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Home My WebLink About744 19TH ST - Building Permits.lob nddress: 744 W 19TH ST Suite: Vicinity: TRASH ENCLOUSRE Parcel Number: 42226228 npp�icant: TERI WOOD Address: owner: 19TH & WALLACE Address 3100 AIRWAY AV C.M, CA Contractor. RHI Address: 68936 ADELINA RD CATHEDR4L CITY, CA Zip: 92234 BUILDING PERMIT Zoning: Phone: 949-768-2538 Zip: Phone: 714-424-9196 Zip: 92626 Phone: :(760)322-3600 license: 752648 B00-07259 Status: ISSUED Applied: 08117/2000 Issued: OB/17/2000 Arch : Eng: WILLIAM HARRISIHUNSAKER & ASSOC Address: Address: THREE HUGHES Phone: Phone: 949-583-1010 IRVINE ,CA Zip: License: 92618 License: C31737 SCOPE OF PERMIT TRASH ENCLOSURE FOR NEW RETAIL "AUTO ZONE" BUILDING. REF:B00-00340 Plan Check: $17.26 Permit: $26.55 SMIP Res: $0.00 SMIP Com: $0.50 Other: $0.00 Inspection: $0.00 Total: $44.31 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o Rear 0- 0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Lefl 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 ssao.00 so.00 u (714) 754-5273 • Fax (714) 754-4856 • wvnv.ci.costa-rr��€a��PRESSION PERMIT �% FAIR DFNE, COSIA MtSA, GA `JZti2ti Job Address: 744 W 19TH ST Suite: Vicinity: WHOLE BUILDING Parcel Number: 42226228 Zoning: ApplicanC KIM, DONALD G'qe. SGlitS �lrp) ' Address: 1115 E ELM AVE J , , Phone�. (714)441-1537. FULLERTON, CA Zip: 92837 Owner: ' 19TH & WALLACE . Address � 3100 AIRWAY AV C.M, CA Contractor . AMKOR EIRE PROTECTION Address: 1175 E ELM AVE FULLERTON,CA Pbone: 714-424-9196 Zip: 92626 Phone: (714)q41-1537 Zip: 92831, - License: 592083 Status: ISSUED Applied: 08/22/2000 Issued: 09/01/2000 ISSUED BY: SCOPE OF PERMIT � FIRE SPRINK�ER PERMIT FOR NEW COMMERCIAL BUILDING FOR "AUTO ZONE". INSTALL 50 FIRE � SPRINKLER HEADS. , REF: B00-00340 � Plan Check: $99.61 Permit: $15325 _ _ Other: $0.00 Total: $252.86 ;-.� � ..�_ _ ! . FEESUMMARY � Calc Valuation: S�,aao.00 Claimed Valuation: $�,eao.00 � NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-29, § 1, 12-2t-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. -. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlone and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 zaasas 16roo) // WORKERS' COMPENSA710N DECLARATION: � — � hereby effirm under penelty of perjury one of the following decleretions: ❑ I have end will malnlein a cenilicate of consent ta selt-Insure for workers' compensatlon, as provitled lor by senion 3700 of the Lebor Code, for the peAormance of the dwo�,a� wh�� ,5 ��, �s �u�ad. I have end witl maintain workers' compensation insu2nce, as repuiretl by sectlon 3700 oi ihe Lebor Cotle, for the peAortnance oi Na work tor which this pertnit LS Issuetl. My workers' compensation Insurance cartier entl pollcy number ere: Carrier. Policy Number: (This secNon need nof 6e completed tl the permit is veluetl at ane huntlred dollars /$f 00) or less.) ❑ I cenity that in the peAormance of the work for which this pertnil is issued, I s�ell not emp!oy eny person in any menner so es to become subject Io Ne workers' compensetion laws ot Calitomia, end egree that II I should bewme subjed to t�e workers' wmpensation provisions oi Section 3700 ot the Labor Cotle, I shall torthwith comply with these pr�s,,. �(�- �� .��n �/r �G� ApplicantSlgneNre: _—f(��/' Dete: �— WARNING: FAILURE TO SECUdE WORKERS' COAISEI SATIqJ dJVEM�E IS UNLAW FUL AND SHRLL SUBJECT PN EMPLOVER TO CRIMIW�L PENALTIES AND CML FlNES UP TOONE HUNDRED i10USFND DOUARE (510p,000�, IN ADDfTION TO1N �p$T OF OOMPENSATION, DAMAGES AS PROVIOED FOR IN SECiION 3)O60F THE IABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirtn Ihat I em Iicensed under provisions oi Chapter 9(commencing with Section 7000) of Division 3 ot Ihe Buslness and Protessions Code, end my license is In full iorce and etted. Lic. q Class p Contredors Signature: 1�t O wiv. 4 _ Date: CONSTRUCTION LENDING AGENCY: ❑ I herehy effirtn ihat Ihere is a wnsiruction IenCfng agency (or ihe peAortnance of Ihe work for whfch this pertnit is issuetl. (Sec. 3097, Civil Cotle). lentleYs Neme: Lender's AOdress: Signature: Date: OWNER•BUILDER DECLAHATIONS: I hereby flttirm that untler penfllry ot perjury Ihat 1 am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Busineu entl Protessions Code: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or repeir eny siructure, pnor to its issuanca, elso requires Ihe epplicant for such permit fo file a signed statement ihat he or she fs Iicensetl pursuent to ihe provisions of the Contrectors license Lew (Chapter 9(commencing with Sectlon 7000) of Divlslon 3 of the Business and Professions Code) or Ihet he or she is exempt therelrom antl the basis for the alleged exemption. Any violatlan ot Sectlon 7031.5 by any flpplicenl br e pertnit Subjects the eDPlicant to e cMl penalty ot not more than five hundred dollars ($500).): ❑ I, as owner ot the property. or my employees with wages as thelr sWe compensalion, WILL DO THE WORK, an0 the swcmre is not intended or oNeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law daes not apply m en owner of property who buitds or improves therean, antl who does such work himself or herseH or ihrough his or her own employees, provided �hat such improvemenis nra not In�ended or oHereC for sele. If, however, the bulltling or improvement is sold within one year ol completion, the owner-builder will have the burden oi proving that he or she ditl not Guild or improve for purpose ot sele.). ❑ I, as owner ot lhe property, am EACLUSIVELY GONTRACTING WITH LICENSED CONTRACTORS to construct the O�a�ect (Sec. 7p44, Business and Pmtesslons COCe: TTe contrecrors Ucense Lew does not apply to an owner ot properry who Gulltls ar Improves thereon, and who conhacts lor such projed wlth a comrector(s) license pursuant to the Convactors License Laws.). ❑ I em exempt untler sec. Business antl Prolessions Code for this reason: 6ignaNre: Date: Owner fD venfied by drivers license. ❑ Yes ❑ No OriveYs License No. Eapires: Venfication ol Ownership by (type oi document, i.e. - propeM �� blll or Oeetl): DIY75tON OF INDUSiRIAL SAFETY PERMI7 CERTIF7CATON: ❑ I hereby certify thet no excavation five (5) or mora taet in depi� into which e person is requlretl to tlescend, will be made in conneciion with work euthonzetl by ihis permit, end tha� no building SWcture, scattolding, �alsework, or demolition or tlismantling Ihereof, will be more than t�irry•sis (38) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Calitomla Atlminisiretive Code). ❑ As ownervhuilder, I will not employ enyone to do work w�ich would require a pertnit irom t�e Division oi Intlustrial Sefery, as notetl above, unless such person hes a permil to do such work trom the division. Signature: Date: Division oi Industrial Safery Permit Number: CERTiFlCA7E OF COMPLIANCE AND AUTHORQATION OF EMF1V: I certify untler penalry ot perjury that I have read ihis application and state that Ihe infortnetlon given is corred. I agree ro comply wit� all state laws end ciry oNinances releting to building wnsWctlon, antl authonze representafives of the Ciry of Casla Mesa ro enler upon the above-desCnbed property for inspection puryoses. I egree not to occupy or allow occupancy ot eny building euthorized by ihis permit until finel inspection. �� . • " tll�. �' 1616 Fixetl System Finel Fire PrevenUon 1266 Pool Spa Final 200 Finel Fe-Rool 207 Flnel BIocWRetaining Wall 202 Finel Factory Fire Place 203 Finel Sign 266 Finel Demolition �g � 4QQ� INSPERIONTYVE 206 Finel Mechanical 208 Final Plumbing 210 Finel Elec�ripal 212 Final Fire Preventlan 220 Finel Planning Approval 222 Final Site 250 Final Building/Occupancy g/l %`bU Date •.1 Jlll"" �/1 1. , _ . .. . . . . . _ � CITY OF COSTA MESA � Development Services, Division of Building and Safet� CERTIFICAT-E�OF:OCCUPANCY ,,—.- — .: - ,,. ,-�� , , ', i' '��\ �� i , , � , � , � �=;. This certificate is issued pursuant to the requirementsbf_the Uniform Building Code, SecHon 308 adopted by the City io, -� �� - _ , � �.� of Costa Mesa certifies that at the hme of �ts issuance the building structure Fierein below described was inspected and approvedforoccupancyasfollows�� 'r� ��/ 'i'`� r , ,�� /�� ,� Building Address 744 W.�19th/Street ( I � :\ lag Pe'rmit Number 800-00340 ��C�,"l'- "� �n'� � " � ��.�1�1�\� 5,403 SF�RetaLT"Auto.P,ar.fs-Buildi �""�� Use �� _ S � � �;A�,--� l, „,� . ,.� ��' ��, � � c, �� ;�� , ;� � Groap M Type�f Co struction•a ��^e✓0=N' �'ea,z' �Fice�Zo�e ��-� :� Use Zone .Ai ��'�, A ' � � ; i'_. Owner of Building Washburp Thomas B S�R"'E� ,�� _ �Tenant ��to Zone" �� se �� %�t"�J,'i Address 200 Sapphire�5tieet Ap[. C, Redondo=Beach CA'90277,-,4238 ��a �� .A, . � - � / v n� r � � t ` � � � X-� � �' �'� � `� �'�� ,. _ By 'Po � BUILDING OFFICIAL-R1CLC E��- $IOW�ri�C_ B �� j, �� Oj � �; -�- ;Date�li �,January 4, 2001 , � �\�,:� � , �. a—� /, �: _ �,:�.c"- . i ;�. __ _ REQUIRED TO BE POSTED IN �A CONSPICOUS PLACE pta) 754-5273 • Fax (7i4) 75a-a856 • www.ci.costa-mesa.r��LDING PERMIT �� FAIR DHIVt, GU51 A MtJA, Gn a[b[n JobAddress: 744 W 79TH ST Suite: Vicinity: NEW BUILDING Parcel Number: 42226228 App�icant: WAYNE DUTRO Address: Zoning: ISSUED BY: Status: ISSUED Applied: 03I16I2000 ISSued: 08/01I2000 Phone: (714)573-7403 Zip: owner: 19TH WA�LACE PROP GROUP LLC � Address 7618 ROGERS RD � Phone: FORT WORTH, TX Zip: 76107-6514 _ Contrector: � RHf Address: 68936 ADELINA RD Phone: (760)322-3600 CATHEDRAL CITY, CA � . Zip: 92234 License: 752648 ' Arch : ROY THOMAS HEIGLE Eng: Address: 60 MADISON AV Address: . Phone: Phone: � � MEMPHIS, TN . � Zip: 38103 License: License: �vvr� vr r�nm� � 5,403 SF RETAIL AUTO PARTS BUILDING FOR AUTO ZONE. REMOVE EXIST- PAVEMENT AND REPALCE . SEE DR-99-19 Plan Check: $1,373.94 Permit: $2,113.75 SMIP Res: $0.00 SMIP Com: $63.00 Other: $0.00 Inspection: $0.00 Total: $3,550.69 SETBACKS � � � MAIN STRUCTURE Front 20. D Rear 77• 0'� ACCESSORY Front 0-0 Rear � 0-0 PARKING Existinq: 0 " Reauired: 22 NOTES: FEE SUMMARY Calc Valuation: Claim Valuation PLANNING 8 ZONING Left 40- 0 .Left �� 0-0 � . - Pr000sed: � 22 . � Right 20- 0 ' ' Right . 0- 0 ; � $300,000.00 $300,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. - � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 / zaawe c�oo� U 4 � WORKERS'COMPENSAnONDECLARAnON: I hereby eXirm under penalry ol perjury one oi ihe tollowing dedarations: ❑ I heve antl will maintain e cenificate of consent to self-InSure lar workers' compensetion, as provitled for by section 3700 ot the Wbor Cotle, for Ihe pertortnence of ihe work for which Ihis pertnit is issuetl. Q�1 hava end will mainleln workers' compensation insuranca, as required by section 3700 of the Lebor Code, tor Ihe pertortnance of the work for whiU ihLq pertnit is issued. � TNy workers' compe�setlon Insurance cerner and poliry number are: Cerriar. Policy Number. (This section need nof completed il the Oermit i value0 at one hundred dollars ($f 00) or less.) ❑ I certify Ihat in the pe rtnance of the work i w�i this permit is issueq I shell noI emDloy any person in any manner so as to become subjact to the workers' compensation lews of lifomle, end egrae t t if hould becoma subject to ihe workere' compensa�ion pmvisions of Sec�lon 3700 of the Lebor Cotle, I shall torthwit� comply with these p�oNs ns. Applican� Signature: Date: �V � r0 G WAqNING: FAILURE TO SECURE WORKERS' PENSATION COVEMGE IS UMAWFUL AND SHML SU4IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDREO THOUSAND DOl1ARE �E100,0001� IN FDDfTION TO THE COST OF COMPENSATION, DAM1WGES AS PqOVIDED FOR IN SECTION 3lOfi OF TME UBOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS I hereby aflirm Ihat I am Ilcen: force antl effect. Lic. N_ � ConirectofsSignaWre: � with Sectlon 7000) of Division 3 oi ihe Business and Professions Code, end my Ilcense Is in full Class k Date: O( O CONS7RUCTION LENDING AGENCV: ❑ I hereby ettirm that ihere is e construdion lending agency for Ihe pertormance of ihe work for which �his pertnit is issued. (Sec. 3097, Civil Cotle). Lentlers Neme: Lendafs Atltlress: Signature: OWNER-BUI�DER DECLANATONS: Date: I hereby aHirtn that untler penalry at perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE lAW tor the fdlowing reawn (Sec. 7031.5, Business end Professions Cotle: My dry or counry W�ic� reQuires a pertnit to wnsiruct, alter, imprwe, demolis�, or repair eny sWCNre, prior to its issuance, also requires Ihe applicam tor such pertnit to tile a signed statemem t�at he or she is licensetl pursuam to the proWsions of tha Conireaors License Law (Chapter 9(commencing with Section 7000) oi DiWslon 3 oi the Business anG Professions Cude) or thet he or she is exempt Iherelrom antl ihe basis tor the alleged exemption. My violation of Section 7031.5 by any applicant tor e pertnit subjects the epplicant to a civil penalry oi not more than fve hundred dollars (5500)J: ❑ I, es owner of �he properry, or my employees with weges as iheir sole compensa�ion, WILL DO THE WORK, an0 the siructure is not intende0 or ottered for sflle (Sec. 7044, Business and Protessions Code: The Contractors License Law dces not epply lo an owner of property who builds or imDroves thareon, and who does such work himseli or hersel� or ��ouqh his or her own employees, piovidetl that such improvements ere not intendetl or oRered for sale. I(, howevar, the building or Improvament is sold within one year of completion, ihe owner-builtler will have Ihe 6urden of proving t�at he or she ditl not build or improve for purpose of sale.). 0 I, as owner ot the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prqect (Sec. 7044. Business antl Professions Code: Tha comrecrors Llcense Law does not apply to an owner ol pmperty who bullds or Improves thareon, an0 who coniracts for such project with a contractor(s) license pursuent to the Contrectors License Lews.). ❑ I am esempt untler sec. Business and Professions Cotlo tor this reason: Signatura: Date: Owner ID veritied by tlnvefs license. ❑ Ves ❑ No Dnvers License No. Vetllication ot Ownership by (type of tlwumeni, i.e. - pmperty tax blll or daed): DIVISION OF INDUSTRIPL SAFETY PERMIT CERTIFICA710N: Expires: ❑ I hereby certity that no excavation five (5) or mora teet in depth into w�ich e person is required to descend, will be matle in connedion with work euthodzed by [his permi�, and that no building structure, scaHolding, talsework, or Aemolition or dismantling t�ereol, will be more than Ihirty-six (36) teet �ig�. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle B, Califomla Administrative Code). � As ownerbuilder, I Will nol employ anyone to do work which woultl require a permit imm t�e Division of Industnal Sefery, as noted above, unleu such person has e permit ta tlo such wtl� <<om Ihe division. Signatura: Date: Division of Industrial Sefery Permit Number: CERTIFICATE F COMPU�CE AND AUTHORIZA710N OF ENTRY: I certify under penalry of perjury Ihat I have read this application and stata that Ihe infortnation given is correc�. I egree o comply with 811 s�ale laws nd city ortlinances releting to 6uiltling consiruction, end authorize representetives ot the City ol Coste Mese to entar upon ihe ebove�described roperty for inspection �rp�ses. I egree not to occupy or ellow occupancy of uny 6uilding aNhorized by this permit until final inspectian. WOE I. INSPECTIONTYPE 1616 Fl:ed System Finel Fire Preventian 1266 Pool Spa Flnel 200 Final RB-ROoi 201 Finel BIocWRetain��9 Well 202 Final Factory Fire P�ace 203 204 Final Sign Final Demalition �g I�� Date '. O� OU Data COOE� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbi�g 210 Final Electncal 212 Final FireFrevention 220 Final Planning Approval 222 Final Site 250 Final_euilding/Occripenq � �� (714) 754-5273 • Fax (�1d) 754-4856 • w�wi.ci.cosla-mesa.ca.us 77 FAIR DRIVE, GOS7A MESA, GA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 7q4 W'19TH ST EAST SIDE OF LOT 42226228 • Applicant: DUTRO, WAYNE Address: 68936 ADELINA RD CqTHEDRAL CITY,.CA� owner: = "19TH 8� WALLACE Address" 3100 AIRWAY AVE � �COSTA MESA, CA - Contrecror. RHI Address: 68936 ADELINA RD CATHEDRAL CITY. CA Phone: (760} 3223600 Zip: 92234 Phone: (714)424-9196 Zip: 92626 � Phone: (760) 3223600 - ' �Zip: 92234 License: 752648 SCOPE OF PERMIT ELECTRICAL PERMIT FOR 3 NEW LIGHT POLES FOR "AUTOZONE". REF: B00-01473 � � ISSUE FEE Temp service�test Res. a/c package New Res (1-2.units) New Res (3+units) � Pool / Spa Lighting Fixts - - Recept Outlets Switches , ' Non Res Appl , Res Appl Service to 200a � ' . Service to 1000a '� �. Service over 1000a � Motors to 1hp � Motors to 10hp ' Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Quantity $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 � $0.00 � 0 $0.00 0 $0.00 , 0 $0.00 0 $0.00 0 $0.00 . - 0 50.00 0 $0.00 0 $100.50 3 $0.00 0 $0.00 0 $0.00 0 Status: ISSUED Applied: 0920I2000 Issued: 09I20R000 . ISSUED BV: � � � FEE SUMMARY . -- -. -- � ' � - - -� Quantity � - Temp Dist System / Lighting $0.00 0,; Busway /100 ft $0.00 0 � � Standing Section . $0.00 0 ' Misc Electrical Equipment $0.00 0 � : , . Transformers up to 1 kva/kw $0.00 . 0�- -, : - �;- ...:.-.:...._..up to 70 kva/kw $0.00 . .0� �� `�.. -� ...........`�..'up to 50 kva/kw $0.00, .: 0 �� . - .............: :'up to 100 kva/kw $0.00 � � 0 - �� . ................:.over 100 kva/kw '�. �50.00�� 0 : - � � " �� Low Voltage Equipment' � - 50:00 0 ` ' Low Volt Wiring System / Ckt ,$0:00, � 0 _ � Misc. Conduit � .- $0.00 �� 0 - Misa Conductor `�� $0.00, ��%-0 j �.� _ Clrcus ( gen or ride) - � � ' $0;00 ' 0� � Circus (mech ride or lights) ,� $0.00" ,- 0� ' � Christmas Tree Stand ` , $0.00 � - 0' Fireworks Stand $0.00 � , �0 ' Other Electrical Fee , - F0.00 � � Investigation Fee � - � $0.00 Plan Check Fee " - - $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES E724.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by tnis permit shall comply with all applicable handicap access requirements under Calitornia slatutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspentled or abandoned for a period of 180 days. INSPECTIONS: In ortler for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all �equlred Inspectiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this.pe mit� FOR INSPECTIONS CA�L: (714) 7545626 \i� 244Fd6 (NW) WORKERS'COMPENSAnON DECLARAnON: I hereby eHirtn undar penalry of perjury one ol tha following declarations: ❑ I have and wlll maintain a �ertiticete ot consem to sell-Insure tor workere' campensation, es provided for by sectlon 3700 of ihe Lebor Code, tor the peAortnence of Ue work for which t�is pertnit is issued. ��-1'have and wlll maintain wo�kers' compensatlon insurence, as requiretl by section 3700 W Ne f.eDor Code, for the peAOrtnance of ihe work for which this pertnit Is issued. .�^�•� biv�u'orkers' wmoansation Insurence carrier end ooliw number ere: _L Pottcy NumDer.-zz �� d�{ � j iers($100)oiless.) � ❑ 1 certity �het in ihe peA ance of the work fo �whi ihis pertnit is issued, I shflll not employ eny person in eny manner so as to bewme subied to the workers' campensation laws of C lifomia, entl egree th � II 1 hould become sub�ect to t�e workers' wmpensation provisions at Section 3700 of the Lebor Code, I shell tort�wtlh comply with these provisi �5. [„Appliwn� Signature_� .'� / �, ._ . Date:�-f� j2� I � G WARNING:�FAILURE TO SECURE W�KERS' COMPENSATION COVERAGE IS ONLAW FUL AND SHALL SU&IECT AN EMPLOVEF TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE� THOUSAND DOLLARE (E100,000). IN ADDITION TO THE COST OF COMPENSATIpN, DAMAGES AS PROVIDED FOR IN SECTIIXJ 31O60F THE tABOR CODE, IMEREST, PND ATTO(iNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm t aLl.am.licensed under pravisions of ha�}er 9(commencing with Seaion 7000) oi Divisian 3 ot the Business and Profeuions Cotle, and my license is in tull force and eHecL Clc. M t�7 . � I ;61ass q, � Coahaaof.s Signetur �; — Dete:—�/- 7ll I n n u.�-�__. - �`id ly»., ` , CONS7RUC710N LENDING AGENCY: ❑ I hereby aRirtn that there is a wnsiruction lending agency for the peAortnanco ot Ihe work Por which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lentler's Atldress: Slgnature: OWNER-BUILDER DECLARATIONS: Date: I hereby ettirtn that under penalry of perjury t�at I em E%EMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business end Professions Code: Any ciy or counry which requires a permit to consWct, alter, improve, tlemolis�, or repair eny s�ructure, pnor to its issuance, also requires ihe applican� for such pertnit to file a signed stetement ihat he or she is Ilcensed pursuam ta the provisions of the Contractors IJcense Law (Chepter B(commencin9 wlih Saction 7000) oi Dlvision 3 of the Business entl Prolessions Code) or that he or she Is exempt t�erefrom and the basis for the alleged ezemption. Any violation of Section 7031.5 by any epplicant for e pertn0 subjecis ihe applicant to a civil penelty of nol more ihan five �undred dollers ($500).): ❑ I, as awner ol Ihe properry, or my employees wlth wages es iheir sole compensetion, WILL DO THE WORK, end the strucWre is no� IntenGed or oMereO tor sele (Sec. 7044, Busineu and Professions Cotle: The Contractors License Lew does not appty to en owner of pmperty who 6u�lEs or improves theraon, and who does such work himself or herself or through his or her own employees, provided that such improvemants ere not Intended or ottered for sale. H, howaver, t�e builtling ar improvement is sold within one year ot comD�etion, the owner-builtler will have the burAen of praving that �e or she did not �uild or imprwe for purposa ot sele.). ❑ I, as owner of the properry, am E%CLUSIVELY CONTRACTNG WI7H LICENSED CONTRACTORS to cronstruct the pmject (Sec. 70a4, Business entl Professions Code: The contractors Lice�se Law does not epply to en owner ot property who builds or improves Iheraon, antl who cromracts tor such pmject with e contrector(s) license pureueN to ihe CoNreclors License Lews.). ❑ 1 am exempt under sec. eusinass and Professions Cotle tor this reason: Signature: Date: Owner ID venfietl by dnvals license. � Yes ❑ No Drivefs License N0. Expires: Venfication ot Ownership by (typ0 0l daumenL i.e. � property tex bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no exce�aiion flva (5) or more feet in tlepth into whlch e pereon is required to dascend, will be made in connection with work authorized by ihis permit, and thal no builtling structure, scaHolding, falsework, or demolilion or dismantling thereof, vnll be more than lhirly-si� (36) feet high. (Chap. 32, Carp 2, Af12, Sec. 341, Title 8, Celitomia Atlminisireiive Code). ❑ As owner-builtler, I will not employ enyone to tlo work which would require a permit from the Division ot Intlustnel Safery, es notetl above, unless such person has e permit to do such work from I�e division. Signeture: Date: Division ot Industrial Satety Parm�t Number. CERTIFlCA7E OF COMPLJANCE NdD AUTHONIZATION OF ENTRV: I certity under penalry oi perjury that I have reatl t�is application entl state that ihe information g��en is I cortect I aQree to compty with ell stet laws end ciry ordlnances refaling to tui!ding construclfon, entl eulhorize representatives of the Ciry of Costa Mesa to enter upon t�a ebove-desc2bed propeM �ar inspectio�i purppses. I egree not to occupy or allow occupancy of eny building authorized by Ihis parmit until tinel inspection. COpE1, INSPECTIONTYPE 1616 Fixetl System Final Fire PrevenUon 1266 Pool Spe Final 20� Final RaRoof 201 Final BIocWRetaining Wall 202 Fiaal Fecbry Fire Place 203 Finel Sign 204 Final Demolitlon rl.{Iq �@ �a INSPELTIONTYPE 206 Final Mechanical 208 Final Plumbing . _ . 210 Final Elecirical 212 Flnal Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final euiltling/Ocwpency B9IE v. d� ��ia� �sa-svs • Fax (714) 754-4056 • www.ci costa-mesa��DING PERMIT Job nddress: 744 W 19TH ST Suite: Vicinity: EAST SIDE OF LOT Parcel Number: 42226228 ' Applicant: DUTRO, WAYNE Address: 68396 ADELINA RD CATHEDRAL CITY, CA _ owner: 19TH & WALLACE Address 310D�AIRWAYAVE � " .COSTA MESA, CA Cont�actor: RHI' � � Address: 68936 ADELINA RD CA7HEDR4L CITY, CA � Zip: 92234' . Arch : Address �. Zip: Phone: � License: Zoning: �� .Phone: (760)322-3600 Zip: 92234 Phone: (714)424-9196 � Zip: 92626 Phone:,. (760) 322-3600 r�� • License:. 752648 Eng: . - Add�ess: 77 FAIH UHIVt, GUS I A MtJA, GH yZtiZti Status: ISSUED Applied: 09/20/2000 Issued: 09/20/2000 ISSUED BY: .. � , . Phone: � � � License: � SGVF't Ut YtKMI I - � ' INSTALL 3 LIGF{T POLES FOR NEW COMMERCIAL BUILDING FOR "AUTOZONE". �' � � �— - - . _i._ ._ _ ._. ..... . ..�. � REF: B00-00341 - . r - _ �_ :� FEE SU� Plan Check: $54.11 . Permit: $83.25 SMIP Res: $0.00 SMIP Com: $0.53 Other: $0.00 . Inspection:' � $0.00 , �Total: � $137.89 ��-=-�-�� _ � " '; �� ._ _ ' . " . PLANNING „ . 2Y '_' _ �_ � Calc Valuation: 8z,soo:oo' �� Claim Valuation: ;; � � $z,5oo.00 ;%; � � - :� -�_;��. ,,;� , , , , --' �,�, ��. ��, � ZONING � � �''�� " ' �, � ; , SETBACKS � � � _ , '/ � ;"' ,!'; l MAIN STRUCTURE Front 0. 0 - Rear 0. 0 � Left -=0- 0 Right. = 0- 0" , � � � , � ACCESSORY Front , 0- 0 , Rear 0- 0 Left ,: , 0- 0_ , Right -0= 0'� ��-, "_ PARKING Exi_ stinq: 0 Required: 0 Proposed: 0 NOTES: NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. - INSPECTIONS: In order ibr ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all reQulred inspeetione and }inal approval must be obtained_ Failure to obtain inspections and final approval will result in the expiration of this�� FOR INSPECTIONS CALL: (714) 7545626 zas�as ��oo� V WORKERS'COMPENSAnON DECLARAnON: I hereby eHirm�under penalry of perjury one of the following declarations: ❑ I heve end will maintain a certifiGete of consent to selt-Insure for workers' compensatioq es providetl tor hy section 3700 of Ihe Labor Gode, tor the pertormance of �he work for which Ihis permit is i55Ved. �� I'I�ave an0 will maintain woAcers' �mpensation insurance, as required by secGon 3700 of the Lebor Cotle, for Ne pertortnance of Ihe work for which this pertnit is issued. _—My workers' compensatlon Insulance wrder and poliq number are: 7� c7 Uc�, Q CarrierSTA:fy Cp�'NO�h7'lAT7Wf /hl S. �UN� P'olicyNumbei:UL L�� I p p ( S �(This'section need nof be comp eted il the permif is valued et one huntlred dollars ($100J or less. J ❑ I certily that in the pe� mance 0� t�e work for w ich his pertnit is issued, I shall nol employ any person in eny manner so as lo become subject to ihe workers' compensation laws oi C'a�ifomia, end egree that I I s ould �ecome subject to the workers' compensatlon provislons ot Section 3700 0l the Lebor Coae, I shall forihwith comply with Ihe provisid�is. —`�`' �/ Q� 'Applic2nt Signe_ t e � �-J��V �`Date: � P'a'�:. WAFNING FAILURE TO SECURE WORKEPS' COMPENSATIqJ COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES lIP TOONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITIad TO1HE C0.5T OF COMPENSATION, DAMAGES AS PROVI�ED FOR IN SECTION 3lO60F iHE LABOR CODE, INTEREST, AND ATTORNEI"5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm Ihat I am lice etl uode� ov�isiQn ha er 9(commencing with Section 7000) of Division 3 otthe.8usiness and Professions Code, and my license is in full force end eHect Lic. A_} Z��-1 � Class R 7 �-=.�. Q Contractofs�SlgnaNra: - Date:"- 7CJ L:.tt?._ �'; CONSTRUC710N LENDING AGENCV: � ❑ I hereby aHirm Ihal there is a consiruction lending agency for ihe pertortnance of Ihe work for which �his Oermit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lender's AtlOress: Signature: OWNER•BUILDER DECLARATIONS: Date: I hereby aXirtn that under penalty of pe�ury thal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7037.5, Business end Protessions Cale: A�y ciry or counry which requires e pertnit W coastruct, alter, improve, damalish, or repair eny strucNre, pria to its issuance, also requ+�es the appi{cant tor such pertnit to file e signed statement ihet he or she is Ilcensetl pursuant to the provisions of the Coniractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of iha Business end Professions Code) or that he or she is exempt iherefrom end ihe besis for ihe alleged ezemption. Any violation of Section 7031.5 by any applicent for e pertnit subjects ihe applicant to a civil penalty o� �ot more ihen five hundretl tlollars ($500).): ❑ I, as owner ot the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intentle0 or otfered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Lew dces not apply to an owner of property who builds or improves the�eon, and who tloes such work himseN or hereelf or ihrough his o� her own employees, providetl ihat such improvemenis are not intentletl or offered for sale. It, howeve�, ihe building or Improvement is soltl within one year of completion, ihe owne�-builder will have the burden of proving Ihat he or she did not build or improve for purpose ot sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Professions Code: The contractors License Ldw tloes not apply to an owner of property who builds or Improves t�ereon, end who wntrads tor such project wi[h a comractor(s) license pursuant to the Contracto�s Ucense Lews.). ❑ I am exempt under sec. Business and Professions Coda for Ihis reason: SiqnaWre: Date: Owner ID verified by dnver's license. ❑ Yes ❑ No Driver's License No. Veritiwtion of Ownership by (rype of do�ument, i.e. - properry tax bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETY nERM1T CERTIFICATION: ❑ t hereby ceftify ihat no excavatlon �ive (5) w mwe feet in depth into wfiich a person is required to tlescend, will ba mada in connection with work authorizetl by this pertnit, antl Ihal no building sirucWre, scattolding, falsework, or demolition or tlismantling Ihereot, will be more Ihan thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Administra��e Cotle). ❑ As owner-builder, I will not emplay enyone to do work which would require a permit irom t�e Division ol Industnal Safery, es noted above, unless such person hes e permitto da such workfrom the division. SignaWre: Date: Division of Indusirial Safety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AIJTMORVATION OF EMRY: I certity under penalry ot perjury ihat I have read this application and state ihat t�e infortnation given is correct 1 egree to comply with all stete lews antl ciry ordinances releting to building constmction, end authonze representatives of ihe City ot Costa Mesa to enter upon t�e ebove-deffcribed property tor inspectioq purposes. I egree not to occupy or allow occupancy of any building authorized by ihis permi� until finel inspeclion. CODE t. INSPECTIONTYPE �'�� PAIE IMIMLS 1616 Fixed System FinalFire Preven�ion 1266 Pool Spa Finel , 200 Final RaRoof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition �,Qjf,,,( INSPECIIONTYPE 206 Final Mechanical 208 Final Plumbing 270 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy �g �� (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us BUILDING PERMIT JobAddress: 744 W 19TH ST Sui1e: Vicinity: Parcel Number: 42226228 � . Applicant: IHAB RIAD Address: Owner: 19TH & WALLACE Address 3100AIRWAYAV C.M, CA Contractor. ' SEIZMIC INC Address: 161 ATLANTIC ST POMONA,Cq Zip: 97768 Zoning: Phone: 909-869-0989 Zip: Phone: 774-424-9796 Zip: 92626 Phone: 909-869-0989 License: 665374 77 FAIR DRNE, GO51 A MESA, GA 926L6 Status: ISSUED Applied: 07/31/2000 Issued: 08/15/2000 ISSUED BY: � � nrch : Eng: SAL FATEEN Address � . Address: seizmic material handling eng � Phone: POMONA,CA Phone: 909-869-0989 161 ATLANTIC ST Zip: License: 91768 License: C25969 , SCOPE OF PERMIT STORAGE RACKS FOR "AUTOZONE". RE:B00-00 , � . � � Plan Check: $313.72 Permit: $482.65 SMIP Res: $0.00 SMIP Com: $7.14 Other: $0.00 Inspection: $0.00 Total: $803.51 SETBACKS�� , , MAIN STRUCTURE Front 0- 0 ACCESSORY Front 40 PARKING Existinq:' p NOTES: � Rear, 0- 0 Rear 0. 0 � Re uired: , 0 FEESUMMARY PLANNING 8 ZONING Left 0- 0 , Left 0. 0 "�Proposed: �0 Calc Valuation: Claim Valuation: Right 0-0 Right . 0-0 $34,000.00 s3a,000.00 NOTICE: The work authorized by this permit shall comply with all applicabla handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21•92) EXPIRATION: This permit shall automatically expira and become vold if work is not commenced within 1 BO days, or if work is suspentled or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized untler this permit to be consitlered legal, such work must COmply with all applicable codes, and all requlred inspeetlons and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permi�. FOR INSPECTIONS CALL: (714) 7545626 / zaasae leroo) ( J WORKERS'COMPENSATON DECLARATION: I here6y aHirm untler penalry oi perjury one of tne following declaretlons: ❑ I have and will maintain e caNticete oi consent ta selt-Insure tor workers' compensation, es proWAetl for by sectlon 3700 oi �he Lebor Code, for the pertortnance of t�e work for which Nis pertni� is issuee. I heve enC will mainian workers' compensafion insurence, es requlred by section 3700 of Ne LeUor Cotle, for the pertortnance of the work ta whid� thLS pertnit Ls issueG. M wo�rk+ers�'mI m Ao Insu2nce tarrier end I number re: G ? d Certier:Y l�l Ll-0 h ILi 1� �N l,�e%'i 11i� � y Pdicy Number. N B O (J I JI I/ � (This sectlon need not be completed ll fhe permit Is velued et one hundr dollars (5100) or less.) � I certify thet in the pertortnanca of Ne work lor whh compensacion laws ot Califomie, enC epree that It I I shell not employ eny person in eny manner so as to becoma subject to the workers' to Ihe workers' comoensetlon proNslons ot Sectian 3700 0l lhe Labor Code, 1 shall fotlhwlth SlgnaNre: � � � Dala: / ( J � 0 � FAI OSECUREWORI�RS'COMPENSATION MGE NLAWFULANDSMALLSUBIECT RIMINALPENALTIESANDCMLFlNESUPTOONEHUNDRED RE (5100.0OO�.IN ADqTION TO THE COST Of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECfIIXJ 31O80F TNE LABOR CODE.INfEREST, AND ATTORNEI"5 FEES. M1lyaflirm ihat I em Ilcensad and eflect. Lic. p ectors Signature:� 8 (commenGng with Settion C9 S�TA .UCTION LENDING AGENCY: ❑ I hereby eMirtn ihat Ihere is e conSiruIXion IerWing epenq fw the peAormance ol the work Lentlers Neme: Lender's AOOress: Slgnatura: OWNER-BUILDER DECLARATIONS: 3 of Ihe Businb s end Profe lons Coda, entl my Iicense is In tull C1895 M �Dale: O s pertnit is Issued. (Sec. 3097. Civil Codej. Dete: I herehy attirm Ihat under penalry of perjury Ihat I em EICEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason �Sec. 7031.5, Business antl Protaulons Code: Any ciry or counry which requires e permil to construct, elter, imprwe, demWis�, or repair eny.atructure, pdor to its Issuance, also requires ihe applicant for such permit to iile a signed statement ihet he or ahe is licen8ed pursuent lo Ihe proWsions ol the Conirectors Llcense Lew (Chapter 9(commencing with Sedlon 7000) of Division 3 oi t�e Business end Professions Code) or that �e or she is e:empt therelrom end the besis tor Ihe elleged exemption. Any violetlon ot Sectlon 7031.5 by eny epplicant for a pertnit suhJects Ihe epplicant to e Gvil penalry of not mo�e then fve hundred dollars ($500).): ❑ I, es ownar ol the property, or my employees wl�h wages es their sole compensetlon, WILL 00 7HE WORK, entl the structure is not inientled or oflereC for ule (Sec. 7044, Business and Protessions Code: ThB ConVac�ors LJcense Lew does not appty ta an awner of properry who bullds or improves Uereon, and who Ooes such work himselt or herself or ihrough his or her own employees, proNded that such improvements ere no� Intentled or ofleretl tor sale. If, however, the building or improvement is sold within one year ot completion, ihe owAer-buiider viiil have the Gurtlen ot proving ihat he or she did not builA or Improve tar purpose ot sale.). ❑ I, as owner of the properry, am E%C WSIVELV CON7RACTNG WfiH LICENSED CON7RACTORS ta construct ihe project (SacJ044, Business antl Pmfessions Code: The contractors License Law tloes not appy to an owner of proparry who builtls or improves thereon, entl w�o con[racts for such project with a coniracfor(s) license pursuant to the Cantradors LicensB Lews.j. ❑ 1 em exempt under sec. Signature: Owner ID verified by dnvers license. ❑ Ve9 ❑ No Business and Prolessbns Code for this reason: Vedfcation ol Ownership 6y (rype ol dacument, i.e. - DroPertY te�c bill or deed): DIVISION OP INDUS7FilAL SAFETY PERMR CER7IFlCATION: Dnvefs License No. Dete: Eapires: ❑ I hereby certity that no excevetlon live (5) o� more teet in depth into which e person Is required lo descend, will ba made In connecUon with work eulhoAzetl Dy thls permlt, and that no building siruCNre, scatlaltling, falsework, or tlemolition or tlismantling ihereof, will be more then t�irry-sia (38) feet hlp�. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle B, Califomia Atlministrative Cade). ❑ As owner-builder, I will not employ anyon0 to do work which would requlre a pertnit Iran Iho Division of Intlusirial Selery, es noted above, unless such person hes e partnit to do such work Imm the division. SignaNre: Date: Division ol Industrial Salery Permit Number: CEHi1FlCATE OF COMPIJANCE AND AUTHORWnON OF ENTRV: I cenily under penelry oi per�ury that I have read lhis epplication and stete that the infortnetion given is wrrect. I agree to comply with ell stete laws end ary ordinances releNng to bulldinp construction, entl euthorize representatives of t�e Gry of CoSte Mese to enter upon Ne aDoveEescribed properry tor inspectirn purpose9. � egree not to oxupy or ellow ocapency oi any building eutharized by this pertnil until linal inspection. Signature OI Lepal CQOE I. INSPECTONTYFE 161fi Fixed System Finel Fire Preventlon 1266 Pool Spa Finel 200 Finel RaRoof 201 Finel BlaWfieteining Well 202 Flnel Fectory Fire Place 203 Final Sign 206 Final Demolition �� + �. • � _ �iT:TE� � f�QQ� INSPELTIONTYPE 208 Final Mechanical 20B Final Plumbing 210 Flnal ElectdCel 212 Flnal Fire Preventlon 220 Final Plenning Approval 222 Final Site 250 Final BuildingiOccupancy � �� Z"Zi' � ��ia� �sa-s2�s • Fax (714) 75d-4856 • wNrw.ci.cos�a-mesa.BUILDING PERMIT .lob Address: 744 W 19TH ST Suite: Vicinity: TRASH ENCLOUSRE Parcel Number: 4222C228 Applicant: TERI WOOD Address: Owner: 19TH & WALLACE Address 3100 qIRWAY AV C.M, CA Contractor. RHf Address: 68936 ADELINA RD Zoning: Phone: 949-768-2538 Zip: Phone: 714-424-9196 Zip: 92626 Phone: (760)3223600 e 77 FAIR DflIVE, GO51 A MtSA, GA a[ti[ti �Slatus: ISSUED Applied: 08/17/2000 Issued: 08/17/2000 ISSUED BV: CATHEDRAL CITY, CA � 2ip: 92234 License: 752648 nrch : Eng: WILLIAM HARRISIHUNSAKER & ASSOC Address: Address: THREE HUGHES Phone: Phone: 949-583-1070 IRVINE ,CA - Zip: License: 92618 License: C31737 SCOPE OF PERMIT � TRASH ENCIOSURE FOR NEW RETAIL "AUTO ZONE" BUILDING. .� � REF:B00-00340 Plan Check: $17.26 Permit:' $26.55 SMIP Res: $0.00 SMIP Com:' $0.50 Othec $0.00 Inspection: $0.00 Total: � $44.31 � SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0. 0 PARKING Existina: 0 NOTES: _ _ FEESUMMARY Calc Valuation: Claim Valuation: PLANNING 8 ZONING �� Rear 0-0 Rear 0. 0 Required: 0 Left 0- 0 . Right 0- 0 Left 0- 0 Right 0- 0 .Pr000sed:� 0 - $540.00 so:oo NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: 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. INSPEC710NS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetlone and final approval must be ob�ained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 / zans�as ceioo) ` / WORKERS' COMPENSATION D&CLARATION: I hereby aflirtn under penelty of pefjury one of ihe tollowing Gedarations: ❑ I have antl will malntein a ceNficete of consent ta selt-Insure for workere' wmpensatlon, es provided tor by sectlon 3700 of ihe Lebor Code, tor the peAormance of the �ork for which ihis permit Is issuetl. heva entl will maintein workers' oompeitsalion insurance. es require0 by section 3700 ot Ne Lebor Cade, for the peAortnance oi tha work for which this pertnit is issued. My workers' comDensa[Ion Insurance carrier entl pollcy number ere: Cerrier: Poliry Number: (Thls sectlon need not be complefed il the pemrit is ve/uetl ef one ntlred dollers ($100) or /ess.) ❑ I cerlify that in the peAo ance of the work for which ihl pe , it Is Issued, I shall not employ any person in any manner so as to bacome subJect to ihe workers' compansetion laws of Ce mia, entl epree that if I sho d me sub�ect ro tho workers' compensetion provisions of Sectlon 370 ot �he Lebor Code, I shall torthwith compty with Nese rovision , ��' � q Applicant Slgnature: C'� Date: / O G WARNINCa: FAILURE TO SECURE WORKERS' Q'7MP NSAiION ODV GE IS UNIAWFUL AND SHALL SUBIECT AN EMPLOYER TO CPIMIWIL PENALTIES AND GNL FlNES UP TO pJE MUNDfiED TFIOUSAND OOLLARE �5100,000�, IN ADDRION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PpOVIDED WR IN SECTION 3]OB OF THE IABOq CODE, IMEFEST, AND ATTORNEVS FEES. LICENSED CONTRACT S DECLAHATION: I hereby eHirtn that I am Ilce u� W9'�slonspf Fh t 9(commencing wlth Section 7000) of Divlsion 3 of Ihe B force entl eflect. Lic. # L� � Class x Contractors Signature: Date: _ Professions Code, entl my license Is In full CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirtn ihat there is e construction lending egency for the peAormance of ihe work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lenders Neme: Lentler's Address: Signature: OWNER-BUILDER DECLARATIONS: Daie: I hereby etfirtn �hai untler penelry of perJury Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe tollowing reeson (Sec. 7031.5, Business antl Professions Code: My dty or counry which requires e permit to construct, elter, imD�ove, demolich, or repair any structure, pnor to its issuance, also requlres the epplicant tor such pertnit to fle a signed statement Ihat he o! she Is Iicensed pursuent to Ne provisions o1 Iha Contreclws tJcense Lew (Chapter 9(commendng with SecUon 7000) of Dlvision 3 W Ihe Business and Professlons Code) al that he or she is exempt Iherefrom end the besis for Ihe alleged axemptlon. My violatlon of Sectlon 7037.5 by any epplicent lor e pertntt subjects the appliwnt to a civil pen5�ry ai not more ihfln Ilve hundred dollars ($500).): ❑ I, as owner of the property, or my employees with weges as their sole compensallon, WILL DO THE WORK, antl the siructure Is not Intended or ofleretl for sale (Sec. 7044, Business end Professions Code: The Contractors License Law dces not apply to an owner of properry who bulltls or improves Ihereon, and who does such work himsalt or herseN or Ihmugh Pis or her own employees, provided thet such improvements are not Intendetl or oHered lor sale. H, however, the Duiltling or improvement is soltl within one year of compl�lion, the ownerbuilder will have �he burden of proving that he or she did not builtl or imprme Por Durpose ot sele.). ❑ I, es owner of the praperty, am EXC WSIVELY CONTRAC7ING.WITH UCENSED CON7RACTOR3 to construct the pmject (Sec. 7044, 8usiness antl Professions CoCe: The coNradors License Lew tloes not epply to an owner of Droparty wha builtls or impmves therean, antl who coniracis tor such pmject with a contractor(s) license pursuant to the Contractore License Laws.). ❑ I em exempt under sec. Business and Professions Cotle for this reason: Signature: Date: Owner ID veritietl by tlrivers Iicense. ❑ Ves ❑ No Drivefs llcense No. Espires: Vedtication ot Ownership by jtype of dacumenl, i.e. - property tex blll ar tleetl): DIVISION OF INDUSTRIAL SAFEYY PENMR CERTIFICATION: ❑ I hereby certity that no excevation five (5) or more teet in depth Inro which e poBon is requiretl to tlescend, wlll 6e matle in connedlon with work euthorized by this permit, entl that no building stN�iure, scattdding, felsework, or tlemolition or dismantling Nereot, will be more ihen ihirry-si: (38) feet high. (C�ap. 32, Gry 2, Art 2, Sec. 341, Title 8, Californle Admini5�rative Cotle). ❑ As owner-builder, I will not employ anyona to do work which would require u permit iram Ihe Divislon ot Intlustnal Safery, es notetl ebove, unless such person hes a permit to tlo such work irom Ine divislon. Signature: Date: Division of Intlustrial Safery Permit Number: CERTiFlCATE OF COMPLIANCE AND AUTHOHIZATON OF EN7RY: I cenify under penelry of perjury that I have read this application and state t�at iha informatlon qiven is correct. egree to comply with ell state I ws end ciry ortlinances relating ro building consWction, ena euthodze representatives of the qry of Costa Mesa to enter upon the above-d� nbed propetly for inspe�?ion �rposas. I agree not to occupy or allow occupency of eny building euthorized by �hls permit un�il tinel inspection. �� Si nab r wnar(s) ate - 1 OG n fAuthodzed ADPlicent � Date GO�E I, INSPECf10NT1PE PAIE 6� 1616 Fixed System Flnel Fire Praventlon 1266 200 201 202 203 204 Pool Spe Finel Final RaFoot Finel BIocWRetaining Well Final Fectory Fire Place Finel Sign Final Demolition COUEI MSPECfIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 272 Finel Flre Preventlon 220 Finel Planning Approval 222 Finel Site 250 Final Building�Occupanry � 2 Z/ -/ I�� ,,,_,.��.� .w,...,._..--- - Job Address: 744 W 19TH ST Suite: Viciniry: Parcel Nunmber: 42226228 Applicant: TERI WOOD Address: GRADING PERMIT Zoning: ISSUED BY: Phone: 949-76&2538 Zip: Owner. ' 19TH WALLACE PROP GROUP LLC Address , 1618 ROGERS RD , FORT WORTH, TX Contractor: RHI Address: 68936 ADELINA RD Phone: Zip: 76107-6514 Phone:, (760)3223600 CATHEDRAL CITY, CA _ Zip: 92234 License: 752648 Eng: WILLIAMHARRIS/HUNSAKER&ASSOC Address: THREE HUGHES Phone: 949-583-1010 Status: ISSUED Applied: 03/16I2000 Issued: 08I01/2000 , IRVINE ,CA . Zip: 92618 license: C31737 SCOPE OF PERMIT CUBIC YARDS GRADING AND REPAVING FOR NEW REATIL AUTO ZONE BUILDING. TRASH ENCLOSURE AND PARKING LIGHT POLES ARE NOT INCLUDED UNDER THIS PERMIT. SEE DR-99-i9 . - - � , � 1788 - FEE SUMMARY Plan Check: $a4.00 $o.00 Permit $209.00 Other: $0.00 $0.00 Inspection: $0.00 $0.00 Total: $253.00 Calc Valuation: PLANNING & ZONING NOTES: ACHAM_CN 07/12/2000 STRUCTURAL CALCS FOR LIGHT ARE ". " REQUIRED PRIOR TO THE ISSUANCE OF THE B. PERMIT. CAC. 0 so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work au�horized under ihis permit to be considered legal, such work must comply with all applicable codes, and all �equired Inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � Zasas cerool � /` WORKERS'COMPENSATONDECLARATON: I hereby affirm under penalry of perjury one of tha tollowing declarations: ❑ I heve entl will maintain e cetlificate o� consent to selFlnsure tor workers' campensetlon, es providetl tor by section 3700 at the Lflbor Code, for Ihe pertortnance of Ihe 11 work fOr whlch t�is permit is issued. }� I have anG will maintain workers' compensation Insurance, as requiretl by section 3700 of the Lelwr Code, for the peAormance oi the work tor which this permit is issueO. �\ My workers' compensatlon Insurance �errier end policy number are: Cartier: Policy Number. (Tliis section need nof be canp/eled il the permit is ve/ued at one hundred dW/ars ($100) or /ess.) ❑ I certify ihat in the p ormance ol tha work for wh h th permit is issueq I shall not employ eny person in eny mannar so as to becoma subject to the workers' compensatlOn laws of lifomia, end A9�ea t�at I� sho Itl bacome SubJect to �he workera' compensalion provisions ol Sacl' n 37 of ihe Lebor Code, I shell forthwlth complywitht�e provis ns. _/1�OI �%Q G Applicant Signeture: Date: CR / WARNING FWLURE TO SECURE WORKERS' MPENSATION COVERAGE IS UNLAWFUL AND SHFLL SUBJECT AN EMPLOYER TO CRIMINAL PENqLTIES AND qVIL FINES UP TOONE HUNDRED TLqUSAND DOLLARE (5100,000), IN ADdT10N TO TME COST OF COMPENSATION, DAAMGES AS PROVI�ED fOR IN SEGTON 3%O60F THE LABOR CODE, INTEREST, AND AiTORNEVS FEES. LICENSED CONTRACTORg \OECLARATON: I hareby eHirm ihat I am licensb un er ro�'sions o �pter ( mmencing with Section 7000) of Division 3 of the Business and Professions Cade, and my license Is in full force entl eNect. Lic. M � Class a Contrectors SignaWre: Date: � 0� 7! (J' CONSTRUC710N LENDING AGENCY: ❑ I hereby atlirm ihat there is a construc�ion lending agency tor the peAortnance of ihe wof.< for which this pertni� is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lender's Adtlress: Signatura: Dete: OWNER•BUILDER DECLARA710NS: I hereby eNirtn ihat under penalry oi perjury thet I em E%EMPT FROM iHE CONTRACTORS LICENSE LAW for the following resson (Sec. 7031.5, Business and Professions CoCe: Any ciry or counry which repuires a pa�it ro construct, alter, improve, tlemolis�, or repair any structure, pnor to its issuance, also requires the applicant for such permll to file a signed statement that he or sha is Iicensetl pursuant to Ihe provisions of the Contrectoro License Law (Chapter 9(commencing wlih Section 7000) of Dlvision 3 ot �he Business entl Professions Code) or that he a� she Is exempl therefrom antl Ihe basis for t�e alle9ed axemption. Any violation of Sectlon 7031.5 by any applicent for e pertnit subjects t�e epplicent to a civil penalty ol nol more than tive hundred tlollars ($500).): ❑ I, es owner ol the pmperty, or my employees with wages as t�eir sole compensation, WILL DO TT1E WORK, and the strucWre is not imendetl or oHered tor sele (Sec. 7044, Business and Profeuions Cotle: The Contractors License Law does not aDPly to en owner ot properry who builds or improves thereon, an0 who does such work himself or herself or ihrough his or her awn employees, provided that such improvementa are not Intended or oHered lor sele. If, howaver, Ihe building or improvement is sold within one year of completion, the ownervbuilder will heva t�e burtlen ot proving tha� �e or she did not builtl or impmva tor puryose of sale.). � I, es owner ol the properry, am EXCLUSIVELV CONTRACTING WITH LICENSED LON7RACTORS to cons�ruct the project (Sec. 7044, Business and Professions Code: The contractors License Lew tloes not epply lo an owner of pro0etly who bulltls or Impmves Ihereon, antl who contracis br such project with a con�rector(s) licanse pursuant to the Contracbrs License Lews.). . ❑ I em exempt untler sec. Business and Protessions Cafe lor this reason: Signe�ure: Date: Owner ID venfied by tlriver'Slicen58. ❑ Yes � NO DnveYS LlcenSe No. Vedficetion of Ownership by (typa at tlocum9M, I.e. - pwperry taa bill or deetl): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICA710N: Expires: ❑ I hereby certiy Ihat no excavation five (5) or more teet in dept� into which a person is required to descend, will be matle in connection wiih work euthorizetl by ihis permit, and thal no building structure, S�Nolding, felsework, or demolition or dismanflinq thereof, will be more ihan thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, Calitomia Administretive Gode). ❑ As owner-buiitler, I will not employ enyone to do work which would require a parmit trom t�e Division of Industnal Sefety, es noted above, unless such person hes e permil to do such work tram the tlivision. Signature: Date: Division of Industrial Safery Pertnit Number. CE flCATE OF COMPLJANCE AND AUTNORVA710N OF ENTTiY: I cetlify under penalty of perjury that I have reatl ihis application antl state that the information given is wrrec . agree to compty with ell s�ate laws entl city ordinances relating to building consiruction, and authorize representaiives ot Ihe Ciry oi Coste Mesa �o enter upon t�e above-d ribed properry tor inspec n p wes. I egree not to occupy or allow occu0ency of any huilding authorized by this pertnit until tinel inspection. Signat Le9alOwner(s) � Ot aa� p t�orized Appllcant Date COOE 1. INSPECTION TYPE 1878 Flxetl System Final Fira Preventlon 7268 Paol Spa Final 200 Final Re-Foof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition CODE� INSVECIIONTYPE 206 Final MeUanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevantion 220 Final Planning Approval 222 Final Sita 2W . FinalBuilding�Occupancy ,uu. : �\ pta) 754-5273 • Fau (7ia) 75a-ae5s •�wiw.ci.costa-mesa.��LDING PERMIT �� hHIM UFIrvC, I.VJi/� mwH, �.h ymm Job Address: 744 W 19TH ST Suite: Vicinity: Parcel Number: 42226228 npp�icant: TERI WOOD Address: Zoning: '" Phone: 949-768-2538 � Zip: Owner: 19TH WALLACE PROP GROUP LLC Address ,1618 ROGERS RD " - � '� Phone: - ,� FORT WORTH; TX Zip: 76107-6514 - ISSUED BY: Status: ISSUED Applied: 03/i6/2000 Issued: 08/01/2000 Contractor. RHI Address: 68936 ADELINA RD , . Phone: (760)322-3600 � CATHEDRAL CITY, CA - . Zip: . � 92234 License: 752648 � , � - , Arch : Eng: WILLIAM HARRIS/HUNSAKER & ASSOC Address: " Address: THREE HUGHES - - Phone: - - Phone: 949-583-1010 2ip: License: IRVINE ,CA 92618 License: C31737 � A"liVYt Vh YtKMII GRADING AND REPAVING FOR NEW RETAIL AUTO ZONE BUILDING. �_ . _ �,� FEE SUMMARY ' Plan Check: $645.94 Permit: $993.75 SMIP Res: $0.00 SMIP Com: $21.00 Other: $0.00 Inspection: $0.00 �,�� Total: _ $1,660.69 SETBACKS�-, � � � MAIN STRUCTURE-,Front �0-�0. ACCESSORY Front 0-0 PARKING Existina: o NOTES: � _��Rear. 0-0 Rear 0. 0 � Required: . 0 Calc Valuation: - Claim Valuation: , PLANNING & ZONING � Left 0- 0 Left 0- 0 Pr000sed: 0 � s�oo,000.00 s�oo,aoo.00 , , , _ , � '�, , � Right ; 0= 0 ` �- , . � Righl 4 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. �� -• � � - INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspecttons and fi�al approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaauae(woa� l � WORKERS' COMPENSATItlN DECLARA710N: I hereby aKrm under penalty of perjury one of the following tleclarations: ❑ I �ave and will maintain a cehificate ot consent to self-Insure for workers' compensation, as provided for by section 3700 ot the Labor Code, for the peAortnance of the work for which this perrtiit is issued. � I have and will maintain workers' compensation Insurance, as requiretl Dy section 3700 of ihe Labor Code, ior ihe pedortnanca of ihe work tor which this permit is issued. My workers' compenset�on Insurance carrier entl policy number are: Carrier: Policy Number: (This section need nat b com0�eted i� the permit is velued at one hundred dollars ($100) or Iess.J ❑ I certify Ihat in ihe pert ance of the work for whic Ihi permit is issuetl, I shall not employ eny person in eny manner so as to become subject to the workers' compansation laws of Ca mia, and aqree ihat if I ou become subjact to the workers' compensation provisions of Secf n 3700 of the Labor Code, I shall fonhwith complywiththese roviSio . Applicent Signawre: - Date: � G l J 6��/ WARNING: FAILURE TO SECURE WORKERS' PENSATIqJ VEFAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CR�MINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED THOUSAND DOLURE ($t00,000�, IN A�DRION TO THE COST OF COMPENSATION, OAMAGES AS PRO`/IDED FOR IN SEC710N 3�O60F THE LABOR CADE, IMEREST, AND ATTOfiNE1^5 FEES. LICENSED CONTRACTOR DECIARATION: � I hereby eHirm ihat I am licen �od�prpvisions o pt 9(commencing with Section 7000) of Division 3 of the B torce antl efted. Lic. # < << Class x Contraclors Signeture: Date: Professions Code, antl my license is in full CONSTRUC710N LENDING AGENCY: ❑ I hereby aHirm Ihat iherB is a construction lentling agency for the peAormance of �he work for which ihis permit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Siqnature: OWNER-BUILDER DECLARA710NS: Date: I hereby aHirtn ihat under penalty of perjury ihat I am EXEMP7 FROM THE CON7RACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or county which requires a permit to constmct, alter, improve, tlemolish, or repair any simcture, prior to its issuance, also requires tha eppliCant for such pertnit to file a signatl statement Ihet ha or she is Ilcensed pursuant to ihe provisions of Ihe Comrectors License Lew (Chapter 9(commencinq with Section 7000) of Division 3 of ihe Business and Professions Code) or that he or she is exempt therefrom and the basis for the allegetl e:emption. Any violation of Section 7031.5 by any epplicant for a pertnit subjecis ihe applican� to e civil penalty of not more ihan five huntlretl dollers ($500).): ❑ I, as owner ot ihe propeAy or my employees with wages as Iheir sole compensation, WILL DO THE WORK, and ihe structure is not intended or oHered for sale (Sec. 7044, Business and Pmtessions Code: The Conirectors License Law dces not apply to an owner of properry who builds or improves Ihereon, antl who does such work himself or herselt or through his or her own employaes, providetl �hat such improvemonts ere not in�entled or oflered tor sale. II, however, the building or impmvement is sold within one year ot completion, Ihe owner-builtler will have ihe burden ot proving ihat ha or she did not build or improve for purpose of sale.). ❑ I, as owner of ihe properly, am E%CLUSIVELY CONTRACTNG WITH LICENSED CONTHACTORS to construct the prolect (Sec. 7044, Business and Professions Code: The comremors L(cense Law does not epply to an owner of propeny who builds or improves thereon, and w�o coniracis lor such prqect with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am ezempt under sec. 8usiness end Professions Code for this reason: Signature: Dale: Owner ID ventietl by tlrivers license. ❑ Yes ❑ No Drive/s License No. Venfication of Or.nership by (type of document, i.e. - pmperty taz bill or deetl): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTFICATION: Expires: ❑ I hereby certity that no e%cavetion fiva (5) or more teet in tlepth into which a person is required lo descend, will be made in connection with work euthonzed by this permit, and ihat no building simcture, scaHolding, talsework, or demolition or dismantling the�eof, will be more than thihy-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Ttle B, Califomla Adminisirative Code). ❑ As owner-builder, 1 will not employ anyone to do work which would require e pertnit from the Division of Industrial Sefety, as noted above, unless such person hes a pertnit to do such woAc from the division. Signature: . Date: Division of Indusirial Safety Permit Numbar: CERTIFlCATE OF COMPLJANCE AND AUiHORVATION OF ENTIiY: I certify under penalty of perjury that I have read this applicalion and state thet Iha infortnation given is correct. I a ree to comply with ell s te I ws antl ciy ordinances relating to building consiruction, and authorize representa�ives of ihe Ciry of Costa Mesa to enter upon the ebove-descn d properry for inspec ion urposes. I agree not to occupy or ellow occupancy of any building authorized by this permit until final inspection. Signat Le al (s) � Date �t DL' nNOr Authorizetl Applicant Date CODE t. INSPECTIONTYPE 1616 Fixed System Final F�e Prevention 1266 200 201 202 203 204 Pool Spa Final Final Re-Roof Final BIocWRetaining Wall Final Factory Fire PlaCe - Final Sign Final Demolition ,iw_ CODE� INSPECTIONTIPE 206 Final Mechanical 208 Final PlumDing 210 Final Electrical 212 Final Fire P�evention 220 Final Planning Approval 222 Final Site 250 Final Building�Occupency DAff. 4�lLS e � > _ : J+y� "�'a°a�� . � •. � (714) 754-5273 • Fax (714) 754-4856 JobAddress: 744 W i9TFl ST Suite: Vicinity: CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT. � Parcel Number: 42226228 . Applicant: ESPE, JOHN Address: 837 S. EAST STREET ANAHEIM,CA - � Owner. BANK CEN FED BUILDING PERMIT Zoning: � -Phone: (714)282-6110 Zip: 92805 � Address 707 FOOTHILL B6. ' . . - , , ' - � - - Phone: ,.��- LA CANADA, CA Zip: 91011 Coritractoc G D HEIL�INC. Address: 837 S. EAST STREET � ANAHEIM, CA � Zip: 92805 Arch . Address: � � , . . Phone:. '(714) 282-6110 i License', 659496 ' .'' �. � Eng: . � ._ Address:,' � V. __ _____ 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 04/18/2000 Issued: 04/18/2000 S n� � , ( � - Phone: � Phone: � � � Zip: , , � ' - License: � License: .. , � . SCOPE OF PERMIT. • ." DEMOLITION OF EXISTING 4000 SQ FT COMMERCIAL BUILDING F,OR FUTURE CONSTRUCTION OF "AUTOZONE". EXEMPT FROM CONSTRUCTION ACCESS LESS THAN $10000.0 - " • � . ' ' - _ . �. .- FEE SUMMARY ' � Plan Check: $0.00 - - ' , Calc Valuation: S�,000.00 Permit $139.25 Claim Valuation: 8�,000.00 SMIP Res: $0.00 SMIP Com: $1.47 - . - Other. $0.00 " - Inspection: $0.00 s,.,_ �� ` � _ , Total: $140.72' , PLANNING & ZONING � SETBACKS , � � � MAIN STRUCTURE Front 0- 0 Rear 0- 0 � Left 0- 0 Right 0- 0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existin : o Reauired: o • Proposed: 0 ' NOTES: NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This pertnit shall automatically expire and become void if work is nobcommenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiralion of this permit. FOR INSPECTIONS CALL: (714) 7545626 a-i ly WORKERS'COMPENSATION DECLARAnON: � � I hereby aHirm untler penalty oi perjury one oi �he following tleclaratlons: � ' , ❑ I heve entl will maintain a certific0�e of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Coae, for ihe performance ot the work far which Ihis pertnit is issued. � . ❑ I �ave and will maintain workere' Gompensation insurance, as requiretl by section 3700 of the Labor Cotle, tor the perfoimance o the work for which �his pertnit is issued. My workers' com�i ensa�llon Insure�ce carner antl policy numbar are: . ��8 �� Carner. � L� (_aawD. ..�il�U• �LW.(� � , PolicyNumber: (This section need not be c mpleted I/ tbe permitls velued at one hundred dollers ($100) oi /oss.) ❑ I certlry ihat in ihe pedormance a� Ihe work tor which ihis peimit is issuetl, I shall not employ any person in eny menner so as to become su6ject to the workers' compensation laws of California, 8 d egree if I should become subject to the workers' compensa�ion provisions of Section 3700 of ihe Lebor Cotle, I shall fonhwith comply with Ihese pravisions. 1 / Applicant Signature: � / Dete: �/ �g / � / WARNING: FAILURE TO SECURE WORKERS' �PENSA ION COVERAGE IS UNLAWFUL AND SNALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIE � C IL FINES UP TOONE HUNDRED THOUSANO OOILARE ($100,000), MI ADOfT10�`� TO THE WST OF CAMPENSATION, DAMAGES AS PROV{OED f-0fl IN SECTION 3lOG OF THE LABOR CODE, INTEREST, AND AiiORNEV'S FEES. LICENSED CONTRACTORS DECLARAnON: I here6y affirm ihat I am licensed forca antl eRecL Lic. # Coniractofs Signature: _ (commencing with Sec�n 7000) of Division 3 ot the Business and P essions Cotle, and my license is in � Ciass a � ^2 � Date: _ /flj �Y7 . . CONSTRUC710N LENDING AGENCY: ❑ I hereby attirm that there is a cons�mction lending agency for ihe peAormence ot ihe work Por which Ihis permit is issued. (Sac 3097, Civil Cotle). Lender's Neme: Lender's Address: Signature: Date: OWNER-BUILDEfi DECLARATIONS: I hereby aflirtn that untler penalty of perjury that I am EXEMPT FROM THE CONTFiACTORS LICENSE LAW lor t�e following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or county which requires a pertnii to consiruct, alter, improve, demolish, or repair any structure, prior �o ils issuance, also requires the applicant for such permit to file e signed statement ihat he or she is licensed pureuam ro the provislons of the Contractors License Lew (Chapter 9(commencinq with Section 7000) oi Division 3 of iha Business antl Professions Code) or thet he or she is exempt therefrom and Ihe basis for ihe alleged exemption. Any violation oi Sectlon 7031.5 by eny epplicant for a permit subjecis the applicant to a civil penalty of not more than tive huntlred tlollars ($500).): ❑ I, es owner oi Ihe property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, entl ihe structure is not intended or oHeretl for sale (Sec. 7044, Business and Professions Gode: The Contrectors License Law tloes not appry to an owner of propetly who builtls or improves thereon, entl who does such work himseN or herself or through his or her own employees, provitled ihat such Improvemenis are not intended or oHeretl for sale. It, however, Ihe building or improvement is soltl within one yeer ot completion, t�e owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner oi the pmperty, am EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to consirud the project (Sec. 7044, Business and Professions Code: The contracmrs License Law does not apply m an owner of proparty who builds or improves thereon, and who wntracts for such project with a contractor(s) license pursuant to the Contractor5 License Laws.). ❑ I am exempt untler sec. Business and Protessions Cede tor this reason: Signature: Date: Ownar ID venfied by dnvers license. ❑ Yes ❑ No Drivers License No. Verificetion of Ownership by (type of documen�, i.e. - property tax bill or deed): DIVISION OF INUUS7RIAL SAPETY PEAMIT CER7IFICATION: Expires: ❑ I hereby certify Ihat no excavetion five (5) or more feet in depih into which a person is required to descentl, will be made in connection wlth work authorizetl hy �his permlt, end ihat no building stmcN�e, scaflolding, talsework, or tlemolition or dismantling thereoi, will be more than thitly-six (36) feet higB. (Chep. 32, Gry 2, Art 2, Sec. 341, Title B, Califomia AdmiNstreti�e Code). ❑ As ownar-builder, I will not employ enyone to do work which would require e permit from tha Division of Industrial Safery, as noted above, unless such person has a pertnit to do such work tmm the diVision. Signature: Date: Division of Indusirial Safery Pertnit Number: CERTFICATE OF COMPLIANCE AND A�ORIZATION OF ENTRY: I certity under penalty of parjury that I have read this application and stata that the intormation given is correct. I agree to comply wi�h all state laws and ciry ordinances relating to building construction, and authonze representatives of ihe City of Costa Mesa to enter upon ihe above-descnbed property for inspection purpases. I agree not to occupy or ellow occupancy of any builtling authorized by Ihis pertnit until final inspection. CODE N. INSPECTIONTYVE 1676 Fixetl System Finel Fire Prevemion 1266 Pool Spa Finel 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Factary Fire Place 203 Final Si9n 204 Final Demolition 2448-46 2� 1t�dL$ COQEt INSGECTIONTYPE 206 Final Mechenical 208 Final Plumbinq 210 Finel Electncal 212 Finel Fire Prevention 220 Final Planning Approval 222 FinalSite 250 FinalBuilding/Occupancy �188/00 o te aete �NTITIALS / �i w� ia�vc..a - � o.. �. �� ..(. � ...... ..............................�.." MECHANICAL PERMIT Job Address: 744 W 19TH ST Suite No Vicinity: Parcel Number: 42226228 Applicant: Address: Owner: Address: Contrador. Address: Arch / Eng : Address: DANNY STEWART 19TH 8 WAL�ACE 3100 AIRWAY AV C.M, CA CHRISTIAN BROTHERS HVAC 11140 THURSTON LN BIRA LOMA, CA Phone: 909-943-8720 Zip: Phone: 774-424-9196 Zip: 92626 -Phone: 909-367-2247 Zip: 91752 License: 499547 Phone: Zip: �icense: � : Status: ISSUED Applied: 10I262000 Issuetl: 10126/2000 ISSUED BY: � � SCOPE OF PERMIT INSTALL 3PACKAGE UNITS AND 2EXHAUST FANS FOR "AUTOZONE" NEW STORE, RE:B00-00340. ISSUE FEE Inst FAU <700 k BTU Inst FAU >100 k BTU Repair / Alt CoolinglHeat Inst / Rep. Recess Wall Htr Refrig Sys <700 k BTU Refrig Sys >700 k BTU Gas Piping � Factory Fireplace Hood w/Mech Exhaust , VAV Box � Vent Fan / Sinqle Duct , � Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000dm Air Handlers > 10000c(m Floor Furnace Floor or Suspend Heater Quantiry $23.50 $0.00 0 $0.00 0 50.00 0 $0.00 0 544.q0 3 $0.00 0 $0.00" 0 $0.00 0 50.00 �' 0 � - $0.00 � 0 � �� „ $14.50 2 � � ,. $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 50.00 0 50.00 0 50.00 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler � Commercial I ncinerator Domestic Incinerator . Compressors % Absorption.Systems , Up to 3 hp / 100�k BTU �'� 3 To 15 hp / SOO k BTU - 15 To 30 hp / 1,000 k BTU, �" . 30 To 50 hp / 1,750 k BTU Over 50 hp /.Over 1,750 BTU �, Boilers Up to 3 hp 3Toi5hp 15to30hp sorosonP Over 50 hp Other Mechanical Fee investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 ao.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00" 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 so.00 0 so.00 0 $0.00 0 $0.00 so.00 $0.00 TOTAL CALCULATED FEES E82.40 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulatlons. (Ord. No. 92-28, § 1, 12-21•92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abantloned for a perial of 780 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 Inapectione end flnal epproval must be obtained. Failure to oblain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 24d6J8 (BI00) � � WORKERS' COMPENSAnON DECLAFiATON: I hereby ettirm untler penelty of pe�ury one ot ihe lallowing tleclaretions: ❑ I heve entl wlll mainWin a ceNticate of consent to setl-Insure lor workers' compensaUon, es proNdetl for by sectlon 3700 ot the Lebor Code, for the partortnence of Ihe work tor whiU Nis permit LS i55ued. � I heve eM will meinlaln workers' compen58iion Inwrence, B5 reQuiretl Dy SetUon 3700 oi the Lebor Cotle, for Ne pBAortnenca ot the work for whkh W5 pertnit Ls iswed. M rkers' compensetlan Insura ce wrrier fln0 polity nu�^ ber are: L, Cerriar:� � �t ��.� �� ('p� . / PolicyNumber. �A�� S2.OI c3Je'�C� (This secNan neeO not be canple(ed i/ Ne perm/f Is va/ue0 ef one hundretl tld/ers ($100) or Iess.J � Applicam Slgnewre: WARNINO: FAIWR OSECURE W T/qUSifJD D0.lARE (5100,00p), IN af the work tor which ihis pertnit is issueq 1 shall not employ eny person In flny menner so es to become wbled to the workera' i, end egree Nat It I s�ould become subJect to t�e workeB�oompensetion provislons of Section 3700 01 ihe Lebor Cotle, � shall forthwith LICENSED CONTRACTORS DECIARATION: I hereby eflirtn Ihat I am larce end eHect. Lic. q� ContractoYs Signeture: ODVEMGE IS UNLAWFUL AND $HALL SUBJECf AN EMPLOVER TO CRIMINAL PENALTIES PND CML FlNE$ UP TO ONE HUNORED = WN.PENSATION, DAMAGES AS PROVIDED FOR IN SECf10N 3�OB OF THE UBOR CODE, IMEFEST, PND ATfORt�EVS FEES. ol C�apter 9(commencing wlth Seciion 00) ot DlNsion 3 0l the Business and Proleulons Code, end my Iicense Is In tull I� Clessp � -ZO I/ ..'� 4— � Date: �n-7.G,—C� I/ CONSTRUCTION LENDING AGENCY: ❑ I hereby eflirtn that there Is a consiructlon lending egenty for ihe peAortnence of ihe work lor which Ihis permlt is issuetl. (Sec. 3097, Civil Cotle). Lentlefs Name: Lenders Aatlress: SignaNre: OWNER-BUILOER DECLARAT10N5: Date: I hereby eHirm thet under penalry ot perjury thet I em EXEMPT FROM T}1E CONTRAC70RS LICENSE LAW tor Ihe following reeson (Sec. 7031.5, Business end Prolessions Cotle: My ciry or wunry which reQuires e pertnil ta construct, elter, Imprwe, tlemolis�, or repair any sWdure, prior to its issuance, elso requires the epplicant tor such pertnit to tile a signed statement tha� �e or she Is Iicensed pursuant to the provisions ot the Contrectors License Lew (C�apter 9(cammendng with Sectlon 7000) of DlWslon 3 of Ihe Business antl Professions Code) or ihat he or she is ezempt t�erefrom anA t�e basls for Ihe alleped axemptlon. Any WolaUon of Sectbn 7031.5 by eny applicent tor a pertNt subjects the epplicaM to a civll penalry of not more than five hundred dallars ($500�.): ❑ I, es owner ol the properry, or my employees wit� wages es their sole compensation, WILL DO THE WORK, end the structure is not inten0e0 or ottered for sele (Sec. 7044, Business and Proleuions Cotle: Tiie Coniractors License Law does not apply to nn owner ot pro0erry who builds or Improves Ihereon, end who does suc� work himself or herself or �hrough his or �er own emplayees, providetl that such imprwemenls ere not Intended or otteretl lor sale. If, however, the builtling or imprwement is sold within one year o1 comple6on, the owner-builder will have the burden of proving ihat he or she did not �ulid or improve for purpose ot saleJ. ❑ I, as awner of tha praperry, am E%CLUSIVELY CON7RACTiNG WITH LICENSED CONTRACTORS to wnstruct Ihe project (SecJ044, Business and Professians Code: The contraaors License Lew does nat epply ro en owner oi property who builtls or Improves [hareon, antl who contrects for such pmject wit� a contractor(s) licensa pursuent to the Contractors License taws.). ❑ I am azempt under sec. Business and Protessions Code lor this reason: Signature: Date: Owner ID venfied by tlrivefs license. ❑ Ves ❑ No Drivefs License No. Verifcation of Owners�ip by (type of documeN, i.e. - properry tex bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CEflT1FICATION: Expires: ❑ I hereby certity inat no excavaGon frve (S) or more teet In depth into which e person is requiretl to tlescenO, wlll ba mede in conneclion with work euthorized by Ub pertnit, end that no building swcture, sceMolding, telsework, or demolition or dismantling Ihereot, will be more t�an ihirly-siz (38j teet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title 8, Celifomia Adminisirative Code). ❑ As ov+nar-Duiltler, I wlll not employ anyone to tlo work whic� would require e permit Irom the Divislon of Indusidal Sefery, es noted ebove, unless such pereon hes e permii to do such work Irom the division. Signature: Date: DivLsion ot Industdal Satery Permil Number. CERTIFlCATE OF COMPLJANCE AND AUTHOROJITION OF ENfRY: I cenify under penalry ol perjury ihat I heve reaa ihis epplication end state that the informetlon given is canect I egree la comply wit� ell state lews end dry ortlinances relating to building consiructlon, and authodze representelives of Ihe Ciry ot Coste Mesa to enter upon �he ebove-described propeM �ar InspecUon purposes. I egree rro� to occupy or ellow aapancy of eny building euthorized by ihis permit until final inspection. p ' YI!� �1'� Of Le el ner(s) ��. ,tnoA:ed Apv��ent veg e�eii 1676 FI:eC System Final Fire Preventlon 7266 Pool Spe Final 200 Flnal RaRoof 201 Final Block/Retaining well 202 Final Fedory Fire Place 203 Final Sign 20C FIn91 DemoliUon WDE� RISVECTIONTYPE 208 Final Mec�anical 20B Finel PlumDing 210 Finel Eleddcal 212 Flnal Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final BulidingiOccupenry Date Z'� � (714) 754-5273 • Fax (714) 754-4856 • www.Ci.005ta-mesa.ca.US 77 FAIR DRIVE, GOSTA MESA, GA 92626 ELECTRICAL PERMIT Job Address: 744 W 19TH ST Suite No Vicinity: WHOLE BUILDING Parcel Nunmber: Applicant: Address: Owner: Address Contractor: 42226228 SOLOMOVICI, AREZ 21755 VENTUR4 BL #431 WOODLAND HILLS, CA 19TH & WALLACE 3100 AIRWAY AV C.M, CA WIRENUTS Address: 21755�VENTURA BL #431 WOODLAND HILLS, CA Phone: (818) 612-9640 Zip: 91364 Phone: 714-424-9196 Zip: 92626 Phone: (818)612-9640 - Zip: 91364 License: 536999 ISSUED BY: Stams: ISSUED Applied: 08I18R000 Issued: OB/18/2000 SCOPE OF PERMIT ELECTRICAL PERMIT FOR NEW BUILDING FOR "AUTO ZONE". INSTALL 70 LIGHTS, 75 OUTLETS, 10 SWITCHES, 1 ELEC SERV UP TO 1000�AMP, 3 MOTORS TO 50 HP, 3 SUB PANELS, & 2 SIGN CIRCUITS. " � ' � REF:B00-00340 ISSUE FEE Temp service test � Res. a/c package �, New Res (1-2 units) New Res (3+units) � Pool / Spa Lighting Fizts Recept Outlets � � Switches Non Res Appl \ � ' � ResAppl ��-� `- Service to 200a - . Service to 1000a _ Service over 1000a Motors to 1hp ' Motors l0 10hp Motors to 50hp Morors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $56.50 $16.50 ` '' $11.00 . $O.W $0.00` $0.00 $62.75 � � $0.00 $0.00 $0.00 $73.80 $0.00 $0.00 $0.00 $91.50 $0.00 549.20 $0.00 $0.00 �uantity 0 0 0 . 70 . �15 10 �'0 : 0;�, ��,,, 0 1 0 0 0 3 0 0 0 3 0 2 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft � - . Standing Section '-. Misc Electrical Equipment ,-. � Transfomiers up to 7 kva/kw .............�...up to 10_kva/kw . .................up to'S0 kva/kw �: _ . � ..............._up to 100 kva/kw '��. ..................over 700 kva/kw . ' Low Voltage Equipment Low.Volt W ring System / CkC Misa Conduit . � . Misa Contluctor ' � Circus ( gen or ride) Cirws (mech ride or lights) Christmas Tree Stand � � Fireworks Stand � Other Electrical Fee Investigation Fee Plan Check Fee Reinspeclion Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $o.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 b $0.00 = 0 , � � $0 00 0 $0.00 0 $0.00 - 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 5384.15 COMMENTS / SPECIAL CONDITIONS � NO7ICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related I regulations. (Ord. No. 9248, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a penod of 180 days. . . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and-all / required Inspeetiona end finel epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this.pertnit./ FOR INSPECTIONS CALL: (714) 7545626 zans-as�aroo� WORKERS'COMPENSATON DECLARATON: � � I hereby ettirm untler penelry of perjury one of the following GeGeretlons: ❑ 1 heve anA will md��ain a certificate of consent to seH-Insure tor workers' compensetlon, as provltled for by section 3700 of the Lebor Code, far t�e pertortnence of the work for which Uis permit is issuetl. ❑ I have entl will mainteln workers' compensatlon Insurence, as required by section 3700 oi Ne Labor CoOe, for the pertortnance af Ne work tor whkh Nis pertnit Is Iswetl. My workers' compensa0on Insurance carder entl policy numDer ere: Certier: Policy Number: (This sec0on need no[ be campleted i! rhe pertni[!s vefuad et one huntlred do(/ers ($100J or lass.) � I certity Ihet in Ne Pertormar�e o� ie work for which this pertnit Is issued, I shall not employ eny person in eny manner so as to become sub�ect to Ihe workers' compensetlon leWs af CaIIJGmi , and egrae ihat tl I should �ecome subject ro the workers' compensetlon provisions of Sectlon 3700 oi the Labor Code, 1 shell forthwith comply with ihese P�o � i6n Applicant Signeture: Deta: �� ' 2o DO WARNINO: FAILURE TO S CURE WORKERS' COMPENSATION CpVEMGE IS UNUW NL PND SNALL SUBIECf AN EMPLOYER TO CHIMINAL PENALTIES AND CNIL FlNES UP TO ONE MUNDRED THOUSAND Dd1ARE (E10�.�). IN ADDRION TO THE WST OF COMPENSATIdJ, DMMGES AS PROVIDED F-0R M SECfION 31O60F TME LABOR CO�E, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirtn Ihat I am Iicensetl untler rovisions of Chap�t r9(commencinq with Section 7000) of Dlvision 3 0l Ihe eusiness ana Protessions Code, end my Iicense is in tull tome end enea. ua a �s3 fo�i 9 q /' / c�ass a C�'�a CONrecrors Signature: _�^ — Dete: — �i�' 2i�i.i� CONS7RUCTION LENPING AGENCV: ❑ 1 hereby ettirtn thai lhere is a construclion lentling egen�y tor Ihe paAortnance of the work for which this pertnit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lenders Adtlress: SignaWre: Date: OWNER-BUILDER DECLARATONS: I hereby eflirm that und9� penalry of perjury Ihel I em EXEMPT FROM TME CONTRACTOpS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requioes e permit to constmct, elter, improve, demolish, or repeir eny stmcNre, prior to its issuance, also requlres the applicant for such pertnit to tile e s{gnatl stelement that he or she {s 1lcensed pursuant to the proWsions ot lhe Comredors Llcense law (Cheptar 9(comm9ndng with Secllon 7000) ot Dlvision 3 0l ihe Business end Professions Code) or thet he or she is e:empt thereirom antl the basis for tha elleped exemptian. Any violetion oi Sectlon 7031.5 Dy any epplicant for a pertnit su6jects tha epplicant to a dvil penalry ot not more Ihen five hunOretl tlollare ($500).): ❑ I, as owner ot Ihe p�aperty, or my emplayees wl�h weges es Iheir sole compensation, WILL DO THE WORK, end the siructure is not intenOetl or otferetl tor sele (Sec. 70dd, Business and Professions Cade: The ConlreMors License Law dces not apply to an ownar of property who builds or improves thereon, end who tloes such work himself or herseH o� through his or her awn employees, provided ihat such improvemenis are nat Intentletl or oHered for sale. If, howaver, the building or Improvement is sold within one yea� of completion, Ihe owner-builder will heve �he burden of proving Ihat he or she tlitl not Duild or improve for purpose of saleJ. ❑ I, as owner of Iha p�operry, am E%CLUSIVELY CONTRACTING WI7H LICENSED CON7RACTORS to consiruct the pmjed (Sec. 7044, Business end Professions Cotle: Tha contrec�ors license Lew Aoes not eppry ro en owner of praperty who DuIIQs or Improves thereon, entl who mntrects tor such pro�ect with e coniredor(s) license pursuaM to the Gontractors License Lews.). ❑ I em exempt under sec. eusiness end Professions Code br thls reason: Signeture: Da�e: Owner ID verlile0 by tlrivers license. ❑ Yes ❑ No Drivefs License No. E�cpires: Venfication of Ownership by (rype of tlaument, I.e. - propeM �%`� 0111 or deetl): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION: ❑ 1 hereby cenify that no excavation Ove (5) or more feet in dept� into which a person is requlred to descen4 wlll be made in connection wi[h work euthodzed by this permit, end ihat na building struIXure, scafloltlinq, falsework, or tlemolition or dismantling Nereof, will be more t�an thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tltle B, Califomie AAministrativa Code). ❑ As owner-builder, I will not employ enyone to do work which would require a permit from the Division ot Industrial Satey, es notetl ebove, unless such person hes e permit ta tlo such Wa�k �rom the aivision. Signature: Data: Division oi Indusinal Safary Permit NumDer: CEHTIFlCATE OF COMpL1ANCE AND AUTIiORQATION OF EMRY: I certify untler penalry of perjury that I have reatl this application and state thet ihe infortnation given is cortect. I agree to compry with all stete lews end ciry ordinances releting to building wnstruction, end authonza representatives ol lhe Cl�y ot Coste Mesa to enter upon the ebove-descn d property �or inspection purposes. I egree not �o occupy or allow occupancy of eny building euthonzed by ihis pertnit until final inspectlon. --/�Signature Ot Legal Owner(s) Date � R—IS —2� And/Or Authorized Applicent Date COOE t. INSVECiqX TYPE 1616 Fixed System Final Fire Preventlon 1266 Pool Spe Final 200 Flnel Re-Roof 201 Final Block/Retaining Wall 202 Final Fectory Fi�e Place 203 204 Final Sign Finel DemoliGon Qa¢, �" �� INSPEC710NTYiE 20fi Flnel Mechanlcal 208 Finel Plumbing 210 Finel Elactrical 272 Finel Flre Preven9on 220 Finel Planning Approval 222 Final Sita 250 Finel Building�Occuperwy � �� I�� (�ta) �sa-52�3 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us 77 FAIR �HIVt, GU51A MhSA, GA 9"LOZti ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant Address: Owner: 744 W 19TH ST 42226228 RENEEFOLTZ 19TH 8 WALLACE Address 3100AIRWAYAV C.M, CA Contractor: WESTERN SIGNS Address: 1650 LINDA VISTA DR SAN MARCOS, CA Phone: 760-736-6070 Zip: Phone: 714-424-9196 Zip: 92626 Phone: (760) 736-6070 Zip: 92069 License: 282196 SCOPE OF PERMIT ELECTRICAL FOR 31LLUMINATED SIGNS, RE:SB00-00102. ISSUE FEE Temp service test Res. alc package New Res�(1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets . Switches Non Res Appl Res Appl , Service to 200a Service to 1000a Servlce over t000a ' . Motors to ihp Motors to 10hp . Motors l0 50hp � Motors to 100hp Motors over 100hp Communiration drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermetl Pole $23.50 50.00 50.00 50.00 $0.00 $0.p0 $O.bO $0.00 $O.bO $O.tlO $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $O.bO $O.Ob $0.00 $0.00 50.00 $O.bO $73.$0 50.00 SO.bO �uantity 0 0 0 0 0 0 0 0 0 0 ��0 0 0 0 0 0 0 0 0 3 0 0 FEE SUMMARY Temp Dist Systam I Lighting Buswayl100ft� Standing Seclion Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 70 kva/kw .................up to 50 kva/kw .................up to 700 kva/kw ...............:..over 700 kva/kw Low Voltage Equipment Low VOIt Wiring System I Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) � Cirws (mech ride or lights) � Christmas Tree Stand Fireworks Sland . Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: OBI782000 Issued: 08/18/2000 ISSUED BY: Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0,00 0 $0.00 0 $0.00 0 $0.00 0 , $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 597.30 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become vold if work is not commenced within 180 days, or if work is suspentled or abandoned for a period of 180 days. INSPECTIONS: In orcler for the work authorized under this permit to be consitleretl legal, such work must comply with all applicable codes, and all requlred Inapectlona and Iinel epproval mus� be obtained. Failure to obtain insDections and tinal approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 75q-5626 saawe ceroo� WORKERS' COMPENSAnON DECLAfiAnON: I hereby efllrtn under penalry ot perf ury one oi tne following dederetlons: ❑ 1 h e entl wlll malntein e cenificate oF consent ro se&Insure for workers' compensallon, es pravitle0 for by sectlon 3700 of Ne Lebor Code, fw the pertarmance of Ne rk far which this pertnit Is issued. I have antl vrill maintein workers' oompensd�on Insurence, as requiretl by sectlon 3700 ot Ne Lebor Cotle, lor Ihe peAortnance of the work tor whiCh Uus pertni� is Iswed. My w � mp��ry��"�n icy numDer ere: �� -�7 Certler: � )� Poliry NumDer _ �U'70� (Thls tl neeO nof be complefed /l Me pemflfls velued et one hundred dollers (5100) or IeSsJ ❑ I certity thet in the rmence of Ne work �w whkh UIs pertnit is iswed, I shall not employ eny person in eny mannar so es to becorna sub�ect to Ihe workers' compen aws ot Ce amia, en0 apree � si tl I should bacwne suD�ecl �o Ihe workere' canpansetlon proNsions of Sectlon 37pp of Iha Lebor Cotle, I shall IOMwiN PP �mp o w h these ro ons. � � .,. /� �/ /�� !1 / !L / A Ilcent SI neture: ! Dete: �/X� � /� WARNINO: FNLURE CU Ofi1�R5' OOMPE�` 17�OM 6@![aE IS UMAWFUL M1D SHALL SUBIECf Ml EMPLOYER TO CRIMIIUL PENALTIES ANU CML FlNES UP TO ONE NUNDHED T/qUSAND DOLLARE (5100,00%, IN �DOfi1pN TO TNE �T OF OW1dENs�T10N, DAMAGES AS PFiOVIDED FOR IN SECfION �OB OF TME L1BOR CODE, INfEREST, AND ATfORNEYS FEES. LICEIiSED CONTRACTOHS DECLARATION: I hereby ettirm thet I am II e u r Ic lorce end eMed. llc. a Contractors Signeture: CONSTRUCTION LENDING AGENCY: 9(commenGng with Sectlan 7000) ol Dlvlslan 3 of Ihe '_ Cleu Date: ❑ I hereby aHirtn thel �here Is e construction IenGing apenty tor the pedormence of the work for which this permit Is Issued. (Sec. 3097, Civil Cale). Lendefs Neme: LentleYs Atldress: Slgneture: OWNER-BUILDER DECLARA710NS: Date: my Ilcense Is In tull I hereby eHlrtn Ihat under penalty of pehury Nat I em EXEMPT FROM THE CONTfiACTORS LICENSE lAW tor Ihe lallowing reeson (Sec. 7031.5, Business antl Prolessions Code: My Ury or counry which reQuires a pertni� ro construct, alter, Impmve, demolish, or repeir any sirucNre, prior to its issuanca, elso requires tha flppiiwnt for such pertnit lo file a signed stetement that he or she is Ilcensed pursuant to Ne provisians af the Contrectors Llcense Lew (Chepter 9(commendng wiN Sectlon 7000) of DhAsion 3 of the Business end Professions Cotle) or ihet he or she is ezemp� iheretrom and Ihe basis lor Ihe elleged exemp�ion. My violation of Sectlon 7031.5 by any epplicant for e pertnit subjects Ihe applicant to e cNil penalry of not mare than frve �undred dallers ($500).): ❑ I, as awner of Ihe properry, or my emplqrees with weges as their sole compensation, WILL DO THE WORK, entl the structura Is not Intendetl or ofteretl for sele (Sec. 7044, Business and Profasslons Cade: Tha ConVaMore License Lew does not appy to en ownar of proparty who builds or Improves Uereon, end who Ooes such work himself or herselt or through his or her owh employees, provitleA ihat such imprwements are not intended or oNered for sele. If, however, iha 6uiltling or improvement is sWd witfiin one year W complelion, the avmer-buiWe� will have iha burdan ot proving that �o or she did not builtl or imprwe for Durpose ot sele.). ❑ I, as owner ol the property, am EXCLUSIVE�Y CONiTiACTING WfTH LICENSED CONTpACTORS to construct Ne project (Sec. 7044, eusiness and Pmteubns Cotle: The coniractors License Lew tloes not appty to an owner ot pmperty who builds or Improves thereon, and who contreds tor such project with a contracror(s) license Dursuant to ihe Conirectors Licensa L.aws.). ❑ I em exempt under sec. Business antl Protessions Cotle lor this reeson: SignaWre: Date: Owner ID verified by drivefs license. ❑ Ves ❑ No Drivers License Dlo. Fxpires: Verificetion oi Ownership by (type of dacument, i.e. - property lex bill ar deetl): DIVISION OF INDUS7RIAL SAFETV PERMR CERi1FlCAT10N: ❑ I hereby certify Uet rw eacavelion Me (5) W more leet ln tlepih IntO which e person is reqUlred to descerM, wlll De metle in wnnecibn with work euthorizeO by ihis permit, and Nat no builtling strudure, sceNdding, falsewwk, or demditlon or dismantlinp ihereof, will be more lhan Nlrty-six (38) feet hig�. (Chep. 32, Grp 2, M 2, Sec. 341, Tltle B, Calitomia Administretive Cotle)• ❑ As owner•bullder, I wlll not employ enyon9 to do work which would requlre e pertnit trom the Divlsion ot Industrlel Sefety, es notetl ebove, unless such pereon nes a permil to tlo such work tmm the division. Signeture: Date: Divisian af Indusirial Safary Permit Number: ICERTIFlCATE OF CAMPLIANCE IWD AUiHORW710N OF ENfAY: I certily under penalty Of perJury thet I heve roed this epplication and stela thet ihe Infortnation given is I correct. I agree to compry with ell stete lews end dry ortlinences relating to building construction, end authorize representatives o1 the Ciry ot Caste Mesa to enter upon Ne aDove�.S,ripad prpperty far Inspection puryoyeg• I agree not to occupy or allow oaupflncy ot eny buildinp euthorized by Uis pertni� untll final inspecllan. COUE �. INSVECf10NT1PE 1616 Fixetl System Final Flre Preventlon 1268 Pool Spa Final 200 Flnel RaRaof 201 FIneI8locWReteining Well 202 Final Fectory Fire Place 203 Final Sign 204 Finel Demoli6m PdIF Q�E64 j�( MSPECfqNTYVE 208 Finel Mechenicel 208 Finel Plumbing 210 Finel ElectriCel 212 Finel Flre Preventlon 220 Final Plenning Approval 222 Finel Sita 250 FinelBullding/Occuperwy PAiE Ql�AI� e (714) 754-5273 • FaX (714) 754•4856 • wwv�.Ci.COSta-me58.Ca.uS i i rn�n un�vc, �.w � r� �v�w.+, .... ��.+�� PLUMBING PERMIT Job Address: 744 W 19TH ST Suite No Vicinity: AUTO ZONE Parcel Nunmber: 42226228 Applicant: HENRY, GEORGE Address: 17155 MONTEREY RD CAKE ELSINORE, CA Owner: 19TH & WALLACE Address 3100AIRWAYAV C.M, CA Contractor: THEE PLUMBING COMPANY Address: 17155 MONTEREY RD � LAKE ELSINORE, CA Arch / Eng : Address: Phone: 714-692-1276 2ip: 92530 Phone: 714-024-9196 Zip: 92626 Phone: 909-609-0312 Zip: 92530 License: 470535 Phone: Zip: License: ISSUED BY: Status: ISSUED Applied: 0 811 7/2 00 0 Issued: OB117/2000 SCOPE OF PERMIT 5403 SF RETAIL AUTO PARTS BLDG FOR "AUTO 20NE" ` ' � . 1 BACKFLOW PREVENTER, 2 DRINKING FOUNTAINS, 1 GAS EARTHQUAKE VALVE, 3 GAS OUTLETS � (1-4), 1 SEWER CONNECT, 1 SERVICE/MOP SINK, 2 VACUUM BRKR BKFLOW (1-4), 2 WASH BASINS, 2 WATER CLOSETS, t WATER SERVICE, 2 HOSE BIBS �� REF: B00-00340 ISSUE FEE BackFlow irrigation BackFlow Preventer 8athtub Clarifer System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drein, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 ouUets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Inteiceptors (Sand Auto ) AMT -" C $23.50 50.00 39.80 1 50.00 1 $0.00 1 $0.00 1 $0.00 I 50.00 I 50.00 I 50.00 i $0.00 1 $19.60 50.00 1 571.00 578.45 . 50.00 1 $0.00 1 $0.00 I $0.00 1 $0.00 1 FEE SUMMARY �� AMT Laundry Tub I Washer $0.00 Landscape Irrigation $0.00 P-Trap 50.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo 50.00 Sewer Connecl $24.65 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, wmmercial 50.00 Sink, Floor 50.00 Sink, kitchen 50.00 Sink, servicelmop $9.80 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 � / I, i � i SumpPump � - Swimming Pool � Trap Primer � Urinal , . Vacuum Brkr Bkflow(7-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER . VIOLATION PLAN CHECK REINSPECTION AMT 50.00 $0.00 50.00 50.00 $24.60 $0.00 519.60 $0.00 30.00 $19.60 $0.00 50.00 $0.00 39.80 50.00 579.60 $0.00 $0.00 50.00 on 0 0 0 0 2 0 2 0 0 2 0 0 0 1 0 0 NOTICE: The work authorized by this permit shall comply with all applicabla handicap access req�iTetfie��si�n��a{�f�r�i�assta�t��'�d related re9atarior�s'ferd-No-sP-Pa-S• • ^, ��3 EXPIRATION: This ermi� shall automaticall ex OM ENTS I S. CI ' in 180 da p y ys, or if work is suspended or abandoned for a period of 180 days. ' ' INSPEC710NS: In order for the work authorized under this permit to be considered legal, such wofk must comply with all appliwble codes, and all requlred Inepections end final epproval mus� b8 Obtained. Failure to ob�ain inspections and linal approval will result In the expira�ion of this permit. FOR INSPECTIONS CALL: (714) 7545626 . zatsee (eroo) WORKERS'COMPENSAnON DECLAFiAnON: ' I hereby ettirm under penalry at perjury one at Ne fdbwing dedaraGons: ❑ I have end will maintain e cartificate o1 consent to sell-Insura for warkers' compensatlon, as provitled for by section 3700 of iha Lebor Coda, for Ihe pertormence of Ue work tor which this.pertnit Is issuetl. ❑ I have entl vrill malntain workers' oompensation insurance, es raquired 6y sect�pn 3700 01 NB Lebor Cotle, For ihe peAortnance of Ihe work for which thLq permit is l5.wetl. My workers' comp nsa'on Insu� ce wmer end poli numbe are: �,/ Cerrler. � ( cnGc. AFc��otk r%s CJ Policy Number: ��d�� O CG (ihis secNan need nor be completed i/ me mut is ve u�one hunCred dWlars (S io0) or less.) ❑ I cenily t�et in ihe peAartnance ot t�e work for which thi permit Is Issued, I shall not amploy any person In any menner so es to become sub�ect to Iha workers' compensetian laws of Cellfomia, entl egrea t�at tl I sho Ia �ecome su ' the workers' compensation proNslons ol SecNon 3700 oi the Lebor Cotle, I shell forthwith comply with these Drovisions. /�_ /�-7 G Applicent SlgnaWre: Date: /��" 7 / -� WARNINO: FAILURE TO SEW RE WORN S' 0 MP SATION OOVEHAGE IS 1 WFUL AND SNALL SUBIECT AN EMPLOYER TO CRIMINAL PEWILTIES M10 CML FlNES UP TOONE HUNDRED TFiOUSAND DOl1ARE (5100.000�. IN AD IXJ TO iHE COST OF COf.IPENSATI �, DAM4GES 0.5 PROVIDED FOR IN SECl10N 3%OB OF THE IABOR CODE, INfEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I heraby eHirm that I em licensed under provlsions ol C�epte 9(commencing wi�h Sectlon 7000) ot Divislon 3 of Ihe Business and Professions Cotle, antl my licensa Is In full force end eHecL Lic. A Class p Contractor's Sipnatura: Data: -,i -O CONSTAUC710N LENDING AG NCV: ❑ I hereby atfirtn Ihat there Is e construction lending apency lor ihe pe nce of che work for which this pertnit is Issued. (Sec. 3097, Civil Code). Lentlers Name: Signeture: _ LenOer'S AOdress: Date: OWNER-BUILDER OECLARATIONS: I hereby eNlrm t�at under penalry of perjury Ihat I am E%EMPT FROM THE CON7RACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Busineu end Profeuions Code: Any ciry or counry which requires e permit to consiruct, elter, impmve, tlemdish, or repeir eny slrucWre, pnor to its issuance, elso requires Ne appllcaN for such pertnit to tile e signetl statement ihat he or she is licensetl pursuent to the provisions oi the Conirectors License Law (Chapter 9(cammencing wit� Section 7000) of Division 3 ot the Business an0 Professions Code) or that he or sha is exempt thereFrom and tha basis for the elleped e:emption. Any violation of Seclian 7031.5 hy any epplicant for e pertnit subjects the appliwnt to e civil penalty ot not more Ihan five hundreA tlollars (3500).): ❑ I, as owner of the property, or my employees wlih weges as Iheir sde compensation, WILL DO THE WORK, entl t�e strudure is not inientletl or oflered lor sale (Sec. 7044, 8usiness antl Proteuions Code: The Contractors License Law Cces not eppty to an owner of property who builds or improves thereon, anC who does such work himself or herself or Ihrough his or her own employees, 0«ded that such improvements ere not intended or ottered for sale. If, however, Ihe builtling or improvement is sold within ona year ot completion, Ihe owner-builtler will have the burden ol proving t�at he or she did not build or improve for purpose ot sale.). ❑ I, as owner of the pmperty, am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct t�e O�ojeG (Sec. 7044, Business and Professions Cotle: The comrecrors License Law tloes not apply to an owner ot pmperry who bulltls or Improves thereon, end who contracts for such O�olact wlth a coNractor(s) license pursuam to the Contractors License Laws.). ❑ I em exempt under seC. Business and Prolession5 Code tor this reason: Signawre: Date: Owner ID veritietl by Arivers Iicense. ❑ Ves ❑ No Drivets License No. Venlication ot Ownership by (rype oi tlaament, i.e. - property ta: Gill or deed): � DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON: Expires: ❑ I �ereby certify tha� no excavetion five (5) or more feet in Oepth Into which e person Is required Io tlescenQ will be mede in conneciion with work eulhorized by Ihis permii, and ihat no builtling sirucWre, scaNWtling, falsework, or demolition or dismemlinp thereof, will be more Ihen thirtysix (36) teet high. (Chep. 32, Grp 2, M 2, Sec. 341, Title 8, Celitomia AtlminisireUve Cotle). ❑ As owner-builder, I will not employ enyane to do work which woultl require e permit tmm the Division of Industdel Satery, es noted ebove, unless such person hes e permit to do such work Irom the division. Signature: Date: Division of Industnal Safery Permit Number: CERTIFlCATE OF COMPLJANCE AND AUTHOROJITON OF EHTAY: I certily untler penaly ot perjury that I have reaA this aDPlication antl state ihat Ne infortnalion given is wrrect. I egree to comply wit� ell state laws enC ciry ordinenCes releting to builtling construction, and authorize representatives ot Iha Ciry of Costa Mese to enter upon the ebove-describad property tor Inspection purposes. l egree not to occupy or ellow occupency of eny building authorized 6y this pertnit unlil finel inspection. GOUE �, IHSPECTONflYE 1616 Fi.etl System Finel Fife PrOVBnilon 1268 Pool Spa Final 200 Final Re-Rool 201 Final BIocWRetelning well 202 final Feciory Flre Place . I203 Finel Sign 206 Final Demdition �>°.c�d Date GOOEI MSGECfIONTYPE 206 Final Mechanlcal 208 Final PlumDing 210 Final Eleciricel 212 Final Fire Prevention 220 Flnal Planning Approval 222 Final Sita 250 Final BuilAlnp/Occupancy � �� i:J • y�. ; m ; .�' (714) 754-5273 • Fa�c (714) 754-4856 . . : ' Job Address 744 W 19TH ST Suite No Vicinity: , . , Parcel Nunmber: 42226228 Applicant: JOHN ESPE Address: owner. 19TH & WALLACE Address 3100 AIRWAY AV C.M, CA � � CITY OF COSTA MESA � BUILDIN6 p1VISION DEVELOPMENT SERVICES DEPARTMENT, PERMIT Contractor: G D HEIL INC. Address: 837 S. EAST STREET , ANAHEIM, CA' � �.. , Arch / Eng : - , , Address: . � �� ,,,, , � ., PLUMBING PERMIT Phone: 714-282-6110 Zip: Phone: 714-424-9796 Zip:- 92626 Phone: (714)282-6110 Zip: 92805 License: 659496 Phone: ;� Zip: � License: 77 FAIR PERMIT N ER UO-00185 IIVE. COSTA MESA, CA 92626 Status: ISSUED Applied: 04/18/2000 . Issued: 04/18/2000 ISSUED BY: SCOPE OF PERMIT SEWER CAP AT PROPERTY LINE DUE TO EXISTING BUILDING DEMOLITION FOR FUTURE "AUTOZONE". RE:800-00500 (DEMO PERMIn - ISSUE FEE Backflow irngation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 aTY FEESUMMARY AMT Laundry Tub / Washer $0.00 - Landscape Irrigation $0.00 ' P-Trep $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo 59.80 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor � $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 � - COMMENTS I SPECIAL CONDITIONS SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash 8asin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent water Piping (Inst or Rep.) Water Re-pipe � Water Service Water Soflener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: 533.30 aN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if vrork is not�commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and ell requlred inspectlons and finel approvel must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545628 WORKEHS' COMPENSATION DECLARATION: - � I hereby eMirtn untler penalty of perjury one ot Ihe lollowing tleGeretions: ❑ I heve and will meinteln e certifica�e oi consent to selt-Insure tor workers' wmpensatlon, es pmvitlotl for by section 3700 of the Labor Code, for ihe pertormance oi the work for which this perml� is Issuetl. . ❑ I have antl will meiMaln workers' wmpensetion insurence, as required by section 3700 of the Labor Code, for the peAormance of the work tor which Ihis permlt Is issuetl. My workers' compensaUoqn Insurence ca�rriarr- end policy numTber a�re�: �. �� 3� Carrier. �� l m+x.b. d-lll5. J LVU D Policy Numher: (This secNon need not be aomp/eted i the permit is velued ef one hundred dollars ($100J ar IessJ ❑ I certiy that in the pertormance oi Ihe work for which this permit is issued, I shall not employ any person in any manner so es to �ecome subject ro[he workers' compensation laws ol Calilomia, and agree that if I should become subjeq to the workers' compensation proNslons ot Seciion 3700 of the Labor Cotle, 1 shall forthwith comply with ihese provisions� � — �� Appllcant Signatura: Date: WARNINO: FAILURE TO SECURE WORKERS' CAMP NSATION COVERACaE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CFIMINAL PENALTIES AND CIVIL FINES UP TO IXJE HUNDRED THOUSAND DOIJ.ARE (5100,OOD�, IN ADDfiION TO THE COST OF COMPENSATION, OAMAGES AS PROVIOED FOR M SEGTION 37060F THE LABOR WDE, IMEREST, AND ATTORNEV'S PEES. LICENSED CONTRACTOHS DECLARATION: I here�y aMirtn �hat I am licensed u9der ro�''}� ions oi Chepter 9(commencing with Sectlon 7000) ot Division 3 ot the Business antl Pro�i,o2ns Catle, antl my license is in tull force and eflect. Lia N �O�Q4 4� Cless q C.- Coniractors Signature.-� Date: (�_ 00 CONSTRUCTION LENDING AGENCY: . ❑ I hereby aHirtn Ihet �here is a consiruction lentling egency lor iha peAartnance oi t�e work for which Ihis permil Is issued. (Sec. 3097, Civil Code). Lender's Name: Lendels Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm that under penalry ol perjury that I em E%EMPT FROM TNE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professians Cotle: Any ciry or county which requires e permit to conslmct, elter, improve, demolish, or repeir any s[ructure, prior to its issuance, also requires the applicant for such permit to lila a signed statement that he or she is licensed pursuant to the provislons ot the Contrectors Licenso Lew (Chapter 9(wmmencing with Saction 7000) of Division 3 of the Business antl Professions Code) or ihe� he or she is evempt iherafrom and the besis tor Ihe elleged exemptlon. Any vlolatlon oi Sectlon 7031.5 by any applicant for e permit sub�ects the appliwnt to e civll penelry of not more ihan five hundred tlollars ($500).): ❑ I, as owner of the property, or my employees with weges es their sole compensatlon, WILL DO THE WORK, antl the structure is nat intentletl or ottered tor sale (Sec. 7044, Business end Professions Code: The Contrectors License Law does not apply to en owner of property who builtls or improves thereon, antl who does such wark himselt or hersetl or through �is or her own employees, provided thal such improvements ere not intended or ottered for sale. If, however, Ihe building or improvement is sold within one year of completion, ihe owner-builtler will �eve the burden of proving thet �e or she did not build or improve for purpose of sele.). ❑ I, as owner of Ihe property, am EXCLUSNELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professlons Code: The contractors License Lew does not epply to en owner of property who builds or improves thereon, end who contracts for suc� pro�ect with a cantrectoqs) license pursuant to the Contractors License Laws.). � I am exempt under sec. Business end Professions Cotle for Ihis reason: Signeture: Date: Ownar ID venfietl by tlriveYs Ilcense. ❑ Ves ❑ No � Drivefs License No. Expires: Venfication ot Ownership by (type ot document, i.a. - properry taz bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no axcavation five (5) or more fee� In depih into which a person Is required to tlescend, will be made in connection with work authonzed by this pertni�, antl �hat no building siructure, scaflolding, telsework, or demolition or tlismentling thereot, will ba more than thirty-six (36) feet hlgh. (Chep. 32, Grp 2, An 2, Sec. 341, Title 8, Califomla Adminislrelive Cotle). ❑ As owner-builder, I will noi employ anyone to tlo work which would requira a pertnit irom the Division of Industnal Sefery, as nated above, unless such Derson hes a permit to da such work from the didsion. Signeture: Date: Division of Indusirial Safery Pefmit Number: CERTIFlCATE OP COMPLJANCE AND AIfTMORIZATON OF EMRY: I cartity untler penalry of perjury lhat I have read this application antl stata ihat the information given is correCt. I egree to wmply with all state laws antl ciry ardinances relating to bulltlin9 construction, and authonze representaWes of Ihe Ciry of CasW Mesa to enter upon the ebove-described property tor inspection purposes. I agree not �o occupy or ellow occupancy ot any builtling au�horizetl by this pertnit until final inspection. Signet e ot Le"��c�" er(s) Dete � • 14.�/'� � � ��I �� And/OrAuthonzetl licant Date CQOE �. INSPELTION TYGE 1fi16 Fixed SyStem Finel Fira Prevention 7268 Pool Spa Final 200 Final Re-Rooi 201 Final Blak/Retalning Well 202 Final Fectory Fire Place 203 204 2G48�68 Final Sign Final Demolition Q�, INfIfIALS CODE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Finel ElecMcal 272 Final Fire Prevention 220 Final Plenning ADProval 222 Final Site 250 Final Building/Occupancy D�E INN�e44 � � (714) 754-5273 • Fau (714) 754-4856 • www.Ci.COSta-mBSa.ca.US 77 FAIR DRIVE, CO51A MtSA, GA aZti20 Job Address: 744 W 19TH ST Suite: �� Vicinity: Parcel Nunmber: 42226228 ,npplicant: RENEE FOLTZ Address: owner: 19TH & WALLACE Address� 3100 AIRWAY AV , C.M, CA Contractor: WESTERN SIGNS Address: 1650 LINDA VISTA DR SAN MARCOS, CA Arch / Eng : Address: SIGN PERMIT Zoning: Phone: 760-736-6070 Zip: Phone: 714-424-9196 Zip: 92626 Phone: (760) 736-6070 Zip: 92069 License: 282196 , Sta[us: ISSUED Applied: 08/18I2000 Issued: 08118/2000 ISSUED BY: Phone: Zip: � " License: "' SCOPE OF PERMIT . 21LLUMINATED WALC MOUNTED SIGNS: (i) 140 S.F. SIGN ON SOUTH ELEVATION; (1) 119 S.F. �� SIGN ON WEST ELEVATION. - 11LLUMINATED FREESTANDING SIGN AT 19TH ST. DRIVE ENTRY: 73 S.F. IN AREA .. TOTAL AREA: 332 S.F. � . Plan Check: $108.71 $0.00 Permit: $167.25 SMIP Com: $1.78 Other: $0.00 $0.00 Inspection: $0.00 ; $0.00 - $0.00 , Total: ' ' �$277.74 � ' NOTES: FEE SUMMARY PLANNING & ZONING Calc Valuation: ; 5s;soo.00 Claimed Valuation: Se,soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related ragulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 7 BO days, or if work is suspended or abandoned tor a period of 180 days. , INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all appficabte codes, and all rBqulred inapeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (774) 7545626 ZdC&48 (8�W) � — WORKERS'COMPENSAnON DECLARATON: I hereby eflirtn under penalry Pf perjury one of the iollowing declaretians: � ❑ I heve entl wlll maintain e cetlificete of wnsem to selt-Insure for workero' compensation, as prodded Por by sectlon 3700 0l ihe Lebor Cotle, for Ihe peAormence af the �'ork for which thls pertnit is issued. , Q' I heve and wlll maintain Workers' compensalion insurence, es required 6y sectlon 3700 of the Lebor Code, tor the pedortnence of ihe woB for which this pertnit Is issued. My w rkers' compansatl Insuranc� rd ntl policy number ere: ��QBOO � Cenier.�. �%��J %� � poliqNumber: (Thls sedion neetl not be comp�eteC il Me permit /s velued a( one hundred UW/ers ($100) or less.) ❑ I caniy ihet in thapeAolm@nce of the work for whlch ihis pertnit is issue4 I shall not employ any person In eny manner so es to became subject to the workers' compense�a�1 rws ot Cal bmia, flnd agr �at if should bewme sub�ec� to tha workers;cwnpensallon provisiau of�e/q ion 3700 of Iha Wbor Cade, l shall torthwtN comptywi�these o' ons. ` / J�`%,��C,OC/ 1� Applicent Signeture:� • �� Date: L� �,/ WARNIN�: FAILURE TO SECURE WORI(ERS' COMPENSATION C GE IS UNUWFUL AND SHALL SUBIECT Ml EMPLOVER TO CRIMINAL PENALTIES M1D GVIL FlNES UP TO ONE HUNDRED hKKISMID OOLLFRE (E100,000), IN qDDIT10N TO THE CQST OF Sq?ION, DAMAOES AS PROVIDED FOP IN SECfION 3]OB OF THE LABOR CODE, INTEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby effirtn that I am torce en0 eflecL Lic. rq � ConireMols SignaNre: CONSTRUCTION LENDING AGENCY: ot Chepter 9(commencing with Sectlon 7000) af Division 3 0l Ihe B � Class p _'�1R4-��r � Deie: � ❑ I hereby affirtn that there is a construction lending egency for t�e peAortnance of ihe work for which ihis pettnit Is issued. (Sec. 3097, Civil Code). Lentlefa Neme: Lendels AdOress: Signature: OWNER-BUILDER DECLARAnONS: Date: my Iicense is in tull I hereby ettirtn that untler pena�ry ol per�ury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sac. 7031.5, 8usiness entl Professions Cotle: Any city or counry whwn requires e permit lo construct, al�er, Improve, demolish, or repair eny sWCNre, prior to its Issuence, also requires the applicant tor such pertnit to file a signed stetement that he or she is Ilcensed pursuent to ihe pravisions of the Contrectors license Lew (Chapter 9(commencing wilh Sedion 7000) of Dlvlslon 3 ot ihe Business end Professions Code) or thet ha or she is eaempt therefrom end the besis for the ellegetl e:emption. Any violatlon of Sedlon 7031.5 by any epplicenl for e permit sub�ects Ihe applicant to a civil penalry of nat mare than five hundre0 tlollars ($500).): ❑ I, es owner ot the properry, o� my employees with wages as ihelr sUe compensatlon, WILL DO THE WORK, antl ihe structure is not Intended or oHered for sale (Sec. 70d4, Business and Protessions Code: The Contradors Licensa Lew tloes not epply lo en owner of property who builds or improves thereon, antl who does such work himself or herself or throu9h his or her own employees, proviCed that such improvemenGs ere not IntendeC or oXered tor sale. If, however, Ihe building or Imprwement is soltl within one year of completion, iha owner-builder will have ihe burden ol proving that he or she tlid not build or improve for purpose of sele.). ❑ I, as owner of the properry, em EXCLUSIVELY CONTAACTING WITH LICENSED CONTRACTORS to consWct Ihe pra�ect (Sec. 7044, Business and Pmtesslons Catle: The con[ractors License Lew does not eppy to an owner oi property who builds or Improves t�eraon, entl who comrens for such pmject wit� e contrectoqs) license pursuent to the Contractors license Lews.). ❑ I em azempt under sec. Business end Professions Code for this reason: SignaWre: Date: Owner ID ventied by drivars IiGenSe. ❑ Ves ❑ No Ddvel9 License No. Vedficatlon ot Ownership by (type at Aocument, I.e. - properry tax bill or deed): DIVISION OF INDUSTAIAL SAFETY PERMR CERTIFICATION: Expires: ❑ I �ereby certiry that no excevation five (5) or more feet in depth into which a person is required to descend, will be made in connedlon with work authodzed by thls permit, antl that no building siructure, scaHolAing, lalsework, or demdition or dismantling Nereol, will be more then Nlrty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Calitomia AdministreWe CoCe). ❑ As owner-bulltler, 1 will not employ enyone lo tlo work which woultl require e pertnit trom the Division of Indusinel Safery, es noted ebove, unless such pereon has e pe'mit to do such work irom the divisian. Signelure: Date: Divislon of Industdal Safery PeR�it Number. CERTIFlCATE OF COMPLIANCE AND AllT1fOHVATON OF EMRY: I certity unGer penelry oi perjury that I have �ead this epplication antl state thet the intortnatlon given is conecL I egree to compty with all stete lews entl ciry ortlinances relaUng to bulltling conslructlon, and authonze representatives of t�e Ciry ot Costa Mese to enler upon Ihe above-tlescnbed property far in5pection purposes. I egree not to occupy or ellow occupenry oi any building euthanzed by this permit until final inspeclion. COOE �. INSPELTIONTYVE 1676 Fizetl System Final FIle Prevenlion _ 1268 Pool Spe Final _ 200 Final Re-Roof — 201 Flnal Block/Fletaining Well _ 202 Final Factory Fire Pleea _ 203 FInalSign — 20C Final Demoli�ion �. ��IIInII,iFI � � l J�c� � S Date CQUE I INSPECf10X TYPE 208 Finel Mechenical 208 Final Plumbing 210 Final ElecMcal 212 Flnel F7re PrevenUon 220 Final Planninp ApOroval 222 Final Site 250 FinalBuilding�Jenc (� 4 ., _ `;�i,�-1.�v.74 - ..,:;�, ..,� �COSTA MESA BUILDING-SAFETY DEPARTMENT , P. O. BOX 877 C08TA MEBA. CALIFORNIA � For A�/p�(pI♦i"ctanf #o Fill In Comple#ely �T'% /d/ TYPE OR PRINT COSTA MESA. CALIFORNIA 1 OWNER �C IELO ��L C AOORESS��SN��E ��r� anL I� S �/FL/F , No. , ARCHITEGT ii /L II� �u..w . TEL. 933 /"I� � gd3 i:/ED�a S' �%�irBi«�" �O < ft-'�� TEL.' 67 NO.i UGE OF EXISTING BLDG. BHTBACK LIN6 PROM b9 EXTERIOR NO. OP DESCRIPTION 6� lAIOitK WORK TC J �� I HEPEDY ACKNOWL6O6R THAT 1 HAVE PBAD TXiB APPLIGTION AND BTATE THAT THE AOOVE IB LORRECT ANO AGRCE TO COM- •.V WITH ALL CITY ORUINAN� ANO 9T� E WB IN6 LDINO CONeTXUQ10M. V�B TURE OF.� �� AGENT r` � � _-._��_�'=� , nq. _ F�,� �ECEtVED ��', 5�-�i-(�� FINANCE DEPT. APPLICATIO�jryI��FP�IjP M� ::� eue��i�G - � For Offiee Use Only COSTA MESA. CALIFORNIA FIRE ZONE TYPE GROUP � APPROVED � � BV P �ATE Z PlIIdG �, ZONH NO. OP U98 OF NE `{ I I PIAN9 � I BUILDINO LEOAL Q /+, DEBCRIPTION / !J / ! A�.P.NO. II ��T ��L YARoS�-u-�A' "� 3�'EVEs APPROVED ALLOWED (CHMlH LIN6 8TJ / � . . � �S 3n, ,c�/ � � � THE AMOUNT 6HOWN UNOBR VALUATION IB POR TH¢ PIIqP06E OP ¢pTABL18HIN0 q PERMIT FEE ONLY. VALUATION / PERMIT FEE $ �(��} � S �3�QO�T PLAN CHECK S �/ � -- - _g� ' • B[JI[.DI1�G SAFETY DEPARTM__. P �T ) P. 0. Box'No. 317 lr �. y?�, 13,G,i �� ' Costa Mesa, California y ai? � �� ' �. Date / — � O �".''�� CITY OF COSTA MESA i. , � CERTIFICATE OF OCCUPANCY Building Permit Use of Buildin�. Tlie building bcated Electrical Permit No Plumbing Permit No - -_ ,�_. ..r . . Legal Descdptio� � '� , (See reverse side for Metes and Bounds) �'� '� , . ,has been inspected and found to comply wit_ the provisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group Occupancy. ISS TO: n /� ' City Buildin� Ofticial �� Ll/'!//•� �if /�� .'l'�' Z- (Owner of Building) BY-f''�`='�F''��j t "' CC: ❑ OI'igi[tel—OWRei ❑ lSt COpy—Gas Co. ❑ 2nd copy—Edison Co. ❑ 3rd copy—Filc Form 206 5-B P IM 1-60 . �: . � �. . ��.� � COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 COSTA M68A. CqLIFORNIA For Applicant io Fill In Complefely YYPE OR PRINT ' COSTA MESA. CALIFORNIA OWNER � Q MAIL AOOFiESS • C I j� TEL. CITY r{ NO ARGNITEGT .� � / � I.� _ V' _ � TEL. � STATH NO. OI BI.pGB. USE OP EXIBTING BLDG BHiHACN YN6 PnOM DESCRIPTION OF WORK EXTERIOR WALL GOVHRINO U6P.y QP BUILOIN ROOF 1 HBRBGY ACNNOWL8D06 THAT 1 XAV6 RBAD iN19 �PPLIWTION AND BTATB TNAT TN8 ABOVe 16 CORRBGT ANO AOREB Tp CON- rLY WITN �LL G11T OIl��NANC89 AND BTAT¢ LAWB PBGULATNO BUILDINO CONBTRUCTION. � /� ^ SI6NATUR80F�_�.�� _ .fl'!:_Y_..�e AGENT �=E� R��E1VE� �/��/� � v � FINANC DEPT. �i�Y OF rpSTA MESA APPLICATION FOR PERMIT BUILDING For Off7ee Use Only H@Ce1PT NO. PgNd COSTA MESA CALIFORNIA APPROVED ZONB LGGAL IC6M6P YNB APPROVED ZONING NO. OP I U88 OP N6W vune lemi.oma TX8 �MOUNT BNOWN UNDeR VALUATION IB POH THE PUPP088 OP E9TABLIBHINp A PERMIT P86 ONLY. VALUATION /� � PERMIT FEE $ � S / O`� � PLAN CHECK $ _ � C � � . `. 22577 ' � COSfA MESA BUIIDING-SAFEfY DEPARTMENT P.O. BOX 12W COgTA MEBA� CALIFORNIA Y7DtD �� For AppllcaM ro Flll In ComplNaly TYp6 OR PRINT sui�nino (�,4� � �'1`(, `['' ADDRBQY � COSTA MESA. CALIFORNIA o,�aRYZ�GF�rtCL�S o�� ADDR S S 0��O W E L LI � CITY� N`i��G7 ry'p„11TT�� e e".'� uR . C LYbrc-L'Q2PE�1�.'1�. S O1 68TeAeR � � 34 `t2�s � sr. �S o �t-r F 0`'�4'�1� 1 (n 1� '' 1�i w 1 I No. or eLDot. DESCWP170N OF WORK � NO.OP ' � ROOMH @Tp11� I M� �nvemwnS�!{i, M'C L � � �.,v c r-_. . . , 1 H6R60Y ACKNOMLtDO� TMAT.1 X�Vt 11iAD TYllt �►►LIGTON AND 9TAT6 TXAT iN{ ApOVR.�O C011R6C} ANO AOR6[ TO COY- PLY WITN ALL'CITY O1W �WWCff Appp RA F tAM'� 11�pYlAT BUILCINOCONeiqVpTl0�1. /� H16NATURHOP �� ' PHRMITfH � AVTNORIZ[DAO[N7' FEE '',ECEIVEO JUL 10 1964 FINANCE DEPT. CITY OF COSTA MESA A►PLICATION FOR PERMR BUILDINa For ONIn U» Only nc� o I wn ) �)�4T� � ZONING YARDa APPROVlD MAIN BUILDINO tOM C/L� )P�i IIO `�' '� .._� �'� _ '%� VM. SC � �' � �_ � � BHALL B6 L688 THAN � <u.e.e.nccuinernsr�rt� \ YARD9MPROV6D ` ACCBD80RY BUILDINO t�p eer. MwiN e � V1 AGCESB. BLDOB. `� DATH 4 . �r -� � .1C o7 ." ' `� �' . � 80.lT. � Tll I�MOYNT �MOWN UND[p VALUI�TON 19 FOR TM[ ^ rypP09f OI �1TAGY6NIN0 A I[(1YIT P86 OHLY. � YAWATION � � dQ � Q1 `V PERMIT FB6 � � • , j �OC`7 ^ � " TOTAl. PE6 04 l.' 1 . � 2�89y COSTA MESA BUILDING-SAFETY DEPARTMEM ' P.O. BOX 7�7 � GOSTA MEBA, CALIFORNIA 82E26 For Appl7cant ta Flll In Compleroly TYPE OR PRINT ADDRE'SY E % / r^� COSTA MESA, CALIFORNIA NEW y REPAIR' .:� BUILDINO 61zE EXTERIOR WALL � re�. NO. � i O E. ia R=� �, i NO. OI �LpO�. NOWf N J TiK —.. PGI❑ ,�} ie��ir{; :' APR 1 a-G7�n,u0O1021 3G.v0 APPLICATION FOR PERMR BUILDING For Offlm Uw Only nanrtno. I �i ' I NO.O� ruru / i OM ��`� � /�� YARDB MPROV BD MAIN BUILDINO OYILDIXO��I({`' U.yyy� . �LX«a /� i � 8i � Q � � 1` \ anwu ee �ea rH�n VARD8 APPHOVfiD AGGEBSORY BUILDINO �4 � 1RIPTION OP ,WORK . �.aio • � r�r.-t� •. . Rr. . W . ra.....�_ . ,-'c. '.T��:, ,,. � :.A'f •'l.. .. '._.= : ,.b . ' R[ARI. . T_. _' '., �. ALT6RATION AGDITI N'_ _ . . � �' . �' �' �". . """' - " DIGTANCt BR. r r B[T. MAIN Q � M- �H ,�rY• •�gM � MAINBLD t ACCE88.BL'D08. g NO. OF � ` VM. �j DATB � ROOMH. RI I.� G.U.P. APPROVED. � -�G�' ROOr � � MPROV a " �J 4L' 'COVHRINO `� 6c%C � � er ��--` � 'DAT6'� ' � / � ND WORKTO D6 PiRFORM[D � " �^ � � _ a r✓. / � >–c_b�_�� . . . _. -, �T' �:90GD FOR SPECi ,L REQUIR�tiJ�'i�"'S � .— - , '� � � � / V T L E: ea. vr. o i N6R6DY ACKHOWLtO06 TXAT 1 HAV[ 11QAD TI�� APPL�CATIOH TH[ AMOUNT lMOWN UND6N VALUATON 1! �OR TX6 � AND BTAT6 TNAT TlIQ ABOV6 1� C011R[GT'AND AOR6[ TO COM• �UPPO![ O� 66iApLI8XIN0 A PERMIT P8H ONLY: PLV WITX ALL CITY ORDINANCV AND YTI1Ti LAW/ R[OlIL11TIN0 y�UAT10N � BUILOINO CONBTpYCT10N. PERM�ITT6 e �r � , PeRMIT FEE — F C s � 4-d °— �? — � a AUTMORIZiD AO[NT / �� TOTAL FEE (lJ ) - � r I .. _ . : . -;. . . _ : _ � . . . ....1 � _ .. - -. - - - . . . , - -. . -_ .�.- --- -- - ..... Y..I�:.�_.. ,' ' _ ". � "• ! _' " _ _ . .�. . ' Conditions::.. .. . ', . - . • . . . . . : . ,: -' - - - - - -- - - _-�- - - - - , •<<_ •.v.., ...�:•� -- • - ..r. - '-- -l: -Tree lantin ' y� � ': . • . �. �:'�-' '� p g'compatible�with'area; in the�parkway; subject �_ to the approval of the Street Supt. '�� 2. Applicant to install commercial conceete sidewalks along Wallace ,�� . - Avenue; at his-expense;-under the directiom of the City;-:-,` �-y--- ., ,, Erigineer. :. • : .. ., ....-= �' `_. ��r. ._ ..� . �3., .Landscapirig-to; be provided around�;station si;te, adjacent,•to� sidewa3k -- �--as-shown on -the- approyed• plot- plan;,subj ect -to -the �approval of -the - • . - Planning Department. ' _ . ..... i �. - '4. Rear;portion of A.C. lot to be striped,-�for-parking�stalls;_=�• --' . �. . ..�• n r r••x'.:.,. j 5. This;;a `roval approval.�of--�the-Planning,Department.'"� sub'ect to.-�the .. . � I �� pp idoe's not approve sigriing`.ti-C`SYgn.'type andl'location �' "� " - ' " "shall.'be.,approved by fhe Planning • Bepar.tment. ;with; separate: permit.r� � • � -- ----- - - ----�--- �� c. , , .� `. , ,- . i i . ' . .. i: . ^.. .� " ', _'_" _. . "_ "' ' .__ " __ __' . .... .. ,4.• �_ '- ` `�" lt� �-'', � �,--�`, - -_- -- -- - .:.. -_--- r. � t�_ :c,r::r:-�� _ \1 ' � •- _ i . � ..- , . .i; - -.' ..t..' . . :..q.'�------� ' . _ ' ""'_ _ ""_ _ " __ _ __ _ '" _ _ _ '. . ,!'�.. ' - . _D "�- Ati.s.". - ' .'/,y � -�, . - :.P'.. - " ._ _ _ '____.. _ _ _ _ '__ _ ,. i.: ._... •, ; .. i�,. � c:<�. :'L:A.�P.:.:.... • _ _ . ' "' r _ ,' " ___""' '...... _ . _ _ _, ':/�C� � , - - . ': � :i_ J u pn 'iv.:--' I � � �:a:::nr.•..re� �:,cecH7r,-m_ � .:.N�r � u�ti _ _ _ ___ _. ..- __' '_ ____ _ -._. _ `�:� :�_; '_ _�_. _.._'"_ =-__,F--.-; l��3i_ .. ' ' .' " _" . _. "'��' 'r.. ..�`c: . . "�': . '...,�_ ..r. •�. " f . � � . _ _ '. _ . . . _.. ' '_ ._ r-' ' ' � r � '� '_ _ ""'_" _' ; ='.' � '_ ."'....' "'_ " "'� . ._ . , r \ '_. _ _ _.__ _ _ _' "___"_ _ ' _�_. '�' '.'� .'. ' ' 1'N t , . � 9=-..• _ . �'r_ "__' _ I ..� "__ "'_ � '_ �,"`_.____ - _ � ,� , I _ � . � ` .. .....� ��_._..__'_..__" __._�'.�`_'_.'� •.� '�- � ' . . i';^ _ .. �' �.. i.tr' . ... ,- .' _ _. ;- -"... �� _.�,.;y'- _� `_i "'_ I ,.. � . .. �. , „i,s��c:.:x �. � . _ . � ---- � - ----'----- --- ---�� - ---- - - - ' ., .. _ .-.:::' ' -- --' -��.F:i-..__. c's'�.�� -._..._.__; ; �� ._ . ...�:.�,. . �. .' _ . n �.. � .9:�N .. - . � � ... V . :a ,_�.'; ,"�_ _ �_ � .i.,,i�__f.: �_, _., . . . - - r -- '.._ _ .�. .._.(. .. _ ..._._. i _� i ._ • •o• 3•;. �� ' . - �. �' 0' =7X l.;.] C4:1C l- " l`Jf 4d'3:i1�� :.:C^�. � 5.��:):�� '.� : ' �i�:��.�"_•.:'k:� _.. ....��:�: • __ __ ._._ _ _' "_ i �� uE:Y�:�%S ` : . ; - - : . I i:w I � 1 �.�..�tC� ,' . �l� ' • 1 i .•� . 1,'. "d:4�,'- iC��'. d�:` .' wJ� } I. � COSTA MESA BUILDING�SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to F)p in Completely BUI�DING � f_A_ /, 1 Q{;{�l ADDRESS TT W / OWNER 2 �Q ADDRESS �� p � GLI � � /� � Pnso JUL —7•7lcnsn�� 3G4tr **^+'�24.OG APPLICATION FOR BUILDING PERMIT FJ,�BV DATE RECE� ED OAT� I�UED/ /{ i � •7 A.P.NO. /IS'3TL�� BUILDING ��,j `./ 1 �j'rh ADDRESS `t NV � Z . (plZr d U CITV �/Cyy NOL',7 � RACT CANSiRUCTION �J_ W /a ON LENDER /�'� am � � BRANCH se J � OWNER 'dM m J ADDFESS ^ ` m ARCHITECT TEL. $ »� l+�� J a OR ENGINEER � N U N FIFE w � ADDRE55' ' � ZONE ' �" W ^ APPROVED�/n W 2 CONTRACTOR J�� BV UiC/ J Q , � J� ADDRESS •,L � `O yC�%G'P f 1 w w TEL ZONE NO.OF Z� cir� �/� — �O/ N. �26 C— � vv+n�s O STATE CITY VARDSAPPROVEI y� LIC.NO. 2� 9�!(� LIC.NO. MAINBVI 7� SIZE NO.OF BLOGS. (FROM C/L FEET) OF LOT NOW ON LOT FRONT FT. USE OF EXISTING BLDG. 5 � SIZE OF NO. OF Z NEWBLOG. :�OOMS STORIES I.SIDE FT. U EXTERIOR WALL AOOF COVERING CpVERING REAR T. J USE OF BUILDING ANO WORK TO BE PERFORMED OISTANCE BET. a MAIN BLDGS. a Q �> .� %� VAR.# 0 � D V.� L C.U.P.�W ~ � ,1� �Ro�jL N Z O U1 here0y acknowletlge Mat 1 have reatl this application antl state � that the above iniormation is correct and aBrae io comply with � all laws regulatinB builtling consqructian, and I shall not.emplDy F„ any person in violation of Me Workman's compensation laws ot y the State ot Calitornia. ZI hereby certify that I am pro0erty licensetl as a contracmr under SQ. FT. [he Sta[e ot California Business a�d Professions Code, Divisicn 3, TNE AMOUNT SHI Chapter 9, antl that such licenses are in tull force antl ettact, or I TNE PURPpSE OF E am exempt from the provisions ot the State of Calitornia Businass VALUATION entl Protessions Cotle Division 3, Chapter 9. - Signeture of / a�' Permittee $ ` d Q� � a�uori:aa nae�i VALUE DATE USE OF NE BUILDING � VAflDS DATE APPROVED BLOCK �I � e 0 VALUATION IS FOR � A PERMIT FEE ONLV: m � �) ¢ E $ / . �'I/ � K S � E �J r� i� o` ��. S Oi . lrri LL •-.- •- � .�4556 COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicanf to Fill in Completely *oa 1l 7: ��a�r�QO 438� *�*�23.18 CH° APPLICATION FOR BUILDING PERMIT OWNER TLAA/T/C )CNF7 EL C O' A•P• NO. O— MAII BUILDING «-� 7aJJ6 � / �,O! ADDRESS % Z ADDRESS L /` r� d U CITV A�vA%}EI N �A��.j F NO• % � TRACT (O� /"" H Z ON L�ENDERCTION A/� am J � BRANCH J � OWNER m J ADORESS J m ARCHITECT TEL. a OR ENGINEEF N V Q FIRE w � ADDRESS ZONE TI d W \ APPPOVED - W 2 CONTRACTOil A 1 ��/ i � BY J Q W¢ AD�RESS �� p� Rd. ZONE NO.OF Z F CITV UA FE SP � S N�L" S 16'I PLANS G W 0 STATE CITV �'AROS APPROVED y Q LIC. NO. LIC. NO.ZZ9 MAIN BUILDING � O (FROM C/L STREET) S12E NO.OF BLDGS. � R � OF LOT NOW ON LOT USE OF �/ EXISTING BLDG. L � F� SIZE OF NO. OF ' � Z NEWBLDG. ROOMS STORIES l SI E F U EXTERIOR WALL ROOF COVERING COVERING REAp FT. J USE OF BUILDING AND WORK TO BE PERFOFMED DISTANCE BET. a MAIN BLDGi. a 0 cMOJE I-�tST 6000�ac.-ra� CURP.vF• y R� W�r�+ 6o R"- �� z c,� 0 UI hereby acknowladBe thet I have reatl this epplication anE cmte ST�Q � that Me above Information is correct antl a9ree to comply with , � all laws reBuletlnB building eonstrucNon, and 1 shall not employ r any Oerson in violecion of Me workmen's compenset(on laws of y Me Stata of Cal(fomin. �. ? I hereby cartify thet I am proparly Iicenaetl as a canvactor untlar �• FT. iha Stata of Califarnia Bucinecs entl Profeuions Code, Divislcn 3, THE AMOU SHOY Chepnr 9, nntl that such Iicanws ara in full force enC effect, or I TNE PURPOSE OF E51 am axempt from the provisiona of ihe Stete ot California Busineu VALUATION antl Professlonz Cotla, Dlvlsion 3, Chapter 9, C�� Sipnature Of ��'j �%W �� o.� Permlttee � $ 8-Q � AuMONzed Gv� DATE APPROVED S m O VALUATION IS FOR � A PERMR FEE ONLV: ¢ �i m E $ i.( a :K g E O �, 3 — LL $ � �,.. . '� � _ .; . . :1�.7. �. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFOHNIA 92626 ■ For Applicant to Fill in Completely — Use Ink Only BUILDING�q�{ i�/. '(�'�{ S��,t� ADDRESS 7 ��N '7 OWNER �^%� ' 1 �INt ADDRESS��78I �i �� KCLL �J��, p TEL. �( CITV =I`V�11JF NO. �'l0 � CONSTPUCTION �I I A F � OW. Q ► h '�1'. F C W L� G .d Q 7 r .� � m a O � a Z W S 3 BRANCH ADORESS ARCHITECT J'�11...,. D�....1 TEL. (�3� OR ENGINEER hYJC17 x.�V No, o ADDRESS (vI�I �•.+K'�� ,�WD IUSI I/� CONTRACTOR �JE$(�L ADDFESS CITV 3ryI,UJi�� TEL. NO. STATE CITV � LIC. NO. LIC. OFLOT (JO' X�W1 NOWONLOS USE OF � �-. A1 �.y�� O'e EXI5TING BLDG. � t771J Ji/T Separate permits are required for elec[ric, plumbing and heating work. UILDING AN ORK O BE PEFFOFMED � �-ru:sE --ul� c�-r�t � .. . \ �7wo cakYtrk��{p pe�ZS ;2� ,U4Ke f3U�LOt�.Cr- A OPJIIE—�li�. I hereby ecknowletl8e Met I have reatl ihis appiication entl ste<e <hat ihe ebove Informetion is corract antl a8�ee to comply with ell lews repulntlnB builtling conctrucilon, and 1 shell not amploy any Person In vlolatlon of tha workmen's compenmtion laws of Na Staie of Celitornia. I hareby certify that I am proporly Iicansatl as e conttactor untler the Stete of Californla Businesa antl Profeaions Code, Dlvision 3, Chapter 9, antl t�a< sueh licenxs are In full foree entl effect, or I am exempt from thep rovisiona of the Stete of Celifornl Business antl Profasslons C ( Dnivision 3, Chepter 9. . Signat�ra ot C � Permlttee Aut�orizad AOant ��F ��._�J�A,�oo„z�„ �:��,:�un.�o �,�. FOR STRUCTURAL PERMIT A.P. NO. � � L t ADDRE S Q w J , pS TFTACT LOT W A D A P OWNER us-rA - n VALUE S 1` S FIRE ZONE vPE GRC APPROVE 1 n / ZONE VARDS MAIN DISTANCE MAIN BLD VAR. 51E USE OF NEW 2 BUILDING r^^_ DATE APPROVED _%Z� K �� R THE AMOUNTSHOWN UNDER VALVATION IS FOR TME PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: VALUATION PERMIT FEE E �� /9 PLAN CHECK S _� O (� � 5�� TAX $ TOTALPAID E /g_ % _ -.-y � ___ __ _ � ". � � _: �574 COSTA MESA BUILDING-SAFETY DEPARTMENT p.0. BOX 1200 COSTA MESA, CALIFORNIA 92626 Fot Applicant to Eill in Completely — Use Ink On{y a��A�N� w r s,�. ADDF�ESS OWNER S /�0..�' (/IL—P• MAIL 1 ADDqESS I S R� d f �• GI � �j TEL. CITV / /c. V I �I/O NO. AODqESS ARCNITECT R A.P. NO. BUILDING ADDRE55 � PAfG { *��,*� ' iF.P 72-75�MS.0010i9' 6.5d FOR STRUCTURAL PERMIT ]ATE RECEIVED D/q( TE ISSUEC _..... V.� i%—/ VALUE K FIRE AODFESS �ONE VPE GHOUP APPROVED /p i CONTRACTOR C�/i �.q,y ,pK��^,� BV DATE (� \ ADDFESS � 3 _ f��' , � `/�N TEL. Z / NO.Of USE OF N `\ CITV o Sf �' G h. NO. ��"'�-t� P� UILDING �-' o-F. STATE � CITV YAR�SAPPROVED VA AP D IIC. NO. � LIC. NO. MAIN BUILDING A O VI I � S2E ND.OFBLDGS. (FROMC(LSTREETI �. OF LOT NOW ON LOT qONT FT. FT � a USE'OF � EXISTING BLDG. 5 y i FSeparate permits are required for �. sioe FT. A FT electric, plumbing and heating work. WREAR FT. FT. [r USE OF BUILDING AND WORK TO BE PERFORMED DISTAN E BET. T. MAIN & Q�� MAIN BLDGS. CCESS. BLIX'aS. VAR.# DATE � UC1 I C.U.P.� APPROVED Q } e� �. 2 UA. C.yc APPFOVE /�� d- C W QI herebV acknowledge that I have raetl thie appllcetion end stete � y� thet iHe abova information is correet antl agrea to comply with m a ell laws ragulating builtling ronsttucHon, antl I shall not employ z any pe�son in vlolation ot tha workmen's compensation laws of m � tha St9te of California. m 3 I herebVi certify that 1 am properly Iicensetl es a contractor untlar SQ. FT. ci ihe Stgte of Callfornie Businass antl Professions Cotle, Divislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chepter 9, antl thet such licensas ere In full forca antl etfact, or I THE PURPp$E OF ESTABLISHING A PERMIT F ONLV: � am exempt from the provislons ot the State o Iifornia Business a VALUATION PERMIT FEE $ N and PrOfasslons C tla, Di 'sion 3, Chep 9 � m Signat�ro of / PLAN CHECK $ �^ 0 ParmiKee /_ QO TAX S � � (J � ��) U ut zedABent TOTALPAID $ �.:J(/ ./ • / COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING -�7 �� ADDRESS r �� li� ' � �I • OWNER �1-�`+�JIR — (U� �NL. ADDRESS �� /o� S�� P/�N+'� G�wai% ��,� .� CONSTRUCTION LENDER BRANCH ADDRESS No 54� �794 paio '�0`J-4-�5�,;,S;DO osst> *¢��4D.10 A LI A ION FOR STRUCI'URAL PERMIT flE I � DATE RECEIVED DATE I UEO A.P. NO ✓ � PE ' � 7 BUILDING �y�' /�� ADDRESS � �..� TRACT CO I �� CUeLOCK. OWNE FIRE 20NE APPROVED �ATE �� Y— ♦ W�/oT� / /J ADORESS t..� /- TEI. ZONE NO.OF USE OF NEW CITV /� �t� L�, („(�— NO. S 3—/ Z�f � P�� BUILDING F STATE � CITV �'ARDSAPPROVED YARDSAPPROVED � LIC. NO. J LIC. NO. MAIN BUILDING ACCESSOR BUILDI (FROM GL STREET) {x� SIZE �/ NOWONLO S qONT FT. FT. a. OF LOT Q� L a a USE OF � G /`_ C .�,. EXISfING BLOG. ' �✓ O� �' � T — ��F'�. coc� FSepar �r a e requved f L. SIDE ❑. Q electric, plumbing and heating work. REAa F i T. W USE OF BUILDING AND WORK TO 8E PERFORMED F DISTANCE ET. BEi. MAIN nQ MAIN BLDGS. ACCESS. Bl � � / VAR. � DATE a C.V.P.#�' qppROVED � /� • APPROVED / � _ � r J �y Ii W � 1 hereby ackhowledBe that I hava reatl this epplication nnd staie (y� that the abave information ic corteet antl aBrae ia comply with a ell laws regul9t��8 builtling conrtrucHon, entl I shell not employ . Z eny person in ��olatlon ot tM1e workman's compensetlon lews of ,��, She State of Californla. 3 I haraby cattify that I am proparly Iicancad as e contractor untler SQ. FT. iha Stnta of Callfornia Busineza antl Professlons Cotle, Division 3, THE AMOUNT SHOWN UNDER VA�UATION IS Chepter 9, antl Met such licenses are in full foree enC effect, or I THE PVRP6SE OF E5fAel.ISN{NG A PERMIT FEE OI am exempt from the provisions ot the Stete ot Callfornia Business VALVATION end PrOfesslons Code, Division 3, Chepiar 9. PERMIT FEE $ � PLAN CHECK § 5 Slgnature ot ^ ^�� _ Parmittee �1`t��' �' ��— $ v�� TAX E i � � Authorized Agani TOTAL PAI� $� v� n m i m 7 ± m e . a — m a � o LL � U � . . �� : � '` � c�it o - ��ta 7Y�e�a � � - i' f � Development Services, Dtvision o,f Buildmg and Safety � CE�RTIFICATE OF OCCUPANCY This certificate,is:issued ,pu suant to,the eqtu� '� ent� �� s of;tlie;.UniForm Building Code, Section 308 adopted by the Ciry of Costa Mesa cer4ifies tha[,_af�the time of lfs`i's`suance the buffding structure herein ` below described was inspected and',a'pproved,=foi occupancyras:follows_� Building Address _ Use RESTAUR Group n-3/s-2 Owner of Building i' Address 17794'Jo� BUII.DING OFFICIAL-�Ott'p REQUIRED TO BE , Cix�;`'x<._�,��<?��-. : BY ,�. � , �,'.'� , <`` ,1�" '',`-z Q °�Date ��'�y :� �'/�`_�+.<��z'S+��; C �1[l�ij�ii��Sj`�(��>\'�� . �. v:u\.;r.iv..?`�� Permit No. B 6992BL• Use Zone �� 8, PLACE � :: .' Y � � �RQJEC�e0flE55: 74 q W 19?'Y. ST , UNIT: OWNEH'SNAME: UI;LOA, IL'AN �oxcss: FOUNTAINSCALLEYPCA 92708 (719>968-5181 pflCM/ENGINEEH: RODRIGUEZ ENGINEEAS eec.xo.: 21639 nooncss: 2816 E. COAST HWY unrt: D NEWPORT BEACH CA 92625 PEPMITTEE: RAY HART GEP]ERAL CONT ( 714 ) 645-3869 aooness: 2 5 0 E 1 6 TH S T C.M. CA 92627 IItENSED CONTNRCTOB OECIABRT10N: I �ereUy aflirm ��at I am I' eG mker pmvisio ol C�aO�er mmencinp wit� Section 7�00) 01 �ivi9on � at ��e Busine55 aM Pmte55ipn5 COdl. anE m 50 i5 in Iull �or 0 na effec LITY LIL.: STRTE �IL.: 6 4 7 7 S S ciass: B E P. Oa�e: ��/� �' � Sipnawa: _ _ � WOPKExS' COMPENSniION DEC BRTION: I nem0y anir at 1 nave a c niw ot cansenl ta seu�insua or a canilicata ol WaMers' Comoensation �is�ar�c2 qr $eeriiiep r�py mereai Isecr 3eao. �ao. 2/ O 1/ 9 roucr xo.: STATE FUND E%P. DRT . �OMPRNV: Cenilie0 �s nereC (Iu+mRlle .❑ ceniiiea copy is wil� I�e Ciiy BuiIG' p iNsiOn. Oaie: / /� " � Applinm: �i� E%FMPr10N FXOM WOpKEflS' COMPENSATION OECIAMTION: (T sectm neeE ro� com eted il tlre pttmi is iq one NWreE �3700) a las�. I cenily tlul in ine pedarmance ol ihe w'Ork br wh'r,li tNs pe� 1 is i55ue0. I snall not emo�oy any OersOn in alry rtlanner 50 az to �ecama 5u01e�� 0 t�e Workers' ComDensalion �aws al CalilOmia. Date: SiOnama: NOTItE: II. alter makinp ��is aeclaration, yrou S�ouIG�Eecome 5u0ject to t�e Workeri Compensation 0«s�ons of IAe LaEor Cotl¢. }rou must fortimit� crompty wii� SucA prmisio�5 or ttis Oermit Shall Oe EeemeO revakeO. LONSTBUCTION LENOING AGENCY: I nertey allirm tnat ihere a a constmclion IenUinq a0ency far ine petlarmance ol tAe worN tor wlticn this permil 6¢sue0 (�Iion 3W7. Civ. C�. ', LENOEN: aooness: REMODEL s ADD TO EXISTING RESTAUP.ANT OWNEB BUILOEfl OECIAMTION: I hert�y aHirm 1Aat I am eeempi fmm t�e Conirac�ors' Siale License law for Ihe follovnnp rwmn �SecGon )03t.5 Business and Pmtessianal CoOe: My uly of county wkc� requirts a permit m constmct, alter, improve, EemoGs�, or reoair any slmcNte. o��ar lo iu i55uance. al5o rtouires Ine apDlitant for suCh permit Io lite a sipnetl sWtement ttWt hpJShe is licensetl pursuant to the pmvivons ol ��e Caniracmrs' State license Law (C�apter 91�mmencinp wiih Section 7000) ol Oivision 7 0l Ue Business ana Professians CWe) or inat ne/sne R exempt inertirom ana ine Easis for ine alleOeU eMemption. Any tiolatian ol SeCtion 7031.5 Ey any apD�want for a permit subjecis tne apD��nt to a civil oenalry of not more tnan five nunOreO tlollars (35001. I. az ovmer of t�e pmpenY ur mY em Iqea vnN wages as Neir wle campensation. vrill tlo Ihe work. an0 t�e 0 s�maure ¢ noi intenaea or olteree lar sale I��on 70aa. Business anC Prolessional Cotle: T�e Cantractors' State licenu Ww Uoes not apph/ Io an owner of a D�oDerlY �o Ouilas or impmv¢5 Ihereon, antl who does such woM �imsell/�ersell or ��raupA �is or �e� mm employees, provNetl I�ai sucA imprwemenls are noi inten4e0 or oHereO for sale. Ii, however ltre Ouildinp or improvemem is wltl wit�in one year of comWe�ion, t�e ovmer will have ihe burden ol pmvin0 ��s�e Eitl not 6uiltl or imprwe �or t�e purpose ol 5ale�. I. as ovmer of tAe D�operty. am e�clusivery coniraciinp unt� IicenseC comracmrs ro consimct tAe Dmlect (Section 760a. Business ❑ antl kafesvms COGe: T�e Conlraciors' State Lkense Law Ooes nm aDDN ro an owner ot OmDerry wlio EmIGs or improves tAereon anU wtb Conirad5 �Or SUC� D�%��S wi�h a Conirattor�s) li[en5e pursuant �o �he fqniraClOrs' Slaie LiCetrse Law�. 1 am aware ��w� D�� ot IAeir Warker'S Compeirsation insurantt SMuIU �2 prOvideO to me. � I am erempt un0e� Senion: B. 6 P. C. lor IMs reason: Date: Ovmer. I aa nereoy cenily inat I am aware ol an0 uMerstanE ine r¢yvi2menis of Calilornu Healih antl Saleiy CoOe Section5 25505, 25533. an0 2553C anG I�al I or any fulure �utlUmp aapani wilVwill n0i (tircle on¢) neeC lo mm01y wilA saitl Siale toAes antl IAe r¢Quirtmenis lar a permil forconslmtlion or moailicatian Imm IOe AirOualily Manapemeni OiSiricl. ReSiQeniial con5lmciion aOGlicalion5 are exem0� ��om Ihete Orovisions. Oaie: ADPlicant: _ I h¢re0y ultily Itul I �ave r¢ad INS appliw�ion an0 Sla�e lha� ortlinances anG statelaw5relaiinplo Duiltling con5imction an0 � Dmp¢ny lor i ,Detlion ur0ose5. � oate: /� / 9 Siqnamie: Driver's License o� Social Security ,: la comply wi�� allcily antl couniy lo enier upon Ihe above�m¢nliOneG i6ct�<6 WM1ne—BmlCing; Green—CpEe Enb¢amant; Canary—Ap0licant; Pink—Rovanuo; GalEenroO—Aggeeyor CITY OF COSTA MESA — BUILDZP7G PEP,MIT PEP.M *]O: 9 06992. PERMIT NO: B 069929 PLAN CAECK. NO: Q3096-04 A GOC'T: A7 SUPP; N CONSTROCTIOPJ TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : REMODEL E:{ISTING BLDG, INTO P.ESTAORANT SQ FT: 300,G00 CLAIM VALUE: 300,000.00 CALC—VALUE: 300,OOQ.00 GROUP OCC; A-3 :B-2 COMMENTS: "GEORGE'S MEY.ZCAN FOODS", REMODEL 1O51SF EXIST S ADD 2629SF RESTR i! if if if iR i4 tf if if if if Y 1R �rt r 1F i4 i� if if ii if iR if iF iF if- ii iE if if if 1f if iF iR i4 iF if if 1t iF if M M if +f iF it i� iF M K�f i4 iF if iF if �Y jF if if iF +t 1�- 4 r Y is iF ik if iF ��14 �E it Y� 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 ------------ MAIN BUZLDZNG ---------- --------- ACCESSORY BUILDING --------- FRNT; 20 FT IN REAR: 97 FT IN FRNT; FT IN REAR: FT ID1 LEFT; 59 FT IN RGHT; 33 FT IN LEFT: FT IN RGHT: FT IN PARKING P.E • 44 PROV; 96 PAACEL: 42226225 ZNE; C1 P.EF NO: DR-93-01 PLADINING N TES> 3,680 SF, 1—STORY RESTAURATIT (EXPAND'FORMEP. SEP.VICE STATION) > NO DRZVE.THRU.TRANS FEE DUE PER DEFERRAL AGREE IN FILE.P,F,E 4 iR'If if 1f'M if Y� if iF iE if iE Y Y if if M �f iF iF ff ik 1f:lt'IF iF if if it ii iE ai if if if iF M ii %if if iF 1f if if iR iL if �f iF if il- Y Y� Y af iF 1F 1F iF 1f� iF if i4 il- M if aF iL iR'1F 1F iE aF ii ai Y-iF D E V E L O P M E�,N T S E R CJ Z C E S R E Q U I R E M E N' T S ZONING APPROC�ED BY `' IA'�`bIL QATE; �(II�I�� BUILDING APPROVED BY : APPLICATION ISSUED BY iFM�fMiFM+fififlf4ihiFkitMiFM�h111f Y*i1 jf 1f if i� if itK if 1f af 1F�k 7t 1k i�tf 4af LEGALIZATION,;N BLDG PMT PERMIT 1,339,50 PLAN 217.67 ISSUE FEE DATE: � �, \ I c �-, ��' � w�-.� ��r��u��,�,«w*D«****�"«— \�ry� 1f 1t iF if if if 41f ik if if if iF i14 M 1F if if if if Y if h i! 1F iF 4 if 1f 4 iF iM i! iE 3f iR 1f �F �f �f if i1 iY iF it 4 iE M� Y �R if tE df 1!� F E E 5 U M M A R Y � aSTRUCTURAL SEGNEDIT:Y PLUMHING ELECTRIC MECHANZC '" .FIRE� SMIP/RES GRADING . } ' SMIP:NON—RES 63.00 BUILDING—DIC�—> PERMZT ISSIIE PLAN—CHECK � TOTAL ' PAZD DUE TOTALS----> 1402.50 0.00 ti' 217,6'7 ''1620.17 '��1620.17 .00 1 REVENUE DIVISION TOTALS--> COLLECTED; 1402,50� OVER/SHORT; .QO BLDG PMT PLCIMBING ELECTRIC MECHANIC ,. FIRE SMZP/TOT GP.ADING PLAN—CHECF: 1339.50 !� • . 63.00. iF iE if if 1F if 1R �Y if iF iR 14'V� ii if� i! if if ip iF if if af ih if 4 iF i4 Y il- if iE if iE if iE M if if af Y- i� iE iE � if if iE iF iM1 if if f 1k iF iF af �i iG'Y Y if iG if �f iF Y�If �(-i4 i4 iF 4 Y- if 1E i%iF iF 2 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 SFC 30UOQ0 ALTER HY VALUE COMMERCIAL ' NOZONE 1,00 300,000.00 END OF FEES , ' " OI QQ1i,Tri��l�117�3h7 'i"o:�,f DATE: 31: i�J'o6 T71':' �a:•r, .:1 �NSTflUCTION AND PIANNING POO� &,SPA � Date Inspector Date tnspector � APPROVALS Permit # APPROVAIS Permit # .l 1. i emporary Electrical Service or Pole 52. Pool & Equipmenc Location � 2. Soit Pipe�Undrgrnd. 53. Sceet Reinforcement '3. Etectrical Conduii Utility�Undrqrnd. 54. Forms ' 4. Electrical Condu�t-Undrgrnd. 55. Electrical Bonding � ' 5. Steei Reinforcement � 56. Rough Plumbing & Pressure Test 6. ElectritalUFERGrnd. '//�//�� 57. APPROVALTOCOVER�GUNITE [ ��J 7. Footings �//p � J�/ 58. Electrical Conduit�Undrgrnd. !/. _L /ci0 - 8. Foundation 59. Gas Pipe, O U�drgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Structurel Floor SYstem fil. APPFOVAL TO 6ECK 11. Property Sewer l.ine & House Connection 62. Backwash & Receptor�Pinal 12. Sewer Cap 63. Heater & Vent-Final f3. Roof Drains 64. Plumb�ng System � Final 74. Rough Plumbing 65. Eiectrical-Final 55. Rough Electrical-Conduit 66. Solar System•Final 76. Rough ElectricN�iring 67. Fencing & Access App�oval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough Eiectrical-T Bar Ceiling 69. POOUSPA SYSTEPAS FINAL 19. Rough Heating & Air Conditioning PIRE DEPT. RE�UIREMENT 20. Rou9h FactorY Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas DOiI 23. Gas Pipe�Rou9h & Test 72. Underground Flush 24. Roof rraming 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing / Ly.� � 74, Overhead Hydro V 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flathing �� 9� s�,�l'�' 76. Dry StandPiPe P 28. Lathing & Sid�ng �r/�� _ `� 77, FIXED SYSTEM FINAL �, i �y/ 29. Insulation ' %�3/p� `�/� 76. FIRE PREV. F�NAL !`k� 30. Drywall Nailin9 '� 1G+,9r"'//� HEALTH DEPT. REQUIREMENT f �� 31. Plaster Brown Coat sj/�j/f�� 79. FINAL INSPECTION 32. Electricai Power Meter-Finai ' 80. FOOD CERTIFICATE ISSUED 33. Finai Elec:ric Notes: NOLD FOR SPECIAL REQUIREMENTS 34. Final Heating & Air Conditioning S 9S -G'�i G • cQ�/r .�1..,�, �% � 35. Final Gas Pipe-Test . Q,'/rr �, �O� t��,/ � ! -7 / /"� 36. Hood or CanoPY • � �• �/f /f-i!/< A�tl �r j /Y% 37. Final Factory Fireplace �` �/ F� -r�t 38. Final Plum6ing ,s2 S O�e sy��' u� -/cy.G �� 'I�� Y/ 39. Water Service�Final � �rT i�/'Z� 40. Gas Service-Fi�al �� `j"S�S S..�ewr 4-►l� � e�' f/T Pr. [✓r�� _ 41. Solar pomestic-Final m�2a qs lN�. C�o,.s�l�.�� 42. 8ackflow PreVenter 9�i1 _9r �a dog�,�f 43. Backflow Irrigation � ' �/�9 /�C-�err_su.�� / %�i-� 44. Landscape irrigation System 45. Sound Attenuation 46. Handicap Regulations ' 47. FINAL ST{iUCTURE & BUILDING ��f/�' 48. FINAL P�ANNING 49. Electric Release :o Edison � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date � / PNOJECT FOOflESS: % Q Q W 1 9 TH Jr T OWNEfl'S11pME: ULLOA, IVAN POOflESS: 1%%99 JOSHUA CIR FOUNTAIN VALLEY,CA 92708 UNIT: (719)968-5181 AHCHIENGINEEN: RODRIGUEZ ENGINEERS xec.No.: 21639 noosEss: 2 d 16 E, COAST HWY uNir: D NEWPORT HEACH CA 92625 PEflMITTEE: RAY HART GENERAL CONT ( 714 ) 695-3869 nooxess: 'l 5 0 E 1 6 TH S T , C.M. CA 92627 LICENSEO CONTNACTOH UECtABFTION: I �ere�y allirm t�al I am li 5 G unCer O�otisions ol C a0�er 9(cammenc wifh Section 7000� of Division 3 o�1�e Business antl Pmlessions CoOe. ana my ' ens i5 in �ulliarce an efl ci. cirv uc.: � STRTE LIC.: G 4%% S S c�nss: B :C • � Uaie: —L/� � � SiBnature: — _ _ G^'7 WOHNEBS' COMPENSF710N UECLAPATION: I �ereCy afiirm th �ave a cenilicale of c nse to selFinsure or a certilicate al Workers' fqmpensation I s �j },c ilierty c py I�ereal (Seciion . LaE. POLICY NO.: ��"� "�— J� EXP. ORTE: Z/ O 1/ 9 �OMPANY: STATE FUND Cemlietl copy is hereb lumishetl. ❑ Cenilietl capy is fil a- t�e ciry BuilAing rvision. Da�e: � � � � L ApDlicanC E%EMPTION fNOM WOPNE 5' fAMPEN5NTI0N OEClAH�1TI0N: ' seclion neeG not 6e iomDle e7 il t�e permit is Iw are IwMrM (5100) a less�. i cerli�y t�al in I�e �edormance ol Ih¢ work lor which t�is Oe�mit is i55u¢d. I shall noi empl0y any Delsan in any mannef 5o as to Oetome suoiect �o ihe Workers' Compensation Laws ol Caiilomia. Oaie: Signature: NOTICE: If, afler making ihis Aeclaralion, you should �ecome subi�< <o ihe Wodeer5' CAmpensation pmNsians of Ine La00r Coee. you musl ionnwiln camDly wilh suc� omvisions or ihis Dermit snall ee aeemetl revakea. CONSTflUCTION LENOING RGENLV: I �ereby a��irm I�ai Ihere i5 a tanSlmCiion lentlinp aOe�Cy for I�e peAormanCe al t�e wOrk for w�icn ihis permil ¢ issueG (Seciion 3097. Civ. C�. LENOEfl: aooncss: REMODEL S ADD TO EXISTING RESTAURANT OWNEP BUILOEB DECLAXRTION: I nereby afium tnai I am exempt Imm the Caniracbrs' State License taw lor tAe following reason (Section 7031.5 Business an0 Pmlessional Code: Any ciry oi county whicn requirts a De�mil to constmct, atter. impmve, EemalisA, or r¢pair any Simc�ure, prior Io it5 iSSuante, also repuire5 lhe appliwni lOr 5ut� permit IO lile a Sipnetl 5tatem¢nt IAa� he/5he i5 lic¢n5¢E pursuam m �ne pmvisions ol �he Comracmrs' State License Law �Chap�er 9(commencing wiU Seclion 7000� of Oivision 3 0� the Business anU Prolessions COOe) o� t�ai �e/she is eeempl i�erelrom an0 I�e basis lor �he all¢Aea eeemp�ion. Any violaiion of Sec�ion 7031.5 by any aDPlicant for a permit suUie��s Ihe applicant lo a ciWl penalry of not more tnan five hunUreO Oollars ($�). I. as owner ol t�e D�oDerty or my employees wiih waAes as t�eir sole compensation, will Jo I�e wark, anE the ❑ simcwre is not intende0 or offere0lor sale (Sect�on 70a4, Business an0 Pmlessional Code: 7he Coniracmrs' State License Law tloes not apDly to an owner ol a O�oOeny who builtls ar impmves iherean, antl who dces such wark �imseli/herseli or tAmuOh his or her own employees. pmvi0etl that sucn impmvemems are noi intentletl or ollereE for sale. If, however the builtlinA or impmvemenl is soltl witnin one year al completion. Ihe owner will Aave Iile Uurtlen ol pmving Ile/she tlid not euilJ or imDmve for the Durpose of sale). I, as owner ol ihe pmpeny, am eKclusively conVactinq wilh IicenseU coniractors to consiNct ina pmiect (Section 7044, Business ❑� antl Pmfessions Cotle: The Contractoa' Slate License law aoes nol aODly to an owner ol Dropeny who EwIOs ar improves t�ereon antl wlro canlrati5 �or such DmjeCis wifh a ConlraCior�s) license pufsuan� �o �he COnirac�ots' S�ate License Law�. I am aware � t�ai D�oo� ot Iheir Worker'S Compensation insurance s�oulU pe proNGea lo me. � I am exempl unaer Seciion: B. 8 P. C. br ��is reason: oate: Pwner. 1 ao hereby cenily that I am aware oi anA un0erstan0 t�e requirements ol Califomia Healih antl Salety Cotle Sections 25505. 25533, and 25534 and lhat I or any lulure Guilding occupanl will/will nol ([ircl¢ One) nee0lo comply wit� saitl Siate codes and �he requiremenis loi a permil iar conslmciion or motlilication Imm Ihe Air Oualily Managemenl �iSUic�. FeSiUenlial conSVuciion apDlicalions are exempt �mm ihese pmvisions, Oate: Applicanl: I here�y cenilythai I have read Ihis applicalion and 5�ate��ai e a�o e informaiion 's rorrecC I aB�ee to comply wilh all cily antl coun�y ortlinancesantlslalelawsrelalingtoUuilOingconslmctionan0 ere�ya��orizerepres tativesolmi cilyioen�erupon��eabove-menlione0 pmperry lar'nspection urpases. Oale: � � � `" ' $ignaWre: orivers License or Sociai Seariiy a: i64La6 W�ite—Bwlding: Graen—CoOa Enlorcemem: Canary—AOPlican�; Pink—Rovenue; Goltlenroa—Assessar � CITY OF CUSTA MESA — BUILDING PEP,MIT PERMIT NO: GRA 069928 PLAN CHECK NO: 04038-99 A CONSTRUCTION TYPE; V—N PERMIT TYPE: GRA JOB DESCRIPTION : GRADING FOR RESTAURANT ADDITION PERM NO: GRA 06992f GOVT: N SUPP: N PURPOSE: ALT SQ FT; CLAIM VALUE: 1,000.00 CALC—VALUE; GROUP OCC; A-3 /B-2 COMMENTS: "GEORGE'S MEXICAN FOODS", REMODEL 1051SF EXIST S ADD 2629SF RESTR �lF iF �IE if+F if-if it if� it Y- if �N-iR iR �1f ih iF i4 Y- M i!� if if� 1F')f if if if� iF i� %iE iM1 Y iL iM1 if if iF'If iE if 1f if if M 1{ if iG Y iF i4 i�: if� � iF 1f iM iF if iF iF 1f if� JF iF 1F 1F 1L i41F %iF i�' aF iF iF 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 HUILDING --------- FRNT; FT IN REAR: FT IA� FRNT: FT IA7 P.EAR: FT IN LEFT: FT IN AGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROC�: PARCEL: 42226225 ZNE; REF NO: PLANNING NOTES> > iF if if iE if if if if if if it iF if if if if if iF if iF iE if ic �f jE if iF i� if M if jE jt it iF jf it+f if r it if if it it iE if w jf K if r 1E�+F a4 iF it iE it if it iR K af-�K 4 iM 1f 4 if if +E iF ic {E ac if iF Y D E V E L O P M E N T S E R l7 I C E 5 R E Q U I R E M E C7 T S ZONING APPROVED BY DATE: BUILDING APPROVED HY : DATE: APPLZCATION ISSUED BY: S�—� DATE: '�III�g ik�fiEVififif-1fif�F�fiFiElfif±f+fif�MifiFiF��F�3F�F3��FifiFi�f7F�ii�� iF�1f��F t��TiFifiF+FiF{f�1:iF11�i(- r {ciF it M if iF if iR iF * iF if it �f if if 1f if iF 1f �tf if if if if ac iF iR 1f iF 1f it if 1E ff iF if if if it r�f af if if �f dY iF iF if 1F iE iF iE 1E M if if i! i! �F if if iE if if if if ii-+f iF iF iE if 1E+F iE if iF if ac LEGALI2ATION;N F E E S U M M A A Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT • 15.00 SMIP/NON—RES PLAN ISSUE FEE 3.00 HUILDZNG—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE TOTALS----> 15,Q0 3,OQ Q,00 18,00 18.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 18.00 OVER/SHORT: .00 HLDG PMT PLUMBIP7G ELECTRIC MECHANIC FIRE SMIP/TOT CRADING PLAN—CHECK 18,�� 1'� 1r iF ik it i! if iE if it if if �F it M iF iF 1E iF ip iE 1E if i41f iM1 iE iE if if iflF if iF iF if i1 if 1t i! it it iF 1E it if -Y Y iE � iF iF iF it 1Fit iF iF i! i+iE if if if if iF if+i M il-i� iF if iF � 4-Y it it I PJ D I V 2 D U A L F E E B R E A Y, D O W N TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT 1 00171768-0017176II T�?'Q' lE.QO RTEi 11/35/94 TIHF.+ 1ic47 /, � • CONSTRUCTION AND�'LANNING � �OL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector � ,1. 7emporary Eiectriral Service or Pole 52. Ponl & Equipment Location 2 Soil Pipe�Und�grnd. , 53. Steei Reintorcement 3. Electricai Conduit Utility-Undrgrnd. ' S4. Forms 4. Efectrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steei Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UfER Grnd. 57. APPROVAI TO COVER�GUN�TE ' � 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. N,'ater Pipe-Undrgrnd. 60. 63ckwash LineS, P-Trap, � Undrgrnd. 10. Structural Ftoor SYstem 67. APPROVAL TO DECK 71. Property Sewer line & House Connection 62. Backwash & Receptor�Flnal 12. Sewer Cap ' 63. Fleater & Venc-Final 73. Roof Orains � 64. Plumbing System - Final 14. Rough Plumbing 65. Flectrical�Final 15. Rough Electrica6Condu�t 66. Soiar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough Eiectrica�-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE OEPT. REnUIREMENT 20. Rough Factory Fireplace � APPROVALS Permit # • 21. Ducts,in Structure 70. U�derground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oii 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Praming 73. Undergrnd. Storaye Tank � Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling iStructura�) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. La:hing & Siding 77. FIXED SYSTEM FINAL 29. insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTN DEPT. REQUIREM[NT 37. P�asrer Brown Coat �9. FINAL INSPECTION I 32. Eizctrical Power MeterF�nai 80. FOOD CERTIFICATE ISSUED 33. Final Eleciric Notes: 34. Final Heating & Air Conoitioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbin9 39. Water Service-Fina� 40. Gas Service-Final 41. Solar pomestic-Final 42. Backfiow Preventer 43. Backfiow IrrigaTion 44. landscape Irrigation System 45. Sound Aitenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING Zy � 48. FINAL P�ANNING 49. Electric Release to Edison 5Q, Gas Release to Southern Califomia Gas Co 5L CERTIFICATE OF OCCUPANCY No. Oate �+ � �� oonEssaeu�m+o: '7qq -W 19TH ST pYNERSWYEIFqqWlk ULLOA, IVAN • %�� 17794 JOSHUA CIR FOUNTAIN VALLEY,CA 92708 APPL.WJIIIlGi1DDRE55: u�: CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: E 074213 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: ELE urcxrtecroxExmi�n BERNARD ADAMS ��= C10183 �xcxox�ws�ss: 11022 ACACIA PKWY uxr: E GARDEN GROVE CA 92640 cavm�craraw�: A 1 SZGN SERVICE (714)597-904� cwrn�cTorts�uw+o 2824 E DEVONSHIAE AV q�%'?j-?O� �oonEsx FU�LERTON CA uc,ra: 57�1410U,�, 92635 uxr:e((�-100 110ENSED COMN�CTOPS DECLARATION: 1 henby ellkm u�r pnNy d pr�ury Nn I em fam�d uMr prwucn� W Cheqv Y (canm�ndrq xc� S�cfvi ]000) M Oi+ebn 9 N Ne &dMa uM FralnWm Cad�. eM mY 8ortw b In M Mu utl dbe. cmuc.wo.:054758 uc.cusa: C 45 uc.No.: 57qqz0 EXP: 12/95 om.: C/- I L�' �/'.i c��« OWNEN BUILDER OECLIR�TION: I Iwaby dfitm unEn p�ndry d prN7lhm I em o� q hom iM Can�aon Li �� Lew �a IM Idbw�p ruaon (�� 1 S gu�ip�� W Prol�ubm Gods: A�ry ctlY a aouMy di nyulm s pemiX lo aomVucl. Mx. MOroN, demd'eh. a rapi mry muclurs: prior ro o e�uena. ebo rpuirr iM eppl'rem la ach parmE Io A� e dpned nmamam thel M or �hs b licwv�d W�� to iM pro+p'vu d Ihs Cauredw� Lic�nee law ICheqa B(��^0 ��'o^ ]000) d Dnvion 9 d IM Buwra aM Hdwuo+ GOMI a IAw M a�M u vomq IherMmn end IM bem la Na eApM uanpb�. My vnletion d Ssabn ]0]t.5 b/ ury eVd�� a e prmu udjen� tM sypliuN Io e dri pvuly a1 nq mon Uun fxe NW�aE EW�n �S+OOU. ❑ �...own«am.woo«�rvmr.mMw»•wnwaoe.nin.:.d.ew�w�.waaon».uk..mu,e.wcmeenaime�eee aMaedtar u4lSayion 1011.0�Mse W PMaaebn COEs: The CON�etlas Limua lew Eo» nol rodYto en ownard piapMy who buid� a inD� ��son. rd Mw dws �uM v.ak t'mwtl a MnN a tlraqh h'o a her own smpb�me. pwitletl Ihtl such impv.anMa rs nu iNayb a dlweE la eW. tl. lawevm. �M WiNinp a inpma�nmtl e wtl wilkn w Ymr d compblion. the �, owner-0ui4Nr xN hew tlw y�� d povi'p M m ehe d'd z� Wik or impow la ihe p�vpo�e d We). � I. m owner d �M pvpMY. em e�d tiuNY wntreaM xiN licen»d conVxtas b mmVud Yr V9� (Safnn 10u. &w'nma vd . v�a.uia. coee: me caareea+ ucen.. V. m« na woh m.n w�« d c�w�v •ro euim «:�pwas m.nm .�a .,w mMraei lar wN Pp✓y with a mu�rfM�) Ikanrd W�+wn w �M Caprtla� liosua lew�. � I em expemp uda SMim: /� B. 6 P G.. br tM reeaon: Daie: % �� '� % S Owner: I Eo Aeraby cenM �� I em awua d end uMenuM tM mpuiremew G GalAmnu Ilsellh end Sdwy CoEs SaUiom P5505. 255]�, erA ?559a, aM thet I a vry Mun b�ikirq aowpeni xill / wiA na (circM ono) riaeE io wmply wYh eeN pete cvdm vM tM mpuiromenp la e pe�mu lorwnatruction a moGfiwion hwntM �'r3e �T�iy . enepamsni Distna. RavMniW win�ion appiralbmen e�emp Irom I�me vwizm.. Data: �cWiav: WOPKEN'S COMPOISATION bKLM�TION: I IwWy dfum wWs pauYy d pajuy ms al Ns haoWp dodsrvion+. ❑ in....�awme:a.:�.c.w�.ammmm..nawnw.on�m:m,m«�m�.ac.wdseiarMswb�a�aodm.�mo. cod.. fo, tn. v��^^^^�• a u...vn �« wlicn �N. v�u e u.i.e. � I Mw end W me'vila� whers' eompenaetun inwrenee. a+epuireE by 6etlbn �10p d tM leba COEe. br t!a peAormenm d Ihe wwk la wNd� Nu pamN b mued. MY wmkan' mmpenaa�ion inaurerca cerr'w ud pd'v.y iwmber ua: Cemar: Fdiy Numbar. (Thu secfion meE na br mnde�ed ) Me Vs'mt u b ars huMred ddlen Is1001 w bn.) � I unN Ne� m Ne G��ence d �he wk br rAiic� tNs O�A u fevM. I duE m� emOM M' Oa+� n mry mdvw so n �o becum ndjw to tM xbrksa' mnpeneetian kws d Cefdanu, tlW tl I ehwdd Eaeme vAjw �o tM wMan' Dve: � �� 75ea �100d�MlaborlCoEe.� 1 /'��.iiV/—�iY�i� 5 _� _ Wemllp: F�llun ro ueun woM1�ri mmpxuetlon rov�np� li unl�wNl, �nJWll �uCNef �n w�p/oy�r roWMiul p�rreMu �n0 clv/l flnu �q ro om �u�ErW WuaW tlWl�n (f1IX{WOA In MGltlon b tln roaf a/ eompmufbn Gm�p� u provMW !or In S�ctlm �)O6 0! M LMor Cwy, INsrut Md �ttom�� lsu. CONST11UCf10N LENDINO �GENCY: I Asaby aff�m uMm pemCy d pa'�.ry tM Nsa e e mWMion 4Miq q�erc.y tar tM peAormuae d iM wak Iw x1i�A tlro pxmi u uaM (Sad'on 305I. Cw. CI. LENOEN'9 N111E: LENOEF'4 �D6NE55: I ceniN �� I Mve meE iAia epp�Kmion vd ntls ihei �M ebove inlamelion is wneq. I pise to camply wil� M dly eM ooun�Y oNinerwee end tING 4we nle�ip b WilEvlb cMSVlldpn B�A �E�UEy eNhwR! roqafOf1�MNM d IhiOGly b mIM uqM IM BEme�mOnlqnaA pNppliy Dms: _ .. y7�Y � (SISiJl.WP) Wb�BWd'vqd5dery:�reeMFb:Cenery-Appkent:Rnk�ue:Gddeneod-Iuaeseor PERM NO: E 074213 GOVT: N SUPP; N PURPOSE: OTH JOB DESCRIPTION : 32SF LUMINATED MONUMENT SIGN SQ FT: CLAIM VALUE: CALC-VALUE: GROOP OCC: H-2 / COMMENTS: "GEORGE'S MEXICAN FOOD" MONUMENT SIGN, RE:JtSB74212 *�r*�xx*�r***x�x*******��r*x�x***�****�*��r*�*�r*�r*�**x�*�*****��***�t**�+�*****�r*****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 HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42226225 ZNE: REF NO: PLANNING Nd'I'ES> i 3Eif1ElfiE�EiE3EfEiEifiEiElEiE3FlEiFlFiEiflklE�)E1F1E1EiElflEiEiFiE1E3EiEfF3EfEifiFiEiFiE1EiE1E�E1EfE�FfEiEiEiEiEif�FiEiffFlElEfE3E3E1Eif1E1EiElf3EfE3f3E3F1EiE D E V E L O P M E N T S E R C' 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: 9F fE iE tE if iElf 3E iE IE iElf iE if �k �E iE iF jE iE iE il LEGALIZATION;N 0 F E E S U M M A R Y DATE: DATE; �� DATE: � (4 I "l✓ iE iF iElF iE iE iE * ��i'E�iF$FjE 3f STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT • 15.00 SOi SMIP/NON-RES PLAN ISSUE FEE -15.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 15.00 15.00 0.00 30.00 30.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 30.00 ' iE 3E iElE 1f iE iElE iE iE iE aE if iL iE iE IE iE iE if 1E iE iE iE 1F 1f 1E IE �E IE if �E iElE # iE if !E iE 1f iE iF if 1E 1f 9E iE 1ElE iE �E 3E iE IE �E �E 9F aE If iE fE fElE if iE iE 3E iE iE �E if iE iF iE iE 1E iE 1E 16 I 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 R I P T I O' N� UNIT COST TOTAL COST ELE 1 SIGN/ OUTLINE LIGHT SYS ON 1 BR CIRC 15.00 15.00 END OF FEES �1 �OiSp272-4D140272 Y'`�T �G.GC� ^A7c� Oii 14I9g TIi�E: l2:09 - �CfTNSTRUCTION AN� PLANNING .�OL & SPA qPPROVALS Permit # Date Inspector AppROVALS Permit �h Date Inspector :. Temporary Electrital Service or Pole 52. Pool & Equipment Loca[ion 2. $pil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electricat Conduit Utility•Undrgrnd. 54. Forms � 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding �5. Sieel Reinforcement 56. Rou�h Plumbing & Pressure Test - 6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE i 7. Footings 5B. Electrical ConduibUndrgrnd. 8. Foundation 59. Gas Pipe, C1 Undrgrnd., Test , � 9. Water Pipe-Undrgrnd. 60. Backwash lines, P�Trap, O Undrgrnd. � 10. Structural Floor Svstem 61. APPROVAL TO DECK � 11. ProPerty Sewer Line & House Connection 62. Backwash & Receptor-Final i 12. Sewer Cap .� 63. Heater & Vent•Final 73. Roof Drains � 64. Plumbinp SYstem � Final 14. Rough Plumbing . 65. Electrical�Final � 15. Rough Electrica6Conduit 66. Soiar System-Finai � 16. Rough Eleciric Wving . ,' 67. Fencing & Access Approval 17. Rough Wiring $ign 68. P.PPROVED FOR PLASTERIiVG 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS PINAI ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace � APPROVALS Permi[ # 21. Ducts, in Structure �� 70. Underground Hydro 22. DUcts, Ventilating ' 71. Product Piping OGas OOiI 23. Gas Pipe�Rough & Test 72, llnderground Flush 24. Roof Framing 73. Undergrnd.S[orageTank �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 SYSTEh1 FINAL 29. Insulation ' 78. FIRE PREV. FINAI 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster 8rown Coat 79. FINAL INSPECTION 32. Electriwl Power Me[er�Final 80. FDOD C FTIFICATE ISSUED 33. Final Electric Z� �b Notes: / /9' G O�r � 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test ' 36. Hood or Canopy 37. Final Factory Firepiace 38. Final Plumbin9 39. Water Service-Final 40. Gas Service-final 41. Solar pomesiic•Final 42. BaCkflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound A2cenuacton 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co b1. CERTIFICATE OF OCCUPANCY No. Date eooe�ssoFem�pnc: . /4Y� vJ 1.7 CpVNEA5NM1EIFppWN: ULLOA, IVA ..00xEsx 17794 JOSH � FOUNTAIN V avr�. �uuxc �ooxess: CIR EY,CA 92708 UNT: �xcxnecronEnaN�n: BERNARD ADAMS uc.xo.: C10183 1pCHOPFNG.'S/iWNE53: ZZO22 ACACIA PKWY ur�r: E GARDEN GROVE CA 92640 coNm�cToxsru�: A 1 SIGN SERVICE (7147547-9044 LONffl1CTOR5YYlIIlfi 2824 E DEVONSHIRE AV ,,�,��. FULLERTON y2635 CA „�,,�.: 574420 urar: 4CENSEO CONTHACTONS OECUIH�TION: I Mraby eRim uMer penetly d pe�ury ihet I em licemed uMs provivons d Cheqer 9 (mmme�iq wn� Seclbn'!OW) d Divoion 3 d Ne Butiiron eM Prdeeaiona CaEe. enC mY licenae w in hll l«ce erd eXerl. cmuc.No.:054758� uc.cuss: C 45 uc.No: 574420�/ i Dme� � � '�f �Z 1 ConVaaa:�i��/�1•'l / �-A�L^_! .L-�/1. �( OWNEN BUILDER �ECLAF�TION: I Mnby elfirm uMx peiuly d parjiry �hm I em exe tmm IM Con�rotlon License /a tln idbw'vp rm+m (�un ]03t.5 &rmibaa eM Praleniom Code: R�ry cRY a oounlY �� Vuirm e parmn �o carevun. Mx. impove. demol6h, a repei eny st�ucture, prior lo na ueuence, ebo repuirea �ho eppl' i Irn wch prmn �o fib e agiwE atelemenl Net he a eM ia lieemed pu�suenl �o IM qovieiana d Hw Contredae Lieen�e Lew [Cheqer 9(eomme�eq xnh Seaion ]OW) d ON'sion 3 d ihe Bus� eM Prdmson+ Code� a �het M a ehe ia eaemp threlran end IM baw lor iM elbped exempion. My vidmion ol5mun )031.5 by anY aGPu�an� Iw e permil wbjepe IM epplicenl �o e dvil peiuly ol nd mae �hen fxe huMred ddlen �SSW�). � I. av ovmer d Ihe prapanY or mY �OMeec wah wepea ac �hei ede compenaelion. vnll do �he xork. end the nructu�e o nd inlendaE w oflereE br eab (Sacibn )Oad. Bua�a vM Pmlesnona COEa: TM Contreaon Liowne lew Joee �rot eppty�o en oxner d proparry wlw buida w impwea ihereon, eM wha doae such wak himeeM w MnM a �hraph hi a Mr own empbyeea, povkeE Ihet such imprwamenis era rot imeMeE a dlared la eele. ll, howaver, ihe WiNiip a inpiovamani u vald wnhin are yaer d mmpblion, Ihe awiwr-0uiNer will heva �M burden d proviip ha or eM dN mt builE or improve la iM WN�e d eele�. � I. ea ormer d iM propaM. ��dueively ooniredinp wi�h liceneed wnvacion �o wnavua the prol� (�� ]06I. Businw uM Prafeasions Code: The Conlredas Lieanae law Eaea mt epply m en owner W peopeny xfio Wike w impovea iMroon eM x1a conlracie tar wch prqeqe wnh e ooMredor�e) IcemeA W�� o ihe ConlrxYme Licenee Lew). � I em exemq undar Senian: 8. 8 P.C., br thie reewn: Deta: Owner. I do hereby cenity thel I em ewara d eM uMentend the repuiremenb M CelCanie Hsellh eM Sdey Gode Swiana 25505, 2553�, end 25530, enE ihel I a eny luluro builtlinp oocupaM will / will rwi (nrcb ona) need io comply wn� eek elele mEee enE ihe reQuiremenm br epermillwcauVuclionwmodifialionhan�haAi ue�OTl.ianepemeniDiatnq.qeeidenlidmn�ruanneppFretioruenexemqiromihme prwiaiona. Dete: AaW�� ' WOPKEN'S COMPEN9ATION UECL�RATION: 1 hereby elflrm under penely d peejury a�e M the bllowirp Eederelione: � 1 heve vM wiA mdnlein a ceMHicete d mneenl to eell�ineuro Iw vrokare' aompenealion, ea pwided lor by Setlim 3]00 d the labar Code. lor t�e pedomience d ihe xod br which Ihia permil ie ieeued. � I heve eM wil meinivn woMert compeneeiun imureme, ea rpuired by SeGim 3)OU of ihe Lebor Code, br �he pe�lormenca of the woM lor which thia permX ie inueE. My waken' campenemim ineurenca farrbr and poli�y number ere: I c�a,: Polby Number: (m;s .seaion need rat ae comde�ee l rne vmmrt is ror one n�nerea ea�en (stool w raen.l � I cenM �het in IM1e peAormence W tha woM fa which ihia permit u ieeuad, I ehdl � empby eny pereon in eny menner eo av �o becpna eubjea to �M �miMen' compenution lewe M Celitomie. enA epree the� X I ehouk bacome wbpe to Ihe worMaro' compeyqetbn D�ana d Senion 3]00 0l �he Lebor Code. J ehall l�hxiih oomON �h Ihme O��aons. / I � � oe�e: (�/ H �Y \ nod'cem: Wam/n0� Fellun ro wcuro workxi eompxwtlon roverep� l� unMwNl, entl �lull sef an m�ploysr ro etlMlul peru • m0 c/vll flriw w ro a�s huntlred Haua�rd tlo/kn lSfOL{PPDA In sAfltlan ro tlr� cwt rompawtlon ��D�u u povk r! br In Sxtlon 31P6 of fhs Lffior Cotls, IMxuf, erW ettom�y'a I�s�. CONSTNUCTION LENDINO AGENCY: I Mreby ��m urder peneM1y d perNrY �� re u e mnq�uqion bMinp epenry la tlre paAormance d ihe wwk br wM1irh the parmi ia oeueE (Setlbn 3081, Gv. C�. LENDER'S NMIE: LENDER'S ADORE55: I eanily thet I heve eeaC tM1ia epplicetion vd uale �hei the eEova iMormmbn 6 earaa. I ep�ee to ewnyy wilh ell oy eM oouMy wdi�wKen eM steta kxs reletip io WiNmg eonsuudion eed Mreby aullwrrze iepeewmeiivm d Iho cry�o en�er upon tM ebova�memioned property Iw inspedion Wrpmea. / . om,: ,� (5151-48.WP) Whde-Buildip d Selery:Oreeo-Fle: Cenery-Rppiranl: Rnk-Revenue:OddemoFAewaor CITY OF COSTA MESA — SIGN PERMIT PERMIT NO: SB 074212 PLAN CHECK NO: 03693-95 L CONSTRUCTION TYPE: PERMIT TYPE: STR SIG JOB DESCRIPTION : 32SF LUMINATED MONUMENT SIGN PERM NO: SB 0"74217 GOVT: N SUPP: N SQ FT: CLAIM VALUE: 2,500.00 CALC—VALUE: 2,500.00 GROUP OCC: B-2 / COMMENTS: "GEORGE'S MEXZCAN FOOD" MONUMENT SIGN if iE if iF iE iE iE 1E �E 1E iE 3E iE dE fE iE 3E iElElE 1f aE 3F if� if iE if iF %if * iE iE iE 1F if !f jf 3E 1E iE iE iE iE 3E IElE 3E iE iE fE fE 3E iE iE 1ElF if iE �E �E *�E if 3E iElk iE iF aE 9E fE �E iE if iE iE iElE S I G N I N F O R M A T I O N DISTRICT: 1 TYPE: GROUND ILLUMINATION: IC7T CATEGORY: NEW DIMENSIONS: 4FT OOIN X 8FT OOIN AREA: 32.00SQFT LETTER HT: 10 STREET FRONTAGE 1: 190.00 STREET 1: W 19TH ST STREET FRONTAGE 2: 130.50 STREET 2: WALLACE AV ,PARCEL: 42226225 ZONE: C1 LOCATION > FRONT: X REAR: BUSINESS NAME: GEORGE'S MEXICAN FOOD > LEFT: RIGHT: O T H E R T O T A L S G R O U N D S I G N TAIS ACTIVITY . 32.00SQFT OVERALL HEIGHT: 7FT OIN THIS SITE . 32.00SQFT GROUND CLEARANCE: OFT.;:OIN ITEMS OF INFO 2 PLANTER AREA: 64�OOSQFT ITEMS FOR ACTIVITY; 2 BLDG SET BACK: 20FT:-- COPY VERBIAGE : GEORGE'S MEXICAN FOOD WITH LOGO ' PLANNING NOTES: , ' 1E iE 1E iE 3E 3E 9E 9f iE iE iF �E iE iE'N� if !E iE iE 3E iE IE iE 1E iE 9E 1f 1E �)E iE �E iF 9E iE �E iE �E-lf iF 9E * iE IE iE 3E'lE iE 1E 1E 1E iF iE iE iE iE if if dE 3E iE 3E iE iE iE iE i6 if 3ElE 3E iElE iE 1E iE 1E-1E 3E if 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 W i�jlC DATE: �lI �_��j✓ BUILDING APPROVED BY : � DATE: `� APPLICATION ISSUED HY: �{i' DATE: � �✓ jE-)E9EiEjE�F:EiEdE3EiEiE3E1ElEdE1E1E1E1EdflE3F�FiF�3F3FiFiF�F7FiF3FiF3F3FiF�FiFiFifiFiF�F�FiFi�3F3F 3F3F3F�7F'iFdEif3EiElE�EjE�fiEiE ifiE LEGALIZATION:N F E E.:� S O�M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC �MECHANIC SIGN SMIP/RES GRADING PERMIT 54.00 � ,. 32.00 SMIP/NON—RES PLAN 35.10 � %� .53 ISSUE FEE . BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 86.53 0.00 , 35.10 121.63 1'11.63 ,00 REVENUE DIVISION TOTALS--> COLL'EC.TED: 121.63 QVER/SHORT: 00 BLDG PMT PLOMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN—CHECK 54.00 � - , 32.00 .53 35.10 iE iE iE iE 1E iE iE iE iP �E aE �)E jE IE iE 1E iE 3f iE iE it iF iE �E iE iE iE 3E iE i6 iE iE iE'iE jf iE iE iF dE iE iE it if if if if 3f iE IE i'r 3E 3E 3E iE iE iP 1E 3E 3E 3t IF iE iE if 3E iE iE iE iE * iF iE iE jE if iE if �E jE I 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 R I P T I O N � UNIT COST TOTAL COST PURPOSE: OTH NO FEES WERE SELECTED FOR THIS PERMIT ., � OS �J42iiD'L73-0�31?Ei??h TCrT 122.dJ ' � � oar_: �sit��as rtr�t: t2:i? , ' ��.; ,. , . r / w , CONSTRUCTION AND PLANNING ' - " POOL & SPA . - � APPROVALS Permit � Date Inspector ��APPROVAIS Permit # Date � Inspector 1 i. Temporary Electrical Service or Pole 52. Pooi & Equipment Location � � 2. So(i PIpe�Undrgrnd. . � 53. Steei Reinforcement . � 3. Elearicai Conduit Utility-Undrgcnd.. 54, Porms 4. Efectrical Condult-Undrgrnd. �. 55. Eiectrical Bondiny , 5. Steei Reinforcement 56. Rough Plumbing & Pressure Test _ � 6� Electrical UFER Grnd. � - 57. APPROVAL TO COVER�GUNITE ' 7. Pootings 58. Elactncal Conduit�Undrgmd. $. Foundation 59. Gas Pipe, � Undrgrnd., Test � • {.� . 9. Water Pipe�Undrgmd. i � ' 60, Backwash �ines, P•Trap, �.`7, Undrgmd. �� 10. Structural Floor Svstem 61. APPROVAL TO DECK , 11. Properxy Sewer Line & House Connectlon - , 62. Backwash & Receptor-Final � , 12. Sewer Cap . 63. Heater & Vent-Final � 13� Roof Drains 64. Pl�mbing System - Finat � 14, Rough Piumbing . 65. Electrical�Final � 15, Rough Electrica6Condmt. _ ' 66. Solar SYstem-Final ' 16. Rough Electric Wiring - 67. Fencing & Access ApProval • 77, Rough Wiring Sign :�� 66. APPROVED FOR PLASTERI�NG 18, Rough Electrica6T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL 79, Rougn Heating & Air Conditioning FIRE DEPT. REQUIREMENT � Zp, Rough Pactory Firepiace APPROVALS Parmie # 27, DuCcs, in Structure 70. Underground Hydro 22, Ducts, Ventilating . 71. Product Piping OGas u0il 23. Gas Pipe-Rough & Tesx 72. Underground Flush 24, Roof Framing 73. Undergmd.StorageTank OGas ❑Oi! 25. Roof Sheathing -74, Overhead Hydro 26. T-Bar Ceiling �Structural} & Monocoat 75. Dry Chemical 27, Frame and Flashing 76. Dry Stanclpipe 28. Lathing & Siding 77. FIXED SYSTEM1I FINAL 29. Insulation � 7g, F(RE PREV. FINAI 30. Orywall Nailing HEALTH DEPT. REQUIREMENT 37. Piastar Brown Coat 79, FINAL INSPECTION 32. Electricai Power A4eter-Finai 80. FQOD CERTIFICATE ISSUE� 33. Finai Electric - Notes: / G�'6 C��'r� 34. Pinal Heating & Air Conditioning � 35. Pina� Gas Pi e•Test -� - � P _�/Y�/%. P�tc_/_� /i=/�_'v�y_q/ Gv_//.�j 36. Hood or Canopy _ ' � 37. Final Fac[ory Fireplace ' ' � 38. Finai Plumbing 39. Water Service-Final - 40. Gas Service-Final ' 41. Solar Oomestic-Final � 42. Backflow Preventer 43. Backffow Irrigation 44. Landscape Irriqation SVstem - - 45. Sound- Attenuation � 46. Nandicap Regulations •� 47. FINA�S7RUCTURE&BUILDING l� - -� 48. FINAL PLANNING - 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co , 51. CERT�FICATEOFOCCUPANCY No. Date � �'s�.] �.C�OpFS50FBNlIlINO: %nQQ W .19TH 5T ONNERSN.WEIFR�OWN:ULIiVA, IVAN �ooi+es%17794 SOSHUA CIR •— FOUNTAIN VALLEY,CA 92708 968-5181 �vvi. �uia+o �ooxeu: UMT: �xcxrtectonrxu+ffn:LEVI RODRIQUEZ uc�o.: C21639 �NCN.OPFNO.'S�DDflE54: ZAIG E C01�ST HIGHWAY uxT: D NEWPORT HEACH CA 92625 coxriucTarswu�: � � CWLF�MORSY4lM0 . MDRE55: , 1`� UG N0: � uxr: . / LICENSEU COMNACTOfl4 DECLAXATION: I Mreby affim wdx penely d pxjury thet I em licenwd uMa pa'vum d CMqx B (mmmeririiq x�ih Seclion ]000) d Diviaion � d I�e Bueineea eM Prolmebns Goda, aM my lioenea is In hA brca erd ellap. cm uc. No.: uc. cuss: uc. no.: EXP : oate: conveaor. OWNEN BUILOEP DECL�R�TION: I Mreby etfvm u� pe�y�y y perjury ihe� I am eumq Imm �M ConVadas L'xeiue law fa IM lolbwip reeaon (Setlion )031.5 Buenne eM Pm/easb�s Code: AnY cIY a oountY �� 9uim e parmit to owiehud. eXer. improva. Mmdw�. a repar erry ehudve, prior W Ya'aaua�re. Nw re�u'uw �M eppfiunl la wch pemiu io fJs a aqrod petemeN Ihm M a�M e xos�.aa w�� ne a�• w me cw.mw. um� �w Icn.q« e I�,e�w wun seao� moo) d o�re:., a a ms Buaimn eM RWeaiona Code� a thel ha u Me o eRemp Ihwelrum W iM Eeva lar IM elNped axemqion. My vio4�ion d Sadion ]031.5 Ey eiry epp4unt la a pamN wbjetla IM applcaN to e dvY pe'Wly d nd maa than fns hunEnE Edlan �5'+OOp. � I.aoxnerdlMpropaMamyanpbyeeewihw�mtheiWemmpenaetion.xiTdotlro�w'k.eMNs�l�uclunwndimanEeE a oflered fw+eb (Seclion ]Oi�. Bueimv end Fro�syy�e Code: The Contreaon licema lew Eoes rot epplyto en ownard qopeM W�IY �Ml�f IX RIMb� I�MIlpl.11ld M�p DOBB 8YC�1VIdk fY11BGM Of �MIOlr IX �If0Y0h M1O Of �1N OWII MIpOjOOi. V�� bl plt� impwamenb vs nd inleMed a dlaieE la eeb. X, howsver, IM WiWiiq a inprwemmi is aok wilhin orw yw d mmpbtion, �M ownar-buiMar xill heve Na bukan d provinp he or efia�d�'M Jnry.buik or i rove la Ihe purpoee W e). �] I. ea ovmer d tM W WMY. am sstlmvey oontie4q�p wM^"AmeE b (SeCun AM. &ninma end PMeaeione COAe: iM Comrmm L'cenn lew y� �q app�y Io r d W' a imqaw �Mnon eM x1p convecn la such prqacla wilh a awureGor�e) Icorued �nuent t Canir v le . � I em manq undm SMion: B, d P.C.. M Dma: _ - � i'.�e m �« tMa od.: nvW�c WORKEfl'8 COMPEHS�TION DECL�flATION: I Mreyy aifi�m uMar perahy d par'ryry me d Ihs bllorrirq Aetlerelions: � I heva enC W meiMaii a canifrsts d wmnt to yM;� �y xykan' cawenW ion, n pwk�d la by Seaion J'!00 d IM Labar coee. �« ma ron«�c. d m. � i«.�m m� v� A a.�ea. ❑ i n�,..�a w� �o� �«.• oomv.�mo� �m��,o.. m'.a��.e nr s.a�, a�oo a m. �e« coe.. m, me v.no,m.� a m. work la Mhidi Nis M�e u musd. MY worken' wmVemnun'vuurenca wrier end OdKY wmbar ua: c�«: i Pdiry Numbx: (ihia ssclmn med nIX De comP'mM I tMW�^t is M ms h�rrd ddbn iW, r Im.) � I ce�ily Ihel in Ne peAamenca d IM work fa x{�5h ihi pemin le I ua al ahell � empa eny V b�� e manner w as lo becana wbjed io iM xorFmi companWion lewe d alilom' d ree thet d I�h IE be ans u lo iM wakeri compeneelbn pmnaont W Sad'wn 3]00 d �he Labor , I �+ m y�' h Ih s pm e Deta: Apq' : Wem/np: F�llun b��cun wort�ri eemp�nutlon rovx • �wfu • �fWl /�ct ip qw t �iM e�H� nnu w ro m. nu�erw rrow.ro ear.n (iipqmoA � �non ro m. co.r e romp�ns�tbn Wrnp� ro SK(�M J�116 OI i�N {IDOICOd1� I/I�IIYL 1/IQ IROIIIIj"! i1N, CONSTPUCf10N LENOINO AOENCY: I heraby e/firy� uMer paroMy d parpvy Ihel iMn b e oonp�utlion Imdinp epe�ury br iM perlortnerce M the wak la whidi Ihu Wmii u'vaed (Swion ]09). Cw. C). LENDEP'8 NRME: LENDER'S AUURESS: 1 cerlity t�et I heve reeE I�ia epdkdim and bde ihm the ebovs Inlormmlon ie corted. l p�ee to wmply wllh ell tlry enA munry oNinenw� eM elata laxe roletnp io builEinp conYrutlion end Mroby eulhor¢s rpnwnletivas d Iho dry �o enter upon ihe abwa-mamionad yopxy (5151-�E.WP) d Selery: Ore9MFle: Dme: OalEanmtl-Nrova CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: H 076726 CONSTRUCTION•TYPE: I PLAN CHECK NO: 00910-96 L PERMIT TYPE: STR PERM NO: B 076726 GOVT: N SUPP: N PURPOSE: ADD JOB DESCRIPTION : 400 LIN FT OF AVERAGE 2 FT WALL EXTEND SQ FT: 5,000 CLAIM VALUE: 5,000.00 CALC—VALUE: 5,000.00 GROUP OCC: U-2 / COMMENTS: BLOCK WALL EXTENSION 1F iF �E �E 1ElE 1f 1E 1E 1E �IE fE iElE IElFlf 1f if 1E IE iE a! 1E iE 1E 9k if� 1E 1E 1F 1E �E IE 1E iE 1E iE fE 1E �IE 1ElE 1E 1E 1E 1E 1E 1E IE 1E 9ElE 3ElElE iF 1F if 1f if !E iE iE fE fE 1E fE IE �E iE iE iE iE 3E iE IE iElE 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 ---------- --------- ACCESSOHY BUILDING --------- FRNT: PT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ; PROV: PARCEL: 42226225 ZNE: C1 REfi NO: PLANNING NOTES> CONSTRUCT A 3' BLOCK EXTENSION ON THE REAR PL OF THE S.ITE. > BLOCK ON TOP OF POLE STRUCTURE, ADJACENT TO EX WALL.,P, iE iE �E iElF 1F if If'IE 1E ff 1E 1E iE iElE 1E ff !I�lE iE 1E 1E 1E IE 1t iE �E fE 1ElE 1h IE 141F if * 1f iE if iE iE 1E 1E iF 1E 1h IE 1E if iF 1ElE iE 1E iE Ik IE 1E 1E k if iE if IE fhlE 1f iE 1(� 1E!(� 1E iE fE iE IE iE 1E D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N,T, S ZONING APPROVED BY (A�g� DATE: ��-�i� BUILDING APPROVED BY : 5'�'%4 DATE: S-Sr •C)�i APPLICATION ISSUED BY: � DATE: 3.'� jE1fiF1E1EfE1EfEiEfFiflElfiF1ElEiEiEiEiEiElE iEiElEiEifiEiEfE1E1F i6iE LEGALIZATION:N F E S U M M A R Y STRUCTURAL}SEGMENT:Y BLDG PMT PLUMBING EL TR PERMIT 72.00 PLAN 96.80 � ISSUE FEE BUILDING—DIV—> PERMIT ISSUE P N TOTALS----> 73.05 0.00 i REVENUE DIVISION TOTALS--> COL BLDG PMT PLUMBING ELECTRIC M 72.00 � M�CHANIC � A 1(� iE 1El81E 1E iE iE 1("!f' fE 1E iE 1E iE 1E fF �E 1E 1! 1E 1E fE 1! i(� If 1(� iF 1E �E fE 1E 1P iE i6 iE it lf fE I N D I V I D U A I��jjj F TYPE QTY D E S C R I P T I 0�1� SFC 5000 ALTER BY VALUE COMg�e FIRE SMIP/RES GRADING SMIP/NON—RES 1.05 F4 TOTAL PAID DUE D� 119.85 119,85 .00 119,85 OVER/SHORT: 00 O FIRE SMIP/TOT GRADING PLAN—CHECK �p 1,05 46.80 �)E iE IE fElE iE IE 3E 1E ik iE B R E A K D O W N UNIT COST TOTAL COST ZONE 1.00 5,000.00 'i : _ �liiY'.'� _•�_� _ ' a}.It'a :—,. � '1'�.. �y:J_ ._ � / CONSTRUCTION AND PLANNING POOL & SPA � A�PROVAIS Permit # Date Inspector qppROVALS Permit # Date )nspectoq 1. Temporary Electiical Service or Pole 52. Pool & Equipment Location ' �2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 3. Electriral Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electricai Bonding , 5. Steel Reinforcement � � 56. Rough Plumbing & Pressure 7est ' 6..Electrica6UFER . 57. APPROVALTOCOVER-GUN17E 7. Footings _� -t► f�(% �_Q'`, 58. Elearical Conduit�Undrgrnd. v" $. Foundati ' _ � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. - 60. Backwash Lines, P-Trap,_c7 Undrgrnd. � 10. 5tructural floor System 67. APPROVAL TO DECK �. � t t. Property Sewer �ine & House Connection . 62. Backwash & Receptor�Final ' 52. Sewer Cap ' 63. Heater & Vent-Final � � 13. Roof Drains 64. Plumbing System � Finai 74. Rough Plumbing ' • S5. Electrical-Final . 15. flough Electriwl•Conduit � 66. Solar SYstem�Final � 16. Rough Electric Wiring 67. Fencing & Access Approval , �. 17. Rough Wiring Sign 68. APPROVED FOR PLASTERtNG 18. Rough Electri�al-T Bar Ceifing 69. POOL/SPA SYS7EMS FINAL � 19. Rough Heating & Air Conditioning - F�IRE DEPT: REQUIREMENT 20. Rough Factory Fireplace _� APPROVALS Permit #� ' 21. pucts, in St�ucture � � 70. Underground Hydro 22. Ducts, Ventilating � �*' 71. Product �Piping � Gas a Oil 23. Gas Pipe=Rough & Test , �- '.,- 72. Underground Ffush . 24. Roof Framing 73. Undergrnd.Stora�eTank OGas ❑Oil 25. floof Sheathing �_� � 74, pverhead Hydrb _ 26. 7�Bar Ceiling (Structuraq & tv}onocoat � 75. Dry Chemicaf � 27. Frame and Flashing �� 6. Dry Standpipe. , � . 28. Lathing & Siding . - 77. FIXED SYSTEM P�NAL' 29. Insulation t ' � 78, FIRE PREV. FINAL 30. Drywall Nailing t� ��- ' . HEALTH DEPT. FEQUIREMENT 37. Plaster Brown Coat ' � � 79. FINAL INSPECTION ' 32, Electrical Power Me[er�Final � B0. F000 CERTIFICATE ISSUED 33. Final Electric , � �.e>:�q,�eT/W�J9i•Dts�r+� w�L 34. Final Heating�& Air Conditioning , . � ��vr��v� ��/��r 35. Finai Gas Pipe-Test l -f _ j�G�K WA-liL �llgN'Sd4a �'Y/4�iL_ ss. r+ooa o� ca�oov pK �G� TD �f?CYlT- � IJ 37. �inal Factory Fireplace - ' � 38. Fina� Plumbi�g ' 39. Water Service-Final + '' 40. Gas Service-Final ' ' ' ' � � 41. Solar �omestio-Final _ . - 42. BackflowPreventer, 43. Backflow Irrigation , i 44. Gandscape Irripation System. ' . , • _ ' C 45. Sound Attenuation � 46. Handicap Regulations • _ 47. PINAL STRUCTUflE & BUILDING � �Qf' !" 48. FINAL PLANNING ' 4g. Electric Release to Edison 50. Gas Release to Southern Cafifornia Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date � �I � � ssaeuaoo+o: 744 W 19TH ST „ �e xowrc ULLOA',� IVAN „�a 17794 JOSHUA CI ,. � FOUNTAIN VALLEY. • (714)968-5181 wx. �u�aa �ooxes4 92708 uNr: urcxnECTa+e+au+�+: RODAIGUEZ ENGINEERS uc.Ho.: 21639 acxonous,�oox�ss: 2816 E. COAST HWY uxr: D NEWPORT BEACH CA 92625 mrmucroasxu� RAY HAAT GENERAL CONT ( 719 ) 645-3869 ��g�u� 250 E 16TH ST „� «. C,M. CA ucxo, 647755 92627 wn: 4CENSEO COMfl�CfOPS DECL�N�TION: I Iw�aEy affrm wWr pmely d par�uey U� I em IkawM uMv pewubu d Cheqer 9 (wmmend�q rmh Secuon lOW) d Oivoun � tl iM Buai�roo uM PNmuon . end my lio u o in lull bm vk NM. cmuc.No.:063377 uc.cuss: B uc.N : 4775 �XP: 10/95 om. y�� s �� OWNER BUILDEF OECLARATION: I Mretr/ e1Rrm uMx prWy d Ihet I am q Inm �M Caa'seon liroms Lew �a IM Idbxiq ieeaon (Satlion )0�1.5 &niima vd Rdauiau Cods: A'ry dY a aa+^�Y r.h'sh nVu'vu e G�� lo muWtl. Mw.'unMaro. damolish, or rapei eny ebiMure, yor io rta eeuence, ebo iepuim tM epplinm lor ach pemiil to Ne a eiprod eipement thel M a eM ro �icen.ee w�w w m. n� d u» cwreea. Liwn.. �e. �Cnea� 9(mmm«idna .an s.acn �000) a oi,ewn a d �ne Busimaa erd Rdea+uru COEeI a�� h^ a ahs "v uemq tMrehom enE IM Evu la Na albpeE avemqion. My vbletion d Seaun 10�1.5 by ary epplimnl �w e permn wApW iM eppliuN �o e a+d pwWry M nd maa then Ms hundnd dolWs �5500�). �. ❑ I.esoxnarW�lnV�W�YamY�Vb1a+�•thwapaemthaideaom�.wiTdolMxak.endlMei�ucW�eum�mteMaE a dlxeE br aeb (Senion )Oa�. Budrova md Prdaseima Cob: Tha Caruraem limna lew dou rot eDdYto en ovmmd MWaM who buida a mpwe� tAenon. end xM Eaw �uc� wak IvnseM a haaN a N�apA hu a Mr own emplyees, pwidad thm wch imp'v�mneMa ms m� ixaded a dlasd In seb. 0. Mxwx. ihs buiNi^0 a inP�� u rold wilhm aaYw d mnWson. Ne owrer-0uiNx xi0 haw iM CuNm d pw'up M a eM EiE na duk or impro-n lor iM puepws d eda). � I. n owew d IM1a popeny. em udmwly oonlrntlip wiN fiwnaed eonbx�vs io mmW Ns pqetl (SMion l0 W. Businme uM Rdwion. coae: me cae�eeon lic«v. l.r ao.. m apcN ro.n o.,w a a�w�r wno w�d. o. u+ww.. m..on m,e wno coMracb In euN P�^Rd* wuh e mN�tlMe) 4cemW W�uW to �he CaLLrativs llm�w lewl. � I un memW uMer Seclbn: B. 8 P.G.. b Ne nsam: /� o�: � I Eo harebY unM Net I am awera d end ivtla�wd trw �x�dwnab d CeUarn IMeN rd SdeaY COM Setliaro 25505. 255�J. eM i557C. Clld �h01 � IX N1�' �IO WO bI4bV9 '� WID / W� fld (GR�! OIM) IIMQ 10 Cdll�/'Y�11 Y� �IY! COdY dld 1�1G A�YYMIIMb �Of eG�ntamrouuelianamod'dratianhamihs�iaueF�Y mWe^�Diqritl.RoriEwuielaoMMionWO�iaroeessssnqM1anAme a�. Dets: MV�� WONNEP'S COMPFN4�TION DECLAP�TION: I Mr�Ey eMm uNw prWy d pwjvy wr d IM k0ow�'vq dWrciom: � I Ma enE r.il me'vaen awMicm� d amwtl io rll�mvu� b wMrY mipemnian. s poidsd lu b� Sriion 9'!W d iM leba �ro Code. la IM pmlm�w�c� d tM wak tw Wirh Ne pema u mutl. ❑ i ne.. e�e w m.vu.:�.lonw.� a�w��:•M•�w.... naune M swion oroo a m. �ee« coe.. w u�. oM«menw a �n. "�`"��°�b��w�'S'IATE FUND ��m�r• EXPIRES c.m«: aa�,,,,,,,w, — 12 / O 1/ 9 5 (mo aeabi mad noe es m*w�a r w v�e u ror on. �v.�m.e em.n Riool o rmJ � I mNy Wt m tlr pMamerc� d �M wark br MtiN Nu qmW u 1 WI �mpb/ ury pr�on N em� merna o m to becoma wbjetl io iM xwFmY wnpematian lern N Cefdm��ree N�Y I Yw�-Eecmw aiEjM to tM warken' ode: '9' / 7/i 7 �oM�: �-/ Wemlrp: F�U�n ro wcun woikw�'rnmprwtlan covupr l� .�ntl II �WJ�ct m urrylqw ro t�IMNI pwvMu eM clH/ Ilnu ,p ro m� ��ndrW MeuuN aoll�n !l104000A a��n ro tM cme ol mrryw�u�Wn � u poM6C ror In s.�no� amc or m. wo. coa, mrr..c .�e.rrom.r: �». CONSTfiUCT10N LENqNO A4ENCV: I AreEy � undsr penely d prjvy ilut tMn u� ampviion WNinp poncy br tM y„�ormerce a mn xoM �« wM1ich me oe^^� e ewea (s«aun �09). cw. q. LENDEN'9 NMIE: ��oens,�uoneu:REMODEL 6 ADD TO EXISTING I ceniry Ine� I heve rm� thia epplcmion e�1��o�wion u rortwa.l ep�ee �o oomyy wnh M dry md awmy adiiwuee eM etme lews mW iq to drild�q muvuCnn e�d M1seb% eulharrss iapewuaWe� d �h'w cey b amr upan tM ebova�meMbned qoperry forins�rpoeas. � rPriM Nems � e� De�e: �,�y. j.�- pneturo d Ox*erl�penVRpPfranUConireda (5151-a6.WP) Whns-&ifldiqBSelety.0�samFls:CenW-Appfunt:Pink-Rs.enue:(bldmro�baewe ,. _ CITY OF COSTA MESA — BUILDING PERMZT PERMIT NO: E 071764 PLAN CHECI( NO: N PERM NO; E 071764 GOVT: N 5UPP: N CONSTAUCTION TYPE; V—N PERMIT TYPE: ELE PUAPOSE: ALT JOB DESCRIPTION ; REMODEL EXIST. BLDG. ZNTO RESTAURANT SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: A-3 /B-2 COMMENTS: "GEORGE'S MEXICAN FOODS", RE:#B69929 �ex+��r+rr*r*wr******************«�c**�t***r*.c+cr*.r*�*w�r**.*r***+er*r*rr+�rr�r�«***�� *** Z O N I N G R E Q U I R E M E N T S S E T B A C H S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT ZN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42226225 ZNE: REF NO: PLANNING NOTES> i ik If 1f 1t 1t ik 1F 1f if if it jE 1f 1F if M 1E if iF M ih if iF M M if 1f if 41E 1f if fF 1f �f 1E iE 7F �f if M �f iF M if iE iE iE if if i4 i4 if if iF iF M if if if if if iR 4 if if i! M iF iF if iF 1f iF 1F jf 1E if aM D E V E L O P M E N T "S fi.R C� I C E S R E Q U I R E M E N T S 20NING APPROVED BY ' DATE; HUILDING APPROVED BY : • DATE: q DATE; "\r 1Ei1�iFifiFM1E�M �c i 1 1 ifiE STRUCTURAL SEGMENT:N SMIP/RES GRADING SMIP/NON—AES APPLICATION ISSUED BY: if'M'M'k if if M!f 4 k iF M iF �f M if M it if Y 1t if ��F3F�jf $F�jF�jF�{F �t��.jf LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 182,60 SOR - PLAN ' " ISSUE FEE 15..00 BUILDING—DIV—> PERMIT ISSUE .PLAN—CHECK TOTALS----> 182.60 15.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED; BLDG PMT PLOMBING ELECTRIC MECHANIC 197.60 FIAE TOTAL PAID DUE 197.60 197,60 ,00 197.60 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK 1! M 1f Mif iM if iE iFif ik iFif iM i4 1lif if if �f af M M MY M% M!f 1f 1f 14 1f if iF If �f �! 1t MMiF M 1F if if if if if1F !f iF�f M it if if if if 1f 1f iF M iF it 1F at if ic 1a M if it if iR 3f1f iRiR 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 R I P T I O N � UNIT COST TOTAL COST ELE 20 FIXTURES, LIGHTINGa 1•ST 20 EA. .75 15.00 ELE 31 FIXTUAES, LIGHTING 'ADDITIONAL EA, ,45 13,95 ELE 20 RECEPT/OUTLET . 1 ST 20 EA, .75 15.00 ELE 22 RECEPT/OUTLET ADDITIONAL EA. ,45 9.90 ELE 11 RECEPT/SWITCH �1 ST 20 EA, .75 8,25 ELE 1 SERVZCES BELOW 600 V 5 201— 1000 AMP 37.50 37,50 ELE 1 SUB—PANEL / 11,00 11.00 ELE 4 MOTOR/POWR APPARATUS 0.0 — 1,0 HP 3.00 12,00 ELE 6 MOTOR/POWR APPARATUS 1��,1 — 10,0 HP 7,50 45.00 ELE 1 SIGN/ OUTLINE LIGHT SYS ON 1 BR CIRC 15.00 15.00 �END OF FEES C�1 0�179314-00179310 T�T t97„0 DATE: 0;/OS/75 TIfiE: 1E:02 � ` CnNSTRUCTION ANOPLANNING � APPROVALS Permit # _c ��, Temporary Electriwl Service or-P�e 2. Soil Pipe�Undrgrnd. � � � 3. �IettriWl Coriduit Utility-Undrg;nd. 4. EleMrica� CondurtcUndrgmd. - 5. Steel Reinforcement 6. Electrital'UFER Gind. 7. Fpotings ` . 8: Foundation � . c.• 9. Water Pipe•Undrgrnd.�;. 10. Structuro( Floor"5vstem � - 11. PropertY Sewer'Cine & HouseConnection 12. Sewer CaP ' � � -_ �� . 13. Raof Dreins : _ 14. Rough Plumbing. , t5. Rough Electrical•Condui[ �' ,n i6. Rough ElEctric�Viring ,y 17. Rough Wiriag Sign i � 18. Rough E�ect�icaf-T Bar Ceiling 19. Rough Heating & Air Conditioning - r .� Date � Inspector < 20. Rough Factory Fireplace '"'� `- < � J � ti y; � `� 21. Ducts, in St�ucture -; •�- . h S i� �-�:: 22. Duns, Ventilating � \ �,; 23. Gas Pipe•Rough &�Test 24. Roof Framinc� � � - 25. Roof Sheathing �� 26. T•Bar Ceiling (StNcturai) & M�pocoat 27. Frameand Flashing' _ 28. Lathing & Siding ': �- ;�r;.% � 29. Insulation -� � - •- 30. Drywall Nailing � 31. Plaster &own Coat � . s+-:� 32. Electricel Power Meter-Final 33. Final Electric � 34. Final H¢ating & Air Conditioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Piumbing 39. Water Sarvice�Final 40. Gas Service-Final 41. Solar pomesticFinal 42. Backfiow Prevencer 43. BackfloW Irrigation � 44. Landscape Irripation 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 r ti y � '; �. tl �, C) ' -. 0: cr �, r , ^ � Lr � : �'� J l� .i ��1 w 3 i;�,� .� J. � � 2a :*! = � "� '"�: . � i I . -_ � � � P0�"'i"� & SPA APPROYALS Permit �{+ 52. Pool &' Equipment Location ' 53. Steel rieintorcement 54. Fo(ms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Electrical Conduit-Undrgmd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P�Trap, Q UndFgrnd. 61. APPROVAI. TO DECK - 62. Backwash & Receptor-Final � 63. Heater & Vent-Final 64. Plumbing System - Final 65. Elettrical-Finai 66. Soizr System-F..i(�al 67. Fenciny & Acceis Approval 68. APPROVED FfiR PLASTERING 69. POOL/SPASYSTEMSFINAL �. FtiRE D,EPT. REQUIREMENT 4PPROV�.ALS� � POrmit # � , 71. Produc.t�PiPin�j T� Gas ❑ Oil 72. Underqrouhd Fush 3: Undergrnd. Storage Tank O Gas ❑ Oil 4. Overhead Hydro � 5� Dry Chemical . �6. D�y Standpipe� - 7� FIXED $Y.STEM FINAL '8. FIRE PREV. FINAL ' `� . ;�.FiEALTh1 DEPT. REQUIiiEMENT 79. FINALiNSPECTION / 80: FOOD C%F� TIFICATE ISSUED S Notes: /_'�/10/� /.�i�OD✓ ....��1 Date Inspector � � / �pBOJECT AOOflESS: �] 9 4 , W 19 TA- S T uxiT: OWNEfl'SNAME: ULLOA, IVAN aooeess: 17799 JOSHIIA CIR - FOUNTAIN VALLEY,CA 927U8 (714)968-5181 AHCM/ENGINEEFl: RODRIGUEZ ENGINEERS nec.Na.: 21639 aoon[ss: 2816 E, COAST HWY UNIT: D NEWPORT HEACH CA 92625 PEXMITTEE: RAY HART GENERAL CONT ( 719 ) 645-3869 nooAEss: 2 5 0 E 1 6 TH S T C.M. CA 92627 UCENSEU TOfl DECNNATION: I �ereby aHirm thal I a ' nsed under pr isions ai Chapier 9(commencing wi�h Seciion 7000) ol vison 3 f �he Business and Pro�essions Code, an ' nse is in �ullf ce antl e��eci. CITY LI -� � TATE LIC.: G 4 7�I S c�nss:� EXP ; 9� n L �^-') �— Dale'. ! � � Signamre: WOH 5' C mPENSATION OEC PpiION: I hereby a ir tha I have a certihca o7 ronsent ro self-insure or a certificate oi Workers' Compensatio I�{s e o{ ifienq c py t�ereot (Se on 3800. LaU. POLILY NO.: y�� Z+��— J� EXP. OATE: 2/ O S/ S S rYcomraxv: STATE FUND �J Certified copY is hereby Wmished. ❑ Certifietl copy i A ith ihe city Buil g ivision. Oate: I �/[ i /y�"7 NPDlicant: `v E%EMP710NFHOMWOBREHS'COMPENSpT10NOECLPNATION: (Thissectiannee0 otbecampletetlii[hepermitisloronehunaretl�$700�orless). � I cenify �haLin lhe perlarmance of ��e work �or w�ich this permit is issued. I s�all nol employ any pef5on in any manner so as �o hecome 5u�leci Io �he Workers' Compensation Laws oi California. Date: SignaWre: NOTICE I�, aner making ��is tleclaraiion, you shoul0 become su6lecl�o the Workers' Compensa�ion provi5ions o�the La6or Cade. you,must torthwil� camply wiih such pmvisions or this permit s�all be deeme0 revoketl. CONSTNUCTION LENOING AGENCY: I hereby allirm Iha� ihere is a consiruclion lenaing agency �ot �he Dehormance o� the work �o� w�ic� I�is pefmit is issued (Section 3097. Civ. C�. � LENDEN: aooRess: REMODEL E ADD TO EXISTING RESTAURANT OWNEfl BUILUEH DECLAPATION: I here6y aifirm Ihat I am exemD� ��om �he Contracmrs' Sta[e License law �or the followinA �eason �Section 7031.5 Business antl Pmfessional Code'. Any ciry of counry whic� requires a permit to constmci, alter, imD�ove, OemolisR or repair any Slmclure, prior �o i�s issuance, alm requires �he applicaN lor such permi� �o �ile a signed sta�ement Ihat �e/she is Iicen5e0 CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 069930 PLAN CHECK NO; N �UNSTRUCTION TYF�E; V—N FERMIT TYPE: ELE PERM NO: E OE993( GOVT: D7 SUPP: N PUAPUSE: ALT JOB DESCRIPTIOTI ; AEMODEL EXIST, BLDG. INTO RESTAURANT SQ FT; CLAIM C'ALUE; CALC—VALUE; GROUP OCC; P.-3 /&-2 COMMENTS; "GEORGE'S MEXICAN FOODS", RE;#H69929 irrir**frir*��t*ir*x+tx+rirk*+raatr+�-*ir�rr+ririr+tir*�x-*irir�rrr�rirx+e�-ir*itr-t`-r**r*r,F«rF�-u**,a.�r�rirot+r+tr.F,r,r.ia* 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 BOILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL; 42226225 ZNE: REF NO; PLANNING P1dTES> i if if if �lt it iF it iE iE �1E 1F if if it if it �1F if if �E it iE �lf if it if iE iE f(� �1F if� iF jE iE'iF 3f �?f iF it if iE iF iE i(� jf %at if it� iE if if if 1E it if # i! iF it 1E iF iE �iF 1F+f N- if il� +f if� if +E iF+F iE if �lM1 it D E V E L O P M E N T' � S':E..R C' I C E S R E Q U I R E M E N T S ZONING APPROVED HY � ___ DATE: BOILDING APPROVED BY : " DATE: APPLICATION ISSUED BY: � DATE; � � R iFjElfiEififif�lRiFiFiElEiEiFfflfifffjFifiE*;E$F'�$�i�F�l��t3F�EiF3F�FiF3F�il��ifTfif�f �tif�S�if�Mil��tiEiffF�lfiFfEatifitiFiM1 t F f! i i .iF ifY- iE if if M iE iE if iE iE it iF if iE iF if it i! iE iE ff iE iE iE it iE if i! i! if 1E iE i! iF iE iE iE iF iE it i1 ik iF if it iE iF if if if it iF if if 4 iE if i! iE #' iE if it i(- r if 1t if if aa aE+f ik iE+f If it 1E if iE LEGALIZATIOP7;N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHAA7IC FIRE SMIP/RES GRADING PERMIT 15.00 pursuam m �he provisions o� �he Comracbrs S�ate License Law IChap�er 9(commemm�g wi�n Secoon 7000) ot Dmision 3 oi �ne Business pLAN 5 Q� SM I P/ NON —R ES ana Pmfessions Cotle� or tha� he/she is exempt ihereimm anJ the basis for �ne allegetl exemption nny vioiation ol Section 7037.5 by I S SUE FE E any applicant �ar a pe�mi� SUEjects Ihe apDlicant to a civil penal�y of not more Ihan live hunOreO tlollars (SSIq). 1 S � � BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE i, as owner oi tne pmpeny or my employees wrtn waAes as meir sole compensalion, will ao me wo�rc, ana the TOTALS----> 1 5, 00 1 S. OQ 0, 00 30 , QO 30 . 00 . �Q ❑ stmcwre is not intentletl or ollere0 for sale (Section 70a4, Business antl Pwtessional CoOe: The Contracmrs' State License Law Ooes no� appty ro an owner o� a pmperty who 6uiltl5 or imD�oves �hereon, antl who tloes such work himself/hersel/ or thmugh his or her own employees, pmvitletl mat such impwvemems are nol imenAetl ar ottereA for sale. II, nowever me builtling or REVENUE DIi1I$ TON TOTAI.S--> COLLECTED ; 30 . 00 OVER /SHORT • UO impm�ementissomwitninoneyearo�comple6on.ineownerwalnavetneouroenoipmvinA�e/sneaitlnotDuiiaorimpmve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAP]—CHECK lor Itle purpase o� sale�. i, as ow�er o� me pmverty. am eaciusi�eiy contractinq witn iicensed coniracrors to constmct tne pmiect (Section 7oaa. Business 3 0, 0 0 ❑ antlProtessionsCotle�. TheConiractors'StateLicenseLaw�oesnotapply�oanowne�o�properry whohuilOsorim0�oveslhereon *,�******�**,��**�*****��**********�**,�*******��**�*�**�**�***��***��**��*��*** and who coniracts for suc� pmlec�s wi�h a conUactorls) license pursuan�lo Ihe Contractof9 $late License Lawl. I am aware iha� proof o� their Worker's Compensa�ion inwmnce shoule be pmvitle0 �o me. I N v I V I D U A L F$ E B R E A K I� O W N � I am e�empt unaer Sectmn: 8. 8 P. C. for ihis reason' Oaie: Ownec I tlo nereby ceniry t�at I am aware ol an0 unaerstan0 the requiremenis oi Calilomia Health an0 Safery Cotle Sections 25505, 25533, antl 25534 antl ��a� I or anY �Nure builtlmg occupan� will/will not (circle one) nee0 �o comply wi�h saitl state codes anA the �equi�emen�s for a permi� �ar consiruclian or modilication Imm t�e Air �ualiry Managemeni OiSlrici. Residen�ial consimc�ion applicali0ns are exemD� ��om I�QSC pfOV1510115. Date: Hpp�icant: I �ereGy cer�ityt�al I have reatl Ihis appbcaiion and siate tha� Ihe�b evE1p �ormationis corr E. lagree�o comply wi�h all ciry antl county ordinante5 antl slatelawsrelatinglo �uil0ing ron5lmtti0n an0 he eby a INOri2erepresenla�iv �Of�his ci t¢r upOnthe above-mentioned pmperly lar in)spec 6n pur�es Dale: U � S �L SignaWre' / � oriver's �icense or Socia� Securiiy x� t64L46 Whlte—Bwldmg; Green—Cotle Enlorcement Canary—Applicanl: Pink—Revenue; Golaenrotl—Assessor TYPE �,iTY £LE 1 D E S C R I P T I O N TEMP SERC' PWR POLE W/OUTLETS ED]D OF FEES IINZT COST EA. 15.00 TOTAL COST 15.00 �i onr�t?e�s-oos7i�6s rr�-r ;n,op 'AiE: li/I:J94 TitIE: 15:45 1 ' :� CONSTRUCTION AND PLANNING POOI & SPA APPROVAIS Permit# Date Inspencfor I qPPFiOVALS Permit# Oate Inspector 7. Temporary Electrica� $ervice orPole /�� 52. Poo� & Equipment Location - 3._. w-- 2. Soil Pipe�Undrgrnd. j ' 53. Steei Reinforcement . 3. Eleciricaj Conduit l,Jtility-Undfgmd, ' ' 84. Forms 4. Elecirical Cond rt�Undr md� � . . V� 9 b5. Electrical Bondin9 � 5. $ceei ReinforCement -- 56. Rough Plumbing & Pressure Tzst 6. Nectrical UFER f�md. 57. APPROVAL TO COVER GUNt7E 7. FOotings..� _....-. - _� 58. ElectncaiConduirUndrgrnd. $, _Fpundaii0n �; �� "� - �'\_ , 59. Gas Pipe, O Undryrnd., Test 9, Water PipB�Undr9rnd. ', � - , 60. Backwash Lines, RTrap, � U�drgmd. 70, StructuralFloorSYstem .f , �67. APPROVALTODECK ll, Pcnperty Sewer �Line & House Conneciion - 62. Backwash & Receptor�Final . 12. Sewer Cap ` _ l ! � . � =63. Heaier & Vent�Final 13. Roof Drains 1 �� 64. Plumbing System - Pinal 14. Rough Plumbing � - � 65. Electrical-Final 15. Rough E�ectricp6Condui��_. 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access ApP�oval .i 77. Rough Wiring Sig� 66. APPROVED FOR PLASTERING 18. Rough ElectricSi-T Bar Ceiling 69. POOLiSPA SYSTE�AS FINAL 19, Rough Neating & Air Conditioning FIRE DEP7. RE�UIREMENT 20. Roogh p�actary Fireplace , ti .� - . " - ' APPROVRLS� : _'Peemit # 21, Duds, in Str.Ucture;� � -;. -; _ - _ •��7p, (]�dergiopnd Hy(iro 22. Ducts,Ventilatirtq'� . � _' - ' :77, ProducFPipingOGas ❑Oii 23. Gas Pipe•Roiigh &-Test ! _ �' ',72. Under round Ftush jr: �. 9 .: ,. .� _�`, 24q:Aoof Framing , -. � � - ; � � '.73:'Undergrr�. Storat�e Tank � Gas `J Oil 25. Roof Sheathi�g ' � � � � " ' �r� F' � �74,�Ovecheatl Hydfo � 26. T-Bar Ce�iing (Str�cturaq & fMonocoat �- 75.:-Dry Chemical � 27. Freme and Flashing. �` ,�, 76.-bry Standpipe -- �' - - - �28`�Lathing�& Siding;i �� , :;��,; _ s; �• jl^� �� 77wi FIXED SYSTEM FINAL 29. Insulati0n -_ -"• "- - -� 76.�FIRE PREV. FINAI - 3p. Drywall Nailing • � �� ' .. HEALTH DEPT. REQUIREMEN7 .'31. P�aster Brown Coat:_ ' ' � 79. 'FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 1 33. Final Electric Notes: 34. Final Neating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Pireplace . 38. Finai Plumbing 39. Water Service-Final 40. Gas Serv,ice�Final 41. Solar pomestic-Final � 42. Backflow Preventer 43. Backflow Irrigation 44. Landsca0e Irrigation System 45. Sound Attenuation - 46. Handicap Regufations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING . 49, Electric Release to Edison 50. Gas Release io Southern California Gas Co 51. CERTIFlCATE QP OCCUPANCY No. Date �em�omo: 744 W.19TH ST raawx: ULL-OA, IVAN nnoxEss 17799 JOSHSA' i:1�R FOUNTAIN VALLEY,CA 92708 (714)968-5181 .vvi. �uiaa �ooxess: uxr: �xcxrtecTon�+m+�n: RODRIGUEZ ENGINEERS uc.ra, 21639 ncx.onu+aremo�ss: 2816 E. COAST HWY urrt: D NEWPORT BEACH CA 92625 ��t�� RAY HART GENERAL CONT (714)645-3869 COMPACTORS MNIAlO Z 5 0 E 16 TH S T ,�o� C.M. CA ��, 647755 92627 uM: IJCEN5E0 CONTRRCTON4 DECLARATION: I lronEy ellim urker penely d pajw/ Nel I em lianed uMm poriacns d Chaqa B (canmr�q w4h Ssction )000) d Oirieian J al Ne Budrov eM P�dm�iau CoEe. aM Y fmva u in hA laro eM afletl. cmuc.No.:063377 uc.cuss: B uc o.: 647 55 EXP; 10/95 om,: Y/<</9 � ��a �—, � 1WNEF BUILDEfl DECLAHITION: I hareby etfi�m uMx priely d perµy Ihel I em ewnq hom IM CaNratlas Limnee lew la tlw .ilbwip �aamn (Satlion ]W �.5 Buaiw enE Prdmaom Code: NrY ciY a camlY whidi �W�^�a e Ge�mi to owevur�. aEr. "unVa+. Esmdsh, p repai ury ewtlive. pnar b Ys ewuw. eho'apu"vee the eppGmN la mrA pamm to fila e sprcE etetsnatl ihel he a�ha ie licenaed punuenl lo �M povieim� al Ibs Comraaan lioense law Icnw�.. a I�m��a �n seao�, �oaal a oe.e� a a �ro Bu�an eM Prdmiom Cotlel a �IW he or ehe is exemN �Mdmn enE IM Eeab lor IM elb0� ezemqbn. MY videtian d bepion ro31.5 by erry epp4unl la e parmu wbptls Ihs appficw �o e ard pa�elry tl M man �henlxa hurd�ed dMva �L•Wp. ❑ i...ow,�erainerw.�+r«mv�Nw»••,�n..w..��n.:.d.o�w�.m�..;oaoma�..mmen�unuraenaunena.e a dtaeE br sab (Section 10u. Bvsmu eM PMmeune Cotle: TM ConlreGon licenae lawtlom ml epply lo en owner d properry who buids n inP�w+* �he�aon. eM Mn dom �ueh woek h'vnsetl a Mnd a Wa9h hY a her own amWwev. pa'� �hm wM impwanew ve nd inte�ded aWmeE la aab. tl, howwr. �M buitli�p a inporaneM o eold weh"v� ma Yur d mmpinion. tlr ownx-0uiNx xill have IM WNen d prwinp M a ehe Ek �al EuiN a imp�ove tor tM W�a d aele). ❑ �. m oxn« w �ne aw«n. �.R�'/ �vi.airo wan 4oxuea oono-.po�. ro can.wa ma wdad (s«+un ra,. a�.me...ne Pmlwiom COEe: TM Cam�eam licmvx l�w dw m� epyy �o en ox.w d papany who W�da a impwr threan W.M contrecb /a aw3� D�M�e wilh e wnrmor(e) �M� WnuaM b IM Converlae Liome law). � I un aFemq uMer Sxiim: B. 8 P.C.. tor Nn rmmn: •� oem: Ovmer: I do Mreb� ceNM �� I em awere M eM uMxelend tM raQuinmeMa d CelYomie FbeIN uM Selely CaEe Setlbre 25505.255]J. anE P553a, erd thel I a eny Mure Wikiip ocapen� vnll / wil mt (tircb ane) naed �o cpnply tih aek aate oodm end tM �pui�amema br epermXlwconeiiunbnamodificpionhamiMAir ue�8-TyT.%nepememDiatria.ReeitleMielconeiruclioneppYceliareanaxemqlmmMme pfONSq118. Dete: AVWcva: W OPKEfl'S COYPEN4ITION DEC WIATION: I horeby Wiim vnda panMy d pajuy ona d ihe Idbwup deder�ba: � I Mw xd wil meinlan e ttMiut� M mroent lo uMimun br xvMen' mmpanWion. m prwideE la Ey SWion �)OD W iM lebar CaEe.la Iha perto'mence d �M xak lar wNch Ihie permA ie iwueE. r] I hm eM r.il meiiven MVFan' aomD�*dcn mwrenm. m �Wu"vad M Sw'vi J]00 M ihe LeEor COM. br IM P�� W IM .,n�ia.n�mac�nee.�.e.Mr•ak..'�v��*�tiSF�iS"rndw�r�e«.,.: EXPIRES Camm: Pa;�. N,,,,,b,, — 12 / O 1/ 9 5 Rn;: e«.rtn,»w,w a mnd�.e � m. v.m, e b, on. nwS.e em.,. rs�oo� d Fn,.� � I unN � in Ne pMormuwa d �Iw wak ta wAch t�u prmu u mueE. I Nell nu ampb� eiry pawn m ury men�ror w m to bscann wbjatl !o �hs xokrs' admpmmYion Iews tl CalEamu eG�M ihtl A ehadd bacanr mApe �o tM warbn' com°'� on. a s.aion aroo a �ne Leno. coe.. � � imn camo .� �noe w�.. om.: �7 / � 'f �oWcw: ei W�mlip: F�Oun h uevn �roMw• ewryw�wtlon eo✓wp� l� unl�rM uWWll u8/M en �mplqw b MMMpsn�ltlw �n0 clHl nnu ,q ro om n,ner�tl tMuwN CWbn /itPO,OWA M��n ro tlr� cwt or m�omul/an, dan�pu u povltlW ror In Sxtlon J�5 0l IM laDor Cob. Irrt�ru4 ��m7� I� coNsrnucnoN �amra �oerur: i n«.M �� w.xr o�b a�u,y mm mm. a. m�nNa� �nwu,o m�r ror u» p,eo"�� a m...o� i� wn�w me v�i „�.e �s�eo�, aoa�. cH. c�. � LENUEN'S N�IIE: �o/oen•s�ooness:REMODEL E ADD TO EXISTING 1 cenEy tM 1 heva ned Nu epplirsiian ��t��%��nYion o cmatl. I epim to mnply wilh ep'iy vd ooumy ad'vwior ud etale 4ws Netiq io Wik'vq wnawim entl hereby aWw¢s �aprseanieti�a d th"v ary ro amr upan IM abo.e�meNioneE piaperty Iwimpe urpoeee. t— A 1 Pnnl Neme 4 / Dme � / � SqnaWrs tl Owmr/�nV�pplranuContmCa (SIS1de.WP) WAne-BuiMnp 8 Sdery: (LserrFb: Cenery-Appiran: Fnk-Rermue: (3oldmmtl-N�e»n PERMIT NO: P CITY OF COSTA MESA — HUILDING PERMIT 071765 PLAN CAECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE; PLU JOB DESCRIPTIODI ; REMODEL EXIST. BLDG. INTO RESTAURANT CLAIM VALUE: CALC—VALUE: e - PERM NO; P 071765 GOVT; N $UPP: N SQ FT; PURPOSE: ALT GROUP OCC; A-3 /5-2 COMMENTS: "GEORGE'S MEXICAN FOODS" RE:ltB69929 �**�c*it*******r�r�-aF**x*+t******rr**�-it3t�r�c**acar**ac�*+t**r�c**s+��**s*****+tx�+�**r�+t*�r-�r**�r Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIP] BUZLDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING REQ: PROV; PARCEL: 42226225 ZNE: REF NO: PLANNING NOTES> , > . if 1E aF if if iE i! if if if af iF M �f iR if aF iF aF M aF if �f iF 1E jf if iE iE aF i: ff iE �E �f 1f iF �R if if at if if if i{ 1F ii �f iR jf 1� iF iR it i! jf if if iF * iF if if K aF 1f M iF iE iF iF if iF iE M iF �f iF �f D E V E L O P M E N T S E R V fI C E S�' R E Q U� I R E M E N T S ZONING APPROVED BY � . ' ,,,- DATE; HUZLDING APPROVED HY : •'i � •� nnTF. ,/ ' APPLICATION ZSSUED HY; :�� ' � . DATE; �?�1� �t***ft*�r�t�r�tirr*ic�-*+r�r�t+F**iFiF�r��+rr ��iFT��r�t .r �i"�'�F�'F��ir'�t*�t+f+r+r�r+r�r . +F < � it* LEGALIZATION;N F E E S U M M A R Y STRUCT[JRAL SEGMENT:N BLDG PMT PLUPIBING ELECTRIC MECHANIC FIRE ~ SMIP!RES GRADING PERMIT 19025� ' y , v ' � • • •. � SMIP//NON-RE5 P LAN �1, � ISSUE FEE 20, 00 -� ' ' , ( �", ' � � � n BUILDING—DIV—> PERMZT ISSUE PLAN—GHECK TOTAL '; ,� 4 PAID' � DUE TOTALS----> 190,00 20.00 ;0.,00 210.00 210,00,. .•. ,00 REVENUE DIVISION TOTALS--> COLLECTEU; 210.00 �OVER%SHORT; � 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT�'GRADZNG PLAP7—CHECK 210.00 . � . � i � . - . if 1f�f ifif if ik 1f af lfif if iFif it M M if �f V ir if if ifX 1k If iF 1f fE 1E k iF1f 1E af ifiF V i! iE 1t M if iF �f Mifif iflf it ifM 1flf 1f ff if if ffif 1t ic if M+f if 1f if if 4 iRiF {E �f if 1f ih I N D I V I D U A L � F E E H R E A K D O W'N ^��1 , ., TYPE QTY D E S C R I P T I O N " UNI.T COST ,-� :/ TOTAL COST PLU 1 DI5HWASHER � ' � 7,00� �' ' 7,00 PLU 4 WASH BASIN " ;7,O;Oii1 � 28.00 PLU 5 FLOOR DRAINS ' •7:00"! '� 35.00 PLU 1 SEWER, CONNECTION TO HUILDING EACH• '15.00,r�" 15.00 PLU 4 SINKS, COMMERCIAL OR-IND.USTRIAL 7;00 \ 28,00 PLU 7 SINKS, FLOOR !�. • 7,00 � 49.00 PLU 1 SINKS, SERVICE / MOP,- „ �:7,00 "' � 7.00 PLU 2 URINALS, WALL ^ � '•�-�7: 00 • �, ' 14 , 00 PLU 1 INSTALL/REPAIR WATER PIPING EQ[JIP, .7,00 �� "' 7.00 END OF FEES � y, �� Gi UD2'1�� i1—�0174311 Yt:eT 210.L10 DR7E: Q�iO4f95 TTME= 16:01 ONSTRUC710N AND PLANNING APPROVALS Permit # 1. Temporary Electrical Service or POIe 2. Soil Pipe-Undrgmd. 3. Electrical Conduit UcilRy-Undrgrnd. 4. Electricaf Conduit-Undrgrnd. 5. S[eel Reinforcement 6. Electrical UFER Grnd. i.:Footinqs . � `3. Foundacion �' � 9. 1�Vater Pipe�Undr9md.' 10. Structural Floor System 71 . Property 5ewer Line & House Connection 12. Sewer Cap " � 13. Roof Drains 14. Rough Plumbing 15. Rough Electricai-Conduit 16. Rough Electric4Viring 17. Rougfi Wit+ng Sign � � 18. Rough Electrical-T Bar Ceiling 79. Rough Heating & Air Conditioning 20. �Rough Factory Fireplace 21 . Ducts, in Structur.e . •• . 22. Dutts, ventiiating ' 23. Gas Pipe.flough & Test - 24. Roof Fram�ng � � 25. Roof Sheathing • , . 26. T�Bar Ceili�g (Structuraq & Monocoat 27. frame and Flashinq , 28. Laihing & Siding" ' 29. Insulation � •� 30. Drywall Nailing 3L Plaster Brnwn Coat 32. -Electrical Power Meter-Final 33. Final Electric 34. Final Hedt�ng & Air Conditioning . 35. Final Gas PiPe�Test. . 36. Hood or Canopy . 37. Final Faciory Flrepiace 38. Final Plumbing • . 39. Water $ervice�Final 40. Gas Service-Final � 41. $olar pomestic-Final - A2.�Backflow Prevenier 43. Backflow Irrigation , ' 44. Landscape Irripation System 45. Sound Attenuation , ', 46. Handicap Regulations 47. FINALS7RUC7URE&BUILDING 48. FINAL PLANNING 49. E�ectric Release to Edison 50. Gas Release to Southern Calitornia Gas Q 51. CERTIFICATE OF OCCUPANCY Date Date f _ & SPA Inspector qppROVALS Permit # "�� 52. Pool & Equipment Location ' �ct. ��F;} 53. Steel Reinforcemeni 54. Forms � 55. Electrical8ondinq 56. Rough Piumbing & Pressure Test 57. APPROVAL 70 COVER-GUNITE 58. Electricai Co�Auit�llndrgrnd. 59. Gas PiPe, O Undrgmd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVALTODECK '� 62. Backwash & Recepior�Final • 63. Heater & Vent�Final - 64. Plumbing System � Final 65. Electrical�Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PIASTEAING 89. POOI./SPA SYSTEMS FINAL FIRE OEPT. REQUIREMENT � APPROVALS Permit # 70. Underground Hydro 71. Product�Piping-�Gas ❑Olf 72. Underground Fiush 73. Undergrnd. Storage Tank � Gas ❑ Oil � 74. Overhead HVdro 75. Dry Chemicai � � 76. Dry $tandpipe +• . 77. FIXED SYSTEM FINAL � � 78. PIRE PREV. FINAL �� ' ,' HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUEp � Notes: � - c; -�-y `, i?,y.,;♦., �� avia��»ric..-vi�sr�a��:��.� (� ' G-�-5=7-S-lL�6Z � �7cs -"7S I� A-`JO_C�..� - - . . .` d �� !� � �/ } �j21D�a!-iL14 Date � Inspector � � i J �oonEssaem�or+o: 744 W'19TFi ST °""'Ts"""E1P�'"` ULLOA, IVAN �L�,r.100NE54 17794 JOSHUA CIR � ' �` � FOUNTAIN VALLEY,CA 92708 (719)968-5181 �vri. Yuwio �oox�sa � urn: urc.wnEcronenow�e: RODRIGUEZ ENGINEERS 1GN0' 21639 ��^�""D°"�' 2816 E. COAST HWY 01io D NEWPORT HEACH CA 92625 �� RAY HART GENERAL CONT (714)645-3869 caam.croxs�aur+o 250 E 16TH ST �o��C.M. CA uar+o.: 647755 92627 uwr: LICENSED COIrtX�CTONS UECL�RATON: I MmEy dfrm under pene�y d pajury Nm 1 am IkanasA uMx provisioru d Cheqer e (commemin0 w§h Sxtion )000) d Dnieion a d Me &iwmw eM AGasacne Code. and mY wnm o in h0lwce dd Mee. cmuc.No.: uc.cuss: H u q�7 �EXP: o�,:�d�./9S� ��a: 1WNEH BUILOEF DECUflATION: I MreEy �rm uMer peneYy rlury Ihm I em exemq Irom the Conlreaon Licenee Lew lor Ms alb'r�i�G res+on (Sedion ]0�1.5 &ni�m� eM Prdwions CaEa: MY c'tY a mumY �fiiN n0uim e G�� to aanbuct. Mer.'unWm+. Eemoloh, or repai eny eVucluro, pim b ns eeuarim, eleo �epuirea ihe epplirenl br euc� pem�il to fils e elpned eletemenl t�et M a�M ia limnaed W�� o iM povisionv d �he Lomreaore Liceme Isw �Chepler 9(mmme��p wnh Saqun'1000) d Oveion � d IM Buair�ms eM Prdeeeione Code� a thm he a Me is exemq �haehwn vM the basa la the allapeE examplbn. Arr/ violetian W Seaion f0l9 )W 1.5 by erry epplicenl Iw e permX wbjetiv Ihe eppliceM lo a tivil per�elly d iwl mwa Ihen Me huntlrad dol4n �5500�). ❑ �.e.ow,�erainewew�r«mv�Ww�•wnaeoesd�ne:edeaon,ro�m.wnrom.wax.enemeewcwnona�me�dee a olleroE br veb (Seclion ]Ou. Budrow eM Pmieaaiana Coda: Tha Coniraqws Limnas law daea na epplytoen owner ol propMy � who Wide a inPo+a �heeaon. enE Wa doea suM wwk Fimaetl a hena� a tlraph he a her own amWWw�. qovidad �IW aeh I imprwwneMs ere ml inieMed or dla�ed lor eab. X. however. iha WiHi�p a inprovemeM u wld wilNn aro yeer d mmplNion. tM ' owror-0udEer xiY Aeve tM EUNm d povinp M a eha diC nd buJd a impws fa iM Wmw d mb). � I, m owner d Ihe popeM. � eRtlu�iwly contreniq wiN liaerued convactan m conalrua iM pqed (Satlion ]ON. Bueimn eM Pmfsubro Code: The Goeuraeon Lim» Law doae rci epqy w en ownw tl p�apmy wM build� a imrywx Ihason ud who contracb lor atl� prqetls x+lh e murma(e) �K�� WnuaN b Iha Cartretlae Liwnaa lnwl. � I am eRemq uMa Setlion: B. 8 P.C.. ior Ne iaawn: i ao ne..W cennv u� i em ewve a.�e �.ww ine rea��ew a cen«�ue Heenn .na sdar coa. sw�. nws. assro. ene 2553a. end tl�a I u enY hnivs Eitik'v�0 �M^� xi0 / rA m� (emis an) need to comDN xih eeid mta rods� W IM �NwnmaCs br e P�n lacanelrvciiona maEifimtianM1antMAi�uiepenwq Diqrid. ResideMil wnqvfion ePV�iomers memq hamNm a�. om.: �vd�: � W OPKER'S CONYENS�TON OECLAPATION: I hsreby eMmm ivdar pr�NyW prjuy w d Ns Mbw'up ErLretiom: � Ihehudwilmeinlen�cxW'mad��owtlimurefarworkr+'wmpwnion.nPa'�taEySWion3)OOdtMLeCv Cods.lor iM perlmwice d tM v.a�k Iw wlich Mie psmni ia inued. r] I hew ud wll meiMen woeFae' mmpmeton'vmur+rce. o rpwM by Saa'vi ]]00 tl tM lebar COM. b tM pe�amviee d tM wak la which �his peimit ie usued. My waMeie compemetion ins�rence rartier arq poGq numbar ars: c�«: STATE FUND EXPIAES POIkyNumEm: iii7i�i7—�i.A 12/01/95 (mo vaalm nese Iwr w mmpered r w v�/ � b• ai. nune�.e eouers R�ool a IanJ . � I roniy Net in iM pertormence d tM work for whkh Ihia peimd'a ieweE, I YWI iwl am oy erry penan in eny mannr u n m ber,wm wEjed Io �M wak Y canpenWion krn M CafAomu. �gme Ne� Y I houM Eacam wEjwf Io iM xaken' mpe t `vro�ieqrone�o(l�M wn �100 0l Ihe Lebor Code. I eh orl h mmp xii Iwsp}�f�M Deie: ��0. � ! / AOWkem: V �. Waminy: F�Nun ro s�cvn wolfrwi romperwtlan coverp� la I�wN( uM I�!/cf en rr�vloyw to ulMrol pNMMq �M clvll fliw up ro on� �wtlrM tMuund Eo/dn (J/0QGW1, In Mtlltlon M th� cwt o/ rompNwtloM1 Mlnpu �� prvHtlW br In 9.ctlon �106 0l M� LMor Cob, InMat ��m�ya lsu. CONSTRUCTION LENDINO �OENCY: I hemb/ elfiim uMu penelry d perjury thm thms u e mrut�udbn WMirp apanry br tM parldmeMe ol �M xoh la xfiirh iAe pemi� w ewed (Setlion ]OB]. Civ. Cl. LENDEP'SNIWE - LENOEN'S RDORE54• REMODEL 6 ADD TO EXISTING I canily thm I hme �eeE Nu epqictlian (p4A �{4�ration o cortaq. I ypsa to comyy Mu� e0 my eM wuNy ad'vwwss eM eW e lern �aletiq io WiMip cm%rud� � eSf' raprewntalivee d Ihb tltyto mter �pon tM abvn�memidiaE poparry Irc in0�� W�D��. RAY HART � �Pmt Nams _ .. _ _ _ _ �s: ` a 9S (St51de.WG) W�ils-BuildipBSeMY:��rFb:Gvary-Appirant:PinLRewnue:OOlEenmE-Nsmeor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 072915 PERMIT NO: M 072915 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: ALT JOB DESCRIPTION : REMODEL EXISTING BLDG. INTO RESTAURANT SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: A-3 /B-2 COMMENTS: REF B-69929 x *�***�**�*��*�*��***�r*+t�r�t*�t�+c *+�+t�t*�t�t**+�**�***�r***�****x **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 HOILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV; PARCEL: 42226225 ZNE: REF NO: PLANNING NOTES> ` � �'**'*'K'***'�'�'�'�'*�'*'�'**'�'*'*'K'�'�'�'*�'*�'*'�'�'**'K'*"K'**":�'��'*�{'�'�'�'*�"�'�'�'*'�'�'*'�'�'�'*'�'�"�'�'�"�*�'*�'�'**�'*'***'* 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: HUILDING APPROVED HY : DATE: P.PPLICATION ISSUED HY: DATE• � ` iEif"IE1Eil1E�)Eil'iEiE1E3E1h1I�1E1E1E1Eihikik�E �iF7F� �iFiflf{EiEaEiElflEiFiE � 1Fi(� LEGALIZATION:N F E E S U M M A R Y J STRUCTURA SEGMENT;N HLDG PMT PLUMBING ELECTRIC MECHANIC `^ (F•IRE SMIP/RES GRADING PERMZT „ 74.00; � PLAN ,.'':. � � � zSY, •� SMIP/NON—RES ISSUE FEE �� ' �'�` 1-5.00 �� ^v" BUILDING—DIV—> PERMIT ISSUE PLAN=CHSCK �. TOTAL� - PAID DUE TOTALS----> 74.00 15.00 0.00 ,� 89.00 89.00 .00 i�� _ REVENUE DIVISION TOTALS--> COLLECTED:" 89,0.0 .OVER/SHORT: .00 HLDG PMT PLUMHING ELECTRIC MECHANPC � �FIRE. SMIP/TOT GRADING PLAN–CHECK �'•. 89.00 i � ; �–� � _ ,, ; ' �y , if k iFlE 3f 1F 1E fF fE ik if IE ik 1E 1F �k iE 1f 1! iE �! iF 1! ik ik iE 1E 1! iE 1f 1E k 1f 1t 1E fF 1E fE 1F 1ElE 1E iE�lElFlf.1F 1F ik iE iE 1h 1E 1E iE.lElflF 1F 1f 1E 1f 1E 1k �14 fE 1F iE iElE 1! 1E if 1E 1F iE 1k 1E 1f I N D I V I D U A L F E E H R E A j D O W N TYPE QTY D E S C R I P T I O;N , :� IT COST TOTAL COST MEC 3 INST FOAC–AIR/GRAV.FURN <=,�100 K BTU�� ' MEC 3 REFRIGERATION SYSTEM '<= l00 K BTU/H;' =�9.00 27.00 MEC 3 VENTILR�TDON/FANTCONNDTOYSINGLExDUCTTv��`�4.50 13.50 END OF FEES /�" J ; � L�� 1 , R`j � �, � �'� '- Ctllt� i.' ;'r-',� 1' — , .--:. i-... ,.r _., ,. `v'._ :n... i� / ! �-�� . � 4 CONSTRUCTION AND PLANNING �' F -$ SPA I • APPROVALS Permit # Date Inspec[or APpROVALS Permi[ # Date Inspector `1�� Temporary Eiectricat Service or Pole 52. PooV & Equipment Location � � 2. Soii pipe-Undrgrnd. . 53. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � 4. E�ectrical ConduibUndrgmd. ' 55. Elect-ical Bonding 5. Steel Reiriforcement 56. Rough Plumbing & Prassure Test ' 6. Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE ' 7. Footings .` , 58. Electrical Conduit-Undrgmd. � 8, foundation -- 59. 6as Pipe, 0 Undrgrnd., Test - 9. Water PiPe-Undrgmd. - _ 60. Backwash Lines, P-Trap, � lJndrgmd. 70. Structural'Floo� $yetem � 61. APPROVAL TO DECK 11. Propetty Sewer Line & House CoYnnection 62. Back.wash & Receptor�Finaf � 12. Sewer Cap �, 63. Heater & Vent-Final - . 13. Roof Drains T 64. Plumbing System � Final 14. Rough P�umbing 65. Electrical�Final • 75. Rough Electrical�Conduit �� 66. Solar System�Final . 76. Rou9h Eiectrit Wiring 67. Fencing & Access Approval � 17. RougN Wiring Sign 68. RPPROVED FOFi PLASTERING 18. Rough Electricai-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning, _� .� _ FI.RE.qEPT :REQUIREMENT . 20. RougN Faccory fireplace � .� ' �.,;; : APP�O\�AL�*', Pe�mit �r` � 21. Ducis, in Structure � - - - � C �'"�� 70.;'Undergrot{nd Hydro � :y �1�:: 22. Ducts, Ventilating . "� ,�'- `� ''" � 77, produc[ Yipinc��U' Gas OOiI ti- 23. Gas Pipe�Rough & Test .^ ^'" c`�+'� �_ - 72, Underground F.iush 24. Roof Framfng -' �- ' ��, , 73 Undergrqd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ' �' '� �� v �' 74: Overhead Hyclro _ 26. T�Bar Ceilin (Strucfural) & Monocoat "' _ ``'�� 9 y. 75: Dry Chemical -_ . 27. Frame and Plashing - _ . ' 76. Dry Stahd{fipe = _ 28. Lathing & Siding � „� ,� � � " 77, FIXED;SySTEM FINAL 29. Insulation . `; r• :� � � iy 7$, FIRE PREV. fINAL 30. Drywall Nailing ��_ �; �„ � i � 5 i�HEALTH DEPT. REQUIREMENT 31. Piaster Brown Coat �" �- + . � �-� ;: 7g, FMAL INSPECTION 32. Electr�cal Power Meter-Final 80. FOOD CERTIFiCATE ISSUED 33. finalElectric Notes: /� _-��_,4c�' j �-,'-�'( t.� u G' �1.i'L�Z.7"L . ��.�('. 34. Final HeOting & Air Conditioning - Z- � L. z� q� � L� 35. Final Gas Pipe-Test . ��i 7 36. Hood or Canopy � �� - �_a _Cl' � p-v � _`� �� 37. F.inal Factory Pireplace -:.� � 38. Final Plum6ing ' ' � �� . `n�, _ �C , ��4�� 39. Water Service�Final - S�/i `�% (i7� 40. Gas Service-Final : �Z �.( �� .D Z "7C'C7 `� � 47. Solar pomestio-Final � , .� � - _ 42. Backflow Preventer � Q Z� r- � � 43. Backflow Irrigation ' � ' a - 44. Landscape Irripation System • - � ' . . 45. Sound A[tenuation - • 46. HandicaP Regulations � � � - • 47. FINALSTRUCTURE&BUILDING , ' 48. FINAL PLANNING • 49. Etectr�c Release to Edison ; _ 50. Gas Reiease to Southem Califomia Gas Co � 51. CERTIFICATE OF OCCUPANCY - No. � Date " r � �oonrssacew�owo: 744 W 19TH ST oxr+�asrw1eiva+oxm: ULLOA, dVAN ` �noxcss:17794 JOSHUA CIR , FOUNTAIN VALLEY,CA 92708 ' (714)968-5181 uv�. iw�n+o,�no� /iptxRECT 0A ENOPlffA: /JMIL ON FNO.'! /iWHE34: �� uc xo: UMT: uNr: caim�cTarsxwe BEST FIRE PROTECTION COMP ea+mecioxs�uiwo 11650 PALAMESA DR �noness NORTHRIDGE CA ucw: 578809 913 2 6 uxr. LICENSED COMN�CfOP4 DECLAXATION: I Mnby dfim udr pa�xly d prpey Net I mn Ibmed �nder pa6bm al Cluqx B (rommmtlrp wilh Section )000) d Divi+un 9 d IM Bwiroo ud Fdutiw Cods, end my Gcan�e b in hll laca eM slled. cmuc.No.:051650 uc.cuss: C 16 uc.No.: 578809 EXP: 03/96 Dme:� ��/ Corauam � OWNER BNLDEP DECUINITION: I AreEy el6�m uder peWy ry the11 em m mp han tM CaYnaon L'vnss lew �a tlr IdM�q �uaon (SeGion lW �.5 &nima ed Rdmbu Cod�: a miWY WirA �ap�ma� e V�i to ooromci. eEw. impova. bmd'e�. a repei enY amr�ua. pv b n inu�m. abo nV�+�M eDO� tar arA O�b to fls a e4� wrnetl tlW M a�hs n f.mea w�*�+� w �n. aa++�+ d ub cavreaon ton.a le. lcluqr e(mmmena�ro wan saabn mm) u oi.eim a a �he Burmw eM Prdmioru GoMI a Na le a de u mwnq iheMmm aM Ne bam b IM eOeWd damqion My vidYion d SeGion ]W t.5 W enY aDP�� la e Pa� �Pa+�Ae WO�rsK b e cvi V�M N not mas Nen firo hundntl EaCu� R+00�. � I.moxirrdiMpapenyam�a�Wy�wwihr+qp�m�Aeicbaanpwv�on.wiYdotlrv�mkendNsWucn+nerca"vueMed m altreE br eeb (Sectim )Ou. Buiron end Pmluaom COM: Tha CaLLrrJm limvs lawdoee ra eVW loen owror d o�wM Mo Wid� a inpwu �hrmn. md Mn dau �urh Wark!'v'uatl a MnN a E+agh hu a Mr om emWwM. Pa� thm urJi imqwanem� ue M imendeE n aMaed In ub. p, howwar, tM dritli�p a inpwrnaN e wld wilhin an yw d oompbtion, tM mvMr-0uiWr xiY haw tM Wnden d pwinp hs a tlr did nol ddtl a imp'ws la IM pvpue al eelel. � 1. ea mmer d �M MWeM. em udumalY conl'edY9 wnh 4wnwd eontrenws w mmtrutl Ne D�q� (Sseion NM. Bwi�ws� end vw.vnn. coa.: m. cw'eea. �cme. �.w ao« �a ewN m.n o.,w a a�w�r �M,o eum o. xww« �na.m ene wno conirene Iw wM polode wiM e caNradoHe) IcarosE WnueM to iM Conlrapan Uoerua law). � I am avamq wder Senon: B. 8 P.c.. br Nu neaon: Date: . � CITY OF COSTA MESA — BUILDING PERMIT pERM NO: F 07276 PERMIT NO: F 072769 PLAN CHECK NO: 02045-95 L GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE; FIR PURPOSE: ALT JOB DESCRIPTION : FIRE SUPPRESSION SYSTEM SQ FT: CLAIM VALUE: 1,200.00 CALC—VALUE: ,GROUP OCC: A-3 /H-2 COMMENTS: "GEORGE'S MEXICAN EOODS", RE:lkB69929 �it�ratit*�t�rir�r+r�t�ititxx�*it�it�t�r�*x�*�+t��*+t�***x�x�it��rx��t��t�itit+tit�r�r�ritititieit�*�*ititit�tit�ritit+tiex*��t*�r Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42226225 ZNE; REF NO: PLANNING NOTES> � �IE 1E 1E i! 1(� iF 14 ik it iF iF iF �k k iE if i(� iE if iE iElElE 1E iE iE if 1F 1f k 1E IE 1E 1E if 1E iE if 1E'lE iE iE iE k ik iE 1E 1F %iE 16 if IE if iF iE i! 1f 1E iF iElE iE 1E iE 1E 1E 1(' 1E 1E if iE iE if i! iE iE if' �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: ��-+�--/ ]� 1E1E'1f�lEiEiEiEikiFiE�E1EiflFiEiE1E1ElE1E�lEfE�F�F�FiF�FifiF7FiFiF�F�F iF3FiFiFiFiF iFifiF LEGALIZATION:N F E E S U M M A R Y I do IwoEY cMdy Ihn I em ewera d mE iMenWd tM nWM� d CNiamu Il�etlh aM 9daiY COM Setlbm RSSM. 255fJ. eM 255J1. uM ihet I a vH Mun builLi'q omD�. wil / wil m� (artb one) roaA m rompl/ wi� �ek M� mdw vd Or nawnmmb br pwmm�.��a��f��r�� PERMIT BLDG PMT PLUMBING ELECTRIC MECHANIC DW: wP�: wonKen's co�vo�s�naw oEcun�noN: i n...ey d� nd.. o.�.ev a wdw �. a ne �.ep e.d.�eo�.: � inm..ndwm.:v.�.e«ww.aaw..mm..n�mu.ta.wn�«,•eamo.�.mo�...nwweei«Msm�amoam.i.eu coe.. t« m. oM�^^•c• a me .on� �«.+:i� ne wma : bu.e. � 1 hm ud wll mdMen wM1r�' mmpmticn Lwuem�. m isG� bY Sodian �]OD tl tM leEar CoM. br iM W�� d �M wak IIX wIJN ihb Mmm b e�usd. MY �'wFsn' mnV��ion Wurenc� miw end G�Y mvnber w: c.�..: STATE FUND EXPIRES Pd"ry NumEs: — 1 2� � 1� 9 S (Thu udian mM iwl h ampMed f fM pamt e b arr MmAsd datls� �S10p1 a lew.l � I dnW iMl in ths prlamence al ilr work lar �Mkn tAb permM u IwusJ. I NN rcu amplry ury pamn in �nY manmr �o n to Eeem� �uM+d �o IM xatr�' miq�rmbn Nxs d C�fdmis. W e0M N�t i I d�oWd bacan� wAjatl io �M worken' aomp�ruelirn� qoviaiom d SeGion �IOD d �M Lebor Cods. I duA IonhwMh aompl� xiN iMro 0 �'�im�. Oela: O` ±/�C � MG�raN: W�minp: F�Run ro wcun wMrwi calpw�u�tlon m�np� � w wM. �MW WdMcf m u�olo/�r ro eMNlrl pwltlu uW avn nn., w ro a,. n�ne..d www awnn (tiniowA � on m m. cm� o� mno.rwdon dmw •. c+ova.d ror in S�etlon �106 0l T� /Nor Cob. IN�rpt Ind �ttonry� hp. ca�srnucnoN �o�pra �oErxr: i n..er .�, �.w. o�r d wiw u,r u,.. o e w�a�w� wmro ro�r ro' we p,normeno. a in..w m..niN m: v.m� e�.e (swa, xn. c:. c�. LENOER'S NAYE LENOER'S MDPE34: I ceniM thel I tx�+roea No appfratim W pete ihtl ihe ebwe'vdwmmion o carW.l epns lo comyy wilh M ery vM eoumy oidineMe� uW �We lewe Ne1M b dNdiq mtetru9m ud hsWY eWncs nqan'aemw d Ilv iYY bxtlx u0� IM ebon�nwYioneE pivpMy �a Inepev+iwi w�v�. _ . _ _ . Dale: �+ / � / � (5151-dB.WP) WNIs-&uNn08Setely.areem�Fb:Cw�Y-�GP�^�:Rnk�Wenue:Gddmro�bas+w PLAN ISSUE FEE DATE: DATE: STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING 29,00 65Y SMIP/NON—RES 18.85 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 29.00 0.00 18.85 47.85 47.85 .00 REVENUE DIVISION TOTALS--> COLLECTED: 29.00 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 29.00 IE 1E 1E'k'lE iE 1E'IE iE 1f iE it if iE if it iE iF iE iF'k'k iE if iE iE iF 1F if 1E 1E 1E iF 1E iE'IE iE �lf iF'IE �IFlE iE i! iE IE 1Fif iF ik iEit i! ik 1t ik if iE iF iE 1E'1("IF'k i! 1f 1f k ik iF if 1E 1E 1F 1(' iE 1E iE if I N D I V I D U A L F E E B R E A K D O W N TYPE FIR QTY 29 D E S C R I P T I O N FIRE EQUIP FEE (FROM BLDG VAL TABLE) END OF FEES .k' UNIT COST TOTAL COST 1.00 29.00 a1 001E3SQ2—Q�i;.39�� 7c3T 29.Q0 oa-r�: abia9��s Ttr.: ii:;.; � CQNSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspectoi 1. �emporary Electrical Service or.Po�le 5.^.. Pool & Equipment Location %,� 2. Soil Pipe-Undrgmd. - . 53. Steel Reinforcement � . 3. Blectrical CondLii UtilityUndrgmd. 54. Forms � • �' 4. Electrical Conduit-ftndrqrnd. ' 55. Eiectrical Bonding 5: Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6: .El2ctrical UFER Gind. 57. APPROVAL TO COVER�GUNITE ,�7: Footings � 58. Electrical Conduit�Undrgrnd. , � 6. �Foundation - 59. Gas Pipe, � Undrgrnd., Test . , 9. Water Pipe•Undrqrnd. • � � i 60. Backwash �ines, P-Trap, ❑ drgrnd. 10. Structural Floo� Svstem �� 61. APPROVAL TO DECK 11. Property Sewer,�i�e & House Con�ection 62. Backwash & Recepior•Finat � 12. Sewer Cap � �,; 63. Heater & Vent-Final ��r 13. Roof Drains 64. Plumbing SYstem � Final . �14. Rough Plumbing 65. Electrical•Finai 15. Rough Electrica6Conduit ' 1 66. Solar SYstem-F.inal 16. Rough Electric Wirirg . . 67. Fencing & Acce'ss Approvaf 77. Rough Wiring Sign 66. APPflOVED FOR PLASTER NG � 18, flough Electrical�T Bar Ceiling' 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Arr Conditi0nin9 _� F,IRE DEPT„REQUIREMENT 20.�Rough F.abtor,y Firepiace s: T; � w ; �-� :� APpROVALS7:1 Pe mit # � 21. Ducts, in StrScture'<� •• •� � , - -� 70..�Undeiqround HYdro 22.�Ducts',Ventil�tin4,�� ' - - %j -� �� 71.FProduct.Pipin��OGas ❑Oil 23. Gas Pipe-�iough &'Cest � . _ p. � ^' �_ ! . 7Z, Underground Rush - rA 24.�Roof Framing• � " • � � � �y_'; ; 73, Undergrfid.Stora,yeTank OGas �-Oil 25. Roof SheSthing � 7 7A. Overhead Hydro� 26. T�Bar Ceiling (Structurall & M6nocoat ' • 76. Dry Chemical , � '_ �/.Zj.QV �t�, 27.,frameand Flashin � 'L - � - 9� 7 � 76. Dry Standpipe 28. lathing,� Siding: . "' "'j: _ � � ' " ` �. 77., FIXED•SYSTEjN;FINAL ' Y � 29. Insulation • �• �� ' ' 78, FIRE PREV. FINAL � � - V•L3•9(p 30. Drywail.[�ailing = �.. � � ' NEALI`H DEPT: REQUIREMENT r 31. Plaster Brown Coat �• . - . • 79. FINAL INSPECTION 32.�Electrical�Power Meter-Ffnal . � . '� 80i FOOD CERTIFICATE ISSUED 33.�.Final�Ele`ctric ; -. . Note::: �� - - 34. Fin3l:Heating&Air'Conditionui9'� { ,� -• - - ' � �, n ti �. 35.'Final Gas'Pipe':Teis . ' .' _ . 36. Hood or.CanopY _'? ' _ _ -- , , � ,� 37. Pina1'FactoryFirep�ace�- c':- •`.� � I � ;- _. 38. Final Plumbing ' � . ' i �'` .. -- -' T H 4. 39. WaterService�Final'..- , � �' ;�; _ � _� ' � � 40. Gas Servite-Final - r, -: + - � - � . - � 41. �Solar pomestioFinal • r' '• x .- ' --. . .r� [ 4 � _ 42. Backflow Preventeri ` i � � ' � ., � . ic 43. Backflow irr gation.� , - > . r . . - . � ' ,-44. Landscape Irrigation System"'` r. '. ' "' , , � , • � 45. Sound {�ttenuation; -„ . ' - ; ,, '_ ` 46. -Handicap�Regulations . .. ' 47. �FINAL S7RCICTURE & BUILDING � . 48.:EINAL PLANNING . �� 49. Electric Release to Edison � i: 50.�Gas Release to Southern California Gas Co + ', � 51. CER7IFICATEOFOCCUPANCY r ' No Date � AVD��ant to /ill In all spaees axeepl tnose within . CITY OF COSTA MESA CONSTRUCTION PERMIT Applicent's Meilin8 AdMess" - W � S/L Prol�t Address '� � � � � T ��_• Owner's Name RM�'�" � � hone n Addreu /IO/ � I/ EL�7E !f/�+S �� L—%% N% Arch/En9. Licenm No. , Addrea Contrector's Nem 0 hone Address (mailing) . , licenx No. LICENSED CONTRACTOR PECLARATION ' 1'hereby a}Tirm that I am IicBnsetl untler pravlsions ot Charter 9(tommencing wlth sectlon 7000) of Dlvislon 3 ot t�e Business antl Protesslons Cotle, antl , my Ilcania is In full force antl effect. , . ' L1cen50 Clau � Llcense No. - � Mte� Signature � � tKERS COMPENSATION DECIARATION - ' `- ,e0y aftifm.that I hava a Gertifltdte of con5ent to 581f-insure of a tertiflWte ar Workars' Compensatlon Insuranca, or a cartiTiatl. copy the�eot (Saction 3800, Lab. C.) , , � ' - � � Policy No. - ' ' Company eCerti/1etl�coDY �s �ereby fUrnishetl. � � , Certiilatl copy Is tiletl witn the city Builtling Divislon. Date � APPlicant , EXEMPTION FROM WORKEaS' COMPENSATION DECLARATION (This sectlon neatl not be conlD�eteE if Me permit Is tor one hunOratl (E300)� or � lass) • I certlfy�that In the DerformS�<e of the work for which [hls perm�t is Issuetl I� ' shall not employ any person In any manner so as to become subject.to t�e Workers' Compensatlon LawS oT Ca1lTornia.� • � � Data� cignatura , � NOTICE: If, after making this tleclarallon, you snoultl become tubjett to the Work¢rit Compensatlon prodsions of the Labor Cotle, you must.forthwitn. � comply with• such D�ovl5io�5 or this. Oermit ihall be tleeme0� revoketl. CONSTRUCTION LENDING �AGENCV - � � ' I heraby aiTirm that there Is a cunstruction IenCing a9ency tor the Pertormance oi the work for . which M�s permit 15 �Issuetl (Sectlon 3097 Civ. C:) . LenCer's Nama. - � � �� . . Lentler's Atltlress' . OWNER BVILDER DECLAHATION ' - � I herebv afTirm-that I am exempt.trom [he'Contractor's' license Law for the rom anG the,basiz for t�e alle9etl exemOtlon. Any violatlon of Sectlon S Dy any aOP��nt }or. a permil subjacts the applicant to a civll y of not mora than five huntlretl tlollars (E500). . - '.• as owner of the'propafty or�my employee5.with wage5 a5 thelr 5018 �n5xtion will Co t�e wOrk, antl tne structure is not IntenOetl or otferetl Je.(Secflon 7044, Bu4�nett.antl'Profeulonal Cotle:�The,Contractor'S e 1 aw enes not aooly to an ownar o1 a proparty who bulltl5 or Improvez awner wl �purpose as LJ 1 am axempt untler Data Orivers' Licensa or cn'. work nlmself/hersalf or through his or her own uGh improvements are not In[entletl or oTtereO for Ing or Improvemant I5 soltl wilhin one year o! com- �e tha burtlen ot proving he/s�e tli0 not builtl or Im- eI• 1 i ' ertY, am ezcluslvaly contracting with Ilcansatl con- �jpct ISectlon 7044, Business,antl Professions Cotla: �w does not apD�Y to an owner of Droperty who �, antl who contracts tor suc� projects wlth a<on- o the Contractor•s License Lzw). io� 8. d P. C. to� this reason pwner � 0 Wryite - Builtling; Canary - Appllcant; intl sign all apOrOD�late TYPE OF CONSTRUCTION LI NEW LJ ADD � IJ ALieRATION LI REPAI R ❑ CONVERSION ❑ OEMOLISH ❑ OTMER DESCRIVTION OF WORK TYPE OF PERMIT GRA�ING FOUNDATION STRUCTURAL ❑ TENANT �. ELECTRICAL ❑ PLUMBINO ❑ MECHANICAL O.�OTHER ; - PRQIECT DESCRIPTION 5�. FT. OCCUPANCV CONSTRUCTION TYPE VALUATION $� ZONE � GRADING CV. VDS. ACRES ' Remarks: , , ' ' . � ' N Sink • <flow 7reventer i cflow I�rigation Drains Kitthen Sink . � lavatories , j �� ' P—TraP - .., . � � Shower's : i l � Service Sink •- � 1 , � BOIIQf � , , � ' Duct-Structurel � Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl)Fact.8lt. ICBO # Heating System & Ducting ❑6100,OOO,BTU 0100,OOOBP �� i - Registers A<counting; Goltlenrotl - Assessor $O�d! i�.O��CCLOlS ' � j. Solar Piping � � � ;r,' Solar Tank � � � Swimming Pooi w/Spa � Il.�nwl I . . Weter Clout � � Water Heater � � � Water Service � ' ' ' i _ -- : Reinspection'Fee � ; laue Fee , � S15 $ 3 nerngeratwn system . ❑a�oo,000aru ❑ioo,000aru ' System RepairlAlteration Reinspe�ction Fee , 515 � laue Fee . § 3 A. P. �W PLNG. HEF.9W TO BUILDING PROPERTY LINE LEFT SIDE YARD PKG.SPACE REQ. STREET WIDTH � SPECIAL CONDITI Unit Dryers L1Ga Fan F.A.U. Fixtures Device Boxes 7279 4lI5/83 REAR YARD (TO P/L) - RIGHTSIDE VARD � � PROV.IDED � PARK FEE $ over.100 amps � e.ou r� Sub Pole ' i � 'Motors �0-1 HP ❑1Y,$ - F �Inc.Solar �9-15 HP �16-75+ Microwave Pole Light ' Range _. _ Sign Standing Sections � Trash Compactor i t i 0 Generator IJO-5 KW L15-15KW , i � —_ Trensformer ��5-50KW • ' . . , ' �5U+KWj ' �ReinspectionFee i ! $15' Meter up ta 100 emps Ittue' Fee �'$ 3 2oning Approvad By ' Date ApPlicatian APProved BY ata � Application Issued By � �nate � � • ' ' i , SUMMARV OF FEES � , i ' BUILDING PERMIT $, � SMIP . $ ' PLAN CHECK $ � , PERMIT � � ' � � PLUMBING ' $� � � . ISSUANCE , � $ ' , PLAN CHECK' $ GRADING $ � � $ . i ELECTRICAL $ � �PLANCHECK' � $ � � ' MICROFILM $ r MECHANICAI � $. � � TOTAL FEE $ PLAN CHECK $ ' �E� . ADVANCEDPC $ � ' � � FINAL FEE $ � � t. C�CONSTRUCTION AND PLANNIN � - ° �� .[ "''' -- - �- � --�-- �C SPA _ - - -_ _�� - - <<, ., �,' ,,. � ' ' ' -� � O ::Date � �Inspector ` � � ' ' "' � ��Date Inspe"ctor' � "APPROVALS Permif#,� - - 'APPROVALS .. �Permn # � a�� - > - x - � _ . .. ^ •1_ Temporary Electrical Ser4ice or-�Pole , _-^ � ', , i= : - .,52�'Pool &'Equipment Location � - � � , ` '. 2! �Soil Pipe-Undrgrnd. ;. r " _ i ° � � `53:� Steel �.Reinforcement �- � , ' � � ' ,. - , ' - .- 3: Electrical Conduit lFtilitv-Undrgrnd: ' _ -- �;s ? ' [54. Fonns' , • -. . _ . � � - ' � 4`. E')ectrical Conduit-Undrgmd� - _ � - �- _ ,. .'55: Electrical Bonding . ' � . . � 5: y2eel,Reinforcement ' � � _' j .�: ' � •'56, Rougfi'Plumbing & Pressure Test � ' � � � �:. , ,s:�ElectricalUFERGrnd. ' - �='� �•'•=� - �57�APF'ROVALTO:COVER-GUNITE '" " � � � � n - 7. Footings ' • � � , ^ ` - _ °584 Electrical Opriduit-Undrar�d. . � 8. �Poundation ' � � � � ' � - _ 59. Gas Pipe, O Undrgmd., Test • � � � 9. IWater Pipe-Unclrgrnd. . � 60. Backwash: Lines, P-Trap, O Undrgrnd. �. � . 10. Structural Floor Sy,stem `�`= 1 ; � � � '� ,.61. APPROVALTO DECK - , - ' � 11. Property Sewer Line & House Connec[ion� • � . -62. Backwash &, Receptor-Final ' � . ' . � �. 72. $ewer Cap � � i - � . 63. Heater &�Vent-Final � � . 13. RoofDrains ° � � � - -64, plumbin S stem • Final � � � � - - . 0 9' Y . . 14. Rough Plumbing ' � �� - �� 65. Electrical=Final' �� - � ,; i ' � 15. �Rough'Electrical=Condult" -,,--- --�- i � -�: ' " 66., Solar;System=Final' - _ � � ' - - � r:16. �Rou h-Electric Wirin � , r � -*-�'- - :: � - - - - - �; , . . 9 : , 9� �-. I � I � � . � t - � �67.' Fencing &��Access:Approval , . : -17. R6ugh Wiririg;Sign: � � � � , ' � : � = � �. � `- �gg, APPROVED FOR PLASTERING ' � _ ,� j&. }Rough,Electrical T Ba[� Ceiling� �� : _ ' � :� j 69. POOUSPA SYSTEMS:FINAL . - - � , „ 79. �Rough`Heating &�Air�Conditioning �, � � ' ' FIRE DEPT,'REQUIREMENT: - � - : ' i ' 20. �Rough�Factory Fireplace � :� • � � � . � � APPROVALS' ; Permib# _ . 21. �Ducts, in Sfructuce: � ' � ' � � � �70.� Undeiground Hydro � - i � � I ' - �fi''��.22.;Duc�s,Ventilating,� r. i � � �� , ; �71.'productPiping�Gas ❑Oil � � � � �23. �Gas�Pipe-Rough & Test ; I � �.T I � � ;72, Underground Flush' � ' 24. �Roof F�aming � - - �'- ' � I � � _ , � - � �73. Undergmd. Storage Tank � Gas ❑ Oil ., - ' . .' - ; � � _ _ . . . . � 25, iRoof SheatFiing � � '-� � � , i ;" : � i � i � _ 74.� Oyerhead Hydro ' ' � �,. 26. �i',Bar Ceilirig (Structural),& Monocoat'' I ; � � I : � ' � � 75.' Dry Chemical I • - � ' . � 27. ;Frame and Flashing� : , ! � � � , ` � . � 76. Dry Stantlpipe - � . ,28. Lathing & Siding ` ' � ; i � � �77. FIXED SYSTEM FINAL � � � 29. Insulatiori a ± � ` � j , ;� � i , ; 78. FIRE PREV. FINAL . " �"30. �D�ywal�l Nailing , '? � i � �I � � � ' Notes:� I ', � . � �� i-.' � i .i .---�-i-• - ��r----�- - - -- --•- - , ` , .31. �Plester Brown Coat � � i � � � ' ' _ i _, - . , .. � . . , . n j 32. Electrical Power Meter-Final , . � � � � - � � � 33.'��Final Electric i � i p � � � � ' � i ; ' , 34. Final Heating &�Air Corxiitioning �. ! I � � � � � � �. ; �! , � � - , _ n. . . �y - '=il A -1' i-'..� �.�� - �� -i - ., , 35. Final Gas;Pipe;i'est • _ - � - . ; - -. a � . . . 36. Hood or CanoPY . � t � . . '' ' � f - . , - -. _ � . ° - ' �- 37. Final Factory Fireplace?' ' _ � e, . � . � � , . �'� ' " _ � � � _ - � � i `i 38. Final Plumbin9.� . I � =.� ti ; �� '' � � � ; ' � % i` . � ., . � ' 4 � � ' -� ' ' ; ' Ic I 39. Water Service-Final' � , 1 � , , � _ � , . � � 40. Gas Service-Final � � � �� ; ' • . . 41. Solar pomestirFinal � 1 _ � _ i _ _ _ _ _ _ _ �_ � . - 42. Backflow Pfeventer;� � I � ,�.,f � i -'- - � ! - -- � � - � -' -, , • ..� ; ". ' ' �- � 43. Backfiow lirigation� - � ' i � ; ; , - . " , � � .�' _ . , 44. LandscaPe Irrigation;SYstem , -• � ' �� ,� ' , . . ' ' - .� - 45. Sound° �Attenuation : � � � ` j {j � j ' ' �' � � ' , 46. Handic9P�Regutations � � � � - r � � ' � ' ' 47. FINAI� STRUCTURE & B,UI�D iNG " �; � - . � � , , 48.SpecialRequirementsCompleted; :� � i � �� '� 1 � i � , ' , � � 49. Electric Releaseto Edison� I � „ �-.•- �-�.- _- ..� �_ ._� �- � _ � � � 50. Gas Re,lease to Sou[hem (`alifomia Gas Co � f ' i I � � � �. �� - 51. CERT4FICATE OF�OCCUPANCY �, j__(._, , _. _ ' _t. _ _ � . _ . ' � � , No � ' � 9ate ( . �; � � , , . , _,_ J_