �urt 9Korgan Chief �Plans �aminer BuiC�ing Safety �Division XS61S (714) 754-5273 • Fa�c (714) 764-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: MECHANICAL PERMIT 779 W 16TH ST WETWORKS GARAGE Parcel Number: 42413103 Applitant Address: Owner: Address: Contractor. Address: FRANKLIN, REBECCA 2355 FOOTHILL BL LA VERNE, CA ODEGAARD, GERALD E 2191 BULLOCK ROAD OAKLqND, CA RE�IANT SPRAY SYSTEMS 2355 FOOTHILL BL LA VERNE, CA Phone: 909-5969981 Zip: 91750 Phone: Zip: 97462 Phone: 909-596-9981 Zip: 91750 License: 387020 Status: ISSUED Applied: 03/02/2005 Issued: /02/ S ISSUED BY: EX�,E�1SI�1� �il..��E�� PER EXPIRES � �3i0� SCOPE OF PERMIT INS7ALL STATE FIRE MARSHAL APPROVED PRE-FAB AUTOMOTIVE SPRAY BOOTH FOR "WE7WORKS GARAGE:' 1 V�NTILATION SYSTEM REF: B04-OA546 8 F04-00250 ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall HV Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < t0000cfm Air Handlers > t0000cfm Floor Fumace Floor or Suspend Heater $23.50 $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 Quantity FEESUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeretion Unit Ventillation System Evaporative Cooler Com mercial I ncinerator Domestic Incinerator Compressors / Absorplion Svstems Upto3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 8TU Boilers Upto3hp 3To15hp 15to30hp 30 l0 50 hp Over 50 hp Olher Mechanical Fee Investigation Fee � Plan Check Fee Quantity $0.00 $0.00 510.65 $0.00 $0.00 $0.00 $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 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-g2) EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced within 180 days, or if work is suspended or ebantloned for a period of 7 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all epplicable codes, and all required tnspections and final approvel must ba obtained. Failure to obtain inspections and final approval will result in the ezpiratlon of thls permit. FOR INSPECTIONS CALL: (714) 754-5626 . 2446d8 (6I00) WORKERS'COMPENSAnON DECLARATON: I hereby affirm under penelry of perjury one of the following declaretions: ❑ I heve entl will meinlain a certilicate ol consent to salf-Insure br workers' compensation, es providetl tor by settlon 3700 of the Lebor Code, for Ihe paAormance of ihe �work for w�ich this pertnit is issued. I hava antl wlll maintain workers' compensation insu2nce, as requiretl by section 3700 ot tha Lebor Cotle, tor Ihe peAortnance of Iha work Por wNch Ihis permit is issuetl. My workers' wm ensation Insura ce wr er entl policy number are: �cams�" � �UN � P.� f �%Gi �� (This seclion need nat be cromp/etetl il the permit is velued e( one hundred dollare ($100) or /ess.) ❑ I certify that in the performance of tha work for which this permit is issued, I shall not employ any pereon in any menner so es to become subject to the workers' compansetlon lews of Cellfor end egrae thet II I should 6 come sublect to ihe workers' compensatlon provislons ol Sectlon 3700 of the Labor Cotle, 1 shall fotlhwit� comply wi�h �hese provisi0n • .`��,��e: �J��a, „ oa�.-, , � � -o s— , ��- WARNING FAIIUFE TO SECURE WOFKE ' CAMPENSATION fA GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CFIMINAL PENALTIES AND CNIL FINES UP TOONE HUNDRED THIXISAND OOLUPE (5100,000). IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3'lO60F THE LABOq CODE, INTEREST, AND FTTORNEY'S FEES. LICENSED CONTRAC70R5 DECLARATION: I hereby ettirm thet I em Ilcensed untler rovisions of Chapter 9(commancing wlth Section 7000) ot DiNslon 3 of the Buslness antl Professlons C,f�e, end my Ilcanse is in full force en��^�� n ,Clas` � —//o cI /-h c hdM i.� In�m� �_'� —/1 c— CONSTRUCTION LENDING AGENCY: ❑ I here6y aHirtn that ihere is e consiruction lending egency for ihe pedormence ot Ihe work for which this permit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lenders Address: SignaNre: Date: OWNER•BUILDER OECLARA710NS: I hereby ettirtn thet under penalry ot perjury that I am EXEMP7 FROM 7HE CONTFiACTORS LICENSE LAW tor tha following reason (Sec. 7031.5, Business entl Professions Code: Any ciry or counry which requires e permil ta constmct, eltar, improva, tlemolish, or repair any structure, prior to Its Issuence, also reQuires Ihe epplicant lor such pertnit to file e signed stetement that he or she Is Iicensed pursuent to the proNsions oi the Contraciors License Lew (Chapter 9(wmmencing wit� Secilon 7000) oi Divislon 3 of the Busineu end Pmfesslons Catla) or thet �e ar she is exempt therefrom antl tha besis for Ihe elleged exemplion. Any dolalion oi SecllOn 7031.5 by any applicant for a pertnit suhjects the applicant to e civil penelry ol not more than tive hundred dollars (5500).): ❑ I, as owner ol the properry, or my amployeas with weges es iheir sole compensa�lon, WILL DO THE WORK, antl tha structure Is nol Intentletl or ofleretl for sale (Sec. 7044, Business and Professlons Code: The Contractors License Law tloes not applY �o an owner of properry who builds or improves thereon, an0 who does such work himsell or hersell or throuqh his or her own employees, providetl that such improvements ere not intended or oflered for sele. If, however, the builtling or impravemani is sold within one yeer of complotion, the owner-builder will have the burden ot proving ihat ha or she did not build or improve for puryose of sale.). � ❑ I, as awner of the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimct Ihe project (Sec. 704G, Business and Pwfessions Code: The contreciors License Lew tlaes not apply to en owner ol property who builtls or improves thereon, end who comrects lar such project wilh a conirector(s) license pursuenl !o the Contractors License Lews.). ❑ I am exem0� untler sec. Business antl Professions Code for this reason: Signature: Dete: Owner ID venfied Dy tlnver's licenso. � Ves ❑ No Oriver'S License No. Veriticalion of Owners�ip Dy (type oi doc m n�, i.e. - prapatly tex bill or daed): OIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certify Ihat no excavetion five (5) ar more feel in depth into which a person is required lo descend, will be me0e In conneclian with work euihonzed by t�is permit, and Ihat no building siructure, scaflolding, talsework, or demolition or dismantling ihereof, will be more t�en Ihiny�six (36) feel high. (Chap. 32, Gry 2, An 2, Sec. 341, Ttle B, Californle Adminisira�ive Cotla). ❑ As ownerbulltler, I will not employ enyone to do work which would require a permi� from the Division of Industriel Sefety, as notetl ebove, unless such person has e pertnit to do such work fmm iha tliWsion. Signature: Date: Division of Indusirial Sefety Permit Number: CERTIFlCA7E OF COMPLIANCE AND AUTHORIZA710N OF ENTTiY: I cetlity untler penalry of perjury thet I have reed this epplication and stete that ihe information given is correct. I agree to comply with ell state laws entl city ordinances relating to building construction, end euthodze representatives of Ihe City of Gosta Mese to enter upon the ebove-described propehy for inspeclion Durposes. I agree not to occupy or ellow occupancy of any building authonzed by l�is Dermit until final inspection. GOUE I, INSPECTONTYPE 1616 Fi:eG System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Roof 207 Final Blxk/Reteining well 202 203 204 Final Factory Fire Place Final Sign Final Demolition Date,__ � � � ��i S uD"et Qy1g Itf �E,( INSPECiIONTYPE 206 Final Machanical 208 Finel Plumbing 210 Finel Elecincal 212 Final Fire Preventlon 220 Finel Planning Approval 222 Final Site 250 Finel Building�Occupency �g Z2 (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 779 W 16TH ST Suite No Vicinity: WETWORKS GARAGE Parcel Nunmber: Applicant: Address: Owner: 42413103 FRANKLIN, REBECCA 2355 FOOTHILL BL LA VERNE, CA ODEGAARD, GERALD E Address 2191 BULLOCK ROAD OAKLAND,Cq Contrector: RELIANT SPRAY SYSTEMS Address: 2355 FOOTHILL BL ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+uniLs) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors l0 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication tlrops LA VERNE, CA ELECTRICAL PERMIT Phone: 909-596-9981 Zip 91750 Phone: Zip: Status: ISSUED Applied: 03/02/2005 Issued: 03/02/2005 ISSUED BY: E�T� � D 97462 A ■ ,T �O PLlIJ PER� EXPIRES � " � � " � 6 Phone: 909-596-9981 Zip: 91750 License: 387020 SCOPE OF PERMIT INSTALL STATE FIRE MARSHAL APPROVED PRE-FAB AUTOMOTIVE SPRAY BOOTH FOR "WETWORKS GARAGE." 10 LIGHT FIX7URES, 1 SWITCH, 1 SERVICE TO 200A, 1 MOTOR TO '10 HP REF: B04-OA546 & F04-00250 $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 311.00 $O.Otl $1.10 50.00 $O.Otl $30.Stl $0.00 $0.00 $0.00 512.30 30.00 $0.00 $0.00 50.00 Quantity 0 0 0 10 0 1 0 0 1 0 0 0 1 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 k Standing Section Misc Electncal Equipment T2nsfortners up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kvalkw Low Voltage Equipment Low Volt Winng 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 $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 50.00 $0.00 $0.00 Quantiry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by thi5 permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92•28, § 1, 1247•g2) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or If work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized undar this permit to be considerad lagal, such work must comply with all applicable codes, and all requlred Inepectlons and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2M6d6I8/00) WORKERS' COMPENSATION DECLARATION: I hereby atfirtn under penalry of perjury one oi the following tleclaretlons: ❑ I �eve entl will malntain e cenlllcate of consent to self-Insure for workers' compensatlon, as provided br by section 3700 0l the Lebor Code, for the pertortnence of the work tor which this pertnit is issuetl. �hava antl will maintaln workers' compensation Insurance, as required by secUon 3700 ot Ne Lebor Code, fw tha peAortnance of the woAc for which Nis pertnit Is Issued. My workers' coj^pensetlon n urence carrier and pollry number are: / ' / �C 1�70..I2 �UI\Gi Po�� 7! I��VJI��F i7Th s secfion need nat be comnletetl it the oemut is valued ef one hundred dollars /3100) or IessJ ❑ I certity ihet in Ihe Oedormance ol ihe work br which ihis permit is issued, I shall not employ eny person in eny manner so es lo Decome subject ro the workers' compensatlon lews of elllomla, ana egree Ihat if s oultl become suDject to the workers' compensation provisions of Saction 3700 ot t�e Labor Cotle, I s�ell forthwit� comply with these 0� � �ons � , nl iS`gnLtme: c De�9ete':� �J—Z'OS WARNING: FAILURE TO $EC RE OFKEF$' COMPENSATION COVERAGE IS UNLAWFUL AND SHr1LL SU9IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES lIP TOONE HUNDflED THOUSANO DOLURE ($100,000�, IN AODITION TO THE COST OF fAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEP$ FEES. LICENSED CONTRACTORS DECLARATION: I here6y aNirtn that I em Ilcensed under provisions of Chapter 9(commencing with Sedion 7000) of Division 3 oi Ihe Business antl Pmfessions Cotle, end my license Is in full force end eHect. lfc."tl ' � Z C� G�ss�N e/L, D'' �j CamractafsSl et re:- �tes �—r�i—�.� CONSTRUCTION LENDING AGENCV: ❑ I hereby eflirtn that Ihere is a consWction lending agancy for ihe pedormence of Ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender'S AEdress: Signeture: Date: OWNER•BUILDER DECLARA710NS: I hereby eNirm Ihet under penelry of perjury that I am EXEMPT FROM 7HE CON7RAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions Code: Any ciry ar counry which requires a permit to consiruct, alter, improve, demolis�, or repair any siructure, pnor Io its issuance, also requires the epplicant for suc� permit to tile e signetl statement ihat he or she is Iicensed pursuent to the provislons of lhe Cantrectors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 oi the Business antl Professlons CoOe) or Ihet he or she is exempt thereirom entl the basls for the alleged exemption. Any Wolation of Seciion 7031.5 by eny applicant lar e pertnit su6jects tha applicent to e civil penelry of not more than tive hundred dollars (5500).): ❑ I, as owner ol the propeny, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the stmcture Is not imended or ofleretl for sele (Sec. 7044, Business end Professions Code: The Contractors License Law does not apply lo en owner of Droperty who builtls or improves ihereon, antl who does such work himself or herself or ihmugh hls or her own employees, pmvided thet such Improvemenis ere not Intended or oflered for sele. If, however, the bullding or Improvement is sold within one year of completion, ihe owner-builder will heve the burden ol proving that he or s�e tlitl nOt build or improve tor purpo50 of sele.). ' ❑ I, as owner of ihe property, am E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Protessions Cotle: The contrectors Licensa Lew does not eppiy to an owner of propeny who bullds or Improves thereon, and who contracts for such project wlih e contractor(s) license pursuent to ihe Coniractors License Laws.). ❑ I em exempt under sec. Business entl Pro/essions Coda for this reason: Signature: Date: Ownar ID venfied by dnvers license. Yes ❑ No Dnvefs Licensa No. Venfication ol Ownership by (type ot doam nt, i.e. - properry ta: blll or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Expires: ❑ I hereby certify that no exwvatlon fve (5) or more fee� in dep�h Into w�ich a person Is required to descenq will be made In connecilon with work euthorizeC by this pertnit, and that no builtling siructure, scaHolding, falsework, or demolition or dismantling ihereoi, will be more than Ihirty-si: (36) teet high. (ChaO� 3.2, Grp 2, Art 2, Sec. 341, Title 8, Califomia Administretive Gode). � As ov+ner-6uiltler, I will not employ anyone to do work which would require a permit from the Division ol Intlusinal Sefery, as noted aDove, unless such person hes a permit to tlo such work irom ihe division. Signawre: Date: Division ol Indusirial Salery Permit Numher: CERTFICATE OF COMPLIANCE AND AUfMORIZATION OF ENTRV: I certity under penelty of perjury that I have read this application antl state ihat the Information given is correct. I egrae to comply wlth ell stete laws end city ordinences relating to builtling constmction, and euthodze representatives of the City ol Coste Mese to enter upon the ebove-descn�ad,properry tor inspection purposes. I a9ree not to occupy or allow occupency of eny building eulhorized by �his permit until finel inspection. 40DE �, INSPECTIONiYPE Q�¢ 1NSIDeL@ 1616 Fized System Final Pire Prevention 1266 200 201 202 203 204 Pool Spa Finel Finel Re-Rool Final BIocWRetaining Wall Final Fectory Fire Place Final Sign Final Damolition COOE� INSGECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 2/2 Flnel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy oate � n'1-0� a�ca�� 9.tl. I`IIYIq4 �j �'I .��I ' /! -- EDA�i1NU C. FUERSTEL ' , � : j ; � � , ' ' . . , . � .S : .�.fM![T��I ` 0I � • Stroctural Engineer �- � �. � , �.. : � /�m . /�c. a G. ' , .17231 East Railroad St. - - - � -�od �0 7.5�� S , � P.O. Box. 3138 ' �e/t : � , City of Industry, CoHf. 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' �,� � � , ;,, C,•:=�'� � ,... f .+ �'�.�f ; , i� � �/L -��y�. �2 �, ;�✓ �;:y�.�, ;o ,�� .,y �.-�� /O �G/Z "� ��v! � ,;, �S�xG'; ,f-�, �d.c % G .,-'; D; •� �'�. � ; ;. ,i � i i {�:� t��d� : I ' � r' ; ' ..�,,,�, , �. ...� i � ; ` i . � � � . � � � � �� 1� � . -; '��" - i �^i �. i _�. . . I .I : ,f��!�j'�1 � l a i��,� i,,�� , , . � ,, ;, . ; � , : EDMUND C. FOERSTEL �� . ' IsHe�T � o� Structural Engineer / N� �t�Gp G.` � 17131 Eost Railroad St. •- '�,os wo 7,f'F 5� P.O. Box 3138 /e•�I_ � , City of Industry, Calif. ' �' o�Ti� er � 964-0014 , O/>Gf��/'ti� � , � �� i, ' ' •1 ' � � � i ; � i . , , �iZe.,,�` �i�-��-,.� ': %� < / 7 � 7 t ' , � � � ,. �I /'.� �� o %'/� /� � t/ ,,,_. ; ' ,y ; �,. 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I __ ;_ r.� : ; . � � I ' , � � . � �• ' iiI'��i � I � �� ,. . t � �I ' ' 'I�'` I'� I . , i . � , ! , , . ; � ' i ��! � ,if�; , � , .� , f ' . ? � � _ ' i , , . i , ; { i-�-}-' ' 1i ; � ( ' � � � �; � , i � � � i , � i � i �i; �;,��Ii, � i ; , I ' i � : , �r�i,f i � , . I'. I i__ 1 I � ' i_i�?� 1��' :a:-L_...i� � i f � � � I � � { � � i ' � I � �. �, �,�� . _ � - +• . Q ..; f COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ForApplicant to Fill,in Compietely N::'_� .,_r!t ^ 9-75c;r.�00 55 �<� ..::,k 1 C8.71 � P CATION FOR BUILDING PERMIT IV BV DATER CEIVED pAT ISSU BUILDING � �S7�RcET' �_� � �!� ADDRESS � Q I P MIT NO OWNER /1.P. NO.I( MAIL BUILDING � a Q (js(f ADORESS � � F ADDRESS .y�., d U CITV � NOL (-S�3LY� TRA�C LOT BLO Z Z Q CANSTRUCTION A O O N LENDER d m J � BRANCH JN OWNER �� C mJ ADORESS y� �'VALUE A m ARCHITECT' d�`-,JEL S V �y J a OR ENGINEER � d��Y� U a 2 FIRE W Q ADDRE55 �I J W�r%lAi WL�L7'% (1(j � ZONE TVPE GROUP a W APPROVED wZ CONTRACTOR �L(JH�� I�� BV DATE J � m Z J � ADDRESS Q.ji�1� w W TEL. ZO NO.OF USE OF �= CITV NO. P�� BUILDIN ZH WO STATE CIT.V VAROSAPPROVED VARDSAPPqOV N� UC. NO. LIC. NO. MAIN BUILOING ACCESSOqV BUIL 7O �yr� (FROMC STRE�T OF LOT � X�v'ti" NOW ON LO S FRONT FT. �. USE OF EXI5TING BLDG. 5 O T FT z NEWe OG.��XOX O AO MS SYOFIES L.SIDE FT. FT. �% COVE R�INGAL COV�ERING O�P REAR FT. FT. J USE OF BUILDING AND WORK'f0 BE PERFORMED pISTANCE BET. BET. MAIN & a MAIN BLDGS. ACCESS. BLDGS. a Q � VAR. # DATE O C.U.P. � �Q APPROVEO — � � APPROVED p N � Z O �STAI E � UI herabY acknawledge that 1 have reatl this application antl r[ete � that the above information is correct antl agree to comply with � all laws regulaNnB builtling construction, and I shall not employ � F any person in violation ot the workman's compensation laws of y the State ot California. ? I hereby certify that I am properly licensatl as a conTractor untler SQ. fT. t�e State of Callfol�(a Business antl Professions Cotle, Divlsicn 3. THE AMOUNT SHOWN UNOEF Chapter 9, and that suc� licenses ere in full torce antl affett, or I THE PURP�E OF ESTABLISHING am exempt from tha provisions ot the Stata of California Business VALUATION antl Protession5 Code, Division 3, Chepter 9. y?7 pERM1T FE Sipnatura o� �� ,// ,(�� Permittee $ (J �(/(/ (/ (J P�AN CHEC Authorized Agant TOTAL FEf � 0 I IS FOR � E ONLV: Q 7S E `o LL : �► 3 Z �� COSTA MESA BUILDINGSAFETY DEI Z . W W aU �- Z ZQ ON am J � J V1 Q W ttI J J m Q U y Za W � d W J � m Z J ¢ W w 0 = Z �— W � N � 70 � z Q U J a a Q 0 f' N Z O H U � � F N Z P.O. BOX 1200 COSTA MESA, CALIFOR For Applicant to Fill in Com BUIIDING � AODRESS � I OWNEP CITV CONSTRUCTION LENDER BRANCH AODRESS ADDRESS CONTFACTOR �� ADDRESS CITV STATE UC. NO. SI2E OF LOT VSE Of EXISTING BLDG. SIZE OF NEW BLDG. EXTERIOA WALL COVEFING USE OF BVILDING AND NO. OF TO TEL. NO. L. NO. CITY LIC. NO. INO.OF BL��(,5. NOW ON LOT "„Y-6-75��5.00 2i6 v��205.5Q APPLICATION FOR BUILOtNG PERMIT :EIyED DATE RECEIVED peTF 1SSw A.P. NO. i BUILDING ADDRESS FIRE ZONE APPROVED N NO.OF PLAN$ VARDSAPPROVED VAR. �WW C.U.P.qW APPflOVED G >� VAWE $ GfiOUP DATE USE OF NE T BVILDIN � VARDS APVROVED ACCESSORV BUIIDING DATE APPqOVED & 1 �areby acknowletlpa t�at I hava read this apptieation entl sta2e that tha ebova InformeHon Is correct antl aBrae to comply with ell lawa raBulatinp bulltlinp conrtruction. entl I shall not employ eny paraon ln violeilon ot t1�a workma� s compensation laws oi Ne Smte of Celifo�nia. w I hereby certify t�et I am prOPerly Ilcan�etl es e contrector untlar S�. FT. O Ma State of California Businass antl Profazsions Cotla, Dlvia(cn 3, THE AMOUNT SHOWN UNDER VALVATION IS FOfi a Choptar 9, antl U+at nuch licenus are in fuil torca antl ettett, or I THE PUR9G6E OF ESTABLISHING A PERMTT FEE ONLY: Q am exempt from the provisions of 2he Sto[e of Celifornia Businasa antl Pro(BulOnsCOde, Division 3, Chapmr 9. VALUATION /J Q ry PERM(T FEE S GD ] sianocuro of �_ m Permfttao § PLAN CHECK $ E ,d `o Authorfzatl ABant ZO ,�� u TOTAL FEE $ � 44657 SEP,S-7�PA�°oo ,55# ��*5.50 CMSA �� COSTA MESA BUILDtNG-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � APP IC , TION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only F E V DATERECEIVED EISSVED BUILDING `7 ADDRESS / �' � l `S� / OWNER / (+� .��f n`2Ky. A.P.NO.I/�O � �y� PE MTNO. MAIL /'- C� ADDFi'E S �7/ /O �� J. ADDRESS //�/• n CITV G S z tr_ No.`;j �"G L�� ,� RACT� �Q LOT / BLOCK CANSTRUCfION W A D A R P LENDER � � BRANCH �� ` �� OWNER ADDRE55 �, n ALUE �� ARCHITECT TEL. SE � /�Gl Ai..? SP.YAr s OR ENGINEER N FIRE ADDRESS ZONE i TVPE � GROUP � APPROV /' CONTRACTOfl �' BY l� DATE � ADDRESS ZONE NO.OF USE OF NEN(S'� A�' TEL. �� PV1N$ BUILDING I/VTi �i CITY NO. �ti E STATE CITV YARDS APPROVED YARDS APPPOVED i �IC. NO. �IC. NO. MAIN BUILDING ACCESSORV BUILDING a {x� 512E NO.OF BLDGS. (FROM C/L STREET) � 0. OF lOT G V ��-�� NOW ON LOT I FROfYT F. a USE OF �j � � „N. EXISfING BLOG. (� ? SS/S /�/J fJ p Yt / 0 1`. � jr- � � � FSeparate permits are required for �. SIDE �. � Fr. 0 electric, plumbing and heating work. REAR FT. �- � � F USE�UILDING ORK TO BE o-U DISTANCE BET. BET. MAIN& l Q - MAIN eLOGS. ACCF.�. BLDGS. G L % �J/� �j 'j n ..1 fL� S/ J+ 1 t< tl1� 4' Z� C.U.P. �/ /�J APPROVED T�I<_/� �a ./� y�y �'�/T/ �`r� ' �' WOY�, APPROVE � !'I�� ..1 C W a I hareby acknowlatlpe that I have rentl this application and state � O y� that ihe ebova Intormatlon is correct antl agree to comply with m � ell laws reBuleHng builtling consiructlon, end I shell not empioy �Z eny person In vlolation of the workman's compensation Iews of m SMe 5<eta of Ce�ifornle. m 3 I hareby cattify thet I am vroperly Iicensetl as a contreccor untler SQ. FT. N the Staie of Cellfornie Businesz antl Profacsions Cotle, Division 3, TME AMOUNT SHpWN UNDER VALUATION IS FOR m Chaptar 9, entl that such Iicansas ara in full force entl effect, or I THE PURPC6E OF ESTABLISHING A PERMIT FEE ONL � em exempt from the prov(slons of iha State of California Business VALUATION a antl ProfasslonsCode, Dlvision 3, C � r . �/ PERMIT FEE $ m Sipnetura ot �y✓ y LAN CHECK $ o Parmlttee�\ . _ � � 5\`��r'7) TAX $ � )�U � Authorize eni TOTALPAID E �