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HomeMy WebLinkAbout2950 GRACE LN - Building Permits CITY OF COSTA MESA O r--�t \-/ os-i. s BUILDING DIVISION LJ LJ a 9 FAI 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 4. FOR INSPECTIONS CALL:(714)754-5626 At' °.P°°°R° PERMIT NUMBER: BC10-00289 PERMIT TYPE: B_COMBO STATUS: FINALED Sub Type: ACCSTR DATE ISSUED: 08105/2010 ISSUED BY: RMD JOB ADDRESS: 2950 A GRACE LN CM Suite/Unit: A APN: 14122144 Zoning: , , Vicinity: PARKING LOT Primary Occ: Const Type: SQ. FT: 293 Valuation: $60,000.00 SCOPE OF WORK: INSTALLATION OF A NEW 50 FT HIGH MONOPOLE LOCATED AT PARKING LOT AREA WITH 9 PANEL ANTENNAS AND 1 GPS; INSTALL 6 GROUND EQUIPMENT INSIDE A NEW 20'X 10'ROOM WITH 6 MISC EL EQUIP, 1 MISC EL CONDUIT NEW PARKING STRIPING AND MINOR LANDSCAPE WORK FOR"T-MOBILE"SITE. PLNG. REF-ZA-09-20 • OWNER: STREIT,OSKAR Address: 3265 TURLOCK DR Unit: Phone: • City/State/Zip: COSTA MESA,CA APPLICANT: GALANTE,JOHN Address: Unit: : Phone: 714-529-1123 City/State/zZip: CONTRACTOR: METROCELL CONSTRUCTION INC License No. 829469 Phone: 714-529-1123 Address: 8104 FREESTONE AVUnit: Cell: City/State: SANTA FE SPRINGS,CA ZipCode 90670 ARCHITECT: License No. PHONE: ENGINEER: ROGER ALWORTH License No.S3914 PHONE:801-990-1775 COMBINATION PERMIT FEE SUMMARY Building Plan Check: $463.94 Building Fees: $713.75 Electrical Fees: $150.90 Mechanical Fees: $0.00 Plumbing Fees: $0.00 SMIP Residential: $0.00 SMIP Commercial: $12.60 Bldg Std Admin Fund $3.00 TOTAL FEES: $1,344.19 'Refer to fee receipts for all fees paid for project HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010- PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays: New Years Day,Memorial Day,Independence Day, Labor Day,Thanksgiving Day and Christmas Day 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, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE e. INSPECTION TYPE DATE INTIIIALS CODE II INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site �/ 204 Final Demolition 250 Final Building/Occupancy X /IP to 4114 WORKER—Sj CI NSATfO DECLARATION: Owner ID verified by drivers license. 0 Yes 0 No I hereby affirm finder penalty of perjury one of the following declarations: Driver's License No. Expires: U V •`. ti ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code. for the performance of the work for which this permit is issued. O I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework.or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp (This seam need not ore awnpletede the pem4 k valued at me hundred dpllars(5100)w less.) 2 Art 2,Sec 341.Title S,Califomia Administrative Code). Policy Number: 0 As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant'ssgnawre Date Division of Industrial Safety Permit Number: Applicant's Signature Dale HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No (5100.000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# Class# (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely Contractors Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors (Secta 65850.2 of the California Govemment Code requires that the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits). Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars(5500).): of the California Health and Safety Code). ❑ I, as owner of the property. or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 8. (If yes", attach certificate of compliance from the appropriate air pollution sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I. as owner of the property,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044. Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. • Signature of Legal Owner(s) Date Signature Date 3057-46(3I07) And/or Authorized Appbrant Date - .05"'^4-4*„ CITY OF COSTA MESA 1`�' ` P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 y,��-. _ DEVELOPMENT SERVICES DEPARTMENT June 10, 2010 . Monica Moretta 22521 Avenida Empresa, Suite 122 • Rancho Santa Margarita, CA 92688 RE: ZONING APPLICATION ZA-09-20 MINOR CONDITIONAL USE PERMIT FOR A 50-FOOT HIGH "MONOPINE" 2950 GRACE LANE, COSTA MESA Dear Ms. Moretta: • Staff review of the minor conditional use permit for the above-referenced project has been completed. The application, as described in the attached project description, has been approved, based on the findings and subject to the conditions of approval (attached). The decision will become final at 5 p.m. on June 17, 2010 (seven days), unless appealed by an affected party (including filing of the necessary application and payment of the appropriate fee), or is called up by a member of the Planning Commission or City Council. If you have any questions regarding this letter, please feel free to contact the project planner, Rebecca Robbins, at (714) 754-5609 or rrobbins(a�ci.costa-mesa.ca.us. Sincerely, WILLA BOUWENS-KILLEEN, AICP Zoning Administrator Attachments: Project description Findings Conditions of approval Approved conceptual plans cc: Anna Tellez, Communications Engineering Fire Protection Analyst • Building Division Building Division(714)754-5273 • Code Enforcement(714)754-5623 • Planning Division(714)754-5245 FAX(714)754-4856 • TDD(714)754-5244 - vane ci.costa-mesa.ca.us n.ZA-09-20 June 10, 2010 Page 2 DESCRIPTION • The property is zoned General Industrial (MG) and is surrounded by multiple-family properties to the east, and industrial properties to the north, south, and west. The property is approximately 26,570 square feet and contains an industrial building • housing a wholesale bakery. • The applicant proposes to install a 50-foot high wireless communications facility disguised as a pine tree ("monopine") and associated equipment cabinets enclosed in within an existing storage room at the rear of the property. The height of the monopine is compatible with the height of the existing trees in the area. In addition, live pine trees are required to be planted near the monopine so that the monopine will blend in with the surrounding vegetation. • The proposed antennas will transmit and received at frequency ranges between 1710MHz to 1755MHz, 1970.4MHz to 1979.6MHz, and 2110MHz to• 2155MHz for ' Personal Communications Services (PCS) and Cellular Radiotelephone. The applicant has submitted a letter stating the proposed facility is in compliance with FCC radio frequency (RF) exposure levels. • Conditions have been included in this approval to ensure that the antenna frequencies do not interfere with the frequency used for public safety communication. • Upon inspection of the property, staff noted outdoor storage including but not limited to racks and pallets in the drive isle and required parking areas. All items being stored outdoors are required to be removed and the parking lot restriped for 33 parking spaces prior to permit final. • The proposed use is consistent with General Plan Community Design Element Goal CD-8A.8 in that the proposed monopine will camouflage the antennas from public views. FINDINGS 1. The information presented substantially complies with Section 13-29(g)(2) and Section 13-144(b) of the Costa Mesa Municipal Code in that: a. The proposed use is substantially compatible with development in the same general area and would not be materially detrimental to other properties within the area in that the equipment cabinets will be located within an existing storage building at the rear of the property. The antennas and support pole will be camouflaged in the form of a pine tree and will be surrounded by live pine trees so that the monopine will blend in with the surrounding vegetation. b. Granting the minor conditional use permit will not be materially detrimental to the health, safety, and general welfare of the public or otherwise injurious to property and improvements within the immediate neighborhood because the environmental radio frequency radiation generated by the antennas will not exceed ANSI/IEEE standards. The antennas will transmit and receive at frequency ranges between 1710MHz to 1755MHz, 1970.4MHz to 1979.6MHz, and 2110MHz to 2155MHz. Conditions have also been included to insure that the antennas do not transmit frequency that is used by the City. ZA-09-20 June 10, 2010 Page 3 c. Strict conformance with the 30-foot height limit will unreasonably limit, or prevent, reception or transmission of signals, or result in excessive expense in light of the cost of purchase, installation and operation of the antennas. d. The deviation from applicable development standards represents the minimum adjustment necessary to prevent unreasonable limitations on the reception or transmission of signals. e. Granting the minor conditional use permit will not allow a use, density, or intensity which is not in accordance with the General Plan designation for the property since the monopine will camouflage the antennas. 2. The project has been reviewed for compliance with the California Environmental Quality Act (CEQA), the CEQA Guidelines, and the City environmental procedures, and has been found to be exempt under Section 15303, New Construction, of CEQA. 3. The project is exempt from Chapter XII, Article 3 Transportation System Management, of Title 13 of the Costa Mesa Municipal Code. CONDITIONS OF APPROVAL Ping. 1. The antennas and support pole shall be camouflaged in the form of a pine tree. As part of the plan check submittal package, submit to the Planning Division sample materials to be used for the "bark" and "pine needles" of the monopine. Materials shall resemble texture and color of live pine trees. 2. Depending on their locations, the antennas shall be painted the appropriate colors to imitate the bark and pine needles of the pine tree. 3. A minimum of four, 36-inch box, live pine trees (two at the front of the property and two at the rear) shall be planted around the monopine so that it will blend in with the surrounding vegetation. 4. All equipment cabinets shall be screened from view. Screening material and color shall be compatible with the existing building at the subject property. 5. All construction-related activity shall be limited to between the hours of 7 a.m. and 8 p.m., Monday through Friday, and 8 a.m. to 6 p.m. Saturday. Construction is prohibited on Sundays and federal holidays. Exceptions may be made for activities that will not generate noise audible from off-site, such as painting and other quiet interior work. 6. Address assignment shall be requested from the Planning Division prior to submittal of working drawings for plan check. The approved address of individual units, suites, buildings, etc., shall be blueprinted on the site plan and on all floor plans in the working drawings. 7. Any future additions or modifications to the equipment or antennas shall be done with the approval of Planning Staff and may require filing and approval of a minor conditional use permit. 8. The working drawings shall clearly delineate any wiring, indicating if it is to be exposed or how it is to be screened. The plans shall also • L ZA-09-20 • June 10, 2010 Page 4 delineate the method of mounting the antennas to the support pole. 9. The antennas, support structure, and all associated equipment shall be completely removed upon discontinuance of use. The applicant shall notify the Planning Division when this occurs and obtain the necessary demolition permits to remove the wireless facility and associated equipment. 10. The applicant recognizes that the frequencies used by the cellular facility located at the subject property are extremely close to the frequencies used by the City of Costa Mesa for Public Safety. This proximity will require extraordinary "comprehensive advanced planning and frequency coordination" engineering measures to prevent interference, especially in the choice of frequencies and radio ancillary hardware. This is encouraged in the "Best Practices Guide" published by the Association of Public Safety Communications Officials, International, Inc. (APCO), and as endorsed by the federal Communication Commission (FCC). Prior to the issuance of any permits to install the facility, applicant shall meet in good faith to coordinate the use of frequencies and equipment with the Communications Division of the Orange County Sheriff-Coroner Department to minimize, to the greatest extent possible, any interference with the Public Safety 800 MHz Countywide Coordinated Communications System (CCCS). Similar consideration shall be given to any other existing or proposed wireless communications facility that may be located on the subject property. 11 . At all times, the applicant shall not prevent City of Costa Mesa from having adequate spectrum capacity on City's 800 MHz radio frequency. 12. Before activating its facility, the applicant shall submit to a post- installation test to confirm that "advanced planning and frequency coordination" of the facility does not interfere with the City of Costa. Mesa Public Safety radio equipment. This test shall be conducted by the Communications Division of the Orange County Sheriff's Department or a Division-approved contractor at the expense of the applicant. This post-installation testing process shall be repeated for every proposed frequency addition and/or change to confirm the intent of the "frequency planning" process has been met. 13. The applicant shall provide a 24-hour phone number to which interference problems may be reported. 14. The applicant shall provide a "single point of contact" in its Engineering and Maintenance Departments to ensure continuity on all interference issues. The name, telephone number, fax number, and e-mail address of that person shall be provided to City's designated representative upon activation of the facility. 15. The applicant shall ensure that lessee or other user(s) shall comply with the terms and conditions of this permit and shall be responsible for the failure of any lessee or other users under the control of applicant to comply. 16. The conditions of approval and Code requirements of Zoning Application ZA-09-20 shall be blueprinted on the face of the site plan. ZA-09-20 • ' June 10, 2010 Page 5 17. The applicant shall contact the Planning Division to arrange for an inspection of the site prior to the release of utilities. This inspection is to confirm that the conditions of approval and Code requirements have been satisfied. 18. A copy of the conditions of approval for the conditional use permit must be kept on premises and presented to any authorized City official upon request. New business/property owners shall be notified of conditions of . approval upon transfer of business or ownership of land. 19. All items being stored outdoors are required to be removed and the • parking lot restriped for 33 parking spaces prior to permit final. 20. Wrought iron or vinyl fencing is required to be used (verse chainlink) if the monopine area is to be enclosed. 21. The windows of the building shall be repainted and the detached building at the rear of the property shall be painted to match the front building. CODE REQUIREMENTS The following list of federal, state, and local laws applicable to the project has been compiled by staff for the applicant's reference. Any reference to "City" pertains to the City of Costa Mesa. Ping. 1. Approval of the planning application is valid for one (1) year from the effective date of this approval and will expire at the end of that period unless applicant establishes the use by obtaining building permits for the authorized construction and initiates construction. If the applicant is unable to obtain building permits within the one-year time period, the applicant may request an extension of time. The Planning Division must receive a written request for the time extension prior to the expiration of the planning application. 2. Once the use is legally established, the zoning application herein approved shall be valid until revoked. The Development Services Director or his designee may refer the zoning application to the Planning Commission for modification or revocation at any time if, in his opinion, any of the following circumstances exist: 1) the use is being operated in violation of the conditions of approval; 2) the use is being operated in violation of applicable laws or ordinances or 3) one or more of the findings upon which the approval was based are no longer applicable. 3. Installation of all utility meters shall be performed in a manner so as to obscure the installation from view from any place on or off the property. The installation shall be in a manner acceptable to the public utility and shall be in the form of a vault, wall cabinet, or wall box under the direction of the Planning Division. 4. Two (2) sets of detailed landscape and irrigation plans, which meet the requirements set forth in Costa Mesa Municipal Code Sections 13-101 through 13-108, shall be required as part of the project plan check review and approval process. Plans shall be forwarded to the Planning Division for final approval prior to issuance of building permits. 5. Two (2) sets of landscape and irrigation plans, approved by the ZA-09-20 June 10, 2010 Page 6 Planning Division, shall be attached to two of the final building plan sets. 6. Landscaping and irrigation shall be installed in accordance with the approved plans prior to final inspection or occupancy clearance. 7. Show method of screening for all ground-mounted equipment (backflow prevention devices, Fire Department connections, electrical transformers, etc.). Ground-mounted equipment, including transformers, shall not be located in any landscaped street setback, except when required by applicable uniform codes, and shall be screened from view, under the direction of Planning staff. 8. No sign or banner of any kind shall be posted or displayed on the monopine or equipment enclosure. 9. All electrical and antenna wiring shall be encased in tubing or other devices acceptable to the Planning Division and/or concealed to the maximum extent feasible to minimize visual impact.. Bus. 10. All contractors and subcontractors must have valid business licenses to Lic. do business in the City of Costa Mesa. Final inspections will not be granted until all such licenses have been obtained. Bldg. 11. Comply with the requirements of the 2007 California Building Code, California Electrical code, California Mechanical code, California Plumbing code, California Energy Code (or the applicable adopted California Building Code, California Electrical code, California Mechanical code , California Plumbing code and California Energy Code at the time of plan submittal) and California Code of Regulations, Title 24 energy, also known as the California Building Standards Code, as amended by the City of Costa Mesa. 12. Provide structural calculations prepared under the supervision of a California-registered civil or structural engineer or California-licensed architect. Eng. 13. A Construction Access Permit and deposit of $730 will be required by City of Costa Mesa, Engineering Division prior to start of any on-site work, necessary during construction for street sweeping and.. to guarantee replacement costs in case of damage to existing public improvements. 14. Obtain an encroachment permit from the Engineering Division for any work in the City public right-of-way including lane closures within the alley. Pay required permit fee & cash deposit, per section 15-31 & 15- 32, C.C.M.M.C. SPECIAL DISTRICT REQUIREMENTS The requirement of the following special district is hereby forwarded to the applicant: CDFA 1 . Comply with the requirements of the California Department of Food and Agriculture (CDFA) to determine if red imported fire ants exist on the property prior to any soil movement or excavation. AQMD 2. Applicant shall contact the Air Quality Management District (800) 288-7664 for potential additional conditions of development or for additional permits required by the district. - rr CITY OF COSTA MESA _. 4 ,141111/t�° • BUILDING DIVISION e rl'rgs - DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1.141 " PERMIT B03-00977 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2950 GRACE LN Status: ISSUED Suite: Applied: 06/10/2003 Vicinity: ROOF Issued: 06/10/2003 Parcel Number: 14122144 Zoning: Applicant: STEVE SCHNIERER ISSUED BY: Address: Phone: 714-557-7081 Zip: Owner: STREIT, OSKAR Address 3265 TURLOCK DR Phone: t` COSTA MESA,CA Zip: 92626-2124 t g Y 5 11 Contractor: DAVID ALLEN MONTROSS 0019 Address: 1521 CALLE VALLE Phone: 949-369-2495 SAN CLEMENTE,CA Zip: 92672 License: 499050 Arch : Eng: Address: Address: Phone: Phone: Zip: • License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL BUILT UP ROOF CAP SHEET,ROSIN,BASE SHEET,2 PLY SHEETS AND CAP SHEET,GAF,#4NBM.80 SQUARES"SUNFLOWER BAKERY" FEE SUMMARY Plan Check: $0.00 Calc Valuation: $10,300.00 Permit: $195.25 Claim Valuation: $10,300.00 SMIP Res: $0.00 SMIP Com: $2.16 Other: $0.00 Inspection: $0.00 Total: $197.41 • • PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 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, 12-21-92) 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 under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections 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)754-5626 244848(8/00) DECLARATIONS I I ' • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the Toertonmance of the work for which this permit Is Issued. I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: 4,-12.01.54-/ y ZDZs� Carrier: S'�'a�'P Fur CA. Policy Number: V (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit Is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these y- •visio Applicant Signature: /F _ )t- Date: Cob 0/03 WARNING:FAILURE T'SECURE WERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(51(0 W)),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.a Li 99 Class Or DSI C�1, C35, (-t (C Contractors Signature: Date: L,//O/Uri CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: Ynger I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions 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 ogshe is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that heorrshe is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty oi,nat m orre than five hundred dollars(5500).): CII,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have.the burden of proving that he or she did not build or Improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). _ _ 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No (Section 65850.2 of the California Government Code requires that the requested Information be fumished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. signetw Of Legal Owner(s) Date (o/J v1o3 And/Or Authorized Applicant Date CODE 1 INSPECTION TYPE PAR MALS CODE! INSPECTION TYPE RAYL INTUTALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy , , L!'F CITY OF COSTA MESA / 4 ►9.) BUILDING DIVISION Y N Or 1. DEVELOPMENT SERVICES DEPARTMENT PERM UMBER F ttir �� PERMIT �nm s: 03-00845 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2950 GRACE LN Status: ISSUED Suite: Applied: 05/21/2003 Vicinity: GERMAN HOME BAKERY Issued: 05/21/2003 Parcel Number: 14122144 Zoning: 'WE Applicant: STREIT, OSKAR ISSUED BY: /%I Address: 3265 TURLOCK DR Phone: 714-546-4114 COSTA MESA,CA Zip: 92626-2124 Owner: STREIT, OSKAR Address -3265 TURLOCK DR Phone: COSTA MESA,CA Zip: 92626-2124 Contractor: OWNER-BUILDER Address: • Phone: Zip: License: 000000 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REF:B066674(4/4/94) PERMIT TO FINALIZE INTERIOR TI FOR"GERMAN HOME BAKERY." FEE SUMMARY Plan Check: $0.00 Calc Valuation: $0.00 Permit: $0.00 • Claim Valuation: $0.00 SMIP Res: $0.00 SMIP Com: $0.50 Other: $0.00 Inspection: $141.00 • Total: $141.50 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 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, 12-21.92) 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 under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections 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)754-5626 2446-48(rvoo) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carder and policy number are: Carrier: Policy Number: (This section need not be completed if the permit Is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is Issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that it I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lie.# Class# Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: _ _ Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions 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 or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • 0 I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant t• e ontractors License Laws.). ❑ I am exett Aund• ' a Business and Professions Code for this reason: Signature: �L J � Expires: %:r2 c' -06 Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm 2,An 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Coda provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 1111 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit-be-within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). _ 7 if a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMP CE ' . ' •'RIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comp 'th all 'at: -ws nd city ordir: .:s relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described propert fo spe io ).rpo-es.I :•ree sot to•• upy or allow occupancy of any building authorized by this permit until final inspection. s (-21 - 03 Signature• •.al • ne - 1 Date And/Or Authorized Applicant Date ;ODE 4 INSPECTION TYPE DATE MALE c00F( INSPECTION TYPE PATE ILLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 7 p /J' 204 Final Demolition • 250 Final Building/Occupancy 8/J 'oJ fa`eg,/C-. Inc` cc , 4003 1 ( y _ c< <e-kio 1\\ :_.TP -N( v;\ k 4G(.0-V-t !)-c\ C) �\( acs � in (© SaG NcPSC( \14 VIVQ,CA:\ R k--\\ \ \ \.,\ ectOt/I ovi rrYtn\A\ c \\ \I\ C_ eyeekt( at I O k 1 (� S OcKQCc 104011\1 Rco < s OR (`( klA0a)_-S 4kqcease (- 0vAac Cd << Rko %lo REss: 2950 GRACE LN • UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 066674 f. %• aWNER.4NAME: STREIT, OSKAR eid MIESS: STREIT EVILINE PERMIT NO: B 066674 PLAN CHECK NO: 00534-94 A GOVT: N SUPP : N 2950 GRACE LN COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT ARCM/ENGINEER: LARRY GIBBON REG.xO.: C9b.3 JOB DESCRIPTION : INSIDE ALTERATION FOR EXISTING BAKERY SQ FT: 25, 000 • ADDRESS: 700 W 1ST ST 14 TUSTIN CA 92680 CLAIM VALUE: 25, 000 .00 CALC—VALUE: 25, 000 .00 GROUP OCC: B-2 / PERMITTEE: OSCAR STREIT ( 714 ) 540-0281 ADDRESS: 3265 TURLOCK DR COMMENTS: "GERMAN HOME BAKERY" T. I . C.M. CA 92626 eEar*+E**aE+eeEeE+r+F+6:E*******sEsk+t*+EeEsrx***x****slier+rerr*)t*stw****)reE**x**+E** *er*************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions 01 Chapter 9(commencing with Section ZONING R EQU IR EMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. • CITY LIC.: STATE LIC.: CUSS: S E T B A C K S Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified Copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 14122144 ZNE: MG REF NO: ' 7 coined copyishereby furnished. 0 Certified copy isfiled with(he city Building Division. PLANNING NOTES> EXPAND EXISTING SALES AREA — NO EXPANSION OF SEATING > PROPOSED — MAX 12 SEATS . ALL INTERIOR WORK ONLY. Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Ibi • need no . leted if the pernit o for one hundred(Stoo)or less). DEVELOPMENT S ERVICES REQUIREMENTS I icy that in the performance of the work for which this perrm is sued.I sna t oy any person i2 manner so as to become subj t to the w—o/ricers CompensationLaws of Cafitornu. ZONING APPROVED BY G L DATE: Ci (cl (Date• j -- '' gig Signature: OTICE:II,after making this declaration,you should become subject to the Workers Compensation rovisions of the Labor BUILDING APPROVED BY : W(C l DATE WI t Code.you must forthMlh comply with such provisions or this permit scrag be deemed revoked. CONSTRUCTION LENDING AGENCY; I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: • }^-E�• which this permit is issued(Section 3097.Civ.C). i i!* * DATE: C{ `1, ************************************ * ************************ * LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 252 . 00 repair any structure.prior to its issuance.also requires the applicant or such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the bass for the ateged exemption.My violation of Section 7031.5 by PLAN 40. 95 5 . 25 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered far sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS————> 257 . 25 0.0 0 40 . 95 0 298 . 20 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If.however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: /257. OVER/SHORT: . 00 for the purpose of safe). BLDG PMT PLUMBING ELECTRIC MECHANIC RE MIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 252 . 00 5 . 25 IN and Professions Code: The Contractors State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors State License Law).l am aware *****************************************.*****•**.*.ee**.******•***.***********.*.******. • that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN o I am exempt under Section: B.B P.C. Mr this reason:—V / TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST le. - �� Owner: 3.AL Ilk SFC 25000 ALTER BY VALUE COMMERCIAL NOZONE 1 . 00 25, 000 . 00 dohereby certify that I am aware of and understand the requirements of California Health a t Safe Code Sections 25505.25533,and END OF FEES per mi and or that 1 or any future building occupant wiiUwill not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air ar Management District.Residential construction applications are exempt from these provisions. • I EXPIRED Date Applicant' emEpX a Inspect 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 fort$ ordinances and state laws relating to building construction and here authorize re a at of this city to enter n the above-mentioned p er lar inspection purposes. '/ l / 1 /, Jat6 Ci \ I (g 01 00158379-00158380 TOT 257.25 ale u — g Signahire: DATE: 04/04/94 TIME: 14:42 er s License or Social Security a: 1641.46 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor It 50,7NSTRUCTION AND PLANNING POG SPA ` APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1I Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.!Erectricarcon8uit Utility-Undrgrnd. 54. Forms .4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .5. Steel Reinforcement -/s--qC.l (e c4,44 56. Rough Plumbing & Pressure Test 6.' Etectrical.UFER Grnd 57. APPROVAL TO COVER-GUNITE -1 7, Footings - 14-15--et K atc49 58. Electrical Conduit-Undrgrnd. 8. Foundation 19 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 1 11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough ElectricWiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL I 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT I r 20. {Rough Factory Fireplace -•• APPROVALS `Permit # • y 21.':Duce,in-Structu e . . • .. - c 7. .' • • ,70. Underground:Hydro 22. Ducts, Ventilating-• -• - . . - _ - 171. Product Piping Oras ❑til 23. Gas Peee,Rough 84-Test ' _ 72. Underground Flush • -t • E. .- k 24.-Roof Framing - 573.-Under grnd'St oragh?T&nk 0 Gas 0 Oil • 25. Roof Shedthing ' ' 74. Overhead Hydro • 26. `. -Bae Ceiling (Strtiturall & Monocoat N,.' r : 75.. Dry Chemical i - 27. Frame and Flashing' , ;..t. 5�-t CI 2C. g. Dry Standpipe _ .28. Lathing& Siding' : • • - - >• • 77 . FIXED SYSTEM'FINAL' 29. Insulation - ` '' I - 78. FIRE PREV. FINAL• • • x 30. Drywall Nailing ' _ :, i 664 : u HEALTH.DEPT:REQUIREMENT • '31. Plaster Brown.CoOt i 79. FINAL INSPECTION 32. Electrical-Fower Meter-Final . • -. -80. FOOD CERTIFICATE ISSUED }I v , 33. E inal.Electric• I Notes: 34. FinaJ_Hea-ting& Air Conditioning { 1 ; - : - 35.-Final Ga$fPipe-Test '• •A - . + - ' 36.'Hood or Canopy y , -, -r ! t I. '3^ 7. 37, Final!Fact'ory Fireplace' _ -- : : I ., 38. Final Plumbing i 5 _ • t 39. Water Service-Final • - - 40. Gas Service-Final - . , - ' ' '41. Solar Domestic-Final ' ^• i' 42. Backflow Preventer a - 43. Backflow Irrigation' - - - f • _ -- i' 44. Landscape Irrigation System . , - - •• ' •.- T - 45. Sound Attenu•ation - _ _, • •46. Handicap Regulatiods _ •• - - 47. FINAL STRUCTURE & BUILDING _ 48. FINAL PLANNING. C. . ' 1 - ^t - • • 49. Electric Release to Edison ' • 50. Gas Release to Southern California Gas Co •, 51. CERTIFICATE OF OCCUPANCY -. • No, Date _a°17RRLl 2ocls LeagZ �G y:+.��. 7)o°3L__e.. rr4��E:/,t.G_vm__siGJ e g✓y/_es—�'?n? l ttory,) nGlY t_a,0, Jsdr. 1...,(:_?th-c c- pc, , £Ly.J to .Bt—ctog-k4asy..d7_¢_xo 4. . Ir G E R./_v)A c/ J_oM.E_ ` &I-) -40 acci,..4„Arreco&d � S - 1�_k_E J Y IU _" WALL —A, — _ Dc_ Q - �- �_ ✓o nrorj ecet0� -- g 'tin r;!,6 ' —N�— I /43--c? Q p I — W a• I j • -� � V � reir4de. i �b' __1_00' ---- •— ---- 4 . aRacs. LAd . . ' l a QUA✓cR�F.s-6 . APP i OVED / , CITY-OF-EOSTA-MESA , PLANNING DEPT. :r ECT TO BLDG. DEPT. IMO. � B �DATE_ ' DIRECTOR Of 11 ` _i 1 - _ _ __ �_ $ __ _ _ ,, _ _ _ _-f _ _ • }} I c —1— —r -- -1--- -- -- } _ 'APPROVED, _ — — , t — i - - �E—f fit-t —�— ,. —I - = LL i I City of Costa Mesa Building Dept 1 I BY I. ' +I -�__—_ _-,_ • I -. I DATE.YT'119.. ,..0 - ( 1 THESE IPLANS M BE IO�Bj AT ALL (TIMES I _—_—. +— -., --i--__�_..— _ _MAKE4-NO--CHANGES-WIT -PRIOR +APP+dOVAL • T T�� —r —[ — _ APPROVAL._OF�_THESE I _ CIF D+_ 1 -- I f-7- , , —— �ST. .1_ RAL_. __ PLANS_OO.ESin SnNo SPfcr OCRF CATIDNSG S}I L4 PNOMI DE ON RUED ■�• - NNSTITUTER01JALLE2MIT FOR, OR P,�N_AP,RO':AL OFA Ail'! VIOLATION� FBING,ELCAL OR7NE /40„„sloi DF is 00E�II (1 N° fIERMIT PRE• GIVE AUTHOR(+Y TO't...VIOIATE_IOR_CANCBL-THEI — — — COEN INSTTIONS OF THIS CODE iSHALL 6E VALID, EXCEPT{IN SO�— _ WORK IOR_ SEWIi1CH.LITAUTHOHIZES-SIS LAWFUL --F--. . i -- - I PH mi— 13. 772- �_�� F�CIFICAHEONS SHALL RING}H llld (,0 f _ - Sj," -SN 1 U]NCE- BASEDSED UPON-PLANS-AND- t I ✓ Z— dF HE BlILDING OFFICIA I — I -:_._ f._ RR ....i._......__.__�_.. M T ER ER� � T - ---f -� '- THIS-NUMBER-MUST-Art IN SAID PLAN, AND SHECIFICATIO JS OR EFItBM PREVENTING �` —�- -- — ---- f - AL-L—IIN PE�TION--R^ ii { - - -- BUILDING.OPENATIdNS-BE1NG'CARR EO'O{ITHCRECNDIR- EN I�Q.IICSI S IN VIOLATION OF THIS CODE DR OF ANY OTHER OROINANCE� � I - __I—I—.- I I �- __ —. _OF_-THE-CITY.- —I—I- -� r--r— I I } 1 , � — �OR 'BUlLDltJS la I� J — — — } { }— - f-i,:,,E-P .IS04 A�;E TO —� I -I — • BE EMPLOYFO, lf; c� I —� 1= fiATE—Or �i::;T_T#i H CiJSUG_0 FaRI ADDITIONAL RFQUI}E79C;Jiyl--4 I— • j - - - __L — - ---I-- -- --, I - I � I-+- I--1 -I- I - - . CITY OF COSTA MESA ,` BUILDING AND SAFETY DEPARTMENT CLASSIFICATION SHEET ii GROUP DESCRIPTION OF OCCUPANCY A Any assembly building with a stage and an occupant load of THIS BUILDING HAS BEEN CLASSIFIED FOR 1000 or more in the building 1—Any assembly building with a stage and an occupant load of less than 1000 in the building 2—Any assembly building without a stage and having an oc• .2--- OCCUPANCY. cupant load of 300 or more in the building B 3—Any assembly building without a stage and having an oc- cupant load of less than 300 in the building, including such "'PERMIT N0. 094/V • See also buildings used for school purposes less than eight hours Section per week l7Sc%2J`1 702 4—Stadiums, reviewing stands, and amusement park structures SIGNED not included within Group A nor Divisions 1, 2 and 3, Group - Signature of Applicant B, Occupancies �• C Any building used for school or daycare purposes more than DATE /0 - L/<> —Al -/ See also eight hours per week, involving assemblage for instruction edu• / Section cation, or recreation, and not classified in Group A or Di- 802 visions 1 and 2,Group B, Occupancies. 1—Mental hospitals, mental sanitariums, jails,prisons,reforma- tories, houses of correction, and buildings where personal THE CLASSIFICATION OF THIS BUILDING liberties of inmates are similarly restrained D 2—Nurseries for full•time core of children under kindergarten SHALL NOT BE CHANGED WITHOUT SPE- See also age, Hospitals, sanitariums, nursing homes with nanambu- CIFIC APPROVAL OF THE DIRECTOR OF Section latory patients, and similar buildings (each accommodating BUILDING SAFETY. 902 more than five persons) 3—Nursing homes for ambulatory patients, homes for children of kindergarten age or over (each accommodating more than five persons) 1—Storage and handling of hazardous and highly inflammable or explosive materials other than flammable liquids 2—Storage and handling of Class I, II and Ill flammable liquids, E as specified in U.B.C. Standard No. 9-1-64; dry cleaning plants using flammable liquids, paint stores with bulk hand. See also ling; paint shops and spray painting rooms and shops Section 3—Woodworking establishments, planing mills and box factor. 1002 ies; shops, factories where loose, combustible fibers or dust are manufactured, processed, or generated; warehouses where highly combustible material is stored 4—Repair garages 5—Aircraft repair hangars —Gasoline and service stations, storage garages where no pair work is done except exchange of parts and - F fl nce requiring no open flame, welding, or the use of highly minable liquids See also 2—W olesale and retail stores, office buildings, drinking and Section ining establishments having on occupant load of less than 102 100, printing plants, municipal police and fire stations, factories and workshops using material not highly flam- mable or combustible, storage and sales rooms for combusti• ble goods, paint stares without bulk handling See Section 402 for definition of Assembly Buildings 3—Aircraft hangars where no repair work is done except ex- change of parts and maintenance requiring no open flame, welding, or the use of highly flammable liquids Open parking garages. (For requirements, see Section 1109.) Ice plants, power plants, pumping plants, cold storage, and . G creameries, factories and workshops using incombustible and nonexplosive materials. Storage and sales rooms of incombusti• ble and nonexplosive materials H Hotels and apartment houses See also Convents, monasteries (each accommodating more than 10 per- Section sons) 1302 I Dwellings and lodging houses 1—Private garages, sheds and minor buildings used as ac- cessories only when not over 1000 square feet in area J 2—Fences over 6 fee:high, tanks and towers r - h \� 9ppf ST- RUCI�RES DUKE TIMBER CONSTRUCTION COMPANY INC. To : Department of Building & Safety Date: 5 January 1970 P.O. Box 1200 Costa Mesa, California Re: Job Name Our job number: N-143 • (Please use this number on all calls and Hunsaker Bldg correspondence) 2950 Grace Lane Costa Mesa, California We are sending: For: Per your request Information only Shop drawings Calculations Your use in obtaining permit Lay-out sheets Engineer/Architect IMMEDIATE approval Please check job address-if Please return, SIGNED by Eneineer/Architect: not correct-please fill in. XX Building Inspector Shop Drawings XX Beam Certificate Calculations Please have your Engineer/Architect call us by , with his approval or corrections. DELAY ON TRANSMITTALS MAY CAUSE JOB SCHEDULE DELAYS. PLEASE RUSH. 'If enclosures, received, are not as listed above, please notify us at once. DUKE TIMBER CONSTRUCTION COMPANY, INC. fie • d 4' I 19700 SOUTH SUSANA ROAD • COMPTON, CALIFORNIA 90221 • (213) 537-4454 • R FORM GL-1 /`s°"` ` PITTSBURGH TESTING LABURATORY / P6 y s "s<4O e -8fC Ot ESTABLISHED 1851 12-30 K.. .a 545 CONGER STREET — EUGENE, OREGON • S 'f AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES. ALL REPORTS pU 1H ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AND AUTHORIZATION hCT�y FOR PUBLICATION OF STATEMENTS. CONCLUSIONS OR EXTRACTS FROM OR REGARDING FEMSAND GH�� OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL. LABORATORY NO. CLIENT'S NO. ORDER NO. Ply 118 CERTIFICATE OF CONTINUOUS INSPECTION OF GLUED LAMINATED MEMBERS Hunsaker Bldg. For: 2950 Grace Lane Costa- Mesa, Calif. Page one of 2 Richard D. Kilpatrick (Engineer) Fabricator. Duke Timber Construction Co. (Sales) Plant No. 3791 Duce-Lam, Inc. Drain, Oregon SPECIFICATIONS ALL DOUGLAS FIR LUMBER IN ACCORDANCE WITH W.C.L.A.: Standard specifications for structural glued laminated Douglas Fir (Coast Region) Timber 1962 Edition, Revised 1963 RULES 15 and W.C.L.A. and U.B.C.SPECS FOR GLUELAM MEMBERS Slope of grain: 1:11t Top and bottom: 30 % Moisture range: 7-16% _ Variation per member: 5% MEMBER NO. LUMBER COMBO. SL/GRAIN LAMINATIONS GRADE INSPECTOR'S COMMENTS B1 A 1:14 3 T & B Zone L-1 �� 1:12 2 T & B Intr. Zone L-2 L 1:8 Inner Zone L-3 (, 132,133 A 1: 14 2 T & B Zone L-11: 12 1 T & B Intr. Zone L-2 )21 1: 10 1 T& B Inner Zone L-2 i p 1:tl Inner Gone L-3 Scarf: Finger Joint Scarf Separation: Well gna+terer1 in t.ane/alp amp, Glue type: Casein Specificat on: 19NN-A-125 • Glue type: Specification: National Casein 4360 A.I.T.C. Appearance Grade: Industrial r `J Finish Coating: End Seal Wrap: Load d` * All beams meet U.B.C. Chatter P5 Mannfartnrin and Fa r + prnviginne Inspector's C mmentsP ) g b i >; 1oD All members hammered with PTL harlmzermark on end or top neAr mil) member mark_ In actorpance with: Standard specifications for structural glued laminated Douglas Fir (Coast Region) Timber 1962 Edition. Revised 1963 and Duke Timber Construction Cn.- Shop Drawing Ho. W-143 THE GLUED LAMINATED STRUCTURAL MEMBERS COVERED BY THIS REPORT WERE CONTINUOUSLY INSPECTED BY THE UNDERSIGNED AND WERE FOUND TO BE I_N,�rCONFOR ANC F 4.Le.,C/ Certified by Inspector Respectfully submitted, Robert Ha ifordR E C E I V E D PITTSBURGH TESTING LABORATORY 12-23-69 BUILDING SAFETY DEPT. 1 i-, • // JAN 7 1970 By: FCT DISTRICT MA .GER --- p :1 M PM / ',819110,11,12,11213141516 A THIS CERTIFICATE REFERS ONLY TO THE FORM AND CONDITION OF THE MATERIAL AT TIME OF INSPECTION • • - FORM GL-2 C,v.s .156x( • PITTSLJRGH TESTING LAB.-- ATORY PG as s 1 y2 �C'OT ESTABLISHED 1E181 ` s 545 CONGER STREET EUGENE, OREGON 6 I AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES. ALL REPORTS `T. > ti ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AND AUTHORIZATION �e a,y �Cj ANG EyC \y FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTS FROM OR REGARDING NfENS ANO���� OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL. LABORATORY NO. CLIENT'S NO. ORDER NO, Ply-118 REPORT CONTINUOUS INSPECTION OF GLUED LAMINATED STRUCTURAL MEMBERS Page No. 2 For: Runaakor 1:11T1i3. At: fnrn-Lnm, Inn. Costa &an, .Calif. Date: 12-23-69 • Tally of members 6 B1. 7 x 33 x 6810" 4-4" 11-1/2" Camber 1 B2 5-1/11 x 16-1/2 x 3616" 413" No Camber "-- 1 1 B3' " x 18 x 3210" +)a" ' 1-1/2" Camber 6-)", � /I-7° PER SHOP PRINT LUMBER TEMPERATURE (°F) GLUE ASSEMBLY TIME PRES- DATE & HUMIDITY (%) WT. CURE SURE & MARK PCS. GRADE MC AIR RH LOR GLUE (MSGL. ST OPEN CLOSED TOTAL (PSII REMARKS R9 1 " A 7-12 59 68 50 66 76 1200 1215 1225 25 12hi'.s 100 12-22-6- R1 2 .1" A 9-13 61 79 52 68 80 110 150 200 50 " II 12-19-6, R3 1 A 8-13 58 80 52 66 80 405 1145 455 50 tr r: " P1 4 ' A 9_1,3 62 75 52 68 . 76 1110 1220 1915 65 19'nrs 100 12-18.6 Specifications per page one Certified by://44-1(11.7d--Let PITTRGRATORY INSPECTOR • • • RECEIVED JAN 5 - 1UI1:1 • DUKE TIMBER CONS]. CO. S 0 5420 B 3-51 (S Type of Sign \/ a,�I I City of Costa Mesa ❑Electric ,IUINon-electric SIGN PERMIT Project Ac�Ores� f�J�0 race-e�.}�l -k.-e- ;gyp Applicant's Mailing Address'/g2' {Or / t•<VO Co 0,C Description Programs Owner's Name 0-5(//he 5-FA7'$!t Phone4 b-W/44 ❑ Canopy 3Z(pr- rre106( C• .4. 12 626Owner/or 0 Shopping Center/Integrated Ctdev. - Address ❑ Attraction Board ❑ By Ow ❑bCity Arch/Eng. License No. ❑ Advertising Statuary Date letter sent: ,Address ❑ Other ,O;ff leis Use 0,nly:: =, -- ❑ Tract Sign(Security& Right of Contractor's Name 0 ( iS Phone ❑ Variance Entry Agreement Property Aker Address(mailing) ❑ Planned Signing 1 /er 9 ❑ Special Event(Request form submitted) A.P.No. µl � ZZI — 1 1 Zoning City License No. ❑ Change of Copy(amortization) C.U.P.No 9 TW,y� `l.E.�. . Ch LICENSED CONTRACTOR DECLARATION ❑ Ground Illumination Sign Dist. Date Received I hereby affirm that I am licensed under provisions of Charter 9 (commencing Cli with section 7000) of Division 3 of the Business and Professions Code,and Wall Non-Illuminated Received by my license is in full force and effect. ❑ Roof ❑ Interior Illumination Street frontage: License Class License No. ElProjecting ❑ Exterior Illumination Date Signature ❑ Construction Front: IeQ Ft. Street: l6L2C2 La-I'LL' WORKERS'COMPENSATION DECLARATION ❑ Convenience Right: Ft. Street: lereby affirm that I have a certificate of consent to self-insure or a certificate ' 'Workers' Compensation Insurance, or a certified copy thereof (Section ❑ Super Graphic Left: Ft. Street: - . .400, Lab. C.) Rear- Ft. Street: Policy No. Company Certified copy Is hereby furnished. Certified copy is flied with the city Building Division. ELECTRICAL FEES INSPECTION APPROVALS Building set back from ultimate right-of-way ft. Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Fixtures Sign Date Sign Location (This section need not be completed if the permit is for one hundred ($100) or less). I certify that In the performance of the work for which this permit is Issued,1 Device Boxes Underground Conduit Front Rear Right Left shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Outlets Date Signature Sign Description NOTICE: If,after making this declaration, you should become subject to the Switches Sign Dimensions Area Letter Height Workers' Compensation provisions of the Labor Code, you must forthwith i comply with such provisions or this permit shall be deemed revoked. • Foundations / 7 .., 7/ CONSTRUCTION LENDING AGENCY Sign [� I hereby affirm that there is a construction lending agency for the performance - - (1) 1 . 5 x 5 � 2 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 following reason (Section 7031.5 Business and Professional Code: Any city or (3) x sq.ft. 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 ,µ1 to file a signed statement that he/she Is licensed pursuant to the provisions of / Items of Information: (1) 1 (2) (3) •he Contractor's License Law (Chapter 9(commencing with Section 7000)of Framin // vision 3 of the Business and Professions Code) or that he/she is exempt g Total for Activi T uefrom and the basis for the alleged exemption. Any violation of Section N 31.5 by any applicant for a permit subjects the applicant to a civil Issue Fee $3 penalty I, of not r more than rop hundred dollars ($500). t errna_n Horne 'Eo_k.e. y U I, n owner of the property my employees with waged as their sole Copy Verbage / J compensation, will do the work, and the structure Is not The ed or offered Valuation $ N for sale (Section 7044, Business and Professional Code: The Contractor's Final EI ric '� �Br�(I�� � I I k b mme n License Law does not apply to an owner of a property who builds or Improves Q. (](/tel thereon, and who does such work himself areIf or through his or her own ' Q• 50 / employees, provided that such improvements not intended or offered for Planning Fee $ J 71Js—Y sale. If, however, the building or improvement is sold within one year of com- pletion, - v the owner will have the burden of proving he/she did not build or im- Building Permit $ ...— • n prove for the purpose sale). • Final Planning Ground Sign: Overall Height Planter Area of ❑ I, as owner of the property, exclusively contracting with licensed con- Plan Check $ tractors to construct the project (Section 7044,Business and Professions Code: Electrical $ 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% $ n 3'l) 2-zj -96 •tractor(s) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. SMIP $ 1! Total Sq.Ft.of All Signage O I am exempt under Section & P.Cal this reason -1 Final Sign Qn TOTAL FEE $ � J1C aa. S 0 20-.0 LL1 Date T_=�=ph1 f_ Owner �� �s ,,��0 This activity Total Site T- 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 relati -• to •. (ding construction, and hereby authorize repre- DEVELOPMENT SERVICES REQUIREMENTS: et I • n 5 sentatives IMO'. to e er upon [h¢ d ve-me [i¢¢¢netl property for V .cspection 9r ose . c�(r/1 0 /t D t) Planning Approved By: • Date •I Sig:mature [� V�{'y'KP•' �"1 /Date 1'O D� Building Approved By: Date q r� Drivers' Licen a or . / Application Issued By: � 'Date 1"I - C/c 0068-30,rev.8/86 White-Building;Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor PROJECTADORESS: 2950 GRACE LN /` UNIT:• CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 553178 —OwvIAD KESS: KRASEL, MARTIN G 1 ADDR• STREIT OSCAR PERMIT NO: E 053178 PLAN CHECK NO: N GOVT: N SUPP: N 2950 GkACE LN COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE; OTH ARCH/ENGINEER: 540-0281 REG.ND.: ADDRESS: UNIT: JOB DESCRIPTION ; UPGRADE SERVICE SQ FT: PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-3 / ADDRESS: OSCAR STREIT ( 714 ) 540-0281 2950 GRACE LANE COMMENTS: * CQ Agt�'p rN5 ' CA92E�26 ******�e�E*********�k*�E*******�E�L*�E*yE***�ET�*****y6+E**** **Tcy�*;c****�k******+E;E********** LICENSED CONTRgCT➢fl ILA ' ereby affirm that I am licensed under provisions of Aapler 9(commencing with Section ZONING REQUIREMENTS 70001 of Division 3 0l the Business and Processions Code.and my license is in lull force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to selbinsure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3804 Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ• PROV: PARCEL : 14122144 7.NE; REF NO; ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> Date': Applicant: ********************?E*************if***********************************IF****if*** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the parrot H for one hundred(5100)or less). DEVELOPMENT .S E'.R V ICES REQUIR EMEN TS I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject o the Workers'Compensation Laws of California. ZONING APPROVED BY t DATE: • Date: Signature: NOTICE:If.alter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : ., ' DATE: ' Code.you must lorthwlth comply with such provisions or this permit shall be deemed revoked. ( , by CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: / '—c— • tnom DATE• /nA9 which this permit is issued(Section 3097.Civ.CI. ******.*{r**.*.******.**.**OE - w. • • • . 1******M-4*ir************4*7 �i*iE* ** LENDER: ***************************************** ************************************ ADDRESS: LEGALIZATION:N F E 'E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 37, 5 0 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 the Contractors'State License Law(Chapter 9(commencing with Section 700(I)of Division 3 of the Business 5 O% SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE 15. 00 I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 704A.Business and Professional Code: The Contractors'State License Law TOTALS----> 37. 50 15 , 00 0 , 00 52 , 50 52 , 50 , 00 does nor apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If.however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 52 . 50 OVER/SHORT: 00 for the purposeol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 4.4ra' I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 52 . 50 and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts or such protects with dconlydglor(S)license pursuant to the Contractors'State License Law). amaware ***************************************** ********* **************** ,.*********** that proof Of their Worker's Compensation insurance should be provided to me. ❑ am exempt under Section: B.&P.C. / I N D I V I D U A L F E E BREAKDOWN for this A TYPE QTY DESCRIPTION ' UNIT COST T L COST /• Date: 0 i - 9/ . Owner: Olti I do hereby certify that I am aware 01 and understand the requirements of California Health and Salety Code Sections 25505,25533,and ELE 1 SERVICES BELOW 600 V & 201— 1000 AMP 37. 50 7. 51 0 25534 and that I or any future building occupant will/will not(cirde one)need to compl with state codes and the requirements for a END OF FEES \ permit for construction or modification from the Air Ouakty Mana m t District.Ri,•'retial Qiruction applications are exemptfrom �•� these provrsiioons. 9 ' rt Iher: O e p / Aandcam: A S t �%'3 hereby certify)hal I have read this application and state that Inc above information is correct.I agree to comply with all city and county l J/v ordinances and state laws relating to budding construction and Reie(y authorize r�rEspn of this city to enter upon the above-mentioned property lotion inspectioniLpurposes.Q , I Date' V-1 —l I Signature: l ;: . •nn: . 7 _ .., /� n 31 L(IQ �("' I Driver's License or Social Security 4: y_'J DATE: C:0•01;'74 ,y '1 i 1- !2:1, 164606 While—Building:Green—Code Enforcement:Canary—Applicant:Pink—Rovenuo;Goldenrod—Assessor V 1 L CONSTRUCTION AND PLANNING POOL .'A 'APPROVALS Permit # Date Inspector APPROVALS Permit # _ Date Inspector 1; Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit•Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 194 Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace • APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 7B. FIRE PREV. FINAL 30. Drywall Nailing -, HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' FINAL INSPECTION 32. Electrical Power Meter-Final (� 7/ r<0� =JOD CERTIFICATE ISSUED 33. Final Electric �l ` e' /, s: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test _AM 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing • 39. Water Service-Final • 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ir Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. .AMLE.S-.A CONSZ'RUrCTIONPERMIT — P NO. S � TRACT NO. LOT NO. UNIT NO. 40.46 7/12/04 i ', , Project Address SPf$ G.la LAE,c1 f1 /17dL- _ /�D a ON f ���� ` Applicant's Mailing Address !c+�-=� !! - / ' /,Q . , TYPE OF CONSTRUCTION H NEW �DD U ALTERATION' U REPAIR -/ Owner's Name ( dg S'2Rr-rr- PhonoS�- � ❑ CONVERSION Li DEMOLISH El OTHER A-p,# 1 Li I — aa - yy Zone M ' DES e P 10k 0 •••K USE 0,41.0.0 Address 3O,!S /.�PjLQy��.re L7 _ • .- L/T/Old-1 S Main Building: Accessory Building:Fat Arch/Eng.c E /IARQpIS License No. C-Pa .SU TYPE OF PERMIT -NI GRADING . FOUNDATION C STRUCTURAL E Front I q 0/ l'JY`^ ""f� 0 Address /25'97 Si Coir�sA/tV. / r7l�giri L�r-r4't% ❑ TENANT k� ELECTRICAL ❑ PLUMBING ❑ MECHANICAL • B Rear ni N Contractor's Name; QQfh �•r//) tow- Phone� ' W. ,(z•C/y ❑ OTHER / A t I Address(mailing) Ross Pea' y �rl`s���'shA PROJECT DESCRIPTION SQ. FT 6c/ OCCUPANCY elr o S Right /�I / G ung �� S CONSTRUCTION TYPE VALUATION $ le, OCG_` `� City License No. SWG • ZONE GRADING CU.YDS. ACRESR LICENSED CONTRACTOR DECLARATION • Ping. Ref.# Op, -8 1.1' I Parking Req./Provided E 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing " 1� Q `' ( d Remarks: • 47I S.,C)c-I_ Planning Notes: M a]�, with section 7000) of Division 3 of the Business and Professions Code, and 11 11 (17 my license is in full force an. -ffect. +�y�{.. - ROLA FOR SPECIAL REQUIREMENTS T • •License CIa s i Lice - NO. is� S. ♦ Date Signature _ � PLUMBING 'I FEES • c WORK -5'Ca MPENSATION DECLARA ON Bar Sink Showers ELECTRICAL FEES hereby affirm that I have a certificate of consent to self-insure or a certificate C\ of Workers' Compensation Insurance, or A certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) �.n A Automatic Washer Transformer 0 15-50 KW —) Pcy No. �2�91 Company ,Q/�n/!r•�S l.O. Backf low Sewer Ca 0 50+KW IrrigationP Construction Pole Sub. Certified copy is hereby furnished. 1 Certified opy is u d with the city a •ing Divi '-n. -4101, , Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps s Date 7 a y Applicant_ / exi— EXEMPT ON RO WORKERS'COMPED .ATION DECLARATION Clarifiers Solar Collectors Dishwasher I Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or ' less). Dishwasher Solar Piping - Dryers ❑Gas DElectric Sub Panel 1 certify that in the performance of the work for which this permit is issued, I • shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank ' . Fan. Motors ❑0-1 HP ❑1'/:-,8 ' Workers' Compensation Laws of California:. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+ NOTICE:If,after making this declaration, you should become subject to the - , Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' Urinal FixturesMicrowave D 40 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet Device Boxes / ��` I hereby affirm that there is a construction lending agency for the performance - Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water •Heater Outlets Ran e Lender's Name NOP/ /7 / - _ 9 00 Lender's'Address /I/ 0r 'L= _ _ - Kitchen Sink Water Service `� Switches Sign O 6�' OWNER BUILDER O LARATIOIJ 1 hereby affirm that I am-exempt from the Contractor's License Law for the Lavatories Garbage Disposal 'Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or - - - county which requires a permit to construct,alter,improve,demolish or repair P—Trap . 00-5 KW 05-15 KW Trash Compactor 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 ._ the Contractor's License Law(Chapter 9(commencing with Section 7000) of Roof Drains • , )ivision 3 of the Business and Professions Code) or that he/she is exempt - ' .herefrom and the basis for the alleged exemption. Any violation of Section - - 7031.5 by any applicant for a permit subjects the applicant to a civil . oenalty of not more than five hundred dollars($500). ^ - 3 , I, as owner of the property or my employeesI with wages as their sole . Reinspection Fee $15 Issue Fee ' $ , compensation, will do the work,and the structure is not intended or offered - Reinspection Fee ii ' I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑ - DEVELOPMENT-SERVICES REQUIRE ENTS: employees, provided that such improvements are not intended or offered for .- yp zoniri Approved Byj�Vfy 11 II 11 y12.4, sale. If, however, the building or improvement is sold within one year of com- . — - Canopy Type II. ❑ - g pP - '�` '1wR Datepletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date /J trove for the purpose of sale). — . - • L LI I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date tractors to construct the project (Section 7044,Business and Professions Code: , The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU - _ 'SI.J4ORY OF FEES builds or improves thereon,and who contracts for such projects with a con- - `Jy1`F�1 O.7o tractor(s) license pursuant to the Contractor's License Law). I am aware that - 'BUILDING PERMIT- $ .S'b SMTP $ f/ Exhaust System ❑ Multiple ❑ System Repair/Alteration proof o their Worker's Compensation insurance should be provided to me. PLAN CHECK $ 52-.37t PERMIT I: I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# i PLUMBING • $` ISSUANCE $ • Date Owner Heating System& Ducting PLAN CHECK 25% $ /— ENERGY P.C. $ I hereby-certify that I have read this application and state that the above ❑o-100,000 BTU 0100,000 BTL ELECTRICAL 6140 GRADING $ information is correct. I agree to comply with all city and county ordinances $ and state laws relating to building construction, and hereby authorize repre- •PLAN CHECK 50% 6,-1 /Ir a MICROFILM $ sentatives of this city to enter upon t e above- entioned property for /�/• inspection our s, // / / MECHANICAL :L. TOTAL FEE $ 9 2- Signature /.r /.. .* �y ( . Date J�!/2 S Drivers' License orbs+ $ �'& Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $' CMF 0865-46,rev.4/84 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod -Assessor IICONSTRUCTION AND PLANNING '' POS ,4 SPA PPRO VALS Permit# Date Inspector APPROVALS Permit# Date Inspector Temporary Electrical Service or Pole 52. Pool & Equipment Location Soil Pipe-Undrgrnd. - 53. Steel Reinforcement P" 3. Electrical Conduit;Utility-Undrgrnd: - 54. Forms •- ' - 4. Electrical Conduit-Undrgrnd. .f' ' 55. Electrical Bonding ' 5. Steel Reinforcement SQA A - g// '/A f_. c .,to 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. .$117/9,¢ G y,'�� 57. APPROVAL TO COVE R-GUNITE r 7. Footings a/i7 /� s c,v./...---'58. Electrical Conduit-Undrgrnd. 8. Foundation ' . . ` ! 59. Gas Pipe, 0 Undrgrnd.,Test ' 9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System - .. 61. APPROVAL TO DECK • - 11. Property Sewer Line & House Connection . 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains' 64. Plumbing System - Final 14. Rough Plumbing ' 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final - 16. Rough Electric Wiring 2//`y 40U 67. Fencing & Access Approval 17. Rough Wiring Sign Y 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling .69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20' Rough Factory Fireplace , APPROVALS Permit# 21, Ducts, in Structure70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush' 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25.,Roof Sheathing : ` 9/6:/ !r- CO.... 74. Overhead Hydro ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing q/7/ q- Cyd 76. Dry Standpipe 28. Lathing & Siding /04 9- cm.....- 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing • c?jwfrfr C R • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat . /a/7yp may, 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric n�y ifG Notes:8/9/94�,C/�T at,6,(.. G-/�'t• 34. Final Heating& Air Conditioning !!!17777 07/78 Abar k 09 /. fit.._ 35. Final Gas Pipe-Test 7-0- Ry 9-p42.,,,,i-/ 4,iv7Abt!_ 36. Hood or Canopy Alt G�`//}n/S /x' 0r06 C6-IS, 37. Final Factory Fireplace � Ur AlN � . /< P Ca1,t4i L✓APh/ fPd/,,,d� 38. Final Plumbing /1 ' - 3d. Water Service-Final A)i lith , 1 41- TAO o ?TAT 4a-C. 40. Gas Service-Final I . 5 9/3-4r 41. Solar Domestic-Final • 42. Backflow Preventer - - • 43. Backflow Irrigation 44. .Landscape Irrigation System 45. Sound Attenuation , 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING :S/be- CIL"- 48. µ„48. Special Requirements Completed 49. Elecvic Release to Edison • 50. Gas Release to Southern California Gas Co _ 51. CERTIFICATE OF OCCUPANCY I - No. Date - ! . • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ Tom TY OF COSTA MESA . C N sTRUCTION P RMIT • PERMIT NO. .1/0C.2_. TRACT NO. LOT NO. UNIT NO. 6459 8/16/84 T Project Address r , _ ar{J TYPE OF CONSTRUCTION ❑ NEW U ADD ❑ ALTERATION ❑ REPAIR 'Applicant's Mailing Address es r/. !_ /f/ !-..J .9.21,/ P Owner's Name ��AA,^r/� �` ❑ CONVERSION ❑ DEMOLISH ❑ OTHER (/.4E S7.v�� -Phon: .� -44 a A.P.# I Zone ,�' DESCRIPTION OF WORK/USE OF BLDG. Address65y7/�rf.�f�` - �I - _ S Main Building: Accessory Building: Arch/Eng.��s /y/��s E 4(q/f 5 Li enssee�No. C' 2.2�si TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL E T Front p; Address p�Cgd /4 dee° fl-j/- rose///4/ 4 0 TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL .BB Rear . N Cootractods Nam• i,-I �• 'i/ tri Phone y ❑ 'OTHER - g ��JJ9�$/Jrjrj/^, /� PROJECT DESCRIPTION SQ. FT. - _ OCCUPANCY C Right - • Ni Address(mailin ) MC.0 /7146,/ e ✓" r"- - n4 CONSTRUCTION TYPE _ VALUATION$ $ Left G R City License No. ZONE GRADING CU.YDS. '-ACRES Ping. Ref.# Parking Req./Provided E LICENSED CONTRACTOR DECLARATION - - _ Q i I-hereby affirm that I am licensed under provisions of charter 9 (commencing Remarks: /3g /4 5_ Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and as- . my license is in full for - • effect. - - T a ..9ense Cl.ss i Lice=� _ S. Date �ArIZT Slgnat ure� • �. ��l'��Jl PLUMBING• FEES WORK'RS' OM-ENSATION DECLAR ION Bar Sink Showers „.,1 hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES 1C of Workers' Compensation Insurance; or a certified copy thereof (Section Backflow Preventer Service Sink' s 3aoo; Lab. C.)l7 - Automatic Washer • Transformer 0 15-50 KW - �k 393._e 7 Com an yid i/7T Cap Construction Pole Sub. Py No. p y --` Backflow Irrigation Sewer — ❑ 50+KW Fry copy is hereby thehed. Certifigtl 3, is filed with the city B ng Division. r Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date b^ff//` $p{Zf Applicant /... _err -�-Z_,-, a _ EXEM ION RO WORKERS'COMPENS• ION DECLARATION Clarifiers Solar Collectors . Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or . less): Dishwasher - Solar Piping Dryers ❑Gas ❑Electric Sub Panel _ I certify that in the performance of the work for which this permit is issued, I shall.not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8 Workers' Compensation Laws of California. -- - - - - - _ Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of-the Labor Code, you must forthwith Floor Sinks Urinal - - - Fixtures - comply with such provisions or this permit shall be deemed revoked. Microwave • CONSTRUCTION LENDING AGENCY Gas Service Outlets - Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance l Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name �s Interceptors Water Heater - Outlets Range Lender's Address //Ji/L Kitchen Sink Water Service Switches ' OWNER BUILDER ECLARATION Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • • following reason (Section 7031.5 Business and Professional Code: Any city or - - Garbage Disposal 'Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap - -- . Generator ❑0-5 KW❑5-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit p to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains - the Contractor's License Law(Chapter 9 (commencing with Section 7000) of . 'Division 3 of the Business and Professions Code) or that he/she is exempt _ herefrom and the basis for the alleged exemption. Any violation-of Section ' 1031.5 by any applicant for a permit subjects the applicant to a civil ' Dpenalty of not more than five hundred dollars($500). I I, as owner of the property or my employees with wages as their sole Reinspection Fee E $15 Issue Fee $ 3 ` compensation, will do the work,and the structure is not intended or offered - .Reinspection Fee , ! $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's • MECHANICAL j FEES License Law does not apply to an owner of a property who builds or improves _ - _ thereon, and who does such work himself/herself or through his or her own _ DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). -- - _ __ __ Building Approved By /� Date LJ I, as owner of the Property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By s-ZILJ Date tee", tractors to construct the project (Section 7044, Business and Professions Code: — - - The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU • SUMMARY OF FEES • builds or improves thereon, and who contracts for such projects with a con- -L-,c1.• lt-ct tractor(s) license pursuant to the Contractor's License Law). am aware that ❑ I . BUILDING PERMIT ' $ X''J -LSC) SMIP $ Exhaust System ❑ Multiple System Repair/Alteration proof o their worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# PLUMBING $ ISSUANCE MIT $ Date Owner Heating System& Ducting _ PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BTL GRADING $ ELECTRICAL information is correct. I agree to comply with all city and county ordinances $ and state laws relating to building construction,an• hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of to city to enter upon ab ent ioned pro rt for inspection p�. es. MECHANICAL $ TOTAL FEE $ 4.457-00Signature � , nsp Date Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ •Drivers' L efiYlrase o " 5# _ CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor 0' .i CdNSTRUCTION AND PLANNING POG .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 IP". - .4;- -3 Electrical Conduit kitility-Undrgrnd. 5- 54. Forms 4. Electrical Conduit-Undrgrnd. '55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER-Grnd. 57. APPROVAL TO COVER-GUNITE ' , 7'.,Footings ' .',, 58. Electrical Conduit-Undrgrnd. 8.- Foundation ' • " • ,l 59. Gas Pipe, 0 Undrgrnd.,Test ' 9. Water Pipe-Uridrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.' 10. Structural Floor System • - 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection . 62. Backwash & Receptor-Final 12. SewerCap•. ? - 63. Heater & Vent-Final • 13: Roof Drains ,ti 64: Plumbing System - Final 14 'Rough Plumbing.' 65. Electrical-Final 15. Rough Electrical-Conduit " 66. Solar System-Final - ' 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT , 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough&Test 72. Underground Flush 24. Roof Framing . 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing • 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding • 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing • HEALTH DEPT. REQUIREMENT .31. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer. 43. Backflow Irrigation , 44. Landscape Irrigation System • 45. Sound Attenuation 46. Handicap Regulations , 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed. 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY - No. - 4 Date • • ., --/ I 4OC-2_ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 7694 9/Ob/ ,uppinmr C4 STA MESA •C�O-�N7S,/TRpU—CTIOrsN PERMIT - PERMIT N TRACT NO. LOT NO. UNIT NO. PJejlact.A s 751 CP4e4= in �p �y� !FF �. Li Applicant's Mailing Address CA% //1/1'1/, UCiX-C- J.C., TYPE OF CONSTRUCTION NEW U ADD Li ALTERATION U REPAIR 1 �My Ad pp` ! ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone Owner's Name [� 41Cr•-Lrir Phone DESCRIPTION OF WORK/USE OF BLDG. �}..s/� DrZ ' oe f277 $ Main Building: Accessory Building: Address ✓x.+14 (`l•�-�-� YF- EZ Arch/Eng. License No. TYPE OF PERMIT El GRADING GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front O QDAddress ❑ TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL B Rear N luJ z�J�n��ys /' /, j�1z.� ❑ OTHER A I Contractor's Name.n27? /4/T/YH1 L'C„ Phone W�-.^gi�e� C Right N t CII- _� J PROJECT DESCRIPTION SQ. F . OCCUPANCY Address(mailing) /�/CI, L��f Gf- �71Z K Left G Q CONSTRUCTION TYPE VALUATION $ S R City License No. - ZONE GRADING CU.YDS. ACRES E NPing. Ref.# Parking Req./Provided I LICENSED CONTRACTOR DECLARATION '7 Q (�— I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: / E 14-0 5' C, Planning Notes: M v with section 7000) of Division 3 of the Business and Professions Code, and my license is in full f an effect. T License CI ss LK • • No. . S. Date Signature Ale _ a/ • PLUMBING FEES 4.- WORK R COMPENSATION CLA- TION Bar Sink Showers ELECTRICAL FEES ' I hereby affirm that I have a certificate of consent to self-insure or a certificate )f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) ,rA� _ ra - Automatic Washer Transformer 0 15.50 KW I y No. Compan (Fr�i}'✓�/ //s �l�• Backflow Irrigation Sewer Cap0 50+KW '7 y 9 Construction Pole Sub. CertifiedeQ copy is hereby furnished. _ Certl a is filed with the city B Ing Division- ///) ' Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps •ate y��° 41. Applicant <ficrl �+�'Y E EM TI N FROM WORKERS'COMPENS$`r ION DECLARATION Clarifiers Solar Collectors • Dishwasher Meter ❑Over 100 amps (Th section need not be completed if the permit is for one hundred (. 00)or _ less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certi that in the performance of the work for which this per is issued, I - shall no -mploy any person in any manner so as to become ubject to the • Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8 Workers' •mpensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 0915 HP 016-15+ NOTICE: If,a •r making this declaration, you should be •me subject to the -. - Workers' Comp: sation provisions of the Labor Code, ou must forthwith Floor Sinks Urinal Fixtures comply with su • provisions or this permit•shall •e deemed revoked. - Microwave CONSTRUCTION - NDING AGENCY , Gas Service Outlets Water Closet I hereby affirm that th. a is a construction lending a• ncy for the performance D¢viCe Boxes Pole Light . of the work for wh this permit is issue• (Section 3097 Civ. C.) Interceptors Water Heater Lender's Name p Outlets Range L ender's Address NOMMINEW Kitchen Sink Water Service Switches OWNER BUILDER DECLAR•TION • Sign I hereby affirm that I am exem• from t ' Contractor's License Law for the Lavatories following reason (Section 7031.5 -usin- and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to ruct,alter,improve,demolish or repair P-Trap any structure, prior to its issuance, • • requires the applicant for such permit Generator 00-5 KW 05-15 KW Trash Compactor to file a signed statement that he/ e licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Ch.•ter 9 commencing with Section 7000)of Division 3 of the Business an. •rofessi.•s Code) or that he/she is exempt herefrom and the basis for t•- alleged ex- ption. Any violation of Section 031.5 by any applicant .r a permit s .jects the applicant to a civil penalty of not more than f' e hundred dollars .500). LJ I, as owner of the •roperty or my emplo -es with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do e work, and the structur. is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 70 4, Business and Professiona Code: The Contractor's MECHANICAL FEES License Law does n' apply to an owner of a propert who builds or improves thereon, and who •oes such work himself/herself or 'rough his or her own - DEVELOPMENT SERVICES REQUIREMENTS: employees, prow.ed that such Improvements are not in nded or offered for Boiler Hood or Type I 0 sale. If, howev- , the building or improvement is sold wit'• one year of com- Canopy Type!! 0 Zoning Approved By Date pietion, the o ner will have the burden of proving he/she • • not build or im- Duct' Under Ground Building Approved By Date rove for tn. purpose of sale). q I, as o er of the property, em exclusively contracting wit licensed con- Duct-Structural Refrigeration System Application Issued By _ Date 1 s- tractorst• construct the project (Section 7044,Business and Prof• ions Code: The Co• ractor's License Law does not apply to an owner of pr.•erty who Duct-Ventilating 00-100,000 BTU 0100,000 BTU Jtt_A_I .,Q,�Z.,CJ� SUMMARY OF FEES builds •r improves thereon, and who contracts for such projects wi. a con- tract. (s) license pursuant to the Contractor's License Law). I am aw• e that Exhaust System 0 Multiple❑ System Repair/Alteration BUILDING ERMIT $ IS-DO SMTP $ prof of their Worker's Compensation insurance should be provided • me. PLAN CHECK $ PERMIT I-am exempt under Section B.& P.C.for this real•. Firepl/Fact.Bit.ICBG# PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $ Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and h. eby authorize repre- - PLAN CHECK 50% $ MICROFILM $ sentatives of th'j city to en upon bove- •4-. loned pro•ert for inspection pu •• 5. MECHANICAL $ TOTAL FEE $ I L� bo Signature -. -�....._af Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ ea CMF 0865-46,rev.4/84 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod -Assessor s CONSTRUCTION AND PLANNING POG -SPA /SIPPROVALS Permit Date Inspector APPROVALS Permit Date Inspector Temporary Electrical Service or Pole11.11 52.'-Pool & Equipment Location . - • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. .55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test r 6. Electrical UFER Grnd. t 57. APPROVAL TO COVER-GUNITE 7.'Footings - 58. Electrical Conduit-Undrgrnd. . ' , 8. Foundation59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final. 12. Sewer Cap 63. Heater & Vent-Final - . 13. Roof Drains . 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 . 171. Rough Wiring Sign 68. APPROVED FOR PLASTERING .1 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# • 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating - , 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing • • • • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing , - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL . 30. Drywall Nailing HEALTH DEPT. REQUIREMENT - 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test - 36. Hood or Canopy 37. Final Factory Fireplace - , 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final . • 42. Backflow Preventer 43. Backflow Irrigation - 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 1 47. FINAL STRUCTURE & BUILDING , 48. Special Requirements Completed 49. Electric Release to Edison • •- 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. - Date PROJECT ADDRESS: 2950 GRACE LN UNIT; CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 066676 OWNER'S NAME: STREIT, OSKAR ADDRESS: STREIT EVILINE PERMIT NO; M 066676 PLAN CHECK NO: N GOVT: N SUPP: N 2950 GRACE LN COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: ALT ARCMIENCINEER: LARRY GIBBON REG' NO': C9413 JOB DESCRIPTION : INSIDE ALTERATION FOR EXISTING BAKERY SQ FT: ADDRESS; 700 W 1ST ST 14 TUSTIN CA 92680 CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / PERMITTEE: OSCAR STREIT (714) 540-0281 ADDRESS: 3265 TURLOCK DR COMMENTS: REF: B-66674 C.M. CA 92626 *************yE+E*************** ******yr*******yE********x**********kt*aE******** y6 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z 0 N ING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 14122144 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> ji Date: Applicant: ��, ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: ( is s tion need not be o der.if the mem*is fog one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which this per it is i sue I shall not emdoy:ny p:.son in any manner sTa to become Cu':. to the Workers' Compensation awg of California. ZONING APPROVED BY DATE: Q Signature: ICE;It after making this declaration,you should Deject the W. 'C. p• sari. pro im . the Labor BUILDING APPROVED BY : DATE:e.you must forthwith comply with such provisions or this permit shall be deemed rev. ed. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: r DATE: which this permit is issued(Section 3097,Civ.C). ********************************** *** 9r************************* ** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: Ihereby affirm that l am exempt from the Contractors State License Law for following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 27,00 repair any structure,prior to its issuance.also requires the applicant far such permit to file a signed statement that he/she is licensed . pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 .00 ' I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code'. The Contractors'State License Law TOTALS----> 27 . 00 15 .00 0.00 ,,,,,,...---42:0-0) 42 , 00 .00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or / � improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE D IVIS ION TOTALS——> COLLECTED; (12... \ 00--- OVER/SHORT: ,00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 42 . 0,0 ® and Professions Code: The Contractors'State License Law does not apply to an owner of prope wino builds or improves thereon and who contracts for such projects with acontractor(s)license pursuant to the Contratp ' .T.License Law).l am aware **************************************************,***********,******.************ that proof of their Worker's Compensation insurance should be provided-to me. INDIVIDUAL F E E BREAKDOWN • I am exempt under Section: B.&P.C. for this reas)n;n; v TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ��� � Owner A A�� �W•vrMEC 1 REPAIR/ALT COOLING UNIT/SYS W/CNTLS 9 . 00 9 . 00 I.o hereby certify that I am aware of and understand the requirements of California Health and Safety Code actions 2550', 5533,and MEC 1 REFRIGERATION SYSTEM 'C= 100 K BTU/H 9 . 00 9 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requi:mens for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from MEC 2 VENTILATION FAN CONN TO SINGLE DUCT 4 . 50 9 . 00 these provisions. END OF' FEES • Date: Applicant: I h certify that I have read this application and state that the Dove information re..I ag.e to comply with all city and county dinanc and state laws relating to building construction and here y authorize repres 5 f this c y to enter upoA the abp e-mentioned progeny rinspeclion inose 01 00158377-00158377 TOT 42.00 Lt -"I- Signature: • DATE: 04/04194 TIME: 14:41 Driver's License or Social Security a: 1641-46 White—Budding,Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POG_ -. SPA APPROVALS Permits-` Date Inspector APPROVALS Permit# Date Inspector 1 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location I 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 1 ',3;,ElactticalbondvitUtility-Undrgrnd. 54. Forms -.4,.Eleatrical Cb Jd t-.Undrgrnd. 55. Electrical Bonding . -:5' S t-Reinforcement 56. Rough Plumbing"& Pressure Test oi 61.-Electrical•UFER Grnd. 57. APPROVAL TO CbVIR-GUNITE T Footings 58. Electrical S'r;_1* :t ndrgrnd. ,- r$.Foundation• '--- 59. Gas Pipe, 0 Undrgrnd., Test 9, Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Untirgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains - - 64. Plumbing System - Final 14. Rough Plumbing 77 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 Electrica'RT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - _ . o. ' 20.'_aough Factory Fireplace _ r 0 _ - APPROVALS' -1 CPerniit# ' %' .-.7r•.r. S 4 - . . 21.� in-Strict = _7 4. 70. UndergrounchHydro t 22. Ducts, Vt titating ""� ' 71. Product:PDGiping s 0pil 23. •fas?ipe-rfiouc�h&Test •-. �. F 72. Underground Flush; - 24;Roof Framin•, - •• - 9• _ �, rt• _ _73.•'Undergrnd:Storaggank T Gas 0 011' ' 25. Roof Sheathing '• : - - 74. .Overhead Hydro:. Y 26. -T-Bac Ceiling (Structural) &Monocoat - 75.7,Dry Chemical _ 74 * '- - 27.-Frame and Flashirjg' `.. - j L1. 76. Dry Standpipe E,L .: :rQi 48. Lathing&Siding. x •-. -1 .: . + 4 •• •• •• . 77. FIXEDSYSTEM1F-1NAL 29. Insulation • • > 'f i •. .. 78,--FIRE PREY. FINAL t > r, -�. ,30. Drywall Nailing r j i - HEALTHrDEPT'R•EQUIREMEI1iT 31. Plaster Brown Coat ' , - 79. FINAL INSPECTION x - - r.• .. - - •32.cElectrical.power Meter&inal v 1 1_ 80.cFOOD CERTIFICATE ISSUED -4:.;..• ... • - c-- 33.'Final Electric.-, i-, 'Notes: -''` 4 C.' .34..Finai_Heef ing±& Air Conditionin_,c�_ C6' '{� rA.� - - 35. Final Gas Pipe-Test r ' +-^ - 36. Hood.or,Canopy , S • rm •-• • •- 1 I . •., 37inal Factory Fireplace •- Y ' '` 'd '"''' ' x 7 J; 38. Final_Plumbing -- 4 . - - . . '39. Wate?.Service-Final - °�'� :40. Gas Service-Finali 41. Solar Domestic-Final x •• '' tCI - .. . I: - . • •:: _) • I 42. Backflow-treventer+ . . . r _. ,_; - ` 43. Backflow Irrigation a ;44. Landscape Irrigation Systemtt T:, - C> r ' - -0� 45. Sound Attenuation` - - -46. Handicap.Regulatior4s _ •• S i.1 47. FINAL STRUCTURE & BUILDING i• I.* t 48. FINAL PLANNING _ �r, • H A9. Electric Release to Edison ; .50. Gas Release to Southern Calif orniaGas Co - 1 - • .;; .•. 51. CERTIFICATE OF OCCUPANCY - + - fr.:. _ No. Date PRO3:CT ADDRESS: 2950 GRACE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 066675 OWNER'S NAME: STREIT, OSKAR ADDRESS: STREIT EVILINE PERMIT NO: E 066675 PLAN CHECK NO: N GOVT: N SUPP: N • 2950 GRACE LN COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ALT ARCH/ENGINEER: LARRY GIBSON REG.NO.: C931,23 JOB DESCRIPTION : INSIDE ALTERATION FOR EXISTING BAKERY SQ FT: ADDRESS: 700 W 1ST ST 14 RMITTEE: TUSTIN CA 92680 CLAIM VALUE: CALC—VALUE: GROUP OCC: 8-2 / PE ADDRESS: OSCAR STREIT ( 714 ) 540-0281 3265 TURLOCK DR COMMENTS: REF: B-66674 C.M. CA 92626 ****:E**:E:E******„HiEx•:E********+ ***x***+ ********:r:rLE*** Ear***:E:l:Ex**:E*:E****:E*:E+6x*:E:r:r** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING N I N G R E U I R E M E N T S 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E T BQA C K S CITY LIC.: STATE LIC.: CLASS: • Date: signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REO. PROV: PARCEL: 14122144 ZNE: REF NO: ' 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: • ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Thissettlor need not be.. 'let.. il 'permit is for one hundred($100)or less). D EVEL OP MENT SERVICES REQUIREMENTS 1 lily that in the performance of the work for which this permit i issu d. shall n0 em boy any.'Ron in anyma• ' o as to become elZONt to the Vers'CCcens`ay�ec L sof California, ING APPROVED BY DATE: r. ' �— ° Signature: NOTICE:If.after making this declaration,you should become subject aWo : .-• sation pro -on • the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. �+ CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction tending agency for the performance of the work for APPLICATION ISSUED B Y: ( DATE • Te* which this permit is issued(Section 3097,Civ.C). / ***************************** **** ** ********T****************** * LENDER: ********************************************************************** ******** ADDRESS: LEGALIZATION:N F E E S U M MAR Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC F• IRE SM IP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 3 3 , 00 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 50 2 SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN any applicant for a permit sublecls the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE 15 . 00 I. as owner of the properly or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 33. 00 1 5. 00 0 . 00 4,99 48 . 00 .00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED; /48 0 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FE/,SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 48 . 00 Ix and Professions Code: The Contractors'State License Law does not appy to an owner of property who builds or improves thereon Contractors' icense Law).l am aware ******************************************************************************* that pmol 01 their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section B.B P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ate u- a - 9Y Owner: I A A I A Ilk 1101, Is ELE 16 FIXTURES, LIGHTING 1 ST 20 EA. . 75 12 . 00 d ereby certify that I am aware o1 and understand the requirements of California Health and Safety Co.- ections 25505,2 nt ,and ELE 1 2 REC EP T/OUTLET 1 S T 2 0 EA, 7 5 9 00 34 and that I or any town budding occupant weO ll not(circle one)need ro comply with said state codes and the requirements for a 6 . 00 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from ELE 8 REC EP T/SWITCH 1 ST 20 EA. . 75 mese provisions. ELE 2 MOTOR/POWR APPARATUS 0 .0 — 1 .0 HP 3 . 00 6 . 00 Date: Applicant: END OF FEES I hereby certify that I have read this application and state tha 1 eabove infor%ne is c. rect.I agree to geniply 'th all city and county ordinances and state laws relating to building construction and here a thorizeiv sol this dry to enter u n love mentioned property for inspection purposes, 01 00158381-00158381 TOT 48.00 (f — It q� �� DATE: 04/04/94 TIME: 14:43 Date: Signature: a iver's License or Social Security e: I/ 1641.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor I CONSTRUCTION AND PLANNING POOL SPA. APPROVALS Permit# Date Inspector APPROVALS Permit>k Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . '3.fEILr'ctrica Co(r, iurk.il ity-Undrgrnd. 54. Forms 4..EelectticSCDndtrit-Undrgrnd. 55. Electrical Bonding C 5. Sre.*IReiy6rceTent 56. Rough Plumbing & Pressure Test iL ;,6•.•.Electricai•UFE F;Grnd, 57. APPROVAL TO COVER-GUNITE • , Ili Footings 58. Electrical Conduit-Undrgrnd. , - 8. Foundation" - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final T. Cr 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 'c. D 64. Plumbing System - Final 14. Rough Plumtsitig' "D - 65. Electrical-Final• 15. Rough Electric r:Conduit 66. Solar System-Final • , 16. Rough Electric Wiring gc Sit /1 67. Fencing & Access Approval i 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING • 18. Rough Electrican=T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT S . ,-. .•.- _1 c. rl `tr• 20. Rough Factory Fit'2piace . ;tr. •- :; Cr'*, . :APPROVALS%-'CPerrnit 4 i - 1" n 21. ucti,inStruetuCj. c- + .. . -17- x !-• 7. bit S Z.. .+ • 40. U'ndergroqud}1Yctio ' . 22. Duct), Ventilating-41. _ .r - J'* r_ 1�1, Product:Piping Otis ❑Qil 23. Fas• pe_'Fioug}i &'T st - ;. iq S 't JL i F42. Undergro Ind;Flush- * -- 24. ;-Roof Framing• :1 - i ,...,r-- .S. t- 7 J - PT t .173. Jndergrnd:Storag$Tank CI Gas 0 OiP - -• �•x .-0 25. Roof'Shc.athing ••; Z �:�, , - ij',' • -74, Overhead Hydro •• 26.-T-Bar•Ceiling (Structurall & klonocoat + n _ T • 75.'Dry Chemical ' - -�• mix 27,'Frame and Flashin r ' •- r �9. a ' : 76. 'Dr Stand r „ -` QC.,:, s t^ 2+'a Y 1/.Pe, 1-.,,i r � .z r.-i,' -+Irlr1,7*.: _ - 28. 'Lathingig Siding i -n -a,;G •• ••t ••' : 77, FIXED SYSTEM-FINAL! ^ 29. Insulatio{i i J • -- i , 78.=FIRE PREY. FINAh • ' x �ti _ .l 1 7 T v V F L t. ,30. Drywall mailing r I I , F. HEALTH OEPThREQUIREMENT ).--T rl 31. Plaster Brawn Coat .^. p•D, i ••t : J9. FINAL IN*¢ECTIOI 'b. 7 ' 1�= 2. Electrical-Power Meter*inal ' _e . i i t d 8 J JD CERTIFICATE-ISSUED •� R •33. f inarElectricl. t -", � ' ,~ 134. Fina-HeSting& Air Conditioning:,, , [/.. • I T _ _ -, r. t. - 35. •Finat GasPipe-Jest ' ~ '•' 'y I � �'i" G•-,.' _ •_ 01 01 36, Hood.or Canopy z 1 { _ .- - y 37. FinaP'Factory Fireplace'._ „.� t,'" x '% r ;: ~!r ° . a _ E J, r Ft . 38. FinalrPlumbing . + _ . m 39. WatefSer'vice-Final . -. - I . • • 40. Gas Serve-Final 42.r.,- P. - k 7 a: :-ti a , : .- ti '41. Solar Domestic-Final S k + r= '•* '+- "1C _ •. _ 42, Backflow Preventer r • i -• : - ' 43. Backflow Irrigation r _ ' `" 1 •' A +u 1 * • L. v r'r• r . .. . '44n.S � , Landscape Irriyatioystem .r•: -.-' •, , is r ,, r co J- m : 0: , -... 45. Sound Attenuation .r ._ rc• + t . ' - r» . t . ., .h6. Handicap.Regulatioris -' - it tr: - 7_' 47. EINAL STRUCTURE & BUILDING Y -• - 48. FINAL PLANNING.. ; 49. Eleciric Release to Edison • ' • 6• * z r -i • _ , •• - „ 50. Gas Release to Southern CalifOrajaa.Gas Co :I r. - - . 61. CERTIFICATE OF OCCUPANCY - . r No. Date PROJECT ADDRESS: 2950 GRACE LN •• .ZZL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 066677 OWNER'S NAME: STREIT, OSKAR ADDRESS: STREIT EVIL INE PERMIT NO: P 066677 PLAN CHECK NO: N GOVT: N SUPP: N 2950 GRACE LN' •- COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: ALT ARCH/ENGINEER: LARRY GIBBON flEC'N0i C9� 3 JOB DESCRIPTION : INSIDE ALTERATION FOR EXISTING BAKERY SQ FT: ADDRESS: 700 W 1ST ST 14 TUSTIN CA 92680 CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / PERMITTEE: ADDRESS: OSCAR STREIT ( 714 ) 540-0281 3265 TURLOCK DR COMMENTS: REF: B-66674 C.M. CA 92626 ****+ESE**TExs6*sEstsET6+E*s6*SE+E+Ex+ESE+ ****SE***SESE*+ES6xxTr**+ts6TESE*****SExsr******sE*+E************* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7001)of Division 3 of the Business and Professions Code.and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: SETBACKS Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to selbinsure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.Cf. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY ND.: EXP.DATE: COMPANY: PARKING REQ• PROV: PARCEL: 14122144 ZNE: REF NO: '❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > Dale: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Thi ction need not b. rr•ete'if the permit is for one hundred(s100)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work fpr which this permi is i su I shall rt a•r doy ny person in any manner so as to become 0 s ^ t to the Workers'JCompensation w of California.u / J ZONING APPROVED BY 1 — (Ili Signature: Jul DATE: OTICE:If.alter making this declaration.you should become subject to the Workers •mpensation pr Lvisions of the Labor BUILDING APPROVED BY DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE- which this permit isissued(Section 3097,Civ.C). * 'ti LENDER: ***************************************************************************** ADDRESS: LEGALIZATION:N F E E S -U. M M A R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'Stale License Law for the following reason BLDG PMT PLUMBING ELECTRIC' MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,atter,improve,demolish,or PERMIT 49 . 00 repair any structure.prior to its issuance.also requires the applicant far such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 254 SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 20, 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK " i PAID DUE ❑ e structure is not intended or offered for sate(Section7044.Business and Professional Code: The Contractors'State License Law TOTALS 49 , 00 20 , 00 0 ,00 69 , 00 69 , 00 , 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees•provided that such improvements are not intended or offered for sale. If,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• ,6 9. 00 OVER/SHORT: ,00 for the purposed sale). BLDG PMT PLUMBING ELECTRIC MECHANIC ,FI'E S P/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 69 . 00 - ' L1( and Professions Code: The Contractors'State License Law does not apply loan owner of property who builds or improves thereon • and who contracts for such projects with a Contractors)license pursuant to the Contrac r r5'State License Law). l am aware *.**.*****.****.**,***,****.*******************,*.***** . ****************************** that proof of their Worker's Compensation insurance should be provi� to me. I N D I V I D U A L F 'E E B R E A K D O W N ❑ I am exempt under Section: B.X.P.C. I • /f this reason: I. TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Oatej �- e C Owner ' U �• • ��� w PLU 1. WASH BASIN 7 ,00 7 , 00 Ip hereby certify mat am aware of and understand therequirements of Cealiforcompl wi and Sa Cpde Sections 25505.25533,or d a PLU 2 WASH BASIN (SET) 7 .00 • 14 . 00 25534 and roar or any future building occupant Air ll not(circle one)need to comply with said slate icodes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from PLU 3 WATER CLOSET ( TOILET) 7 . 00 21 . 00 (nese provisions. PLU 1 SINKS, FLOOR • 7. 00 7 , 00 Date: Applicant: END OF FEES I hereby certify that I have read this application and state that th ove informs hi i corr 1.I agree to co ith all city and county 7' ordinances and state laws relating to building construction and he by uthorize rep es atives f this city 46 en r Lipo he above-mentioned ` 01 0015e378-00158378 T E?T 69.00 ty for inspection purposes. ^ DATE: 04/04/94 TIME: 14:42 ate: T'{ —/ crie 19/ Signature: , et's License or social Security n: t64t'46 White—Budding:Green—CoOo Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POO. SPA APPROVALS Permit# Date Inspector APPROVALS Permit+ Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. a 53. Steel Reinforcement I 3...E lectrical•CoPduit"utility-Undrgrnd. 54. Forms .4. Electr,ical•Condutt,Undrgrnd. 55. Electrical Bonding '5. Steel Reiriforcenient 56. Rough Plumbing & Pressure Test ;'6,ElectiicatUfER;G_ind. 57. APPROVAL TO COVER-GUNITE 7: Fdotings t- . 58. Electrical Conduit-Undrgrnd. • 8.•Foundation59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 4_-112(.. _ 60. Backwash Lines. P-Trap, '0 Undrgrnd. • '1•0. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final • 12. ,ewer Cap 63. Heater & Vent-Final 13. Roof Drains •-. 64. Plumbing System - Final 14. Rough Plumbing r; 65. Electrical-Final 15. Rough EkctricatConduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough ElectricafT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT I • - -rt. _ _ f- 20. Rough Fdttory Fireplace • rat:- :11 -• - c- : tAPPROVAtS':✓'PernAt # r _ - . r , <t _ _ _ i� : - 21.:Ducts',in-Structur,G,, - r'. 't- r( ,r ]0. tJndergropjd}iydto 22. Ducts, Ventilating '•_ '.- ' 71. Product OGa's DOd 23. 6as PipeRough&Test __ , , , 272. Underground'Flush; , 24. .Roof-Framing• . • •� •• - - - 73.a{Jndergrnd:StorageTank 0 Gas 0 Oil 25, Roof Sheathing - r " . '74. :Overhead F ydro - ' 26. T-BatlCeiling (Structural) & Monocoat - - n- ' 75.-Dry Chemical -1,. . V . 27. Frame and Flashing �,� t 76. Dry Standh,the _ -• „ . =,ar • ti '28. "Lathing&Siding' - - •- '• •• , 77• -FIXED SYSTEM FINAL' - 29. Insulation - i : ; 78.'•ThIREPREV. FINA6 • - -. . -30, Drywall Nailing 0 • - HEALTH LDEPT 4R•EQU+REMENT:• 31. Plaster Bfown.Coat ' . .,, i ( . J9.-FFNALrNSPECTION -t r' _ it \ 32. ,Electrical Power Meter'Final i I i t • :80, FOOD CERTIFICATE ISSUED --'n °+ .33. ;Final"Electric Notes: 34. Final Heafing t Air 6onditioning' _ �• -7 C�� 35. Final Gas Pipe•Test - •c' - F- �b �1 7 C"u"'(� _�L� - • a 7z=` ( ' c.�.n -cz - et* -36. Hood.or,Ganopy • ` g 37. Final,Factory Fireplace' • � :L4=t� E�At . --- 38. FinalPlumbing , - F-1.0--CA-1._ 39. Water,Service-Final * l 4- I - .r I t 'r . >. c. 40. Gas Service-Final r r . .r , t -. _ - - t.41. Solar Domestic-Final •• • s .-Z0 -I • .n -s.-:-.• , 42. Backflow'Preventer ; ) p >F 43. Backflow Irrigation -- '- ,-• _ - ♦ y . 44. Landscape Irrigation:System Is I. 45. Sound Attenuation - - .. ,. - m nr, nYr r-• G •" ,.: - r 46. Handicap' Regulations j. # . p- ,1• .r�, + 47. FINAL STRUCTURE & BUILDING . , r 48. FINAL PLANNING . , • . 49. Electric Release to Edison .. i a 50. Gas Release to Southern California Gas Co , .• _ - - .-. . 51. CERTIFICATE OF OCCUPANCY' - • - - - - No. Date PROJECT ADDRESS: 2950 GRACE LN Will: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 065233 owxERSNAmE: STREIT, OSKAR • ADDRESS: STREIT EVILINE PERMIT NO: B 065233 PLAN CHECK NO; N GOVT: N SUPP : N 2950 GRACE LN COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: ALT ( 714 ) 540-0281 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : RENEWAL OF EXPIRED REROOF PERMIT SQFT: 2, 000 ADDRESS: UNIT: CLAIM VALUE : 2 , 000 .00 CALC—VALUE: 2, 000 . 00 GROUP OCC: B-2 / PERMITTEE: DOYLE C . FORTH & CO. ( 714 ) 556-7165 ADDRESS: 1075 REDDING AV COMMENTS : THE "GERMAN HOME BAKERY" / RE: EXPIRED PERMIT B35669 COSTA MESA CA 92626 *******************x•************** **+r*+r+rxaF+FaF***************************x*TE**** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R EQU IR EM EN T S 7000)of Division 3 of the Business and Professions Code.and my license is full for - and etle� SETBACK S CITY uc.: 035511 STATE uc.:954306 4AMMS Date: /l-1--93 Signature //SW 7 MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm tha, ave a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section '61.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT : FT IN POLICYNO.: 0783253-93 ?DATE: 10/01 /94 COMPANY: STATE FUND f PARKING REQ: PROV: PARCEL : 14122144 ZNE: REF NO: 7 Certified copy is hereby furnished. Q Certified copy is filed wit t it inion PLANNING NOTES> _r Date: /12--7-19-3 Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This lion need not be completed if the permit is for one hundred($100)or less). DEVEL OP MENT S E R V ICES R E Q U I R E M E N rpt S I certify that in the performance of the work for which this perm issued.I shall not employ any person in any manner so as 10 become subject to the Workers'Compensation Laws of California. ZONING APPROVED BYC..-- • DATE: Dale. Signature: ' NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE; ..77 Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: , 1 DATE: 1 which this permit is issued(Section 3097.Civ.Cl. *3h*.**.**.***.x.*.x.*.*.*.x..x..1F***ih**3Eif.1i,**iE.H,*3F.i�it,.x..>t..)f**.if*.*.x,ar *,*.N,* {I.it**ie7F***3E***,***IF/*�jF 34TIFI Cit** LENDER: *************************************************,F******************V4********* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 45 . 00 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN . 50 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I, as owner of the property or my employees with wages as their sole compensation, wit do the work. and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 45 . 50 0 . 00 0 , 00 45 . 50 45 . 50 , 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or improvement is sold within one year ofcompletion.the owner wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS > COLLECTED: 45 . 50 OVER/SHORT: , 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 45 , 00 . 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contractsfor such projects with acontractor(s)license pursuant to theContractors'State License Law). l am aware *,*,*,*.*.***,*,*,*,**,*,*,*,**,**,.**,,*,*,*** **,*,**,*,**,**,**,**,***,* *,***** ****,*****,**,*************,*,*** that proof of their Worker's Compensation insurance should be provided to me. ❑ am exempt under Section: B &P.C. IND I V IDUAL F E E B R E AK D OWN for reason TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFC 2000 REROOF BY VALUE COMMERCIAL NOZONE 1 . 00 2, 000 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above inter .ion is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authori•• es ta, / d of thi ity to enter upon the above-mentioned property for inspection purposes. ix Date: /22-93 Signature: ,/Air 01 00151896-00151897 TOT 45.50 Driver's License or Social Security a: DATE: 12/07/93 TIME: 14:26 1641-46 While—Building:Green—Code Entorceme•.Canary—Applicant;Pink—Revenue:Goldenrod—Assessor • CONSTRUCTION AND PLANNING POL . SPA APPROVALS Permit n Date Inspector APPROVALS Permit Date Inspector _l. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test - f 6. Electrical OF ER Grnd 57. APPROVAL TO COVER-GUNITE• 7. Footings 58. Electrical Conduit•Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test �< 9. Water Pipe-Undrgrnd. v ! 60. Backwash Lines, P-Trap, ❑ Undrgrnd. ;'•, 10. Structural Floor System 61. APPROVAL TO DECK • • 11. Property Sewer Line & House.Connectign 62. Backwash & Receptor-Final 1 • 12. Sewer Cap 63. Heater & Vent-Final • 13. Roof Drains J • 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit #` 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑Gas 00 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage-iank :]Gas E.al 25. Roof Sheathing 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe - 1 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL _ .., 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • 79. FINAL INSPECTION • 32. Electrical Power Meter-Final 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 • __i 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45, Sound Attenuation 46. Handicap Regulations {I 47. FINAL STRUCTURE & BUILDING `2_./3.,0117 6 w/_/' 48. FINAL PLANNING ( { (� 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERM NO. TRACT N0. LOT NO. UNIT NO. CITY•OF COSTA MESA CONSTRUCTION PERMIT �.s4 tag A.P.# I zone �► :' / 7 Pioject Address x,10 fl7�iq-C� /it - � � � � OZ�sn C.Cq-cg, �; he TYPE OF CONSTRUCTION U NEW U ADD L}' LTE RATION LI REPAIR S Main Building: Accessory Building: 44 Applicant's Mailing Addres's!/ p ` ��n�2 1e1Z It Phone ❑ CONVERSION ❑ DEMOLISH ❑ OTHER 1 T Front O Owner's Name T elo-0Z.91 DESCRIPTION OF WORK/USE OF BLDG. ' B Rear N Address ,�2�� Fr?LOC!• c�2 ( /�9 t A I TYPE OF PERMIT Li GRADING ❑ FOUNDATION U STRUCTURAL C Right N Arch/Eng. - License No. K G Address :..>< ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' $. Left R Contractor's Name `' Phone 111 OTHER Ping. Ref.# Parking Req./Provided E i . PROJECT DESCRIPTION SQ. FT. 702 O� OCCUPANCY PlanningNotes: Q Address(mailing) CONSTRUCTION TYPE VALUATION$ 10 en 0.--- M City License No. ZONE GRADING CU.YDS. ACRES. I LICENSED CONTRACTOR DECLARATION //�' S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: � ,���rF�:. ` with section 7000) of Division 3 of the Business and Professions Code,and _ I/++CC si my license is in full force and effect. ELECTRICAL FEES License Class License No. Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW ' • C! 9RKERS' COMPENSATION DECLARATIONCOnsVucti00 Pole Sub. ❑ 50+KW . • ��^:ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers • ':i Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 3800, Lab. C.) • Policy No. ' Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps 8 Certified copy is hereby furnished- Dryers ❑Gas ❑Electric Sub Panel • Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant _ Fan Motors❑0-1HP ❑1%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or F.A.U. HP 016-15+ less). Dishwasher Solar Piping I certify that in the performance of the worl�•fo, whic's4this •ermit is issued, I Fixtures shall not employ any person in any manne sc as is tic, - subject to the Drinking Fountains Solar Tank Microwe , . Workers'F ompen5atior pws of California. ✓ Date /0 // - 64 Signature yfti Floor Drains Swimming Pool w/Spa Device Boxes Pole Lit NOTICE: If,after making this declaration, you should become subject t• a - Outlets inisnici.nSola:09-15 Ran e workers' Compensation provisions of the Labor Code, you must fort with Floor Sinks Urinal - gcomply with such provisions or this permit shall be deemed revoked.CONSTRUCTION LENDING AGENCY Gas Service Outlets Water ClosetSwitches `,--No I hereby affirm that there is a construction lending agency for the performanceGarbo ¢Dis Osalof the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater - 9 p StndinSectionsLender's Name ' Generator ❑0-5 KW❑5-15 KWTrsh Cmpactor OW E Address Kitchen Sink Water ServiceOWNEy BUILDER DECLARATION f herein areirm t(St am 703mpt from tse CoPrraetsr's License Law cot the Lavatories Auto-Wash collnty ich re ( iresian rmt.t Business anda Professional Code: Aho rire ar • anynt r which prioilto a peseta c ,al orequ res t,Improve, t forsuhc or rrmit P—Trap Laundry Trayscoy Tera sigre, psiar m its hat he/, also licensed the suantctot fel such permit to file a signed statement that'h ashe is licensed pursuant to the provisions ofRoof Drains =• le Contractor's License Law(Chapter 9 (commencing with Section 7000) of s ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee �• $ 3 Aerefrom and the basis for the alleged exemption. Any violation of Section - - -- 7031.5 by any applicant for a permit subjects the applicant to a civil „ penalty of not more than five hundred dollars ($500). DEVELOPMENT SERVICES REQUIREMENTS: .0I. as owner of the property or my employees with wages as their sole Reinspection Fee- I $15 Issue Fee $ 3 (, i t compensation, will do the work, and the structure is not intended or offered — Zoning Approved By w Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES Building Approved By 'J Date n ee en Law does not apply to owner f a property throughwho builds or improves ��/ thereon, and who does t work himself/herself or intended his or her own Application Issued By �`_` -I+ Date employees,if, hthat suchorImprovementsimry are not intentletl or r redof c for Boiler - Hood Canopy oType I 0 - pleti If, however,ewthe building improvement of pro isgsoldwithin one year rum- Type II 0 SUM RY FEES` pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Groun8b -, rove for t hepurpose of sale). - • BUILDING PERMIT $ SMIP $ L I, as-owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System _ PLAN CHECK a ra tors to construct the project (Section 7044,Business and Professions Code: $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCEya $ builds or improves thereon.and who contracts for such oroiects with a con- -- y,,. ENERGV"P C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ - GRADING $ 0 I am exempt under Section .& P.C.for this reason Firepl/Fact.Blt. !CBO# Fire Dampers C1S•CR2 S71P61% • PLAN CHECK 50% $ MICROFILM $' Date /D �/• �Z - owner _ Heating System& Ducting Registers -t=.//'/� 1y+ (e1 7 I hereby certify that I have read this application and state t t the above ❑0-100,000 BTU-0100,000 BT MECHANICAL $ TOTAL FEE $ - 7s •� dc' :r information is correct.-I agree to comply with all city and coup y ordinances - PLAN CHECK 25% $ and state laws relating buildin• • struction, and hereby au horize repre- sentatives of this cit tp int r • the a ve-mentioned property for Inspection purposes. f`V/A4 Signature Date t0 y/• Drivers' License or SS# _ Reinspection Fee $15 Issue Fee !!11 0865-46,rev. 5/88 white - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 01 00016809-00016810 TOT 45.5 0. DATE: 10/11/38 TIRE: 16:34 ` r r + 'CONSTRUCTION AND PLANNING I _ &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 Conduit Utility-Undrgrnd. 54. Forms • 41. Electrical Conduit-Undrgrnd. - ' 55. Electrical Bonding 5. Steel'Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7! Footings 58. Electrical Conduit-Undrgrnd. , 8; Foundation I I 59. Gas Pipe, 0 Undrgrnd., Test 9l Water Ripe-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. Sewar Cap ' - 63. Heater & Vent-Final 13: Roof-Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval �fl. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS Permit# 21. Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush • 24. Roof Framing '' 4 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL • 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing { HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ,: 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE•ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer ! •r 43. Backflow Irrigation EXPIRED,! Incomplete l'ibweoliorq' 44. Landscape Irrigation System • 45. Sound Attenuation Date_409.?$18 46. Handicap Regulations 1 r 47. FINAL STRUCTURE & BUILDING t 48. Snecial Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Cc - 1 . 51. CERTIFICATE OF OCCUPANCY • No. Date PROJECT ADDRESS: 2950 GRACE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06523C OWNER'S NAME: STREIT, OSKAR ADDRESS: STREIT, EVILINE PERMIT NO: B 065230 PLAN CHECK NO: N GOVT: N SUPP : N 2950 GRACE LN COSTA MESA CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: ADD ( 714 ) 540-0T281 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : RENEWAL OF EXPIRED PERMIT B32453 SQ FT: 40, 000 PERMITTEE: CLAIM VALUE: 40, 000 . 00 CALL—VALUE: 40, 000 . 00 GROUP OCC : B-2 / ADDRESS: DOYLE C. FORTH & CO. (714 ) 556-7165 1075 REDDING AV COMMENTS : RENEW ADDITION PERMIT FOR THE "GERMAN HOME BAKERY" / RE: 832453 COSTA MESA CA 92626 ******************** ********************************************************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R EQU IR EMEN TS L. 7000)of Division 3 of the Business and Professions Code,and my license i full force and effect. CITY LIC.: STATE LIC.: /S SETH ACK S 035511 454306 Date:�2�7.- 93 Signature:_ s// — MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm th. have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section :AO.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POucvxO.: 0783253 93 ,�.DATe 10/01 /94 COMPANY: STATE FUND PARKING REQ: PROV: PARCEL: 14122144 ZNE: REF NO: : Certified copy is hereby furnished. 0 Certified copy is filed with I Ity ' ' vision PLANNING NOTES> > — Date: /7---7 93 Applicant: ✓ **********************************ia*********************************3F********** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This tion need not be completed if the permit is for one hundred(log)or less). DEVELOPMENT ERVICESS REQUIREMENTS I certify that in the performance of the work for which this permi 'C issued,I shall not employ any person in any manner so as to become a subject to the Workers'Compensation Laws of California/ ` ZONING APPROVED BY DATE: Date: Signature: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APP ROVED BY : DATE: n' Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: (,,. -•� � DATE: ��/7��•3 which this permit is issued(Section 3097,Civ.C). ********************** xx****41F-Bx*U***; ****************#* **7FaSiF*.R."'*'*�,- '*#* LENDER: **********************************,********************************************* ADDRESS: LEGALIZATION:N F E E' SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELEgTR IC MECHANIC FIRE SMI P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT I T 3 4 9 , 5 0 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 8 . 40 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered br sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 357 , 90 0 . 00 'i 0 , 00 357. 90 357 . 90 , 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through • his or her own employees.provided that such improvements are not intended or offered for sale. I1,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 357. 90 OVER/SHORT• , 00 for the purpose of sttef. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 349 . 50 8 , 40 ❑ and Professions Code. The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). l am aware **,*K****,K,*******,****,*********************************************************** that proof of their Worker's Compensation insurance should be provided to me. o I am exempt under Section: B.a P.C. INDIVIDUAL F E E BREAKDOWN for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFC 40000 ALTER BY VALUE COMMERCIAL NOZONE 1 . 00 40, 000 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above infer,'.lion is c•rect.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby autho) represent yes oft.' city to enter upon the above-mentioned property for inspection purposes. /' .-- Date: /2.993 Signature: L ' 01 00151893-00151894 TOT 337.90 Driver's License or Social Security a: DATE: 12/07/93 TIME= 14:25 164 n'46 White—Budding:Green—Code Enforcem' :Canary—Applicant:Pink—Revenue;Goldenrod—Assessor 1 CONSTRUCTION AND PLANNING POL 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 Conduit Utility-Undrgrnd. 54. Forms 4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test {� 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE : 1 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test• 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, LT, Undrgrnd. 10. Structural Floor System ; / 61. APPROVAL TO DECK 11. Property Sewer Line & House,Connection 62. Backwash & Receptor-Final • 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Peal 14. Rough P.umbing 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 1.9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Root Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & ivlonocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL .. 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing . .+ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat T 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final ElectricZ- r / , l3-43 �C,�w.attnoG.r Casts 34. Final Heating& Air Concitioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing -_-- --_ 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 1I.(7 6La* 48. FINAL PLANNING - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • !< • CITY OF COSTA MESA� C �N,sS�T,RU�T_I-OIN PERMIT PE IT NO. TRACT NO. LOT NO. UNIT NO. 6339 3/06/3" 35: oat) (r. Project Address C:1(36) W s5 c, IOr/ �j - - 3 2 �f53 38 78 //s/J� Applicant's Mailing Address 29SL, 6Atc C, k. -lz626 TYPE OF CONSTRUCTION LI NEW LI ADD LJ ALTERATION Li REPAIR n ���� 5•,�� ElCONVERSION El DEMOLISH ElOTHER M G Own,.'''s Name s t LT Phone7l'-r4.0'Mk A.P.# Hi aa Zone DESCRIPTION, OF WORK/ �' E QF�B LOG. ��/��'�E.ir g Main Building: Accessory Building: Address 37 res- r QLOC Pe• CosfA- fel tisk 9 6Lb ilKEQY V IVACE �/ E Z Arch/Eng.rc,/ _C.\I N e� License No. C QO- ')ZR.I TYPE OF PERMIT El GRADING ❑ FOUNDATION L� STRUCTURAL T Front I01 0 Address /MEZ - ❑ TENANT El ELECTRICAL El PLUMBING El MECHANICAL B Rear O I N Contractor's Nam- pW�E — ,I� � Phone r3 OTHER $—.L C Right ,t.�sl ' N 2106 �i2F10E L{W6 PROJECT DESCRIPTION SQ. FT.,..._, OCCUPA�ry[��Y Address(mailing/ / CONSTRUCTION TYPE_ /✓r 000 S Left OI R N VALUATION 5 City License No. ) ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION /1 Ping. Ref.# Parking Req./Provided 52133 E I hereby affirm that I am licensed�untler provisions of Charter 9 (commencing Remarks: /✓c, r�• 2. 7, /f) /7j 3/2/t'p • Planning Notes: F ( J 2mty i3li... r. nr tAJ M with section 7000) of Division 3,.p1 the Business and Professions Code,and [ ,/ (Q _ "'D•' l� my license is in full force and effect'. C. 1,c• //3.-as G S License Class T -- License No. Date Slg�rature''- PLUMBING FEES , WORKERS'COMPENSATION DECLRATION ABar,Sink Showers ELECTRICAL FEES iereby affirm that I havea certificate of consent to self-insure or a certificate r Workers' Compensation Insurance; or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) ✓ t /_ Automatic Washer Transformer 0 15-50 KW ln310/57 87 i4 c i L . e. i_-y ❑ 50+ KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. Certified copy is herebytfurnislied. Certified copy s filed with the city Burr i i ion.. Bathtubs Sewer Connection Cooking Unit Meter Our)to 100 amps Date_ZJ $ Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit Is for one hundred ($100)or less). • Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the perforljlance of the w k fo 1 filch this per it is issued, I - shall not employ any person in any ma n r s• . t• become dect to the ( Drinking Fountains Solar Tank Fan Motors DO-1 HP 011/2-8 Workers' Com.Rensatigi Laws of Californ a'.Date 3 — L ++` Signature Floor Drains Swimming Pool w/Spa F.A,U. Inc.Solar 09-15 HP 016-15+ NOTICE:If,after making this declaration, ou should become bject to the — - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is Issued (Section 3097 Civ. C.) - Water Heater Lender's Name InterceptorsOutlets Range Lender's Address �_ _ Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions Of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of , `vision 3 of the Business and Professions Code) or that he/she is exempt erefrom and the basis for the alleged exemption. Any violation of Section •031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 co pensation, will do the work,and the structure Is not Intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REOUIREME e employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 ZoningApproved By A. ` Date•�- , b• ' •• • sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ pp �' • pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved ey ./ Dote 3IT s • prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Ili Dat= tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- tractors) 0 Multi license pursuant to the Contractor's License Law). I am aware that0 SystemRepair/AlterationBUILDING PERMIT $ 3'449•SO SMIP $ G.co - proof oftheir Worker's Compensation insurance should be provided to me. Exhaust SystemMultiple PLAN CHECK $ PERMIT D 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. !CBO# Fire Dampers PLUMBING $ ISSUANCE $ )s Date Owner a • 0 Sre -11'— Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑4100,000 BTU El 100,000 BTL ELECTR ICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relat to byildj.• construe •n, and hereby authorize repre- MICROFILM S sentatives of this it to a t-r upon thr ove-mentioned property for PLAN CHECK 50% $ inspection purposes - g Signature — Date 3-3-08 MECHANICAL $ TOTAL FEE $ J��•_SO Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. ' 57. APPROVAL TO COVER-GUNITE 7. Footings 7 4' fiervv - 58. Electrical Conduit-Undrgrnd. 8. Foundation - . 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing ; 73. Undergrnd.Storage Tank 0 Gas 0 Oil - 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 411/2) --- 75. Dry Chemical - ' 27. Frame and Flashing 411/�8 n' 76. Dry Standpipe ' • i /, ( `; 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 1,- 30. Drywall Nailing 6/Z -lI6 1 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat / 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ,,�1 33. Final Electric Notes: 3)I' j !/ o 4 � `2ia 34. Final Heating & Air Conditioning GIs St Crum j Oaf t04-: �%(!/J//w/aLJJ 35. Final Gas Pipe-Test - 36. Hood or Canopy /1/17 _ Insai/ifier< '70 ZiotAL 9P 37. Final Factory Fireplace • 38. Final Plumbing _ • 39. Water Service-Final • 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 1 r ' tXPIREU 44. Landscape Irrigation System - Incomplet inspections 45. Sound Attenuation moi/ • 46. Handicap Regulations Uate �_' Slg __ 47. FINAL STRUCTURE & BUILDING . 48. Special Requirements Completed i", •• i 49. Electric Release to Edison i - i% j 50. Gas Release to Southern California Gas Co �;' I 51. CERTIFICATE OF OCCUPANCY • - No. Date _ F • i. -r 77O12_, CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FACILITY FEES NEWPORT-MESA UNIFIED SCHOOL DISTRICT Developer/Applicant: 0576/e //iCi=�[, ` &oE�ti /kw .64,44.6)/> Address : .2910 re �i/� LAWil- • afr,�-- Ftf,Q7,�- 92616 Telephone Number : 7/'7 5440-0 Z.,/ Tract/Parcel and Lot Number( s) : if 33 t Location of Project : (45) 0624-62L- eat,i- -- 9t'e?e Number of Square Feet of Residential Space x $1 . 50 Total Number of Square Feet of Commercial and � Industrial Space Son x $0 . 25 Total The provisions of Government Code Section 53080 are not applicable . This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995 . Checks are to be made payable to Newport-Mesa Unified School District . � � Busine Manager Newport-Mesa Unified School District The above representation as to square footage is true . Developer/Applicant agrees that if it is later determined that such representations are not true then this certificate shall automatically terminate and the appropriate City/County shall be notified . / v Nr Date : 5'- se Deve per/Appl ' ant PROJECT ADORESS: UNIT: 2950 GRACE LN CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 065232 DwdEfls NAME: STREIT, OSKAR t ADDRESS: STREIT, EVILINE PERMIT NO: E 065232 PLAN CHECK NO: N GOVT` N SUPP: N f 2950 GRACE LN ` COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH ( 714 ) 540-0281 AflCHIENRESS: flEG.ND.: ADDRESS: UNIT: : SQ JOB DESCRIPTION RENEWAL OF EXPIRED PERMIT FOR BAKERY FT: PERMITTEE: CLAIM VALUE: CALC—VALUE; GROUP OCC: B-2 / ADDRESS: DOYLE C, FORTH & CO, ( 714 ) 556-7165 1075 REDDING AV COMMENTS: THE "GERMAN HOME BAKERY" / RE: EXPIRED PERMITS E38657 & E33442 COSTA MESA CA 92676 #######+ ####*############*****###########�E#*######******#fc##################### LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of C apter 9(commencing with Section 70001 of Division 3 of rho Business and Professions Code.and my license is full force.nd effect. ZONING R EQU I R EMEN TS CITY LIC.: 035511 454306 e STATE LIC.: / SETBACK S Date:_a-7 93 Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I ye a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN Compensation Insurance.or a certified copy thereof(Section 3 ,Lab.CI. LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN POLICY ND.: 0783253-93 E DATE: 10/01 /94 COMPANY: STATE FUND / PARKING REQ: PROV; PARCEL : 14122144 ZNE: REF NO: 3 Certified copyopiis hereby furnished. 0 Certified copy is filed with�eA B .,ivision PLANNING NOTES> ---- Date:A�/�93 Applicant: // ####*#**#**#****#****######**#### **************************##**#********#**** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This se/in need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT S E.R V I C E S REQUIREMENTS I certify that in the performance of the work for which this permit/ued.I shall not employ any person in any manner so as to become ' - subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: Signature: NOTICE:If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : ""'i DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. -7- CONSTRUCTION * LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for ISSUED BY: ,. DATE: /a l7 13 which this permit is issued(Section 3097.Civ.C). ###*###*##*******#####*## Fa* *K �- *** ***####******#*3F* i #*#* ## LENDER: ADDRESS: XXXXXXx X x X XXXXXX + 1ksfF-' : t .syk+ k ? ?4F"F #****i*#*iYki#****#*#** **#****###******::****'E** *#**&xi)-* E L,Ecarii,J_^,A SCaN;"2,S F S F. SUMMARY STRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 5 7 0 0 ' 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 50% SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 /00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Processional Code: The Contractors'State License Law TOTALS----> 57 . 00 15 . 0 0 0 . 00 72 , 00 72 . 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED: 72 . 00 OVER/SHORT: , 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the protect(Section 7044,Business 72 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law).l am aware *,***,NK,****,*,*,*, ,*****,*,***,*,*******,*****,*,*,N,*,******************************####*#*1C* that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.&P.C. INDIVIDUAL F E E BREAKDOWN for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and ELE 6 FIXTURES LIGHTING 1 ST 20 EA. . 75 4 . S0 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements tor a ELE 14 RECEPT/OUTLET 1 ST 20 EA, , 75 10 , 50 permit tor construction or modification from the Air Ouality Management District.Residential construction applications are exempt from ELE 6 RECEPT/SWITCH 1 ST 20 EA, . 75 4 . 50 these provisions. ELE 1 SERVICES BELOW 600 V & 201— 1000 AMP 37 . 50 37 . 50 Date: Applicant: END OF FEES I hereby certify that I have read this application and state that the above inti ation is co ct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby aut i e representt7 sof ; city to enter upon the above-mentioned property for inspection purposes. Date: /1-7 95 ir Signature: /4 Ot 00151895-00151895 1-01- 72.00 Driver's License or Social Security r: . DATE: 12/07/93 TIME: 14:25 1641-46 White—Building:Green—Code Entorceme(Canary—Applicant:Pink—Revenue;Goldenrod—Assessor • CONSTRUCTION AND PLANNING POe .e SPA Date Inspector Date Inspector I APPROVALS Permit# APPROVALS Permit # 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding I 5. Steel Reinforcement 56, Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, C Undrgrnd. 10. Structural Floor System . 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12, Sewer Cap • 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15 Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval r , 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70, Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Or. !) 15 Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL • 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Pfi't193 6 Notes: 34. Final Heating & Air Conditioning ��,",111111 ( 35. Final Gas Pipe-Test 36. Hood or Canopy - ! _i 37. Final Factory Fireplace 38. Final Plumbing . _ . 39. Water Service-Final • �^ 40. Gas Service-Final • 41. Solar Domestic-Final 42, Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation i 46. Handicap Regulations , 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY . No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. C�ll'Y)OF COSTA ME/$JA/� CONSTRUCTIONi/� PERMITJPE T TRACT7NO. LOT NO. UNIT NO. 7roject Address Fx 7�0 ace* CO L/f`Ne ���� �� /O [ e (131 L: /II /' hi- 'I- Applicant's Mailing Addresspea_ / 2 9�son �ii/c/P e-E �`/. /9. TYPE OF CONSTRUCTION U NEW EJ ADD r`kALLTSERRATION ❑ REPAIR �el N� .. -cat/ Phone�cV •OZ�� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER FE 1 to DL I/I� �,/ A.P.# Zone Owner's Name DESCRIPTION OF WORK/USE OF BLDG.of S aff-- RA'uSZky — Address 3ZG5 r etncc. le' c. M. 9Z6L6 S Main Building: Accessory Building: y) a' K 1/ ini �i ❑ STRUCTURAL E Front Z •• Arch/Eng. License No. TYPE OF PERMIT U GRADING ❑ FOUNDATION O Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N ^' ❑ OTHER I Contractor's Name OA) N & Phone C Right N r'= PROJECT DESCRIPTION SQ. FT. OCCUPAN Y B-�+ K G Address(mailing) Zyso ��A-C F' Left 4 CONSTRUCTION TYPE I - 4 VALUATIONS S R City License No. ZONE GRADING CU.YDS. ACRES / E LICENSED CONTRACTOR DECLARATION //�� - Ping. Ref.# Parking Req./Provided I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 1 3.2 41.53 Planning Notes: 0 111 with section 7000) of Division 3 of the Business and Professions Code, and (tel T my license is In full force and effect: License Class I License No. S Date Signature _ -___ PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES hereby affirm that I have a certificate of consent to self-insure or a certificate r Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) - Automatic Washer Transformer 0 15-50 KW Policy No. °Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW 8 Certified copy is hereby furnished: ..... - Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or ' less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the ork for • is permit is issued, I shall not employ any person1in any mils er so :s !. •- o e subje o the Drinking Fountains Solar Tank Fan Motors❑0.1 HP 01t4-8 ' Workers .Comp I tiwiLaws-of Califo y`-1Q' • -t----t--- Date c? � Signature 41 Floor Drains imming Pool w/Spa F.A.U. Inc.Solar D9-15 HP 016-15+ NOTICE:If,after ma-141Pg this declaratio ,you shou d b- om- subj ct to the Workers' Compensation provisions of thLabor Code, you must orthwith Floor Sinks Urinal 6 Fixtures Microwave 4comply with such provisions or this permit shall be deemed revoked. a_l CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light ---1/7 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range /O. $(� Lender's Name �/p — Lender's Address awe Kitchen Sink Water Service ���s// Switches/ OWNER BUILDER DECLARATION — _____AW (O Sign 50 I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap LaundryTrays any structure, prior to its issuance, also requires the applicant for such permit Generator 00-5 KW❑5-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - 'he Contractor's License Law(Chapter 9(commencing with Section 7000) of - vision 3 of the Business and Professions Code) or that he/she is exempt - arefrom and the basis for the alleged exemption. Any violation of Section J31.5 by any applicant for a permit subjects the applicant to a civil alty of not more than five hundred dollars($500). r I, as owner of the property .• .-- - ' - - • —Reinspection Fee $15 Issue Fee $ 3 - '1 will do the work,and the structure is not intended or offered Reinspection Fee , $15 Issue Fee IS' $4or sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: empinyees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ . sale. If, however, the building or improvement Is sold within one year of com- Canopy Type 11 ❑ Zoning Approved By Date prove the owner se have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By /�Date�(-./— prove for the purpose of sale). s(`(i/ty, e S ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By y_Dat tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0.100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's LIceLaw). I am aware thatBUILDING PERMIT $ SMIP $ proof of their Worker's Compensation i•sura . sho id be provided to me. Exhaust System 0 Multiple❑ System Repair/Alteration ❑ l am exempt under Section Ilk B. & P.C.for hi eason Firepl/Fact.Bit. ICBG* Fire Dampers PLAN CHECK $ PERMIT $ ISSUANCE $ Date -15- --/- 9-r---- Owner Cr 4 --"a:• - Heating System& Ducti Registers PLAN CHECK 25% S � ENERGY P.C. $ I hereby certify that I have read this applicant• N. state th.• the .•ove 00-100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $ information is correct. I agree t•-c• IY ucIti all city and county ordinances and state laws relating t uil•ln• truftio and hereby authorize repre- PLAN CHECK 50% S MICROFILM $ sentatives of this city o ent r • the e-mentioned property for ���) inspection purposes. 5_I(,57 MECHANICAL $r TOTAL FEE $ 'Y`l.'o2s Signature r-' Date Drivers' License or SS Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ f CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor r. : �,,. ,..../ POOL &SPA CONSTRUCTION AND.PLANNING . Date N Inspector Date Inspector APPROVALS Permit-# •$ .. •.fes APPROVALS Permit# 1:11-emporary Electrical.nS1rvice or Pole 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement`', 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line.8$ House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 4./ii /,$6. Solar System-Final 16. Rough Electric Wiring 4 /1-v •Ei�=. 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 _• Y ':aI 20. Rough Factory Fireplace APPROVALS Permit# j' 21. Ducts, in Structure 70. Underground Hydro .L. • 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil I •. 23. Gas Pipe-Rough & Test 72. Underground Flush • , I 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - , 74. Overhead Hydro,' 26. T-Bar Ceiling (Structural) &.Monocoat , ' ' - 75. Dry Chemical 27. Frame and Flashing • / 76. -Dry Standpipe (v' 28. Lathing & Siding /� 77. FIXED SYSTEM FINAL t' 29. Insulation / 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ' •1 r 31. Plaster Brown Coat 79. FINAL INSPECTION y'1 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED : r. 33. Final Electric Notes: :Y° 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. FinakF,actory Fireplace f • 38. Final Plumbing - 39. Water Service-Final i ' 40. Gas Service-Final . 41; Solar-Domestic-Final I - • 42. Backflow Preventer I ( ' I ?� 43. Backflow Irrigation ( • 1 • - EXPIRED 1111 44. Landscape Irrigation System i - JflCofTlpj f Ina-, r tloflb ' 45. Sound Attenuation • . ' Loitc /0 ;IOC1 . ' 46. Handicap Regulations -f-r- SIg --� °,•L . • 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed - ' i 49. Electric Release to Edison I 50. Gas Release to Southern California Gas Co • f'' 51..CERTIFICATE OF OCCUPANCY, r No. ' Date - ' 4.1 ._ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ,r ( PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CO /JNSTRUCTION PERMIT 1 bC `Project Address 07,10 „/g10 6q/ti-etE Lf}• C. •J' - �,( S Main Building: Accessory Building: 'k Applicant's Mailing Address 2 !r0 etete 44-0,47 TYPE OF CONSTRUCTION U NEW >1.ADD H ALTERATION H REPAIR E Front lit �^•1�ni r4O•Ol f ❑ CONVERSION ❑ DEMOLISH C OTHER T O Owner's Name C..�A[�'Qil: �r,E�:'t� Phone A DESCRIPTION OF WORK/USE OF BLDG. I B Rear N Address 1267- rgefocz'( r il-t • 9z6,L6 I TYPE OF PERMI777 E GRADING ❑ FOUNDATION U STRUCTURAL I C Right N Arch/Eng. License No. ' K R ❑ TENANT CTRICAL ❑ PLUMBING ❑ MECHANICAL $ Left Address ID OTHER I Ping. Ref.# Parking Req./Provided E Contractor's Name 11t E'+-(L Phone PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q Address(mailing) U (�/� Planning Notes: R !v- nAL 5rvpi ur�at M City License No. ZONE CONSTRUCTION TYPE GRADING CU.YDS.VALUATION A CRES "r"l" T kJlTtf� t%VfrMP act-'tw/ 5 �YaJ�, $. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: UO Ji4 ( . with section 7000) of Division 3 of the Business and Professions Code, and r"�'�c71/�' my license is in full force and effect. ELECTRICAL FEES License Class License No. Date Signature PLUMBING FEES Automatic Washer Transformer 0 15.50 KW -"ORKERS' COMPENSATION DECLARATIONBar Sink Showers Construction Pole Sub. 0 50+KW • lreby affirm that I have a certificate of consent to self-insure or a certificate ' Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter Our)to 100 amps 3800, Lab. C.) X „-^ Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter ver 100 amps! / J Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel - Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant Fan Motors 001 HP 01%-8 • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers S r Collectors (This section need not be completed if the permit is for one hundred ($100)or F.A.U. Inc.Solar 09-15 HP ❑15-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for wich I is permit is issued, I Fixtures shall not employ any person in any man r so a !o some subject to the Drinking Fountains Solar Tank Microwave Workers' ompt�er}sation Laws of Californi Date 14 i0 - 5"l Signature /�/��� Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration, you shou d become su est to the . Outlets Range ''�`A Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service tlets Water Closet Switches •' N• Sign ; I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) nterceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit �•��) to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains ./!/ C60 Contractor's License Law (Chapter 9(commencing with Section 7000) of ision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee ' ---$•3---” ,refrom and the basis for the alleged exemption. Any violation of Section /031.5 by any applicant for a permit subjects the applicant to a civil e ally of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: GI, as owner of the property - -- - + -- ' • •- Reinspection Fee $15 Issue Fee $ 3 Zoning Approved By Date f( sale (Sectionecr will do the work, and the of ssion is not intended oofferrtl - P`sl/N_, for sale apply Business Professional Code: The Contractor's MECHANICAL I FEES Building Approved By Dat License Law does not apply to an owner of a property who builds or improves —S thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 Application Issued By Dat employees, provided that such improvements are not intended or offered for sale. If, however,the building or improvement is sold within one year of com- Canopy ype II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or m- Duct- Under Ground prove for the purpose of sale). - BUILDING PERMIT $ SMIP $ O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refri ration System PLAN CHECK $ PERMIT "• tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating -100,000 BTU 0100,000 BTU PLUMBING $ )>. ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- tractor(s) on- ENERGY P.C. $ proof r(s) license pursuant to sne Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ �yr'� proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ 4,52i4,�L'� GRADING $ ❑ I am exempt under Section ((�� B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date "'�' (Q` °'1 owner _76. � ,/�( f Heating System&Ductin Registers MECHANICAL $ TOTAL FEE $ e 42 c/c/ I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BTU PLAN CHECK 25% information is correct. I agree to comply with all city and county ordinances $ and state laws relating to buildi con tructiof nd hereby authorize repre- sentatives of this cit to ente the a v -mentioned property for inspection purposes. O Signature Date 5--.1.1S£\ - Drivers' License or SS le ! Reinspection Fee $15 Issue Fee $ 3 01 00033920-00033920 TOT -_•:'.1 DATE: 05/25/39 T.IrE: 09:7,4 0865-46,rev. 5/88 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor / ! . -t. -. . _ . . CONSTRUCTION AND PLANNING PG `y SPA Date Inspector - Date Inspector APPROVALS Permit# APPROVALS Permit# 1, Temporary Electrical Service or Pole 52. Pool & Equipment Locaiion 2. Soil Pipe-Undrgrnd. e• 53. Steel Reinforcement • 3. •Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. • 8. Foundation '•1 • 59. Gas Pipe, 0 Undrgrnd,Test • t 9. Water-Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System • 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' 12. Sewd Cap , - 63. Heater & Vent-Final / • '. 13. Roof Drains 64. Plumbing System - Final , 14. Rough Plumbing 65. Electrical-Final • _ 15. Rough Electrical-Conduit 66. Solar System-Final 46. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20: Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure I • 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping D Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing _ 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25"Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe - 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation • 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test • 36. Hood or Canopy 37. Final Factory Fireplacre, 38. Final Plumbing _i,•;-'• 39. Water Service-Final 40. Gas Service-Final / 41. Solar Domestic-Final • ,l 42. Backflow Preventer.�� ; ' • 1 . 43. Backflow Irrigation-: = F (, XPtRE.p< 44. Landscape Irrigation System /tncompi to inspections 1 iff 45. Sound Attenuation's - Date tP/2/ ?/ 41 /J cis a'a]' 46. Handicap Regulations - 47. FINAL STRUCTURE& BUILDING • { 48. Special Requirements Completed _ , 7i • 49. Electric Release to Edison - / • 50. Gas Release to Southern California Gas Co , 1 - r . • • 51. CERTIFICATE OF OCCUPANCY .f . . i No. Date A or City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY No 2653 C P.0. Box 317 Costo Mesa, Californio The Building located at 2990 Grant En3e has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group P 2 Occupancy. We of Building industrial Building Legal Description 1.41-221-114.' (See reverse side nfor Metes and Bounds) cGr,� Building Permit No, 309110 Electrical Permit Na. 30608 Plumbing Permit.No. 56( Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments and/or guest rooms ISSUED TO: Building Official J 777 Side,8D by /3-044 flf_4 ,C • e Dote 13hbwn y 10, 1910 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form 31.134-ata-11-e3_..s_e p - 412 30940 4 • PAID COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 26-69a-61OO 848* ***238.50 P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 • APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely /� RECE 1EVY D� REC ED .410, ADIDRESS c:2 ,,e- (1/0,„-,0":5:4�/1 .4tee .„.e.d+_ ] �/ '�! e , OWNER 13,2, •ea' A.P.NO. /0if •� MAIL � i Z ADDRESS !ill '�, /. -I/.-'� 0 0 CITY It; ' f(/ NO.f25.- c � i� �� LOT BLOCK I- Z .//'Hfff "'s»//! aa6 z 4 CONSTRUCTION NEW, ADD ALTER REPAIR MOVING DEMOLISH O 1- LENDER f/ a co J D BRANCH ` - OWN E- JOS ,!l/1'E�'e'e-1 a ADDRESS • / VALUE N J co ARCHITBCT TEL., iJ4 S_, r ,A.r . . G. $ rg'000 OR ENGINEER ,,r .v K• '!.G Z a • / /V: EZiee S �j A . FIRE Ztil < ADDRESS O KSf�<VM ZONE TYPE ' GROUP a tL APPROVED LI J O CONTRACTOR S • L Ai BY DATE/0 co 11,L J . ADDRESS 2 7 t. ,4, /IJAiL W We NO.OF USE OF NEW I-AIDUST. Z1- CITY �/�40—�, TENOL9j/ .. ��I PLANSBUILDING Fa. STATE YARDS APPROVED YARDS APPROVED w CC LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D 0 (FROM C/ STREET) ' s SIZE NO.OF BLDGS. f OF LOT 2G/ ./ jt/4/a NOW FRONTON LOT FRONT di I FT. r M/T. USE OF J /f� {� EXISTING BLDG. R.SIDE T5" FT. I L FT. SIZE ` , O.OF Z Z NEW BLDG. /0 Zia ROOMS STORIES L.SIDE O FT. FT. Q EXTERIOR WALL /J ROOFI- � 0 COVERING [ ✓ V C. COVERING REAR I _/ FT. j190� FT. r USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& _ MAIN BLD(3S. ACCESS.BLDGS. QVAR.* DATE O ydl/=t�j� l _Me C.U.P.sIE APPROVED F APPROVEDL/... 1` COC -1 _y at DATE 4b — 17-69 3 0 Sr/ OI- I hereby acknowledge that I have read this application and state „OLD FOR SPECIAL, -, that the above information is correct and agree to comply with REQjJIREMFNjc all laws regulating building construction, and I shell not employ /-- any person In violation of the workman's compensation laws of y the State Of California. / yr/� to C/ to r„... z I hereby certify that I am properly licensed as a contractor under /) $D.FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: CC am exempt from the provisions of the State of California Business VALVATION and Professions Cod i,ci C pter 9. v Q N /U�j PERMIT FEE $ D Signature Of / G Permittee L� $ /�O(p0 PLAN CHECK $ 7, � 5 E ✓✓ Q T o Authorized Agent TOTAL FEE 8� ,3 ,J b u /4 32078 AIL 21-70ak5A001909 ****311.50 • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely r RECEIVED BY D TE RECEIVED DATE ISSUED D� A BUILDING q 0 /_ e L � m/ ' of .7-A1- Q - 2)— / O ADDRESS s 6 /.I /1 . -RMI NO. IP OWNER i(/ L ✓ et- A MAIL /� . A.P.NO. - - y/J i BU LDING ADDRESS /34 CC/144M evcia l is ' ADDRESS ESS ��,SZ^' ��')LcLG�/ f�(�Yti• — 0_ Li CITY LO S7A �-/esA NO. 2 TRACT �jA /� LOT 1, BLOCK CONSTRUCTION / /J SS JJ BB/ NEW ADD ALT REPAIR MOVING OEMOI ISH O N LENDER ca �• 0CO - _J' BRANCH �/7//( �a , - _ o OWNER (,c/i( C,tetA,W C//-(I ,tet / t' _J 03 r ADDRESS /- �/ ,s, FIRE, 4 � ALOE 2 ,k,� UQ ORCR-ENGINEER /�a / <_/,WAT!'.//N.ri NEOL.34�/ U56i�> m�i)"- .`V S. 14 a7r/ AI w W ADDRESS 73143 !Ar /yYH s/s,J/r L../ M'+t ZONE �ITYPE GROUP'? I �f�{ CONTRACTOR OLv it el/by`lyz APPROVED C:93I DATE 7-2/ -/ " W Z V I /ll���� JQ Vm Z LCC ADDRESS • W w TEL. ZO/pL}F1 NO.OF ..t - USE OF NEW /('- Z r CITY NO. ✓rl - / PLANS v BUILDING �Q�{{ W STATE CITY YARDS APPROVED YARDS APPRO(LED N 2 LIC. NO. f LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE • /J NO.OF BLDGS. (FROM C/L STREET) OF LOT II 3 -//�¢ I NOW ON LOT / FRONT - FT. FT. USE OF .VAC `l�Ar I.7- R.SIDE FT. FT. EXISTING BLDG. I- SIZE OF Fy(ST. NO.OF / Z NEW BLDG. ROOMS CO STORIES / L.SIDE FT. FT. Cr EXTERIOR WALL�NL/ ROOF (%I44 4) • / COVERING `T]LTq//�/1u�lp COVERING /J./)(_? IJ/7 _REAR FT. FT. - 0 MDR IS TO BE . BET.MAIN& 0- U/J OF / NYi G Pari-/-1-T t O r1JPE f� 'fl /DI ,I MAIN BLDGS.DISTANCE ACCESS. BLDGS. Q ��7J /j �(/ VAR.# DATE O A412. p/ LI i ( O/N di/ f / C.U.P.# APPROVED • I _ / ; //• `/ APPROVED / �J / /J''7 z i h eLt. 114 I l ed RY UitP^,RATE //�t, ( ! o VI hereby acknowledge that have read this application and state / /,1- / . , // that the above information is correct and agree to comply with •(V✓ `•I/�Q�•� CC all laws regulating building construction, and I shall not employ F any person In violation of the workman's compensation laws of c/) the State of California. em ? I hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A FERMI FEE ONLY: b CC am exempt from the provisions of the State of California Business VALUATION and Professions Cod Division 3,Chapter 9. Aar co Y�/ //�/�/. PERMIT FEE sC N Signature of ,' J(M�����1 Sa 7 / co D Permittee S . ,}.�,ry /V/ PLAN CHECK $ /i // E �(l l�(�\ 5 S� — c` Authorized Agent u. TOTAL FEE $ 32187 PAID > >i.00 AUC 18-7UcnsA00 843+ *** COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS .1 BUILDING L9,j0 CSA a a LANe . cc".M • aatbA F-/6F- 7v er-/F- 70 ) A / �f /4/— g3,l-44 3 PERMIT NO/OWNS R 4./// 10µt- LYD NQ GI4 ee A.P. NO. a MAIL /� /1 ^ BUILDING ADDRESS/ 'f eviii4j(d prey/ Q, ✓`r a f' ADDRESS a�L/�(/ ,Q z /1 � t ‘4t . 0- 0 CITY eels�( MCS (� NO ^ ij TRACT , / LOT a BLOCK Z L J CONSTRUCTION 5•e/� N W IRS • TFR REPAIR MOVING DFMOLISH Z F LENDER a m ) 7--,, J D BRANCH - OWNER L(/✓Lt,,( O. ADDRESS /^fitt I VALUE m ARCHITECT //A TEL. '� Tk - S_ • 4 - I r, � _, $i_i • d •� JN OR ENGINEER//Y/7 'i, I �CC j� ^ f N• . ^ FIRE C 'J� Z 0 [ .5 W W, /9 till s/- , ( e M ♦ ZONE TYP� GROUP / v WCL ADDRESS 18-42 '/ /� w Q Ke��/_1dv APPROVED �J,//'� s'--/„1"-- 70 JO CONTRACTOR G/ _ BY /icl DATE6 C ' CO Z '' J¢ ADDRESS W W TEL. NO.OF USE OF NEW 1�� Z F CITY NO. ' PLANS cv BUILDING �CJ'���CCCJJJ"'�������1 W O STATE CITY YARDS APPROVED YARDS APPROVED tr1 CC LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZEOFLOT / :l)13 t X 2- 54.1 NO.OF NOW ON LOT BLOCS. / FRONT C/L STRST ) FT. USE OF q EXISTING BLDG. p a G4 N R EWE T. FT, 2 SIZEOF LDG.ff�U J t%ly l� NO.OF Z NEW BLDG. ROOMS STORIES / L.SIDE T. FT. � Q EXTERIOR WALL a0 act pROOF r--O/>i L, o COVERING s'Fl/b alp COVERING zfp REAR FT. FT. U3E OF BUILDING AND WORK TO BE PERF R ED r DISTANCE BET. BET.MAIN& ,a g_-its-r6 , Le A/C. TILT ap A L'D 6 / MAIN BLDGS. ACCESS.BLDGS. Q �/ VAR,# DATE 0 7^Gr /3E 4 I 6EP_P-IAn/ HCt.- E C.U.P.# APPROVED fOH aotieF ay I —AgPPROVED I1r AO TE 17r / 0 UI hereby acknowledge that I have read this application and state V • y`\ M that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of y the State of California. m J\ 19 I hereby certify that I am properly licensed as a contractor under SO. FT. o a the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m J Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business It VALUATION and Professions Code, Division 3,Chapter 9. CO M PERMIT FEE $ 71,oOcv Signature of T m Permittee DD$ ®�� PLAN CHECK $ cg ZOa oE LL Authorized Agent �� �, TOTAL FEE $ If / 100 32378 PAID OCT 26-7�OOio7s* ****25.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely /'l ‘,:,,,,,4.c. a / - REC�sE�I/y/E�D(BY DATE RECEIVED DATE ISSUED BUILDING A; G. ` V G �{( vV'i✓L /o-n-70 ,o_ ADDRESS //,) (7 -- �� ��� / (J P MIT NO. OWNER //n� Capra e A e r A.P. NO.Jgi 2?1: &aZ 17a' !!! BUILDING ADDRESSMAIL /f4 a/umeve(a/ Ida, ADORESS�9St Qi iv LuZ sr/cap/es Vih ^�Q�-� F Z0 CITYGL, NOI. TRACT LOT BLOCK CONSTRUCTION 5e 1", NEW •ADD ALTER' REPAIR MOVING DFM01 CH a V)- LENDER r `// //�J J D BRANCH • ///� CII) J V) OWNER � / RLt-r' F.. cr ADDRESS ci .1 - .� VA UE 6,49 CJJ' ARCHITECT EENGINEER . C/ s Fr/ ��G/f NEOL..3/ ^ I FSE //�.�'Iik(/'fyl . Ate / Zoe N OR ENGINEER�J ( / /.�js 1 • /J 7J C7L H,EJ V/' �,//( 1 / w CC ADDRESS? 51 tdf l 9• "/• L-I/ •/ L(Cm , ZONE TYPE/!!ter ROUP a_LyLUZ C G /vev/ U(a/v APPROVED / ff J O CONTRACTOR (,� // BY DATE/N 2S-7a mZ J DD ADDRESS if W w TEL. ZONE NO.OF USE OF NE tad z1- CITY NO. / IPS' yB`UIrLDIN �,r �9�-�� W- 0 STATE CITY YARDS APPROVED af'9A 5so'✓ to cc LIC.NO. ,,,/// LIC.NO. MAIN BUILDING ACCESSORY B (FROM CA. O OF LOT //.3 (SIZE Z '4 l I NOW ON LNO.OF OT / FRONT, ,l4FT. ®/ FT. USE OF //,, / EXISTING BLDG.#C( evy • R.910E PT. FT. I- SIZE OF ��JJ ...� /0 IJNO.OF o // Z NEW BLDG.41•11 X if 1-0 ROOMS .- STORIES / L.SIDE PZ3 FT.a. FT. Q EXTERIOR WALL( ROOF Cc �1 0 COVERING ).�(/C/G0 COVERING jj.�U;J Up • REAR OFT. FL USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& qq MAIN BLDGS. ACCESS.BLDGS. la. VAR.* DATE O /t eel i/ 4/•�y e fi C U.P.y APPROVED /, (/ APPgpyEp� ��j I- 00 t 4/J Q ye el-cc/05 l✓l/€ RV/A/.% ,.DATF /o O !� O ` V// NI. HOLD FOECIAL REOUIRGtf�1;Tc VI hereby acknowledge that I have read this application and stateS- wr D that the above Information is correct and agree to comply with tz' CC all laws regulating building construction, and I shall not employ ,y `s .- I- any person In violation of the workman's compensation laws of �B yf,./ (A the State of California.ali orn a. m Z I hereby certify that I am properly licensed as a contractor under S0. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR • Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: I[ am exempt from the provisions of the State of California Business VALUATION ,p end Professions Code, Division 3,Chapter 9. PERMIT FEE $/, w Signature of Sa m Permittee - $/ yoo [!" PLAN CHECK $ —Sb E LL Authorized Agen ---V/A // Agent/et-4 / k/� t. TOTAL FEE $ q��j✓5 -COWNER GERMAN HOME BAKERY 4.4. 4 6 'r"'" DATE 9-3-70 JOB ADDRESS 2950 Grace jape BUILDING PERMIT NO. 32232 `GENERAL CONTRACTOR Ic�518n Co. DESCRIPTION of WORK Sign (Elec.Wall) ip irt,. 1!F1-221-i11F LOT TRACT FIRE ZONE VALUE $600.00 SI CTIONS Signature Date GROUPJ TYPE V ZONE Ml ��TT\\��SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date I Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES H FORMS 0 STEEL REINF. ❑ 1 FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME ANO FLASHING _ LATHING - IN n OUT H Pk;-,-,,ER, BROWN COAT g`Iti-k"'moi URAL, FINAL ��Qq ypg6lectric HEATING, VENT., REFRIG. AND A.C., FINAL h""'�"�� gib 7-,1. ,70 /60709yy/ PLUMBING, FINAL AND GAS TEST H ELECTRIC, FINAL frttfi'n-70 BUILDING, FINAL .M/9 927_7n • y CITY OF COSTA MESA Tag No. •; L/ / 32232 D BuildingSafety Department Type of Sign CJ4Cc SEP -3-70u-is-AO090 d** , * ( QC &Elec. 0 Non-Elec. Application for permit for the fabrication of classified signs. - FOR OFFICE USE ONLY Location _/�7 ' Date Issued -/ �_ 7 Permit No. *2 2 3 `- Building Site Address `a 9.sc' 6/'4 C� ,14.J,c '2 ^—ilk ... Fire Zone - ) Type �� Group Name of Leasee •-'5/ ,77'4+) M7.A1 ./ .LS/.- Phone /E- �� Approved by trigX Date . <N .S'G^/ State License No. /77)0-o Contractor . / PLANNING DEPARTMENT / City License No. Zone M' /1"/1",/—/ A. P. No. / � 2.2 / - '�9te Address /.4%// N. &.4�I=� .5A City 54J /'3'p/' a Phone 3332 4 Bldg.Site Address al 3-C .4-Ld,.C-2� A2/24---� Architect or 9( Qlit./ Engineer State License No: ' Legal Owner -571( • Address 7/)7 j /ttil9ferliii Ges-2. Address • City Phone Description: 0 Tract Sign . ❑•Roof Sign Area of Sign: 7 ft. in. X (C ft. in. = Ceb Required Bldg. Setback to • S. Appurtenant and Incidental Advertising Sign EL Gas Tube, Elec.Sign Center line of Street SS. 1.37, 1.44 • • 0 Off-Site Advertising Copy Sign Location of Sign: Behind Bldg.Setback Line 0 Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on plan Between Property Line and sheets proposed location of sign and locations of all other signs at site. Minimum size sheets SHALL be 18"-x 24" Bldg.Setback Line and non-erasable. _ • • Front C� C Feet ' hs ALL APPLICATIONS MUST BE F ED OUT BY THE APPLICANT. ALL FOOTING, FRAMING, ELECTRICAL Right / Feet - AND FINAL INSPECTIONQE�ED. Left •�`' Feet p� Signature of Perme Projection � eF et - PLC • jeAuthorized Agent ic---;.i fc.) Ground Clearance f - Feet • C. U.P. C. Date Approved The amount shown under Valuation is for the purpose of Clearance C p. VIII,Art. 5,Section 8504 (b) • ' . establishing a permit fee only i A VALUATION Permit Fee $ Signature (Planning Staff) y. Rec'd. by - e� Date ( J -- / U $ G?Z� Plan Check $ / Signature (Dept. of Public Works) Total Fee $ /� Date: y - 440 Form BU-30(Rev.)