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Home My WebLink About657 19TH ST - Building Permits: - .' : ��`7 CqSTA MESA BUILDING-SAFETY DEPARTMENT �. O. BOX 917 COHTA MEBA. CALIFORNIA For Applicanf to Ffll In Co plefely TYPE OR PRINT /'s'3�� BUILDIWG/_ V TD� ADDRE53 <053 W . � �i � �iL�. - COSTA MESA. CALIFORNIA IADDRESS/ 1 I7 IV A�� U S � BTATE TEL. Lan�, rSg�cN NO. OR ; "�� '� .R� 4-18-�� i��i��i�� r' r�ITti' "� "d3iA iNt,�� 1• APPLICATION FOR PERMIT ,Q .�� BUILDING For Offiee Use Only RHCEIPT NO. P6ql�IT pf0. COSTA MESA. CALIFORNIA I i APPROVED �q / BY / /�� DATE � ` ON1NG ZONB�/ I NO. OP � I U9B OP NHW PLANB � � BUILDINO D69CNIPTION �� iJ I ✓ � lI A.P.NO.f I lt�"'O�I"� d � /�� YARDS EVE6 96TBACK LIN6 FPOM � �� (�BMaR LINe eL> CEMER OP HTR�i ' O REAR YARD FRONT /� � / SIDE YARD I LEFT 'L,' �„ RIGHT I� ' y} � R.61DE DESCRIPTION OF WORK BUILDING � 1 pNO. OF H BIZE �� ' I I�^ z ROOMB STORIE6 (. EXTERIOR WALL ROOF �OG/L COVHRING ' GGO COVERING USH OF BUILDING AND WORK TO BE PERFORMED IG S^� "�.E�i0��1�1Ge (�)c�r-i� �1ouS� U r�� (l��nF�' � ubn� r-+ous� s,�. aF� �es n,�rcczj 1 HEPEBY ACI(NOWLHOO6 TMAT 1 MAVE RGD TNI9 APPLIWTION AND 6TATC TXAT THe A90VH IB CORRCGL AND AOPGH TO COM- PLY WITX ALL CITY OPDINANCfiB I.ND 6TATE LAW9 RHOULATINO B�IILOINO CONBlRULTON. SIGNATURE O � PERMITTE � AUTHORI D AGENT�� % '\ G/ z +P VE DATEI" — � p-Ip� lJ S � LJ O %� > c. � �-� �— r,_ �� L S � - — D � , � a TH8 �MOUM BHOWN UNDEP VALUATION l0 lOP TXH � PUIiP08C OP EBTABLIBHINO A PBHMIT F88 ONLY. � \LUA710N Q 6 a�9_� �'ERMIT PEE $ �_ � /� �I' � eq "' v� �� pLAN CHECK S i� � � SAFETY DEPAItTMENT N�i 1419 � � o. 317 Califomia Date� - 3 O � � 0 CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY Electrical Permit No. Plumbing Permit No . _ �.. _ � —f-- . /7 _ . . located Legal Descrlption (See reverse side for Metes and Bounds) � ,has been inspected and found to compl with the rovisions of all City of Costa Mesa Ordin- ences applicable thereto for a Group��Occupancy. SUED TO: � • City I�ildi� O� � (Owner uilding) B�!�� CC: ❑ Original— wner ❑ lst copy—Gas Co. ❑ 2nd'copy—E3ison Co. ❑ 3rd copy—FIle Form 206 SB P IM 1-BO 1 �r � •,,,�gT 19�'H STREEr, 653 to 657 � 11857 - 9-3�_6o g �ft'�ce�/3 siores;� _ ..... $47,�^.24. �'rc 5i36o _ 2-6-68 P�o;;. ;�'c (_ix) ;r_�» 13740 - 6-13-61 Po'-e G: L_2C12 Sl;;?= 300. 5i466 - 3-1-� Pl��. T;c (LU,�) � 41537 - 5-14-76 Elec: Wall Sign . 400.. 41833 - 2-9-77 Elec: NC (Cuts. Fixs.) ; Fr469 , ;_y. Elec. (Nbtor) �t f/ �� f -• - '$-47d� �f��65 Elec. (P�) �u-�" f/ ' '� ^ " d i • • � � � �`:i-'.:�: . . a � / ...e3k'.Fti..[ ;.p�-.'v.v.:l.� SY a, � 4`- Si'.YE.•V'JiK'i <. x1��. 'r,��.. �1' -�.a:..: ' - :a:::x::Zt?� ;'�,:',s:tt .ni 71' -..�'Y' . . . .. . � 'S ' F- ��« �/ � a � — 825132 ZnTall Siqn yi� Z�� (714) 754-5273 • FeX (714) 754-4856 • www.Ci.COsta-meSa.Ce.US 77 FAIR DRIVE, GOSTA MESA, GA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 657 W 19TH ST 42421103 Applicant: PRAUM, STEVE „ , ' Address: 1049 MELROSE ,- �. , � ' � _ . � % " � Phone: (714)231-7501 � - PLACENTIA; CA� ; ' - " , Zip: 92887 , �, ,/, , , � �i' , . - � ' . . /� : • � ' � . - - - Owner:','DAMON, DONNA , i � � Address ;� 317 N BRAND,BLVD � ' --. ' � ' �� Phone: . �` ` i,i= �/ i�� GLENDALE;"CA' Zip: 91203 !i � � , /. . Contractor: % ORANGE ELECTRICAL CONTRACTORS Address: �1049 MELROSE � � " Status: ISSUED Applied: O6/OS/2003 Issued: 06/O6/2003 �SSUED BY: � � �� , � � ,A _ �A . � � �" ', .. � . � � � " . " � �` . �. - . . . � - �Pho`ne: (714) 980-2300 � . , i - . , - - � � , � � , -,PLACENTIA, CA " � Zip: 92887 . , � A � � License: 747129 -- � � ' �. � \ . / , SCOPE OF PERMIT � CONVERT EXISTING OVERHEAD ELECTRICAL SERVICE TO�UNDERGROUND FEED. � � � FEE SUMMARY � Quantiry - � '� � � � ISSUE FEE � $0.00 � � � � - � - Temp Dist System lLighting Temp service test �� $0.00 Busway /700 fl Re9. a/c package `�. ' $0.00 _ Standing Section , New Res (1-2 units) $0.00 0 Misc Electripl Equipment New Res`(3+units) �, A�-�� $0.00 0 Transformers up to 1 kva/kw Pool %�Spa'� '. ` � �.. ;, 50.00 0 ��<: " � � ::. �. i.:.......up to 10 kva/kw ^, .. LighFlng FixLs � �� $0.00 0 � ".....up to 50 kva/kw . ._ . ............ Recept OuUets . `�$0.00 0 �-; �� ..................up to..100 kva/kw s�«r,es �, � . ` `�so.00 o �-~� . ` ' , i _ -: , , .....:............over 100 kvancw ; � NonResAppl�-`- " �; $0.00'�"' 0 � '. �- LowVOltageEquipment " Res Appl ..�� -: ��$0.00`�� .�. 0 - . Low Volt Wiring System / Ckl Service to 200a � .�i � 530.50 � , ' 1 �Misc. Conduit " Service to 1000a �'� �� $0.00� , 0. � Misc. Conductor � Service over 1000a �;��_ � �$0.00 ` 0 --, �� - Circus ( gen or nde)_ � Motors to 1hp A �� $0.00,� � � � ; 0 _ � Circus (mech ride or lights) ' ` Motors to tOhp ��= $0.00 �- j 0 r Christmas Tree Stand' , Motors to SOhp �$0.00 ,� 0�" " � Fireworks Stand . Motors to 100hp �' $0.00 �, 0 ' Other ElecVical Fee Motors over 100hp 50.00� � _ . - 0 � . � Communication drops so.00 �� 0 � ' Investlgafion Fee , � Sub panel to 200a $0.00 �0- Plan Check Fee� "�-' � Pole Light Pkg $0.00 0 � ___ _Reinspection Fee Sign Circuits $0.00 0 Quantity $0.00 0 $0.00 0 $0.00 0 518.20 t , ao.00 o . $0.00 , 0 $0.00 � - 0 ao.00; - o ao.00; o $0.00 0 ' �so.00 ' o ao.00 0 $0.00 ' 0 $0.00 0 . ao.00 , o "�$0.00 � 0' $0.00 , 0 $O.OP' $0.00 so.00 $0.00 � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulatlons. (Ortl. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. ' INSPECTIONS: In order for the work authorized under ihis permfl to be considered legal, such work must comply with all applicable codes, and all required Inapectlona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. �FOR INSPECTIONS CALL: (714) 7545826 (a�oo) WORKERS' COMP�NSA710N DECLARATION: ' � I hereby atlirm untler penalry of perjury one ol the tollowing tleclaretions: ❑ I have antl wlll me�nlain a certiiicate of consent to setl-Insure for workers' compensatlon, es proNtled lor Dy seqion 3700 of the Lebor Code, for Ihe pertortnance of ihe 1 work for w�ic� this permit is issuetl. LI I have end will meintaln workers' compensatlon insurance, es reQuired by section 3700 ot �he Labor Code, Por Ihe pertortnance ot Ihe work for which Nls pertnit is issued. My worke compeogatlon I urence carder antl policy numbar ere: O O�j Cartier. �� J �!� Policy Number. Z 2 1� J (7h/s section need not be leted i/ the permif is va/ued et one hundred dW/aro ($100) oNess.) ❑ I certify that in t�e peAo nce f the work for which this pertnit is issued, I shall not employ any person in eny manner so as to become subjeq to the workers' compensetion laws oi Ca rni end agree that If I should becoma subject to Ihe workers' compensallon Drovisions ot Sectlon 3700 of Me Lebor Code, I sha0lorihwith complywiththesaprovisi s. r , ^O� Applicant Signature: Date: `� WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVEMOE IS UNLAWFUL AN� SHALL SU&1EGT AN EMPIOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THWSrWO OOLLAFE (g�pp,ppp), IN ADDRIIXJ TO THE WST OF COlAPENSATIIXJ, DAMAGES AS PROVIDED WR IN SECTION 3lOfi OF THE IABOR CODE, IMEAEST, AND ATTORNE'f5 FEES. LICENSED CONTRqCTORS DECLARATION: i hereby eR'rrm that I em fice„nls y�; �p�Qvision f CJI�p'pter 9(commencing with Sectlon 7000) ot DiWston 3 of Ihe Business and Prolessions Code, end my license is in full force entl ettecL Lic. M �1 11 � Class a C9 ContrectorsSignature: Date: ��'� CONSTAUCTION LENOING AGENCV: ❑ I hereby alfirm ihat there is a construction lending egency br ihe pedortnance of the work for which Ihis permit is issued. (Sec. 3097, Civil CoOe). Lendefs Neme: Lentler's Atldress: Signeture: Date: OWNER-BUILOER OECLARATIONS: I hereby eNirm Ihat under penalry of perjury Ihat I am EXEMPT FROM THE CONTfiACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Professlons Code: My ciry or coUnry which requires a pertnit to conslrucL elter, improve, tlemolish, or repair eny slruMure, O�or to its issuance, also requires Ihe applicant for such peimit to lile e signed statement ihet he or she is Ilcensed pursuant to the proNsions ol the Comractors LJcense Lew (Chepter 9(wmmendng with Section 7000j oi Division 3 01 the Business antl Prolessions Code) or ihat he or she is exempt Iherefrom end Ihe besis for ihe elleged exemption. Any violatlon of Sectlon 7031.5 by eny applicant tor e pertnit sub�ects the epplicant to a civil penalry oi not more than five hundred dollars ($500).): � I, as owner ol the property, or my employees wit� wages es their sole compensetlon, WILL DO THE WORK, and the structure Is not intended or oHered tor sale (Sec. 7044, BusinesS entl Protessions Code: The Coniractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herselt or through his or her own employees, provltled �hai such Improvements ere not Intended or o}fered for sale. If, however, ihe bullding or improvement Is sold wi�hin one year of completion, the ownerbuilder will heve.the burden of pmvinp tha� he or she did nat builtl or improve tor purpose of sale.). � ❑ I, as owner oi Ihe properry, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS b construct the project (Sec. 7044, Business end Professions Code: The conlrectors License Lew Does not apply to en owner ol pmperty who bullds or Improves thereon, en0 who conirects tor such project with e contractor(s) license pursuent to ihe Coniractors License Laws.). ❑ I em exempt under sec. Signature: Or.ner ID venfied by drivefs license. ❑ Yes Vetlflcatlon of Ownership by (typa ol document, i.e. Business end Professions Code for ihis reeson: ❑ Na Dnvers License No. proDerry tax 6ill or deed): Date: Expires: DIVISION OF INDU$TRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cartity Ihat no excavation live (5) or more feet in depth into which e person Is required to descend, wlll be mede in connection with work auihonzed by this permit, end ihat no building siructure, scallolding, felsework, or demolition or tlismentling ihereol, will be more ihan ihirty-six (38) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Titta B, Cdlifomia Administretiva Codej. ❑ As owner-builder, I will not em0loy enyone to do work whic� would require e permit trom the DiWsion al Indusiriel Satery, as noted above, unless such person hes e pertnit to do such work from the tlivislon. Signature: Date: Division oi Industrial Sefery Permit Number: CEHTIFlCATE OF COMPLIANCE AND AIIT}IORIZA710N OF ENTRV: I certify under penalty oi perjury �hei I have reatl this epplication end s�ata thet �he infortnation given Is correct. I egree to comply with ell state lews and ciry ortlinances releting to 6uilding construction, antl authorize representutives ol the City of Costa Mese to enter upon the ebove-descn6ed roperty for insDectlon puryoses. I agree not to occupy or allaw occupancy af any building euthorized by this permil until final inspectian. Sig ature Of Legal Owner(s) � Date nd/O Aulhorized Applicent � `41 O �Date CODE 1. INSPECTIONTvpE PdIF Ii�ELS 7616 Fixetl System Final Fire Prevention 1266 Paol Spe Final 200 Flnel Re-R�( 201 Finel Block/Reiaining Well 202 Final Fectory Fire Plece 203 Final Sign 204 Finel Demofitlon COOE I INSPECTION TYPE 206 Finel Mechenical 208 Final Plumbing 210 Final Elecincal 272 Finel Fire Preveniion 220 Final Planning Approval 222 Final Site 250 Firral BuildinyOccupency � • �✓ II�dL@ I 1� moxessaew�aric: 65"7 W 19TI{ .ST avr�xsruweiFia+own:UAhION, DONhIA �oo�ss 31.7 N BRAND HLVD . ►� GLENUALE,CA 91203 1YYl. WIIIINi ADDNE54 IYICXIfEtT OP B�tlNEFA: MCIlOii ENO.'S �WNE55: uxT: ue xo.: YM: ��,.Sw„�.0 & C SIGNS / ( 714 ) 537-8175 eam�croxs�uunc 11622 ANABEL AV �no�SS,GARDEN GROVE CA ��, 541345 92643 uM: LICENSED CONTRRCTOflS DECLARAr10N: I Mreby tlfvm uMer parielly ol pe�jury IMI I em Icemed uMx pansiana d Gheqer 9 (commendnp wi1M1 SecYa� )OOO) � Diviabn 3 M Me Bueimss aM P�olpcione Cada, aM m fn � ia in lull faca W eHec1. c�r+o.:0 4 7 711 uc. cuss: C 4 5 uc. No.: 5 4 /gU com.eao,: "� � P BUI�DEP DECLANIITION: I hereby alfirm under penety rlury ihet I em e�emq Imm ihe Gonirepae License lew la Ihe xnp raewn (SeUbn ]031.5 Busness end Vroleasione Cade: My cIy a muny xfiich myuiree a paimil to consbucY, ellx, impme. oluh, a repe'v e�ry ei�ucture. prior w ils 6wence, ebo �apuiree ihe epplirem Im euch pemiil to file a vpriad eWemmt Ne1 M a aM _�pengaE puiwwenl to Ihe pm�siona d IM Conireq«e Licenae Lew �Chepx e(oommendnp wilh $Wion ]000) d Oirvebn 3 d iM Bueineea vM Prdeaeioru Coda] or ihel he a she ia eRemq ihsehom eM Ihe buie la the allpaA uemqion. My violelion d SeUion ]03t.5 by enY eGVliranl Iw e permil wbpea ihe epd�t to e �vJ perahy d nd maa ihen fxs huM�ed ddlw �5500p. � I.uowmrdlMpropaMamYa^WM�s�hwepeaeathaiwbmmpemmion.willAOlMxwk.eM�Mavu�luieaml"uNeMed a oAeredM ub (Senion 1066. Busiromeed P�deasione Code: The Con�repas Limnne lewdau M eDPNloan ownar d V�WaM wl,o wW. «:nw�? ma,awt e�d wio eom sucn xwk hm..n «nn.ell «mrawn ne ar ner own ampw'�. w� �nm wd� impwwnmb ere nd �tsdeE a dleeed la aeb. H. howmr, tM WiMi�p a inqawneM o wld wilhin an yev d mmpblion, IM o�,,.,�w�ee..�n n� ma w,e� a o��a na o� � eb „a adb « �mv�* m. me wm� a.�). � I. m owrrr W Ihe pw�tl. em ud�ay' oonlratl�q wah 4�ueJ canhedm ro combW Ne MM� (Seeion ]OM. &ainus end Pm/e�an Coda: The Cartretlas license Law dox ria eGdY m en ow�wr W G�We�Y who Wiida a'v�wwn Ihe�eon eM who eonlreele tor wN V�Gads wN� e mXraqMallironseE WnueM to �he CoNeepae limiva ler.i. � I am uemq uMer SecUon: B. 8 V.C.. br Ne �ee.von: Deie: �KK I do MieW cenily thel 1 em ewera M eM uidanteM IM ieCui�emems d C+Ilomu HeeXh end SaMy COLe SWiom 25505. 2i53�. erd 2i•.v. ad tlul l a em Mure buiNirq oaupem wi.11 / wil �wl (��b orw) neeE to wmply Mh aeid mma ruAu enE IM rtyidmmWe fa Dele: ADW�� WOPKEP'S COMVENS�TION DECWi1T10N: I hereby elfimi uMu per�My d peijury ais d iM Idbxi�q datleretbe: ❑ ina��ewu�m�aoann�.doo�mm..n.�.�,,.ro�wx«:�o�.m�,mo�w�aedi«Msod�aiaoam.�e« code. �« �ne panoemarwe w �ne ..oix �« wMen mm wmm I. Imuea. � I hm�e enE vri1 meinten vroM1nre cvmpeme�io� imurenoa. m rpuired by Seaian 3n10 d dro Lebor Code. blhe pa�lamence d tM woA for which I�ie pertn0 is iwuad. My worken' companeetion inwrance �xrrier aM poliry numbar are: Cemer: Pol'ry Numbar. �re sedan rieed rw� Ee romdered i tha pemik ia M one hunEroJ JWlare /Sf001 w Ma.) I cMM Ihm in IM perlormerce d �he wak tor which thie pe�mil u iewed. I ahNl ml employ erry perean in vry menner w n lo e«ome wbjad m �ne won(en' romro�� w. a celibmie. ene ro� �nm il � ehouu nxome wd� �o �ne woMn.• mmpenamion Seaion 3)0o M Ihe leEor CoCe. I ehell Iwlhxilh tMes provieime. m Ii%a�i�'� A�� W�rrrlrp: Fallun b sseun woA[en'ro�owwtlon eov�raq l� unYwNl, entl �IWI rbJM an wrployx ro uMIrW pmeltls� en0 dr/l llros up ro om M1uidrstl MovaarW da/l�n /S1PqPP01. M WOltlon b M� ewf ol romv�nuWn demqei u prevWtl Iw In 9�ctlon 9)P6 0l !M l�or Cotls, IMeni4 eIW ettomsy's l�u. CONSTii1MT10N LENDING RGENCY: I hneby elfirm �„d.. w�wn d wo,rv �nr m.+ m e�m�,ao� w�n ro�.r b. u. �no�� a m. wax �« wnd� me o�� 4 a•�,.e �s<ao�, aoe�. cH. c�. LENOER'S NAIIE: LQl�EN'S ADOflE55: � CMdY �� hBVB 1!8'� I�Ip (1�lP4M 8M� ANB �� dl! BbOV! III�MIW10114 Cp1M. ��lA! �O COIII�' YA�1 B� �' Gld CpIIGy OldCIBllfAs aM etet0lews reWne l0 Wlkvq m�utrWian end MfBby eWar¢e npaeenle�iwe al lhe alyb eMar Upan IM eborsmeNwieE popMy �«1napBtlivrp1fD°�°'CHRIS C:ANZONE Dme: � (5151d8.WP) WhAe-Buildinp 8 Selely; �rearFFla; Genery-Rppllcenl; Rnk-fiavenue; GOManroo-Fsaevor CITY OF COSTP MESA — S.T.GN PERMIT pERM NO: SB 080531 PERMIT NO: SB 080531 PLAN CHECK NO: 04856-96 L GOVT: N SUPP; N �ONSTRUCTION TYPE: PERMIT TYPE: STR SIG PURPOS�: OTH JOH DESCRIPTION : INSTALL ILLUMINATED WALL SIGN SQ FT; CLAIM VALUE: 2,080.OU CALC—VALUE: 2,080.00 GROUP OCC; H / COMMEN'PS: "AUTO INSURANCE" ****x�-�***�t*ie*�t*�***********�t***i��t�x-�-��t***it*****�*-�*�+e*****-�it�*at�tatit�t*�**at+e*�c-*�rt�* S I G N I N F O R M A T I O N DISTRICT: 1 TYPE: WALL—CHANNEL LETTERS ILLUMINATION: EXT CATEGORY: NEW DIMENSIONS: OFT lOIN X 12FT OOIN AREA: 10,OOSQFT LETTER HT: 10-14 STREET FRONTAGE 1: 60.00 STREET 1: W 19TH ST STREET FRONTAGE 2: 0.00 STREET 2: PARCEL: 92421t03 ZONE: C1 LOCATION > FRONT: X REAR: BUSINESS NAME: EARHEARDT INSURANCE > LEFT: RIGHT; O T H E R T O T A L S G R O U N D S I G N THI5 ACTIVSTY , 10,00SQFT OVER:ALL HEIGFIT; 1FT OIN THIS 5ITE . 30.00SQFT GROUND CLEARANCE;' OFT OIN ITEMS OF INFO 1 PLANTER AREA: 1.00SQFT ITEMS FOR ACTIVITY: 1 BLDG SET DACK; SFT COPY VERBIAGE ; AUTO INSORANCE PLANNING NOTES: CAPS NOT TO EXCEED 14 INCHES. x �t�t:�**u*�+�*��**�r***x***�***�*�*�**��*x�x�r*�r*u*��**�*�� x x*****�**+�**�t**�**zx�*� 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 TL . DATE: / BUILDING APPROVED BY � /%, �_ DATE: � ZD 6 � APPLICATION ISSUED BY: DATE: x��-��e+�x�**��r��**�**�* **�*�+�*�*�r�i'��** LECALIZATION;N F E E 5 U M M A R Y STAUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/RES GRADING PERMIT 74.75 SMIP/NON—RES PLAN 48.59 ,50 ISSLTE FEE BUILDING—DIV—> �ERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 75.25 0.00 48.59 123,84 123.84 ,00 REC'ENUE DIVISION TOTALS--> COLLECTED: 123,84 RT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN S ADING PLAN—CHECK 74.75 . b 48.59 1E�IE1E')f#1f1EiE1E'lE#'lffl��EiE1EiFlEIhlE3fff1kiE3fiF�F3l1EiEiEiklEifiElflE*fEiElEiEfElE3fiE'1E1E1E iElEYfiYi!'' if�f�flEjE1ElflEffiEiEiEikiflllE#if I N D I t� I D U A L F E E B R E A �� O W N TYPE QTY D E S C R I P T I 0 N � UNIT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT QI D�219`71-00219`73 TGT �ATE� 11/20/95 TIflE: i4:45 123.$4 CONSTRUCTION AND PLANNING APPROVALS Permit # � l.��emporary Electricat Service or Pole 3. Soil Pipe-Undrgrnd: ' 3. Electrical Conduit Utility�Undrgrnd. 4. Electrical Conduit�Undrgrnd. 5. Steel Reintorcement . 6. Electrical UFER Grnd. 7. Footings 8. Foundation 9. Water Pipe•Undrgrnd. 10. Structural Floor Svstem t i. Property Sewer Line & House Connection 12. Sewer Cap ' 13. Roof Drains 14. Rough Plumbing 15. Rough Electrical-Conduit 16. Ro�gh Electric Wiring 17. Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Firepiace 21. Oucts,in Structure - --__ 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Root Sheathing 26. T�Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Laihing & Siding 29. Insulation 30. Drywall Nailing 31. Plas[er Brown Coat 32. Electrical Power Meter�Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Firepiace 38. Final Plumbing 39. Water Service-Finai 40. Gas Service-Final 41. Solar pomesticF(nal 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co Date Date - PO�'�& SP.A Inspector qppROVALS .rmit�# - 52. Poo� & Equipment Locat�on , � 53. Steel Reinforcement ' 54. Forms � � 55. Electrical Bonding ' � 56. Rough Plumbing & Pressurp Test 57. APPROVAL TO COVER•GUNITE 58. Electrical Conduit-Undrgmd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash �ines, P�Trap, O Undrgrnd. 67. APPROVALTO�DECK � 62. Backwash & Receptor-Final 63. Heater & Vent•Final �� , 64. Plumbing System � Finai 65. Electrical-Finai � 66. Solar System�Final 67. Fencing & Access ApP�oval 68. APPROVEDFORPLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. ProductPipin�OGas rJOil 72. Underground Flush 73. Undergrnd. Storage Tank C7 Gas ❑ Oil 74. Overhead Hydro 75. �ry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. fINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION S0. FOOD CERTIFICATE ISSUED Notes: � m � y Date �Inspector �oonessaem�axa: 657 W 19TH ST xsruxeiraimvw: DAMON, DONNA � wox�ss 317 N HRAND BL�7D GLENDALE,CA �wcxrtEcr ox �+rn+�x: 91203 ua xo.: uHr: NCIt OR Qq.'S dWNE55: UNT: wxm�crarsxu¢: C& C SIGNS ( 714 ) 537-8175 CIXfNiCfORSYNI➢1011622 ANAHEL AV ,�u:GARDEN GROVE CA ucra.: 541345 92643 u�rt: IJCENSEO CONfRACTONS DECL�flAT10N: I M�aEy elfrm uMa penaly d psjury Ntl 1 am 6�eemed wiMr pro.'sions d GAepx B (mmmencip wMh Senion ]000) d pivuion 9 d iM Buriiwee vM Pmfee�ions Code, eM my liwnas 6 in IUA lace entl a%ed. emuc.No.:04/7'711/�. uc.cuss:C45 uc.No.: 54 EXP: 03/97 /v.� ��/ :l"/ iF� cwrow«: �ILDEN DECIARATION: I Iweby affum uMa paWy d ' �het I mn axrnp Imm the Caq�etlm lkawe ter la tlp NQownp 1NWn (SBtlIM �IXi1.5 BYSMSO Wd PfNMf1011f COEO: My C�' a IWNy WIIIfJI flyN�Y e pO�mY 10 MMV1Ml. GCY. Y11pOA. md'eh. a rapar my etuNre: p'v w ia eaarce. ebo mpdm ihe epplirnni ta acA prmY to fJe a dpned �tetmroN tlut M a�M licenaed W�e�l �o tM poweions d IM Conlredon liume lew ICAaqr 9(mvnercinp vA� Satlon ]000) d 0'veion � d �M tlueme» uM PeMman Cadel a Ihel M a eM u uemq iherMmm eM IM bem la IM albped azampian. My vbW ion d Setlion �w�.s M�v eod� t« e o«ma .�ei.a. me mdK� �o a wi w�.er a �a �e m.� rw. nwe�e mm, �ssoop. ❑ t..o.nwain.wooa�ramv.mWm�wmweome,m.:.demmw�wan..aaaoms..wx.e�emme.wnw.:mw.nd.d a onmed br eeb (Seciion )a1. ButimwvN Prolweiara COAe: ThaCarureeon limme LewEme nd WoMto en owrw d PW�Y wla buiEf a mpovm tMrtm. W Nu Aroe euti� v.qk!'vnsetl a MnN a Ma� he Or her am MnGblw�. pa�a IM wch �ww,�,�,�n,... �a waw.e «aiw �«.w. e. no..ew.. m. w�auro « mww.mw o.ad .vn� oo. r� u�nM�. m. ow�a�u� Mn ne.�, m. w�a.o a wa+�ro ns «.na eu m w�u « �maa+�« ine wm�• a we>. � 1. m wror d iM pW�Y, em eiduervaN mMretl^0 wJh lonwd eonnxbn b m�mW Ns pqrf (SMnn 10a�. &wmw aM a�a«.c�v coen: tne cam�.eo. uc«,,. �e.. aoe. �a ecaN m.� o.i.. a aov�r wno naf. « impw« masm .�d .nw wmazb br adi pN�s wh e mmaeMa) IiromeE Wnumtl lo iM CaLLrma� Limma ler.1. � I em vemp uMer Sxiion: B. 8 P.C., b Nie �maon: o.�.: o.�..: i eo n.�er �n�h mm i� ew�e a�a ��e.n�a,e me na��ro a cv��r �nn.od svar coa. ew�. nws. zxva. w ?SS�e, eM Na I a M' M1aura buiMuN ooameni will / wil m� (tlrtb ans) neeE lo oonWl/ wY� xk peta aoda� eM IM �W��rro b . wmm �aw�otru�iona noei�to�hwnme�:� aa�a. a.m.ar wmn�ao�.w��,+.....�ro� � nw. Dale: MW�: WORKER'3 COYPQlS�Tpl OEC WIATON: I Mraby elfvm undr pruEy d pw}vy wr al tlr io0ov.'vp ArLrtluro: � I hm aM xil mainten e ceMiceb d mmenl to eeM�neun 1« workeis' companWian, n provided la by Sarlion �MO M IM lebar COG. la �he parlamence d Ns xvh lor wlJcl+ Inu pe�mn u hsuad. � I heN ud W memien waYan' wmG�+mun imuruv. a�Nwed EY SWian 9]W d tlr labor faM. br ilw D�m� d IM wark la MfiiW Nu G� n isued. MV wvken' can0a��ion ivwvice urr'w erd P�KY riumber ara: c�.�: w�Y M,me.�: (ihis aeaian med rrot 6s mnP'^� /�M1e P�! u br ms huiMiad 0dW /3�w1 w Nn.1 cenN um in uie oe�iwmeMe a �ne wak �« rncn inb w�n u mued. � wu �a amWw �v ronm in vn menna � o �o bxm�e wbjed to the woeFms' eanpan+etion bvn d Celilamie. uk pns IIW beeane ab�etl lo iM xeAwn' mmpv�aazion p ao fSatlion �100 d tM lebor COEa. 1 tlull IMhvrilh ' p�w'vio�r. / 6 !�'F .,a�.7 �� Wembp: h9un b uc�n wrortw+' mmpruetlon eoverp� H�M (�M,lWil� IW!/M �n �nplqw ro a1M-� dH� nnu w ro om nuneree mous.ro dwwa lsto0.oroA M MUtlon ro m. co.� o� wmp«u.�an e.m.w. u povw.e w i� 9�[tlm 31PB o11�� LWor Cotls, Inronal, eiW ettomsy'I /IN. caisrnucnoN �arnnc nceNcr: � nMnr mNm unEar o�M a wri�r �nn m.i. u. m�m�aw� wwro mdkv w m. perfameMa W ihe xwk la wfiich the Mm�l is owed (5wion ]OB]. CM. CI. LEN�ER'S NMIE: LQlOEH'S AOOflE33: I cMity Ihm I heve read ihia applcetim anE dtle ihet tM ebove inlametion ie cortea. I eyne lo romOM �h dl dry eM aouMy ordbwbes end atete lewe rNelip lo Wildip eonetr Wion end hereb/ ei�harrze repesentaiivev d Ihb cny�o anter upon Ihe ebove�menlbneE papa�ry �°`��9petl�°�P°'°`CHRIS CA�d7.ONE � (5151�B.WP) Whna-BuikiqBSdery; Dme: / � � CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 060532 PERMIT NO: E 080532 PLAN CHECK NO: N GOVT; N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION ; INSTALL ILLUMINATED WALL SIGN SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B / COMMENTS: "AUTO INSURANCE" REF:SH-80531 iF iE iF iE iE 1E 1E 1ElE iF 1E iE if 1ElE iE if iElf jE 1F iE±E iE �)E �E 1E iE 1F 1E IElE 1E fE 1P 1ElE 1ElE if 1E iElE iE 1E iElE 1f �E ib iE 1E if 1f 1E if 1E iE 1E ik i!!E!E fE ff iE 1E iElF 1f �Flf fF iF iEiE if iE 1f 'L O N I N G R E Q 0 I R E M E N T S S E T B A C K S ------------ MAIN BUTLDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: F7' IN PARKING REQ: PROV; PARCEL: 42421103 ZNE; REF NO: PLANNING NOTES> i iE if ft iE �lE if iE iE k iE it� it it-1E fE iE iE it iE iE 1t iE iE 1E iE iE 1f # tE iE it iE iE iE it it� iE iE iE ik iE iE iE iE it it it iE it it if it if iE iE iE iE iE it itr 1E ih if iE iF iE iE iE iF it iF il� if it k it iE iP 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 . BUILDING APPROVED BY : APPLICATION ISSUED BY; / /�, aEiE1E1E1E-0EfE1EiE�lElE�kfEfllfiElflEiE�iklflEicicxafxx ar scs�/�cxic LEGALIZATION;N �FFEFEF FSFUFM�M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 22,00 SOF DATE; DATE: DATE: fF9k�E1EiE FIRE SMIP �9'ui�a PLAN ISSUE FEE 22.00 ��ff;t�fFlf?—t1t�—" 1�� Izlt�^ �&U$ t'LAN—CHECK TOTAL PAID DUE TOTALS----> ��,Q6 ��.Ou 0.00 44,00 44,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 44,00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 44.00 iF iE iF if iE iF iE iE if # iE iE ib iF iF if iE i(-iE iF iE iE iE iE if iE iE k iE iE iE iE IE �I[-iE iE �lE iF iE 1E iE iE it it iE iE it 3f �)E ih iF iE 3! IE iE Ik iF k iE �1E 3E iF iF iE iE iE iE ik 1! iE iE it iE aE iE 1E i(-if iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY ELE 1. D E S C R I P T I O N SIGN/ OUTLINE LIGHT SYS ON 1 BR CIRC END OF FEES UNIT COST exa��z�; TOTAL COST 22.OU EXPIRED o�• 1nCbmPlete tnspections , �?. � "tE��— — S�� 01 QU219570—U0219570 T C�T 44.QD DATE: 11/20/9S TIME: 14:44 jTRUCTION AND PLANNING � ��,,, '1VALS Permit �r` t. 7e �porary Eleariral Service or Po,le 2. Soil Pipe-Undrgrnd. � i 3. Electrical Conduit UtilitV-Undrgrnd. 4. E�ect�ical Conduit�Undrgrnd. ' 5. Sceel Reintorcement 6. Electrical UFER Grnd. 7. Footings 8. Foundation 9. Water Pipe�Undrgrnd. , 10. Structural Floor Svs[em � 11. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains � 14. Rough Plumbing 75. Rough Electricai-Conduit , 76. Rough Electric Wiring t7. Rough Wiring Sign 18. Rough Electriral-T Bar Ceilinq 79. Rough Neating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts.in Structure 22. Ducts. Ventilating 23. Gas Pipe•Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T�Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. lathing & Siding 29. Insulation 30. Drywe�� Nailina 31. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Eleciric 34. Final Heating & Air Conditioning 35. Final Gas Pipe•Test 36. Hood or Canopy . 37. Final Factory Fireplace 38. Fina� Plumbing 39. Water Service-Final 40. Gas SCrvice-Final � 41. Solar pomestic-Final 42. Batkflow Preventer 43. Backflow irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTUfiE & BUILDING 48. FINALPLANNING 49. Electric Release to Edison 50. Gas Release to Southem California Gas Cc 51. CERTIFICATE OF OCCUPANCY Date Date PO( SPA Inspector AppROVALS Permit # 52. Pool & Equipment Location . - 53. Steel Reinforcement . � 54. Forms • 55. Electrical8onding ' 56. Rough Ptumbing & Pressure Test 57. APPROVALTOCOVER�GUNITE 58. Electrical Conduit•Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash Lines, P-7rap, � Undrgrnd. 61. APPROVA� TO CECK � 62. Backwash & Receptor�Final � 63. Heater & Vent�Final 64. Plumbing System - Final � • 65. Elec[rical�Final 66. Solar System-Pinal � � 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING ' 69. POOLlSPASYSTEMSFINAL FiRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping O G�s O Oil 72. Underground Flush 73. Undergrnd. Smrage Tank � Gas ❑ 0�1 74. Overhead Hydro 75. Dry Chemical 76. DrY Standpipe 77. FIXED SYSTEM FiNAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINA� INSPECTION 80. FOOD CERT�FICATE 1SSUED Notes: Date � Inspector 0 �'�pyplicant to fill in all s0acas wi[�in �eavy Dortler Ilnas anC sign all appropriata tlaelantionz. �{ I�J% B/ I 8/33 � TRACT NO. �LpT NO� BLDG. NO. I � a_'rJC CITY OF COSTA MESA' aearour No. _ � • � CONSTRUCTION PERMIT M.E' $ �J % �� • '' �• _ , Project qd ress � TYPE OF CONSTRUCTION � � . � '. .._ • � - , � • q,q �, OWner ' PhOn ,S ❑ NEW ❑ ADD ❑ ALTERATION � � ' � " ' ' ' - --- AddreSS • - - - -OREPAIR ❑CONVERSION ❑DEMOLISH � '� � , . 20NING HEGULATIONS . �' Arch/Eng: - �� ' License No: ' ' ❑ OTHER q p � ,+- - - --- c DESCRIPTION OF WORK ' 'A'ddiesS - ' .. ..' ' -- ' - • �. . . . - ZONE � PLMG. REF. # ' p Contrector - � � � -- 'Phone • , TVPEOF.BERMIT, . . ' -' - - �- TpgU i `piNc. r,.. ' AddrMS ' - � " ' " ' - 'SETBHCK C T. - PRpPERTY.CINE �� .c� �f. , a�f0�$' :O GRADING O FOUN�A7 tp�J ❑ STRVCTURAL • ID VARD' - __ - a GCENS@D"CONTRACTOR DECL` RATION � �,_,w �/ EF I hereby affirm th:.t I am ticmiatl unOer provisioni of Cbarter 9(tom- � TENANT 3a ELECTRICAL� ��QSIPLVMBING �❑MECHANIC ��HT �� / � . �� I C mencing with'-section�'7000) ot Divislon� 3 of the -Builness an0 � OTHER - - - _ . __ . Professlops Cotle, antl m ❑cense 5 In full force antl a71ecL � REAR VARD (TO P/U -',� ' o PROJECT DESCRIPTION.. " � ' Llcensue -C�la�ss - � Litense N � " �" �� " i , � � � � - PKG. SPACE REQ. '-'PROYIDED' - " � Oat01 t-=� `uZ - -519natur! . . c.s.<fv+! 5�. FT. "�.: . .. - ' -' . . - _ .. . " _ _ _ _ WORKERS"COMPENSATIONDECLARAT N- -- ------• ' - OCCVPANCV�CONSTRVCTIONTVPE � ISTREETWIDTH � ��,-PARK'FEE,$'.,- ` n� ��I-.hereb atfirm that I have a certNiwte of consent to selt-Insure or a ' �Z�NiNG APPROVED:BV DATE certlficate of Workers' Compensatlon-Ins ante,-or-a certlfiaq copy . VALUATION�'_ � 20NE � � �• rr �� .SPECIAL CONDITIONS � ' � ` �thnreof (�fyc��tl�on 38 0 L.�b � �/� ..GRADING CV�. VDS. ACRES re I • NO(-wC'G..: �:�.�F /�•�romDenYb+c�FtiiQ% t�Q . ' _. ' ' ' _ '_' " ' " '_ "" _ _ _ ' _ � � .rtifieticoPYisherebY�turnishetl.' ' -' ..'- ' ' -.REMARKS:" , .. ' --.- ". '__ . , T.. ." _'_' ,.�� Ct �.� Certiqetl copy is filetl with tha tity Builtling Divislon. • , • • ., .A � ! EXEMPTION FROM WOR12ER5' COMPENSATION DECLARATION ' - - ' "' ' ^"" "- ' - ' - - - ' - - - - (This-saqtion neetl-not.be.complatetl if the_permit is.focone.huntlretl _ _ _ _ - ___ _ , . . r. ,�� SE3001 or less). ' .. . T.._,r _ ' ' �" ' "" ' ' ' _ ' ' cerUty tnat In Ihe'.performance of the work for which this permit is. • ^ _ IssueE, I shall not employ any person in any manner so as to�become PCUMBING• n '- . PLAN CHECK �' � i '- EIECTRICAL "--' PLAN CNECK'- — subjec4tO the Workers' Compensation Laws ot_Calltornia. '_ . ` _. ' � Date Si9nature � BATHTVBS SHOWERS ' - � � T' - - - - - — NOTICE; �faftermakingthistleclxration, youshoultlberome'subject 'TOII�ETS,� y�;�; � URINALS- -"' '" ' ' -IGENERATOR- �O4-KW_1-lO�KW'-" � to Ihe WOrkers' Comp¢nsatlon provlsion5 of [he Labor Cotle, y0U muit - , �TRANSFORMER . �� `�i „-' e� forthwitq comply with su<h provi5ion5 or thls permit sball be tleemetl �VATORIES DOUBL'E lAVS'�" ' , '� -' �-tqpp�iqNCE----30�50 KW_50+ I(W - -�- ----- ..-._ IOVOkatl. . .�.. � . � . 1 .' - "� ' � CONSTRUCTIONLENOINGAGENCV. KIT.SINKS-- -""' -D15HWASHERS '-j" "' - MOTORS�---'�0-1'HP'_1-10HP ^ I hereby aHlrm Nal t�ere is a.con5lrucNon'lentling a9e§ty br [h¢ per- - SERVICE SINKS � i "SUMPS'�"" -'" - ' ' - -1�N�• $pLAR)._ �_�0-60�HPy50��HP � - � ' � formanc0 of Ib�wo_r,k�t6r w�fch tNs,pe�mit is IssueC �SecUon 3097 � ._ . Civ. CJ. " - ' � � - - ' '� FLOOR SINKS� � �FLOOF DRAINS� � ' '�FIXTURES— OVTLETS SWITCHES' - - Lentlar's Name AOtlress� "~ •� � i" DRINKING_�FOUNTAINS. 1•` - '� � - � -' "'�GHSTUBE'SIGNS" Lentlnr's. .. . "' ' ' - _' ' � OWNER BUILDER DECLARATION "' ' ` '-� � ' �' � INTERCEPTORS � � �CLARIFIERS � " � ' �POLE LIGHTS"" ' " ' - ' - 1 hotOby dlli�m that I dm exompl IrOm lh0 COntrac[o�'S L Cnse Lnw IOr ' ' tha'tollo�ying'rea5on'(SetHon' 7031-.5 Builness�antl Pro�551ons Cotler '-SWIMMING POO� 'P'TRAP' - �' -' - � - - - - Any city or county which�requl.es• a.permit to tonstruct, altor, • � POLES �METERED .SU '— Imp rove, aemolish'or iepair'anystr�tture, prlor'to'1t5'Issuanca,-also re-' -yyqTER SERVICE '�ALTERATION'" "� ��' -'- �PANELS'--' -'MAIN-' '' SVB quirGs Ihp �p�.11c�nt fo� such pCrmit to file a signetl Stdtemant lhdt hC isllcan58tl'purSuanYtotheprovlslon5oflneContractor's'GtenSeLaw' GAS�SERVICE OUTLETS '� r- � '�SERVICE '-'-' - ^� - ---AMP-- �-- �Cbapter 9(tommencing wil� SecUon '/000) of Division 3 0/ the i�5iness"�ntl Prolessions Cotle)"or l�at'be Is exempt tborefrom antl'tne ' yyqTER HEATERS ' 'BTU OUTPUT-- - - - -- - - - - - - - " - ±?:s for tbe alle9etl examptlon, Any violatlon of 5¢ttlon 7031.5 by �T "'appliwnt tor a permit sub)ects"tne"appliwnt to a-Uvlt"penal[y - SEWERCONNECTIONS " - - ' �-" - - -'--�'- -' � ---•- - - ---- -- •'�`.:iol more than live buntlre0 aollars (5500). �- - n� (J I, as o�vner ol the pro0erty, or my employeei with wagei as their' SOLAR TANK " -- -"'COLLECTORS"' ' - •�- - - - ---- -- - - � - -" sola.corqpensalion, will tlo.the wark, antl the zlrutture,is noLintentletl . ' �� « or Ofleretl ior Sale. (SeC[ion ]04C, BU5Ine55 antl Aofe55ions Cotla: The SOLAR PIPING SVS. � �SSVE FEE .' ' - ^ - u/ �-� ( ContractarY.Licanse.law.tloos not apply to an.owner of a P�oDerW who bW�tlS O/ iTprovez thereon, and wh0 tloe5 SUGh work hlmsOH or ISSVE FEE � - j-�' - iAPPLICNTION�APPROVED�BV �� -^ DATEg.�� h�ou9h hls own amployGes, provltlCtl lhaLsuth imprOv¢m¢Ols are not IntenCetl or ofleretl tor zale. 11, how¢v¢q the Duiltling or improvemeni MECHANICAL PLAN CHECK � � �� Is soltl wlthin ono year ot complclion, Iha owner wi11 have tho Durtlen SUMMARV OF EEESy , ^ AE oi proving ha tlitl not builtl or improve (or [ne purpose ol sale). HEATING SVSTEM 0-100,00D BTU't ' .BUILDING� �----- -- ---� --' - - PERMIT �� ❑ I, as owner ot the-property, am exclusively �contractinq with � qryD DUCTING ' - ' " ' - � - __. S , �`• SMIP�� Tfrr �� Ilcensotl contractors ta construct the project (Section ]044. BuSiness 100,000�+ BTU �� PLAN CMECK S PERMIT � �^ antl Prote55ions COG¢: T�e Contractor'S Licenx-Law tloesnol epply to -- -__ _ .-ISSUANCE ��S ''� aF an ownar ol property who builtls or improve5 thereon, antl who ton- REF IGE AT N 0-300,000 BT � 1pLUMBING � Vacts frpm sutn-projects-with a Contractor(s)-Iicesnatl �pursuant to --5y .,n ir - - s GRADING. S�' 4 '�£ t�e Contrattor's License Law). ,Ta00,000 + BTU PLAN�CHECK� 5��-} ��i �� ' ❑ I am rxempt untler 9¢�tion � � B. 6 P. C. lor Ihis BOILERS � BTU � ��j/��"j �{- � ," '_ '§,'"I', �e ELECTRIC'AL -'Y,;`.._ ; _..'-.�"" reason' ' ' ' - ' ' -' - � - " — - ' - ' -- "� "� MICROFILM �/ < �F � SVSTEMREPAIR,ALTERATION � '�PLANCHECK"E"' ' " ' �j5 Date - - pwner .. _ . � /7� . � TOTAC FEE�S � �� r Lhereby�ertifythatl,�ave.reatltMsappliwtionantlstaletnat[he_above EXHAUSTSVSTEM MULTIPLE :MECHANICAL-f'(' - Information is correct. I agree lo comply wrth all city antl county �PLANCHECK �E - LESS.AD- �A or0lnanCes antl sta[e laws relatlng to con5truction, antl nereby authorize � VANCE PC' $_ '• /CP�¢5entative5 of ihis city l0 en r uPon the abOve mCntionetl � . � � ," '� ` i ��.' `� � CF property f�y�SSS pe tion Our � ��s-�� Q � / Signalu/e - �' �'�'r"��{'�`"t�""bahe "�� . � _ FINAL FEE y // ��`� Drivers' License or 55 � % / � ' �SSUE FEE - -� � - -- � _ � _ . _ _ _ . . _ _ _ .4_ CMF 0865-46 White-Builtlin9; Canary-ApP��nt; Pink-Actoun[ing: Goltlenrotl-Assessor � ' � � �- , CONSTRUCTION AND PLANNING � � POOL & SPA -. � � APPROVALS Permit#,%��3 Date Inspector qppROVALS . Permit#- ' ' Date. �inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location �- ' � • �• Soi ipe-Un rgm. - 44. $�eet Reinforcement . 3. Electrical Conduit Utility-Undrgrn 45. Forms - � 4. Electrical Conduit-Undrgrn 46. Electrical Bonding • • tee ein orce • 47. Rou h Plumbin & Pressure Test _ � �' ,6.. Electcical UFER Grn 48. APPROVAL TO COVER•GUNITE ' '� 7. ootings 49. Electrical Conduit-Undr rn � 8. Foundation. 50. Gas Pi e❑ Undr rn, Test � � 9. Water Pipe-Undrgm _ 51. Backwash Lines P-Tra '❑� ndr r � � ' 10. Structural_Floor SYstem 52. " APPROVAL TO DECK ' ' ' 17. Property Sewer Line & House Connection . 53. Backwash & Rece tor-Final � 12.� Street Sewer Connection . 54. Heater & Vent-Final ' .� . - . 13. Rough Piumbing ' � ' '-' ' 14. Rough Etectric-Conduit -- - �56. Electrical-Final � � � 15. Rough Electric-Wiring � 57. Solar SYstem•Final - • 16. Rough Heating & Air Conditioning . • encing & Access Approval 17: Ducts in Structure ' �� APPROVED FOR PLASTERING 18. Ducts, Ventilating , __ _ 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL . � � 20. - Roof Framing - � - - ' 21. Roof Sheathin " � � � � 22. Frame and Flashin - NOTES: - �� 23. Insulation - � � 24. lathing & Siding - � 25. Drywall Nailing � ' -' � 26. Plaster Brown Coat - � " - 27. - Electrical Power Meter-Final- � � 28. Final Electric � . 29. Final'Heating & Air Conditioning _ " ' � ' • ' ' 30: Final Gas Pipe-Test- - . � � 31. _-Final Plumbing • 32. Water Service-Finai � � - � � 33. Gas $ervice-Final - � ' 34. Solar pomestic-Final � - � 35. Landsca e S rinklin S stem • � ' . 36. Sound At[enuation - - 37. Handicap Regulations - - - - � 38. FINALSTRUCTURE&BUILDING � � • � � ' 39. Special Requirements Complete8 40. Electric Release to Edison . � � • � - ' ` ' " 41. Gas Release to Southern California Gas Co. � , � 42. CERTIFICATE OF OCCUPANCY � No� Date � � - . . . � .. ADP��ant lo fill in all sDaeas exeept thosa wit�in heavY bortler Iinas anC sign all approDriate Eeclarolions. CITY OF COSTA MESA - ' CONSTRUCTION PERMI7 . PrajectAddress - p•� • y��'�-+� - i"•' • �• � Applicant's Maiting Address f� � w� / 1 S '_ �• .�� Owner's Name � �- � ,hon�� '/�%��O Addreu af/�A/ ill�li!'i� �.E/C/��{LL'.� l'.i� Arch/Eng. - Licenu Na. � Address • ` Contractor's Nam � � �v PhoneG�� Addresslmailing) � .��5 ST ��AM£S�i�� City LicP�� N� IICEN5E0 CONTRACTOR DECLApAT10N 1 hereby afflrm tbat I am Iicunsetl 4ntler provislons ot Charte� 9(COrtlinCncfng with section 7000) of DlviSion 3 Of [he Busineu antl Professions Cotle, antl my Iicense is in full orce n�aHe<t. ��) .3 .3 ,/ License CI� ss -�Lice cl � � f• Date ' � Si9natur 7RKER5' COMPENSATION CI.ARA ON ' ereby affirm thal I hava a cer cgte o/ nsent to self�in re or a cartlfiwte � Workers' Compansatlon�lnsuranc¢, pr a'certitletl copy thereof (Sectlor� 3800, Lab. C.) /� �p �n Poli<Y No. �/�g s�� /�U�omDanY� "�'u0A7� �^i�f.M/✓//� �Certitietl copy is �ereby furniznep, ertt(ietl copy is filetl with the <ity Bui�tling Division. Date APplitant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thiz section naetl not be comD�etetl �f Ihe permit is for one huntlretl (5100) or less). I certify thatlin tne performance otype�yq�k fpr whi Ihis r is I sued I snau not employ any oerson In an �ianq6r so a2 t0 b ub� t0 t{�0 Data � —,7 ! ' �-� Si9natur9 � �F'- � NOTICE: H, afler making this tlecl ion, You sl ultl become ubject to tho Workers' Compen5ation provisions a/ the Labo Cotla, you ust forthwith compry wilh sucn Orov(sions. ar (nis permi[ shall ba tleemetl rawketl. CONSTRUCTION LEPoDING AGpNCV ' I hereby afflrm that thora Is a construction lentlin9 a9ency for the performan<o of the work for wnich thii D4rmlt is I55uetl (SecHOn 3087 Civ. C.) LenGer's Namn Lentler's Atltlreis OWNER BUILOER DECLARATION I hnreby al(irm that I am exompt irom the Conlrac[or's License L.aw for tho following reason (Section 7031.5 6uslnai5 antl Professlonal Cotle: Any cily or county wnich requiras a permlt to Gonztruct, aller improve, tlemolish or repair any structure, prlor to Its issuanco, also requires t�e applican[ (or such pormit '� to file a'Sign¢tl statemenl that ne/sha is Iicansea pursuant to lhe provisions o/ 'he COntractor's U�ensC law (Ghap��r 9(commenCing with Section 7000) of livlSiOn 3 oi tha BUSlnass antl Pr078S5ions Cotle).or thdt h¢/She is exempt .herefrom antl tho Dasis lor the allogetl exemptlon. Any violatlon of Section 7031.5 by any applicant tor a permlt'subja<ts Ihe applicant to a civil . enalty of not more than fivo nuntlrotl tlollars (E500).. � 1, a5 Ownef ol th8 pfopefty Or Ty ¢�I1PIOyeaS wlth wdg85 as thei! So10 comoensatlon, wi11 tlo tne work, a�tl Ine structu(e is not intentletl or offaretl tor wle (Section 7044, Businass antl Protessional Cotla: The Contractor'i License law tloes not apply to an aw�er ot a proparty who bulltls or (mprovns thereon; antl w�o tloes suth work himself/�erselt or throu9h his or her own employ ¢es, p�ovltletl thal such imprOvemenl2 are nOt IntenOed O� otte�atl for sale. If, however, t�e bulltling or Irryprovament Is 5oltl within ona year of Com- pl¢tlon, the awne� wlll hdve tha D4�tlen of provin9 �e/z�o tli0 not build or Im- �rove tor the pur0ase ot salo). I, as owner of tha Oroper[y, am ezclusively contracting wit� Iicensetl con- trattors to con5trutt the pro)ott (Section ]044, Buslne55 antl Profe55ionz COtlO: The'Contrat[or's Llcanse'Law do4s not appty to an owner of Oroperty who bulltls o� Improv85 [he�eon, and who <ont/act5 fo� such p�ojacts with d COn- tractor(s) Iicensa purivant to the COntractor's LlcenSe Law). ❑ I am exempt untlar SecHon B. & P. C. tor [his reazon Date Owner I hereby cer hat I have re informatio 5 cor ect.� I agra o antl stat aws r a[ing to Iltlir sentat s of is clty� to'entq,s Drivers' I CMP 086 _\ ie above iinances e repro- Brfy fOr �-tYs U' // 3/ 7" I `�- _- I u�-=�-! TYPE OF CONSTRUCTION� NEW ADD ALTERATION REPAIR ,'❑ CONVERSION ❑ DEMOLISH ❑ OTHER 'DESCRIPTION OF WORK - TYPE OF PEHMIT LI GRADING LJ FOUNDATION U STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ •OTHER PROJECT DESCRIPTION 5(l. FT. - OCCVVANCv_ CONSTRUCTION TVPE VALUATION S ZONE � GRADING CU. VDS. ACRES_ Remark�: 8ar Sink . Backfiow Preventer � Backflow Irrigation Bathtubs Clarifiers Dishwasher � � Drinking Fountains � FlOor Dreins � Floor Sinks as Service Ouuets Interceptors ' Kitchen Sink � Lavatories � P-Trep Foof Drains � � Reinspection Fee � $25- Boiler • Duct - Under Ground Duct - Venlilating Exhaust System ❑ Multiple Firepl/Fact. &t. ICBO # Heating System & Ducting ❑ ai oo,000 sru O i oo,000 ise or 55 �� I I Reinspection Fee I $25 rev. 7/g3 White - Quiltlin9: �nary - Appliwnh Ptnk - Actounting; GOldenro0�- Assessor ' Showers Service Sink Sewer Cap Sewer Connection Solar Col�ectors Solar Piping Solar Tank Swimming Pool wlSpa Urinal Water Cioset Water Heater Water Service . Isue Fee t 5 3 Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑4100,000 BTU ❑100,000 BTU System Repair/Alteration laue Fee $ 3 A.7. 9W S Main Building: E T Front 6 Rear A C Right K Lett S Ping. Ref. ** Parking Req./Provi� Use of Building: Planning Notes: Automatic Washer Constructian Pole Sub. Cooking Unit Dishwasher F.A,U. ' • Fiztures Device Boxes OUtleu Switches Garbage Disposal Generator �a5 KW Zone Atcessory Park.Feez O N I �R E ELECTRICAL ' Transformer ❑ 15-50 KW O 50+KW � Meter �up ro 100 amps Meter ❑over 100 emps 15 KW Sub Panel Motors �0.7 HP � 1 h- 8 Inc.Solar 09-15 HP �76-15+ � Microwave Pale Light ' Range Si9n Standing Sections Trash Comoactor � Reinspection Fee �$25 � laue Fee � $ 3 � PUBIICSERVICESREQUIHEMENTS: � Zoning Approved By Date Application Approved By Dote APPlifationluuedBY �ata �-3�-gs -SUMMARV OF FEES BUILDING PERMIT $ SMIP � $ PLAN CHECK $ PERMIT PLUMBING $ S.�O ISSUANCE $ PLAN CHECK $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK $ MICROFILM $ ' MECHANICAL ' $ ' TOTALFEE $ S•OO PLAN CHECK ' $ . _ . ,,,, .. .. .. � CONSTRUCTION AND PLANNING � . POC,_ a SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical $ervice or Polet. ^ �� 52. Fool & Equipment Location = � - � 2. Soil Pipe�Undrgmd. � �! . -� 53. Steel Feinforcement 3. Electr�cal:Conduiir.tJti�itY-Undrgrnd.� '� �� 54. Forms� � 4.GElectr ci ai Conduit�Un�lrgrnd. �� . � 55. Electrical Bonding . �. � 5..'Steel Rei"nforcement' =� • J` 56. Rough Plumbing & Pressure Test '� � _� 6. 'Electr�cal•UFER Grnii:'i -% � 57. APPROVAL TO COVER-GUNITE :� .� � 7.i�Footing�� .��- 58. Electrical Conduit-Undrgrnd. ' � r 8.�F.oynd2tion �'. � 59. 'Gas Pipe, � Undrgmd., Test " � 9. Wa'ter Pipe-Undrgrrid;� � ;,� � �'. 60. Backwash Lines, P-Trap, O Undrgmd. �;, 10. ;Structuial'•Floor System � 61. APPROVAL TO DECK � ;t 11:�roperty.Sewer Line & House Connection �r '% '� 62. Backwash & Receptor-Final '� 12. Sew ��Cap �.�,� � �. � . + ~„� 63. Heater & Vent-Final `�� .. 13. Roof Drains „'�� . ��.� " • 64. Plumbing System - Final � 14. Rough"Plumbing �� 1 � X .�� 65. Electrical-Final '� 15: Rough Electrical-Conduit �' 66. Solar System-Final 16. Rough Electric Wiring - . 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18.� Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.� Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush � 24. Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing , 74. Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL . 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric , Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � � ff- �L 36. Hood or.Canopy . 37. Final Factory Fireplace , 38. Final Plumbing � 39. Water Service-Final � ' � 40. Gas Service-Final 41. Solar pomestic-Final , � _' 42. Backflow Preventer - 43. Backflow Irrigation � 44. ,Landscape Irrigation System � 45. Sound Attenuation � 46. Handicap Regulations 47. FINAL STRUCTURE & BUI�DING � 48. Special Requirements Completed 49. Electric Release to Edison ' . 50. Gas Release to Southern California Gas Co � ' 51. CERTIFICATE OF OCCUPANCY . N0. Date Applicant lo fill In all sDaees except tnose wit�in heavy borOer lines antl sign all aooropriata aeclarotions. CITY OF COSTA' MESA " � ,' - ' - .- CONST.RULTION PERMIT ' • - : Project Add7es's O �" � �" � APPlicant'sMailingg Address j �%• �7— ^S • '� � Owner's Na?me ',f�b y AL �4( p/t/ . � � d'1"/S/O Address J� / N• R� / b �. Ei E Arch/Eng. License No. Address " Contrector's Name ��N �� N Pho e � Atldress�lma'I'ngl�b� �/� �7�s�Tli /1'lCSA f� Ciry LicPnie No. ��`� 5' 3 LICENSED CONTRACTOR DECLARATION - ' 1 hereby attirm tha[ I am licensetl untler provisions of�C�artar 9(commencing with section ]000) af Division 3 ot tha Business and Profesilons CoOe, antl my Iicense is in full f�e an�eytect. 3� _ LJcen FI ss �� Lice �. Date � /"��' Signa n'. ��[c � � l0.KER5'COMPENSATION C�ARA are�y aifirm tnat I have a ce If cate of nsent to selt-in ure or a certificate . Workers' Compensation'InSuranCe; or a certifietl copy thereof (Section 3800, Lab. C.) � ' , ' Ponli,t.y- No. Company IL CertH) tl coPY i�s fhe/tlbwlthrtnehCity Builtlin9 DivisiOn. , • oate / � ��' a � Aoa��wnt EXEMMION FROM WORKERS• COMPENSATION DECLARATION � (This zection neetl not be completea ii the permlt'is for one huntlretl (5300) or lesz). 1 cBrtity that in the performance of tne work for wnich this perm�t is Issuetl I shdll nOt emplOy any Oe�zOn in any mdnne� So a5 to become subjecl to ti�e Workers' Compensation Laws of California. Date Si9nature NOTICE: If; after makin9 tnis tleclaration, you shoultl become subject to the '' Workers' Compensation provislons of lhe Labor Cotle, you must (orthwi[h � comply w(th such�provisions or•'thls permlt'�shall �be tleemetl rovoked: CONSTRVCTION LENDING AGENCV ' � -' I hereby at9rm tbat there is x constr4ctlon lentlin9 agency tor the performance of the work ,tor which this_ permlt is IsSueU (SecHon 3097 Clv. C.) , Lentler's Name l.entler•s Atltlress OWPoERBUILDER DECIARATIOry ' I hereby aftirm tha[ I am ezempt'trom the Cdntractor'S Licenze Law for the following �¢a5on (Sectian J033.5 BUSIn055 antl ProtesSiOnal COtle: Any <Ity O� county wM1ICM1 �equi�es a pe�mll to Cbnst�uct, alt¢r, imp/ove, tlemoli5h Or �epai� any Stfuclure, pdof to It5 i55udnce, also I¢quVrM tlle ap0�icdnt for SUGh pelmll ' .[o file a 5ignetl statement that.he/5he ii Iicensetl pursuant to the provisions of ,��e pe Con[ractor'S�License Law (Chapter 9(commencinq with Sectlon ]000) of ?.:Ulvision 3�0� the Business antl Pro(esslons Cotle) or [hat he/she is exempt '�'�."herefrom ana tne basis tor the allagetl exemptlon. Any vlolation of Section �7031.5 by any applican[ for a Permit sub7ects lhe applicant to a<ivil �enalty o( not more than five huntlrptl tlollars�(y500). 1, as� owner ot the� property'or my employees with wa9es as thelr sole <ompensatlon, will tlo fhe work, antl the structure is not intentletl or offeretl tor Shce (SeC[ion 7044, Bu5ine55 antl PrOfesslonal Cotle: The Contractor's Licenu Law tloes not apply to an oWnor of a O�operty who builtls or improves thereOn, antl who tloes zuch work'hlTs¢I(/hers¢If or tnrough his or her own employ eez, provitlea tnat such 7mprovements are not intentletl or ofteretl for Shce. Ii, howeve�, the buil0lnq o� ImprOv9ment IS solU within one yea� ot cOm- pletiOn, th0 OwnGr will have�tha bu�tlen of proving he/she tlitl not builtl o� Im- �rove 1or tne purpose of sale). I, as owner of the property, am ezclusively contractinq with Iicensetl con- tractOrs to ConStrutt the p�ojecl (SeStion 7044, Busine55 antl Pro(eS51on5 CotlB: The Contractor's �Licensa Law doeR nOt aDP�Y to an ownlr ot proper[y who' bWltlz or improves thereon,.antl who cmtracts for such pro�ecls with a con- tractor(s) Iicensa Oursuant to tha Con�ractor'S Llcense Law). . ❑ I,am exempt untlet Saction B. & P. C. for Ihis reason Date I hereby certlfy intormatlon is cc antl state law sentatives inspec o Si9na ure Drlvers' enze CMF'0865-46 rev. _ Owner [hat I hav< red� or ] state that Ihe above antl county ortlinances iereby authorize repre- �ntinnetl orooertv'fo� e TVPE OF CONSTRUCTION. LJ NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK _ �- TVPEOFPERMIT GRADING FOUNDATION ❑�STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING" ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION� Sa.FT. oCCUaANCV CONSTRVGTIONTVPE ' VAIUATION§ ZONE GRADING CU. V�S. AC0.E5 _ Remarks: Bar Sink � Backflow Preventer Baekflow Irrigation I ' Showen ' ServiceSink' Drinking Fountains Floor Drains� ' ' Floor Sinks Gas Service � Outlets Interceptors Kitchen Sink . P—Trap Roof Drains Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Weter Closet Water Heater Water Service n .Fee I $25 I I _' Issue Fee , I $ 3 Duct-- Under Ground � Duct - Structural Duct - Ventilating � Exhaust System ❑ Multiple Firepl/Fact BIt. IC80'# Heating System & Ducting ❑0.100,000 BTU 0100,000 Reinspection Fee White - BUiltlin9: Canary - Appliwnt; �ink-- Actountin9; GOIGenrotl - Assessor � ! Hood or Type I ❑ Canopy Typell ❑ � Refrigeration System 00.100,OOOBTU ❑100,000 System Repair/Alteration 0 Issue Fee � $ 3 A.P. #� S Main Building: E T Front A Rear C Right SLef2 Ping. Ref. 5W Parking Req./Provided Use of Building: Planning Notes: Automatic Washer Construc[ion Pole Cooking Unit � 6746 I/31/dG Zone • Accessory Building: ' � • Park:Fees $, ' . i r ELECTRICAL , � 'Transformer 0 15-50 KW O 50+ KW lectric F,A,U. Fixtures Device Boxes OUtletS Switches Garbage Dispoul Generator �0-5 KW I Reinspection Fee �� PUBLIC SERVICES REQ Zoning APVroved BY— APPlication APProved By APOIICdt1011 ISSIIBd BV— BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK ELECTRICA� PLAN CHECK ' MECHANICAL � PLAN CHECK KW Meter LJup to 100'amps Meter pover100amps Sub Panel Motors 00.,1_HP O7 % - 8 InaSolar �9-15 HP 076-15+ Microwave Pole Light Range Stariding Sections Tresh Compacmr $25 � luue Fee $ 3 SUMMAHV OF FEES ' $ SMIP $ $ PERMIT $ �,nO ISSUANCE $ $ ENERGV P.C. � $ g � GRADING $ $ ' MICROFILM � $ � $ � TOTAL FEE $ � � On $ i Z O N I N , G R E I R E N E N T � _ CONSTRUCTION AND PLANNING FOI. _ s SPA 'APPROVACS -Permit# Dat� Inspector pppROVALS Permit# Date Inspector 1.'Temporary Electrical Service or Pole� � " 52. Pool & Equipment Location ' _ 2. Soil Pip�Undrgrnd. � � . 53. Steel Reinforcement � �� ' 3.�Electrical Condui�Utility-Undrgr,�rtd � .�v 54. �Forms • r- 4.'� Iectr al�Conduit-,U drg�nd. � 55. Electrical Bonding _ �•- 5..Steel�Reir�forcement' • -; - •,l , ' 56. Rough Plumbing & Pressure Test � � ��% 6. ,Elec`tr.ical',�UFER Gr�d."+ . . . 57. APPROVAL TO COVER-GUNITE '�. �� 7.�Footings ��.'� �4' _ . 58. ElectricalConduit-Undrgrnd. �� 8. �Foundation ��r„ � 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgc�d,^ � � 60. Backwash Lines, P-Trap, O Undrgrnd: -i 10.(Stryctural;Floor System - •� 61. APPROVAL TO DECK :p 11. iPropeity5ewer Line & House Connection ': ,� T � ,t� 62. Backwash & ReceptorFinal � 12. wer�Cap" �y�� ,. � 63. Heater & Vent-Final � 13. Roof Dra� s� �, � �.;� 64. Plumbing System - Final '' `r 14. RougKPlumbing -.1'; � � 65. Electrical-Final � 15. Rough Electrical-Conduit . � ,fj6. Solar System-Final , . 16. Rough Electric Wiring � � , 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � FIRE DEPT, REQUIREMENT 20. Rough Factory Fireplace � APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro� 22. Ducts, Ventilating � 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test � 72. Underground Flush 24. Roof Freming � 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashin9 76. Dry Standpipe � 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation � . 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-Test .f • 36. Hood or Canopy � 37. Final Factory Fireplace - 38. Final Plumbing � ' ' � 39. Water Service-Final 40. Gas Service-Final � 41. Solar pomestic-Final � ., � 42. Backflow Preventer � ' 43. Backflow Irrigation , � � � " � � 44. ,Landscape Irrigation System � � • 45. Sound Attenuation � , 46. Handicap Regulations . 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � � , - � � � � 49. Electric Release to Edison � - - -- � 50. Gas Release to Southern California Gas Co � � 51. CERTIFICATEOFOCCUPANCY' ' ' • . . No. Date Avolleant to till in all spaces axceo< <hosa within heavy eorOer Iines an0 sign al1 aooroDriate tlaelarations. CITY OF COSTA' MESA CONSTRUCTION PERMIT Project Address p./� �� S � � 'J Applicant's Maili �� 7 �/ � � � � `S T • M � Owner'sName �.by�1 L f}M/O��Ii c �0/�(/� .5/ Q Address. � %% n/ ��Q ia �/ /�, C�, �' � iL /�Fi � E/ "" " ' A�ch/Eng. � License No. Address Contractor's Nam � �+ none �O• Address (mailing) �� U/• /• ST � 57� 1 QS� city'�icPnseNo. =3sZ'/'S3 ' LICENSE� CONTRACTOR DECLARATIO�N 1 hereby affirm tha[ 1 am Iicensetl untler provislonz of Gharter 9(<ommencin9 witM1 section 7000) of Division 3 ot the Business and P�ofessions C , antl my Iicense is in tull f ce a e act. � � � LJcense Class _ License o Date ^ Signature� `,y.�y'�RKERS' COMPENSATION D LA'RATIQ ` � ' � ereby atfirm that 1 have a cer ticate of con�Pnt to zelf-inzure a certificate . '�'Jr Workers' Compensation InSurance, or a�certitietl copy thereoi (Sectlon" 3800, Lib. `C.rt C� % !� oN� T�rD. P��yo1�li,c�=y No. �!� os —�Zv��Com Y fG Certif�tl sqP� 51yr"S�'APPI can�tY tlin9 Divisi Date J n - � � � EXEMPTION FROM WORKERS' C ENSATI N OECLAR TION (This zection neetl nof be <ompletetl i( the permi is for one hu tlretl (E700) or Iess): I certify that in the performance oi the work for wnlch this oermit is;issuetl, I shall not employ any person In any manner so as to become zubject to the Workers', Compensation Laws of Calitornia. , Date $I9nature ' NOTICE: If,'after makin9 this tleclaration, you shoultl become subject to the Worker5' CompensatiOn provisions Ot th¢ Labor Gotle, you mu5t for[hwltn ' comply with such provlsions or this Oermit' shall be tleemetl revoketl. GONSTRULTION LENDING AGENCV I hereGy aftirm that tnere Is a construction lentlin9 a9ency for Ne performance of the work for whi<n tbid permit•Is.issuetl (SecHon 309� Civ._CJ Lentler's Name Lentler's Atltlress � O W NE R BUI LDER �DECLA RATION 1 hereby aHirm that I am exempt (rOm Ine ConVactor's Llcense Law for the following reason (Sec[lon 7031.5 Business antl Pro(esslonal Cotle: Any city or county which requires a permi[ to constru<t, alter, improve, tlemolisn or repalr ' any structure, prior to Its issuance, also requiret tne applicant for such Oarmit to file a signetl statement that he/she is Iicensetl pursuant to lhe provisfons of tM1e Contractor's License Law (Chapter 9(<ommencin9 with Section 7000) of Divlsion- 3 of lhe Business antl Professions Cotle) or that he/she is exempt theretrom antl the basis for the allegetl exemptlon. Any vlolation of Section � 7031.5 by any- applicant ior a permit suDjects Na appllcanl to a civil .� enalty of not more than five �untlretl tlollars ($500). . I�, as owner of the property or my employees wlth wages as their sole compensation, will tlo the work, antl the structure Is not intentletl or otferetl for ule (Saction 7044, Business antl' Professional Cotle: The Contractor's License Law tloes not apply to an owner of a property who bulltls or improves lhe�eOn, an0 who tloes such wOrk hiTself/he�5elf Or thrOu9h h15 or �he� own employees, provltletl thdt suth Improvement5 are not intentletl Or offeretl for sale. If, nowever, [he bulltling or improvement I5 soltl wlthin one year of com- pletion, the owner wlll �ave the burtlen of Orovin9 ne/sne tlitl not bulltl or Im- �ove?or the purpoze of sale). LI I, as bwner ot the properiy, am excluslvely tontracting� with Iicensetl con- Vactors to mnstruct the oroject (Section �044, Business anG Protessions Cotle: The Contractor•s license Law does not aooly to an owner of property who bWltls or improves thereon, antl who contracts for such projects wi[h a con- tractor(sJ license pursuant to the Contractor's License Law). � ❑�I am eaempt untler Section B. 6 P. C. (or this reason Date Owner� I have reatl this a " ation ana st I a9r co � w h all city antl to wld t� tion, antl herel r to �� n e abOve-menHi (�l I� j3. � TVPE OF CONSTRUCTION r�E .O CONVERSION ❑ DEMOLISH DESCRIPTION OF WORK J ADD OTHER ALTERATION LJ REPAIR TYPE OF PERMIT LI GRADING LJ FOVNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL ' . ❑ OTHER ' PROJECT DESCRIPTION Sa.FT. ocCUanrvCV— CONSTRUCTIONTVPE � - VALUATION$ ' ZONE GRADINGCU.VDS. ACRES_ Remarks: Bar Sink Backflow Preventer Backflow Irrigation Ba[htubs Clarifiers � Dishwasher Drinking Fountairis Ploor Diainst Floor Sinks GasService Outlets. / Interceptors Kitchen Sink - Lavatories , P—Trap , Roof Drains . � Reinspection Fee $25' Boiler ' Duct - Under Ground � Duct - Structural Duct - Ventilating ' Exhaust System ❑ Multiple ❑ Firepl/FacLBIt.IC80# 1 Heating System & Ducting . . ❑6100,000 BTU 0,100,OOOBTI Drivers' �' ense or 55 � . � I I Reinspeetion Fea I $25 CMF'0865-46 rev. 7/83 White = BuilBinq; CanSry - AFpliwnq Pink - Acwunting; Goltlenrotl'= As5e55or ' PLUMBING Showers - ServiceSink . Sewer Cap � Sewer Connection Solar Collectors Solar Pipin9 - Solar Tank Swimming Pool w/Spa - Urinal Water Closet � � Water Heater � WacerService Isue Fee Hoodor Typel ❑ Canopy Typell ❑ Refrigeration System ❑o-ioo,000eru ❑�oo,aoo System Repair/Alteration laue Fee A.P. 5W S Main Building: E T Front A Rear C Right K Lefi S Plnq. Ref. # Use of Building: FEES Planning Notes: Automatic Washer Construction Pole Cooking Unit � Dryers LJGas� LJEIi . Fan .. . 2 C� F.A.U. . ' Fixtures Device Boxes Outlets ' Switches Garbage Dispoul Generator 00.5 KW S 3 $ 3 6745 I/31/U5 Zone Acceuory Buildin9: ' Park:Fees $ - . �� O N I N G R E Q U � R • E m ELECTRICAL FEES Transformer ❑ 15-50 KW ❑50+KW � Meter ❑up to 100 amps Meter ❑bver 100 amps �Sub Panel � Motors �0.1 HP �1'h-8 Inc.Solar 09-15 HP �i6-15+ • � Microwave Pole, Ligh2 Sign Standing Sections 15 KW Trash Compactor � Reinspection Fae �$25 � �uue Fee � I $ 3 � PUBLIC SERVICES REQUIREMENTS: � 2aning Approved By Data Application Approved By Date ApPlimtion Iszued By Date �—�� .SUMMARV OF FEES � BUILDING PERMIT $ SMIP $ PLAN CHECK � $ PERMIT � PLUMBING $ S -UO ISSUANCE $ � PLAN CHECK . $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PWNCHECK $ MICROFI�M $ . MECHANICAL . $ TOTAL FEE � $ S'�v PLAN CHECK • $ , � E CONSTRUCTION AND PLANNING ^ POG.. & SPA , r APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector , 1. Temporar`y Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil Pip �Undrgrnd. . �`" �. 53: Steel Reinforcement � � 3.�ElectricaJ`Condui�U4i�ity�Undrgrnd. � :�' 54. Forms 4.�ElectricalfConduit'-Und�g�nd. �, ! 55. Electrical8onding - � �_' 5. Steel Rei rforcement•��'t ' ^ � ' 56. Rough Plumbing & Pressure Test .t) 6. Electrical+UFER G.nd. � - • � ^ • 57. �APPROVAL TO COVER-GUNITE - .�',� � 7.%Footings�-� "� � � � . �� 58. ElectricalConduit-Undrgrnd. � ,, 8. Foundatibn ';� ,�- 59. Gas Pipe, O Undrgrnd., Test �" i'._ . n 9. Water Pipg-Undrgrnd _f; . � 60. Backwash Lines, P-Trap, O Undrgrnd. �a 10. Structural'Floor SystemZ '� 61. APPROVAL TO DECK 11. Property,Sewer Line'&�HouseConnection .� �� - 62. Backwash & ReceptorFinal •. 12. S2wer�Cap• �"`' ' ��t�^'' �� 63. Heater&Vent-Final ,�1 13. Roof'D�aLs �"� ��,� ', ' � � � � 64. Plumbing SYstem - Final � 14. Rough�Plumbing �: 4i �'' '. •„ � 65. Electrical-Final �' � 15. Rough Electrical-Conduit 66. So�ar System-Final � 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71� Product Piping O Gas ❑ Oil 23. Gas Pipe-Fough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank �Gas �Oil 25. Roof Sheathinq 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � (� 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing , 39. Water Service-Final 40. Gas Service-Final 41. SolarpomestioFinal 42. Backflow Preventer 43. Backflow Irrigation 44. .Landscape Irrigation System � . 45. Sound Attenuation � � ' 46. Handicap Regulations � . 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed � � 49. Electric Release to Edison - 50. Gas Release�to Southern California Gas Co ' - 51. CERTI FICATE OF OCCUPANCY . No. Date ADolleant to fill in ali soacos enceot those wltnln haavy �orear Ilnes anC sign all aooroorlate tleclarotlons. CITV OF COSTA MESA " i "' " � PERMIT O TRACT NO. LOT NO. BL . .� � ' " •' E%44: i/3�1 /(JJ '- Go�'.' TL � CONSTRUCTION PERM17 � . • � � �J' � 2— -- ' . • , ProjeCt Addre55 - TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAI R Applitent'S Mailin Address _ • S' �� i ❑ CONVERSION ❑ DEMOLISH ❑ OTHER p,p, �6 Zone - - � Ownel'S Name �Q,�//� - o P ��.�'%�� DESCRIPTION OF WORK ��7N� Q%��+�V !DL-ENQJ%�� l./7` S MainBuilding: ' AccessoryBuildin9: Z Addf¢55 y--� TYPEOFPERMIT GRADING FOUNDATION STRVCTVRAL � T Front � N ArCh/Eng. LiCEnS2 ND. ❑ TENANT ❑ ELECTRIGAL ❑ PLUMBING ❑ MECHANICAL B, Rear � � � A ' N Address ❑ �oTHER � C Right • � - . G �� Phone � PAaECT DESCRIPTION SQ. FT. OCCUPANCV K R Contractor's Nam p - - Addresslmailingl�� - �7�� ' �DST� ��5�� u�• CONSTRVCTIONTVPE VALUATION$ g Left . � E �'.3�` f1"3 ZONE _ GRADING CU. VDS. 'ACRES p��y, Ref.'ib Pefk.F¢es $ � City LicPnse No. — U LICErvSED CONTRHCTOR DECLARATION Remarks: - Parking Req./Provided . � I hereby atflrT lnat I am lic¢nsetl y�tler prOviSiOnS oi Charter 9(COTmencing . R wlth zection 7000) of Divislon 3 0/ tne Businezs ana Profeulo e, antl � Use of Building: . - E my Iicense is in tWl t ice a lfatt, - Ucense Cia — Ucens 3 � ' � PLUMBING FEES P�anning Notes: M E Data ' Signatur - � - =-r'�10.KER5'COMPENSATION CLARA N Ba�Sink Showers � N s:`"OereDy Sffirm Ihat I nave a tertl Icate of onsent to self-insure or a certificate Backfiow Preventer S¢rvice Sink ' S �%a'f Workers' Compensation" InSuraqce, r d certifietl cOpy t�ereof (Section 3800, Lab. CJ Backflow Irriyation � Sewer Cap � ELECTRICAL FEES Po��r Na.(�t/�•sSS-07�ad.�om�3�{YFRenaa�u7"r•vD� ��I `•ertifletl cooY is hereby furnishe.$l� / � Ba[htubs � Sewer Connection � Automatic WaSher Trensformer � 15-50 KW �q Gert fi¢y 0 y/ 5 etl wifh the,�it iftlin Div" io _� • ❑ 50 + KW Date �"3�Px� APP��an�Y 9 - Clarifiers SolarColiectors ConstructionPoleSub. • EXEMPTION FROM WORKERS' C ENSA O DECLARA iorv �- Dishwasher . Solar Piping � Cooking Unit � Meter ❑Up t0 700 amp5 - (ThiS S¢ction neetl not be wmplete d the p<r t Is tOr One hund etl (5100) or iess). . Drinkin Fountains ' SolarTank Dishwasher - Meter 1 ce�tify Ihal In [h¢ P¢�tormanca of the wo�k (or which thlz pa�m�t IS ISTuetl I 9 � , ❑Ov2� 100 eTpS shatl not employ any perion in a�y manner so as to become subject [o t{�e workers' Compensation Laws of Cautomla. Floor Drains - Swimming Pool wlSpa Dryers ❑Ges �Electric Sub Panel Dato - 5�9�ature ' NOTICE: It, aiter making thiz tleclaratlon, you shoultl become sub�ect lo [he Floo� Sinks Urinal ,Fan Motors �0.1 HP O1 X- 8 Workers' Compensation provisions pf the Labor CoOe, you musl forthwith compry 'wfth zuc� provistons or thfi pormlt s�all be tleemetl revoketl. Gas Service Outf2t5 Weter C/o52t � � CONSTRUCTION LENDING �AGpNCV �Z F.A,U. Inc.Solef 09-75 HP 016-15+ I hereby atfirm thal there is a<onstructlon lentling agency tor Ihe perfarman<e InterceptOrs � Wate� Hea[er Fix[u�es � Microwave of lho work for which tnis permlt Is Issuetl (SecHon 30B] Civ. C.) , L.ontler's Name � _ Kitchen Sink ' Wnter Service Device Boxes , � Pole Light Lentler's Atltlress LavatOries OWNER BUILDER DECLARATION � � Outlets Renge 1 hereby affirm t�at 1 am exempt �rom tha Conlractor'z Ucense Law for the p_T�a tollowing reason (Sectlon 7031.5 6usinasi antl Professlonal Cotla: Any cily or P " ' SwitChEs Sign county wnlch requires a Oermit to �on5truct, alter, Improva, tlem0115� or ropair . any structure, prior to its Issuan<e, also requlres lhe applicant for such permil Roof Drains Garbage Disposal Standing Sections to /ila a iignetl statement Ihat ha/sho I5 Iitensetl pursuant to tha provi5ions ot t�the Contractor'S License Law (Chap(ar 9(commencing with 5ettlon 7000) ot Generator O65 KW �5-15 KW IVlsion 3 oi the Buziness antl Professlons Cotle) or thal ha/ihe is exemo� • � Trash Compactor °'�lherofrom antl lhe basis for the al�eqeC axemptlon. Any violation of Soction . 7031.5 by any aoG�icant for a pormit sub7ec[s Ihe appliwnt lo a civil � $ 3 - �enalty of nat more Inan fivo hunaretl tloliars (E500). Reinspection Fee $25 Isue Fee ' LJ I, as owner o( tne property or my empioyaes witn wagez as their soie MECHANICAL Heinspection Fee $Z5 Issue Fee S 3 compansation, will Ao the work, ana the structure is not intentletl or oftorotl ' FEES (or saln (Soctlon 7044, Business antl Pro/esslonal Cotln: Tho Conlractor's PUBLIC SERVICES REQUIflEMENTS: Licanse 1. w tlons mt apply to an o�vner of a property who�builOs or improvos gOil2� Hood O� Typ¢ I ❑ the�ean, antl wno tloes such work nimsoli/herself o� tn�ough his or hBr Own ZOnine App�OVBd By �18t0 empl0 oe5, prOVltletl that suth Imp�ovOments are nOt intentletl or otfaretl for � Canopy Typ21� ❑ Duc[ - Under Ground sale. I, however, the bullCing or improvement is soltl wit�in ono year o/ com- Application ApD�oved By DatO plotlon, lhe ownar wlll have the bUrtlan of proving ha/she tlltl not bulltl or im- , �rove tor tno ourpose of sale�. � Duct - Scructural Retrigeration System Application Issued By- nat 6 U I, as owner of the o�operty, am exclusively conlractin9 with Iicensetl con- ❑0.100,000 BTU �100,000 BTU tractors ro construct the vroject (Se�(ion 70a4. Business antl Professlons Cotle: Duct - Ventilating � SUMMARV OF FEES Tha Contra<mr•s License Law doqs not appty to an owner ot propmry who BUILDING PERMIT $ SMIP $ builtl5 or Improve5 thereon, ana who tOntract5 fot such projBttS with a Con- ExhauSt System ❑ MulliplE ❑ $ystem Repeir/AlteratiOn - Vacror(s) Iicense pursuant to tne Contrattor•s License Law�. PLAN CHECK $ PERMIT ' ❑� I am exempt unaer Section B. & P. C. !or this reazon FirepVFacL BI4 ICBO � p�MBING $ S-�i ISSUANCE $ Date Owner Heating System & Ducting PLAN CHECK $ ENERGV P.C. $ I nereby certity that I have reae this appiication antl state that the above ❑0-100,000 BTU �100,0008 .� - ELECTRICAL $ GRADING $ Informatlon is correct. I agre to comp with all Uty antl tounry ortlinances - antl state la relatin9 t i tl str ttion, antl hereby authorize repre- � PLAN CHECK $� MICROFILM $- SBntdtiv t is city O f 00 , he aEOVG-rtlenUonBtl �PfopOrty 1or Inspe n oses. ' 3��d MECHANICAL $ Signa u D te D� . TOTALFEE � S Orivers' ense or 5� ' � Reinspection Fee $25' - �ssue Fee � $ 3 PLAN CHECK � $ CMF O86 -46 rev."7/ 3 White - �Witling; Canary - Appliwnt; Pink - Actountin9: Goleenrotl - Assessor ' - ' ' "' - " " - � � � -- � - � • CONSTRUCTION AND PLANNING POO� & SPA APPROVALS �Permit# Dat� Inspector qppROVALS Permit# Date Inspector i 1. Temporany Electrical Service or Pole �' . �� i. -t, 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. � � . ,� .v � . 53. Steel Reinforcement �� 3.,Elec[rical,Conduif%Utility-Undrgrnd�� j �w ,� 54. Forms �4.�Electrical,Conduit-Uqdrgrnd. � L� • 55. Electrical Bonding � `. 5. Steel.Reinforcement .. � � �' � 56. Rough�Plumbing & Pressure Test � / 6. Elect ir cal'UFER Grndl� _ 57. APPROVALTO COVER-GUNITE 'A � L;yt 7. �Footings t �;, �v • �' 58. Electrical Conduit-Undrgrnd. � .�- B.�Fo�dation .�, � � 59. Gas Pipe, O Undrgrnd., Test �'` 9. ,WBter Pipe-Undrgrnd;� ' �,e� , 60. BackwaSh�Lines, P-Trap, O Undrgrnd, i� 10. StructurallFloor System `' �� i 61. APPROVAL TO DECK � ,: 11.�roper',ty Sewer Line,& House Corinection �= � l 62. Backwash & Receptor-Final ,� 12. Sewer Cap ':.1 -j � ' �S - . 63. Heater & Vent-Final � 13. Roof Dreins ",� a. , �: 64. Plumbing System - Final ;, 14. RougR�Plumbing ~ � � � 65. Elecvical-Final � ) 15. Rough Electrical-Conduit - 66. Solar System-Final i 6. Rough Electric Wiring - � 67. Fencing & Access Approval 17. Rough Wiring Sign , � 68. APPROVED FOR PLASTERWG 18. Rough Electrical-T Bar Ceiling 69. �POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating J1. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing . 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing . 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28: Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECT�ON 32. Elec[rical Power Meter-Final 80. FOOD.CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating�& Air Conditioning . . 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final . 40. Gas Service-Final f' �l� �' 41. Solar pomesticFinal 42. Backflow Preventer � 43. Backflow Irrigation � 44. �Landscape Irrigation System - 45. Sound Attenuation � 46. Handicap Regulations, . 47. FINALSTRUCTURE&BUILD�NG 48. Special Requirements Completed � 49. Electric Reiease to Edison - , � 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOFOCCUPANCY No. � � �Date � � � ��o � TA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. GLIPOIiNIA For Applieani fo Fill In Complefely TYPE OR PRINT BUILDING (" S � � S� ADDRESS J � COSTA MESA CALIFORNIA .� ■ 6IZE i�J � BBTBACK LIN6 PROM FEE RECEIVED :IAN 2 3 t; ,; t OrCu�� F(NANCE OEPT. APPg��pl$�R �ld1T BUILDING' For Office Use Only -r. •• PHCE ,ED/BY I p �E �� V�/ � DAT V / � TEI. BUI�DING NO. ADDRE88 NE„�' � COSTA MESA. CALIFORNIA O I NO. OP B1dGB. OF WORK FIRE � 'y ZONIN . . ZONe" I NO. OP U6E OP 1 � PLANB Bl1ILDIN6 L6OAL A� �j� O[BGRIITION�y-� � � `�/. e e vn � � � �//l �� (CBNRR LINE BTJ e� 1 HlHEBY ALKNOWlPDOe TMAT I XAVB pHAp T1118�YWTION 'n{C AMOUNT BHOWN tlNDER VAL�IATION IB POR TX¢ ANO BTATE THAT THE ABOVH 19 CORPEGT ANp AG M COM- pUPP098 OP EBTA9LIBHING A v2pMlT PEE ONLY. PLY WITH ALL CIiY tl�INANCEB ANO 6TAT8 NW9 RHOYLATNO 9u1L01No coNeiRUCTION. VALUATION /� SIGNATURE OF ��y' O� 'PERMIi FEE $ 9L � PERMITTE �� t' � v ��%/ � . r �� S y/ L� PLAN CHECK $ AUTHORIZED AGENT �/ TOTAL FEE � 0 ,,�, COSTA MESA BUIL�IIIy—SAFETY DEPANTMENT . �.= � y p. 0. X It00 Costa Mesa, Califomia in TG - - TRACT N0. pEC'0 BY '% COn[I2C[Of _ LOT N0. E (.D AddlCSS O BUILDING USE QDATE ISSUEO Zip Code � '+ ' � � �+ State License No O / Class. G�� pD0AE5G ��,�� .� �Ze � City License No. Tel. No. N0. ITEM EACN FEES COSTA MESn, CnLIFORNI� �� NEAREST ^ .C�'�\`V FAU, Wall, or Grav. Cn055 sT, f�� 0 Furn.Incl.Ductsand ,, �� r w VB�tS OWNER � [OIOOOOOBTU MAIL ( \\`/ Q � 0 A�DRESS �`,( „ \\ �✓ J oVet 10 , �� CITY \\/ �, r TEL. NO ��/�Q � � Vent 11�k8{�Rt��i�f' 'CLIOq$ t� +c r ��'.� 1 heaby ecknowledge that I have roed this application i end e ter -�� J and�'stete�that the ebove is correct and agree ro comply er or ep ace � q � A liance -q,'Adth 011yCity Ordinances and State Laws regulating Hea[- W PP d ver eet o ��, (��g�Ventilating, Re(rigcwtion and Air-Conditioning. 0 9as PiPing �ti . � BOILERS OR ,r� �' 1 certify that I possess the above valid State of CaliG a COMPRESSORS 'S� . �` omia classification or I am the legal owner of the single w �/-� family rosidential property described above. v _ � 3 H.P. or less �� /V � Over H. . to q \\ yJ' Signaturc o 15 H.P. 'F \ 1� � � P ertni ttee � Vent Fan—Sin Ie,D�uct' � �"� �� ' REMARKS: W Ventilating�Hood � M��.�� C �3� o y� } RPPROVFlS INSPECTOR OATE y Ducts Underground y Ducts in Structurc S Ducts Ventila[ing F- Sub-Total Reinspection Fee Processing Fee TOTALFEES CMF 0449-46 Heat�ng — Rough Hoods Refrigcration Lines Prossuro Yest Air-Cond. Final Ventila[ing Final Heating Finel Refrigeration Final I Final Gas Tcst ' Utility Co. Notified BLDG. PERMIT NO. COSTA MESA BUILDING—SAFETY DEPAflTMENT P.O. BO% 1200 Costa Meaa, Calitornfa TEL. NO. fATE LICENSE NO.�� / � «AS�� ITV IICENSE NO. NO. ITtM GCM Dwellinp, Sq. F�. f Garage, Sq. Ft. Fint 40 OuNels, aach o��ie,., nd�r�bt 1 R E Firs� 2�Qi1 OC8GF1�..1 /� Fon Heater Oven, Domeslic Pole, Canalruction � Range, Dome tic �EFf 2223 8/03/81 5.�0 TL PERMIT NO. TRAC7 NO. REG'D 8Y F q' LOT NO. DATE ISSUED � bUILDING USE � �I A / 6 i/ COSTA MESA, CAUFORNIA NE�YEST CRO55 ST ITY '�`./ j✓ � TEI. NO�Q /�( � l� v� I NEREBY�1(fK OWLEWE THAT I NAVE READ TXIS AVPLI- UTIOOO�� AIJ/�31ATE THAT iNE ABOVE IS CORRECT AND AGREE �TQQQfff �PLv3�WITN ALl CITY ORDINANCES AND STATE UWS REG 1 ELECTRIGL WIRING. � CERTI% THAT 1 POSSESS THE ABOVE VAUD STATE OF ULIIO¢NIA CIASSIf1UTION OR 1 AM TXE IEGAI ONMER OF TME SINGIE fAMIIY RESIDENTIAL PROPER7Y DESCRIlFD AlOVE. MO. ITtM - EAOI Sign 6 1 Trons. 2.00 Traro/orm�n KM� Genembn - � KW Moton �See Schedule) 3 HP �� MP Sub-Tmol Feet HP APPROVALS 776KG70! Mefen, ao. TEMP. POIE � UNDERGROUND CONDUIT � hermit Fae 3 00 ROWN � Sub-Tpfal FNf FIXTURES � POWER � Tofal Fnf OO UTIIITY CO. NOTIFIED I fINAL CMF 0313-46, rev. 7/7S For items not listed refer to Fee Sched�le s�DG. PERMIT NO. !!if � ��y,�� Rc s-! �-�1 . , _c. . - _ v, � � � �; . _ . — .<- .. .. , ,. � c�.t - 6.'r- ,Z{ � • ' � - '. , .� - � �� . f'+: fi.'�f - ' " " � . ' '"' , rn:b . ,. , . .r . ' _ . . , ' " _v..�'L�.? - . . _ . . ..7 ' . ' .. ._ . ... ..� i ' �. _ . ' . _ .. 'n. , . _ . �. , , � � r . ' , � ' . ' _ " . � ._ . . i .. " " � ' " � ' — � �, �"' ` " . '�'" ' ". _ �:� . . . .' ' " " ' 1 . . _ .. _ .. _ . � 1 i .. . i _ ;^ . _ . . . . ' . . \ : � � .