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Home My WebLink About588 19TH ST - Building Permits.. � �. � +_ . (714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 .lob nddress: 588 W 19TH ST Suite: ViGinity: Parcel Nunmber: 42214147 App�iwnt: CHALACAN, LUIS Address: Owner: OELKE, HERBERT G TR Address °hBERTOLINO, PIERRE J COSTA MESA, CA. 1014 ARBOR ST Contracror. C 8 C SIGNS Address: 11622 ANABEL AVE. GARDEN GROVE, CA SIGN PERMIT Zoning: __ � i , �.. Phone: 714-537-8175'�� Zip: � Phone: Zip: 92627 Phone:� (714)537-8175 , Zip: 92643 License: 541345 � Status: ISSUED Applied: 04/10/2001 Issued: 04I10/2007 ISSUED BY: Arch I En9 : . - � Address: - � � - Phone: Zip: . License: � _ � _ ,_ ...- . ,. . , ` -_ . . i' . , ._ .�. SCOPE OF PERMIT� .: '.:. '- � , � . INSTALL 20 S.F. ILLUMINATED WALL SIGN ON FRONT ELEVATION OF THE BUILDING FOR'TACOS 8 TACOS." - - . �. .. �� J .. . . / �' ' �"% �_ _ - : - '- FEE SUNIMARY� . = - --, y . , . � Plan Check: $29.15 i; Calc Valuation: si,zoo.00 , $0.00 . <�: . ��/; , _ / � , i -: Permit: $44.85 - � -_ ' �. - Claimed Valuation:; ��' `Si,zoo.00 ;'� , ` SMIP Com: � � ' $0.50 %%%"� Other. $0.00 � . � � - � �r�.�' ��%�� $0.00 _ . . ... �,_ , %i'� � � � Inspection: �$0.00 �`" � �, ;-� '�' � ' � � ., . ` , _ ,: ��: c . � i � � � . $0.00� �' � � �� '�/ � % � ;��$�.��V� -� ^p �� O�c .� ,,�� %�%-� /, � ; � .✓ ��i ��\ -- � e, � �� ,AC��j �� Totali $74.50�' `;__ _ , �= ..�,' O�, �';� j � / , _ � �� ,. ; � _ - --. ��V�, '"1 . . . NOTES: �� - PLANNING & ZONING,1\ ` � � J %r ' � �, . _ � � �i ,, �<, - _ , . � � ,: �• �i;�, _ - _ : �'.. - ,; �., — "i%/ i _ - . - ::�'— . NOTICE: The work authorized by ihis permit shall comply with all applicable handicap accass requirements untler California statutes antl related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or ii work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all � required Inspeetlons and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2dd8-661�) WORKERS' COMPENSATION DECLARATION: ' • I hereby eifirm untler penalry of perjury one tl� the following tleGaretions: - ❑ I heve and will maintein e certifiwte ot consent to selt-Insure for workers' mmpensatlon, es provided tor by section 3700 oi Ue LeDor Code, for ihe peAortnance of the work 1or which Ihis pertnit is Issuetl. ' ,� I have a� I maintaln vrorkerm' compe�6on insurance, es required by sectlon 3700 ot the Lahor Cade, for Ne peAortnance ot Ne work fw which Nis pertntl LSlssueE. � My wo compen tlo nsurance cerrier entl policy number ere: Carrie�: Policy Number: (This sect need not be canp/eted i/ the pe�1f Is valued et one hundred dallars ($f00) or less.) �I cenity that in Ihe pertormance of the Wo� �or which ihis permlt is Issued, 1 shall not employ any person in eny manner so es to become subject to the workers' compensetlon laws oi Ifomla, end a,��ea�/t� t ii I should become suh�ect to Ihe workers' compensatlon provislons of Se tlon 3700 of the Labor Code, I shell fonhwlth comDly with th e pro lons. ��"' �' Appliwn� Signeture: { � (// Dale: � WARNINO: FAIIUFE TO SECURE WORKERS' COMPENSATION COVEMGE IS UNUW FUL AND 5lIA11 SUBJECT AN EMPLOYER TO C I NAL PE TIES AND GViI FINES UP TO ONE NUNDRED hKK154ND OOLLARE (5100.000�, IN ADDRION TO TME COST OF ODhiPENSATION, DAMAGES AS PROVIDED FOR IN SECTIpJ 3]OB OF THE LABOR E, INrEREST, AND ATTORNEVS FEES. IICENSED COHTRACTORS DECLARATION: 1 hereby ettirm lhat I em licensed upder provisions of Chapter 9(commencing with Section 7000) of Divlsion 3 of the Business antl Profeuions Code, and my license Is In lull force antl eHect. lJc. M /` � (-" Clau N � ConlractofsSignature: Date: � r CONSTRUC710N LENDING AGENCY: ❑ I hereby eHirm that there is a construcdon lending egency for Ihe Oedormance of Ihe work for which INs permit is issued. (Sec. 3097, Civil Cotle). Lendels Neme: Lendefs Addrass: SigneWre: OWNER•BUILDER DECLARATIONS: Date: 1 hereby ettirtn Ihet untler penaly of perjury �hat 1 em E%EMPT FROM THE CONTiiACTORS LICENSE LAW far Iha tollowing reason (Sec. 7031.5, Business end Protessions Cotle: Any city or county which requires a pe�mit to construct, elter, Improve, tlemolish, or repair any structure, pnor Io Its Issuance, also requires Ihe epplicam tor such permit to tile a slgne0 statement thet he or sha is IlGe�sed pursuent to the proNsions of the Contractors License Lew (Chepter 9(wmmendng with Sectlon 7000) of DlNsion 3 of Ihe Business end Professlons Cotle) or ihat he or she is exempt lherefrom and the basis for Ihe elleged exempiion. Any violatlon of Section 7031.5 by any epplicent for e Dermit subjects Ihe applicflN to e ciWl panalry ot not more than five hundred dollers (5500)J: r. �� ❑ I, es owner o1 the pmperry, or my.employees with wages as their sole compensation, WILL DO THE WORK, end the structure is not intended or otteretl for sale (Sec. 70d4, Business entl Professians Cotle: The Contrectors License Law tloes not apply lo an owner of property who builas or improves thereon, antl who does such work himseN or heroell or through his oi her own employees, proviEetl that such Improvemenls ere not intended or ottereC lor sale. If, howaver, ihe builtling or improvement is sold within one year ot completion;t�e'�ner-builOer will heve t�e burtlen ot Oroving Ihat he or she did not builtl or impmve for purpose ot saleJ. � I, es owner oi the pmpery, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct Ihe project (Sec. 7044, Business antl Professions Cotle: The crontractors Licanse Law does not apply to en owner of propeny who builds or Impmves thereon, entl who contracts for such pmjea with e coniractor(s) license pureuant b the Cantractors License Lews.). ❑ I am e:empt untler sec. �'� Busineu antl Pmfeuions Code for �his reason: SlgnaNre: ��-� ___— _ _ Date: Owner ID venileG by tlrivers Ilcense. ❑ �es ❑ No Dnver's License No. Vedfiration of Ownership by (lype of dwument, i.e. - praperty tau bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERM�T CERTFICATION: Espires: ❑ I hereby certily Ihat no excavetion fve (5) or more feet in depth Inio which e person is required to tlescentl, wlll be mede in connection with work authorized by this pertnit, end thet no building sirudure, s�Koltling, falsework, or demolition or dismanNing thereol, will De more then �hirly-slz (36) feet high. (Chap. 32, Grp 2, Art 2, SeC. 341, Ttle B, Calilomia Adminisirative Code). ❑ As owner-builtler, I wlll not employ anyone to do work which would require e permit irom Ihe Division of Industrial Sefery, as noted ebove, unless such person hes e permit to tlo suc� work from Ihe divisio�. SignaNre: Date: Division of Industriel Sefety Parmit Number: CERTIFlCATE OF COMPLJANCE AND AIJTMORIZATION OF EMRY: I certity under penalry ot pe�ury that I have read this epP�ication and state lhai the infortnetion given is correct I egree to comply wit� ell state laws and ciry ortlinances releting to builtling consimction, antl authotlza representatives oi the Ciry of Costa Mesa to eNer upon the ebove-described propany for Inspectlon purp0.ses. I agree not to occupy or allow occupancy of eny building authorized by �his permit uniil final inspection. Sign ure Oi Legal Owner(s) �a czl C�-�'- ? �•.�, �l �b%/ AnNOr Authonied Applicant Date� COpE1, INSPELTIONTYPE QejE i616 Flaed System Final Fire Prevention 1266 200 201 202 203 204 Paol Spa Final Finel Re-Roo1 Finel Block/Retaining Wall Final Fectory Fire Place Final Sign Finel Demolitian Ii�EL$ 44BC! INSPECTIONTYPE 206 Final Mec�anicel 20B Finel Plumbing 210 Final Elecirical 272 220 Final Fire Prevention Final Planning Approval 222 Final Site 250 FinalBuiltlingiOccupancy Qe� �$ (714) 754-5273 • Fax (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT �ob nddress: 588 W 19TH ST Suite No Viciniry: TACOS & TACOS (FRONT EIEVATION) Parcel Nunmbec Applicant Address: Owner: Address Contractor 42214147 CHALACAN, LUIS 11622 ANABEL AVE. GARDEN GROVE, CA OELKE, HERBERT G TR %BERTOLINO, PIERRE J COSTA MESA, CA 1014 ARBOR ST C & C SIGNS Address: 11622 ANABEL AVE. GARDEN GROVE,CA Phone: (714)537-8175 Zlp: 92643 _ � , Phone: Zip: 92627 Phone: (714)537-8175 , Zip: 92643 ' � . License: 541345 � Status: ISSUED Applied: 04/10/2001 Issued: 04/10/2001 ISSUED BY: ' � .� SCOPE OF PERMIT;;� ; � � � INSTALL 1 20 SF ILLUMINATED WALL SIGN ON THE FRONT ELEVATION�OF THE BUILDING FOR ' 'TACOS & TACOS" - -- - _ - - - � 1 SIGNCIRCUITV "' REF: SB01-00037' � . �'. ., i � � �- __ - __ � �____ _ . . _ . , `✓ , _ _ . - 'Quantity ISSUE FEE ��. $23.50 Temp service test- � $0.00 Res. alc package � $0.00 New Res (1-2 units) � �. $0.00 � 0 New Res (3+units) �, $0.00 0 . Pool / Spa � . . $0.00 .. ,ir " � 0,�- . �� . . . LightingFixta' �"` $0.00' �, <_ 0 , ReceptOutlets -,� � � $0.00 ��\�0 -_ Switches �'�� $0.00 � 0� Non Res Appl ` ��V �� ,$0:00„ � 0-� Res Appl � � � � $0.00 , ; . � 0 � � � Service to 200a ' _ $0:00 � % � � 0� Service to 1000a , -$0.00��` ; ,' ,o %. �� - Service over 1000a �� $0.00-,, � � 0 Motors to 7hp $0.00', ' -_ 0 � Motors to 10hp $Q00"-;' , 0. , Motorsto50hp $0.00 �� 0� ��. � Motors to 100hp $0.00 0 '� _" Motors over 100hp $0.00 0 Communication drops $0.00 0 Sub panel to 200a $0.00 0 Pole Light Pkg $0.00 0 Sign Circuits $24.60 1 Temp Pwr Pole $0.00 0 Intermed Pole $0.00 0 FEE SUMMARY% ' f .� - _ _3 � Quanti,ty �� ' i' Temp Dist System / Lighting $0.00 � 0�; ' . . : -�Busway /100 R � $0.00 � 0� �� _�_i��i-��StandingSection $0.00-=.'�0 ., ��.�. � - � MiscElectncal.Equipment $0.00!��0 ' , � ' . ��Transformersupto7kvalkw_ $0.00°j 0-,r_ �..��' � . , � :.:.......:...: up to 10 kvalkw � ,.s%. `�$0,00� 0 �-..� / . , - � . . ..up to 50 kvalkw �� EO 00 - � 0 � , � i �. ' : ;�v �o ioo k��w j%so.00 � o /' "% � � � � � ..:.over 100�kva/kw�$0,00 ��%,0 � � / - " LowVoltage�Eqwpment; �-$000;"'O,�,i �� . Low VOIt Wiring:System I Ckt � �%$0:00% � 0�' Misa Conduit � ��;� .$D.00 ; 0,� Misa Conductor."� ,� A V�� $0.00 ;- " 0 � "Circus ( gen or ride)� �� ) �$0.00 - " 0 � , Cirws (mech ride,or lights) /�� $0.00 0 �- ' �-� Christmas �Tree Stand - � , - � $0.00 0 - Fireworks Stand;�-S <��'-� $0.00 0 _�OtherEled�ical.Fee- � $0.00 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES E48.10 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and relatad regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepeclions and flnal epproval must be obtained. Failure to obtain Inspections and final approval will resul� in iha expira�ion of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaws (a�oo1 WORKERS'COMPEN5AnON DECLARAnON: I hereDy aMirtn under pe�alry of perjury one of the following declaratlons: ❑ I have entl will me�nlain e ce�itiwte of consent to sell-Insura tor warkers' compensation, as pmvided for by section 3700 ot the Lebor Gode, tw the pertormance ot the work tor which this pertnit Is issued. ❑ I have entl will mel��afn workers' compensation Insurence, es requiretl Ey section 3700 of Ne Labor Cotle, tor t�e perfortnance oi Ihe work tor which �his pertnit Is Issuetl. My workere' compensation Insurence carrler and policy number ere: , l Garrier. Policy Number: (This sectlon need not be comPlefed i! fhe permif is velued et ane hundred dollers ($f 00J or Iess.J I certify that In t�e pertortnence of the work far which lhis permil i9 iuuetl, I shall not employ eny person in Bny manner so e5 to become subject to t�e workers' compensetlan laws of C fomia, end egree Ih t tl I ahould become sub�ect to ihe workers' compensation provislons of Saction 3700 oi tha Labor CoOe, I shell lonhwlth comply with t se Pro ions. / � � / Applicent Signeture� _ ��"'� Dete: �1f � O WARNINO: FAILURE TO SECUFE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AN� SHALL SUBJECT AN EMPLOVER TO CRIMI PENAL ES AND CIVIL FINES UP TOONE HUNDRED TiKK1SAND DOLI.ARE (5100�000)� IN ADDITION TO THE WST OF COIAPENSATIIXJ, UMMGES �1S PROVIDED FOR IN SECfION 3]080F THE LABOP CODE, IMEREST, AND ATTORNEI^5 FEES. LICENSED CONTAACYORS DECLARATION: I hereby ettirtn thet I em �license/a yn4er provisions oC1 C�hepler 9(commencing with Section 7000) of Division 3 of t�e Business and Proteuions Code, and my license is in lull force and eflect. Lic. k��1 �� U�` Cless M��i� � Contrectols Signature: _�y � � - — Date: CONSTRUCTON �END�NG AGENCY: ❑ I �ereDy eNirtn iha� there is e construc[ion landing egency for the peRormance oi lhe work tor which Ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lendar's Address: Signature: Date: OWNER-BUILDER DEC�NATONS: 1 hereby eHlrtn Ihet untlB� penalry ol perjury that I em EXEMPT FROM TNE CONTfiACTORS LICENSE LAW lor ihe following reason (Sec. 7031.5, Business end Prafesslons Cotle: My ciry or counry which requires e pertnit to construct, eltar, Improve, tlemolish, or repair any strudure, pnar to Its Issuance, elso requires t�e epplicant for such pertnit to file a signetl stetemen� t�et he or she Is Gcensed pursuam ro ihe pravisions oi the Contractore License Lew (Chepter 9(commencing with Section 7000) of Dlvislon 3 oi the Business end Protessions Code) ar ihet he or she Is exempt tharelrom end the basis for ihe alleged exemptlon. Any vloletion oi Sectlon 7031.5 by eny applicent for a permlt subjecls Ihe eppllcani to a civil.penelty of not more ihen five hundreC tlollars ($500).): it U"�� ❑ 1, as owner oi the property; or my employees wlth weges as Ihelr sole compensation, WILL DO TNE WORK, and the siructura is noi intended or oHeretl lor sale (Sec. 7044, Business and Professions Code: The Coniractors LJcense Lew does not appty lo an owner of property who builds or improves thereon, antl who does such work himsell or hersaN o� ihraugfi his oi her own employees, provided �het such improvemenis are not intentled or oflered for sale. If. however, iha building or Impmvement is sold within one ye�� of completion; the�owner-builder will have ihe burtlen ot proving that he or she did not Duild or improve lor purpose of sale.). �. . .-�. ❑ I, es owner ol the p�aperty, am E%CLUSIVELV CONTRACTING WITH LICENSED CON7RACTORS to canswa the pmject (Sec. 7044, Business antl Professions Cotle: The contrectors llcense Law does not epply to an owner of propeny wha builds or Improves thareon, end who contracts for such project with a comractor(s) licensa pursuent to the Contreciors Licanse Lews.). ❑ I am evempt untlef sec. Business end Prolessions Code for this reason: Signature: Date: Owner ID veniletl by Crivefs Ilcense. ❑ Ves ❑ No Orivefs License No. Expires: Venficatlon ot Ownership by (type of dwumem, i.e. - propeny tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ 1 hereby certity Ihe� no eacavation tive (5) or more te9t in dep�h Into whlch a person Is requiretl Io Oescen4 will be made in connection with work aNhonzetl by this pertnit, antl that no building structure, scaHolding, felsework, or Cemolitlon or dismantling thereoi, will ba more than thirty-six (36) faet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Titla 8, CaIlfoMa Administrative Coda). ❑ As owner-builder, I will not employ anyone to tlo wo�k w�ich would require e permit from the Division ol Industnel Sefery, es notetl above, unleu such person hes e pertnit to tlo such work from iha division. Signature: Date: Ditisbn o1 trWustriel Satary Parmit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVATON OF ENTRV: I certily under penalry ot perjury tha� I have read ihis application and state that ihe information given is correct I egree to comply wlth ell state laws antl ciry ordlnences relating to builCing wnstruction, entl euthodze represencaiives of Ihe City of Costa Mesa to enter upon ihe above-described propeny for inspection puryoses. I egree not to occupy or ellow occupanty of any building emhonzetl by this permil until tinal inspection. Sig ture Ot Legal Owner(s) �l� L'�t- � AndlOr Aut�orizetl ApplicaM CO�EI, INSPECTIONTYPE 7616 Fizetl System Fi�al Pire Prevention 1266 Pool Spa Final 200 Finel Re-Root 201 Finel BIwWRela��i�9 Well 202 Flnal Factory Fire Place 203 Finel Sign 204 Finel DamNifion Q�jE IMITIRLS COUE� INSPECTIONTYPE 206 Final Mechenical 20B Finel PlumDing 210 Final Electdcal 212 Finel Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building�Occupancy Qejf, �NTRI�LS ��ia��sa-52�3 • Fex pia��sa•aess Job Address: 588 W 19TH ST Suite: Vicinity: � Parcel Nunmber: 42214147 CITY OF COSTA MESA BIIILDING o1VISION DEVELOPMENT SERVICES DEPARTMENT, PERMIT Applicant: PAT & ISABEL BAEZ Address: 588 W 79TH ST COSTA MESA, CA ,- Owner: OELKE, HERBERT G TR Address %BERTOLINO, PIERRE J � COSTA MESA, CA � 7014 ARBOR ST Contractor: OWN ER-BU I LD ER Address: Arch I Eng : Address: Plan Check: Permit: SMIP Com: Other. Inspection: Total: NOTES: SIGN PERMIT Zoning: Phone: (949)548-9996 Zip: 92627 Phone: Zip: 92627 Phone: Zip: License: 0 Phone: Zip: License: ` ' .•. P�IT NUMBER B00-00026 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 03/09/2000 Issued: 03123/2000 ISSUED BY: _�%�_ � SCOPE OF PERMIT 26 SQ. FT. AWNING SIGN FOR SAMAR4 MUSICAL � � - • $45.01 $0.00 $69.25 $0.50 $0.00 $0.00 $0.00 $0.00 $0.00 $114.76 FEE SUMMARY Calc Valuation: sz,000.00 Claimed Vaivation: s2,000.00 PLANNING & ZONING -'"^�'� E"_ .''-, � �p v DA'� �� b �'� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12•27-92) _ ',t EXPIRATION: This permit shall automatically expire and become void if work is not�commenced within 1B0 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work aulhorizad under this permit to be considered legal, such work must comply with all applicable codes, and ell required Inspeetlone end flnal approvel must be obtained. Failure to obtain inspeclions and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � WORKERS'COMPENSATON DECLARATDrt! I hereDy ettirm under penalry ot per�ury one ol the Iollowing declaretions: ❑ I hava end wlll mainiain e certificete oi cansem to sefl-Insure for workers' wmpensatlon, es provltletl br by seciion 3700 ot the Lebor Cotle, for the pertortnanca ol Ihe work tor which this permil Is issued. ❑ I have end will maintaln workers' compensetlon Insurence, as requiretl by sealon 3700 ot the Lehor Code, for Ne peAormance of 1�9 work tor which ihis permit Is issuee. My workers' componsetion Insurence cerrler entl policy number are: . Cerner. Pollcy Number. (Th/s sec(/on neetl nor bo comp/ete0 i/ Ne permlf /s velued et one hundred dollars ($f 00) or less.) ❑ I cenity that in ihe peAartnance of Ihe work br which Ihis pertnit is issued, I s�ell not employ eny person in any manner so es to bewme subJec� �o the workers' compensa0on laws oi Calilomla, anO egree thet If I s�oultl become sub�ect to t�e workers' compensetion provlslons oi Section 3700 0l Ihe Lebor Coda, I shall larthwith compy with thase provisions. Applicant Signature: Date: WARNINC: FAILURE TO SEW PE WORKERS' COMPENSATIIXJ COVERA�E IS UNUW FUL ANO SHNL SU6IECT MI EMPLOVER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED TIIOUSAND DOLIARE (E100,000), IN ADDfTION TO TNE COST OF CAMGENSATION, �AMAGES AS Pi�VI�ED FOR IN SECTION 31060F THE LABOR WDE, INfEREST, AND A7TOFNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereCy affirtn ihat I em Ilcensetl untler provisions af Chepter 9(commencing with Sectlon 7000) of Divlsion 3 0l Ne Business and Prolessions Code, and my license i5 In tull force end ettecL Lic. k Cless N Contreclors Signature: Date: CONS7RUCTION LENDING AGENCY: � ❑ I hereby aflirtn Ihet there is a construction lendinq agency for the peAortnance ot the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lenders Atldress: Signature: Date: OWNER-BUILDER DECIARATIONS: I �ereDy aHirm that under penalry of perjury that I em E%EMPT FHOM TME CONTRAC70RS LICENSE LAw lor tne ldlowing reamn (Sec. 7037.5, BusinesS end Profe55ions Code: My dry or wunry whiU requires a permit to wnslruct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requlres the applicant lor such permit to file a signed stetement thet he or she is licensed pursuan� to the provisions af Ihe Contrectors License Lew (Chapter 9(commencing wlih Section 7000) ot Division 3 of ihe Business antl Professions Code) or that he or she is eaempt therefrom entl ihe Dasis for ihe alleged ezemptlon. Any violation ot Section 7037.5 by any epplicent tor e permit suD�ects t�e appllcant to a civil penalry of not more than tive huntlretl tlollaro ($500).): ❑ I, as owner ol the property, or my employees wlih wages as theV sole compensetlon, WILL DO THE WORK, antl ihe sWCNre Is not Intentletl or oNeretl lor sel6 (Sec. 7044, eusiness end Profouions Cotle: The Conirectors Licensa Lew does not epply to en owner ol propeny w�a builtls or improves thereon, antl who tloes suc� work himself or herself or throuph his or her own employaes, provided thet such Improvements ere not intended or oMered tor sale. It, howeveq the building or Improvement is �solC within one yeer of wmpletioq the owner-builder will have the burden of proving that he or 5he ditl not build or improve lor purpose ol sale.). I, as owner ol the property, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS lo construct the pro�ecl (Sec. 7044, Business entl Protessions Code: The contrenors License Lew da�s-nat ep an awner of property who builds or Imprwes thereon, entl who contrects lor such projed with e coNrector(s) licensa pursuant to the Contractore '.Fen .) ❑ I am exem0� under Business end Profasslans Cade tor this reeson: .3 iJ� 3^ � a0 � Signature: - Data: Owner ID venii rivafs ense. Yes ❑ No Drivor's License No. �� /�� Expires: (type oydocument, I.e. - property tex bill ar deed): DIVISION OP INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity Nat no e:cevatlon five (5) or more feet in depth Into which e person is requiretl to tlescen4 wlll be matle in connection with work authorized by thls permit, antl t�at no Ouil0ing structure, scettolding, felsework, or demolitlon or dismantling thereot, will be more than ihirry-six (36) feet hlgh. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone Io Co work w�ich woultl requlre e permli irom the Division of Intlustrial Satery, as notetl ebove, unless such parson hes a pertnit to tlo such work from the tlivision. Signature: Date: DiWsion of Intlustrial Sefety Permit Number. LODE �. INSPECTIONTYVE 7816 Fi�ced System Flnal Fire Prevention 1266 Pod Spe Finel 200 Final RaRoof 201 Final BIocWReteining Wall 202 203 Final Fectory Fire Place Final Sign 204 Final Dertwlition � � COOE I INSPEC710N TYVE 206 Finel Mechanical 208 Final Plumbing 210 Final Electrical 212 Finel Fire Prevention 220 Final Planning Approvel 222 Finel Site 250 final Building/Occupancy eeg li�e45 � waa¢s a na�ortG: a a a rt t 7 i n a t axr¢asw«ear�wnr: PIERRE BERTALINI .00�Ss 588 W 18TFI ST COSTA MESA, CA 92626 uv�. i�uaic �mrtss: wrt: � .�ptNrtEMWiENfiN�N: IM.qD.: � WCII ON EN1'! IOOXE39: UNi: �,,�,��; C AND C SIGNS ( 714 ? 537-8175 cwmacromuuiwn 11622 ANABEL AV �� GARDEN GROVE CA ��. 541345 92643 u�: LICQl9E0 COMPAC}T�OP9 �ECIAHATION: I hereby Wim ayR pxWy d oa�j.uy Nel l am Il�wisW uMx proviuont d CMpr 0 muc o��04 !'�1 �ld�c.cuss:��P�H,�. `�4`i�d,�..�mwnrorc..�e.ma. ow: cmwc« 0yj(iEp BIIILREq UECLAHATION: I M1wW/ d&m uMx pndy d prjay Ihet 1 am epMnq hpm 1he CWreaon Lk�ma law (ar tlw id$w'q �mson ISwion ]W �.5 Buaimn� ard PNromme LOEe: MY M' w wimry wh:M nquim e Osrmn to oonvm+n. eh✓. imProue. +�nW'a�, a ropai ury eawWro, pia b i4 baanm, aba ropuins tM appGmM br ae� pxmd to Rb a�ipnad qtlamant put M d sM r��e w��i �o ma mw�.�. a m. c�nmw uo«�.. i.w tc�a« a t�«bw .nn s.e� �aoo) a on.o� a a in. 3winew vd Roteasiona Codal w IMf b a tl»'n uemq IheMmm an01M batle la Ee elbpeE a'�emqbn. Nry vMmion d Seeion )0]i.5 Dy eny applieanl Id a pa�mrt rvEjeu, IM epp4aN lo a dN pMelly W nq man Uun Ma huMietl ddkn �SSpO��. � I.mownerdlMpopenYamY�N�'M+�hwapsaealMisdsmmperm�ion.rriACofMwmk.aMfMswcwh'snpmterdeE aollered �or We lSacUan )ou. Buwma uN Prde�ums Cob: TAeCatlwae Lironss law doa na ^OCA'ro en owwd pepairy who buioa d mqwm i�e�eon. ane whodoa suh v.a4 hbnwtl a M�W a Waqh he a her own smpfoyas�. qwbM ihe� wd+ impwemenU e�e nd iMeMN a af(wed la seb. C. Aowew. tN buildiq a inpeownaM b wN wlthi� one yme d mmpletian. Np owrw�buUis wYl hew the bu�aen tl provinp he a eM Eid M Gik u inpae fa1N p�rywe d eW). p i... o»„e, a im weoear..m aa„w�rr �v�,na .w r�..e �e.. m�.aw ub a�ava �s.�a, ra,, e�.:,m..�a Prdwipna Cotle: Tfe Cmnmaas L'r.anfs Isr tlox m e�di n w oww d qaVW Y who Wiid� n im0+a'M Ihsesm rA Mw 6qYreclt /p �uM prpjeps xi1F a mN(edot(s) IiCenaed qusuON b IM CONA^bJl! Lioen�a law�. ❑ i��a � s«r�: a. e v.c.. w w. �: Oroe: Owiar. 1 do hereby nnM � 1 am ewan d md womatand Ne �ep6wna�ia d Caiiarroe Hsetlh W Sdery Cod� 5eUida 25504. ?559]. W i553�. aM thn 1 a enY 1Nure bu�biM �K wdl! wA m� (ac6 one) nesd b on^W/ vAh emd meta mCm anO tM rai��a+b br e0am�laawamctionttnwd'�IimtunhomtMA'i u'75��arupeniavD'nMp.ReadeMialomu�udioneDO��iaroe�emamplmnllru a�a. Oete: tipplian; WOqKEX'S COMPEN511ilON DECUN1rWN: t herehy tlfrm uMar per�etly cl pyWry yw d IM bfbwiny Mdvmbu: � 1 haw W wil meimein e ceMwe d mrmni to eetltinuue M wheri mmpempim,n pro�tidad tor hy3rYun 31p0 d cAe laEcr c�de.lw �ne rono�m.rwe a m. wdk 1w wricn u�+v�+e �a. ❑ 1 hevs oM mT mantavi woMn' oom0�en imurerce. e+roq.wred M Saapn �lW d ihe Lebor Catls, fat Ihe Po��bK^ of tAe wpk lor whzh ihp pennil h iss�ed. My wa4ma' mmpemtlior, rmuranca canie� antl pdiry numEw vs: c�.,: PdkyNumbw: ractrtn msC nd be camnbl.d i rMO�r's b ans hwdwd dNua?��/ w wa7 1 oeetk Nm in 4n V�wmenee a Un wak ta MM1ieh �M Dem�'II u iw�. l dwtl �d ameby anY Pb�^ n M' mvwe ao n m Eecon+e wbMa to �M wrise' compenution law� ol Gidmiu. W eGna IAtl I I MouN become cbjp io �M wkx�' cm+w�mian a�+�. a sw:n eroo a m. w�a coa. �.nm �mn»vn wn,vN wnn mo.. qwiwn+, om.: ncck«n: W�mMD: F�Run ro wcun wo�lnn' compnv�tlon �orenp l� unhwtul, u�tl ily�7 uiHct �n �loya ro cNNrr(pwltlu md n.n n� w ro orrs nurd.w rneusind ea/.n 7tlaRawA �^ �� ro tln cat cr cartp«u�Uen dmro.� n proraM ro. /n S1etlm 3RK or yr (�o� eod, lmeru4 �e.tromry'� 11u. CONSTNUCifOH LENDIN6 oOENCY: i haW/ etf4m urMw pqully tl per�uy �hm IMn b e aonnruqion Mid'uq npency In tlr o�� N �he wA� tw wlJd� �n6 D�i u iwea (Saa'sn 9o8T. cb. CI. lENOEF'9 NANE: lEN0EW3 �O�flE53: 1 cafh that 1 ha.e roatl thu eDdiration W nep thet d» Won iNamotim's cwrw.l eptee lo ca^Ni wnh eN rnY end wuMy adiiwrs� uM ttps lews MNip ro WiN�p canPWipi end MrsEy eulhar¢s r0pewnle�i�m d Ihe iily m mter �pon 1M eEava�nbnlioneA pi008M1y '°"^'o°"'°^a"�°°°' CHRIS CANZONE sqrwuro a olm«r.yewnppicenucaama« (Si51i6 WP) wwaewa:y a sm«Y: ��,-�v.: c.�wr-�oo�n: v�-r+«.«��,�. mw„„oa..�„e� CZTY OF COSTA ME5A — SZGN PERMIT PERM NO: SB 076890 PERMIT NO: SB 076890 PLAN CAECR NO: 01082-96 L GOVT: N SUPP: N CONSTR[ICTION TYP6: V—N PERMiT TYPE: STR SIG PURPOSE: ADD JOB DESCRIPTION : 13 SQ FT WALL SIGN l ILLUMINATEA SQ FT: CLAIM VALUE: 2,400.00 CALC—VALUE: 2,400,00 GROUP OCC: M ! COMMENTS: "SAMARA MUSICAL" WALL SIGN +�*�t�e*�r��e��t�e*x+t�*�*rt��r�r**+t*�x��r�e**�t*�t�*��*+r+r*��r��**jt�**+r�**�rt�t*�r**��*+r�x * S I G N I N F O R M A T I O N DISTRICT; 1 TYPE: WALL ILLUMINATION: INT CATEGORY: NEW DIMENSIONS: iFT 02ZN X 16FT 04IN AREA; 13.00SQFT LETTER HT: 14 STREET FRONTAGE 1: 225.00 STREET 1: W 19TH ST STREET FRONTAGE 2: 4.00 STREET 2: PARCEL: 42214147 ZONE: CS LOCATSON > FRONT: X REAR: BUSINESS NAME: SAMARA MUSICAL � LEFT: RIGHT: O T A E R T O T A L S G R O U N D S I G N THIS ACTZVITY 13.00SQFT OVERALL HEIGHT: OFT OIN THI5 SITE . 1.00SQFT GROUND CLEARANCE: OFT OIN ZTEMS OF INFO • 1 PLANTER AREA: 0,40SQFT ITEMS FOR ACTIVITY: 1 BLDG 5ET BACFC: SOFT COPY VERBIAGE : SAMARA MUSICAL PLANNING NOTES; *�t�r***+r***+r�t�**�r****�t�t**+r*****�t�f+�rt*+�*****�ti�***********x�**+�i��t+�x�*****+�+e��r+�******* D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPAOVED BY : I��/. DATE; �✓'�Z—qb BUILDING APPROVED BY : WS� ,_____ DATE; �J"ZZ'�b APPLICATION ISSUED BY: DATE: ��G� 9E3Eifif'iE9EiFiFifi(�*if�iflF3EiE3EiEiF�lFiFiF 1EiFlEiflElFiElEiF1E F � tFiE LEGALI2ATION:N F E E-.J.S U M M A R Y STRUCTUftAL S£GMENT;Y BLDG PMT PLUMBZNG ELECTRIC MECIiANIC SIGN SMIPJRES GRADING PERMIT 54.00 -'+.f� ,,;.. SMIP /NON—RES PLAN 35.10 ,��,. .50 ISSUE FEE BUILDZNG—DI�I—> P£RMST ZSSUE PL�AN—CHECK TOTAL PAID DUE TOTALS----> 54,50 0.00 35.10 89.60 89.60 .00 REVENUE DIVISION TOTALS--> COLLECTED; 89.b0 QVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIFITOT GRADING PLAN—CHECK 54.00 .SO 35.10 iEiEiEiflfjfiElEiF�E�EiEiEiFiElFiFiF1E1EiF3f1F1FiFiEjllFitiEdEifKiF3FjtiFiFiFiFlFlfiE iFiFiFiEik3EikiFiEiFIFiFiEiFIEiEiFiFlfiFiFiEiEifiElEiEififfElf I N D I V I D U A I; � *F� R E A K D O W N TYPE QTY D E S C R I P T I�[�l`j�„4 Q UNIT COST TOTAL COST Ji' ' NO FEES WERE +� E�T R TAIS PERMIT 9A � `~ "__ . .., y Ol C�::�,-• OATE: �' �' � � �- �. ._y.. CONSTRUCTION ANDPLANNING POO SFA APPROVALS Permit � Date Inspector qppROVALS Permit # Date � Inspector 1. Temporary Electrical Service or Pole 52. Pooi & Equipment Location 2. So�l Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility�Undrgrnd. 54. Forms ' 4. Electrical Condui[-Undrgrnd. 55. Electrical Bonding 5. Steel fteinforcement 56. Rough Piumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P•Trap, O Undrgrnd. 70. Scructural Floor System 67. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Pinat ' 13. Roof Drains 64. Plumbing System � Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final i 6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring SiB� 68. APPROVED FOR PLASTERING � 18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS fINAL 19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT i 20. Rough Factory Fireplace APPF�OVALS Permit # • 21. Ducts, in Structure � 70. Underground hrydro, • 22. Ducts, Veniilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground F�ush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oii 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceiling (Structurel) & Monocoat 75. -D;y Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77, FIXED SYSTEM FINAL 29. Insulation . - 78, FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Finai Electric Notes: � y� ZZ �Cll'� "itlE�C��T .G 34. Final Heating & Air Conditioning : � 35. Finai Gas Pipe-Test 36. Hood or Canopy � . 37. Final Factory F�replace , 38. Final Plumbing • � , 39. Water Service�Finai � 40. Gas Service-Final , 41. Solar pomestic•Final � 42. Backflow Preventer 43. Backflow Irrigation � 44. Landscape Irriqation System . 45. Sound Attenuation ' - _ 46. Handicap Regulations . ' 47. FINAL STRUCTURE & BUILOING 48. FINAL PIANNING 49. Electric ftelease to Ediso� 50. Gas Iielease to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date �_ C� ✓uu rv a�an ai PIFRRE HERTALINI 588 W 18TH ST C05TA MESA, CA 92626 MPL.IWI1Nf.IW�NE55: UNi: urcxrtEa on ��x: uc. No.: MCII Ofl ENO.'S �DDfiE55: UNT; ��g„•„�. C AND C SIGNS ( 714 ) 537-8175 CONIPACTORSY41➢A 116 Z 2 ANAH EL AV �o�� GARDEN GROVE CA �F�_ 541345 92643 �� L1CplSED COMNACTOq3 DE�upATION: I hereby Nim unEer pa�Wy d peryry Ntl I am liceneed uMm prwispne d Cheplm 9 cmuc.no��%7��d� uc.cuss:�`�� c.p o'��' e v ..4mt��':�e.� /00 om.� � it'�% c«w.eor. OWNER BUILOER OEttAq�A011: � MieEY Nfum wMr penely d per'Fvy ihu I em wnq hdn �M GaqmCm Lirome Lew Ia IM toDoxip �semn (Setlbn ]031.5 �aiwea enA Profaaaion� Coda: Mry cIY a wunN �✓� roV� e pumu to muWct. eds. "vnpro.a. 'xndeh. a npei vry sl�uclure, prior b b eawnca. e6o rpui� iM app4mni tn wch pamn to fib e eqME ewamam ihet M p ahe IicemeE WR�� to iM pro-.�e�e a� Ns CaMrmaa Liceme law �Chepr 9 I��q �A Satlion )OW) cf piiebn � d Ihs .ivineas end PrNeaom CoEel a Nn Ir a eM b uemp ihaehom end tM bsae In Ms db0� eaamqion. MY viduin M Swion lwt.5 by uy epplifsnt lor e permG wEj«ia iM epplicani �o e tivY pnetly d nd maa �Mn Iwa hundrstl ENu� �S.vWn. ❑ I.ssowrerdlMP�OenYa�^YemWWeeewehwapuv�haiealsaomDM��.v,i0dotlroxwk.eMtM�WCYun'sna'vuandM a MaeE la sab (�� ]�M. Butlinu and Pm(mtlomCoM: Tha CpM�ecfon I.iwn�e Lew Eoes mt eppy loan owrw d poDeny who buida n inP�'es �herea+, and wb tloea �uM wA tim+etl a Mnef a WwpA h'e a Mr own amWWaes. pv+dW ITet wc� 'unpovemmb ve m� iruaded a aHaaE la eab. tl. lpwwer. tM bnkinp a inprovemem le edtl wilhin ona Y� d wmpblion. iM awnerbuiker will heve iM W� a pairq M a Ne dtl nol build a imqws In �hs qnpm� d Waj. ❑ I, m ovmar d �he pioperty. Gm ezdueively conired'vp xith IidneW oonlrecton b armVud tlr pqetl (�� ]OU. Bwb�ms W Pmtmebm Cob: The Contreaon Licsnae Lew Eaa np apply io an ormsr d papMy who Euitls a imqww iMraon eed who mntrern Ia euM Orol�a wM e wMratlor(e) Icanasd Wnueni lo IM CpY�atlon lim�us lex�. ❑ I em exemp uMar Seclion: B. 8 V.C.. Ia �hu imaon: Deta: Ormy: I do hereby cenily ihal 1 em ewmp d anG wkenteM iM ipuinmana d CellmJe N�el�� W Sdsry CoEe Swiau 25.q5, �55�3, end 25556. aM i1W 1 a erry Mwe Wikirq am�peni will / wil rwi (aicb one) nastl to caWy wYh �ak pme oodw aM �M reQuinmen4 br eparmillormiuwciionormodiRW�hwnlMAi u3eT�iy eeuprnampiq�y.qy�dplWwnp�qion�pp�p�yyse�emql�Nps wwi,ion.. Date: AoW�: WOflKER'S COMGENSATON DE��AA�nON: I Mreby elfi�m unEer panelly d perjury aw d IM lolbr.irp dstlerqiom: ❑ I hew uM Mil meinten e cM��e d owwnt Io �eM�inauro M warken' compenWion, n poNdad Iw by Satlion 3J00 d IM Lebar Code, fw Ihe peAamarica d�� M �ar WJch Nis pemN n Ioued, ❑ ineveane.wemumeinwawnmmce�.aoo�n.ure�m,.,rea„veaMswian�raoain.ieeo.coa.,i«m.w��am. i wak lor v.fiich I�u permn ie iseued. My waken' compenwqn inwrencs u�ner erd poliry numEer ve: c�,: PWky Number: is sMion nee! na hs romplsroE I tM psrma ie lor one hunOroC EWlen /,S100J w bas.) I canly �het in IAe pMormMce ol t�e woM lor whkh Ihie permA ie inued, I eMll nd empby eny pe�wn I� any mennar w u to become wb�w to Iha worWro' cpnpenaetbn levn d CNXwnu, uM ap ' I MouM become wb�w �o �M xorken' wmpanwion O�ieoris ol b ion 3]00 o11M Lebor CoEe, I ehell forlh xilh ihove provislau. ' De�s: Applicenl:, �� Waminp: F�Nun b��cun wohMa'romp�nuflon eov�r�p� li ynNwN( �nd �Nll �ubJlet in Mnplqw fo eNMnl p�neMu �ntl elNl flna'q ro wn h,nerM tN�+�� 4n (SIIX{OOOA ��l�n ro M� cwf el romvxu�fbn, demsp� �� pravlJW b/ In S�ctlon 91(A6 0l tlr�labor Cotl�, InfuNl, �M �ttom�Y�� Iwa CONSTRUCTON LENpIlW RQBNCY: 1 Mroby elllem uM�r p�n�ry d pxj.�ry tMt �Mn s s wnqrvCion kMirq pmcy 7a tM wnamenm d �ne .mrk ror wnitl� �no w�� u ewee (seaon ]091. cH. cl. LENDEfl'S N/�E: LENDEN'S �DDHE3�: I ceniy ihel I hew reed ihis appliWim uid qtle ihet IM ebow iMorrtWion u conxl.l episa Io canply vmh ell dly uM aoumy adl�w�oss end eWe lewe �Npiq to buiN'vq o�nmuqion eM Mraby euiMrixs ieprernitliva d Ihn dry to mtor upon iha ebm+�msnlianotl piapaM mrm�Pou�Wr�ee. CHRIS CANZONE �� e Date: 3 ��`'/O Sqnmwe d �ad�GenVA a �e.WP) Whd�6uib:q 8 Sdsy.OnarFb: Cuury-Apquni: RnX-Rwenw:OdA�nrod-Mnvor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 0 PERMIT NO: E 076891 PLAN CHECK NO: N GOVT: N SUPP: CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ADD JOB DESCRIPTION : 13 SQ FT WALL SIGN / ILLUMINATED SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: M / COMMENTS: "SAMARA MUSICAL" WALL SIGN / SB-76890 �+�+�****�*�*��**�**�*�+�***+��**�*�*x�r�**��*�**�*�****�**��*��**�**********+�*��** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARRING REQ • PROV: PARCEL: 42219147 ZNE: REF NO: PLANNZNG N6TES> i iE 1f� if 9F iE 1E IE'� �E 1E iE iE if !E iE iE IE if if jf Ik 1E 9E 3E fE if iE iE iE 1E iE'lE 1E if 1F if iE 1E fF iE 1E iE * If 1E iElE 3E 1E 1E �E iE iE fE IE 1E iE �E aE iE iE �E 3E iE iE iE iE IE 9E IE iE �)E iE iElE iF iE iE 1E D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: > APPLICATION ISSUED HY: � DATE: J�LZ' ***f�**i[�****�t-**********iF�F�F�F7FTF�FiFiFiF'{FiF'i�'iF'iF'iF'iF'iF�FiFiF7F'{F'iF'iF # 'iF7FiF*******�t-** ** LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES' GRADZNG PERMIT 15.00 SOY SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ZS5UE PLAN—CHECK TOTAL PAID DUE TOTALS----> 15.00 15.00 0.00 30.00 30.00 .00 REVENUE DIVISION TOTALS--> COLLECTED; 30.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.00 iE 1F iE 3ElF iF 1E iE ik �E iElE aE iE 1E 1F iE if 1F if� 1f !E * iE IE 1F 1I� ik It 1E iE iE iE IE 1E 9E iElE 1E �E 1E IE 1E 1E 1f iE iF 1E iE IElE fE if 1E iElh iE if� if 1f !F 1f'%1f iF i(� �)Elf� iE iE iE iE ik 1E IE iE fElF j'E I N D I V I D U A L F E E B R E A K D O W N TYPE ELE QTY D E S C R I P T I O N UNIT COST 1 SIGN/ OUTLINE LIGHT SYS ON 1 BR CIRC 15.00 END OF FEES � � '� U //�� \i�rLJ `/�J � ' 'r�c�1-._. �r V� '� .',Lt,nC�1� — �' _ .: . . •o ----''t e LL��p3 ' -i 3.�1;. ry��y��p�--c . cr.T�: a=, �_;�.-, r,i:,- 1� � TOTAL COST 15.00 -��,-r --.��: '. `= �NSTRUCTION ANO PLANNING �ROVALS Permit # : emporary E�ectrira� Service or Pole 2. Soil Pipe�Undrgrnd. .. 3. Electrical Conduit Utility-Undrgrn�. 4. Electrical Conduit-Undrgrnd. � � 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings ' 8. Founda[io� 9. Water Pipe-Undrgrnd. , 10. Structural Floor System 11 . Property Sewer Line & House Connection 12. Sewer Cap . 13. Roof Drains 74. Rough Plumbing ' 15. Fough Elecvical•Conduit ' 76. Rough EleMric Wiring 17. Rough Wiring Sign 18. Rou9h Electrical�T Bar Ceiling 19. Rough Heat(ng & Air Condicioning 20. Rough Facto�Y Fireplace 21. Ducts, in StrGciure � 22. DuMs, Ventilating 23. Gas Pipe•Rough & Tesc 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation - 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Powzr Meter�F(nal 33. fina� Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test . 36. Hood or Canopy 37. Final Factory Fireplace � 38. Finai Plumbing 39. 4Vater Service-Final 40. Gas Service-Final 41. Solar pomest�cFinal � � 42. Backtlow Preventer 43. Backflow Irrigation 44. Landscape irriqation System 45. Sound Attenuation 46. Handicap Reguiations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co Date Date 0 POO, >PA Inspector pppROVALS Permit # 52. Pool & Equipment Location.�: 53. Steei Reinforcement �� j j 54. Forms � � � 55. Electricai Bonding � . . 56. Rough Plumbing & Pressure Test , 57. APPROVAL 70 COVER-GUNITE 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, C3 Undrgrnd., Test - 60. Backwash �ines, P�Trap, O Undrgmd. 67. APPROVAL TO DECK ! � 62. Backwash & Receptor-Finel 63. Heater & Vent-Final � 64. Plumbing System � Final / 65. Electrical-Final 66. Solar System-Final � 67. Fencing & Access Approval � 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQU4ftEMENT � APPROVAIS Permit # Date 70. Underground Hydro 71, ProductPipingOGas ❑Oil 72. Underground Flush 73. Undergrnd. Storage Tank (7 Gat ❑ Oil 74. Overhead Hydro _ 75. Dry Chemical � 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL � HEALTH DEPT. RE�UIREMENT 79. FINAL INSPECTION • B0. F000 CERTIFICATE IS$UED� NOt85: - r ' c 9 .. I t Pfl0.IECTR00NE5$: SeA W 19TH ST OWNEfl'SNAME: PZERRE HERTOLINO aoosess: 588 W 19TH ST COSTA MESA CA 92627 UNIT: { ABCH�ENGINfEP: pEG.NO.: AOORESS: UNIT: ' " venminee: PIERRE BERTOLINO ( 714 ) 722-9419 aooAess: 58H W 19TH ST COSTA MESA CA 9262'7 �ICENSED CONTqpCTOB OELLAXA710N: I hereby affirm Ibal I am licensetl untler pmvisions of C�9pler 9(commencing wilh Section y000� oi �ivision 3 0l i�e Business and Pwiessions Cotle, an0 my license is in lulliorce and eifect. �ITY LIC.: STpTE IIC.: CU1S5: Daie: Siqnature: WONNEPS' COMPENSF7ION oECLA8AT10N: I hereby allirm that I have a cenilicateoi consent to self-insure or a cenilicare oi workers' Gompensalion Insurance, or a cerliliee copy ihereol (Seclion 380o, La6. CI. pOLICY NO.: EXP. ORTE: ' COMPRNY: 7 C¢tlilie0 topY is hereby �umis�ed. ❑ cenreea coov is liled wiih Ibe ciiy 9uilding Oivisian. pate: Applican�: E%EMPTION FflOM WOBKEflS' COMPFNSATION OECIABRTION: (7his section neetl noi be com01ele0 if Ne permi� is �arone �untlretl (3100� or kss�. I cenily inat in Ne performance ol ihe work for wnicn ihis permit is issueQ I snall not employ any person in any manner so as to 6ecome subjecl �o Ihe Workers' Compensalion Laws ol Cah�ornia. pa�e: SignaWre: ' NOTICE: If, attes makiig tMs Oeclaration. you stroWO Cecome subjeci to ihe Wo�kers Campensation D��s oi the labo� Cotle. you musl forthwit� compty wilh such pwvisions or t�is permil s�all be Aeem¢G BvokeA. CONSTBUCTION LENDING AGENCY: I hereby allirm �hai there is a canstmction IenGing agenry fo� Ihe pedarmance ol ihe work lor which inis permilis 4suen (Seclion 3097, Civ. C�. LENDEfl: AOOflESSt OwNEN BWLOEB DECUBA710N: I nereey aflirm ihai I am erempt fmm IAe Coniractors State License Law lor Ine lalloxing reasan (yeciian 7031.5 Business and Pmlessional Code: Any ciiy ol rnwry whicA reQuires a permit to cansimc6 alter, impmve, tlemolisA, or rFPair any sVutlUre, prior to iis iSSuante. also requir=s Ihe app�iCani lor SUth permh Io tile a signetl S�alemeni Ihal �e/She is IitenSeO p�r5uan110 Ihe O�Ovi5ion5 0� �he Conlraclor5' Slale License Law (Chapi¢r 9(pommencinp wii� $et�ion 7000) o� Oivision 3 o� �he Bu5ine5s aPd PmI¢5sion5 CoOe� or �hal he/S�e is ¢vemp� iher¢imm and Ihe ba5i5 Iaf ��e alleqetl exemption. Any violation ol Set�ion 7031.5 by aAy applicanl �ol a Dermit sublecls �he ap01it3nt lo a civil Oenally o� no� more Ihan live hun4reG DOIIaR �5500�. I, as owner of ihe propeny ar my employees with wages as tAeir sole campensation, will tlo Ihe work. ana Ihe �� StNCIUB�Sf1�11111Cf14Qd Of01�C�241pISdIC(S2C110f170d4,8USIRC55 dlltl Pf0�C55101IdIC04¢t ThC COfllf2tl0f5 S(dlC LICCIISC �dW aoes not apPly �o an owner o1 a pmpeny who builtls or improves ther¢on, antl wM tloes sutA work Ilimull/herself or InmuAh Ns or �er own employew. O�oviaeC Nai such imOmvemen�s are n0i inlenCeJ or oflereE for sale. I�, however �Ae builUinq nr , improvement is soltl vnt�in one year ot completion, Ih0 mvner vnll hav2�he bur0¢n of pmving Ae/5Ae Cie no� build ar improve for tne purpose af sale�. `� I, as owner ol the pmpehy, am estluiively conttaCti�g with litanied co�Vacta[i to Wnstrucl 1110 ptojecl (Seclion 7M4, 8usineSS U antl Pml¢ssions Code: The ConVac�or5' Sia�e License Law tloes no� apply �o an owner o� proDeny wbo huAtls or impmves ihemon - antl who conirac�s �or such prqec�s wiih a conlracmr(s�license Oursuanl �o Ihe ConVac�ors' Siate LicenSe Law�.l am aware Inai p�aal o� Iheir Worker's Campensation insurance s�oWd be pmuitleA �o me. � I am ezempi untler Setlion: B. d P. C. � lor IAis reason: �� Oa�e: � �� 9� Owner: I do here0y cenily Ihal I am aware ni antl unders�antl Ihe reQuiremen�s o� Calilomia Heal(h antl Safe�y Code Seciions 25505, 25533, antl 2553a antl Ihal I or any Iwure hwlaing occupant will/will nol (circle one� neeA to compty with saiA slaie wees antl Ne requirements for a pe�mit lo� coMVuclion o� rtro0ilicalion Irom ihe Air Ooahly Management OraVkt. RevOential consiruttion applkations are ¢xempt Imm ihese o�o`/�sion5. Da�e: 7� �/� ppplicant: __�� I �ereby certi�yi�al I �ave rea0 IAiS appliCation an0 Slale IhallOe ahovein�ormaipnis mrrecL I agree�a tomply vriih all ciry and t0uniy o�0inanre5 antl slale lavrs relating lo Luiltling cons�mction an0 h¢re�y aui�orize re0�esemaiives o��iry to enter upon ihe above-mentionea pNPerty lor inspec�ion purposes. ��,.� Da�e: _!'�"5�� Signa�ure: �I � ° �� O�iver's Litease a Socul Secmiry M: t641-<6 Whne—Bwltling; 6reon—Cotle Enlorcemem; Canary—Applicanl; PinN—Revenue; GolConroE—Nssassor CITY OF COSTA MESA — SIGN PERMZT n . � 1 FERMIT NO: SH 053051 PLAN CAECK NO; 02723-91 L i: . CONSTRUCTION TYPE: PERMIT TYPE; STR SZG PURPOSE: OTFi JOB DESCRIFTION ; ONE (1) NON—ILLUMiNA'fED WALL SIGN SQ FT: CLAIM VALUE; : 600,00 CALC-VALUE: 600.00 GROUP OCC: B-2 / COMMENTS; "MARY'S DISCOUNT TAILOR 6 ALTERATIONS" if iE ic * iF �E iE if if if� *�f iE �k iE iF * iF iE * iE iE IE iF * iE iE * x� * iE �f *�e iE iE * 1E it �1F �£ ** iF 1E ir **+e if 3f� iE iE K**�E iE *+r iF iE if if 3E iF �(� �� 3E if it iF if� iF x 3r 3f �r * 5 I G N Z N F O R M A T I O N DISTRICT; 1 TYPE: WALL ILLUMINATION: NON CATEGORY: NEW DIMENSIONS: 2FT OOIN X 19FT OOIN AREA: 20.00SQFT LETTER HT: 10" STREET FRONTAGE 1; 225,00 STREET 1: 13 19TH ST STREET FRONTAGE 2; 0,00 STREET 2; PARCEL; 42214147 ZONE: C1 LOCATION > FRONT; X REAR; BUSINESS NAME: MARY'S TAILORING > LEFT; RIGHT: O T H E R T O T A L S G R p U N D S I G N THIS ACTIVITY 20..00S FT OVERALL HEIGHT: OFT OIN THIS SZTE . 225.UOS�FT GROUND CLEARANCE: OFT OIN ITEMS OF INFO • 1 PLANTER AREA; 0;-00SQFT ITEMS FOR ACTIVZTY; 1 Bi,DG SET BACK; 20FT- '� COPY VERBIAGE ; MARY'S DISCOUNT TAILOR 6 ALTERATIONS PLANNING NOTE5; ��'' iE iF iF iF �E iF iF iE iF IFl4 iE iF 1E iF if iE iF i(� if )f if iE 3E iF iE if i! if If iF iE iE if 3E �3e IE 3E IE iE 1F if iF iE iE iE iF 3f M If 1E �F iF?E iF if iF iE �E 3E iF�E ie iF 3f 1F iF iE aF �E i4 iF IF iF af iF iF if 3f D E V E L O F M E N T E R V I C E S R E Q U I R E M E N`T S ZONING APPROVED BY ; � _ DATE: �� BUZLDING APPROVED BY : DATE: ��1 _"�1"L APPLICATZON ISSUED HY: DATc.: �'� IEIFiEiFififif#kiEiE34ifiFie�EiF3EiFifkiF � - n. . r.. �E3FiFiFi(�aFiEiE�ei6 � fr ifaf LEGALIZATION;N F E E U f M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUNBENG ELECTRIC MECHANIC SIGN SMIP/RES GRADING PERMIT 17.00 20,00 SMIP/NON—RES PLAN 11.05 , .50 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 37,50 0.00 11,05 4R.55 98.55 .00 REVENUE DIl7ISION TOTALS--> COLLECTED; 48.55 OVER/SHORT; 00 BLDG PMT PLtJMBING ELECTRTC MECHANIC SIGN SMIP/TOT GRADING PLAN—CHECK 1%,�0 2�.�� ,50 11,�.5 1E iE 3f if iE 3F iE iE iE aE if iF iE if if �Y aE 1E iF M iR 1E iF iFlf 3E iklf fE iF if 3ti IE iF 3E 3f aE 14 iF 1f 3E i't aF if 3f 3E±f ik iE �E �E jf if !f iF iE i(� it iF iF if 1E �?:-ik aF iE if IF if 1e if iF 7e 1E 3E �!� iF iF iF I N D I V I D il A L F E E B R E A K D O W N TYPE QTY D E S C R I P'I' I O N UNIT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT Y 0 01 OD04�035-•II�093038 iC C''e <; 2. S`. DATE� O�/�J�91. iIi4� IS:ei CONSTRUCTTJN AND PLANNING . P�d �PA APPROVALS Permit# - Date Inspector Date Inspector APPROVALS Permit # :� .i `' t! Temporary Electrical Service or Pole , 52. Pool & Equipment Location ✓� �i � 2. Soil Pipe�Undrgmd. 53. S[eel Reinforcement v �� t� 3. Electrical Conduit Utility-Undrgmd. � 54. Forms y. n,% 4. Elect�ical Conduii-Undrgrnd. 55. Elec[rical Bonding �, -� 5. Steel Reinforcement � - � 56. Rough Plumbing & Pressure Test 6. Electrical UFEft Grnd. �� 57. APPROVAL TO COVER�GUNITE � 7_ Footings • 58. Electrical Conduit•Undrgrnd. � 8. Foundation 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P�Trap, � Undrgrnd. 10. Structural Ffoor System 67. APPROVAL TO DECK y.. 17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final j� `/�; y ,,-- 72. Sewer Cap 63. Heater & Vent�Final y� / i. 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 Heatin9 & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Faciory Fireplace � � � APPROVALS � Permit # 27". Ducts, in Structure ' . ,'' 70. Underground Hydro; � 22. Oucts, Ventilating 71� Product Piping OGas OOiI � 23�.•Gas Pipe�Rough & Test - , �` ' . . - 72. Underground Flush 24. Roof Framing _ 73. Undergmd.StorageTank �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 -- .. .� ', �I .:r q'�� HEALTH DEPT. REQUIREMENT , 31. Plaster Brown Coat � �� %�'' 7�q„�"f�NAL INSPECTION i�:.,'i.. � 32. Electrical Power MeterFinal ��'�80.1FOOD.CERTIFICATE ISSUED 33. Final Eleciric � . � tNo�es.' - 34. Final Heating & F.ir Conditioning �• . . � i � 35, Final Gas Pipe-Test • �, j.a� ' . - / 3fi. Hood or Canopy; � ' ' 7' ".� � . ' u. �' 37: Final Factory Fireplace � � ' �� '7 38, Final Plumbing � � � • .. - 39. Water Service-Final � �•: . � � � 40. Gas Service�Final ' � , , - 41. Solar pomestic-Final , . � , 42. Backflow Preventer •, '� � i- - 43. Backflow Irrigation � , � � - 44. L.andscape Irripation System , . - • 45. Sound Attenuation � � . - � 46. Handicap Regulations ' • - - ' � 47. FINAL STRUCTURE & BUILDING � C� g O'i', � ,' ,� , � � b 46. FINAL PLANNING � � �� !„{ � , 45 Elec[ric Release to Edison !Y� �; •�, , r. � 50. Ga: Release to Southern California Gas�Co �� j� ' i I =. , - 51. CERTIFICATE OF OCCUPANCY - • - No. Date '