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Home My WebLink About766 19TH ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us � 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT �ob Address: 766 W 19TH ST Status: ISSUED Suite No Applied: O6/05/2003 Vicinity: Issued: O6/O6/2003 Parcel Nunmber: 42227123 App�icant PRAUM, STEVE , � Address: 1049 MELROSE ! /, '-��- � � � , . ,� i � i''-"-, � �1Phone: (714)231-7501 PLACENTIA, CA� i� �. � • �, Zip: 92887 � // . �`�� ; , . . '_ � � _ . Owner ��'�NASSETT, GLORIA-BRADESON � - � � '- Address��TR� � '�= - �� '• NEWPORT�BEACH;�CA' � Phone: � �„ . 121 VIA MENTONE Zip: 92663-0918 i �" � � , � i % , � Conuactor. \ ORANGE ELECTRICAL CONTRACTORS , �. - _ Address' 1049 MEIROSE - - � 0 � . . - . �Phone: (714)980-2300 � �: � . � , PLACENTIA, CA - ' Zip: 92887 � � ., ..,y - "_ . , ; - - License: 747129 . ; ,SCORE.OF PERMIT - � � � CONVERT EXISTING OVERHEAD ELECTRICAC SERVICE TO UNDERGROUND FEED. � � � „ � ' ��FEE SUMMARY� � , � � � , - Quantity �- � - . �. -� _ .� Quantity � ISSUE FEE '. $0.00 " ' � ' ' Temp Dist Syslem / Lighting j0.00 0 �. - � Temp service test .� $0.00 Busway /100 ft $0.00 0� Res. a/c package �, � 30.00 ,� Standing Section , -$0.00 0� New Res (1-2 units).. '� 50.00 0 Misc E�ecVical Equipment $18.20 � .1 New Res (3+unitsj � 50.00 0 Trans(ormers up to 1 kva/kw $0.00 0�� Pool I Spa , ' � � , `�, . � 50.00 0 "' - .....up to 10 kva/kw $0.00 . . �0 , Lighting Fixfs '� � \ =� -$0.00 � 0 �, ,v^: �-�� . .......... ..:.up l0 50 kva/kw $0.00� -- "0 Recept OuBels �� A $0.00 0 .� ;: ' _ ...:..........:...up to 100 kva/kw $0.00 % 0 � Switches' ' ` . . -$0.00 :: _ ._ 0 . " � ...:::............over 100 kvalkw _� -$0.00. 0 ��, Non Res Appl� : � �� $0;00 � j � � 0 � `� ^ Low Voltage Equipment � , $0.00 0 - Res Appl � � / -�� 30.00� � � 0 - low Volt Wiring System / Ckt $0.00 - 0 Service to 200a �� ' ,'� $30.50 �� . � �` t � - ' , � Misc. Conduit � � $0.00 � - 0 Service to 1000a � : ` $0.00�. � . 0 � �; - , Misa Conductor $0.00 _ 0 Service over 1000a� \�� '- -�$0.00 � , �0 � . Circus ( gen or ride) -- � . $0.00 - 0 � � Motors to 1hp , $0.00, � �� -0, - - � Circus (mech-nde or lights) � � $0.00 �0 � Motors to 10hp �` � ;_$0.00, � � ��'� 0 � � � -_ Christmas Tree Stand' � � $0.00 � � �' 0 � Motorsto50hp ,�$0.00_� r 0 �; -, ' . .FireworksStand � $0.00" ��0 Motors to 100hp �$0.00 �- � 0 ., - Other Electrical Fee . � $0.00 � Motors over 100hp 50.00 , �_ � 0 , � - " - � " Communication drops 50.00 �--, 0, �� Investigation Fee ; i- -$0.00 Sub panel to 200a $0.00 �-0 - � _ " - . , -, Plan Check Fee�' � - � 30.00 Pole Light Pkg $0.00 0 - - _ . � __ Reinspection Fee $0.00 Sign Circuits 50.00 0 NO710E: The work authorized by this 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 br a period ot 1B0 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 inepeetiona and final approval must be ob�ained. Failure to obtain inspections and final approval will result in the expiration of lhis permit. FOR INSPECTIONS CALL: (714) 7545626 rrn:�r_r4J] WORKERS'COMPENSATIONDECLARATON: � . I hereby eXirm under penalty of per�ury one ol Ihe following declaratlons: ❑ I heve entl wlll maintain a cenificale ot consent Io sel4lnsure Por workers' compensetion, es provided for by saction 3700 of ihe Labor Cotle, for !he pertortnance of the work iar which this permit Is Issued. I �ave antl will maintain workars compensatlon insurance, es requiratl by section 3700 of ihe Lahor CoCe, for the perfortnance of ihe work tor which Ihis pertnit is issued. My workars' c mpensatlon Insure�ce cerrler and policy numbar ere: Carner: �T F� ��1 F.J � fi Policy Number: _� Z-��0� (Th/s section neeU not be campletetl if the permit /s velued at wre hundred dWlers ($100) or less.) ❑ I cartiry thet in �he p ormance ol the work for which this permil is issued, I shall not employ any person in eny manner so as to become subject lo the workare' compensa[ion laws C lifortfa�gntl egree thet if 1 shoultl become suD�ect to the workers' compensetion provislans of Seciion 3700 0l Ihe LeDor Code, I shall farthwlth comply with ihese pr is s�� 11 Y Applicant Signature: Y�� oe�e: 6—�i —o � WARNINO: FAILURE iOSECURE WORKERS' CAMPENSATION COVERAC.E IS UNLAWFUL AND SW1l15UB1ECT Ml EMPLOVER TO CRIMIWIL PENALTIES AND GVIL FINES UP TOONE HUNDNED TMOUSAND OOILARE ($100,000), IN ADDRION TO THE COST OF CpAPEN$ATION, DAA41GE5 AS PROVIDED FOR IN SECTION 3708 OF THE UBOR WDE, IMEREST, AND ATTORNEI"5 FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby aHirtn that I am licensetl under provislans ol C epter ( ommencing wlth Section 7000) of Oivision 3 ot the Business antl Professions Code, end my license Is In tull force and ettect Lic. k � 41 l 2. y 1�� Class p I O Cantractafs Slgnature: �V Dete: -C�n ^q —�� CONSTRUCTION LENDING AGENCV: ❑ I hareby eRirm ihat there Is e construction lending agency for the peAormance of the work for which Ihis permit is issued. (Sec. 3097, Civil Coda). Lenders Name: Lendefs Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm that under penelry oi perJury thet I am EXEMPT FROM TME CONTRACTOFlS IICENSE LAW for the follaxing reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which reQuires a permit to consiruct, elter, improva, demolish, or repair any strucWre, D�or to its issuance, also requires the epD�iwnt for such pertnit to tile a signe0 slatement Ihet �e or she Is Iicensed pursuant lo Ihe praNsions of the Coniractore License Lew (C�flpter 9(commendng with Sectlon 7000) of DMsion 3 oi the Busineu end Professions Code) ar thet he or she is eaempt therelrom end the 6asis for the ellegetl exemption. Any violation ot Section 7031.5 by eny applican� for a permit subJects the epPlicent to e clvll penelry ol not mora than tive hundred dollars ($500).): ❑ I, es owner of the property, or my employees with wages es t�eir sole compensation, WILL DO THE WORK, end the siructure is not Intended or oXered for sale (Sec. 7044, Busineu and Protessions Code: The Con[ractors License Law does not apply to an owner of property who builds or improves thereon, antl who tloes such work himsetl or herself or ihrough his or her own employees, provitletl �het such improvements ere not intended or otteretl lor sale. It, however, ihe building or improvement is sold within one yeer ot completion, ihe owneabuiltler will heva Ihe burden of pmving ihat he or she did nol build or improve tor purpose of sale.). � ❑ I, es owner oi ihe propeny, am EXCLUSIVELY CONTRAC7ING WI7H IICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professions CoOe: The contractore License Lew tloes not epply �o an owner oi proDerty who builds or Improves ihereon, and who coniracis tor such pro�ect wlth e contractor(s) license pursuant to the Contradors License Lews.). ❑ I am exempt under sec. Business end Professions Cade for this reason: SlgnaNre: Oate: Owner ID venfied by tlriveYs license. ❑ Yes ❑ No Driver's License No. Expires: Vedticetlon oi Ownership by (rype ol document, i.e. - properry tac blll or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavatbn tive (5) or more feet in dep�h Into which a parson Is required ta descend, will be mede in connection with work euihonzed by �his permit, end that no building simcture, scaflolding, telsework, ar demolition ar dismantling thereoi, will be more then ihirry-six (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tllle B, Califomla Atlminlslra�ive Code). ❑ As owner-builtler, I will not employ enyone to do work which would require e pertnit irom the Dlvlslon of Industriel Sefety, es noted ebove, unless such person has a pertnit to do such work Irom Ihe division. Signeture: Date: Division of Intlusirial Safery Permil Number. CERTIFlCATE OF COMPLIANCE AND AUTMORIZA710N OF EMRY: I certiry under penalry of perjury thet I heve read this application and stete Ihet the information given is correct. I egree �o comply wl�h all steta lews end clry ortlinances releting to bullding constructlon, end eNhodze represeNatives oi ihe City of Costa Mese to enter upon Ihe ebove-descnbed pm rty for inspection purposes. I agree not to occupy or allow acupancy of eny building euthanzed by ihis pertnit until final inspec�ion. � na re Of Legal OwneQs) I� _� _ oD�te C S An Or Authodzed Applicant ate COOE t. INSPECTONTYPE 1618 Fixed System Final Fire Prevention 1268 Pool Spe Final 200 Finel Fe-Roof 201 Final B1ocWRetaining Wal1 202 Final Factory Fire Place 203 Finel Sign 204 Final Demdition QdIF. IMRI�Lg tOUE 1 INSPECTION TYVE 206 Finel Mechanical 20B 210 212 220 Finel Plumbing Finel Electncal Plnel Fire Prevention Finel Planning Approval 222 Final Site 250 Final Bullding/Occupan�y � UIIlD�L$ PHOJECT ADUflESS: % 6 6 w 1 y TH Jr T OWNEN'SNpME: �ASSETT, GLORIA BRADESON aooness: TR . 121 VIA MENTON NEWPORT BEACH,CA 92663 557-6351 AHCHIENGINEEH: flEG.NO.: nooness: PEnMInEE: ORANGE COAST RC aoosess: 20122 SANTA ANA S A HEIGFiTS LICENSEU CONTHPCTOfl OECLAHATION: I hereby allirm Ihai I 7000� oi Div;sion 3 af ihe Business antl Pmlessions Code, an0 ciTvuc:035937p srnreuc.:43674 Da�e:.,'� �� `/ Signa�ure:—I WOflNEBS' COMPENSRTION DECLABATION: 'I �ereby a�lirm Ih� Compensalion apcG,�f �jc I e0 topy Ihereol (Seclion 3F 1LICY NO.: �� ] 7 1`� �� E%P. comrnNv: STATE ,�,f ❑ Cenifie0 copy is hereby lumished. L'7 Cenilietl copy is �� l5'�/ q Iitani' UNIT: UNIT: ING (714)6 1-1924 V 6-A 2707 :ensed und r rovi ons ni Ch r 9(co encing wi�h Seclion ense is in for ana eHec CLASS' 9 ceM1ilicale ofconsentto self-insure or a certifica�e oi �'i/0�92 , - �he ciry Dale. PP E%EMPTION FPOM WONRENS' COMPENSATIDN OECtAPpT10N: (This section neetl not be campleteC ii the De�mit is for one huntlretl (51W) or less�. I cetlity Iha� in the pedormance ol Ihe work for which t�is permi� is iSsueQ I shall no� employ any Derson in any manner so as to become � su�lecl la �he Workers Compensa�ion Laws o� Calilomia. Date: SignaWre: � NOTICE: II, a��er making �his aeclaralion, you shoultl become sublect m I�e Workers' Campensa�ion provisions of �he La6or Cotle. you mus� forihwith comply wit� such pmvisions or ��is permit shall be Oeemed revoke0. CONSTflUCTION LENOING RGENLY: I hereby ailirm that �here is a cons�mction lentling agency tor the pehormance of �he work for which Ihis permi� is issuetl (Seclion 3097. Ci¢ C�. LENOEfl: _ . - nooxess: .. }i i ' OWNEB 6Wl0EP'�DECIANFTION: I hereby af�irm �ha� I am exemp� �mm lhe Con(mcbrs' State License Law far �he �ollowing reason (Section 703L5 Business and Pmlessional Catle'. Any city ol coun�y which re0uire5 a permit ro constmct, alter, imOruve, tlemnlish, o� repair any struciure, priar lo its issuance, also requires �he applicanl �or suc� permi� to �ile a signetl s�a�emen� tha[ he/she is licensetl puauam �o ihe pmvisions ol Ihe ConVactors' Siate License Law (ChaD�er 9(commencing with Section 7W0) of �ivisiun 3 0� the Business � and Professions Gode) or Ihat he/she is exempt �here�mm antl �he basis for Ihe alleged ezemp�ion. Any violation oi Seclion 7031.5 by any applicanl for a permit sublects I�e applican� to a civil penalry ol nol more than �ive huntlBtl tlollars ($500�. � I, as owner ol �he properiy or my emyloyees with wages as their sole compensa�ion, will tlo �he woM, and the stmcWre is nal intenaed or oHered br sale (Section 70aa, Business antl Pmiessional Cotle: The ConiractoK State License Law tlaes noi appry to an owner oi a D�operly w�o huiltls or impmves thereon, and wAo tloes such work himseltlherself or �hmugh . his or her own em0loyee5. pmvi4eA Iha� such im0�ovemen�s are no� intentled or oiferetl for sale. It, however ihe builtling or impmvement is solU within one year ol com0letion, �Ae owner will have t�e burden of proving he/she did not build or improve �or �he purpo5e oi sale). , I, as awner o� t�e pmperty, am exclu5ively contratling with licensetl cantrac�ors lo con5lmci the pmlect (Sec�ion 7044, Busine55 ❑ antl Pm�essions Cotle: The ConVactors' Slaie LitenSe Law doe5 no� appty �o an Owner o� property wh0 hutlds or improv¢S ihereon antl w�o coniracls lar such D�olects wilh a conirac�oqs�license pursuam to ihe Coniractors' State L¢ense Law�. I am aware Ihat pmoi of Iheir Worker'S Compensa�ion insurance shoultl be Dmvitle0 to me. � I am exempt under Section: B. 8 P. C. for Ihis reason: �a�e: • Owner: I do hereby cehity Inat I am aware oi ane untlersland �he reQuiremenls of Caiifomia Healih antl Satery Code Sections 25505, 25533, and 2553d and ��a� I or any future buiieing occupant wilVwill nol (circle one) neea Io compty wi�� sai0 s�a�e cotles ana �he requiremenls lor a permii fo� consimc�ion ar mo0ilicalion imm Ne Air �ualiry Managemem Disiricl. Hesitlemial ions�mc�ion ap0liwtions�e exemD� ��om �h¢Se pfOvi5i0n5. Oa�e. pDPlicanL _ I hereby cer�ily Ihal I have reatl Ihis aDP��cation antl sla�e Ihal Ihe ortlinances and slatelawsrela�ingta �uiltling consimclion and herel pmpeity �or inspeclion purposes. �a�e: �— �� Signaiure', � Oriver's License or Social Securily a: i641-66 While—Bmlding: Green—Code EniorcemenC Canary—Applicanl; Pmk—Revenue'. Goltlenmd—Assessor , CITY OF COSTA MESA -- BUILnING PERMTT PERM NO; B 5 66. PERMIT NO: B 050669 PLAN,CHECR Nt�; N GOVT: N StiPP:.N CONSTRUCTION TYPE: FtRMIT TYPE: STR FURPOSE; ALi JOB DESCRIPTION : T/OFF RE1200F W/ BUILT UP SQ FT: 2,406 CLAIM VALUE: 2,406.00 CALC-VALUE: 2,906.00 GROUP OCC: H-2 / COMMENTS: T/OF'F REROOF W/ HUILT UP �r+��x�e� x x�c�x x��c•x x-***�*x�* x�**��x�*� ��*+��x*�c x** x�**� r�x�*� x��*a�x+�******x-�**-x* �� Z O N I N G R E Q U T R E M E N T S ' S E T H A C K 5 ------------ MAIN BUILDING ----=----- --------- ACCcSSORY HUILDZNG -------=- �RNT; FT IN REAR• FT Iiv FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT � IN PARKING REQ • PROV: PARCEL: 42227123 ZNE: REF NO: PLANNING NOTES> � ' � #FjFiF%�JF�1EiFlE3F�l;iE%�if3E�1E#Fih3flEjfiEJE�EiF3FiE�lE3E�1F�lE3(�iEjF#�lE3E�1E3F-1E�7F�1E�)Fikifif�lE�7EiFiE3F�lEiflfif•iF�1t�lE1FlFlfifl4%1FiF�3Eif�EiFif�E*IEiEiF-IF�Ei!�if D E V E L O P M E N T S E R V I C E S R E Q U S R E M E N T S 20NING APPROVnD BY DATE: " HUILDING APPROVED BY . APPZICA1'ION ISSCIED B • if169i�aEiEi6jfiFlf'iF3EK�M�jEiE%�iflE�Eif�iEi(. . �. 3f �E if' 3f� 1E iF 1E 3F iF 3F K� N� 1F K iF %� 3E 7(� 3(� j(�-If 3E �1F iE K� 3F IE if if if iEGALIZATION:N F•E E BLDG PMT PLUMBING EL DATF..: t. DATE: O'I I ,S� � r r� � e r � t'iF�RiFlE IE ib IE # iE i(� %1F if iFi(iFiFiF-it i'r ft iFif iE 3E 3F�(� jh iF iF �f 3E iF it1E R# iF # df 1F iP iE if ih 3f K� iF 1(� 1F If jE 3E 3F 3E iE 3(� 3( lf aF if 3E # U M M A A Y STRUCTURAL ScGMENT:Y MECHANIC rIRE SMIP/r�tES GRADING PERMIT 54.00 50 SMIP/NON-RES �iAN . � . ISSUE FEE ' � BUILDING-DIV-> PERMIT ISSU PLAN-CHECK TOTAL PAID DUE TOTALS----> 54.50 0.0 0,00 54.50 59.50 ' ,QO REVENUE DIVISION TOTAi.S--> COLLECTED: 54.50 OVER/SAORT: � .00 BLDG PMT FLUMBING ELECTRZC.MECAANIC FIRE SMIP/TOi GRADING PLAN-CHECK 59.00 ,50 lE i(� 3E �IE X� 7k �If iE IEiE �iF �K� %% 3(� iE iE i(� )E 1F iE dE iE iF #F )E 3h iE IE ihlE 1k �%iE �1F �IF if if �lE iE iE �lE if iF Ib if iE i(� iE 3E #� !f If If �If iE IF iF iF i41E ihlL 3h �7f * if if 1E 3E 1f iE If� 3E iF jF iE iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ScR 2406 REROOF BY VALIiE �ESIDENIAL NOZONE 1.00. 2,406.00 END OF FEE� i u QI �Q078L�E7-QOD7�4Do8 Yri'S' ,�4.5+3 DATE: CS/16J41 TIIiE: ?5: +2 CONSTflUCTION AND PLANNING " ' ' $ SPA !� APPROVALS Permit # - Date Inspector qPPROVALS Permit # Date Inspector �1. Temporary Electrical Service or Pole� . 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd, - . 53. Steel Reinforcement � 3. Electrical Conduit Utility-Undrqrnd. .' 54. Forrtis 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test . 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. i �8. Foundation � 59. Gas Pipe, O Undrgrnd., Test � '9. Water Pipe�Undrgrnd. � . � � 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor Syttem �� ' 61. APPROVAL TO DECK � 1.1. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap � 63. Heater & Vent-Final 13. Roof Drains � . 64. Plumbing System � Final . 14. Rough Plumbing - 65. Electrical-Final 15. Rough Electrical-Conduit , 66. Solar System-Final � •� 16. Rough Electric Wiring � 67. Fencing & Access ApP�oval 17. Rou9h Wiring Sign � 68. APPROVED FOR PLASTERING 18. Rough Electrical�T 6ar Ceiling � 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & A�r Conditioning ` FIRE DEPT. REQUIREMENT 20. Rough Factory FirePlace � � ' �'APPROVALS Permit # 21. Ducts, in Structure � �_ 70. Underground Hydro � 22. Ducts, Ventilating � .71. Product Piping � Gas ❑ Oil 23. Gas Pipe�Rough & Test .. , - 7z, Underground Flush � 24!� Roof Framing � ' " ' 73. Undergrnd: Storage Tank L] Gas ❑ Oil 25. Roof Sheathing �, 74. Overhead Hydro 26. T-Bar Ceiling (Structurol) & Monocoat 75.'Dry Chemical - � ' 27. Freme and Flashing . ,. _ . 76. Dry Standpipe _ � 28. Lathing & Siding - 'i , � 77. FIXED SYSTEM F�INAL 29. Insulation �: 4 78. FIRE PREV. FINAL 30. Drywall Nailing � I; I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coai I �.,.:1" 79: FINAL INSPECTION 32. Electrical Power Meter�Final� i i� � . i1: � .80. FOOD'CERTIFICATE ISSUED � �;� � . . , 33. Final Electric 1 �. Notes: 34. Pinal Heating_& Air Conditioning ��!... ' I i 1 � , � � 35. Final Gas Pipe-Test' . � i i.d��` � 36. Hood or Canopy I �� i � 37. Final Factory Fireplace ' ' � �' � - ,,„ 38. Final Plumbing .� � � I E ;�• � 39. Water Service�Final , ' � •� �� 40. Gas Service-Final . � � �� 47. Solar pomestic�Final ` � ��- � i ' 42. 8ackflow Preventer ' � �F � � � I 43. Backflow Irrigation ' 44. Landscape Irriqation SVstem . . � 45. Sound Attenuation � � . ' 46. Handicap Regulations . � . � 47. FINAL STRUCTUaE & BUILDING L C�� 48. FINAL PLANNING . � J . � 49. Electric Release to Edison � ' �� 1 _ i 50. Gas Release to Southern California Gas Cn . � y; � �51. CERTIFICATEOFOCCUPANCY , • . . No. Date , � ! ,i +i � E ,RE All Applications Must Be Filled Out By Applic�t �E�: . :��.N;�S �_ �� :�v epartro�ent of Buildings pplication No.— FINANCE DEPT. APPLICRTION FOR THE ERECTION OF SIGNS �`�'�� cirr oF co$�► �s� . - . ��,�� To the Building icia the City of Costa Mesa, Calif.: � Application is hereby made for the erection ❑ alteration 0,'removal �❑ of an advertising s ucture in accordanc �''`'� on herein set torth. (Check sauare what is to be done). � L 1 C7�� (Use Ink o Indelible Pencil) ; CI,�.�SIDE--R� Lyf REAR��ATION- /- - - Building Address��V �� /�� `S�� v�'s�� _ . Lot l er's Name�n EI U / r/'/ c/1 Otimer's Address / O� YI/ , /%/ti, ' � /'_ � - Contractor"s Name �� w�"' G4 i . State License No. `-7 � lQ Contractor's Address ^7�� Ph'one I��' 7s�� City License No.VA�' �\� SctnTa nR� G4/t ' °'�. DESC I�TION �OF SIGN , N (Sketch showing locntion of proposed sign on back side of this sheet. Plcros and other data must also\ be filed.) - • E ^ u� � J Size of Sign—Widih �' f Height�r It. Height above Grade ft. ,� Thickness in. Wei lbs. (Including Electrical Trans[ormers, etc.) � State location oE other k;' ' ,_'.�.,,. The undersigned r� re s: con iru t the advertising structure in strici accordance with fhe provisions o r 9�5 �dlo , of t Electrical Ordinance of Costa Mesa, and all amend- ments t t��LpS 0� • � � ' I PPLIC�PI � � LL D T THE APPLICANT. INSPECTION MUST BE CALLE' Furt` ON . ' . �. �'�' � � °"� � � C / / - C VG�, Sign Here �� /�"� �<fN ( -� . � ':._ ;: \ �c�c �� _ �--�--- � � /� �. _ "i^'-- '��1 FOR DEPARTMENT USE ONLY . Rec . by VALUA/TION I Plans Checked ' Permit No. , $�I'(O �"� . . �j._.. �l �.= �c..3.�' Date Recv/d. FEE o � '� �' � Date Issued / �/ 3 ��O o �i • � � lan Examiner o $ /— �3— � FORM 214 1M 1�57 (OV¢�) i FOR SELF-SUPPORTING SIGNS Size and Location Section 7 of Ozdinance No. 95 , � . . ti�.� � � ,T' , � �Vidth of Lot. . GL .\j'.�i , - .i SiAn Area �d% Deviallon - ' ' � � from C/L of loe C/L of Lot, _ a � ___'_ .. , 4 '_.' _ �l � +.) • � � ,. f � .' 'y-' ',c. - �'j";4r� � i.,c.` �i�-y FILI. IN AI.L DIMENSIONS � � SHOW ALL STRUCTURAL�MEMBERS {y;�G �Jii�!aNi, r- ��Ta�;�� lU vil;� I+ - :'�I .F�� 4�` i � +� " 1. • + : � J � t1 : , „ t�� i 91 1"�J �_�'- 1 � rti. i a! � Sec. 6 of Ordinante No. 95 " � 1 1 , r � , ,�1 . . � . i� , � �_ I � ' o � r _ " ;j. � . A � � � ,,i,<, �- , G � � �. ,ti�� F ' �� Property ' , ' ; i f : .• Line � . ti ' �' � . . \ _ j�i Curb STREET OR HIGHWAY � I • . � . . - . :�5��2 COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Applieanf to Fill In Complefely TYPE OR PRINT ADDRESS 7`L q. ��i � S� R� �"T � COSTA MESA CALIFORNIA � ARC�"TEG7 0 r.[.� STATE IIS �30 B� � TEL.H i�-I I� �� LIC. N^�—d.f NO. SIZE _ C^_� P � ..._ � Il I rvo. oF BLDGB. FEE RECEI�ED FINAI�V��It��' � c�— � CITY Of COSTA MESA � APPLICATION FOR PERMIT � BUILDING , � For Office Use Only � � RECEIPT NO. P SyIT /N'O. �J Y PECEIVE��Y I pATE HECEIVEO I 0��188U4�— / 1 1 � �/ losess `7C��i �A) . � In STreQ,l COSTA MESA. CALIFORNIA FIRE ZONE TYPE GROUP APPROVED BV DATE ZONING � ZONE �/ I NO. OF ^ I U8E OF NHW � PLANB � BUILDING LEOAL n�' � �lt��F'� DEBCRIPTION(� y ,_ . o .,,. I l � —. � /�l�— Sl� USE OF .�, YqRDS EXISTING BLDG. O L APPROVED 86TBACK LINE FROM � V 1 � 1 (�M�R LINE BTJ CeMER OF 9TREET � O• REAR YARD �'� q FRONT M SIOE YARD I LEFf �� O�� I RIGHT 0„ R. SIDE DESCRIPTION OF WORK APPROVED S ZE DI NG� �� X 3 8�` ROOMS EXTERIOR WALL ROOF COVERING COVERII USE OF BUILDING AND WORK TO BE Q � u v ` I HHREBY ACItNOWLEOGE THAT � HAV6 RBAD TH�B APPLIGTION }H¢ AMOUNT BXOWN UNDER VALUATIO I F H AND BTATE THAT TH8 ABOVH I8 CORPEGT AND AGRBE TO COM- pURP08E OR E9TABL18MIN6 A PQRMIT FEE C PLY WITH ALL CITY ORDINANCHO AND eTAT6 9 ReaULATINa awi.oiNo corvernucnon. a VALUA -ON 81GNATURH � " �� "(I PERMIT FEE $ % PERMITTE — • w.�_ .s_ �D.. � - LAN CHECK S � � - � - f EE RECEIVED ' • � 15��39 � COSTA MESA BUILDING•SAFETY DEPARTMENT - NOV?y� FINANCE' DEPT. ��.r P. o. BOX g,� CA6iA MEBA. C/LLIFORNIA �'('Y OF COSTA MESA For Applieanf fo Fill In Compleiely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILD�NG _ ' / ADDRE88 .� L^ COSTA MESA CALIFORNIA For Offite Use Only RHGEIPT NO. P8R ` OWNER MAIL RE V BY OATE pECB1VED DAT6 IB9V! ADDRESS � � — I II �� I I �� ' TE BUILDING // � GITY N ADDRE58 k�p �� I ARGN�TECT re�. COSTA MESA, CALIFORNIA OR �NEER NO. ADDRE55- FIRE - � ZONE TYPE GROUP � CONTR�ICTOR BYPROVED OATE �I . ADDRE55 � • NING � / ZON¢ NO. OP U86 OF NEW cin'� �t. �- � I vuHe a I auao�xo ` `n 6TATE TEL. � LEaAt • '\\ " LI0. NO. NO. DESCN�PlION � O E T � /(.� �� 6IZE � A � /� I o, oF Btnce. � � OF LOT '— NOW oN LOT A p ND _ � USE OP �+ ^ YARDS EVES \.� �(�57 NG BL�G. �'F'4' IG APPROVED ALLOWEO . i 6HTeAGN LIN6 FROM � � (� I (1 (�MTEP LIN& BT.) � CEMEp oP 9iilEET S O -O 'REAR YARD FRONT IN. R (/ SIDE VARO ILEFT O � IRIGHT R.SIDE F7. IN. DESCRIPTION OF WORK L. SIDE Fr. t�N. NE�' I IIALTERATION I IIADDITION I REAR b� F7. IN. REPAIR � IIMOVING I IIDEMOLI6H I BY�'ROVED O� DATE �—� � BUILDIN / � /�NO. OF r SIZE 3 i9 ROOMS STORIES EXTER�OR W 1, I ROOF COVER�NG �r4 CO COVERING � CO E OF BUILD� AND �ORK TO BE PERFORMED �yb � �` s� — `/SOO � 'l .tl (r O� C � S' o O SQ o 0 1 HEPBBY ACKNOWI.ED68 THAT � HAV2 q6AD THIB APPLIWTION THE AMOUNT eHOWN UNDEq VALUATION IB POR TH6 ANO 6TAT6 TXAT THE ABOVE I8 COPREGT AND AGRBH TO COM- pURv098 OF 6BTABLI8HIN0 /� neHlfiT F[6 ONLY. PLY WITH ALL GTY OPDINANCEB AND 9TAT8 WB ReOULATINa eu��ol�+a cone N. VAIUATION /� Q BIGNATURE O PERMIT FEE $ PERMI'RE �- % O� d $ (^^D� PLAN CHECK $ • AUTHORIZED AGENT � � / Q� � TOTAL FEE y � �i i . , ' ' ' _� _ _� : `�. F � L Q y y i F G w F Q 7 � i' ..1 � W a 0 a a z W S 3 COSTA MESA BUILDING•SAFETY DEPARTMENT P.O.BOX1200 COSTAMESA,CALIFORNIA92626 For Applicant to FID, in-Completely — Use Ink Only BUILDING�i G �/� I ` ADOflE55 � T�ENANT�R Yh1� �r1��V1� ��LL�1��+ MAILING � ADDRESS TEL. CITV NO. ODNSTRUCTON ePANCN ADDRES: ADORE55 CONTRACTOF ADDFESS CITV � STATE r LIC. NO. S12E OF LOT USE OF L_ NOL R� Z, —I I �O LICYNO. ��Z ( I � NO.OF BLDGS. NOW ON LOT Separate permits are required for electric, plumbing and heating work: USE OF BUILDING AND WORK TO BE PERFORMED I hereby acknowlatlge that I have reatl this epplicaiio� and rtate ihat the ebove Intormation is eorrect antl agree to comply with ell laws reBulatin0 buildinp conrtruction, end I shall not amploy a�y oerwn in viafation of the workman's compensation lews of the State of Celifornie. I hereby cartify that 1 am proparly IicenseG as a eonttactor untler tha State ot California Buslness and Profeuions Code, Divlsion 3, Chapter 9, and that such lic q�es e�e in full forca antl eftact, or t am exampt from Me prov yfis ot the Sinte oS Cailfomia Busines: entl Profassionf Cotle, PI S(on 3, Chap Signatme of � f4 Permittae �' �� L Authorized ABant Date J APPLICATION"•FOR�STRUC?URALPERMIT 5,50 T1,1 RECEIV PERMIT� �O � 2 (I A.P. NO. ' I S � �/ � � �� BUILOING / ADDRE55 UNIT OR $PACE NO. TR.NO. LOT BLK. NEW I ADD OWNER USE J APPROVEOSETBACKS REPAIR PLANNIN ACTION DATE APPR( APPROVED THE AMOUNT SHOWN UNDER VALU THE PURP�E OF ESTABLISHING A PERI VALVATION PERMIT FEE / / PLAN CHEC S $ ; D� TAX E .� TOTALPAID E P n > m m N J IS FOR m NLV: � y w m m 0 � � i u \ S. � . , • )UNTY•OFORANGE', , _ • �App�ication for Bui , ing�. ¢r....� • � BUII.DING DEPT. . -- �' � �1.�,�� AND- FOR A� ��_ ��, •' PQrmit No... 636 No. Broadway `_ ' � - ' � . ' 1 � � • • � � SantaAna,Califomia �¢rtificate of Use and Occupancy - Phone: KI 2-6211 t. OWNER'S 2. 3. 4. i. 6. Date----....f.._�.._ --L....:-�---.:��-� ......- ��-------------- PHONE•.�0.¢c.-�-`5--1---- MAILINGADDRESS.�C?.._�.2.:-----��t.`�.__--L.T.�.":,�....------------------------- CITY_��.__�cL, �' ` �'—�: ��'` —�-�� Name---...-- -- --.... -- - --- --�--- --' - -------------- ------- ----. Name -�--- --_ ..... ...... .. .... ....... .... ....... �� -- -� -.....-----..... a.o (Archit t or Engineer) �� (Contractor) Address-' ............."----"---- ........ .._. --............. �-- ........_..... Address 'w-- �- ��a'�F2-�. -•- - --"'---..... ------------•-------.. City .....- ._-" -..........- ' . .......... ...' -..... ......................_ ... -- Ciry ""-_ .f.."4.x� c�.-- �-'G+-"7'�--�.,G�`�.:.!ti.'..----- State ' . State �� r�� Lic. No.....-- -- --......--- ---........ Phone--- -------- --------- -- �--- ... Lic. No ......................... �� ------- -... Phon ......--�-----...-----7---... PROPOSED USE:.._.---.---J��T.lo��-".:."'._..-- -. . ......---------- --�-�--•----- -- - � - -------------- .........-- . .............� - -----......... . --... -------- �/ Go /�� JOB LOCATION- .._/.....�.�..-... ��. ��.'.f___�.f....� .............------- S.:�Xcv- -��'�------------ (House No.) . (Name of S[reet) (Town or S o DistdM) NAME OF AND DIRECTION FROM NEAREST CROSS STRGET_.._.LQ�.�.... ... _ ................. ..................... G _/ ,�/' � �r � �. � LEGAL DESCRIPTION: Lot---�-L.---.k --".G.._......---------Block .---�-------------------------------.---- Tract.------...1-:2. -- -.._------'---- (Me[es and Bounds Description—Use reverse side of torm) CORNER LOT ( ) INTERIOR LOT (� )� -THROUGH,LOT ( ) SLOPE OF LOT ( ) y[ Q � � ,..- ' % l SIZE OF BLDG.��--/..�J-_C.�AREA:--�-5:1_-.�-----.-----SIZE OF LOT��J.�_J._-�C--�-�.�-----AREA:.!�._�_.�!......�..�.....-_- HEIGHT OF BLDG.:.----�----------------------------------_CEILING HEIGHT:......-.-_---.._........--..-_NO. OF STORIES......I...--.----.....---- 7. NO. FAMILIES ........................................Size of Smallest Bedroom � ! , . . i� 8. EXTERIOR WALL CONSTR (Frame, Stuncco,' ROOFING COV�RING_(�LE .......... ... Sixc of Kitchen........---� .............---- • WALL COVERING...�_,•�..� (PlascerDrywall, EtcJ - ._... / ,� 9. STATE HOW MANY BUILDINGS NOW ON LOT A D GIVE USE OF EACH....._. .. .. ........... .��( .............. - - - - .- r...._.-...-- . - �l - - - - - - - -- ........... - -.........._-:-;:.- ..... ---- - � ---- --- - �- -- � - �� -- - - - - 10. SETBACKS: Fronc Yard From �e-ef � v Nearest Side Yard......_3.__.........Reaz Yard......._ ...: :.........Distance in Feet Between Bldgs. on Same Lot.............._.... (Property Line) (Pmperty Linc) � il. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF LACH. ; ' , .._. �j. � 12. (a) Footing: Width--.(�.'_.._ ......................_---Depth in Ground.✓.�.......----_-------...Width of Wall....--- 13 14. (b) Size of StudsF`�,-�-.--�--------_Spacing-.--...�:.�......-.__"CC , (c) Size'of Floor Joists-----------------------------------_-.----Spacing....--------. Matcrial of Floor--��l�-------- "CC (d) Size of Rafters:'�:- %�-�- ... ........ ..-�---- ---.Spacing---� �`-- �-�--- --� --..-.. ,,CC � . . ' VALUATION OF PROPOSEll l��K: Including all labor, plumbing, electrica] wiring, heating, fire sprinklers, painting and sewage disposal $----�-.,2.--Q. �------�-- I HEREBY CCRTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABI.E THERETO. Plans Fifed:..........._--_.---.... � FEES: Bldg. Permit - Plan Check - Tbtal • . �/ Receipt No./" �'�- Paid to - - �------=-t -.:. -�- � - � FOR DEPARTMENTAL USE ONLY GROUP..._c%��J- - -� - --� - TYPE-------.....Y------------------- DIST. �` (� MAP---------�^---��-- f----- - SHEET NO.--`�. -- - --.._..... DATE----.1..�...�-.�..�----J..__ � 5000--')-SII (Owner) (Au[horized Agen[) ' � 'KINC; BY APPLICATIO _... ... � HEALTH ............................ ZONING--.----------,r.�----- FIRE PLANS AND MARSHAL ......................._ SPEC'S....- - - --�--�� - --- STATE..-------- ......- ------- CORRECTIONS ENGINEER ��