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Home My WebLink About609 19TH ST - Building Permits(714) 754-5273 • F�c (714) 754-4056 • wMnV.d.COSte-rt18Sa�C�.�TRICAL PERMIT �� FAIF DRIVE, GOSTA MESA, GA 92626 Job Address: Suite No vciniry: Parcel Nunmber: Applicanl: Address: Owner: Address 609 W 19TH ST 42421119 VICTbR VAN 14875 DILLOW ST WESTMINSTER, CA � TRUONG, DAN TR 13075 SANDOWN WAY SAN DIEGO, CA , _ Contracror SHARP SIGN AND AWNING Address: 14875 DILLOW ST WESTMINSTER,CA Phone: 714-894-5218 Zip 92683 Phone: Zip: 92130-3742 Phone: 714-894-5218 Zip: -92683 License: 686820 Status: ISSUED Applied: OSl08Y2006 Issued: 05I082006 ISSUED BY: cC.��'^l��%�� ` ' SCOPE OF PERMIT �� FREESTANDING POLE SIGN, 20" HIGH, CABWET TO BE 10' WIDE X 6' HIGH, ILLUMINATED � � 160 SQ.FT. OF LANDSCAPED PLANTER IS REQUIRED AROUND BASE OF SIGN. REF.: SBO6-00029 / ELEC7RICAL TO INCLUDE: 1 SIGN CIRCUIT � � ISSUE FEE Temp service test ��. Res. a/c package � New Res (1-2 units) New Res (3+units) � Pool / Spa Lighting Pixts, � , � Recept Outlets " Switches ' ', - Non Res Appl Res Appl . ' � Service to 200a � Service to t000a � Service over 1000a Molors to 1 hp • �•�', Molors to tOhp � Molors to 50hp , Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Lighf Pkg Si9n Circuits Temp Pwr Pole Intermed Pole `Quantiry $23.50 _ $0.00 - . $0.00 ' - ' � $0.00 0 $0.00 0 $0.00 ' 0 $0.00 0 $0.00 0 50.00 0 �� 50.00 0 •� $0.00 0 ' $0.00 . -,0-.'.�: .. $0.00 �� . = 0� - � . . ,- $O.00�,jJ.�O ,. � � � $0.00 � �; t0� �� t $0.00�'. '._p,,.`� �. .. $OA� - , 0 - - - _ _��'-. $O.OD� � ! 0 \ � � $0.00 _ 0 � � � $0:00, � ;, 0 � �$0.00 � � 0- � � � $0.00 � � .-- 0 $24.60 1 $0.00 0 $0.00 0 FEE SUMMARY �uantity Temp Dist System I Lighting $0.00 0 Busway /100 R - $0.00 0 Standing Section � � $0.00 0 Misc Eleclrical Equipment $0.00 0 Transformers up to 1 kva/kw $0.00 0 ................up to 10 kva/kw $0.00 0 ................:up to 50 kva/kw 50.00 0 ..................up to 100 kva/kw $0.00 � 0 .:................over 100 kvalkw $0.00 � 0 Low Voltage Equipment $0.00 � 0 Low Volt Wiring System / Ckt $0.00 0 Misc. Conduit - � 50.00 0 Misa Conductor � -. $0.00 0 Circus ( gen or ride) �$0.00' 0 � Circus (mech ride or lights) �,' $0.00 C, - 0 Christmas Tree Stand � ; $0.00 -' 0 �Fireworks Stand � $0.00 , 0 Other Electrical Fee ' - $0.00 Investigation Fee • $0:00 Plan Check Fee � - �50.00 " ,Reinspection Fee . � $0.00 TOTAL CACCULATED FEES 548.10 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 1241-g2) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. � , INSPECTIONS: In order for the work authorized under ihis permit lo be considered legal, such work must comply with all applicable codes, and all requlred Inapeetions end final epprovel must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 vn,.+_u�mn:m WORKERS'COMPENSAnONDECLARAnON: _ , I �ereby eXirtn under penalty of perjury one of the following declarations: ' ' . • � ❑. I have end wlll maintain a cenificate ol consent to self-Insure 1or workers' compensatirn, es provided for by sedion 3700 at the Labor Cade, for Ihe peAarmance ot the work for which Ihis permi� is issuetl. � I'ry"ave end will maintain workers' compensation insurance, as required by section 3700 ot Ihe Lehor CoUe, for the performance of Ihe work br whkh Nis pertnit Is Lswetl. J+�Ffy warkere' ensation Insurence cerrier end policy number are: ca rir r-7' �C7U�2 +/�`-i ��.'�>.";;�P�o�r�y'N'.—��r�.ee�r:� �5 3'!� 3- 3 Z 3 d �s sectlon need no! be comp/eted i! the permitls velued ef one hundretl dW/ars ($100) or less.) @�=--s= ❑ I certify thet in ihe performance oF ihe work for which Ihis permit is issue4 I shall not employ eny person in eny manner so as to becoma sublect to ihe workers' wmpenseUon lews of Califomla, entl egree thet If I shoultl 6ecome subject to the workers' compensation provislons ot Section 3700 0l Iha Lebor Code, I shall forthwlih comply with Ihese provisions. Appllcent SignaNre: �Z�� ate:� , 05 �G ( — � �a :Fy�.706EWREWORKERS'COMPENSATIIXJCOVERAGEISUNLAWFULANDSHALLSUBIECTANEM OVERTOCRIMINALPENALTIESANDGVILFlNESUPTOONEHUNDRE� IM�WSA1�0'OOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTIIXJ 3]O60F THE LABOR CADE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereb ,eHirm�NatTem'flcensed under provisions of Cha ter 9(commencin9 with Section 7000) of DMsion �ihe�Buei�ress and Professions Code, and my license Is in tull rce:antl�e ect..lie-k—�'1y '4��626 ';Cless. i G'.' n�� Gon ratiof� /7 �g,---� : — ti ^ �,' i CONSTRUCTION LENDING AGENCV: ❑ I hereby eflirm Ihat there is a consimction lentling a9ency tor ihe pedormance of ihe work for which this pertnit is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lentlefs Address: - Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby effirtn that under penalry of perjury ihat I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW lor ihe tollowing reeson (Sec. 7031.5, Busineu antl Protessions Code: Any ciry or county which requires a pertnil ta construct, alter, improve, tlemolish, or repair eny siructure, pnor lo its issuance, elso requires Ihe epplicant for such pertnit lo file e signetl s�etemen� that he or she is Iicensed pursuent to the provisions ol Ihe Comractors lJcensa Law (Chapter 9(commencing with Section 7000) of Divislon 3 af the Busineu enC Professlons Code) or Ihat he or she Is exempt Iherefrom and Ihe besis tor the elleped exempiion. My violation oi Sectlon 7031.5 by any applicant tor e pertnit subjects the epplicani to a civil penalry of na1 more Ihan live �undred dollars (5500).): ❑ 1, es owner oi Ihe properry, or my employeas wlth weges as t�eir sole compensation, WILL DO 7HE WORK, and the siructura Is not Intended or oHeretl for sale (Sec. 7044, Business and ProFessions Cotle: The Contractors License Law tices not apply to an owner of property who builds or improves t�ereon, and who does such work himself or herselt or tlirough his or her own employees, provided ihat such improvements ere not Intended or oflered for sale. If, however, ihe building or improvemen� Is sold within one year ot completion, ihe owner-bulltler will heve ihe burden ot proving Ihat he or she did not build or improve for Durpose ot sale.). - ❑ I, as owner ot t�e properry, am E%CWSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business antl Profeulons Cotla: The contractors License Lew Ooes not epply to en owner of propeny who bulltls or Improves Ihareon, end who coniracls for such project with a contrector(s) license pursuant to the Contractors License Lews.). ❑ I am exempt under sec. Business end Professions Coda tor chis reason: Signature: Date: Owner ID veritied by drivefs license. ❑ Ves ❑ No Dnvefs License No. Verificatlon of Ownership by (rype ot document, i.e. - property tax bill or deetl): DIVISION OF INOUSTRIAL SAFETY VERMIT CERTIFICATION: Expires: ❑ I hereby certify that no excavatlon five (5) or more feet in depth into which a person Is required to descend, will be made in conneciion wlth work euthonzed by this permit, and that no 6uilding simcture, scaHolding, talsework, or demolition or dismantling Ihereof, will be more than thirty-slx (38) leet �igh. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Galitomia Administrative Code). ❑ As owner-buildar, I will not amploy enyone to do work which would require e permll irom the Division of Industrial Sefety, as notetl ebove, unless such person hea e permit to do such work trom the division. Signature: Oate: Division ot IndwMal Safery Permit Numbec CERTIFlCATE OF COMPLIANCE AND AUfHOR¢ATON OF ENTRY: I certify under penalry ot pe�ury that I have reatl this application and slate thet the iniormation given is corteCt. I agree to compty with all steta laws entl ciry ortlinances relating to building construcllon, and authorize representa�ives oi ihe Ciry ol Coste Mesa to enter upon t�e above-described pmperty for inspaction purposes. I egree not to acupy or allow occu0ancy of eny building authonzed by this permit until final inspection. COOE L INSPECTIONTYPE - � � � 1616 Fizetl Sys�em Final FIre�Preventlon 1266 Pool Spa Final 200 Finel RB-Roof 201 FIneI Block/Retaining Wall 202 Final Factory Fire Place � 203 Finel Sign 204 Final Domolition Qdj�,' I�$ 40DE1 INSPECTIONTYPE � ' ' 206 Finel Mechenicel 208 Final Plumbing � ' 270 Final Elecincal 212 Final Fire Prevention � � 220 Final Planning Approval 222 Final Si�e 250 Final Builtling/Occupancy Date �`- /`�l9r Q� I[�LS � �� »� ��»-oeia - ruz �i �n� ian-qn�o • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 SIGN PERMIT Job Address: 609 W 19TH ST Suite: Viciniry: Parcel Nunmber: 42421119 Applicant: QUACH, KY Address: 14875 DILLOW ST WESTMINSTER, CA Owner: TRUONG, DAN TR Address 13075 SANDOWN WAY SAN DIEGO, CA Contractor: SHARP SIGN AND AWNING Address: ' 14875 DILLOW ST Arch / Eng : Address: WESTMINSTER, CA Zoning: Phone: 714-894-5218 Zip: 92683 Phone: Zip: 92130-3742 Phone: 714-894-5218 Zip: 92683 License: 686820 Status: ISSUED Applied: 04/03/2006 Issued: 04/04/2006 ISSUED BY: EXP_�]� DATE � � � Phone: Zip: License: SCOPE OF PERMIT FREESTANDING POLE SIGN, 20" HIGH, CABINET TO BE 10' WIDE X 6' HIGH, ILLUMINATED 160 SQ.FT. OF LANDSCAPED PLANTER IS REQUIRED AROUND BASE OF SIGN. FEE SUMMARY Plan Check: $72.31 $o.00 Permit: $111.25 SMIP Com: $1.01 Other: $0.00 $o.00 Inspection: $0.00 $0.00 $0.00 .Total: $184.57 PLANNING & ZONING , r Calc Valuation Claimed Valuation $a,aoo.00 $4,800.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremeMs under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaacrs �tvao� I • • � • WORKERS'COMPENSAnON DECLARAnON: I hereby atfirtn untler penalry of perjury one of the following tledaretions: ❑ I have and will maintain a certifiwte ot consent to setl-Insure for workers' compensation, es provided for by seclion 3700 ot Ihe Labor Code, tor the pertortnanca ot the work for which Ihis permit is issued. �' f ha`ve end�wll6maintaiP workers' compensation insurence, es required by section 3700 ot the Labor Code, br the peAortnance of the work Por which this pertnit is issuetl. �Myworka�rs"co�mpens'�a"tionlnsurence arnerantlpolicynumberare: ' f 2 tI� Certler �� ^Po��cyNumber.= �+2' � 7 t T (lhis section neerTnot be cOmpl etl il the permif is valuetl et ane hundred dollers (3100) or IessJ � ❑ t certity lhat in tRa pe�formance ot Ne work for which this pettnit is issuetl, I shall not employ eny pereon in eny manner so as to 6ecome subleci to the workers' compensatlon lews of Celltomia, and agre that if I should become subject to the workers' compensation provisions of Sec�lon 3700 ot t�e Labor Code, I shall fonhwith comply with these pro�/s1i. �(�, _ � 1 �/ Applicent5ignature:J��'�1�Vv'� `� � �e� �� -WAFiNING FAIWRETOSECUFE PI(ERS'COMPENSATIIXJGUVERAGEISUNLAWFULANDSHALLSUBIECTANEMPI.OYERTOCflIMINALPENALTIESANDGVILFlNESUPTOONEHUNDRED TLqUSAND DOLURE (5100.0001. �N ADDfT10N TOTHE CQST OF COMPENSAT�ON, DAMAGES AS PROVIDED FOR IN SECTION 3lOfi OF THE LABOR CODE, IMEREST. ANO ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm iha� I am licensed u9 d�ef pmvisions of Chapter 9(commencing with Sec�ion 7000) of Division 3 of ihe Business and �P�rol 5sions Code, antl my licensa is in full rorce� nect'[Ic'a"a �� `"� b�%L+ --_ aess a i'�F S Contracto� neNre _��/�� DA�ei —� � ��-�' / / � 'V CONSTAUCTON LENDING AGENCY: � I hereby attirm tha� tho�e is a construction lending eqency for lhe peAormance of the work for which ihis pertnit is issued. (Sec. 3097, Civil CoCe). Lenders Name: Lendels Atltlress: Signature: Date: OWNER•BUILDER DECLAAATIONS: , � • -� f q. �, I hereby aHirtn lhat untler pOnalty ol per�ury t¢at I artfE%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe fdlowing reason (SecJ031.5, Business antl Prolesslons Code: Any ciry or county wPich requires A permlt to-constmct, elte6 improve, tlemolish, or repair eny structure, prior to its issuanca, also requires ihe applicam tor such pertnit to file a signed stetement thet he or she is licensed pursuent to t�e provlsions of the Coniractors License Lew (Chepter 9(commencing with Section 7000) of Divlsion 3 of the Business entl Professions Code) or that he o[she isexempt therehom ana the basis tor the elleged ezemption. Any violetion of SecNon 7031.5 by any applicant for a permlt subjects the applicent to e civil penalty of not m`ore than five hundred dollers ($500).): ❑ I, as owner of Ihe properry, or my employees with wages as their sole compensation, WILL DO TME WORK, and the structure Is no� Intended or oHere0lor sale (Sec. 7044, Business end P�afessions Code: The Coniractors License Law dces not apD�' �o an owner of property who huilds or improves thereon, and who does such work himself or herseli or [Frough his or her ov.•n employees, pmvidetl that such improvamems ere not in[enOetl or offeretl tor sale. lt, however, Ihe 6uilding or improvemenl ls sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve tor purpose of sale.). ❑ I, as owner ot the property, em EICCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct tha projacl (Sec. 7044, Business and Professions Cotle: The coniractors Ucense Lew tloes not epply to en owner oi pmperty who builds or Impmves Ihereon, and who contracts for such project with a contrador(s) license pursuent to Ihe Comractors License Laws.). ❑ I am ezempl under sec. Business and Professions Code tor l�is reason: Signature: Date: Owner ID verifietl by drivefs license. ❑ Ves ❑ Na Drivers License No. Verification ot Ownership by (�ype of tlocument, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certity ihai no excavation five (5) or more feet in depth into which a person is required to descentl, will be made in connection with work authorizad by t�is permit, antl t�at fw bu��ding sWcture, scattolding, talsawork, oa tlemolition w dismantling thereof, wiil be mwe lhan thirry-six {36) teet hgh. (Chap. 32, Grp 2, A� 2, Sac. 341, Ttle 8, Califomia Atlminislralive Code�. ❑ As owner-6uilder, I will not employ anyone to do work which would require e permit from the Division of Intlustrial Safety, es noted above, unless such person has e permit to do such worK from tha division. Signature: Date: Division of Indusiriel Safety Permil Number: CERTIFlCA7E OF COMPLIANCE AND AlJiT10RIZA710N OF ENTTiV: I cenity untler penalty of perjury ihat I have read this application entl state t�at Ihe inlortnation given is correct. I agree to compty with all stete laws end city ortlinances relaling to building constmction, antl authorize represantatives ol the City of Costa Mesa to emer upon the ebove-descn�ed property for inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by this permil until linal inspection. Of Legal CODE � INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final RaRoof 201 Final BIocWRetaining Well 202 Final Fectory Fire Place 203 204 Final Sign Final Demolition PHIE INTRIALS COOE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 220 Final Fire Prevention Final Planning Approval 222 Final Site 250 Final BuiltlingiOccupancy Q�TE L�9L6 � � •ooness ov emiw1c: 6 O 9 W 19 TH S T °'""E"s"""E"'Q'°r"': TRUONG DAN �ooxess: pHAN, f,IEU NHU THI 609 W 19TH ST ;OSTA MESA,CA 92627650-4354 AiP�.IWIING A�UXE54: UNT: u�cxnECToxexn+�+: GILL L JENNINGS 1°N0i 31137 �xcx.on�crs�ss: qq12 EUCLID AVE °"T� SAN DIEGO CA 92115 ��^""�T�"'%"�"E EASTERN SIGN ! 619 ) 285-9641 CONfHRCiOP'SYYl1N0 q412 EUCLID AV �op� SAN DIEGO CA �� 654421 92115 �NT LICENSED COMNACTOqS DECIAXATION: I heroby elfrm uMs periety d peijury Nei l em licenmtl uMm prwniw d CMqm 9 (oommenon9 wnA Sec�bn 10D0) d D'rvisun � W the Busir�eu eM F�Wmdom COAe. enE mY Loerce u in h01aro enE ellatl. cm uc. ao.: uc, cuss: C 4 5 uc. No.: 5 4 1 o�e: �eb �3-Q6 ��u.Qa: OWNEN BUILDER UECLANATION: I Mmby �rm uMx penely d perjury tMt 1 em exemq / Comrman limeaa lew Iw IM fdbwip ieason (�� 1.5 &siiw W Pmleavor�v CoEe: AMW w aowy whidi nyu'um a pmnG to can4ucl. Ma. impoue. Eemdah, m repei ary evicwea, prior b ia eeuaem, e6o myuues tM applceeq /m eueh pe�me lo Ns e eqed eutemseu tlw M a�he �ieiued WA�� Io IM pmmau d Ne Comreqws licem! lew �Chaqx 9(cpnmonanp wuh $sqcn ]000) d D'vebn 3 d the vina eM Prolew'vna Codal or ihtl he a eM ia aaemq tMralmm eM �Aa buu lu Ne eAsOeE aaemqion. MY videiion d Sedion 0 1.5 by ary+ppliraM la e petmn eW"ptla IM eppl'v:enl �o a wil penelly ot nol mm Ihen /Na h�M�ad tldlen �5500�. QI, ss ovmar d ihe proparly a my empbyeee w1� wepea es IM1ei sda canpenmlion. vnll Eo Ne v.o�k. eM �he a4ucNra w ml iMeMed a MeraEM eab (�� ]OOi. Buvroo e�M PMasianaCade�. TMContrmas L'pwa law Aau nm eppytoen ownerd p�opMy who buiie u inP�a� �nceon, uM Mw daea vuch r.ark Hmrll u henetl a Wwqh 1ie a hm oxn emYbM+, p�ed ihm euch impmemarm era nd iNeMad a d1enE la eab. tl, hawewr, tM buitliry a inqo.arnaq o Wi wnhin pn yaer d cvmplstion, tM ow�nr-0u2Cor rriA heve iM dWm d provirp M or ehe EH nol Guk a"unpow ta tM qnpme d�eb). ❑ �... �« a in. wwan..m..a�swN �wmnu w'vn 6oenwe ea,beaa+ro canm�a �n. wMay (swion rou. a,.ine.. ene Proleviaro Gode: The Caviaam Liemas law Eom mi epp�y b en amw d peopeny xM buitls a impwp tMiaon end wM wnvecia for wN qqeCe wiN e mrurmoHs) Iksemod pveuuu �o iM CaN�erla� Lien�e lew). � I em eaemq uMer Senion: B. 8 P.C., br �his �eeaon: Deta: �> . I Jo M1e�eM ��Y Nel I em ewen d uW wWanWM tln iea�mmaw d Callamie MseGh eM 9dMY Cods Seaiom 25505. 255J3. aM � 255JI. erW tlret I a enY Mun buYEvq wa�vv vriA / wil na (e�cY o need b canDN �i� roid mte mEa end iM nV��aNs br epmndtaouumclbnamod'dimionhamiMAr e�t anepsme qnq.RsdCe ' amq�utlioneppieetiwnereazanqlromU�va Yo�ona. {'� ^1 /� Ome: f -G � «7—' '[ � AGMcem: WORKER'SCONPFNS�TIONDKL�NAl10N:IMroEyetfirtnurdarpe�Wydpx'ry IeblbvrirpEetlermuns: j�in�d,ewu�,.��:,.�w�aao�.e��io.w;�,nro�.,on�.A�*c.�w�,..wow.e�«Ms.a�aooain.i.na. coe.. �« me ceno�,o. d m. wn i«..i.�n w. �u e n.�e. ❑ i n.�,..m �a m.w.:� .,ona,� �o.�.m� ��..�,m..,..c�o.e nr s.ao, a�ao n m. i.no, coas. ro. m. od+«� a m. work la xfi"rA Ne W� b ueuad. MY waken' wmPoNe�ian imueenes wner eM GdkY �wmMr w: Cem«: STATF FTiNn EXPIRES Pa�r+�w +�a��e�_ot 07/01/96 .e;: s«tion rieee mr ne canderoe r tns w�� h ro. me nuMme edlen Isiao/ a rm.) �] I cerlYy Net in the pMame�e d �M wark M which Ihb pa�mN n ieeuatl. I NeE iwl emplvy arry pereon in ury meniar eo o to beeama w4etl to �he xoeMn' mnDM�ion lewa d CeNomie. vW eGres Ntl A I ehouk Eeeonr eidjw �o tM xaken' �oeeu�ion o�o�. a seeon a�ao a ine �mu. eoa.. � wn �onn»vn aomaN wan uo. ww�.bn.. om.: noorreiu: Wemlip: F�Ilun ro wcun workeri mmpMuetlon covxep� l� un1�wlW, �nsWll �uEJr.M �n wnploysr ro WMiul p�ntltlu uW clH/ fliroa up ro arr huntliW tM�uM CNNn (Slpqp00A bi aGtlltbn ro tln cwf ol m��tbM1 dem�p� u proNtled br In Sectlon 91P6 0l N� LeborCoes. lnlwf, aM �ttom�Y'a l�u. CONSTRIICTION LENOINO AGENCY: I Mreby elfirm uedar paneM1y d pee'ryry tIW Ihas o a wrM�Wion Mnd'up pomry la Ns �no�� a �n�.�o� i« �n�n �no �� e�a cs�a� �os�. c�. c�. LENDEfl'S NRYE: LENDER'SIDDFE55: 1 Cenily IMt I hm eaaE t�a epplie�on W qet0 �hm Ne ebova iMormuion u eonW.l apies IO oomply wilh ell ary W aouMy ad� erd atme lews rele�sq to buJdip canstrueian uA Mreby eNMae eepesente�iwa W tAe ary w enlr upon �M ebove�meniioned propany lorinapedian purposea. i _ SUESIE DOAN (5151<6.WP Dele: � ��V Whno-BuiMip b SeIMy: Greem-Fle; Cenery-I�ppicent: Rnk-Revenua: Cioldenro�Meevor PERMIT NO: SB 076535 CONSTRUCTION TYPE: CITY OF COSTA MESA — SIGN PERMIT PLAN CHECK NO: 00727-96 L PERMIT TYPE: STR SIG PERM NO: SB 07653 GOVT: N SUPP: N PURPOSE: OTH JOH DESCRIPTION : 60 SQ FT POLE SIGN SQ FT: CLAIM VALUE: 1,700.00 CALC—VALUE: 1,700.00 GROUP UCC: U-2 / COMMENTS: 'MESA REPAIR & SMOG" NONLUMINATED MONUMENT SIGN 1k 1f IE �E 1E 1E fE iE 1f IE 1E IE'lE IE ik iE iE if 1E if if IE I(� �E IE 1E 1E if iE iE 1E 1E 1E if' af'IE if'If 1f iE 1f fE IE iE 1E IE iE iE 1E 1f if iE fE 1E 1E iElf �E 1E 1E if if �E iElE 1E iE if 1E if 1E fE fE 1h'lE 1f iE iElf S I G N I N F O R M A T I O N DISTRICT: ]. TYPE: GROUND ILLUMINATION: NON CATEGORY: NEW DIMENSIONS: 6FT OOIN X lOFT OOIN AREA: 60.00SQFT LETTER HT: 16 IN STREET FRONTAGE 1: 97.00 STREET 1: W 19TH ST STREET FRONTAGE 2: 0.00 STREET 2: PARCEL: 42421119 ZONE: C1 LOCATION > FRONT: X REAR: HUSINESS NAME: MESA REPAIR 6 SMOG > LEFT: RIGHT: O T H E R T O T A L S G A O U N D S I G N THIS ACTIVITY . 1.00SQFT OVERALL HEIGHT: 12FT OIN THIS SITE : 2,OOSQFT GROUND CLEARANCE: 6FT OIN ITEMS OF INFO : 1 PLANTER AREA: 900.00SQFT ITEMS FOR ACTIVITY: 1 BLDG SET BACK: 20FT ; COPY VERBIAGE : MESA REPAIR 6 SMOG FOREIGN & DOMESTIC 714 650-4354 PLANNING NOTES: ADD 12 IN ADDRESS NUMERALS TO SIGN, ik 1E IE 1F iF IE iE 1k 1E 14 iF 1E if iE IE iE iF if 1E 1E 3E iE IE 1h if 1E 1f IE 1E 1E �(- iE Ik 1f if 1f ff if IE IE IElE IE iE 1E fE 1E 1E iI� iE iE 1E 1E IE iE if 3E �f 1F if 1E �f 1E'If iE If if ik 1E if IE iE if If� 1E iE iE iE IE 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 BY: L�q DATE: �-3 � 1f�1Ei41F1E1F1fiElEiEif16if1Eiflk1f161f1fiflf�F�FiFiFiF7FiF3fiFiF7FiF�FiFif3F�FTFiFiFiFiF�F7F�F7F{FTF�'�"�FjFiElEiEiEiE�ElE3Eifi(� iEiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/RES GRADZNG PERMIT 39.00 PLAN 25.35 SMIP/NO�N—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 39.50 0.00 25,35 64,85 64.85 .00 REVENUE DIVISION TOTALS--> COLLECTED; 64.85 O�t/SHORT: 00 HLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMI '1�'p GRADING PLAN—CHECK 39.00 Sb 25.35 If1fil1E1E1E1EiE1E1EiEiE1E1E1ElEi(�IEIF1('iE1EiEiElflEifiE1E1E1f-iFiflFif�FiEiEiFiEiEiElEiEiEfE iF if iEaEifiF�ElEifiElE�Ih3E1F1E1FififiEfF I N D I V I D U A L F E E � W N TYPE QTY D E S C R I P T I O N A.�, UNIT COST TOTAL COST 9 NO FEES WERE SELECTED FOR THIS PERMIT a� �az�i�,:-c��o.+sc � : �- - I}PiTE9 C,t, :j/ar T1��.', .... . 'CJNSTRk1CT�FON AND PLANNING � � POOL ,'A , Oate Inspector - Date inspecror APPROVALS Permit# APPROVALS Permit# , � 1. Temporary Electrical Service or P"ole-" �2, Poai & Equipment Location � ' 2. Soil Pipe-Undrgrnd. " 53. Steel Reinforcement �' �� 3.-Electrical Conduit UtitityUnd�gcn8. 54. Foims _ 4..Electrical Condu[f'Undrgrnd. ' 55. Electricai Bonding � 5. Steel Reinfopcemeni- 56. Rough Ptumbing & Pressure Test -�fi._ Electrical.UFERGrnd. 57. APPROVAL TO COVER�GUNITE ' ' k '�� 7. Footinqs '- --, � 58. Electrical Conduit�Undrgmd. 8. Founda[ion � _' �� 59. Gas Pipe, O Undrgmd., Test 9.lNater Pipe-Undrgrnd. 60: Backwasfi Liner, P�Trap, i7 Undrgrnd. Itl. Structural Floor Svstem � 61. APPROVAL TO DECK . . 11. Pro.pertY Sewer Line & House Connection - 62.: Backwash & Receptor-Final 12. Sewer Cap � �_ 63. Heater�& Vent-Final 13. Roof Drains � . ' . 6A. Plumbing System - Finai 14. Rough Plumbiq9-� � 65. Electrica(-Final � . , 15. Aough Electrical�Coriduit 66. Solar SYstem-Fi❑al • - � 16. Rough Electric Nfring 67. Fencinq & Access Approval ' 17. Rough Wiring Si4^ b8. APPROVED FO.R PLASTERING 18. Rough Electrical`-T Bar Ceiting 69. POOUSPA SYSTEMS FINAL 19. Rough Heating_& Air Conditionin� _ _ FIRE DEPT, REQUIREMENT 20. Rough Factory Fireplace � _ .�,; _ � .. APPRbVALS � Permit # � 21. Oucts, in Structure� >' � _ , - _. �_ � 70. Undergraund Hydro = _ •.� .. 22. Ducts;Wentifating � '_-,� � �• � - - 71. ProductPipingL-�Z�ias L70i1 23. Gas Pipe-Rough & Test �^ � � - � -. 72. Underground Flush _ , 24. Roof-FramingJ _ " � _ _ .`� 'T ' � 73. Undergind.StorageTank O�Gas ❑Oif 25. Roof Sheathin9 - -" - 74. OJhrhead=Hydro _ • 26. T-8ar Cei�ing �Strutturall & Mortocoat - 75. Or.y Chemicat . 27. frame and Fiashing - 76. Dry Standpipe - 28. Lathing&Siding ', - . :,,, " ' 77. FlXE0.SY5TEM.FiNAL � � . 29. Insulation •-- ` - 78. FIRE PREV. FINAL - ' 30. DrYwall Nailing '"� - s NEALTH QEPT. REQUCREMENT �' 31. Plaster Brown Coaf � 79. FINAL INSPECTION ' � T 32. Electrical Power Meter�Finaf' - 80. FOOD CERT�FICATE ISSUED _ 33, F�inal-Electric - � � Notes: . , " �' '. 34, Final'Heaflng & Air Contlitioning _� ' - � � -> - - -^ �' _ ,� .- t. 35, Finai Gas Pipe-Test '. � t : J . . � . � �� 36. Hood or CanoPY . : ' � '�" • _ - - . , ' 37. Finai'Pactory Fireplace_•. � � - `38. Final Plumbing _ _•�"� "" •- - � • � 39. Water $ervice-Final- � -.., .. - . ' � Z � ' , -° - - _ -. ! :r'� -± : <. . 40. Gas Service-Final � - • - � - - , _ 41. So�ar pomestio-final- . . � � r ' . � . - � - 42. Backflow Preventer � •' �^ _ �i� .� ,.. 43. Backfiow Irrigetion _ . - ' ;r `-'� � . - , ' 44. Landscape Irrigation System - � •� • - � �• ' , � � , � q5, Sound Attenuation . _ ' ' , - - , ,� ��_ , - � . - �- c 46. Handicap Regulations • - ' _ � � ` 47. F1NAL STRUCTURE & 9UILDING , ' r- 48. FINALPLANNING �•� ' ' 49. EleMric Pefease to Edison 50. Gas Release to Southem California Gas Co � �� - 51. CERTiFICATE OF OCCUPANCY � " � ' No. Date -...�....-�... ...�u..n. � .. ...+. . .._. . u.....n'..a 5�'„'•"`eN�m.. +ny.. �. _.....r ._.-.., v _ ... in.n.: � . . � � � -'� �c�it�p o f �o�ta 21�J e5a � � �� DevelopmenT Services, Division of Building and Safety � � CERTIFICATE OF OCCUPANCY � � �.�.��1 �: � This certificate. is issued pursuant t/thel'equiremen"t`s of ;the�Uniform Building Code, Section 308 adopted by the'City of Costa Mesa cer•rifies'.that�at,the rime of�its.issuance the building structure herein � below described �vas inspected and�'approvecl�for"-'occupancy:as follow`s: /��>'',� ��°i� Building Address 609 W. ,1� I iC Use .AUTO SMOG & SHRVICE ,. , ,".Group $-1 Typ��of Owner oF Building DAN, _ im ,. Address 1�� BUn.Duvc oF�c�a,i.-'�onp a� rr: O�MOON SONG-CT;- SAN--DLEGO;'� CA n� q r r.�,� � �� ,.�, � � �,;,, By� � �'Jbe �aca -:: Y , ��;; ,�,� 5 C �� Dafe� �.%/ � �� a a / (^) a S` � �� .Jlr.,\(...-^. �1��,-Y/� � �,�,�<. » '�1 �'_ Permit No. 867436 Use Zone C1 � � t� REQUIRED TO BE POSTED IN`•4 CONSPICOUS PLACE � ,I Itcraooq[ss: 609 W 19TH ST �, l �yuxii1/1 Iw� N'SNAME: "�r••••••_ •••••_" TR � ,V ��yM -; snooness: 3330 S~F'IGUEROA ST ' LOS ANGELES,CA 90007 AIiLHIENGINEEN: LOGAN ENGINEERING , nEc.xo.: C39726 nooeess: 215 49TH ST uNiT: p S,D, CA 92102 � PEFMITTEE: DAN TRUONG ( 619 ) 422-7536 ' nooness: 605 3RD ST CHULA VISTA . CA 91910 LICENSED CONTPRCTOB OFCUflATION: I �ereW atli�m Itwi I am Iitenu0 under D�ovisions ol Ctuplei 9(commencinA �� Sec�ion 7W0� o� Drvision 3 af the BuSiness arM Pml¢Ssions CaGe. anE mY �Kense is in lull lorce arW ellect. ' CITY UC.: STPTE IIC.: CUSS: Ioa�e: Signawre: WOflNEflS' COMPENSATIDN OECLABATION; I �ereDy atlirm I�at 1 have a tenilicate of tonsent lo ull-in5ure ar a tertifitare ol WOrkefs' � ComDensation Insurance, ar a cenilie0 copy ��ereol (Smtion 3800. LaO. C�. POLICY NO.: EXP. ORTE: COMPPNY: ❑ CenifieE copY is MreOy Wrnishe0. ❑ CenifieO wpy is ttleG vrit� I�e dry BuiWinq Divisbn. Oatet Ppplican�: ' EIlFMF�ION FqOM WOPKENS' COMPENSPTION OEClA11ATI0N: (1�is ucfqn nce0 ra16e mmpeteE il Ihe perrtil ¢ br one MWrtd (5100) or less�. I renily that in ine pedormance ol the wOrk for wNcn N6 permit is VSSueO. I Stiall not emDbY any per5an in anY �Enner 5o az to �ecame Su - a ��e Workers Com/0;en�5a�Gon LawS of Cafifomia. '�/' ate: — L� "�_ Si9nature: ' �L4(�1 �`(� NOTICE: II. alter making this aecia�atian, you slwuW Gecome suEject m the Warkers' Campensa i pmvivon5 al t�e La�or Catle. you mus� lonnwnh wmoN �tn sucn O�oNsions or tNs permit shan Oe UeemeE revoke0. CONS7BUCTION LENUING pGENCY: I hereUy aflirm rtWt t0ere is a'consimction IenEing agen�y for t�e p¢tlormance of ihe woM for whicn �his permu is fssuea �Section 3097. Civ. q. LENOEN: ADOXESS: OwNEB BUIIDEN OECIAflAT10N: I nereEy alfirm Ihat I am eMempl Iwm t�e Coniractors' State License Law for Ihe �ollowinp mason (Section 7091.5 Business antl Pmlessional COGe: Any city ot caunty wAlc� reQui�es a Dermit to consiruc4 alter, impmve, Uemolish, or �epair any simcture. O�o� �o its issuantt. also repNms t�e aDC�iwnt lor wch 7erml� ta lile a Siqn¢E statemem I�ai �Ushe is Ilcense0 oursuam �o the O�avisions ol tne Gomracmrs' State Lic¢nu law (C�apter 9lwmmencinq wM Section 7000) ai Oivis�an 9 0l tne Busineu anE Prolessions CoAe� or i�at �e/s�e is eKempt tAerefrom an0 t�e Uasis for t�e aAe0e4 eKemD�ion. pny violation of Seclipn 7031.5 Oy any aoPlicant Ior a permit su�jecis ihe a0o��cant ta a civil oenalry ol nol more Illan live IlunCrea Ootlars (5500�. I� I. as ownet ol I�e O�openy or my em loyeu with Wa➢es as their sole campensdtion, wili tlo the work, antl t�e simciure is not inten0ed ar olteree lor ule I�ciron 70aa. Bwness an0 Prolessional Catle: 7�e Contractors' Slata License Law � Ooes nai apDN �o an ovmer ol a proDeny wlro EuilUs or imprwes i�ereon, an0 x1ro Aoes suc� work �imsell/�ersell or tAmup� hi5 Or �¢r Own emDlayO¢5. ptOVideO ItNI wth imD�a�emeni5 a�! na� infenElO or Ofler¢O IOr Shce. II, �Uv/avlr lhe Cui1GIn0 Or impravemeni is SoIA witnin one year o� com01¢tion. I�e owner vnll �ave I�e EurOen ol provin0 �e/s�e Eitl noi �uild or impmve lor I�e Ourpase ol sale). 1, as owner at tne pro0crty, am etC(uSiveW CMicractinp xit� FC¢nsetl cOntractars to construct tM plo�Gtt (Sectlon 70Ed. Business ❑ antl Pmlessions CoOe: The Contractms' Siate License law p� irot �ppty to an owner ol pmpeM1y who 6uJ0.5 or imprwes Inereon antl w�0 LonVatlS �Or Suth prpjetl5 wil� a Contratiar�5) litEnse DurSWni t0 �he fAnUaGIOR' Siate Littn58 Law�. 1 am awar2 ihat Dr0o1 of Iheir Worker'S ComOensation insurance SMuIA Ce pmvitletl t0 me. � I am e�empt unGer Seclim: B. 8 P. C. �for Inis reason: T/� �- ' ,y/� ate 6— �— �� Ovmer. V �Lu [�� V�1 ereby c¢nity �hai I dm aware of anO unAerS�anC Ine r¢quiremenli al CalilOmia Hea�N an0 $a�¢ry Code $et�ion5 2 , 25533, ana 2553d an� t�al I or any �uiufe EuilOinq otcupanl vnNwitl nol (cirde one) n0e4 io ComON �� itl 51a18 ca0e5 an0 (he reQwfemenfs for a permit lot conslNciion or m00ilicatian Irom t�e Art Ouabry Matupertrcnt Ustlkt. fleSiGentul ConsiNCliOn appliWtions are exempt Irom ihese p�aviSions. Ddi¢: ADD�Canl: I �eieby Rqdy ItNI I �ave rtaE MS appliWliOn anA 51ate ltu� lhe aGOve infOfmdiion a COrrtti. I apfre lo Ca010N �'^�� all tity antl COun�y O�OiI1d�W5 dt10 StdIC Ww5 fCWIi0010 GIIdWOq LOIISVIICIbII dI1G 11lf20y dO�MIRC �¢pf�f1ldIIVCS OI IIRt OIy IOlI1�Cf Up001I1E dEpVC-III¢OI10l1Etl �env lorinsoeclion Durposes. / r,� �� 1 0 :�� — _1� Si9nature: // � kn'f' ori�er s ucense o� Sociai Secudry .: tG4na6 W�ne—Bmltling; Green—CoOe Enlo¢em¢nL Canary—Applicant; Pink—Revenue; Goltlenrod—Asseswr CITY OF COSTA MESA — HUILDITIG PERMIT PERM NO; B 067436 PERMIT NO; B 067436 PLAN CHECK NO: 01265-94 A GOVT; N SUPP; N CONSTRUCTION TYPE; V—N PERMIT TYPE; STR pURPOSE: NEW JOH DESCRIPTION : NEW 1794SF AUTO SMOG 6 SERVICE STATION SQ FT: 2,1$q CLAIM VALUE: 130,000.00 CALC—VALUE: 89,625,90 GROUP OCC: B-1 / COMMENTS; 1404SF SERVICE GAAAGE, 3905F OFFTCE FOR "hIESA SMOG S SERLTICE 1F ik iF iR iE iE iF'1F'%if iF iF iF-lf +E iF jF 1E 1F 1F iL 1F-)E if iF iF K iF iF %if !F iE if iF iF iF 1F �F 1f %�F iF ie %�i4 # iF jf IE iE i4 1E a4 iF iE iE k iF # IF dE� iE lF iF 3R ii i� Y Y j( +f 1F #�lf if 1F if if Z O N I N G R E Q U Z R E M E N T$ S E T B A C K S ------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUILDING --------- FRNT: 20 FT IN REAR: 42 FT 6 IN FRNT; FT IN REAR; FT IN LEFT; 68 FT IN P.GHT; 1 FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: 7 PROV; 11 PARCEL: 42921109 ZNE; C1 REF NO; FA-94—QS PLANNING NOTES> CONSTRUCT A NEW 1,794 SQ.FT. COMMERCIAL BLDG TO BE USED FOR ? AUTO REPAIR PURPOSES. P, F 6 E . *r*******#**f�**1!.+�x�+�**�.iE�c-x-f��*****+t+t*ir�*****�rk�r***i�+c*iF******+t*?F*x**a;,u*�c�a..**t **+�*�* D E V� L O,R .M: E r> >T S E R V I C E S P. E Q U T R E M E N T, S ZONING APPP,OVED BY w � C/P DATE: � _� BUILDING APPROVED BY ;_ W�� DATE: �'�• f� �. APPLICATION IS3UED BY: ��i� DATE: G / �' � ****;�*******u-i�******** * * �r. �r xx�x�r3FTciF��F��F�rx*iFi�**t*+�+��ir**+c� r../+r .�+�r iFi(-1FiFifiElFiFYfEifif�lFiflf�ifiFiFiEifffiF'KiElfifY�ff��Ei�-�lE1ciE.iFiEif�lflfif#�IfiliFiE�fkiM1i�ifiFltjEil�MifiFif'�ElF1faE1f#MiF.�.iFif�iFi if�lf�?FMIc�1Fit## LEGALIZATION:N F E E 5 U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTA.IC MECHANIC FIAE SMIP/RES GAADING PERMIT 599.50 i SMIP/NON—RES PLAN 96.61 ':� 18,82 ZSSUE FEE -•� .% BUILDING—DIV—> PERMIT "ISSUE PLAN—CHEQK TOTAL PAID DUE TOTALS----> 613,32 0,00 ,�96,6i 709.93 709.93 .00 REVENUE DIt,'ISION TOTALS--> COL�ECTED; 613,32 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECH�,NIC FIRE SMIP/TOT GRADING PLAN—CHECK 594,50 " � 18.82 . if fF 1! 1E tt il� 1F 7! ff iM1 1f� 1f if it af'1E 1f M if iE iE ik 1t �lE iF if !f ik iF if if if 1tlE if if if iE iF iF iE 1F M if tf 7h if 1f if 1! 1t 11� if i1 i! it if M iE Y ik 1E+E M i! 1E K# ii if iE iR fP r ifl� iF+! if Z N D I V I D U A L' F E E B R E A K D O W N TYPE QTY D E S C P. I P T I CS N UNIT COST TOTAL COST SFC 390 OFF—TYPE •C'-1 'HOUR � —At'ER 56.80 22, 152.00 SFC 1904 SRV—TYPE V-1 HOUR —AVER 47,10 66,128.40 SFC 390 EQU—COMMERCIAL AIR'COND —AL�ER 3.45 1,345,50 END OF �FEES ' ✓ , , 01 OU1615?8-Q0161S29 r�n r eia.a2 �- DATE: Qb/0!!44 TI11E: 15:01 1-- •. 'CONSCRUCTIUN ANO PIRNNING " POOL & aPA .. ' ,�,��aPPROVALS 'Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporory Electrical Service or Pole 52. Pool & Equipment Location y. $oil Pipe�Undrgmd. 53. Steel fteinforcement - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4, Electrical Conduii-Undrgrnd. 55. Electrical Bonding �. Steel Reinforcemen[�pyr $�y1 ti�a �� 56. Rough Plumbing & Pressure Test ��.� 6. Electrical UFER Grnd. ' 57. APPAOVAL TO COVEfl�GUNITE 7, Footings /fj��.� ��1� `��,��o� 58. Electrical ConduirUndrgrnd. 1 1 � .'.�!' �. Poundation s�� /�G/`�/ C�59. Gas Pipe, O Undrgmd., Tes[ / o[ �� 9. water Pipe•Undrgrnd. � 60. Backwash Lines, P•Trap, O Undrgmd. 10. Structural Floor Svstem 67. APPROVAL TO DECK . 11. Property Sewer line & House Conneciion 62. Backwash & Receptor-Final . .1.2. Sewer Cap 63. Heater & Vent�Final 13. Roof Drains 64, plumbing System • Final . 14, fiough Plumbing 65. Electrical-Final 1�, Rough Elec;rical�Condu;i 65. Solar SVstem-FinaY 76. Rough Electric Wiring 67. Fencing & Access Apqroval � 17, Rough Wi�ing Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Cei�ing 69. POOUSPA SYSTER4S FINAI � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Firepiace APPROVALS Permit # 21. Ducts, in Structure 70. Underground HyAro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oii 23. Gas Pipe�Rough & 7est 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorayeTank QGas �Oil 25. Roof Sheathin9 y�Q' � 74. Overhead Hydro 26. T�Bar Ceiling IStrucwrall & Monocoat 75. Dry Chemical 27, Frame and Flashing `�3/¢( /,ny- 76. Dry Standpipe �j � ��,�. 28. Lathing & Siding �p/� �� 77. FIXED SYSTEM FINAL � _P 29. Insulation 78. FIRE PREV. FINAL 30. Dry�•iall Nailing ��/�� HEALTH OEPT. REQUIREMENT 31. P�aster 8rown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-F�nal 80. FOOD CERTIFICATE ISSUED 33. Final Eleciric _ Notes: LJ' �,�d �� f��, G!- L_ • � .v'd 34. Final Heating & Air Condi?ioning _ � /flQ vr� 35. Final Gas Pipe-Test ' _ 36. Hood or CanoPY ' [�' y- �i � �c�lL� (7�'�� 37. Final Facto�Y Fireplace 38. Final Plumbing 3y, Water Service-Final 4p. Gas Sarvice�Final 41, Soiar �omesticFinal 42. Backflow Preventer 43. Batktiow Irrigation 44. Landscape irriqation Sys2em 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING l� L/ G)' �li,:� t v 48. FINAL P4ANNING 49. Electric Release to Edison _ . 50. Gas Release to Southern Cafifornia Gas Co 51. CERTIFICATE OF OCCUPANCY ' No. Da[e , aoonEss: 6 0 9 W 1 9 TH ST UNIT: i'S NFME: j'jAN TRUONG ' AOOPE55: 1[322OMOON Jr�NCa CT SAN DIEGO CA 92127 PPCH/ENGMEEP: LOGAN ENGINEERZNG NEC.NO.: C�y-�Z6 aooness: z 1 5 4 9 TH S T uxir: A S.D, CA 92102 PEflMITTEE: FIOLY DINENSIO� ELECTRIC ( 619 ) 584-9201 nooeess: q463 UNIVERSITY AV SAN DIEGO CA 92105 ULENSEO CONTBACTOfl OFCLAflFTION: I hereby allirm mal I am Iicensetl un0er D�ovismns ol Chapter 9(commencinp wilA Seciion 7000� of ��sion 3 0l Ine Business antl P�Ofessions CoOe, anU my license is in lull force ana ellect. c/Tr uc. � srare uc.: q g 1 z g F ] pcu�s/s: C-10 EXP ; e: � Si9na�ure: _xIISI 1 Y'� 0 BS' COMPENSRTION O NR710N: I �ereby allirm t�at l �ave a certilicate af consem to ull-in5ure or a certilicate of Workers' omDensation Insurance. or a er lietl copy tnereof (Secuon 3900. LaU. Cl. POLICY NO.: E%P. OPTE: COMPFNY: ❑ Cenifietl coOY �5 �erehy fumis�eA. �] Certilie0 coDY is IileE vnih the ciry Building Oivision. Dale: ApPlicanL . E%EMPTI FflOMWOPNEflS'LOMPENSRTIONUECIAPPTION: (iliissectionneeOnOtUecompleleGitlhepermilisforonehunOreG�$100)arless). I retlif al m Ihe DedOrmanCe ol lhe wOrk lOr which (�is permit is i ed, I sl II no� empl ny per5on in any manner 5o as �0 b¢cOme �ec o Ih or rs' om n a�ion aws ol Calilomia. � . � : � /�%��] 9 , a Si nature: NOTILE: II. atter making ��is Geclaraiion, you shoul0 Gecome ubject m the Workers' Compen ion pwvisions ol t�e LaOor Coae. you must lonliwith comoly wii� sucn Drovi9ons ar iMs permil snall Oe eeeme0 revoke '' CONSTHULTION LENOING AGENCY: I h¢��py aflirm I�al t�¢re i5 a ton5imtlion lentling agency IOr Ihe petlOrmantB,ol �he work �or which this permit is issuetl �Sec�ian 3097, Civ. C): ',' IENOEfl: !• .% ` FODNESS: • OWNEN BWLOEX oEtNPRTION: I here0y aifirm ihal I am ezempt iwm ine Cantractors' State Li�ense Law far t�e following reason (Section 7031.5 Business anG Pmlessional Code: Any ciiy ol counry w�ic� requires a De�mil m conslmct, aller, impmve, demolish, or reDair any slmcWre. prior to ils issuance. also requires �he apDlicant for Sucll permit to lile a signeG statement ��at he/sAe is license� pursuant ro t�e pmvisions oi t�e Contrano�s' State License Law (Chapter 9(wmmencing wit� Section 7000) of Oivision 3 of the Business and Pmfessions Code) or that he/she is eMempt therofrom antl t�e Gasis for the alleqed exemption. Any violation of Section 7031.5 Ey any applicantfor a permii suble��s �he aDpihantto a tivil Denally of not more I�an �ive huntlred dollars (5500). I, as owner of ihe pmpeny or my employees with wages as iheir sole com0ensation, will tlo t�e wafk, ana Ihe ❑ stmcture is not intentletl or offered for sale (Sec�ion 7044. Business antl Prolessional CaOe: TAe Coniractors' State License Law does nol apply lo an owner Of a O�op¢rly w�0 �Uiltls or impwves �her¢On, antl wh0 AoeS SUth wofk Aimsell/h0fsel/ o! throupA his or �er own emDloyees. DmviOetl that such im0�ovemenis are not inten0etl or ofiered lor sale. II, �owever ihe 6uilding or impmvement i5 sol� wiihin one year ol compleiion, lhe owne� vnll �av2 ihe Uurtlen 0� O�oNnq he/she Aitl not Evi10 0� impwve tor Ine DutDose al sale). I, as owner ol lhe pwperly. am e�CluSiveN wmraclinA ��h Iirense0 conVanors �o consimct I�e projeci (Section 7044, BuSiness ❑ an0 Pm�e55ions Coae: The ConVa�rors' State Lkense Law tloes not aODly to an owner ot Omperry who �uAds or imOroves �hereon and who conVacis for such pmleCls wiih a contrac�or(s�license pursuan� to the ConVactOrs' State License Law),I am aware t�al pmoi ol Iheir WorkeYs Compensaiion insurance s�oultl be prmidetl lo me. � I am exempi unaer Seclion: B. 8 P. C. lor I�is reason: Dale'. Ownec I tlo nereby cenily Inai I am aware af ana VnOerstantl lhe reQuiremenis oi Calilornia Health an0 Salety Code Seclions 25505, 25533, ana 2553a anA �hai I or any iNure building occupani will/will nol (circle one� n¢etl Io comply with SaiG sta�e co0es anJ the reQuiremen�s for a permit br consimclion or mo�dication Irom ihe Air dualily Management Disirict. Fesidenlial consiruction apDliWtions are exempt imm 1�¢se provisions. Dale: Applicanl: I here0y cerlilyl�ai I �ave readthis applicaiion an0 Sialelhal Ihe a�oveinlOrma�i0n is orEinancesandstatelawsrelalingto0uil0inp�onstmc�ionantl�ere0ya orixerepresen� DrODP�Iy lof in5p¢LIiOn u(pa5¢5. �/'� /� `� Signature: �er'sucensearSociaiSecurityn; $ W1ute—BuilEinq: Green—CoOe Enbrtemen�; Canary—POPlicanl; Pink m comDly witn all ciry an0 counry l0 1nteruponihe ahave-mentionetl GolEenrotl—Assessar CITY OF COSTA MESA — BUILDING PERMIT PERt1 NO; E Ou80�i PERMIT NO: E 068051 PLAN CHECK NO; N GOVT: N SUPP; N CONSTRUCTION TYPE: V—N PER�IIT TYPE: ELE PURPOSE: NEh JOH DESCRIPTION : NEW 1794SF AUTO SMOG 6 SERVICE STATION SQ FT: CLASM i1ALUE: CALC—VALUE: GROUP OCC: 8-1 / COMMENTS: REF; B-67436 itieK�iEftiPitiFiriFltit#iEiEiEiF#ifitiEiEiEiEiFit#iFiEjEiEiEiF#,fE3Ejtit#3h3EiE##X�tF#it##i:�#ie#itaE#ie3tY#it��##Y.#iEiFitifKC�r,. k# nKi' 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$ ------------ 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 ZT; PARKING AEp • PROV: P�p,RCEL: 42421109 ZNE: REF NO; PLANNING N6TES> > iEiEiE3E1fiP�IffEiEfFiEfEifiEiEiF#ififiEiE#ik##!liF1t#if�F%�#f#1fltiEic#ificiFiEifitlfitlE?f3Fif#ff##jFi( fflPiEi(iFiEiE##if##-k K##X�#i`#!:� 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 APPROC'ED BY DATE; BUILDING APPROVED HY : DATE: APPLICATION ISSUED BY: • ( �'� DATE: � � �L� iFiEi4ifiP�FiEiMiEifM�3EiF7F3f3c�if#ihiF3EiF � :. xir�x�n-x � itrrir ir�r'3rir3r3r�u'%iFx_3F?ffPk�Jf#iFifif3f# x�z "�r rf .e#% iEiFiEif#itiEiE�lfiFiEiEiFiErticlFiE##iFjcjFiFiFifitiFif-iEiEiFi6lEiFiFiFiEiE%iEi43f#�1F�lE#ifif*3EiFiFiEiEiciEifiFitiEiF3EiE#iEiE��iFiEi4###ir#iE%# LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:ht BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 66,50'. SOsr' PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 66.50 15.00 � O.QO REVENOE DIVISION TOTALS--> COLLEC;fED: BLDG PMT PLUMBING ELECTRIC MECHANIC 81,50 FIRE SMIP/AES GRADING SMIP/NON—RES TOTAL PAID DUE 81.50 81.50 ,00 81,50 OVER/SHORT: 00 FIRE SMIP/TOT GRADIP]G PLAN—CHECK ifiEiFiE�Ei2itN�iFiEilifiEihiE#1E#if1liEiEi@iklEifihlEif!liEY: ##iEiEiEi!#i4iEiEiEifikiE'!F�%i6if##iERiEl6iFiE1t#M�##�lEi(�lEi61Fi4iEiEfhtt#%i6#'.f* I N D I V I D U A L F-.E E $ R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST i ELE 20 FIXTURES, LIGHTING�. 7� ST 20 EA. ,75 15.00 ELE 10 RECEPT/OUTLET � 1 ST 20 EA, ,75 7,50 ELE 1 SERVICES BELOW 600 V�& BELOW 201 AMp 18.50 18.50 ELE 1 MOTOR/POWR APPARATUS O.Q — 1.0 HP 3.00 3.00 ELE 1 MOTOR/POWR APPARATUS 1.1 — 10.0 HP 7.50 7,50 ELE 1 SIGN/ OUTLINE LZGHT SYS ON 1 BR CIRC 15.00 15.00 END OF. FEES r DS 00163927-001639�7 TO T $j.$0 DA7E+ 07/13/9f 7It1E: 11:29 � POOL & SPA CONSTRUCTION AND PL�ANNWG �APGROVALS Permit#,�` Date inspector APPROVAlS Permit# Date Insnecto. 1. Temporary Electrical Service or Poie `. �, 52. Pooi & Equipmenc Location � 2. Soii Pipe�Undrgrnd. 53. Steel Rzinforcement 3. Electricak Conduh Utility-Undrgmd.� _ 54. Porms . 4. Electrical Condu�t-Undrg:nd. - � 55. Electrical Bonding 5. Steei Reinforcement c6. Rough Plumbing &°ressure Test 6. Electr.cal UFER Grnd. 7��e��/ /r�/. �..i7. APPROVAL TO COVER�GUNITE i [ $ 7 • � ,y.�� 7. Footings 58. Electricai Conduit•Undrgrnd. � 8. Foundation - . 59. Gas Pipe, C Urdrgrnd., Test 1 9. Water P�pe-Undrgrnd. -' 60. Backwash Lines, RTrap, C Undryrnd. � 1Q. Structurel Floor Syscem 61. APPFOVAL TO DECK � 1 i. Property Sewer line & House Connection 62. Backwash & ReceptorFinal I _ � i 12. Sewer Cap � � � 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Fir.a� '- 7A. flovgh Plumbing 65, Electrical-Finai 15. Rough Eiectrical-Conduit 66. Solar System-Finai 16. Rough Electric Wirin9 p I 67. Fencing & Access Approval _ L/��, -- 17. Rough Wiring Sig� 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Cei�ing 69. POOL,''SPA SYSTEP,SS FINAL 19. Rough Heating & Air Cond;tioning FIRE DEPT. REQUIREMENT 20. Rough Fac2ory F�reptace APPROVAtS Permit � 21. Ducts, in Structvre J0. Underground Nydro 22. Ducts, Ventilating 71. Product Pipfng O Gas C Oil 23. Gas Pipe-Rough & Tese 72. Underground Fiush 24. Roof Framing 73. Underyrnd. Srorage Tank 0 Gas ❑ Oii 25. Roo' Sheathing 74. Overhead Flydro � 26. T�Bar Ceiiing (Sttucturall & Monocoat ' 75. Dry Chemical � 27. Frame and Flashing 76. Dry Standpipe � ; 28. Lathing & Sfdin9 77. FIXED SYSTEM FINAL i 29. Insulation 78. FIRE PREV. FINAL �� 30. Drywali Nai;ing HEALTH DEPT. REQUIREI41[NT � 37. Plaster Brown Coat 79. FINAL INSPECTION ! � 32. Electrical Powzr h4eter�Final 80. FOOD CERTIFICATE IF',�JED � i 33. Final Electrlc ii�� Notes:r��iJ /r � ��U� � � V ft'� 7 • t 34. Finai Heating & A�r Conditioning /�T�.i�/ 35. Finai Gas Pipe-Test � �Z � ' -gC�� ,_/f-Q /_�'//,'/ � L!6�Y!C � T ( 36. Hood or Canopy . 37. Final FactorY Fireplace 38.��Final Piumbing '� 39. Wa:er Service-Finai i 40. Gas Service-Final 41. Solar pomestic-Finai 42. Backflow Preventer .43. Backt{ow trrigation 44. �andscape Irrigation SYstem 45. Sound Attenuat�on I 46. Handicap Regulatio�s � 47. FINAL STRUC7URE & BUI�DING 46. FINAL PLANNING . 49�1 Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PHOJECT POOflESS: ( U[� �� 1 C�'i H $'[' OWNEWSNIIME:DAN �CRUONG noosEss:18220NOON SONG CT SAN DIEGO CA 92127 uxiT: AflCH/ENGINEEfl:LOGAN EIdG�INEERING xec.xo.:C39"/26 noonEss: 215 4 9TH S'f uxiT: A S.D. CA 92102 PEPMITTEE:pOLY DIMENSiON tL�:C'TRIC (619)584-9201 aooness: q�63 UNIVFRSI"fY AV SAtJ DIEGO CA 92105 UCENSEO CONTHACTOfl OECIAHATION: I �ereby allirm I�a� I am liCensetl untler pmvisions Oi Chapi¢r 9(Commentinp wit� $eCtiOn 7000� ol Division 3 oi t�e Business and Pmtessions CoOe, antl my license is in fulllorce and effect. iTv � sTnTe uc.A 9]. 2 9 6 ��inss: S O ? X P: � K/ • Oate: �7f �� SiA�amre: — ICENS' LOMPENSRTION OEClAN11TI0N: I �ereby afiirm tna� I �ave a cenificate ol co ent m seli-insure ar a certiliwte ol Workers' ComOensa�i0n Insurance. or a ceritliee copy I�ereof (SectiOn 7800. LaO. C). POLICY NO.: EXP. OATE: COMPANY: ❑ Cenifie0 copy is hece0y �umisAeO. ❑ CenilieE coDY �s IileO vnN t�e ciry BuilEing Divisbn. Oate: AppliwnL EXEMPTIONFBOMWOflREPS'COMPEN$l�tIONOEClANB710N: (IAisu'nneeEnotOecomD@te0ilihepermitistorone�unCreG�5100�or1e55�. I cetliiy �ha� in ��e pedOrmante 0� I�¢ work for whith Ihis permii is i 5 etl, hall noi9 l0y any person in any manner so a5 io beCom¢ ' I Io i�e W k s' ensation Laws ol Cali�omia. �. Oale: � � SignaWre: OTICE: If. alter making IAis aeclaration, you snoWU become su�iect to ihe Workers' �pensalian provisions of Ihe La�or CoOe, you mu5i �ort�with comply wi�h such provisions or Ihis permi� shall be deeme voked. CONSTflUCTION LENOING pGENCY: I herehy aflirm that ihere is a construclion lentling agency for iM1e petlormance oi Ihe work lor which Ihis permi� is i=.suetl (Seclion 3097, Civ. C�. LENOEB: nooness: OWNEB BUIL�Ffl OECLAHRTION: I here0y atlirm IAat I am exempt Imm lhe Contractors' State License law for the lollowinp reason �Sec�ion 7031.5 9u5ine5s and Professional Code: Any ciry o� county w�ich repuirts a permit to mn5im[I, al�er, improve, Eem01i5M1, ar �eoair any stNCWre. D�ior to its issuance. also repuires ihe applitant for suc� Dermii to tile a signeA statement t�at Ildshe is IicenseE pursuam m ine pmvisions ol �ne Contracmrs' State license Law IChao�er 9lrommencing with Section 7000) of Division 3 0l Ine Buvneu ana Protessions Cotle) orinat ne/she is exemD��erefmm ane ine Easis for the alle9ee exemp�ion. Any Wolation of Settion 7031.5 Gy any aoP�icant for a oe�mit su�ie��s ihe applicant to a civil Oenally ol not more than five hunOretl tlollars (5500). I, as owner ol I�e pmpenY or my emplayees wi�h wages as I�eir sole compensation, will Oa �he work, anE I�e ❑ simcmre is not intenGeA or ofiered lor saie (Section 70aa. Business anE Pmiessional Cotle: T�e Comractors' Stata License Law tloes no� a00N �o an owner o1 a pwpeny who builds or impmves �hereon, and who Oaes such work himsell/�ersell or I�rouA� nis ar her own employees. D�ovi0e0 t�at suc� impmvemems are not inlenGeE or ofleretl lor ule. II. however tAe buil0inp or improvement is soitl wit�in one year o� compleiion. ��e owner will have ihe Ourden o� D�oving �e/she Gid no� OuilU or impwve Inr tne ourpose of sale). I, as owner ol lhe pmperty, am exclusively coniractinp with licensed coniracmrs m cons[mct ihe prole�� (,Sectlon 7044, Business ❑ and Pmlessions Cotle: 7he Coniracmrs' State License law aoes not apply io an owner o( DroDerty who bmltls or imD�oves therean antl w�o coniracls �or suc� O�ojects wilh a conVactaqs) IicCnSe Oursuanl b �he ConVac�ors' Sia�e Litense Law�. I am aware t�at pmof ol I�eir Worker's Compensation insurance s�oultl Ce pmvitletl to me. � I am eKemO� unaer Seciion: 9. 6 P. C. lor Ihis reasonl �ate: �e� I Oo here0y cenity ihat I am aware af and understan0 the repuiremen¢ ol Califomia Health an0 Safery CoGe Sectians 25505, 25533, and T557E ana t�al I or any luture �uil0ing acupant wilVvnll nol (circle one� neeA to compty vrith uiJ state codes antl t�e repuirtmenis lar a permit lar ronslmction ar moailicaiion irom ihe Fir Oualiiy Managemenl Dislrict. fle5ideniial conSlruciion aDPlication5 ar¢ eeem0� �mm Ihese provisions. Oate: Applitant: I �ere�y t¢tlity I�al I have teatl t�is applicaiion an0 Slale �Adl ��e a ve inlormation is correct. I agree ta comON++�� all ciry anG counry ortlm esanOstatelawsrelatingtoOuildingconsimclionanOhereL a Iho'zerepres tivesafthiscilytoenterupontAeahove�mentioneG erty or insoeclio vur ases. l aie: � SignaWre: er s t¢ense or Sociai Securiry x: i6abafi W�i�o—Building�, Green—Code EnlorcemenC Ganary—ApplicanL rinx—nevenue; tiol0enro0—nsseswi CI'fY OF COS'fA MESA — BOiLOING PF.Rtd'C'f PERtd NO: !E 07032 PERMiT NO: iE 0%0328 PLAN CHECK NO: N GOVT: N SUPP: Y COP7S'fRUC'flON 'I'YPE: V—Pd PHRMI'f TYPE: ELE O'fH PURPOSE: NEY7 :JOB DESCRIP'TTON : REIIJSPtiC'fION FEES AS REQUIR�:D BY SNSPEC'f SQ FT: CLAIM VALUE: CALC—VALOE: GROUF OCC: B-1 / COMMEPdTS: REF: B-6'7436 G E-68051 REINSPEC'lION 1HR AS REQUIRED BY 2NSPECTOR *��c*�t�*xx*x��*x�*�**�x*��*�**��*�**�*��xx*x�**x**�t*x*��***x�***iE*x�*x*��**��x�* Z O N I N G R E Q U I R E M E N T S sErBAcxs — — ---------- h1AIN BUILDIPIG --------- --------- ACCESSORY BUILDING --------- FRNT: FT IN R6AR: FT ZN FRNT: FT IN REAR: F'I itJ LEF'f: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT ZN PARKlNG REQ: PROV: PARCEL: 42921109 ZP7E: REF NO: PLANNING NOTES> i �**��*x��*x**�***�**�*��*�x*x��x��«��-��x�*��x�*��x*�x��x�***x*� D E V E L O P id E N T S E�,R V I C E S R E Q U I R E M E N T S ZONING APFROVED BY _______ _ ___ DATE: __.__.._ BUTLDIC7G APPROVED BY : DATE: Q APPL'ICA'liON ISSUED 8Y: �C��, DA'fE: �'�'R1 t� iE X # iE iE � iF 7f �)E iE -lE �f % �)E �lF �� fE �f 7E iE iE 7E��'iFaF'jFiF� � £iFiF iFjF,�CiF �dF�fE it �E �E �lE # �lE �f �E �lf # --- iE iEiE�kiEJfif��E##iE9E-)fiEiEiEiE�IE)E-IE�7f�7E�%ififiEiE�IE�lE�lfiEiE�Ififk�MiEiEiEiE�iEiF��iEh#iE7f��iEiE�1EiE�JE�7fiF�7EiEif-1E'7fiEdE-IE#iEifiE-IEiEiE-7E�EdfiE iE-If C,EGALtZATION:N F E E S U M M A R Y STRUC'fiJRAL 5£GMEI•]T:N BLDG Ftd'f PLUMBING ELECTRIC MECHANIC FIRE SMlP/RES GRADING PERMIT 30.00 SOX SMIP/NON—RES PLAN ISSUE F'EE BUILDiP:G—DIV—> PERM2T ISSUE PLAN�CHECK TO'TAL FAID DUE •roraLs----> so.00 o.00 o.00 so.00 30.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: .00 }3LDG PM'f PLUtdBING F.LECTRIC MECHANIC FIRE S1dlP/TO'T GRADIP7G PI�AN—CHECK 30.00 iE jE �F iE'� iE :� iE iE lE if'k iE M jE "JE if if iE if 3E jf iE iE #�M �7E if iE � i("7f # �E %'lE � iE 3E iE if'7E if'7E if iE #�)f if if 1F if iE #'� if if if iE iE'7E 3f iE ##�E jf �7f if'X iE �E � dE If iE #�f iE I N D I V I D U A L F E E B R E A K D O W N 'PYPE QTY D E S C R I P T I O N UP�I'P COS'T TO'PAL COST EI,E 1 ELECTRICAL RE—INSPEC'TION FEE 30,00 30.00 END OF FEES �� DEC. 91994 .�,:�. �Y 0� CDSTA �IESA CONSTRUCTION AN6 PL`ANNING POOL & SPA . APPROVALS Permit#� � Date Inspector APpR�VALS Permit# Date Inspector 7. Temporary Eiectrical Servic � dr Poie 52. Pool & Equipment Location . I 2. Soii Pipe�Undrgrnd. � 53. Steet Reinforcement � 3. Electrical Conduit Utility�Undrgmd. � 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Elecirical Bonding � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ( 6. Electrical UFER Grnd. 57. APPftOVAL TO COVER�GUNITE I �, Footings 58. Hectrical Conduit�Ur,drgmd. � 8. Foundation 59. Gas Pipe. � Undrgrnd., Test � 9. Water Pipe•Undrgrnd. 60. Backwash Lines. P-Trap, O Undrgmd. � 10. Svuciural Floor SYstem � � 61. APPROVAL TO OECK ; 1 t. Property Sewer Line & House Connection 62. Backwash & Receptor�Final }2, Sewer Cap ,- 63. Heater & Vent�Final 13. Roof Drains 64. Plumbing System - Final � 74. Rough Plumbing � 65. Electricai�Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval I 17. flough W'irin9 Si9n 68. APPROVED FOR P�ASTERING I 78. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTE��.iS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ! � 20. Rough Factory Fireplace APPROVALS Permit # � 27. Oucts, in Structure �� 70. Underground Hydro ' 22, Ducts, Ventilating 77. Product Piping C7Gas OOiI 23. Gas Pipe-Rough & Test . , . 72. Underground Flush 24, Roof Framing � 73. Undergrnd. Stora9e Tank O Gas ❑ Oil ( 25. Rooi Sheathing . � 74. Overhead Hydro � � 26. T-Bar Ceiling (Structura�) & Monocoat 75. Dry Chemical 27. Frame and Flathing , . • 76. Dry Standpipe � 28. Lathing & Siding " 77. FIXED SYSTEM FINAL 29. Insulation 78. FIflE PREV. FINAL 30. Dry�vall Nailing ' HEAL7H DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Po�ver Meter�Final . 80. FOOD CERTIFICATE ISSUED � 33. Pinal Electric 2-�2-y' otes: . � 34. Final Heating & Air Conditioning � 35. Final Gas Pipe�Test . �,. 36. Hood or CanopY .:. J'�+=:j�;t�g .. , 37. Final Factorv Firepiace � � � :�•�%� �-•' ��`. = �� e; ;: � ��, , -- 38. Final Plumbing � . _ _, ,k: 39. �'later Service-Final ' 'c �" � � '•`% . � 'w�t;. ..n. 40. Gas Service-Final . - �� -:. �• �� 47. Solar pomesticFi�al ' � �'�s'i; � Z. � �ci 42. Backflow Preventer ..��"""- � r�' ., r 43. Backflow Irrigation • - '-" 44. Landscape irriqation SYstem '� ' 45. Sound Atienuation � . 46. Handicap iiegulations � � - • 47. FINAL STRUCTURE & BUILDING ' _ ,. � � 46. FINAL PLANNING � . 49. E�ectric Release to Edison -- 50. Gas Release to Southern California Gas Co � ' 51. CERTIFICATE OP OCCUPANCY - � No. Oate � a�aoneess: 6 0 9 W 1 9 TH S T owxex•sName: SHAMMAS CAROLE TR PUOqESS: 3,330 S �'IGUEROA 5T LOS ANGELE5,CA 90007 ANCH/ENGINEEP: FOONE55: NEO.NO.: uxrt: UNIT: PEflMITTEE: DAN TRUONG ( 619 ) 922-7536 FDDHESS: ( O S 3 RD S T CHDLA VISTA CA 91910 LICENSEO CONTBACTOfl OECIAPATION: I �ereGy alfirm I�al I am IiCenseO unAer prorisions oi Ctupt¢r 9lcommencing vrit� Sec�ion 7pQ0� oi Oivsion 3 of t�e Business ane Prolessions Cotle. an0 my license is in full brce an0 eifeci. cnr uc.: srare uc.: cuss: EXP ; Date: Signalure: WORKEBS' CaMPENSR7lON DECUIBA7ION: I nereDy affirm ihat I nave a cenilicate ol consent to sell-insure or a cenilicate of Workers' ComPensalion Insurance. or a rertihed coDY �hereol (Seaion 3800, La�. C�. POLICY NO.: E%P. ORTE: COMPpNY: ❑ Certi�ieG copY �s hereGy �umishea. ❑ CertilieE copy is fileE wit� t�e ciry BuilEinq UNsion. Oate: Applicanl: E%EMPTION fBOM WOPKEBS' COMPENSATION UECUBATION: (This section neN not �e completM il t�e cermit is forone �unOreA (E700) ar less�. I c¢rtity �hal in �Ae Oedormante o� the work br whiC� IhiS p¢rmit is issued. I SAall nol ¢mpl0y any perSOn in any mannef 5o a510 Ee[ome sublecl lo � ork/e�K Compensa�ian Laws ol Calilomia. �- � �ale: � /� � � � U SiBnature: a� 1I''r, U - _ NU710E: Ii, a�te� making tNs Qec�araUon, yau slwW� hecume suGle« <o « Wa�`5 �"�en on O�o��ons at Ue La6or CoOe. you mus� �onhwiUl compy wiln sucn pmvisions ar iNs permit snall be aeemea revoke . CONSTflUCTION LENOINC RGENCY: I her¢Gy allirm I11at Ihere is a con9mclion IenGinq ag¢ncy lof IAe peAormance o� [he wroM �or w�ic� I�is permit is issu¢d (Section 3097, Civ. C). lENOEN: ROOflESS: pWNEB BUIWEP OEClA8RTI0N: I �ere�y allirm ��at I am e�empt Imm Ihe Contractors' S�ate License Law for t�e followinq reason ISeG�ion 7031.5 Bu5ine55 antl Pmie55ional CoUe: Any ciry 0� toUn�y whit� r¢pUireS a permil Ia COnSlmti, 2tler, im0�ove, Aemolish, or rep7ir any simclure. prior Io its issuance. also repuires t�e apDlicant lar such permit to lile a sipneE statement t�at �e/she 5litenseE pur5uam ro t�e D�avisions ol the Comractors' Staie License Law (CtuD�er 9(commencing vntA SecGon 7000) of Oivisian 3 of the Business ana P�olesvons Caae) or inai ne/sne is exempt iherelmm anJ tAe oasis �or tAe allegea exemption. Pny Nalation ol Section 7031.5 hy any apPlicant lor a Dermit sublects the apDlicant to a ciNl penalty of no� more ihan five hunGretl Oollars (7500�. I. as owner of ine pmpeny or my employees with wages as iheir sole �ompensation, will do tAe work, ana ihe � simcmre is not inlendea or oflere0 1or sale (Section 70aa, Business anU Pmiessional Cotle: The Caniractors' State License Law �oes nol applY �o an owner ol a Omp¢ny who huil�s or im0�ave5 iherean, antl wno Uoes suctl wark himsell/�erself or itlmuAh his or A¢r oWn empl0ye¢5, provide0 Ihal 5uth impmvemen�s aro n01 intenAeO Ot otlereU �or Sale. I�, howev¢r �he �uilEinO or improvement is sdC within one year o� completion, t�e owne� wiN �ave the bu�den W provinp �e(s�e ditl iwt bWW ot imp�ove �ar the purD05e 01 sale). I, as axner of �he pmpeny. am eKclusiveIy conVacting vnih IitenseG contracmrs m construct ��e Omiec� (SectiOn 7044. Business ❑ antl Nolessions CoOe: The Contraclors Slaie License Law tloes not appy �o an owner ol property who butld5 or improv¢s thereon and wM10 [Ontratis tor Such pfalet�s wil� a Con�ractor�s)liCens2 Pursuant �o Ihe COn[radofs' S�a�e License Law�. I dm aWare ihat pmoi oi Iheir Worker's Compensaiion insurance should be D�o��tled ro me. � I am exempt untler Seciion'. 9. 8 P. C. for Ihis rea50n: p�� r% Date: V - ^ � � `� 6anec � y.N I ` �� 10o nereoy ceniiy Ihat I am aware of an0 unaerstand Ihe requirements al Calilomia HeaitA ana Salety fAOe Sections 255 5 25533. antl p5$3d ana t�al l or any 1Nure buil0ing ocCu0an1 wiNwill nal �cilcle on¢) n¢e0 to complY vnth SaiO slale cOdes an0lhe r¢pWrem¢ms to! a perm�� or conslmction or moUifica�ian from Itle Air Oua�ily Managemen� Dis�rici. fle5�0enlial conslmtiion applicalions are exem0� ��om Inese P�ovisions. Oa�O� Applicanl: I �eleDy wrli�Y �ha� I �ave r¢atl IhiS applitalion antl 5taie Ihai I�e above inlOrma�ion is tOrrECL I apree lo ComON ��h all tify an0 cawty a�a�ances anU s�ate iaws reWting io OuilOinq conslmaion ana hereGy aw�orrze representames of ttus ciry ro enter upon t�e above�mentioned piopetiy �or inSpecli0n pur oseic � �� / Oa�e: �- � � ` Signawre: ✓� �` ��"� Orivdr's License or Social Security p: 16<ba6 Whne-Bmltling; Green-Cotla EntorcemenC Canary-ApplicanC Pmk-Revenue; GolOenrotl-Assassor / t�„ CITY OF COSTA MESA — BUILDZNG PERMIT PERM NO; E Oo7788 PERMIT NO; E Q67788 PLAN CIiECK NO: N GQVT; N 3UPP: N CONSTRUCTION TYPE: V—N PERMZT TYPE: ELE PURPOSE: NEW JOH DESCRIPTION : TEMP POWER FOR NEW AUTO SERVICE STATION SQ FT: CLAIM VALUE: CALC—VALDE: GROUP OCC: B-1 / COMMENTS; RE:#B67436 x��*+�x-****�r*�r*x�**+��-�-�r*�r+a**�x-* *�-��x �x��-**ar-�c��r�r**-x�*****+t+t*�-�r�r*+E�-***-�*�r**�+��x� x�a�� x�*�*�*x-�� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGITT; FT IN PARKING REQ; PROV: PARCEL; q2421109 ZNE: REF NO; PLANNING NOTES> > � �+rxx�u�*+r�x�r+tx��r*�r�r*�+��r�rx�*xx�+r�rx��r'�r'x�*�*��r�**�**�+�**+t*�r*�*x�x�***�rrtx+��rx*��*�r*�**�r�r**� D E V E L O P M E N T--"$, E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY . - . . DATE; BUILDING APPROVED HY ; ' DATE; APPLICATION ZSSUED BY; LL DATE: rv,� iEfElEiFiEikiEfFjElPiEikiE9EfEif�FlEiFiEiFiETfiFii;f'iFitiF3FiF3F�iF3E3F7F'iFiF 7F3F iFiFiF7i��iF-iF�FiF+'Fifif*iE1ElE�E�E3EiEik 7F�iC1E iE jE iE iF * iE iF iE jE If ff iE iE fE fElf !(� iF �1E i!!P 3! if �lE if ik �f !E!E iE'if ilif ihlE iE jE iE i(� iE 1f iE # 14lE jf i4 if �F Ih iF iE 1! iF jE iE if il� iE # iF fF iE jtlE ih ik iE iE iE iE 9E �1E ik * iE #!E # LEGALIZATION;N F-�` E S U M M A R Y STRUCTURAL SEGMENT:N f BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES GRADING PERMIT 15,00 SOi SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> TOTALS----> 15.OQ PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE 15.00 15.00 O,OU 30.00 30.00 .00 REC'EN(]E DIVISION TOTALS--> COLLECTED: 30.QQ OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.00 !E if iE iE i(�!E 1f iE iE it iE iE 1E iE iE iE fE iF iE if iE iE fF ik it iE iE �E 1E 1f 1f iF if iE �f if iE iE �k iElE 1f iE #�lE #-0E iE ik ik 1ElFlE 3c iElE iF IE !t ie iF if iE fF 9E 1f if it ## if if fE iF iE fE iE iE iP I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 TEMP SERV PWR POLE W/OUTLETS BA, 15.00 15.00 END OF FEES t71 00163019—OQ163019 T Q T 3Q.OD DfiiE� Od/39/94 TINE= 15:52 � � . {� CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit�`r Date Inspector APPROVALS Permit# Date Inspector 1. TemPorary Electrical Service or POIe �' 52. Pool & Equipment Location 2, Soil Pipe�Undrgrnd. 53. Steel Reinforcernent -- 3. Electrical Conduit Utiliry�Undrgmd. 54. Forms 4. ElecTrical Conduit-Undrgmd. 55. Electrical Bonding _ 5. Steel Reinforcement 56. Rough Ptumbing & Pressure Test 6. Eleetrlcal UFER Gmd. 57. APPROVFlI TO COVER�GUNITE- 7. Footings 58. E�ectrical Cor,duit�Undrgrnd. 8. Foundation 59. Gas Plpe, � Undrgmd., Tesc 9. Water F�Pe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgmd. 10. Structural Fioor SYuem 61. APPROVAL TO DECK 1 7. Property Sewer �ine & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent�Final . i 53. Aoof Drains 64. Plumbing System � Finati 14. Rou9h Plumbing 65. Electrica6Final 15. Pou9h Electrical-Condu�t 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approva� 77. Rough Wirinq Sign 68. APPflOVED FOR PLASTERING 78. Rough Electrical-T Bar Ceiling 69. POOU'SPA SYSTEP4S FINAL 19. Rough Heating & Air Conditioning �IRE DEPT. REQUIREMENT 20. Fough Factory Fireplace APPROVALS Permit � 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventiiating 71. Product Piping O Gas ❑ Oil 23. Gas P�ve�Rough & Test 72. Underground Fiush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil �5, Roo4 Sheathin9 74. Overhead FlYdro 26. T-Bar Ce�Iin9 (Structural) & Monocoat 75. Dry Chemicai 2;. Frame and Flashing 76. Dry Standpipe 28. La:hing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall NaiVing HEALTH DEPT. REQUfREMENT 31. Plaster Brown Coat ��/ 79, FINAL INSPECTION � 32. Electrical Power MeterFinal �� J /%"" '. FQ00 CERTfFICATE iSSUED _ 33. Fina� Electrc � k Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Tes� 36. Hood or Canopy � 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service�Final 40. Gas 5ervice-Final 41. Solar �omesticFinal 42. Backfiow Preventer 43. Backflow Irrigation 44. Landscape trrigation System 45. Sound Attenuation 46. Hand�cap Regulations 47. FINAL STRUCTURE & BUI�DING 48. FfNALPLANNING 49. Electric Reiease to Edison 50. Gas Release to Southern California Gas Co 51. CER7�FICATE OF OCCUPANCY No. Date I. '� ,PflGJECT R�OflESS: (� (� 9 j•+ i�� l li � T . � OWNEfl'SNAME: �H�Fl/�.S Ck�R�L� TFi aooxess: j330 S �IGUEROrl ST LUS ANGELES,CA 9000'/ UNIT: AflLMIENGINEEB: LOGAN ENGINEERING flE0.N0.: L�v725 nooeess: 2I5 q;TH ST uNir: A ;.D. CA 92102 PEHMITTEE: v' Q 'j' PLUC1DiNG (6i4)Sli-9-tiFS54 aooness: 3�4G RGSE..,ASJN AVENUE SAN DIEGO CA 92105 UCENSEO CONTflPLTOfl OECUIPATION: I hereGy allirm t�al I am IicenSeC under D�ovisions ol C�apt2r 9(cammencinp wilA Setiion 7000� al Division J ol iAe Busineu an0 Pmlessbns COEe. and my license is in full larce antl etlecl. CITY LIC.: STATE LIC.: [� ) U U Z LI .��uS� 3 6 EHP ; 9ak: � ' � � �� Sipnature: \L WUBHEBS' COMPENSRTION DECLABA710N: I here0y afiirm thai I �ave a cenilicate ol consem ta selbinsure or a cenifiwte of Warkers' CAmoensation Insurance. or a cenilie0 caDY �nereol (SectiOn 380D. LaO. C). POLICY NO.: EXP. URTE: COMPANY: ❑ Cenified capy is hereby furnis�eE. ❑ Cenilie0 rApy 4 IdeG wlt� the uty BuilCinq Oivision. � Date: APO��nC ESEMPfION FPOM WOHKEflS' COMPENSAPON OELUNATION: (ihic secLm nee0 not De mmpktd ii Ne permt b fa wre AwqreA (5700) or les�. I certify Ihal in Ihe pedorman[e al Ihe work IOr whit� l�is Defmil is i5we0. I shall noi emDloy any person in any mann¢r 5o a5lo beCOme suDle�� io �he Worker�s' JCompensatian Laws ol Calilomia. /�'- '' a� % ^ � � Y SiOnature: � ��i/� / NOTICE: II. alier makinq t�is eua�aem. ro� s�ouw oecome suo�ee� �o me woners• Cumpensatlon provisions of the Labor CoEe. you musLlUnlrvnt� comply wit� such proviSroiK ar tNs pEtmit slWll Oe,OeemaO rewkeC. CONSTBUCTION LENOING �GENCY: I Iler¢Dy a�lirm Ihd( (�ere 6 a[orttlmtli0n� inp:apmry for Ihe Dedormance of the wad for w�ic� I�iS permii i5,i5Su¢G (Section 3WZ Civ. C�. ' ` LENOEfl:— RODNE55: OWNEH BUILDEN OEClABR710N: I �ereCy aflirm ihat I am evempt fmm t�e Comoctors' St�te Licenu Law lor Rw tollowinp reasan (Section 703t.5 Busineu ana Pmlessional CoEe: My uty ol wunty wtiiN repwes a permit to wnctruct, alter, imprwe, Uertwlish, or repair any slmcture, prior to i1s issuance. al5o RpNres ine aoVliwnt lor sucn permil ro lile a sipne0 statement tnai nC/sne is licensed pursuam �o �ne wovisions af i�e Conuactors' State license Law (Clupter 91�mmencinp witn SecGon 70W) al Divivon 3 0l tne Business anC Pro�essions CoOe� or Ihal he/s�e a exempt therelwm an0 Ne Oasa for t�e alle0� eeemption. Any violation ol Section 70.31.5 Oy any ap0�icani lor a permit WEjetis l�e a00�KEn� Io i Civil pCeWty 01 Iqt mom ltun live �uMreO EOAa�2 (5500�. I, as avmer ol t�e OroOeny ar rtry ertrolovees wit� wapes u t�rir sde wmpemaLon. will Eo ihe waM, anU ihe ❑ 9mcwre is not imenGea or offem0 toi ule (Section 70aa, Buvness an0 Pmfeuwnal CoOe: T�e Camroctars' State Licensa Law eoes nat avoM lo an owner ol a orooerty wtn Wi16s or unproves i�erean, ana wtn aas sucn xrork nimsell/trersell or tnmuph IIiS 0! �¢r Own ¢mpl0y¢¢5. O�Ovi02E ItWi Sutl1 implpv¢m¢n15 d!B 001 i0ilOEEE Ot OtlERO IOl ShcO. II, �OwBVCf IIIB Euil0i00 0! imprrnemem is mM mlNn one year oi wmdetian. t�e wmer vritl luve �M Eurden ol pmdnp �e/s�e Oi0 noi buiW or imD�ove lor Ihe purpase al sale�. I. as owner of ine orooenY. am eKclusiveIy coniractinp vnln licensed conlractors to consimct t11e Dmiect (SeCtian 70CC, Buslness ❑ an0 Professions CoEe: Tl�e Caniraciwi State Lice�e law Uces imt appy to an ovmer of DropertywAo E�nWs w imprmes Nerew ana wno comracts loi sucn proiects witn a comracmqsl liwnu Oursuant ta i�e Comnctors' State License Law�. I am awam IOaI p�ool of l�eir Worker'S fAmpEn5ali0n insurance stquW De WWklE Io me. � I am ecemp� un0er Sec�ion: B. 8 P. C. lor I�is reason: oale: Owner. I Oo �ere�y c¢nity Ihal I am awar¢ oi anU untl¢r5�an0 I�e repuirement5 0� CalilOmia Heall� antl Salery COEe Setlions 25505, 25533, and 2553A an0 I�at I oe any tuture builEinq acupdnt wilVwill not (titde one) netE to compty wittl SaiG state CaOes an0 t�e repuiRmenis lor a permil lor consimclion or motlilicaiion Irom ��e Pir Oualiry ManaAemen� Ois�nct. flesiGential consimclion applicaiions ara e�emOt �mm ihese O�ovisions. Oate: Applicani: I here�y cer�ity �nat I have reaa Inis apPliW lion ana stale inat ine a00ve inlormation a mrrlCL I aprte ta wmpty vnih all ciry an0 county orainances antl staie laws relaling lo �wlaing canstrutlion anG �ereGy aWhor¢e repre5eniatives ot I�is city lo enter upon IM1e a�ove-mentioned pmpertY far inspec�ion GOurpase/s�. � � ' I� Oaie: 7— IO ��1' Signalure: v �nver's L¢ense or Social Secmily q: i6aba6 Wbite—Builtling; Graen—CoOe EnlorcemenL Canary—Applican�: Pink—Povanue; GOltlenroE—Assesaor CI':Y Ur COST11 �•SESE+ - HUILUIi9C 1'EHt:I7 !'ER2: l0; F• Obl,iZ: FERt1IT P7U: P Uti81Z� PLA:4 CHECK NO: t�; C.�VT: ?; SUPF: :7 CONSTHUCILUN TYPE: V-?; PEK;9IT TYFE: PLU [uRFG�E: i�F.'r: JOB DESLRiPT�Oi� , i�Eid i/3'�SE' AUTO Si%AG 6 SERVICE STi.?IOiJ SQ c:'; CLATM VALUE; B4OOC.00 CALC-VALUE: GROliP UCC: U-1 / Cc�F:KENTS: REF': Bb7436 ��u��:��r��f��c f�*u-��x�.-x-��:-��*ir�x#�x r u-fi�*x-�n#x*��cx�tu�ir�c�*z��•��v��:�ic�t:��x-��ic��t�•�:�*��r, xi r��+ ±t+t;r.n�a �� *��n Z O N 1 N GS �RTEB�AUCIKRSE M E N T S ------------ MAIN HUILDING ---------- --------- ACCESSOAY BOILUIIJG --------- FRUT; FT TN REAR: FT IN FRNT: FT IN REAR: FT IN LEPT: FT IN RGHT: FT I�d � LEFT: FT IN RGHT: r^T ?:1 PARKING REQ: PROV: PARCEL: 42421109 ZNE: REF VO: FLANNING NOTES> � > t. _. #iElElEiEifiE%�iFiF#iE#if#3F####iPiEiFY-iEfi�it#iE#%�#tiK}�.###ii%�%#i4##�k�fjlt#it##K#M#YiF%-itia�.#####Y.�}'�,a##��i:�MY Y.�T�# D E V E L O P M� E N T S E A V I C E$'� R E Q U T A E t: E N T S ZONING APPItOVED BY ' � DATE: �UILDING APPROVED HY • . llt�TE: ��-�i� � . -;�, ., :, ,. - ��-9 APPLICATION iSSil£D HY: i" ` �ATE; %ItNitlPiElElFiEiFR�#it�i��Y�*##k�#k�x.:�-;.fiT ��x�Fit3�xxit � r `T -r.t: xw�K:P'�'i(�i:#ihlt3'�Sff:X� • �.f�a:Ti:'. #i�###iFjFK�*ii�#ft%X•iF#�iEic�#1FiEY�#ih��#iti(ir�hK##ifi:•iF%�'eN�##k'�. "itiFi ifYrk•it�kiF##iPK�ir##%K�#+.•iE#i:-r,-i'rr,�;. �:�9.3:�i:�*�i?#K� LEGALIZATION:N F E E',5 G M ht �r, R Y, STRuCTURAL SEG:flENT:3v BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADINu PERMIT 132.00 " 25S ' �MIP/hOU-FES PLAN ISSUE FEE 2Q,00 � � BUILDIIVG-DIV-> PERNIT ISSUE PLAAL-CHEC$ TOTAL PAID D'uE TOTALS----> 132,00 20.00 0.00 152.00 152.00 ,00 i REVENIIE DIVISIOU TOTALS--> COLLECTED: �� 152.00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC y}£CHANIC .FTRE $MIP/TOT GRADING PLAPf-CHECF isz,00 � )f#%1P%3t#ftiF#1C k�iEY.•it1EiF)E#ftif##iklfiEY.�#!fK If#1E#3FIf!Fi(•X�X�#lf1F1lXk�i.'�i5M•##iFY�i!#'�iM1it•x�K��IE#N�1/�K�s: M�#!Y?t##K�ar%�K�%t.## I N D I V I D U A L F E�- B R E,Fi' K D O W PS - . , TYPE QTY D E S C R Z P T I O N ; ��! UNIT COST TOTAL CUST PLU 1 SINFC, BAR " •' 7,00 7,00 PLU 1 F7ATER CLOSET (TOILETY � f- 7,00 7,00 PLU 1 47ATER HEATER ANDlOR V�NT y. 7,00 7.00 PLO 1 WATER SLRVICE ' ;; ._ 7,00 7,OJ FLII 1 BACY,FLOW IRRIGATIGN� , . 7,00 7.00 PLU i HACF;FLOW PREVENTER - 7,00 7�G PLU 3 FLOOR DRAINS � � 7,00 Zi.00 PLU 2 SEWER, CONNECTION TO BUILDITd� EACH 15.00 15.OU PLU 1 SINi:S, LOMf�EACIAL OR �i.NDUSTR AL pl 00154�Q�-00164280 T�T 7' S Pi.0 1 SINKS, FLOOR ,� DATE: Qe�/�8�94 iIffE: 13:50 j�0 �� PLU i SIN.;S, SERVICE / MOPr.' i, , . t• CONSTRUCTION AND PLANNING POOL & SPA ! � APPROVALS Permit #�'r Date Inspecto� qppROVALS Permit # Date Inspector 1. Temporary Electriral Serviceor Poie 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. _ �' ,'.CG . - 53. Steel Reiniorcement � v 3. Elecirical Conduit Utility-Undrgrnd. � 54. Forms 4. Elettrical Conduit-Undrgrnd. 55. Electrica� Bondin9 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electr�cal UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undigrnd. 8. Foundation 59. Gas Pipe. O Untlrgr�d., Test 9. Water Pipe•Undrgrnd. Cd�� 60. Backwash Lines, P�Trap, � Undrgrnd. %0. Struttural Fioor System 61. APPROVAL TO DECK ' 11. Property Sewer Line & House�Connection _� I �� 62. Backwash & Recep[or�Final � 12. Sewer Cap -„� �� 63. Heater & VenbFinal 73. Roof Drains 64. Plumbing System - Final 14. flough Plumbing 65. Electrical�Final 15. Rough Electriwl�Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wirinq Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heati�g & Air Conditionin9 FIRE DEPT. REQUIREMENT � 20. Rough Factory Firep�ace APPROVALS Permit # 21. Oucts, in Structure 70. Underground Hydra 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Underyrnd. Storaye Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Flydro 26. T•Bar Celing (Strucwral) & Monocoat 75. Dry Chemical 27. Frame and Flathing 76. Dry Standpipe 28. La;hing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailin9 HEALTN DEPT. REQUIREMENT 31. P�aster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter-Final _' 80. FOOD CERTIFICATE ISSUED 33. Final Electric =� Notes: �-(Q -�j4. CHFdtt�,,..� 34. Final Heating & Air Conditioning � j �2u Z•� �(j��fpy.�p NdKt� ) . �"� �TLJM 35. Final Gas Pipe-Test ,'.i Z7 ��6� � '1 fI_fi xia.t n�so��J 36. Hood or Cartopy �( �\ �. -/�={�I_COL"�--�BVAl,� 37. Pinal Faaory Fireplace 5�-�'-Z -` � �� -�� J `�"�� 'i `-' �' =_J 38. Final Plumbing � 21 � �� n �,�.,,��_ � . ..[�[,.�rY 39. WaterService�Final I�� 2_�S.�q� G- 40. Gas Service-Finai 2' C-q�t �C l 5 41. Solar pomestic-Finai 42, Backflow Preventer � 43. Backflow Irrigation (!S'fZ' 44. Landscape Irrigation System rsl � 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILOING G' �. 46. FINAL PLANNING �r 49. E�ectric Release to Edison � 50. Gas Release to Southem California Gas Co �1 � 51. CERTIfICATE OF OCCUPANCY No. Date .' AflCH/ENGINEFfl: ADOflE55: PERMITTEE: ADDNE$$: flEC.NO.: uxrt: UNIT: UCENSEO CONTBACiaB oECUXpT10x: I nertoy alllrm Itut I am ticensea unaer D�ov6ions al Chapter 9 kommencin0 K'itn Seciion 7000� o� �ivision 3 ott�e Business and Protessions CoEe. anE my license is in lull brce an0 eHect. GTY UC.: STRTE LIL.: CIASS: Date: Sipnature: WOBKEBS' COMPENSRTION OECUMTION: I hereGy aHirm �hat I have a cenilicate ot consent lo sell-insure or a ceniliwte of Workers' Camoenulion insurance. ar a reniliea copy tnereo� (�cGon 3800, Lab. CI. POLICY NO.: EXP. ORTE: COMPANY: ❑ Cenilietl coOY � �ere�y fumishetl. ❑ CenilieE capy a IileE xit� t�e dry BuilElnp Division. Oate: Mpficant: EIIEMPI10N iHOM WONIIENS' COMPENSPTION OEQAMTION: (ilos section neeE mt Oe wmpletW il We pemn is fa me huMreC (5100� w less�. 1 c¢tlity llul in Ihe OetlOrmanCe 01 I�B work for whit� WS pBrmii i5 issued. I Shall no� employ any person in any manner so az Io betome Su�j¢[I io I�e WarkeR' CAmpenShcion law5 0l Cdh�Omia. Date: Sipnamre: NO710E: II. atter makin0 ��s Cetlaration. you s�oNE Eewme su01�� a ��e Workers' ComOenution provisions ot t�e LaOor CaOe. you must tonlrrnl� compry wil� suc� Orwisions w Iks perrtdt StWA Ge GeemeA rewkeE. CONSTNUCTION LENDING RGENCY: 1 �ere0y atfirm ttui t�ea is a constmctron IenGing aAency for itre perlormance oi c�e work for � wnice leis permil i5 i55ue0 �$¢t�ion 3W7. Gv. C). LENOEN: ADOflESS: OWNEP BWLUEB OELUPR710N: I �ereDy allirm iAa� I am e.empt Irom Ne Comracmrs' State License Law for the followin0 aason (Seciion 7031.5 Business antl Pmlessional CoOe: Nny ciry ol counry w�ic� reQuires a permil to construq, alter, imprwe, tlemolish, or �e0air any s�mcm�e. Orioi �o hs issuance. also repuires t�e apptiwnt lor sucn Oemnt ro file a 5i0�eE statement tnat ne/sAe is IicenseA pursuam io ine pmvisions ol �ne Comractars' State Lirenu Law (GuOter 9lwmmencirry witn Section 7000) ol Oivision 3 of ine Business ana Pmlessions Coae� or ttwi �Us�e ¢ exempt t�erefrom an0 I�e Oasis lo� tAe a9epeE eRemption. My Nolation ol Stttim 7031.5 Uy any appliCani �or a permi� su0jttt5 IAe iD7��ni Io a Civil pe�ulty ol not mom �han five �untlre0 OdWrs (55110�. I. as owner al I�e proDeny or my employees wil� wapes as tlleir sMe compen5diian, will Eo tM19 work, and Ihe ❑ slmcmre is noi imen0e0 or olferea lar sale IS�Iion 70aa, Busmess anE Pmtessional CoUe: T�e Coniractors' Sure License Law Uaes no� aODly �o an owner ol a D�oOeny wlw builds or impmvw t�ereon, anE w�o does suc� woM himself/Aersell or tAmup� nis or ner awll em0loyees, provia¢E inat such imOrwements am nol inte�MM ar oflereO tor Sa1e. II, tqwCver ine Euilainp or im0�wemem is sold wi��in one year ot comple�ian. �he awner will luve Ne EurGen of Dmvinp �e/s�e tli0 not EuJd or imDmve lor Ine purpOSe ot Sale1. I. as awne� al t�e prop¢ny, am erclusivery coniraCtinp vni� IicenseU conVactor5 �o conSlmci IAe D�alec� (Seclion 7044, Busina5s ❑ ana Pmlessions CoOe: TAe Comracmri Stale Lice�e Law Oces nol aDON la an vener of D��Derry wAo �mlds or improves thereon ana w�o comracls lar sut� prqetis wilA a conlracloqs) IRenSe Ourswm Io �M Cantractors' Sute Licenu Law). I am ewarc ��at Orool of Iheir Worker'S CAmpCnSatpn irtsurance StqulE De D«4� �o me. � I am eKemD� unGer Section: B. 6 P. C. lor Ihis r¢asOn: Date: Owner. I Do �er¢Dy cetliiy Ilwl I am awarC ol anA un0er5lan0 ��e repuiRments o� Calitofnia Heali� anE Safeiy COEE $CCti0n5 255115, 2553J, anU 2553d an0 Ihal I or any future Ouildinp occupant vnlUwill n t(cirUe one) nee0 ta compN w+�h uia state cotles an0 t�e repuiremenis lar a i p¢rmit lor construction or rtw0ilication Irom tAe Air ualiry ManaAement Oistrict. fleSiGential con5imctian aDPlitations are eKempt fmm , Inese provisions. Dale: Applicani: I nereey certity inat I nave rea0 inis aoo�ication ane slale Inat Ne aDOve inlormation is correct. I agree lo campty witA all ciry ane caunry ordinances ane slalelaws relatinpto �uilGinA tunslNctiWanG hete0y auitroriZerepres¢ntatives olthisdrytoenter upOn the aEove-mentioneA nmDerry lo� insDeciion purposes. Date; Si9natua: �river's License ar Social Securiiy x: 164La6 Wlnte—Nuiltling: Green—Cotlo Enlorcement: Canary—Ap0licanl; Pink—Revenue; GalEenwtl—Assessor PERMIT NO: P 068125 F'LAN CHECFC NO; U2696-94 U PAGE; 2 # tt• �� x 3:- * �� x� x � �- r� �� : # �� * x• � �c �x * �: z� x i: s: # t: r.� i: �: r a �r r. � �- ir x• *• x� �� f:� �• i:� r. ;: a :. � �-±.� �-.� � �� r� �� :: �� .. . �: x� �� r i:� r.� �.� : , �� - r �: : a: ;: TYPE QTY D E S C R I P T i O N UNIT COST PLU 1 INTERCEPTURS FOR GREASE, OIL, SOLIDS 7,00 PLU 1 LAk'U SPRNFLER SYSTEM ON 1'r7ETER 7.00 PLU 1 RAI�Y7RTER SYSiEM — PER DRAIN %.OU PLU 1 VACUUM BRKR/BACI:ELUW PROT. 1 TO 4 5.00 PLU 1 WATER RE—YIPE 7.00 END OF FEES TOTAL COST 7.00 %.�� % . Q � 5,00 %.�� DUFLZCATE l2ECEIFT# 01 00164280-00164280 T�] T 15?.0� DATE: Q7/18/94 Tlt1'c: I3:50 CONSTRUCTION AND PLANNING POOL & SPA � Date Inspector pate ' Inspector qPPROVALS Permit# APPROVALS Permit# t: Temporary Electrical Service or Po�e 52. Pool & Equipment Locacion ( 2. Soil P(pe-Undrgmd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcemenc 56. Rough Plumhing & Pressure Test 6. Electr�cal UFER Grnd. 57. AGPROVAL TO COVER�GUNITE 7. Footings 58, Elactrical Conduit�Undrgrnd. 8. FoUndation 59. Gas Pipe, CJ Undryrnd., Test 9. Water Pipe•Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Svucturel Floor Svstem 67. APPROVAL TO DECK 11. Prope�ty Sewer line & House Connection 62. Backwash & Receptor�Finaf 72. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Fina� 14. RoU9h Plumbing 65. Etectrical-Final 15. Rough Electriral•Conduit 66. Solar System-Final 16. Roi�gh Electric Wiring 67. Fencing & Access ApProval 17. Rou9h Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling 69. POOLlSPA SYSTEPlS FINAI 19. Rouyh Heating & Air Conditioning FIRE DEPT, REQUIREINENT i + 20. Rough Factory Fireplace APPROVALS Permit # � 21. DuGts, in Structure 70. Underground Hydro � 22. Ducts, Ventila2ing 71. Product Piping O Gas � Oil 23. Gas P�Pe�Rough & Tes: 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Foof Sheathing 74. Overhead Hydro 26. T�Bar Ce�ling �Structuraq & Monocoat 75. Drv Chemical ' 27. Frame and Flashing 76. Dry Standpipe I 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIfiE PREV. FINAL 30. Drywali Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Efectricaf Power MeterFinal S0. FOOD CERTIF�CATE VSSUED 33. Fina� Electric Notes: 34. Final Heating & Air Condition�ng 35. Fin01 Gas Pipe-Test 36. Hood or CanopY � 37. Finai Factory Fireplace � 38. Final Plumbing ( 39. Water Service�Final 40. Gas Service-Final 41. Solar pomestic�Final 42. Backflow Preventer i i 43. Backflow Irrigation 44. Landscape Irripation Syscem 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 46. F�NALPLANNING . 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co SL CEfiTIFICATE OF OCCUPANCY No. Da2e PflOJEtT RDOPE55: 6 O 9 W 1 9 TH S T � � OWNEB'$ NpME; SHAMMAS CAROLE� TR nooness: 3330 S �'IGUEROA ST LOS ANGELES.CA 90007 uNir: CITY UF COSTA MESA — BUILDIA]G PERMIT PERM NO; M 06992: PERMIT NO: M Q69921 PLAN CHECI( NO: N GOVT: N SUPP: N CONSTRUCTIOTI TYPE: V—D] PERMIT TYPE: MEC PURPOSE: NESJ , ARCMIENGINEER: LOGAN ENGINEERING xec.xo.: C39726 aouness: 2 1 5 4 9 TA ST uxiT: A S.D, CA 92102 a¢xminee: CONTZNET]TAL REFRIG E A/C ( 818 ) 571-8635 ' �' ROOflE55: 3 3 S 6 N DEL MAP. AC' ROSEMEAD CA 91770 LICENSEO CONiNACiOB OECLABR710N: I nereUy affirm �nat I am licensed untler D�ovisions of COaD�er 9lcommencinp witn Section 7000� ol DivsiOn 9 0l I�e Business an0 Proleuions COAe. an0 my IiceRre is in lull lorce ana eflect. — '\ ciTvuc.: sr�{nTeuc.:532536 euss: C-20 EXP: �y' Date: � � — i C^ �� sienamre: ��1C..\I_t—_�� WOPNEPS'COMPENSATION�EC niION: Inereeyaairmt t naveacenilicat olconsenttaseli-inmreoracenilicatealworkers' ComDensa�ion Insurance, or a cenilie0 caDY thereol (Secuan 00, Lab. C�. POLICY NO.: E%P. ORTE: camrnxr: ❑ tenmee wvv +s nereey mm�snea. ❑ Ceni�ieG copy i5 �ileG witA t�e dry BirilEinq Oivision. �--1 Oale: Applicani: EXEMPTION FppM WONKENS' fAMPENSRTION DEQAX/�TION: (iNs section need �rot �e completeG it Ne permit is �or one �uMred (5100) or less�. I teM1ily IM1ai in lhe petlOrmarite at Ihe xrotk �a� �+Nt� (�¢ perrtti� is i55ue4 I S�a�� not employ any persOn in any mannBr 5a as �o betome su�lectlo tAe Workers' Compen5ati0n Laws oi CalilOrnia. oaie: � �—�� Sipnawre: C�t �/ � � n n . NOTICE: I�. aller making in�eUaration. you snoule Uec me suoiect to the rkers' Compensatian Drovisions af the La6or Cotle. you must lortnwiih comory with sucn Dmvisions or tNs permii snall De aeemea revokee. CONSiPUCTION LENOING AGENCY: I herehy allirm tnat inere is a constNction Ien�inp a0ency lor Ine Ue�ormance of Ihe work for w�ic� Ihis permit is issueE (Section 3W7. Civ. C�. LENDEN: nooness: OWNEfl BOIL�Efl �ECLAflATION: I �ereEy atlirm I�at I am exempt trom tAe Contractors' Slate License Law lor �he I011owin0 reason (Section 70.9t.5 Bu9ness and Professi0nal COAe: Any tily of tounty wAic11 rEpuire5 a pErmit to consimct, aller, impmve, Oemolisn, or 1'I ' e0 m I Ilut hal h i f E JOB DESCRIPTION : NE4J 1794SF AUTO SMOG L SERVICE STATION SQ FT: CLAIM VALUE: CALC—VALUE; GROUP OCC; H-1 / COMMENTS; 1404SF SEP.C'. GARAGE, 390SF OFFICE FOR "MESA SMOG", RE:#iB67936 it if if it if iE it if +! ii i� r if if 4�c r+f r it if ic at i� if it+t ik if iF i4 if �f u if aa if if it 7t it �t it 1F iF it if if i� 1t 1� iP M�c at+�» it if +t if tt 1f it w ir it µ a4 r it jt if r 1f it 1f 1F if- 2 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 ------------ MP.IN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAP.: FT IN FRNT; FT IN P.EAR: FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING REQ • PROV: PAACEL: 42921109 ZNE: REF NO; PLANNINC A]dTES> > if-1f if if 1E ii �)f iE if-if i4 iE M if if if i! K�)f iE 1E iR �F �)f if if if Y if- if i�' fE if if if iE if'X' iF N� iF if iF iF 1i iR iF if aF iR iE it d41f iL iF iF'IE 1F iF iF 1f 1F if �f i' 1f �R 1f # K if ih if iF'M� iF �K Y D E 1' E L O P M E N T S E R C� I C E S R E Q[I I R E M E N T S ZONING APPROVED BY DATE; HUILDING APPROVED BY : DATE: APPLICATIOA7 ISSUED BY: **+c+r+F+Fu-rit+titfF�t>r*w�r*+t**-.?�FiF��3F'rF�FiFiF7�.g�iFiFG��iFi��SF:F�F'iF"��it**+FD.Ai�*+Erir*� � *�r i� if Af if if 1f 1�-1f iM1 if if iF if if if ii 4 iF if 1! if iE iR 41F i�-1! if il� iF f if if {F if� M �f 1f if 1E M a(' 1R if �)f iF �lf 1f 1f i�-if 141F iF ik 1f +f 7f iE if 1f �E 1L if iF Y if �F At if �1F if if iE if i4 iF if if LEGALI2ATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADIAIG FERMIT 9.00 �¢pan any S�mF�u�¢. pn0� IO iI5 65udnCG. a150 �lpNtCS t�! apphWni IOt SUU� pC�m1 IO i e a vqn sia�e m s e s iunse • pursuam m �he u�wisions of Ihe Comractws' State license Law (CnaD�er 91�mmentlnp vnt� Section 7000� of Oivision 3 0l me Busineu p LAN z 5; SM I P/ N ON —R ES an� Pm�ession5 Cotle� or t0at ne/sne �s exempt t�ertimm anE t�e Gasis lor l�e allepeE eKemp�ion. Any violation ol Section 7037.5 Cy any aoD��cam ar a oermii suoiec�s me aoo��cam to a c��l oenauy of not more tnan irve nunarM oonars IS500). I S SUE FEE 1 S, 0 0 bUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE i, as owner o� ine o�operty or my em ioyees with waoes as tAeir sole compensa�ion, will Oo �he work, antl the TOTALS----> ❑ simcwre is not intenaetl ar oaerea for sate (�ection 7oaa. Business ane Prolewionai Coae: Tne Coniractors' Sute Licensa Law 9. 0 0 1 S, 0 0 0, 0 � 2 4, 0 0 2 4, 0 Q , 0 0 Oo¢5 nPi appty IO an own¢r 01 a pmpe�y wM OWOS ar improves Ihereon, aiM who Oces 5uU wark �Imsell/A¢rs¢II Or IArOupA his or Aer own employees, prwiCeO tnai sucn imorwements are not intentle0 0� ollereE lar sale. II, however me euilainp or R E V ENUE D I V I S I ON TOTAL S--> COLL EC TED ; 2 4, 0 � OV ER / SHORT : , D O impwvementissoltlwil�inoneyearoicomDletion,t�eownervnllluve��ehurdeno�provinp�e/s�eEiGnot0uil0orimpwve $LD('i PMT PLUMHING $I�ECTRIC MECHANIC iIFiE SMIP/TOT GRADING PI.AN—CHECK �Ori�e �urpOse ol 5ale�. I, as owner ol ine D�ooerry, am erclusively comraclinp wilA licensed comracmrs m consimtl t�e prolecl (Sec�ion 7044, Business 2 4. 0 0 ❑ andPro�essionsCoOe: T�eContranars'StateLicenseLawCoesnoiapptyroanownerofprope�ty w�oOwlEsorimprovesihereon *********�**************�*******�*�**�**************�*****�*�*µ**�**�**��**��** ana wno comracts lor sucn orojects wim a contractoqs�lkenu pursuam to tna Caniracmrs' State L¢ensa Law). I am aware t�at proo� ot t�eir Worker'S Compensatwn insurance sMWE Ge OronEeO to me. I N D I V Z D U A L F E E B R E A K D O W N � I am eeempl unG¢r Seciion: 8. 8 P. C. for I�i9 reasan: TYPE QTY Date: �er. I MEC I Co here�y cedily tlWl I am aware al anE unders�dn0 i�e reQuuemen6 ot CaG�arn'u Mealt� anE Saleiy CAtle Sections 25505, 25533, ana 255Ja ana tnat � or any twure buiiain0 acupant wiNwiO nol (ci¢le ane) nee0 ta compry witn saia state coaes ana ine repuiremenis br a permit br cons�mction or motldication Irom I�e Rir Oualiiy ManaAemenl Disttkt. flevAential con5imtlion apD�iwtions are exem0� ��am mese o�ovisions. Oale: ApptitanL I nereGy cettity �� I have reatl tnis applitation an0 slate tlWt ine ahOve inPor111aGon 5 fArtttt. I apree to wmDN `^�� all tiry and caunry or�indnces antl state Wws relating to GutWing WnStmciqn anE �ereGy autlqtize reD�eSenlatives of tttis tiry to enter upon ihe abOve�menlione� prupertV �arin5�eclion purposes. / �ate: � � � , � - q �- Signalure: ( �➢ . ! %� �river's Ucense or Sociai Securny .: 1� 16ALa6 WMe—BuilEiig: Gieen—CoOe E�lorcement; Canary—AOp�u'2^L PI^k—Revenue: GdJenroO—Assessor 1 D E S C R I P T I O N INST FORC—AIR/GRAV FURP7 <= 100 K BTU END OF :FEES UNIT COST TOTAL COST 9.00 9.00 C oi ooi�na9-oovnns rvT 24.00 DATE: 31/ 1;,/4: 7 TtfE: 09:59 , ' CONSTRUCTIGN AND PLANNING POOI & SPA APPROVALS Permit# Date Inspector APpR�VALS Permit# Date Inspector t. Temporary Electriral Service o� Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reintorcemeat � 3. Electrical Conduii Util�ty-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�Undrgmd. � 8. Foundation 59. Gas Pipe, 17 Undrgrnd., Test - 9. Water Pfpe�Undrgrnd. 60. Backwash Lines, R7rap, � Undrgrnd. ' :70. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & HouseConnection 62. Backwash & Receptor�Final , 72. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final � 74. Rough Plumbing 65. Electrical�Final 15. Rough Elecerica�-Condurt 66. Sofar System-Final 16. Rough Electric Wiring 67. Fencing & Access ApProval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 76. Rough Electricai-T Bar Ceiling 69. POOL,''SPA SYSTEAAS FINAL 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Fattory Fireplace APPROVALS Permit # 21. Ducts, in 5tructure 70. Undergiound Hydro 22. Ducts, Ventilating 71. Product Piping OGas QOiI 23. Gas Pipe•Rough & Test 72. Under9rourid Flush 24, Roof Frartung - 73. Underyrnd.Stora9eTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Ffydro 26. T-Bar Ce�ling (Structural) & Monocoat 75. Ory 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 OEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICA7E ISSUED 33. Fina� Electric Notes: 34. Final Heat�ng & Air Conditioning - 2.L�_¢l: v�-- 35. Finai Gas Pipe-Test {Z 15^ 4. 4 Go�+.r_�. _ 36. Hood or Canopy 2-?.�� l�wc _ - - - 37. Final FactOry Fireplace 38. Final Plumbing . 39. Water Service-Fina� 40. Gas Service-Final 41. Solar pomestioFinal � 42. Backflow Prevenier 43. Backflow Irrigation 44. landscape Irriyation SVstem 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDt{VG 46. FINAI PLANNING 49. Electric Release to Edison 50, Gas Release to Southern California Gas Co 51. CERTIfICATE OF OCCUPANCY No. Date P ECT AOUflESS: 6 O 9 W 1 9 TH S T /� ` 1 �,r� uxiT: .OWNEN'SNRME: �*�""""_ �nn�..c TR �ry �y � Y[,�0� RU�HESS: j33O S F'IGUEROA ST � . LOS ANGELES,CA 90007 FPCH/ENGINEEH: LOGAN ENGINEERING eEc.xo.: C39726 RDONESS: 2 I S 4 9 TH S T uxrt: p % % S.D. CA 92102 � � PEBMITfEE: DAN TRUONG (619)922-7536 nooxess: 6 0 5 3 RD S T CHULA VISTA CA 91910 UCENSEO CONTHACTOB UECIAPATION: I hEreUy allirm Ihat I am license� under pmvisions oi C�apter 9(commencinp wii� Section 7000� oi Division 3 0l Ihe Business antl Pmle55ions Coae, ana my license is in full brce and eflect. LITY LIC.: STATE LIC.: C�SS: Oaie: Siqnawre: WOBNEflS' COMPENSATION DECLABATION: I Oere�y a��irm Ihal I have a ce�ificaie oi tonsent IO S¢I4insure or a te�ifitaie OI Wa�kefs' Compensation Insurance, or a cenified coOY ��ereol (Section 3800, la�. C�. POLILY NO.: EXP. ORTE: COMPANY: . ❑ Certifiee coOY is here�y fumishe0. ❑ Cerliliea coDY is �ileG wilh I�e city 6uilaing Division. Dal¢: Applitanl: E%EMP710N FPOM WOflKENS' COMPENSATION OECLAPRTION: (This secuon nee0 not Ge campletetl If the D��u� is lor one AunOreO �5100) or less�. I c ily �hai in Ihe pedormance of Ihe wark �or w�ich �his Dermi� rs i55ue0, I shall nai employ any pe�son in any manner w 3510 Uecame to the o�kers' Compensation Laws of Califomia. ^� I. �� n� /'� , ii Oa . _�L'_� Siqnature: Y "� NOTICE: if, alter makinp Ihis declaration, yau shoultl become sublec� Io the Warkers' Camp ation O�a��sions of tAe Lahar Coae. you must �orl�wil� comply with such pmvisions or I�is permii S�all Oe tleeme0 revake0. CONSTBUCTION LENUING �GENCY: I �ere0y allirm tAat there is a conslmction lentling agency lar the OeAormance ot t�e work br wnich �his permit is i55ueU �Section 3097, Civ..C). LENOEfl: noosess: OWNEB BUILUEB oECLANPTION: I hereby allirm t0at I am exemp� Imm I�e Contractors' S�ate License Law for ihe lollowinp reason �Section 7031.5 Bus�ness ana Professional Coae: Any ciry of counry which reQuires a permit to canstmcL alter, imD�ove, tlemolish, or re0air any stmcWre, prior to its issuance. also requires t�e applicant lor sucA De�mit to lile a siAnetl statement tiut he/she is licenutl pursuant to Ihe pmvisions ol t�e Contracbrs' Siate License Law (Chapter 9(commencing with Section 70001 of Division 3 of Ihe 9usiness antl Professions Code) or Ihai he/she is e�emp� Iherelmm and Ihe hasis for I�e alleAed exempiion. Any viola�ion ol Section 70315 Cy any aoPlicanl lor a permil subjects ihe aoD�itant to a ciNl penalty of not more than five Aundretl Ooliars (55001. � I, as owner ol t�e 0��7eny or my emVloyees with waA� as tAeir sole comDenution, vrill Oo I�e work, and the stmnure is noi imen0etl or ofiered lor sale (Section 704a. Busineu and Pmlessional COAe: T�e Contractors' State License Law tloes not a001y Io an owner of a pmDe�Y who Ouiltls or impmves t�ereon, antl who Eoes suc� work himself/herself or tArougtl his or �er own empioyees, pmvide0 ��a� SUt� imD�ov¢m¢nt5 are no� inlenAetl Or oflere0 �ar Sale. II, �Owev¢f lh¢ OuilEinq of impwvemenl is soltl wiihin one year of complelion, ihe owner will have the burtlen ol provinp he/she Ei0 not 6uiltl or improve for ihe purpose ol sale). I, as owner ol I�e pmpeny, am e�clusively comracting with Iicense0 contranors �o conslmc� t�e Dmlec� (Section 704a. Business ❑ and Prolessions Cotle: The Contracmrs' Siate License Law Does noi aD�N �o an owner ol pmperry who UmIOs or imOroves Ihereon and who coniracts lor such D�ojecis wit� a contracmqs) license pursuant to t�e Comractors' State License Law). I am aware �hai prool ol �h¢ir Worker's Comp¢n5ati0n insurance ihoul0 be prOviUeA lo me. � I am exemp� un0¢r Section: B. 8 P. C. for inis reason: �ale: Owner: I ao �ereby ceniry thal I am aware of antl unaerstanA Ne requirements ot Calibmia Health and Safety COAe Sections 25505, 25533, and 2553d and Ihal I ar any IuWre builtling otapani wiNwill n0� (circle One) n¢¢0 �0 LomDly with Said State wtl¢5 antl �he r¢Quir¢ment5 faf a permii lor consimciion or mo0ilication tmm I�e Air Oualiiy Managemeni Ois�nct. flesidential cOnStrutiion applicaiions are exempt Imm I�ese pmvisi[ans. 1 . rr A�^/alaJ �(i — I `� y ApplitanC �/� 1 ` � �� 9 h¢reby cerlify Ihall M1ave reatl Ihis appliCa�iDn antl S�ale Ihai Ihe above iniDrma�ion is mrreC�, I ee to Comply with alltiry and COUnty ordin s an0 s�ate Aiwsrelalingio building cansimc�ion antl here6y aulhorizerepresenla�ives o��his city�o enter upon�he above�mentioned /op�er�.y fo mspeclion purpases. ((('''�� ,�/ oa�e: — ' SignaWre: +� `µ` �� ^^ - ��s License or Sotial Security x: I6ut�a6 WM1ne—Bvilaing; Green—CoEa EntorcemenL Canary—ApP��canL Pink—Revenue; GalEanroE—Asseswr CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; GRA 067435 PLAN CHECK NO: 01266-99 A CONSTRUCTIOPJ TYPE: V—N PERMIT TYPE: GRA JOB DESCRIPTION : NEW 1794SF AUTO SMOG 6 SERC'ICE STATION CLAIM VALUE: 4,000.00 CALC—VALUE: PERM NO: GRA 06793` � GOVT: N SUPP: N PURPOSE: NETd SQ FT: GROUP OCC: B-1 / COMMENTS: GRADZNG FOR SERVICE GARAGE �K� it iF it iF iE iE -16 if iF iE 1E iE �F iE it ic iF i4 iE �f jE jF �1F if it ic �IF iF 9E iE lF iE if if iE iF ic �.: �fE if iE if if� iF iE �tE ir 1E ir� it iF k iE iF iF-Ic �)F 3E il� if i(� r+f iF iE �fE iE �lE i4 iE �It� �lf iE iE # iE �E if 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 BUILPING --------- FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGAT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42421109 ZNE: REF NO: PLANNING NOTES> .. � • ih iE tE iE iE if if iF iF if �IE if � if if it 1f iE if ff iE �E M!E if 1E 1f iE i(� iE if if iF iF if if if iE iE if if 1f iE iE if if iE jE+Elf aE 1! fE ff 3i-jF jR �lE if if if-if if iE iE iG i� iE if if iE # iF i� iF jF IE # 1f 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 20NING APPROVED BY DATE: '-' BUILDING APPROVED HY : �� DATE: �� _' � �pf�t�i�t�i�c�Ai�i�*Oi�(�tE�*i�t�i�c-DiEBi�I-�E �iFKir'�r ,iF3FZF7FiF3z�F3F�FrF7FiFT�r3F3t�tE�-i��D�f�Ei�t��(-�i�+i� < (3�'��-� ic iE �lf-if if aE 1F iF �F iE iE iE iF iE if if if iF+'c iF iF if if iF i� iF it if iE iE iE iF iF iF iE if if �E if if i! if !E af 1E jE iF if if k jF if if+f iE iE if # if i(� iP if if if iE if iE iE af ic iR iG ic 1f iE jE+f iF iP LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG FMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT PLAN ISSUE FEE BUILDING—DIV—> PERPAIT TOTALS----> 43.50 ISSUE PLAN—CHECK 3.00 5,63 43.50 SMIP/NON—RES 5.63 3.00 TOTAL PAID DUE 52.13 52,13 .00 REVEN[lE DIVISION TOTALS--> COLLECTED: 46.50 OVER/SHO.RT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK 46,50 iE ir ilif if if �1E it ie iF i! ik �E it iE iE it iF # it iE iE it i! iP iI�-)t it �N- iF k+f it #�Ik if �iF iF'.E-� i( ie iF if if i!� iE iE it i! it i1� k iFiE if iE iF i� i! if i! iE i! iPit �M� dh iF #�lE if iE if # it if it -Y I N D I V Z D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNST COST TOTAL COST NO FEES WERE.SELECTED FOR THIS PERMIT o! 00161530-00161530 T G T 46.50 DATE: O6/01/94 iI17E: 15:01 0 CONSTRUCTION AND PLANNING APPROVALS � Permii# 1. Temporary Electrical Service or Pote �. Soil Pipe�Undrgmd. . EVectricaf Condoit Utlity-Undrgrnd. 4. Electrical Conduit-Undrgrnd. � 5. Steel Reinforcement 6. Electr�cal UFER Grnd. �7. Footings $. Foundation 9. Wates Pipe-Undrgrnd. 70• Struttural Floor System tl�. PrnRerty Sewer Line & House Connection 12 Sewer Cap 13. Root Ocaint � 1'4:'flough Plumbing 15. Rough Electrical-Condu�t 76. Rough Electric Wiring 77, Rough Wiring Sign 19. Rough Electricai•T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Firep!ace 21, Ducts, in Structure 22, Ducts, Venti�ating 23, Gas Pipe-Rough & Tesc 24, Roof Framing 25. Roof Sheathing 26. T�Bar Cefling (Structurali & Monocoai Z7, Frame and Flashing 28, La:hing & Siding 29. Insulation 3p. Drywail iVailing 31. Plaster Brown Coa[ 32. Electrical Power Mete;-Final 33. Final Electric 3q. Finat Heating & Air Conditioning 35. Fina� Gas Pipe•Test 36. Hood or Canopy 37. Final Factory Fireplace 3g, Final Plumbing 39. Water Service�Finai 40. Gas Service-Final - 41. Soiar pomesticFinal 42, 8ackflow Preventer 43. Backflow Irrigaiion 44. Landscape Irriqation SYstem 45. Sound Aitenuation 46. Handicap Regula[ions 47. FINAL STiiUCTURE & BUILDING !, 48. FINAL PLANNING qg, Electric flelease to Edison 50. Gas Re�ease to Southern California Gas Cc 57. CERTIFICATE OF OCCUPANCY Date Date � Inspector � �' POOL _. �PA APPROVALS Permit � 52. Pool & Eq�ipment Locat�on 53. Steel Reinforcement 5d. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure iest 57. APPROVAL TO COVER�GUNITE 58. Electricaf Conduit•Undrgrnd. 59. Gas Pipe, O Undrgmd., Test 60. 8ackwa:h Lines, P�Trap, rJ Undrgmd. 67. APPROVALTODECK 62. 8ackwash & Receptor-Finai 63. Heater & Vent-Final 64. Ptnmbi�g Sys.em - Final 65. Electrical�Final 66. Sofar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL%SPA SYSTEPnS FINAI. �IRE�EPT.REQUIREMENT APPROVALS Permit � 70. Underground F{ydro 71. Product Piping QGas ❑Oil 72. Underground Flush 73. Undergrnd.StorageTank OGas ❑Oil 74. Overhead HYdro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION � 80. FOOD CERTIFICATE ISSUED Notes: // /�ax/ ��J./T /'Or�l. Date �inspector PHOJEC7AODflE55: 6O9 W 19TH ST ,�OWH�.P'S NAME: DAN TRUONG aoosess: 609 W, 19TH ST 714) 650-4354 C,M. 92626 pNCN/ENGINEEB: A�OflE55: flEG.NO.: UNIT: UNIT: PENMITTEE: DAN TRUONG ( 619 ) 422-7536 AOOflESS: ( O S 3 RD ST CHULA VISTA CA,91910 LICENSEU CON78ACTOB oEtLABRTION: i neaEy allirm ttat I am licensea unaer prwisions ol CAaDter 9lcommencinp witn Section 7000) of Oivision 3 of i�e Busineu anG Pmt¢ssions CoEe. anE my licenu is in IWI Iwce anE eflect. ciTr ue.: sT�re uc.: euss: Oale: Sipndiure: WOBNEBS' COMPENSRTION OECUM710N: I �ereDy altum tlui I twve a cenifirare al conseni to selbinsure or a cetlilicate ol Warkers' Compensalion Insurance. or a cenilie0 cooY ��ereol (��Gon 38p1, lab. CI. POLICV NO.: EI(P. ORTE: COMPANY: ❑ cemrea �om �s nereoy wm�snea. ❑ Ceniliea copy rs IileG wit� t�e uty BuilNnq Division. Oate: nppixanr._ E%EMPTION FpOM WOflNEflS' COMPEN511TION OELLAXI�TION: 1 cenity inat in ��e peAormance of t�e xrork fo� whiC� t�is p �e[I I Wod ' ompe 4+ • ot Catitomu. D e: '� � Sipnama: _ N CE: II. atler making t� aecl aiion. you s�ou10 CoGe. }rou must IOritm+t� compty .vil� suc� prwisioy LONSiPUCTION LENOING RGENCY: I �ereW aflirm Ilwt which this permit is issueG (Seciron 3097. Civ. C). LENUEfl: AOOflESS: Ee compleleE if NE pEriM 6 ane INnOrM �5700) w less). � t em rson i ny=nner m as lo bewme A �n5aii provisions ol Ina LaGOr b. lar the pGrtormance al I�e work lor OWNEB BUIWEB OECLAMTION: I �ere6y aBum tlat I am exempt fmm the CanVactors' State License Law br t�e followinp reason �Section 70.3t.5 Business and Pmfeuional CaUe: Any ciry of caunry wNc� repuires a Dermit lo cansimct, alter. impmve. Eemolis0, or �¢Ddn d0y S�NLIYfC, pf10! 10 M1S i55Ydllt2. 3150 RQYI25 IIIE dppflCdOi IOf SULII pGf1111i IO 1110 i Si011CC SldiElll¢OI IAdi AE/ShE IS IICBIISBC pursuam io tne omvisiorrs al tne Comractori State License Law (Ctwpte� 9(commencin0 w+�� ) ol 0ivision 3 of t�e Buvness an0 Pro�essions COOe) or tlut �Pls�e ¢ e.empl l�erefrom aM t�e Easis lar I�e allCpeO exemption. My vloWtlan ol Seciion 7031.5 by any ap0�icant lor a permit suEiK�s tne apdium to a civil penatty al not rtqre rtun �Ive hunOrzO aolWrs (5500). I, as owner of ��e pmpeny or my em7loyees wi�� waqes as t�eir mle compensatlon, will tlo I�e wark, anE tAe � s�mcmre is noi imende0 ar onerea lor sale (Sectqn 70aa, &rsiness afk Professimal CuOe: TAa Contractari Siate License Law aoes not apDN �o an axne� ol a Wopeny wlro �uiWs or imD«a IneRon, ana wM UOR su[h x9d hlm5eil/nersell or Inroupn �is or �er own em0loyees, pmviCeG tlldt such improuemenis are not intenEM or oflereE lor Sale. II, however Ihe Uuildinp or imOmvemem is sold wiinin ane year o� comD�eUon, i�e owner will have ihe OurCen ot DmvinO �e/s�e GiC noi huilA or impwve lor �ne purpose ol sale). 1, as owner af t�e propeny, am e.Uusively comtactinp wit� ticenSeE coniractorz ta consiruct ihe D�olect (Sectlon , Business ❑ antl Prole55iIXIs CaOe: T�e fAniractors SWIe L'¢en50 Law Ooes nol appty ta an awner al Orope1fy who �m1As pr es t�ereon d0A w110 C011ifdClS IOt S�LII O�OIQLIS xilh d C011IIdCi0f�5) IiLEI15E pUf5Ud0i IO III! C00 C(Of5 $I2I0 �IL811 L2W I drt1 dWdR Inat pmol of ineir Workei s fAmpenSdtion insurance stpula Ue prwi0C0 to me � 1 am erempl unGer Seclion: 6. d P. C. for Inis reason: /� � � � r i Own : Do nereby ce y inat I am aware al antl OerstanG IOe reQuiremem5 al m e alety s 25505, 25533, an0 2553a anU Ina� I or any Iuiure UuilAing oc upant wilVvnll not (circle one lo � I� saiE si oEes anA IOe requimmenis lor a permil �or consimclion or motlilicalion Iwm 1�e Air �uahry ManaAement DiSlnci. Nev ntial con tion applicaiions are eKemO� �rom Illese prOvi5i0n5. Uate: AODGean�: _ I �ere�y terlily I�ai I �ave read I�iS applitalion an0 SIale�hali�e or0inances ana slalelaw5relaiinglo CmMinA �nslNCliOn an0 heret pmperty lor inspection�urppsey� _ Ste: � ^ ' ✓ Signa�ure: _ ori �s License or Sociai Securi +: �- � i6at�a6 W�ne—Building: G�een—CoEe Enlorcemenl: is corrttt. I a0�ee �o mb6ly vntn all ciry anE coumy nta�ives ol inis dry to e��r upon tAe ahove�mentionetl GolCenroO—Asseswr CITY OF COSTA MESA — SIGN PERMIT PERMIT NO; SB 068967 PLAN CHECK NO; 03554-94 L PERM NO: SH 068967 GOVT; N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE; STR SIG PURPOSE; OTH JOB DESCRIPTION ; INSTALL 2 ILLUMINATED CHANNEL WALL SZGN SQ FT: CLAIM VALUE: 5,000.00 CALC—VALUE: 5,000,00 GROUP OCC: B—i / COMMEN'fS: FOR ' MESA REPAIR S SMOG " *+�+r*�t�r�rx�r�r�r-�r�r*��r*�r+r�t*�r�r***�r�x-�r�r�r*�rx*�r-x��r**�r-�+r�x��x��+r+r�x-�rxw�r�r�*��r+r�*�r��r�-�r+r�r*��#�r�r��r�r S I G N I N F O R M A T I O N DISTRICT; 1 TYPE; 2 WALL SIGNS ILLUMINATION; INT CATEGORY; NEW DIMENSIONS; 3FT OOIN X 14FT OOIN AREA: 32,OOSQFT LETTER HT; 18 STREET FRONTAGE 1; 97.00 STREET 1; W 19TH ST STREET FRONTAGE 2; 0.00 STREET 2; PARCEL• 42421108 ZONE: C1 LOCATION > FRONT; X REAR; HUSINESS NAME; MESA REPAIR 6 SMOG > LEFT; RIGHT; O T H E R T O T A L S G R O U N D S I G N,. THIS ACTIVITY , 32.00SQFT OVERALL HEIGHT; OFT� OIN THIS SITE . 32.00SQFT ' GROUND CLEARANCE; OFT��OIN ITEMS OF INFO : 4 PLANTER AREA: O,OOSQFT ITEMS FOR ACTSVITY: 4 BLDG SET BACK; 20FT COPY VERBIAGE ; 1—MESA REPAIR 6 SMOG;2— FOREIGN 6 DOMESTIC ^ PLANNING NOTES: 1-21 SF 2—il SF kflitklliElElhifjl4lfiFiflf%lFiEfEkiFiEkitik�FikiflflFiEifiliE�ElEkikikififiEiEfElEitiFitkiEfElkftififlffElflfifiEiElEiE1liERfFifit!liFiffFiFif!l1fiE D E V E L O P M E N T S E R1V�, I C E S R E Q U I R E M E N•T S ZONING APPROVED BY • I� �� DATE; ' �C� � I BUILDING APPROVED HY ; �/i� DATE: � APPLICATION ISSUED BY: DATE: ilff�fklfiFffillf!liffliFiflflFkiEitlfiEiE MitiElFitiPiEitiEiF �� * LEGALIZATION:N F E E S U M M A R Y STRUCTURAL 'EG ENT:Y BLDG PMT PLUMBZNG ELECTRZC MECHANIC SIGN SMIP/RES GRADING PERMIT 72,00 32,00 SMIP/NON—RES PLAN 46,80 1.05 ISSUE FEE BUILDING—DIV—> PERMIT ISSIIE PLAN—CHECK TOTAL PAID DUE TOTALS----> 105.05 0,00 46,80 151,85 151,85 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 151.85 OVER/SHORT; 00 BLDG PMT PLUMBZNG ELECTRIC MECHANIC SIGN SMIP/TOT GRADZNG PLAN—CHECK 72,00 32,00 1.05 46,80 k iF ik itlf if iFlE !E k iF ff fk k itlf it it i! i! iF iE 41! itlf �F 1t 1t 1E it 1E if ik k 1E!! if iE it if iF iE iE 1E ft it iE it if !f iE if !f iE if iflF k it iE i! iE i! i! if if it it iE iE i! iF if iE i! k it if I N D I V I D U A L F E E B R E A K D O W N i / TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT � 01 ��1E8168—�0168171 T C�T 151.85 DATE: 09/21/94 TI11E: 14:22 CONSTRUCTION AN6 PLANNING POOL & 5PA i APPROVALS Permit# Date Inspector APPR�VAIS Permit# Date Inspector w 1. 7emporary Eiectrical Service or Pole 52. Pool & Equipment Locat�on . r Q, Soil Pipe�Undrgmd. 53. Steel Reinforcement • 3. Electrical Conduit Utility�Undrgrnd. 54. Forms � ' 4. E�ectrical Conduii-Undrgrnd. 55. Electrical Bonding � y• � 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Tast � v 6. �lecvical UFER Grnd. 57. APPROVAL TO COVER�GUNITE ' 7. Footings 58. Electricai Conduit•Unclrqrnd. 8. Foundation • i 59. Gas Pipe, O Undrgmd., Tesi . 9. Wa[er Pipe•Undrgmd. r✓.•. 60. Backwash l.ines, P�Trap, � Und�gmd. 10. Struciural FloorSYstem ' - 67. APPROVALTODECK _f � 71, properxy Sewer �ine & House Connection 62. Backwasl7 & Receptor�Final �• ' ' 12. Sewer Cap ��. 63. Heacer & Vent-Final �, L'-,. "' � 73. Roof Dcains 64. Plumbing System - Final 14. RoughPlumbing �-�� 65. Electrica6Final • _ ' 15. Rough Elec[rical•Conduit � 66. Solar SYstem�Finai . + 16. Rough Electric Wiring 67. Fencing & Access Approval � 77. Rough Wiring $ign 68. APPROVED FOR PIASTERING 18. Rough Electrical-T Bar Cefling 69. POOL/SPA SYSTEh4S FINA� 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireptace APPROVALS Pesmit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping OGas OOiI 23. Gas Pipe•Rou9h & Test 72. Underground Flush 24. Roof Framing 73. Undergmd.StorayeTank �Gas ❑Oil 25. Roof Sheathin9 74. Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical ' 27. F�ame and Flashing 76. Dry Standpipe 28. �aching & Siding 77. FIXED SYSTEM FINAL 29. Insulation 76. FIflE PREV. FINA� 30. D�Ywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL �NSPECTION 32. Electrical Power Meter�Final 80. FOOD CEFTIFICATE ISSUED 33. Pinal Electric �� Notes: O�' ` 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test . 36. Hood or CanopY 37. Final Facto�Y Fireplace 38. Final Plumbing 39. VJater Service-Final 40. Gas Service�Final 41, SOlar pomestic-Final . 42, Backflow Preventer � 43. 80ckflow Irrigation 44. Landsca0e Irripation System 45. $Ound Attenu2tion 46. Hendicap Regulations 47. FINAL STRUCTURE & BUILDING � Y�.gs ��[_ 48. FINAL P�ANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY No. Date 1 PN0.IECT pDDflESS: G O 9 W 1 9 TH $ T OWNEfl'S NpME: DAN TROUNG noon[ss: 609 W 1°TH ST C.N CA 92626 650-4359 qRCHIENGINEEP: q00HES5: UNIT: PFC.NO.: UNIT: PEPMITTEE: DAN TRUONG (619)422-7536 auoxess: 605 3RD ST CHULA VISTA CA 91910 LICENSEU CONTNACTOB UECLAflFTION: I �ereEy allirm t�al I am licensed un0er prMdsions of Cllapier 9(commencinp wil� Section 7000� o� OiviLon 3 0l l�e 8usine55 anU Pmfeuions Cotle, anE my license �5 �n IM lorce an0 eltect. ciTr uc.: sraTe uc.: cuss: EXP : oate: si9namre: WOPNEflS' COMPENSRTION OECLAflATION: I �ereby aftirm Ihal I �av¢ a Ceni�itait ol ConSeni Io Sell�insure ar a Cehilical0 ai Workers' Comoensaiion Inwrance, or a ce�lilie0 coDY lhereol (Section 3800. Lab. CI. POLICY NO.: E%P. DRTE: COMPANY: ❑ CenilieU capy is �ereoy Iurnisne0. ❑ CeNfietl capy is IileO xith t�e uty BuilEing Division. Oate: 0 ApDliwn�: _ fAMPENSITION OECLRMTION: ce nit�e wark�arw�ic� Ihis 0 �e' � -- NOTICE: tl. a�ier maiwg IOis Code. you must fonlrmm coi CONSTflUCT10N LENDMG RGENf w�iCh 1�6 permii 6 i'SueG (Setiii LENOEN: aoos¢ss: n. yau sn� suc� prov eey aifirm ;iv. CI. a eE (E7001 or less�. so as to become �i D��ons ot ihe LaEor �or 1 e peNormanCe o� l�e wa�k �or OWNEF BWLUEB OECUBRTION: I �ere0y ailirm t�a� I am exempt Irom t�e Cantractors' S�ate License Law for l�e foilowinp ieason (Seclion 7031.5 Business antl PmIe55ional fqde: Fny city ol Wunty which repuirts a permit to conslNct, alier, imprave. Cemalish, or ie0air any slmclure. D�io� Io i15 i55uance. a150 repuire5 Ihe apDllCan� �or SutA O¢�mi1 Io �i12 a SiOneG Sial¢menl ��a� he/SM1e is IitenSeO pursuant to t�e D�avisions ol t�e Comracm�s' Staie License Law (C�aO�er 9(commencin0 ��h Sectlon 7000) af Oivi9on 3 of the Business ane Pmlessions Coae� or ��ai �e/s�e is eeem0� i�erefrom and t�e Casis lor I�e allepeG eaempiron. My violation of Section 7031.5 by any aODlicant for a permit suGl��s ��e ap0��canl lo a civil Denally ol noi more I�an live �unEreO OdWrs (55001. I, as axner al I�B O�operiy 0� my employe¢5 vn�h wapes as ineir mle mmce��ion. win tlo �he work. and �Ae O simcture is not inlenaea or onerea lor sale (Section 70C4, Busness antl Pmtessional Cotle: T�e Coniractars' State Licenu Law Eoes noi apDN �o an wmer al a prOpeny who OVi105 or improve5 Illereon. antl wlw Eoa SUC� woh Aimsel//hersell or lhfouph nis ar ner own emD�oYees. D«�ea that such impmvemenis are nat inten0e0 or oflemA Ior ule. tl, Iwwever tne builAinp or imprmement is so10 vnihm one year ot comD�etion, ihe owner vnll �ave �he OurOen ol pravin0 �Us�e ditl noI Duild or imprme for ine putpose o� Sale1. I, as owner of t�e propen , am eaclusively conVaclinA �� Iicense0 conlraciors Io cons�mtl the projeci (Sec�ion 7 , Bus ess ❑ antl Professions CaOe: T�e Contractors' S�a�e LiCenSe Law d0e5 noi aD�ly �0 an ownef al Orop¢fry'MIo �mld5 Of i mves t r¢on anA w�o conlracis br sucn O�ojecis with a comracmr�s� licen5e pursuan�fo Ihe Contraci Siate L¢ense L �. I a awara t�ai proof o� l�eir Worker'S Compensation insurance s�oultl Oe proviae0 �o mE. '� i am e�emot uneer Section: B P 7 0 4 4 B. 8 P. C. �or mis reason: �OW^ER—BUILDER � n�i iao nere0y Cenity IIWt I am aware of a 2553< ana inat I or any Imure OuilGinp i permit lOr con9mction o� modilicalion IIICSB O�ONSi0115. Dale: lI M1ereOy certity IIWI I have r¢aG I�iS ordinances an0 state IawS relalinq to pmDenY �or mspeaion oy(ooses� Owner: lhe reaUirem¢nls ot 9 Applitani: n an0 slali �j�/ � � SignaWre: _ ovn er's �irense o� Sociai Securiry : 16at�a6 Wnne—BonOing: Green—Catlo Eniorcemem: Cai 5a�e 5 6505. 25533, an0 i le ca0! Ihe r¢Quir¢men�s lora tmctian iiwtmns are exempi imm I apree to wmDH it II city antl counry Itis d toenteru heara0ove�m¢ntione0 PERMIT NO: B CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06986 069861 PLAN CHECK NO: 04476-94 L GOVT: .i ; N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: CON JOH DESCRIPTION : CONSTRUCT 97LF 6' HIGH BLOCK WALL SQ FT: 97 CLAIM CTALUE; 5,000.00 CALC—VALUE: 1,940.00 GROUP OCC: H-1 / COMMENTS: CONSTRUCT 6' HIGH BLOCK AS PER CZTY COSTA MESA STANDARDS r**+r*�r*icac+F*�+t*x�c***�-*r**rx-�cac*�c*+t+c*+r*x�r�r*+�r***+t+c+r�a�ic+rr*�cr*�cic�rr+tx�+Fr*acacr-»+F**++crt***�r Z O N Z N G R E Q U I R E M E N T S sETeacxs ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT ZN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT ZN LEFT: FT ZN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42421109 ZNE: C1 REF NO: PLANNING NOTES> CONSTAUCT 6'HIGH, 97' LONG HLOCK WALL ALONG REAR P/L; > CONSTRUCT WROUGHT IRON FENCE ALONG FAONT OF PROPERTY.. **ac*�r�t�ritric+F�t+F**+t�u****��-�r�-�s*****�cac�-*+�+�**�t*r*r«�r�r�tr+�*�f«x-**r*xx-+�****+F*+E�t***+F- +�+E**x 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 HY �C^ DATE; .. �'J �j BUILDZNG RPPROVED BY : �/Y1-t DATE: �I: p�� APPLICATION ISSUED BY: /',� DATE:� ly iF if if jf i� iE if iF iF 1f K iF if IF iF if M 1f it 1E±f ifi�3F iFi�3i�iF�FTfiF'iFiFitiF �F ��FiFiF3F�"�'�"�"A'��'7FiFif iF if jf aF i: af'�! if . �+ if i4 if 1f if 1f i4 i4 iF if i{� if if af �Y M� iF �f aF �f if iF iF jF iF if 34 M �f iM if if if if if if j41f 1f iF iF if ik il-iL K iF iF af iF iL �F 3F IF 1f aF if if �E Y 1F i4 iF iF Y if �4 iF M 14 iF if jf aR iF %Y iF if aF LEGALIZATION:N F E E S U M M A R Y STAUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP;RES GRADING PEAMIT 95.00 PLAN ISSUE FEE BUZLDING—DIV—> TOTALS----> 29.25 PEAMIT ISSUE PLAN—CHECK 95_50 0.00 29.25 REVENUE DIC'ISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANZC 95.00 SMZP/NON—AES .50 TOTAL PAID DUE 74.75 79,75 .00 74.75 OVER/SHORT: .00 FIRE SMIP/TOT GP.ADING PLAN—CHECK .50 29,25 IFif if jf if af if i! if if iE iE +f ��1M ar iFiF iF if 1E iE if if if M jf jf if�r rif if IE af jf iF if r�f iFif iF if �E af if iE if if acif it it M�Y If iE af iE if if af 3f iFaf �t iF 1t 1t M+f�F if if i� 3fific I N D I �' I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFC 97 RES—CONCRETE HLOCY. WALL / FT. 20.00 1,940.00 END OF FEES O1 00171456-0017145E T fa T 74.75 DA7E: 31/20/?4 TI17E: 1.`.:26 CONSTRUCTION AND PLANNtNG ' POOL & SPA APPROVAIS Permit �`'r Date Inspector qPPROVAIS Permit 3k �ate Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment location . Z, $pil Pipe-Undrgrnd. 53. Steel Reintorcement � 3. Elsctricai Cartduii Utility-Undrgrnd. 54. Farms ' 4. Electrical ConduiFUndrgrnd. 55. Electrical Bonding ' - 5. Steel Reinforcement � 56. Rough Plumbing & Pretsure Test - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings � 58. Electrica� Conduit�Undrgrnd. 8. Foundation ;� 59. Gas Pipe, O Undrgrnd.. Test 9. Water Pipe-Undrgrnd. . '' 60. Backwash Lines, P�Trap, � Undrgrnd. . 10. Structural Floor Svstem ,� - � 61. APPROVAL TO DECK • 11. Property Sewer �ine & House Connection '- � 62. Backwash & Receptor�Final '- 12. Sewer Cap , ' • 63. Heater & Vent�Final ,• . 13. Fioof Drains 64. Plumbing Systt;m � Final '' i�� !, 14. Rough Plumbing 65. Electrical-Final ' 15. Rough Electriwl•Condurt 66. Solar System-Final . �'. 76. Rough Electric Wiring 67. Fencing & Access Approyal _.� 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING• I 18. Rough Electrical-T Bar Ce�ling 69. POOU'SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVA'LS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Dutts, Ventiiating 71. Product Piping �Gas OOi� 23. Gas P�Pe-Rough & Test 72. Underground Flush 24. RoOf Framing • 73. Undergrnd. Storaye Tank � Gas ❑ 0�1 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceiiing (Structurai) & AAonocoat 75. Drv Chemical I 27. frame and Flashing 76. Dry Standpipe � 28. Lathing & Siding • 77. FIXED SYSTEM FINAL 29. Insulation 78. FIflE PREV. FINAL 30. Dryevall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster BroH•n Coat 79. FINAL tNSPECl'10tV 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Finai Electric Notes: 34. Finel Hearing & Air Conditioning 35. Final Gas PiDe-Test i 36. Hood or Canopy - � 37. Fina� Faciory Fi�eA�ace � , 38. Findl Piumbing � 39. Water Service�Final 40. Gas Service-Final � ' 41. So�ar pomestic-Final 42. Backflow Preventer 43. Batkflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING ` K_ s1S--.��_ _!/ ..`�P._ 48. FiNAL PLANNING 49. Elettric Retease to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCV � No. Date PflOJECT ROOflESS: 6 O 9 W 1 9 TH $ T OWNEfl'S NFME: DAN TRUONG nooaess: CHULARVISTA 619) 422-7536 AflCM/ENGINEEfl: AOOflE55: UNIT: flEG.NO.: UNIT: PEflMITTEE: DAN TRUONG ( 619 ) 922-7536 noonEss: 605 3RD ST CHULA VISTA CA 91910 LICExSEo CONTHRciafl DECUINATION: 1 he2�y affirm tAat 1 am Iicen5t0 unEer D«on5 of CluDter 9(commencinp witn Section 7000� ol Divivon 3 ott�e Buvneu anU Pro�esvons CaEe. antl my ticenu is in IWllorce an0 etfect. crtv uc.: sr�Te uc.: cuss: E�P � Oate: Sq�awre: WOPREHS' LOMPENSRTION UECIANRTtON: 1 hereEy atlirm �hat I tuve a ceniliwte af consent m selbinsure or a certifiwte of Workers' ComDensa�ion Insurance. or a cetlifieE coOY ��et¢al (Sttiion 3800. LaG. C). POLICY NO.: EXP. DATE: COMPANY; ❑ Certi�ieU CoDY �5 �¢reby lumis�etl. ❑ Certilietl copy i� liletl wi�h ihe ciry BuilOinA Oivision. Oate: ApPlicant: EXEMPTION FXOM WOflNENS' fAMPENSATION OECLAMTION: (� 5q�y I certity ��al in the pedormance ol Ne xrork lor w�ic� IN5 permii is is5 suEleq lo e Wa K fAm rRa io la al California. Oate: Siqnawre: 0 ICE: Ii, a er makin I�is Oetl aiion, you S�oVIG �eco e � Catle. you mu9 �arlhvni� tompl wii� Suth prOwSm� t' p CONSTNUCTION LENOING RGENLY: 1 hereGy allirm l�a � i� a wAic� Ihis permii is issuea (Sec�io 309Z Civ. C�. LEN�EP: nooness: a it u�e ce��t is �or one i nnr ISt0o1 or iess�. � any De« in mai � as to Uecome mpen5diion r n5 0l iha LabOr � revokea. apency for Oe�o�mance O�I�e work �or OWNEB 9UILOEfl UECIAMTION: I �¢reEy allum ttui 1 em evempt Irom the Contracmrs' Siate License law for t�e tollnwinp reason (Section 7031.5 9usineu an0 Pwleuional CoOe: N�y utp ol county w�ic� reQuiru a permit ta consimct. alter, impmve. Gemolish, or rzpair any stmcture. ptiot lo i6 iuWnce, alsu Ra��es ine apWiWnt lar suN permit to lile a Siqnea sWtement Ihat IlNsne is IicenseJ Dutsuant lo Ine pmvttians ol Ihe CAnlractor5' Sute License Law 1CtWpter 9lcommencinp wit0 Section 7000) of Division 9 of tne Business anE Pm�¢SYans CoUe) Or (Iui �Us�e i5 ex¢mpi I�¢rtlmm anE I�E Oatis for 1�2 aIICpEG exemptian. Any WOIaiiOn ol SeCliOn 7031.5 �y any applicant lor a permil su0ie��s tAe appliWnt to a civ�l penalry of noi mOre I�an live nufMaE Eollars (�`�). I. as awner ai me o�o�eny ar my em layees wit� waAes as t�etr mle cam0ensation, will Oo t�a wo�k, anE Ihe ❑ simcmre is not imen0e0 or oflereA for sale I�tioq 7p44, Business aM Professronal Code: Tha Coniractars' State License Law OoeS n0i apply IO an ownel 01 a DmOenY w� �uild5 of imprOves IhtteOn, anC who Uoes Suth wark him5ell/A¢r5¢I� of thrpuph his or Aer own em0lpyees, D�oviEeE i�at suc� �mOmvements are nat intenGed ar offere0 lor sale. II, howaver the builtlinp or improvemeni is sald wi��in one yBar oi compleii0n, I�e awner vnll Aave Ih¢ burAen ol pmvmp �e/5he Aitl n0l builJ Or impmv0 lor ihe vurpose ol sale�. I, as owner o� Ihe O�openp. am eulu5ivep conlraclinA �� enmE tomractors Io conslmci I�e prolett (Secllon 7044, Buslness ❑ and Vrolessions Cotle: TAe Conlraciors' State L'rca�e Law Uces iwi appty to an wmer al prope wtq DmIEs or improues Ihereon w dlltl WI10 LOI1�fdtl5 �Of SUC11 plOjECIS VA�II d LOI1�fdClOf(5) GClIISE p11f31W�I �0 lI1! COnt�tCIOR IdIE LICE115! LdW). �dN2fB 1�2� O�Do� o� lhei� Workcr'S Compe nsation InSurance SiroulC GE OrovitleE IO me. � I am e�em0� untler Sp�yq��B�, �Y 7 0 4 9 �g,�,p � tonnisreamn: V^'�"—HUILUh;H� � r �a�e: r � p,vner. I do Aere�y cenily inat I am aware af anG naerstana tne reQuiremems oi Cal� rn' � an CoOe Sec' 6 , 25533, an0 2553< antf inal I or any INure euilaing o upant will/will n� (circle onel nee - � ' Sdi ate codes e requirements for a permn lor conslmclion oi modilicatian mm t�e Air Ouality Managemenl Disir I. HesiOen�ial simction a cations are enem0� ��om Ihe50 provisians. Da�e: ApPlicani: I �¢reby Ceriity ��at I have read Ihis app6WGOn antl Siate ��ai t�e aDove intormalion ortlinantts an0 siate Wws �eWtinq lo OUJding con5tmciion aM �ereGy aNhoriie repr pwperty lar inspeciwn oses Date: � ` 99�Wre: Oriver's License oi souai seamy < �eei.ea wnna—Ruitnino- Creen—Code EnlorcemenP Canarv—Aoolicant Pn ta compty wi �o enterupon r GOIEenroE—Assessor CITY OF COSTA MESA — BUILDING PERMIT C: Ub b PERMIT NO: B 069862 PLAN CHECK NO: 09A77-94 S t; , , CONSTRUCTION TYPE: PEAMIT TYPE; STR PURPOSE: CON JOB DESCRIPTION : CONSTRUCT 1915F TRASH ENCLOSURE SQ FT: 171 CLAIM VALUE: 1,000.00 CALC—VALUE: 3,42Q.00 GROUP OCC: B-1 / COMMENTS: CONSTRUCT TRASH ENCLOSURE r�+t r+««�rr�ac+tx+F-N�+f*�+r+r*+tv��-+t**aF*r+Eac+ti�ac�s**x*aa+4**�cac*�cx�+ta.sa��-�s �taEacx�a+t��*�+t�raFx-�-�*aF*:�c+f��r+tx� Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING --------- FRNT: FT IN AEAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT ZN PARKItJG REQ: PROV: PARCEL: 42421109 ZNE: Ci REF NO: PLANNING NOTES> TRASH ENCLOSURE > if if iF if iF af 3f if fF iF 1t it if if * M it iE iF iF if af jf if if iE jE jE if iR af iF jR af �f �f iE if iE �f iF aF iF i� aR af iE ii Jf x iF a4 #F iF af if iR iF jf 1f if if iG jf if af Y if iF afr * if jF * iE if iF iF �4 D E V E L O P M E N T S E R �' I C E S R E Q U T A E M E N,T S ZONING APPROC�ED BY G��f] DATE: �—J(„ � � HUILDING APPROVED BY : �L DATE: .. e! APPLICATION ISSUED BY: DATE; � T jFiijf �f 4 rif iP jf iF iF 1f jE iF iE 3f If af r af if i� ifif 1f iF iF iF if iFaf iE jFaf ikiFififiFififjfMifjfitiEifikftMlkiFiFifififiFiEiFiM1ifKifiEiEiEiFlfifMiflEiFaE�F�filififit*1FifMjfifiFMiEMififiEiFififiliFltMlf .�f*�E icififiF�M LEGALIZATION;N F E E S U M M A R Y STRUCTUR L SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 63.00 FIRE SMIP/AES GRr1DING 50 SMIP/NON—RES PLAN 40.95 ISSUE FEE BUILDING—DZV—> PERMZT ISSOE PLAN—CHECK TOTAL PAID DUE TOTALS----> 63,50 0,00 40.95 104.95 104.45 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 109,45 OVER/SHORT; ,00 HLDG PMT PLUMHING ELECTRIC MECAANIC FZRE SMIP/TOT GRADING PLAN—CAECK 63.00 .50 40.95 if it it M if if it if if iF it it if if 1f af if 1f jt {E �f f� it ff �f ff jf it if if 1! ik ik if if iE 1F M if M+F if if i! at It iF if �E M if M iF1F it iF iF if if if if 1F �f �f if aF 1� �f ac if af i4 iF if If at i� if r I N D Z V I D U A L F E E B R E A K D O W N TYPE SFA QTY 171 D E S C R I P T I O N RES—TRASH ENCLOSURE / FT END OF FEES UNIT COST TOTAL COST 20,00 3,920,00 � O1 6D171453-00171455 T�? T 104.45 DATE: 21/10/94 TItIE: 1$:25 CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit?� Date Inspector i. TemPorary Eiectrical Service or Po�e ' S2. Pool & Equipmenc Locacion . � 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement - -� 3. Electrical Conduit Utility-Undrgrod. � 54. Forms . �� 4. Elec«�cal Conduit-Undrgrnd. -_ , �� 55. Electrical Bonding � - 5. Stee� Reinfarcement 56. Rough Plumbing & Pressure Test - 6. EleUricai UFER Grnd. 57. APPROVA� TO COVER�GUNITE 7. Foot��gs 58. Hectrical Conduit�Undsgmd. 8. Foundation � 59. Gas Pipe. O Undrgmd., Tesc 9. Wats� P�pe-Undrgrnd. 60. Backwash Lines, P�Trap, L� Undrgrnd. • 10. Structurel Floor SVstem � 67. APPROVAL TO DECK r 11. Properiy Sewer Line & House Connection ' , 62. Backwash & Receptor�Finaf .� , ` 12. Sewer Cap � 63. Heater & Vent�Final � '` � / .� 73. Roof Drains � � • � ' ' 64. Plumbiny System � Final . � f,, 14. Rough Plumbing ` 65. Electrical�Final � ' 15. Rough Electrical�Conduit � 66. Solar System-Final �� 16. Rough Eleccric Wiring 6�. Fencing & Access Approvai � � 17. Rough Wiring Sign 68. APPROVED FOR P�ASTERING • � 78. Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEP45 FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Firepiace , APPROVALS Permit # 21. Ducts, in Structure , 70. Underground Hydro 22. Ducts, Venti�ating 71. Product Piping OGas �Oii 23. Gas Pipe•Rough & 7est 72. Under9round Flush 24. Roof framing � 73. Underymd. Stora9e Tank � Gas ❑ Oit 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ce�ling fStructuraq & Monocoat 75. Dry Chemical 27. Frame and Flashing I6. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailin9 � HEALTH OEPT. REQUfREMENT 31. Plaster Brown Coai 79. FINAL INSPECTION 32. Electrical Power Meter-final 80. FOOD CERTIFICA7E ISSUEO 33. Final Eleccric Notes: 34. finaf Heating & Air Condition�ng . � 35. Finai Gas Pipe�Test ' 36. Hood or Canopy /, 37. Final Factory Fireplace , ! 38. Final Plumbing 39. Water Service-Final 40. Gas Service�Final � � 41. Solar pomestic-Finai 42. Backtlow Preventer 43. Backflow Irrigation , 44. LandscaRe Irriqation System 45. Sound Aitenuation 46. Handicap Regula[ions . 47. FINALSTRUCTURE&BUILDING � (l ,l�' /�. <C�_ 48. FINAL PLANNING � 49. Electric Release to Edison 50. Gas F�elease to Southern California Gas Co 51. C£RTIFICATE OF OCCUPANCY • No. Date � C` - '- � �S 41647 ' COSTA MESA BUILDING•SAFETY DEPARTMENT . p.p. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Eill in Completely — Use Ink Only ADORBSS � (/ � LI� / % � F C W G. a .Nr y F C LW. � a 7 i^ a w c. Q a a Z W 'S 3 OWNEp /,S UV ( i/ �J /' i ADDRESS �y� S��/, ciTv %1/LC.G•po�T BRANCH ADDRESS ARCHI7ECT ADDRESS CITV STATE LIC. NO• SIZE OF LO7 USE OF TEL. TEL. NO. CITV LIC. NO. NO.OF BLDGS. NOW ON LOT Separate permits are required for electric, plumbing and heating work. I�ILDING yyD WORK TO,BEFEFFORMED I hereby acknowledga that I have raatl this appllcetion antl rtete that the above informatlon Is corract entl eprea to comply w(ih ell lewz repulating bulltling conitruetlon, entl I shall not employ eny per4on �n violetlon of the workmen's compensallon laws of Me Staie of California. I hareby cartify that I am proparly Iicensetl as e conbactor un0ar the Scaia of Celifornle euslnea entl Profauione Cotle, Dlvlsion 3, Chepter 9, antl that such Iicanfas ere In tull force antl effact, or I am eaemPt from Me DroviEion� of Ne Steie ot Celifornie Buelness entl Profeaelons Cotle, Dividon 3, Chapier 9./// �Sfpnetureo3�,f� 4/ 1��,-,'(� 7ermittee /V �-/Q�4��Y��n �'�� U AuthoriYetl ABent �� PAIG �FR 1�-7F��,:.0� 914'� •=*"*%�5.50 APPLICATION FOR STRUCTURAL PERMIT � RECEIVEDBv DATERECEIVED DATEtSSVED �� PERMIT NO. _ A.P. NO. `D � � O BVILDING ((}(Q �, � ADDRESS 'j �`"' J RAC ��^ •�O BLOCK • A P � � OWNER . � L � VALUE $ G� FIFE �y}/� ZONE TYPE Y GPOUP APPROVED BV DATE 20 NO.OF USE OF NEW CQri�I � PLANS Z BUILDIN YApDSAPPROVED VARDSAPPFOVED • MAIN BUILDING ACCESSOPV BUILDING �FROM C)L �flEET) ONT � FT. FT. I / �/ F �O FT L. SIDE S FT. � FT. REAR � FT. FT. DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCFSS. BLDGS. VAR.a� DATE 0.U.P.qW PPPROVED APPROVE J �3�-�Z� �j 7LD :+` �' _ _ N n m i m m SQ. FT. �`+ TNE AMOUNTSHOWN UNDER VALUATION IS FOR m THE PURP06E OF ESTABLISHING A PERMIT FEE ONLV: � VALUATION PERMIT FEE S . Q N M PLAN CHECK E o.--+ m �y� 0 S 'yVO TAX S O � u ' TOTALPAID E ` ..' 4225� ' COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applican[ to Fill in Completely — Us�ef In�k Only BUILDING T.a �' I. / I A \Z OWNER MAIL ADDRES' GTV � CONSTRU LENDER BRANCH ADDRES. ARGHITF � TEL. ADDRESS TEL. pTV NO. STATE CITY LIC. NO. LIC. NO. 512E NO.OF BLOGS. OF LOT �� Y � k} � I NOW ON LOT �1 VSE OF EXISTING 6�DG. $eparate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED I hereby ncknowletlpe that I heva reaE ihis applieeNon and stete that t�e aUova Information I� correct and epree to comply with ell lews repuleting builtling construction, antl i shall not employ any person in violatlon of tho workman's compenmtion lawa of ihe Smie of Celifornle. I hereby clrtify that I am propa�ly Ilcensed as e connactor untler tha Smte o� Calitornia Budnese and Professions Cotle, Division 3, Chaptar 9, antl thai such licenses ara In full forca enA offact, or 1 am ezempS from i�e provlsions of the State of Celifornia B�siness and Profesl�ona Cotlo, D W{sion 3, Chaptar 9. Signaiura pT � �ir /� A ^ !'� y�„ .. , D� Permittee� '�1Lr/�It� hi '��rt-LLu� A.P. NO. BUILDING ADDRESS FIRE ZONE APPROVEO .. '�i'-'``"�0� Paio {, -;:,"., � � Nll —fl-7(�ei<�� 631 ` � .� '>'Yli}�� DN FOR STRUCTURAL PERMIT (� DATE RECEIVED DA E 15SUED � ^ . . �J.. � ri � Q� � lO PERMIT NO. � VALVE N NO.OFn USE OF NEW (�-- I PLANS (,� BUILDING �ti T'• VARDSAPPROVED I VARDSAPPROVED MAIN BUILDING ACCESSORY BVILDING DISTANCE BET. BET. MAIN & MAIN BLDGS. ACC6S. BLD VAR.� DATE 0.U.P.qW APPROVED THE AMOUNTSHOWN UNDER VALV THE PUFP06E OF ESTABLSHING A PERP VALUATION � PERMIT FEE E $ �//y��/ � PLAN CHECK E W TAX E TOTALPAID E �� n n m m' m N IS FOR m A L : � a N ro m 0 LL f _ u � � F+ � W a a � � 'x F C v� F j � Q 7 � �i a � a z W '� 3 '' � 42432 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applican[ to Fill in Completely — Use [nk Only ADDRESS /� � {'�/ I / � � ' OWNER /J✓�9�Y �J /SOS�WI��` AD9PESS�� /VT�i9 ��/JTJ� �� n TEL. CITV N P/� N4� LULO� BRANCH ADORESS ARCNITECT CONTFACTOR AODRESS CITY STATE LIC. NO. SIZE OF LOT � TEL. TEL. NO. CITY UC. NO. NO.OF BLDGS. NOW ON LOT Separate permits are required for electric, plumbing and heating work. OF BUILDING ANO WORK TO BE PEflFOFMED r, � hereby acknowleEp� thet I have fead t�ia eppllcation anA state that the abova informac�on Is correct antl aprae to comply with atl lews raBuleting buildi�9 constructlon, antl I shall not employ any person In violetion of tha workman's compensetion laws of Me State of Celitornla.' I hereby cenify that I am properly Iicenaetl es a contractor untler the State of Celifo�nia Businesz antl Profassions Code, Divislon 3, Chapter 9, and that sucM licanzes ara In full force and effeci, or I am ezempt from the pro��sions ot the Stete of Celltornia Bus(nass and Profesziona Cotla, Di�i6ion 3, Chepmr 9. Sipnature of � Parmittae Authorizatl Apant SUC � O'7SPAIpOO 948 �` �r: �- u+�5.50 ��;,. APPLI(:A7'ION FOR S CRUCTURAL PERMIT FECF�D , OATE RECEIVED �E�S�'� �� %f A.P. NO.��'� BVILDING //� ADDRESS APPROVED I VAIUE Z�E � NO.OF SE OF N PtAG BUILDING VARDSAPPROVED Y�p flD: MAIN BUILDING . A6GESS DISTANCE BET. B AIN & MAIN BLDGS. A . BLd VAR. # � DATE C.U.P. ,� _ APPROVED L�' N m > m m SQ. FT. N THE AMOUNTSHOWN UNDEF VA�UATION IS FOR 0 THE PUIiPOSE OF ESTABL45HING A PERMIT FEE ONLV: " e VALUATION PERMIT FEE E ° � N m PLHN CHECK E �- "� S �� O v�� TAX S • O U TOTALPAID E �.�n '. . � / PflOJECT RODNESS: 6 O 9 W 1 9 TH $ T UNIT: OWNEfl'SNAME:�vnMMDC rnnnrc TR'�A�y T�,C.��NG aooeess: 3330 S FIGUEROA ST LOS ANGELES,CA 90007 AflCH/ENGINEEfl: LOGAN ENGINEERING ncc.xo.: C39726 nooaess: 215 49TH ST uxiT: p S.D. CA 92102 PEHMITTEE: AL THOMPSON pLUt1BING (619)238-7547 FDOflE55: S33 S GREGORY SAN DIEGO CA 92113 LICENSEO CONTBRCiOfl OECLABATION: I MreDy aHirm ttwi 1 am ticens¢E under D�wons 0� CIUD�er 9(tammentinp wiih Stttian 7000� ol Division 3 0l ��e Business anG Pmlession5 Coae. an0 my ticense is in tWl torce aM ellect. LITY UC' 1 STRTE LIC.: Q% S S% B �lq(jJ�(�y y3 �6 E) : Oate: � � �O _Q�'f— SignaWre: _ _ _�(J^' �/� WONREPS' COMPENSRTION OECLRflATION: 1 �ere0y aflirm ihal l �ave a cenAitale at conseni to selbinsura or a cenilicale oi Workers' Compensation Insurance, ar a ceniliea cooY tnereof (SecUon 3800. La�. CI. POLILV NO.: E%P. ORTE: COMPANY: �. ❑ CenAietl coOY � �ere0y Iurnis�eE. ❑ CertilieG copy 6 fileG xit� t�e ciry BudOinp Oivision. Oate: Applicant EXEMP710N FBOM WOflKENS' fAMPENSIT10N OECUNITION: (itis section ntt0 mt De mmple[e0 il Ne permit ¢ lor one �untlretl (4100� or I I tetlily ��al in I�e Dertormante 0� I�e work �or w�ith �Itis p¢rmi( is iss G, I ot employ any persOn in any manner So as ro hec suoiect/ty tne Worker5' ComoensaQlion �Lajws al Calibmia. Oale: _(�� 0 ^ /! � Siqnaiure: NO710E: il, atter makinp t�is tleciaraiion, you s�ould became suUject ta ��e oAers' Compensaiion pmvisions ol ihe LaOor Coae. you must Ponnwith comD�Y ��h such omvisions or tAis ce�mit snaA De OeemeO revokea. CONSTNUCTION LENDING AGENCY: I �ertby affirm IAai t�ere i5 a constmction IenAinB aAenry lor IAe Oehormance oi the worl whic� Ihis permit is i=suetl (Section 7W7. Civ. C�. LFNDEX: aooxess: OWNEB BUIL�EN OFCUP�TION: I hertEy allum ilut I am exempt Imm t�e Contracrors' State License Law for tne lollawinp reason (Seclian 7031.5 Business antl Profeuional fAae: My city ol county wnicn repuires a permit to consiruct, aller, improve, aemolish, or repai� any SlmtWre. pri0r'�o iis issuante, also reQuire5lhe appliCani lOr Suth permit to lile a Sipnea Slaiemenl Ihai he/She is litens¢tl pursuan� m ine pmvisions of Itle Cantractors' SIa1e License Law (C�apier 9 �commencinp wilA Section 7000� ol Division 9 0l t�e Business and Pmlessions Co0e1 or that he/sne is e�empt inerelmm ane ine Uasis for Ine allepe0 exemption. Any violalion ol Section 7031.5 �y any apDlicant for a Dermit suGjecis t�e appliWnl lo a civil penalty ol nol more Ihan live IlunEreA Uollars (5500). I, as owner ol t�e Droperty or my emyloyees �t� wa0� as t�eir sole compemation, will Eo t�e xrork, anG tAe ❑ s�mcture is not intenEeO ar alfere0 br sale (Sectron 70ad, Business aiM Pmlessional COEe: T�e Contractors' State License law tloes not apply to an owner ol a D�opeM � bWEs or improves t�ereon, an0 wtw Ooes suc� work �ims¢tl/hersetl ar t�mup� Ns ar �er own empbyee5, pmvitle0 tlut wch imprwements are not intmCM ot ollere0lar Sale. If, Ipwever the huiltlinp or im0�ovemeni 6 5oW witNn ane yWr ol fAmplelion. I�e Owner vAI have IIIe hurden ai pr0'rinp Ods�e GiE not GuiIE or improve for Ine pWpOSe ol 5ale�. I, as owner ol t�e pmDeny, am eRClusNeN convactinq wit� IicenseE coniraciors to consiruct ihe project (Sactian 7041, Business I❑ ana Pwiessions Code: The Coniractori Siate License Law Ooes nol aODN �a an wmer ol D�operty wlio DwICs or impmves t�ereon � an0 w�o contracis loi suc� D�olects wit� a caniracioqs�licenm pursuam lo I�e Contractors' State Lrcense Law�.l am aware I�ai prooi 0� Iheir Work¢r'S Campen5alian in5urance Slroultl Oe prOviaeA Io me. � I am exempt un0er Seclion: 9. R P. C. lur Inis reason: Da�e: Owner. 1 Co �ereGy cenify Ihat 1 am awdre ol an0 unOerslanG t�e repuiremenis ol Glilornu Healt� anE Safery COGe Sections 25505, 25533, antl 2557a ana I�at I or any lumre GuilOing ocNpant wiNwiA nm (Grde one) neeE m compry wit� saiG state mAes and I�e aQuiremenis fOr a Oermil lor consimciion or mOGtlicali0n Irom the Nr Oilality Managemenl USIritL RGtiCenlial COnStrutiion aDV��w�s aR enemp� Irom ihese provisions. pa�e' Applicant: I h¢re�y Cerlily I�al I have reatl I�iS apDlitation and Stat¢ I�ai IM1e aCave inlarma�i0n ¢ torreCG I a0ree Io Lom01y wi�� all Ciry anU Coun�y ortlinanc¢5 anG sta�e laws relating to Guiltling cons(mction anC her¢by aullWr¢e rtD�es �atives o� IN5 tiry to en�er upOn IAe abave-mentionetl O�op¢rly IorinSpeciian purp05¢5. Date: �f_",j�(� SignaWre: � _ Oriver's License ar Social Secunty +: 16<ba6 White—BuilOmg: Geeen—Cotle EnlorcemenL Canary—AODlicanC Pink—Revenue: GOIEenroE—Assessor CITY OF COSTA R,ESA — BUILDING PERMIT PERM NO; P 067li�� PERMIT NO: P 067871 PLAN CI-IECK NO: N GOVT: N SUPP: ;J CONSTRUCTION TYPE: V—N PERMIT TYPE; PLU PURPOSE: NEW JOB DESCRIPTION : NEW 1794SF AUTO SMOC 6 SERVICE STATION SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: H-1 / COMP9ENTS: 1404SF SERV, GARAGE, 390SF OFFICE FOR "MESA SMOG", RE:StH67436 *et*�**�t�t�*iFir****�#***#r*�*k*x�ear�r��itat*+r�c��t**��*ic-u�*�t��:*�**�:�-*+t*�*tr�iF+r��r*#x�xis�* 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 ZN REAR: FT IN FRNT; FT IN REAR; FT IN LEFT: FT IP7 RGHT: FT IN LEFT; FT IN RGHT; FT IN PAAKING REQ: PROV: PARCEL: 42421109 ZNE: REF NO; L NNING NOTES> > iEitiE ific3FiEiEitiEiEiE1E#ilififiEifitiliEiEiFiEiFiEifiE#iEiE#iFiE*# 'iEiE#ifiliFiliPitkitiF#iE -#iE�k3E f(�Yrit#iE###3kiEikiE�lEx###iEY.� D E V E L O P M E N T S E R V�� C E S R E O U I'c E M E N T S V diP.1 i . Ie7 � � ] � 3 ;;�]+Lx � e �1 HUILDING APPLICAT�ON /.'SfJOLaL� B ***�r#***�t*��i�� *x1+'** *******+r��*��r*\rtlei�*y ** LE��A�`� N:v BLDG PMT PERMIT PLAN ISSUE FEE BUILDING—DIV—> `�ri TOTALS--- 132 5 PLUMBING 132.00 25R i E S U U M Ait Y ELECTAIC MECHANIC' � �. PLAN—CHECK � , � 0 REVENUE DIVISION TOTALS--> COLLECTED: HLDG PMT PLUMBING ELECTRIC MECHANIC 152.00 # �IRE � DATE; DATE: DATE: 7C} � M�ifiFiM1if##�lf3t-xit�„irit##xit## +r_��*�r#*#w**��###* STROCTORAL SEGMENT:N SMIP/RES GRADING SMIP/NON—RES TOTAL PAID DUE k52'.00 152.00 .00 I52.00 OVER/SHORT• 00 FIRE SMIP/TOT GRADING PLAN—CHECK \ # iF IE 1E iF IE �1E iE IE 1t 1E 1ElF # M�lE if if �If if if if #� IF ic 1F if i! iE iE �)f iF iE il� f! 11� i(� iElf if iF iE i(�!(� if df !E iF!(� ibY� {l' �IE if �If ik 1f 1f j! if If� iM1 iF 1F fY I4 iF iF iE'1E iE �F if # 1F if If * iM1 I N D I V I D U A L F E E B!i'E A K D O W N TYPE QTY D E S C R I P T I O N ' � UNIT COST TOTAL COST PLU PLU PLU PLU PLU PLU PLU PLU PLU PLU PLU 1 1 1 1 1 1 3 1 1 1 1 SINK BAR WATE�t CLOSET (TOILET) , 4IATER HEATER AND/OR VENT WATER SERVICE �, BACKFLOW IRRIGATION . BACKFLOW PREVENTER ` FLOOR DRAINS SEWER, CONNECTION TO BUILDING EACH SINKS, COMMERCIAL OR INDUSTRIAL SZNKS, FLOOR SZNRS, SERVICE / MOP 7.00 7,00 7.00 7.00 7,00 7,00 7,00 7,00 7.00 7,00 7,00 7,00 7,00 21.00 15.00 i5.00 7.00 7,00 01 OOrd33AJ-00263277 TOT 7, GL52.Q0 DATE: �Di/.I%f194 TIftE: 26:24 7.00 S � •?' ... - . CONSTRUCTION AND PLpNNIN6 POOL � �PA APPROVAIS Permit� Date 'Inspector APpROVALS Permit?k Date Inspector ( 1. Temporary Electricai Service or Pole 52. Pool & Equipmenc Location 2. Soil Pipe�Undrgrnd. ' 53. Steei Reinforcemr.nt , 3. Electrical Conduit Utility=Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Elec[rical Bonding ' 5. Steel Reinforcement s 56. Aough Plum6ing & Pressure 7est 6. Electrical UFER Grnd. 57. APPROVAI TO COVER�GUNITE 7. Footinqs 58. Electrical Conduit�Undrgrnd. 8. Foundation . 59. Gas Pipe, O Undrgrnd., Tes[ ' 9. Water Pipe�Undrgrnd. - ' 60. Backwash Lines, P�Trap, � Undrgrnd. 10.. Structural Floor Svstem , 67. APPROVAL TO DECK ' 1�': Property Sewer Line & House Connection 62. Backwash & Receptor•Pinal � 17. Sewer Cap , 63. Heater & Vent�Final 13. Roof Drains 64. Plumbing System � Final ' 14.� Rough P�umbing 65. Electrical�Final 15.. Rough Electriral-Conduit 66. Solar SVstem-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 SYSTEM145 FINAL 19. flough Heating & Air Conditioning , FIRE DEPT, tiEQUIREMENT 20. Rough Fattory Fireplace APPROVALS Permit # 21. DuC.s, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Tesc 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storaye Tank � Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceflin9 (Structuraq 8� Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Sidin9 77. FIXED SYSTEM FiNAL 29. Insulation 78, FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 7�J. 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 � 1 Z� ��,� 38. Final Plumbing _ �� /_ _ � G•L.� 39. Water Service�Fina� . . '� fiJf'1Vf (L_ 40. GasService-Final � 2 �Z""' 41. Solar pomestic-Final ' . 42, Backflow Preventer 43. Batkf�ow Irrigation 44. Landscape Irripation Systfm 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 1 48. FINAL PLANNING 49. Electric Release to Edison , 50. Gas Release to Souchern California Gas Co !� 51. CERTIFICATE OF OCCUPANCY . No. Date � PflOJEtT ADDNESS: OWNEfl'S NAME: RODNESS: . � . AflCNIENGINEEF: AOOflESS: PEHMITTEE: AOOflESS: PEG.NO.: uxit: UNIT: ULFNSFD LONTBRLTOA DECUBA7IDN: I nereDy alfirm IIWI I am licensea unOer pmYivons ot Chapter 9(commenciny wiln Seciion 70001 0� avsion 3 of iAe Business ana Pmiessions Cpde, an0 my Iicense is �n lull larce antl enen. CITV LIC.: STRTE LIC.: CU1SS: Date: SignaWre: WOqKEflS' COMPENS�TION OEClAl1ATI0N: I hereEy allirm Ihat I �ave a ceniliWte of consent ta setf-insure or a cenilicale ul Workers' Compeirsation Irtsurance. Or a ttrtdied �opy Iher¢01 (SeClion J800. LaG. C). POUCY NO.: EXP. ORTE: �OMPANY: ❑ Ceniliea caoy a nereoy Iurnisne0. ❑ Cenifietl copy is IileG with ihe city Builtlinp Division. Oate: Applicanl: E%FMPTIONFBOMWONI(EBS'COMPENSPTIONOECIAPATION: (ThissenionneeCnolbemmpletcdifthepermtisiorone�urMre0�5100)orless). � LNriily ttWt in ��e pedarmance al Ne work for whic� Ihis permii is isSUCtl. I 5hall noi employ any p¢rson in any mannef so ds to �ecame Supj¢�� IO l�e �Yorkers' COmpensalion Laws of Calilornia. Da�e: Siqnature: NOTICE: II, att¢r makinq I�is GeClaraUan. you ShONG Cecome SUGjeti l0 t�e WOAerS' CAmDenSaiion prWti0n5 0� lAB LaOor fqE¢, you must IortRxil� COmD�y'�'��h Such O�aviSionS or IN5 pelmii shall GB deeme0 r¢vakeE. CONSTBUCTION LENOINC AGENCY: I heteby allirm ��al I�¢re is a cOnStmttian 1¢ndinp a0enty �of Ihe p¢Aarmante af I�e vrork �or wnich mis oermit is issue0 ISenion 3097. Civ. C). LENDEP: AD�AESS; OWNEP BOILDEN UECIAN�TION: 1 �ere0y allirm tAat I am e�em0� hom t�e Cantnctors' State Licrose Law br tAe Iallowin0 aamn �SCciion 703t.5 Buvneu anE Prolessional CoOe: pny �ity ol county w�kh repuirts a perrtnt �o mmtruct, atlei, imD�ove, Oamolis�, or ¢pair any 5lmtiut¢. pri0r lo i6 issudnre. also rEpuirp5 Ihe applicanl for Sut� Oermit Io �ile a SipneO Slalemeni Ilul hpJShe is IicenuO pursuant la t�e O��ns o� I�e Coniracmrs' Slate License Law (Ctwpter 9(wmmencinp witli Section 7U00) of Division 3 0l I�e Business antl Pmlesvons CoGe) o� tlul �e/s�e is eRempi t�ereirom anA the basis for the allepeG evemption. My WWation al Seclion 7031.5 by an� applitani lor a p¢rmil SU�I��S ih¢ applitani Io a civil penalry ol not more Ihan live �unEred OOIIaB (5500�. q I, as owner ol t�e proDeqy or my employees wit� wages as t�eir sole comDensation, will Oa ihe woM, an0 t�e stmcWre is nol intenOeE ar offereE tor sale (Section 7044, Business an0 Professional COGe: The Coniracmrs' Slata License Law aaes not applY lo an owner ol a O�operty who Ouiltls or improves t�ereon. anG who Uaes such woM �imself/herself or itlmugh �i5 ar h¢r own empMyeeS. Orovide0 thaf 5uc� improvement5 are not mterMeG or atlereE lar sale. U, Imwever thH MiiMinp or im0�ovement is sd0 wii�m one year of complelion, the axner vnll Aave I�e GurOen al provinq ArJshe tli0 not GuilU or impmve for ine Durpose ol sale). I, as mmer of t�e propen9. am exclusivery contraclinp wit� licenietl mntrattors to CorKWct ihe projeci ISetiion 7p44. Bu5ine55 ❑ an0 Professims CoEe: Tf�e Contractors' State License Law aaes nat appry ta an v,mer of pmperty wlio Mn}Es ar Improves t�ereon ana wno contrac�s tor sucn Dmjects witn a contractorlsllicense Dursuant m ihe Contracrors' State License Law),I am aware thai pmol o( th¢ir Worker'S Compensalion in5urance ShOUIG he OmviUetl fo me. � I am exempl un0er Setlion: B, 8 P. C. lOr Inis reason: Date: Owner. � tla �ereoy [ertily (hxI I am aware o� anU untlerslanE �M1¢ r¢Ouiremeni5 0l Cali�Omu Heali� dnG $al¢ty CWe S¢t�ions 25505, 25533, anG 2357E an0 Ihat I or any IuluR DuJOmp p�cupant w�ilVwill �n 1(cirUe one) neetl to wmON �N s3i0 sta@ totles anG Ne repuirements �or a VCrrtnt lor core�mction or moEAiwiion Iwm t�e Air 6uality ManaAemem Gsiricl. ReSiOentlal wiatruction aDP�iwtbns are eKempt imm i�ese o�odsions. Date: AODlicanl: I hereUy Cetlity ��ai I �ave reaE tNs ap0litation anA Slale t�al lhe a0ove inlormalion is COrrttl. I a0�ee �0 Com01y Wi�h all dIy anA CoUnty or0inances ana slate IawS relalinp to GuilGing cOnsimction anU �ereGy autAor¢e repreuntaiiues ol lN5 Ciry to enter upOn 1he ahOve�mentioned o�oDerty for insoet�ion pWpoles. Oate: SignaWre: Drivei s License o� Socul Secumy .; 169na6 Wnite—BwWi�g: Green—�ppe Enlo¢emenC Canary—npplicanC Pink—Revenue: GoltlenroE—lweswr PERMIT NO; P 067871 PLAN CHECK NO: 02426-44 N PAGE: Z �r*�rit!rx�*+c��r+r�ir�r*�rx�**x�*******�r#+r**#�-*+�x*��-*#***�*��;�**�**�r�r�r�r��r+r�r�r�t�#x�*�-,�i��r�e�x�+rw TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 INTERCEPTORS FOR GREASE, pIL, SOLIDS PLU 1 LAWN SPRNKLER SYSTEM ON 1 METER PLU 1 RAINWATER SYSTEM - PER DRAIN PLU 1 VACUUM BRKR/BACKFLOW PROT, 1 TO 4 PLU 1 WATER RE-FZPE END OF FEES 7.00 7.00 7.00 5.00 7.00 7.00 7,00 7.00 5.00 7.00 «ouF�ICATE RECEIFT� O1 00163277-00163277 T tl T 152.D0 DATE: 07/O1/94 TLME: 16:2< CONSTRUCTION AND PLANNING POOL �, SPA APPROVAIS Permit # Date Inspector qPPROVALS 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. ElectricalUFERGrnd_ 57. APPROVALTOCOVER-GUNITE 7. Footings 58. Electrical ConduiFUndrgrnd. 8. Foundation 59. Gas Pipe, � Undrgmd., Test 9. Water Pipa-Undrgrnd. 60. Backwash Lines, P�Trap, C Undrgmd. 10. Siructural Floor Svstem 61. APPROVAL TO DECK 11. Property 5ewer Line & House Connection 62. Backwash & Recepcor-Final 12. Sewer Cap 63. Heater & Vent•Final 73. Roof Drains 64. Plumbing System - Final 74. Rough Plumbing 65. Electrical-Final 15. Rouyh Electriw6Condurt 66. So�ar System-Final 76. flough Electric Wiring 67. Fencing & Access ApProval 17. Rough Witing Sign 68. APPROVED FOR PLASTER�NG 78. Rough Electrical-T Bar Cei�ing 69. POOL'SPA SYS7EP11S FINAL � 19, Rough Hesting & Air Conditfoning FIRE 6EPT. REQUIREMEi�iT 20. ftou9h FaCtory Fireplace APPROVALS Permit � 21. Dutts, in Btructure 70. Underground Nydro 22. Ducts, Ventilating 71. Product Piping OGas �Oii 23. Ga5 Pipe�Rough & Test 72. Underground Flush 24. Roof Fram�ng 73. Undergrnd.StorayeTank OGas ❑Oil 25. Roof Sheathin9 74. Overhead Flydro 26. T�Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry $tandpipe 28. Lathing & Siding . 77. FIXED SYSTEAI FINAL 29. Insulation 78. FIRE PREV. fINAL 30. Drywall N3iling HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electriwl Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � 34. Final Heating & Air Conditionin9 lD � - - s.a_t- - 35. Final Gas P�De•Test ,�] � �- -� -(,- - -- - - - - 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Piumbing 39. Water Service�Final ' 40. Gas Service�Final 41. So4ar Oomestic-Fi�al 42, Backflow Preventer . 43. Backtlow Irrigation 44. landscape irrigation SYstem 45. Sound A[tenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Electric Rslease to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date COUNTY OF ORANGE BL/II.DING DEPT. 636 No. Broadway Santa Ana, California Phone: F:I 2-6211 3 Application For Builaing Permit AND FOR A CertiFicate of Use and Occupancy Permit No......��.�..g �.sy"1.--- n�«. J.vNE.-.�-�,....�`.�..�z--. 1. OWNEA'S NAME .....__�/�t .- �-� - C-' G-ff. R��..�-�.----...---- --..._... PHON&,. �._'�L3 S�_b--. MAILINGADDRESS- ---a�-7--�?......--:M..P_F!�./i_�.!%.LA...:...--..A_�_��....... CITY..�!7_NC�._._1-�_Gf}C-M,- Name----�..---....---------------'-------'------"--"----.. (Arthirett or Engineer) AddrCcc ,..(!_�..�.1�.'__.'�. 9.. T:�.......�-.5../...: c�� - C.o-s--.T....A........-�'1.�.-�'¢- . .... -- , . State � Lic. No.....-------------- ................ Phane.--------- — _,,.� Name _...... �.O -------- `(C6�Cractor�,��:' � ��aoA-•-� _ Addre s� '�".�`°'�' �� ...__ .. ..............-------`-......___...._...._..-------- � --l:.a�a� - - -' � __ . _.:=--n^:-:� �'a�`�-.-��r..+.r,-: �,sns,....-��c±_.: c��v -..R-:�-��:.�.—==-:,�:=----��-=�--.,.�-- - State t- 4_ .--''`—_---'_'_ ` �—;�°' � „'?.. - � _ -'a Lic. No... - ...._ ......... ..... -- .... Ph,Sy�-'.-�.,�^`."-�-.... ..�.. PROP05ED USE: -.._.....11':�. S.! %� �.N4_�F -- -_........... - --- ........---...--....... -�---- ..............._ .----..._....- --.........- ---� . (�G z. 7osLocnT�oN--- ....�.1/.f........._ .................��(..�....S.T� ......... �---G.e�sT�o- .1�1..f'S.�4:............ -- - '(House No.) � (Namc of Strce[) (Town or School District) t. LEGALDESCRIPTION: Lot.--�.Q.�.......----`-------"------------Block ------------------------------_..----'-----.... Tract..��w.ty0l2r PlESPr _(Me[es and Bounds Desaiption—Use reverse side o( form) ' 4. CORNER LOT ( : . ) ]NTBRIOR LOT ( ✓) . THROUGH LOT ( ) SLOPE OF LOT ( ) � � � i. SIZE OP BLDG.: �� x--3 y--..._--.AREA:...7_3.0----5_v �lSIZE OF LOT:.. _Nt. �'�.r�.�.L�P.�AREA:.---7_�c 7. S. S4.c ��T � u G/ , G. HEIGHT OF BLDG.:._�L._..� ................._......CEILING HEIGHT:........D........................NO. OF STORIES....._�............._:...... ' 4 q 1 V 1 n�' � � 7. NO. FAMILIES----'-----...�............_......::.Size of Smallest Bedroom:_� �-_.-[1.-�-�c--.-----...__ Size of Kitchen.--.-%.---.X--�--L_-------- fi. EXTERIOR WALL CONSTRUCTION:._...5 T_U C C O_ _,INTERIOR WALL COVERING.........C.LA_S T� /Q (Frame, Stucco, Etc.) � � � (PlastervDrywall, EtcJ 9. SETBACKS: Front Yard From Center Line of Street......----"5�.........--------.------...---.._ ......................--....----.-----............._...-- i Nearest Side Yard.......4�.. 1.....___..Rear Yard_ � Q...��.._...._...Distance in Fcet Between Bldgs. on Samc Lot......._3..v !� 70. A COMPLETE PLOT PLAN ]S REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For Accessory Bldgs. and Similaz Scructures: , �� l� (a) Footing: Width.-----..�y_i-----------------------Depth in'Ground--.--�a.--_--..........Width of 6 Size of Smds:..�-x..y X �S_....5 acin �G � " C oNL/2�T� �) ......... p g ............................ CC Materia] of Floor-------.......--'---- ...............- �y�,�, �f I�SPN/q67' T/ (c) Size of Floor Joists:......�'n'7.-............�-_..Spacing.....-.-_-.--�........_-..----...:'CC �� i. /I , (d) SizeofRafrers:------1-.%�..y .............------------.Spacing......------14�-----.....-'-'---'CC 12. . VALUATION OF PROPOSED �JORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting sewage disposal $..........,��..00Q--. --_' � G . . . ---- . 't9 y�• _ ]3. I HEREBY CERTIFY THAT-TO THE_BEST_OF_MY KNOWi.EVGE- n1-7D -asL�sF. THF 7NFQRMA'f]L)N_]N, T APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK• WILL CONFORM TO ALL LAWS THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. Plans Filed:.....�----/%.--.._�.r� 1 By (Owner) (Authorized Agent) FOR DEPA[tTMENTAL USE ONLY FEES: G O GROUP... �-----.....- �� -... Bldg. Permit � $.---. �..�..----- Plan Check • �^....---. 3...' 8 - ' TYPE.. - � ........--- .... � Tota] . . . �.....1... .,,tr/-�..:. _.� -DIST. G ,/ Receipt No. � ��.?T MAP----...... --��(---- -- ...... .- .. -- .... Paid to . . . SHEET NO ................_----..... ..� ..._iii -_ - ��2 DATE.....�...-��.�.......-- �� v M-8.1 APPLICA ZONING- ......'.�......_..... PLANS AND SPEC'5 ...................... .... CORRECTIONS V ERIFIED ......................_ dG BY HEALTH._:.. FIRE MARSHAL. STATE......... ENGINEER HER�+jjT� P��'%' COU��Y EU LDING l� re i�._f__TOti — - —'- - .......--'�..--'- ..... ........... ........� . ... ^ - ................ ... COUNIY OF ORANGE- SUII.DING D$PT. 636 No. Broadway Santa Ana� CaGfornia Phone: KI 26211 Application for BuiFiiing �ermit AND FOR A �ertiFicat¢ of Use anci �ccupancy 3 Permit No..�./.._� � _�l .. / Dace....�V..NF.....�Vz.../%..�Z_/--/........ OWNER'S NAME........U%�='....�.-L...- .G�.N.�IiE.......-1�` .:........................--� • ................ PHONE:--.A..�._3.7.0....... MAILING ADDRESS.._�. I.b.:........I..�1 O.. .N...+.1.9..l1 �..� ................./7. U`-..__.......... CITY....!�..�_N. .��_...,��AC �"!........ .� Name .............. �....._........... --................................... � -- ' �- �"--- (Aprchitec�or Pngineer) AJdrees ..--.�O...D...ry.-"...�:..1....t".'.....:.. S.T.�........._._ .............. Ctry ._....- . C-..oS_TA ..... �.E..S.P.- ------- - -- - �� -- State Lic. No.. - ...................- -......... Phone - --........----- ............... Stace Lic. No ..................... PROPOSED USE :............--GARA...�T_'E...... - ----..... .!. � ._...---.....................................--....................------� -- ............... ........ . .. . /� , /(� . / � L.l .�.�..'.......,5�.....F� ........ .............G4.,SaA.........�2�.S.A � � .............. -� ...._.. ---... IOB LOCATION.--.-_-..._......'. ..[_.--.-_-. (Hou:e No.) /J (Name of S[reet) (Town or Schoo] Distric[) ,{�� LEGALDESCRIPTION: Lot .............7.Q..�......... .._..........Block .............. .........------ Tract�'�W�?.4Si..i�.ES_�.. (Meces and Bounds Descnp�iosr—Use reverse side of form)// CORNER LOT (., ) INTERIOR LOT (`) THROUGH LOT ( ) SLOPE OF LOT ( ) SIZE OF BLDG.:.J.-D--i�--.�.Q...�...AREA:...�0_fl ................SIZEOFLOT:_.7.Q.�.b��./s��.AREA:---.-1��---_--.-. � � ' `] HEIGHT OF BLDG.:-----fO..._�-�--.._....-----...CEILING HEIGHT---------------Q_�-...........iv'O.OFSTORIES.__----�--.....__.......-- , ... 7. NO. FAMILIES .............�.......................Size of Smallest Bedroom:........�........................... Size of Kitchen-.---._. ....................... fi. EXTERIOR WALL CONSTRUCTION:....tiS"f.U.C.4.S7.........._....INTERIOR WALL COVERING........_Gi_��M...__......... (Prame, Stutto, Etc.) ' e .............`....... (PlastervDrywall. Etc.) 9. SETBACKS: Front Yard From Center• Line of Street ...............fQ �. ........................................._......... • • p / Nearest Side Yard.........�. �........Rear Yard...y�.�?. /........Diatance in Feet Between Bldgs. on Same Lot...........� ............................ 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. ] 1. For � / � . �p � (a) Footing: Width ..............��....----.._............Depth in Ground.....,......... .............Width of Wall.............. ----......... Aaessory . / Bldgs. and � X_ ___!�a (� N , /PE'�' `� Similar �b) Size of Studs:...... �....P........Spating........_1 ...............:'CC Material of Floor......f�L?._..�......._.-�r�_--...._.. Structures: (c) Size of Floor Joi=_ts :.................... .. ................Spacing..............--.................--...:'CC (d) Size of Rxfters:._�.:%�..Y^ ................................Spacing........._..C�r.T........_..........:."CC � ] 2. VALUATION OF PR�O�P�OSEyD�W-ORK: Induding all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal $...-�u..,�..--/-1..�-�' , Z ] 3. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWI:EDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS �ORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. . / - (Owner) /r' Plans Filed:.........Le...... ..��:.....'.....:r�._.........------ V BY� .... ... . .........._- - --..............--...........--- --- ---.........-- - --- - - � (Authonzed Agent) FOR DEPARTMENTAL USE ONLY . Bldg. Permit Plan Check Toca� • • Receipt No. Paid to - 5 M-B�vl FEES: 5....a. a U . ............. $.........?. ° ................. DA7'E......1�...-_L:3...�-sa" ........................ GROUP.....� .................... TYPE......._��.......... -� - .... D�sT. G a�1 MAP..--------. /1 ............... ........ SHEET NO.....� ................ ZONING........v-.- -._.- YLANS AND � SPEC'5 ..................... - -- CORRECTIONS BY H EALTH ..........................- FIRE MARSHAL ......................... S7'ATE ....................... _--�---� ENGINEER 1N'1 f � LC"��C �` '�__TOR C/�"