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HomeMy WebLinkAbout3007 ENTERPRISE ST - Building Permits vnarts KEE - THOMPSON DATE 9-2-b5 • - - JOB ADDRESS 3007 Enterprise Avenue BUILDING PERMIT NO. 214671} GENERAL CONTRACTOR Frandsen Corporation DESCRIPTION OF WORK Interior Partitions R1 AP No. 11}1-081-10 LOT TRACT FIRE ZONE VALUE $ 200.00 . ,•'•y' ,9ECTIONS Signature Date GROUP F-2 TYPE IV ZONE 14-1 illa PERMITS ISSUED ©Gas SUBCONTRACTOR ( Date Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con. 0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground C] Power C] Rough Wiring 'es...ei.e ten 7 n k ry.9-t,S Heating and Vent. Trenches O Forms 0 Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Fla�s� rind-'176 .1- ' Lathing— In [ Out 0r�//i�I�C•3AC-7 Cii Plaster, Brown Coat , _.7ptural, Final MElectrify f�. .ng, Vent., Refrig. and A.C., Final �JJ/,/a,f r -CR.P 9-02-‘66- .26oe5 iltmbing,Final and Gas Test 0 Electric, Finial ' '-2 .4 Building, Final RIX1111--2 .6. �•• •�, 5,t20-:I4• it DAM 0-le5 of tJOB ADDRESS 3007 Enterprise Street BUILDING PERMIT NO. 27490 GENERAL CONTRACTOR Owner-Builder DESCRIPTION OF WORK Interior Partitions AP No. 11.11—081-22 LOT 22 TRACT 3662 FIRE ZONE VALUE $300.00 AI 'ECTIONS Signature Date GROUP III TYPE F-2 ZONE M-1 S, PERMITS ISSUED . Gas SUBCONTRACTOR I Date I Number { Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con.0 Sprinkling System Miscellaneous Rough Healing and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring Heating and Vent. Trenches Forms 0 Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing—In 0 Out 0 Plaster, Brown Coat S,r ^tural, Final Electric Cr, a?ing, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final IP//ytf 1-2-2.-6q OWNER FRANDSEN CORP. DATE JUN 1 2 DO JOB ADDRESS 3007 N. Enterprise St. BUILDING PERMIT NO. 22458 GENERAL CONTRACTOR Same - VALUE $ 250.00 " SAP No.141-081-10 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WOREInt.Alts.COMB. ` INWECTIONS Signature DATE _GROUP 12 TYPE V t ZONE M1 PER.MITS ISSUED SUBCONTRACTOR DATE NUMBER Water Rough Corn. Refrig. ❑ Air Cond. 0 Rough Heating Rough Plumbing _ Miscellaneous Prop. Swr. Line ❑ House Con. ❑ St. Swr..❑ (1) 6I i }�!w Sprinkling System Gensknetion-Pele "el-cd?o z/Z .271 9 }�Q>�- f%K"< . vi3/cy a fi d'/Z=12) Underground ❑ Power :0 Rough Wiring iityjl'/5-t'/ yo. . e„-t-a. /mss/u - a 7,1—9 Trenches 0 Forms 0 Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing 1.4Cv C,t f-Qt' Lathing— In ❑ Out'❑ Plaster, brown coat I{t . 0 Air Con. .0 Final _ 1:121iVng, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Finalafk,),ceL Building, Final 47'0 C-23-C9' OCCUPANCY Form BU4-5M-3-63-5-B P , 221/SR ' , CITY OF COSTA MESA o,l' lG i BUILDING DIVISION F I ,,;,� I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4•1 PERMIT "ttbbownco 4. P02-00158 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 3007 ENTERPRISE ST Status: ISSUED Suite No Applied: 03/19/2002 • Issued: 03/19/2002 Vicinity: Parcel Nunmber: 41822205 __ . - -- - ISSUED BY: 4I- Applicant: BELL, THOMASIC . . ' Address: P 0 BOX-25584� - 7 - " ' i '' N Phone:, 714-936-3618 / / ' �� -./..„ A SANTA ANA;CA 711' -- Zip: 92799 5584 /'- , / -/c N ��- Owner: 'BELL, THOMAS C' ' '' //' >\`` Address P,O BOX 25584'i �� V(,/ /,- Phone: VWCIL\ ., , SANTA ANA,CA Zip' 92799-5584 �� a • a U� ;i \ ( r .� -/-%://:///.---" I VA\\ _ v ty'\ t Contractor .OWNER-BUILDER ,!'^' �,\\\\ \ t;t r f - '9Z Vi,- 1 ' •V� c 1�1 ,Address .,l - �\ 1 - . \-1:.0 ) ' �i ' r ' - -� Phone: - �,A \ <i �,� ', - License: 0 N N :Arch / Eng: . - .�.. ._ �_ -f,- . Address: ' - Phone <. '- , I .. License if /, ' ), ' i, ! SCOPE OF PERMIT ' PLUMBING REPAIR OF SLAB AND ADJACENT WALL'AREA. 1 WATER PIPING(INST OR REP),REF: - B02-00389 / v '�, ,. . CIFEESUMMARV ' _ �/V / / AMh"V• QTY--C-• r' - - AMT -OTY - i17," - / , AMT QTY ISSUE FEE'.,` ,\ $2350 N,\�"..-; Laundry Tub%Washer'-, - $0.00 0 Sump Pump N $0.00 0 Backflow irrigation N, /.$0:00 `of-1.",:',,,,, -Landscape lriigaton- ` $0;00 0 Swimming Pool " $0.00 0 Backflow Preventer `'1c$0 00/ . O" \,P Trap,'• $0.00 0 , -/"i Trap;Pnmer//' / /� $0.00 0 Bathtub '<::',:\.-„,v $0.00// -0', �- Pressure Regulator $0.00 c--0 - ,Urinals `- / 2/ $0.00 0 Clarifier System \ , . $0.00,C, 0r/\ Process Piping(per 10 ft) $0.00- -0- ,- Vacuum-Brkr Bkfow(1-4) $0.00 0 x Connect(Ice,Soda,etc)` 7$0.00 '0-' -';, - Receptors $0.00 - 0 „, \ `A Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units 1N$0.0-0-..,,,, 01i; - Septic Tank_ $0.00 6- ' Wash Basin%" $0.00 0 Dishwasher $0.00-' -0 'SewerCap 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,N- - $0.00 0 -ice,Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 YShdwer-._ _ $0.00 . 0,/"f ' Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 -Sink,.bar"c ' „-,-7-$0.00 J_0-- Water Piping(Inst or Rep.) $9.80 1 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 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0,00 , 0 TOTAL CALCULATED FEES: $33.30 COMMENTS/SPECIAL CONDITIONS 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(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 carder and policy number are: Carrier: Policy Number: (This section need not be completed it the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is Issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHAM.SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOUARE($I00,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37%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.Lk.M Class M 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(commending 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).): A I,as owner otthe 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 Lew 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 nd ec. a Business and Professions Code for this reason: Signature: ^ ,, Expires: 7- I b`0 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,Gry 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: I 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 0N (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? ❑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 LJ No (Section 65850.2 of the California Govemment Code requires that the requested information be fumished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 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? ❑Yes 0 No 8 (if'yes'',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:1 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 COMPLJANCE 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 to 'nspection purposes.I agree not occupy or allow occupancy of any building authorized by this permit until final inspection. inclarGk 19 ( 7 2- Signature Of Lega Owner(s) Date And/Or Authorized Applicant Date BODE r 1NSPECTIONTYPE QdIE =DU S CODEIf INSPECTION TYPE DATE Di1O18 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 4. pSI" F CITY OF COSTA MESA BUILDING DIVISION > • •,; ,i DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4. MKS PERMIT 802-00389 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 3007 ENTERPRISE ST Status: ISSUED Suite: Applied: 03/19/2002 Vicinity: FRONT BATHROOM Issued: 03/19/2002 Parcel Number 41822205 Zoning: MG MG Applicant: BELL, THOMAS C __.—-- - - ISSUED BY: Address: P 0 BOX 25584 - - -- _„ -. _<_. 71CC. - -i Phone: 714-936-3618 -`- c SANTA ANA;CA / �;- 1 Zip' 92799-5584 i f 1 Owner BELI4THOMAS C Li '/ 3r Address ,P 0BOX 25584 , _ - /N • �a .7, '/ ` V -'Phone - • �F , -/SANTA ANA,CA Zip 92799-5584 ,� �• ,3N AP Contractor: OWNER-BUILDER �p / �' / Address - =�� ���\/7 ,,,�A // ' %, ' i7 Phone:^ %,i/ G �-�: , ,N " _ Zip:.l //1.,�� I License.f 0 - �r -1\, .� �� - \ ,. - - ` "1. _ • '/ .IX\. \ .\ r i � \� � Address � Y-Phone. — <2,1;c= ; j A Phone: - 'i' `, ,-License: .,'-�� "License: _ , -z N , , ` i . r ti - SCOPE OF.P_ERMIT_ / REPAIR OF UNDER SLAB LEAK AND WALL AR ADJACENT,TO SINK WITH'DRYWALL IN EXISTING IBA-ft-ROOM IN AN INDUSTRIAL'BLDG. 1 _ _ _; - __ _ - - _ _. . . U % ` ' FEE SUMMARY ''r' 1, Plan Check: . $0.00 -- /j:3 -` _ Calc Valuation 1%, '$100000' Permit $38.75 �, Claim Valuation: G„ .S1,000.00 : SMIP Res $0.00N SMIPCom:. ' '$0.50 ' ` Other: ' $38.75 , Inspection:--/ `$0.00 r o, V �yv \ k� : tea' ,// / `. Total: ` $78.00�� - ,%;:n -/ /,• \`,� � i7/' „ ` A ,/ V ` ``, =' ' PLANNING&ZONING i. ,->`'? / SETBACKS, y�A . / ' z; i . / MAIN STRUCTURE Front 0-'0 - , Rear-- .0--0-7, - _ 'Left. 0 0 - ' Right 0'0' /., ACCESSORY Fronts 0;0- - Rear' 0;0_-. -- ,-Left 0=0 "1 �' , . Right ,02:0(,=',./ 0 �/ PARKING Existing. 0.,, Required: '-0_,, Li A' •Proposed::- 0 j,— r : '� NOTES: �--- = ,,---_,,--..><_2-1:--1- • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-48(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: 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 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 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.IJc.# Class# Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER.DECLARATIONS: rr !rT 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 of dourity`.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,hior,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 oishe 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 penalfybf not,more than five hundred dollars($500).): Itt �1 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 Coda: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: >"' W) Date: /en a rc�. I�l z0 O 2 Owner ID verified by drtdd vvvers license. 0 Yes 0 No Drivers License No. Expires: 7-I(p -O2. 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 Callfomia 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 is the subject of this application a_permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes 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? ❑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 f r ins ction purposes.Iagree not occupy or allow occupancy of any building authorized by this permit until final inspection. �-r7 Ow Man, .A, / 19 - 2-4907-- Signature Of Legal Owner(s) Dale And/Or Authorized Applicant Date CODE I 11fsPECTION TYPE Pail INTITIAL5 CODE( INSPECTION TYPE PATI MALI • 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 -OWNER POWERHOUSE, Inc. DATE 11-2-70 AJOB ADDRESS 3013 Enterprise Avenue BUILDING PERMIT NO. • 2406 GENERAL CONTRACTOR QRS Corp. DESCRIPTION of WORK ice. Pole Sign A;° No. 141-081-22 LOT TRACT FIRE ZONE VALUE $ 750.00 s-af.ECTIONS Signature Date GROUP J TYPE 1V ZONE M-1 SOiL SUBCONTRACTOR PERMITS ISSUED GAS Date Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE C HOUSE CON. C • SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING �J / Heating and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF. n ``. 1///_/70 FLOOR SYSTEM G7 BOND BEAM n STEEL REINFORCE fl SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT 9:`;tig4"T URAL, FINAL pq p' _ � /� '/ ''*WG, VENT., REFRIG. AND A.C., FINAL N1Ij� //'07 7O t3.i77 1/4111A4til PLUMBING, FINAL AND GAS TEST n JO/ / ELECTRIC. FINAL /� BUILDING. FINAL �.� T-7-7 Z. 5I OWNER POWERHOUSE, Inc. DATE 11-2-70 \--JOB ADDRESS 3011 Enterprise Avenue BUILDING PERMIT NO. 32405 •4GENERAL CONTRACTOR QRS Corp. DESCRIPTION of WORK Klee.Wall Sign 0 141-081-2�OT TRACT FIRE ZONE VALUE $ 250.00 II�'E CTIONS Signature Date .GROUP J TYPE 1V ZONE M-1 SOIL PERMITS ISSUED .-" GAS Date Number Signature WATER Plumbing ROUGH PLUMBING • PROP. SWR. LINE ❑ HOUSE CON. El SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER El ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF. L FLOOR SYSTEM BOND BEAM n STEEL REINFORCE [l SHEATHING FRAME AND FLASHING LATHING — IN [ J OUT rl PLASTER, BROWN COAT S;yr 'TURAL, FINAL ? Jectri n• _ Ht? :NG, VENT., REFRIG. AND A.C., FINAL C a 4 ,�"p ... - - %f - - as44 ed* PLUMBING, FINAL AND GAS TEST El -71-0 ELECTRIC, FINAL y��/ ''/` RIIII RING FINAI /F// 4/.. 7_ 27 A.. .. 19041 _ ._ MAR 1 2 1963 • iUSTA•MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA.CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING • For'Office Use Only ADDRE S iQQ/_3o/3 eA/f��i`6 BUILDI 8 WW ✓ J RECEIPT NO. pgny / COSTA MESA. CALI ORNIA /Y �y` a /,M� �//�Q.�yr RECEIVED [Y • DATE REC[rvjD CITE ISSUEDIS OWNER l/Q'//!///Y//IP/1t11/V/// /l/ ✓—I)-4 3 4 -M--13 .Y �/ '/1.y,� BUILDING DD ARESS O Q Cl.4 n ADDRESS !'�� CITY / �/ /p TE /NT'M"fU ZONE • �/� /�_c7YPE •_...„....,", GROUP APPROVED G�' // y 3/1/0-9/� p ? ARCHITECT /'^ hews TEL Aj �/p BY ) DATE 1 J OF-'5INEE/nR7/p�-� (J[(/rrTya.-//! NO./IGYLGt� J /� /ham /76 S4c Sra a ZONING r rl" AD•...298 l J ZONE / I POOP BU8 OF N8W .l(/ /; j..li Ja I Og • //7/�v, PLANS I BUILDING F�"L CONTRACTOR• A/ fWI Ave- / �� AD I --)— -,7 3I6 '//� LEGAL q yf/�I/l/l�� ADDRESS/� ob `` ^��A � LEGCRIPrI /2/7--. / 6j lf` CITY N A.P.NO. 7t 7 t CIS ( c 4 13 �/sang3 NO.OI 'Tl/Tr/ NOTE: O SAVE OVERHANG L. SHALL BE LESS THAN STATE TEL I NO' : SIDEE &REAR P.A. LIG.NO EAVES OF L //3��� X w 4,1� + NO.OPBLOGs. ALLOWED (U.B.C.REQUIREMENT) OF LOT�.7(ItO /� L7 � NOW ON LOT 0 YARDS APPROVED YARDS APPROVED USE OP �� MAIN BUILDINGACCESSORY BUILDING EXISTING BLDG, L�T g (FROM Cry/L///TREST se.� (p SETBACK LINE PROM /�(/ //C FRONT / . CENTER OP STREET fI3ID REAR YARD(GS a P--or. PT ��✓)) R.SIDE 3 T. FT. SIDE YARD LEFT 32-C I RIGHT 3ptZ+ - DESCRIPTION OF WORK L.SIDE/FT. Fr. NE 1/ALTERATION ADDITION I REAR LIS FT, FT. DISTANCE BET. BET.MAIN @ MAIN BLDGS. ACCESS.BLDGS. REPAIR MOVING DEMOLISH SUILDING7/'LD L///!/ RONO.OF OMS MS / SIZE TT /� 7kb STORIES 7 CAU.P.# APPROVED EXTERIOR WAL ROOF //•� .f APPROVED -12 �� COVERING *KC E COVERINGLC G� BY _ 4/ C _, ,• DATE / - USE OF B ILDI NG AND WOR TOB EBF•-4 ED /L a r 1 L. —: • ,Ll♦ ,:t1 a ..a...��r/ s Az� N .SQ.PT. I HEREBY ACKNOWLED•E THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE a AND STATE THAT THABOVE IS CORRECT AND AGREE TO C • PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 0 PLY WITH ALL CITY N ND STATE LAWS REOULAT VALUATION BUILDING CONST- /(/{�/EQ./A�j���'///�U / 5,.� b /�e�L. l Y /"l !�( �CL� • L_ PERMIT FEE / m SIGNATURE ��/ 7 c PERMITT / $ 1� /O/— __• ._C. X AUTHORIZED GENT ��(r�Nyt�/ ✓J 9 O TOTAL FEE $ /?a .26- / LL FEE RECEIVED • " 22-458 JUN 1 a SEA COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 . CITY OF COSTA MESA For Applicant to Fill In Completely - APPLICATION FOR PERMIT TYPE OR PRINT BUILDING 1--� '7' 1� /� /� 7 For Office Use Only ADDES RS 3 V Q ! AA SA- ,C/ /\ iS. RECEIPT NO. � �" COSTA MESA. CALIFORNIA 27-4453Bp OWNER FAA ND Skti •' CO/?/' ' MAILI_ �,/y BUILDING 2j ./ '��J�rG-'tc'c^p ADDRESS 4 S O K: . J 7 r••l t ^f • ADDRESS �OO / /V '/,^ / - FIRE 3 CITY C o S7A M t-J-A NO. ZONE ! GROUP Ve APPROVE M-[Y - NGINEER NO. BY - •' �ATE� i` /• ZONING ADDRESS ..'— `i e-'�Ge� �N / NO.OP I Y9[:NOM Y—°(l1t NO.0 Jv BSUDINO / CONTRACTOR ,S �� i�- Lair/ 2 Y rQ 3 6Iri v LEGAL V J ADDRESS PE9CRIPnON / CITY ((]� A.P.NO. J LJ / _ 02i - to BTATEeI/l^ I ( G NO. Lug' s^syr SO'TO SIDESREAlIRNOTE: NO[AVE 1P OVERHANG SHALL DE LESS THAN LIC.NO. - v SIZE _ I NO.OF BLDSS. ALT-OWED (U.B.C.REQUIREMENT/ OF LOT now 014 LAT YARDS APPROVED YARDS APPROVED USE OFl / MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. e iC/ /C ! I 8-70/2 6-4 (FROM C/L STREET/ SETBACK LINE FROM `-- FRONT FT. PT. CENTER OF STREET REAR YAW .�.— SIDE YARD LEFT RIGHT R.SIDE Pr. FT. DESCRIPTION OP WORK L.SIDE Fr. FT. I ALTERATION x ADDITION REAR PT. PT. 1 DISTANCE BET. BBT.MAIN REPAIR MOVING - DEMOLISH MAIN BLD ACCESS.BLDGB. BUILDING •----_ NO.OF — VAR.} DATE SIZE ROOMS STORIES C.U.P. LI/, A APPROVED COVERINGEXTERIOR WALL L O NCI COVERINGS BTPROV[D / /// ! _ / USE OF SU!LOINS AND WORK TO BE PERFORMED LVVNfV/ / CL a ?I /wY&`1qIOR l'HRT/ T/ a,L.S FD/? 0 F r i L !� v S F �,�ya(�7 W. C�rLL ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO CON•, PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 1N PLY WITH ALL CITY OROINANCf AND STATE LAWS REGULATING BUILDING CONSTRUCTION. - // VALUATION 0 d� '? SIGNATURE OP c#I j1 J PERMIT FEE $ G PERMITTER _ " f C%%� ".�� W $15� PMN CHECK $ �) AUTHORIZED AGENT ///TTT��� ol-e a - TOTAL FEE $ it; 23681 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 2 1965 P.O.BOX 917 COSTA MESA.CALIFORNIA FINANCE DEPT. �,(.�^ Ci ST Applkanf to Fill In Completely CITY OF CAPPLICATION FOR ST PERMR - TYPE OR PRINT BUILDING moo$ EN I cR P R I S E j de, For Office Use Only BUILDING ADDRESS RECEIPT NO. PERMJJ NO. COSTA MESA, CALIFORNIA 111111..�� .�L. 3b 0/ ren REC BY DAT n R(I�I5D 3 va IS 7. OWNER -l(l,,�l.�11". REG T H O M P S O N- 3 lrr''I//�_.�..5 c/� i MAIL 11l o E. y2 sr. ADDRESS 7 ' i=IDLY2 (12La.Q- ADDRESS 1,aa•L1111FIRE CITY • I N I . O. 1 LU �l.(1 ZONE • -r-.- , TY'E ' GROUPAS _Z )._ APP'^ E ' • 1 ../ r j ARCHITECT G' TEL BY I •r'" ( DATE 1Y { OP IGINEER NO.Ei . ' AD�rtE88 �� i INC `-LI' fill NO.OF^1 .5 A ARA•1 1 .\., (3_,.., CONTRACTOR CM L)�G te --I" qn I C D �/ (J /1 LEGAL NI [T z 1 422 f(j�36 6 ADDRESS - DBBCpIPTlO • 1 7J 7 CITY'. P , ti A.P.NO. 1 ( ! , 0 �/ 2` STATE 6.........r TEL. 90?TO SIDE 6 REAR PEAVE H LNG SHALL BE LESS THAN LIC.NO. NO. VES SIZE - 'e I NO.OP BLDGB./ ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ONLOT USE OF /1 YARDS APPROVED YARDS APPROVED EXISTING BLDG. Cc NTL 1 e� MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SETBACK LINE FROM �, FRONT PT. PT. CENTER OP STREET REAR YARD SIDE YARD I LEFT I RIGHT4:11 .-- .SI B PT. DESCRIPTION OF /WORK E FT. REAR pr. Ft N1 ALTERATIONI ADDITION I MSTANCE BET. S. . ACCESS.MIB ft REPAIR MOVING II a�-DEMOLISH VAR.# DATE BUILDING -DC7 1L 7C. ROOMS J 2(I STORIES / C.U.P. APPROVED SIZ EXTERIOR WALLry/ I ROOF ems_ _ /w+ APPROVI 3� 7 -� COVERING COVERING KCy�F fes- BY OATH O'- V USE OF BUILDING ND WORK TOPERFOR��•11E�D �+a - I el? i j'rOA(f' ,a I N SO.FT. B I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION .� o BUILDING CONSTRUCTION. N SIGNATURE OF .... PERMIT FEE j PERMITTEE �• V 1 n�1L� $ s oa _ ._ V57, Ili X I i AUTHORIZED AGENT Z 0 TOTAL FEE j' 24674 CITY OF CCS IA MESA COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 2 1965 P.O. BOX 1200 COSTA MESA, CALIFORNIA 82820 - `S�' For Applicant to' Fill In Compl'ttly IDI �j CIl PERMIT TYPE OR PRINT l��p For coOH1Uw Only SUILDINO 7 ADDRESS J00 �t7LC.eF>•Pl"LG I.G / R[C[IPT NO. PER NO. 2 COSTA MESA. CALIFORNIA a G R[C[I Y i f?[y� C ?• cOueD OWNER Ai Set(! Ti110/IILSSe9 A/ G7!/ p W MAIL I�/� ADD�RYY 3tbc, 7 C i.1�'�RP(ZIS C+ ADDRESS 1.007 44' 711p5P FIREr� CITY C. �, O�'st -9i/G ZONE .1 �{�TYPE A' GROUP �+ APPROVED f, /'ARCHITECT TEL BYV" CDATE .7c( 5/ TNGINEER NQ. 614:1- ce• ZONING ADDRESS T ` ZONE, No.or USE Or NSA CONTRACTOR /r2")n'Q'S604 ��PP' ,29-/ PLANE_ �(//'/�eJ`u2 t''L/�/'IC^ ` oaf ADDRESS 59-P1'E L[SAL /ALoGcL %t3W(O GGP/P ouARlmON CITY A.P.NO. /TI- 0057I-Io NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE Lb C.NO. 2D'2O Q4't NQ S,I,l4_9//O 80'TO SIDEBREAR p.L. SIZE I No.or ELME. ALLOWRO (U.B.C.REQUIREMENT) OP LOT NOW ON LOT --- USE OP /� YARDS APPROVED YARDS APPROVED EXISTING BLDG. el6 CE �5*�/9� MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SETBACK LINE PROM FRONT L / FT. CENTER OP STREET REAR YARD SIDE TART?I LEFT RIGHT or R.SIDE FT. DESCRIPTION OF WORK L Hort FT• pT. x1 LT AERATION /t�/ ADDITION REAR FT' FT. DIST CE BHT. BET.MAIN O REPAIR MOVING _ DEMOLISH MAIN 1D08. ACCESS.BLDGB. BUILDING NO.OF VAR.# DATE SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL// I ROOF APPROVED') GTL hr COVERING W�� COVERING ST 7• DATE USE or BUILDING AND WORK TO BE PERFORMED D. 7,1,1734/0,2.- W lti 1734/o,2.-//�14/?77/774001.45 "Co?• JJ Wag om ; I HEREBY ACKNOWLEDGE THAT.I HAV[ READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O AND STATE THAT THE ABOVE.IS CORRECT AND AGREE To coif. PURPOSE OP ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS/[G/LATINO VALUATION BUILDING CONBTRUCTIO �— Cl SIGNATURE OF ,` ' _�e _ PERMIT FEE $ E PERMITTEr �`�`µ— S 0/OOi PLAN CHECK S • AUTHORIZED AGENT O� 3 _ TOTAL PEE 5 274.90 PAID .��.ri z5'U/C(iS:.oO1 1E;) ti.:.:; i::'c3.' ',. ,COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92624 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Office Use Only BUILDING • nni rTAerP('ISIF C-4 ADDRESS '1�� ))�� 11 ! 1 n9cElrt NO. lay i go COSTA MESA, CALIFORNIA 1 ,4L� C RECEI Y DATE RECEIVED DATE ISSUED p _ c i eE° P #1.3BUILDING1t I-I- 25=47' I- '2 r��ajJ7/� MAIL. C a r ADDRESS St9 A/J'�GJ' r/ 3L" V7 ADDRESS 110 q 0/nne St FIRE L \ TEL ZONE TYPO / GROUP/CR CITY r t•>S A YYI c3SC:k. NO. APPROVED 17 //-ry;_/`7 ' 'H ITECT TEL BY // DATE. i. b / NGI NEER NO. - ZONING ADDRESS ZON///-/ 'u UUSSEE!pOFNEW / ! CONTRACTOR 0 WK PY o � � G DESCRIPTION - TAa�t • ]ADDRESS J �� --------- A.P.NO. /�/ 6/V CITY NOTE: NO CAVE OVERHANG SHALL BE LESS THAN STATE TEL. SO'TO SIDE a REAR P.L LIC.NO. NO. SIZE I NO.OF ELDGS. VES ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OP MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. - -(PROM C/L STREET) SETBACK LINE FROM FRONT PT. CENTER OF STREET REAR YARD SIDE YARD I LIFT I RIGHT R.SID v T. DESCRIPTION OF WORK L.SIDO FT. FT. ALTERATION y ADDITION REAR PT. PT. DISTANCE BET. BET.MAIN a MAIN BLDQS, ACCESS.SLOGS. REPAIR _MOVING DEMOLISH BUILDING NO.OF VAR.# DATE SIZE ROOMS STORIES C.U.P.# / APPROVED EXTERIOR WALL ROOF APPROYC%J /�(.tC.i _ / -y COVERING I COVERING BY (/L/•�/�.1.(,C.L.�--DATE -:t�'"S t0 / IN USE OF BUILDING AND WORK TO BE PERFORMMED %.�JXe_ P. A AAO% CMA f1'[ nrk'fTl61(1S a 1Y\ e1CIS4IInGL VIa% aePcR � 6 `�.a O ��e� Q O so.Fr. I HERESY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OI ESTABLISHING A PERMIT FEE ONLY. PRy PLY WITH ALL CITY ORDINANCES AN ST TE REGIS TING VALUATION BUILDING CONSTRUCTIIp/1f� / -_(/� �j PSIGNATURE ERMITTEE OF/� `�d C� �L. ,JI PERMIT FEE $ J.6� CO TT �jf(/�V�I c�� Ic22 f PLAN CHECK S AUTHORIZED AGENT $ 3,00 TOTAL FEE J \ 41513 APR -5-76P�"'• 151* **00 33.50 COSTA MESA BUILDING-SAFETY DEPARTMENT ons P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECF,�pe�',Sv gpy TE REC ED BUILDING 3013 Enterprite Cr, / [�/;/ Y- �yh 1.aCE Eo ADDRESS j PiEg-���+e�� OWNER MC Kee Thompson A.P. NO/S/�(//}��—ZZ-� ��yq-/J �3/L.. MAIL 3013 Enterprize4B1 A.P. „�o/3 (,,;/(/7axe J/ Z ADDRESS o.0t.Li CITY Costa Mesa, Calif.540-68 L' TRACT3/62 I LOTZJ BLOCK Z Q CONSTRUCTION --- NEW (ADD ALTER REPAIR (MOVING DFMOI ASH O N LENDER o_ m X J D BRANCH OWNER Mc Kee Thompson Nii, Oil ADDRESS �� �y� �,/ �//J ARCHITECT --- -TEL. USE /4J -T4e-5 ( / "�LU$ 2,000 OR ENGINEER s U N . • FIRE 1 Z Q ..o.„,„- ZONE, VYPE5E....GROUW ADDRESS dW .TAPPROV `��/WZ CONTRACTOR Built Wright BY DATE J YJ-J .¢ ADDRESS 963 Governor Bt. W W ,- 0 Z, € NO.OF �J VSE OF NE ,r O= CITCosta Mesa Calif. nNio646-3516 /7�� P�h� !/ BUILDING/,.cq �/!/� ? r W O STATE CITY YARDS APPROVED YARDS APPROVED to¢ LIC. No.243915 LMNc$263 MAIN BUILDING ACCESSORY BUILDING SIZE 138x244 NO.OF BLDGS ..LL 1 (FROM Cs/2LBSTREET) OF LOT I NOW ON LOT FRONT FT. r . AO USE OF . I I I EXISTING BLDG.Wharehouse & Print shop R SIDE 35, _ T. 1 . I"' SIZE OF NO.OF 281 I ZZ NEWBLDG. ROOMS STORIES L.SIDE I •T II et . 41 EXTERIOR WALL ROOF V COVERING I COVERING REAR 65 jj . f FT. <", USE OF BUI DING ND WORK TO Eppp��� MED DISTANCE BET. BET.MAIN& ��2.-� - MAIN BLOCS. ACCESS. BLOCS. o A/aN rge�111.)0 _de by removing 22FT of VAR..# DATE ��a /� C.U.P.# APPROVED H Existing wAl',1 obi partitioning off appx RY -.P D / E//1 (/��7� Z 30 Ft kir utheL bide. R /!{F DnT /`Y�/ 7 ` � 0 UI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ 1_ any person in violation of the workman's compensation laws of (r) the State of California. b z I herebycertifythat I amSD. FT. ti properly licensed as a contractor under o the State of California Business and Professions Code. Division 3, THE AMOUNT SHOWN UN R V LUATION IS R m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOGE OF EST G PERMIT FEE • am exempt from tie provisions of the State of California Business VALUATION and Professions Cone, Divi ion?hapter 9. D'� is PERMIT FEE $ , a) Signature of /•,C� 2 000 B • Permittee • A ti� / /I/"(/ $ s PLAN CHECK $ /� E o U. may% Authorized ant TOTAL FEE $ Otq)fft LL -- • City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY N° 1923 C P. 0. Box 317 Costa Mesa, California The Building located at 7t-= y' yt3 Thitel' 9AMalt has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group V _ Occupancy. Use of Building 2a'-#'T4'I Thal Legal Description A 10 (See reverse side for Metes and Bounds) Building Permit No. l9tht Electrical Permit No. Milk Plumbing Permit No 7,917 Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Ankle 8. Number of apartments and/or guest rooms ISSUED TO: Building Offici I Rnffa 1 and Steams by , Date *1 :11r 1901, This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City,of Costa Mesa under Sec. 306 (e) U.B.C. Form 8U34-1M-11-6s—S-B P Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NaRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PERMITGT �-a �4 g $d 3 A.P.# Zone Project Address ��1 ��Zl,y 6 £ /l s I�1/ S Main Building: Accessory Building: 'L3(� 1 c TYPE OF CONSTRUCTION LI NEW LI ADD tCg s.LTERATION LI REPAIR E Z Applicant's Mailir(�,g Address V 1C-ZOg(� c ❑ CONVERSION ❑ DEMOLISH ❑ OTjR - ' T Front O Owner's Name V ‘17�hIA-3 ��-TEI_Th Phone 41Z204c6� DE$CRIPTION OF RK/USE OF BLDG. V__ a Rear N Address Z-5(o J1C-Cb kid.. e.AAA • pp-I i-tttt Mpf I A I Arch/Eng. License No. 4% 151' TYPE OF PERMIT Lt J GRADING ❑ FOUNDATION LI STRUCTURAL I C Right G Address • �❑I TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $. Left (� ,,11 .OJ OTHER O�t R Contractor's Name Y( .-.F tl...f i ra(r- Phoned no 4531 diePing. Ref.# Parking Req./Provided E J PROJECT DESCRIPTION SQ. FT. OCCUPANCY_ TG Address(mailing) s/I ` v21�1 L�-'H^- CONSTRUCTION TYPE eJ'1J ALUATION $ tlg DO Planning Notes: _ M City License No. ,`1( t-11 ZONE GRADING CU.YDS. ACRE - - $. • ' LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code, and my license is in ful force and effect. (s,-.� ELECTRICAL FEES License C ss� License No. Ora 53 O U Date 4. +� Signature . t3. PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATIONConstruction Pole Sub. • 050+KW • I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers - Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter pup to 100 amps ' l t'i=:-90, Lab. C.) - - 'Z -�� Snag �_A o \ p — Dishwasher Meter Dover 100 amps lacy No. Company ^' Backflow Irrigation Sewer G _ Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Ce{tifie�qq,,5rpppy i3�fyy,,ed with the city B.`Iltl-in.g Division. Bathtubs Sewer Connection Date 10 Y(t-C• X-1 Applicant T' —G ../2_...Ft--V— Fan Motors❑0-1 HP 011/2-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors _ (This section need not be completedifthe permit Is for one hundred ($100)or - F.A.U. Inc.Solar ❑9.75 HP ❑16.15+ less). Dishwasher . Solar Piping I certify that in the performance of the work for which this permit is issued I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountain Solar Tank Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light . NOTICE: If,after making this declaration,you should become subject to the - Outlets Range _ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - - Urinal _ comply with such provisions or this permit shall be deemed revoked. - "" - ( CONSTRUCTION LENDING AGENCY Gas Service (Outlets• Water Closet `_ Switches • Sign r I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sectia$s Lender's Name • ? Lender's Address Kitchen Sink Water Service - Generator ❑O-5 KW 05-15 KW Trash Compactor, OWNER BUILDER DECLARATION - - .• I hereby affirm that I am exempt from the Contractor's License Law for the • Lavatories - Auto-Wash L following reason (Section 7031.5 Business and Professional Code: Any city or N. , J / county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays - it: G ' • any structure, prior to its issuance, also requires te applicant for such permit - — to file a signed statement that he/she is licensed pursuant to the provisions of . . Roof Drains �' the Contractor's License Law(Chapter'9(commencing with Section 7000) of �,• a Division 3 of the Business and Professions Code) or that he/she is exempt venom and the basis for the alleged exemption. Any violation of Section Reinspection •Fee , $15 Issue-Fee;.- . I+ • $ 3 31.5 by any applicant for a permit subjects the applicant to a civil DEVELOPMENT SERVICES N .salty of not more than five hundred dollars($500). .v Reins coon Fee Zoning Approved By - _ nate L0 I, as owner of the property or my employees with wages as their sole Pe $15 Issue Fee $ 3 lir cT OQ compensation, will do the work, and the structure Is not : Theed or offered _ - - for sale (Section 7044, Business and Professional Code: Contractor's MECHANICAL FEES Building Approved By -' n Date License Law does not apply to an owner of a property who builds or Improves s Q= j thereon, and who does such work himself/herself or through his or her own Application Issued By - f AZO Date h employees, provided that such Improvements are not Intended or offered for Boiler 1 sale- If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • Hood or Type I 0 Z. prove for the purpose of sale). BUILDING PERMIT $ 0 $ — SMIP l $ L ❑ I,as e'wner of the property, am exclusively contracting with licensed con- Duct-Structural - Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0o-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE -.$• builds or improves thereon. and who contracts for such orolects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 1:1Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ heir - proof of tWorker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date Owner • Heating System& Ducting Registers MECHANICAL $ 161 G 3 I hereby certify that I have read this applicationandstate that the above 00-100,000 BTU 0100,000 BTL TOTAL FEE $ l O 1 information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives ofhis. ci to enter upon the above-mentioned property for Inspection pu se - Signature o.e�.-.•> J1^- /Date(ft ul•Pt� 6� f ( I �1 O1 0V030036-GOG30037 TOT 2'1.32Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 2 GATE: 04/06/89 TIM: 1234 sion.O86 46,rev.5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor R .. CONSTRUCTION AND PLANNING 'r POO' PA APPROVALS Permit# - Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location r 2. Soil Pipe-Undrgrnd. /•. 53. Steel Reinforcement '- 3. 'Electrical Conduit Utility-Undrgrnd. 2 54. Forms 4.'Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' 5. Steel Reinforcement' 56. Rough Plumbing & Pressure Test 1 6. Electrical UFER a Grnd•., i 57. APPROVAL TO COVER-GUNITE • • 7. Footings .I 58. Electrical Conduit-Undrgrnd. 8. Foundation _-- 1 59. Gas Pipe, 0 Undrgrnd., Test 7 1 9. Water Pipe-Undrg'rnd. . _ 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System • .T 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection ,• -i 62. Backwash & Receptor-Final 12. Sewer-Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 141 Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 1`6. Rough Electric,Wiring 67. Fencing & Access Approval 1.7. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS. Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas.Pipe-Rough&Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing • 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical t 27. Frame,and Flashing: 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 1 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace - s ' 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer _ i. 43. Backflow Irrigation , 1 44. Landscape Irrigation System EXPIRED-, . • 45. Sound Attenuation Incoo�mpletee inspections 46. Handicap Regulations Date _l /9/ Sig,(/ -� 47. FINAL STRUCTURE & BUILDING //. 48. Special Requirements Completed I 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY . 11 No. - Date