HomeMy WebLinkAbout2025 GARDEN LN - Building Permits M.3,363 G B t 09) Type of Sign. QO/30 City of Costa Mesa
Project Address e2Qa5��77���s�� rC(] '�Y�� ❑Electric Nonelectric SIGN PERMIT 281,8 5/1.3/85 115036 I_.
Applicant's Mailing Address earia. et Q.L�tf`Q� Nt 0 a Description Programs
Owner's Name V' nC ye.A rip:[ ia.. FaII0t+6L8rohone silica n. ❑ Shopping
/ 0 canopy Center/Integrated dev.
Address I?0 /IL.wrL. Pff. Or. T P It ''2 yo Ns 924O ❑ Attraction Board ❑ By Owner/or ❑by City
Arch/Eng. License No. ❑ Advertising Statuary Date letter sent:
❑ Other Office Use Only
Address
Ate/S it i ide r ID Tract Sign(Security& Right of
Contractor's Name
°u' / Phone ❑ Variance Pr party
Entry Agreement !P 2.33 Y I 9 2_,
Address(mailing) ❑ Special Event(Re uest form submitted) ❑ Planned Signing "P 0/
q A.P.No. Zoning
Soc
City License No. Change of Copy (amortization) C.U.P.No
LICENSED CONTRACTOR DECLARATION Ground Illumination Sign Dist. Date Received-5—R .
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Wall Received by17 (�
with section 7000) of Division 3 of the Business and Pr fe sions Code,and Non-Illuminated
my license is In full force and effect. ,/ 1 ( /1 ❑ Roof
License Class LicenseY../ly ❑ Interior Illumination Street fronto e:
❑ Projecting Exterior Illumination / /
Date Signature ❑ Construction ❑ Front: gC4�0 Ft. Street: ((J &G
WORKERS'COMPENSATION DECLARATION ❑ Convenience
• hereby affirm that I have a certificate of consent to self-Insure or a certificate Right: Ft. Street:
Ft. Street:
rs
Worke ' Compensation insurance, or a certified copy thereof (Section ❑ Super Graphic Left: ._ Ft. Street:
plicN Lab. C.)
policy
Company dD 35 I—S S-15 Rea
li _ - r'
8 Certified copy is hereby furnished.
Certified copy is filed with the city Building Division. ELECTRICAL FEES INSPECTION APPROVALS Building set back from ultimate right-of-way ft.
ate Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Fixtures Sign DateSign Location
(This section need not be completed if the permit is for one hundred ($100) or
less). Front Right Left
I certify that in the performance of the work f which this arms[ Issued, I Device Boxes Underground Conduit
shall not employ any person In any ma r a o e esu lett to the
Workers' Cp,e7ns on Laws of Cantor a. Outlets
Date 3" el Signature • Sign Description
NOTICE. If, fter making this declaration, you should become subject to the Switches Sign Dimensions Area Letter Height
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. u/ LA/- 16 �/�a
CONSTRUCTION LENDING AGENCY Sign Foundations / /
I hereby affirm that there is a construction lending agency for the performance (1) x sq.ft.
of the work for which this permit is issued (Section 3097 Cly. C.) Standing Sections
Lender's Name
—
Lender's Address — (2) x = sq.ft.
OWNER BUILDER DECLARATION Rough Wiring
I hereby affirm that I am exempt from the Contractor's License Law for the (3) - x = sq.ft.
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair
any structure, prior to Its issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Items of Information: (1) (2) �(3)
the Contractor's License Law (Chapter 9(commencing with Section 7000)of Framing
Division 3 of the Business and Professions Code) or that he/she is exempt Total for
7erefrom and the basis for the alleged exemption. Any violation of Section Activity
.031.5 by any applicant for a permit subjects the applicant to a civil Issue Fee $3 •
penalty of not more than five hundred dollars($500). l• x
U I, as owner of the property or my employees with wages as their soles Copy Verba. Lg—�.r
compensation, will do the work, and the structure is not intended or offered Valuation $ p ,
for sale (Section 7044, Business and Professional Code: The Contractor's 0.2 l Final Electric
License Law does not apply to an owner of a property who builds or improves f x
thereon, and who does such work himself/herself or through his or her own .OD s '
employees, provided that such improvements are not intended or offered for Planning Fee $ ,/�
sale. If, however, the building or Improvement is sold within one year of com-
pletion, the owner will have the burden of proving he/she did not build or im- Building Permit $
r ve for the purpose of sale). p C y P 1 E U Ground Sign: Overall Height Planter Area
I, as owner of the property,am exclusively contracting with licensed con- Plan Check $ I . V sFihLl PI n m9 tions 3 ��
[r ctors to construct the project (Section 7044,Business and Professions Code: Electrical $ II IL.�iI plGte In.+pe� Ground Clearance
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a con- Plan Check 50% $ G
tractor(s) license pursuant to the Contractor's License Law). I am aware that �,r-�
proof of their Worker's Compensation insurance should be provided to me. SMIP $ -`�rw.. L./ate �� Total Sq. Ft.of All Signage
❑ 1 am exempt under Section B.& C.for this reason fL ^LQ
ma ign
TOTAL FEE $ 0
XDate 5//3/Lf �.,/ 7. This activity Total Site
Owner
I hereby certify that I have read this application and state that the above
information Is correct. I agree to comply with all city and county ordinances Notes:
and state laws relating to building con [ruction,and hereby authorize repre- DEVELOPMENT SERVICESCEREOUIREItnT8: /3 r
inspection
of this city O nt up the above-mentioned pro ert for Planning Approved By:_j_FjT. Date
inspection pu o C� p. r
Signature Date S/1 Building Approved By: /'�^h Date —
XDrivers' License or SS ( Application Issued By: 3' M' Date
CMF 0068-30, rev. 7/84 White-Building; Green-Code Enforcement; Canary-Applicant; Pink-Revenue; Goldenrod-Assessor
411
C-3C1 (O
x - _ y
NEWPORT-MESA Unified School District
DR.JOHN W.NICOLL,Superintendent RAYMOND R.SCHNIE RE R.Business Manager
VI 1857 Placentia Avenue,Costa Mesa,California
T+ P.O.Box 1368, Newport Beach,California 92663
(714) 7603240
August 23 , 1982
•
City -of Costa Mesa
P.O. Box 1200
Costa Mesa , CA 92626
Attn: Building and Safety
Please be advised that I have reviewed the sign drawings
as submitted by Mrs . Joyce Smith for the Westcliff Early
Childhood Center , which will be occupying a portion of
the Woodland School site at' 2.025,_Garden_Lane'\ Costa Mesa.
Mrs . Smith does have permission of the District to erect
signs as indicated.
/ (-7644,441Auv
Rand R. Schnierer
Bus ess Manager
RRS: jbh
' ,r c Applicant to fill in all spaces within heavy harder lines and sign all appropriatep _ declarations. 6984 8/31 /82 17.00 TL
(�*Y" COSTA MESA PEg,MMI rye.--1 TRACT NO. . LOT IYO. BLDG.NO. - . - _---
'CONRUCTION PERMIT �Efr17�J re;
. -
Project Address aa, _`a rden Ln , Gt Al.` TYPE OF CONSTRUCTION
Owner - Phone • 0 NEW 0 ADD 0 ALTERATION 1 - -
��y�P err, -I-In , . .
'Address ljhn rn n I—!i e l✓I
3/�h ❑ REPAIR ❑ CONVERSION• DEMOLISH - ZONING REGULATIONS
Arch/En 1 License No. . - 0 OTHER
••Address •9 WO (-/f/t/ J t. //M / - - DESCRIPTION OF WORK - A:P.$ - - - '
'ZONE - -PLNG. REF:** ,
Contractor 0/-if) . -. r - e Phone557.-3/f•b TYPE OF PERMIT/- site-!- -�/Q.1/ ' • _ ,BOfLDI NG _ . _ Tp 13."LDING _ -.
v��,�.,// SETBACK C/L,ST. PROPERTY LINE'
'Address - (71 e, .. - - - 0 GRADING • 0 FOUNDATION --OYSTRUCTURAL --- *LEFT
LICENSED
- - -
LICENSED CONTRACTOR DECLARATION,"_, 0 TENANT'D'ELECTRICAL OPLUMBING// ` ❑MECHANICAL SIDE YARD
I hereby affirm th:.t I am licensed under provisions of Charter 9 (corn- RIGHT - . .
mencing with section 7000). of ,Oivision_3 of the Business and ' 0 OTHER _
Professions Code, and my license is in full force and effect.• PROJECT DESCRIPTION -REAR YARD(TO P(1.4 - - - - - - - --
•
LicenseClass ' '-- - - - License No- - -- - - - ' - -- PKG.SPACE REQ. - ' PROVIDED - -- '
Date - - - 4 -Signature •- - - - 50' FT.� -- - -- •- - - - --- ,STREET'WIDTH ,--PARK FEE$
WORKERS'.COMPENSATION DECLARATION _ _ OCCUPANCY�a - CO�sNSTRUCTION TYPE _
I hereby affirm that I have a certificate of consent to self-insure or a VALUATIONr /t j/z /� ZONE 'ZONINGAPPROV ED BY - DATE- • -
certificate-of.Workers' Compensation Insurance, or a certified'copy
thereof(Section 3800,Lab.C.)- GRADING,CU.YDS. ACRES - SPECIAL CONDITIONS:)- - - - - - •
Policy No - Company - . _ -_ e - . - _ - •
ertified copy Is hereby furnished. _ , REMARKS:,' -
,entified copy is filed with the city Molding Division. - - - - - - / _ -- - - -•
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - - - - - - -, ' " '
(This section need not be completed if the permit Is for on_e hundred - -- .. I '
($100) -or-less). -1 - _ _ . - _ _- -. .-
I certify that In the,performance of the work for which this permit is I
Issued,-)-shall not employ any person In any-manner so as to become PLUMBING- PLAN CHECK- - - - •- " ELECTRICAL/ " - - PLAN CHECK -- - - -
subject to the Workers'Compensation Laws of'California. - uwtLu rv(o y_ GA RAtat
Date 1 Signature 1 - -- BATHTUBS - - - 'SHOWERS - - 44 SO FT -Sn FT - -
NOTICE: If after making this declaration, you should become subject, TOILETS URINALS -- - . - GENERATOR / 0.1-KW_1-30 KW - - -I
to the Workers' Compensation provisions of the Labor Code,you ,must - - TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS - - -- -4/APPLIANCE -10-50.KW._50+ KW', - _ j
revoked. - _ _ -
CONSTRUCTION LENDING AGENCY ' - 'KITrSINKS- • - - -- DISHWASHERS-- 4—. - —. — -,MOTORS.- -- -- 0-1-HP_1-10 HP ' • -
I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS •,- cp-SUMPS- --- -- -- - __ -t(IN�-rSOLAR)_--_10,50-HP 50+ HP' ' ' _ - •ys -_I
formance of the work for which this permit is issued (Section 3097 - - -
-- --- ---- -FLOOR SINKS -- --- • FLOOOR4DRAINS- - - - - - -'FIXTURES--- - - ' I
Lender's Name .. -.OUTLETS----SWITCHES- - --- - -
Lentler's Address - . " - DRINKING FOUNTAINS �-- --- ---- -- - - GAS TUBE SIGNS -- - - - --
OWNER BUILDER DECLARATION- INTERCEPTORS- ' --CLARIFIERS- - -
I hereby affirm that I am exempt from the Contractor's License Law for -- .
the-following-reason (Section.7031.5 Business-and.Professions.Code: SWIMMING POOL - - PTRAP- - - LuNsi IKUL I IUD '
Any city or county which requires a permit to construct, alter, - - - ,POL'ES 'METER EO"- SUB-- - - -
improve;demolish or-repair-any structure,.prior-to its-issuance,also re-. -WATER SERVICE - ALTERATION - - - - • - PANELS- - MAIN - - - SUB-
quires the ap.licant for such permit to file a signed statement that he
is licensed.pursuant to the provisions of the Contractor's License-Law - GAS'SERV ICEOUTLETS - - -SERVICE - - - - - - - . . .AMP_ _. - -. - •
(Chapter 9 (commencing with Section 7000) of Division 3 of the - --
Business-and Professions Code)-or that he is exempt therefrom-and the WATER HEATERS -BTU OUTPUT -- - ! - - --- -
- • - - - -
basis for the alleged exemption. Any violation of Section 7031.5 by
^$-.applicant for a_permit subjects the applicant to a civil penalty- - SEWER CONNECTIONS -iti - _1- - _ _ - _ •
•" ,a[ more than five hundred dollars ($500). "� -` - • -' - . -
v.@,,. as-owner of the'property,-or My employees with•wages as-their- SOLAR-TANK-- ----COLLECTORS - -- -,--
se compensation,-will'do the work,and the structure is not intended - - - _ '
or offered-for sale.-(Section 7044,-Business'and Professions Code:'The' ' SOLAR PIPING SYS. -- ;.-
Contractor's License Law does not ply to an owner of a property
ap
whdbuilds Or'improves thereon, and who does such work-himself'or - ISSUE FEE - -- - f ^- - - -- - APPLICATION.APPROVED-BV
through his own employees, provided that such improvements are not
inten-ded or offeredfor sale.)(, however, the building or Improvement MECHANICAL - PLAN CHECK - - - " - - " - '
is sold within one year of completio P.the owner will have the burden , $UMMARV OF FEES - - )
of proving-he did not-build-or improve for-the-purpose-of sale)'. • - ' - - `-- —PERMIT'BUILDING_ _._ _ /D_•� _. -_ _
HEATING SYSTEM 0-100,000-BTU 1 PERMIT12 $ - SMIP -$
I,-.as_owner_of-the_property, dm_exd usi ve ly contracting with, _ AND DUCTING- - --- _ ..
(Section 7044, Business
100,0001+ BTU PLAN CHECK $ /
• •• . -
licensed contractors to construct the project - -- - - - -
r5� PERMIT
and-Professions Code.-The_Contractor's License Law does not apply to _- _ .. -
_ _ _ __ _ _ _ ISSUANCE' $ "'
an owner of property who builds or improves thereon, and who con- REFRIGER •
ATION 0-100,000 BTU-- - - (PLUMBING $ '
tracts_from-SUchicenects with a-contractor(s)-licesned_pursuant to .SYSTEM- _ - 1 GRADING _$_ '
the Contractor's License Law). 100,000•+BTU' '-- "' - - - -' PLAN CHECK $- - - - -
❑ I am exempt-underSection-- -- - "- B.& P:C:for this-
BOILERS 4-4—BTU ,ELECTRICAL '$ - - - - $ .. ,
reason ___ ,- 5 MICROFILMS • -
Date Owner SYSTEM REPAIR,ALTERATION - - PLANCHECK • $ 1, TOTAL FEE$
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM •
MULTIPLE MECHANICAL $ .. -
information is correct. I agree-to comply with all- city and county- - - PLAN CHECK"$ ' ,•• LESS AD-
VANCEPC $_�
ordinances and state laws relating to construction,and hereby authorize r - ,
representatives- of this city to ent r upon the above mentioned - - - - - - - /.7 'O
property [[��,���rr'�F' --��',,��,�''s��pe��ctljn purp s.
Driveiurel /•P 1 Date ��3 �- - - - - - - I - FINAL FEE $
{--/ - - . - - _ _._ _ - - - _ - - _
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
r •
CONSTRUCTION AND PLANNING ' POOL& SPA .,
APPROVALS Permit# �'y{/�n� Date Inspector
APPROVALS Permit# '
/ - 'Date Inspector
_ 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location - - • - "
•
--2.- Soil Pipe-Undrgrn• - _.. -'_ . _ - . - - _ __. _ 44. Steel Reinforcement •
3.-- Electrical Conduit Utility-Undrgrn - -- - - 45. Forms - -
4: Electrical•Conduit-Undrgrn - _ _ _ - __- - 46. Electrical Bonding . - - - -
s. 5. _ Steef Reinforce. - _ _ .--. • 47. Rough Plumbing & Pressure Test - - - - -
6:- Electrical UFER Grn _ _. - _ .. .. 48. APPROVAL TO COVER-GUNITE
_ 7. - Footings __ _- _ 49. Electrical Conduit-Undrgrn , - _ - '
8. - Foundation -- -- - - - - - - ,� 50: Gas Pipe, ❑,Undrgrn,Test • ' ' ' - - -
9. Water-Pipe-Undrgrn- - - - •- - -- 51... -Backwash-Lines P-Trap, ❑Un__drarn - - - -- • -
10.. Structural-Floor System _ _ .__. . _ . . . • 52. ' APPROVAL TO DECK • -
• 11. Property Sewer-Line-&House Connection-• - - - - - -- - 53.- Backwash'& Receptor-Final - -' •
=--12. ---Street-Sewer-Connection_ .. : _ . -_.-- - -- - 54. Heater &Vent-Final
- 13.- Rough Plumbing -- - . - _ - - - - - 55. Plumbina-Svstem--Final • '
14. Rough Electric-Conduit - - '56. -Electrical-Final - - _ - - --
15. Rough Electric-Wiring - -57. Solar System-Final- • - - - '
i 16.' Rough Heating & Air Conditioning - ° . . ` - , • - - 58•- -fencing-&-Access Approval .• , _ -
17; Ducts; in Structure - -- - • - - - i - - - 59. - APPROVEDFORPLASTERING r- ' . , - - -
18- Ducts, Ventilating - - - - - - - - - - - _ - ___-_ _
19. Gas Pipe-Rough &Test ' • - - ,- - - 60. POOL/SPA SYSTEMS FINAL .
20. Roof Framing - .. . -- - - - -- _ : -f . _ -- _ - _ _ .
-
' 21. Roof Sheathing - -- - --- ---- - -- _ .__ _
'- 22: Frame and Flashing - - - - -- , - - - - "NOTES:.
23: Insulation- - - - --- -- -- . - - - 1 - -- - - . - - -- - - - - - - _ .
24. Lathing & Siding _ - - - - - - - - - - . "
- - --
-
•
25: Drywall Nailing - - - >:- - f. 1, - _ - - - - - - rr . '
. 26. Plaster Brown Coat - ! -- - _ -. -- - - -.- - . . - • - '
,•. . ..,
' 27. Electrical Power Meter-Final- - -- --- -- - -i -- - -- . . . - - -
28. Final Electric - - - - - - - - - ,
•
• 29. Final Heating & Air Conditioning - - --- - - ' - - -- - , ' _ '
30. Final Gas Pipe-Test -- - , - - _ - - - - •
-
•
31, Final Plumbing --- ' " , .
' 32. Water Service-Final - -1 -- - ••- - ' -
"33. 'Gas Service:Final --- -- -- - - - - - - • - . . - , -
34. Solar Domestic:'Final - ' - " - _ - . __ • - . '
35. Landscape Sprinkling System ' -- ' " -
• 36. Sound Attenuation _ '. _ _ '. - .... . - •
37. Handicap Regulations ' -- /
38. FI NAL STRUCTURE & BUILDING 7/13/255 2/0,4,4 _---__ • - ' - -
39. Special Requirements Completed - - - - _ -
40. Electric Release-to Edison - _ ' _.. _ . _ •
41. Gas Release to Southern California Gas Co. I - •' '
42. CERTIFICATE OF OCCUPANCY ' - - - - - -• . '
- No. Date _ , _ - •
t L61 L l►MELL-LA CD1nt',..1 - -'nC-%
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EARLY I ' .11OOD CENTER
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-� AP P ROA teD STRUCTURAL APPROVAL ONLY
Dept,
C°std Mesa buildtng g SEPARATE PERMITS ARE REQUIRED
1 1coy 14E °{ oOSE•r MI 14 E FOR ELECTRICAL, PLUMBING,
gE ON SOg AS PRp 0L HEATING, VENTILATING AND
gY SFIESE C i tSSTr SNOUT PRIO0.
REFRIGERATION WORK
tis W t
• MSE NO GFfANGFS 1T CZ A30VAL
of DEPT' RANSI OF OF A C D EE OAFSU ON PeriEF #r` ��G
SNE Is 00 SNECIF CATIONS S44 c1 L OF, CONS RUED' THIS NUMBER MUST ACCOMPANY
OF mItic D GI FOR, OR tS1OSYSri 0 VIOLATE NO
CANCFia IE __ ALL INSPECTION REQUESTS
10 OF AEA PR pUfNORl7Y l0 VALlO. EXCEPT LAWFUL.
PAX OF TNcw CODE SNALL BE ARES IS E
FUMING SO MIS WNICN IT AUSNO SAND PIGS. �,„ERE
pRUVtStONS DF DR USE FOR BUIIOi, w ,n.i c PERSONS ARE TO
FAR SNE WOO IS BASED UPON PLAN OFFICIAL. BE Ef1PLOYED, WE SUGGEST THAT THE
SNE MUANGE of
YYEVENS THE EUI NOFOERRONG , 1 STA.7E OF CALIFORNIA DIVISION OF
SNALIILMG CORRE pREVEN INDUSTRIAL SAFETY BE CONSULTED FOR
gp A1RCAS10NS FTt eIR C 1F a ONS OR Ott 1OVER OER vie* - ADDITIONAL REQUIREMENTS.
Vitale 1 q PLAN AND BEING CARRIEOof PNY OVER ORDIDU,NC£ __.—_
woos u�I►►►s rA°T`
0R
►N v1ofA
pE�
4 ,
j• �},� �corM hk.1D U . t1�c K1 - _t2
City • f osta Mesa uiB Iding Dept.
Md i EQ.►1�L : moicto� - \JZ sa.L ►1�u EEt
BY farDATE4/11___t 3
THESE PLANS MUST BE ON JOB AT ALL TIMES - MOL,NTI Ili C. • 2 - 1/4-a bine"[Z�Y Jcj (VJ/ W ASl-Jtl.
MAKE NO CHANGES WITHOUT PRIOR APPROVAL ATN-11m LOCK- MUT'c.:-2 . --j•u c l
OF DEPT. 'F-' T
1' LT1kJC. C
F/' "1L P .1
ht-. 0J
THE ISSUANCE OR GRANTING OFA PERMIT OR APPROVAL Z 4/F \
0' 'I AN SPECIFICATIONS SHALL NOT BE CONSTRUED
TO BE A PERMIT FOR. OR AN APPROVAL OF, ANY VIOLATION
OF ANY OF THE PRCVISiONS OF THIS CODE. NO PERMIT PRE.
S kkING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO
FM AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL.
THE ISSUANCE OF A PERMIT BASED UPON PLANS AND
SP(CIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL
FRAM THEREAFTER REQUIRING THE CORRECTION OF ERRORS
IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING Y,
BUG OPERATIONS BEING CARRIED ON THEREUNDER WHEN
IN !ELATION OF THIS CODE OR OF ANY OTHER ORDINANCE
OE HE CITY.
' ° ftclltffff gftcllEffif
0
STR®CtbRAL AP' `0 _ t L 1 ‘ Y2
SEPAdATE PERMITS ARE REQUIRED
FCR ELECTRICAL. PLUMBING,
H'.ATING, VENTIL.
EAR LY CHILDHOOD CENTER
REFRIGERATION WORK
1
Permit # -g- `/ 66
THIS NUMBER MIST ACCOMPANY
ALL INSPECTION REQUESTS
"PROVED
FOR BUILDINGS WHERE PERSONS ARE TO ' CRY OF COSTA MESA riS.C1L, 'S `�'' E.
BE EMPLOYED, WE SUGCEST THAT THE PLANNING DEPT. �'
STATE OF CALIFORNIA DIVISION OF to TO BLDG. OEPT. REO.
INDUSTRIAL SAFETY BE CONSULTED FOR •
ADDITIONAL REQUIREMENTS. _ I s�`/r /
DIRECTOR OF PLANNING
�J STRUCTURAL APPROVAL ONLY (Y L
SEPARATE PERMITS ARE REQUIRED SIC-fLJ - P-Co`✓`Icx�D
FOR ELECTRICAL, PLUMBING, 4-4 0, X \ y x y<1I/ --BA 14
HEATING, VENTILATING AND
REFRIGERATION WORK WE��4 IT ` 3',S
Permit # f3 - (-466
THIS NUMBER MUST ACCOMPANY
ALL INSPECTION REQUESTS
FOR BUILDINGS \ HE'.E PERSONS ARE TO
BE EMPLOYED, WE S'.GCEST THAT THE
STATE OF OALIFif;NIA DIVISION OF
INDUSTRIAL SAFETY D': CONSULTED FOR
ADDI DONAL REQUIREMENTS.
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ttte q-(014, SIGN PERMIt I Tag No. 6905 8/31 /82 6.88 TL
/ z CITY OF COSTA MESA iy
s — ����� Planning & Building Safety Departments Type of Sig
P. O. Box 1200
Costa Mesa, CA 92626 (714) 754-5245 ❑ Electric Non-electric
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/ Location
^�!� I 1�I / ^ Property i
Building Site Address Z ncYV �/n�Q raprn I}.'✓-1 Cock Mtsc( Phone Co 4S-'� /1.y0 A.P.No. 44,26-c233• rte'/ Zoning �i- ,Q--";&,:-.S.:'; ',F.
Name of Lessee �()�/Ce / I . IrY) I TY l PhoneL 5 7'-. / / CetIS.M Sign Dist. 3 Date Received: _ 1a3/`:to2 {;
State License No. Received by: KG� , /��� ' ....11 „k .v.'tx
Contractor City License No. Street frontage: U:
O
W / Front: -ft.' Street: s
Q ,I/ Address City Zip Right: ff.. Street:
G / Left: ft.` Street: - ! Y'm'
Legal Owner of Sign r ! - - 'r"
JO Ca- 5 l 4-h hone SS7'�ll �+ Rear: fL".. .`Sheet: _ ; ._"
�„\, Address 314 Sha r-0 11 )n City Col s Al C54 Zip �- Building set back from center hne•of street "� ° 4 fi 's
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„r1 Master Plan'Highways ultimate right-cif-.way - - a [ft"` ;1
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CC - Sign Location' <x x N .- < .
Descriptions Illumination '''' . + 'mo i
O P Front � -� Right -� "Left +£
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❑✓Ground — f^/
❑ Canopy 0 Non-illuminated Between properTy line.&ultimate rightof way f; q - y
W10 Wall 0 Attraction Board Ground Signs `A'
_❑` Roof 0 Advertising Statuary - - s
❑ 7 ft.& 15 sq.ft./or 0 ;Table 2 Planter Area= - y
0 Projecting 0 Other 0 Directly lighted
0 Construction 0 Tract Sign(Security&Right of Entry Agreement) - _ - _ ���
,_,
F 0 Convenience 0 Special Event(Request form submitted) Area of Sign ft. `•)_,�n:x . ft — - in `"" `.
U 0 Super Graphic 0 Change of Copyi(amortization) 0 Indirectly lighted -- - -sq ftv -.7,59' ,/
W4.1 Ground Clearance -1-My
- -'= { w
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44 Overall height lam'•
fJd Programs Letter height G �r
r ❑ Planned Signing 0 Shopping Center/Integrated dev. 0 Variance Items of Information Total Sq.Ft.of all Signage s -
C4 C.U.P.No. ❑ By Owner/or El by City Copy verbage WESTCUMFF 21HIL
1 eDHooD CE-A-1 _
ILI
04 (Date letter sent ) ❑ Minor Variance Amortization
Subject to Amortization: yes ❑ no ❑
/ All applications must be filled out by the Applicant,all footing,framing,electrical and final Inspections shall be called. (714)754-5273 Expiration Date
Valuation:
Signature of Permitte- - _ 'Aia. Planning fee Office Use Only
' $ Building fee Insp.B Px B Px No. Fut, N A Px No.
Authorized Agent .n,_, $ Ilk .... - i Plan Check fee
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Total Fee $ 6.�T lT a
g 7 te
Received by Date Date Apprgve (/ — O n,
Signature(Bldg.Staff) na ure(l ng f�4e� ��� Y
Date (Approval subject to the condition of Ord.74-25 Sec.III ..)
CMF 0068-32 White - Building; Green - Customer; Canary - Planning; Pink - Finance; Goldenrod - Assessor '