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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1T00 COSTA MESA, CALIFORNIA 92626
APPLICATION FOH BUILDING PERMIT
For Applicant to Fill in Complete
RECEI �j' �!E RECgIVED Ofy E�SSUED
BUIIDING �/ !1 ��/ / /L o�d� � /r��v �
ADDRESS �{ V Wi �
PERMIT NO.
OWNER �� � A.P.NO. �
ADDRESS ^ � (Q /�/� eVIL�ING �� � /
ADDRESS �
TEL. TRACT LOT BLOCK.
CITV NO.D GO
CONSTRUCTION W �+ /
LENOER
BRANCH
OWNER
ADDRESS VALUE
ARCNITECT TEL. $ rl7GD
OR ENGINEER
FIpE
ADDPESS 20NE TYPE GROUP
APPROVED
CONTRACTOR �y��- BV DATE
A�DRESS Z / Q r �
TEL. . ZONE NO.OF USE OF NEW
CITY NO.
PLAN$ BUILDING
STATE CITV� YARDSAPPqOVED VARDSAPPROVED
LIC. NO. LIC. NO. MAIN 9UILDING ACCESSORY BVILDING
S12E � p�p,p"F g�pG,g. (FROM C/L STREET)
OF LOT J b G / y NOW ON LOT q N7' FT. FT.
USE OF � '
EXISTING BLDG. FT
512E OF � NO. OF
NEWBLOG. ,J E� ROOMS STORIES I SIDE FT. FT.
EXTERIOR WALL ROOF r� � '�
COVERING COVERING �� �� r C REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFOflMED DISTANCE BET, flET. MAIN&
MAIN BLOGS. ACCESS. BLDGS.
VAR.�i`- DATE �
' C.U.P.qW APPROVED
HPP �ja�
I haraby acknowladpa Mat I �ave reatl this aPpllcation end state �
tha[ t�0 ebove Informatian Is correci antl aB�ee to comply with ,
all laws rapulaNnp builtlin8 consvucHon, end 1 shall nat employ �� /L 1
any person in violation ot tha workman's compensation lews ot �V
a
the taCe of ali orn e. �
1 hereby eartify thai l em ptaPerly Iicensatl as a eontreetor under S�. FL �
Ma Stem of Californfe Businass entl Protesalons COCa, DNialcn 3, THE AMOUNT SNOWN UNDER VALUATION IS FOR
ChaPtar 9, antl thet sue� lieenses are In full torea antl etfect, or 1 TME PURGp6E OF ESTABLISHING A PERMR FEE ONL�': �
am azampt from tha provisions of the State ot Celltornia Business �
entl Professlons Cotle, Divic(on 3, Chepter 9. VALUATION i 5 ��� a
� 9 � GERMR FEE S �
Sipnatura ot //,��J�.,y �/f C/ `� 9 ,[� a
Permlttee'' '�/ ""il� ✓�i/��LL�+�� §��� PLAN CHECK S �/..% D �
/,
Authorizetl ABent �lQ (J �
�
' TOTAL FEE $ O a � S
.� .4;. ... � . . . ._ — ' '_"—
,
(714) 754-5273 • Fax (714) 754-6856 • www.ci.costa•mesa.cs.us // hAIM UFiNt, GU51A MtSA, liA tlLOLO
SIGN PERMIT
JobAddress: �W 19TH ST
Suite: pj
Viciniry:
Parcel Nunmber: 4241 g107 Zoning:
npplicant PAU� ARTINGER
Address:
Phone: 714-894-2011
Zip:
owner. BOECKMAN, CAROLYN SUE TR �
Address PAUL�TR4U7WEIN TRUST, � - � � ,
ISSUED BY:
\
REDDING, CA � Phone: _ • � - ,
,'�536�AURORA PL � " � �Zip: - 96007-0100 ;; � �
, , / ., , . � .. - � ' - . - . ` -
Contractor:, CONTINENTAL SIGNS INC � ; �
Address: _ 7541 SANTA RITA CIRCLE �-��, ��, �_� �
- �SUITE D� ' . Phone: 714-894-2011 �� . „ "
. ' STANTON, CA� Zip: 90680
- � ' License: . 664525
Amh/Eng:� �
Address:
Stalus: ISSUED
Applied: 11/29/2006
Issued: 11I29Y2006
Phone:
ZiP: ..
� License: " � .
� � - � SCOPE OF PERMIT � � " � , _
16 SQ FT INDIVIDUAL ILLUMINATED CHANNEL LETTER BLDG SIGN FOR.BARBERS � , �
�
� FEE SUMMARY �
Plan Check: $35.10 - ,' ,, Calc Valuation: 5�,500.00
$0 00 ' - - . � .
Permit:
SMIP Com:
Other:
Inspection:
$54.00
$0.50
$0.00
$0.00
$0.00
$0.00
$0.00
Claimed Valuation: Si,Soo.00
� �; �� "
�,,..,
,-.
� ,
� Total: $89.60 ' ' -� ' � �
PLANNING & ZONING , :;:: - . . � �
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NOTICE: The work authorized by ihis permit shall comply wlth all applicable handicap access requlrements under Califomia statutes and related
regulations. (Ord. No. 92•28, § 1, 1241-g2)
EXPIRATION: This permit shall automatically ezpire and become void if work Is not commenced within 180 days, or If work is suspended or abandoned
for a period of 1 BO days. .
INSPECTIONS: In orUer tor the work euthorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepecllona and final approval must be obtained. Fallure to abtain inspectlons end 11na1 approval will re5ult in the expiretion of ihls permit.
FOR INSPECTIONS CALL: (714) 754-5828 �
zsae�+e Iarool
WOHKERS'COMPENSAnON DECLARAnON: � � ' �- ' -�
I hereby eNirm untler penelry of perJury one ot the tollowing tlacleralions:
❑ heve and wlll meinteln e certificete ol consent to seli-Insure lor workers' compensatlon, as providad for by sectian 3700 oi Ihe Lebor Code, tor the peAormence of the
work for wNCh Ihis pertnit is issuetl.
I ha antl will malntain workers' cpnpensalbn insurence, es required �y section 3700 of Ihe Labor Code, for,thvrtnance ol Ihe work lor which ttds pertnit is issuetl.
— My w rkers: com nsation Ins� cartler and pdiq numDer ere: L` /
Cartier. IlcyNum er: Q�O� �7J�
Non need nof be completed i! Ne pertnlf Is valued ef ine hundred dollers (S f00) or less.)
❑ I certly thet In t�e peAormence of the work lor which ihis permit is issued, I shall not employ any parson in eny manner so es lo became suCject to the workers'
com tlon lews ot Celltomia, entl epree lhet il I s�oultl Eecome sub�ect to tha workers' campensetlon provislons at Sectlon 3700 ot t�e Lebor Code, l shell torthwilh
w ese proNsions. ( /� /
Ap Ilca tSignetu : � � �. �[.�11� _���,� � � (i v
�
WARNINO: FAILURE TO SECURE WORKERS' OOMPENSnT10N WVERAGE IS UN Fl1L M!D SHALL SUBJECT rW E TO CRIMINqL PENALTIES MID GVIL FlNES UP TO ONE HUNDRED
THOUSWD DOUARE (5100,W�, IN MDITION TO TME WST OF COMPENSlTION, MGES AS Pf10VIDED FOR IN SECTION 3]OB OF THE UBOR COOE, IMEREST, MID ATfORNEYS FEES.
IICENSED C CTORS DECLARATION:
I �er I Iicensetl under proNsions of Chepter 9(commencing with Section 7000) ol D' '.�siness entl Prolessions Cotle, end my Ilcense Is in tull
for d eNe . Cless �: �i �
c ofs SI n re: � - —T/ (^� g D�-
�
CONSTRUCTON LENDING AGENCV:
❑ I hereby attirtn thet thera is e construction lending egency tor Ihe peAormance ol lhe work lor w�ich I�is permit is issuetl. (Sec. 3097, Civil Codo).
Lenders Neme: Lentlefs AdOress:
SignaNre:
OWNER•BUILDER DECLARATIONS:
Date:
I hereby aNlrtn t�et untler penelry ot per�ury Net I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a pertnit to construct, elter, improva, demolish, or repair any strucWre, pnor to its issuance, also requires the epD�icant for such pertnit
ta tile e signed stetement ihat he or she Is Ilcensed pursuant lo Ihe provislons of Ihe Contraccors License Lew (Chapter 9(commendng wlth Sectlon 7000) of Dlvislon 3 of t�e
Business entl Professlons Code) or that he or she is ezempt therelrom end ihe basis for ihe allegetl exemptlon. Any vloletlon of Section 7031.5 by flny epplicent tor a pertnit
sub�ects ihe epplicen� to e clvll penalty M not more ihan live hundred dollare ($500).):
❑ I, as owner oi �he property, or my employees with wages es their sole compensetion, WILL DO THE WORK, and ihe siructure Is not intentletl or oHered for sele (Sec.
7044, Business entl Pmfeuions Cotla: The Contractors Licensa Law dces not ap01y to an owner of property who builds or improves t�ereon, and who tloes such work
himself or herself or Ihrough his or her own employees, pmvided that such impmvemanis are not intendetl or oNerad tor sale. If, howaver, the building or imprwement is
sold within ona year ot completion, Ihe owner�builder will have Ihe burtlen of proving ihat he or she did not build or improve for purpose of sele.).
❑ I, es owner of the pwperty, em EXCLUSIVELV CONTiiACTING WITH LICENSED CONTRACTORS to conshuct Ihe project (Sec. 704A, Business antl Pmfessions
COCe: TTe contwctore License Lew does not appN to en owner ol property who bulltls or Improves ihereon, and who coniracts tor such pro�ect wilh a crontracmr(s)
license pursuant to the Contracbrs License Laws.).
❑ I em exempt unOer sec. Business and Professions CoOe for thls reason:
Signatura: Dele:
Owner ID venfied by drivefs Iicense. � Ves � No Drivefs License No. Er,pires:
Verllication of Ownership by (rype of doament, i.e. - properry t� bill or tlaetl):
OIVISION OF INDUSTAIAL SAFETY PERMR CERTIFICATION:
❑ 1 hereby certlly that no excavetlan Me (5) or more feet in Aepth into which a person is required lo tlescentl, will be made in connection wit� work eulhoAzed by Ihis
permit, and that no builtling siructure, scaNdtling, tfllsework, or demdition or dismantling thereot, will be more ihan t�lrry-5ix (38) leet high. (Chep. 32, Grp 2. Ar12, Sec.
341, 71t1e 8, Celltomia Atlministretive Cotle).
❑ As owner-bullder, I wlll not employ enyone to do work which would raquire e permit from the Divislon ol Industnel Sefery, es notetl ebova, unless euch person hes e
permil lo tlo such work Irom the tlivision.
Signeture: Dete:
Dlvision oi Intlus�Ael Sefery Permli Num6er:
CERTIFlCATE OF COMPLIANCE AND AllTHORQATION OF ENTRY: 1 certify under penalry ot perjury Ihet I heve read Ihis eppliceiion end state ihat the Intortnallon given is
conect. I agree to compry with ell stete laws end dry ordinances relating to building construction, antl authoAze representetives ot Ihe Clry of Costa Mesa to enter upon Ue
ebove-described properry tor inspection purposes. I agre9 not ro oaupy or allow accupanry ot eny building authonzed by Ihis pertnit uNil Ilnel inspectlon.
COOE 1. INSVECTONTYFE
1618 FIxeO Syslem Finel Fire Preventlon
1268 Pool Spe Final
200 Finel Re-Rool
201 FIneI 81ock/Fletelning Well
202 Finel Fectory Fira Place
203 Final Sign
204 Finel Demolitlon '
COOEI INSGECiIONTYPE
206 Pinal Mec�anicel
20B Finel Plumbing
210 Finel Electrlcal
212 Finel Fire Preventlon .
220 Finel Planning Approval
222 Final Slte
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250 Flnal Bullding/Occupency
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INDIVIDUAL CHA
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INDIVIDUAIas.L�J�`L
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�LETTERS
TED CH�N�£
OR ILLUMINATED
S IZETURNS PAIN7ED
� ACK TRIMCAP EDGES
60MA.
E RED TRANS. VINYL
� E�T'�'E, 13MM, 60MA.
,A�g,�'� \
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Scale: 1/2"=1'_O"
APPROVED
CITY OF COSTA MGSA '
PLANNING DIV[SION
SUBJECT TO BLDG. DEPT. REG.
NOTE: ACDITIONS, DELETIONS,
OR CORRECTIONS SHALL RE
APPROVED BY THE PLANNING DIV.
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7541 Sonto Rlfa Circle, Unif D
Stanton. CA 90680
Tel: (714) 8942011
Fax:(714)897-0860
www.continenfalslg ns.com
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SYote ua a: 66a52s U�
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PROJECI NAME
BOfb01
LOCAIION:
BOV W. I%h $iree�
COsta Moso, CA
PFiE: JIMarCM6
DESIGN NUMBER: Q706
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REVI90N5:
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CIISTOMERMPROVAI �AIE
IANDLORDNPPROVAI �AIE
CONCEVIV/d DRAWING ONLY:
M tlimonpons aro apqo:imato a may
cnan0o duo �o comimtlion iocion or
ovocl6oW contlltlom.CdatNown
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7541 Santa Rito Circle. UnN D
Stanton, CA 90680
Tel: (714)894-2011
Fax: (714) 897-0860
www.continenta Isigns.com
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SYate Llc. p: 664545 U�
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PROJECi NAME
BaNer
IOCAIION:
ea w. imn mee�
Cosfo Mesa, G
DFiE:3lMarch06
DESIGN NOMBER: 0.106
SCNLE:
REVISIONS:
1
WSiOMERNPPROVAL DAiE
IANDLORDqPPRpVAL DAiE
CONCE%Wl DRNWING ONLY:
NI tlimensiona ore appmslma�a G may
change tlVe lo Conihutlion lac�o6 or
emct fieltl condlllons. Colom e�axn
are os close �o D�Inflnp wlll allow,
aM'ayi follqv x+iHen speN!¢alions.
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(714) 754•5273 • Fau (714) 754d856 • www.ci.costa-mesa���,CTRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 809 W 19TH ST Status: ISSUED
Suite No Applied: 11/29/2006
Vicinity: Issued: 71/292006
Parcel Nunmber:
42419107
Applicant: PAUL ARTINGER
Address: 7541 SANTA RITA CIRCLE
SUITE D
STANTON,CA _ � '
Phone: 714-894-201 L
Zip 90680� -- -' �
ISSUED 8Y: � �
- - - � . . , i � _- .. �.
owner: BOECKMAN, CAROLYN SUE TR �'' '
i-
. i ii � �:��=.��
Address PAUL;TRAUTWEIN TRUST -� - ' � � - ' � i � ' �-- ' ��- .��
i , , �- - .- _ - - '��i� ����.:�
/ ,REDDING, CA ; � , . - _ - Phone. _ , � _
,536AURORAPL � � 2ip: 96001-0100���
i�`� � � .
Contradoc CONT-INENTAL SIGNS INC
AdCress: 7541 SANTA RITA CIRCLE
,, � � , SUITE D �
� STANTON,CA
' 9
Phone:` 714-894-2011
Zip: � � 90680
License: 664525
SCOPE OF PERMIT
ILLUMINATED WALL SIGN fOR BARBERS REF SBO6-00139
- � � � . . ,' .
� � ' FEESUMMARY � �
� Quantlty - . _ � Quantlty � , � � �
ISSUE FEE $23.50 - % ' � � " - � �� '�Temp Dist System! Lighting $0.00 0
� Tempservicetest $0.00� ..� . ,� �,,:�', �' . Busway/100ft_,_ _ „ � $0.00 0; ; '
� Res. a/c package $0.00 - Standing�Section � $0.00 0 , � .� . �
New Res (1-2 units) $0.00 �. 0 Misc Eledrical Equipment , $0.00 0�.. ,,
New Res (3+units) $0.00 0 ' Transformers up to 1 kva/kw $0.00 0
Pool I Spa $0.00 � ' .0 •. , � , �,. • - �. - :.....:..:...'..up�to 10'kva/kw - . � $0.00 0 � ,: ' ,
LightingFixts $0.00 -_ -0 -'-'-_ ��. ' ....:.........:.,,upto50�kva/kw , $0.00 0 - � � �-
Recept Outlets $0.00 � � • • �0 ' � � ' ...:.............up to 700 kvalkw � $0.00 0 ; �. ; ' �
Switches , � $0.00 0 ..............l.over 100 kva/kw ' $0.00 . 0; -� : � " '
Non Res Appl $0.00 0 Low Voltage Equipment ,$0.00 0� � �� �
Res Appl $0.00 0 Low Volt Wiring System / Ckt $0.00 0� .. � -
Service to 200a . � $0.00 0 Misa Conduit " $0.00 � 0, �
Service to 1000a � $0.00 0 ��?�� Misc. Condudor $0.00 '� 0 . �
Senice over t000a � $0.00 0 - � Circus�(,gen or ride) $0.00 � - � 0 � . ' � � �
Motora to thp ` � $0.00 0 . Circus (mech.nde or lights) , $0.00� �% 0 -' -
Motors to 10hp � 50.00 0. � Christmas Tree Stand ., 50:00 ; 0� � �
Molors to SOhp . ' $0.00 �• .- � 4 � Fireworks Stand - � � � � . �� $0.00 0� . � �
Motors to t00hp $0.00 �. 0 , Other Electrical Fee '+ ;$0.00 -- i
Motors over 100hp � - - - � $0.00 � ��� _� 0 � � �' ` . . " ;,- � i �.. ,'
Communication drops $0.00 � 0 " � , - Investigation Fee � $0.00 � i i , �
Sub panel to 200a , �� � " . $0.00,> = 0 - _ ` �� Plan Check Fee " � �50.00 � ' � ��
Pole Light Pkg • . .; $0.00. �� p� _ � �'���� _ _ . - -Reinspec[Ion�Fee. � . "� $0:00-' / •
Si9nCircuits �' �' � $24.60 -� � � 1 . � ' - - -" ''� i� -�/
Temp Pwr Pole - � �$0.00 _ '" � `0 ,' , TOTAL CALCUCATED FEES, � y48.10 � ; �, �'
Intermed Pole $0.00 _ _- 0 " � , � " ,
'' � : COMMEN7S ! SPECIAL CONDITIONS-' /
�� _ -. - ;i:,� � _
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21•92)
EXPIRATION: This permit shall automalically expire and become void if work Is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. -
INSPECTIONS: In order tor the work authorized untler ihis permit to be considered legal, suCh work must comply with all applicable codes, and all
requlred inapectlona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOH INSPECTIONS CALL: (714) 7545826
zea6�olawl
WORKERS'COMPENSAnONDECLARAnON: . � ' '
�7 hereby attirm under penalry of perJury ane of the lollowing tlecleretions: �
❑�. I �ave entl wlll meinlein a ceNficate of con9em �o salbinsure for workers' compensetlan, es proNded for Dy seMion 3700 of the Lehor Code, tor Ue pertortnance of Ihe
� lor whlC� l�is pertnil is issuetl.
I have e tl will maintain workers' compen5ation insurance, as requiretl by section 3700 oi the Lehor CWe,- rtnance oi tha work Iw whic� Nis pertnit Is issued.
My wo ers' comp satlon Insurance card9r end policy number ere: /�� ,/ /
Cerri � �� �� oli Nu : I/' �OO I T i�
s sec0 need not be comp/eted il fhe permif Is va/ued ef one hunCred dollars ($100) or less.)
❑ I cerlity ihet' ertormence ot the work ior which ihis pertnit is issued, I shall not employ any person in any manner so as to bewme subjact to ihe workars'
cro a on lews o alifomia, end egree �hat II I should hecome subject to Ihe workers_co fion provisions ot Sectlon 3700 of the Lebor CaCe, I shall farlhwllh
mplywiththesepro ions. �i Q)� '--
plicant Signetura: iGf�Y �`� (XS�?� C��i �� (��e: �� �" � G
INO� O SEWRE WOFKERS' COMPENSAPON CWERAGE IS UMJ FUL AND SHALL SVBJECf AN EAIPLOYER TO CRIMINPL PENALTIES AND CML FlNES UP TO ONE HIINORED
T/IWSAND DOLURE (E100,000�, IN ADDITION TO THE C0.ST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SECTIdJ 3�O60F THE UBOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED COHTRACTORS DECLARATION:
ot Ghepter 9(commencing with Sedion 7000) of Divis n 3 o t e usine rolessions Code, end my licensa Is in lull
s # C ��S
e % � �'�i.y=� �
CONSTRUCTION LENDING AGENCY:
❑ I hereby eNirm Ihat ihere is a construction lending egency for the pedortnance ot Ihe work tor which this permit is issuetl. (Sac. 3097, Civil Code).
Lenders Name: Lenders AtlOress:
Signature:
OWNER-BUILDER DECLARA710NS:
Dale:
I hereby ettirtn that under penairy oi perjury Ihet I em E7(EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repeir eny slrucWre, pnor to its issuance, elso requires �he epplicant for such pertni�
to file a signed statement ihat he or she is IlcensBd pursuant to �he provisions of the Contractors License Lew (Chapter 9(cammendng with Secllon 7000) of DMsion 3 at the
Business end Professions Code) or that he or she Is exempt thereirom and the basis lor the elleged exemption. Any violetlon of Sectlon 7031.5 by any applicent tor a pe��t
sub�ects t�e eppliwnt to e civil penelry c� not mora Ihan five hundred dollars ($500).):
❑ I, es owner ot the properly, or my employee5 wlih wages as their sole wmpensetion, WILL DO 7HE WORK, end the siructure Is not intentled or olfered for sale (Sec.
7044, Business and Professions CoOe: The Conirectors License Law Coes not epply to an owner of properry who builas or Improves thereon, entl who does such woM
hlmselt or herself or ihrough hls or her own employees, provided that such Improvemenis ere not intended or oNered for sele. It, however, Ihe building or improvemenl is
sold within one year of completion, �he own0�-builtler will have ihe burden ol proving that he or she did not builtl or improve for purpose of sele.).
❑ I, es owner of the properry, am E%CLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to consimct ihe projett (Sec. 7044, Business and Pmfessions
Code: The conirec[ors License Lew tloes no� apply to an owner of propeny who builds or Impmves t�ereon, and who contracls tor such project with a comractor(s)
license pursuant to ihe Contrectors License �ews.). '
❑ I am exempt untler sec.
Signature:
Owner ID veritietl by tlriveYs license. ❑ Yes ❑ No
Business and Pmlessions Coda tor this reason:
Vedflcatlon of Ownership by (rype of document, i.o. - pmperty tam bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMR CHA7IFICATION:
Drivefs License No.
Date:
Ezpires:
❑ I �ereGy certify t�at no exwvetion flve (5) or more teet in depth into which e person Is requlred to descend, will be maOe in connec0on with work authorizetl by ihis
permit, antl ihat no building siructure, scallolding, falsework, or demolition or dismantling ihereot, will be more than t0irry-six (36) leet high. (Chap. 3.2, Gry 2, Art 2, Sec.
341, Title 8, Califomia Administrativa Code). .
❑ As owner-buildar, I will not employ anyone �o tlo work which would require e permit from the Division ot Industnal Satety, es noted ebove, unless such persan has e
permll lo tlo such work from �he tlivision.
Signeture: Date:
Division ot Intlustnal Safety Pertnit Number:
CEHTIFlCATE OF COMPLIANCE AND AUTMOR6�nON OF ENTRY: I certity under penalry ol perjury ihat � have read this epplica�on end stata Ihat the infortnatlon given is
correct. I egree to comply with ell stete lews antl ciry ordinances relating to builtling construction, and authonze represantatives of Ihe Ciry of Costa Mesa to enter upon the
ebove-describetl property for inspection purposes. I agree not to occupy or allov.• occupancy oi eny building authorized by ihis pertnit until Final inspection.
COOE I. INSPECIIONTYiE
7616 Fixetl System Final Fire Prevention
1266
200
201
202
203
Pool Spa Final
Rnal Re-Root
Finel BIocWRetaining Well
Finel Factory Fira Place
Final Sign
204 Final Demdition
�
� �� :
�: :
COOE I INSPECTION TYPE
206 Finel Mechanical
20B Finel Plumbing
210 Finel Elecincal
212 . Final Fire Preventlon
220 Final Planning Approvel
222 Final Site
250 � 'FlnalBuilding/Occupanry
PAg IIIIIDdLi
/)� /'I
/L7 � /"
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.i3"`_.ab.o� �31a�1� 17`d �� '�
, $43,400.
_ a_S 55 stores y�er sa:es 1,800.
; 783 r.a.v � � 300.
I1123 - comP• neor. tubirg 5=gn
�117� - comP• 6 ��rL. stare int.CANCELi 0.
�'I� 389 - 3 2756 5^'.'� • s�ora�ini. 7'300.
; 291q _ comP• �ac'_a(siSr 25
�� 7266 - io�31556 p� �� . iiC (;u25a1t�E)d05 I
12-18-57 �.'c..i�iC �� 2�400. ;�
��l7863 - 9-3-58a j_;c. I�c out & motors�So; ..
il "^�.
I6852 9-29-5 ;_ec. i•IC oven/aoiors)15�• i;
qioo - 6-i-59 5_�� �y 1oi. ,
45g�_ 2-16-60� J�2C acia sign� $0. i
�169251- 5q-7-62f 3�� �Zec :acia,,is��, � Lav)813 �
�1g8441_ 4 23-b4 �"-"€• �c out)813 3:
� 2o93a - 9-17-63 P;,€. vo sir._�c)313 3i� �
26-63 pireworks)
; 39�12 - 9- 66 �lec. NC ;
. 26119 - 6��9 :�ec. iiC (:=^e'^arks)PA5
5�•
• 2$'j25 ' 7-1-i� ;ZeE Roaf Si6er 3 inn%
= 25o6T - 3-30-� Pl� I1C �Ha` P-P
r, 53503 - 1'15"69 �eC, ;7C (fireworks stand) _
� 30034 �- T-i-69 H7,ec.:ta11 616n 500
32505 - �"7"7� p.lec NC (fireworks) 55� `
a25go - 6-30-7� in hooa
��340T3 • 7-6-7� r Fir� FxtinB• 15>�•
z6 - 1-31-761 Rercof Cam•BldB' �'�
., I0395. paa S�les As'ea t° M�. '
� 39675 - 3-5-76 Store (803 & 803�) 1'7�:
�� 619 - u"��54 Elec. ftc (outs q'. Yixa)
7�, 11-1�j -- 4 Elec. Nc (meter)
1F� ' o���� Elec. NC ��s Lot�. Z�Zpp.,
I7b519 - �t. �♦ i,000.I
1�� 1�T ��/ Crezse �d -�15 651.
. I 41125 -2-20-76 Dry Chemical System-815
� 41138 - 3-31-76 Int. AIt. for (iestdurantg.�OQO.
Elec. NC (��'OOrks�.sCena175�
28- :�:a:_" _ ".
�a8 _ 6_20_7g . �.-t� ...:.-_
..' �079 - 6-28-78__. .Elec. NC (Btneratot).._,�
�ninm,wlu�mi-Elec. Wall Sign(805) 200.'
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E-7792 0 �
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I��� Q�,�� ,Z 1g,`All Applications Must Be Filled Out By Applicant
,(�
°�,, '�� E p Q�'• P. Department o$ Buildings Application
C� DF � APPLICATION FOR THE ERECTION OF SIGNS
To the Building Otficial of the City of Costa Mesa, Calif.:
9�58
Application is hereby made for the erection Q alteration � removal!�of.an_advertising structure
in accord��c��le�lQrmation herein sei forth. (Check square what is to be done).
�iEAUse Ink or Indelible Pencil) _
CI.�IDE--� _ _ . .-�--- -"_ _ ;
R��OCATION
Building Address � l ' � � I,
••`'�� ' Block Tr c /J ` A. P. No. ���l�' � 3 C' -/� Zone�L
c�wner's Names�l�'/� %i� �-�"�'B Od�ner's Addres� 1I —/���g7 -
Contractor's Name (��'�/L�SIC (a,(,/'7 StateLicenseNo.��� � %7y�d� �
i�
Contractor's Addres�c�s �� Phone L� C% Z�� City License No.j� ��
� � DESCRIPTION OF SIGN �
(Sketch showing location oi proposed sign on back side of this sheet. Plans and other data must also
be filed.) �� �
Size of Sign—Widthi Y�_Et. Height ' It. Height above Grade ft.
Thickness in. Weight lbs. (Including Electrical Trcrosformers, etc.) j
State location of other signs on building -� - �
i ,-.; '
The undersigned hereby agrees to construct the advertising structure in strict accordance with th�e
provisions of Ordinance 95, Section 39, of the Elecirical Ordinance of Costa Mesa, and alI amend-
�^�ts thereto. � �
.. _. APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT
FOR UPON COMPLETION.
��������
CITY OF COSTA P.1ESA
PLai•+1�ING DEP'I'.
SUBJECT 'S,O BLpG. DEPT.`REG.,OR
_J' / // /J _ r
6-1-' /F-x-�3
�te Recvd.
_�.-.�5�
FORM 21d 1M I�5]
Here ��6h- ��
By
ARTMENT USE ONLY
Pl h ed
f'1s it ��` "Z ;
Plan Examiner �
�Ov¢T)
MUST BE CALLED
I
Permit
�
IC�
1�
FOR SELF-SUPPOiiTING SIGNS
Size and I:ocalion �
Sectioa 7 of Ordinance No. 95
I .
Width of Lot
C/L
Sipn Area
]d% Deviat(on
from C/L of lot
C7L of Lot
A
0
I
o-
F
c '
c
X
IProperty
Line
I
I
Curb
STREET.OR HIGHWAY � ' �
� �
,..1,�_
,
FILL IN ALL DINIENSIONS " _ ."
SHOW ALL STRUCTURAL MEMB�AS
� � . �j.
T � ,.
LN , j, ^ r
� 1 �r� .��� �r� .� V � G .J �
Sec. 6 of Ordinante No. 9i
. I
0
. �-
� �oonFsga,am�ou'a: g11 W] 9TH ST uxT:
6�rcsruYeirpawr+: GONZALES, HECTOR
WDNFSS: MUNCE�..W',r.LLIAM .
:617 W CLIFF
>]EWPOP.T HEACH, CA 310-926-7600
�vr�. �uimo wo�ss:
�x�*��+� DOr] GOERTZ �NO= C4169
u�cx.oxEna�s,�oonEss: zzzz AV�NIDA UE LA PLAYA �NT'
LA JOLLA CA 92037
CONfHACTOR'SIUYE
CpffN1CT0A5YNIPq
�oaEgs: ua r».:
uxr:
LICENSEO COMPACTORS DECLANITION: I I+a�W d�im uMx Ga�Y d pmjury Met I em IinnesE uMx pwi+bne d CNqx 9
(mmmentiq wu� Sxlian ]000) d Oiviwun 3 d Ub Bun�wo end P�dadm� CoM. eM mY 4orue e ei Iu0ldce eM eMatl.
cm uc. No.: uc. cuss: ue. No.: EX P:
oma: � co�mae«:
OWNEfl BNLDER DECIAP�TON: I Iweby elfi� �� p�Y d per'ryry ihet I em emmp han �M CaNfaCon liou�vs Ler �a tlr
/dbxvq romm� (Sed'ron J031.5 Bwiwtt end Rdaseio�u Cods: AM W a munly whidi nV��� e Ge�ma lo Oonevucl. Ns. unpova.
demd'sh, a ropv e�ry Niunwe, priar b 4� uwa�e. ebo �W�� tM epplimnt la wN pemiil lo fJe a apned �talement tlut M a�M
a �icrnse w� m �ne a�� a me cau�eaa. tinms law Icheqar s(mnmanana wun s«aon �aao) a Di.eim a d �ro
Busm�a ud Prdeniane Codal «thn M a Me b uamq iherdmn uM iM ba�i� la tlis MepeE ummqion. My vidmion d Sepian
�an.s M d,y md� �� . w�mn abi«d �n. •cW�v �o. e.;i w�n d �w mo�e m.� r�. nw,d�.a em.n IssooU.
Q �.mow�w,d�haM�V�a�Y«�NW..xvh.�.e��,:nl.mmV�.xiAdotln.�a..mdNe.uudw.mm�va.MeA
ordleradloreeblSecUan'lOa�.BueireaaMPrdmsbneCode:TheCaNraGon wEouroteOV�Ytoenowrierdpiapeiry
who Wids a inqwae tMeon. rq Mv dws aurl� r.ak h'vnsetl a MnN a tlr ' n am amWeyar. pvrideE �Am m�M
impovemeNs ma m�'vueeWed a aflaed Id ub. tl. lawww. the dNdieq a in em u wnAn one Y� W�O�ion. Ns
owrcrbuitler vAll hew IM buNen d pwiM � w Me d'd M Wik a' lar d Ws�.
❑ i. m ow�. a m. ww.m..m �a�..rr m��a:�v wen so.,»e ro o�a.a �swo� �w.. a,.:�....oe
v�a.,�. c�: m. com�ed. ��.. �.. aoe. m eow a� a waa. « mwp••• m«.o� .�e wno
eoweero M aMi wN . ounem«la) I'san»E Wisuw m t w).
Mi
�axem � ar �:� B. 8 P.C.. br N6 :
a� [/ �
1 Ao M1aeM �Y Uat 1 awa�e d vd u�da�eteid the �eWqammb W CellmJs Ileel� enE Se1W COEe Setliom 25.505.?55�. W
255J/. eM tl� I a enY hawa dulNnO �d T/ wil ria (ticb oro) rcad b oonWV xvA eeid etle mdss md tlr iN�?�mn br
a��.
Daia: �Pd��
WORKEfl'S COYPENSATION DKWUTON: I Mrab� dfinn wWr prWy d pajuy aro d IM lo4r."vp dedvRo�+:
� I heve enE xd meinten e canSWe M caneM� �o �Mimura tor warken' canpemetion. n pwkaE la by SaGian �]00 d iM leEa
COM. la IM peAmrance al Ne Yak la vA�ch thu pnmil o iwueE.
❑ in�.ww���m�.�.�.•oomo��oom.,�....na��.enrsw�a�aodme�n«coa..wm.w�«m�.aine
wmi �« w�d� w. o�,a a muee. Mr.a�.' comv.�� �. �. w w�v �na e,.:
c.m«:
Vd'cy Number:
(Thu aeaim roeJ mf W candMM / rlw M�f b b artr huiMiM Odkie (Jt W� w 4n.1
� I omlh � in tM pMormarica d iM work M r.fiFh ih'v pemJt b muad. I tlWl mi empby e�ry pweon In ury mamer n n lo
bacmn wbjatl !o �M xorkwe' oompaMdian b�e d Cefdam4, eM epma Ntl il I Mia�M beconw �ubjW lo iM xalw�'
�v�� wwe�. a see� nao d m. i.na cae.. i wn tann.mn oompr .un mo.. po�,s.
D�b: MV�c°'a:
Wem/ip: F�l/un ro ueuiv wMwi comowWtlon rovsrp� Is unYMul, �ntl �IWI ub/�cf �n w�vloyw ro alm'nlpwltlu nM
uva nnu w ro a,. mnene mouw�e edw. ltio4aaoA x.mdon ro m. me o� eonn�ean a+mro'+ � wova.e m. �n
Sxtlon 3106 0/ tli� Le�orCOJe, Irrt�n�4 antl efrorrwys /Ns.
CONSTi1UCTI0N LENDINO AOENCY: I MnW eRirm unEv pmeM d par'Fvy ihm thrs u e aonqr�pun IWvp epric/ b Na
p.n�enca a me w� in wniw me roma m owee Is«�o� aoe�. cr+. cl.
LENUEH'S NMIE:
LENDEfl'S ADORESS:
IcenEytMtlheva b andpmelM1e��ebewiNomWionbeonep.Ip�setoeanplywG�ellaryaiMaouNyad'vieriw�
udetmelexert �o ionend�ebYeulMrixenpeeenletivmdihuary�oaniwupon�Mebwa�meniioneEpopry
'"'"'°°°`°"� � �N "ILVERMAPI � �^
� A
(5151Je.WP) Whns-BuiMip 8 Sdery:O�eerfile: Cewy-Appfeem: FnMRwanua: poldmio�Mwm
CITY OF COSTA MESA — EUILUITJG FEP.MIT
PERMIT NO; n 072372 PLAN CHECF{ NU: 01100-45 L
CONSTRUCTION TYPE:
PERMIT TYPE: STR
PERM NO; B 07237�
GUVT: N SOPP: N
PURFUSE: ALT
JOb DESCRIPTIOTI ; CHECK CASHING STORE T,Z, S(7 FT: 10,000
CLAIM VALUE: � ?0,000.00 CALC—VALUE: 10,000.00 GROUP OCC; B-2 /
COMMENTS; "USA CHECKS CASHED" STOzE TI.
iE if AF �tf If i� �1L iF if iF ik if iF if i� Y i4 ii y+ii iM K iE iE 14 jf'7F 1E i4 iF i�-'N if if iF if if iE i4 iF iF iF iF �14 �)F 14 i4 if ff iG �li ie iF iF JR �Y +F a: iE i4 Jf K�f if �1F iF Y i�- t iF iF iF 14 w� �f if l4 it Y
Z O T] I N G P, E Q D I R E M E N T S
S E T B A C K S
------------ MAZN BUILDING ---------- --------- ACCESSGR'i 9UILDZTIG ---------
FRNT: FT SN REAR: FT IP7 FRNT; iT ZN REAR; FT IN
LEFT; FT IN RGHT; FT IA: LEFT; FT IT7 P,CYT: FT II•I
FARF:INC REQ• PROV; PARCEL: 42919107 ZNE; CS REF NO:
PLANNING NbTES> INTERIOR ALTERATIONS FOR A CHECK CASAIPIG FACILITY; TITLE 29
> UPGRADES;
it i! �M' if iF iF if iE iF i%af if 1f if if V:F AL iE 1f iF if iF ii if !f 3%iF Y if if iF i'r iF if �1F i�-iF if 1F 1f i� if Y if� aF if iE if iF 1F 1f w�fi+f it af if 1F iF i�?f Y 1F iL i� iF i-Y ti'N' if if if # iF #� �#
U E V E L O P M E N T S E R V I C E S R E Q❑ I P. E M E N'T '"
20NING APF�ROVED BY ���/ DATE;
HUILDING APFROVED HY ; !�(� DATE; 5�
APPLICATIOTI ISSUED BY; � DATE;
aF�cafit+c*+F��1aat�7r�aF+Eatssi��*iF�<;:�Y.?iF;r'�3F�iF3Fs��r�+f� rF+Fu-�a-3F +ct� s s-+�+r-,caa�cac+E>ac+r-ux+f :rss ..�+'�+fa:
LEGALIZATION;N F E E S iJ M M A R Y STRUCTUAAL SEGP7ENT;Y
9LDG PMT
PERMIT 117.00
PLAN 76.05
PLUMBING ELECTRIC MECHANIC
i,
� .
FIRE SMIP/RES GRADING
5MIP/NON—RES
ISSUE FEE , 2.10
BfJILDING—DIV—> PERMIT ISSUE PLAD]—CHECFf TOTAL PAIU DUE
TOTALS----> ?19,10 0.00 , , 76,05 145.15 ?95,15 ,QQ
F.EPENUE DIC�ISIUN TOTALS—i CULLECTEU• '11a,?0 OLTEP./SHORT: ,00
BLDG FMT PLUf9BIP7G ELECTRIC MEC:SP.NIC `� FIP,E SMIP:'TOT GRADZNG PLAAI—CHnCK
LZ7.U0 � ��� �.LQ
'lf'�(' {t Y' lE'R 1f'K' {(' jf jF 1f 1f'IE if M�k 1�' �! �' 1f ]f *"1f �l-1F 3f �1")t i�')l' jf')f -0f if jF ii"lf Y-'IE'lf'lE if 4 tf i R�if if �.' iM1 1F'M-1F? M� tf �;�!K iM1 jR af fF Y iF+F Jf Y' iF tf i'� if 1F j{' {f �f f'If d4
I P7 D I V I D U A- I, F E E H R E A K D G t•I N
TYPE CdTY D E S C R I P T I u A] 'i� UNIT COST TOTAL COST
SFC 10000 T.I, STORE BY CTALUE;•y1 1,00 10,000.00
END OF FEES
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'1
".
' f CONSTRUCTION AND PLANNING POOI & SPA
APPROVAlS Permit # Date In:pector• RPPROVALS Permit # Date Inspector
� 1. TemporarV Electrical Service or Pole . 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. ' '�54. Forms .
4._Elecvical Conduit-Undrgrnd. 55. Elect�ical Bonding ' �
5: Steel Reinforeement 56. Rough Plumbing & Pressure Test �
6. Elecvical UFER Grnd. 57. APPROVAL TO COVER GUNITE �
7. Footings 58. Etectrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Fioor System ' 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection .. 62. Backwash & Receptor-Final
12. Sewer Cap i ' 63. Heater & Vent�Fi�al
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical�Final
15. Rough Electrica6Conduit � � 66. Soiar SYstem-Final - -
76. Rough Electric Wiring 67. Fenciag & Access Approva! .
17. Rough Wiri�g Sign 68. APPROVED FOR PLASTERING '
78. Rough EI&ctrical-T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL �
19. Rough Haating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireptace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Duccs,Ventilating 71. ProductPipin90Gas ❑Oil
23. Gas P(pe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiiing (Structurall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe �
28. Laihing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DENT. PEQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Eiettrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Elettric Notes: � � ,�/��
3° p'S �a//„l F✓ f-
34. Final Heating & Air Conditioning G� ,L�.r�.
��
35. Final Gas P�pe�Test -
36. Hood or CanoPY " � " � �/�� c��(,��y� �,��dp ,I/•T .�l•w4 �.
37. Final Factory Firepiace ' ���/J v
38. Final Plumbing 7�� ���---_- / L�vt'/% , F-��v C.
39. Water Service�Final
40. Gas Service-Final
47. Solar Oomestic-Final
42. Backflow Preventer
43. 8ackflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAI STRUCTURE & BUILDING a6 �8/
48. FINAL PLANNING
49. Electric Re�ease to Edison
50. Gas Release to Southern Caiifornia Gas Co `
51. CERTIFICATE OF OCCUPANCY -
No Oate
t
�
i,
�� . c�iY�p' a f �a�ta_21���ac r-. -�-
1�evelopment Services, Divisian af Building and Sa�'ety
- CERTTFTCATE OF 4CCUFANCY
This cerrificate is issued pursuant
adapted by the City oP Casta Mesa c
betow described was inspeered and?
Buildfn�g Address t►il k�: 19t
� —� �,
, ��� ,f
U5e CammeraYal LW `_�, /,
Group B�2 Type o'f�6ons
/' i..-
Owner of $uiiding �ector�Gonzal�
t� ��� 4�'ti`
Address �617 W. C11ff.�Neppaz
��\� n,���
\,�,r"
su�Lnu,rc oF�ccac-�onp' � Ib4
Builcling Cade, Section 3q8
the buffding structure herein
� \ �. :� ( I YSt� l 1
_ �__~-�—�`'�r��V"�
��4 t
Fiie�Zone�` �`� r�
}� � ���n!t�#U2 �'�fER' ` ','C; jra
m`Mu`nce �Teriant �
n.+-`ra"'-.h' �.rL;-•' .�y�y �..,
:A �92'66b _ '� �:�,��
y� _
��'aca� - r ; � ��� ��_; �
j,;.�,-� , .°� Dat
,;� : `�'� ' �. . : r��,,c
k�:i,�`�` -: �-1;jsi✓
s;� _ - :�S.r,: a ,✓,.
Pernait No. B 72372
Use Zone Cl
REQUIRED TO BE POSTED IN"A CONSPICOUS PL4CE
BNLOMG UNT:
•• iriu�oxr�: 811 W 19TH ST
,�oo�ss: GONZALES HECTOR
MQNCE,-"W4'LLIAM
1617 W CLIFF
i'vW&,^wwowox�sEACH, CA 310-926-7600
IRCXnECTONFNtlNFFN:DON GOERTZ "`��� C,�69
xcx. ox �a.•s �oo�ss:
2222 AVENIDA DE LA PLAYA
coxm�erarsw� LA JOLLA CA 92037
cwrn�croxsxu�a+aK1722TTHEES�TANDZALENSKI (310)379-4993
�� HERMOSA HEACH CA �"a' 6�9632
LICplSEO COMNACTOFS UECLAflAT10N: I hereby ell�m ��� d pm'ryry Nm I em Icmaed uMer prwiaione d CMpler 9
(�M1imervinp xi�h Seclbn ]OW) d Oniaun 9 d Ma Busiirop aM PMeeeiona Cade, eM my Ibeme w in hA lome erM sflad.
C N0: lJQ CLA35: IJC. NO.: u
i m � Q, S cewma ��A��1 E nP %�./�
—ro '
0 EN BUILOEX OEClAN1TION: I heMy effirm uMar penely d pxjury tMl I em exemq f a Conlrsfon lironse Law fa ihe
win0 roawn (�ion )W 1.5 Bus'vwae eM Proleaviane Gode: Airy cily a aounry whid� iepuime a pe�mn lo cambucl. elisr, improve.
deToleh, or rope'v eny elmcwm, ptlar to d+ uwence, eleo repuiros the epd�� lor cuch Po�� lo Rle e eipned etetement Ihel he or aha
ia lio¢�aed pureuw to iM provisiare d Na Conlredore Lkanee Lew �Cheqer 9(mmmenaip xi�h Sedian'l000) d Diaeion 9 d Iha
9uen».s ene Piamsion, CaCel d �nm he or,�»'n.semq �ne..ham.ne tne mss �« ub.NspeC uampfip,. Am� �idmion w sert:»
1W 1.5 by ary epWirent Iw e parmil wbpes iM epplica� �o e tlW panally d nd mon tMn IMe huedied ddlen �5590ll.
❑ �.eeo�ma.d��reqopenv«mremdm�wenwaoeaav�neixbeomw���.wivaoNowwkeiwuesvucwreuiwlimaMed
a oflered loraele (Sectian 10J6.9uumv end Prolaseiona Cade: TM COMredors Limnee Lewdoee �rot epply lo en ownx M qapeity
wM buJtla a inprovea ihereon, end who Eoea such Mpk NmeaM or Mnell a thraph hb or her ovm empbyar, D�4� Ihel auch
impovemmn are not inteMeE a dlxeE Im eale. M, Iwwever, ihe buiNinp a'vnprovemenl ia eald wilhin pre yeer d compleiion, Ne
ow�ror-0uikm will heve Ihe burden W poviip M w ehe d'd iwl Wik w impo+e ta tM WN�e d eeb�.
❑ �. m ox�r. a ��» wwaM. � e.auaNr wnvm:p wiln �iwn+.d emuMas �o ean.mw me webd (swon rou. ewirm. ene
Pmleadme Coeb: TM COMradas lironae Lew doee m� epyy to an owner d qvpeM ��itls a impovea Ihe�eon aed who
conirena fa wW prqede wnh e coM�for(s) IcemM WnueM lo Iha Comredoro Liwme lew).
❑ I em eaemq urMm Sec�ion: B. 8 P.G., tor thie reewn: '
De�e: Owner.
i do nereq� cenM wa i em e.�.a a ene ��aanene ine �a��e�a a cdr�,e H..nn ene sdeni coe. sea'v�. zssos, zss�, ana
zs$.ia, eM tnat I«any Mure euikiiq aocupent v.ill / wll na (d� �) �ed b cwnply wYn veitl stete codw eM �M reQuinmanm ror
e pa�mil brcancwnion or modilfalionhom iheA'v�epamem Dimria. ReaiAentid conaruGion eppYWiorow uempt Imm thesa
puvisiana.
W bfiKEF'4 COMPENS�TION DEttAp�110N: I here6y elfirm uider penelty d paejury ar d IM bllowiiq Mtle'etiane:
[� I heva end wil meinten e ceNfkva d conaem to aeX�ineure Iw xorkeie' compenselion, u 0�� �w by Sapbn 9)00 d tha leEor
COEe.Ia the Po�a��e d tln xak la wlvM Ihie permn is imued.
q in��a���m.:��n���v����.m����•anrsea�a�oowmeiee«ca..i«m.v«i«�am.
X wak la wM1ich Mu Vs^^� e isaued. A7 wa4erm' aomOs��ion imurerca m�riu eM pd'x.y number ua:
OBTef - — EXPIRES
Pdicy Number. `� �r J t �
rrn;.s.nr���e�wraa�da�aerm.v�ars nL,�a oo«iw.) 07/01/9fi
q ���n � in tln pmlamarice d IM wark br xAch thu pmmil e inued. I ehell ml emplo/ vry prpn n ury memror eo m b
ecame abjetl lo iM �wtsrn' rompe�aetion kvn d CffiRwna.� d epme Ihtl J I�Iauk becarrc bptl l/o ihe xoM1en'
emet +n� provisiwrc IN SeGun 3)OD d the Lebar Cade. 1 PlathNth mmpy �dh� V�it"'Wn"N ✓`�. `
�a.4 n� AGPIzeM: �
. o—
Iny: FeNun ro secun woiken'rompewtlon co✓enp�ls unkwNl, end iMll WbJ�ct an emplqw ro er/M�ul pxisMq en7
NM� flro� w b aro hvitlrM fhouhrtl tlo/Mn (SIPqOW), M Md/tlon b Ms cwf ol ror�oawfbR a�P+ u provWetl br In
Sy�tlon 9105 0l tlro labor Code, /irtwv4 eM alromsy'� I�u.
CONSTi1UC110N LENDINO ADENCY: I Mreby elfiem unEer penelry d parlury Ihet �Mm ia e mnalrudion IWinB Wa�ey M tM
paAwmerice W the vrork la xfiich the permi ia esueE (Seeun 309]. CH. C�.
lENOEH'S NAME: �
LFNOEN'S ADDHE53:
I CenM �het I heva reed thn epDlicetim enE ptla thet Ne abv+e inlamelion ia mrrw. I eproe lo canply wnh oll tly eM mumy oNinencm
enE slete lewe rele�ing to buiMinO ro�%ruaion eM heraby eNMr¢e repreaenlelivea Mihie ti1y lo enter upon Ihe ebove�mantioned propeily
�w impec�ion purpome.
�I i
(St51.qg,WP) Whne-BuiNip85aley;GreerrFb:Cenery-Appirant:Rnk-Re.enue;GOltlm�odAeaasmr
PERMIT N0: E
CITY OF COSTA MESA — BUILDING PERM7T
073369 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: ELE
JOH DESCRIPTION : CHECK CASHING STORE T.I,
CLAIM VALUE:
CALC—VALUE:
PFRM N(l• F (17��Fi
GOVT: N SUPP: N
PURPOSE; ALT
SQ FT: •
GROUP OCC: B-2 /
COMMENTS: "USA CHECKS CASHED" STORE TI, RE;#B72372
*�*+�*******�+��*�r��*��*�*��**�********�***�+�****�********��**�*�±��*+�****�+�*�*�+�*
Z O N I N GS ERTEH�A CIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT ZN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ:' PROV: PARCEL: 42419107 7,NE: REF NO;
PLANNING NOTES>
i
��**��*�����*�+�*�*******�*��*��***�*��*��*+�**�+�+�+r�+��***�*�*�**��**+�+���+���***�+�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
ZONItJG APPAOVED HY DATE:
BUILDING APPROVED BY : DATE: (�
APPLICATION ISSUED HY; DATE: tiI
i43EiE943fiEiE��ffEi4iFjfiFiE�E1F�E3EiEiE1E . . 3E3F3fl6iFifiFif�FlF��iF .1Elf�
LEGALIZATION:N F E E „S U M M A R Y STRUCTURAL S GMEN :N
BLDG PMT PLUMBING ELECTRIC MECHANIC EIRE SMIP/RES GRADING
PERMIT 23:'40
4 S,OY SMIP/NON—RES
PLAN
ISSUE FEE 1+5,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 23.40 15.00 �; 0.00 38.40 38.40 .00
REVENUE DIVISION TOTALS--> COLLEC,TED: 38.40 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECH�NIC FIRE SMIP/TOT GRADING FLAN—CHECK
38.40
iE �E 3f if 1E if fE iE iE iflf iE �E 1E if iE 1f !f iF if �E iE iE if if if 1f iF iE �E fE fE df ff lE�iE iE 1E fE iE iE 1f !f if 1f �F iElE iE iE if iF iE iE 1E if if if iE if iF 1f iF iElE iE �E iE iE 3E iF �1E 9f if if 1f iE if 9f
I N D I V I D U A L �F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N�� UNIT COST TOTAL COST
ELE
ELE
ELE
S FIXTURES, LIGHTING
20 RECEPT/OUTLET
7 RECEPT/OUTLET
2 RECEPT/SWITCH �
�1• ST 20 EA.
� 'll ST 20 EA.
`ADDITIONAL EA.
END��OFTFEES EA.
75
75
75
01 �10i86643—OQiEh593 T+J T
UAT'c: �7i24.'95 TItic.: 11�29
3.75
15.00
3.15
1.50
�8.�0
CONSTRUCTION ANDPLANNING `
APPROVALS Permit #�� � � �
�•
i. Temporary Electrical Service or Po1e
i. Soil Pipe-Undrgrnd. �
3. Electrical Conduit Utility-Undrgrnd.
4. �:lectrical Conduii-Undrgmd. �,, �
5. �Steel Reinforcement �
6�'Electricai UFER Gmd.
7. Footings ,
8. Foundation
9. Water P�pe-Undrgmd. :
10. Structural Floor System
7 7. Property Sewer Line & House Connection
72. Sewer Cap '
13. Roof Drains 1
14. Rough Piumbin9 " ��
15, Rough Electricai-Co�duit � �
16. Rough Electric Wiring � �
77. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
74. Rough Heating & Air Conditioning
zp. Rough Factory Firepiace
21. Duccs,in Structure
22, Ducts, Ventilating
23. Gas Pipe-Rouqh & Test
Q4, Roof Fram(ng
25. Roof Sheathing
26. T�Bar Ceiling (Structurali & Monocoat
Z7, Frameand Flashing
28. Lathing & Siding
29, Insulation
30. Drywall Nailing
31. P�aster Brown Coat
32, Electrical Power Me[er�Final
33. Final Eteotric
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-Flnal
47. Solar pomeSTic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47, FINAL S7RUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas G
51. CERTIFICATE Of OCCUPANCY
NO Date
Date
POQL & SPA
inspector AppROVAl5 Permit# �
52. Pool & Equipmen[ Location �
53. Steel Reinfortement
54. Forms •
55. Electrical8onding
56. Rough Piumbing & Pressure Test
. 57. APPROVAL TO COVEF�GUNITE
58. Electrical Conduit-Undrgmd.
59. Gas Pipe, O Undrgmd., Test
60. 8ackwash l.ines, P�Trap, � Undr9rnd.
67. APPROVAL TO DECK
62. Backwash & Receptor�Finab �,
63. Heater & Vent-Finai '
64. Plumbing System - Final
65. Electrical-Final � '
66. Solar System-Finai ' .
67. Fenciny & Access Approvai, �
68. RPPROVED FOR PLASTERING
69. POOLlSPASYSTEPnSFiNAL
FIRE DEPT. RE4UIREMENT
APPROVALS Permit #
70. Under9round Hydro
71. Product Pipinc� C Gas ❑ Oii
72. Underground Flush
73. Undergrnd.StorageTank OGas ❑Oii
74. Overhead Hydro
75. �ry Chemical
76. Dry Sta�dpipe
77. PIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CER7IFICATE ISSUED
Noies: '7-7 � �� ,. � �.. � 4
�
�
�
Dafe � Inspector
°"""'"" GONZALES, HECT
"'P'°�"'` MUNCE, WILLIAM
1D°��' 1617 W CLIFF •
T BEACH, CA
�ooqEss:
310-926-7600
UNT:
f DON GOERTZ C4169
�T�p��p� ?Z22 AVBNIDA DE LA PLAYAuGNO.:
°"��B"0°"��` LA JOLLA CA 92037 °�`
CONip1CTOR8 NA1�:
caNm�cro�s wuura
�oox�ss
uc Ho.:
unr:
11CplSED CONTpAROflS DECL�fl�TION: I Iwepy dfrm uMer priely d perpvy Ihu I em 4enseE �vda poridms d Cheqa 9
(mmme�wrq rm� Sxiion ]Ooo) d Oivoun 3 d Ihs 9�niresa eiM PMeeuone O�do o�dsn�lqnsa o in �y0�ra yd etled.
�C. NO.: 11C. C1A89: IJC. NO.:�y �� '
' 1/I_ �7l-. � in i` D N X���-�/Ai! /_ )
�BUILOEfl OECLARATfON: I Iweb/ dkm uMer pa+ely af pu�oy that t em aumOt hem fM Cmfrotlas lioensa taw br tlr
�seaon (Seuion ]W1.5 Busiwu end Ndmdons CoEe: MY uY a muMY r.fiidi �epwiea e W^^Y to mmWn. Ns. unPw+.
mdoh, a repei eny cuuclure, qbr b Aa iawonce, deo reyuirea the epplimnl Ia auch perm! lo Rb e apmQ autemenl Ihtl he m eM
limwd Wnwnl ta tM pwimau d Ihe Contretlwa lirmee lew IClupm 9l�mendrp xnh Satlion ]Oro) d DHeion J d Ihe
uei�ae eM Rdeauna Codej or Ihel ha or ehe ie exemq Ilwrahum eM Iha bsw lar iM albpeE memqion. My viob�ion d Setlion
�Wt.S by eny epWireM la e permn wbpGa Ihs eppl�em to e crvB pe�aly d no1 mas then IMs hurdreE AoIWa �5500U.
i... owne, d�n. nwm+r «�rv �nM�.wn �w.., me:.a. oomrommbn..,a eo a» w�x. ena m..wnm.: �a w.neee
«dlersd la aab (SacYm )oN. B�mnaM PMsasm� Cade: The Comraaae Licana lewtlom rc� e{plyban owner a D�Y
�.no wim Q mw�. �n�,. m,a.�w eo...�n.on, n;�.n «n� «w«ron b o. n. a.�, «�cM«.. pw�ase mm �n
impiwemema ara ml ImeMetl a dlaed Iv veb. H, however, �he WiMiiq a inpawneM ie aold wilhin pr yaer d mmpbton, Ne
owiwrbuikbr xdl heve iM bukm d 0�'i�p he or ehe d'd no1 puild « imparo lor iM puryme d aela�.
q1. e� oxrws d tM P'WaH. em exdwn'eN mMrad"nB wdM1 li�wised cmVMas b eareUu�i No WMetl (SMion ]W6. Bueinme eM
Pmisvions Cade: The COMrepaa Licaw Lew doea nol MWY b en o�ww d pW�Y Ma build� a ImPa+'ro tlwaon eM Mn
camracb lar wM w9+da vnh e aom�eeW�) IicemaE a�� �o �hs Camrrm� L'mma laM.
qI em awemq uMer Section: B. 8 P.C.. M Nu �mson:
Dete: Ovmec
I tlo lw�aEY cM'dY ihet 1 am ewere d eM uManWd Ne �W����«ua d CdyvNe /bN� ud SdeiY Code Sedioro 25505. TSS�J. eM
25531, eM Nel I n enY �uro WJdinp ooaipv�t will / wll rwi (tirc4 one) need to compF/ w1h aeid tlms ooEn vd �he rapuiromsnle br
• D� tawuNc�unar ncGfi�ianhomtM �iai3�y%ianeWnrN OiariC. R�oM�tlwl ema'utlion eppFmian+an uemq hantlma
pw vm.
om,: �vw�n:
WOAKER'S COYPENSITION DEC WIATION: I hma0y dfum unda perietly W pej�vy wr d Ne fdbwinp Mdar�um:
[] IheweedxilmmnunaunJiutedmmenito�WuwnWwkaa'mmpanxtian.aqwidsdlaby5etlian3100dIMlebor
coae. �« me vMmw�c. d u..w� �a.d:d, w. c'a�mm m e.w.
pI M» eM W meiniaii wrken' campanwim imurerce, o npu'veE Gy Sqion aN0 d Ne leEar Code, br tM pMvmenas d tM
wak ta wliirA Ihie W�� a esued. MY worken' mmPenWion Imurence unier ud pdiq numbar ara:
CemH:
Pd'ry Number:
ma�o,�..e,�aasca�ar.e�wa«m�em.o�.nuneAaama+rs,w�ow...1 �
1 mnM MN m the V��eM.+ af IM wqk br xhiYi IMa O�a b bWetl. I dm9 naf emVM �Y Va� m M' melvw c n ro
wbjW �o IM xoM1x+' mmpenWion lews d CeNanie. W apns tlW i I Mould becans wbjea lo IM xo�kr�'
penevim V�'^siom d SeU'wn 3140 W Iha lebar Coda. I ehN� hvql� m�y1N ' IMa m ov.
�- 7 C�l GI -�j �wd�:�� r� v
Wimb+Y: FaV�.v� ro scu� rMw�a'ronpoiwnon em'rMli un/�wM mtl �hYl /i!N«�n rri/o�r ro�MYivl i�du inE
elHl nnu w ro om h�W�l tho�uN dolMn fJ�040WA M�Wltbn ro N� ewt ol wnpMuWn d�P� u P'ovM�tl ror In
b�ctlon J)fl8 0l Me Le6or CoW, Intwt +� ��mryJa /wx
CONSTHUCTION LENDINO ROENCY: I heroby �im urMer penelry d perN�Y �� Ihore is e mrwirwfion bMirp apem.y br �M
'""°""°"`°`��"°"�t1orx°�'��"��Ri��'is'O`f�'P�RACTOR DOING
LENDEN'S M0.VE
�aoex•s�ooness:THE T.I. WORK"
I cenily �Mt I hnw reeE �hboy eypIpl'x:me�i�m eMp pe�yiedIhheet�thpeyebove iMormq�et�io+nq u1�eojryortpe�p. I eyae lo cwnpy xil� ell cay eM caunry oNinantt�
wMaWalew�nlmMmMAL CW�N C.�UT���L(1JUNdthutevbemauV��Mebo.smenibnWqapary
�airepMion purpases.
Ome: /— `v —��1
(St9td6.WP) W�a-�+iWq85dary:�iseo-Fb:Cenery-Appiran:Fnk�ierenue:(b1Em�oFM�esv
CITY OF COSTA MESA - BUILDING PERMIT
PERMZT NO: P 073317 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: PLU
� l_1. /
�UV I�7?,U�-W
PURPOSE: ALT
JOB DESCRIPTION : CHECK CASHING STORE T.I, S(j FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: B-2 /
COhtMENTS: "USA CHECHS CASHED" STORE TI, RE:�iB72372
*iF�ifie*�t*+�***�*rt+�*at�*�+�*****it**+r+��r*it�*��****��t**��***��ie***�***itie+o-*�f*itiE*ie***x**+�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42419107 ZNE: REF NO:
PLANNING NOTES>
i
iE �E �E jE iE iF aE 1E iF 1E if 1E �! 1F iE 1f 1E 1E ik iF 1F iF *!E k 1F iE 1E iE 3f iE iF fE iE iE ik 1E i61f iE 3E iE ik fE iE if !E!E 1E iE iE iE iF jE 1E 1E f(� 1f� iF if �)E iE iE �F 1E 9E �f �E �E IE 3E iE iE iE fE ik iF iE 3k
D E V E L O P M E N T S E R V I C E S- R E Q U Z R E M E N T S
ZONING APPROVED HY DATE:
BUILDING APPROVED BY
APPLICATION ISSUED BY
!E �E iE iE 1F 1E 1E if iF iElF iE it if dF iE 1E iE fE 1E if
LEGALI2ATION:N
BLDG PMT PLUMBING
PERMIT 4225�
��'��x�'�
F E E S U M M A�Ft Y
ELECTRIC'�MECSiANIC
DATE:
DATE: �
�s�*u****�***� � **^
STRUCTURAL EGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON-RES
PLAN -'� y i
ISSUE FEE 20.00 � �
HUILDING-DIV-> PERMIT ISSUE PLAN=CHEGK ' TOTAL PAID DUE
TOTALS----> 42.00 20.00 "` 0:00' G2.00 62.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: r� 62.00 OVER/SHORT: .00
BLDG PMT PLUMBTNG ELECTRIC MECHANIC ?' FIRE SMIP/TOT GRADING PLAN-CHECK
6 2 , 0 0 �y, � �;
iE 1f �E iE if !E!E'lE 3C ff 1f� 1f iE fh �IE �IE if 1E 1E if'1E fE iE iE iE If fE iE !E iE 1E 1f 1E �ElE # 1f'lf 1f 1E �# iFlE 1E 1f 1E iE �lf if !E 1E �f 1ElE 1F 1E -0f!E �E 1f If �lf 7f ik 1E if !f� iE ik if 1E iE ik'lE jE �E fF 1E
I N D I V I D U A L, F'E E i B R E A K D 0 W N
TYPE QTY D E S C R I P T I O,N;;.,;� �, UNIT COST TOTAL COST
PLU 2 WASH BASIN ' !� , 7.00 14.00
PLU 2 WATER CLOSET (TOZLET)- '�" ' 7,00 14.00
PLU 2 FLOOR DRAINS �/� 7,00 14.00
END OF FEES'
� � � % "
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JI i1flL•'=;cb-Gd18h466 Tu�li 62,00
Da7:: �7i�G.;:� TI{"E: 09:s4
.CTION ANO PLAfVNING ; �
..JVALS Permit # .
t. 7emporary Electrical Service or Pdle
2. Soil Pipe•Undrgrnd.
3. ElectriGal Conduii Utility-Undrgrnd.
4. Electrical Conduit-Undrgrnd.
5. Steel Reinforcement �
6. ElectriCal UFER Grnd.
7. Footings
8 � Foundation
5. Water Pipe-Undrgmd. '
_;
10. Structural Floor System _ �
71. Property Sewer Line & House Cormection
12. Sewer Gap �
13. Roof D�ains
14. Rough Plumbi�9 '
75. Rou9h Electricai-Condui2
i6. Rough EleMricWiring
77. Rough Wiring Sign
18. flough Electricai-T Bar Ceiling
79. Rough Heating & Air Condrtioning �
20. Rough Factory Flreplace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe•Rouqh & Test
24. Roof Framing
25. Roof Sheathin9
26. T•Bar Ceiling (Structural) � Monocoat
27. Frame and P{ashing
28. Lathing & Siding '
29. Insulation
30. Drywalt Nailin9
37. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing i
39. 4Vater Service�Final
40. Gas Service-Final
41. Solar �omestic-Final
42. Backflow Preventer
43. BackfloW Irrigation
44. LandScaPe frrigation System
45. Sound Attenuation
46. HandicaP Regulations
47. FINAL STRUCTURE & BUILDING
48. FlNAL4LANNING
49. Electric Release to Edison
50. Gas Release to $outhern Calitornia Gas Co
51. CERTIfiCATE OF OCCUPANCY
No Date
Date
POO >PA
Inspector AppqOVALS Permit #- �
52. Pool & Equipment Location �
53. Steel Reinforcement i
54. Forms �
55. Electriwl6onding -
.56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines,P�Trap,� Undrgrnd.
67. APPROVALTODECK ��
62. Backwash & Receptor�Final '
63. Heater & Vent�Final ;
64. Plumbing System � Final ;_ i
65. Electrical�Final " � 1
66. Solar SYstem-Final
� 67. Fencing & Access Approval
68. APPROVEp FOR PLASTERING
69. POOL/SPA SYSTE�qS FINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
77. Product Pipinc� O Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank � Gas ❑ Oil
74. Overhead Hydro _
75. Dry Chemical
76. Dry SWndpipe
7�. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes: %-"%L�-Q<� ,/�.,_ e �i, i.
�
��
Date Inspector
c
I h-
PHOJELT RDOflE55: $ 1 1 w 1 9 T•H S•I•
OWNEX'SNAME: SAVIER HERRERA
nooaEss: gll W 19TH ST
COSTA MESA
CA 92627
APLH/ENGINEEP: � 714 � 38�-96z9
FDUPESS:
UNIT:
XEG.NO.:
UNIT:
PEflMITTEF: THE ELECTRICAL CHARGE ( 714 ) 736-8986
ADOXESS: S 1 B S 4 P, �. BD}�
COSTA MESA CA 92627
LICENSED CONTflACTOB OECLAqpTION: I OereCy a�firm lhat 1 am lic¢n5e0 uMer prwitions 0� CIwO�e� 9(COmmencinp vnlA $eclion
7000� o� DmSion 3 al Ine Bu9ne$5 an0 Prole55ions Code, an0 my licenu is in INIIWce daE eflep.
ciTr uc.: 0 2 6 31c8i sT^TE uc.: 3 9 8 31 S BU1$Si C-10 Y/������.f_.rs1
Oate: �—�`� Siqnature:
WOflREflS' COMPENSR7tON OEC�pqpTION: I �ereby allirm Nat I �ave a cenilicate ol consent a sel4insure ar a cenilicaie ol Workers'
Compensaiion Insurance. ar a ceruliea copy inereol (Section 3800, LaO. C).
POLICY NO.: E%P. UPTE:
COMPRNY:
�Q Cenilie0 topy IS h¢reGy turn{Shetl. ❑ Cehilied topy i5 IileO wii� IAe city BuilOing Oiv�7lOh.
EXEMPTION fROM WOXNEXS' COMDENSRTION OECUN�TION: (TN5 secUon nM0 ml pe completeA il itre paimi k lor on¢ twMreO (5700) or less).
I<enily tliat in t�e OeriarmaMe W �hp wprk 1w whuh Ihis pErmit 4 iS.weG, I stull no� emplp/ any person in any maMer 50 as ta Oecome
SUElec�io t�e Vlorkers' CamDensz�ion Laws af Calitomia.
Daie:�� ��^ _ SiBnaiu�+[ 1 '
NO710E: It, aiter makinp iNs Ueclaraiian, you sho�uld hecom suUjecl to t�e N�orkers' Compensation pmvisions of ihe La�or
fAde. you must fonhwilh comply wilh such pmvisions or tnis permil shall he Aeemetl revoke0.
CONSTRUCTION LENDING pGEN�V: I �ere�y allirm that t�ere is a constmction IenEing aAen�y for Ihe DeAormance af Ihe work lor
wnicn mis permii is issuee (Section 3097. Civ. C1.
LENOEN:
aooeess:
OWNEfl BWLOEB OECUMTION; I �er¢by altirm Iha� I am exemp� IrOm Ilre COnirat�ors' SUte License Law lor tne followinq reason
�Section 7031.5 Business anG Pfoletsional CaOe: Any cily ol counry w11icM1 rtpuires a permN to ConStNct, alter, improve, Uemolish, or
iepair any stNclure, odor lo its issuance, also reQuires Ihe apolicant lor sutn permil lo file a sipneG stalement tAat Ae/she is licensetl
pursuanllo��e pmviUons oline Conlraclors' S12te License Law�Chapier9�commencinq wil� Seclion 7000)of0ivi5i0n 3 o�ihe Business
antl Pmiessions Code) or Ihat hGshe is eMempt Neretmm ana the basis �o� the alleBed etemption. Any violation ol Section 7031.5 Uy
any a001icant lor a Oermit suble�ts t�e applicant la'a civil penally of nof more Ihan five hunUretl dolfars (5500J.
I. as owner ol ihe OrODe�Y or my em loyees wil� wapes as tAeir Sale fAmpenSaGon, will do I�e wark, and lhe
O simcmre is noi inreneea or allere0 br sale I�uon 70ad. Busness anE Professional Coae: Tne Cantractors' State License Law
Goes nol appry to an owq¢r ot a Dropeny w�o huiltls or imD�m'� ��ere0n, anG wh0 Aces suc� wOrk Oims¢Il/h¢rsell or ihrough
� �is or ner own employees, provi0e0 t�ai suc� im0�a�emenis are not intenOeE or aflere0 lar sale. II, tpwaver ��e UuilUing or
impmvement is 5old vnitWi one year ol wmplelion, t�e owner will have t�e CurEen oi Dfovinp h¢/sAe Oid not �uilA or improve
tor ine purpose ol saie).
I. as awner of t�e pmperiy, am exGuvvely conlraclinA with li[ensetl conlraciors to constnrcl ihe prOjeci (Seclion 70Cd, Business
❑ antl Pmiessions COEe: 7he Conlraciors' State License Law does w� appty la an owner ol D�operiy wlio �uJ0.s or impmves �hereon
ane wno conVacts lor sucn Drqttts with a coniractor(sllicense oursuantta the Contractar5' State License Lawl. I am aware
ihat proot Of th¢ir WotkBi 5 ComDensation insurante Shoultl U¢ Drovitled ro me.
� I am exempt untler Seclia�; B. 8 P. C.
loi t�is reasan:
Dalr _ Owner.
o Mrtoy cenity inai I am aware al aM undersianC tne requirements oi Caiilornia Meal�n an0 Safery COUe Sections 255U5, 25533, ana
255� ana ttui I oi any lumre buiWinq occupant vnNwill not (circle one) neeU to comON ��� szi0 slate mEes an0 ��e ieQuirements lor a
permii la� mn5imtlian ar rta�iiiy�p� Imm I�e Air Oualily ManaBameni U5ViC1. flesidentlal cOnSlruciion applicatians ar¢ ¢Kempi Imm
Inme provisiotrs.
Dall: ApYli[anC
I tlereUy cetlify I�al I �ave reaU this apD��calion antl slate ihat I�e above inlormation is wrrecl. I a0�¢e to com0ly wiN all city anU county
orUinan[es an0 Sta�¢ IaxS reWting Io DuilOmg cons�mtlion and here0y aNhOrite tepreunialiv 5 0l INS tily Io enler UpOn �he ahove�men�ioneA
pm0eriy lai inspec�ron pwpases.
Date: �_��%� L� Signawre: � �� �
Drivei s License or s«�� s��n,Y .:
i6<i�<6 '�'�ne—BmlOing; Green—CaJe Enlorcemem: Canary—Applicam; Pink—Revenue: GoManroE—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 053798
PERMIT NO: E 053798 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE; OTH
JOB DESCRIPTION : MISC. ELECTRICAL DEVICES FOR OFFICE SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 /
COMMENTS• NO RELATED BLDG. PERMIT/"E" WOAK ONLY,
***�r+t**�i�***�r****ar�r�*�r+r�*�r**�r*�r+r�*�t*�t�r*r*�r�*��r�r***+F**�r*******�r+r+t+t*�t+t***�t+e***�**�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 R$AR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL; 00000000 ZNE: AEF NO;
PLANNING NnTES>
i
***r�r***+t**�**+e*�c******�r*�****x�****�e*�r*�r*�r*�r***�r*�rr*�t********+t*****�t**�t*�t�r�t*�t**
D E V E L O P M E N T S E;'R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY �-" DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY• DATE• �
lfiPiFiEiFIf�flFlfiEiFMiEMIkjFffifiEiFiFif iFifiEifiFkitM3Fk ifif
ififiFiFiF�EifiFifiEiFiF�EMMiFiFIfiF�EiFifkMif�FiFifikiF3fiFiFiEiEMiFfE1fM �FiFifiFkMMM3FiFifif3FiFiEiEiEMikiFK3fiFifMiFiFMifkikiFiEkkifiE
LEGALIZATION:N F E�.E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT
PLAN
ISSUE FEE
HUILDING—DIV—>
TOTALS---->
9�Oi
1 5 , OQ
PERMIT ISSUE PLAN—CHECK
9.75 15.00 0,00
SMIP/NON—RES
TOTAL PAID DUE
24.75 29.75 .00
REVENUE DIVISION TOTALS--> COLLECTED; 29.75 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
24.75
if iE If iF if iF iF�E IE fE if iF iF IF iE iE ik if �E M if iF if 1F IF ik iF if IE if �t if iE �E if ak iF if If if iF 1E iE if if iF iE iF if iF 3F if 1f if iF iE if if iE if if iF iE k IF 1E if 3f iF iF If iE iE iE iE 3F 3f IF 1E
I N D I V I D U A L F E E H R E A R D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 13 RECEPT/OUTLET 1 ST 20 EA. .75 9,75
END OF FEES
ri1 �_'..%�'�� •.�'�A �It YL. . �...
_ 7_: r,o, ;:' �4: ?; E= I t�: .r
j r -
CONSTRUCTION AND PLANNING 5 POOL .PA ` /// '�
APPROVALS Permit # Date Inspector pppROVALS Permit #-� Date Inspector
1. Temporary Electrical Service or Pole : y� 52. Pool & Equipment Location ��,�; `�
.�
2. Soil Pipe-Undrgrnd. ���; % �� 53. Steel Reinforcement f- �
.�;E�.�c'tifEal Condu�Cxli�ility-tlndrg7nd. � �. 54. Forms ��
�.4a�lepinical Conduit<llqdrgrnd. �" 55. Electrical Bonding i �
�5.'St�Ci'geinforce�ie'iit�, l 56. Rough Plumbing & Pressure Test ' '+
:.o•:-�� .,,
:�.•4;tt gcv�'t�al UFE��Gra,d. p`t,� t'� 57. APPftOVAL TO COVER�GUNITE ;n
.1�77:Footirgs .'"�b? � � 58. Electrical Conduit-Undrgmd. o�
f�;.',B:~Foundation y� !� � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Und rnd. I 60. Backwash �ines, P�Trap, O Undrgrnd. „
10. Structural FlooxSystem �,�; 61. APPROVAL TO DECK r'
1 t. Property Sewer' Linp�& House Connection /y ' i� 62. Backwash & Receptor•Final ji�
.r
12. Sewer Cap L ` ;• S• • 63. Hea[er�& VenbFinal /
13. Roof Drains .� � '' 64. Plumbing System � Final
14. Rough Plumbi �g �' ��� 65, Electrical-Final
15. Fough Electrica.Conduit;. j'� � 66. Solar SYstem-Final
16. Rough E�ectrio Wiring �� ' 67. Fencing & Access Approval
17. Rough Wiring Slgn � 68. APPROVED FOR PLASTERING
18. Rough Electriql-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REnUIREMENT
q� - �,.
20.�.Rough �;ctory Fjyeplace � i�� e�;��, v. - r� c:* .;qPPRy�VALS;,��^,.Per.�mit # � v�T�
�� -ir �r.P . < :T-¢ : _r_ 7 e m
�~ _ �
21.?DuC,�, inStryctu�� i�.„ x S �:r y, j70. CJnderg�pe,ji`c�j H�1�ro < �'
22.� Ducu, �Lentiiating-• �j�; r � C �Z-: +�e7�, product�P�ing �lQSs G70i1
,. .. �-, ,�
23.�Gas`"Pip��iough SiTest ; u "` � ' "` '"72, Under 'iowi�l FIC � " `�`'
.� 1 IT� .A �i1 l� �L' �;1 x 9 Y�
� �� ._. '. . iJ v ' ` . a � � • '
24.pRop� Framing ^ , . F . - -• : ;� p ;, :a v 73SnUndergrnth Stora9e!fank � Gas ❑ Oi1
25. Roo�SHeathing �i 4 °• ''�7 =' hY Y� 7q=0verheadHydro`�-� f
26.-T�Bac Ceiling (StcpC[ural) &AVlonocoat w C7 ih.r .• 75:�Dry Chemical � *= G ��:
27:-Prameand Flash;�nq' ^-' �' ^` �3' '� ` 76: Dry Stand�fiQe �� ,.. � �n ;,,
�, �. �,c. s. ��. r ,. c�n Y
'28'Lathing,g� Siding'+ l ��S:c x � 5 • �> v 77:r FIXED SYSTENB�INAL* J�� y
..
'29. Insulation ; �`, � � "" % � "� t � �,' z 7gy'FIRE PREV. FIlNqL y �, �
� J4 ., HEAL'�H� EPTxREQUIREJVIENT
� 0. Drywall�Nailing � S � e' � �,i�'� T' iD
131. Plaster 8?owo,Cq � ' � � ° � i ;� Y �.�9 =FINAL Ifji$P,�ECTI�RP; � `� 7 �
„ „r f , � . ,- � . ��� : -;� .- Y . � � �
32.�ElectricavfPower �Neter,Final� . N I ,,.M1`�Y .`F • rtjF000 CE�R1`IFIEF,r�E ISS(I�D
33°'Finil ElgEiri+� �" �� � iT � �-�f' ' 's: •• y�; * '
s �, � - .�, � .r .. �S c �� 7 �tn .r � � � ���
�r lr �e( Y Y 1� l.. 1', . J: r ..:ll N tT I s � '
„34.�Finaf He�ating�& �;�yConditioni�g= � ,. i � �, ,� .S r� x �g _
35.:*Final G3FPiptl•Teit+: ' • ;:' �: :k ��'-�'� a^ MS a:.T O
t �
^i r^ � r+: :r . � /C .r 'c 'LO �-a > :'7 r
„36 rHoo~d orh�anoPY r t.�`i : V•" T n i f.'�;� �: Co ' �!��; �p
'_37.CFinal Factory Fi`ep�ace �=� r n ��^ � � 1�� s a `�ni
�38. Fin I.PIu bin ��-.�� . .• � n" ' .'_R _ t . -
d .Fn 9�N:. . � f�: x C -� r. u+
C39. Water Setvice-Fina�r � • � �� � .= J :'� �"T! x�
b� i T ]c � i' � � 4 a R
'40. Gas SerSlce�Final � . ` � " � ' "' '
hl * n1 .J'�r y rt r' �: ,�a. iN 7 �
>47. Solar pomesticFinal � � •� * �'. 1 h� •> �:t� �-- w �
- n . �,• •,n, x +: -
`�2:-`�Backflow Preventer� � '� �'� ' �j� " �� � �1
x �r� a. l. 7 F a C
43. Backflow lrugation� �V i��, �+ u'F ^ O �
n • 1•' �. F / K � 1
y. r r . :l� >'S �� 'r
`��4. Landscaee I�upatiop SYstem�i:;�.�' u :,, �n rr :K :+ :; N N :x:; �. �7 v
?�i5.�ound kCftertuatioR - i*' •� s t� t�. -'` '' H - �sa " ^ �
� i- .i. �n �n.a c -.�+ .r'.
� � - 7 � Y � �r, . . ..r 'c ^ i � -'v
�6 ��'Handicap,Fiequlations i ; ;, , » � � ;� �- � T
J
� � .� -
�47.,�INAL STRUCTURE & BU�LDING � -• � ' •j;� �. � c� ; •
,- v : .o- �t �� C
48 rEINAL P�A�fNING ��� �r �,� � i;ri *;. r y cC w �=
,:49.�Elecvic Relflase to �Edison • + i �,%�« y -: ir � �i x •
u
`�50.�Gas.Release to Souihern Calitomia Gas Co ; i Y:'. -. ox ^'•
O
"51. CERTIFICATE OFxOCCUPANCY ; ': g ;j :rj . v , - �
No. Date
�
�
�
�
AOOFESSOFBUILqNO: H11 W 19TH ST UNT:
axxexswweiFa,a�m: GONZALES, HECTCht �
wonEss MUNCE, WILLIAM
1617 W CLIFF
NEWPORT BEACH, CA 310-926-7600
NPL. MIJIJNO FODIIE55:
AqCHRECTOPB1f�NEEN: DON GOERTZ uar�o.: C4169
nncxoxu+o•swoecss: 2222 AVENIDA DE LA PLAYA uNt:
LA JOLLA CA 92037
mnm�cTarsruxe: J.A. AIR CONDITIONING (310)621-9910
camncroxsxuur+c 1112 N LA HREA AV
�oowess INGLEWOOD CA ��,�,; 573618
' 90302 u�:
UCENSED WNTflACTOPS OECLFFAiION: I hareb/ dlim under peneXy d pe�vry Il�et I em liceneed uMm povieione d Chepter 9
(mmme�M w�h Section )000) d Divbion � d Ne B�imn erd Pmleveionn Gode. end mY licenae o in fuA lace end eHed.
cmuc.No.: uc.cuss: C-20 uc.No.: 573618 XP:
�fi�B: U ^ � �� �� CiqlllMlIX: � •y
OWNEH BUILDEP DECLAHATION: I hereby �rm under penetly of perjury ihet I em xempt Irom ihe Co pae License Lew lor Ma
fdbwep reeaon (�� )�1.5 &niiwss eM Profeniona Cotle: AnY ciY o counry which reQuirea e permn � c�naWct. ehar. improve.
dv- ��ah, ar repei any svucNre, prior m na 6euence, ebo rayuirea IM eppli�ant tu wch peimN lo Rb e sgmE eletemenl Ihel M a sM
, �ed purnienito Ihe D�oviaionH dtha Conlredore License Lew �Chepter 9(mmmendiq vrilh SeUion J000) d ONsion 3 W �he
a eM PrWeceons Cade� or Ihel he w eha ie enemq therehum end ihe bevie Iw ihe dlepad exemqion. My violeton d Sedion
)�, ..� by env evW�t lor e permd wbpe+ �he eppiram io e snl pmelry d� maa then tMa huMred Adlere ISsaop.
� I, es ownar d the proparly w my empbyaee wYh wepes es Ihei ede mmpenePoion, xill Eo Iha work, eM IM eWclure o nW intenEeE
w oHered lor ule (Secibn ]Oi<, Busiiwes eM Prolaeeians Cade: The Contrenon Lioanea lew doee rrot epplyto en oxmrerd propeny
who Wldn «inprovae I�areon, vd who dms auM wak NmaeN a MneC a Nra�ph he a hm own emplv�ees, qwkatl ihel wch
imprwemema era not inleMed «d1e�aE lor sab. X, howevm.IM Wiqirp a inpmvameM o edtl within om Yeer W camplelion. Ne
ownerbuiNer will heva the buMen d proving ha or ehe dk � build or improve lor �M puryme d aela).
❑ I. m oxmr d tM poperly. em utlufively conVaq'vq wiTh lieeneed oonVactpf lo wn9rutl �he pojetl (5ed'pn )OM. Buairieee eed
r�w�o� coaa: rne c�vmo�. u��m te. eo,a �w wdr w.� o�« a aw�r wno wum «�mpo,s. msreo� .�d �
conVecta Iw ewi� O�el�s �Ih e wnveaor(s) IkenxE W��� �o ihe Canveaas lioenae lew).
� I am eaemq uMer Sanian: B. 8 P.C., Iw ihn reaeon:
De�a: Owner.
I tlo Meaby eeMily thel I em ewere d aid undenleM IM iepuiremenb d Celiomie NaeM eM Seley COEe Setliam 25505.255�3. enC
t55�4, eiM Uet I w eny hnure Wikirq oaupant xiil / wil ria (arcb ma) rreed to cpnply wih eaid ueia oodsa arM �M nquiramann lor
� epeminlorconeVuclionormadAraionhaniMAir ueSTriy�epememDiatnd.ReeiEeMielwnet�ud'nneppGce�imueraaxemqfmmthwa
provisione.
Dete: Applcem:
WOPKER'S COMPplSATION DKL1flATI0N: I Mraby elfirm uMx penMy d psrjury aro d the blloxirp dedarmions:
� I �eve eiM xi9 maintem a cenEcae d mment io soMimun for wakas' wmqrreetion. n pwidsd fa by Soctian J]00 d tM lebar
coae. �o, �n. aeno,me�e a me woA �« whcn mia re�n i. �..u.d.
� I havs eM xil meimen xwMen' mmpena�ion imwuwa. n rpWred by Sedian 3100 d �I+e lebor Cods. br �ha pAamenw d tM
wwk ta which I�o permtl is inued. MY wakare' ca^Pa�� imurarice umw enE pdicy number are:
c� .
PdiryrNumber:
,nran need na ae comWa�.e r me ro�x is ror a�e nune�.d ea�erslsirol w�.�
� I ceNty �he� in �he pe�loime�e M iM work br whch �hie permA ia ivauetl, I ehell �wl empby any penon in eny manner eo sv to
baeame wbjeG lo IM1e xoM1aen' rompanwion lewe d Celilanie. e�M pise Mu A I ehouW baeoms eubpn io tM warken'
��v��a� n�son. a s<aon a�oo d me �mo, coae, � snd� �onnwnn comoN �mn moee
� �f`�La-1%A..tS'�–��,
ove: �i — � � � � nvw�,c
Weminp: F�llun ro wcun wohen' compxustlom m�rep� la unhwNl, anA hl/ ubJ�ct en • r ro crlMnsl p�naMu entl
nvir nrn• w ro on. n�ner.e tnou..ne da�m istoo,oaA �n mla�Hon ro en. ewr o� rnrnpen..no�, eanup.. u poNasa ro• �n
Ssetlon 9M5 0/ Me Lebor Cob, Infenat, eiM attornsy� Isu.
CONSTHUCl10N LENDINO AOENCY: I Mreby elfirm unEer penely d par'ryry �hei iMro o e mnb�uabn brdi�q apanry lor Me
pariamenca d �he wvrk br which �ha peimA ie esueE �SeUon 309], CH. C�.
LENDER'S NRNE:
LENDEfl'S ADUFE59:
I ceMiry ihe� I heva reed this epplice�ion uM uma thet I�e ebove inlame�ion ia cortea. I epme lo comply v.ilh ell tlty eM oounry adineMen
vM aiete lews rtlPov�g lo buiWvp con�ruGion and hereW aWwr¢e rapreaenletivea d �h'v ary io enter upon tM abwe�meniuned propoM
Dete: Ys �T
(5151-,6.WP) Whne-BuiMiq 8 Salery: Grear�Fb: Cenery-Appicsnt: Pink-Revenue:Oddmro�Nwun
CITY OF COSTA MESA – BUILDING PERMIT
PERM NO: M 07371,�
PERMZT NO: M 073711 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE; MEC PORPOSE: ALT
JOH DESCRIPTION : CHECK CASHING STORE T.I. SQ FT:
`CLAIM VALUE: � CALC–VALUE: GROUP OCC: H-2 /
COMMENTS: "USA CHECKS CASHED" STORE TI, RE:#B72372
�*�*�-***f�*x�+��+�**i�atx-*i�*�-�-+�**+�-�it**x�**�****�-************�-***�r*�***x-***+�+�+e�t�*x�*�-�x-�-�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY 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: 92419107 ZNE: REF NO:
PLANNING NOTES>
i
*��**�*x�� **+�+�*+�*�*��*��*�� � *****x *��*�*�*****+r+�� �*�*****��+�+��*�*�**+��*��**�*�*�
D E V E L O P M E N T S E R��� I C E S R E Q U I R E M E N T 5
ZONING APPROVED BY .
HUILDING APPROVED BY :
LEGALIZATION:N
BLDG PMT PLUMBING
PEAMIT
C
�
� . ��!
F E E 5 U M M.A R Y
ELECTRIC MECHANIC
,� 9.00
FIRE
DATE:
DATE:
DATE: ���#��%
1lIE1EIE1fiEifikik **
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
� 258 SMIP/NON–RES
PLAN �1'. , ,
ISSUE FEE ��" 15.00
HUILDING–DIV–> PERMIT ISSUE PliAN–CHECK TOTAL PAID DUE
TOTALS----> 9.00 15.00 0.00 24.00 24.00 ,00
��
REVENUE DIVISION TOTALS--> COLLECTED: 24.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN–CHECK
' 24.00
1f IE 3F if 1f !E iF 1E iE 1k �E if 3F �E iE jE 1Elf 1E if iE iE 1E 1F iF iE ff iE if ff iElf 1E 1E 3f.1E 1E 3E fE'lE fE 3E fE iE �IE IE 1E'lElf !E fE iE ik iE IE 1E 1E 1ElE �IE 9E iE 1E 1E 1E iE iE iElE iF IE ib iE iE 1E iE'1E 1E iE
I N D I V I D U A L� ;F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O�N`� UNIT COST TOTAL COST
V�
MEC 1 REFRIGERATION SYSTEM <= 100 K HTU/H 9.00 � 9.00
END OF FEES
� •
✓
3 �
IJ
R1 G�?2�79o`–QQ1279b' T Cx7' '24.Q0
GAT"e: �g:'�9�q� TIiiE: ]3:n�
FV '
CONSTRUCTION AND PLANNING " POOI ° SPA
APPROVALS Permit # Date Inspector qppROVALS Pe....�t # Date ! Inspector
1. 7emporary Electrical Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcement �.
`_�3 �Elsctrical Conduit UtilitY•Undrgrnd. � 54. Forms
'� 4. Electrical Conduit:Ucrdrgrnd. �� 55. Electrical Bonding '
;� 5. Steel fleinforcemeot ' 56. Rouqh Piumbiag & Pressure Test �
�6. Electrical,UFER Grnd. 57. APPROVAL TO COVER-GUNiTE �
'�,7..' footings - _; a 58. Electrical Conduit�Undrgmd. �
.8:� Foundation ' , �= 59. Gas Pipe, O Undrgrnd., Test
-rC��4Va(er Pipe�Undrgr�d. %�: 60. Backwasfi �ines, P-Trap, G' U�drgmd.
�
-.,�0. Structural Fioo� System � 61. APPROVAL TO DECK '
1 i. Property SevJerLine & House Connection 62. Backwash &. Receptor-Final �
12. Sewer Cap - - 63. Heater & VenbFinai .
73. Roof Droins -' �� 64. Plumbing System � Final . ,
14. Rough Plumbing• -' 65. Electrical-Final �
15. Rough Etecirical-Conziuit -� � 66. Soiar System�Final .
76. Rough ElectrieM�iring � � . 67. Fencing & Access ApProval �
77. ftough Wirinq Sign 68. APPROVED FOR PLASTERING '
18. Rou9h Electrica{-T Bar Ceiling 69. POOL/SPA SYSTEMS FItVAL �
19. Rough Heating & Air ConA�tioning , _ FdRE�EPT.,FiEQUiREMENT __
20. fiough Factory Firaplace �� � Tk' * , ,T y-� APP�iOVA;k.�S= ._� Peymit #- -
21. �Ducts, in Structuri '� � " " -_ • � � -' ,;, � _ 70. �lnderground Hydre k
22. DuMs, VRntilatin4r. � r'. " �. 71. Product eiping �O-6as � Oil
23. Gas Pipe-Rough & Test : _ ' � H � ;. - 72, Underground Flusfi ' -
24. Roof Framing � - - ��� '- = ;; . ` 7�3 Undergrnd. Storage Tank- C� Gas ❑ Oil
25. Roof Sheathin9 ' �' �" _ ��_ « 7d. Overhead Hydr, _, '
. �, .
26. -T�Bar Ceiling iStruciurail & Monocoat � _ ^ � 75; Dry Chemical .-. = t- _ I
27. Frame and Flashing = �= � _ >� � 76. Dry Sta(idpipe ^^' � ''�
a .� .f
� in.
� 28. Lathing&�Siding. '' �z�"' - :`' �� ��{ 77; FIXED��YSTED(FINALu , t-
29. Insulation � J - •• *_ '� 78�. FIftE PREV. Flf{�I'AL "' "
30. Drywatl �lailing ' ; ', , r... ��` ,i,HEALTH DEPS. REQUIREMENT
37. Plaster Browrt�Coat - ' � ' 79. FINAL (�f5PECT�i�N ' ,
K T
'. 32. Electn'ral PowGr NTe r'Final :� �'� � '� ° S0. FOOD CERTIFi�CATE I'SSJJEQ. Y
�
' � . - -
- 33. Final 'clecthc:. ; i� Y>; ' , r :� �Y Notes: • '", � -`
.., : � �s-lZ�-�S, �G?212�z� / - - - - -
34. final;Hea�ing:&Ai,r�Copditioning`-� ,� "' ' '
' ' , � -� �' �� ���1 �-,-� -�4_%1�1-C�'-- - -
35. Finai Gas-Pipe•Test i ' -� r *- . ' _ : - � r.•= ' �
"�. ` fi ""J r rt
= 36. Hood or CanoPY . - _ 1 . " �- - ^ - ; � -
Y ^ 1.. ` f � .7 . . iT
- 37. Final Factory Fireplace� � . , -� � � ..' K � 4 �"
i` "� � M �
' 38. FinalPt�mbing - y'v ' . , ' Tf - -,_.r� � `y r
39. LVater Service�Finai , m z ' � � �� �� � =�
.- �, .�
" 40. Gas Service-Pinai ' ' ' � ` � � " ' � � "
_ . 7 �, f % • CC ;.., � C,
' 41. Solar �omestic•Final� - � � � � ' - . c '- , -
42. Backflow Preventer �' �� � ' {� G' ��� � '� � �
� -� h" ['7 "� . -
�. - J
43. Batkflow Irrigation • >- �� ' r (` •
k L
44. Landscapeirn'gaUonSystem��'"�� ` r`. ' ' `�•� � f "' i' � �
_ r , _� ` :
i -
45. Sound Atten�ation - •• •• � �� � � _ �. y^ " - �
.�
46. Handicap Regulations � �� ' . z � r� - '
47. FINAL STRUCTURE & BUICDWG , � ' �-� � - �-
�- -.
- . : . �
48. FINAIPLANNINGr � ` . . t�y ,;�,'�� � - i: �; `
89. Electr�c Reiease to Edison • �";r �; � � ' - _
• T.
50. Gas Release to Southern California Gas Co " -, ; - - '' - -;
57. CERTIFICATE OF OCCUPANCY � ' - " ' '
No. Dat¢
. ' � �' ' 34073
' COSTA MESA BUILDING-SAFETY DEPARTMENT
. P.O. 80X 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
�+[JDRESS Sll West 19th 3t .
owr,eaKathy's Kitchen
MAIL
Z ADDRESS
W W TE�.
a U CITV NO.
Z Q C6NSfRUCTION
O� L�NDER
am
J � BHANCH
J N
m J �+DDRESS
m AqCHITECT TEL.
'J � OR ENGINEER
U Q
W K AbDPESS
aw
�o CQNTRACTOi�il{lil Auto.S rinkler Co.
�JZ NDDRESS p•O. BOX ZH%G
K
Z � c�rvNewport Beach N�57-6906
� STqTE CITV
N Q ��c. No. 187293 uc. n,o. 1650
� � SIZE NO.OF BLDGS.
Ok LOT NOW ON LOT
USE OF
EXISTING BLDG.
°�.N 7_7-72cnse00 959 �**° �*6.��
APPLICATION FOR BUIIDING PERMIT
REC V BV DATE RECEIVED DATE ISSU
-a � � -
� /` � PERMIYDIA
A.P. NO. V J�'�
BUILDING q// � /�y ,
ADDRESS n y
OWNER
ED
NE NO.OFe� � USE OF NEW
� -- PLAfS l� BUILDING
VAROS APPROVED YARDS AI
MAIN BUILDING ACCESSOR'
IOM GL STREET)
F� SIZE OF NO. OF
ZQ N�yyBLOG. ROOMS STORIES L.SIDE FT.
V EMERIOR WALL ROOF
COVERING COVERING REAR �FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BET.
a Fire extin uishin s stem MAINBLDGS.
a
Q � l VAR. #e
O �(/�V / QU.P.qIE
~ APPROVED
N
Z
�
VI heraby acknawletlBa thet I �eve reatl thiz epplleotion antl stete
� �het ihe ebove Information is correct end agree to comply wit�
� all lews reguleNnB building consttuction, antl 1 shnll not employ .�
� a�y permn in vlolallon ot Me workmen'a compansa[lon lewf ot
y t�e Stare of CaDfwnle.
? I horaby certify thet I am properly IicensaG ez a conttactor undor SQ. FT
tha Steta ol Cellfarnie eusiness antl Profeasiona Codo, Dlvizicn 3, THE AMOUNT S
Chapter 9, antl that such licansos are in tull forca entl oftoct, or I THE PURPpSE OF
am exempt irom iha provis(onsoi theStete ot CelNornla Bueinoss VALUATION
eqd Profezsions Cotle, Division 3, Chaptar 9.
Viking Anto. Sprink�,er Co.
Sfp�etura of /
PBrmlttae s 550.00
Authorizatl ABen �/%� '��'
BET. MAIN &
ED
_ �
O
Efl VALUATION IS FOR '
NG A PERMIT�FEE ONLV: �
¢
FEE 5 �'
�
m
1ECK $ E
0
LL
FEE $