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HomeMy WebLinkAbout176 17TH ST - Building Permits OWNER SAV MOR On DATE 4-27-70 JOB ADDRESS 176 E. 17th Street BUILDING PERMIT NO. 31759 GENERAL CONTRACTOR K. L. Redfern DESCRIPTION of WORK Underground Storag- Tank 4_Ar 7. 117-112-26 LOT 19 & 20 TRACT 1113 FIRE ZONE VALUES 4,500.00 IA_ .CTIONS Signature Date GROUP J TYPE V ZONE C-2 SOIL SUBCONTRACTOR PERMITS ISSUED GAS Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND Q POWER 0 ROUGH WIRING Heating and Vent. TRENCHES n FORMS 0 STEEL REINF. 0 FLOOR SYSTEM ' BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT PLASTER, BROWN COAT S TURAL, FINAL Electric HL...INO, VENT.. REFRIG. AND P.C., F AL { !� (� Ya �p PLUMBING, FINAL AND GAS TEST .A t is `-,o- 1Q (- ♦ N . -.-_ , l O ELECTRIC, FINAL /- 3 ; Ao- /l�740BUILDING, FINAL �J�. 'I J7 'II //jc DWNER FOLLOW CHARLIE DATE 10-7-69 JOB ADDRESS 176 E. 17th Street BUILDING PERMIT NO. 30965 GENERAL CONTRACTOR Commander Board Advertis.DESCRIPTIONofWORK Non-Elec. Pole Sian • q,/ o. 117-112_26 LOT • TRACT FIRE ZONE VALUE $450.00 I�: �CTIONS Signature Date GROUP J TYPErid/ ZONE C—'2 SOIL SUBCONTRACTOR I PERMITS ISSUED GAS Dote Number I Signature Z WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE 9 HOUSE CON. 9 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 9 POWER 9 ROUGH WIRING �� _ Heating and Vent. RENC 5 STEM ORMS 9 STEEL REINF. LI ��V/a'I', (GLe,f-{alQ FLOOR BOND BEAM n STEEL REINFORCE I I SHEATHING FRAME AND FLASHING^ LATHING — IN I , OUT 9] PLASTER, BROWN COAT _ I S" 'TURAL, FINAL Electric H. .NG. VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST ri ELECTRIC. FINAL �-f (� BUILDING, FINAL /(,f-_ t a -n-y V wsmn MbOA 1,1111 wash DATE •e-S)-0( TOB ADDRESS 176 East 17th Street BUILDING PERMIT NO. 26704 -S. GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION OF WORK Raise Non-Elec.Grnd.Sign AP No. 117-112-26 LOT TRACT FIRE ZONE VALUE § 100.00 "ECTIONS Signature Date GROUP J TYPE V ZONE SUBCONTRACTOR PERMITS ISSUED Gas 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 0 Power 0 Rough Wiring _ Heating and Vent. Trenches 0 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 SP-•ctural, Final Electric .ng, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final _ Building, Final (,�4-- /9/6 7 OWNER Ft�LLOW CHARLIE CAR WASH DATE 5-19-69 JOB ADDRESS 176 E. 17th Street, sign "A" BUILDING PERMIT NO. 30293 GENERAL CONTRACTOR Lee Sign Company DESCRIPTION of WORK Elec. Pole Sign VALUE $ 400.00 AP1o. 117-112-26 LOT TRACT FIRE ZONE 'CTIONS Signature Date GROUP S : TYPE IV ZONE C-2 SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date I 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 0 ROUGH WIRING / Heating and Vent. TRENCHES 0 FORMS ❑ STEEL REINF. 9 e--_5--trjy/69 FLOOR SYSTEM BOND BEAM a STEEL REINFORCE 9 • SHEATHING FRAME AND FLASHING LATHING — IN [7 OUT n PLASTER, BROWN COAT ST 'T URAL, FINAL lactri r///7/�/� 777 9 /q H. IG, VENT., REFRIG. AND A.C., FINAL ��f '-- '7"7 //I PLUMBING. FINAL AND GAS TEST [ I J I ELECTRIC, FINAL � . '•' 7-19 BUILDING, FINAL /r10 7(7.-f7 ` 'OWNER R DW CHARLIE CAB WASH DATE 5-19-69 cifiJOBADDRESS 376 E. 17th Street, Stgn "B" BUILDING PERMIT NO. 30294 NGENERAL CONTRACTOR Lee Sign Company DESCRIPTION 0f WORK Add to Elec. Pole Sign `" o• 117-112-26 LOT TRACT FIRE ZONE VALUE $500.00 ,,lap`s�CTIONS Signature Date .GROUP TYPE IV ZONE C-2 _clsoi� SUBCONTRACTOR PERMITS ISSUED 4GAS Date Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND El POWER Q ROUGH WIRING Heating and Vent. TRENCHES FORMS ❑ STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM n STEEL REINFORCE IT SHEATHING FRAME AND FLASHING LATHING — IN n OUT n PLASTER, BROWN COAT S' 'TURAL, FINAL 1 Elect iC /�,; H. NG, VENT., REFRIG. AND A.C., FINAL __ozee ��1•�� 2 Z.7/7 PLUMBING, FINAL AND GAS TEST E [q I,/L ELECTRIC, FINAL 1u "�l /Y./71r BUILDING, FINAL 1711 7r) re..- OWNER SPOTLESS CAR DASHDATE 5/9/80 \ JOB ADDRESS 176 E. 17th Street BUILDING PERMIT NO, 50083 GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Non-Electric Sign Ar "n. 117-112-26 LOT TRACT FIRE ZONE VALUE $150.00 lI\ .CTIONS Signature Dote TYPE GROUP ZONE SOIL SUBCONTRACTOR PERMITS ISSI4ED GAS Date I Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE 0 HOUSE CON. E ("SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING ( D`TEMPORARY SERVICE OR POLE Imo`/may-NDERGROUND 0 POWER 0 ROUGH WIRING Heating and Vent. ,TRENCHES ❑ FORMS 0 STEEL REINF. 0 1LOOK SYSTEM 1B0N0 BEAM [, STEEL REINFORCE n `SHEATHING _ FRAME AND FLASHING LATHING - IN n OUT n PLASTER. BROWN COAT �/ SURAL, FINAL y -f \r''�3-'c ) EfestaG HE. AG, VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST n ELECTRIC, FINAL BUILDING, FINAL -` c7* x-72-412 Lien Lrt OYv1LLKJO rvtv_u UAIt — — L1�0u JOB ADDRESS 176 E 12th street BUILDING PERMIT NO. 49704 GENERAL CONTRACTOR n ner/Rui 1der DESCRIPTION of WORK Elect Gram Sign AP No.117_119_7F. LOT TRACT FIRE ZONE VALUE S 25900 ECTIONS Siynoture Date TYPE GROUP ZONE C2 Sy•� - SUBCONTRACTOR PESMITS ISSIf ED GAS Date I Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SwR. LINE ri HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 1 POWER 0 ROUGH WIRING ,J�5 ze. 9 5z Heatin• and Vent. TRENCHES FORMS ®- STEEL REINF. FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n -_ SHEATHING FRAME AND FLASHING LATHING -_ IN n OUT n PLASTER, BROWN COAT ST•!ICTURAL, FINAL A-cJ 2-21t•fie /hy/� /bt Electric p 'Y/ NG, VENT., REFRIG. AND A.C., FINAL V� i ' 7/W yy PLuMBING. FINAL AND GAS TEST n ELECTRIC. FINAL BUILDING. FINAL � f a q-ffY' SPECIAL REQUIREMENTS .OWNER H0L$TEIN, GEORGE DATE 11-10-67 'SJOB ADDRESS 176 E. 17th Street BUILDING PERMIT NO. 27816 GENERAL CONTRACTOR Kool Metal Awning Co. DESCRIPTION of WORK Attached Carport i o. 117-112-26 LOT 19 TRACT 1113 FIRE ZONE VALUE $600.00 INgt'ECTIONS Signature , Date GROUP F-1 TYPE �7 ZONE C-2 SOIL SUBCONTRACTOR II PERMITS ISSUED GAS Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUNP ❑ POWER ❑ ROUGH WIRING ,..... Heating and Vent. TRENCHES [0.. FORMS El STEEL �:.4 STEEL REINF. fe !1 FLOOR SYSTEM BOND BEAM I I STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT in P' -GTER, BROWN COAT CTURAL. FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL y/ BUILDING, FINAL 1,1-7/2a l/,/^��- a /� 9' G7 JOB ADDRESS kGENERAL CONTRACTOR 176 E. 17th St. ��� /,� 1- BUILDING PERMIT NO.- 230 ---- A & A Neon & Plex Sign Co.v VALUE $ 900.00 !o /s- �/' AP No 117-U2-26 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKElee. Pole Sign i.i 'ECTIONS Signature DATE GROUP J TYPE IV ZONE C2 S, PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water Rough Corn. Refrig. ❑ Air Cond. 0 Rough Heating _ _ Rough Plumbing Miscellaneous Prop. Swr. Line O House Con. .0 St. Swr. 0 S rinkling S stem Construction Pole Underground 0 Power Rough Wiring /�,�,,, /L-/� /D//-f/6 9 2 3 5 8 3 — Trenches 0 Forms C Steel Reinf. 0 U or„ s`.i: /_y_y Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing-- In 0 Out 0 Plaster, brown coat I ;. 0 Air Con. 0 Final l-K..ang, Final Plumbing Fixtures, Final Final Gas Test _ Electric Fixtures, Final i ('T4./.L°( ndldb.n Finvl /Ll//.L - f _w ♦ — m a-T a • wee +. ... .... ..r.n♦a. OWNER GEO. M. HOLSTEIN $c SONS 7 DATE 1-1l-56 f: JOB ADDRESS 176 E. 17th St. BUILDING PERMIT NO. 2219 C—'ERAL CONTRACTOR G. M. Holstein & Sons VALUE $R,n00 DO LOT A 1) 117-112-05 BLOCK TRACT Auto-trash • GROUP G TYPE III & V ZONE C2 FIRE DISTRICT 2216 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR , Q� x DATE NUMBER 41 Footing Trench /' 1 Y- r6 Foundation Forms and Grade to Garage /ISM - Rough Framing .2'27 S Plumbing,Rough to Slab 1tt.r6_'_-y� 1'- i'� Plumbing,Rough Complete �,t,/3 .2- �7-,5-. I g1 i ts,.oJ /-/3.„1----4 3 9 a 7 ‘-"- Temporary Temporary Pole y/-� r^�_." L .Wiring, Rough Q.-1. 142.-to -54 ./z/..--,4--9� t✓ /,,-CG / 9 0 5t- Heating,Rough AN-C. Heating, Final /Vo Na / Sewer, HousE• ewer,.St. (c- -gy�,u.en/ .7_,2 3 -C6 t{O 7 se ! -a-Tank or Cesspool y La.ning, In OuD4 ( 4 a ^I—S Plastering (fl 3-/3 1 Plumbing,Final,Fixtures Co pie -1a.' Sf Plumbing,Final Gas Test O/2. - C / -7 - S : I— . 9 • !'a Wiring,Final 7.1 — • '41-- ri w Occupancy .`t, 3 .)7-s, • • ,�Z , • ���� APPROVED � � ` �QQRo�w� • • *goo pry OF COSTA MESA PERM\��ae`N�hg1N PLANNING DIM.A P P R O V E D • SEe• FOR E�EGjR\GP ���\1NGRK atm TO awe Deur.SA VithlW-G, �FRR116 WG • 7.REG` C?'. �,(7\p �uA2) DATE cL.--.... City of CostMesaBuilding Dept. RLFR\AGE^ • y222 oP ruNNINo BY_-ES^ DAB E?`��T� • �.! 'I VP1/461° �MppNV -• THESE PLANS GEST I ON JOB Al ALL APPROVALTIMEL /9@��Q�4 gusl RF-Q-�EsAs MAKE NO CHANGES WITHOUT PRIOR • tut A�Gtt\SOt j\t)N�� OF DEPT. - "la EjQ , THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL ; - „viRE-- f$0 SHA �E E - . ' OF BE A AND SPECIFICATIONS SHALL NOT BE CONSTRUED FSR- \` *It S AGE g1y0011 enR �\ TO ANA PERMIT FOR, I OR S OF•APPROVAL O., ANY VIOLATION PRE-ON $� EM CF�\F NE 1�HS OF • ANY OF THE PROVISIONS THIS CODE. NO PERMIT SLIMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE S'(DV`4 QL REQ R MENj�. , PROVISIONSAWORKF THIS USES HA THORI EXCEPT IN SO S D\t\ONp\•�� '' ''� FAR AS THE OR USE WHICH IT AUTHORIZES IS INS ~ .. THE ISSUANCE OF A PERMIT BASED UPON PIANS AND '- t,1 SPECIFICATIONS SHALL NOT.PREVENT THE BUILDING OFFICIAL - _ • FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS - • . • IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING % V,VIDlA710NE0FT10Nc BEING IpDE OR OFOON ANY OTHEP.THEREUNDER ORDINA ORDINANCE - • ..:I =T4ccln_ Li Ire l \ . 13C7=YEL{.OW ifZAI6 PLEX . ._ . . II A©©) • ff fl13 plc I ‘./tasno*.zotipiet,...... $6 RnD 0 2-283 "A ^—..' . . . 1 . . , . .. . . t • . G;��CULZ,�1RTG--kmi-itit-PLX"......_____ -ta1111TE_PLEX L o �� • l/`tla — i • • Ii tt 0 sfaME coy'! IN LOWER sFcTton! • v� ��`3717.7...10'..: - _� Barg- 5145 • to-% " L •O . , _.. PrEfin[vviiilglitrA ZIP�Ifi1SWGt l�UP1,TYP. 'RFD.* • •X" PIEX --� IIIIIIs 6Vo ©1i3A1YU© - t IIMISZW,Ileallia. Haan " . Plitritaiti_ _ Aim WIMI . I. 2. DF SIGNS � a °% • •• . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. '_ PER T NO. TRACT NO. LOT NO. UNIT NO. • 2854 4/Q?/56 • CIJY OF COSTA MESA CONSTRUCTION PERMIT a3ORV , ./ Project Address 7t .E /73(. 5r I l ,2c 5re /Sz.• TYPE OF CONSTRUCTION U NEW L ADD LI ALTERATION Ll REPAIR Applicant's Mailingddreu ..t S ' ❑ CONVERSION ❑ DEMOLISH ❑ OT Owner's Name �AvJ Are 4 y Phone 722--403.1 � I/ • A.P.# I Zone �qJ / . DES •IPTION OF WORK/US OF BLDG. a Address y3.2/ g9^^09‘4< .a., Crr /52 ritatnG 537/5 Pt es* //, et ���7�WLri • S Main Building: Accessory Building: Arch/Eng. License No.' 62/87? TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL E Front - ZO ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B N Address //,, n Rear Contractor's Noma' /R�l /f'f r/Ev2re' Phone "22 400 43 ❑ 'OTHER C Right N • Address(mailing) '/ri / ••;0 AZ Sr- i Z... °tq.27/S PROJECT DESCRIPTION SQ. F7. OCCUPANCY 9 3SI32 CONSTRUCTION TYPE VALUATION$ K G Left City License No. ZONE GRADING CU.YDS. ACRESParking. R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: , Planning Notes: - 0 with section 7000) of Division 3 of the Business and Professions Code,and - M my license is in full f. ce and effect. • Dn) • • - T License Cl.ss- — • Ice - No, • - ! S Date ' �- if Signature ar S ��. • PLUMBING , FEES I 7RK RS'COMPENSATION DECLARATION Bar Sink Showers treby affirm that I have a certificate of consent to self-insure or a certificate _'_ ELECTRICAL ' FEES Workers' Compensation Insurance, or a certified copy thereof (Section - - - Backflow Preventer Service Sink t• 3800, Lab. C.) • - • Automatic Washer f 'Transformer 0 15-50 KW Policy No. Company • Backflow Irrigation Sewer Cap ❑ 50+ KW Certified copy is hereby furnished. _ /Construction Pole Sub. Certified copy is filed with the city Building Division. 1 • ' . BathtubsSewer Connection Cooking Unit Meter Dup to 100 amps ' Date - Applicant f EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Clarifiers • •-- - - Solar Collect. s ,A Dishwasher Meter Dover 100'amps (This section need not be completed if the permit is for,one hundred (S100)or s .iV/) less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I . ' shall not employ any person in any ma• er so a to b ome subject to the Drinking Fot ntains I s e. Fan Workers; CCopmp ppssation Laws of Califor C re. Motors❑0-1(�H�P ❑1'h-8 NODate �4D- �n4 Signature �` c Floor Drains. .� ` wim.•'-•-'ool w/ •- C ger F.A.U. .11,��ftt'"(� �- C� 'NOTICE:1 alter making this declaration, you should became tubj cl to the_ /- -g' HP ❑16-15+ Workers' Compensation provisions Of the Labor Code, you must forthwith Floor Sinks - - rine) `- Fixtures Microwave comply with such provisions-or this permit shall be deemed revoked. at CONSTRUCTION LENDING AGENCY • Gas Service O W er O05e I.774 Device Boxes Pole Light I hereby affirm that there Is a construction lending agency for the performance { ' \ 9of dee .work for which. Ihls permit is issuetl (Section 309] Civ. C.) InterieptOrs 11V�-- Ateer ) x/ Outlets Lender's Name /� Range Lender's Address • Kitchen Sink ater Servi•4.! // / SwltChes , OWNER BUILDER DECLARATION • . Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal • following reason (Section 7031.5 Business and Professional Code: Any city or - s g P ;Standing Sections i ,county which requires a permit to construct,alter,Improve,demolish or repair P-Trap' LaundryTrays . any structure, prior to its issuance, also requires the applicant for such permit y Generator 00.5 KW 05-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of ROOT Drains 'e Contractor's License Law (Chapter 9 (commencing with Section 7000)of - vision, 3 of the Business and Professions Code) or that he/she Is exempt , • , _ - , ' erefrom and the basis for the alleged exemption. Any violation of Section , - /031.5 by any applicant for a permit subjects the applicant to a civil ' _ penalty of not more than five hundred dollars-($500). ' ' • U I, as owner of the property or my employees with wages as their Tole Reinspection Fee I ' $15 Issue Fee $ 3 compensation, will do the work,and the shucture Is not intended or offered Reinspection Fee ' for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES p $15 Issue Fee $ 3 License Law does not apply to an owner of a property who builds or improves r . - thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not Intended or offeredfor Boiler - Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- , Canopy Type II ❑ Zoning Approved By Date ' pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). t - . . Building Approved By 1 Date ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued.By Date—/T/IJ-yef%y�f� tractors to construct the projectSection 7044,Business and Professions Code: - , . The Contractor's License Law does-not•apply to an owner of property who Duct-Ventilating - ❑0-100,000'BTU ❑100,000 BTU -- I I SUMMARY OF FEES ' builds or improves thereon,and wno contracts for such projects with a con- • tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System ❑ Multiple ❑' System Repair/Alteration BUILDING PERMIT '• van $ proof of their Worker's Compensation Insurance should be provided to me. - - PLAN CHECK 'PERMIT o I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers' Date I • Owner Heating System& Ducting Registers CIHECK ' $ --z--" -- ' 4 • $ .. _ PLANPL25%, I hereby certify that I have read this application and state that the above ❑0.100,000 BTU ❑100,00067 )�// , Information is correct. I agree to comply with all city and county ordinances . ELECTRICAL 1 ; $ S /C'j r'J.' // S, and State I. S relatingto b 'Wing construction,and herebyauthorize rere- i $ . sentatives t•is cilia/liter gu•o the above-mentioed pr p ty for PLAN CHECK 50% I '• ILM $ inspection •,.es. r IY, - MECHANICAL $ SSL) Signature '°V Date /i_Xe i ! TOTAL FEE $ ��� Reinspection Fee $15 I Issue Fee $ 3 PLAN CHECK 25%: $ ' Drivers'.License of SS - - CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING POC SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector ..1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK \ 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final `"12. Sewer Cap - , 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16; Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding •' 77. FIXED SYSTEM FINAL 29. Insulation- 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat . 79-. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation , 44. Landscape Irrigation System 45. Sound Attenuation • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - 1111111CciTY:F.COST-A ,Applicant to IIII in all spaces except those within heavy border lines and sign all appropriate declarations. •MESA CONSTRUCTION'PERMIT SRMNo.�B�j TRACT NO. LOT NO. UNIT NO. I 497( ' S/17/[�;1 ;' a,-;t;nJ? i Project Address 176 E. 17th Street Costa Mesa C? /9 ✓ �r,�( 9 . , • Applicant's Mailing Address 7.33 Industrial Way Costa Mesa TYPE OF CONSTRUCTION Li NEW sN ADD U ALTERATION ❑ REPAIR , 1�� I - - + , -•^ William H. Jewell 557-557.1 El CONVERSION El DEMOLISH El OTHERd A•P-'Tf2�LB — D5 I Zone C2 Owns's Name' Phone DESCRIPTION OF WORK/USE OF BLDG. PAI �Gi� Address' 3090 Pullman St. Costa Mesa, 92626 • /ate /,v" / /af , ..ir• S Main Building: ' Accessory Building: Arch/Eng, Gregory J. Cook License No. 31570 - TYPE OF PERMIT7�' N GRADING II FOUNDATION P:4 STRUCTUB6QO/LL T Front t'+'3 � _ - , 0 Address 3303. Harbor Blvd. CM 92626' . ❑ TENANT tel ELECTRICAL Ud PLUMBING El MECHANICAL j'R_- B Rear 404 N D��ate Phone ❑-OTHER C Right ci �,2�e.a� N Contractor's Name - PROJECT DESCRIPTION SQ. F OCCUPANCY _ Address(mailing) - ave. en, S' Left 4O z 0 I CONSTRUCTIONTYPE VALUATIONS City License No: • - ZONE GRADING CU.YDS. - ACRES - R LICENSED CONTRACTOR DECLARATION Ping, Ref-# ` Parking Req./Provided E• 1 hereby affirm that I em licensed under provisions of Charter 9 (commencing Remarks: .7 C t Q Plannin NOtea: �.•c n e { �,, // - with sectionis 7000)full of aDivision 3 of the Busi a P fedsionr¢ s Code,and / r �� �• `Z n,,/ g' J'I�ss �. L,V p�,(^���,,•p�.�/�ier/L(y 1.- M my license Is in full force and effect. 1. • 14V'-�J �, C , # y 23 - Sf� -�/+��mj4 �s ��d/!.0 >!i(• S I +ter"""!�// r License Class I t ns N - Date • Signature PLUMBING FEES WORKERS' COMPENSATION DECLARATION • t{ i ,...-1, ' hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ' i ELECTRICAL FEESr f Workers' Compensation insurance, or a certified copy thereof (Section _ _ Backflow Preventer - Service Sink - •- - 3800, Lab. 3S pe� ZL•� t ' •- - - Automatic Washer Transformer 0 15-50 KW - • V Poi' No. Q .Compa•ny G /'T Backflow Irrigation Sewer Cap Construction Pole Sub;- •-- 0 50+KW - /� Certified topy is hereby furnis - � / _ Cert-fied SqPy isj Iliad with the city Bu''di + .i�� r 4 Bathtubs Sewer Connection L i.e. y Cooking Unit . ;Meter ❑up to 100 amps • Date L' // 'ib Applicant - - l.�/�rvi�llaft....- r _� EXEMPTION F ROM WORKERS'COM ENSATION a ECLARATIO �• Clarifiers Solar Collectors • Dishwasher Meter ❑over 100 amps (This section need not be'completod If the permit is for one hundre• ($10, r less). Dishwasher Solar Piping Dryers ❑Gas'. ❑Electric ,Sub Panel I certify that in the performance of-t a wor r wh • t. is i•-ued, I - shall not employ any person in any manner o a h;T• "'to the Drinking Fountains Solar Tank �'• r Fan. i " ' Workers',C �npeA� Ion Laws of Californl. aa. /�• Motors❑0.1 HP ❑VA-8 • Date b PL V/a Signature ����t✓'/L1���� Floor Orcins Swimming Pool w/Spa �1 F.A.U. ________ {�i 9.15 HP 6.15+ 2.a'NOTICE:If,after making this declaratio you sherd b- o e ub/ct tot e — -- -- •- Workers' Compensation provisions of the Labor Code, you mus for Wet' Floor Sinks _ Urinal Fixtures comply with such provisions or this permit shall be deemed rev• • ,Microwave - 3 OQ CONSTRUCTION LENDING AGENCY ' Gas Service Outlets • Water Closet . Device Boxes I hereby affirm that there Is a construction lending agency for the performance -- _ Pole Light of the work for which this, permit is issued (Section 3097 Civ. C.) Interceptors • Water Heater - • / Outlets • i :'/ Lender's Name (p Range - / 20 Lender's Address A)o#•i-• Kitchen Sink •- 7 Water Service 2 00 Switches OWNER BUILDER DECLARATION Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories ' following reason (Section 7031.5 Business and Professional Code: Any city or Auto-Wash Garbage Disposal ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap . - Laundry Trays • Generator ❑0.5 KW ❑5.15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a.signed statement that he/she Is licensed pursuant to the provisions of Roof Drains ' 9 the Contractor's License Law(Chapter (commencing with Section 7000)of 1 _ ' Division 3 of the Business and Professions Code) or that he/she is exempt - { ��'• herefrom.and the basis for the alleged exemption. Any violation of Section , /031:5 by any applicant for a permit subjects the applicant•to a civil - • penalty of not more than five hundred dollars($500). - U I,'as owner of the property or my employees with wages as their sole Reinspection Fee 'I $15 Issue Fee g 3 compensation, will do the work, and the structure isnot intended or offered - — - Reinspection•Fee I $15 Issue Fee $ 3 for sale' (Section 7044, Business and Professional Code: The Contractor's • MECHANICAL • FEES ' License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own . ' DEVELOPMENT SEWS REQUI E TS: p employees, provided that such improvements are not'intended or offered for Boiler i Hood or Type I 0 EN //, 2.1 O sale. If, however,. the building or Improvement is sold within one year of com- - Canopy Type II ID - Zoning Approved By = Kciii?..... Date - pletion, the owner will'have the burden of proving he/she did not build or Im- Duct-Under Ground -- prove for the purpose of sale). Building Approved By Date ' •M IDI, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System - Application Issued By - Data tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who ' Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU _ e ' , - SU MA Y OF FEES builds or Improves'thereon,and who•conlracts for such projects with a con- , - �O�' $ D tractor(s) license pursuant to the,Contractor's License Law) I am aware that ' Exhaust System 0 Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP Fe proof o their Worker's Compensation insurance should pr. 1• toi • e., , PLAN CHECK $ PERMIT 0 Yam exempt under Section - on Firepl/Fact.Bit. ICBO,# . • Fire Dampers Y+pp ISSUANCE $ �_ ���Ir -clatter _ z PLUMBING • ' $ ' 3' Date owner 1 %i �, Heating System& Ducting Registers - ' I Q, Se ENERGY P.C. $ 6 10 85 f PLAN CHECK i25% $ _ p I hereby certifysthat I have readtom y with al and s eco above ❑0.100,000 BTU 0160,00013T /C A�uv ?e'- ( ELECTRICAL , - $ • 7i 70 'GRADING . $information Is is correct. I agree to am•ly with al city and county •In epre- V and-state laws rel. •• to b II• c•• - ctio and hereby autho ize repro- • , n $ MICROFILM $ ' sentative • is Ci , to - 't • the a••ve-mentioned peter y f� 1 PLAN.CHECK 50% p inspection purpo -s� rats,0,/ /)� 'A - • ' ' MECHANICAL ' $ TOTAL FEE . $ /3o. 7e ur¢ .,.9�iw./ d/i/t e Date / `7 • D.7S' Drivers' Licen • or.55 • Reinspection Fee i I $15 Issue Fee $ 3 , PLAN CHECK 25% $ • CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor - - CONSTRUCTION AND1111 .7., ; POG. . SPA APPROVALS Permi .Date ,_ Inspector APPROVALS Permit# Date Inspector-;. Teryiporary Electrical S 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel'iReinforcement '3. Electrical Condujt Utility-Undrgrnd. • r • e 54. Forms -ti 4. Electrical Conduit-Undrgrnd. _ ,,(jz$�,� t`C .55. Electrical Bonding , • • . 5. Steel Reinforcement - - 1- 56. Rough.Plumbing & Pressure Test r _6. Electrical UFEFi Grnd. 57. APPROVAL TO COVER-GUNITE 7; Footings 'o t'}jee_C 58. Electrical Conduit-Undrgrnd. I •• 8. Foundation i .• 59. Gas Pipe, O Undrgrnd.,Test . • • •9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. • r 10. Structural Floor System :` - 61. APPROVAL TO DECK • ' 11. Property Sewer Line& House Connection i. l,•' 62. Backwash & Receptor-Final ) . 12. Sewer Cap 1- r�, 63. Heater & Vent-Final • 13. Roof Drains ✓•• - - .64. Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final 157 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 Conditidning - FIRE DEPT. REQUIREMENT - 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating is ti' 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough & Test - 72. Underground Flush • 24. Roof Framing - 73. Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing ' 74.• Overhead Hydro l r 26. T-Bar Ceiling (Structural) &.Mondcoat - 75. Dry Chemical r 27. Frame and Flashing ' n 76. Dry Standpipe 28. Lathing&'Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL • . 30. Drywall Nailing '! HEALTH DEPT. REQUIREMENT l . 31. Plaster Brown Coat • 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED I ' • 33. Final Electric I �JJ�1 23� Notes: /o/ Q,5eMy •� 34. Final Heating& Air Conditioning - 35. Final Gas Pipe-Test Iv lits 7///45' C.404 tr-r--A2toi, T POLO F JJLAr ilt 36. Hood or Canopy /r 7 A C.C 37. FinalFireplace r Factory -ave Co- . 38. Final Plumbing 'r(( ,f 'dire? 39. Water Service-Final 07.61 crew, i • 40. Gal Service-Final Me s [! 7/46- Crte2 41. Solar Domestic-Final " •/ . - 1 42. Backflow Preventer 1,• ;i ' '{. • 43. Backflow Irrigation ' 1, �' ;'• �� ;.. 44. Landscape Irrigation System , 45. Sound Attenuation • 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING 4 ,, r ` 48. Special Requirements Completed 49. Electric Release to Edison _ • - • 50. Gas Release to Southern California Gas Co , , • • 51. CERTIFICATE OF OCCUPANCY ' No Date - _ , ' :l _ vosta Mesa snuaing Department 22y-f-. APP BUILDING u L D 1 N G 717 EAST 20th STREET • ��"j-,{ • COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN 1 Receipt No. Permit No. AAddes Address / 7 6 E1711"s t • I3 7 Costa Mesa, California R7ed by I Date Reed. Date Issued Nearest �` / 7-.a3--S4/•'//—`J`G. Cross St OQANGTt -Ar 13Q.- Buildin Address Owner cat,• Vel o LS'r Scyi of :115 Costa Mesa, California Address 1(o L, L Y , (7' S+, Nearest �a Tei, gel_4 -i[ Cross St. City c2 tT A V4 e..S► . • No. d5!d Zone �/ No.of Type Group G' ,/rs Itect or Lic.Ct/ . .� Ur pc I Plans I irrst Engineer.)Ir, Z,SIr/LI N CT No. .fr b a Approved by Date address CORRECTIONS . �1 City tic. -ontractor G , OLSTC nU�Sr 9go. .29o1 Address 16b t.yI 7 ita,s+•LeJ Description l I No.'s I Block y ITract��I ^ y . �'' RP- //7-l/2-os ••-• \ \\\)�l (Attach Metes/and Bounds) '7 '(>`^ > Size of Lot !Od w k /20 I NoonB Lots 0 ,i't i}i lil et. EUxisting Bldg.of ✓ I Families No.of I Rooms No.of \ �` kyr_ d` $ Setback Line from ,h Rear Yard 4e �{ c�FG u A�C J� z- Center of Street DJ o' Side Yard 8 e'1s i" y DESCRIPTION OF WORK _ vV� r • New I Repair I ✓I �Motvinglon I Demotion I lish sh I • ��� V� Buildingd �'{:/ / No.of / A ize 1 (O o Rooms Stories erior Wait..., Roof .vering S774eco , I Covering R0/1.7-(p • APPROVALS Bof New Foundation Location Inspector Date Building /J'rd -- /J. Forms,Materials, Under-Pinning Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath.Int with all City Ordinances and tate Laws regulating building cons ction.0 Lath.Ext Pe mtueeofQ� Le,• 4 - Permittee �,�,// - Plaster,Int Authorized Agt, `� it.\/> Plaster,Ext. Valuation Permit Fee $ \ , 0 0 Masonry Reinforced o'O Plan Check $ /Or O Bond Beam $ �� Total O O Fee $ o, FINAL FnPM 204 S-BP 2111 6-55 • • • c v o a 0 . . Street - • PLOT PLAN _ Show location and distances from property line and between buildings. . • 1. r - --- --- —,.i r s �_ . ` - _ 2 r• ` _'. - ,278 6 NOV 10-67PAID 472 Z*****5.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 02820 For Applicant to Fill In Completely APPLICATION FOR PERMIT 1- TYPE OR PRINT BUILDING BUINIJ/ [� A' For Office Use Only ADDRESSG // (� i( /,071/ BPL'D��y RECEIPTNO. ` /816 COSTA MESA, CALIFORNIA R[ BSS �p[ RECEIVED. T6ISSUED OWNER CEXCE y/esr,P/ ) 6 / �// /0/6/ /��/ 7 ADDRESS /74 Lr /7 a SY AUIRING / y4 FIRE f /TEL ONE TYPE GROUPCITY - ,4_-/} /yS/ . NO. L APPROVED // 7 5 4TNCETER /n j /�/�T�p. . DATE// /o-/ 7 CVG / Qc7) ZONING �/�, ADDRESS `3 4 ZONE n I NO.or USE OF NEW � /��J f[/ L " /�1 PLANE �7 -I BUILDING � .0.-,./..3//4---- CONTRACTOR . CONTRACTORRR /LpO%/ ��7A1- //tn-1• / I �/'// `��`I) ADDRESS'32_76 des\/O DESCRIPTION l'�--may I-/1 f '` ' /II CITY Ao A '_9c/1• A.P.NO. I �' I I �ATE } /J/ / NOTE: NO HAVE OVERHANG SHALL BE LESS THAN LIC.NCiy /2/) 'N9,ow�,/ NCC-47- 3Z// BO'TO SIDE B REAR P.L. SIZE I NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT)- _ OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OFMAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. alie 4,-)ASA-t 1 (FROM O/L.S�ISTREET/yn�''1/ SETBACK LINE FROM FRONT cV FT. 11 FT. CENTER OF STREET REAR YARD ,gp � SIDE YA9D I LEFT RIGHT R.SIDE // 44r.ler--t--so FT. DESCRIPTION OF WORK L.SIDE S�/�FT.T FT. / N. VALTERATION ADDITION �� REAR o/C7 Pi. FT. DISTANCE BET. BET.MAIN Q MAIN BLDGS. ACCESS.BLDGS. REPAIR _ -*WINO - •ENOUGH BUILDING ,,uu NO.OF VAR.# DATE SIZE '}-o" 1 4p' ROOMS STORIES / C.U.P.* /�J APPROVED EXCO ERIORWALLLYTTACCOI COVERINGL/J//�F PLIw`9` GO DATE I/`(o-lc' a COVERING USE OF BUILDING AND WORK TO BE PEREORMICq�- QJ aD A'20 C/f!CPo/CT sr fl//>,CifteR 9 .. ,/,e1/9 /9/6..3 , SO.FT. 0 I HEREBY ACKNOWLEDGE THAT I HAVE READ TNIB APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON• PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. ,i?JS, PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRUCTION. IQ 0� � .jO PERMIT FEE $ i O° pp SIGNATURES ��/ .�' PERMITTEE $ 6 00 PLAN CHECKS W AUTHORIZED AGENT ////// /y1/"'e� ��� ��- " TOTAL FEE $ / y ' I 30079 PAIR COSTA MESA BUILDING-SAFETY DEPARTMENT hAY -5.69 OO 250* ****66.00 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT REC a BV D TE RECEIVED DA ISS ED BUILDING Yt C �•- �/q 2z_e -E' ADDRESS ' / ( L-. .0-Oki—E. 1 , 7 I ��- � % .y:/L '9 /69/ OWNER Gel (,�M "O� E.( A r A.P.NO. // �7- ,j r2-07 PERe/ITn - ADD Z. pmt /r ADDRESS BUILDING if 7/ LO y� r,(&�1 A.. 1 Z ADDRESS d „ s'-l1✓ yY Li,Ili y C-Z CITY C0 AiE-s4 NO�9 947 TRACT i3 Iy°LOT j BLOCK CONSTRUCTION I,Ot,� NEW ADD ALTER REPAIR MOVING DEMO(ISH O N LENDER A/ eY (// ' co —O BRANCH i. n OWNER /e/e . (U .J/-'r oats I a/ tX r La-1 ••••ADDRESSd USE (�Ct(. (i(/ VALUE$ /O 049D6t J Q OR ENGINEER •C S. IIs It S"tail L..le•t L• • .6,71- 3 N FIRE Ilk M?" z < ADDRESS Q(�j f/ • 5fi Rr x" '(o-Sri N Y� ZONE TYPE GROUP W Z APPROVED �jg �S`./• J Z CONTRACTOR BY ATE (J CO Z -1¢ ADDRESS 0 w TEL. ZON ' NO OF .USE OF NEW thin C00... -1C00... -1Z F CITY NO. irPLANS7----S BUILDING o-thwD 0 STATE CITY YARDS APPROVED YARDS APPROVED LU OLIC . NO. c.,1-asLIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE i 1 t O I NO.OF BLDtS,t'j� (FROM C/L STREETI OF LOT I� NOW ON LOT �,J FRONTSOFT. FT. ( It t V. EXISTING BLDGs& ASIDE A p FT, FT, NO.OF \, Z NEW BLDG. �' `� ROOMS STORIES LsSIDE FT. FT. VEXTERIOR WALL I ROOF COVERING COVERING REAR 'gel FT. s-i J U E.^yO.�FF BUIL ING(,AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& Ss1'y[ IA.1 t'7 _ II MAIN BLDGS. ACCESS.BLDGS.//// Cua0 �B/g90�G1 cU.P..�a2 a33'-(� i DAPAPROVED- 9 1A7 {- p . APPROV�pa . ,/ �.1 Z HY /U' I cpDATE "� �- O \ HOLD FOR SPFrr.Ar 8`QUIR�MCNT9 UI hereby acknowledge that I have read this application and state e�d ._ c _ 7`_ c�� V that the above information Is correct end agree to comply with 1��-- -L-•'V-c/Lti cc all laws regulating building construction, and I shall not employ 1 F, any person in violation of the workman's compensation laws 01 0--4-1.CO the State of California. W ? I hereby certify that I am properly licensed ass contractor under SQ. FT. D the State of California Business and Professions Coda, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR b Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; am exempt from the provisions of e State of California Business and Profession ,OI slo 3, h pta�� VALUATION �,`• 00 co O� PERMIT FEE $Z. 7 Signature of 2 Q O m Permittee $�Q�CDO PLAN CHECK $ r S u Authorized Agent • I TOTAL FEE $ r DO 'I 31759 • APR PAID I,001557 V****29.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely _ APPLICATION FOR BUILDING PERMIT . E ,�/ R E EO BY DATE RE EIVED �-r�S��O BUILDING 'SY7 ADDRESS a• /7-7-4/ Si . mss //��f P R , T_ OWNER.4I//✓10.� n/! CO. A.P.NO. 7-/ 2--?- i - MAIL BUILDING(/'n'fly- -3-7 2 • ADDRESS S/-O oe42cs.. Ire ADDRESS i 7 6- , . / 7 V^ O. 0 CITY ‘0_,T Ravereo CFS NOL TRACY Ni--. I • �L CIT BLOCK Z CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOIISH O N LENDER / - , I BRANCH `/ Q n OWN E Ric_LC.Q� -yam v_J ADDRESS 4,' •� VALUE ' -CO ARCHITECT TEL. Lisp t^^ .L• $ U<OR ENGINEER o NO Q FIRE W rt ADDRESS ZONE TYPE4AATE GROUP ge aW �Z �y APP�i O�V��..QQ �// w O CONTRACTOR x c., Ear -BV(LQ i . / /-7D -J Z '/ J Q ADDRESS/Zoe�/' COCC/.c/S �'�'�'"""� Wµl ZONE NO.OF USE OF NEWt3 O-1 td o z TEL. I�� pp v PLANS BUILDING �f Z I- CITY 0a,,,e,a N4 3Z4$(B nom` r u/" - "Y" �-I. -o STATE CITY YARDS APPROVED YARDS APPROVED y Cc LIC.NO. ZSC9 2 Z LIC.NO. MAIN BUILDING ACCESSORY BUILDING 7 Q SIZE i NO.OF BLDGS. - (F q�p¢M��CiY.)aPCFT. L ^. I / %�\ OF LOT NOW ON LOT FROM (J R•FT. (/ fa- �/'f"a"• - J USE OF • EXISTING BLDG, R.SIDE � ET. e� , FT. I.- SIZE OF NO.OF / if Z NEW BLDG. ROOMS STORIES L.SIDE_ o2D FT. No-a, .�2/ , EXTERIOR WALLROOF U V COVERING 1 COVERING REAR SS-T.fi FT. I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& -Q ..23..23 [l c .-Tw9tb/iCS A OK tescasoceA,re MAIN BLDGS. ACCESS. BLDGS. E O Ef/� 'a.sE.vsE-fes r�.'7../ -S�se qp.» vyEo-1'^C � � APPROVED 3-�/4-`7(2 I- 0 Wen.SES _8_�L�/VEl7- ._ O� f DATE / V 7--7- / o 0 UI hereby acknowledge that I have read this application and crate HOLD FOR SPECIAL R:QUIREMENTS - that the above Information Is correct and agree to comply with EE' alln laws regulating building construction,n, and I shall not employ c 'l r any person in violation of the workmen's compensation laws-of J-z-C_C.DX`j ..S�zaiP m N the State of California. m I hereby certify that I am properly licensed as a contractor under SO. FT. 0.- the the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR a Chapter 9, and that such licenses are In full force and effect,or I • THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business VALUATION and Professions Code. Division 3, Chapter 9. /.t m �) (� PERMIT FEE $ , /'1 n O Signature of G ,ece Permittee S 7Sd0 w PLAN CHECKS-41461€51514E C99 06 {� p Authorized Agent \ IG ) LL TOTAL FEE ?-F' - 32009 PAID Ala 3O-70CM5003297 0*****5.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BV DATE RECEIVED BUILDING J ! ` �CEi 6- n IVy DATE ISSUED ADDRESS /7C C./ 7ry di- iY tr7'I/'/fl �`'a •• S �r / `''7 #4 PERMIT NO. OWNER�AV .�'o,a Ulm _J A.P. NO. lI /^II).----O'. tQ f,a,„?0 a7 MAIL BUILDING /�7/ ` - ADDRESSJ/SCO AM:G�S�� ADDRESS /(� / r Zw Ili TE �/) 0_ 0 CITY G A NOI. TRACTy9Yr LOT /9' "ROCK Z Z CONSTRUCTION NEW I-ADD ALTER REPAIR MOVING nFMOLISH O N LENDER (V am J D BRANCH - _ OWNE }e_d ADDRESS VALU • J m ARCHITECT TEL. USE $ C OR ENGINEER NO. O C LU 2 ADDRESS FIRE a Z ZONE TYPE GROUP ` cLLLl APPROVEDa J O CONTRACTOR .�-Co�CAW- BY ATE ---.3e9— // Ca J cc ADDRESS,/Loo Ai CO(,C/iN.0 L1.1 uj f ZON NO.OF USE OF NEW TEL. j 2 O= _ - Nc _ ,7 NO. I BUILDING ` 4 Z I- CITY Devic NO.l 1Y8 w 0 STATE CITY YARDS APPROVED YARDS APPROVED in C: LIC.NO.'Zs SZZ LIC.NO. MAIN BUILDING ACCESSORY BUILDING D O (FROM C/L STREET) SIZE' NO.OF BLOCS. p� � OF LOT NOW ON LOT _FRONT FT. ,>/ g FT. L�/�4,.. USE OF !� EXISTING BLDG. R.SIDF FT. 6 S FT. I- SIZE OF 3G a NO.OF / �Q Z NEW BLDG. h'fa — ROOMS ( STORIES L.SIDE FT. FT. Q EXTERIOR WALL ROOF � Y _V COVERING COVERING REAR FT. _ J FT. I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& MAIN�ByLLD)G/SS.. ACCESS.BLOCS...// '�7 DATE � C43 a/c'Z-S '.'k3 o O Ta C URPitI+IE b-7CD APPROVED / 10%0 0 • BY� DATF b- P91-76) Z HOLD FOR SPECIAL REQUIREMENTS U I hereby acknowledge that I have read this application and state Q .. C1 ~`- that the above information is correct and agree to comply with D� `t-d���! LlGC�6-+'��f✓ CCall laws regulating building construction, and I shall not employ 6---#1 I/ -7 s y any person in violation of the workman's compensation laws of / m N the State of California. n _ I hereby certify that I am properly licensed as a contractor under SO. FT. 6 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR •• Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: rt am exempt from the provisions of the State of California Business VALUATION and Professions Code. Division 3,Chapter 9. m /p O PERMIT FEE $ 5 ♦ Da Signature of _' /' / /00 m Permittee nature 'C,/ / �C $ PLAN CHECK $ E 0 LL Authorized Agent TOTAL FEE $ S ' o0 Applicant to fill in all spaces except these within heavy border lines and sign all appropriate declarations. t q-I I 1 PERMIT NO. TRACT NO. LOT NO. UNIT NO. 1 1�1 COSTA MESA CONSTR UCTI PER IT � 1c� A•P.# ZS — �I 3 — ZonectAddress �7� •r _ LllS Main Building: Accessory Building: IOF icant'sMailing Address Ito B• ITS s• • I%O TYPE OF CONSTRUCTION NEW ❑ ADD ALTERATION REPAIR E - J -ri� ❑ CONVERSION ❑ DEMOLISH ❑ OTRT Front r's Name / X1-7 T I�� px 1 /•Phone'�l� DESCRIPTIONr,'�O�F 1WO1,R'K�'USE OF BLDG. N I A Rear N Address 110 E. I I _/ivl / lc V.� . bn'4✓\/+&w WOW' P r ACAS cUo<A I . Arch/Eng. License No. TYPE OF PERMIT U GRADING LJ FOUNDATION ❑ STRUCTURAL K Right G Address r-s,a ryrsl� ���J� �,'.r.�-rq El TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left Oa (NI R?`/ Phone 1"x•(2 IS/� El OTHERR Contractor's Name Ping. Ref.# Parking Req./Provided E AFROJECT DESCRIPTION SQ. FT. OCCUPANCY Q Address(mailing) 110 / I7 �� a*�'i G'Ivs Co,. A OD Plannin Notes: •VI I,' p!'L ��E �•1`LIN� M ,(�� •y, CONSTRUCTION TYPE VALUATION$ 4- 00[014.5-- `L'_"`' �s�,O "^"p-'(y'y�Ae ��r� r. T City License No. "Y�/1/�'�� ZONE GRADING CU.YDS. ACRES .{�svw•+ 0 (�L-tins LICENSED CONTRACTOR DECLARATION p /� /� 1 S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: D ' ' Z©._� /•, /9 ,,7--ia._- 0 Ia. � . with section 7000) of Division 3 of the Business and Professions Code, and 1 L� 7 -sem ( ELECTRICAL FEES my license is in t� �I force and effect. /�s� ,/�r// License C'aAs_[/ j,^n� L eh o. �'•'�� ``[ 87 Date CC17•Py Signature PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW W^RKERS'COMPENSATION DEC//••/•ATIONConstruction Pole Sub. 050+KW eby affirm that I have a Insure of consent lb self-insure ora certificate Bar Sink Showers /orkers' Compensation Insura e, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 3e00, Lab. C.) Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps BCertified copy is hereby furnished. Dryers ❑Gas DElectric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant • Fan Motors 00-1 HP ❑1%-B EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar r. i. ors (This section need not be completed If the permit is for one hundred ($100) or F.A.U. less). Dishwasher Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for w h t• p-mit is Issued I • shall not employ any person in any m:4,4 er so4. o •'cot subject to the Drinking Fountains la Fixtures Microwave Workers/ CQWWing/ion Laws of Calif.,- Date n- Signature A._ . ,wise • Floor Drains g Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declarati. ,f.0 shout• become s •sect to the •e Caeou et forthwith Floor Sinks renal Outlets Range Workers' Compensation provisions of J e .bor comply with such provisions or t I permit shrillll be deemed revoked. Switches CONSTRUCTION LENDING AGEN•V Gas Service Water Closet Sign I hereby affirm that there is a construe ion lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. CJIntercept0 Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address KitcSWater Service Generator DO-5 KW 05.15 KW Trash Compactor • - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for s Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any r -- county which requires a permit to construct,alter,improve,demolish o! ti pair Laundry Traysany structure, prior to its issuance, also requires the applicant for suchP IPIMto file a signed statement that he/she is licensed pursuant to the provis00ainsContractor's License Law(Chapter 9(commencing with Section 70 cion 3 of the Business and Professions Code) or that he/she is et 11 �r( _ $15 Issue Fee $ 3 efrom and the basis for the alleged exemption. Any violation of Sec - 31.5 by any applicant for a permit subjects the applicant to a a n9A penalty of not more than five hundred dollars($500). $ I ' ENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their solo Reinspeei✓:: $15 Issue Fee fOVOd B compensation, will do the work,and the structure is not intended or offered - _ pV y Date for sale (Section 7044, Business and Professional Code: The Contractor's M C F: Biting Approved By License Law does not apply to an owner of a property who builds or improves _ _ _.__ _. _ -_ _ _ -_ _ DetO thereon, and who does such work himself/herself or through his or her own Boile Hood or Type I D Ap••-Mien Issued By Dete employees, provided that such Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of corn- - Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct- round prove for the purpose of sale). - BUILDING PERMIT $ CP`3 s era SMTP $ . Go o 1,as owner of the property, am exclusively contracting with licensed con- Duct-Str at • Refrigeration Sy • PLAN CHECK tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT 1 The Contractor's License Law does not apply to an owner of property who Duct-Ventil.' • *1,000 t7.0 B UPLUMBING $ ISSUANCE $ builds or Improves thereon.and who contracts for such orolects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System • Multiple 0 Syste le. on PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ I 0 I am exempt under Section - B. & P.C.for this reason Firepl/Fact.Blt. ICBG d6 Fire D:. oil; PLAN CHECK 50% $ MICROFILM $ Date • Owner Heating System& Ducting t egis• ,s MECHANICAL ' I hereby certify that-I have read this application and state that the above DO-100,000 BTU 0100,000BT 11" $ TOTAL FEE $ 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 of this city to enter upon the above-mentioned property for inspection purposes. - Signature Date • Drivers' License or SS 9f Reinspection Fee I $15 Issue Fee $ 3 0865-46,rev.5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor • ... -RUCTION AND PLANNING PO 4 SPA i'• APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector • 1. Temporary Electrical Service or Pdle :r_ 52. Pool & Equipment Location ' ri 2. Soil Pipe-Undrgrnd. ,%1+_ r, 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. •� 54. Forms 4�Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel;Reinforcement• 'J 56. Rough Plumbing & Pressure Test r.. 6:• Electrical UFER•Grnd. 1;.-" 57. APPROVAL TO COVER-GUNITE 7.•Fodtings '' 4 A' 58. Electrical Conduit-Undrgrnd. 8. FoundaIion " 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Und grhd. % . ,' . 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System t ; ..-, • 61. APPROVAL TO DECK 11! Property Sewer Line & House Connection _ • 62. Backwash & Receptor-Final G. 12i;Sewer Cap 7 ••,di 63. Heater & Vent-Final 13. Roof:Drains 1" C' 'Y 64. Plumbi .System - Final •14. Rough Plumbing V 65. Electrical-Final `'44. 15. Rough Electrical-Conduit 66. Solar System-Final '16. Rough Electric Wiring67. Fencing& Acc ss Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING -18. Rough Electrical-T Bar Ceiling. 69. POOL/SPA SYSTEMS FINAL •• 19. Rough Heating& Air Condifr ning 7` FIRE DEPT. REQUIREMENT ,Y "...it ' j- 20. RoughlEactory Fireplace !.P APPROVALS �• Permit# 21. Ducts,iri•Structure GI .4 4'70. Underground Hydro 22. Ducts, Ventilating r• /711 Product Piping 0 Gas 0 Oil ' 28. Gas Pipe-"Rough & Test r`. �`,.`'' 72. Underground Flush 24. Roof Framing nN " •r • 73. Undergrnd.Storage Tank"O'Gas ❑Oil 25. RoofSheathing :Rh\ ' 74. Overhead Hydro 1+1, 26. T-Bai•Ceiling (Structural) &yMontScoat -, 75. Dry Chemical. '1/4S,'• r- 27::Frametd Flashing •i , '•• i " r 76. Dry Standpipe !) '•rr.J _ 28. Lathing& Siding iy•` -,".• 77. FIXED SYSTEM FINAL ,a. , te 29. Insulation fit: 78. FIRE PREV. FINAL ,r „A 30. Drywall Nailing 4:, , .c1/4,... HEALTH DEPT. REQUIREMENT 31.'Plaster Brown Coat ;, li 79. FINAL INSPECTION •_re,r`,•7i..,, 32. Electrical Power Meter-FiLl 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: „ 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test • _ 136. Hood or Canopy i- 'I i. •37- Final Factory Fireplace' , ,. iii. vi 38. Final Plumbing = •.. ,/>� :• r39. Water/Service-Final 1. ? . •40. Gas'Service-Final •i 41. Solar Domestic-Final " 1 42. Backflow Preventer- .1 '43. Backflow Irrigation, r •. 44. Landscape IriigatioruSystem 45. Sound Attenuation •C•- 46. Handicap Regulation's 47. FINALISTRUCTURE 8&)BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date