HomeMy WebLinkAbout2073 HARBOR BLVD - Building Permits VYVS1C.1. LV1.L,I1/J, NLC1lL'L 1.. LfliP UULLe •r, .L>07
'JOB ADDRESS 2073 Harbor Boulevard BUILDING PERMIT NO. 214.249
GENERAL CONTRACTOR Pacific Neon Lite DESCRIPTION OF WORK Elec. Pole Sign
1AP No. 115-291-63 LOT TRACT FIRE ZONE 3 VALUE $ 200.00
1 ECTIONS Signature Date GROUP J TYPE IV ZONE C2
y%Son PERMITS ISSUED
L
Gas SUBCONTRACTOR Date I Number I Signature
Water Plumbing
C Rough Plumbing
Prop. Swr. Line;o House Con.0
Sprinkling System
Miscellaneous _
Rough Heating and Air Conditioning _
Temporary Service or Pole
Underground 0 Power ,El
Rough Wiring Heating and Vent.
Trenches�,a Forms❑ Steel Reinf. 0 ,tMfrtt 6/T///6r...
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing—In 0 Out p
Plaster, Brown Coat
'ural, Final Electric
i" .i"ng, Vent., Refrig. and A.C., Final _ Viae•kE=-te YVQ,c•n ( ;cQ -1/4-1-los 2v4 P, /!2 _
Plumbing, Final and Gas Test p
Electric, Final -- j 7 za•GC _Building, Final ___ /i7K 01e.65-
Tag #1183
/OWNER FIRESTONE DATE 7/27/64
Nel JOB ADDRESS 2073 Harbor Blvd. BUILDING PERMIT NO. •- 22666
GENERAL CONTRACTOR Triple "A" Neon VALUE $ 1,500.00
{t AP No. 115-291-42 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Elec.Pole Sign
. IP'-^ECTIONS Signature DATE GROUP d TYPE IV ZONE C2
S _ PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Com, Refrig. ❑ Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line❑ House Con. 0 St. Swr. 0
SRrinkling System
Construction Pole
Underground ❑ Power ❑
Rough Wiring y a.P� %i.n 7'iP+-,.J '//q/4 l< - 2 3,0-v
Trenches @' Forms 0 Steel Reinf. 0 ,Q04 r44,/ /
Floor System
Bond Beath 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing— In ❑ Out ❑
Plaster, brown coat
P�5;1tf 0 Air Con. 0 Final
1"-f t...3ng, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final 01)41
Building, Final Q (,c/^
OCCUPANCY .
Form BU4-6M--3-63--5-B P - ?7AAA
Sign B Tag0902) 9/0 �/L!✓:u
Sign C Tag #905
OWNER U. S. ROYAL BRAD'& TIRE DATE 9/8/63
JOB ADDRESS 2073 Harbor Blvd. ' BUILDING PERMIT NO. 20123 _ .
GENERAL CONTRACTOR Santa Ana Neon Co. VALUE $ 1,000:00
AP No. 115-291.42 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK 2 Signs,Roof •&
I -PECTIONS Signature DATE GROUP TYPE ZONE Pnl e'
SUBCONTRACTOR DATE
ISSUED ElCC.
Gas _ DATE NUMBER
Water
Rough Corn. Rettig. o Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line p House Con. 0 St. Swr. 0
Sprinkling System
Construction Pole
Underground ❑ Power
Rough Wiring Of j€ r�.Glln- -co7X03 2O 2-C,3
Trenches p Forms 0 Steel Reid. 0
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, brown coat
w _„w,. 0 Air Con. 0 Final
2rtfg, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final 17W 7/%2J�
Building, Final 7�(� T�'fA
OCCUPANCY •
Form BU4-6M-3-63—S-13 P I 20128
\ rd1��A1,r g
OWNER ' II S. .,.. _&—Tire-- DATE 10-22-62
JOB ADDRESS 2073 Harbor Blvd. BUILDING PERMIT NO. 18041
GENERAL CONTRACTOR Santa Ana Neon Co. VALUE $ 1,000.00
AP No.115-291-63 LOT TRACT FIRE ZONE DESCRIPTION OF WORKFree Stand.Elec
TNSPECTIONS Signature DATE GROUP TYPE ZONE C-2 Sign
PE�lyy ISSUED
SUBCONTRACTOR DATER\1ITSNUMBER
Water
Rough Corn. Refrig. ❑ Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line ❑ House Con. 0 St.Swr. 0
Sprinkling System
Construction Pale
Underground ❑ Power ❑ __
Rough Wiring ,,l&r[i� 4. /0-/9��/finFe _
'Trenches U Forms U Steel Reinf. Q _
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In ❑ Out 0 _
Plaster, brown coat
'rig. 0 Air Cond. 0 Final
ding, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final L i 34,42
Building, Final
OCCUPANCY
FORM R114•SM - 7-61 1 HOI41
tiCti Inc/
OWNER COLEMAN, Warren '„.. DATE 9-25-62
JOB ADDRESS 2073 Harbor Blvd. BUILDING PERMIT NO. 17862
GENERAL CONTRACTOR Pacific Neon Lite VALUE $ 300.00
AP No. 115-291.-63 LOT TRACT FIRE ZONE DESCRIPTION OF WORK nee.Pole Sign
INSPECTIONS Signature DATE GROUP J TYPE ZONE C-2
SUBCONTRACTOR PERMITS ISSUED
Luis DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. 0
Sprinkling System
onion Pole
Underground ❑ Power ❑ ��� ��� ttt ,���
Rough Wiring P ` i!Ja-rU,1�..1�/R_ q-2 (W 15 i '7
Trenches Forms ❑ Steel Reinf. El40 j�4“,y_L ra.,n .i� 6_Z"r- ” s'raj BJH ?-2e'-Ci _
Floor System t b S �F�/^_ �-
Bond Beam 0 Steel Reinforce 0
7y�
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, brown coat
"rig. ❑ Air Cond. 0 Final
ding, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final ea%talt
OCCUPANCY I
FORM BU4.5M — 7.61 1 7RA2
OWNER U. S. Brake & Tir e DATE 9-27-62
JOB ADDRESS 2073 Harbor Blvd. BUILDING PERMIT NO. 17895
GENERAL CONTRACTOR Santa .Ana Overhead Door VALUE $ 750.00Inst.4 overhd.
AP No. 115-291-63 LOT TRACT FIRE ZONE DESCRIPTION OF WORK _
�prC2 i`e�_S`o'
INSPECTIONS Signature DATE GROUP TYPE 7,OE 0_
SUBCONTRACTOR PEDATERMITSISSUED
NUMBER
Water
Rough Corn. Ref rig. 0 Air Cond. 0
Rough Heating _
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power ❑
Rough Wiring
Trenches 0 Forms 0 Steel Reinf. D
Floor System
Bond Beam 0 Steel Reinforce 0 _
Sheathing
Frame and Flashing
Lathing — In 0 Out ❑
Plaster, brown coat
Abirig. 0 Air Cond. 0 Final
ting, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final to -
OCCUPANCY
FORM BU4 5M — b61 1 7ROS
�J•
• 4a1 k CITY OF COSTA MESA ,
F#-...s 4) BUILDING DIVISION P IT NUMBER
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
B99-00671
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2073 HARBOR BL Status: ISSUED
Suite: Applied: 05/13/1999
Vicinity: Issued: 05/13/1999
Parcel Nunmber: 42209112 Zoning: , .
Applicant CHRISTIAN NESER ISSUED BY:
Address: -
' Phone:
Zip:
Owner: TANNER, DALE A TR
Address 15881 CALTECH -
Phone:
WESTMINSTER,CA Zip: 92683
Contractor:
Address: -
Phone:
,
Zip: ' License: I
Arch : MOHAMED MAHPAR • - Eng:
Address: . 702 LINCOLN AV Address:
Phone: Phone:
ANAHEIM CA
Zip 92805 License: C42522 Zip: License:
SCOPE OF PERMIT
LEGALIZE 800 SO.FT.OF MEZZANINE AREA FOR"GENERAL TRANSMISSION". PARKING AND FAR O.K.
FEE SUMMARY
Plan Check: $89.21 Calc Valuation: $7,500.00
Permit: $137.25 Claim Valuation: $7,500.00
•
SMIP Res: $0.00
SMIP Com: $1.57
Other: $137.25
Inspection: $0.00 •
Total: $365.28
PLANNING&ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 - Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754582$
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 sea-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 I/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, I shall not employ any person in any manner so as to become subject to the workers'
r compensation laws of California.and agree that II I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provls .
Applicant Signature: �, Date: 5__. /3- 4 is-
cm 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(Si W,000),IN ADDRION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST.AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Sectlo}-7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lt.a .T9 /y / Class 0 -/
7 Contractors Signature: X17 Date: r—/7 9`9.
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
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 then 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 properly, 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.).
0 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? 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 ere required to register acutely hazardous materials with the Fire Department.
4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject Of this application a rmit 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 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 es 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: _ •- eget Owner(s) Date
`➢ / And/Or Authorized Applicant C / �^ Date
LODE I gl$pECT10NTYPF PATE EMMA CODE! INSPECTION TYPE PM R�6S
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1286 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 Flre Place 220 Final Planning Approval y/��J"J—yJ
• 203 Final Sign222 Final Be
204 Final Demolition • 250 Final Building/Occupancy /07a/371
2448.48 !
ADDRESS aBMLODc: 2073 HARBOR BL OMT: CITY OF COSTA MESA — SIGN PERMIT
O*7WTSNAMEMMiowN:DALE A TANNER TR PERM NO: SB 080858
ADDR`S' 15881 CALTECH
PERMIT NO: SB 080858 PLAN CHECK NO: 05165-96 L GOVT: N SUPP: N
1 •iaR, CA 92683 714-642-7981
CONSTRUCTION TYPE: II PERMIT TYPE: STIR SIG PURPOSE: OTH
ARCRRECT OREIANEER: LIC NO.: JOB DESCRIPTION : 6 ' HIGH BY 6 ' WIDE MONUMENT SIGN SQ FT:
MCH OR END'S ADDRESS: WIT:
- CLAIM VALUE: 2, 900 . 00 CALL—VALUE: 2, 900 . 00 GROUP OCC: U-2 /
CONTRACTO"SRA"EC&C SIGNS ( 714 ) 537-8175
CQITRACTORSMNUND 11622 ANABEL ACV COMMENTS : "GENERAL TRANSMISSION" MONUMENT SIGN
MDRES&G.G. CA UC.1004 541345 ********4*** ********it**xiE**********x*x******* *** **********+(*****************
92643 UMT: S IGN INFORMAT ION
LICENSED CONTRACTORS DECLARATION:I hereby Mem mow penalty of perjury Mal am licensed under provisions o Chapter 9 DISTRICT: 1 TYPE: MONUMENT ILLUMINATION: NON CATEGORY: NEW
(pommendnowithSection7000)dDivieion3oftheBumneeeandProroeeiaaCwe.andmylicenseisinfultomeendelfee. DIMENSIONS : 6FT OOIN X 6FT 00IN AREA: 36. 00SQFT LETTER HT: 24 INCH
CRY LIC.NOK L1C.CLASS:C-45 uc.NO.: 5 STREET FRONTAGE 1 : 64 . 00 STREET 1 : ARBOR
Dov: / Tf Contactor STREET FRONTAGE 2 ; 0 . 00 STREET 2 :
PARCEL : 42209112 ZONE: CLOCATION > FRONT: X REAR:
OWNER BUIARATION:'hreby affirm under penally the l am exempt from the Contractors License Law for the BUSINESS NAME: GENERAL TRANSMISSION > LEFT: RIGHT:
idles ng noon(Section 7031.5 Busiest and Professions Code:Any city a wady which requires a penia to construct,eller,improve, O T H E R TOTALS GROUND SIGN
demolish,or repair wry structure,prior rob issuance.also requires the applicant for such perms to file a signed statement that he or she ,
is licensed punuanl to the provisions of the Cwrerdca License Law[Chapter 9(aommenong with Section 7000)d Division 3 d the THIS ACTIVITY3 6 . 0 0 S Q FT OVERALL HEIGHT: 6FT O I N
Business and Professurw Code[or the he o she is exempt therefrom end IM basis for the alleged exemption.Any violation d Sedimn THIS SITE 2 1 0 . 0 0 S FT GROUND CLEARANCE: 1 F T O I N
7031.5 by any applicant for a creme subjects the applicant to a and penalty of not more then foe hundred dollars MOOD. Q
oL o owner of the property or my employees with wages o theicompensation, th
e compenion,will do e work,and the structure is no bended ITEMS OF INFO 7 PLANTER AREA: 80 . 75SQFT
or offered for sale(Section 7044,Business and Professions Code:The Connectors License Law does notapply too Owned property ITEMS FOR ACTIVITY: 7 BLDG SET BACK: 20FT
whotosornrxwestMna,.mdwhodoeasachwwklim« oM
enelamroughhaorheowm,row«e.proidedlheeuch COPY VERBIAGE : GENERAL TRANSMISSION
improvements pre not intended or offered for sale.It however,the building or inprwernenl u sold within one year of completion, KELLOGGS AUTOMOTIVE
owner-builder will have the burden of proving he or she did not build or improve for the purposed sale).
o I,as owner of the property.am exclusivelytru
contracting with licensed contractors to oonsd the projad(Section 7044,Business anPLANNING NOTES•••
prof ions Code:Theconlradon Lrense Lewdoeendappyloanownr ofpropeny who builds orimprovootd
lhereawho *******************************************************************************
contracts fa such projects with a martial')licensed purua t to the Centre dos Lieae Law). DEVELOPMENT SERVICES REQUIREMENTS
o I am exempt under Section: B.A P.C.,for this reason:
Date; Owner: ZONING APPROVED BY • G E DATE:
I hereby est*that
i am aware al and em'''endthe nemrnee'dCaMornia Heath end sedy Code Sentient 2550&25533'and BUILDING •APPROVED BY : WS DATE: 72--(2-79C2
25534.and that I a any Mum building occupant will/wD not(dmle one)need to comply wall said sale codes and the requirements for /ass /�
a pent fa construction or modification from the ArtM7ILirmage wd District.MidWW mWndon appicetba are exempt from these / //,V� r �j (2,-9G
pro,bions. • APPLICATION ISSUED BY: [E//T/y/ DATE-
Date: Applicant: ************************************************ ****************************
WORKERS COMPENSATION DECLARATION:Ihereby amunder .ddeclarations: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
Ihave end who maintainecerdcaudmmant to self-insurefa iso ksa'compensatldm.o provided fa by Section 3700died Lebo BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/RES GRADING
Code,for tededan
pprmce of the week for with this pend u Issued. PERMIT 74 . 75
J] I have and wit maintain workers'compensation Insurance,as required by Seduce 3700 of the Labor Code.for the performance of the SMIP/NON—RES
work for which this permit is issued.My workers
compensation insurance carrier and policy number re: PLAN 48 . 59 . 61
Canis (:(l1,ffN PA(,T.F EXPIRES ISSUE FEE
. Policy Number: WWC114A71 —nn 07/29 /97 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
(Thiemaim need ndeecompete difhepima iafor one hudneddollars(Slwjokat) TOTALS----> 75 . 36 0 . 00 48 . 59 123 . 95 123 . 95 . 00
o I certify that in the perfomance of the work for which this permit u Issued.I shall not em Iw any person in any manner so as to
become subjectb become eubjed to Nie wC41Ws' REVENUE DIVISION TOTALS--> COLLECTED: 123 . 95 OVER/SHORT: 00
compere ion Section 3700 of the Labor Code.I shall fMhent 1 those pr°vieions.
BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN—CHECK
Dale 1C Applaud: . 74 . 75 . 61 48 . 59
warning: allure to name workers'compensation coverage un rNI,and shall subject an employer to criminal penalties and
clan Mrs rpm ora hundred thousand dean($fg4goOAh aWlflon d MO OM Of COmpevrbadamargasfaprcvlded for In *******************************************************************************
Section 3706 of the Labor Co ,dsIntent and attorney's fees
INDIVIDUAL F E E BREAKDOWN
CONSTRUCTION LENDING AGENCY: I hereby Mum under penalty of pejuy that there u constructiona lending agency for the w
pedmaadM
aalwokro whichthis pwmaoer (Section CW.C). TYPE QTY DESCRIPTIt ,l UNIT COST TOTAL COST NAME
•
LENDER'SrethisADDRESS:at � ccc��..���
NO FEES WER T; M On 0 ! HIS PERMIT
I certify That 1 have nerdbuilding one and date the the above information is correct. agree to comply with all dyad Oamry ddvwrw
and stale Owe reining to mrmnnion ed hereby authorize rapssentathn of this aryls enter upon the ebovementcrad properly as C� • IP
la iropectka purposes. DA'
CHRIS CANZONE V
Print Name DEC 12, 1996
-> air ; Dale: ! .i///��r
Signature d OwnrtAgent/Appkcan✓C°nada • t ,',. ,r,\Egl
(5151.46.WP) White-Building A Safely:Green-Fl:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor
I i,
CONSTRUCTION AND PLANNING • : - - PC ;! SPA .
APPROVALS Permit# : - Date Inspector APPROVALS Permit # Date Inspector
- 1.. Temporary Electrical,Service or Pale ' 52. Pool & Equipment Location ;
•
2. Soil Pipe•Undrgrnd. '` - 53. Steel Reinforcement I. •
.
3. Electrical Conduit Utility-Undrgrnd. : . 54. Forms - - '
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
1'
5. Steel Reinforcement . . 56. Rough Plumbing & Pressure Test t
6. Electrical UFER'Grnd. • ' 57. APPROVAL TO COVER-GUNITE - :,
7. Footings - _ • 58. Electrical Conduit-Undrgrnd.
• 8. Foundation - 59. Gas Pipe,9 Undrgrnd., Test
9. Water Pipe-Undrgrnd. r? , 60. Backwash Lines,P-Trap, 0 Undrgrnd. -
10. Structural Floor System - 61. APPROVAL TO DECK / '
11. Property Sewer Line & House Conhection 62. Backwash & Receptor-Final •
12. Sewer Cap , f 63. Heater & Vent-Final .
13. Roof Drains - . "64. Plumbing System - Final 1 '
14. Rough Plumbing - r, - ' 65. Electrical-Final
' 15. Rough Electrical-Conduit • , - 66. Solar System-Final '
0f
16. Rough Electric Wiring 67. Fencing & Access Approval I ' •
•
17. Rough Wiring Sign • • - 68. APPROVED FOR PLASTERIING
18. Rough Electrical-T Bar Ceiling _. -- 69. POOLJSPA 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 ❑Oil
25. Roof Sheathing ,74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat - ; 75. Dry Chemical
27. Frame and Flashing - 76. Dry Standpipe •
28. Lathing &Siding - - 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing - - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - 79. FINAL INSPECTION -
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED {l
33. Final Electric - Notes: •
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test - -
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final .
41. Solar Domestic-Final -
42. Backflow Preventer
43. Backflow Irrigation -
44. Landscape Irrigation System -
45. Sound Attenuation - -
46. Handicap Regulations , '
47. FINAL STRUCTURE & BUILDING
I
48. FINAL PLANNING
49. Electric Release to Edison . -
50. Gas Release to Southern California Gas Co - '
51. CERTIFICATE OF OCCUPANCY
No Date •
17895 Ft RECEIVED
SEP 27 1262
COSTA MESA BUILDING-SAFETY DEPARTMENT NANCE DEPT.
P. O. BOX 817 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING
ADO EIDE SSL,7O7 3 /3 ksO/V ,,2 d
l"OSTA MESA. CALIFORNIA For Office Use Only
OWNERU,S $.enee f 1 77;2E I RBCHIPi NO. I i��
MAIL ? �q RAZED BY OATS RECEIVE DATE ISSUED
ADDRESS�O///7✓ f}.A? /C //f/y6�/p7�n I 7-a 7-6 , 9/-Ja/q]'7-� '
CITY - li M • if4/ 0/5{G BADD ESS g9 07a 24 4v-Y teget 7➢
or GINEER NO. COSTA MESA, CALIFORNIA B,'
ADDRESS - FIRE (yLV"
,/ "/�{ 55..�� ZONE TYPE GROUP /�//
CONTRACT�ian-/4 fa 9rcencA 0 rN O R. APPROVED DATE y�
yyyy Q� _ %�( 9/777 ,�''
ADDRESS7JJJ' ���t/i/4 o^-,(9-4/ �% V ZONING
ZONE/ NO.OP l USE OF NEVI'f OA
-�•L/,J
CITY / • ) I PLANS � / I BUILDING (, �!I!Y
STATE / -Y -1 / TEL. 96 v U ��1 VVV".
LIC.NO. ✓ oL NOi �� ITV LEGAL -
DESCRIPTION
SIZE / / NO. OF BLDG'S.
GS 'X r' I NOW ON LOT3
OF LOT A.P.NO. 4.
(/Sr----'- y
USE OF ! a A 4 C�
/ YARDS EVES
EXISTING BLDG, APPROVED ALLOWED
SETBACK LINE PROM / ,/ (CENTER LINE ST.) ///r```
CENTER OP STREET REAR YARD / FRONT .9--- 11 FT. IN.
SIDE YARD I LEFT �/L I RIGHT (-X R.SIDE 1 FT. IN.
DESCRIPTION OF WORK
L.SIDE FT. IN.
NE' IS II
ALTERATION I II ADDITION I REAR FT. IN. /
REPAIR I II MOVING I II DEMOLISH I APPROVED t 7 1-4)
/�1 DATE /; - a 96 q_
BUILDING /J�� `/ (ONO. OF /( 1v v / 7
SIZE 'V �`/�(J ROOMS STORIES /
EXTERIOR WAL'��// ROOF ,�J�7-/�L�
COVERING /'//{ L. COVERING 7•f/� -
USE Op BUILDING AND WORK TO BE PE FORMED
j/.1-- �s,l/r- s - Otcedrty
0<PooES /NSTit'/ti O /O J`j11
./f ,cf' " 5 -� X . hie AMOUNT B fHOWN UN VALY T IB FOR `
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISH' O A PERM PEN ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. y�j ( I VALUATION
SIGNATURE
��,O///F//��/A ,(2 �� cPERMIT FEE 5 4. G'0
PERW i l ,�a-n-(..� 0� _ I
^ Lb lll"'YYY��� -¢AEj //�--777 L
A' Q - $ ' / 5a PLAN CHECK $ 2
AUTHORIZED AGENT / 02 / / / V 0
TOTAL FEE $ A'OO 0
20123 / . 3 ccE . RECEIUEU� ry e
COSTA MESA BUILDING-SAFETY DEPP D A'S 1983
P.O.BOX 317 / COSTA MESA.CALIFORNIA "1 CI IIIA �� 7pAEP1. p
For Applicant to Fill In Completely t CIITA�PIF€C,'IN•FORSPERMIT
TYPE OR PRINT BUILDING
For Office Use Only
BUILDING 3.:.>„ {/ { MEW
ADDRESS �/ '� A r RECEIPT NO. Fyt / .2
•
COSTA MESA, CALIFORNIA `� ��/G 1.711”12,>3
JA/ y/l
/ Tr RECEIVED BY C E.) B�q D7 i fl n
OWNER I_Ref y 1. / B(if Le i- ,eer 3 �f/�
// BUILDING
MAIL Z 7 3 /'C.. /4 in ADDRESS
FIRE
ADDRfi�b3 / /J �%
CIT'[ i A ile A, • NO. ZONE (/{/–� TYPE GROUP
APPROVEDI ///��J 7
''-HITECT TEL. BY -J/f..E� DATE I J
'NGINEER NO. II
ZONING
ADDRESS q�
- ZR NE I NO.OP I UBBOFNEWI^f
\/.', //1 ''Y' //_� C. 'L PLANE '_ BUILDING //�
CONTRACTOR .a,p "; /IV)y 4—e.�.l..-Q
LEGAL � TI�
/^/` � DESCRIPTION rt 'O'er 2� rRli/Yls-v �'�/
ADDRESS O Z de. h ,7 its/( //5`-2 G/ I- bj
CITY > t j.CC
A.P.NO.
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE %2- O / NO�. 2 t co/ 30'TO SIDE&REAR P.L.
LIC.NO. C 4 CJ
EAVES
SIZE NO.OF BLDOB. ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. •
(FROM C/L STREET) 41 7
SETBACK LINE FROM FRONT FT. FT.
CENTER OF STREET REAR YARD
R.SIDE FT. 3 —,
FT.
SIDE YARD LEFT I RIGHT
DESCRIPTION OF WORK L.SIDE FT. ti-s-t FT.
ALTERATION I ADDITION x REAR FT. F.
DISTANCE BET. �--- BET.MAIN Q
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS.
BUILDING NO.OF VAR.SF DATE
SIZE ROOMS STORIES C.U.P.# �I APPROVED �j IJ/
EXTERIOR WALL I ROOF COVERING APPROVED._�j/�� GATE /[7/ (T 3
COVERING "(J� w
USE OF BUILD Q 95D WOR15:79BR Pi FORMED
/r, r Ae// r m a r!'
tD'7T/e P/'� G x,J , o SQ.n. _st
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
AND STATE THAT THE ABOVE IS ORRBCT ANA AGREE TO COM- O
PLY WITH ALL CITY ORDINA -- AND AT
YLAWS REGULATING VALUATION 0
BUILDING CONSTRUCTION. N
/ - PERMIT FEE $
SIGNATURE OF , — GO —_ G
PERMITTE
$ /900 . 0
s.
AUTHORIZED AGENT ./� /
• TOTAL FEE 3 6J