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Home My WebLink About790 19TH ST - Building PermitsPERMIT TYpE Sub Type: CITY OF COSTA MESA J BIIILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wvn+.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BC08-00562 B COMBO STATUS: ISSUED � ACCSTR DATE ISSUED: 0111212009 ISSUED BY: JOB ADOREss: 790 W 19TH ST CM; Suite/Unit: APN: 42227217 � . -ZOning: � . Vicinity: WINALL GAS STATION Primary Occ: U ConstType: SQ. FT: 0 Valuation: 530,000.00 SCOPE OF WORK: INSTALLATION OF A HEALY VAPOR TANK AT AN EXISTING W INALL GAS STATION. OWNER: GIMENEZ, ALBERT P Address: 1338 E 29TH ST � Phone: � '� CirylState2ip: SIGNAL HILL, CA . '. . APPLICANT: PA7 MC MURPHY �� Address: CAIIFORNIA MAINTENANCE ENVIRONMENTAL Phone:� 626-969-7955' , �" `'" �City/State/zZip: POBOX2336 ' � � CONi�tnC70R: CALIFORNIA MAINTENANCE AND ENVIRONMENTAL License No. 83371 U Phone: 626-969•7955 ' Address: P O BOX 2336Unil: � Unit: Unit: :IRWINDAtE CA . ii�,rji L Cell: - City/State: IRWINDALE; CA . 2ipCode 91706 ARCHITECT. � License No. - . - PHONE: ENGINEER: r �� License No. - • PHONE: �� COMBINA710N PERMIT FEE SUMMARY Building Plan Check: $71.86 Building Fees: - ., $442.25 Electrical Fees: $0.00 Mechanical Fees: $0.00 Plumbing Fees: $0.00 SMIP Residenlial: $0.00 SMIP Commercial: ' $6.30 Bldg Std Admin Fund �� TOTAL FEES: $524.41 "Rafer to fee rp�eipts tor all fees paid for project � � ...:=LECi; ' ' `�.>i;') . NOTICE: 7he wnrk authonzed by this permit shal! comply witn all applirable handicap access requirements under Califomia statutes and related regulalions. (Ord. No. 92-28, § 1, 12•21-92) - EXPIRAT14N: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized untler this permit to be considered legal, such work must comply with all aDPlicable codes, and all required inspections and fnal approval must be obtained. Failure to obtain inspeclions and final approval will result in Ne expiratlon of this permit. cooe�. � � iN cooe� ixsrccnoxTrre o�,g ixmu�s 1818 Fizyy System Final Fire Prevention ZOB Final Mechanical 1288 Popl Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Elecirical 201 Fin}I BIOCkJReUining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning AOP��aI „ 203 Final Sign 222 FinalSite ` 204 FinalDemolition 250 FinalBuildirg/Occupancy � (��_ WORKERS'COMPENSAnON DECLARATON: I �ereby aflirm under penaly of perjury one of lhe following tleclarations: ❑ I have antl will mainlain a certifwte of consen[ lo self-Insure for workers' compensalion, as provided for by section 3700 of lhe Labor Code, for the performance of tha v.ark for wliich this permit is issueil. ❑ I have and will maintain wvrkers' compensation insurexe, as requiretl by section 3700 of ihe Labor Code, ta ttre peAdmance of the v.ork for vfiich this permit is issued. My workers' compensation Insurance cartier and policy number are� ' �,(� �p1iP �i�nrCurti...,A @.CP� �lr �a-e rmseebrrne�i ��}(aeoav/ie^ce?�� ry aimary4naieomws(sfaola+lessJ P �c er I"t"l l�,�J�7�lA ❑ � certify that in the peRortnance ol lhe wark for vAiich this pertnil is issued, I shall not employ any person in any manner so as to 6ewme subject to the workers' compensation lavrs of Califomia. and agree that if I shoultl bewme subjecl lo the workers' compens on provisions o1 Section 3700 of lhe L r Code hall o�th ply h these provision . � !C ,! � /.2 O' n s SignaWre WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLP.RS ($100,000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business anC Professions Code, and my license is in full force and effect. �� 2 alure CONSTRUCTION LENDING AGENCY: ❑ I hereby affmm �hat Ihere is a tons[ruttion lending agency tw Ihe peAormance ol lhe �nark fa which this pertnit is asueC. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby affirm tha� under penalty of perjury thal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Code: Any ciry or wunry which requires a permit to construct, aller, improve, Aemolish, or repair any structure, prior to its issuance, also requires the applicant (or such pertnit lo (le a signed statement thal he or she is licensed pursuant lo lhe provisions of Ihe Conlractors License Law (Chapter 9(commencing with Seclion 7000) of Division 3 of the Business and Pro(essions Code) or lhat he or she is exempt there(rom and the Dasis for the allegetl exemption. Any violation of Section 7037.5 by any applicant for a pertnit subjects the applicant to a civil penalry o( not more than five hundred dollars ($500�.): ❑ I, as ovmer of Ne properry, or my employees wilh wages as their sole compensation, WILL DO THE WORK, and ihe structure is not intended or oRered far sale (Sec. 7044, Business and Protessions CoCe: T�e Contractors License Law dces not appty to an owner of properry who builds or improves thereon, antl who dces such xnrk himself or herself or Ihrough his or her ovm employees, provitletl that such improvemenis are not intentletl or of(ered for sale. II, hovrever, t�e building or improvement is sold within one year of completion, the owner-builtler will have t�e burden of proving that he or she tlid not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCWSIVELV CONTRACTING WITH LJCENSED CONTRACTORS to consWct Ihe prqect (Sec. 7044, Business and Professions Code: 7he wntractws License Law dces not apply to an ovmer ot pmperty wfio builds or improves thereon, antl who conlracts for such project with a contractor(s) Gcense pursuant to the Contractors License Lav+s.). ❑ I am exempt under sec. Business and Professions Code for this reason: Sprwwie Da�e ]051J8 (�IO]) Owner ID verified by drivei ., ��cense. ❑ Yes ❑ No Driver s License No. Expires: Verification of Owners�ip by (rype ot document, i.e. - propeAy tax bill or tleed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ' ❑ I hereby certi(y that no axcavation frve (5) or more feet in depth into vdiich a person is required to descmd. will be mada in connaclion with v.ork authorized by this permil, and that no building shucture, scaffdding, lalsev.ork, or demolition or dismantling thereo(, will be more than tNrry-six (36) feet high. (Chap. 3.2, Grp 2. Art 2, Sec. 311, Title 8, Califomia Administ2live Cotle). ❑ As ovmer-builder, I will not employ anyone to do work which vrould require a permit from t�e Division ot Industrial Safety, as noted above, unless such person has a permit to do such work from 1he division. Aod�m��'s signaw.e DiviSion of Indus�rial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: � 1. Will the applicanl or present or future building occupant need to file and certity a Business Plan for emergency response to release or threatenetl release of a hazardous material7 � Yes ❑ No (Section 25505 0l Ihe Califomia Heal[h an0 Salety Code requires, wiN soma exceptions. that a Business Plan be filed with the CosU Mesa Fire Department Dy every business which has at any one time Auring a reported year a quantity of hazardous materials equal to or greater lhan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet ot compressed gas at standard lemperature and pressure). 2. Does or will the appliwnt or present or fuwre builtling occupant need to file a registralion fortn for acutely hazardous materials? ❑ Ves ❑ No (Section 25533 of the Califomia Health antl Satery Cotle, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which al any one time has on hand a quantity of acutely hazardous matenals equa� to or greater than a weight o( 500 pounds, or a volume of 55 gallons, or 200 cubic feet of wmpressed gas at standard temperature and pressure). 3. Does or will Ihe applicam or present or future building occupant need to prepare an RMPP (Risk Managemenl and Prevention Program !or acutely hazardous matenals)� ❑ Yes ❑ No (Section 25534 of Ihe Calitomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparetion, certification and filing with ihe Fire Department o( an RMPP by businesses which are required to register acutely hazardous materials vriN Ne Fire Department. 4. If an RMPP is presentty required, has Section 25534 of ihe Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or tuture builtling occupant require for the work which is the subject of this applicalion a permit for such consWction or motlifcation (rom the South Coast Air Quality Management Disirict or from any other air pollution control tlistricl or agency� ❑ Ves ❑ No (Section 65850.2 of the Califomia Govemment Code requires ihal lhe requestetl informalbn be fumished on applications for rroo-residential buil0ing pertnits�. 6. Will any part of the facility to be construcletl unCer Ihis permit ba vnthin _. 10001eet from the outer bounCaries of a school? ❑ Ves ❑ No Qf yes", Ihe /acility musl meet the requirement of Sections 25534 and 42303 o( Ihe Califomia HeaIN an0 Safety Cotle�. 7. If a pertnit (rom the SouN Coast Alr �uality Management District or other air pollution control district or agency is required for lhe work which is the subject of this application, have all o( the tlisclosures prescribed by Califomia Health and Safety Code Section a2303 been made? ❑ Yes ❑ No — 8. pf yes'. attach certificate ot compliance from the appropriate air pollution controioKcep. ' � � � CERTIFICATE OF COMPLIANCE: �I ceAify that under penalty of perjury Ne infortnation qiven above is correct I agree to comply vnth all slate laws and ciry ordinances re9arding Hazardous Materials and Emissions. � SipnaWre Oa�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty o( perjury thal I have read this application and state that t�e information given i5 correct. I agree to wmply with all 5ta[e laxs and ciry ordinances relating lo building construction, antl aut�orize representatives o( the City of Costa Mesa to enter upon ihe above-described properry for inspection purposes. I agree not to occupy or allw+ oGcupancy of any building auNorizeE by Ihis pertnil until final inspection $ign al � 1 tt te � (714) 754-5273 • F� (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT .lobnddress: 790 W 19TH ST Status: ISSUED Suite No Applied: 11/O6/2002 Vicinity: Issued: 11/14/2002 Parcel Nunmber: 42227217 Applicant: BARAJAS, RALPH Address: % �.. � � / .' i � %� � ��` . � owner j'�GIMENEZ�, ALBERT P� � - �" Address � 1338 E 29TH ST �= �� ., - SIGNALHILL!CA" � � :: �, i Contractor: � , . Address: - - " . - ISSUED BY: Phone: Zip: Phone: Zip: 90806 " �.Phone: Zip: License: -:� _ � _. _ � ; \ _ . � , , . � � �� SCOPE OF PERMIT CHANGE-OUT EXISTING SERVICE�TO A 400 AMP SERVICE AND CHANGE-OUT OF 3 SUBPANE6S�N0T TO EXCEED 200 AMP FOR AN EXISTING "WINALL OIC COMPANY"�FACILITY. PLANS TO BE ON SITE , � AT TIME OF INSPECTION PER BOB COCHRAN. -" ,- � � ' � NO OTHER WORK AUTHORIZED WITH THIS PERMIT. � � , ��- � � � � � -_� , � - , � - /; � . . , . �i. //// j�: _. , i . Quantiry ISSUE FEE �, � $23.50 Temp service test � ��. $0.00 Res.a/qpackage� ` ',' $0.00 New Res (1-2 units) �V �,50.00 0 New Res (3+units) � � 50,00 0 .. Pool/Spa' � 50.00� �_ �- '0� UghQng Fixts�.�� , $0.00 � 0 Recept OutleLs � � ; i 5,0.00 �-� �� 0 Swilches �� ; $0.00 � . = �0-� Non Res Appl � � ` �30.00 � '0 � Res Appl �� $0.00 i , � 0 Service to 200a A : .$0.00 " �'. "0 _ Service to 1000a � �$62.15 �� = T , Service over t000a `�50.00 �_, ' 0 MOWrs to 1hp $0.00 �- ' - 0 Motors to 10hp 50.00 ��'�-�,, 0- MOWrs to SOhp 50.00 0 Motors to t00hp 50.00 0 �� ' - _ ' Quantity,.';' , � TempDistSystem)Lighting $0.00 �0�- ' � '�, Busway I100 ft 50.00 ; 0� % _, -" �''� � Standing Section 50.00 `:%0 : • �; �'. =� , �- Misc Electrical.Equipment E0.00 �� 0 � , T2nsformers up to_'1 kva/kw 50.00>;' 0 �" . , ................uP to 70�kva/kw .' S0.00 0 � . , . ' , � " ............:....up to 50 kva/kw . " 50.00 i' ; � 0 , �, - - .................up to,100 kvalkw ��. $0.00� ;•�0, � • � , � . . ..................over 100 kvalkw -. � j0.00 � i�0 � � i � Low Volqge Equipment- � ,-�50.00� ; 0 �, '� - - � Low Volt Winng S stem / Ckt�,�� $0.00� � 0; 'i Misa Conduit - � ' -50.00 i �, 0 �' . . Misc. Conductor' . ` � � ��30.00�C� i0 � � Circus ( gen or ride) � � $0.00 � 0 ' . Circus (mech,ride or IighLs). '",C $0.00 0 � " - �-ChdstmasTreeStand- i �� y0.00 0 - _ � _ Fireworks Stand, �; ' , — 50.00 0 ' � -Other ElecMcai Fee $0.00 ,' . i NOTICE: The work authorized by this permit shall comply with all applicable handicap access requfrements under Californla statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRA710N: This permit shail automaticalty axpire and become void if work is not commenced within 18p days, or if work Is suspended or abandoned lor a period of 180 days. INSPECTtONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 zaa&eelemol WORKERS'COMPENSAnONDECLARAnON: � 1 hereby eflirtn under penelry of Oer�ury one ol tha tollowing declerallons: ❑ I �ave end will malnlein e cetlifiCete ol consem to sel4lnsure for workers' compensatlan, es proNded fo� by sectlon 3700 ot Ihe Lebor Code, lor the peRortnance of the work ior whlch Ihis permlt Is Issuetl. ❑ I have end wlll maintein workers' ca pensatlon insuren , es requlretl by sectbn 3700 of Iha Lebor Code, for the peAormarke ot Ihe wark tor wh' h s pertnll is issued. My workers' wmpense6 ns �9 � r er en p d � nu ber are: �, Carder. � � Policy Num6ec �(This secfion neetl not be pleted i! Me OermlNs v etl e one hundred dWlers (5100) or leu.) rtity Ihet in Ihe peAarmence oi ihe work tor w Ich this Dermlt Is Issued, I shall not employ any person In any menner sa as to 6ecome sub�eq to Ihe workers' compensation laws of Califomla, entl agr e t�et If I should becoge subJect to the workers' compensetion provisions oi Section 3700 f Ihe labor Cotle, I shall torthwith compty with these pr ons. t Applicam Signeture: ' - �� Date: ' ` � �� WARNINO: FNLURE TO SECURE WORK S' COMPENSATION E IS UNUW FUL AN� Sl4LLL SUBIECT AN EMPLOYER TO CFIMINAL PENALTI S AND CIVIL FlNES UP TO ONE HUNORED TMOUSAND DOl1ARE (5100,000), IN ADDITION TO THE COST OF P NSATION, DAMAOES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, IPREHEST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLAFiATON: I hereby atlirtn Ihat I em Ilcensed under proWsions oi Chapier B(commencinp with Section 7000) oi Division 3 0l the Business and Prolessions Code, and my Ilcense Is in tull torce anC edect. Uc. q_ Conirectofs SignaWre� Cless R Da�e: _ CONSTRUCTION LENDING AGENCV: � I hereby aKrtn that thera is e consWIXion lentlinp epency for the pedormance of the work tor which Ihis pertnit is issuetl. (Sec. 3097, qvil Code). Lenders Name: Lentlers Address: SignaNre: Date: OWNER•BUILDEH DECLARATIONS: I hereby ettirm that under penelty at per�ury Ihet I em EXEMPT FROM TNE CONTRACTORS LICENSE LAW for the following reawn (Sec. 7031.5, Buslneu flntl Professions Code: My dry or county which requlres a pertnit to construct, alter, Improve, demollsh, or repair eny aW cNre, pdor to Its Issuance, elso requires Ihe appllcant br such pertnit to file a slgneA statement thet he or she b IlcenseA pursuant to the provl5iorw ot Ne Contrectws License Lew (Chapter 9(commendng with Sectlon 7000j of Dlvisian 3 of Ne Business end Professions Cotle) w Ihet he or she is exempt theretrom end Ne besls lor the ellegetl e:emption. My vidation ot Sec6on 7031.5 by eny epplicant for a permit sub�ects the epplicant to e civil penalry of not more than five hundretl tldlere ($500)J: ❑ I, es owner of Ihe property, or my employees with weges es �helr sole compensatlon, WILL DO THE WORK, end Ihe structure Is not inientleG or otteretl for sale (Sec. 7044, Busineu anC Professions Coae: 7he Contractors License Law does not appty to an owner of property who builds or imprwes ihereon, and who does such work himsetl or �ersell or ihrough hfs or her own employees, provitletl Ihet such (mprovements are not intended or oHeretl tor sale. It, however, the building or imprwement is soltl within one year ol completioq Me ownerbullEer will heve tha burtlen ot provinp �hat he or she ditl not build or impmve tor purpose ot sale J. - ❑ I, as owner of Ihe praparty, am E%CLUSIVELV CON7fiACT1NG WRM LICENSED CONTRACTORS to construct ihe pro�ect (Sec. 7044, eusiness antl Professions Cotle: The cnNrectors Llcense Law tloes not eppty ta en awner of Oroperry who �uiltls or Improves Ihareon, and who contrects lor such project with a cantracmr(s) Ikense pureuant to the Contrectors LJcense Lews.). ❑ 1 em exempt under sec. SignaNre: Owner ID veritietl by EAvefs Ilcense. ❑ Yes ❑ No Business end Professions COAe lor this reeson: Vedlicatlan o1 Ownership by (type o1 tlaumenL I.e. • praperty tex blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTFICATION: Drivers Ucense No. Date: Expires: ❑ I hereby certlfy ihat no eacavetlon tNe (5) or more feet In depih Into which e person Is required to descend, will be maCe in connectian with work euthorized by Ihis pertnit, and that no builtling structure, scefloltling, falsework, or demolition ar dismantling t�ereof, will be more than Nirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title e, Celifomla Atlminlstretive CaUe). ❑ As owner-bulidar, I wlll not employ enyone to tlo work which wauld requlre e permit trom the DlNslon ot Industriel Safety, es noted above, unless such person hes e pertnit to do such work from t�e division. Signature: Oate: DlvLqion of IndusMel Selety Pertnit Number. CEHfIFlCATE OF COMPLIANCE AND AIfTMORPATION OF EMRV: I cenity under penelry oi perjury that I have read Ihis appliwtion and 5�ete t�et Ihe Infortnellon gNen is conect. I agree to compty with ell state laws anC ciry ordlnances releting to bullding constructlon, end euthorize representatives ot the Clry ol Coste Mesa to enter upon Ihe abovadescnbed property tor Inspection puryoses. l egre9 not to occupy or allow ocwpancy of any building euthorized by Ihis pertnit until final inspection. COOE I' INSYECl10NME " 1616 Fixetl System Finel Fire Preventlan 1288 Pool Spe Flnel 200 Final Re-Roof 201 Final Block/Retalning Well 202 Final Fectory Fire Plece 203 Finel Sign 204 Finel Demolition i l � 6�'�� Date p�jf, � j�Q�f.,( INSPECTONTYPE 208 Finel Mechanical 208 Finel Plumbing 210 Final Elet�ritel 212 Final Fire PrevBnlion 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupanq PAIF It�64 : di 1�� (7t4) 754-5273 • Fax (714) 754-qg56 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 790 W 19TH ST Suite: Vicinity: Parcel Nunmber: 42227217 App�icant: VIDALES, EDDIE Address: owner: GIM�NEZ, ALBERT P Address 1338 E 29TH ST SIGNqL HILL, CA Contracmr: DONCO 8 SONS INC Address: 19182 STONECREST LANE YORBA LINDA, CA SIGN PERMIT Zoning: Phone: 714-771-5730 Zip: Phone: 2ip: 90806 Phone: (714)771-5730 Zip: 92686 License: 435616 Arch / Eng : , Address: � � � Slatus: ISSUED Applied: t0103/2002 Issued: 10/03I2002 ISSUED BY: EXTENSION 0 Plan Check: Permit: SMIP Com: Other: Inspection: Total: NOTES: $35.10 , $o.00 $54.00 $0.50 $0.00 $0.00 $0.00 $0.00 $0.00 $89.60 ' FEE SUMMARY PLANNING & ZONING Caic Valuation: Claimed Valuation: St,Soo.ao s�,soo.ao NOTICE: The work au�horized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permlt shall automatically expire and become void if work Is not commenced within 780 days, or if work is suspended or abandoned for a period of 780 days. INSPECTIONS: In order for the work euthoAzed under this permit to be consitlefed legal, such work must comply with all appliwble codes, and all required Inspectiona and final epproval must be obtained. Failura to obtain inspections and final approval will result in ihe expiration of this pertnit. FOR INSPECTIONS CALL: (71q) 7545626 zaaaae caroo) WORKERS' COMPENSATION DECLAfiAT10N: � + 1 hereby eMirm untler penalry oi per�ury one oi Ihe tWlowing declaraUons: ❑ I heve entl wlll maimain e certilicata ot consent to selbinsure tor workers' compensetion, es provitlea for by section 3700 of Iha lebor Cotla, for ihe peAarmance of the work for whiCh Ihis pertnit is issuetl. �have entl will maintain workers' compensetion insuranca, es requiretl �y sectlon 3700 oi the LaDor Code, lor the peAortnance of Ihe work lor which this pertnit is Issued. — y warkers' compensatlon Insurence cartier entl pollcy number are: not vaNetl Policv Number' o`l4 ro 2 ��" "� `�7 Z\ � ❑ I ceRly Ihet in Ihe pertortnance ol the work for which Uis pertnit is issueQ I shell not employ eny paBon in eny manner so es to Decwne sub�ect to Ihe workeB' compensetlon laws ol Callfomia, enA egree Iha1 II I shoultl become sub�ect lo t�e workero' compensatlon provlslans ot Secllon 3700 0l fhe Lebor CoOe, I shall fortliwiN comply with I�ese provlsio � Appllcent Signewre: �� —� � oe�e: lCa — 3—� 2 WARNINO: FAILURE TO SECURE WORKEiiS' COMPENSATION ODVEMGE IS UMAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEWLLTIES AND CML FlNES UP TOONE NUNDRED T/KK15AN� DOLLARE (5100,000). IN ADDI710N TO TME WST OF WMPENSATION, DMt40ES AS PROVIDED FOR IN SECTIIXJ 3]090F THE UBOR OOOE. IMEREST, AND ATTOHNEY'$ FEES. LICENSED CONTRACTORS DECLARATION: under provislans ol Chepter 9(commencing wit� Sectlon 7000) ol Divislon �of.Ihe.BusNess end Prolessions Code, enA my license Is In full CONSTRUCTION LENDING AGENCY: ❑ I hereby eMirtn that there is e consiruction IenEing egency tor t�e peAormanco ol the work for whic� ihis pertnit is issued. (Sec. 3097, Civil Code). Lontlefs Name: Slgnature: _ OWNER-BUILDER DECLARATIONS: Lentlafs Address: Dete: I hereby eHlrm thel under penelry of perjury ihat I am EJ(EMPT FROM 7HE CONTRACTORS LICENSE LAW for the tollowlnp reason (Sec. 7031.5, 8usiness enC Professlons Cade: Any ciry or counry which requires a permit ta construct, alter, improve, damolish, or repeir eny structure, prior to its issuence, elso requires �he epplicant for auch permit to fila e slgned stetement that he or she Is Iicensetl pursuant ta the provisions ol the Contrecmrs License Lew (Chepter B(commendng with Sectlon 7000j ai DlWslon 3 01 the Business end Protessians Code) or t�et ha or she is exempt therefrom antl Ihe basis lor ihe ellegetl exemplion. Any violetion of Section 7031.5 by eny apPlicent for e permit subjacts the applicant to a civll penalry ot not more than tive hundretl tlWlars ($500).�: ❑ I, as owner ot the properry, ar my employees wil� wages as their sola compensation, WILL DO THE WORK, entl ��e atructura Is not iniendeA or otteretl lor sele (Sec. 7044, Buslneu and Professions Code: The Con(radors License Lew does nol appty to an owner at property who builds ar improves Nereon, and who tloes such work himsell or herselt or [hrough his or �er own employees, pmvided Nei such Improvemenis are not intended or oftered for sele. tl, however, ihe bu7ding or Imprwement is sold within ona year of wmpie�on, the owner-builder will have Iha burden of OroWnp that he or she did not Dulltl or imprwe far purpose of ule.). ❑ 1, es owner of Ue property, am EXCLUSIVELV CONTBACTNG WfTH LICENSED CONTRACTORS m construct the pmject (Sec. 70M1a, Businass anG Professions Cotle: The contractors Ucense Lew does not appty to en owner of propeM1y who bullds or Improves thereon, and who comreds tor such pmject with a conirflctor(s) license pureuant to ihe Contrectors License LewsJ. ❑ I em eaempt untler sec. Business end Professions Coae lor ihis reeson: Slgneture: Date: Owner ID vertlied by tlnver's license. ❑ Ves ❑ No Driver's License Na. Vedflcatlon ol Ownership by (type ol tlocument, I.e. - property tac blll or daed): DIVISION OF ❑ IherebyceNlythat�nc pertni�, end Ihat no bu 341, Title B, Calitomie VERMR CERTIFICATION: Expires: (5) or more teet In depth into w�ich e porson Is required b descenA, wlll De mede In connection wiN work euthodzeC by NLs scaHoltling, talsework, or demdition or CismanUing Ihereot, will ba more then Ihirry-slx (38) feet high. (Chep. 32, Grp 2, M 2, Sec. ❑ As owner-builder, I will not employ enyone to Co work which would requlre a pertnit Irom the Divislon ol Intlusirial Sefery, es notetl above, unless such peroon has e permit to do 5uch work Irom Ihe d'Msion. ' Signature: Divlslon of Intlustrlel Safety Permit Number: Data: CERTIFlCATE OF COMPLIANCE AND AUTHOR¢ATON OF ENTSiV: 1 certity under penelry ol perjury that I heve reed Ihis epplication antl state thet t�e inlarmatlon given is correct. I agree to wmpry with ell state lews end ciry ardinances relating to buildinp construction, antl euthodze representetives of t�e Ciry ot Caste Mesa to enter upon Ihe ebove-described praperry for inSDection purpaaes. I egree not to accupy or ellow occupancy ol eny builAing authorized by Ihis pertnit unlil final inspectlon. cooe �. INSPEC110NTYVE 1818 Fixed System Finel Fire Prevenllon 1268 Pool Spe Final 200 Finel Re-Roof 201 Flnal BIocWRetaininp weil 202 Finel Factory Fire Plece 203 Final Sign 204 Final Damolition QSjE �8 4QJ�[ INSVECTIONTYPE 206 Finel Mechanlcel 20B Flnal Plumbing 210 Finel Electncal 212 Flnal Fire Preventlon 220 Final Planning Appravel 222 Final Site 250 FinalBullding/OcaOency P7H�,ilii�ls' March 26, 2003 CI``!�Y OF COSTF� MESX�� P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMEN75ERVICESDEPAR7MEtJT Mark Fink Donco & Sons, Inc. 1410 N. Daly St. Anaheim, CA 92806 PERMIT NUMBER (S): FOR: PROJECT ADDRESS: BUILDING DIVISION : EXTENSION NOTIFICATION SB02-00121, SB02-00122, E02-00905 Signs 790 W. 19`" St., Costa Mesa This is to advise you that the request for an extension on the above permits has been approved by Ed Petros, Chief of Inspections. Your extension is valid for 60 days. The new expiration date of the permits is May 25, 2003. All work must be completed and a final inspection done by this date or your permits will expire. Additional Tees will be required to finalize expired permits. If you have any questions, please contacl the Building Division at 714-754-5273, between 8;00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. We appreciate your working with us to resolve this matter. Sincerely, �� !�t/,�?��2��'QJ�/ Ma y Jane Weidenkeller Office Specialist II Building Division (71a) 753-5273 • Co4e Entorcement (71a) 75a-5623 • Plannin9 Division (774) 754-52a5 FAX(714�754�a856 • TDD(77d)75a-52aa • w.m�.d.costa-mesa.ca-us � (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 790 W 19TH ST Suite: Vicinity: Parcel Nunmber: 42227217 Applicant: VIDALES, EDDIE Address: Owner: GIMENEZ, ALBERT P Address 1338 E 29TH ST SIGNAL HILL, CA Convactor. DONCO & SONS INC Address: 19182 STONECREST LANE Arch / Eng : Address: Plan Check: Permit: SMIP Com: Other: Inspection: Total: NOTES: YORBA�LINDA, CA SIGN PERMIT Zoning: Phone: 714-771-5730 Zip: Phone: Zip: 90806 Phone: (714)771-5730 Zip: 92686 License: 435616 Phone: Zip: License: Status: ISSUED Applied: t0103/2002 Issued: 10I03I2002 � ISSUED BY: EXTENSION ALLO D PE � EXPIRES�� SCOPE OF PERMIT ONE 25' HIGH, 98 SQ.FT. FREESTANDING SIGN, ILLUMINATED FOR "SHELL GAS STATION" $72.31 $0.00 $111.25 $1.05 $0.00 $0.00 $0.00 $0.00 $0.00 FEE SUMMARY PLANNING & ZONING Calc Valuation Claimed Valuation $5,000.00 as,000.00 NOTICE: The work authorized by this permit shall comply with all applicablo handicap access requirements under Califomia statutes and related I regulations. (Ord. No. 9248, § 7, 12•27-92) , EXPIRATION: This permit shall autamatirally expire and become void if work Is not commenced within 180 days, or if work is suspended or abandoned II for a period of 180 days. INSPECTIONS: In order for ihe work authorized under ihis permlt to be considered legal, such work must comply with ali applicable codes, and all requirad inspectlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOfl INSPECTIONS CALL: (714) 7545626 zacrs �eiao� WORKERS' COMPENSATION DECLAHATION: ' � . I hereby aXirm under penalry ot perJury one ot the Id�owing tledarations: ❑ I have end will melntein a cenifcate of conseni to sell�lnsure for warkers' compensation, es provided lor �y section 3700 at the Lflbor Code, tor ihe pertormence of the wark tor whiCh this pertnit is issued. �I heva entl wlll maintain wwkers' compensaLon insurence, es required by section 3700 of Ne Lebor Cotle, for Ihe pertortnance ol the wak for whkh Nls pertnil is Iswetl. ldy workers' compensatlon Insurance cartier entl polty num�er ere: nof be complered il the permit is Policy Numbar: l��l ��- a 2 - u r...a' u e�j �( �2 � or less.) ❑ 1 cenily t�el In Ihe peAortnence af Ihe work for w�ich this pertnit Is issued, I shell not employ eny peraon in any menner sa es to become subject to ihe workera' campensatlon laws ol Califomia, entl agree thel II I should become sub�ec� to the workers' compensatlon provlsions o1 Section 3700 oi �he Lflbor Cotle, I shell farthwith comply wlth these provislons. � ApPlicam SlgneWre: � �- �— Da�e: � U � 3- v Z WARNINO; FFILURE TO SEWFE WORKE0.5' COMPENSATION COVER40E IS UMAWRIL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENN.PES AND pV1L FlNES UP TOONE HUNDRED T/IOUSMIO DOLURE (E100,000). IN FDDRION TO THE CQST OF COMPENSATION, DAhNGES AS FROVIDED FOH IN SECf10N 908OF THE LABOR CODE, IMEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLANATION: I hereby oNirm Uat 1 am IlcenseA untler provlslons ot Chepter 9(commencing with Section 7000) ol Divlslon 3 of the 8usineu end Proteulons Code, end my license is in full lorce entl eMect. lJc. a 3 S6� V Cless p Gi J, Cc�� GONractors Signeture: Dete: /[9 - �' �7 2 CONSTRUCTION LENDING AGENCY: ❑ I �eroby efllrm thet Ihera is a conswction lentling egency tor Ihe peAormanco of the work for which this Dermlt Is Issued. (Sec. 3097, Civil CodBJ. Lendefs Neme: Lendafs Address: Signetura: Dete: OWNER-BUILDER DECLARATIONS: I hereDy eMirtn Ihet under penalry of per�ury thal I flm EXEMPT FROM THE CONTAACTORS LICENSE LAW for t�e following reason (Sec. 7031.5, Buslness enC Protesslons CoCe: Any ciry or counry which requires a permit to construct, elter, improva, demolish, or reDair eny structure, pnor to its issuence, elso requires t�e epplicant lor such permit ro file e signetl stetement Ihat he or she is licensetl pursuant to the provisbns oi Ne Contraqors License Lew (Chepter 9(commendng vrith Sectlon 7000J oi DMsion 3 of the Business end Prote55ions Cotle) or that he or she is eaempt therefrom antl ihe basis for the eliepetl exemption. My violetlon of Section 7031.5 by eny epplicant tor e pertnit suGjects the epplicent to a civil penalry ot not more ihan iNe hundred aollars (5500).)� ❑ I, as owner ai Ihe property, or my employees wlih wapes es thelr sde compensetion, WILL DO TME WORK, end the structure Is not interided or ottereA for sale (Sec. 7044, Business end Protessions Cotle: 7he Contractors License Lew does not appty to an ownar of property who builtls or improves thereon, end who tloes such wwk hlmself or hersell or ihrough his or her awn empbyees, proviAed ihet such Impravemenis are not intendetl or oNered lor sale. If, however, the bullding or Improvement is sold within one year of completion, �he owner-builder will have the burden of proving that he or s�e did not build or improve for Durposa of sale.). ❑ I, es owner oi Ihe prapeny, am EXGLUSIVELV CONTRACTING WITH LIGENSE� CONTRACTORS lo construct the project (Sec. 7044, Business anC Professions Code: The conirectors License Law tloes not eppty m an owner ol property who builds or Impmves thereon, end who contrects for such pmject with a wnirector(s) license pursuanl lo t�e CoNractors License Lews.). ❑ I em exempt under sec. Business end Professions Coda tor thls reason: Signeture: �ate: Owner ID verified by dAver's license. ❑ Yes ❑ No Drivefs License No. ExD�res: Verlllcetion ol Ownere�ip by (rype of document, i.e. - praperty tax blll ar tleetl): OIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I hereby certlly thal no excavatlon live (5) or rtrore leet in depih into which a person Is required to deuend, wlll be mede In connecGon wiN work euthorized by Ws permlt, enC that no building structure, scafldding, lalsework, or demolition or tlismantling thereof, will be more Ihan thirty-siz (38) leet high. (Chap. 3.2. Gry 2, Art 2, Sec. 341, Tltle 8, Celifomia AdministratNe Code). ❑ As owner-builtler, I wlll not empby anyone to Go work wMch would require e parmit trom t�e Dldsion oi Intlustdal Satery, es noted ebove, unless suc0 pereon hes e pertnit to do such work trom the dhrision. Signature: Date: DIvlslon ol Intlustnal Salery Permit Number: CEHTIFlCATE OF COMPW WCE AND AllIHORVATON OF EMAY: I certily under penalry ot perjury t�et I heve reed Ihis epplica6on and stele Ihet the Inlormetlon given is corteC�. I egree to compty with a0 siate laws end dry ortlinences ralatlng to building consWctlon, and euthodze represenlatives of t�e Ciry ot Coste Mesa to enter upon Ue ebove-descnDetl D�operty lar inspeMion Ourposes. I egree not to occupy or ellow occupanq ot eny building euthorized Dy this permit untll final Inspection. Signature Of Legal Owner(s) Date � - /O-'�-o2 � And�Or Authodzed Applicant Oate COOE I. INSPECTOMTYPE t818 Fixed System Final Fire Preventlon 1268 Pool Spe Finel 200 Finel Re-Roo1 201 Flnel BIocWRetaining Weli 202 Flnal Factory Fire PWce 203 Flnal Sign 204 Finel Demdltlon p� p�g tooe� ixsveenoNTrve 208 Finel Mechenical 208 Finel Plumbing 210 Final Electdcal 212 Finel Flre Preventlon 220 Final Plenning Approval 222 Finel Slte 250 Finel Building�OccuOancy PAIE IIQIIIEI$ � (7t4) 754-5273 • Fax (714) 754-4B56 • www.ci.casta-mesa.ca.us 77 FAIR ORIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT .IobAddress: 790 W 19TH ST Suita No Viciniry: Parcel Nunmber: ApplicanL Address: Owner: 42227217 VIDALES, EDDIE 19182STONECRESTLANE YORBA LINDA, CA GIMENEZ, ALBERT P Address 1338 E 29TH 5T SIGNAL HILL, CA Conuactor: DONCO'& SONS INC Address: 19782 STONECREST LANE ISSUE FEE Temp service test Res. a/c package New Res (t-2 units) New Res (3+units) Pool / Spa Lighting FixLs Recept Outlets Switches Non Res Appl Res Appl Service to 200a 8ervice to 1000a Service over 1000a Molors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel fo 200a pole Light Pkg YORBA�LINDA, CA Phone: (714)771-5730 2ip: 92686 Phone: Zip: 90806 Phone:" (774)771•5730 � Zip: 92686 • License: �435616 , Status: ISSUED Applied: 10/03/2002 Issued: 10/03/2002 l� EX��SI � ALL�� , EXpIRES SCOPE OF PERMIT ELECTRICAL TO INCLUDE: 3 SIGN CIRCUITS FOR "SHELL GAS STATION" REF.: SB02-00121 AND SB02-00122 , -- , � � Quantity $23.50 $0.00 $0.00 $�.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 � $0.00 0 �$0.00 i _A .0 , - $0.00 � , . 0 � , ,, so.00� �. �, a � , $0.00 `- ��; 0; , '' $0.00 , ��0__� ' $0.00 - � 0 �� $0.00 0 ' $0.00 � i �Q . -. $0.00 0 $0.00-� � 0 - $0.00 � '. �0 $0.00 - ` 0 �. FEE SUMMARY � Temp Dist System / Lighting Busway/100ft - � Standing Section Misc ElecVical Equipment Transformers up to 1 kva/kw ..........r..:..up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage EQuipment Low Volt Winng System / Ckt Misc. Conduit Misa Conductor Circus ( gen or dde) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electncal Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $�.00 0 $0.00 0 $0.00 0 $0.00 0 ao.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 - Investlgalion Fee � , $0.00 � � Plan Check Fee � $0.00 � - Reinspection Fee $0.00 � , NOTICE: The work authorized by this permit shall comply with all applicabla handicap access requirements under Calitornia 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 7 BO days, or if work is suspended or abandoned fof a period of 1 BO days. INSPECTIONS: In order tor the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred fnspeetions and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2Mb�4tl �1YW) WORKERS' COMPENSAT�ON DECLARATION: � I hereby eNirtn under pendlty ol perjury one of tha following declaretions: ❑ I have and wlll main�ain e cenificate of consent lo selhlnsure for workers' compensetion, es provided for by section 3700 of �he Lebor CoOe, for Ihe pertormence of the work tor which this permit is issue0. I hava end wlll maintain workero' compensetion Insurance, es required by section 3700 of the lebor Cotle, for the pertortnance of ihe work tor which this permit Is Issued. y workers' compensatlon Insurance carrier entl pollcy number ere: 1 rtier. S't'�� t—�� POIityNumber. 04�{�v2 Vv...,,[- ��r��.,�-�Z� is section need no( be campleted i/ the permit is veluetl et Me �undred dol/ars ($100) or /ess.) 1 certity Ihei in the pa�ortnance of ihe work tor whlch thls Dermit is Issued, l shall nol employ any person In eny manner so as to 6ecwne suDject to the workers' compensatlon laws oi Calltomia, and egrea t�at tl I should become subject m the workers' compensation pmvlsions oi Section 3700 ot the LeDor Code, I shall forthwith comply with these plovisions. � � Applicant Signature: - i Dete: �!� - 3�U 2 WARNIN�: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAOE IS UNIAWFUL AND SHFLL SUBIECT AN EMPLOVER TO CPIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED TFKKISAND OOLLARE (5100,000). IN ADDIT�ON TO TME WST OF COMPENSATION, OAMAGES AS PROVIOEO FOR IN SECTIqJ 3]OB OF THE LqBOR CO�E, IMEREST, AND ATTORNEV'S FEES. LICENSEO CONTRACTORS DECLARATION: i I hereby eflirtn that I am IiGensetl untlar pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Professions Cotle, entl my license is In full rorce end enect. uc. x 4�s—L � G Ciess a c iv r c�-( <- . Contrector's Signature: �l � � Date: /D - 3 -0 2 CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm tha� Nere is e construction IenOing egency tor the peAortnance ot the work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lentler's Nama: Lentler's Address: Slgnature: Date: OWNEH-BUILDER DECLARATIONS: I hereby attirtn Ihat untler penalty ot per�ury t�at I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Buslness end Professions Code: Any ciry or counry which requires a permit to construct, atter, improve, tlemolish, or repair any strucWre, Onor to its issuence, also requires Ihe epplicant far such pertnit b flle e signed statement thet he or she Is Ilcensed pursuant ta the provislons of the Contractors License Law (C�epter 9(commencing wit� Sectlon 7000) of Dlvision 3 of ��e Businoss end Protesslons Code) or that he or she is exempt therefrom and Ihe basis br the elleged exemption. Any vialation oi Sectlon 7031.5 by eny applicenl for e pertnit sublecis Ihe epplicant to a civil penalry of not more Ihan tive hundrad tlollare ($500).): ❑ I, es owner of t�e prOperty, or my employees wllh wages es thelr sole compensatlon, WILL DO Tl1E WORK, end the sirucWre Is not Intentletl or oMered for sale (Sec. 7044, Business end Pmfessions CoOe: The CoNractors License Law does not apply to en owner of properry who builds or impmves thereon, end who tloes such work hlmself or hersatl or Ihrough his or her own employaes, provided Ihat such improvemems ere noi Intended or oflered for sele. tl, haxever, iha builtling or improvement Is sold within one year oi wmpletion, the owner�builtler will heve the burden ot praving thai he or she did not huild or improve for purpose ot sale.). ❑ I, es owner ol t�e prODerty em EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to conslruct Ihe projed (Sec.704d. Busineu and Pmfessions Code: Ttie wntrectots Llcense Lew tloes not appty to en awner at properry who bulltls ar Improves Ihereon, entl who contrects tor such project wtl� a contracmr(s) license pursuant to tne Coniractors License Laws.). ❑ I em exempt untler sec. Business and Professions Code for this reason: Signature: Date: Owner ID veritietl by Gnvers license. ❑ Yes ❑ No Onvers License No. VerHicatlon of Ownership by (�ype of aaument, I.e. - propeny taz 0111 or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATON: Expires: ❑ I hareby certify thet no excavation five (5) or more feet in depth into which e person is required to tlescenQ wlll be made In wnnectlon wlth work euthodzed by ihis permlt, and thet no building siructure, scettolding, lelsework, or demolition or tlismantling thereol, wlll be more ihan thirty-six (36) faet high. (Chep. 3.2, Grp 2, Atl 2, Sec. 341, Ttle B, Calitomi2 Atlministrative Code). ❑ As owner-builder, I Will no� empioy enyone ta do work which would require e pertnit trom t�e DlNsion of Indusinal Sefery, es noted ebove, unless such person hes a permit to do such wark hom the divislon. SigneWre: Date: Division o1 Indusinal Sefery Pertnit Number: CERTIFlCATE OF COMPLIN�ICE AND AUTMORIZA710N OF ENTRY: I cenify untler penelty of perjury Ihet I �ave reatl t�is eppliwtion entl s�ate that Ihe intortnallon given is cortecL I egree to compty wlih all state lews end ciry ortlinances relating to building construction, end suthorize representatives of the Clty ol Cwia Mesa Io enter upon t�e abova-descnbed properry fo� inspec�ian purposes. I egree not to occupy or ellow occupanry of eny building authorized by this pertnit until linel inspection. CODE I. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool SDe Finaf 200 Flnal Re-Roof 201 FInaI8locWRetaining Well 202 Final Factory Fire Place 203 204 Finel Sign Pinal Demolitiom PA7E imrtu�g Date /G -3�2 Date COUE I INSPECTION TYVE 206 Flnal Mechanical 208 Final Plumbing 210 Final Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Finel Site 250 Final Builtling/Occupancy QAIE � Uffi1dLfi PflOJECT RD�flESS: 7 9 O TPl 1 9 TH Jr 1 OWNEfl'SNAME: WINALL �1L C�, aooness: g33$ E 29TH ST SIGNAL HILL CA 90806 i"/14)634-4800 AflCH/ENGINEEH: qU�flESS: flEG.NO.: UNIT: ^ CTTY OF COSTA MESA — SIGN PERMIT PERM NO: SB 054886 �� . PERMIT NO: SB 059886 PL,AN CHECR NO; 04529-91 S GUVT; N S'UPP: N CONSTRUCTION TYPE; 2—N PERNIT TYPE; STR SIG PURPOS's': OTH JOB DESCRIPTZON ; ONE "MOBIL LEGEND" FOR CANOPY FX�SCIA SQ FT; UNIT: CLAIM VALUE: 219.OU CALC—VALliE: 219.00 GROUP OCC: B-1 /B-2 PEHMITTEE: JOHN AOWENSTINE INC. ( 714 ) 557-4064 aoosess: 318B AIRWAY AV� .T COSTA MESA CA 92626 LICENSEO CONTNACTOP OECLl�NATION: I here0y aflirm Iha� I am licensetl untler pmvisions ol Chap�er 9(commencing with Seclion 7000) ol oivisian 3 of ihe Business antl Pmfessions Cotle. antl my license is in full force and effecl. cirruc.:00�027 sTaTEuc:374747 /c'�us�s:.�E95 Date: "� � �— SignaWre: �V�/�/ _ WOHREPS' COMPENSATION OECNflPTION: I hereby aftirm Ihat I have a certihca�e o� consen �o s 14insure or a cetlilicate o� Workers' Compensalion Insurance. or a certified copY �hereof (Section 3800. Lab. C. raucvNa.: 1241600-91 E%P.DATE: 9IU1�JZ COMPANY: STATL FIJND � CeN6etl coDY is hereby Wrnishetl. � Certitietl copy is liletl wi[h Ihe ci�y Builtling Divi ion. Oate: b�• �"� "�� APDiicanC iY EXEMPTION iPOM WOfl1IEBS' fAMPEN5ATI0N OECIAflRTION: �This sec�ian neeU not be wmpleleU ii p rmi� is �a one huntlred (5100) or lus�. I certify Iha� m the pedormance oi Ihe work tor which t�is Oermi� is issued I 5hali nol ¢mploy any rson in any manner so as Io become subject to t�e Workers' Compensation Laws ol Cali�omia. �ate: SignaNre: NOTICE: I�. atter making �his tleclaration, you 5hoN4 Decome suhlecl lo ihe Workers' Compensa�ion D�a��sions ol ihe La�or CoOe. you mus� Ionhwiih comply wit� such provisions or Ihis permit shall De Oeemetl revaked. CONSTBUCTION LENOING RGENCV: I �ere�y aflirm Ihat Ihere is a con5imc�mn lending agency br Ihe peda�mance ol �he work lor which Ihis permii is i=suetl �Sec�ion 3097. Civ. C�. �xoen: NON—ILLUM:iNATED aooness: NON—ILLUMINATED OWNEB BOILDEN OECLAHFTION: I hereby aHirm �ha� I am exemp� Iwm tAe Con��actors' $taie License Law lor Ihe following �eason (Section 7031.5 Business antl Professional Cotle: Any city ol counry w0ich requires a permi� �a wretmct, alter, improve, Oemolis�. or re0air any slmcWre, prior to ils issuance, also requires �he apDlican� �or such De�mi� lo �ile a signeA s�a�emen� lhai hGshe is licensetl pursuam m ihe pmvisions o� �he Con�rac�ors' State License law (C�aD�er 9(commencing wi�� $ec�ion 7000) o� Division 3 of Ihe Business antl Pmiessions Cotle) or Ihai �e/s�e is exempt �here�mm and ��e Dasis lor the alleged eeemp�ion. Any violatian o� Seclion 7031.5 by eny applican� �or a permit sublects IAe applican� to a civil penalry o� not more l�an �ive hunOretl tlollars (E500�. I, as owner oi ihe pmperiy or my employees wi�h wages as �heir sale compensa�ion, will do �Oe work, and Ihe ❑ simt�ure is not inientletl or offere0lor Sale (SeCtiOn 7044. Busine55 antl Prof¢SsiOnal Cotle: The COniratrors' Slale Litense Law eoes not apory m an owner oi a OmDeny who builds or impmves thereon, ana who daes such work himsell/Aerself or throuAh ,nis or her own emD�oyees. pmvided ihat such impmvements are not intentle� or oifered for sate. II, nowever tAe Ouil�ing or impmvemenl is soltl wiihin one year of compietion. Ihe owner will have Ihe hurtlen o� pmving Ae/she Oitl noi build or impmve lor lhe purpose o� saie�. I, as owner o� Ihe propeny. am exclusively contracting with IicenseA coniractors m constmct lhe project (Section 704A, Business ❑ and Prol¢ssions Cotle: The Contraciars' State License Law tloes no� apOty �o an owner o� proOeM � bmltls or impmves Ihereon antl wha contracts for suc� pmlect5 wilh a tonVacior�s�license pur5uan� �o �he Conlraciori S�ate LicenSe Law�. I am aware �ha� pmol o� their Worker'S Compensa�ion lnsurance should be pmviAetl Io me. � I am exempl untler Sec�ion: B. 8 P. C. � lor inis reason: Date: Owner i do heieby cenify ihat l am aware of ana untler5lanO t�e requirements o1 Calibrnia Health antl $alery Cotle Sections 25505. 25533, antl 2553A antl ��a� I or any fuWre builaing occupant wilVwill noi (circle one) neeA Io camply vni� sai0 s�a�e cotl¢s antl Ihe requirements for a permit tar conslmc�ion or motldica�ion Imm Ihe Air �uali�y Managemen� DisVicL Re5i0ential cons�mc�ion a001ication5 are exempt tmm Ihese pmvlsions. Oa�e- ADPlicanL 1 hereby cer�ily Iha� I havereatllhis app6ca�ion ana 5taie Iha(Ihe above informa�ionis correcl. lagree�o comply wilh allci�y anA coun�y ortlinances ana s�a�elaws relaling�o buil0ing conslmc�ion ana fierebyauthorize reDreSentativesa�0i ciryio en�er u0��he above-meniioned pmperiy far inspeclion pur0.ose5. � Da�e: � ` � 1__� Signa�ure: orive��s License or Social Securiry x: � ? 164n46 Whne—Bmitllnq: Green—Cotle Entorcement� Canary—Appbcam: Pink—Fevenue: GolQenrotl—Assessor COMMENTS; ONE "MOFiIL LEGaND" CANOPY FASCIA SSGN k- %� !E if 7e ih iE 3f ih iE iE 3! iF iF it 3E if K' i'r iF #� iE If iF �E ic iP if K� it lE ii� if iE iF if �lE 9f if i4 i'r iF ic �f iF ib iF ib iE iF�1E ih iE 1F iE i(� k- 3f 1E iE le iE iE 3h # if� iF�k !F �1F iF �'r ji IF # i!� if fF �7F S I G N. I N r O R M A T I O tJ DISTRICT; 1 TYPE: WALL ILLUMINATION: NON CATEGORY; NEW DIMENSIONS; OFT U9IN X 2FT 09IN AREA: 6.00SQFT LETTER HT: 9" STREET FRONTAGE 1; 135,00 STREET 1: W 19TH ST STREET FRONTAGE 2: 109.00 STRcET 2: PLACENTIA AV PARCEL: 4222'7217 ZONE: C1 LOCATION > FRONT: X REAR: BUSINESS NAME; MOBIL > LEFT; RIGHP: O T H E R T O T A L S G R O U N D S I G N THIS ACTIVITY . 6.00SQFT OVERALL :iEIGHT: OFT OFN THIS SITE 35.90SG�FT GftOUND CLEARANCE: OFT OZN ITEMS OF iNFO : 3 PLANTER AREA; O,OOSQFi ITEMS FOR ACTIVITY: 7 BLDG SET BACK: 20FT COPY VERBIAGE : MOHIL (3 IDENTICAL SIGNS) PLANNING NOTzS: *xxieie**ie�*�*irif��*�'*x]r�c'*ic ��t*��c'x-�at+�ifieie***iE***�'*x'iE**�ir'�*"� ir�'�a!+rie**ie3t'��it'x'�"x�*x'�*�� D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY Yd�� DATE: 1I �t BUILDIhG APPROVED BY : DATE: APPLICATION ISSUED BY: �(i � n'` DATE; �� 3F�E�fiE�I�i(�#jEi��jflFiF#3i�1E1f3f#iFiflf# . .dfiFiElFlEiFiFjfif3f '7F�Firi(�aE LEGALIZATION:N F E E;. 1S U M M A R Y STRUCTURAL SEGMENT:Y BLDC PMT PLUMBING ELECTRIC MECH�NIC SIGN SMIP/RES GRAD3idG PERNiIT 15.00 6.U0 �,t. ' SMIP/NON—RES PI�AN 9.75 .50 BUILDINGEDIV—> PERMIT ISSUE PLANl.CHECK TOTAL PAID DUE TO'PALS----> 21.50 0,00 ..; 9.75 31.25 31,25 ,00 .J REVENUE DIVISION TOTALS--> COL�EEC�'ED: 31,25 OVER/SHORT: OU BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADTNG PLAN—CHr.CK 15,U0 � 6.00 .SO 9.75 iE?E 1E iF %� iE �E 3E iF iE iE je if iF if jE IF )F iE 3E Y.�-X 3E if IF iF?!� 3E j6 iE it ib�� if iF �li� 3�-1E iE 3F 3E-1f 3e i'r if K� iF iF IE if� 3E if iE iE 3E if 1E34 if �lE ie � iE iF ie iE 1'r ie iE 3E if 3E #� 3F iE %� 3E %� �E I N D I V T D U� � li F E E H R E A K U O W N� --• TYPE �TY D E S C R I P•�T I"' O: N� UNIT COST T9�AL COST .f ' E X P 1 E�,Fgs WERE S'ELc.CTED FOR THIS PERMIT � �t4 �� $I� ID�� r•.ir' . `� �� er oQ:arsss-c�aa�i=,=b � so , 1� � QRTE: II/65;91 iY15E: ii:3`• f,i� / r _ � CONSTRUCTION AND PLANNING � POC�SPA APPROVALS Permit # Date Inspector qppROVALS Permi* # Date Inspector 1. Tempo�ary Electrical Service or Pole ', 52. Poof & Equipment Location - 2. Soil Pipe-Undrgmd. - 53. Steel Reinforcement � - 3. Electrical Conduit UtilitV-Undrgmd. � - 54. Forms . 4. Electrical Conduit-Undrgrnd �� - • 55. Electrical Bonding � 5. Steel Reiniorcemeni � . 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit'-Undrgrnd. 8. Foundation •�, o,� 59. Gas Pipe, O Undrgrnd., Test , 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, L] Undrgrnd. 10. Structural Floor System ' ' 61. APPROVAL TO DECK � � 11. PropertY Sewer Line & House Connection 62. Backwash & Receptor-final 12. Sewer Cap 63. Heater & Vent-Final ' 13. Roof Drains �. 64. Plumbing System - Finab . 14. Rough Plumbing � 65. Electrical-Final 15. Rough Electrical�Conduii 66. Solar System-Final � 16. Rough Electric Wiring 67. Fencing & Access Approval �. Reugh Wiring Sign 68. APPROVED FOR PLASTERING . TS. Rough Electrical-T Bar Ceiling � . 69. POOL/SPA SYSTEMS FINAL 79. �Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.�RoughFactoryFireplace APPROVALS Permit# 21. Ducts,in Structure� _ �� 70. Underground Hydro 22. Ducts, Ve�tilating ._ �1. Product Piping O Gas OOiI 23: Gas Pipe-Rough & Test . 72, Underground Flush ' r. • 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil $?' 25. Roof Sheathing , 74. Overhead Hydro `' �-� + '.. 26. T-Bar Geiling (Structurall & Monocoat , 75. Dry Chemical .�i �' � 27. Frame and Flashing . 76. Dry Standpipe , �! 28. Lathing'& Siding � � �7.' FIXED SYSTEM FINAL �r `,� .� � '� 29. Insulation , i78. FIRE RREV. FINAL ., , ,: 30. Drywall Nailing � � HEALTH DEPT. REQUIREMENT �� .��,j 31. Plaster Brown Coat � 79. FINAL INSPECTION �� ` � 32. ElectriCal Power MeterFinal i 80. FOOD CERTIFICATE ISSUED .33. final El�ctric � Notes: /-L�'.C� _ -��r�wJ��v �� 34. Final Heating & Air Conditioning �� ` - �Q 35. Final Gas Pipe-Test �' � � . 36. Hood or Canopy � 37. Fin�l Factory Fireplace . ' � 38. Final Plumbing - - � 39. Wacer 5ervice�Final 40. Gas Service-Final � 41. Solar pomesiicFinal 42. Backflow Preventer ' � ' 43. Backflow Irrigation' ' 44. LandscapelrripationSystem ,. ' 45. Sound Attenuation , 46. Handicap Regulations � 47. FINALSTRUCTURE&,BUILDING - 48. FINAL PI.ANNING ' ' 49. Electrie Release to Edison 50. Gas Release to Southern California Gas Co � 1 51. CERTIFICATE OF OCCUPANCY No. Date ! r.eanFssaea�m+o: 790 W 19TH ST avx�rsru�eicqaxr+: WINALL OIL �ss: 1338 E 29TH ST __„ SIGNAL HILL CA 310-427-8845 �vv�. �uuna �oonEss UMT: . _ u¢xrtecronEaau+�n: THOMAS GARNESI uc.ao.: C20908 uicx.oxQxi.s�oox�ss: 604 N GOLDEN AV m+r: FULLERTON CA 92632 CONLIIACTOP'9N/JIE R.C. LIGHTING CORP. (714)992-1421 caxrn�croxs�uiwo 1 7 0 N GEM I N I AV ,��E� BREA CA ��, 631011 92621 u/rr: A-4 uc�seo corrtn�crons oEcua�noN: i n.wv .n:�„ ,.w w�w a� md i.m rn.e.e �a« Pw�.o�. a cneq« u (ewnmerrJ�G r.tln SacUon 1000) d Orvi�un 9 d ihe Busnen end PMa ' eM'm' Ivams u in IUA Mca end Nlea. cmuc.No.:056177G uc.cuss: C-45 uc. . 3101 __ '�ugFnr oma: �— Z�— / � com�.aa: � � Cnrtr�FJ' � OW NER BUILOEN DECLAF�TION: I Iweby affum �edor paeWy d par'�.vy thv I am emmq Imn iM Canttatlm Lieanee Lew la tM Idbw+i9 rseaan (5wion ]W 1.5 &uiwa end Rolmvbro Cob: Mf' cIy v cam1Y wF� nG�� s G�4 to oanwn. Ma. "unMow. bmd'sh. a rapai erry �IUSva: p'v b b uweMe, abo eep�nw Ns epp�nt lo vrA pmM b Rs a apnad qabmeN pW hs a sM . �icanue wrsuem io �ne av+�au d nr cw.mae liceme tew �cheqa s(oomm«ioaro wn saeon �000) a oir'scn a a ihe luaiewaa vd habaaian Codel a Net Ir « Ne e a�anP �hsd�m� eM Ne Eazu ta Ne eMpeC memqion. MY vidmion d Seaion 103t.5 by eny epplireni la e permn subptl� IM pppfram �o e dW penMy d ew� mae tMn fve huMred doAus �S5p0�). ❑ �.mowre,a�n.o�w�v«mv.,�aM�•vnnw�m�ne:d.00mv�+�..a�eou»wrk.eneu,.n�uctunem�im.�dee a oflered M eaie (Secibn ]Oae. Bmira enJ Prolaasma CaEe: The Coniretlon Limnee lew Eoee not epplyto an owrier ol OropaM who Euide u in0�e IMraon. end wln dM� eueh r.oek h'vneell n IwaN a Waqh !ie v Ar own Mnpbyasa. ppridsd IM we� imqovemema ere nd imended a allmd la by. H, howevar, tM buik'uq ar inpweneM u wN vmhin ms yaer W compblion. tM owmrbuikar wJl M1ero tM Gnden d pwinp he a ehe Ek nd Mild a unpo.e la �M pupoea d etlel. � I, m ox�rr d IM V�WMY. em udimM' aoNretl�N wnh GoemeA mmectm ro mW W tlr pMa (5eaion )Oa�. Buairove eM PMwuvu Cotls: TM Caarodm licana lew doo nd e0M/ m an oMner d P�WMY wAo dulda a'vnpwx tAaeon aM Wa convMa lor wtli qolads weh e mMrapohe) ficenmE qucuuv �o �he Gwvrtlan Lioeme Lewl. � 1 vn axamq uMr Seeion: �B. d P.C.. br Nb �snm: om.: o.,�..: i eo n«.er �+ar ��.m.W,�. a w w..aw a. �«v. a wu,o:. w.nn.oe s�rori coa. swim+a�os. zssa�..�d 255�1. eM tlw 1 a eny Murs buiMnO �Wd. Mip / wa ew� (meb w) naeE ro ednPN Mh uk mte ooEu W iM �M��+and br • D� tammvur�iona moddrNion homiMN� Diq�ia. Rsdds+� miuuunion aw4'�iau en aumq Imm Nwe pw�ivms. WORKEP'8 COMPEN9�TON DECLAH�TON: I Mraby aHum undr p�ruYy d pe�ury ane W IM IOCOMeq daderelbm: � I hevs aM MI mdnlan e canSute d auWni to �aXimun lar xakai eomperoubn, m pro+idod fp by Swbn 9]OO d tha Lebor COM, la tM pMurtwca d Na �.ak la Wich pus pymo b Wwd. � inew.�dw�m.�wk«a•oomo.ro�o�,�.,r.ro..,�.mA.aMswmmoam.�.e«eod..ro�in.w�«�o.am. work la wt�iN Nb M�ro u u�wd. W wvbn' com ion'vw�enc� mrir W D�Y mrnber m�: c.M..: S'�ATE FUND EXPIRES Pd"ry Numbar: 0 1� Q 1� 9% .dauaionnrJmfhcanp'sraCllMprmlulawrohurMnCCtlWn oJlaNn.l � I mnly IMI In IM psrlomuMa d tM woel� �p xfikh �Ab pmul' bs , I MWI em ury penon In ury mannx w u to Esmrtro �uEjaq m iM wetrt mmDrmubn Is�n d tl I, bcmro pmjen m tM wabn' compensaym � q%al $wfim �1C0 d iM lebor GoEs. I M' ' Yma povu'vu. od.: 6 � 0 �oW'wa: o7FRT W�mMp: F�Cun N ucun roilrwi ronpru�tlan cevwp� Is un/awN( �ntlWll �WJ�ct �n wrployw fo clhNnl P��tlu �M elHl nnu tp ro om n,nerW Moua�n0 dol/�M1 (tIP0,PP0A N�Ilbn ro M� rosl el rompwu�tbn ��pu /� prov/CW ror In 9�ctlon �106 0l fM LMorCOW, InfrWL ��d�ttumry's l�u. CONSTHUCTION 1EN01N0 ROENCY: I �rWy Mum wdx priely d pr'�vy INI �Mn u a oaunuaion MMirp peMry M Rr �no�� a in. w«x ra .mKn mo c«�� A eww �s.aa, �oer. c�.. q. LENDER'S NAYE LENDER'S �DOflE54: 1 cenih �� I M1ava reeE �hia appfce�ion erd pa�s IAei Ne ebwa intormetion b oortap. I ep�ea lo oomply xi�h aA ary mW muny adinanw eM �We lawa nW �q ro buJdN cantruCiOn enl MreEY e�Marsa nPe+��atiwe d Ihu tilY b eMd u0� IM eEwa-menlianed pWaM io.��.oaa�v��v��. BERT NESI P Nane � �. o�. d z� �n d �,.,.„,��ma (5t51.48.WP) NTne-BuiNip 8 StleiY:areemFle:CenW-�ppirinl: Hnk-Rmnue:(3olEenrod-A¢aevor CITY OF COSTA MESA — SIGN PERMIT PERM NO: SB 078263 PERMIT NO: SH 078263 PLAN CHECK NO: 02500-96 S GOVT: N SOPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR SIG PURPOSE: OTEi JOB DESCRIPTION ; 24FT HIGH ILLUM MON, 9 ILLUM ON PUMP SIG SQ FT; CLAIM VALUE: 8,000.00 CALC—VALUE: 8,000.00 GROUP OCC: B / *�******i��*******x ��***x�*�*�4�r*�r**+Wt�r******��***D****�*+�***�B **��***�*��x�x �*+�x��e S I G N I N F O R M A T I O N DISTRICT: 1 TYPE; 1 F.S.; 9 PUMP• 2 CANOPY ILLUMINATION; INT CATEGORY: NEW DIMENSIONS: 4FT 04IN X lOFT OGIN AREA: 180.00SQFT LETTER HT: 30" STAEET FRONTAGE 1: 135,00 STREET 1: W 19TH ST STREET FRONTAGE 2: 109.00 STREET 2: PLACENTIA AV PARCEL: 42227217 ZONE; C1 LOCATION > FRONT: X REAR: BUSINESS NAME; MOBIL OIL > LEFT: RIGHT: O T H E R T O T A L S G A O U N D S I G N THIS ACTIVITY . 180.00SQFT OVERALL HEIGHT: OFT OIN TAIS SITE . 192,OOSQFT , GROUND CLEAAANCE: OFT : OIN ITEMS OF INFO 1 . PLANTER AREA: O.00S(]FT ITEMS FOR ACTIVITY: 1 BLDG SET HACK: 20FT COPY VERHIAGE : MOBIL ON ALL SIGNS;' PEGASUS LOGO ON PUMP SIGNS; MOHIL ON CANOPY SIGNS (FREE STANDING SIGN IS PRICING SIGN) PLANNING NOTES: SEE PLANS FOR IND. SIGN S.F.+ TOTALS. 1E iE 1E iF iF iE 41E 1F 1! 1E iE iE IE 1f ff i! 1(' if iE i! 1f 1k 1E 1E 1E if ik 1E iF 1E 1E 4 iF 1! iE 1k 1E iF iF iF k ff k iF 1E 1F if if 1f k fE iF i!!F fF iE k 1E 1E 1f k iE 1E 1E 1F k 1E 1k iE 1F 7E iF 1E 1f iE IE iF 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 HY C�.P DATE: �0 a.0 -G BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: 6��L 1t1E1l1E1k1k1kiliflilkiflElkikiEiE1l1t1F1k1E 1fiFM1ElE1l1k1Ek1! 1E1! LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/RES GRADING PERMIT 137.25 SMIP/NON—RES PLAN 89.21 1.68 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID pUE TOTALS----> 138.93 0.00 89.21 228.14 228.14 ,00 REVENUE DZVISION TOTALS--> COLLECTED: 228.14 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN—CHECK 137.25 1.68 89,21 iE IE IE 1F if iE 1f if 1(' 1E 1E If 1f 1E 1f if 1E 1k 1E iE if IE if 1E if 1f iE 1E 1E iE 1E 1E ik ik IE 1E IE M 1E ik 1E iE iE 1k 7E 1f� ik 1E 1E 1f 1E 1E 1f �F 1k if� 1E 1E 1f i! 1E 1E iE i! iF 1E 1E if 1f iE iE 1E 141E IE iF if 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 QTY D E S C R I P T I O N UNIT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT -�_ - _-; - -.- _.:. CONSTRUCTION AND PLANNING POO ;PA APPROVALS Permit �k Date Inspector pppROVALS Permit # Date inspector 1. 7emporary Electrical Service or Pole 52. Pool & Equipmenc Locacion - 2, Soil Pipe�Undrgrnd. ,' � 53. Steel Reinforcement ' �3.��E7ectricaCCo�un Urility�Undrgrnd. 54. Forms �� O �.. . �.4i �Jettrita(�r�uiCJ hdrgmd. . 55. Electrical Bonding � :$teel ReinfgI6erii�t 56. Raugh Plumbing & Pressure Test �. "F�'!�fe�tricalw�i'1��f,�i(nd. 57. APPflOVAL TO COVER�GUNITE ` ~ y i 7.` Footings�nr � r. 58. Eloctrical Concluii•Undrgrnd. - $;��oundationT �*" J �+ 59. Gas Pipe, O Urttlriqmd., Test 9. Water Pipe•Und�,q d. :� 60. Backwash Line$, �Trap, O U�drgrnd. 10. Struccurol Floor Svstem � 67. APPROVAL 7FF,DECK - .• 11, Property Sewer Ling.& HousE�Connection 62. Backwash & Reca,ptor-F:nil 12. Sewer Cap ` �-� ' 63. Heater & Vent-Fi�al 13. Foof Dreins �, ' 64. Plumbing SYstem • Final 14. Rough Plum6ing � 65. ElectricabFinal 15. Rough Elgc[ricdl=Caryduit � 66. Solar SYstem�F:;�a,j �< i6. FoughElectric��Q!iri�r ''.' . � . 6�. Fencing & Acc04s Approval' � -, 77. Rough Wiring Sign •- '' 66. APPROVED F(Z�PLASTERING 18. Rough Elecirical.T Bar Ceiling 69. POOL/SPA SYS-FEM14S FINAL 19. Rough Heating & Air Condrtionin� F1RE.DEP R.E UIq EMENT h . i X C� nl �: � .- �-, i. x �: �o. x �_,,, � '3 x I'� H.-�FF�^�= _....C�t� . 1 �;*� h' .�.'�1 R: 1' 20.,FiouqhFacto�yF`PQlace,,r_,r�x•_, ;.y rr,;r� ^�. �1PPF3�.�KyL$G �er,rsiit�k k - _ �. , 21. flucts, in'Striistur�:� �"'��T�r;-1 � � ..+ .:� FjO.�ic�.ergroLnd HY�a j Y ,� C: r. � m . _ .` _ i .' �. ,, i, 22.OuctS;V�ntil�,cingL, --.�„ r, �� i n�� c, ry1.FProductPipingtfiiCias Oil < 23. �Gas Pipa•Ro�fyh & Test '� �C � � �� - . �, " 'T• � ]2.�kJl+d�rground FIuMh, ^;�`- ` - 24. �oof Framin ' `�7'.� � .�..:� � �- - � ' .,: ~ j T73.�llud'o`"� 9' -,. „ .� �i 9 , s E� � : r. x+ -�� rgrnd.Stora eTank.C3Gas DOiI 25. Roo�6hea'thing •• �=.��r•�.- _ r 74.�erhtadHy[iro -�_ ' � � .. . F ^ rD '" ' k ' • ' r ti 26. 3•8�7;Ceiling (StrGtyirall'�&'1Q�ano,ca5t � gC: �� ., 75.'�W C�elnical c�-» * 27. �Frame and Flashin u _ � - -' �"' c ` �: � " -: - 9. _ �•� � �16.�'�.Y StandpiPe r ; 28. Wthing �i'Sitl3ng'� ` •S-'- . - _ _ - -� � � �' �'" � -_ r, gF r� ..G -.�..., _ �j, r. �i 7�7. ��)X6qSYSTEtv18LVA1.iC� *� C � 29. InsulatioM � --� '�t • � J • • =v ' : �8. F RE ,REV. FINAL _ r ' r �' :.'�r'O'�": � `��'�� L� ' �" �' HEALT.V F]EPTrREQIffSEMENT, 30. Drywall Qiailid9 ��, G ��. c �_ : o � 31. Plaster Brewn Coat'« DF C�' � a' 7�. Fj�iJ711 INSPECT[Q�V � �, s � ; 32. �IectricaCPow¢r Mtt*`er�Fin�f � ` r� r N � Sp. F'�UO�ERTIFICATE 1 UED a•, . ✓ \ �r 3 � - . `�. 33..�'inalcElectric7 �* �_� S d' � ` T � - Notei�' �`� ` ='�" *'� '-�' +- �� ; 34. �+nafilieq��^4'$� F� Co`ndi�oning"-• - ,�;. : � k: ? `- � "' � � - � q r ^'r ': c. � r��.. c-.^, . t*' ." ,i, .. _. ' - - 35. �nal Gas PipeTe� : _ [*' � G � � r '-� � '+' " �:+, -'„' + c" I � 'n '�r 36. yood or CanoPY • _ " . .. .,� ` .; n , £ i' . "-� ' - r '7R Q: .NNR' j�,+' � � [+: �-' x Ti - '' . . ,.� . .. � - . ' .. . � 37. F.ina6Fattory Firepfeca:�- : a7 _ n7 � �� a� � � i ! R • ' _ -,-• r � �k c� � 38. Fjna(yPlumbi49 -Si. � - �iT�F�-.�, r: '�a'+ i.� ' � �� F, _,C :r r _ . ' i �39. 1NaterSewice-Final , ::-��:. - .* == u�'',� �_ � i � . r • �. w � � � 1 � U i' R � 40. Gas �ervice-Fenal � ! s ~' ' ` � - - -� - '`� � * C'' `"" ; a i ' y. •-i � Ci3 ,,, �.�- : r �� F. . c 2 . ' 41. Solar porhestic�Fina�: S` �yq� _) - T ^'!"'�"y e `� I ! �« . -- c' r ; C :r . ..... r �- 42. 88tkflow_Pre�entgr �X �TS ,,,�•.� iL"'�, ,� .ti � 'Y r ��r r �� - r 43.B8ckfiow`�irrigationx _`�-,�:��.., �°'-'^ �-('� ttz' �2'` - � � � 1 �-. * Z ( �1. �.andscaPe irr'i�atic7r�SVste�t Ca:r � .. •.1�,- A tT. '_"� - ::'j� � T � � `�x y S �- '�5. Sound Aitenu0ti�a E�-a `'S� � �*1 r. "�-^ b' �`.J• FrJ •� .r � _+r r +56. FtandicaP'RegulatSons _. •. ^ . - - •� p• -. . .. . ° . � `� �. qa S k �- � - n� t . ��6�� G�n � i47. FiNA'LSTRI�CTUR�&8QILDING ` � �-(�'i � ;. �� " -� - z-�-- � . 48. FINALPIANNINGx " � . ' Ft'' "�~ �' ,- .i s S r. i i��. �7G� i0 � 4�. E�ea'rje Relea'se to Edisoi�' , . �x :: �z �'" * s '50. G'as Release to Southem California Gas Co '� � 'x F� r C; -:� • • ' Y t • l�_f 51. CEfi71FICATE OF OCCUPANCY ` "" " No Date � � �I �p��%�� 790 W 19TH ST OYMEABN.WEIFpltllttl: WINALL OIL �oo�ss 1338 E 29TH ST � 310N427H884`7 CA i1PPL. M/JWlO d00PE55: �qCNRECTONFNfd1FFA: uxr: CITY OF COSTA MESA — SIGN PERMIT PERM NO: SB 078265 PERMIT NO: SB 078265 PLAN CHECK NO: 02502-96 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR SIG PURPOSE: OTH ue.r�o: JOB DESCRIPTION : ADD NONILLUMINATED PRICING SIGN TO POLE SQ FT: UNT: arrrn�cToxswu¢ R.C. LIGHTING CORP. (714)992-1421 cam.croxs�uia+o 170 N GEMINI AV .00nEsx BREA CA ucno, 631011 4262I uMr: A-4 LICENSEO COHTP4CTON5 OECL�fl�TON: 1 hsaEy Nim uMer peWY d per�W Nm I em IlcroseE undx pra`rim� d Cheqa B (oommuiavq wtlh Section ]000) d DNuon � d Ns Bumru ud Pmladwu Cods. end my fren�e u in IW Mce md aMatl. cmuc.no.:056177 ��.cuss: C-45 �� 6310 1, ov,: 6-z o- y 6 �,� ��l.C. OWNEP BIIILOEN DECLAPATION: I Iwgyy a/fiem �vdr pwWy d per'ryry �het 1 un exenq ham �M Ca4rrfon lioenee Lew la tM �Mbw+q iaawn (5eaion )W t.5 Bueneas md Fdaeeom Coda: Am W a oduuY whiN nV�a a aemu to aombud. Ma.'vnMaro. nols�, a rapei eny eVuciure, qbr b ba esuem:e, ebo mpwrm tM epd�� la wch pemtit to fJe e epirod awamenl Net M or eM ,��,�..e w�� o ms wo�� a u„ cam�m«. u�.a �. Icnaq« s l�«ere wan seaoo �000l d or.m�, a a m. .uaima eM RWaubn Codel a Ilu� M a tia u uemq_�herdmm en0 tM M+e la the e0e0ed axe�Mion. My voW un d Saqion )W 1.5 by enY eOW�^� la a pmmd wbjeiia the epplcuq b e ovJ paaliy d m� mas Ilun fve AunNeA Aopen �5500�. � I.00wroed�MpopmtYamY°'^Nq^eswthrapaanthretlamm0�. Ydotlrwwk.eMlMs4umuannalmleiMed a divad M eeN (Sectvi ]ou. B�s�msentl PmleaaoruCOM: Tlr GaureCaa liunva lewEoea na eVW to en owrar d pweM who buida «inqwm �limson. md Mn doe� �urh wark F"anatl a henM ar WuM ho n her oxn emWv/aa. pa'� thet wch imR��mW sa nu ineqed a tlh'eC la uM. tl.lcwws. �M ddGM a inpowmM o wld xitkn ane ywr d oom0�ion. iM ownar-WiNer wiY hara iAe Widen d pvrinp M a Ne did nol Wdd a impws la Ne qryma q eWI. � I. m o�.ner d �M pWMY. em uW9rvdy mntrotl^0 wuh 4camd cani�ecbn ro oonem�d Ma 0� (Satlun )d4. Bueinma arM PMeriona Code: The Canireaaa (ieeve Lew Eaw m� epply ro an ownu M peopeny who WiHs or impewee thereon eM w1w eommeu M wd� v�4�� wdn e mnraawle) Ikeivae v�uem io �he C«uemon Lieenee Ler�. � I am ezemp �Mer Sociion: B. 8 P.C.. br Nb isam: DNa: � i ao ne�eev �M mn i.m..,..e d w w..w�a ms naan�n.m a c.um:. w.m� m,e smay cod. swo�, zssos. zss.n..�d 25SN. ud Net I a e�H Min biddv9 ^N4+�d wi0l wa iw (vcb ar) iwE ro camM' wl� vid mt� mEw eM ths ipwmns�b br eprmulamuirutlionamoEJrNianhwp�ry�A'r�y enpanwn0iariq.ReeMeeaielmM�uCioneypiratiauuaaxemqiromiheee proviviom. Dete: Apqiem: woaKen•s corvas�nar� oeeunAnon: i nwW .rc.m wd. w�.nr a� a» a m. koowvq ew�m�+: ew � IM1meMwilmevnenecendcmedmnru�outlimualvxwkan'wnWwunion.npwidedlab�baaian��OdtMleEn Gode. la �M prinmuu d tlr rqk I> Mirli Nu pamC u mued. ❑ � nne e�w W me:a.i�.awas' mmo�un umueio. n �.mm.d br s.atn aroo d u» tsEa. coea. ror �ns w� d �n. wqk Iar wh'rA N'u Va^d b mued. My wnken' Omi on'vuuraM� urt4r aM Dd4Y munber va: c.m«: S'lATE FUND EXPIRES Pdicy Number: — 0 1� Q 1� 9% „nia esnion iweE nW h comdMeC f tM pmmX u Ia aro hundmd ddlen �SI W� a bn./ � I ronN � in Ns pMmnerica c1 �M work la uhch ihb perma e�u�E. I WY nd ampby ury panon in ury manmr w d+to nacane w4a io in. wakmY opnpenemion le.. a cafa .o�.. w� .nww n.can. wni.a m �n. .�onf«.� can0��ian pweiom tl Sedan n00 d ilr ISEw Code. �Jra 1� � py p�mmu. od.: 6-2 0— 5 6 �,w�: \I ( wi.�_ W�mInC:F�Uwroucw+wortw�i �o„n.,�..aoo w.�.w�.w�r..w..�dnw�.�e1M.�«ro�or«ro�nm�,.�w�+�a...�e Nvll Nr. �p ro an. ninaiM tlauurq aW1�n ftIP4PWA ��n ro M. cwr or eomW�tbn ��Yu .� P'dvMW ror ln I 9xHon 9l(I6 0l M� LeUor COM, Intw+at, �iW �rtomry'� I�rs. CONSTFUCTION LENUINO AOENCY: � Iwaby �em under penetly d per'�vy IM1tl IMn b e mweuifion bMmp eparu.y br Ns �no��m or m..w� ro� wn� me vmmi o m,�.e �s.ao�, �om. c:.. c�. LENOEH'S NUAE: �OlOEfl'9 AOONE53: I cMih tlai I hew ned Nu eGds� eM tltle �het Ne ebwa idametion u mrtw. l ePw W comply wuh e0 my eM muM' ad'vwm� vd �te1G lewa �BIe�M b WJd�q C011�truqnn BM IwaEY GNhp¢O �epeM�ielnM d �M a�Y b emv uG� IM ObO:B-Tlnlamad p�OpBlly �°`��"D'�"�p1D�"" ROBERT CARNESI � Pum Nema � o�.: 6-2o—ys �I SqmWn tl Owy/ApenVRpplrenUCaLLrma I(St51�8.WV) Whue-B�id�qdSabY�CnorFFJe:G�arF-�OV��:Fnk-Hmave:GakavoaNsua CLAIM VALUE: 200.00 CALC—VALUE: 200.00 GROUP OCC: B / COMMENTS: "MOBIL OIL" PRICING SIGN ADDED TO EXISTING POLE ftx��r�r�r�rx�x��*�iEit*+titx *�iE�rie�x+r+tetx��r�rit*x�ie*it*�r��r��*ititx it**x *ieititit*+�*�r*�ririt��r�r+�it�ie**+��r*x�*�r+� S I G N I N F O R M A T I O N DISTRICT: 1 TYPE: 21 SQ FT F.S. SIGN ILLUMINATION: NON CATEGORY: NEW DIMENSIONS: 3FT 08IN X SFT lOIN AAEA: 21.00SQFT LETTER HT: 10" STREET FRONTAGE 1: 135.00 STREET 1: W 19TH ST STREET FRONTAGE 2: 109.00 STREET 2: PLACENTIA AV PARCEL: 42227217 ZONE: C1 LOCATION > FRONT: REAR: BUSINESS NAME: MOBIL > LEFT: X RIGHT: O T H E R T O T A L S G R O U N D S Z G N THIS ACTIVITY . 21.00SQFT , OVERALL HEIGHT: OFT OIN THIS SITE . 214.00SSaFT _ GROUND CLEARANCE: OFT- OIN ITEMS OF INFO 1 PLANTER AAEA; O.00SQFT ITEMS FOR ACTIVITYc 1 BLDG SET BACK: 20FT COPY VERBIAGE : NON—ILLUMINATED ALUMINUM FACE PRICING SIGN (SELF—SERVE + 3 GRADES OF GASOLINE) ATTACHED TO EX. LIGHT STANDARD.� PLANNING NOTES: 1 FS SIGN/ST FRONT� DONT COUNT 150' SEP. '_ . ��r**�rx *x *�r+r+r��***�r*��r�rx��r�+r�*x�*�x�x ****�rx ***�+r�r+�*+��r�x�x�+r*x��r*�r+r*�rx�+r�r**��r�rx�*+�*x� D E V E L O P M E N T S E,R V I C E S R E Q U I R E M E N T S ZONING APPAOVED BY CP DATE; i3O 2� �.1. BUILDING APPROVED BY : APPLICATION ISSUED BY: il' il' K i(' 1E'K' 1! ih ik i8 ik iF 1E 1E iE iF M il' 1%1k iE if LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMHING ELECTRZC MECHANIC PERMIT 21.00 PLAN 13.65 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 21.50 0.00 13.65 REVENUE DIVISION TOTALS--> COLLECTED; BLDG PMT PLUMBING ELECTRIC MECHANIC 21.00 DATE: DATE: p 'IF'iFiF7EiE1f1F1kif1k1f�1Flf� �' Li 'If'1f STRUCTURAL SEGMENT:Y SIGN SMIP/AES GRADING SMIP/NON—RES .50 TOTAL PAID DUE 35.15 35.15 .00 35,15 OVER/SHORT: 00 SIGN SMIP/TOT GRADING PLAN—CHECK .50 13.65 �*+t�t*x�*�r�rat��*+t�ritit�rx *itiEiE***�it��tx�ir*�r*itit�ritit+��f�r*�rit�+ritrt*x�**ir*ir*��r�r�r�it��r*itie*it�r�rx�it�x x 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 NO FEES WERE SELECTED FOR THIS PERMIT ,�� .. - i"' � 1 :1 _" ' ' Uh'. V�'�,. - -....n ._ ., GONSTRUCTION AND PLANNING �O SPA APPROVALS Permit# Date Inspector APPROVALS Permii# Date Inspector 1, Temporary Electrical $ervice or Pole , 52. Pool & Ey�ipment Location _ 2. Soi� Pipe•Undrgrnd. �_ 53. Steel Reinforcement ' �3.��fectrical Conduit U^•ilityUndsgmd. 54. Forms • , � � "a4i �iectrical Conduit•i�rtdrgrnd. 55. Electrical 8onding � '' . � 5. teel fleinforcement 56. Fiough PWmbing & Pretwre Test '��6,.�,�Igptrical UFEFi�(7`,rnd. 57. APPROVAL TO COVER•GUNITE ' +Foytings _�.:� '� �7 ` � 58. Elecvical Conc{�`wl-Undrgmd. 1' • B-Foundation '' - 59. Gas Pipe, O Uridr�qrnd., Test J 9. Water Pipe�Und� 'c -" �$�• �-_- , 60. Backwash Linesi P-Trap, O Urtdrgrnd. 70. Structural Ploor System � - 67. APPROVAL TQFIECK _ 11. Property Sewer Line & House��onnection 62. Backwash & Recegtor-Final� 12. Sewer Cap 63. Heater & Vent-Firlal ' ' 13. floof Drains 64. Plumbing System - Final 14. Rough Plumbing. , 65. Electrical�Final � 15. Rough E�ectrical-Con�duit 66. Solar SYstem�Fina,,! '. 16. Rough Electric 4yirir�,y 67. Fencing & AccessApproval 17. Rough Wiring S'ryn �� 68. APPROVED F��ASTERING 18. Rough ElectricaLT Bar Ceiling 69. POOLtSPA SY§T.EMS FINA� 19. Rough Heatin� & Air Conditioning _ _ � _ FIRE pEP�,. R�QUIREMENTt E 20. �lough Factor - Ficeqlace,` '"^ �`� : �F'` � ' C' P (�V�LS`� P ruit� ,`' ' d: -�.-r. -.�.r•.•- .x s � �., j> ;�..{� 21. 9ucts�, in:Strtlitura'� � M S�*:�.t _ - - :7 '� _ �0. �l�d'cygrolind H`ydrot z " r - rr. l i .-. � 22.Quctt.V�ntiltin : _ ••n;;-.C'�-�:C.�,± a - � �_ " �-•�-. > � 9'�. - •: ,T .v Fm - �r , r p q ;71. �,Proc�pct PiPing'�4j,"�,as C�' il * 23. Gas Ripe�Fioug� & T¢st : _=� � a n. c �2, yi�rground Flu�l' `��-�' �' � 24. �oof �Fr�rhing'� ; r. ,_, s F `_ T,. ^ m�,., �. ', : �' ��3. .Uc1dE'r�nd. Storag'� Tanle �,Ges �! Oil 25. RoofShe,,athing -.�+� - Yr=� �� ux �� C 74. �Oaerhe5tl4iYtlro " * 26. T.•8Ar Ceiling (Structurall"$�"M17.�ohOcae{- �;�� r r � '�J5. �SY CfYes,�rcatp .- i..,� ,- 27. �Framean�i Flashing -= S'�'' ='a �r T '�6. �Hry Scandpipe a� �-d �' 28. LathingBiSidl�ng _` 1'�'"�-- � L�""-`� •'� z- ••� T�. 'f�XEdSYSTEN�F�(VALiS r. C 29, InsulatiorL �• �r 1�, � • �•-+ '� �c G�� ✓,� � 7�, FdRER„�}iEV. FINAL � �`� �` = ' . ., , 30. Drywall Piailing ' ^ � c '' " '�"� " c � �` �'' HEALTFf DEPT.`REoIlYREMENT�" Se .rr� G SI" • F � �� S �� V t N 31. Plaster 8�5iwrlCoat�: '�'r ',+ t-C rr ( 7�q, FI?JtkL INSPECTIDiV �s: x _ ,. •- • 32. tlectrica[povier Mt�t�rF' a7 `�" `��, ':� �' I 80. P�;0�3'�CERTIFICATE ISrSrUED ', _ � .�' 33. Fina4,�leciric�,• e � " :-' y �� '•/E�� Notes.s '� '� '%� . ; ��. - GG7 - 3A, FinaLliea`ling� Ajr Co�ditioning _+ .=T _ � �"; �' = i'� � - ^ .x V r-�... r ti � i • ;t..- �� F • . [.. ' 35. EinaTrt"ias Pip2 :Tes� y „�; " � �; r ..1 1 �r - � .^� C- .. - 36. Hood�orCanoPY F i ' ^`^ v �� i ' �> Lz � �'� " - r. � � - :r. r•'G .: r• ^� �'� T. . � r�i� ,� . , � � �<.. • "37. Pinal.Faq'{ory Fireplace; - �r�s � * � � � _ -38. Fanal'�f'lufiibing •• • ._ ^�,;}. _ �ci r. 1 �{�r � _ `t -�h� :J C� 1# M �+-Y 4 �39. �Nater Selyice-F,inax` •�2' '_ '�.:- �C.y�� _ � � , I� > { ' ' , '- %'^ .� ' r- _40.GtasService-Fiaal.' :`^�� -�`"y`'.�'-�'^• - , :� �-"' ��. .:,s � i t : t� F • - 41. S`olar po�nestic�Finaf- "`; -' �'F' �� -�' � ' � ''` - - _ � ,_ �„ � _ �. � � �' 42. Beckflo�rBreventev"r ' �--" �: �-'�- * I � � � ' ' �' " .. a�r -- a_ r S ir,-„� a. ;., 43. Backflow IrrigTation ` "�"' ^ r S . "_ �� ' ^ ur .:r� �C7��y %7. xN '^ 49. LandscaR8lrttgatiorB�Systeai �'N�• • •• ••a�C� x r•: J _� `_'r :'N �t ��: * � r^ v t'ti r. � C iF 2' .. . , . m, _ '-, " C T H r: r � � r+ . � . .� � 45. SOund Pt[tenpatiOn` r,^ =.,� ,,np+S �r; r. p-�� Fc' :r. �. F•r; - 7�. �landicap•Regulations - .. ..' ` �T •-� "d' * � a S�' `-� ' ='i = ' ^ :.,rt_- k' • - : �� r Q7, RNAI.STRI}�TUR�&�{J]LD1NG ^ u Mr X^ � � '; ��` °� � y . - � � � y' �'v « = N: _ .. d8. FINALPLANNING+' �-' �/ y' �'•� � ° m �` : "� " � I G: r,. � n: * �' 4g, E�ecfiic Releafe to Edisog' ' � � � �:;r• .�,�-• . � .� 50. Gas qeleaseto South'ern CalitomiaGasCo 4 �!� F'�� -' ='�'"• ' � Y I ... J 1'�1 5J. CERT.IPICATE OF OCCUPANCY � • • '� •- ' ' ' " No Dace � � � iuoawavew�axo: � 9 0 W 1 9 TH S T owxeaswweiraarm: WINALL OIL �o��+ 1338 E 29TH ST SIGNAL HILL CA 310-427-884`1 �. Yuima �ooxEss: uNT: CITY OF COSTA MESA - HUILDING PERMIT ERM NO: E 078264 PERMIT NO: E 078264 PLAN CHECK NO: N GOVT:� N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH �xcxR[cronurm'�+: THOMAS GARNESI ��= C20908 �xexoxu+n•c�oo�ss: 604 N GOLDEN AV uNr: FULLERTON CA 92632 conm�cTarenu�: R.C, LIGHTING CORP. (714)992-1421 tOMH1CTOR8Y41M0 170 N GEMINI AV �ooness: BREA CA ucxo: 631011 92621 urn: A-4 110EN4ED COMPRCTOR9 UECLAR�TION: I Mnby dfrm ud�r pmWy d pmyvy tlut I em fcwuM ivMrt pwubm d Cheqx G (wmm+rrin0 w4� 6action 1000) N OWbion 9 d Ne &mrov entl P�daainu Code. eM mY Goeme b in htll lau uM M1w. crtruc.No.:056177 uc.cuss: C_45 uc./No�.: 6I3'10/]�� EXP: 00/00 Dalc � ��(1 ••5� Cowmm 11 ( ✓� \ " OW NEfl BUILDER OECLAflRTION: I hs�sby etNm undar pmuly al perjury that I em swnq tmm tM Corarrfon lloems lew lar IM � bwip nemn (�b^ ��t.5 &niims end Prdxaia�m Code: Nry ciy a caunry wAiN �epuim a pe'mil to mmVuct. Mer. improw. nd'uh, m rapai vry avurturs. p'v ro i+ eaerce. eho reG� �M epplimN fa vuch pertnu Io fib e eqmd sW srtronl ihet he a eM liceneed W��t lo �M pa'aioru d IM Ca4Mon Licanas lew �Chaqm B(cammsnd�p wilh Sadion ]000) d Orveion � d Ihs Budrba erM Prdovim+ COEeI a tIW M u Ne e memq Iharehom eed the bam lor tM atlepW uamqion. My vidmion d Seaion �asi s M e�v evW�rani 1«. c.�mu �uNa+ �na roWkani io e i� neneny a na mae men rrve nu�rea edkn 135ooU. � I.moxinrd�MP�We�YamV�DbMe�xl�wW�ntMiwbmm0e��.wiAEONaviak.udNeNructune�wlmleMeC «Mered ta ede (Senbn )OM. Buvmaa ud PrdeasionsCada: The Cwrtrepas Limnae lew does not eCdYto an ox+w d VbGeM wla Wide « inO�+IM1e�wn. eM Ma doef euM wk Hmaelt a Mne� a WouBh Ac a hx orm amG�W�. G�'b� Ihd wc� imprtrvemenu ere nol'uNendeC a dlsad lor ub. X. Iawever. iM Euildiep a'vnpwmmeN u aold wnhin ma yeer d oompblbn, lhe owror-0uikm xi111wa iM WNen d pewing he a dr did roi budd a impos la tM pivpae d Wel. � I. m ormer d iM o�wab. am utlua+W mMroC�q xvn iwmW rnWactaa Io mnarua the p9b (Saaion'lDa1. &n'um. enE Proleuiana CaEo: Tne Conteenon lieenae lew tloea M eppy b an owror d propeny wlw Witle a impovm tlrorean enE Mw controcu /a v�tl� prq«aa r.uh a mmrnuor(e) IcmaeA punuw to the Cammns L"vne lew). � I am eaemp uMw Secuan: B. 8 P.C., la Nu �waon: Dma: �: I Co hereq' cMIN Wt I em evere d end ivtlenieM Ns �N��avn d GWvrca Ilsetlh and SelelY Cotla SWian 25505.255J�. vd 255�a. vM tlw I a erry Mue dikinp omipent wN / W nu (�b ane) � to canply rYh wtl uma mM� eM iM nQuinmmb la a pvme tammwction a moN1'retiontran �M A'raiv�y .�mepa�wa pinriC. ReddstlilmM�utlion appf�etiom en aiemp trom ihre pariepne. om.: �ow�: W ONKER'S COYVEN9ATIq1 OK Wi�T10N: I lwaby elfum �adar pr�eqy d paµ�y ons d Ne bGoMiq dadsrdvn: � IMvsaMr.Yme'vuei�ewrW'medmnwx�ovatln++mbwarkw+'wmpe�mbn.opwiEedlaq5wia�9]OOdiMleEw coa. m. in. va+a,�w�c. d m. ww id w:cn me o.�+�a u w�.d. ❑ � Mw eM wl� mmeuen wvVan' ovnw�un iimrenoe. m nawr.E M s.a"v� aroo d �n. lenu. eoea. ror �ns w�«menee a �ns w��«.n�wma,.�em�.e.Mr�S1�ATE e0'ND enewkr�,n«a.: EXPIRES c.m«: rw�. N�mn« - O 1/ O 1/ 9 7 (ik...a;an �.ea na e. cwnd.ew � w o«m. a m+o�e l�,r�4ea am.� Is�ool d Iss.J � 1 oerl% Ow in Ns pMormence N tM wpk In Mfiitli i1Jw permu e�aE. I Nel rc� ampb� erry prson in ury marNr w m to Exmis �ubjw io iM xvM1SY oompa'uelion br.+ d ep�as I qwp beconw abjeq lo iM woM1an' mnpeneetbn pwisionaGd Seqbn ]]W d iM lebar CoCe. 1 t h IMw piv+i�ion. Dma: ��4— ` � MPiiueu: �A/V-� W�minp: F�Nun ro��cun wor,t�ri romo�nutlon rov�� li w4rN( urtl �IWIW!/�cf �n w�nplqw ro cNMnl P�Wu �M dvll nrMs w ro om n1nerW rhouuM aall�n lit04000A m Ntl/tlon ro M. cw� or romp.nutlon 7+nxP� o provldW ror In Sxtlon 9)P6 0l M� L�bor COA, Inhnst ��d �rtom�Y� /M+ CONSTRUCTION LENDINO A�ENCY: I Araby eff�m uMer peneXy d per"ryry ��m �hma o e aawrWion MMiiq eparcy In tM ponom�enm d m. xwk fa wnich me o�� u:sued (seeo� ]06). cia. cl. LENDEN'S NUI E LENOEF'S 10DRE99: I cMiy Ihel I M1en mW Nu epplicqon uk qats Il�ei tM ebws inimretion o wnsq.l eprea ta cpnply wuh all c1Y uM couMY oNineMee eM stma lewe Mm)q io EUJdiq caatrueion eM heretr/ eWMres �peae�umiws d iM NY b anr w� �M ebova.meniuned powM i«mswab�w�w+e. ROBERT CARNESI PnM Nems o�, �—�—ti6 sq�mw. a w,wino.wnc�ume« JOB DESCRIPTZON : 24FT AIGH ILLUM MON, 9 ILLUM ON PUMP SIG SQ FT: CLAIM VALUE: CALC-VALUE; GROUP OCC: B / COMMENTS: AEPL ILLUM SIGN 2 NEW ILLUM LEGEND SIGNS "MOBIL OIL" JFSB78263 *x�*�rx ****��r*x��*x�*�x�+r*+r�r*x�k�w��e�rw*x ****x *�*x��r*x��**+r�*k�*�rx�+rx�x x *x �*x�kx�**x��rx x x *x x��rx� 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 --------- ERNT: 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: 42227217 ZNE: REF NO: PLANNING NCSTES> � �� `/ 1E 1E if' 7F 1E 1E 1! iE 1E 1f' 7! iE iE iF iE'lf if iE'lE iE iE k iE 1k 1k 1E iE iE ik 1F if iE IE iE 1f il� 1E IE It 1f if iE 1f iE 1E� 14'1E 1f if 1F if iF 1F 1E iE fE iE 1E'1@ 1f ib!! iE 1E iE if 1E 1k Ik 1f If 1E �F 1E iE iE if 1E iP D E V E L O P M E N T S E�A•V I C E S R E Q U I R E M E N T S ih,. ZONING APPROVED BY '� DATE: BUILDING APPROVED BY : . __ _ DATE: APPLICATION ISSUED BY: �� M iE 1E if if if Ih if if 1E IF if k iF if if 1E if M 1E if M LL"�3ALI8ATIbNtN F E E 5 U M M A R Y PERMIT ��t'. Y'R�1�' Y'�,�f��R�; ��'�50� �1�'�AR�f�C' PLAN ZSSUE FEE 22.00 HUILDING-DIV-> PEAMIT ISSUE PLAN-CHECK TOTALS----> 110.00 22.00 0,00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMHING ELECTRIC MECHANIC 132.00 T 1i� DATE: �O io �L(. MiflEiEiFififiE IEif STRUCTURAL SEGMENT:N �3�AIP/R&S GRADING SMIP/NON-RES TOTAL PAID DUE 132.00 132.00 ,00 132.00 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN-CHECK 1t fE iE 1E ik 1E 1k iF 1E 1E Ik iE k iE 1f iF iF iE iE 1f iF if if if 16 iF 7E if 1f iF Ik 1f 1k iF 1F 1E It 1E M iE 1E 1E 1i 1f 1E 1f iF 1E iE 1k iF iE 1F 1E iE k ik 1f� iF 1f 1f 1f iE ik 1t IE i! M ik 1k ik iE ik 4 M iE It 1E if I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 5 SIGN/ OUTLINE LIGHT SYS ON 1 HR CIRC 22.00 110.00 END OF FEES " '_ i : - - - - ��•'t� "` =? - 'I : 1', . ':.� i (5151<B.WP) WMs-Bui1dn08Sele�y:Oree'rFb:GenW-ACG��:Pink-Rewnue:Gddenm�Ase�r ' CONSTRUCTION 0.ND PLANNING P0� SPa I APPROVALS Permit# Date lnspector qppROVALS Permit�k i. Temporary Electric�l Service or Pole 52. Pool & Equipmen[ Location 2. Soil Pipe-Undrgrnd. �� 53. Steel Reinforcement � ' �. ��,E�ectrica,£ortduit UMrty•Undrgmd. 54. Forms � �SA'.'6�eC[ricai%£eyh'� it�lidrgrqd. 55. Electric218onding -'S.� Sigel Rein es¢e�ne,rlt 56. Rough Plumbing & Pressure Test -&- Ele'ctrica�E�ij� 2nd. 57. APPROVAL TO COVER-GUNITE u^r�� 7` F�otings�� 58, Electrical Co�duij;llndrgmd. � B- Foundatiori5 �r a n. 59. Gas Pipe, O Uriclryqrnd., Test r J 9. Water Pipe�Undr�r�d. ,,', . 60. Backwasb Lines�,�"Trap, L� Undrgmd. 10. Structural Floor System � 61: APPROVAL TQDECK ' it. Property Sewer �ine & House�Connection 62. Backwash & Receptor�Final 12. Sewer Cap ,' ' 63. Heater & Vent-Fidal � , 13. Roof Drains T � 64. Plumbing System • Final 74. Rough Plumbiqg_ Ri ,, 65. Electrical�Final 15. Rough Electrical-Coaduit '� 66. Solar SYstem-F�a� 16. Rough EtBctricSViriri�,y c 67. Fencing & AccrosApproval 77. Rough Wi�ing Sian � � 68. APPROVED FQ�iPLASTERING 18. Rough ElectricaCT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL iS.�RoughHeating&AirConditioning � C p�q��pT.jjEQUIF�MEN.T �r �r Y'. L" Y .T.c ;� ._ 20. f�uqFi Fa�to�Fir�(�ace � Sr � * ��;.; 'qpp{�V��.,E Per'mit# *�_,,'r < 21. 9ucC� in�Strt¢tur� « �'.. .. 'c r S � �+� - 70. 'tlnder§?�}j,d Fiydro p .- 22. gucts�. V��.ntilatin9N* �C' x 0 � - �a L�71. ProduFM[,,P,iP.ing�J�fas � Oil 23. Gas Pi�pe,�iougb & Test ^^ c[T; er :; ;;r .7z, Underqr53rid Ft�e�h k � 24. Roo�FrarSjing.. `;*f. `�"' �' � � �..� 9 "�.StoiY}c�3,.eTanki�Gas ❑�lil 73f�Jnder r� 25. Roof�She`�thing '�� , r. � �j 7 o.a � 7q:�Overhead HydrE�' , r T 26. 'F�BaF?Ceiling fStry'�(C�irall & M1Tlo�oat * m � `' � � " " � : . * G , r 75. Dry Cherairal ,..,;; K � 27. F�amear�;Flashing;� ^�c; �r.r . mz 76. DryStariIIts+ue �^' K -- ' 28. Lathing fy!'Siding '�� "' dx� � A c �•.,�. 7�;�FIXED 5.1�$T6'7'�rINA�. V �. - ^ i.ik �. - .. . `. � 29. Insulatior[ ,� � S •• * _ � 7$, �FIRE PREV. F��f�,L �* %' r c' ' 30. Drywall Cbiling �r � w _, ' � ' . `kI�E'�ALT��EP�'."i3E61'IIF�GR . �. . - 31. Plaster Brawq�Coar t= ,�*'� + � �' ; 7g, FINAL I'NSPECTtC�N > ..,n w ^ � � 32. E�ectrica�power Met�r�iQal ��= i � 80? F000 CERTIF;�AT�E I��1 Eq_ � ' � � .yX � ir- - ��,T i. � y� <' - 33. Fina[,Electnc� -n �n , �; 8 cl 6 Notes: �-`! ^7r� * � �_ E-n . r. , w� n IT� r^� e < �34. FinaL�Heating_RAC�Fffonditionir�� . :K � . .r� •S C�z t � a: i; ;t> zi �'% i.• � a. � c� i-»¢ B ? , 35. F{nal�'ias FipA'7esc;y� p' .: ��;... � '�� xo t7�-. s ��n .-. �36. Hoodror CanoPY ��* � v •""_ � * C'� f� _ r�o � - r - n:' : � �• * i: xo f i�1 �r� %3Z F.inaf.EacFpry FireplaCe�- =_" ;n # � � + � ,ti r r � � '38. Final'Pluri+binq :Ji. 'V . -'' *l. � � . : �' »:" - -� ' � ti .�� x' ' 39. Watei �Se�ice-Fina��: � � � w ', :� : ' � " �� ' +� � i-� � •.40. Gas Servi�e-Fina� �" m �•� S . I ', CN ew » f ., �* �. � �_ < ^ ' F • = 3: # r: �41. Solar pomescicFina� -' ��„ � t `�`� , �=o . _ .? 42. Backflo�YPreventec".' t} + �. 'w ' ^- '. G '" -�_.., cr L � TC ' r 43. Backflow lrri ation'- "�"s * y � , ..r + .: ti 44. LandscapelrrtpatiorPSys[em'"-_ $� ' �� C Ov �� ` �� " - <f <S' >k :i. J T. .. S r� • � � e- T, C' .T 7C .`_. F-� r` ' r 45. Sqund Atten�r.ition.,; ••• . p; h±�r � --r �SJ� F- t 46. HendicaPitegulations �: � � i ; _ '� S �'� .r� * 47. PIN�i STRU@TIY�I� & BUILrDiNG v ' I • °' � � i _. ,z m t ?� ,., 48. F_1NAL PLANNIN.�'.s 3 `" R"' , �, i S t �E"1 49. Efectric Release to`E�lison ' � �x' .n 50. Gas Release co Soutl�ern Califorrtiac6as Co r �' ' �+ `: �'' , U� NT Date Inspector c Date I ' I �_. 1 I PROJECT ROOflESS: 7 9 O W 1 9 TH S T OWNEX'SNRME: GIMEN'Z ALBERT P nooness: WINALL QIL CO 1338 E 29TH ST SIGANL HILL,CA 90806 FflCN/ENGINEEfl: RODflESS: XEG,NO.: uxrt: UNIT: vexrninEe: pERFORMANCE PLUS ELECTRIC ( 714 ) 568-9633 nooness: 755 E 17TH ST I COSTA M$SA CA 92627 UCENSED CONTNRCTOfl UECNBATION: I pere�y aflirm Ihat I am licensed unG¢r pmvisions al C�aD�er 9 �commencinA �� Section 7000) al Orvision 3 0l I�e Busineu an0 ProleSsions COtle. anG my liceni¢ is in lull lorce antl eltect. citruc.: 053988 srareuc<264617n cuss: C— 0 Oale: ( � Z1 � Signamre:—t 'Y,/�\ — . WOflNEflS' COMPENSRTIO� ELIABATION; I Aereby a��irm tl�at I�ave a ceNhca ol cansent to sel4insure or a cenilicate ai Workers' Compensalion Insurance. at a cenilie0 cUOY Inereot �Sepion 3800. LaE. Cl. POULY NO.: E%P. URTE: COMPANY: � CenilieE copy is �ereEy fumis�e0. ❑ Certitie0 capy a fileU with t�e tiiy BuilEinO DiWsion. Oaie: Applitani: E%EMPTION FNOM WONI(EI15' COMPENSITION OECLAMTION: (Itrs SttWi neeA not Oe CanWetW i� IM pdm� is la ane huMreG (5700� w less�. I tertity Iha� in Ihe pedarmana o� I�e work �or wtfith Ihis permii i5 i5sue0. I Slull noi employ any person in any mann¢r 5o as lo becum¢ SUEIecIi I�e Worker�s'/COmp[¢n5alion law; of Cabbmia. � � ��(�J Date: � � 2 ( � { 2 SignaWre: "�� ^ ��`�� NOTICE: It. alter makinp Ws EeWrafion, you sIwNE � me w�jecl to the orkers' Compentaiion provision of I�e laGar Cotle. yrou must fontnvit0 comply vrit� suc� prwi5ion5 or iNs permil SAall Ge EeemCG revokeA. CONSTNUCTION LENOING �CENCY: I �er¢py atfirm Ilat t�erz a a conslrucUon It�q apency for ihe pertormante ol t�e vrork tor which this permii is issuee �Section 3097. Gv. C). LENOEfl: aooxess: OWNEB BUIL�EH OECUBp710N: I Aereby afiirm ihat I am e�empt Imm t�e Contractors' S�aie License Law lor ihe lollowing reason �Sec�ian 7031.5 Business anE Prolessional Cppe: My uty ol county whic� rtpuires a permit to canslmc6 alter, imD�%'e, tlemoli50. or repair any sVuc�ur0. D�ior lo iIs issuance, also reQuires Ihe aoV�icant for such oermit to lile a sipnea stalement Ihal he/sne is licensetl pursuam lo tne pmvisions ol tne Coniractors' S�ate License Law (Chao�er 9lcommencin0 ��h Section 7000) 01 Division 3 oi �he Business antl PrOi¢55ion5 Coae� Ot Ihal �e/S�C i5 ex¢mD� ��e�e��om and Ihe 6ai15 �0� the allepeA exemD��on. Any violation of Section 7031.5 by any applican� lor a Oermit su01ect5 t�e aD�licam ro a civil Denalry al nat more tlwn Irve Auntlre0 OOIWrs (5500�. I, as owner ol ine pmpeny ar rtry em Wyees witn wapa as tneir wle wmpensaiion, wiil Uo ihe vrork, ana I�e ❑ simciwe is noi inten0e0 ar ofhrea for sale I�ction 70a4. Buvness anE Professional CaOe: The Coniractars' State License Law eoes no� aooN to an awner al a prppeny wro OWGs or imprwes Inereon. an0 wM arn such woM nimsell/�erull or inroupA �is o� �er own employees. D�a�aetl tllal wc� impmvemenis ire nat inten0e0 or oflere0 for 5ale. If, Aow¢ver ihe builtling or improvem¢n� is 5010 mitlm one year ol compleiion. I�e Ovmer will Iwve Itle Eurtlen ol D«�0 ��e OiG noi UWI4 or improvC lor Ihe Durpase ol Sale�. I, as owner of �ne o�Weny, am aclpyvery comractin0 w+�n IicenseA cantractors to construct Ine D�oieci (Section 70aa, eusiness ❑ anE Professions CoEc: Th Convauys' $tare lice�ae Lax Ooes nol appy,to an o.mer ol propetIy x1p OUJEs w impmves iherean an0 w�0 Eonira[�5 10� wt� pmjet�s witil a ton(ratbr�5) li[ense DurSuani to 111e CAntraCIOrS' Slale Lit¢nu law�. I am aWare Ihat praol of I�eir Worker's Compq�tqn inwrance stqulE De ptm�UeOlo me. � I am eKemo� unEer Section: B. d P. C. tor Nis reason: �ate: �wner. I UO here�y Cerliiy Ihai I am aware 01 anG under5iantl Ih¢ requir¢menis ol Calilomia Heal�h antl Satery COae SeC�ions 25W5, 25533, antl 2559a antl Ihal I ar any lumre EuilUing acupant wiMxill noi (drUe one) nee0 to Compty xilh uiE stale coUes anE I�e requiremenis lor a p¢rmii lor conslmclion or moailicalion �mm I�e Air Ouabry Manag¢meni Di9ricl. flesiGenlial conslmciion aDDlications are exempl imm I�ese provisions. Oate: Applicant: I hereby certityt�al I naue rea0111is aDD�ica�ion an0 statethatt�e a0oveinbrmalion R mrrect. IaAreeto comply wit� ailcity and counry orEinances anJ stal¢ Wvn reWling lo Ouiltling �pns(mction ana �ereby autAor¢e repreSenlaiive5 oi I�is cily lo ¢nter upon �he above-men�ionetl O�op¢rry �orinsDJection purposes. Oa�e: l ` `� � (– Signamre: odvers ucense o� Sociai seadty r: t6Cba6 W�ite—BmlEing: Green—Cotle Enlorcement Canary—Appliwnl: Pink—Pevenuo: Gdtlenroa—Asseswr CITY OF COSTA N,ESA — BUIiDING PERMIT PERMIT NO: E 055970 PI.AN CHECK NO; N CONSTRUCTION TYPE: 2—N PERMIT TYPE: ELE JOH DESCRIPTION : MISC CLAZM VALUE: ELECTRIC FOR ZLLUMINATED SIGNS CALC—VALUE: PERM NO: E 0559 GOVT; N SOPP: PURPOSE: OTH SQ FT; GROUP OCC; B-2 /B-1 *�******�t***i�*��**x*8*ir�r*�*8*ir***8**u*�r***8*i��r�*�x�rx *�r�rir�t�r�**�r��t�t�r*�t**� ��t*�r*�r* Z O N I N G R E Q U I R E M E N T S • S E T H A C K 5 ------------- MAIN BUILDZNG ---------- --------- ACCESSORY HUILDING --------- FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: FT ZN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING RE(� • PROV; PARCEL: 42227217 7.NE; REF NO; PLANNING N07'ES> > � ik if iF 1F if iF �)f IE iF �lE it 3E if iF fE if iF iE iE iE iE if iE ik iF ik 3E if if 1f if iE iF IE iF fE if� iE fE �1E iE iF 1f iF iE �IE iE if iE %If 1E 1ElE i(� 3f ff iF �E iE aE iE fE iE �E 3E iE fE iE �lF iF if iF iF 1f iF �f iF 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 � DATE; HUILDING APPROVED BY : .' DATE: APPLICATION ISSUED BY• :', DATE: 2�' iFiflEfflfll�kiElFfElFlEffiFIf3E1Fi!lEifiEiE � < - ��c � ifiEiFffiElrf4iEfFiF se IfiE IFiflEikiFiOiEiElEiEiFiEiEiFlfibiE3EiEjE!liF�f'klFitlflfifrtiEiPlfiF�'iffEafiEiEi EifiEiElFlfilikkiEiEifiEifiFiFlfiffEifiF3EiEifi(�ifiPiE7t-lhifiFiEif3Ekif LEGALIZATION:N F E Ej �S�U M�M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTR�IC� MECHANIC FIRE SMIP/RES GRADING PERMIT 11.00.; ': SOg', ; n SMIP/NON—RES ISSUE FEE 'f5;00;: . . BUILDING—DIV—> PERMIT T.SSUE PLAN-CHEGK TOTAL PAID DUE TOTALS----> 11.00 15.00 �'. 0%"0�0 26.00 26,00 .00 REVENUE DIVISION TOTALS--> COLi.ECTED•�'� 26.00 OVER/SHORT• 00 ' BLDG PMT PLUMBING ELECTRIC MECHANIC � FIRE SMIP/TOT GRADING PLAN—CHECK 26,�� •,. /= iE If it iE #E �E iE 1E 1E if if ik iF iE iF iE iF iE iE 1f iE if if ik iE if k jE 1E k iF iF j63E if'�E i f if iFlAiE 3F iE iF iF iF i! �1t M if 3t �F IE iF k iF iEif iE iE iE iF # iF iE 3F iE iE aF iE %if iF iE iE # 1E if iF I N D I V I D U A L� :F>E E H R E A K D O W N TYPE QTY D E S C R I P T I O,N^ ; UNIT COST TOTAL COST ELE 1 MISC APPARATUS NOT.LISTED REp FERhSIT 11.00 11.00 ENl]; Ofi FEES %• ;.��..�a' / ' ! A':;� ,� c � . �..' . , ua oatD733E-Q01673IE "P'41 !T - � �aTE: 01;27/G3 ?Ti�_. S.?.4^ - �. `7 CONSTRUCTION ANDPLANNING POC SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. $oil Pipe-Undrgrnd. � 53. $teel fleinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Elettrical Conduit�Undrgrnd. 55. Electrical Bonding i 5. Steel Reintorcement 56. Rough Plumbing & Pressure Test 6. Electrical UF6a.Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. 8. Foundation 59. Gas Pipe, fl Undryrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 70. Structural FIoOr System 61. APPROVAL 70 DECK 71. Property Sewe� Line & House Connection � 62. Backwash & Receptor�Final 12. Sewer Cap . 63. Heater & Vent-Final 73. Roof Drains 64. P�umbing System • Final � 14. Rough PlUmbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 76. Rough E�ectricWiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 18. Rough Heating & Air Condiifoning ' FIRE DEPT. REQUiREMENT 20. Rough Factory Fireplace APPROVALS� Permit # 21. Dutts, in Structure 70. Underground Hydro 22. Ducts, Ventilaiing � 71. Product Piping OGas OOiI 23. Gas Pipe�Rough & Test 72. Under9round Flush 24. Roof Framing 73. Undergrnd.StorageTank �Gas OOi� 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceiling �Structurap & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. �athing & Siding 77. F�XED SYSTEM FINAL 29. Insulation .� 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I 79. FINAL INSPECTION 32. Electrical Power Meter-Final �.� 80. FOOD CERTIFICATE ISSI'ED 33. Final Electric ��F� ces:��2 �� , � 34. Final Heating & Air Conditioning . c �, �8��/ �� 35. Final Gas Pipe•Test - i�=��.� y�-- ��,,�/ Q�.�' �/ . i'��e�>Z.�/�� / �. 36. Hood or CanopY ,, Y� �� '/ 37..Finai Faaory Firepiace 38. Final Plumbing • 39. Water Service-Final 40. Gas Service•Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. landscape Irrigation System 45. Sound Attenuation � 46. Handicap Regulations " 47. FINAL STRUCTURE & BUILDING . 48. FINAL PLANNING 49. Electric Release ta Edison , 50. Gas Release to Southern California Gas Co ! 51. CERTIFICATE OF OCCUPANCY No. Date PPWECT RDOflE55: �] j O W 19Tii ST OWNEP'SNAME: WINALL OTL CO, aooxess: � 338 E 29TH ST SIGNAL HILL CA 90$06 (714)634-4800 ApCH/ENGINEEN: ADONESS: HEG.NO.: UNIT: PEPMIiTEE: JOHN IiOWENSTINE INC. ( 714 ) 557-4064 nooxcss: 3188 AIRWAY AV� J COSTA MESA CA 92626 LICENSEO CONTRRCTOR OECIARATION: I here0y affifm (hat 1 am ficensed undef OmNsionS of Chapfer 9(comrtrentinp wvth S¢ttion 700p) ol Divivon 3 0� t�e Business an� Pm�essions Coae. an0 my license is in �ull �orce an0 efl¢ci. urruc.: 009027 ($]T.RTE ic.:374747 cuss: C45 Date; _�! L't_(,_� Signaiure: _�_�. — _ WOqRENS'COMVENSRTIONOECLA TION: Ihct¢Gyal�irm��all0aveacerliliCaleoltOnSenilOs¢ � 5urear2[¢fiitiCa�eo Compensalion I s an ¢ oc;`cQ`tilieq�cypy t�eieot (Section 380D. Lab. POLILYNO.: ��16VV—Y1 E%P.OATE: �Q�ULIy2 coMvnxw STATE FUND � cenitiee way is nereoy iurnisnea. LX cenniea caov rs iuea w�m me ciry miain o�rsian. oa�e: � � �1— MDlicam: �QAA 4. �� EXEMP710NFB MWOqNENS'COMPENSqTIONDEClABA710N: (TNssectionneeanotbe pletcdilNece«�islorwehuna�ed�E700)orleu�. I ceqify �hai in Ihe OehOrmant¢ oi I�e Work lor w�ic� Ihis permil is i53ued, i 5hall not empl0y any per5on in any manner 5o as lo hetOm¢ Su0lect lo Ihe Workers' Compen5aiion Laws ol Calilamia. Ua4: Sipnawr¢: NOTILE: If, al�er makinq t�is Oeclaraiion, you sMu10 Gttome su01�� a the Wofneri Campemation provisnns al t�e Labor CpGe. yoU must lort�with camplY wil� suc� D�o�l5ion5 or iNs permit shall be 4eemeA revok¢U. CONSTNUCTION LENOING AGENLY: I �er¢�y atlirm thai I�er¢ ii a con5lmtiion lending a0ency IOr IAe petlOrmant¢ ol �he wOrk �ar w�ith I�is �ermi� is �SsueE (Sec�ion 3W7. Gv. C�. LENOEP: AOUHESS: CTTY OF COSTA MESA - SZGN PERMIT PERM NU; SH$ 059887 PERMZT NO: SBE 059887 PLAN CHECR NO: 04523-91 S GOVT: N SUPP: N CONSTRUCTION T'YPE: 2-N PERMIT TYPE: ELE STR SIG PURFOSE: OTFi JOH DESCRIPTION : ONE ILLUM. "MOBIL" ID NONUMENT SIGI� SQ FT; CLAIM VALUE; 1,626.9U CALC-VALUE; 1,626.90 GROUP OCC; B-1 /H-2 COMM�NTS: ONE "MOBIL" ID MONUMEAIT SIGN (ILLUM.) ii±F �("1F it iF iF if if i6'lf- 3E'16 iF ?� 3f !F if iP if iE iF 3E �E N- iP �F'7F af ii'?(' fF aF if af ic i%')f if iFlf iF 3'r af if-9F i� if 3(' iE iF Y' If ii' iF 3F il� 3� iF di' # dF iE iF �F aFiE fh 3'r if'I(' � 3F 1F i6 i("1F iF 1E S I G N I N F O R M A T I O N DISTRICT: 1 TYPE: GROUND ILLUMINATION: INT CATEGORY: N�W DIMENSIONS: 2FT 03IN 7C 5FT OlIN AREA; 11.00SQFT LETTER HT: 18" STREET FRONTAGE 1: 135.00 STREET 1: W 19TH ST STREET FRONTAGE 2: 109.00 STREET 2: PLACENTIA AV PARCEL: 42227217 ZONE: C1 LOCATION > FRQNT; X REAR: B�rSINESS NAN,E; MOBIL > LEFT: RIGHT: O T H E R T O T A L S G R O U N D S I G N THIS ACTIVITY : 11,OOSQFT OVERALL HEZGHT: 7FT OIN ITEMSSOFEINfiO : 1 46,90SQFT GROUPDANTER�AREA: �25.00SQFT TTEMS rOR ACTIVITY: 8 �- Hi,DG SET BACK; 20FT „_ COFY VErZHIAGE : MOBIL • " .. PLANNING NOTES• � 1f if iE fE iE if iF if !f iF iE �lE 1f ff 1f� fF if if F� iE if 1f if if iE if if IE iE if IE if if ff i%ii* if # iE if i(� 1E:f if iE ii if iE iE if if if K iE �F iF iF it 3E iF iF IF iE IE 3f )f If iE 3F jE iE #F iik iC 3F 3E IE 3F 1F D E V E L O P M E N T S,E%;R V I C E S R E Q U I R E M E NjT. S ZONING AVPROVED BY ` a `'L�� DATE: �1 �� BUZLDING AFFROVED BY : � DATE; ,1 /: OwNEB BUILDEB oELUNATION: I here0y atlirm tnat I am e.emo� Irom 1ne Contractors' Stare L'ae�ne Law �or tne imlowing reamn AP PL I CAT I ON 1 SSUED B Y; ' � �� DATE • 1I I (Sepion 703�.5 Busineu aM Pralessionat Catle: My ciiy al counry wtiich re0uires a Dermit Io construct, alter. improve, Eemolish, ar if 3F fE if'1P iFlf if 3E �f' ih if 1E 3F if iF 3E fF *# M"% . x iF iE i6 if� *�1F iF iF iF �ti �F�k`�A��K �IF reoair any stmaure. prior ta its issuance. alsa reQuires ine aoV�icant for such vermit to Iile a siBneE sutemem tnat ne/she is Iicense0 LEGAL 1'L AT I OT1 ; N F E E S U h1 M A R Y STRUCTtJRAL S$GMENT : Y purquant �o tne pmvisions af t0e Contracmri State License Law (Ctupter 9 �commencing wilh Section 7000) ot Uvisron 3 of the Business anU Pw�essians COde� or Ihal �e/she is e�em0� ��ere�rom an0 tAe 6asis �or the allegeE eeemD��on. My violation o� Sec�ion 7031.5 hy • any apPlicanl lor a pe�mit sublecls Ih¢ ap0lican� to a ciNl penalry ol nol more than live hun4reG Oollars (5500). � B LDG PMT PLUMB ING ELECTR IC NIECHANIC S'1 GN SMZ P/RES GRAD ING i, as owne� ai tne omaeny o� my em ioyees wim waoes as tneir so�e compenution. win ao tne work, ann ine PERMIT . 39 . 00 1 S. 00 � 11 . Q� ❑ svucmre is not intenaeU ar olterea lar sale I�cuon 70aa. Busin¢ss and Pmfessional CaUe: TAe Contraciors' Sute License Law 50 Y SM I P/NON-R CS �Goes not appty io an owner oi a pmcehY w� OWOs ar impmves t�ereon, antl who does such wwk Nmsellltierull or t�rough P LAN 2 5. 3 5 , 5 p nis or �ei own empioyees. D�oviGea ihal suc� im0��'emems are not imentle0 or otlereA lar sale. If, Ipwever i�e Uuilding or j SSUE FEE 1 S. 0 0 imOrOvemtnt is Sd0 wilhm one year ol compleGon, ihe awner vnll have ihe Durtlen ol O�ovinq hGSh¢ tlid nol OuilA or improve mnneou�ooseaisaie�. BUILDING-DIV-> PERMIT ISSUE PLAN-CHc.CK TOTAL PAID DUE I, as owner 01 lhe Ompetly, am exclusively coniratlinq wiih licensed contrac�ors lo cansVuct IAe prolect (Seciion 76a4, Business TOTALS----> 6 S. 50 1 S, 0 0 2 5. 3 5 10 5. 8 5 10 $. Q$ . Q Q ❑ an0 Professions Cade: The Convacmrs' Slaie License Law tloes nol ap01y lo an owner ol pmpetlY w�w bmlds or impraves �hereon anOwnocnnvac�s�o�wcho�aectswi�nacrnvapur(s)tice�sepursuamtomeComracmrs State4ce�se�awl.lamaware REVENUE DIVSSIDN T�TALS--> COLLECTED: 105.85 OVER/SHORT: 00 inato�oo�uiinei�worker'sCamoenutw�ins�ra�cesnomaoeoro�iaedtome. BLDG PMT PLOMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN-C3ECK �j � am e�emo� imae� sec�mre e. a v. t. 3 9, 0 0 3 0, 0 0 11 , 0 0 , S 0 2 5. 3 S m� m¢ reawn: � Daie: O+mec I tlo M1ereOy cenily thal I am aware ol anU untlerstanG t0e repuirements ol Calilornia Heal�� an� Salely Catle Sections YSSOS, 25533, antl 2553d an41ha1 I or any Iuiure 6uildmg occu0ant vnlVwill nat (circle ane) neetl �o comDly wi�� Saitl staie tOtles an0 i�e requirements �or a permil lor constNction or moailicatmn imm I�e Air Ouality ManaAement Oisllict. Fesiaential cansiNction aDDliWtions are exempt irom mese • visions. oaco: — nppticam. � I hereEy t¢rlily tlwt I M1ave reaG I�iS app6Wiion an0 51aie Ilu� 1�¢ a�ave inlormalion i5 ¢Cl I apree lo tomOty vnlTi dIF _ ounly ortlinancesanastaielawsrelaiingtobuilaingconsimctionanO�ereDyau�Aorimrepresenta�ivesoltMsci toenteruponiheabove�mentioned p�00etly fannspeclion purposes. , Date'.-1_�� l.��l� Signawre: � oriver's Luense a� socui Seariiy .: Ifi4ye6 While—BuiWing; Green—�e Entorcement; Canary—AOPlicam; Pink—Revenue: Gddenrotl—Assessar iE if iF it 1f iElF �E iF 1P jE 1E iE iF iE it Y iF aE?f 3E 3E±4 ik ic i4 )f iF iE if if aE �lK±f iF if iE iF ie iF iE it iE iE # ii� if if � iF iF iF if iF if k 3E �f iElF !E iF it iE )f iR � 3e ii k if � i4 if iFif iF if i: I N D I V I D U A L F E E B R E A FC D O W N TYPE {�TY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 SIGN/ OUTLINE LIGH�NDYOF FEESaR CIRC IS,UO 15.00 __.�''iS!`•�;—�L1G1`ic. , :. . CONSTRUCTION AND PLANNLNG � PO�SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector . 1. Temporary Electrical Service o� Pole � 52. Pooi & Equipment Location 2. Soil Pipe•Undrgrnd. _ 53. Steel Reinforcement 3. Electricai Conduit Utility�Undrgrnd. 54. Forms � 4. Electrical Conduit•Undrgrnd. ' � 55. Electrical Bonding ' _ 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFEfl Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit•Undrgrnd. 8. Foundation ._ 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P�Trap, O Undrgrnd. � � 10. Structural Floor System 61. APPROVAL TO DECK � 11. Property Sewer Line & House Conneaion �- . 62. Backwash & ReceptorFinal 12. Sewer Cap 63. Heater & Vent-Finai 13. Roof Drains 64. Plumbing System � Final 14. Fough Plumbing �� 65. Electrical-Final i � 15. Rough Electrical�Conduit 66. Solar SYstem�Final 16. Rough Electric Wiring 67. Fencing & Access Approval � ;1�?. Rough Wiring Sign � 68. APPftOVED FOR PLASTERING •- - �16. Rough Electrical-T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL 1�9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � ' APPROVALS Permit # 21. Duas, in Structufe. ' 70. Underground Hydro 22. Ducts, Ventiia[ing 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceilinq (Structural! & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEAITH DEPT. REQUIREMENT 31. Plasrer Brown Coat ' 79. (FINAL INSPECTION 32. Electrical Power Meter-Final 8�. FOOD CERTIFICATE ISSUED 33. Final Electric Z1� � , otes: 34. Final Heating & F,ir Conditioning 35. Final Gas Pipe-Test , 36. Hood or Canopy � 37. Final Factory Firep�ace 38. Final Plumbing . 39. Water Service•Final 40. Gas Service•Final 41. Solar pomestic•Final 42. Backflow Preventer , 43. Backflow Irrigation - 44. Landscape irripation System 45. Sound Attenuation 46. Handican Regulations � 47. FINAL STRUCTURE & BUILDING �/ �/ L -6�a�Y 48. FINALPLANNING - 49. Electric Release to Edison 50. Gas Release to Southern Calitarnia Gas Co 51. CERTIFICATE OF OCCUPANCY � No. Date PHpJECTF00flE5S: ]yO W 19Tii ST owxensname: WINALL OIL CO, nooeess: 1338 E 29TH ST SZGNAL HiLL CA 90806 (714>634-9800 ANCHIENGINEEq: AOONESS: UNIT: � AEG.NO.: UNIT: PEflMITTEE: SOHN HOWENSTSNE INC. ( 714 ) 557-4064 AOOHESS: 3LSH AIRWAY AV� J COSTA MESA CR 9?.626 IICENSEU GONTflqCTON OECLAflATION: I here6y aflirm I�a� I am licensea untler pmvisions of ChaD�er 9(commencing wiih SeCtion 7400� of Div��sion 3 af Ihe Business antl Pmlessions Cotle, antl my license is in lull lorce an0 ellect. caruc.: 009027 sTnTeuc.:374747�(�{� cass: C45 Ddte: ` SipnaWre: _� � )�('�`�'�' j��` �� '� _ WOflKEB$' COMPENSFTION OECLf�fl TION: I hereby a�lirm I�a� I have a Ce�ilicate ol consent o s binsure or a cerlifiwte ot Workers' Cnmpensation �psy�a�cel $c 3,cr��i�ie c�ny inereo� IsecuE%Pe� ,tEae. ��9 � O 1/ J.�. PtlLICY NO.: 1 V comvnxr: STATE FUND _] CertitieA caoY 5�reoy �urtrishea. C� Cettilietl capy is lileE mt� the cjry Buibinq D'yision� � � \Oa�e: � `'l��_ �_ AVPlicant: �, \C A r E1(EMPTION FHOM WOHNEflS' fAMPEN5ATI0N OFLUBRiION: Qhis 5eciion necd nol hp [ompleteU I t p¢rmt b br ane hunAretl (5100) ar less . � cenily Inal in I�e oetlarmance ol ine work tor whicn inis DQ/mil is issuee, 1 shall no� emDlay any person in any manner so as to �ecome SUbjeci lo Ihe Workers' fAmOensalion Lawi ol Ca�fomia. �ate: Signature: NOTICE: II, alier making I�is DeClara�ion. you Shou10 Uetome Suble« �a �he WOrkefs' Com0en5aiion pmvi5ion5 0l t�e La6or Cotle. you must forihwit� comply wit� suc� pmvisions or tAis permit shall be aeemetl revoke0. CpNSTPUC710N 1EN01NG FGENCY: 1 here0y allirm that there iS a construction IenOing agency br t�e pedormance af t�e work lor whicn ihis permil is i=sue0 ISection 3W7. Civ. C�. LENOEfl: 17'. L UM I NAT ED aoonEss: I L I� Ut/i I NAT ED QWNEfl BUILOEfl OECLAMTION: I Ilere�y allirm lha� I am ¢x¢mpt �mm �he Conlratlors' Stale license Law for tne iNiowing reason ISenion 7031.5 Business a� Pmtessional CaOe: Any ciry al couMy w�ic0 requir¢5 a De�mit to consimct, alter, impmve. Aemolis�, or �epair any simcWre, prior to i�s issuance. also repwres the aDolitant lor such permit to lile a signed statement ihat helshe is licensetl pursuanl lo Ine provisions o� Ihe Coniractors' SIaI¢ License Law (Chap�¢r 9(commCncinB �� Section 7000) oi Oivision 3 0l ��e Busine55 :mtl Pmlessions Cotle) or that he/she is e�empt therelmm and t�e basis lor ihe alleged exemption. Any violation oi Sec�ion 7031.5 6y 'i dny apD�icani lor a permi� sublecis Ihe applicant lo a civil penalfy ol nol morE Ihan live AuntlreO tlollars (5500). 1, as owner of Ihe v�openy ar my empl0yees vnih wages as tAeir sole ComDensation, will tlo tAe wark, anC tAe � slNcture is nnt intentleG or olleretl br 5ale (5¢ction 7044, Business and Pralessional CoOe: T�e fAntrattor5' State Licenu Law Ooes not apply m an awneroi a Dmpeny who builds orim0�oves t�ereon, an0 who tloes such work himsell/�erseli orihroug� his o� �er own employeeE, pmvi0etl ihal such impravemen�s are no� in�endea or ofl¢retl lor sale. I�, however Ihe UuilOing or impmvemenl is so10 wilhin one year ol complelion, the owner will have Ihe burtlen o� pmving he/she ai0 no� build or improve Por ine ourpose ai salei. I, as awnp� o� the O�opM9, am eKcluSivety cOmraaing vni� licensed comractors m constmct Ihe proleci (5ec�ion 70da. Busineu ❑ anE PmIeS4pn5 CoOe: ihe Conimctors' $ta�e License Law does nai appty to an owner al pmperlY � DUACs onmproves ihereon an0 w�o contrans for suc� Orojecis witA a comracloqs� license Durswm to the Contrac�ars' Staie L¢ense Law�. I am aware thal pmol ol I�eir Worker'S ComDensalion insurance s�oultl be pwvitled lo me. � I am exempi untler Sec�ion: 8. 8 P. C. ' fo� Ihis reasan: Oa�e: Owner: i Oo hereby certily t�at I am aware ol ana untlerstan0 t�e requiremems of Calilomia Healln antl Safely Cotle Sections 25505, 25533, and 2553G an01ha1 I or any �ulure Ouileing occupant willlwill no� (circle one) neetl �o cOmply with saiJ s�a�e coees and �he requirements lor a permi� �or cons�mclion or mo0di�ation Imm the Nir Oualiiy Management �iSVid. Nesitlenlial con5imction aOPlicaiion5 are exemp� imm IIICSP O�OviSi0f15. Da�e: Ao�licanC I Iteieby cetldy I�ai I M1ave reaA Ihls applicallon anA s�ale Ifia� Ih¢ a6ove informali0n i6 correc�. I agree b comply wlih a0 c(ly anQ coun�y ortlmances ana siate laws relaling lo building consimction an0 hereby aWhar¢e re0resenla�ives of ��is ciry lo en�er upon �he ahove-men�ioned pmperty fo� inspeclion purq0ose5. � � oa�e: ` �'�\ � SignaWre: \ � 1 ( �L�J�JI� \ (}- Driver's license or Social Sewriiy n: � �- Greon—COEe EnlorcemenL Canary—qpphwnq Pink—Revenue; Gobenrotl—Assessor �` CITY OF COSTA MESA — SIGN PERMIT PERM NO: SBE 054885 PERMIT NO; SBE 054F385 PLAN CHECK NO: 04525—y1 S GUVT: N SUPP: N CONSTRUCTION TYPE: 2—N PERMIT TYPE: ELE STR SIG PliRPOSE: OTH JOB DESCRIPTION : ONE II.LUM, "PEGASUS DZSC" SIGN SQ fiT; CI,AIM VALiJE; 99.50 CALC—VALUE: 49.50 GROUP OCC; B-1 /B-2 COMMENTS: ONE ZLLUM. "PEGASUS DISC" SIGN ��1F�k�NlE4fiE�IE1E�1fiF�Y�Yiic��ii�iE�k��%�1ElEiFiF�lf��if�lEif��if�1E�MiE1Edf�%3f1ciF��iPiEif�7E�lE��3(-if3eiE-1E�f�lf �#3f�3iiF�X�lEdf�X��1E�7fa�f�lE�MiFa�E�7(-if-iE3F�?FifiE# S I G N I N F O R M A.T T O DTSTRICT: i. TYPE: WAI.I. ILLUMINAT.ON: TNT CATEGORY; NEW DIMENSIONS: 4FT OOIN X 4FT OOIN AREA: 12,SOS T LETTER HT: i STREET FRONTAGE 1: 135.00 STREET 1: 19TH ST STftEET FRONTAGE 2: 109,00 STREET 2: LACENTIA AV PAACEI.: 427.2721'7 ZONE: C1 LOCATION > FRONT: X REAR: HUSINESS NAME; MOHTL > LEFT; RIGkT: O T H E R T O T A L S G R O[i N D S I G N THIS ACTIVITY . 12,SOS FT OVF RLL HEIGHT: pF'P OIN THIS SITE : 26.905 FT GROU D CLEARANCE: OFT OIN ITEMS OF ZNFO : 1 .:•; PLANTER AP,EA: 0,?pOSQFZ' .ITEMS FOR ACTIVITY: 7 '-"� BLDG SET BACR: 20FT"-; COPY VERHIAGE : PEGASTJS LOGO f; �� PI,ANNING N07'ES: ' xx�**��***��a��cx*xx�****��*�*�-*�*+�x**��x*�*�x**�*��**#**�•x*�**�-�x��c�*�*�*xxx�*k��-x' D E V E L O P M E N T S•E"R V I�E S R E Q U I R E M E iv"'�� S ; 1 ZONING APPROVED BY �,�,_ DATE; l' b �_ HUZLDING APPROVED BY : DATE: _�'� APPLICATION SSSUED BY: �' �� _'(�� DATE• �ll� if�EiE�fiEifiFlrlEi(�kiElEjF1flFifiFifiEi(�iEiFif�iriF'iFiF7ti'eifiFiFTiF€it re7F iF3F7Ficiii�iF�FiFiFYft�FlriiF3fif•iF�Elfii��lEiF z c:. . a(.�(. LF.GALZZATION:N F E E S U M M A R Y STRUCTURAL SnGMENT:Y HLDG FMT PLUMHING ELECTRIC MECHANIC SIGN SMIP/RES GRADING PERMIT 15.00 5;,00 12.50 SOt SMIP/NON—RES PLAN 9.'/S , 50 ISStJE FEE. 15,00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DliE iOTALS----> 93.00 15.00 9.75 67.75 67,75 .00 REVEhUE DIVISION TqTALS--> COLLECTED: 67,75 OVcR/SHORT: 00 BLDG_PMT PLUMHING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN—CHECR 15.00 30.U0 i2.50 ,50 y,75 if iF if ie iF iF iF iFif iE iF 1f ih �f if iF 3F 1E iF iE �FlE iFlf IF 3f iF if 3f� 1E 1E if af� iE iF 3E lf� iF iE Y- lE 1E 3f iE X� iklF �E 16 �E jf iF1F�f if jE aE iE �k 3F �E IE iF iF i(� 1P iE iF if iE ii if !e 3f if IE 3E if jk I N D I V Z D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELB 1 SIGN/ OUTLINE LIGAT SYS ON 1�R CTRC 15,00 15,00 END OF FEES rt e �� QQ�U.�,��..U�:S�IJJG �1..6 il ' �aI_: L?.T�� lYI�1;%9i ;Si;t: '.�:3: CONSTRUCTION AND PLANNING P� "� SPp' APPROVALS Permit � Date Inspector pPpROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -- 2. Soil Pipe�Undrgrnd. - 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd._ _ � �55. Electrical Bonding � � 5. Steel Reinforcement 56. Rough Plumhing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test - 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O�Undrgrnd. 10. Structural Floor System � 61. APPROVAL TO DECK , 11. 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. fiough Electrical�Conduit 66. Solar System-Final 16. Rough Elearic Wiring 67. Fencing & Access Approva� 17_�'Rough Wiring Sign • 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Strycture 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping OGas ❑Oil 23. Gas Pipe•Rough & Test , � 7z. Underground Flush � 24. Roof Framing 73. Undergrnd.Storage�Tank �Gas ❑Oil 25. Roof Sheathing 74. Oveihead Hydro 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing •� 76. Dry Standpipe 28. Lathing & Siding � 77. FIXED SYSTEM FI.NAL. 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat. � 79. FINAL INSPECTION � 32. Electrical Power Meter�Final 8� FOOD CERTIFICATE ISSUED 33. Final Electric , y�Qy �Notes: , 34. Final Heating & F,ir Conditioning ' - � 35.�Final Gas Pipe-Test 36. Hood or Canopy � � 37. Final Factory Fireplace . 38.� Final Plumbing , . 39. Water Service-Final � 40. Gas Service-Final . 41. Solar pomestic•Final - 42. Backflow Preventer I ' � 43. Batkflow Irrigation ' � 44. Landscape Irriqation System - - 45. Sound Attenuation � 46. Handicap Regulatidns , . � 47. FINAL STRUCTURE & BUILDING '�jL � � �f 48. FINAL PLANNING � . 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Date PflOJECT AODPESS: '] 9 Q W 19 TH ST OWNEP'SNAME: GIML.NEZ ALBERT P aoaness: WINALL bIL CO 1338 E 29TA ST SIGANI. HILL,CA 908U6 ANCM/ENGINEfp: AOOflESS: NEG.NO.: �N�,: y UNIT: PENMIiTEE: SOHN HOWENSTINE INC, f 714 ) 557-4064 aooness: 3188 AIRWAY AV� J . COSTA MESA CA 92626 LICENSEO CONTNACiOfl OECIABATION: I �ereUy a��irm that I am licensetl wCer O�oma��s ol Ctup�er 9(Commencing wi�h Seclion 70401 oi Division 3 ot tne Business aM Proless�ons Co�e. ana my IicenSe 4 in full torce ana ef ct. crtvuc.: 009027 s,nTeuc.:3' 474 cuss: C4_` �a�_� � `�� Signature: _�� — _ WOpREHS'COMPENSpTI0N0ECtA p�: Iher¢bya�Iirm��allhaveatertitiW�eott en�foSe14in5UteoraCertitiWteo�Warkers' Compensation Igsy�a�el o� �cqpiliea cppy lher¢0� (Seciian 3800, LaE. f�. PO�ICY NO.: 1 L U J 1 E%P. UpTE: V 4/ O 1, 9 2 -omrnxr: STATE FUND�y � Cenifietl copy is hert0y furnB�eA. LJ C dietl capy 5 file0 wll� t�e dry BuOtlinq ivisio Oaie: _� ` �-� OClicanC � � I E%pM➢TION FBOM WOBNEPS' COMP NSATION OECIAMTION: �Ttqs SEciion need not be campl il Ne permt k lor one Auibretl (4100 � � I cenily �hal in ihe pedormance af ��e work far w�ich iMs permit is iuueG. I sha0 nat em0� any permn in any manner so as �o become � su6jeci to I�e Workers' CAmpensd�ion Laws o� Catiforiva. - ' Da�¢� SignaWre;. NOiICE: If, ailer making �ha Oeclaratiw, ypu shoWO�Gewme suqect la the Workers Compensatian O�wivons oi the Labor Lode. you must IorilrvAth compty mt� such prodsia+s ar etds perrttit sf+all Ge EeemeC revakeQ. CONSTBUC710N LENDING RGENCY: I �ert�y atlirm ina� there is a mnstmc�ion IenGinB aAency for t�e petlormance o1 t�e work lor wqicn Ihis permii is issuetl (Senion 3097. Civ. C). � LENOEfl: ' � ) aouxess: � OWNEB B�IWEB OELUN�710N: I �ereEy atlirm t�at I am eeempt Imm the Contractors' Siate �icense Law lor the tollowinq reamn �Section 703t.5 Business and Pmlessional CoAe: Airy city ol wunty vAiich rep�ires a permii m construct aller, improve, Oemolish, or iepair anv slmclura prior to iis issuance, also apuires Ihe aoP�icani lor sucn permit lo lile a sign¢d statem�nt inal ne/she Is licensetl oinsuanl lo I�e pmvisions ol ine Comracmrs' Slaie LicenSe Law (Chapler 9(commencinp vnt� $ec�ian 7qp) ol Division 3 0l �h¢ Busin¢55 ana Pwlessi0n5 Coee� oi I�a� �elS�e is e�em0� ��ere�mm anG IAe Oa5i5 for I�e alle0� exemp�i0n. Any violdli0n oi SecliOn 7031.5 by any apP�icant for a permit suDiecls �ne a0olicant to a civil Oe�alty of nol mme Itun five nunemA Oallars (35001. I. as owner of ine Drop¢ny ol rtry em qyees wiitl waOM as theit Sole compEnSdtlon, wiil Eo tha wafk, antl Ihe ❑ simclWe is not intenaed or ofhr¢d lor 521e (�tion 70Ad, Busin¢SS aM Profe55id1dl CpE9: 7he CAntractor5' Slaie License Law ' Uoes noi aOCN �a an ownei ol a propeqy wtp UuilUs o� imD« ��ereon, an0 who Oces such woM �imseli/hersell or t�muph his or her own employees. D�oviEeA IRIi sucll im0��'emen6 are not intentlN or ofleretl lor Sale. If, however the builEinp or improvement is sold within one year of wmpletion. Ihe Owner will have the burGen ol provinp �e/Slle tlitl not 6uilA or impmve lo� Ihe W�oose oi 5ale�. ❑ I.as awnerolt�e D�opeqy.am evGuvveN conlractinq wilhlicensea mntracmrslo consimc�ihe pmject�Seclion 70t4, Business and Mofeuions Coae: ine Contraz�ws' State License Law Ooes not appty Io an owner of pmperty w�o UwIOs or impmves �hereon antl w�0 Conira[IS �Or Suth pmjBtis wilh a tanlraClOr(5) fiten5e pursuan� l0 (�e COnlrati0r5' $Iat2 Lit¢nse Law�. I am awar¢ �� D�� o� Ineir WOrker's Compensation insurance slqul0 Ge provi0e0 lo me. a 1 am exemo� un0e� Senion: B. 8 P. C. lor ��is reason: Date: Owner. �� I tlo �ere�y cenily i�ai I am aware ol anE unUerStanU t�e requirements ol Calilomia Healih antl Salety Coae Sections 25505. 25533, ana 2553C ana �nat I or any tumre euileing acupam vnMvill nai (drtle one) neea to tomoN �� a sta�e cotles ana tl1e �epNremenis lor a permil Ior conslNction or modil¢alion Imm Ine Air WaLry Mamgemeni �isirict. Residentul consiruttion appliWlions are exempt Imm i0ese provisians. Oa�e: p .canc I �ereGy c¢tlily IAaI I �ave reatl��i5 aDDM1taii and S�ate�hai IAe aUov¢in�ormalioni5 tarred. I agree lo compty vni� alltiiy antl nly ordinances anG sta�elawsrelatingto OuilGing onsimctPon an0 here�yaut�rorize representatives atihistirytoente�upanihe a�ove- mione0 prDO¢�ly �orin5p¢LIiOn purpOSM. � Qate: —1L�� Signalure: �!. � 1 Oriver's �icense or Socia� Sec�nry n: _ _. �6ai.¢6 wnrte—Bwlding: Green—COEe EntorcemenC Gnary—appbcanl; CITY OF COSTA MESA — SIGN PERMIT PERMIT NO: S?E 059883 PLAN CHECK NO: 04559-91 S CONSTRUCTZUN TYPE: PERM:LT TYPE; ELE STR SIG JOB DESCRIPTION : 2-125F LUMINATED SIGNS CLAIM VALUE: 500.00 CALC—VALUE: 500.00 PERM NO; SBE 05488? GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: B-2 / COMMENTS: X iE iE M iF iE IF iE ih 1� 3E i(� �7F Y.-iE iF�%if iE 1E if if if if �f ii IE if Y.� 3F iF if iF iFiF iE if if �/F 3E iE fi�+F if IF 3F iF .L' if 1F it� 3f ii� lf iE iE 3f 3F �lf if ff iF 1f 1E �f i'r iF iE 3F �lE #E iF aM 3F )F 3E?6 �lE i!� iF S I G N I N F O R M A T I O N ,DISTRICT: 1 TYPE: PRICE ILLUMINATION: ZNT CATEGORY; N�W DIMENSIONS: 4FT 04IN 3f 3FT 06IN AREA: 24.00SQFT LcTTER HT: 6" STREET FRONTAGE 1: 135.00 fiTREET 1: w 19TH ST STREET FRONTAGE 2: 109.00 STi2EET 2: PLACENTIA AV PARCEL: 42227217 ZONE; C1 LOCATION > FRONT: X REAR: BUSINESS NAME: MOBZL > LEFT: X RIGI-IT: O T H E R T O T A L 5 G R O U N D S I G 1� THIS ACTIVITY : 24.00SQFT OVERALL HEIGHT; 7rT 9IN /T'H15 SITE : 63.50SSZFT , GROUTFD CLEARANCE; OrT OiN ITEMS OF IN:O : 0 • PLANTER AREA: 100!OOSQ?Y 3TEMS FOR ACTIVITY:_ B �� BLDG SET BACK: 20FT-�• COPY VERBIAGe. : PRtCE ZNFORMATIOi�l,- , � (2 IDENTZCAL) !'•� YI.ANNING NOTES: jF iF �F?f iF � iF# 1E �% iF 3F iE 9F R iF ?F � iF i4 R ip aF K i� iF 3� � i4?t-ie �F 3f �r3F iF �F �4 iF if iF #� �k �F 7F �c aF 8 aF if if iF i4 iFjF 1F if If iF ic?(� 9F 9F 9E iP iF 3F if iP 1E R ii 'r, i6;e } jF iF �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 Nt� S ZONING APPROVED BY � {/�Q.Gn DATE: �_�� 1 _ BUILDZNG APPROVED BY : DATE: �'i i, t,. APPLTCATION ZSSUED BY; �'�' � ��✓V\ DATE: �� [_ � �F�E�Ex��iF�F+�x��c�tE�F��*K��(�il��FiF*�iF�FiF�'riFiF�F�FiFi�3F7F 4 iF 3F'�r�T�iF7€'� �iF��r**iFi��cx��F?� x� x►�t� LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y HLDG PN,T PLUMBING ELECTRIC MECHANIC SIGN SMIP/RES GRADTNG PERMTT' 15.00 30.00 24,00 SOY SMIP/NON—RES PLAN 9,75 ,SO ISSUE FEE 15.00 BUiLDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 65.50 15.00 9,75 94,25 94.25 .00 REVENUE DIVISION TOTALS--> COLLECTED• 99,25 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN—CHECK 15.OU 45.00 24.00 ,50 9,'15 iE iF iE if if iF if 1E iE if 3f� iE !F iF IF 1E 3f fh iE 1E 1E 1F if �f Y iF i't iF # af iF 1f iE if i'r IE iF iE if ik �)h iE if i4 iF ii� iF iP iF ibiF if iF !f 1F 1E!f if iE iE if• iF i't if 1E i(� ii ii� iF lE #� ic ih i6 if if� ih if 3k I N D I V I D U A L F E E B R E A K D U W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 2 SIGN/ OUTLStJE LIGHT SYS ON 1 BR CIftC 15,00 3Q,OU END OF FEES ;t �OI"'-- �GiG;:;: ---'r .:_ , . .:,:1.5: 22flJ•r� i.. . ,... ._ . CONSTRUCTION ANO PLP,NNING� P��' SPA APPROVALS Per:nit #� J. Date Inspector APpROVALS Permit # Date Inspector 1 1. Temporary Electrical Service.or Pole � 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. ,� 53. Steel Reinforcement � 3. Electrical Conduit Utility�Undrgr�d. 54. Forms 4. Electrical Conduii•Undrgrnd.-� � 55. Electrical Bonding '-� 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings (./��'.� /QG�8. � Electrical Conduit•Undrgrnd. t 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe•Undrgrnd. . -. 60. Backwash Lines, P-Trap, O Undrgmd. 70. Structural Floor Svstem � 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection � 62. Backwash & Receptor�Final 12. Sewer Cap , - 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System � Final 14. Fiough Plumbing 65. Electrical-Final 75. Rough Electrical-Conduit 66. Solar SYstem�Final - 16. Rough Electric Wiring 67. Fencing & Access Approval .�}7. Rou9h Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVAIS Permit # 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing - 74, Overhead Hydro 26. T•Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. �athing & Siding 77, FIXED SYSTEM FINAL 29. Insulation 76. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80 FOOD CERTIFICATE ISSUED 33. Final E�eciric 1��2 � otes: .� . 34. Final Heating & F.i� Conditioning 35. Final Gas Pipe-Test , 36. Hood or Canopy 37. Final Factory Fireplace ' . . ' 38. Final Plumbing 39. Water Service-Final 40. Gas Service�Finai 41. Sola� Domestic-Final - � 42. Backfiow Preventer � 43. Backflow Irrigation 44. Landscape Irripation SYstem � 45. Sound Attenuation . 46. Handicap Regulati0ns 47. FINAL STRUCTURE & 9UILDING /� QG !- 48. FINALPLANNING _ 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY No. Date , PROJECT AOONESS: '] j Q W 1 9 TH ST owNessname: WINALL OIL CO, aoosess: 1338 E 29TH ST SIGNAL HILL CA 90806 (714)634-4800 AflCHIENGINEFH: ROOflE55: UNIT: � nec.xo.: UNIT: PEPMITTEE: SOHN HOWENSTINE INC. ( 714 ) 557-4064 aooness: 3188 AZRWAY AVz J COSTA MESA CA 42626 LICENSEO CONTPACTON oFLIAPRT10N: I �ere0y atfirm �Iwt I am ticense0 unGer D�visions ol Ctupter 9(wmmencinq vnth Section 7000) al Dirs�on � al ine Business an0 Pmteuions CoEe, ane my license is in IWI larce antl eBect. cinuc.: pp9 zQ� suTeuc.:3�q7q� (cu�sps:�Cp45 Oa�e:�1 ` `` Si9naWre: �vV.�y._ �. ' - WOBNEBS'COMPENSATIONOE0.APpT10N: I�emOyallirmRutl�aveaceriili[at¢oiconse s¢tl�in5ureoracertilicatealWorkers' Gompensalion Inmrance. or a ceniliea wpy Inereol (�ctron 7800. LaU. q. roucxxo.: 1241600-91 eza.oare: 04/O1/9� COMPANY: STATE FUND � Ceaifiee capy is �er¢Oy furnis�ea. � CertitieG copy is �ile0 wit� tM city BuilCing Oi Sion. �' Date: \ \ �� AOVliwnt: � E7(EMPTION FXOM WOflKENS' COMPENSIITION OECIAMTION: (�14t Se[tlan nreC nol hE mmDIeIN i pttrtut is la me nuMrM jS100) o� kss). I certify thai in t�e pedarman[e at the vrork far wNc� thi5 Oermit is i55ueE. I 51WI noi ¢mploy any person in any manne;5n a5 io Uecome su�jecl to Ihe WodeR' CAmveM1saGon laws ol CdtiPornu. � Oate: Signatu2: NOTILE: II. al�er makinA �tis UeUarauon. yau slwuW Oecame sublect to t�e Workers' Compensation O�ovisions M the LaUor Coae. you mus� �onnwiih wmvN �+�� sucn pravisions ar rtus oe��u� stwn Oe Oeemea remke0. --. CONSTNUCTION LENOING �CENCY: I �¢r¢�y afiirm ihai Nere i5 a wns(ruttbn IenOing ap¢nty lor I�e DeAormanCe,�lhe work fof w�ich iNs Oermi�i5 a5ue0 �SectiOn 3097. Gv. C�. . �ENOEp: I L L UM I NATED nooncss: I i L UM I NATED OWNEB BUILDEN OECLAflATION: I hereGy atlirm ihat 1 am eKemD� ��om t�e Contractori State Lkense Law for tlle lollowinp reazon (Setlion 7031.5 BuSiness aM Prol¢Saondl CAOe: MY ury ol fAunty w0ic� repuiRs a perrtnt to ConSirutl, alter. improve. Uemolish, or repair any Slmtlure. ptwr to its iuuance. aLSo repuirts �he apptitani tor Su[� permit 10 lile a vpn¢C SWiem¢nl Ilut 0'JShe is lit¢nsed pursuant m t�e pmvisans ol the Contraciws' SWte Lkense Law (Ctwpter 9(commencinq vnih Section 7000) ol Oivivon 3 0l ihe Business anC Pw�esvans COUe) or VWt npJs�e is exempt I�erefrom anE Itle Oaz6 for I�e allepe0 eRemplion. Any violation al Seclian 7071.5 Oy eny appliwnl lor a permil suUjecis Ine ap0�� lo a civil Oe�lly ol not more tlun live nunOrea aollars (5500�. I, as awner of Ihe pmperty or my empIoyeM vn1A wa0es as Ineir sde comp¢nsation, will Oo ihe work, an0 tAe j❑ simcmre is no� imenAea or otleree lar sale �Sectqn 7Uaa. Buvness aik Pmlessianal CoEe: The Contractors' SWte license Law aoes nol aOVly �o an Owner ol a propeny wtp buil65 or im0�b'� ��ere0n, anE wtro Ooes suc� work himsell/�erult or l�rouph �i5 ar �er ovm emDloy¢e5, provkM Ilui Suc� improv¢menls are w� inlenGM or otlere0 tot ull. II, �owevef �he OuilCinp Or imOmvement i5 sold withN one year ol tampletian, thG OwnN will have ine Ourden al DmWnp �¢/sne aiA not Ouild or impmve for ttie pmpase o� salel. I.as owneroft�e propeny.am eRclusively coniractinq withlicenseG conlractorsio consimcithe D�olect(Seclion 7044, Business ❑ antl Proteuians CoUe: T�e Comracmrs' State �icense Law dces irot apON to an owne� ol orope�1y who hmlas ar imprwes t�ereon an0 who COniratls lor Such prOj¢tI5 �ltl a Conira[tor(5) IitenS¢ Our5uanl l0 t�0 COnlraCi0f5 $Iaie LiC2n50 Law�. 1 am awdre I�at prUof ol I�eir Worket's CAmDenSdtian insurance SMuIE bE 0«OeU Io me. � I am ecempi unGer Section: B. 8 P. C. loi ihis reason: Oale: 0�mer. i no ne�eoy cmiiy ma� i am aware o� antl un0erstanE t�e repuirtmenis ol Califomia Neallh anG Safery CoOe Sectians 25505, 25573, and 2553< antl Ihat I or any lutwe �uiltling ocNpant wilVwill not (ci¢le one) nee0 to wmpy wi10 sai0 slale mGeS anE t�e reQuiremenis br a Oermil lor conslmciion or moGAi[aiion Irom t�e Air Oualily ManapemBnl Disirict. fleSiE¢nlial ton5lruciion appliCati0n5 are eeempl Imm I�ese provisions. Daie: Applicanl: I�er¢�y t¢nily��a� I M1ave rea0i�i5 ap0�ication anG 51a1e Iha� Ihe abovBinlo�malion i5 tOrrttl. I aAree Io Comply with alltily anA Couniy areinanws and state laws relaling Io Ouilaing constmctbn anE nereby authorrze revresentatives al this cily to enler uDon Ihe above�mentionea O�operty brinspec�ion purposes. �/�� 1\ Date: ,� �� \ Si9ndNre: \ � �,��/�.S �J\ Oriver's t¢ense or Sociai Securiiy r: I6a1�46 WlAte—Butlding: Green—Code EnlorcemenL Canary—AOVlicanl; P�nk—Revenua; GalEanrod—Assessor CITY OF COSTA MESA - SIGN PERMIT PERM NO; SBE 059884 PERMIT NO; SBE 054884 PLAN CHECK NO: 09526-91 S GOVT: N SUPP; N CONSTRUCTION TYPE: 2-N PERMIT TYPE: ELE STR SIG PURPOSE: OTH JOB DESCRIPTION ; SIX ILLUM, "SELF" FASCIA DIRECTION/SIGNS SQ FT; CLAIM VALUE: 445.00 CALC-VALUE; 445,00 GROUP OCC: B-1 /H-2 COMMENTS: SIX ILLUM. "SELF" FASCIA DIRECTION/SIGNS ***��rx****x�*x�****��*r*��**�***�r�x ��r*x*��r��**�x �u �t**xx��x �*��+�*+�� +t+r**x �*****��x S I G N Z N F O R M A T I O N DISTRICT• 1 TYPE• CONVENIENCE/CANOPY ILLUMINATTON; NON CATEGORY: NEW DIMEN5IONS• 1FT' 04ZN X 7FT OOIN AREA; 10.20SpcT LETTER HT; 8" STREET FRONTAGE 1; 135,00 STREET 1: id 19TH ST STREET FRONTAGE 2; 109,00 STREET "l; PiACEi�7TIA AV PARCEL• 42227217 ZONE; C1 LOCATION > FRONT; X REAR; HUSINESS NAME; MOBIL > LEFT; RIGHT: O T H E R T O T A L S G R O U N D S I G N TFiZS ACTIVITY . 10,20SQrT OVERALL HETGHT; UFT OSN THIS SITE . 10.20SQFT GROUND CLEARANCE: OFT, OIN ITEMS OF INFO : 3 ' PLANT^cR AREA: O.�OOSQPT �TEMS FOR ACTIVITY; 3 �� HLDG SET BACK: 20FT COPY VERBIAGE ; SnLF + PEGASUS LOGO (3 IDENTZCAL STRUC.TURES) PLANNING NOTES: 1 STRUCTURE W/ 2 STGN TYPES �= 7E �1E iE if 1f iE IF ff if iF 1f iM N� iE 3F iF ie iE iE iE iE iE iF iE iE iE iE iF it iE iE iF if �F-T�-7f �lE 1E a'E iF if �F �lE 9E 1E iF iEiE # if 3E af �F iE it�1F IE jF �Y-iF iF If iE iE aF if j4 iF i(�if,iF iF 1E iF 3cie aE iE IE D E V E L O P M E N T S E•. R V I C E S R E Q U I R E M E. N"J'. S ZONING APPROVED BY - s IZQ� DATE: _�� BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY; �,� � C�i�n^ DATE: �� 3E 1E if 1f 1E iE if ik if iF M-3E if if �1F iF iF 7F 1E if 1E if� 1riF FiFiF iF3!�FTf iiiF ifiFifiFiF iC r EiF 7F it iiTF �Fifitit ik iE if if iF iE if iE i!� IFit% 3f iF LEGALI'LATION:N F E E S U M M A R Y STRi]CTURAL SEGMENT:Y BLDG PMT PLUMHZNG ELECTRIC MECHANIC SIGN SMIP/RES GRADING PERMZT 15.00 90�0�$ 10.Z� SMIP/NON-RES ISSUE rEE 9�75 15.00 .50 HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 115.70 15.00 9.75 140.45 140,45 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 140,45 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECFiANIC SIGN SMIF/TOT GRADING PLAN-CHECK 15.00 105.00 10.20 .SO 9.75 IE iE iF M' iE if i(� Ii' i%ih iF if if IE 7F 1F iI' iI' iF iF K� �E Y.' fF if if iE if l4 iF iE 1f iI' iF �lE iF If if iF 3F 1h iE it' if �i' i(- if 3(' iE iE 1f iI' lI-iE if N IE 1f K If IE iE if IE iF 1E iF 3F Ii' ie IE iF if' IF iE iI' iE IFiI' I N D I V I D U A L c E E B R E A K D O W N TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST ELE 6 SIGN/ OUTLINE LIGHT SYS ON 1 HR CIRC 15.00 90.00 END OF FEES 0 � QOI01:.;;: CS1C; : ,-� - 6R7E' 1L'US/G'. 'i:G? 1�.,�=,f .'t.v: CONSTRUCTION ANDPLANNING PO� SPA � APPROVALS Permit # Date Inspecto� qppROVALS Permi* # Date Inspector � 1. Temporary Electricai Servicear Pole � 52. Pool & Equipment Locatio� - � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Uodrgrnd. � -� 55. Electrical Bonding 5. Sreel Reinforcement 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE 7. Footi�gs 58. Electrical Conduit-Undrgrnd. 8. Foundation , � � 59. Gas Pipe, O Undrgrnd., Test - 9. Water Pipe•Undrgrnd. 60. Backwash lines, P�Trap, O Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK 11. Property Sewer Line & House Connection , 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains �. 64. Piumbing System - Final 74. Rough Plumbing � 65. Electrical-Fina� 15. Rough Electrica�-Conduit � 66. Solar System-Final � �.i6. Rough Electric Wiring ��A� 67. Fencing & Access ApPwval 17rReugh Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating � 71. Product Piping O Gas OOiI 23. Gas Pipe•Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Cei�ing (Struuurall & Monocoat 75. Dry Chemical 27. Frome and Flashing .76. Dry Standpipe 28. Lathing & Siding 77. FIXEO SYSTEM FINAL ' 29. Insulation , 78. FIRE PREV. FINAL 30. Drywall Nailing • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electricai Power Meter�Final � 0. FOOD CERTIFICATE ISSUED 33. Final Electric �� Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Faaory Fireplacc ' 38. Final Plumbing � � 39. Water Service�Finat ' � 40. Gas Service-Final 41. Solar pomesticFinal ' . � � 42: Backflow Preventer � ; 43. Backflow Irrigation 44. Landscape Irrigation $Ystem 45. Sound Attenuation ' 46. Handicap Regulations C � , 47. FINALSTRUCTURE&BUILDING q p{�(� � } �' Y�� -v �i�1.� J 48. FINA� PI.ANNING ' . . 49. E�earic Release to Edison 50. Gas Re�ease to $outhern Califurnia Gas Co . � . 51. CERTIFICATE OF OCCUPANCY - No. Date Mesa Building Safety Depertment P.O. Boz 1200 Cosia Mesa, California CERTIFICATE OF OCCUPANCY ?''�� +$1'3 The Building located at ,':'t^�:'1: _'"itt S':.'�t?'�; has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group �- Occupancy. UseofBuildin9 '�`-��v--�'<� .3'G�$i.'7C:,., GSi1fi77:�f+f3a ..?"�CY �'�US'i3.��' }JU..�tZC��TEi'-' Legal Description -'-� � �i7.:}` -:Z•`1!..�jj � .� � (See reveru side for Metes and Bounds) � Building Permit No ~ � Electrical Permit No. ��`�'� Plumbing Permit No. , Number of apartments and/or guest rooms - � ISSUED T0: Building Official by �� ir ;.i.:' ' � :i ::a'a�r , — — — Date 1C°�3x�J�l?'$7' �, X�'(� This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removad except by the Building Official of the CitY of Costa�Mesa under Sec. 306 (e) U.B.C. � Form BU 3a � ,�' T�•bF COSTA MES/n-� CONSTRU TION PERMIT roject Address �`10 �.t%• � ST" .Applicant's Maili^ng' A,d,-dreIs-s /338 E. Z9C�sr• Sipf��✓n�- H7LC Owner'sName �U QG�h��«" PhorTe��yl��gy� A�d,Qss /33R F. L9� Sr. 57G.�i+c-/hu. u4 �'i�Yx� Arch/Eng. License No. Addr@ss Contractor'sNam��'��Q � �� i Phone � Addr@ss (mailing) ��'� '��'��5� µ" Ciry �icense No. _i'I�`=t%� B��"' �ICENSED CONTRACTOR OECLARATION I herqby affirm [hat 1 am licensetl untler provislon5 oi ChartO� 9(commenCing wi[h sectfon 7000) ot Division 3 ot the Business antl Professions Cotle, antl my Il�ense is in full force antl ef(ec[. License Class License No. �ate Si9nature WORKERS' COMPENSATION DECLARA710N ' hereby aitirm that I have a certificate of consent to salLinsure ar a tMtlficate Workers' Compensation Insurance, or a certitietl copy thereof (Settion d00, �yb. C.) , Policy No. Company ❑ C@�tifi¢tl coOY �5 �e�eby�futni4hltl. ❑ CQrtitietl copy iS tiletl with the city Builtlin9 Divlsion. Oate � AppliCant EXEMPTION FROM WORKERS• GOMPENSATION DECLARATION (Thissection neetl not bo mmpletetl if the permit Is 1or one huntlretl (5100) or Icss). I cerq{y that in th¢ OertOrmance Of Ihe e k fo� w�h [Itis pe�m�t is Issuetl, I shall not emv�oy any person in any nd to be�pine zuEject to the Worke�5' Comy.en�lion LawS ot Cali/ r Oate ��—LLf $i4�atute NOTICE: It, after makin9 this decldra On, YOU ThOultl becOme bj¢Cf to [ne Workers' Compensation provisions of the labor Cotle, yo� mu5t fortnwith comply wlth suc11 provlsions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I M1eroby afflrm Nat there Is a constructlon IenGing a9ency tor the pertormance Ot Ihe work tor whicb lhis oarmlt Is ISsuetl ($¢Ctiop 309] Civ. C.) L,enGer's Name �antler's Atltlress OWNER BUILDER DECLARATION I horeby afflrm Ihat 1 am exempt trom Ihe ConVac[O/'s LiGensa law-for (h0 /ollowing reason (5ottlon 7031.5 Businesi antl Professional Cotle: Any cify or . cauqty whlch reqUires a permlt to con5truct, dll¢r, Improve, tlemollsh or re0alr I. any slructure, prior to its Issuance, also requirM tne applicant for such'oermit �to tiie a signetl 5[atemenl lhat he/she is Iicensetl pursuan( to lne provislons of tM1e Convactor's Li<ense Law (Chapter 9.(commenctn9 with 5ect7on 7000) oi ..:�OIvlSion 3 of tlle BUSIna55 antl %OlesSions Cotle) Of lhdt bo/sh0 Is exEmpl `�CrOlrom an0 th! ba515 br [ne allegetl Oxemption. Any violatiOn ol SeCtion p�.�)3j.5 by any dpplitanl tor a permil SUCjeclS the aOPliWnl t0 a civil r�'�penalty of not more than tive huntlretl tlollars (E500). ❑ I, �s ownor o1 tha property or my employoos with wagos as their sole Comp¢nsatiOn, will tlo th0 wo�k, antl Ih0 sVUGtu�o IS not in[¢ndatl o� offer¢tl lor salo (Section 7044, Bu5lness antl Professional Cotle: The Contrac[or's Lfcenie ldw OoeS nol apply to an owner o( a property who bullds or improv¢s Nereon, antl who aoes sucn work hlmselt/hersell or tnrou9n nis or her own emp�oy ees, prOvltletl Mat such ImD�ovemenls aro nol intenaetl or olferGtl �o� sale. It, howBve�, thB bulltlin9 0� iTP�ovOment I5 Soltl within on0 Year ot com- pletion, tne owner will have tne burtlon oi proving he/sh¢ aitl not bulltl or im- p�ov0 �or the pu�poSa Of sale). G� i, as owner ol [M1e proPerty, am exclusively contracting with Iicensad�con- trac�oR to constluct lhe proj¢tt (SecHOn 7044, Bu5Ino55 dntl PrOte55iOns Cotle: Tha Conlractor's L(cen5e Law tlo¢s not apP�Y to an owner of property wM10 builtlz or improvas thereon, antl wno contracts tor such projects wlth a con- baqor(s) bCense pursuant to tne Contractor's License Law). I am aware (hat pro01 of thei� Worker's Comp¢nsaUOn InSuranca i�oultl De provlEetl f0 me. ❑ � am exempt untler Section,. – B. �.3. 0.(or tnls reason O tc -25-87 0 I hereby certity that I have reaa this application antl state't t the apove information iz correct. I a9ree to complY '+�� all clty antl county ortlinances antl 5[ate IawS r ating to b ilCing construcliOn, anE he�eby aut�o�ize r¢pre- sentatives of i i y �ter upon the above-mentionetl property for inspection p — Sig�ature Oaia 3'Z�'� 7 Drivers' �icense or 55 � � Applicant to /ill in a1l spatts except those witnin heavy boraer Iinas antl sign all aoorooriate a¢clantions. PERMIT�lO. __„_ , , TRACT NO. LOT NO. UNIT NO. TYPEOFCONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LJ f3EPA1R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � ' DESCRIPTIONOFWORK/USEOFBLDG. TVPE OF PERMITp� U GRADING LJ FOUNDATION LJ STRVCTURAL ❑ TENANT lai ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHEF PROJECT DESCRIP710N Sq. FT. oCCUaAraCv— CONSTRUCTION TVPE VALUATION 5 ZONE GRADING CU. VDS. ACRES_ Remarks: Sink <flow Preventer Rflow �rrigation Dishwasher Drinking Fountains Floor Orains . ' Floor Sinks GasService; �Outlets Interceptors Kitchen Sink Lavatories . Roof Drains - Reinspectian Fee S15 Boiler Dutt - Under Ground Duct - Strucwral Duct - Ventilating Exhaust System ❑ Multiple � Firepl/Fact. 81t. ICBO �h h Heating System & Ducting ❑ ai oo,000 eru O i oo,000 en Showers ' Service Sink SeWerCap Sewer Connection Solar Collectors � Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet ' Wacer Heater Wacer Service Auto�Wath laue Fee Hood or Type I ❑ Canopy Type I I ❑ 4efrig{e�r�ation $ys[em �0-100,OOOBTU ❑100,000 System Repair/Alterati�%( F Fire Dampers ��;,o��ple� Registers , ` � y 3 � : Reinspeaion Fee � $15 � � 4 laue Fee � $ 3 �CMF 0865-46, rev. 30/84 Wnite - Builtling; Canary - Appllcant; Pink - A<counUng; Goltlenrotl - Assessor A.P. qW S Main Buildi E T Front B Reor A C Right K Lett S Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Cooking Unit Dishwa5her Dryers ❑Gas ❑ Fan F.A.U. F i xwres Device Boxes Outlets 4621• 3/25/87 Zone Accessory Building: Parking Req,/Provided ELECTRICAL Transformer ❑ 75-50KW ❑ 50+ KW GarbaBe Disposal Generaeor O0.5 KW �5-15 KW Meter LJu{i to 100amps Meter ❑over100amps Sub Panel Motors �-1 HP O1 h- 8 Inc.Solar �9-15 HP �16-15+ Microwave ' Pole Light �` Range Sign Standing Sections �• � Tresh Compactor �� Reinspection Fee �$15 � I laue Fae DEVELOPMENT SERVICES REQUIREMENTS: Zoning qpprovad By Building Approved By Application Issuad Bv n . 13020 TL FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE 5 PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAI $ --� GRADING $ PLAN CHECK 50% $ MICROFILM 5 MECHANICAL $ TOTAL fEE $ ! 3. �a PLAN CHECK ZS% $ Z O N I N G R E Q M T $ � � '��NSTRUCTION AND PLANNING POO >PA i�PPROVALS - Permit # ' Date Inspector qppROVALS Permit # Date Inspector J 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgr d �� 55. Electrical Bonding - 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPFOVAL TO COVER-GUNITE 7. Footings � � 58. Electrical Conduit-Undrgrnd. 8. Foundation l- 59. Gas Pipe, O Undrgmd., Test 9. Water Pipe-Undrgrnd.;? ' 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 1 i. 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 i 6. Rough Electric Wiring � � 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POO VSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure . 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Freming 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: j.LG-$% /�j�Y U ►� Lu 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test . � 36. Hood or Canopy ' 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final . 40. Gas Service-Final 41. Solar pomestic-Finai 42. Backflow Preventer . � � 43. Backflow Irrigation � 44. Landscape Irrigation System � � 45. Sound Attenuation ' �,i 46. Handicap Regulations ,� Incqmple e Inspe�ctions 47. FINALSTRUCTURE&BUILDING � � 3 - 48. Special Requiremen[s Completed . 49. Electric Release to Edison 50. Gas Release to Southern Caiifornia Gas Co 51. CERTIFICATE OF OCCUPANCY " � � Np, Date � AOPlleant to fill in all s aces extt t tnosa witnin neav eoreer Iinas antl sl n all a - V P Y 9 GOroprlata tloclaralions. T N PERMIT � PERMIT N0._ , u, TRACT.NO_ LOT NO. UNIT NO. CITY OF COSTA M�'7ES�A�� C NSTR UC Project Address _! lS.l_f��9� � 'Applicant's Mailing Address Owner'sNam7e� �!N ��^ PhponS�YL7�.�pS/% Address ..,1.{/_�Zi " y ��'/� Lablur._X�%7 lMreh/Eng: _L�r�.S�`cu/ License No. ��S 7 Z Address _L%lL�/.�.��./TN�j'• L,�. 4�0R0e/ Contractor'sName_Ll'��J�SiN 'TNo. P�rtp s�f-YOi/ Addresslmailing) u.F Y'"'�r_, L.A• s000. Ciry License No. l� So LICENSED CONTRNCTOR DECLARATION I h¢reby altirm Ihat I am Iic¢OSetl untlGr prO��5ion5 of ChdrtCr 9(comm¢ntin9 with section 7C00) ot DIvlSion 3 of tha Business a Protesslons Catle, antl my license i in full forCa anG eHect. Licons ss.�. ; I nse No. //99 y9 Date � _�� 1.`_ $Ignature • lRK RS'�OMPENSATION DECLARAY�ON ` , ereby aHirm that I have a certificate oi m�sent to self-insure or a cerUfiwte ' vt Wo�ke�s' CompensatiOn InSuran[e, or a certifiGtl copy thereof (Section 3800, Lab. C.) . . aoncr No. Ti/t[l�/� corriaznv G:N.�O. , 8 Cer[i/ie Cop I5 �ereby furnishetl. �� A CertYi CO I5 fil¢tl with [he city Buiip��q� �1w�'Siva ' Date_� APPlicant--� �/�J-� �� EXEM ION FROM WORKERS' COMPENSATION DECLARATION (This section neetl nat be completetl It lhe pBrmit is for one huntlretl (SI00J or less) I c¢rtity lhat In Ibe OeAo�mance ot t�e woYk to� which tbls perm�t is I55Uetl I Thail not employ any porson in any mdnn¢r So a5 to betoma subject to t�e Workers' Companzation Laws ot Calitomia. Dale Si9nalure 'NOTICE: II, alter making [hi5 tlBClaration, you ihoultl becOme SubfOtt t0 the Worker5' CompenzaHon provislons of Ihe �bor Cotle; y0u must brtbwith . comply'witn such provisions or Nis p6rmit shall be tleemetl revoketl. CONSTRVCTION LENDING AGENCV ' �� I hereby afllrm that thera ts a consUucUon 16�tlin9 a9enty tor the perlormance of iho work fOr whiGh IhiS permit iz i55utG (SeCtion 3097 Clv. C.) Lentlar'i Name ' Lendar's Atltlress � OWNER BUILDEH 6ECLARATION � I har9by aHlrm [hat I am oxompt trom th0 ConVactor's Llcen50 Ldw for the f011owing redsOn ($¢ctlon J031.5 Buslne55 dntl Profe5570na1 COtlo: Any city of county which requiros a permit to conslrut�. ��ter, improve, tlamolisn or repair' any structure, prlor to its Issuanca, also retlWres tha applicanl tor suth pormit � b fllo a si9notl Statemenl thdt he/She is IlcenS¢tl pur5udnt l0 Ihe provislOns o( , w Contractor's Litense L. w(Cnapter:9'(cOmmoncing wlln Snctlon 7000) ol IvlSion 3 of the Butine55 antl Professions Cotle) or that h0/Sh¢ Is exomp[ ncretrom antl the basis for the allegetl examption. Any Nolation ot SocUon 7031.5 by. any applican[ for a permit bubjects tne applicant to 'a clvil �enalry af not mora than tive huntlretl Ooliars (5500). ' I, as ownor ol tha properly or my er*�P�oyeos with wagas as their 5ole ' cort�pen5atlon, will tlo th0 work, antl Ue structuro is not IntonCatl or oltero0 lor sala (5¢ttion 7040, Business antl Cro�essional Cotle: The Contractor's ' LlcenSe L. w tloe5 nol dpply to an ownGr Ot a p�ope�ty who builtl5 or improves theraon, antl who aoM such work.himzelf/nerseli or ihrough his or her own employaoz, proviCetl lhal sucb Improveme0�s a�0 not InIGntlBtl Or otfa�eE fo� sale. If, howOveq lne builtling or improveTenl is sOltl wllnin one yoar o1 Com- . pletlon, the own¢r will have tha bWtlen of Proving he/Sh¢ tlitl n0l bulltl o� im- �rove torthe purposn olsale). I, as owner Oi Ibe proper[y, am aztlu5ivety Conlracting wlttl IlcanSetl Con- Vdctor5 [O COnslruet lhG projeel 1SCCti0e1 7044� BU510855 dOtl P�0185Ti0O5 COtlG: The ContractOr's LlcenSe Law doe5 no[ apP�Y �O an own¢� ot Oroperty who builds or improves thewo�, ana wno'conVacts for sucn projacts with a con- tractor�sl Iicense purtuanl to the'ContractOr'S lJcensa Law). I am awara that prool o( lhelr WO/ke�'s Compensatlon InsuranGe ShOWtl be Drovltletl [o me. ❑ I.am exempt untler Sectlon B. 6 P. C. �or this reason Date Owner I hertby certity Ihat I hav¢ rea t� app��ation antl itale Iha[ lha above InPormatlon Is recL I ree t ly W�th all tlry antl county ortlinances antl slale law re ling o uil nStruCtion, antl hereby autho ize r re- sentative5 ot Ihl tit e pon the above-mentloneG Or per tor insoection rpos s. �� 5ignature � ' Date'; Driver5' LiCenSe Or 55 � � TYPE OF CONSTRUCTION IJ NEW I�: ADD LI ALTERATION LI REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTH/� R DESCRIPTIONOFI'IQRK/USEOFBLDG�!T/�� .GZS To TNf TVPE OF PERMIT U GRa ❑ TENANT ❑ ELECTRI ❑ OTHER PRQIEC7 DESCRIPTION 5a. C O N ST RUCTION TYPE� Remarks: Sink Preventer Irriaation rinking Fountains loor Drains loor Sinks " P-Trap Roof,Drains Reinspection Foe uct - Under Ground uct - SCrucwral . STRVCTVRAL NG '�ry VALVATIONS GRA�INGCV.YDS. /� ' ( Gi � �. Q_ if L' PLUM8ING Service Sink Sewer Cap Sewer ConnE Solar Collen Solar P" ng wimming Pool wlSpa Urinal Weter Closet Water Heater Water Service � � Auto-Wash ' Laundry Trays' $15 . Isue Fee g 3 MECHANICAL FEE Hood or Typel ❑ Canopy Typell � uuct - venmaung � - Exhaust System ❑ Multiple ❑ Firepl/Fact Blt. ICBO�,$ Heating System & Ducting ��/ ❑0-100,000 BTU � 100,OyW i � Reinspection Fee � $75 CMF 0865-46, rev. 10/84 Whit¢ - Builtling; Cd�ary - Applitdnt: Pink - Accounting; Goltlenrotl - Assesso� L7diC Iswe Fee $ 3 A.P. q1� S Main Buildi E � T Front `, 8 Rear s q C Right K Left 1 S Ptng. Ret. # Planning Notes: Automatic Washer Construction PoleSub. Cooking Unit � Dishwasher • - - Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outl¢tS Switches Garbage Disposal Generator ❑ KW C Reinspaetion Fee 5ir� �;�_ :; Zone Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW , ❑SO+KW Merer ❑up to 100 amp- Meter ❑over 100 ps Sub Panel 0.1HP01Y,-8 ❑9-15 HP �16-15+ Pole Light Range -• Sign .� ; Standing SecGons - 15 KW ' � Trash Compactor _ : / $15 luue Fee . ' 0 FEES $ 3 2 O N I N G R E Q M T S DEVELOPMENTSER ES E I E ENTS• Zonin9 APProved By - — Date y��^ Building Appraved 6y Date Appl'wYo lu ed By D t �: SU ARV OF PEES BUILDING PEFMIT $ 0 a SMIP . �^y�,�� PLAN CHECK $ � PERMIT � PLUMBING � $ �SSUANCE $ n5 ENERGV P.C. 5 PLAN CHECK 25% $ , ELECTRICAL $ • � GRADING • 5 ' � —"'"�PLANCHECK 50% $ MICROFILM , S � ' MECHANICAL ' $ � TOTAL FEE $ ��. D,/�� PLAN CHECK 25% $ � , � CONSTRUCTION AND PLANNING . PG 3� SPA APPROVALS � Permit# Date . Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or PoIE ;;� 52. Pool & Equipment Location 2. Soil Pip�Undrgrnd. /�- �- �`� 53. Steel Reinforcement � 3. Electr4tal Co'nduit Utility-Undrgrnb.� 54. Forms ' /' � 4. Electrical,;Conduit�Undrgmd. '� 55. Electrical Bonding .. ; :'.B:+Steel Reinfd�cepient� � 56. Rough Plumbing & Pressure Test :" 6. Electr.i.cal UFER Grnd. 57. APPROVAL TO COVER-GUNITE • . i. 7. Footings ; �: �� 'C� �- 58. Electrical Conduit-Undrgrnd. ' 8. Foundation �. � , '' 59. Gas Pipe, O Undrgrnd., Test 9. Water Pi,pe-Und�grnd. •� i � ' 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural• Floor System ', 67. APPROVAL TO DECK 11. Property Sewer•Line & House Conriection . �, � 62. Backwash & Receptor-Final i 12. Sewer,Cap ,�, " � 63. Heater & Vent-Final �" 13. Roof �Drains � � 64. Plumbing SYstem - Final i 14. Rough,Plumbing `r � 65. Electrical-Final� 15. Rough Electrical-Conduit 66. Sotar System-Final 16. Rough Electric Wiring 67. Fencing & Access Appia al � 17. Rough N/ifing Sign 68. APPROVED FOR PLASTERlNG : � 18, Rough Electrical-T Bar Ceiling 69. POOUSPASYSTEMSFINAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21" �Ducts, in �tructure 70. Underground Hydro 22. Duc[5, Ventilating �� 71. Product Piping O Gas ❑ Oil 23: Gas Pipe-Rough & 7est 72. Underground Flush 24. Roof Framirig ' 73. Undergrnd.StorageTank OGas ❑Oil 25. Fioof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame'and Flashing 76. Dry Standpipe 28. lathing & Siciing � 77. FIXED SYSTEM FINAL 29. Insulation . 78. FIRE PREV. FINAL 30. DrywalJ Nailing •� . HEALTH DEPT. REQUIREMENT 31. Plaster�Brown Coat � . 79. FINAL INSPECTION , �. 32. Electriral Power Meter-Fina1 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test ' 36. Hood or Canopy 37. Final Factory Fireplace . 38. Final Plumbing� 39. Water Service-Final � �'; 40. Gas Service-Final � ' ' � ' 41. Solar pomestic-Final � n i -� 42. Backflow Preventer ' � 43. Backflow Irrigation - ' � 44. Landscape Irrigation System : 45. Sound Attenuation ,i '' � , � 46. Handicap Regulations E X P � ' 47. FINAL STRUCTUFE & BUILDING � �mP�ete Inspection5 48. Special RequiremeMs Completed �h. ZS� .�- 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co � . 51. CERTIFICATE OF OCCUPANCY No. Date \ � � Applicant to fill in all soaees exeept ihose within.heavy bortler Ilnes antl sign all apDropriate tleclarations. L'ITY C�r COSTA MESryA CONSTRUCTION PERMIT • PERMIT NO. TRACT NO. LOT NO. UNIT NO. Froject Address � 7 V ' �� T�� S�T_ Applicant's Nlailing Address �l S/�/ Ld�/-C:� ./%Y�Le Z j3 n �Owner;:Name G�/��L- OCL • �-O � Phon�/3'v2%�; Address �3�7�T E/�S'l'• 4T' $�/%��/�3G. H/G(-Ci9 i0�'ij.' ArchlEn9. LicenSe No. Address , Convactor's Nam � ` Phon �41i�t/125�' Address (mailing) �/�'�14L1'X��7L �^��G-2 n'` cL MO.�t7'L� 4'/?. Ciry License No. `�`OQ S7 - LICENSED CONTRACTOR DECIARATION I hereby at(irm thal I am Iltens¢tl �nder provisionz o1 Chart<r 9(CommGncing with section �000) o1'Olvision 3 ot the Business antl Protessions Cotle, antl my license is in (yjl torce antl effect. ' ' q 6,/L �� Llcense Class I� �'$ '�`t-9 /� l� , Nl �— Date 7 '2.�/-A'% 519nature -�+�i [��,.c T�-�-er`. W00.KER5' COMPENSATION DECLARATION 1 hereby atfirm Ihat,l have a'cerUfitate of consent to selt-insure or a certiticate � Workers' Comvansation..lnsurance, or a certifietl cooY thereof (Section 00, Lab. C.) ' ' ' oi No. r�'�C� �r+ - �bcomaanv ST�YTE �Lt..ro Cer[ifietl copy is nereby /urnishetl. CeItifietl copy is iletl with tne city tling Div n /l �ate l'ZG' �� APP�icant� �_� L f��+�'✓"G-�� EXEMPTIONFROM��WORKERS'COMPENSATION ECIHRATION (Thissection neetl not be completetl if the permlt is tor one huntlretl ($100) or less). ' 1 certify that In the, perfOrmance o1 tlte wo�k tor whiGh this perm�t is issuetl, I shall no[ em0�oy'any person in any manner so as [o become subject lo the Workers' Compen5a[ion Laws�nt Cdlifomia. � Date Signalure NOTICE: If, aRer making this tleclaration, you shoultl become subject to the Workers' COmpensatlon provi5ion5 of tM1e Labor Cotle, y0u must forthwitM1 comply with such provislons o� this permit Shall bC tleemetl rewketl. CONSTRUCTION LENDING AGENCV 1 hereby atlirm Ihat there is a consVuction lentlin9 a9ency for tne performance of tho work for which this permit' is issuetl (Section 3097 Civ. C.) '. l.enAer's Name � LPnOer'S Atltlress OWNER BUILDEN �ECLARATION I hereby afflrm that I am exempt from [he Contractor's License law for the following-reason (Section 7031.5 Businass antl Professional Cotle: Any city or County which �equires a permil t0 cOnStruCt, al[e�, Improv¢, tlemolish or repait any sbucture, prior [o its issuance, also requires the applicant for such permit to (iie a signetl statement that be/she is Ilcensetl punuan[ to th¢ provisions of the Contractor's L�cense Law (Chapter 9(commencing with Sectlon 7000) of DiviSiOn 3 of lhe Bu5ine55 antl PrOfe55�on5 Cotl¢) o�,that h¢/She is exempt '�erelrom dntl the'basis br the allegetl exemp[ion. Any violation ot SectiOn 31.5 by any applicant for a p¢rmlt sublects the applicant to a civil �alty of not more than five huntlred tlollars (E500). J I, as owner o( the property or my employees with wa9es as their sole compensation, will tlo the wOrk, antl Ina si�utture is not In[entletl Or offe�e0 for Sal¢ (Section 7044, Bu5ine55 antl PrO/055ional Cotle: The Contractor'S License Law aoes not apply to an owner ot a property who builtls or impmves thereon, antl who tloes such wo�k himselt/herseli or throu9h his or her own employees, prOvitletl t�at such improv@menl5 a�e not mtentletl or otteretl (or Sale. If, nowever, the bulltlin9 or improvement is soltl wit�in one year ot wm- pletion, the owner wlll have tba bur0en ot provin9 ne/she tlitl not builtl or im- . prove tor tna purpose of sale). ❑ 1, as owner of the Oroperty, am exclusively contractin9 with licensetl con- tractors to <onstruct the pro�eci (Section 7044, Business antl Profeszions Cotle: The Contractor'z Litense Law does not appry to an owner of property who builas or improv¢s thereon, antl who contracts for such projects with a con- tractor(s) iicense pursuant ro tM1e ConVactor's Litenze Law). I am aware tnat proof oi their worker's Compensation insurance shoultl be providetl to me. ❑ I am ezemp[ untler Sec[ion B. & P. C. for thi5 reason cr Date Owner � I I hereby certiy fhat I have reatl tnis application antl state tnat the above information'Is correct. I agree to comply with all tity antl county ortlinances antl Sta[e laws relalin9 to builtl�ng cOnS(ruCHon, antl her¢by authoriie rep�e- �i sentatives of t tlty to enter upon' e above-mentionetl property for '�, Inspectlon pur s. q "� Signature � �- � Data�- `2 ^� � orivers' License w 5 / a 7 a or1 � �E OF CONSTRUCTION NEW ADD ALTERATION REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. —C2�e- T-C��S � F�y.7!`t� c�.� [t �- � TVPE OF PERMIT LJ GRADING LJ FOUNDATION LFSTRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OT.HER PROJECT DESCRIP710N Sp. FT. OCCUPANCY GONSTRUCTION TVGE�r VALUATION $ �� ZONE GRADINGCU.YOS. ACRES Remarks: � Preventer Irrigation Dishwasher � Drinking Fountains Floor Drains • Floor Sinks GasService Outlets Interwptors � Kitchen Sink Lavamries � P-Trap Roof Dr ' s Reinspection Fee Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar T � Sw' ming Poal w/Spa rinal . Water Closet Water Heater Water Service Auto-Wash Laundry Treys $15 laue Fee Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU �1 , 00 Fee � $15 1F OB65-46, rev. 10�84 White - Bulltling; Canary - Applicant; Pink - Accoun[ing; Goltlenrotl - Assessor Hood or Typel ❑ Canopy Typell ❑ ' n Ref rigeration�Sys[em 00�700,OOOBT OO,OOOE Syste epair/Alteratioyi'1CUf1 ire Damper"s Registers I��iB �_u. {� b IsSue Fea A.P. # L S Main I E T Front e Rear A C Right K Ping. Ref. # Planning Notes: Automatic Washer � Construction Pole £ Cooking Unit � Dishwasher Dryers ❑Gas ❑E Fan F.A.U.' F i xmres Device Boxes Outlets $WitCh¢5 . Garbage Dispoul Generator �0-5 KY 2942 2/26/d7 Zone Accessory Building. �a� �a-3 � � ��i Parking Req./Provided � ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Metec �up ro 100 amps' - . Meler �over100amps � 41,75 7' O N I N G R E Q M T S FEES lectric Sub Panel Motors �0�1 HP 1%- S InaSolar -15 HP �i6-15+ Micr ve � lo Light Range Si9n Standing $ections 5-15 KW Trash Compactor � S 3 • Reinspeetion Fee $15 luue Fee FEES DEVELOPMENT SERVICES REQUIREMENTS: Zonin9 APProved By - euilding Ap�oved By Aaaliotion ISsuad Bv � R D SUMMARV FE (IS -Gi Cr5 BUILDING PERMIT $ ��•bF% SMIP PLAN CHECK .$ � .� .~PERMIT P BING � $ - ISSUANCE PLAN CHECK � 25% $ ENERGY P.C. ELECTRICAL . $ GRAOING PLANCHECK 50°6 $ MICROFILM MECHANICAL $ TOTALF�EE ,3 PLAN CHECK 25% $ � 5 3 $ � $ $ $. $ $ CONSTRUCTION ANDPLANNING . POOL&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-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' , 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. � . 57. APPROVAL TO COVER-GUNITE 7. Footings � G 58. Electrical Conduit-Undrgrnd. 8. Foundation •� � , 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd.' � 60. Backwash Lines, P-Trap, O Undrgrnd. . 10. Structural Floor System . 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final i, 12. Sewer Cap 63. Heater & Vent�Final ' 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 75. Rough Electrical-Conduit 66. Solar System-Final , 16. Rough Electric Wiring 67. Fencing & Access Approva� 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT � i 20. Rough Factory Fireplace ' APPROVALS Permit # _ �" 21. Ducts, in Structure , 70. Underground Hydro � s 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush � 24. Roof Framing � • 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe � 28. Lathing & Siding 77. FIXED SYSTEM FINAL � 29. Insulation 78. FIRE PREV. FINAL ` 30. Drywall Nailing HEALTH DEPT. REQUIREMENT �' 31. Plaster Brown Coat 79. FINAL INSPECTION � � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � 33. Final Electric Notes. Q `� �6 -� 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final . . 40. Gas Service-Final 41. Solar pomesticFinal 42. Backflow Preventer . . 43. Backflow Irrigation , , 44. Landscape Irrigation System 45. Sound Attenuation . t ;d ' 46. Handicap Regulations - '� P I R E D •' ' . 47. FINALSTRUCTURE&BUILDING � ' � 48. Special Requirements Completed ! _ S� ' - 49. Electric Release to Edison F t 50. Gas Release to Southern California Gas Co . ' A 51. CERTIFICATE OF OCCUPANCY ' , � r No. Date . . ; � �� - .; ; � ' , . ' _ ;�3076 � � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fil/ in CompleYely B^I^D�NG �Y// ��I /�� / OWNER MAIL CITV ��1��,GLGL/v/�� NOL. �i� CANSTRUCTION � BRANCH ADORESS 1'Nf?w�o@'!' � TE nooaEss /�1d0 � b �� T. L�� CONTRACTOR ��L,Q,S�,d �L—ND[!T7 ADDRESS )n f" . � ��5�'-• _ TEL. CITV � NO. 5�3 STATE CITY 11Q NO. l � �IC. NO. SIZE /�S /X/v� NO.OF BLDGS. OF LOT; NOW ON LOT USE OF EXISTING BLDG. SIZE OF � ' l � � ROOMS �STORIES NEW BLDG. EXTERIOR WALL/,,� ROOF /�,� COVEFING / /rTRL COVERING / /p�T/i�L USE OF BUILDING AND WORK TO �E PERFORMED l41Y 13-71cn;��Q 501 �*�**11.5C APPLICATION FOR BUILDING PERMIT RECEI�, B/ QgTEREiEIVE OI�FEI�SU= ✓ 3 ir �� /' P Ml, N O. A.P.NO. IS'��1��, U. BUILDING (/ I` A�ORESS �QQ � � -/ � • F ROVED BLOCK VALUE TE �� / S�/ � ZONE �-w NO.OF USE OF NEW t� I PLANS � BUILDING S�jJ��'j� VARDSAPPROVED �VAROSAPPROVED MAIN BUILDING CCESSORY BVILDING a BET. MAIN & a� �� VAR.# 7 DATE ,\ � , � C.U.P.#� APPqOVED �—� � O 6/) .� APPROVED' i.l.� �� I/�W J� � � I hereby acknowledge that I have reatl this application antl state I L RF,QUIgg��•9 that the above intormation is correct and agree to comply with ` _ all laws regulating building construction, antl I shall not employ \ any oerson in violation of the workman's compensation laws of the State of California. . � I hereby certify that I am properly licensetl as a contractor under SQ. FT. o che State ot Calitomia Business a Protessions Code, Divisicn 3,� THE AMOUNTSHOWN UNDER VALUATION IS FOR Chaprer 9, antl that ch license are in full rce ntl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m am exempt from e p visi t th $tate C i ornia Business Q VALUATION anA Protessions de, D is' n 3, h ter 9 ��_ N PERMIT FEE $ ] Signatureot � �'., DO/l '�O E Permittee $ / �/ PLAN CHECK $ Auffiorizetl Agent � -- LL TOTAL FEE $ �, ,� : _ .. �30?? ` - COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 For Applicant to Fill in Compl�te� BU,^LD�NG %/ `ln r /,�•f �— Z . o- U ZG O v~i o- m J � J � aw 07 J J m Q UN Z � d W W Z J Q m Z J � W W � _ z� W � � � F z Q U J a a Q � �"' N Z O H U � � � N Z OWNER MAIL CITY BRANCH ADDRESS ADDRESS /'f(f' Q / ! �CONTRACTOR � ADDRESS /5'�D CITY L� � STATE � � 9 q v LI0. NO. S��E /3S'X OF LOT USE OF EXISTING BLOG. SIZE OF /,` NEW BLDG. � S �[ k EXTERIOR WALL/y�r COVERING /( USE OF BUILDING AND TEL. NO. T�' TEL. No. 5'�'i -� CITV LIC. NO. � NO. OF BLDGS. '� 5'i I NOW ON LOT / NO.OF ROOMS � STORIES ROOF � ,{�JF_ �� . COVERING / / � TO �E PERFO MED z .i_ � L�/s_ / � .,'_..i MAY 13-71cns 00 502 0��*;:1�'.50 APPLICATION FOR BUILDING PERMIT � ' //- 5- � A.P. NO. IK 3yY �'SI P��(/ 7 ADORESS �79d W. �4r� � TRACT/nI� /COi �V BLOCKE OWNER S— FIRE ZONE APPROVED ev ZONE /,I C.. v�o�i AIN 8 (FRO FRONT S� VALUE s S 006 TVPE ( GfiOUP (� ) q/ l � � DATE �/ ��/ � NO.OP USE OF NEW �([(J(C� PLANS � BVILDING S.�Q� 'ROVED ARDSA PROVED C' UO�N� r /lEAR O FT. 3 DI5TANCE BET. / MAIN BL�GS. O VAR.# %�—� C.U.P. �E APPROVED�Q � RV Z 7 FT � �CI t �� /a FT.- - � % ' r FT.— � G FT.— BET. MAIN & ACCESS. BLDGS� DATE _� APPROVED I hereby acknowledge that I have reatl this application antl state �� that the ebove information is correct and agree to comply with all laws regulating builtling construction, antl t shall no2 employ any person in violation ot the workman's compensation laws of the State ot California. m m I hereby certity that I am properly licensed as a contractor untler SQ. FT. o ihe State ot California siness antl ofessions Co e, D' 'sicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, and that ch 'censes ull fOrcO ntl f t, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m am exempt from th provi ions of the S a of C' or ia usiness Q VALUATION antl Professions Co , Divisi n 3, hap r 9. ' w � PERMIT FEE $ j Si8^ature of O 110 � m Permittee $ � �� PLAN CHECK S/ ��J E `o A�thorizetl Agant LL TOTAL FEE $ . _ .� �04? ; ,/ COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. eOX 1200 COSTA MESA. CALIFORNIA 92626 ��iG 18-75PAI�OO 92�� *�*�53.30 CH$! APPLICATION FOR STRUCI'URAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIV DATE RECEIVED E � ADDRESS /`7D � / `L ST— � � OWNER (,�I �%�LL O!L CO - A.P. NO. II �7 y� �� PERMIT NO. MAIL �(7�C� � "%IPG(. ADI RIE 5 �YO W � � ` '_S�. ADDRESS /' TEL. � TRACT CD�� CITV LOT C��YtT NO. O^(s�V LOT I'} BLOCK CANSTRUCiION E W A A P LENDER y� /' BRANCN /�/�� OWNER L�1KfrL IL ADDRESS ^S ��K VALUE ARCHITECT TEL. S '� $ �O OR ENGINEER N FIRE ADDRESS ZONE ' TVP GROUP �a�- ��L�E AJ %%L /C�ii - APPROVED � ` CONTRACTOR BY DATE .,) � ADDRESS,/�� !C/f/ UL �LG�C� � � CIT �� vt�T ��_ Na/ ZONE � P��G I BUILDING EW ��//� STATE ��j CITV � �/ �'AFlDSAPPROVE VARDSAPPROVED \ UC. NO.�� j LIC. NO. �G� MAIN BUILDING ACCESSORY BUILDING CJ.. SIZE / p / NO.OF BL (FROM C/L STREET) V OF LOT I�S � I 0/ NOW ON LOT ROM FT T. � USE OF E%ISTING BLDG. 5 FT Separate permits are required for L. SIDE Fr. electric, plumbing and heating work. REA FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & T7ALL� MAIN BLDGS. ACCESS. BLOGS. 2O OO � �C • U��OC �� 1/TN� VAF. aW DATE / C.U.P. qW APPROVED �/US �T%LG�'Z7 AZL .CIECC.'f5S APPROVE / ' � IS'/� V Dt�Ca/COJN./i �/��U6 � I �ereby acknowledge that I have reatl this applicetion end state '^ thet the ebove Information is correct and aprea to comply with � m ell laws re0ulating �builtling eonsttuction, and 1 shell not amploy any parson in violetion of ihe workman's compenmtlon laws of � tha Stata of Cellfornie. I hereby certify that I am properly Iicensetl as a contractor untler SQ. FT. rv ihe Staie of California Business antl Professlona Cotle, Dlvlslon 3, THE AMOUNT SHOWN UNDER VALUATION IS fOR m Chepter 9, antl thet such licenses are in tull force and atfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: am exempt from the provisions of tha State ot Californle Business � end Professlons Cotla, Division 3, Chapter 9. VAI.UATION PERMIT FEE $ �D� N �� m Slpnature of PLAN CHECK � /f ^� � O v � Permittee -a� sj�/i�it-P� $ �D TAX g O LL f V Authorized ABent TOTAL PAID $ Z . aU Z ZQ O� am J � J N Q W m J • QI J Q UN Za � aW wZ J Q m Z J � w w 0 = zr w� � Q H Z Q U J a a Q � F N z 0 H U � � �-' N Z ' 34014 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUIIDING , % AODRESS / ' "' ' . i . i /.7 OWNER CITv BRANCM ADDRESS ADORESS CONTRACTOR �UINI.'7Z ADDFESS TEL. CITV NO. STATE CITY LIC. NO. LIC. NO. SI2E I NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLDG. SIZE OF NO, OF NEW BLOG. ROOMS STOFIE: EXTEFIOR WALL ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMEO /!'ar.�i „� _ . 1.�,o,.,.e _. . 1 �1' /... � �� 'A'r110-��v�`�� 7(4 cii:•"•i�"(` APPLICATION FOR BUILDING PERMIT ;EI D� �TE^�=EIV7ED DqTE�SDUI / / � BUILDING /� ADbRESS 7T� TRACT �� FIRE ZONE AVPROVED S� /9� � �d ' VALUE $ GROUP � Z � JATE �J U - % Z ZONE NO.OF USE OF NEW C PLANS � BUILOING M YARDSAPPROVED VARDSAPPROVED MAIN BUILDIfYG ACCESSORV BUILDING �_ VAR. �` C.U,P,qW I heraby aeknowletlge thet I �ava reatl this eDGlicotion antl stnte that tha above Intormacion Is correct antl a0ree to comply with all lawa reg�latinp buildin9 �onsvuc[ion, enE I shall not amploy any pormn in violation of Na workman'f compenseUon laws ot t�e Smte of California. I hereby certify that I em proparly Ilcensed az a contrector unaor SQ. PT. ffie Srom of California Business nntl P�ofattiona Code, Divhlan 3, THE AMOUNT SHi Chapter 9, antl that such licensos nre In fuil force antl ofixt, or I THE PUFP06E OF E am oxampt from the pr s of {'n Srota ot Colifornla Bualnass VALUATION antl Profosslons Cotl , ivist p � SIp^ature p} � • �D0 Parmittee $ Authorizotl Apent � BET. MAIN & ACCESS. BLD DATE APPROVED �/ . � O IN UNDER VALVATION tS FOF ' ABLISHING A PERMIT FEE ONLV: a PERM FEE $ �/ —� m N � m PLAN CNEGK S E `o �� ..� LL TOTAL FEE 8 _ �-. -�t� ,_ . µ�'.✓` n . -'��' � �'M1n�.y[� . ' .� ' i�. � . •. ' ' .. ' . ' .. .. ��.�� itp o f �o5ta 21�esa . . DevelopmenC Services, Division of Building and Safety CER`TIFICATE OF OCCUPANCY , , „ � . � _:�\ This cerrificate is issued pursuant to�IheSrequirements of.�the Uniform Building Code, Section 308 adopted by the Ciry of Costa Mesa certifies Lhatat-the rime of-its issuance the building structure herein below described was inspected and�5pprove3�foc occuparicy,;as follows�� Building Address 7 Use rA.,�p�, � aAA Group �7 Owner of Building �i Address ' ' � ;'�--a-�� A a % '�. \:,Z'� BUII.DING OFFICIAL•�0?T'P �;It REQUIRED TO BE � Permit No. B 78601 � .; Use Zone r� ��,..�_..eq.rinqriJ nq�n� ,� , ._ �.....1�...i.�_rv � "� " �Tenant '�At�i" �,.•,r-,,.,-�^,�!..- . �. � r; , ��-';�jl-- gi<,_Fl • ` I r �• ♦ _ . � ye � r�, q' ��-�:. By a� CJ�i �� - ;�j i: % �� Date �`October 14, 19 �.... ,� ! �vr�� \f j 1'f ' " "_ '' _` �J 7� l lil.:<, _ - .- ' -��"/ �''{� _.-.-.;�.=iC� )STED IN :A CONSPICOUS PLACE . � , • . . .. �. ,... . � ,.. , >. . �•,.. . , ... �, ,. . .. .. . ! oonEssae:u�ur+a: 790 W 19TH �ST �M 4WyEIFIMOWN: WINALL OIL CO , . .ow�ss: 1338 E 29TH IIGNAL HILL, CA 310-427-8847 , �vr�. Wma,o �sx _ �xcxrt�crox�+rn+vn: ROBEAT HANSEN _ _. uc.�a.: C-11372 �xcx.onva.�s�oon�.ss: 1900 E 64TH ST uxr: � LOS ANGELES CA 90001 ��T�� MADISON INDUSTRIES (213)583-4061 c«+m�croxs�uin«+ 1900 E 64TH ST ,�o� L.A. _ CA ��.: 119949 9 0 0 0'1� ,m... IJCENSEU COMR�CTONS DECWFATION: I hereby, (oommeian0 wAh Seclion 1W0) d Oivubn � d �M Buei cmuc.No.:09656'1 uc.cuss: H h. w cnaaK c ��OQ �BNfTP BIII�OEX DC+ELAflATION: 1 hemby tlfiim unEer penely oT par'ryry �hm I am axemq hom tM CaMredae licenee Lew la tlw blbwiq raaeon (Sedion )031.5 &»iime aM Proleeaione Cade: A�ry ciy a counry whidi reyuirea e parmu �o awrehucl, aXr. impova. bmd'nh. a repair eny et'ucluro, qiw io na uwence, ebo reyuiroe tM epplir t la wch pmnX lo fib e sg�nE elelament Out M a�M ie IicenaeA W�e^� �e �ha provieione d �M Contredon Licenae law �Chepar 9(oommenriiq xilh Sad'on 1W0) ot DWeian � ol lhe 6usirweo d,a Fwea.00a codal or mm M«ene la e.emp msehom end �ne nuie t« u�e e�bu� e•.�^qbn. Anr ��mwi a s.aon ]031.5 by enY Waicen� lor e permil wbpee iM epplceM to e tivil penelry M iat mora �hen iNe huMretl Edlen �5500�). � I,eaownerdlheqopanyormyempbyeeawlhwepmeslMieoleoompeereetion,willdoMewoM,eMNsel�uelureu�wliMended a oflered br eela (Sec�ion ]Ol�, Bueinea end Pmteeaiona Code: The Comrepme Licmae lewdoee rwl applyto an ownmd popeiry who WNEe a im0�e tMreon. end vAw doan such work himseX or Mrsatl athrouBh hm ar her own amplvw�, qoviEaE ihel wch prwemenla me mt iniaMeE or dlered lor sele. tl. however, iM buiki�q a'vnqwemeM ia edd xilhin aie ymr d oomplNbn. iM owmr-buiNar will heve IM burden d provin8 he or aha did nd build a improve lar iM purywa d aW). � I. es owner d ihe pWeM. em eaduaWaN conlredin0 wilh IioenseE caMreMas to mriatrW Me V'9� (SarJon 1004. Bwi�� and Praleadme Coda: Tha Coniredaa lsanae law Eoee Iwt eppty lo en owner d prope�y who W ilde a'unpww Ihraon end who wnvene br eudi proqee wnh e mMreda(+) Icemed W�uem io �M Comreewa L'panea Lawl. � I em a�emq umler Seclion: 8. d P.C., br �M1ro reeeon: Deia: �a: I da heretr/ cMT/ ihat I em ewere M uW uMantvM Me raquiremeMa d Cellomie Heetlh eM Sdely CaEe Seaidn?5505. 255�3. erq 25534, uM thm I a any Mun WiMi�q oowpem will / WI iwt (drtb me) med to mmpy w1h reid aeb wdx W iM �eWimnaaa for aM�� laewirvetion amadifKetionhwn�MAi�iuil�y . enpaneM Distritl. Raeideeaiel mmt�utlion a�ioman memN ImmlMu Dme: Md� WOPKEfl'S COYFENS�TION OECLAR�TION: I Iweby eMum under paWly af prjivy ans d IM IoWw'up Eedutliom: � IheveukwJm�iMene<eNl'ctl�dmrmnitoaetlinwiebrwwken'campenWian,mprwidedlaEySWion310DdIML�Ea coes. e« m. P.na� a m. won� i« w�n u� w�w 4�o�a. �] I Mw ud wl mamen Mo'kxe' wnG�ion ireu�aMe. av �eW'veE M Sedion 9]Ip d the lebar COM. br tM 0�a�� d tM .�x i«.nKn m4 v.�u a:.�a. Mv .ok..'��I�� mna..�.: . EX P I RE S c�«: -- ' Pd'ryNumber. � ��1�9% Rn;sawpn�ese�aecomvb�eerwa�xoraarew�n�eedw �oolw .� � I owtN �� in ihe peAmrerce d ihe work la wAch Ihie pa�mu u tl. I eh µ plry p memr eo n lo �obecwne wbpe w t e o/5edion �� lW �tM 'Labor Cad�iro I lonh �h compl�{ �I b ' lo iM wka�' neetdn Y ode: �a 4 npW�c a��i -'v — � �JY Inp: Nun ro ucun woher�'rorroxuetlon eov�nps l� un1�wN4 �ntl �NII a�bJ�cl �n ,mploysl b nlMnl pNulllu mG NHI flroa W ro on� hundM thourntl CWNr�lSfOq000� M eJtlltlon ro Ms eost of wmps�uetbn, Gnxps� u povlLM br In 9xtlon 3]O6 0l Ms L�bor CoOs, InfsniA �ntl ettomsyY New CONSTRUCTION LENDINO AUENCY: I hereby �rtn uMer panelry oi perNA' �� hare ia e oonstiud'an MMiip apency M tM parlorma�e d the vroAlor which tho pa'm[ ie weued (Sad'pn 3091, Civ. C). LENDEN'S NAME: LEN�EN'S 1UUPE39: IceniythmllavemadthiaepdK ' eMetmethmiheebovaimormeti �'scartea.IpreatowmpywnhaAoryvdaounrypdinenws eM eble kv.s raleling Io Wiltivp tlion end h ly a rixe rep �a�iv ollhe d1y b eMm upon iM ebwa.mentoneE popMy �o`�°'°°°a°°�`°°°°'. DA ID B L rim Nama Deb: � Si ure r/ nUn li�nn ean (515118.W P) WMs-Buib'vp d Selery: GreeM-Fib: Cenar/-Appiceni: FnkJlwenue: GdEm�o�Naeaor _ __ _ ..__ __._ _. CITY..OF COSTA MESA — BUILDING PERMIT _ _- . ../ PERM NO; H 078601 PERMIT NO: H 078601 IIAN CHECK NO: 01449-96 A GOVT: N SUPP: N CONSTRUCTION,TYPE: IZ—N �ERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : RAISE EXISTING CANOPY & CHANGE FASCIA SQ FT: 8,500 CLAIM VALUE: 8,500.00 CALC—VALUE; 8,500.00 GROUP OCC: S-1 / COMMENTS: "WINALL" T,I. �rrx x x ****�r*�r+�x��*��+��***�rx�*x*�r******x��rx�*�r�r**�r�*«*x��**x�+��rx �r+r�rx �*�r*x�*�rx *�*�r+�*�rx��rx ,. Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY 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: 42227217 ZNE: C1 REF NO: PLANNING NOTES> RAISE EXISTING NONCONFORMING CANOPY (SETBACK) HY 2 FEET > IN HEIGHT, ,-,^ 1E 1f 181F IE 1h 1E 1E 1E 1E IE iE 3E 1E 1E 1f IElB ff 1[� 1E 1E 1f 1E 1f IE iE 1E 1E 1E 1k 1E 1E iE If� If� ik iE 1E1E iE if 1F 1E 1E iF iE iE iE IE 1f fE fE iE'lE iE'lE iF 1E i41E IE 1E 1E iE 1E iE'16 iE 1E ik'1E 1E 1E 1E ik fE if 1E D E V E L O P M E N T S E R �V y�I C E S R E Q U I R E M E N'T. S 20NING APPROVED HY - _.. �_^ __ �G DATE: �.-. � / BUILDING APPROVED BY : I/� � DATE: ,� b � F' APPLICATION ISSUED BY; DATE: �' 1l1EiE1E1ElEiE1(�iEiElEIf1(��E1E1fiE1EiElh'kiF 181E1E1lfEiflfiklElE 1Ea! LEGALIZATION;N F E E S U M M A R Y STROCTURAL S GMENT;Y BLDG PMT PLUMHING ELECTAIC MECHANIC FIRE SMIP/RES GRADING PERMIT 149.75 SMIP/NON—RES PLAN 24.34 1,'79 ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> . 151.54 0.00 24,34, 175.88 175.88 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 151.54 OVER/SHORT: .00 BLDG PMT PLUMBSNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 149,75 1,79 ik 1E 1E 1E 1E 1E 1ElE i6 ih i!'k iE k 1FlF iElF if Ik 1E iE 1k1k ik iF iE 1(� IE 1E Ik 1E 1k 141E 1E 1E 1E 1k 1E 1f� 1k 41k iE if 1E 1E 1E iE 1E if 1E 1E1E IE f! i! k i! iE If 1f fF IF 1E iF if 1E 1F iF iF 1k iE 1E 1F iE iE i! I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFC 8500 ALTER BY VALUE COMMERCIAL NOZONE 1,00 END OF FEES 8,500.00 CONSTRUCTION AND PLANNING j. PO t SPA •-�^ � ! ^ ' J Date Inspec4or � ' '� ; Date inspector . APP-ROVALS Fermit # ' APPROVALS Permit # � � ."1. Tempora'ry Electrical Service or,Ppl� � 52.� Pool & Equipment Locauorv�;r I _ .' . _ 1 f' � . I ' 2. S.o`II Pipe-Undrg{nd. .z , _ 53. Stee1 Reinforcement i � 3. ElectricaL"Con`tJ�it Utility�Untlrgrnd. 54. Forms �� C / -.� 4 ,�•._. .. . ; .� ., � . . � ':.�-�4, Electricaf�Gond'w,t-t7ndrgmd�� ' � 55. Electrical Bondiny " � `5. Steei Reinfor�ement 56. Rough Plumbing & Pressure Test i�;n _�' 6. Electricat�UFEEt, 6rnd. 57. APPROVAL TO COVER�GUNITE _ , � / _ 7. Footings ,'F�n'ryi-� ., 58: Electrical ConduiY-Undrgrnd. � -� ' � � ' 8. Foundat�oq� ;_ .. .� 59. Gas Pipe, G Un'd�rnd., Test �� 9. Water Pipe��Undrgmd.� � � �60. Backwash �ines, P-Trap, �] Ytndrgmd. �-� 10. St�uctura� Floo��System F I � 67. APPROVALTD.DECK 11. Property Sewer Line & Hou`se;Connection 62. Backwash & Re`'ceptor�Finai � ' 12. Sewer Cap � - � f� ' 63. Heater & Vent�'tryal -.;y . 73. Roof Dra�nS =� - 'i . 64. Plumbing System ��Pinal 14. Rough Plum6ing � � � � 65. Electrlcal�Final , ' .' - 75. Fough Electricai-CQridu;t�' 7� '. 66. Solar System-Firial �� ' 16. Rough Hect�ic-Wiring �% ' 67. Fencing & Acqe��Approval �•� �. - 77. Rough Winng Sign ` � 68. APPROVED FQS.PLASTERING � - y� 78. Rough Electrical-T Bar Ceilin�j 69. POOUSPA SYSTEMS FINRL 79. Rough Heating & Air Conditioning FIRE DEP7, REQUIREMENT � . . . . ; y ,. . - ..� �+. �' T ti q' � _' " r L 20.CRough F,�ctory Fir,epiace �;�; �'- x �. „ c^ c- APWiOVALS',C� P,e�mit #• - r.. � .,._ c r r'� 21.`Duc`�'s, in.SV�iaut ; ; . �= .` '"" "` `; '- < -'"•'�' r .,�, . . ,. F, � �; � ..., . 70.�"Undeigvound K;'ydro . r - J ' 22. Ducis, Ventilatin4-• ' . � d:'� � 77. ProduCCPipin�'�'Gas ❑Oii 23. ;GasE'Pi e'�toMh &Tesc �. ' 'T' ' r` -'- �� _ p i._ U9 ;. �` " .�. :..r: ;.; 72. Underg�ound F1usY�,_� �, - : x -�. - � _ �. � ,� . . , r. 24.-�Roo��Framing �. �;� `�.. x; s= 73. Undergtnd. Sto��e Tank C Gas CtOil 25. Rodf�SMeathing �� _ -J ; ;�'� �' 4' :��* = 7q._Overheatl Hyds�d`-" k r.�. _, V ; Y.� •,LL. 26.�j�Bar Ceilinq (Str�rG;uraq &'�Monocoat r- _ 7.9. Dry Chemical y �^ *, O 27.�Frame and F�IashingX �n, K -_* �, r 7g� Dr�Staz7d�ipe �- r= �' �.r'.. �,�: � . ' t.. .:� .. .,, 28.� Lathing & Siding�. � ��; = , � . ..x 7}, FIXEDS�'STENY.FINIYL '. � "' . . ' �-' ' . ' 29. Insulation � �, = �"'L' " ^ � �� ^% � � �; jg, FIRE PREV. FINAL ;; � � ' , - � 30. Drywall�llail�g � ' � � ��* - � � �} � rNEALfH DEP.Tti-RE9UI�,EMENT �' 31., Piaster Btowp Coat' ,_ � _ ' � �,� 79. FINAL2NSPECT�[ON x" G =� .� .. � �,-..-• ,� i - t�� . .� , - c � � a; r i�- E^ M r �� r-� r- ' 32.-�lectrica{Fower \4�xer,Finai, i:.;.; I�: Y; $0. FOOD CERTIF�I�ATE ISSUEb � � � J � � 3.�fin�al'Electrip� � y a,^ ��'1 � � _� f3otes. C -i� r - � I t -^ '� ., � .,- z.•- � 34.i•F(naL He`�ting�& Air�Con�ition%4_ '� � x " � i � -- �� ;,- c n � . -. .. 35.cFinSi�Ga4'Pipe-Test` � ':C' � . �i '• 'i t � C•.,. .:yy +: c* �' -� �, �� : i-�" �-ir� 36.'hioasi or Canopy . -I'4 ...,- - � , .� - �,` ; `T� - Y: : 4 •^ � t � L . 1..' -� (w 37.�inai:FaE�torv Fireptace�, �: c �= x � ; '� • -: � � ; ^ �, i ) _ � , � S 38.�Findi,Plu1?�bing ;' �,.,� � • .. ��^v �. `-'' � . �. .; _-I� � ' i 'y . 39.dNatat Setvice��inal* � � � �: " � ;': i� � - � '� ��S�i-Q: f�. `J . .. - rp >� s i , .'.- -, . "✓.' r i: � � ,: t- ,r . � ,�-' n-_ � 4Q.fGasService-F�nal ,r ry_r �. � .� �� . _ � � It. G'� n. r.: , ` • 47. Solar pomesxrcFinal _ ,�'- --� �. .. -� � 1� r;.:a ,-i .r. ..�.. n " Ir� i-y,T �r ;T - 42.�BackfloW'Preventer' �' . - ' � � ; ,.`_`. - - - '" -. �- . ' �f: 'J Y � � . .-._ ..�. . 43. Backflow Irr�ation� :�., � z x ��: i-'j - T44. Landscape IcriGation SYstemD�?`. _ � r ^ C;� - ,� ;.: - „�-i,C !� � c - i. � _ . ,. _ ,�. _ . . _ J5.._Sound AtierLuatioru .-. ; T_ - � .' �-+ r-' �:" t `s; s k ~ i m - :- x. - - .T Fy � :46.`Handicap.Regutatioos = `�"• ' ' '. ,� S`: :;=. " � 47.�FINAI. STRUCTURE & BUI`CDING ��,: �' r' ,�' 3 r ti _ � , . r �� _y�y�: , ��: , � ,. 48.';FINALPLANN{NG� "" � � i �LL y ; : __ -99.�E1e6{ric Release to Edison . � � .-L- 'x '� F ` � '� ` ;L50._Ges„ReleSse to Soutrern California Gas Co ; Y � ' - , =' i. , `: _51. CERTIFICATE OF OCCUPANCY ' ;. ; �, �_, ; � � c No Date -, B�� 790 W 19TH ST F� WINALL OIL CO mopEu: 1 3 3 8 E 2 9 TH IGNAL HILL, CA AYPL.IWIIIq dDDflE54 310-427-8897 �� CITY OF COSTA MESA — BUILDING PERMZT PERM NO: P 078755 PERMIT NO: P 078755 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: II—N PERMIT TYPE: PLU PURPOSE: ALT �xcx�erone+m��nn: ROBERT HANSEN ��= C-11372 uKxaxEra•s�noxEss: 1900 E 64TH ST �� LOS ANGELES CA 90001 c«mueTarsxu� PETRO BUILDERS, INCORPORA ( 213 ) 564-2531 cwm�crows�uia�o 10609 PAINTER AVE �ss: SANTA FE SPRINGS CA ucxo: 241905 90670 uxr: 110EN5ED COHfPRCTOfl3 DECUFITION: I hemby allim uidm penely d perjury tlut I am liwnasd unM proWbu d CMqr B (canmeridnY wnh SMion )000) d Dnoion 9 W IM Bumma antl Pmlmaiaru CaEe. enE mY Gcmw u In tull lwu eM eflM. emuc.Ho.:017619 uc.cuss: g uc.No.: Zq1905 XP: 02/97 /)'i �'?L�'- Ci I � cdmeao,'��l.i�tt'�GC•f �/.i,(i✓�9 ��L�/. O�EP BUILDEP DECLAflATON: I Mmby elfirm uMer pe�W y bl pujury tMt I em evmq han tM CwMm Liom�a Lew ta ihe romm (Sapion 10J15 &wneat md Rdeniore Cods: MV NY a aouM/ xfiiA nquva� e Wm4lo OpeVutl. eGs.'vnVo.a. dsnd'nh, a npei eiry abuctu�a, pior b m u�uence, abo repu"ves tM eppliroea ta ccA penN �o Ne e dpirE ptlamM ttW M a�Ir o tioemeE Weweni to iM P�avia'vu d tlr CoNeedas Limme lew [Cheqa 9(wmmrieeq with Satlion ]000) d Diiwian 3 d Ilr Buri�ross W VMme'vn Codel a ihet M a eM e uamN iheraham uM ihe beae ror Ne dbb umnNian. Nrv vidmbn W Seabn 1031.5 Ey erry epplirent la e permA wbp�v IM epplcaM to e aW paiWiy d�M mps �Aen INa hueWaE AOAu� �SSOOp. � I.mowrerdiMpW�YamYanWnY�wl�wWmm�MiwbcomVs^wian.xiOdoNawk.endlMMxYununoliMeMs! a aflaraA br eeb l5action 10U. Bummavd Prdeaaiau Code: Ths Comredae limnaa lewEom nM �VO�/ loan owmrd PWaN •iq W1ds «inWa'� Iheieon. vd Wp Eoee eutl� xak IimeeM a hand aWou�� hi a hsr axn amploAa�. pwidM IIW arh impewanarm ma na i�nended a alleieE la We. tl, howenr, tM WJiinp a inpwanM u wtl wuM aw yw d mmplalun. tlr cwner-0u2dx wa heva iM EUNen d praieq M ar ehe Aid nal butl a'vnpvn lor IM qirywa d mb). � I. o ormsr M iM pW�Y. em atl�.tlY aoNrtlM wuh Imuad wntredm b mmin Ns D�4� (8wun �1. &e'vrs mtl v�w..,�, code: n» cw�,a. w�.. i.. a�. N, ecw m d, o.�+, a c�w„r � ewe. «.:�ww.. m..o� .�w .ro cm4Ma ia wdi papGa xtih a cvaeaua�e) licm�ed qvsuaN to iM CaMrada� Licams lm�. � � I em uemN uider °": B. a P.C.. br Nu im�m: ' 1 Deta: �+� 1 do M1neM �N Nel I em eware d eM uMe�sbM Ihe �M�v�eMe d GliaMe Naellh end Se�MV Cads Saqioro?5505. ?559. eM 25SL. uM tl�m I w vry Muro Wikirp owaryeni will / wil rwl (dmis ms) � to oomply wY� xiC pels mM� end iM nyui�amr�b b aG�nlnoonalulionamodifirntianhanlMAi�y aaprneniDiarid.PwN�midmutwion�iGk'�iam�naRwnqlmmUrw >w;,�,�. Deb: �Vp�uN: WOPKEP'S COYPENS�TION OK WIATON: I haraby a1Nm uMr psuCy a1 prjry ans M Ihs laQowinp Mdutlum: � I hevs W wJ meimen e caW'wa d mumi m satl�imure br waken' conpe�vubn. m po.�JM far M Saaion 9N0 W Ne lebar COEs. la tM palamarca d Ns xvrk la Wili thu peimu u inueE. �] in...m,a.am.mi.awon�..�ca�o��,.�.��bMsaaamoam.ien«coe..wm.w�«mm�o.au» ,.w� �a wW, w: weme a m.�.e. Mv .orkaY eomwMmion H.w.z. mrti. w we�i wme.,...: c.� REPUBLIC IND. EXPIRES vaw N�mn. O 1/ O 1/ 9 7 /rnr:,ee� �e.d,�w w�v�ae i m. wme o ro. o+» n�e�e eawe /s�oo/ a M+..1 � I oerlN � m Na pMamerce W �hs wak la wfich �hu permd'o i�+usd. 1 daA m� amplv/ erry pe�eon N em/ mwir n n m becoms eupjec� to tM v.wknY mmprisetion lewe N Celibmu. eM epns Nel tl I Mwk beconw ab�sC lo iM wabn' c—om'/petimion G�/'a�ona W Ssqcn J"!00 d IM lebor COEe. I� tM/.�,wA� aomVN w4h Vw pwitipu.I,� ,n�/ / Dme /: �" —1 �� MWisN: 7-I i � 1(J 'i ;�.,�iL,l i�L� 1�7��W V. �,G My: F�tlun ro.xtm roM'ui w^i�^�+tlon rovwqn b� uMLWI u6N� m�rTInP� ro n4NMG�ftlpW wn mra w ro m. nu�er.a mou,.ne adan lsia4awA a.maon ro n. eo.r or ronv«u.ean dmw u c�.ww ror in S�ctlm ]lP6 0l lM Le4or Coas. INw4 mtl ettameY� Ma. cowsrnuenoN �o�wrw �newcr. i n«wr .exm unex o•+vn a otrFw �nr m.. e. mm�„aw� w�ma m�r rv m. peAormaeqe W IM �wtk b w1iiM IM1u penni b inied (�� ]. Civ. Cl. LENDER'3 NA4E � LENDEX'S ADUHE53: I cmtEy thei I hew ned thu apWicmion eM qms ihtl Ne ebma iNwmetion i� mrteq. I epne to camply rrilh dl dry md muMy ad'uwws aW tW� lex� nlebq W buiNnp conNunun end hereby e�Ma¢s iepsroMetivm d�ltia dly b aNs upon tM eEwa�msJlqiaE pmpa�ty ��'°'tl�°'�D'� ISELA VAZQUEZ � I� Dete: � � C%i� �� While-Build'vq 8 SelUy; Greer�-Fb; Cenery-Appiunt: Pink-Rwenue; Odden�od-Avaeev SOH DESCRIPTION : RAISE EXISTING CANOPY 6 CHANGE FASCIA CLAIM VALUE: CALC—VALUE: SQ FT: GROUP OCC: S-1 / COMMENTS: "WINALL" T.I. REF:B-78601 ***��rx�**�r�*****�*�**� *��******�**+�*x x **+�*�r��r�*�x��*+�*x x �***�*�*�***x �x **+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 ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42227217 ZNE; REF NO: PLANNING NOTES> % '� ii 1f 1E i! k 1E iE 1ElE iF 1E iF 1E 1E iE'1F iE iF 1Elf iE 1E 1E i!'IF 1E 1E'1F if 1F iE 1F if iE if IF 1E 1E iE iE 1E iF it 1k 141F 1E 1E fE iF iE 1E 1F if if iF iE if iF iE iE 1E fE 1E'k iE IF 1E 1E iE 1E iE 3E 1E iE 1E 161E 1k D E V E L O P M E N T S E R V I C E Si- R E Q U I R E M E N T S ZONING APPROVED BY �l-, DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED HY: `'1 DATE: L l�J iEiEiEillElEiElEif1E1E�EiE1EiEiEilifiElEiE3E fEiEiE�lEiEiE�EiElEiF iEfE LEGALIZATION:N F E E S U M M A R Y STRUCTURA EGMENT;N ' BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 17.50 '� 25t . PLAN /`q ISSUE FEE 22,00 BUILDING—DIV—> PERMIT ISSUE PL'AN—CHECK TOTALS----> 17.50 22.00 -- 0.00 REVENUE DIVISION TOTALS--> COLliECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 39,50 — SMIP/NON—RES TOTAL PAID DUE 39.50 39.50 .00 39,50 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK iEiEiFIEiFifiEiE161E1E1E16iEfEiElEiklflEiklfiFiE�Ef6iElfilif4iEi6iElfffiEfEiEIEfEIEfF1EiEiEiflFifiEiEiflE1E1PlE1EfEfEfEiE3EiEiElEiEiflFiEiffElEifiEIE�f1EiFfE 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 PLU 1 WASH BASIN ti 8.75 8.75 PLU 1 WATER CLOSET (TOILET) ' 8.75 8.75 END OF FEES (� I � � 1 �i'm� � ._ _ ' . ' . ' , `�i � _� - - - . � . � f ` CONSTRUCTION ANDPLANNING , � APPROVALS Permit # ' � • 1. TemporarY Electrical Service pr Pole 2. Soil Pipe-Undrgrnd. " � 3. Electrical�Coridu'it Utiliry-Undrgrnd.-. � 4�. Electrical"Conduit�Uniirgmd." . � 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings ��! • ' - . - 8. Foundation . .- 9. Water Pipe�Undrgcnd. _- 10. Strutturai Fioor-Sysrem . 17. Properry Sewer �Line & HousB�Conhection 12. Sewer Cap _ . • ; . 13. Roof Drains � ' . 14. flough PlUmbing -, 15. Rough Etectrical-Conduit � ' 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough Electricai-T Bar Ceiling 79. Rough Heating-& Air Conditioning 20. Rough Fa�tory Fireplace � � � - 21. ��DuCts, in-Structur,� ' ��, , �� POl SPA ' Date InspeMor '` ; 22. Outts, Ventiiaung - , 23. Gas�Pipe-Pough & 3est - r. .. 24. Roof Fre`m�ng� _ -,� . r � � 25. Roof Sheathing > - -' - � 26. T-Ba{ CeiVing {Scructurafl & Nlopocoat . 27. Frame and Fiashing - _ ' � _� 28.' Lathing & Siding; _ � ,, " 29. Insulation ' _. "' 30. Drywall Nailing � . " 31. Plaster Brow �Coat _ _ 32. ElectricalyPower Nleter�Final 33. Finaf Electric - ' � 34. Fina!-Hedting & Air �Conditioni'n� - 35_ :Final Gas P��`Test " '- 36. Hoo�' or Canopy . . _ . 37. Final.Pacrory Fireplece , . 39. Finai Plulnbing a., ' , �� _ , 39. Water Service-Final . 40. GasServiae-Pinal a. ,. ._ - 41. Solar pomestic-Final - � 42. 8ackflow'Preventer ;. 43. Backftow Irrigation = 44. Landscape irriqatiop System ,' '` - 45. �Sound Atienuation - . " 46. Handicap Regulations �- - 47. FINA� S7RUCTURE & BULLDING 48. FIN'AL PLANNING' T � 49. Electric Release to Edison 50. Gas Release to Soutfiern California Gas Q 51. CERTIFICATE OF bCCUPANCY Date � APPROVALS Permrt # 52. Pool & Equipment Location 53. Steel Reinforcement -� 54. Forms -� 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER•GUNITE 58. Electrical Conduit•Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines;P-Trap, O UnUrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor�Final • 63. Heater & Vent-Final 64. Plumbing System • Final ' � 65. Electrical-Final � 66. Solar System-Finai • 67. Fencing & Acce}s Approval : 68. APPROVED FOR PLASTEFtING , 69. POOL/SPA SYSFEMS FINAL ; FIRE DEPT. REQUIREMENT � APPROVALS Permit # - 70,'Undergrpund Hydro - 71. Product Piping O'Gas OOiI 72. Underyroand F1µsh ` 73: Undergr�d. Stora�e Tank O Gas ❑ Oil 74. Overhead Hydro,� ' • ` 75. Ory Chemicai �' ' 76. Dry Standpipe, , - � 77. FIXED�SYSTEMFINA�L ; 78. FIRE PREV. F1NAL - • -HEALT�HDEPT.REQUIREMENT 79. FINAt iNSPECTION `� .� . SQ, FOOD CERTIFICATE ISSUED � Notes: � -%� �'.% `v��'l.s,r .��%; 1o=14_R_6 Fi KA 1. � (J= k - _ � �1 Y , , ,, . . � , � . Date Inspector i � / �vnnFss a � 7 v w 1 7 i n, a i uHr: �as�iwfiF�w�x: WINALL OIL CO ��,1338 E 29TH ST 'IGNAL HILL, CA 90806 310-427-8847 /yp�,. WIWlO AWPESk ROBERT HANSON 11372 ""`"""" °P E"m'�"` 5 O 10 9 P O B OX "` N°- ""`"0N�'Q900"��'` LONG HEACH CA 90815 ""`` c�m�cTonawu� MADISON INDUSTRIES ( 213 ) 583-4061 �� 1900 E 64TH ST LOS ANGELES CA 119949 10°'�-'* 90001 1CND= nnoN: i n�.nv mr.m wd..�d� �-�/ po � n. w cneqe� o �,aaw.e�.�a mm °�/97 uc. cuss: wo.: �pWQEP BUIL�EF DEGWi�TON: I ha�bY dhm �vtlr On�Y a� Dai+Y 1he1 I am ammq tmm Ns Comrtlan licaua lar la tlr td10�q �(Setlion )031.5 &qiaae enE Rdmaia�m Code: Anl' pY a mvXY MUN nQu'v� e VM�o lo odu4ucl. dls. inpow. AeMd"eh. a rpai enY sWctive. 0� W b eawios. ebo nwvm IM e00� br xch Vr^V b fle e�ippE p�annn Na he w�hs e IK�� p��a�e�l to IM pmi�im� d Ns Camrmm Liw�ve law ICAaqa 8(�e^�^0 �h Sedion )000) d Diveion 3 d IM BuPrww ud Prdeaun Codel a �lut M a dr b ezemq �Asehom ud iM Euu la tM ebPa memPion. i1rv vdmnn d Saiun ]p�1.5 Ey enY aPW� � e permu wEptla iM eppliram b e dvY peroly d nol maa Ihen Ma �udnd EoAen �SSOOD. � I.moxtwWiMpopeny«myanqb/ee�wthwps+utheistlammpavetion.wi4EotlrxM.andlMeNnussnolitleMeE a aflsad b Ws (Ssclian ]Osa. Busru eM Pmie+a'vuCah: TM Comirfva Licasa lewEoes'a eWNtom wnwd P�Y who Wlda a inpwa� iMnon. md wfio Ems eurh wcrk Iim�eC a MnN a Iluaph he a her am anpb�ae�. pwidaE ihel wW 'unpovammn ua na inteMed a dlanE la eeb. tl. howew. lhe buildi�p a in0�^en 6 sald xilhn ar Yaer d complelnn. IM wmrkuiks v(M hws �M buida� d Pw^q M w ahe Eid �a hWd a unP� Itt tM W�s d alsl. � I.nwrtwWIMV�WMY.amurimwlYmmmfiqw4h4wMarmedmbm�WwNap4blSWunAM.Bwir�aM V�aleubm Code: TM CaNMda Lisus lew� doss ml �WM b M or.n�r d VWnY Mq duiL a'enpw'm Ilwaan and Wq CMnBtb b nLA PnM�++ wCh e�tAda(s) fcOnM1 P�� b Ih0 CIXCRtlOn 11AnN lavi. � I un uanq imd�r SscYlan: B. 8 P.C.. la Nu i�ason: Deta: �'+�'. I dn �ebY ��'/ Ntl I mn ewua d vd ubnwd tM nTva�nw d GelfaNs 4MW xd Sete1Y Cob S+uiom 25405. 25`+'U. W Y553'. ud iM1et I w vrv Murs WiWuW oauM�M wip / wil na (mele aro) roaA ro camdY wi� oiE ans mda� uM IM nOwiwnmb br eppmnlaaonsWclionamoEifimionkomtMAr�t v�epxront0irnb.fWiCs��m�uvuf'vieppblbmane�emqliamlM�a a��.. om.: ..00i�.: W tlAKEX'9 COMVEN9ATON pECIAN�TION: I Mreby elfirm �vdr parWy d pwjury ap W IM bAOWq Aetivelbm: � I haw vM wll meiniei+s uNfctle M can�mt �o estlLurta br Mpkpi oompavtlbn. n prdided Iw b/ 8w'v� 3]0p W iM LeEa Code. b tM perlmvrc� d IM Yvk la Ytic� tM panN� b bausd. � IMweMxUmentewxaYw�'oomOm�ion'uwrerca.nnawbh'SWion9]IpdNolebarCoM.brilrM�d�M ��a.n:mmsa.+�.rmw.w.�.,'Ip1�8'@Ri�9Sf°'"!t�''f�f+ff�nine•«•. EXPIAES c�«: �a�nnc�ccn�c 04/O1/97 Pdiry Numbr; (}ryuacfimnMmfMcomO�Med/fMO�I'sbarM1ur�� da �SiPO)n � I�enry trm1q iM pMvmw d �M wak br wliitl� Ihu o b u u�d, meinY a m to became �uyba to t�� mnqemmion 4rn d C e tl I�ha�J 4 to IM worken' �.�eanoevniEn ormti' �qR d^.awim T00 d �M leDar Cod �MuY lal wbh w8h tln�f yFM . �w�p: F.aw. ro.:no..ort.n� cortpru�rron �4 w � w.an ml�.n «�w�h'� ro wrlw c«Wtl« w � clv/l tlnu �q b on� ��ttlrM flpus�M dolNn (JIPO,OWA M�611Wn b IM cwl ol Nlrywwlbn Gnyp� �� prvvMb bi In 9�Gtlm �IOB ol M� le6or Cob. IMwt W�Mr�w✓� Iws. CONSTilUCf10N �ENMNO �6ENCY: � hwabY dbm �+Nr D�M d pxjvy Nr tAw� o e �nnel�uCion Ird'vp p�rcy br tlr perlamvo M iM xM b wTirh Iliu N^^� u eawE (Swion ]08l. Gv. CI. LENDER'9 NnME LENDEP'S �DDNES9: 1<a�Ythn 1 fiaa'aW tlro eypl"rsam md rtw �hm tl» abwa'vdanwionb wmtl.l eOwbcon+yl w0.� J ay W mwEy ddbunws eMetmelexeraletiqm A Eeuwm e eutlacs em �dtlwmyaarurupmtMeEwe�mraiundpapany Iv buD�� PaD�e� n e �,,, 'C GS L S d a (5151JE.W P) WhYs�&uWip d Sdely. CLaeerFJs: Ceiwy-App4aN: P'vikJlwwue:4Nmmo-N�se�a CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: B 079637 PLAN CHECK NO: 03775-9b A . , CONSTRUCTION TYPE; IZ-N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : ADD NEW FASCIA 6 16 FT ADDITION TO CANOP SQ FT; 18,500 CLAIM VALOE: 18,500.00 CALC-VALUE: 18,500.00 GROUP OCC; S-3 / COMMENTS: "WINALL OIL CO" ***��*�*��**�***��+r*�r*x��r�rx �r�r****�r+��r�*�r*��*�rxx�*�r�r�*+��e*********�**�*�**+��*�+��r*��* Z O N Z N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: 50 FT IN REAR: 45 FT IN FRNT: FT IN REAR; FT IN LEFT: 28 FT IN RGHT: 9 FT 6 IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42227217 ZNE: C1 REF NO: PA-96-S1 PLANNING NOTES> EXTEND CANOPY HY 16' TOWARDS PLACENTIA, WITH 10' SETBACK > ALONG 19TH STR, P E 1k �E 1E iElf 1f 1f IE 1E 1ElE iE IE iE 1f if 1k 1E if 1f if iE 1! 1k 1E 1Flf iF 1E ik if 1E iE �E 1E iE if !E 1E 4 k 1E 1E 1E ff 1E 1I� iF k 1flE if� i! 1E if 1E iE IE 1k 1E Ih iE iF 1E IE fE k*iF'� �E 1E 1E IE IE ik fE IF 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 L DATE: �!� 4� HUILDING APPROVED BY : �� DATE: 4� APPLICATION ISSUED BY: DATE: -i"' 1i1kif1EiE1F*�kiflfiElElEiEiEfkifiEll�lEiEiE iklElfiFiklf�f'iP1kiE 1E1i LEGALIZATION:N F E E S U M M A R Y STRUCTURP:L SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES GRADING PERMIT 274.75 SMIP/NON-RES ISSUE FEE 44.65 y , 3.89 HUILDING-DIV-> PERMIT ISSUS PLAN-CHEC[C TOTAL PAID DOE TOTALS----> 278.64 0.00 - 44:65 323.29 323.29 .00 REVENUE DIVISION TOTALS--> COLLECTED:� -� 278,64 OVERJSHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC-•,��FIRE SMIP/TOT GRADING PLAN-CHECK 274.75 , f '.:1 3.89 / . IF 1E IF k 1i if ik 1F ik 1E 1E k iE ik 1E iE IE 1f If iF if fk k 1E iE iF 1k 1t iE 1E iE if if iE 1E iE 1f IE 1f 1t fi ik.1E IE if iE if iF M 1f fF 1E if M If �f if 1E 1f IE if iE 1t iE 1E if 1k 1E 1t 1E ff iE If IF If if M iE 1E I N D I V I D U P. L F E}E ' B R E A It D O W N TYPE SFC QTY 18500 I��i�ii�i�i7�J ALTER BY VALUE � / COMMERCIAli• NOZONE END OF F•EES `I f - ' 'w ., / ; . ��-� UNIT COST TOTAL COST 1.00 18,500.00 01 00215635-OQ215b36 Ti] T 278.54 DRTE: �4/25/95 TIflE: Q8:;2 �' CONSTRUCTION AND PLANNING i AFPROVALS Permit # ! _ D"ate Ir �� 1. Temporary Electrical Service or Pole 2. Soil Pipe�Undrgrnd. - � -3. Electrical �oaduit Utility�Undrgrnd. � 4. Electrical EoiiduibUndrgrnd. � `5. Steel Reinforcement _ _,6. Electric3t UFEEt•Gand. 7. Footingi.a� � �- . - �8. Foundation 9. Water Pipe�Undrgrnd� 10. $tructural Pioor $Ystem I 11. Pioperty Sewer Line & House Co�nection 12. Sewer Cap . . • - a 13. 9ooiDrains- '- . 14. Rough Plumbing -� 15. Rough EJectric�l-Conduir : � Y 76. Rough �IectricWicing � 17. Rough Wiring Sign 78, Rough Electrital�T Bar Ceiling , � 79. Rough Heating &Air Conditioning 20>�Rough �actory Firepiace � - 2�.{�uC[5. If1 $ttllCLNf,C} , „ ~ 22. Ovcts, VenSjlating. ' - 23 Ga�-Pipe-Rough & Test � ="' � " r C Y � 24- RoOf Fiaming -, .-. '. . r Y . 25. Roof Sheathin9 �* = ' � "� � - 26__T-Bar Ceiling (StrLctural) & Mojwcoaty �- - 27"�Frameand Flashing ' � � _ �. 28. Lathin�& S�ing, ` -�;� _ - = - ; L 29. Insulation "- � '" � ' _' _ � 1 - 30. Drywafl'Na��n9 � ��a 31. Plaster 8rov�n Coat _ ' - _ 32. Electri�al Power Meter-Final � -_ j ' 33: final Electric ' r 34, Fi�al Heati�ij & Ai� Conditionirig - ,^ , , 35.* Final Gas Pipe•Tesr � c . _ 36 Hocid or'CanoPY .. `' ,- - .: - � - � ` - 37 Pirral Factory Fireplace_ ->-' �� ^ ^ , , � 38.- Final P[umbing " `"' - .. .. , �7 i , = 39 Water 3grvice•FinaL �� - ' ' � 40'-Gas Service=Einal t. q.r - r-. r - 41.=Solar pomestic�Fina� � ' � _ i ' � 42.- Backfibiv Prevente�., " _. _ � - 43. Backfinw Irngation. � �. _ - � 44. Landscape Iriigation System. ; _ ; ,.. -, _45; Sound AttePuation -��. .-- � E - ti . E ' T :46�'HandicepRegU�atibns ,., - ' " 47rFI�AL STRUCTU.flE & BUjLDING v� lo�� 1 48' FINAL PLANNING `_'_ • 49:�Electric Release to Edison - _ , _ 50._Ga�,Retease to Southem Calitomia Gas Co � ' - 51. C�RTIFICATE OF OCCUPANCY Date PO� .SPA - pector qppROVALS Permit # � 52. Pool & Equipment Locat�on '.. 53. Steel Reinforecment " - 54. Forms 55. Electricai Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER•GUNITE 58. Electrical Cond�t•Undrgrnd. 59. Gas Pipe, O UPd�grnd., Test . 60. Backwash Lines, P-Trap; O Un�rgrnd. 61. APPROVALT�.DECK � 62. Backwash & {?ecepror�Final ' 63. Heater & VeRt;Final .' 64. P�umbing System � Final , • 65. Electrica6Final � 66. SolarSystem-Final .' 67. Fencing & Access ApProval 68. APPROVEDFORPLASTERING 69. POOL/SPASVS7EMSFINAL FIRE DEP7. REQUIREMENT -^r APPROVA'tSj Permit� - a - J� , � `�' 7(ft U�2i9rg�oUnd��_Hydro = = �-� 71. ProdGccTPiping OG��s xOOil - _� � - 72. UndeFg;ountl,�lus� " ' �� -�i • 73. Undergrnd. Storage Tank � Gas ❑ Oil _ 74. Oyerhead Hydio � �'S.� Dry Chemical - - - •+ ,,., , �76: Dry STai�dpipe' y �� ` , . �� . � :77. FIXED SYSTEM FINAL ��' '.�8. F�RE PREV. F.INAL {.. - � '• � �; HEALTH DEPT, RE�UIPEMENT 79. FINALICVSPECIIONs: - ' �� 80. FOOD�CEAThF�ICATE;.InSSUED � �: r �ni�ta�• 9'-�z., a.! /�, ._ .� / /,,:" �n_/? : .- _o _ _ � G,,, / ` G •/�(%i)1� �l K r c ;-i * r' z �- �' k ? G (L Li v ' N -• � Q 2 .. - A. J�r' =l. ' � Date Inspector �� ,� T i _ /' , .7 C. + � �. _� - =: � y Y � T ,. , y _. �' ; t. F�oonEssarew�nu�a 7 9 0 W 1 9 TH S T �vr+enarueeir�woxm: WINALL OIL CO . wa�ss: 1 3 3 8 E 2 9 TH IGNAL HILL, CA /iYVL. WJLPM ADDPE49: 310-427-8847 uwT: urcx�croxe+xs+�+ FOX ENGINEERING ucra: C-21543 �xcx.oawa•s�oox�ss: 8060 TELEGRAPH RD uxr: DOWNEY CA 9024Q caym�cTarswu� PETRO BUILDERS, INCORPORA ( 213 ) 564-2531 ca+m�crom�uiwo 10609 PAINTER AVE �� SANTA FE SPRZ90670 CA �� 241905 uMr: LICEtt5E0 COMfF0.CiOR3 DECLAflATiON: 1 hemb/ eIIFm under paiNy d pmhvy tlut 1 am fcwrsed uds praidon� d CM1eqer 9 (�meMrq wdh 5anion lOW) M Grieion � d Ns Budms enA Pmimebna Coda. and my-0 me u m M Mu eM aXse. cmuc.No.:�17619 uc.cuss: H uc .: 2�'1��0l EXP: U2/97 Dets: �J I'�� Cameq Y//�/" V I-l'� Pn�'1 IOWNER BUILOER OECLAfl4TION: I Iwaby elfirm under d perjny Out I em exemq hwn �M Cmlranws lioama law far tls Id�^`VM iw�on (Satlion 10J1S Busrou md Fdeenonn Cade: �M ctY « muMy MJd� raWvm a M�u �o mmLucl. aber. "vnRa+. Mmq'sh. a repa'r ury el�ucturs. p'v b as eeueme. e6o reQuiim �M eppliram ta erli ppmE to fib e eqned ettlamme Uu� M a�M m tioe,,..a w�wm m ine ro+�,. d me com�a«. u�ox �. �cn.a« s�oo�«�o .an s.aoo mool a a.e� s d m. Buav�an md Pralmaiom Codol a �Am he a eM ie uemW therelmm eM the bew ta Ns eMB� m�emNion. �m'vdetion d Sspion ]0�1.5 b/ em/ epWirani la e permn euEpde iM applirant to a evil pendry d m� maa tMn Ma huMiaA doEen �f:AOp. ❑ I.powmrdtMpopMyamV�O�WwswlhweYmutMiwleeanVemnion.wYlEONework.eedNSMCMsa�MimentlW or dlend br oM (Senion ]DH. Buei�a eM Pmlmebne Code: The Corilrerlm Limmm lew Eme nd app�yb an anxrd piapMy wlp dd0s«inM�e� I�eraan. eM Mro does such wwk MmWf ar MrasM aYvaph h'v a hx am wnpbyeee. O�ded IIW ach imqmwn«m ve nol inieMeE a dlemd lor vab. X. however. Ihe buJdinp a mprwvneM u wld wnhin an Yeer d wmdnion. IM owrcr-0ultler ll heva the DUNan d povirp M or ehs did � buYd ar'unpwe la �M Wrpoea d sele). ❑ I. m wnrr d tM MW�Y. am nacluwW oonVx�M xil� licamed wntrecbro m mnW W tM PMb (Setlion ]011. &u'vwe end pmisaawu Code: The Coniredas lken» Law daee nq appry to en or.nar d papMy who bWtls a impws thareon enE who eomreeb Ioe wrh propqn wnh e mMrWaKe) liwiwad WnueM lo iM Coniraqwe lioeius Lew�. ❑ I em a�emq uMx S�aion: B. 8 P.C.,1« thn reeean: CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 079179 PLAN CHECK NO: 03949-96 S CONSTRUCTION TYPE; II—N Sµa PERMIT TYPE: STR JOB DESCRIPTION : INSTALL 6-14FT HIGH LIGHT POLES PERM NO: B 079179 GOVT: N SUPP: N PURPOSE: ALT SQ FT: 2,500 CLAIM VALUE: 2,SOQ.00 CALC—L�ALUE: 2,500.00 GROUP OCC: S-1 / COMMENTS: "WINALL" LIGHT POLES ON SITE *+��x*+��*�*�*�*****�*�*�x�******�***�*****�**rt***+�*+�****�*+�***�*�***�****��*# Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ------- — FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN L�FT: FT IN RGkIT: FT IN PARKING REQ: PROV: PARCEL: 42227217 ZNE: C1 REF NO: PLANNING NOTES> > � 1E iE iE �E 3f 1E iE if 1f �f �F iE IF if if if iE iE iE jE If 1k iF 1E �f 1E if iE iE iE iE �E 1f �E iE 3f if iE if aE �f iF fE iE �E �E aE aE iE aE iE fE� 9E iE if �E jF if if if �E iF if iE iE 1f if iE if'34 if 14 aF iE fF if iF �E aE D E V E L O P M E N T S B R C� I C E S R E Q U I R E M E N�T S ZONING APPROVED BY DATE: � ` HUILDING APPROVED HY : ome; �� I LEGALIZATZON:N I Eo �aeby cMily thn 1 em ewere G enA undentenJ �he �apuiremenle d CellorNa Heatlh end SeIMy Coda Seiabm 55505, 25533, enE Y5536, eM thm I m arry Mure WilEinp aaupanl will / wYl nd (arcb one) neeE to cpnply wYh uk pqe aodse vd tAe �apuiremaM br B L D G P MT epermnfaconeirvnionormodifirelionhwniMAi�wTiyl.rerepemm�Dinria RseNaMielmiMMionappimtiomaneremqlranlhua F E E S U M M A R Y PLUMBING ELECTRIC MECAANZC FIRE DATE: "`' DATE: �l �—I � ,� �1(�dfitiflkiflkiEiE iFif STRUCTURAL�SEGMENT:Y p�n��e. PERMIT 74.75 SMIP/RES GRADING Del6: Applcem: W�pKEN'9 COYVENS�TION DECIANATION: I Mreby dfi�m uMx paW�y d pujury ans d tlr ldbrrinp Eedxdiwr: ❑ I heve end �til meimen e ur1A'Wa d mwnt io eaMirauro la r.wkas' canpavelion, m prwided fu by Setlion 31(10 d �M lebar COM, l« �M perfamarca d Na wak /a Mich Nn psmil o Iwusd. k] in�.�d.,u�m�won.�•w�ro�..i:M��."m.e+�a�:.aMsww�a�aoamei.no.coe..ro�mew�b.am. wak �« wn� inis pe�n u usuee. My waYers'�pq�qpi��re`qca �yd porv.y rwmber ars: EX P I R ES �,,,;a,_ [cr.YV ll Pd'ryNumWr: O1 /O1 /97 liNa ..a�on nsea mr bs mnperoa r w w�� u rn a» nunmee ddws Is�ool w besJ ❑ I eeniy Ilu� in i�a pMmnv�ea d tM wak In xhiM ihq peem'v �n Ji �usd. I duA rcn a�Iry erry pwaon in ury manner c o �o e.mma wbjea m �ns wwiws• mmpanwcn lew. a ca6tomy� ene rob9 mm a wu ne�wiw nmjee �o �i+ ..vnm.� �^��^ pwisure tl Sedian �10U d IM lebor Code. I(ell anh�FA h M� u e pawiov. ow:YJ-"lil��lo �oa� wv w+hrinC: F�Yun ro wevn roik�ri c^^W�ru�tlon rov�reW I unl�wM1q enaWll a'Ntt �n rrylonr ro aNdml pwNp aM el✓4llnu �q ro ar h�nd�M fhouun0 do/bn (tI0q0001, M WOltlon ro tM ewt o/ mmp�wHw� An�pu n provAtlW /q In �tlon �l(IB o/ tln LeDorCatl�. Ilrtr�af. aml �Iromsyl fwa GONSTfiUCTION LENpNO �OENCY: I Iweby dfiem unMr pw�Ny W pr'�ury ��q �hra u e �wteudion bnCup q�xv,y for tlr w�m�m.m. a iM.cn� �« wniN inu o�. m e.uea (swia, awl. ci+. cl. LENDEN'8 N�11E LENDEp'S AUUNES4: I c^�M thet I luw �aeC No eGO�iuiian W aw Ihtl the ebo.v'udametion o oonw. I Wne �o oomW wilh e0 M' ad coumYa�di'urcm � eWe lews ieW np lo WJEiq miWUNian ud IwaEy eWhaca nproeeMethm d Ihisdlylo eNv upon tM ebo.e�meNiorqd poperly �°`1n8patl10°P°`D°°°°' ISELA VAZQUEZ � � (5f56y.WP) Dme: � � V I ( {�� While-BuJEip 8 Selery: �raen-Fls: CenW-Appiwn: Rnk-Awanue: CioNy�mA-Nwaaar PLAN q$,59 SMIP/NON—RES ISSUE FEE � ' .53 BUILDING—DIV—> PERMIT ISSUE PLAN—CFiECK TOTAL PAID DUE TOTALS----> 75,28 0.00 48.59 123.8"7 123.87 .00 REVENUE DIVISION TOTALS--> COLLECTED: 123.87 OVER/SHORT: .00 BLDG PMT PLOMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CAECK 74.75 .53 48.59 iE iF iF 1F iE iE iE iE 1E IE IE iE iE iE 1E fE �E iE ik 1E jE 1E �E 1E if iE �E �1(� iE 3E iE 1E 1Flf 3E 3E 3E fE iE IE 1E iE 1E iE iElf if if !F iF 1f !F 1E 1E if iE if iE it if iE fE ff iE 1f iF if 3E iE IE if iF 1E 3f iF 1E 1E �)E iE I N D I V Z D U A L .F E.H B R E A K D O W N TYPE SFC QTY 2500 D E S C R I P T I O N STRUCTURAL BY VALUE PER $1.00 END OF,.FEES � UNIT COST TOTAL COST 1.00 2,500.00 ' CONSTRUCTION ANDPLANNING � � APPROVALS Permit # . 'i. Temporary Electrical $erviceor Pole 2. Soil pipe�Undrgrnd. � 3. Electrical Conduit UtilitY�Undrgrnd. 4. Elecirical Conduit�Undrgmd. , 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings 8. Foundation 9. Water Pipe•Undrgrnd. , 10. Structural Floor System t t. Property Sewer Line & Nouse Connection 12. Sewer Cap • 13. Raot Dreins 14. Rough Plumbing ' 15. Rough Elecirical•Condu�t 16. Rough Electric Wiring i7, floughWiringSig� 78. Rough Electrical-T Bar Ceiling 79. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 2t. Ducts, �� Structura 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing --- 25. Roof 5heathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathiog & Siding 29. Insulation 30. Drywali Nailing 37. Plas2er Brown Coat 32. Electriral Power Meter�Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe•Test 36. Hood or CanopY 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service�Finat 47. $ola� Oomestic•Finai 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System _45. Sound Attenuation 46. Handi(ap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING � 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cc Date Date POO. SPA Inspector APpROVALS Permit # 52. Pool & Equipment Location 53. Sieel Reinforcement . 54. Forms - 55. Electrical Bonding 56. Rough Plumhing & Pre:suce Test �}- 57. APPAOVAL TO COVER•GUNITE �/1 -58. Electrical ConduiFUndrgrnd. 59. Gas Pipe, O Undrgrnd.. Test 60. Backwash �ines, P-Trap, � lknd�gmd. 61. APPROVAL TO DECK 62. Backwash & Receptor•Final fi3. Heater & Vent�Final . • - 64. Ptumbinq System � Final 65. Electrical�Final � 66. Solar System-Final ' 67. Fenting & Access ApProval 68. APPROVED FOR� PLASTERIfVG 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping OGas OOiI 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FIN,hL 78. FIRE PfiEV. FINAL HEALTH DEPT.REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: I iii %l1/� �.,,.✓� �a, /� _ u Date �inspector 0 A .�eu�s a,emioiwc: � g 0 4� 19 T?� ST . s��F�'"" GIMENEZ, ALBERT P ��+� WINALL OIL CO . - - 1338 E 29TH ST SIGANL HILL,CA 90806 dVPL.1WWl0 ADDXESS AXCXRECT ON EIMdlEEN: ppCN.ON ENO.'S �DDPE55: earm,�crarsw,�: PERTRO HUILDERS, INC. c«mucrorcs�uiaa 10609 PAINTER AV e �oo�ss: SANTA FE SPRINGS 90670 4CENSED COIRFACTORS DECLANRTION: I Mreby efl'vm urder penety M pa�u �( wilh Section 1W0) d Dnivion 3 d Me BuaiMee uM PMm � : C 11C. .: LJQ CIASS: 11C. N,. z Q �sz. l� - GI i.� �__�__. l//. uc. w.: UNT: � — I UNT: (310)946-2285 CA ucra: 241905 UNT: � thet I am Ikenead uMu provielane d Cheper 8 vk my es is in full bme eM ellecl. ]� 5 EXP: uMx pendy rN'Y �hm I em IroTiFh�Cantreaae Licanee Lew lor �he oebra COEe� cry a munry xfi' �epui�m e pame lo mmtrucl. Mx. impraro. i, dao reQuiem Ihe apd� �a u+ch paimn to Na e dpmd staemsnl Nat he a�M u 4oemaE puraW to iM prwuone d tM CoMretlae Licme� lew �Cheqs e(mmmendrp wah Swion l0pp) d Di+'sion 3 d iM BuzMw end Prdea�iuu Codel a ihat M a d�e e exemp iMrelmn vd �M bmu la Ihs eMO� mamqion. MV vidmion d Swion ]Oit.S W eiry eopliwit Iw e permn wEjeas tM epqiceni io e dvY peneliy d na more ihen twa �uM�od ddlve �SSWII. � I, ea owner of Ihe poperly w my empbyeea w1h wegee u ihei eob mmpanwien.will do tha wrk, eM ihs sVuclure e nd iMeMeE owMr-0udda wiA Mvs IM dnden d pwi�q he a eM did ewi build a impow lar iM qnpaaa d eeb). � I. m o�wwr d iM prapny. em eul�oi.al� oonlrep'vq wilh IicanroE conlrenon m cmmrua iM prqq (�� . �uinms uM Raeaaio�. cade: Th. com.ma+ L'c.n» l.w me. na wdv w.n owiw d wro�r .�w eulu. « imwo�e. �neieo� ana wno conirecie tw wtli prol� �h e oonirmor(e) IcemeE Punuent lo �M Coniraqon Limma lewl. � I em exempt wEer Seclion: .�; B. d P.G., lar Nu reuon: Detc r�. Orms: I do haraby ceMy ihtl I em ewua d ud unEanund tM rpwrem�nn M Caliamie HWIh eM Sdery CoEe Sediw 15.505. 25.533. erd YSSSa, eed thm I a erry INun Wikinp oa+�yeni wiil / wll m� (arcb wn) �weG b compy wYh uid peta ooAen eM tM nquimmmd for epermitlamnavuctionormodifratianhomlheAi uaTy.�enepemeMDinntl.Pa�NeniWm�nrueionappf�.elipmanawemqfromihwe a�.�.. Dda: �ppl'rxu: WONKER'S COMPENS�TIM1 OEClA11�TON: I Mraby ellvm uMr pmMy d pmjvy me W IM 1o0ow"vp Mumive: I hm enC vril meinlan a uNl'rata d mnsent to vatl�roun br xwkaa' canpen�etion. m praiEed In Ey 9anion J'!0p W tM leEor Coda. lor t�e peAomance d Ar xvA lor which iAia permit la ke�ed. - I hm eM wil meinlen vrorkeis' oompemetun irqueenw. m�puired by Setlbn 3]UO d IM laEa Cade. br the qAwmaza d iM work fa whitli this pemin n peueE. MY wa��' �Ve�� imurence raner uM poliry n�mbsr are: c.m« REPUBLIC IND. EXPIRES Pofry Number. 01 / O 1/ 9 7 �mr:..a� �e �wr w�d.� r�n. n�e o ro, o�. n�„d�ed dd�. (siool w�..� ❑ i oenN mm m�ne o«io�e a in. wo�x ro� wnKn m�. w�u m bw.d f�twa emdw �r oenon in enr menirer eo s� �o bscwna wbjetl lo iM xorken' canpenution lexs d GdNanu. rss N G 1 Nwk Ecoms euh�se to �M worYen' wmDe�u�ion V�iom d Senian 9100 0l �he Lebar CoEe. I ehell r.n w N' h oro G�eians. ov /�J� • ��10 �op�: � w. Inp: F�Nun b ucun woilraa' cnmpwwtlon cov�rp� 1� I,wnn, .oe wn.�e I cr/M�ul p�n�Mu �nC cl 1 flrwa up ro on� hundrM fMuunC doll�n (f100,0001. In �dtl/f/on b M� cwf ol ro n� derr�p� �� povltlM br In �etlm 31�6 0l Ms L�lorCOW, InNn�( ens �ttomry'� /wi. CONSTtiUCTION LENDINO ROENCY: 1 hxaby dfiem uMx pnelly d psjury Rw Nra o e oongruqion Imdinp apev,y Im ihe . ronameme a �n..wk �« whitl� cnb wmii e ewea (seeon aow. ca. cl. � LENOER'SNMIE: LENUEfl'S AUDPE34: I cMily IMt I heva reeA this epplicetion eM etete Ihai Na ebave iMormetion ie caraq. I ep�ee lo wmpN ��h ell tlly eM muny ordinencm eM slde lewe mle��p b buiNiq meubvlion eM hmeby aulhaca nprafan�tlirvm d Ihia ely lo aMer upon tM ebova.meMionaC qopsM i ��'��"�� ISELA VAZQUEZ � � Peint Namg N/IIG�-Bu3dilp Dele:� I�`�� Pink-Rwenue; Ciolden�o�Aaaeacr l CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: E 076836 PLAN CHECK NO: N CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PERM NO: E 0'7683 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTZON : REMOVE 6 REINSTALL UNDER GROUND TANK SQ FT: CLAIM VALUE: 40,000.00 CALC-VALUE: GROUP OCC: S-3 / COMMENTS: " CONNECTIONS TO CANNOPIES 6 MOTOR TO TANKS " ��**�**�*****«��*��*�*��*��*��***��+��*��+��**��+��****�*�**��**+�**�*�+�* 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: 42227217 ZNE: REF NO: PLANNING NOTES> i �E 1E fE * 1f iE 1f iE iE if� 1E 1E 9F iE aE 1E 4E iE 1E iE 1E 1E if�lE IE'1E i(' iE �E �If IE 1E iE iE If iE IE IElE'IF'IE 3E iE 1E 3E ik IE 94IF If if 3f iE iE'lE 1F 1E 1F 1E iE iE 1E iE if jf iF �E iE iE if �f !F iE �E 1f if fE jE iE 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 DATE: BUILDING APPROVED HY : DATE: APPLICATION ISSUED BY: � /��_ DATE: v **+�*i�-i�-***i�it�***rt**x�****�� a � F�t *x�********� ** LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEG ENT:N BLDG PMT PLUMBING ELECTRIC ✓ MECHANIC FIRE SMIP/RES GRADING PERMIT 152:00= 50.� �✓ SMIP /NON—RES PLAN ISSUE FEE 15.00 �� BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 152.00 15.00 • :0:.00 167.00 167.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED�: 167.00 OVER/SHORT: .00 BLDG PMT PLUMHZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 167.00 iE �E iE iE 1E 1E iE 1E 1E if if iE iE iF iF if IE 1E it it 1E iE iE IE 9E iE iE iE fE It if iE iElE iE 1E iE k iE IE1f 1E iE iF it 3E iE iE if iE if �f iE iE iE IE IE if 1E iE iF iE if iE iE iE ik iE iE if if 3t iE iE iE iE iE iE iE I N D I V I D U A L F�E E H R E A K D O W N TYPE QTY D E S C R I P T I O N � UNIT COST TOTAL COST ELE 6 FIXTURES, LIGHTING 1' ST 20 EA. ELE 5 MOTOR/POWR APPARATUS 1.1 — 10.0 HP ELE 10 MISC CONDUIT NOT LISTED REQ PERMIT END OE.FEES .' Tt .�5 4,5� 7.50 37.50 11.00 110.00 �. 1 - .-�,1.:, i . i_' r�• • 'n� •• •-i�•.., � � _ � ~ CONSTRUCTION AND PLANNIM� � � � APPROVALS Permit # � � ' 1. Temporary E{ectrica{ Service or P,ote 2. Soil Pipe-Undrgmd. 3. Electrical Co�duit UtititV-Undrgrnd. 4. Electrital ConduibUndrgrnd. " �c5. Steei Aeinforcement 6. Electrical UFER Grnd. • i, rootings "�8; Foundation . � 9. Water Pipe-Undrgrnd. � 10. Structural Floor SYstem - � 11. Proper�Y Sewer line & House Connection 12. Sewer Cap � 13. Roof Drains � , 14. Rou9h Plumbing � , 15. flou9h Eiectrical-Conduit 76. Rough Electric Wiring 17. Ro�gh Wiring Sign 78. Ro�gh Electridl-T Bar Ceiling 79. Rou9h Heating & Air Conditioning 20. Rough Factory Fireplace ' 21. Ducis, in Structure 22. Ducts, Ventilating 23. Gas Pipe�Rough & Test 24. Roof Framing _ 25. Roof Sheathing 26. T-Bar Geiling (Structural) & Monocoat 27. Frame and Fiashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat � 32. Electrital Power Meter-Final ' 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Factory Fireplace . � , 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Finai 41. Solar pomestic-Final 42. BackfloW P�eventer 43. BackfioW Irrigation 44. LandscaPe Irrigation 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 Ca Date Date POO� & SPA Inspector qppROVALS Permit # ' 52. PooV & Equipment location ' 53. Steel Reinforceme�i ' 54. Forms '� 55. Eiectrical Bonding - 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER�GUNiTE 58. Electrical Conduit�Undrgmd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines,.P-Trap, O Uadrgrnd. 61. AFPROVAL TO DECK . . , 62. Backwash & Receptor-Final � 63. Heater & Vent-Fi�al '. 64. Plumbing System - Fina1 65. Electrical-Final � 66. $olar SYstem-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTER�NG 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT . � APPROVALS Peimit # 70. Underground Hydro - 77. Product.PipingOGas ❑Oil 72. Underground Fiush . . 73. Undergrnd. Storage Tank O Gas ❑ Oil . ' 74. Overhead Hydro 75. Dry Chemical 76. Ory Standpipe � ,, 77. FIXEO SYSTEM FINAL 78. FIRE PREV. FINAL � . .HEALTH DEPT. REQUIREMENT � 79. FINAL INSPECTION 80. F000 CERTIFICATE ISSUED Notes: RK '-� ^�/_ /� a iIc_./�, Date In " � .- . , ' "°�"°i"1°a°' 790 W 19TH ST '"'"E"'"""E'�'�'01Ni WINALL OIL CO �"D°"� 1 3 3 8 E 2 9 T H IGNAL HILL, CA �vr�. ruura �oo�ss: 310-427-8847 UNT: �R�*u��+� ROHERT HANSEN ��= C-11372 ��•5� 1900 E 64TH ST �+� LOS ANGELES CA 90001 �� PETRO BUILDERS, INCORPORA (213)564-2531 CQ/fp�CTOR9YNIR10 10609 PAINTER AVE wo�ss SANTA FE SPRINGS CA ucxo: 241905 90670 uxr. LICEµqEU CONfNAGfOP4 DECLANAAON: I lvWy dlim uMr paWy d pxHiry tlW I em IN,aneW �vdx prahbs d Cheqx 9 (oomMantinO �t� Saction ]00% d Dwn'nn J W Ns Buwr� W Pnlxdau Cods. eM mY Im�as b in tW huy�a'sIIW. ��rr.�c. r+o.: 017619 uc. euss: g uc. No.: 2 419 0 S E2FP : A.2i/ 4,7 DY7NEN BUILDEX DECI�N�TON: I Maby dfimi uiEer pwly N paiWy ihel I mn ammq hdn the CoTredan lbmi6lex Idbr.iq ise+on (Sepian ]W t S&unma W PMm'v� Cods: Am/ NY v cqWy xf�itl� n0� e P�� 10 mmWq. a�(m. damdeh, u rpei aery etrucWre. yior b da eaiwica. dvo npu'pv IM epplicuu Iw wc� permY �o fib a eqtwd aWameM Uul ho a eM is IiWneed Wn�e^t �o tM prwiaiaa d tln CaMredon lioema lew [Gheqa 9(�msxi�q �inh Setlion ]OW) d Oiiubn 3 d �he Bueqps eM NdeniaM COdel a Ihtl le a ahe u axemq �Iwalmn aed IM pnfb la tlie ebpeE m�ompi0n. My vuWion N Sad'pi lWt.S b/ ury epp6ra�u 1« e pami +ubjeC� ilr mp�.W to e dvi penetly d np mcn Wn five InmAatl EWen �S.A011. ❑ I.mownerdfMpapwiyamyemWwwwthxapvanNeieobwmpweeriatWdotMwak,mtltM�NRm�enatitladM «a�m.e m..d. (s«oa, �w.. s�ew,.�a aAro,m�,. wae: m. cewma, ucwu. Lm. m.. m�drm.�o.,..a woo«y who buiCs a inG� tha�son. end wtn doet eud� nvklunaeE a hasN a Wwqh hu a her am amO�W�, pa�a IIW euch unpwamenb ve na'vnsMsd a afleied la uM. tl. Aowws. Ns bWtl'vp a inpownM w add wiihvn on yam rl mmpMion.IM oxrorbWder �w0 hm tM WNen d qvmp M a tlr d'id b ddd a'vnprow la the p�upm� d a4I. ❑ I, m ormer d iM pmpeny. em e�diniM' maraqi�Y'MN 6oenssd mnvee.ton m ammuG Na VM� (Swion ]W. &mmw� rM Prdna'vm COCe: TM Gaumem �avs lew dom nol epp1V b an rnrtw al poGMV x1p MoIN a impovu Ihaam end iMw cantrec�a fur wch Yaletla weh e mmreav(el licamsd a� ro the Cavrea«+liaenro laM. ❑ I em ezanq wMw SerLm: B.8 P.C.. br No neun: Deu; Owiwr. I do Iwaby csWY tlW I em ewxs d md iadavuM Ns nadranso d Cel�arie IWlh rtl Sefel�' Cods 9Wbm 255p5. a59a. mM 25`,�U. ud NY I a eny hAun dWtlW oovpenl wJl / wil rw (eNe an) mW ro aomW/ Wh oid mt� cods� vM �M npu'vanrm br eMm[I«mmt�utlionanoEdrmionham�MAi�Y ^roW�Oiqria.R�eE�vielmM�uaioneONmiomneumplhaniM4 n«n.�+. Dele: MN�cem: WOpKEP'S COYVENSATON DKI�RATION: 1 her�by Mfvm iaNx pruEy d pr�uy aa d iM IOYow'vp detluqbro: ❑ in.».oa.am.w.n.�.nr�.ao�..vio..n+�m.a,.on�.+•oaro��.maaaa.e�«nys.mo�o�oowm.t.ea. coa.. r« ue w��e. or w.en r�. w:� w. w�a e++n.d. n Ihw�endWmWnanYakr�'mmw�unew�na.nna�dbY3wbn�1o0dthsleborCOM.b�MD�d�M )� woM1 �o..,nid, me w� a:wa. Mr.aM.+• mmo.wion vmu.m mm« .d w�r nvnw.e: c.m..: REPUBLIC IND. 6XPIRES ra�v �me.� 3 s 1 A O 1/ 0 L/ 9 7 (Th4 rx�ian roM na e� mrv�std ! tna wm�'r mr ms nwe�bae eoaels If�ool n I�n.) ❑ I oen�y �het in Na DMamenro d �he wak br xfikh Ihu V�� u i CW. I NN na1 w^D�W �Y Vab^ N ury mamer w n lo emma wbjW to IM walwi oompr�wion Nw� d C' " eM epew Nm ! I 4puM Ecama aRjeq io tM xwbn' mD�+dbn pwuioro W Sodion 3)OO W iM lebor CoOe. I ta 'Ih �om N� t� • pwii n�. 7, /� o�.: v �.: �� ti I '' � wnnrrrp:c.nunro..cunrort.n•conp.�uadonrov.rap.n µmewn.�e�.ce.�.�wr..roaanwowrorme eM! nrw ap ro a+. n�ndne mou++nrt ewav. lrratoGry, M.asmm m �. ewr o� conp.rormn mvnros n provrbe ro. �n 9�ctlm 3108 0l M 4Dor CaY. IN�L ��m�Y� !Ma CONSTIIUC710N LENqNO �OENCT: I hxaby aM�m uMr pwWiy d pajay ilw tAra u a mretrwion Mntlinp epricy M IM pe�armerce d iM r.oek tor xAirh �lie V�1 u ewM (SW ion �. Civ. CI. LENDER'S NMIE: LENOEp'S �DDRESS: 1 cenily �IW I Aeve reW Nu eGp�^ eM tle�a ihet Ns ebova "udamdion u mrtatl. � ePe^ �o oqnply w4h eA W enE mumY ad'men� eM eime lewe �eW n010 bWd�O mnetrucrim eM IsW Mlvrza �epsaaumw� M thumy bams upm tM ebv.smeNbwd papwry la iropaaion pupws�. / ISELA VAZQUEZ b�•�• 7V Dme: (5151�y.WP) W�Ms&ddMBSdMy.Gnan-Re:Ca�wy-App4va:Rnk-Mane:CiotlavoC-Nas�ar CITY OF COSTA M�SA — HUILDING PERMIT PERM NO: E 078754 PERMIT NO: E 078754 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: II—N PERMIT TYPE: ELE PURPOSE: ALT JOB DESCRIPTION : RAISE EXISTING CANOPY & CHANGE FASCIA SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: S-1 / COMMENTS: "WINALL" T.I. REF:B-78601 �r****�+tr�**+��******x�**+�*+t*�*+rrt**��**+��****�**�x+r« �r�r�r*�r*�r*�r***��*�rrt�r*�r*+�*�** Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN R$AR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42227217 ZNE: REF NO: PLANNING N(STES> � � if 1f if 1E iE 1E fE iE if iF ik'If if fE 1E iE 1f iF if k'IE Ik K fE 1E 1E i8 iF iF iE 1E iE iE iE�IE if 41E if iE 1ElE 1E iE iE'1E 1F IE iE 1E 1E 1! 1E 1E iElF iE if 1E iE iE If IE iE 1F iF iE 1E ik iE iF 1E iF 1ElElk 1f ik 1E D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY " DATE: HUILDING APPROVED HY : DATE: ( / APPLICATION ISSUED BY; DATE: 6 �x�*�r��***��*x**�x�**** �r��*��r�** �r LEGALIZATION;N F E E S U M M A R Y STRUCTURAL EGMEN :N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 20,50 SOt SMIP/NON—RES PLAN ISSUE FEE 22,00 BUILDING—DZV—> PERMIT ZSSUE PLAN—CHECH TOTAL PASD DUE TOTALS----> 20.50 22,00 0.00 42.50 42,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 42,50 OVER/SHORT: 00 HLDG PMT PLUMBING ELECTRZC MECHANIC � FIRE SMIP/TOT GRADING PLAN—CHECK 42.50 if 1E 1E 1E fE il� i(� 1F 1k 1t 7E k 161! 1E iE 181f i! 1h IE 1! fF 1E 1E iE M Ik ik 1E iE iE 1E IE 1ElF 1F 1F iE if 1f 1f iE IE i! 1E iE iE 1E k 1f 1f iE IE iE iE 1E IF ik iE 1E IE ik 1k 1f iE IF IE 14 iF 1f iE if �E 1ElE if �E 1E I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 NON—RES APPLIANCE NOT OVER 1.0 HP 4.25 4,25 ELE 1 MISC CONDUIT NOT LISTED REp PERMIT 16.25 16.25 END OF FEES � - J � C7NSTRUC710N AND PLANNING � _ . P0� _ & SPA _ I, APPROVALS Permit # ' Date inspector qpPROVALS � Permit # Date inspector "'_f ' '�] „Temporary E�ectrical Service or Pole 52. Pooi & Equipmem Location ' - 2. Soil Pipe�Undrgrnd. - . 53. Steel Reinforcement ' �3. Electrical.Condult Utility�Undrgrn�i. 54. Forms � � �4. ElQttrical.Condui[ Uridrgrnd. 55. Electrical Bonding ' "5.' Steel Reinforcement 56. Rough Plumbing & Pressure Test � .�'6. ElectricalUFER-Grnd. 57. APPflOVALTOCOVER•GUNITE ._ � 7C Footings'• _ - - 58. Eloctrical Conduit-Undrgrnd. � �-6. Foundation � 59. Gat Pipe, O Undrgrnd., Test ' 9. Water Pipe-Undrgrnd: - 60. Backwash �ines� P�Trap, O Undrgrnd. 10. Stiuctural Floor Svstem 61. APPROVAI. TO DECK ' 1 t. Property Sewer .Line & House,Connection 62. Backwash & Receptor�FirSal 12. Sewer Cap ':= - - � 63. Heater & Vent-Final ' 73. Roof Orains 64. Plumbing Syscem - Final ' � 14. Rough Plumbing �'. 65. Electrical•Final 15. Rough Electricai-Conduit . 66. Solar System-Final � 16. Rough Electr�c Wiring • 67. Fencing & Access Approval % 77. Rough Wfring Sign � • �, 68. APPROVED FOR�PLASTERING 18. Rough Electrical•T Bar Ceiling . � 69. POOI/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Aough Facto�}! FKap�ace - ' ' _ ' � �� APPROVALS�' Permii # 21. Ducts, in_$tructurr:_` -_•,. _ � - ^ Y 70. Underground Hydro 22. Ducts,Ventilating-- .- - -: r. �1. Produ@tPipingD�Gas ❑Oil 23. Gas Pipe-Rou9h & T�st - =' 72, Underground Fiush 24. Roof Framing• � • � - C 73: Undergrlld.StorogeTankOGas ❑-0il 25. floof She�thing -� �- .. � 74; Overhead Hydro 26. T�Bai Ceiling (Struecural) & Monocoat ` . _ .* Y 75. Dry Chemical � - 27. Frame and Flashing' - ' � 76. Dry Standpipe �• ' 28. lathing & Siding..�. ,, .� •' 77. FIXED SYSTEM.FINAL ' 29. Insulation _ � " ' � . 78, FIRE PREV. FINAL - ' " 30. �rywall Nailing '- � �' � • - HEALTH DEPT. RE�UIREMENT 31. Plaster BrowrtCoat 79: FINAL WSPECTICIN ,• 32. Electrica� Pow�r MQteF.Final , ' -• 80. FOOD CEfiTIFiCA7E 165UED � 33. Final Electric, `?' . � +y7� � �� Notes: c _ - ' y ' II°L. �� . _ -.l 1 � 34. Final Heating& Air �onditiooing'__ ,- . � . . . _ . ' � 35. FinaIGaYPipe.Test' _ _ � � -- " . � ' 36. Hood or CanoPY � � _ � . �- - ' � � � 37. Final Factory Fireplace ' - ' . - 38. Final.Plumbin9 ,. - . .- - 39. WaterSer�vice-Finai • .- i � "� � ' - - _ 4 , 40. Gas ServiCe-Final � _ . - . , �� , � � ' . 41. Solar pomesdcFinal •-. ' � _ - c''_ - 42. Backflow�Pre�enter �' ,. '� .- " - . _, �_. 43. Backfiow Irrigation _ _ � ' 44. Landscape Irri,qation Sys[em . = - - 45. $ound Attenuation - - - � ' - , � 46. Handicap Regulations _ , � ' ' � -- ''. 47. FINAL STRUCTUPoE & BUILDING � 46. F�NAL PLANNING � , � ��, 49. IeUrtc Relaese to Edison _ � �' 50. Gas Releaseto Southem Calitornia.GasCo _ � . ; ' � . CERZIFICA7�_ F pCCUPANCY _ _ No. � Date . . \• Costa Mesa Buil`din —De aiCmeiit, APP'LICATIG�%'OR P��i�T . g P _, . � 119 EAST 20th STREET t- g t� I L.D.I,.N G_. _._. �ii'� ^ �7 COSTA MESA, CALI�FORNI'A; �•-- � ' �; � FOR APPY.ICANT TO FILL IN i FOR OFFICE USE ONLY ' . i I R�e�t No. PermiYNo. � - Buildin9 �J , . ' n • � . � � _ , ' � � ; ' Addross �Y��"Cl�l�.�/ -=�N.- ' � a ' Receive y ate R c'd D e I� ed � Costa blesa, alifornia �� 6 � 6 Nearest �j C � � /�S � J ��' CrossSt. K� Building � � Address ' Li./ - � Owner �,�„� S,.ww� osta. Mesa, � alifornia � Mail '� i Address f Z_O q� �<��•,-+..*'T� 1. �. Nearest , •. �Te-'I. Cross St. � , City ' No. Zone� / I No. 01 I Type � i Group ' j Architector ' Lic. Plans Englneer ' � No. Approved . ' b . Date � Addresa �� 2 E� 9'�C-( . , ' CORRECTIONS . City Lic. traetor VVl � No. �— C� � I � - i Address �+-=� Legal Lot 1- _ Deatription I No. l q I Block G I Trett �e/ 2,. , (Attach Metesand Bounds) , � I No. of Bidgs � Size of Lot L 2%�( 1 N 1 Now on Lot ... - _..-"' -- ---""'- --'"' O Useot �„� [ No.ot No.of , ;i,; A Existing Bldg. � d��+�. I Families I Rooms � Setback Line from Rear Vard 3 -`" '" - " - '' � Z Centerof Street ir �� Side Vard o +,a D DESCRIPTION OF WORH � r New � I�I Aiteretion I I Addition I �� 7 � Repair ( I Moving I I Demolish I ` S��__� � Building � � No. of � �'� Size_�X � 2 Rooms Stories E- "�rior Wall I Roof 1 ;ing Cavering ' Ue� of New (-([) � �. / %r � r......d.,�:..., i......w.,., i �""' .._'' """ - Forms, Materials, �. ' ' �,,�„ �� Under-Pinning � �/ _ •,�. Frame: Fire Stops, ,4� -^ T'—, � �l�S^ L__ eracing.6olts Lath. Int. I hereby acknowledge that I have read this Application and state that the above is correct and agree to compl}• Lath. Ext. �vith all City Ordinanms and State Iaws regulating building construction. Signature of Plaster, Int. Permittee Plaster, E�R. Authorized Agt. ,c � Masonry Reiniorce� Valuation O�� PermftFee$ $ f �� Plan Check $ �� Bond Beam Total � OQ Fee $ � FINAL \ v�m. 204 C- 1M 12.53 c J c J a . � a ��`' _'�, ��)" 1`_:: ( �" , -- �� _ S�LN�,,��n D `sire t?�.,,. . 1/�; . t^. tr K,�. .}��:„ W ,,,.' PLOT.PL•A•Nc ` . • Show � Ixat(on and distances from property fine and between buildings. �.;� �� . �• }f�� . . =!�i - ', �. .i �i4-t-.._ . .�. .'� . . s y.. � `.�� , -r. � pA � . � � Y� . -- �,i• .�:.C. , .. � � , CC;��tsb Mesa Building Department • • N1 EAST 20th STREET� ,- r , : r � .L0.STA MESA� CALIFORNIA " FOR APPLICANT TO FILL IN Building /y / Address 77� � � s Y,.�_ L'09� MC88,� L'&�011ll8� Nearest � Cross SL � _i3�L.�.i� Owner �y„ _,.e�, �-n-r.�1�/1. Mail —� . � 9 � ArChitxtor i LfC. Englneer No. Addresv — l'P� N,X cicy uo. _ �trector �� ..� .1 O.r�X�e�. �, Address 5 �� L. 1 Descrption I No.ZAd19 I Bloek � I Tract fAttach MetesOnd Bounde) ■ Setback Line from New. I Repair I Bullding Size �/ ] � �-tertor Wa115 �ering e ..ae ot New _ ��/ I rvow on �oc T No.of No.of I Famiiies I Rooms � qear Yard � Rooms F I Ra Additfon DemolisF Stories u'�%"'�d APPLICATION FOR pERMI1' / � Buii�:�N� � FOR OY'FICE USE ONLY � /,Rece(pt No. I Permit NO. l��b �-Q Received by I Date Redd. I Data Isaued '7— /�S )� nadaess � �i/ �%� , Costa�Mesa, California - Nearest Crow St. � 20� / I Plans I TYP I Grou� Approved " _ b Date CORRECTIONS I hereby acknowledge that I have read Uus Applicatfon Lath. Int. and state that the abwe is correct and agree to rnmply Lath. Ext. with all City Oid'mances and State Laws regulating btilding construction. Signature of }/� Plaster, 1nt Permittee �� - '" � `Q' �• � �� Plaster, Ext e..��....t..w e..c . / '`i/ Plan Check $"' / i'� 6 �Bond B $ ' / Feeal S� %iTJ•S�G I FINAL Gf1HM 244 6-X 2M 3-54 . 9 I � Z D r u c J d 0 � a Steeet� �'•`�` I � .s�i � ' !R ' �-i 3riir� �5 y:" ..D �_ -. <; r.. = irLOT-riEix• Shov�t-`Iocatlon`� and�di9tflncee Trom property Iinb and beriveen bulidin�a� , '1 `1'Y �,��; ;�•''{':1?t tbC`-�'.��`� — i�L,�. .. _ . � � , , � .'k� , . . �. , .• � . . . , ��. � t ', ., � COSTA MESA BUILC DEPARTMENT 111 East 2Mh Street Cogta Meaa, Ca�ifornla . j �a •_ N° 68 B s^ Date..�/ .�� ............ ...._"_.._.-'—'--� � GTV OF C08TA MEBA iCERTIFICATE OF OCCUPANCY '/ Buflding Permit N��. ,.....Electlipal Permit N�.�.�...Plumbin Permit No..f.�...f..Q. J; .., e -� uae or suilain9..... ....�P.":�r .....................:....... /....._.T.-L._�..I��--✓.._ �....2:........-'--"-----............ The 6uilding located (See feverse side tor Metes and Bofinda) � has been inspected and found to comply wlth the provisions of all City of Costa-Mesa Or- dinances applicable thereto a Group.....�..,llOccupancy. 1£ � TO: A. J. VOLZ � - � j� t,'. �y � City Bufl g i I ."..^........ ...'„��f!L�.L..'. .... - �`1:!�.�..�.! ....:........ � � � • �ov��e�ors�im��a� ' ey......!-!`:..... . ..._.__.... .. ._...,. .. CC:� p Original—Owner ❑ lst copy—Gas Co. ❑ 2nd copy dison C -❑ 3rd mpy—Flle I'erm 206 G}� Ih1 12-58