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HomeMy WebLinkAbout145 18TH ST - Building Permits l , CITY OFFCOSTA MESA STp/We Amo ,, BUILDING DIVISION ty� l a 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714)754-5626 %C." PERMIT NUMBER: B11-00396 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 42544311 DATE ISSUED: 11/1412011 ISSUED BY: RMD JOB ADDRESS: 145 E 18TH ST CM Suite/Unit: Vicinity: CARPORT ONLY Squares: 700 Valuation: $3,000.00 SCOPE OF WORK: REROOF APARTMENT CARPORT ONLY.TEAR OFF EXISTING ROOF MATERIALS, INSTALL 4 PLY CERTAINTEED BUILT UP ROOFING MATERIALS ON CARPORT STRUCTURE ONLY,APPROX 700 SF. REPAIR AND REPLACE SHEATHING AS NEEDED. NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to dwelling unit(s) is provided for verification of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment wllnspection Card OWNER: ORANGE STREET TRIPLEXES LTD Address: 145 E 18TH ST Unit: PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: ACOSTA, NICHOLAS Address: • Unit: : PHONE: 714-773-1820 City/State/Zip: CONTRACTOR: HOYT ROOFS License No. 606111 Address: 1809 N ORANGETHORPE PARKUnit: PHONE: 714-773-1820 City/State/Zip: ANAHEIM,CA 92801 CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $83.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $84.25 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. Prohibitied 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 S. INSPECTION TYPE DATE INOTIALS CODEC INSPECTION TYPE DATE INTmALS 1616 Fixed System Final Fire Prevention' 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof /a � � ' 3- - 11-1117119 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place _ 220 Final Planning Approval 203 Final Sign 1 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: Gilmer Ib verified by drive. _ ..cense. ❑Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ 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. ❑ I have and will maintain workers'compensation insurance, as required by section 3700 of the Labor Code, for the pe ormance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My r rs' compens ti n Instfrance carrier and policy 0 I hereby certify that no excavation five(5)or more feel in depth into which a number are: (AII person is required to descend,will be made in connection with work authorized ate. N by this permit,and that no building structure,scaffolding,falsework,or demolition Carriers ,I or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not be pompleledAfthe� va/yegaro ny¢dreryoaiars(5roo)o.ress) 2,Aril Sec.341 Title 8,Califomia Administrative Code). Policy-NDmber: (//J G1{ (rJll/^I qJ\l�7 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 ,:n - y per i any manner so as to become subject such person has a permit to do such work from the division. to the worker ' c•:7— lion /Californi. -nd agree that if I should become .qe�� wor p••:• ion provisions of Section 3700 of Applicant's Signature Date the Lab••jj�> •II for ply with[hese provisions 1( // �' (// / Division of Industrial Safety Permit Number: gppmmnrre ('r)a�ttHAZARDOUS 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 ❑No ($100,000), 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 intutlrfprt7pd effect. (-3 @ a registration form for acutely hazardous materials? .0 Yes 0 No Lic�L�y /�J_UI/7_I G� Chris.# / (Section 25533 of the California Health and Safety Code, with some —_- /T / t/' �( exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely acTor' gnawre--- ^s.. na�s 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 fa which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 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. cenification 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 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). 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 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? ❑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($500).): 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? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. It, 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 ❑ 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 a.ree not to occupy or allow occupancy of any building authorized by thi :•_�, u. final inspection. ,- -.ai is, 9� ���1 Gj �/ Signature Dale / / c 3057-46(3/07) e vov 1s 11 09:19a Lana Pinto Hoyt Roofs 949 5887557 C1 eon, • do . \i°S.....001 e (e, I K mal 1 IC a1 Al0 I, me z- CRrro letsClik, 16, ii -- g sat, isc i \II g Z. o ear' th 3Z Vi I45 ZrrV�waL 1/4% ...L..<; ; *- i *, 1 at Z. 0 la t, i ' 1---\' 7? ' r MI 1 tipt .111 ativpoti $Ivc -he 1/410IC er sir C . ii- Z9 F`oy Mfrje AP—'CATION NO. d _ .k z �-... CITY OF COSTA MESA •`°•.ammo` 1. APPLICATION FOR REPORT OjN1ESIDENTIAL BUILDING RECORDS. (a) OWNER/SELLER t/L- Ti`i--/2.t. Ti'`'2r (Name) First MI Last 2/LS7 .y:.r.-,qer c h,s r 2? ,:,y..2,er ay:5:r / e;9- 9 u-,---7 (Mail Address) Street City State Zip Code HOME TELEPHONE: DAYTIME PHONE:947, -7 / T. 171 (b) PROPERTY TO BE SOLD:Ho 6 /6"b 5i, (Address) (Assessor's Parcel No.) (c) PROPERTY CATEGORY: z 1) Number of ExistingDwellingUnits: / ) / (d) BUYER: ///a i IP {t/' / E Izv /7� • (Name) First MI Last (Address) Street City State Zip Code Home Telephone: Daytime Tel hone: (e) AGREEMENT FOR SALE: / 1 '42' Cr) (Effective Date) (Close of Escrow) (f) ESCROW AGENT: } (g) REAL ESTATE AGENT: 2C/zT '/r„,1 _2%ct-.77,i(*,',-?a-(3 - De-, 9'617 94/9-7/ ,/7tf (Name) (Address) (Phone) I hereby declare under the penalty of perjury under the laws of the State of California that the foregoing facts are true and correct as part of my ap9Seetipn or a report on residential building records. Lit (Si rture of Owner/Sell I (Date) 2. INSPECTION OF RESIDENTIAL BUILDING. I am the owner of record of the residential property that is the subject of this application and I hereby CONSENT / OR 0 DO NOT CONSENT to an inspection by an authorized inspector of the City of Costa Mesa of the subject property, exterior and interior of buildings and grounds thereof, for the purpose of verifying compliance with the Costa Mesa Municipal Code and other California and Federal statutes and regulations enforced by the City of Costa Mesa. I further acknowledge that if consent is given, such inspe i wi occur within thirty (30) days of this voluntary consent statement. (Signature of Owner/Seller) (Date) CITY COMPLETES BELOW THIS LINE 3. REPORT ON RESIDENTIAL BUILDING RECORDS:• The City of Costa Mesa provides the report on residential building records based on public records in possession and maintained by the City; however, the City of Costa Mesa may not have records of all the permits issued for buildings constructed prior to 1953 which records may be maintained by the County of Orange. (a) ZONING: •($- R-1 0 R-2-MD 0 R-2-HD ■ ;; • 0 PDR-LD ❑PDR-MD 0 PDR-HD !!,, (b) DWELLING UNITS CURRENTLY PERMITTED c' ZONE /'c3 ..:1.7.11 — 1 1.,(4( t--/a��� - .rh. OR l3 (t/daT1” (c) BUILDING PERMIT FOR DWELLING UNITS: ,.S On file for building constructed after 1953: 4819 dwelling units;643SD3), L ��� '4 • = Udine cons : - - _ . _ � 1 � ❑ Building constructed before 1953, copy of permit not located; J " ❑ Building constructed before 1953, copy of permit on file: dwelling units; Id) CERTIFICATE OF OCCUPANCY: qOn file for building constructed after 1953: dwelling units; /� i al Not on file for building constructed after 1953: dwelling units; (GGfff�� Q Building constructed before 1953, copy of certificate not located; 0 Building constructed before 1.53, r rpy of certificate on file: - dwelling units. Issued by: .4. / ♦ /? 20 Copy of Inspection Report Attached (rillirAge• of •ity r Vista Mesa) (Date 0 Copy of Compliance Declaration Attached 4. PROOF OF SERVICE: 0 The Report was deposited in the mail, first class, on the date specified in Part 3. The ap acknowledges receipt of the Report. ‘-ca-7Y—t-\,-t-\ / 7 , 27 . 03 (Applicant) (Date) •This report contains information which reflects public records on the date issued and is subject to change. Form A 12-2ea1 Y . -lif 4ti CITY 2F COSTA MESA BUILDING'DIVISION F � �I DEVELOPMENT SERVICES DEPARTMENT P MIT'NUMBER �, f • PERMIT4tbehiv05-02058 .a,4ole YY (714)754-5273 •'Fax(714)754-4856 • www.ci.costa-mesa.WIJLDING PERMIT 77FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 145 E 18TH ST Status: ISSUED Suite: Applied: 11/15/2005 Vicinity: ROOF,APT BLDG W/ATTACHED CARPORTS Issued: 11/15/2005 Primary Occ: R Type of Construction: Parcel Number: 42544311 , Zoning: Applicant: MITCHELL MCCLELLAN Address: 25434 MORNING STAR RD Phone:. (949)581-5269 ISSUED BY: LAKE FOREST,CA . Zip: 92630 t . Owner ORANGE STREET TRIPLEXES LTD Address 145E 18TH ST _ t ' - -.1 . . - �t . . . Phone: COSTA MESA,CA _ Zip:. :92627 . Contractor: M AND M ROOFING Address: 25434 MORNING STAR RD ' Phone: (949)581-5269 LAKE FOREST,CA Zip: 92630 License: 737040 Arch : I Eng: . Address: - -- Address: Phone: Phone: Zip: . License: - License: • SCOPE OF PERMIT REROOF APT BLDG ONLY:T/0 GRAVEL ROOF,REPAIR/REPLACE SHTG,INSTALL 28#BASE SHEET,FASTEN WITH NAILS.SOLID MOP 2 LAYER 11#PLY SHEET;SEAL FLASHINGS, FLOOD COAT WITH ASPHALT IN BED NUMBER 3#ROCK INTO HOT ASPHALT.NEW FLASHINGS, NEW EDGE METAL.20 -- - - - _ -, - . SQUARES.APT BLDG W/ATTACHED CARPORTS. 1 STORY. - FEE SUMMARY Plan Check: $72.31 , , . Calc Valuation: $4,500.00 Permit: $111.25 - Claim Valuation: $4;500.00 ' ' SMIP Res: $0.50 • - - SMIP Com: $0.00 - ' - Other: $0.00 Inspection: $0.00 Total: $184.06 • PLANNING &ZONING: - SETBACKS MAIN STRUCTURE Front. 0-0 - -- ,,Rear 0-0 Left, 0-0,' Right . 0-0 ACCESSORY Front 0-0 - Rear0-0 Left -"6:6-77. ' 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 notcommenced.withim180 days,or if work is suspended or abandoned for a period of'1 80 days, INSPECTIONS:, Imorder for the.work authorized'under this permit-to-be considered•legal: such work.must'comply with-all applicable codes, and all required.Inspectione:and,,flnal'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' 2446-46(6/00) DECLARATIONS 1 WORKERS'COMPENSATION DECLARATION: a' rr I hereby affirm under penalty of perjury one of the following declarations: J' • O 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. t *CMI 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. M workers'co pensation Insuranc eater and otic number are: -«- / �7CX-1(10D2-9/ � �f�o./�J (� 'Carrier: �T/Tr� /fes/� y Polio umber:,(// Z / 7 $(,Thls'section need not be completed if the permit is valued at one hundred dollars($100)or less.) O I certify that in the performance of the work for which this permit is issued,(shall not employ any person in any manner so as tdbecome 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 provision �/ �J�)'�'�� Applicant Sigg-Signature: • • • -.� rData: r----- /1/J, t IfWARNING.rFAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES A CIVIL FINES UP TO ONE HUNDRED �Y THOUSAND DOLLARE($108000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby_affirm.thall.am licensed under provision • ha•ter 9( omm$.acing with Section 7000)of Division 3 of the Business and Profe�syions Code,and my license Is in full 'forcend effect.Lia R -'. "' C./ Class# ----! C- „ - �.___� L.w.nu•.A C @�filracm�sSlgnature:-" / i� / // Date: J 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: Lenders 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 properly,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 drivers license. 0 Yes ❑No Driver's 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 then 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 0 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 an 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 lithe subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 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 (it 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 (II"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. Si azure Of ega(l�pjwrmer ) I-te z }I Date �.� Or. thodzed_P.Plicant • �,_ LODE I INSPECPON TYPE ' ' • •'' "'fig umanu ' ' " CODE! INSPECTION TYPE PATE . UMLB 1616 Fixed System Final Fire Prevention - 206 Final Mechanical 1266 Pool Spa Final p 208 Final Plumbing 200 ' Final Re-Roof P13 6U (ta - 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 i • ///8-/abs 7/r c /Ty OA 00574 41& 9 COti T��-Tom Pn.GE,c> 40015;(-7A-ast/7: &DGl _ U09'33 , woe-, 4-t-,//5 A aT" Gbti6-- .crag ,77,, -- cr 4flceas . int in Ar Zrv3 t /nazAt7.s - R} iciercr °1 it 'cry-- ser 52cy C "37-757ayo fe_0cT / q5 E _ T. • . .. \ CITY OF COSTA MESA ,t4 v. 4 fra. BUILDING DIVISION r-•Art nein IA` ,I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 41 Irak t PERMIT 4`490.0Figno B04-00933 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 145 E 18TH ST Status: ISSUED Suite: Applied: 05/20/2004 Vicinity: FRONT 2-STORY APT BLDG Issued: 05/20/2004 Parcel Number: 42544311 Zoning: - mar Applicant: MC CLLELLAN, MITCH ISSUED BY: /�ll/ Address: 25434 MORNING STAR RD v/' Phone: (949)581-5269 • LAKE FOREST,CA Zip: 92630 Owner: ORANGE STREET TRIPLEXES LTD Address 145 E 18TH ST Phone: pg N COSTA MESA,CA � Zip: 92627 ' . / / Contractor M & M ROOFING DATE: Y —1,,&—05 Q� 1" 1 Address: 25434 MORNING STAR RD Phone: (949)581-5269 LAKE FOREST,CA Zip: 92630 License: 737040 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF APT BLDG ONLY:T/O GRAVEL ROOF,REPAIR/REPLACE SHTG,INSTALL 28#BASE SHEET, FASTEN WITH NAILS.SOLID MOP 2 LAYER 11#PLY SHEET,SEAL FLASHINGS, FLOOD COAT WITH ASPHALT IN BED NUMBER 3#ROCK INTO HOT ASPHALT.NEW FLASHINGS, NEW EDGE METAL. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $9,000.00 Permit: $167.25 Claim Valuation: $9,000.00 SMIP Res: $0.90 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.15 ' PLANNING &ZONING SETBACKS • MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 07 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 2446.46(6/00) DECLARATIONS II ' . I V 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'cym�eSsgtigD Ins WVar and policy number are: 0° O y W-2°09 09 Carrier: 5 /j'/6 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 if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these prow u^, Applicant Signature: ( 47„tcDate: 5/20/2009' WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES 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 rovisi�§o_ tg[9 fpom ,nein with Section 7000)of Division 3 of the Business and Profe sions C.:e,and mylicense Is in full force and effect.Lic.If p / J Cl YC/ g Class k — S Contractor's Signature: J , 7 ^ /'/ 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). Lender's 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.). • ❑ 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 Driver's 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? ❑Yes 0 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 an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Govemment 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? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). D.t.c.o tithe pollution 7 If a permit fromn the South Coast res Quality Management aiHeat or nd airpollution ioncontrol district3 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. Si nature Of eIffigad-AOwnlier , -< c��06 /L7 itetL Oat CODE t. INSPECTION TYPE ILLINTmALS CODEC JNSPECTIONTYPE DAT.F. Pak 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 9 • CITY OF COSTA MESA . w r BUILDING DIVISION •j DEVELOPMENT SERVICES DEPARTMENT P RMIT NUMBER F 1 r PERMIT B03-01769 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.BtL DING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 145 E 18TH ST Status: ISSUED Suite: Applied: 10/10/2003 Vicinity: Issued: 10/10/2003 Parcel Number: 42544311 Zoning: Applicant: JEFF COX Address: 326 16TH PL ISSUED BY: Phone: 949-645-5115 COSTA MESA,CA Zip: 92627 Owner: ABELLA PROPERTIES LLC Address 3830 VALLEY CENTRE DR SAN DIEGO,CA Phone: UNIT 705-423 Zip: 92130-3307 Contractor: Address: Phone: Zip: License: Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REPAIR WORK IN EXISTING BATHROOMS FOR APARTMENT COMPLEX. 1 BUILDING,UNITS 3,4,5,6,7 8 8 ONLY.DRYWALL,GREEN BOARD,8 PLYWOOD FOR SUB FLOOR. AMENDED:ADD REPAIR OF BATHROOM IN UNIT 9-SAME SCOPE OF WORK. FEE SUMMARY Plan Check: $0.00 Calc Valuation: 53,500.00 Permit: $97.25 Claim Valuation: 53,500.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 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)7545626 2446.46(WOO) DECLARATIONS 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 carrier 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 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 Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3709 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.Lic.a Class Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction tending 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: 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).): ❑ 1,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:Tho 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 Driver's 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 feel 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 ❑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 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 Cade 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 t0 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? 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 implication a Ppermit 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 LJ 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? 0 Yes 0 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 t0 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. Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date ODE I INSPECTION TYPE DAIF. EflneLS COPP! INSPECTION TYPE DdJE BMW 1618 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 Signm 222 Final Be 204 Final Demolition 250 Final Building/Occupancy t • O CITY OF COSTA MESA -- BUILDING DIVISION > • �„ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4 4 PERMIT V !r'Imoa 603-01769 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 145 E 18TH ST Status: ISSUED Suite: Applied: 10/10/2003 Vicinity: Issued: 10/10/2003 Parcel Number: 42544311 Zoning: Applicant: JEFF COX ISSUED BY: cSZ" I/� �4---- Address: 326 16TH PL Phone: 949-645-5115 COSTA MESA,CA Zip: 92627 Owner: ABELLA PROPERTIES LLC Address 3830 VALLEY CENTRE DR SAN DIEGO,CA Phone: UNIT 705-423 Zip: 92130-3307 Contractor: Address: Phone: Zip: License: Arch : Eng: Address: Address: Phone: • Phone: Zip: License: License: SCOPE OF PERMIT REPAIR WORK IN EXISTING BATHROOMS FOR APARTMENT COMPLEX. 1 BUILDING,UNITS 3,4,5,6,7&8 ONLY.DRYWALL,GREEN BOARD,&PLYWOOD FOR SUB FLOOR. • FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,500.00 Permit: $83.25 Claim Valuation: $2,500.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 • Total: $83.75 • 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 2446-46(6/00) DECLARATIONS f a WORKERS'COMPENSATION DECLARATION: , I hereby affirm under.penalty of perjury one of the following declarations: O 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 carrier 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.) Ir 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 III should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these p//rppyyisio Applicant Signature: Date: (0 ' /p. 0 2 WARNING:FAILURE T ECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLAR 15100,000),IN ADDrrION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.ANO 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,end my license is in full force and effect.Lic.# Class a Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: O 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: 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).): O 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.). O I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Cale: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 drivers 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 then 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 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 Cale 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 Califomia 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ 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? 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,end 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. Ign e O al Owner(s) /D %ata • p . v3 And/Or thorized Applicant Date CODE P INSPECTION TYPE PAIS tNTITIAL$ gmDE( INSPECTION TYPE PATE MALS 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 Dignem 222 Final Site =/ i."7". 204 Final Demolition 250 Final Building/Occupancy [ /r2i z/'fy// IAA-Ill-UM 0Z:46PIA FROM-COLD%ELL BANKER +19491298099T-614 P.001/003 F-401 OCT-06-2003 MON 09:21 Ah FAX NO, .4. DECLARATION OF AUTHORITY Bldg.Permit if FOR AGENTS OF PROPERTY OWNER This Permit 0 TO APPLY FOR PERMITS Street AddrosarX 115 S. 14' 5rfl r AP Number: M6rISCrt HAI.JA a62 .e In t. 1(wo) (Lb wn-r at En -. declare Thai I em the Owner.eKille et the above referenced real properly.and that l(we)hereby vuthodre: o W NS 2: f8 au_A Pooravtalr5r rty /� Lt. Menlo JEFF= Cc* lb/ J1�4✓Gr�.'EL74)h�d>/re ePhone Number. 'Y* 65/3--.5-14C - Street Address:�� 5 Cha �te I' PL-.4C r AA q City: as 7x/9- "non State: eie Zip'. / 04;2 to obtain permits in my behalf,as ownoribuitder,ton, 146Ef,t.A /42:4E621 W5 t L L G at the above referenced properly. 2. Should any person become an employee engaged in Ine Improvemad a tno properly,I Iva)shall immediately provide Workers Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Bolding Divisional the City of Costa Mesa,as.requited by State of California laws. 3. As owner/wilder in tact, i understand and accept that my responsibfities do not transler to any other person, company or corporallon. 4. I agree to indemnify and hold the Cay el Costa Mesa and Its employees or officers hanrOess Iron any claim mulling in damage or personal injury to myself or any other parties es a result of work authorized by the permits from the City of Costa Mesa. 5. t declare under the penalty of perjury that the foregoing Is true and correct Executed this, 7`" day of 0Cnl6'tnt- 20 03 ,at NEOPtrte 4ASr .California. Print Name), to&e-a-v- 61 I r~t-i Signature:)( e iti _ Date:x DCT'. 7F 1.eD '3 Not: This a thotimion docs not grand atort¢eGon b pedonn rte ask as owner, it seedy Provides tar res pow al attorney b secure oaf permit in any behalf. onar rr.iwn CITY OF COSTA MESA t BUILDING DIVISION > %J . DEVELOPMENT SERVICES DEPARTMENT P RMIT NUMBER 1141k . 11. PERMIT �P03-00711 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 145 E 18TH ST Status: ISSUED Suite No Applied: 10/28/2003 Issued: 10/28/2003 Vicinity: Parcel Nunmber: 42544311 I(��/ ISSUED BY: Applicant: COX, JEFF Address: 3830 VALLEY CENTRE DR UNIT 705-423 Phone: SAN DIEGO,CA Zip: 92130-3307 Owner: ABELLA PROPERTIES LLC Address 3830 VALLEY CENTRE DR SAN DIEGO,CA Phone: UNIT 705-423 Zip: 92130-3307 Contractor: Address: Phone: • Zip: License: Arch / Eng: - Address: Phone: Zip: License: S.ec4L SCOPE OF PERMIT CHANGE OUT 8 ®eF DRAIN PIPES FROM ABS TO CAST IRON FOR PENETRATION THROUGH FIREWALL. FEE SUMMARY AMT QTY AMT -QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0_ Dishwasher $0.00 ' 0 Sewer Cap for Demo $0.00 0 . Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $78.40 8 Shower $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 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 2446-46(6/00) DECLARATIONS , 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 carrier and policy number are: Cartier: Y 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 alifomi and agree that it I should become subject to the workers'compensation provisions of Section 3700f the Labor Code,I shall forthwith comply with these vi s. t o/a 8/903 Applicant Signature: Date: 1/ WARNING:FAILURE T SECURE ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR (5100.000),I ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37090F 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 Class 4 Contractor's 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). Lender's 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.). ' ❑ 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 axe un r se . Business and Professions a for this ree�°n: / /y� Signature: • (��,q`tl'/ 'irl Sa Date: /U aer(/(J Owner ID rifled by dri er's license. 0 Yes 0 No Driver's License K. 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 W III 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,ora 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 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 an 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the California Govemment 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? 0 Yes 0 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. 402/1 Legal Owner(s) /o , /u Date -And/Or Authorized Applicant ! Date g0DP-/ . - .It..Ali' PAIL INTRIAL$ goon INSPECTIONTYPE PAIL INIIDALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing //-2(a—op 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 `p5�MF CITY OF COSTA MESA BUILDING DIVISION >: r,; �; DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER t y�2 PERMIT rbgpown so.4.• P03-00673 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 145 E 18TH ST Status: ISSUED Suite No Applied: 10/10/2003 Issued: 10/10/2003 Vicinity: Parcel Nunmber: 42544311 ISSUED BY: Applicant: JEFF COX Address: 326 16TH PL Phone: 949-645-5115 COSTA MESA,CA Zip: 92627 Owner: ABELLA PROPERTIES LLC Address 3830 VALLEY CENTRE DR SAN DIEGO,CA Phone: UNIT 705-423 Zip: 92130-3307 Contractor: Address: Phone: Zip: License: Arch / Eng : Address: Phone: Zip: License: SCOPE OF PERMIT REPAIR WORK IN EXISTING BATHROOMS FOR APARTMENT COMPLEX. 1 BUILDING, UNITS 3,4,5, 6,7&8 ONLY. DRYWALL,GREEN BOARD,&PLYWOOD FOR SUB FLOOR. REF.:803-01769 PLUMBING TO INCLUDE:6 BATHTUBS AND 6 WATER CLOSETS. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $58.80 6 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $58.80 6 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 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 2446-46(6/00) DECLARATIONS ( tel 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 carrier and policy number are: Carrier: Policy Number: ((TThiiss section need not be completed if the permit is valued at one hundred dollars($100)or less.) ri 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 C lifomia, agr that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr I ons. Applicant Signature: Date: /0 • / v 0- s WARNING:FAILURE TO URE WORKE 5'COMPENSATION COVEFtAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOI.ARE W,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.Lic.# Class It 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: Lenders 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 t0 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.). ❑ 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 drivers license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-properly 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,fatsework,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 ❑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,ore 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 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 end 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 Califomia 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 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? 0 Yes 0 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? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ..._ Management ____.._ 7 If a permit fromv the the Coast res Quality by gement Di Heal or other air pollution control district3 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. Sign Oj.L�al er(s) Date /0 ./O . 0 3 nd/Or Auth` zed Applicant Date CODE r INSPECTION TYPE Q61E )IRIDAL$ LODE( INSPECTION TYPE PATE INTDIALQ 1616 Fixed System Final Fire Prevention 206 Final Mechanical �j 1266 Pool Spa Final 208 Final Plumbing 10 "b3 ° n/ 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 ADDRESS Of BUILDING: 145 E 18TH ST DMT: iF 5 CITY OF COSTA MESA — BUILDING PERMIT a/MERSMAME IF MOWN: SHASHAANI JALEH PERM NO: M 081246 ADIRIEss: 4031 PINE'iREE TRAIL BLOOMFIELD HILLS,MI 48302 PERMIT NO: M 081246 PLAN CHECK NO: N GOVT: N SUPP : N 642-5723 APPL.UMUNGAEORES5: CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: OTH ARCHITECT ORENGNER: UC.MD.: JOB DESCRIPTION : CHANGE OUT WALL HEATER SQ FT: MCH.OR END'S ADDRESS: LINT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 / CONTRACTOR'S NATE: caimacTORSIIMUM3 COMMENTS : REPLACE EXISTING WALL HEATER ADDRESS: UC.NO.: ******************************************************************************* LIMY ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of peijuy Net I em licensed wider provisions of Chapter 9 SETBACKS (commencing with Section 7000)d Division 3 d the Business end Professions Code,and my license is in fun face end effect. Cm LIC.NO.: LIC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Data: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN r \W NER BUILDER DECLARATION:I hereby affirm under penalty of perjury the,I em exempt from the Contractors License Law la the 1 noreason !Towne (Section 7031.5 Busbies*and Professionaa • Professions Code:Any y county which requires a permit to construct,after,improve, PARKING REQ: P RO V: PARCEL: 42544311 Z N E: REF NO: demolish.a repel any structure,prior to its issuance.also requires the applicant for such permit to flea signed statement that he a she is licensed pursuant to the prom of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 d the PLANNING NO TES> Business and Professions Code)or the,he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > 7031.51y any applicant la a penile subjects the applicant to a civil penally of nen more than fee hundred dollen IS50O]). ***********************************************************141E****************** 51 0 I.as owner d the propMy a ny employees with wages as their sole compensatbn,will do the work,and the structure is not ioehded DEVELOPMENT S E R••V I C E S REQUIREMENTS or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does nal apply to an owner of properly Ie who Wads a improves thereon,and who does such work himself or hersel a through his or her awn employees,provided that such improvements we not intended or offered fa wile.IThowever.the bolding a improvement is sold within one year s compelion,the ZONING APPROVED BY DATE: owner-builder wit have the burden d proving he a she cid nal ding er improve for the Purposed sale). 6 I.as ovmer of the property.am exclusively conndiw with licensed contractors to construct the project(Sedan 7044.Business end Professions Code:The Contractors License Law does not apply to en owner of property who builds or improves thereon and who BUILDING APPROVED BY : -- DATE: contracts ler sid,projects with a m dtasa(s)licensed pursuant to the Contractors License Law). --, ' / El Iamexempt uderSection: B.AP.C.,ftisreason: er APPLICATION ISSUED BY: 'C %/V DATE: l- 97 k Date: 1 71 jQ1 Owners un,0 \ A 1 on. IA c\/ ************************************************* **************************** LEGALIZATION:N F E E SUMMAR Y STRUCTURAL SEGMENT:N I do hereby certify that I am aware of and understand the requirements of California Health end Safety Code Sections 25505,25533.and 25534,and evil I or any flute bulking occupant will/will not(circle one)need to comply with said state codes end the requirements for apertni for cadlrcticn or modification horn Ai r3Tananglsum Didrid.Mddwidconstruction we exempt from BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provision. PERMIT 13,25 Date: Applicant: -- 25% SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm undo penalty d perjury one of the tenoning declarations: ISS 0 Ihave and wilmaintanacerttnaconsent .sd workers'comperae,lonprovidedferbySection3700thelabor BUILT FEE 22 , 00 Cede,for the P.dmof the en NepertsSued. UILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I'DI have end will maintain workers'compensation insurance.es required by Sectlon 3700 of the labor Code,for the petorma nos d the TOTALS — > 13 , 2 5 2 2 . 0 0 0 . 00 35. 25 35 . 25 . 0 0 work for which this permit is issued.My workers'compeneatlon insurance carder and polity number are: Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 35 . 25 OVER/SHORT; 00 policy Number: _ BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need nor be completed it the pent is For one hundred dollars MOO)or less) _ . 35 . 25 4M I certifythat in the perfomance of the work for which this Pemhil Is issued,I shall net employ any person in any manner eo es to n become subject to the workers'compensation laws of California, and agree that il I shoo become subject to the workers' ******************************************************************************* compensation provisions r of Section 3700 of the Labor CoI shallforthwthcomply\wmp X CCa1 121 1 4 Applicant: `\I�vv\b hy��s )` ) b JZ IA C / I N D I V I D U A L FEE BREAKDOWN Warning:Failure to secure workers'compensation coverage is unlawful,and shell subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil Dns up to one hundred thoussnd dolls,.(S100,000),In addition to lbs cost of comm a satbry damages as provided for In S«tlona7XofTh.LaborCode,interest and attorneys fees. MEC 1 INST/RELOC RECESSED WALL HEATER 13 . 25 13 . 25 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty el eerier/that there is a oommrnwion lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097.Civ.C). LENDER'S NAME LENDER'S ADDRESS: I certify 1 read this.,.'nation and state that the above information is caned.I agree to camply with all thy and county admarvs and a ng • !. . . . and hereby authorize represent sties.of this city to enter upon the above'mentioned property an a JAV• . KATOUZIAN 0111-1997/12:11P11/$35.25 PM ' RCPT4:B1-8898888 i Y \J A , �� 1121 \ PERMIT:081246 Dale: -:•rem.ei theneeneendAPpMant/Contrad« (515id5.WP) White-Bweip&Safety:Green-Fe:Cary-Appicem:Pink-heaver:Goldenrod-Assessor CONSTRUCTION AND PLANNING Pr & SPA APPROVALS Permit# Date �l 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''t_lectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE • 7: Footings 58. Electrical Conduit-Undrgrnd. :B'. 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. &operty 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-Conduit7' 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 y ... - r-C_!- T - 20. Rough Factory Fireplace r,-r ` r c. • r APPROVALS Permit# . c r . ". k 'T 7 y "e• r k . - _. - 21. Ducts,in_Structura�T : - ` '� , ` 70.:Ondergroun`d Hydro 22. Ducts, Ventilating= _ _ . . r" 71. Product piping Gas 0Oil 23. Gas PiPeough &'1- st ,T r.: ; ,r ,T y ` 72. Underground FCuh - 24. RoofFraming: r,~ �-.-.• - _ FL - .•-• 73. Undergrnd.StorageTank ❑Gas OOi' 25. Roof Sheething ✓; n r- 74. Overhead Hydro_ 26. T-Bar;Ceilin (Structural) & x - - g [t�onocoat - 1r 75. Dry Chemical 27.•Frame and Flashing : _ 7& Dry Standpipe c 28. lathing&Sidings a v. _; •- •• 77- FIXED7SYSTEM=FINAL - 29. Insulation .. , 171 , 78; FIRE PREY. FINAL - r: :. 30. Drywall Nailing 4 Y '-HEALTH DEP*.-REQUIREMENT . c 31. Plaster Brown Coa'T]t ., 79-. FINAL tNSPECTION . - - - 32. ElectricalPower Meter-Final - - •• 80. FOOD CERTIFICATE ISSUED r. 33. :Fina7 Electric- r' * _ Nates: 'r , V.Finat-Heating`.& Air Conditionieyt• - r i I.. .�7 ( i),". i x. - . .5 35. Final'Gas-Pipe:Test r .r - _ : r 36. Hood or Canopy - - - _ - -__ 37. Final Factory Fireplace : _ s 38. Final Plumbing 1 r - - _ M 39. Water Service-Final • r C -• -'T - - 1 -r : - ' ' -. ♦ 40. Gas Service-Final . ,, ., .r..r. - ,..r.: 41. Solar Domestic-Final .-- ' r=: - .e 42. Backflow Preventer , •- .`. z ^ : 43. Backflow Irrigation • _. k 44. Landscape IrGgation System-- - • - - - - -c45. Sound Attenuation` - - ... . C . -- _ ` ,6. Flandicap Regulations ; = - /47. FINAL & BUILDING 1 - C48. '£INALPLANNING. _ n .49. 'Electric Release to Edison r r -- .. .- r. ✓ - '. 50. Las Release to Souttiern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No Date ADDRESS OSMLOCO: 145 E 18TH ST WIT: C CITY OF COSTA MESA - BUILDING PERMIT 0040-SNAMEIFR1wN: JAY KATOUZIAN PERM NO: P 072631 Amos, 370 AVOCADO ST #14 C .M. PERMIT NO: P 072631 PLAN CHECK NO: N GOVT: N SUPP : N 642-5773EL MAR,CA 92625 ADPL.MM HG ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH ARCHITECT OR ENGINEER: UC.NO.: JON DESCRIPTION : LEGALIZE PLUMBING WORK SQ PT: ARCA OR EN3.1 ADDRESS: WIT: CLAIM VALUE: CA.LC-VALUE.: GROUP OCC: R-1 / comma fsNAYE BUD' S SERVICES ( 714 ) 548-4531 cormuORsnIuio 8855' ATLANTA AV COMMENTS : LEGALIZE PLUMBING WORK ADDRESS H.B . CA ucic 541204 ******;Ir****** *****st*******+Est*sE*********sF****st**x-************st**st**SE**sF*srst***** 92646 umm 223 Z ONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby Slim under I aro tensed under provisions 04 Chapter 9 SETBACKS (commencing with Section 7000)d[tiro d the Business•... tense u M IA bit and died. CITYUC.No.: O 198.K mums. C 44 EXP: 01 /96 MAIN BUILDING ' - . ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: ' FT IN REAR: FT IN Date G//��PS —_ LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN f ER BUILDER DECLARATION:I hereby affirm under•rn d perAry Net I a emnpt tram the Cctadors license Lew for the //////.rowing reaeon(Sean 7031.5 Business and Prof Code:Any sly or canny which requires a ptml tacoretua.alter.improve. PARKING REQ: PROV: PARCEL: 41912103 ZNE: REF NO: demolisis 1icnsdK'dprepair to the provisire.on 0 NeC issuance. lC the appEcat 9( p amh permit withh Seafile a eon"7703))5Divaiion add she or PLANNING NOTES> Business and Protest/1s Code)or that he or she a exempt therefrom and the basis Is the alleged eaemgion.My violation 04 Sedan - > 7031.5 by any*patent tor apana stress the retard to acid penally 0403 more than bre hundred dollen IS50017 *************k*!t*k****It***********It**%*7E****-)E****iF************)E**********IE***** ❑ I•as maw dthe propnyormmatlofeeswihwages mthew sole ompermuon will dothe mak end the struchmlenot veended DEVELOPMENT SERVICES REQUIREMENTS or offered for ma(Section 7044.Business and Pmlessins Code:The Contractor,License law does not apply ton evened property who butt or inproves thereon.and atm does such work honest or heal or through ha or her own employees.provided that such . improvements ere not intended o Shred for sale.d.however.the bulling ainproeemed is add within are yew doomplelbn.the ZONING APPROVED BY DATE: owno-0uilder will have the burden d proving he or the did red bad or improve for the purpose d eel.). ❑ LasowwdNepopery.emuriniveyaomradingeiNWneedcdMedonrowmrudNemopd(Sedion7044.Busimnan BUILDING APPROVED BY : DATE: _ P,cle re Code:The Contractors Licensenot b n Law does napplyowner ol;many Mc builds or inprmves thereon and who contracts for sed.projects math a conhacors)termed patent to the Contractors Leonia Law). [� , p Iamexempt under Seccon: B.&P.c..ldthis reaan: APPLICATION ISSUED BY: /'t\� - DATE: / 1 ate: Owner: LEGALIZATION:Y F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby candy that lam aware d rd understand the requirements of Caaomle Heath and Stet'Code Sedlen 25505.25533.and 25531,and OW I ornyhnure building occupant will/win not one)need m may with said rate codes and therequimmente for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit In odmuuctiut a modification frdnthe Ai uey emgonwa District Re e &mMnafion appGatida are exemp Ma these provisions. PERMIT 56 , 00 Oa Applicata: .5% SMIP/NON-R E S PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one d the following decimetre: ISSUE FEE 20 . 00 o Ihewandwillmeimahacerifctadmoventosettimureforworka:coMareatin,esProddedforbySectin370004thelabor BUZLDTNG-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DOR Code.I«the sodomite dhework for Mich this path aissued, TOTALS----> 56 . 00 20 . 00 0 . 00 76 . 00 76 . 00 . 00 -] I have and MI maintain workers'compensation Insurance.as required by Sean 3703 el the Labor Code for the performance of the work la whkh the permit is issued.My waken'compensation insurance canter and PIy number are: Carter: REVENUE DIVISION TOTALS--> COLLECTED : 76 . 00 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (Thr ion need not becompleted fthe pamfator orre ) 76 . 00 Cart int in the performancewaded wok for wh employ any poen in any manner as to become Patin d otMwaofthework compensationra • ; -• •ns fl should become subject morns worker.' ******************************************************************************* °" 37oo 04'"' .' nn.. ' with Opes prottlona. Dat 9 I N D I V .T. D U A T h F E E BREAKDOWN Warning:Fallon to secure workers'compensation ' la unread,and shaft subject an employer to admire,Penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Ser fines u to one hundred thousand dolan 0104000A In adlhbn lo the coat of compensation,danrgm as provided for In Section 3705 of the Labor Coda,Interest,and aftomey'sTh. PLU 1 BATHTUB 7 . 00 7 . 00 CONSTRUCTION LENDING AGENCY:I ashy affirm neer platy of They Nat Oen is a construction lending vary for the PTA) 1 SINK, KITCHEN 7 . 00 7 . 00 pedamanddthe wdkfor which this permit'sSed(Swan3097.CW.C). PLU 1 WASH BASIN (SET) 7 . 00 7 . 00 LENDER'S NAME PLU 1 WATER CLOSET (TOILET) 7 . 00 7 . 00 LENDER'S ADDRESS: END - OF FEES candy that I las-road Ne epptca:in and Mate that the abode information a conal.I apo to comply with al city and canny ordinances end state laws realiq to bdMi)sandman and hereby mate regrwtlatiws otitis ny to enter upon the above-mogn ed propoty for inspection purptae. �/ , . P Name Date: (o%/"r Cl OCT_+'17-^4:123 :17 T9�� _, s. �/ +/Appricarama DATE: 06Th ^ -T ,t-. `(i^ l r_IiC: .j7 ( 151.45.WPI \ v Wise-Butdi g d Selly.Green-He Canary-Appivn:Fink-Revenue:Goksuod-asse.aor CONSTRUCTION AND PLANNINLyi ,L& SRA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspe�or � t • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement ' . 3. 'Electrical Conduit Utility-Unclrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test •-"1 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. I 60. Backwash Lines, P•Trap, Cd Undrgrnd. • 10. Structural Floor System • t 61. APPROVAL TO DE1CK ' 11. Property Sewer Line & H`petse Connection 62. Backwash & Receptor-Final • 12, Sewer Cap �' 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final l 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 r 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24.'Roof Framing -, 73. Undergrnd.Storage Tank OGas 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 7.7. 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: 6 _Z _?S ce z/Z`SZirdy' 34. Final Heating & Air Conditioning ' !/(�/:'L 1•4,../IPL/Cr Kett-CGN02. 35. Final Gas Pipe-Test 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing 9 <4_t cS r: 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation , 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ADDRESS OF BMLgNG: 145 E 18TH ST • °NT' CITY OF COSTA MESA - BUILDING PERMIT OaNERS NAYEIP KNGNN: SHASHAANI, JALEH I - PERM NO: B 075527 ADDRESS: 4031 PINETREE TRAIL BLOOMFIELD HILLS,MI 48302 PERMIT NO: B 075527 PLAN CHECK NO: N GOVT: N SUPP: N IPL.MMUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: 0TH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF & REROOF W/BUR SQ FT: ?2, 950 ARCH.OR ENG.'S ADDRESS: WIT: 1 CLAIM VALUE: 22, 950 .00 CALC-VALUE: 22, 950 .00 GROUP OCC: / CONTRACTORSNAIF: CRANK BROS ROOFING CO ( 714 ) 548-5'569 CCNTRACTORSNNIwG 126 COMMERCIAL WAY COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY ADDRESS: COSTA MESA CA uC.NO.: 408677 RfiE*iE1tx1E1EiEltlEiEfEiE+E1t1ElElEiflt7tltlt#xif+hltlE** itiFiEit1E1t1tiEiEltiEitlElEifiFiFiErtlfiE** lE+tfEiflEiEiE1E#iEiEiE#ififffifiE9ElEiEit 92627 DHT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Charier 9 SETBACKS (commend •with Section 7••h)of Division 3 of the Business and Professions Code,and my license is in full force and effect. C eC.Nh: 011 r93 LIC.CLASS: C39 UC.No.: q g6 EXP 06/96 MAIN BUILDING ACCESSORY BUILDING L : FT IN / I—CContreaoZ----: Jlh [Q7r LEFT: FT IN RGFRNT: FT IN HT: FT IN LEFT: FT IN RG: FT IN FRNT: FT IN HT: FT IN `.' ER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the 7Lwing reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to consimct,atter,improve, PARKING REQ: PROV: PARCEL: 42544311 ZNE: REF NO: - molsh,or repair any structure,prior to its issuance,also requires the applicant for such permit to fib a signed statement that he or she is licensed Professions to the provisions r c the Contractors License law)Chapter 9(commencing the with Section 7000)d of 3 d the PLANNING NOTES> Business and Professions Code)or that he or she is exempt therefromhitpenally and the basis for the alleged exemption.My violation section > 7031.5 by any rofthe f«aparmil employees the applicantgtoaevil oles of MI more than fee thhundred aciddo the structure is not intended DEVELOPMENT V E LO P M E N T S E R VI C E S R EU I R E M E NT. S or offered for sale(Section 7044,Business and Professions Code:The COntractom License Lew does not appy to an Owner of Q who builds or improves thereon,and who does such work himself or herself or through his or her own empnyeea,provided thathat such improvements ere not intended or offered for sale.If.however,the building or improvement sadd within one year of completion,the ZONING APPROVED BY DATE: owner.builder will have the burden of proving he or she did not build or improve for the purpose of sale). • ❑ I,as owner of the property,ern exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). _ (� ❑ lamexempt under Section: B.&P,C.,for this reason: APPLICATION ISSUED BY:dEibjHjHJF� iiFf lff DATE: 7 /` Date: owner: #dEiEiElFiAiErt***RE***RbiFiERbcEiE#cFiEdEiFCERERb#*** 1EiFiF#RFifiERElbiE***RE1E****RECE**4 cE* Ido hereby only understand requirements I am aware of and undeand the luirements of Cadomie Health end Safety Code Sections 25505,2ASvn,and LEGALIZATION:N F E E SUMMARY S TRUC TURA SE M E NT:Y 25534,and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a permit far conetmation or modification horn the Air 446 r)71nagement District Residential construction applWionsare exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provision. PERMIT 234 .00 2 . 30 Date: Apdinam: SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury e of the following declarations: PLAN ❑ I have and willmaintain a certificate of consent to seff'insure for workers'compensation,as provided for by Section 3700 of the Labor ISSUE FE E Code,for the performance of the work for whchthis permiisissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE 17 Ihave and mlmaintain wadoScotian a ana, the TOTALS----> 236 . 30 0 .00 0 . 00 236 , 30 236 . 30 . 00 work for which this permit is issued.My workers'compensation insurance carrier end policy number are: Carrier: STATF FIND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 236 , 30 OVER/SHORT: . 00 Policy Number: -• , ' 1 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed d She permit is for one hundred doffs« 1001 or le:: - 234 .00 2 . 30 . I certify that in to dor . ce of the work for which thispawn' Is i ad,I ah hl no.em. . subject o the • .re compensation laws of Calif a ...re.that d I eh, Id beco�. ...bject fo the work," ****0E0E0Ecb0ECE***REdE4Edb0E0E0EdbcbcbdE******OE0E0bilf0E0EHEib0E4E0ERbiE7E1E1E1F1E1E1ElE1F1E1E1F7E1EiE1E1E1F1E1E1ElE1E1E1E1f1E1ElE1ElEiE9F*** co pe �. Sectonr.700 of the also Cone.I t .,`y ply NI.n I N D I V I D U A L F E E BREAKDOWN Date: C. Applicant: �y W. rip:Failure to enure workers'compensation coverage/s unlawful,a aM +�n focriminal penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST vii tines up to one hundred thousand dollars(5100,000),in addition to tin cost - tis •napes as provided for In Section 3705 of the Labor Code,interest,and aGrorneyl fees. SFR 22950 REROOF BY VALUE RESIDENTIAL NOZONE 1 .'00 22, 950 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a conn .ion lending agency for the END OF FEES performance d the work for which this permit s issued(Section 3097,Civ.C). "DEB'S NAM : LEN.ER'S,r h KESS: . cervi j that I hay: this appy den and state that above information is correct.I agree to comply with all city end county ordinances .s e laws'.,in4 to builinpmnstrudion and her.• eu0er'se representatives of this dry to enter upon the above- ed pats ! :RIEN \ ,_ ..4 ; e , Name - ' . . �. , Date V G! 0,1, -..=.17:,..J,c ...�_ (5151-46.W P) White-Buildng 5 Safety:Green-File:Canary-Mordant;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING " '. . & SPA A,PROVALS Permit# Date Inspector APPROVALS Permit# / Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. :_ 53. Steel Reinforcement _ - Efectrical Conduit UtYlity-Undrgrnd. 54. Forms C :r ^ :^r2t r4CtricaI Condttrt-U argrnd. 55. Electrical Bonding s :,,,,, Tteel Reinforcemept£ 56. Rough Plumbing & Pressure Test „' "''6"Electrical UFER{. n . 57. APPROVAL TO COVER-GUNITE i,7 F-ootings GN t 1 58. Electrical Condui&Undrgrnd. �;.., . �,n ,$at :0-1, Foundation 0i-+ J 59. Gas Pipe, 0 Uridrgrnd.,Test - -,;t-- r "9 $titer Pipe-Undrgrntl. �' 60. Backwash LinerPyTrap, 0 Undrgrnd. 10TiStructural Floor.ggtem . 61. APPROVAL Tt ECK r 11. goperty Sewer £inet& House`•Connection 62. Backwash & Recegtor-Final 12. wer Cap 63. Heater& Vent-Final • 13. Roof Drains _ 64. Plumbing System - Final 14. Rough Plumbing" '+- 65. Electrical-Final - 15. Rough Electrical-Conduit r 66. Solar System-F'lA.al. - 16. Rough Electric V firing = 67. Fencing & Accd:t-Approval _ s 4, ,-, 17. Rough Wiring Sign68. APPROVED FLASTERING 18. Rough Electrical_? Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heatina& Air Condrtioninql .tier, FU3I 8PT. PEQUI REMErtl ra 20. §oug-d FaFtor Fi ace , :r F: =',.t +r.' n {ti'APPts0VAEtE Permit# r 7r 21. 9uctc in'StrulfurEC* .' .. _ _ :.: r' ,....Th- ^r. c ,-. ,-, tZ _ r 3 t-+ ,max - 70. Ondergrrc'fI Hydro K 22. Dict Vtile:tngC,J1 . t.:1 is 5 c.,,. -' 71. ProductPiping lUh6as ©Oil 23. Ges Ripe-Rough & Test -' i, t7 r 0* P-c 72. Undergr djJ F'lli1H'-t 1,: 24. hoof raing.. ::t -- ..- 4 O C t4t4 Pa �J, p ,K B-1 a .-.r • 73�, Undergrr'yd.Storogg Zanlp-O Gas 0 dil ri C n+ C • t . T 0.+ . $ _ c' 25. Roo Sheathing t' * e 1`" =Q6% & -$- 74'e�verhead Hydr�';Q, 26. riBarfPeilipg (Strt ,rat) & Mbnocoat a c r r at 7 djry Chemical F,6 * "' - Er 27. tame and.Flashing. r - - = 76. Dry Starr i5pe F' r • H28. Lathingit',Sicng �'.�� U i •• 7g, FIXED ., TEy{y1r INA t ,- C. X29. Insulation • rot - 5 •• -- ! o.o. 7 F� FIRE PREV. IWL r r X30. Drywall Nailing Q* x E `' &ALTkDEPt.' Ed'UIR_EMENT C.„ 11 Pt or - - 1 ,. r3 -J t-- . .1 - 31. Plaster Brown:Coat_r S I tr'c' I r :' 79. FINAL INSPECT%)N * na .. -,t r m• h' r r .-r !T, _4-132. gjectrical o'j r IVj r@ al • y. 't A m BCC FOOD CERTIFf+GATE IgS4ED_, gg' l v 1 I.• t , •1 �, - g33. rtnahEleearic> H. PI i �" ic.-. Notes: -1 -?t fi r. ....rt. y 34. Final2Heting$l AviConditi4 r? on1ng s n ; iv a; s a. -r.• C=' . I - - � r '35. nalGasPipe.7est.% -' .. -1 ,a -o Cr ?- • .-- .3136. Hood'or Canopy a:' �. r; - �" " £ m-. ,•r ".7 a. C.20 ., s �*i „ r: r 37. kmat"trattory Fireplace x - a h S tt' ^38. Fina Plumbs gc =' ' ca - -. £ ,� r, t t./. t t:t I* C t•+ _ a r r r - r. • 39. Water Serviced inti +, g tr• * >1 - 140. Gas Service-Fidal ol El - _ E-41. Solar DomestiO4r < ; s ? -o C. T. -. X42. Backflow Preventers I At -' ' - • + O ' 43. Backflow Irrigation•t IL-f/ 7 5-- r e1, - a'(cj� - 44. Landscap(IrrigatiW5ystem '1 '7 = " r" t, C.: - - 1, Cu 45. Sound Aiten&tioii - nl r r < Handicap Regulations {• ` u; c, '` a=' L. 46. E. FANig.STR'I.ICTURtk & BUJ CbING ,.. i 9C' C4 L' , ± r_, 48. EINALPLANNING " - ` ,.. / .r - �.' r 49. Etect&1c Release to Edison 1 5. c 50. Gas Release to Southern Califorr�iawasCo -H t-, '' Q • 51. CERTIFICATE OF OCCUPANCY '` * ^ " t - No. Date MeibMigWEI W.Fe rOgC( d a ne@@©VIER®@ PLANNING&ARCHITECTURE 17848 SKY PARK BLVD.IRVINE,CALIF 92884 TELEPHONE 7144514823 To Whom It May Concern: This letter will serve to authorize you to release for duplication those plans in your possession for a building at 145 East 18th Street, Costa Mesa, California to Betty Burkhart, 2920 Clubhouse Road, Costa Mesa, California 92626. This structure was designated by the firm of Schwager, Fernald and Ballew in which I was a principal . .-r , . John a I ew �/ /'O— 77 � - 0iy � 4. 6v1 / /3 1 77/345 It HILLIARD & BRICKEN John Hilliard 0 Consulting Acoustical Engineers o Gordon 8ricken May 17, 1977 Mr. Gene Wade 2502 Crestview Drive Newport Beach, CA. 92663 Subject: Plumbing Inspection at 145 E. 18th Street, City of Costa Mesa Dear Mr. Wade, We have inspected the plumbing installation at 145 E. 18th Street in the city of Costa Mesa and find that the plumbing is now in a condition where it does not degrade the party wall rating as required by the city of Costa Mesa. Sincerely, C ‘1211\i1411-t-19 - /1J ohn K. Hilliard, D. mac. No. E 384 )f /4 /vlp J .4ZECTRO- ,: ,, /t of CPO' • \ 1971 East Fourth Street,Suite 18 0 Santa Ana,California 92705 0 (714) 835-3728 I Ifs'"ts•�{�ii i4 1 1j oro, 1! �- IAiz ' ,a1 ,!'&tt , ( (_. A t E LABORATORIES t( +il!• ( CONSULTANTS Date: 12/11/59 Lab No.: 3025 Job No.: 59-A36 Job Identification: Anthony Pools Owner: Darnell 145 E. 18th St. Costa Meaa, Calif. Contractor: Anthony Pools Date of Record: 12/9/59 COMPRESSION TEST REPORT - GUNITE Location in Structure: Swimming Pool Gunite No.: 2786-145 Nominal Size: 6.1"x 12" Area: 29.22 Date Made: 12/3/59 Date Tested: 12/10/59 • Co : 7 days C. /L Commpressive Strength � J Total Load: 47,000 ‘\ Compressive P.S.I.: 1,608 -- ;7 Design P.S.T. : 2,000 at 28 da s Conforms toSpecifications Distribution Certified Inspection Anthony Pools City-of Costa Ness . Respectfully submitted, 'ppro by: A & E LABORATORIES Edmund C. Foerstel 0E9183 Eugene L. Switzer U Materials Engineer 9 11- REc4 EO . gl DEC IA c. City of Costa Mesa Building Dept 970 ANAHEIM & PUENTE RD. — CITY OF INDUSTRY — CF. EDGEWOOD 3 - 1 2 9 5 •-.4 40059 LstASt CITY OF COSTA MESA Tag No. 60 SIGN PERMIT '4AY 1(I-75?-,77U017151- ****15.50 - 00299 Planning & Building Safety Departments . Type of Sign sTAX 0 Elect- "(Non-electric s 1.* ji , ,y+Imulm , t - ` e'.) > s - . I ',..'„14.,..f.:.17.44,,`„, fse a ;tn.: Location !/ /�j/��� �fj r J u"3<"� rc Pr .+ u'. :.` ty , , �' , A. re;i i' '^t Building Site Address / s-A r „< Phone .9T 1 2'1( eq r1'� ',41..,1'70„:"..1.1 ,3� Z`-'(• g` �_ i..'4'e / ,A3' Nohm "g 'r + �// / \ (, +Y �nrc, r9.2...."irt,.e+t + TM` ' r.. ,a, i�y„n1:K,t Name of Lessee (\ l' 7 770--��- Phone 2-5-4- )4 (�, Stgn-r.Dtste " OA. aDateiReceival net? State License No. Re e, d.by � c - :` 7 G Contractor City License No. Streett..frontage / - F-_, W ";Front.. ft: Street: ��. + Address City Zip - Right: ft. Street:-. - - P--1 J Left: - ft. Street: QLegal Owner of Sign �c�t-( `� �("!'�`� Phone 1!s 4- / " "-" Rear: ft Street: // /-5-'43 -�'- Building set back from center line of street ft. Address (i1,� �D City ( L�'�"r//' •-���" - Zip 9'2640/ Master Plan Highways ultimate right-of-way - - ft r (J,) a Sign4Location - _T y O Descriptions Illumination Front Right der ......4.rL1`eft ¢.2'2 Qi n } �( Sid i }R '� »1 ins. i fix 'i Y.. lr�s+4iii�p� ❑ Ground 0 Canopy 0 Non-illuminated Om xCr: -c Between property Ime&ultimare nghYof4way- ,}- +i,"r +.x�y i W 0 Wall 0 Attraction Board t ' ,� *iQ SG and iStS gtis' fry . , ..t,: 'ft� 0 Roof 0 Advertising Statuary • z. ' ❑k r7 ft;&s'I45 sA.gj[t/or ©•Table . PI Areal �_ 4 ''11-1:-' 14 1 C - t Y ifl �, �. 0 Projecting 0 Other 0 Directly lighted r r q +irr Yt - •`+T -�. a� 4.1 0 Construction 0 Tract Sign(Security&Right of Entry Agreement) 1....1•74..f.:4).-i,•;'./ + ry' w h• / „ r zSi n rY .Y'• r. ,t.:":17:::•;. '4 ❑ Convenience 0 Special Event(Request form submitted) Area of,Sr�n i't '�+,'} 0 Super Graphic 0 Change of Copy(amortization) 0 Indirectly lighted ; " tr e4 W tom "a - � _ ft$�'1-54-4.t. " 4"r. W Gfduicaelearancer ,Sai`f`' .0 .c.,-',17C-" .4 .,Vaaitl Programs ,, ;Ov`erall height-.. t Vie• ; .. _ y 1^ �, Letter height ' 7_" ."YtL4`B _ - :it. �•i ❑ Planned Signing 0 Shopping Center/Integrated dev. 0 Variance Items of Informauon _ - C.U.P.No. ❑ By Owner/or 0 by City To`tal's .ft of all Signage 4.1 a. (Date letter sent ) 0 Minor Variance w ` .Amortization z, ,- Subject to Aniorti cation yes ' no.,❑„ All applications must be filled out by the Applicant,all footing,framing,electrical and final Inspections shall be called- (714)556-5273 Signature of Permittee ,Expiration Date .. Valuation: . . . , Planning fee. 4) Q e> Office Usephly,:,> - .,. $ %0e Building fee S— Inip:B Px B Px No- '.', -i-i... l Px A - Psi No Authorized Agent `" Plan Check fee Total Fee S /I O 0 aYR.._�{ ,g + • th, 5".., 10' �t �I �/ 3 'V <_y rv: . Y gi r .t f 'm.'.+F - k •.a1' .`'1 Y$rv;. Received by Date 1�3'V' 2( Date Approved 5:-Jo--/ 6- itim td '+ ti 2 (p Sit�� a • Signature(Bldg.S KOLDS`$'Z(SPECritttL" REQUIREMENTS - Y '" ' .; � t� Date (Approval subject to the condition of Ord.74-25 Sec.III 3.d) ' CMF 0068-26 white - Building; Green - Customer; Canary - Planning; Pink - Finance; Goldenrod • Assessor — � � _ . __ ;I/ :1f _ _ to _ _ . . . ____ ____ St j f' :.- uumxist--- a . .. .sy . , -.. .. (..) ._ , 0 „Ant::: ..,.:e.E. 4 ...„..„,.... 72. SAI PPRO,,, --__—.----'---"-------- ------• --- ----_.__—.--- -------. _ __------_---- - ._ �;r',� , ,v,..„.„,,., '-�.?�I 1� C.�I �.if;✓ 'Ii,�G (�+tbj. to Or.. 7•-25 Sec. IT • ) NR! .i- ( r . _ CITY OF COSTA MESA c• iG7 ��. MOI.r•.. E+> civ F�+.!_E- .�F' :�.,..,.Ly,L;,� PLANNING DEPARTMENT • (Subj./� \ to BIdLa ept. Reg.) Deo/ lrtl VE - - By ZZ-)1-101- . 3 Q Date: 6 7C -1.-.4,S . ,\ Director of Planning • HOLD FOR SPECIAL REQUIREMENTS STRUCTURAL APPROVAL ONLY A r'� R° O lVI E E SEPARATE PERMITS ARE REQUiRa ; City of r • r, p,esa Building Dept; FOR ELECTRIC IL. PI UMg'NG HEATI !G r I �G AND Br ._ _ Ministerial .Proje BE ON JOB AT ALL TIMES °AT3LT� `'ff RE RIGERP,TION WORK MAKE ENO PLANS TWITHOUT PRIOR APPROVAL 7��t" 11 �___ :;AG q�ttay' �yby YIl vE.• j �rF,�. $ # //1• EXEMPT FOM THI NRQMENT' � tl Fjf>.,It ap ND SPECIFICATIONS SHALL NOT BE CONSTRUED _ E ,,?/�(VY 70 BE A PERMIT PECIFIFOR.IJR AN APPROVAL OF, ANY VIOLATION _ - DIe• I3RA.C�N �r r ,__ _ -•• .J�Q JESTS OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE- ALL IIYJ 70JT�rC 6T7frE !�� QDFPIt,� - SLIMING F GIVE AUTHORITY TO VIOLATE OR CANCEL THE _(lam' �{ j , `� PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO . :. :� I4 et:M 1VOR 'E GOLD [.Ce I1 [ FL E- FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL Zit Y 17i>; BE c�,.,, �,_v �- S ARE i0 Z I CChOR PCcEl1S f STJE OF _ . • S; •T THE THE ISSUANCE GFA PERMIT BASED UPON PLANS AND $�D,;$TIi!AL $ ` /.0'ON OF SPECIFICATIONS SHALL 1)0T PREVENT THE BUILDING OFFICIAL EN4VSN 3�WESTEfdN TKK ADDIT10N.1!. 1.at.11- .7ENTS.SJLTEO FOR FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS TACK R6VAIGls - '-- IN SAID PLANS AND S('r:CIFICARRIE OR FROM PREVENTING einavverswial 'I' I ----��__ • Y BUILDING OPERATIONS B{L�9NC CARRIED ON THEREUNDER WHEN en 182 09 N 410LATION OF iNIS CODE OR OF ANY OTHER ORDINANCE �T'1 a0�/•v -V -1 p 1'�t1A1d+ ONsy(1 sTIIL1(� OF THE CITY, - / psiLi1/4). CITY OF COSTA MESA Tag No. /T/ / r/w" CITY __ ` COSTA MESA 24935 Building Safety Department Type of Sign/ ?� b e i PA-ci la S 16ni s Egj Elec. ❑ Non-Elec. NOV 24 1965 Application for permit for the fabrication and erection of classified signs. FOR OF ICE ONLY LocationAf, T _ �7 ti, el jfc �7 a f Date Issued // j �i r [J Permit `o. ter:' - -S-- Building Building Site Address /lir ' 7S f� r �� / Fire Zone Type Group Name of Leasee---W. 8------ 6�aAi Phone z 6 Approved by // / X Date iiZ l ,/�J Contractor �� 't+tr�f �2Lwnr / State License/No.`77�� PLANNING DEPARTMENT 7 /....,,Address/ 9, City .1"/ i • G% Phone n' —r-C,6 C--( 117 — 07-3 ^- 33 Ai lett or Zone A. P. No. tngineer State License No. r/'r' 1i; Bldg.Site Address /� r Address City Phone Legal Owner Description: ❑ Tract Sign I I Roof Sign r� Address XAppurtenant and Incidental Advertising Sign Gas Tube, Elec. Sign fl Off-site Advertising Copy Sign Sec. 1.37, 1.44 City r Area of Sign: ft, ro/ in. X ft.,in. - bZ Required Bldg. Setback to Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on plan Center line of Street sheets proposed location of sign and locations of all other signs at site. Minimum size sheets SHALL be 18" x 24" and non-erasable. Location of Sign: y Behind Bldg. Setback Line n 4 If between property line and established setback line, owner is to sign written agreement with the City. Between Property Line and sture of Property Owner Date Bldg. Setback Line L-19 Front �� Feet b The undersigned hereby agrees to fabricate and erect the advertising structure within the intent and meaning and Right /v-.� Fell' in strict accordance with the provisions of Ordinance 63-13, Ordinance 344, the Electrical Ordinance of the City g - of Costa Mesa, and all amendments thereto. Lefti Feet ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING, ELECTRICAL Projection Feet AND FINAL INSPECTIONS SHALL BE CALLED. Ground Clearance /Q/ Feet Signature of 9 77� C. U. P. C. Date Approved Permittee C. ��/ The amount shown under Valuation is for the purpose of establishing a permit fee only Clearance Chap. VIII, Art. 5. Section 8504 (b) Authoriz Agenf � 00 /9 VALUATION Permit Fee $ SuLa/ ture (Planning Staff) z if/� di Date 104 _CO$ L-4-r0 Plan Check$ Recd. by Signature (Dept. of Public Works) FORM BU-30-1M=7/63 Total Fee $ _ Date: /�_ V..--: 415r :arta 40060 CITY OF COSTA MESA Tag No. PAt❑ SIGN PERMIT MAY 10-750-77,001 ****15.50 • S - 00300 ce-TAf Planning & Building Safety Departments Type of Sign 0 Electric on-electric ys!Srnr:r+, a .x "`OYficerU ,,Only " c t a Location • - rp ."r,, iv • h. `°aa :h ; ` • ` > : ' Ro'ser[y : .y rx i Building Site Address /4 s �, / OA Phone_ /�O% . ' A: No,47/7,7=1;69-3 -,33; , 093 ,33 Zoning� / 1 ^ r Name of Lessee �C" 1 \. /4//z. 1Phone 5-177/1----."---P09" Sign Dist DaterReceived �.'36-�0 'Yfc'//1 State License No. d G Contractor 1I City License No. ReceiveStreet frontage: Q by. P. -y - C . - .,Q O✓�_.: W Front: f ft. Street: E. /t/ Address City Zip Right: ft. street: - - g / L 70 A ) Phone / / G1� Left: - "ft. "Street: d..i ��� �--• t�/� — L �Q �1 Rear: ft. Street: i Legal Owner of Sign Xr/ n /' �i 5.zeufistr:49-9,--- -AddressVf(/ • al. � 37 - City Zip 7Gl %PC) Building set back from center line"of street _ .rft,'�,) Master Plan Highways ultimate right-of-way • ft. W ">Sign Location P+ Descriptions [Rumination i . 4 ' 0 a t' r^.'= i t r r i ,'' s e a. p I rant z Right -a Luft" .:yy°.","pp •( r# xc ,t r r`/` k,$ #° i ."i K t '"SES' Z 0 Ground 0 Canopy Non-illuminated Between property lvie&fultimate rtghtrof wiy, r " kJ • 0 Wall ❑ Attraction Board ..Ground Signs t= -, t�,,ttrr s'ac 0 Roof 0 Advertising Statuary °% r z ` r ° wr^z', 3 r° „tr~h� ' r � . ❑ '7 ft.r& 15 sq.�ft/or 'l❑.rTable 2 Planter Arca 0 Projecting ❑ Other ❑ Directly lighted t..r "15E4,', h . z4„r ' 7 0 Construction 0 Tract Sign(Security&Right of Entry Agreement) err .Ss'�J; r .. .;s rSign �r -ri r it/r-''allia.; I F 0 Convenience 0 Special Event(Request form submitted) a'Area o'f Stgn " 7iyi t t:' r.tin "- ' - rtr.. ter(. (� r R. e*.n p"` r as ni, .a r age � s kc Wft�vljr.s s <,_ 0 Super Graphic /� Change of Copy(amortization) 0 Indirectly lighted •, 't ¢„ za `� W -.,eGround Cleazance ` { .,e.,s Px fir '°� . r ri- , , ...Y'45.:4'.1‘47; Oealight ; J Programs Letter height-d 5. .i �t.l'' Vt bei(ri tc ' ` .F. Items of Information's-- `ry ':. € �C^ ; CI Planned Signing 0 Shopping Center/Integrated dev 0 Variance '�' C.U.P.No. 0 By Owner/or ❑ by City tTofal sq ft.df all;Stgnage / ' d (Date letter sent ) ❑ Minor Variance rn x Amortization. " , Sub ecf to Amortization yes 0 : no All applications must be f t by the Leant,all footing,framing,electrical and final Inspections shall be called. (714)556-5273 { IEepi'allon Dale :_ /// ��/,}/7/� //// Valuation: Signature of Permittee eA4S�' „ f tanning fee. - 1Q. _Y r Once Use Only - $ Budding fee .S -- Insp7B`�",-;::-.0,0:2., P Ngo z' ''Fm..x Px A - 'P,xrNo K,, Authorized Agent 0 I. tr. 1— g! o Plan Check fee $ •. ".i r ar s. .)r a, ip . *g,� r , , ''.1''''''''''114.9:,::: r a t qyx r h ti S r 'ta'Ill, t N' s tib," a est"`' r`gE z.tr 7e. '12'" i 7 Y . Total Fee $ ��� 01 vav,„:''.1;71.414 c �s'^x's:I sit'''-':::: r ,::::::":„N*,• r am d+.: Ci l 0— e��•R t z s ' u ^441,2 t o to .Vr i 'si 1. . Received by Date J �4 ��� Date Approved 10teG 7 S . Y I t 4 r A $, 56,r Y ` i„ s.l 63.r r-' p� �''"�`£' /// / (,�-/r h?12. p sir ra its `r'j t iar x iScf i J . n, ��, Signature(Bldg.Staf MOLD re iENTs Y .tk,z- r ..-,n ,rt : :41' al Sz. d ' [ a" k _ 7 Date (Approvefsvbject to the condition"of-Ord.74-25 Sec.,' .qj Date CMF 0068-26 White - Building; Green - Customer; Canary - Planning; Pink • Finance; Goldenrod • Assessor • TRASH ENCLOSURE STANDARDS � OPAQUE ‘dt1y > r 0n 6u GATE EQJAL TT TO WALL HEIGHT SI-0" WALL • '4— EDGE ofOLA Q 6,11 HIGH r CAI5ED CONC. - . • bon MIN. e— 411 CONC. SLAP? --) • (TYP.) 6uo 611 6° r e- °„: COMMF_2CIAL / INDUSTRIAL CITY OF COST JSA Nn - - - 266 1 PARK FEES �/J . 3_Q�-7 Fee Paymentt� Receipt Project Address /4/5 G . /6 J 71. Park Area �/ A. P. No. 7/ / �—o 9� —^3S Building Permit No. '4` Owner's Name 4 /71 tfl /TT�/ / /9&rM&r A �j� Mailing Address n79nric 0 112 .i.A%o L/5-P ,e2/ m - FEE Single Family * No. of Units @ $455.20 = Multiple Family ** No. of Units 3 @ $321.32 = 4r4; 4006/ Total Fee �_ 7 yo 94 B, 9G /Planning Departm Appr'val Date ,g —��� By Lrl�(J!/l P� ,/Applicant's Si+ :turemir * City Ordinan•• 72.4• ** City Ordinance " .5 hh *** City Resolution 74-12 (I1: led White-Planning;Canary-P ning;Pink-Finance;Goldenrod-Applicant CMF 0174-25 cot UtInt l OWNER D R.NEbb_-BUILDERS DATE5_22-59 JOB ADDRESS 1L5-1119 East- 18th Street BUILDING PERMIT NO. 9389 GENERAL CONTRACTOR Anthony nrothen— VALUE $ 3500.00 AP. No. 117-093-12 LOT 121 TRACT Npt HFIRE ZONE DESCRIPTION OF WORK semi priv. pool INSPECTIONS 13 DATE I GROUP J TYPE i l l ZONE Rli T rground Soil U.G. Water PERMITS ISSUED _ L :rground Gas SUBCONTRACTOR DATE NUMBER Overhead Water and Gm,- Rough agRough Heating Sire/ 4/_ 3 -J7-i �3 e /C�✓ Rough Plumbing / zc„1 e 5---., 7_5-? ' v-> A i Miscellaneousi�{uwry Cs�hui,v.�oJ "-� y'3� . .r err 4--/3—r5./'7// 7 Prop. Swr. Line House CcIn. St. Swr, I 0 Heating, Final / t /,4S -$t CYr.t. Plumbing Fixtures Final Gas Test/S v' 3-a9'-en Construction Pole Underground Pdwer Rough Wiring Trenches Formst\ Steel /{I 'Id- ll--le-17 Floor System // Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing I ng, In Out F±-,ter, brown coat Plumbing Fixtures, Final 491 3-9.6/-4A Electric Fixtures, Final r -s1. 6v/ Building, Final I OCCUPANCY A-Ay . 6d Form 210-3M-4-59 yju9 ' 9389F t -E n � LI t. COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT #` E'SS /c45 /ely - /icam, • L I ADD . BUILDING COSTA MESA. CALIFORNIA FOR OFFIC "USE ONLY -SryJo(,Q� RE IPT N . PEI(M,3gg OWNER �AiYe�,� MAIL y/ WED BV E PEC V` O ISSU ADDRESS ?-9//'� �sf Q _ 4:C. p ��.C/ C-) // / 7• y - 1- CITY -/I/q/ � �" TEL. [' /./ //� ,.[/�' CITV �(,�j / �^� NO. ADDRESS/ �/f /J(/ [ 674°'/ ARCHITECT (rLIC. NO OR ENGINEER (f/ . COSTA MESA. CALIFORNIA (� NO ADDRESS 3a 6 - .�,�._,.,--- -mow FIRE ZONE 5 GAO A'e"' e 0 ZONENO.OF TYPE GROUP CONTRACTS R e / CITY LIC. NO. u \Q PLANS J - EL. APPROVE ` C �+ ADDRESS /' • ' - NO. wBYY .t G(i(( DATE J Z J/7 LEGAL LOT / -C19,72414-77t ��T ,(I! /� — 1 _, DESCRIPTION NO. J � / BLOCK T Zp�'1i4 '•O ' CORRECTIONS / 9 / � - / / r-� A.P.NO. ,1 I X7�' d / 3 -" ` OT l � . 11T'IA'CT pllry SIZE `l/ll .GO' (� I NO.OF SLOGS. AL l _ j OF LOT /]/ x 3C O1 J NOW ON LOT USE DFQ CC-frt.) '� ^� ///��� ��1 TY 0:: g.7!;ITr'. MLA EXISTING BLDG. E• - ^•SY• SETBACK LINE FROM / (/ - 1 ( /�J / ���4r_C• � v, "i qj d CENTER OF STREET / 2,j�`fr.. REAR YARD o' IIAf�L`��Y/�• - /// if r-� SIDE YARD RIGHT9I� [O LEFT // e �j �;/ DESCRIPTION OF WORK [Sy Ga Lie e Ad"1 ., /. s3 J RLAN TcdN•�71 7 NEW RATION II ADDITION REPAIR MOVING I DEMOLISH BUILDING /5.18 C NO.OF SIZE ROOMS STORIES EXTERIOR WALL ROOF _COVERING COVERING USE OF NEW BUILDING .11-6-,77()-i‘,61-4/....9) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE VE IS CORRECT AND AGREE • COMPLY WITH ALL CITY ORDINAN STATE LAWS REGULATIN ILDING CONSTRUC• VALUATION SIGNATURE • PERMIT FEE $ /�--' I A �' /' I PERMITTEE -�..�� �± / PLAN CHECK $ [J - AUTHORIZED AGENT 3S010 o o .... TOTAL FEE 5 / 11%._ Velli :y.,,,,.A z45 a. lSch 5t. B � JOB ADDRESS BUILDING PERMIT NO. 39605 '.RAL CONTRACTOR Air Kool Awning DESCRIPTION of WORK Patio Cover Ar r4o.L17-093-33 LOT TRACT FIRE ZONE VALUE $1,300.00 N INSPECTIONS Signature Date TYPE IV GROUP J ZONE Ci a SOIL SUBCONTRACTOR PERMITSISSLED YQ GAS Date I Number I Signature WATER Plumbing `,`I ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. 9 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 9 POWER 9 ROUGH WIRING Heating and Vent. TRENCHES 9 FORMS 9 STEEL REINF. 9 FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n • SHEATHING FRAME AND FLASHING L 'NG - IN n OUT9 F .'ER, BROWN COAT STRUCTURAL. FINAL Electric HEATING, VENT.. REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST 9 ELECTRIC, FINAL BUILDING, FINAL GOP"'1/11 Rrill IInGMGYTC • �a 39c Pari. �� R 13 75Cr_.00 38u' K*MCC • L7" OSTAMESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT REM)BY O •T> EIV D E ISSUED BUILDING ! I/ L/1,, L /Vd,A� O'f/ 7 l ADDRESS / S� •/• S/7/!W/ pp��►7 (J OWNER r /1 / ' �r �J/cC1` A.P. NO. -O�3 � I P‘7"—Air/Lc.{/+�� O BUILDING MAIL RESS 5/C L' //f 'j-Sir ADDRESS I4S �_C . (ROL 5i r z CL O CITY as 4„, � m�� NOL'�T07�LG 'RACT' v/ LOT �I BLOCK /' CONSTRUCTION NEW ADD ALTFR REPAIR MOVING DEMO;ISH Oco LENDER -j J r BRANCH !/q // -./(.0 OWNER / , m J ADDRESS �'pE AWE/9%56e COC� 6e ARCHITECT ENGINEE TEL. Q OR ENGINENO. U N FIRE W Q R ESS ZONE T PE l GROUP dw • APPROVED JO CONTRACTOR % � Q�!/) y/ BY DAT '-- -I J 2 ADDRESS A)CGa /il Z CITY Ia/ 4/,1e/M NOL'O��4a ZONEn. PLANS L NO.NSC USE OF BUILDING Er Uc. lU O STATE /± s / CITY /�4 YARDS APPROVED YARDS APPROVED co cc LIC.NO/Y/6/9 C 'rp / LIC.NO. MAIN BUILDING ACCESSORY BUILDING D O SIZE NO.OF SLOGS. (FROM C//LL STREET/ OF LOT NOW ON LOT FRONT T'-S FT. FT. ESI OF /J//J ,I � EXISTING BLDG. /�7 �� R SIDE /T l/ FT. FT• I- SIZE OF !� NO.OF Z NEW BLDG. ROOMS STORIES a L.S12E -FT. FT. Q EXTERIOR WALL' ROOF V COVERING COVERING REAR Kr FT. FT. J USE OF B NG AND-WORK TJ,,yss� RFORMEa CL /L 1YI ri ?IVO ( O&Cr MAIN BLDNCE BET. BET.MAIN& d _MAIN BLOCS. ACCESS.BLOCS. Qferi r� VAR.# DATE 0 - — - C.U.P.elk APPROVED r y APPROVED _/ L�� %� H � -flY �`l/p II DATE `� 3- 5 ' Z u O I F I hereby acknowledge that I have read this application and state C-1 that the above information is correct and agree to comply with CTE/ Cr all laws regulating building construction, and I shall not employ s vo r person in violation of the workman's compensation laws of N the the State of California. m o ? I hereby certify that I am properly licensed as a contractor under SO. FT. O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VA WATION AA IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMITTEE ONLY: R am exempt from the provisions State of California Business VALUATION /// /J and Professions C•de•D slon apter S. lig. �, i) r PERMIT FEE $ V (4-V D Signature of a0 Permittee al / $/36,0 PLAN CHECK $ s f �s m E Authoriz-d • <e •71lFEE $ '/9 e li OWNER BURKHART, BETTY DATE 9-13_77 Jci f ADDRESS 145 East 18th Street BUILDING PERMIT NO. 44638 G` :, AL CONTRACTOR Frank C. Palmer Tno_ DESCRIPTION of WORK Trash Enclosure AP No . 117-093-33 LOT TRACT FIRE ZONE VALUES 800.00 INSPECTIONS Sign Date TYPE V GROUP j ZONE R4—CP SOIL SUBCONTRACTOR PEiRMITS 15S44ED GAS Date I Number I Signature WATER lb Plumbing ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. . SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE NDERGROUND 0 POWER ROUGH WIRING Heating and Vent. TRENCHES FORMS STEEL REINF. FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING • I 71n7174 OUT n PL....TER. BROWN COAT STRUCTURAL, FINAL EROTIC HEATING. VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST n ELECTRIC. FINAL BUILDING. FINALv,14,( 9=3o-,2 PAID * t•tt-t. 4.4-6LaiU SEPI cw- 518 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 I A'" IC• TION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only j. -E'. / • s Y DATE RECEIVED ATE ISSUED BUILDING /r/5 ADDRESS /g-i4/giree , �/ /— IP ' • OWNER ),&,_,--k ',art A.P. NO. // ( �/O /3 -- 1 R IT NO. BUILDING MAIL ADDRESS /3 ff /O TA S- ADDRESS TEL. N€600 a72T_HEI6I13 /z, CITY NO. TRACT 1 LOT BLOCK CONSTRUCTION NEW ADD ALTER REPAIR I MOVING DFMOLISH LENDER BRANCH n !��^ �kk� OWNER XiJIY., � �/ ADDRESS �; '/ n / VALUE y/��/�� e ARCHITECT TEL. USE o_4.-1C-' (/�f.�os- , Fe21/ rt OR ENGINEER NO. FIRE /� ' ADDRESS ZONE YPE _ GR///O UUP e CONTRACTOR' elnA A. Pinter _ BYPROVE• / / OATEN ••! 3 77 ADDRESS 75—/R q / l./dre70/ „Aero �/N n� OF _ CITY (M. Nel' �75_5:e G �t-I_ PLANS Z BUILDING .� dc'u APPROVED YARS a. STATE LIC. NO. i! LIC.NO. YARDS MAIN BUILDING ACCE DORY BUILDING (y SIZE IND.OF BLDGS. (FROM C/L STREET) 4 OF LOT 94 X�D� NOW ON LOT _FRONT FT. .a FT. Q USE OF Tr air � EXISTING BLDG. R.SIDE 0 F 1. T. cn FSeparate permits are required for L.SIE T. r� 1 \Y FT. G electric,plumbing and heating work. RE F \/ FT. LIZ USE OF BUILDING AND WORK TO BE PERFORMED 'C MI" CE BET. BET.MAIN& QMAAIN BLDGS. ACCESS.SLOGS. -- - Q ��� VAR.# DATE Q, .(VIAL C.UF.P�.y#�qn /� APPROVED �7^7 .nY U.tIK P 0 DATE 7/45)7 CG 0 I hereby acknowledge that I have read this application and state b. ce that the above information Is correct and agree to comply with cp 4 all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of L4the State of California. 3 I hereby certify that I am properly licensed as a contractor under SQ. FT. Cl the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEEONLY`', am exempt from the provisions of the State of California Business ONLY() a VALUATION PERMIT FEE $ UX and Professions Code, Division 3,Chapter 9. m" PLAN CHECK $ 0, o Signature ofd / A Permittee 17� ✓ �V L/ $ TAX $ �T u2 _ X V U Authorized Agent ` TOTAL PAID $ n 1 470 o OWNER ELAN, INC: - DATE 1-30-57 JOB ADDRESS 1145-111.9 18th .Street BUILDING PERMIT NO. #1i253 GENERAL CONTRACTOR The Hale CGmpany__ VALUE $ 99,360.00 AP117-093-12-13 LOT BLOCK TRACT Office Building GnJUP F2 TYPE V ZONE C2 FIRE DISTRICT 3909 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER �d/ Footing Trench ,d r / Foundation Forms and Grade to Garage ; 6 i Rough Framing i .t Plumbing, Rough to Slab 4ir ' — Plumbing, Rough Complete A-JIMII ' Ar - AI' Temporary Pole 'fa n i S t Wiring,Rough If I Heating, Rough ng X ) v I/ Heating, Final n. Sewer, House Sewer,St. r Septic Tank or Cesspool Lathing, In Out r eying F._.nbing,Final,Fixtures Complete _ Plumbing,Final Gas Test - Wiring, Final - Occupancy 1� ['] FORM 210 3M 10.33 h253 :, :w • r.-O:Isox ii B U I L Li/I H G �._ . COSTA MESA. CA' RNIA _, �� E USE ONLY FOR APPLICANT TO FILL IN Receipt No. Permit No. Building Address 145-149 18th Street FOR OF t .?-Y3 Costa Mesa, California Received by Date Rec'd. _ Date Issued 0 /O — J(d /- 3o - � 7 Nearest. Fullerton Street 4 Building ' aT� r viAddress Owner Binh, Inc. lis Costa Mesa C� t$�_lify�o Address 1777 West Lincoln Avenue Nearest L'" I` �� Tel. Cross St. CityAnaheim lab. KB 3-3161 Zone No.of T pe - Grouq�o 1 Architecto t BS-719t� �I Plans y /.Z� Engineer "w�� //,yy. .r.Ail< Approved Address 1326 No. Broadway, Simla Ana by Date City Lic CORREC II 1 x I" ContractorThe Hale Company No. 3422 a -�Y .� Address • 1777 W. Lincoln Ave. , Anaheim _7.1-[. ► Legal I Lot I I - • Description No. Block I Tract - alit .�' ', (Attach Metes and Bounds) J/7 -D 9 3 - is-13AF _ No.of Bldgs7O be no " - _, cd^�'1 a" Size of Lot 96 x 300 I Now on Lot 2 - / „ s-" ./'� /P/ _ Use of Dwellings No.of - No.of - DAI�a $ /.. q / y Existing Bldg. I F.amilles I Rooms - - Setback Line from 1801 Rear Yard _..011 +%�R• t4o.- Z,; Center of Street Side Yard _ y, DESCRIPTION OF WORK PROVED r New I X I Alteration I I Addition I T _ / CITY Of R I tepair I I Moving I Demolish I T ,Sz-Buie ing 17,270 Rooms No.of 22 Stories 2 • _ SUts ECT TO ri RA PT REG. Exterior Wall Roof Covering Plaster I Covering Rock APy�7is. §ATE 171* Use of New Y1 Building Office Building Foundation L <<fspector . . Forms,Mat n rP_inn Frame: Fire Stops, • --- Bracing,Bolts C I hereby acknowledge that I have read this Application o C and state that the above is correct and agree to comply Lath. Int. O with all City Ordinances and State Laws regulating Al building construed... Lath.Ext. Signatur of • :I: HALECOMPANY _ Plaster,Int. Authorri: ././//,��__ _ /,r'/� / Plaster,Ext. CO til:1:1:1•x•• af,101 Valuation Permit Fee $ ftH — Masonry Reinforced 2y. 1/1 9 3 6 Q - Plan Check$ Bond Beam 9 /, Total o L,/ Fee $ / / / — FINAL O O •..s' o.P.a s. 1 A 0 O J c 0 J o o• a - t • . • • :PLOTiPLAN •show location •and distances from • - property line and between.bulldings. • ti • I i Y. �L 0 til O tJ v....+aa. \avt.lr, PStLWWI IJ111rj -1-1--c-r Lc/ JOB ADDRESS 145 F. l8th Street BUILDING PERMIT NO. 24935 C :RAL CONTRACTOR Bellflower Neon Sign DESCRIPTION OF WORK Elec. Bldg and Facia Signs AL No. 1]7-09R-33 LOT TRACT FIRE ZONE VALUE $ 500.00 INSPECTIONS Signature Date GROUP TYPE ZONE C-1 Soil PERMITS ISSUED Gas SUBCONTRACTOR ( Date Number 1 Signature Water Plumbing JRough Plumbing Prop. Swr. Line 0 House Con.0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 I Rough Wiring Heating and Vent. Trenches 0 Forms 0 Steel Reinf. 0 Floor System - Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing I 'og— In 0 Out❑ F. .er, Brown Coat Structural, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final OWNER MILTON, Ray e. DATE 5-30-75‘..1") 4DDRESS 145 A East 18th Street BUILDING PERMIT NO. 40059 6. .ORAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Non-Elec.Grnd.Sign AP No. 117-093-33 LOT TRACT FIRE ZONE VALUE $200.00 INSPECTIONS Signature Date TYPE GROUP J ZONE C1 BOIL SUBCONTRACTOR PERMITS ISSUED 41 GAS Date Number I Signature WATER _ Plumbing ROUGH PLUMBING PROP. SWR. LINE n HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING • TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER Ei ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF. FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING F' 4E AND FLASHING .NG - IN n OUT n PLASTER, BROWN COAT STRUCTURAL. FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL /nQ BUILDING, FINAL gin 2" as2-J L26 143 OWNER ' MILTON, Ray C. DATE 5-30-75 J~ ADDRESS 145 A East 18t Street BUILDING PERMIT NO. IUM) l .,„1-G. cRAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Non-Elec.Wall Sign v AP No. 117-093-33 LOT TRACT FIRE ZONE VALUE $320.00 INSPECTIONS Signature Date TYPE GROUP J ZONE Cl � SOIL SUBCONTRACTOR PERMITS ISSUED j GAS Date Number I Signature WATER Plumbin• ROUGH PLUMBING PROP, SWR. LINE 0 HOUSE CON. [J SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER 0 ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS LI STEEL PE/NF. 0 I FLOOR SYSTEM BOND BEAM [J STEEL REINFORCE fl SHEATHING i F"4E AND FLASHING ('-� .NG -- IN OUT l PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST w • ELECTRIC, FINAL J�}{/.� . • BUILDING, FINAL albs- C- /4 I- • 4a 3 • i t)-7 iF :'.;.`00 t579: .c** 102.9 COSTA MESA BUILDING-SAFETY DEPARTMENT j P,O.BOX 1200 COSTA MESA,CALIFORNIA 92626 I • A P CION FOR STRUCTURAL PERMIT For Applicantttto Fill in Completely —Use Ink Only RE I V DATE RECEIVED BUILDING ADDRESS q _ P - • T • .. OWNER • / - 1•i:- w ....t.“--•\--- A.P. NO. - �a' ,S_ BU NG AMAILDDRESS Zne, /�/i� ADDRESS/WC. RIESS/L�� t. /� Z/ZO ' tet!/S % �'f�/// fryv�. W{j/ ��� — CITY ( a ..,149 ,,,41_ TELNO.54o-7o �W' rRACt�� • egg'Y1 - BLOCK I CONSTRUCTION jO�'� — 77 NEW ADD ALTER REPAIR MOVING: DFMRI ISH LENDER /C/ \ . BRANCH - 'JC/1/n�a ///� OWNER g L/L i i,,. ad- ADDRESS y_ • 4E OR ENGINEER Z/��ARCHITECT ,�PA.eT NOL.G �� USE O�// /4.•°1 - $ c7 FIRE I ADDRESS 3Z� L Sr. K�f,A� • ZONE TV E • GROUP kaAPPROVED CONTfl ACTO-R7 / ���`"'�� BY G DATE 3<-21-77 ADDRESS G 720 �/ vis-knis V6-412•2 A-44 TEL. ,�//��s ��Q� ZO .,".,"/0.OF cis � USE OF NEy�/ vL � CITY a'A4 • NO.5-70,20e -yLANS B I 1 vU 34f,', F STATE CITY �_ , \YARDS APPROVED YARDS APPROVED LIC. NO. - LIC.NO. MAIN BUILDING ACCESSORY Bt/�7LDING GM SIZE `NO.OF BLDGS, (FROM C/L STR EETy 0. OF LOT I NOW ON LOT FRONT FT. .TSI✓ a USE OF ��'// EXISTING BLDG. gar,••F� e:* - R SID FT. l 'I GMF Separate permits are required for L.SID I l diFFTJAPiji G electric,plumbing and heating work. REAR ` FT _ [W.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. ,J BET.MAIN& 1 Q MAIN BLDGS. /A ACCESS. BLDGS. ° _ J .� C.U.P. /DATE �ri.CX/y/ .�..(r/si�.,N i�re9.E AG' C.U.P. �OS['/�A`PPROVEV-2 --77 .rl 443— �7 LAx t> • _APPROVED/I i ) c2t6 TE 3��-T`-t77 W !OLD FOR SPECK.,k- _ I a E =� 40 I hereby acknowledge that I have read this application and state • A ' 11-Will / �� l' //. 71 GC that the above information Is correct and agree to comply with • L � 7 `- II• all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of /(, e 2 the State of California. ro I hereby ce.' - am properly licensed as a contractor under SQ. FT. _ N the St. - of Califonnl- Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Cha- of 9, and that su.h licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e a ' exempt from the • ovisions of the State of California Business VALUATIONV a d Profession-Code, •ivislon t,Chaster 9. PERMIT FEE S in m S - ature • CK $ l o '^ Perm ee a J _ G � � $ SC/0619 $ 3-�� u. �Jyyy Authorized Int Tp L� $ O XSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — se Ink Only RECEIVED BY DATE RECEIVED �l BUILDIN / f I DATE ISSUED ADDRESS 1 4S PERMIT NO. OWNER fryer f A.P, NO. MAIL BUILDING ADDRESS ADDRESS TEL. CITY NO. TRACT I LOT BLOCK II CONSTRUCTION NEW ADD FALTER REPAIR IMOVIN, , DEMOI ISH LENDER BRANCH OWNER ADDRESS VALUE ARCHITECT TEL. US= $ OR ENGINEER NO. .1 FIRE ADDRESS ZONE TYPE GROUP �ti APPROVED CONTRACTOR _ BY DATE ADDRESS ZONE INO.OF USE OF NEW TEL. PLANS BUILDING CITY NO. .F., STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO. BLDGS. (FROM C/L STREET) S OF LOT NOW ON LOT FRONT FT. FT. Q USE OF EXISTING BLDG. R SIDE FT, FT. rA FSeparate permits are required for L.SIDE FT. FT. welectric,plumbing and heating work. REAR FT. FT. F. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& G MAIN BLDGS. ACCESS. BLDGS. VAR.# DATE ', C.U.P.# APPROVED Q 7 APPROVED ›. _,.,__11Y ATE J Le W A. I hereby acknowledge that I have read this application and state o IX that the above Information Is correct and agree to comply with m A. all laws regulating building construction, and I shall not employ >: Z any person in violation of the workman's compensation laws of [sl the State of California. 3 ISO. FT. of I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: o am exempt from the provisions Of the State of California Business VALUATION PERMI E $ and Professions Code, Division 3,Chapter 9. �•�� a m - N CHECK $ / re Signature of I�s� • o Permittee L......17)---------> TAX $ U. Authorized Agent TOTAL PAID ��/ j,r✓ U g 13017.` ` r - ___ .- 876O COSTA MESA BUILDING DEPARTMENT cII'!;'.?'CE DEPT. P.O. BOX 317 ' COSTA MESA. CALIFORNIA ^:.I" 11' ' fl TA nicer FOR APPLICANT TO FILL IN / APPLICATION FOR PERMIT ADDRESS 1115 E. 18 Street 6L.,,,_ .S BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY OWNER DARNELL DEVELOPMENT COMPANY RECEIPT NO. PERMIT MAIL 2811 Lafayette Avenue 9� ;D BY /;Mgr!cE E DATE ISSUED ADDRESS Y � U JSS� Newport Beach, Calif. TEL. Or 3-8030 BUILDING /95-- 9 -- CITY NO. ADDRESS / J ARCHITECT Scnwa e Eernala tic OR ENGINEERU & �ailew NO . C 2051 COSTA MESA. CALIFORNIA ADDRESS 2813 Newport Blvd FIRE CONTRACTOR DARNELL BMNIO. ZONF�-1 L 9 v T GROUP ADDRESS 2811 Lafayette Ave T.Or 3-8030 CPP OVED CITY OF CCS/DATMESA LEGAL LOT Portion of lot 121( Newport }GORREerriti S. DESCRIPTION NO. BLOctej i}S TRACY c� '. T C. r,,10-7-9:7;(7'. >1PF t /' A.P.NO. - - r (3. i3_I Iv 117-093— 13 & 12 /p SIZE 96 X 300 NO.OF BLOCS. 2 ��//4� - _ DAT�3 OF LOT l NOW ON LOT (tea W ��}-��� � .2.47 USE OF None - to be removed ♦♦- LTr nIV 1..L.h.. I EXISTING BLDG. _--,=, 4_an d '02 . P SETBACK LINE FROMWL , , /E J� CENTER OF STREET_ � V'� REAR LARD 25 U en ia ra 6t c! SIDE YARD RIGHT 'S 5 LEFT 01 a7 . GfF ` G 6 DESCRIPTION OF WORK D 0(r/ctn.( pito Ca C - NEW X ALTERATION ADDITION LC F-1 C s & 2YOa e (. €.1 REPAIR MOVING DEMOLISH CR/tela2r 7 2-0 Q. 2- 51' BUILDING NO.OF SIZEROOMS STORIES Ci ROT /(H, L2410 € /I-t° � EXTERIOR WALT, JOnry ROOF Rock II • ✓ (i-i 1 /6 to ( /i tb COVERING COVERING \ / l� BUELDFNGEW Offices, apartments rrIce k+4uas). 323 C® 00. n-r- 9)000 cfL /ft is --nno // Ye The Amount shown under v�ation is-tor the I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND purpose of establishing a permit fee only. STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES A. • STATE LAWS REGULATING BUILDING CONSTRUC. TION. D" 'DARNELL AtiVELOPMENT COMPANY VALUATION SIGNATURE OF PERMIT FEE s /26—, PERMITTEE —s . L I vat 4 . . _ ///111 ( Silvia Darnell $/43 . PLAN CHECK $ 6 3� AUTHORIZED AGENTDena- al Partner (� $3/111VVVV —TOTAL FEE 5 / t 91 via, t ; • • . '• ' ' ' et ' . \-cA:4;-:.-._ t9' - • . -94ttNif w,tri . " I il\ k .; ; • • • • '' Uulis - 'Syia Ste-• Ib\• .. -6,./I5,04.6, • a - • . I j • i I �� Q HS I • a ��LSL1u,j STS U$6-�e:>; JIt• ]S 1 I —St' 5- y 1 1 Z Cf I • i 1 y11J — I C Y • IrO I ali-ctjI L . Y Y . Y y i X 1 - l I C. M { - • I p--=116 or I c1 S:9ti1 I a -r r ^---c ._ w tl . i J N ou-:s .A 1 ��' • i 5cer1 E of • - -i= I S r 2i =; -- — r\ - I I — ' - Y\wt\PM�lwq A ww-\ w _L tom- - ,• City of Cos,. a Building NA' RD.P tIt•--_ -17:14-L';;-::---- °°1-°-"..-- V.► N ( ' DO,_p..__ , _ -- - -- Cr)" - -, �4'% BY. _1 q STRUCTURAL APPROVAL ONLY THESE 'INS MUST BE ON JOB nSEPARAT2tPERMITS ARE REQUIRED ----LIvi' - . L.).T1rrg.__u+ -@ . $ Cid. .rI4O R MAKE NO CHANGES WITHOUT PR R APPROVAL !!�{ OF;DEPT. FOR EL CT 1Ci,t, t'LumIUING, - —_— LTHE ISS •NCE OR GRANTING OF A PERMIT OR APPROVAL _-( n T_-�INC VC L'>Lr no C.a ' 1�:'-r=: --- OF PLANS-AI D SPECIFICATIONS SHALL NOT BE CONSTRUED u ��All'-x'p7TT( �1'T„^^, �-'`' - ----4t '_I --'----'---`` - . TO BE A PER IIT FOR, OR AN APPROVAL OF, ANY VIOLATION {{ �...{J OF ANY OF TI E.PROVISIONS OF THIS CODE. NO PERMIT PRE. -'� _ � SLAFTG�-_�{Na' QTI�F,�'STS •. .7.71_=�F1- '�C�JO SLIMING TO IVE AUTHORITY TO VIOLATE OR CANCEL THE O • .�µ1- 5.4 . , PiOVISIONS I' THIS CODE SHALL BE VALID, EXCEPT IN SO ��'p��� 7T-- _� - vN 'n� � . MIWIK(J' fI .---DI��-- ,y/l�(� FAR'As THE WIRK OR USE WHICH IT AUTHORIZES IS LAWFUL. I THIS NUMBER MUST ACCOMPANY • • L4J'P, THE I.,UANCE OFA PERLUIT BASED UPON PLANS AND ALL INSPECTION REQUESTS _�y�” CJF O -4:,a1TION SHALL HOT PREVENT THE BUILDING OFFICIAL - C STA AA� I. • ," ER REQUIRING THE CORRECTION OF ERRORS FOR g�ILDINGS WHERE PERSONS ARE TO - sumo'PLANNING DEPT. $-`.J r*'..- AND SPECIFICATIOIES OR FROM PREVEITTINs _ , BE EMPLOYED TO BLDG. DEPT. REO. i. i ` ert;`awns MING CARRIED GO THERELLHDER WHEN WE SUGGEST THAT THE • .VV4-‘.47.,,,1 E' Th:.S MOE.OR OF ANY OTHER ORMEAaa� STATE OF CALIFORNIA DIVIPION OF BY. /� INDUSTRIAL SAFETY BE CONSULTED FOR DATE. 4r �" ADDITIONAL REQUIREMENTS. DIRECTOR Or PLANNINp'