The URL can be used to link to this page

Home My WebLink About817 19TH ST - Building Permits,.v�sT �5rx sT�:�r; al7 s�aaGaz�a sN�t:..� 9 7'0 LOVh� �� r S`b �276 �f! - comp.3�-3/•S¢grccery store $50,000. 550 - comp. necn sign 800. . 1752 - 1-27-56 sign CAiICELLED , 1460 - 9-15-55 Elec. IQC (motors) 2390 - comp . stge. area 460. ' 2396 - 6-28-50' sigr: 1,700. ' SO40 - �lec. YC :ire:•:orts 6616 - 6-25-5$ nlec. e'IC =ireworks; ' 16043 - 11-7-58 P1Ug. Nc htg & re`^ig) . 16143 - 11-7-58 Plbg. iQC 'r.tg/rei/air-c) 16149 - 10-27-61 �lec. NC ;iztures) ^ 22875� 3-19-65 adC io & remofle' 90,000. --�39395 -� 1-7-75 =��e:. Alter. $1�200. i ' -' 50869C�c4.1'1:.�3 Elec. Cabinet 700.' ' �� - Wall Sign - .a. r ; : ��. � _: r:}�` ` - . . � �:�. . . - - . . _ . ��-: _� .. s �� —B36243 5/� �/pa — valuation: $22,000.00 �—�� E62787 � 6/?�(j /((3 — — E67825 7�S�f � — Flre M'orks Stand —� — E-072978�'�F��ORKS STAND — I Z 3 a' , Ga� �e,l (,�� . -e��— — P 74156 Install aater machines — �67 a�6Q� 3-3�'�G l��ulk� �r�� -, et�ly� 1 l� �� M�.2 Co// � ' :39395 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 FQ�A�licant to Fill in Completely BUILDING � � �� - �r-� OWNER rl�(�� f�� MAIL AooaESS %�Sf L!/ CITV (�p�,� CONSTRUCTION BRANCH �/ ADDRESS ✓ CONTRACTOR ��,�µ� �/�,��/ ADDRESS TEL. CITV -/i� N0.673�I STATE CITV LIC. NO. LIC. NO. 512 E NO. OF BLDGS. OF LOT NOW ON LOT USE OF .V�� EXISTING BLDG. �� ) v� NEWBLDG. `"rh 7 � ROOMS I STORIE: EXTERIOR WALL ROOF COVERING COVERING USE OF BVILDING AND WORK TO BE PERFOFMED tJ I hereby acknowlatlBa that I have reatl this application antl stete that the abova informetion is correct antl aBrae to comply with eq laws regulating builtling co�cttuetinn, anA 1 shall no<amploy eny pe�son in violatlon ot ihe workmen'e compencation laws of tha State ot Celitornle. I hereby cartify that I am properly Iitensatl as a contractor untler the State ot Caltforn(a B�ztnass antl P�ofesalons Cotle, Divbicn 3, Chepter 9, antl t�ei such licenses are In tull forca and etfact, or I am exampt from the provisions of iha State of Californle Businesa and Professiona C/odfe, Dlvision 3, Chepter 9. sienature or `' / ` / � Permlttee V / Authorizetl Apent � "1°00 437� ��*=18.50 ��c �a�,�z� ��f�d .i--3-�� PP�ICPI�ION fOR BUILDlNG PERMIT BUILDING ADDRESS OWNER FIRE ZONE APPqOVED _ � PERM N v� � S LOT BLOC Lt/ el il � VALUE � �{ � � $ �/� V E //'�GflOUP /� � � DATE // � / NE�`/ IP�� O I BUILDING EW� L�� VARDSAPPROVED VApDSAPPROVED MAIN BUILDING ACCESSORV BUILDING DISTANCEI MAIN BLDC VAR. $ C. V.P. � APPFOVED VALUATION $�� °� BEf. MAIN & V A m � 0 i � ¢ � m N E O LL vEesa �uilding,'ilepaitment � ATT�►N FOR PEIt,IVIIT Ny �� 111 EA6T 20th '��_ =ET + n _ � ZOSTA MESA, CALi�.��JRNIA° �4 __ __. .0 : :�.D.�.N.G. _- - :.,�. FOR OFFICE USE ONLY ' ,. FOR APPLICANT TO FZLL IN- ; eeceiPt No. ver�ri�t No. � Building . I� �9� j" Adtlress �� 19tj1 ,5't. � ; .� L }•r , �� Received by, Date Rec'd. Date Issued . Costa Mesa, California i �, ._ � : � _y `. 5� Nearect plaeentia � Cross St. Building � / � _ � ' - Address � � i � Owner Trautwein Aros . � Costa Mesa, California i'- Mail 1�69 Santa Ana Costa hiesa � Addresa 7 Nea�est � � � Tel. Cross St. � city Costa P�Iesa no. 5698 M zo�� rvo.or Type I Grou Arohitecto{ Lic. .� i I P�ans I. �: � � EnglneerL. %8 lin-Snrin�auo.0 E 46�5 Approv d� j b Date , Address 1133 Coast, S. La�una Deach � CORRECTIONS--i_ �� c�cr u�. 881 Contractor f3.1,. Metcalf No. ��j Address853 N. Glassell Oran�e —� Legal Lot (/ _ � � Degeription I No. 06� I. Block I Tract - (Attaeh Metes and Bounds) � � • Setback Line from Center of Street 2�� New Repair Use of New No.�of B�dgs. � NowonLot �TOri2 - - -• - -- ----'-� 0 No.af I No.of . ,. A Familles Rooma . � Rear Vard "_ .'_ ' _.. .'__'_.—' . . �" ._"'_ SideYard NOI12 , �,�, �, �;�� IF WORH � I I _ ... I .. .�`z'� No. of Rooms �-F stories Braeing, Bolts Lath. Int. 3�hereby acknowledRe that I have read this Application and state that the above is correct nnd agree to mmplp Lath. Ext. with all City Ordinances and State Lews �re�ulating building construction. � Plaster,lnt. Signature of � - Permittee �_ plaster, Ext. Authorized Agt. Masonry Reinforced Valuation $ J��Q � �.�,,,�..� zn� c_ im �s O 3�3-0 FINAL Inspector � Date Show �xatfon and distanees from property line and between bufldinga. � . Costa Mesa Building Department "—�" APPIZ��A'1`fON FOR PERMIT . 111 EA8T 20th BTREET o B U I L D,� N G�,.� � COST! :SA� CALIFORNIA �� FOR OFFICE USE ONLY FOR APPI.ICt1NT TO FILL IN eeoe�Pt tvo. _ Pe�m�c No. B��d��s � _ ..�`— I a 3 6 z Address .• Costa Mesa, Cia�1fOPII18, Received by Date Rec'd. Date Issued Nearest I . 02 ��SS � p2�/V�-�lE Cross St Building Address owner � Costa Mesa, i7ie,�OTT118, Mafl p 't Address � 7_(' y �hz,,,/�+ �''� Nearest /.,, �� Tel. � y Cross St. City py� ✓t( No. /-/ ^�/ Zong,� , � No. of � Type „ � Grouy or Address Size oT Lo1 Use oi ExlSting B Setback L No. G[71 �os No. L � Block Tr� and Bounde) 3 l C� ��' I No. of BId9s.LL,___ � �� — Now on Lot -/' �"7' ��r No.of No.oT Familiw Rooma — � i m3 90 sia��va�n 90 �. New I � I Alteretioi Repair I I Moving Buildfng i � No. Size y3 C �ii9'iRee Demolish EJ � � . Y i C ' O . � _ ... . - G1 APPROVALS Foundatlon Lxatfon I Inspector I Date Forms, Materials, I hereby acknowledge ihat I have read this Application Lath. Int. and state that the above is rnrreM and agree to comply Lath. Ext with all City Ordinances and tate Laws regulating building mnstructlon. Signatureof �,� Plaster, Int. Permittee piaster, HuL Authorfzed A9t. Masonry Rei Valuation , p d Permit Fee $ a, � , // � Plan Check $ B� $ � � t� Total p � � _ ....... .........._�. Fee S .� � . . . � . . � f � ...r . . .. . � � . . . • t. .. �. _ . a L V 1 1 LC11\ Show lowtlon and distancea from property Iine and between buildings. _ ' _ _ _ r. ^. ± .y ` ' _ ; . . ' _' " _ ' � . , . i _...._ ... .�.,, � �� _ _ ' ' ' � .. J. . . i. . y � -. cosrr. Q �E�75-SiPDtlE50. 3�+3a �+:>+:� •2.�0 _ r - . .:' , ;,. _ • �._,. .,,. ,. � ' � . 1. � ♦ i ♦ � _ .r. , :.-1. . . � � � . - , �,, ,. . . r . . .. . � � ' . , �l � � . 1 _ -.. \ _ •. .. Costa Mesa Bnilding Department PLICATION FOR PERMIT . '' COSTAF A CALIFORNIA �� B l� � I. D 1 N G ' FOR OFFICE USE O1V�Y FOR APPLICANT TO FII.L IN Receipt No. Permit No. sat�diog / _ � G, ��—' I Address � � COS%S MCSffy C&11fOTT118, Recet d Date Rec'd�� Date Issued Nearest � � � � / I � � '� � I - � S f CrosaSt Q Building ' � Address Owner `c..-<-�' Costa Mesa, California Mail '7� � p Address �✓7( �j ��.cy p.vc Nearest ' Tel. Cross St. City %J�. i..+'�.Gi No. -�105 % Zone /� / I No.of I 7ype � Group -- Arohitector Lic. l. Plans Engineer No. Approved � b Date Address CORRECTIONS City Lic. Contractor No. � Address lega,l Lo . /;,% i`� > �-� Descriptlon I No. �j � I Block � act, •-, .�.• � � .Il lf. (AttaCh Metes and eounds) �� tc,`/ -";_ :� / t � ' �w �� , No. of Bldgs�� / Size ot Lot � 3 �( f� Nowon Lot//�"'�"�/%� ��`� ' UseOf e_` I No.of I No.of �P � r Y•.� 7�0 Existing Bldg.. 14^�i7- Familles Rooma � SetbackLinefrom " �� RearYard � Centerof &trcet _ O'., . Side Vard 3GX. D DESCRIPTION OF WORH � New I� I Alteretion I I Addition I � -� Repatr I I�Moving I I Demolish I Building � � No.oi Size i" 9" �Rooms � SWries �- Exterior Wail - Roof cover�ng I covertng ,�'i-r� APPROVAIoS Use of New / • �Buildin n�,�.�. �/ / �Foundation Loeation Inspector Date g s`-�,L=-0'I---�C � L Forms, MateNals, jj0 Under-Pinning � Frame: Fire Stops, Bracing, Bolta I hemby aclmowledge that I have mad this Appllcatlon and state that the above is correct and agree to comply Lath. Int with all City Ordinances and State Laws regulat(ng bullding mnstruction. ��111 �ath.ext 8lgnatureof �`� ^+/ �}- , Permittee / ✓L-./�<✓wc�`� Plaster, Int Authorized Agt Plaster, Eut Valuatlon A Permit Fee $ �-f� �� Masonry Reinforoed ,./ / 6 Q U Plan Check S .\ O Bond Beam $ �H �� Total �/ Fee Y�•�S � FINAI YLVT YLAN Show focation and distanees from property Iine and between bulldinga . �_ . -, - _ ,,- � � ' COSTA ' Q' . .. -SEP-.7-55P�uFst,. 1S8a tj:��tt;�t.U.�O _ '`. _. . ' :i _ .. .., . ' .. � Costa a Building Department APPLICATION FOR PERMIT ��C � ' cAESAOCAI FORNIA S�C B U IrL�D,t N G � , FOR OFFICE USE ONLY FOR APPLICAN FILI. IN � _ eceipt N, permlt No. dadress � c• � i � �S� I .5�3� Costa Mesa,, California , �e1 f_ Y I�� A R d. Date Issued y � �.�,._ earest � ross SL -7 '/ �� f Build� g . / �/ Q T.� A Address � wner / jZtU� � � � ail �,� t �S Costa Mesa, Ca,lifornia ddresa � � �-y /� Nearest /s . ./ Tel. CrosS St. ' Architect or LiC. Engineer No. App� b , Address , City Llo. Contractor - l0 2 [� ' Add�e38 '��...� � ry�/ S/ i7c C f = peserption I No. JO/ I Block I Tract (Attach Metea and Bounda) No. of Bldgs. Size oi Lot Now on Lot �"f Use oi � No. of I No. of Building I hereby acknow1 and state that the with all City Or building constru/c� Signatureof ` Permittee _�S Authorized A9t. Valuation �a $ ,�.�D. d-- FtlHM 204 �-H 2M S•'. No. oT Rooms r �� S�4e� �� ScP G �}!�C /� � � e that I have read ihYs Applicatlon oye is crorrect and agree to rnmply ances and State l.aws regulating � Oate CORRECTIONS APPROVALS Foundation Location Inspeetor I Date Forms, Materfals, Under-Pinning Frame: Firo Stops, Bretinq, Bolte . lnt. � . � .'.� .� �� E�cf. � y. Reinforoed am ,.�• c � �" .,�- .s � —�--- , c J a a u c J� � t./ Q \� o \\ � a` �" r �� w��.,�.•._-, �_ ��_� �.�. .�; �•uu�i-' . r -`'' � I ., j��• . Street . � _, Pd.07C ELAN , Show locatlon and �di'stances trom property.lirie and between buildings. ., ; � ' ' _� y ' `? ic_- �. l I�'-'._' : _ � G � . ��, � �� ;; �_-_.� , , � 7�,zJ, � r � � N< < � ! / a.s ! � � � � � � 1 � :'�P. . _. -. . � , , . , .. . .. / � S� � ,,, �/>P/�v � 1�� X 1 � �'�i v I r� ' ��(:JC� /!e'li /?/ 7 S�<< o�.s_ � � • s{Ei ��l�:s�: , �., f" ` � � � � ,,, , �/ �� . - /�/c� s � :, � 1 , , .. , � . �;•�3 _ ,r�� ,.:s ' ' 1" u � �;�a/, ��3 . .. . �t��rTS �/.� ,��, _�.�,.�,�� «� ��,•� v. L . . �/� -. �F � � � � y �� w . � � �x�� . . 9�� - � � .�-� �-� 5�--��--� � . . ' � ��hu ��zt�- � ?� ��.�,--:� � --�� `��f ,�,� . . . �EE RECEIUED • . �' ': F;hall�d � AUG 25 1964 , (,'OSTA MESA BUILDING-SAFETY DEPARTMEM �,., � , (,5 - FINANCE DEPT. P. O. BOZ 917 COBTA M66A� CALIPOpN1A � CITY OF COSTA MESA Far Applitant fo Fill In Complefaly APPLICATION FOR PERMR � TYPE OR PRINT BUILDING aui�oiNo � For Offlce Use Only ADDRE63 RECHIPT NO. PHpMiT NO. COSTq MESA, CALIFORNIA ZZ� `�j _ . qece ar w x��i� p-reieeue{ OWNER � kfF (J�(. � B�ILDINO MAIL . _ ._ SC �� C . \ J -ri � � 1 �- �APPROVED % � ARCHITEGT TEL. BY DATE / OR ENGINEER �.e- NO. Z NINf3 ' ADDRESS z No wav ZO Q� NO.OF p880PNE .;�'. J : �' PLAN9 � pU1LU�N L� ' � CONTRACTOR , �DEI// G CCi. teae� • wDoeHss / U L L IJ� _ osecai'nox CITY O % LLG L I F A. P. NO. ! "y �� NOTE: NO EAVE OVERHANG SHALL BE LE53 THAN STATE TEL. � Z S 80" TO SIDE @ REAR P. L. LIG. NO. N EAVES SIZE � I no.oPeLoo9. �. ALLOWED tU.B.C.REQUIREMENT'. OF LOT � 6 NOW ON LAT YAROBAPPROVED YARDSAPPROVED USE OF MAIN BUILDINQ � ACCESSORY BUILDIN6 EXISTIN6BLOG. %j/L A2 <-?—F-OG� (FROM W]LST EEf BETBACK LINB PROM � � FRONT p[� �. FT. CENTER OP STPEEf , REAR YA O 1 U N U N L� R. BIOH D FT. �'. SIDB YARD LEFT NU F�(- RIGHT �.! ��"C • DESCRIPTION OF WORK �. aice Fr. Fr. NEW �I MOVIN6 !ON � DEMOL 8H I REAR Ff. �[ FT• DISTANCE BET. BET. MAIN Q REPAIR MAIN BLDGS. AGCESS. BLDGB. BUIL�IN6 �� NO.OP �RT�AL ypR.JC DATE SIZE !�-U FJ ROOMB " HTORIHB �' C.U.P. APPROV EXTERIOR WALL R�Op CLASS C j.ppR ,/� r COVERING C K COVERINfd P �7T/ A1 BY DATE �� USE OF BOILDING qND WORK TO BE PERFORMfiD / 1 H6REBY ACKNOWLEppg THAT 1 HAV6 READ THIB �PPLICATION TNe �MOUNT BHOWN UN�6N VAWATION 19 POR TXe ANO BTATC TH/�T THE ABOVH 19 COqqBCT AN� AOqHC TO COM. PUNP088 OP E6TABLIBHINO A PBRMIT F68 ONLY. BUILDI'Na CON R RAOINANC88 AND BTATB LAW9 PBOULATMO ypLUATION @D �J.A-'DEu-rsc� G }�. pERMITFEB $ � � SIGNATURE OR ' �p PERMITTE � cK S � Vyl $ �D c�oa AUTMORIZED AGENS' 1 ` TOTAL FE� $ � �� City of Costa Mesa Building SafeTy Department P. O. BoX 317 Coafv Mesa, California , ..0 _ r CERTIFICATE OF OCCUPANCY N� 217g C The Building lotaTed at 817 «E'st '1�1 %t2Y''L'� _ has been inspetted and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group � Occupancy. Use of Building A88 51A2�$@ 8Z'E'3 BIIC� P�OQ@1 LffiI�ILEL Legal Description :• P• �116-0�1.11 (See rererse ride for Mates and Bounds) Building Permit No. �� Electrical Permit No. 23� Plumbing Permit No�� Floor Load Signs have been installed as Room Capacity Signs have been insfaled as required �nder Sec. 2308 U. B. C. . req�ired under Sec. 3301 (1) U. B. C. — 17050. CERTIFICATE OF OCCUPANCY. (a) No apariment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid cerTificate of occupancy by the enforcemenf agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion ihereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments and/or guest rooms II ISSUED TO: Building Official `£rautweia Nz'os. yY � � � c_..- ��' e�� / . DaTe Mrtmh 7.(�i ],�,�4 This Certificafe of Occupancy SHALL BE posfed in a conspicuous place on fhe premises and SHALL NOT BE removed excepf by The Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Fo� sus�iu—�i-e3—s-s r Y (714) 754•5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us �� ^�^ �^��, ��,^ ,•��^, �^ �"'�� BUILDING PERMIT Job Addrsss: 817 W 19TH ST Suite: Viciqity: COMPLETE BUILDING Parcel Number: 42419111 npp�icant: HOWARD, RICK Addrpss: Zoning: Phone: 760-245-7325 Zip: ISSUED BY: Status: ISSUED Applied: 04I03/2000 Issued: 09/13/2000 Owner: TRAUTWEIN, PAUL TR Address °hL 8 M PROPERTY MGNT � NEWPORT BEACH,CA Phone: 1617 WESTCLIFF DR #112 Zip: 92660 Contractor: W P HOWARD CONSTRUCTION CO Address: 12798 SANTA ANITA TRAIL � VICTORVILLE, CA Phone: 760-2457325 P O BOX 7031 SVL BOX Zip: 92392 License: 645138 Arch : ITALO & ASSOCIATES Eng: Address: 10842 VICTORY BLVD � Address: Phone: (800)216-6869 Phone: N. HOLLYWOOD, CA � Zip: 91606 . License: License: SCOPE OF PERMIT � 15,531 SF TI FOR THE "EL METATE MARKET'. - Plan Check: $857.06 Permit: $1,318.55 SMIP Res: $0.00 SMIP Com: $33.07 Other: $0.00 Inspection: $0.00 Total: $2,208.68 SETBACKS � ' _ " " � MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: 0 NOTES: Rear 0. 0 Rear 0- 0 Reauired: 0 FEE SUMMARY PLANNING & ZONING Left 0. 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Ri9ht 0- 0 � , Right� � 0-0 �- � $157,484.34 so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void it work is nol commenced within 1B0 days, or if work is suspended or abandoned for a period of 780 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Insp9etlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zans-ee laroo) � WORKEflS'COMPENSATON DECLARATON: � t hereby etfirtn under penalty of perJury one af the following declarations: ❑ I have end vNl maintain e ceNficate of consent lo selbinsure for warkers' compensetlon, es providetl tor by section 3700 0l the Lebor Cotle, tor Ue peAormance of the work far which this pertnit is issued. ❑ I have arW wlll maintaln workers' cwnpensation inwrance, as required by section 3700 0l ihe Lebor Code, lor Ihe pertortnance of the work for whicti this pertnit is Iswed. My workere' compensatlon Insurence carder entl pollcy number ere: Cerrler: PollCy Number: (�T.h/ls sec(ion neetl not be completed 1! fhe permit is veluetl ef one hundred dollars ($100) w less.) 18/ I certify Ihat In Iha pertortnance of the work tor which this pertnit is issued, i shall not employ eny parson in any manner so as to becane subject to Iha workers' compensation laws q @litomla, end egree that 8 I should 6ecome subject to the workers' compensatlon provisions of Sectlon 3700 ot [he Lebor Code, I shall torthwlth comply with M� � '�lons Applicant Signature: \ Date: �—� 3� u J WMNINO: FNLURE TO SEIX/ E W� ORK 'H$ COMPENSATION OOVERAGE IS UMAWFUL ANO SMALL SUBJEGf AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL flNES UP TO dJE MUNDRED TVIOUSAND OOLL4RE (5100,000), IN ADDRION TO iHE COST OF C�OAIPENSATION, DAAINGE50.5 PROVIOED FOR IN SECfIIXJ 3lOeOF THE UBOR COOE, IMEREST, AND FTTORNEYS FEES. LICENSED CONTRACTORS DECIARATION: - 1 hereby aHirm Ihat I em Iicensetl untler proNsions ol Chapter 9(commencing with Section 7000) at Divislon 3 of Ihe Business and Professions Cotle, antl my license Is In full fOfCO end BHBCI. L1C. k Cless M conveaors siQnaw�e: oa�e: 9— i 2 � o J CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm ihat there is e wnsiruction lending egency for Ihe pertortnance oi Ihe work for which Ihis pertnit is issuetl. (Sec. 3097, Civil Cotle). Lendefs Name: Lendefs Address: Signature: OWNER-BUILDER DECLARATIONS: DB�B: I here6y eftirtn ihet under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Buslness antl Proteulons Cotle: Any ury or wunry which requires e permit b consWct, alter, Improve, OemUish, or repair eny structure, pnor to its Issuance, also requires the epD�icant tor such permit to Hle a signetl statemeN that he or ahe Is licensed pursuent m the provisions oi ihe Contrectors LJcense Lew (Chepter 9(wmmencing with Sectlon 7000) of Dlvlsion 3 ot the Busineu entl Prafesslons Code) or that ha or she is esempt therefrom entl the Desis tor ihe elleped exemptian. My violetion ol Soction 7031.5 by eny epplicent for e pertnit su6Jects the epplicant lo a clvil penalty of not mare then fNe hundred dallars (5500).): ❑ I, as owner oi Ihe properry, or my employees with wages as t�eir sde compensatlon, WILL DO THE WORK, end Ne aWcture is not InterWed or oHered for sale (Sec. 7044, Business antl Professions Cotle: The Conirectors License Lew does not eppty ta en owner of property who builtls or improves Iherean, and w�o does such work himself or herself or ihrough his or her own employees, pmvided that such improvements era not intentletl or offered tor sale. If, however, ihe builtling or impmvement is sold within one year ol complation, Ihe owner-bulider will heve the burden ot praving thal he or sha tlitl not build or improve far purpose oi sale.). ❑ I, es owner ot Iha properry, am E%CWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe prolect (SecJ044, Business and Professions Code: The comrectors License Lew Ooes not appty to en owner oi properry who bullds or improves Ihereon, end who contracis br such proJect wlih e camrectoqs) license pursuant to Ihe ConUectors License LawsJ. ❑ I am exempt under sac. Business end Pmtessions Code for this reason: Signature: Date: Owner ID verifietl 6y tlrivers licensa. ❑ Yes ❑ No Orivefs License No. Eapires: Verilication of Ownarship by (rype ol Gocument, I,e. - D�oOerry ta+c DIII or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR LERTIFICATION: ❑ 1 hereby certily ihat no excevatlon frve (5) or more feet in depth into which e person is requiretl to descend, wlll De matle in connecllon with work euUro�izetl by thls pertnit, and that no building struqure, sceMolding, talsework, or demdition or tlismantling t�ereof, will be more ihan Nirty-six (38) teet high. (Chap. 3.2, Grp 2, Art 2, Sec. 347, Ttle B, Califomia Administrativa Cade). ❑ As owner-builder, I will not employ enyone to do wark whic� woultl require a permlt Irom the Divislon ol Indusirial Salery, es noted above, unless such pereon hes e pertnit to do such work trom the diNsion. Signature: Dale: Division of Indusinal Sefery Parmit Number: CERTIFlCATE OF CAMPLIANCE AND AUTHORVJITON OF ENTRV: 1 cehily under penelry of perjury ihat 1 �ave read this applicatlon entl state t�at t�e infortnation given Is cortect I egree to comply with all state laws end Gry ordinances relating to building construclion, entl euthorize representetives of the Ciry ol Caste Mese to enter upon Ne above-descnhed property lar inspection purposes. I egree not to occupy or ellow occupanq ot eny builGing eutharized by Nis pertnit until finel inspection. Le el Owner(s) Date `j —i�— o� a' uthodzed Applicam Date COGE �, INSPECfpNT'PE 1616 FixeO System Final Fire Preventlon 1266 Pool Spa Final 200 Finel RaRoof 201 Finel BIocWRetaining Well 202 Finel Factory Fire Place 203 Finel Sign 204 Finel Domditian �[E �� fQQgj INSPECTIONME 208 Final Mechaniwl 208 Final Plumbing 210 Finel Elecirical 212 Final Fira Prevenllon 220 Finel Planning Approval 222 Final Site 250 Final Building/Occupancy P�ff �� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us �� ^�^ �^�� '^'•""^. "^ �""" Job Address: 817 W 19TH ST Suite No Viciniry: Parcel Number: 42419111 npp�icant: HOWARD, WILLIAM Address: 12798 SANTA ANITA TRAIL VICTORVILLE, CA P,�O BOX 7031 SVL BOX owner. TRAUTWEI�N, PAUL TR Address: °hL 8 M PROPERTY MGNT NEWPORTBEACH,CA � . 1617 WESTCLIFF DR #.+.72 MECHANICAL PERMIT Phone: 760-245-7325 Zip: 92392 Phone: � Zip: 92660 : Contractor: W P HOWARD CONSTRUCTION CO Address: 12798 SANTA ANITA TRAIL VICTORVILLE, CA Phone: 760-245-7325 P O BOX 7031 SVL BOX Zip: 92392 License: 645138 Arch / Eng : Address: Phone: Zip: , License: Slatus: ISSUED Applied: O1I30I2001 �ssued: 0?J26I2001 ISSUED BY: SCOPE OF PERMIT INTERIOR STORE TI FOR "EL MATATE MARKET." --- ISSUE FEE . Inst FAU <700 k BTU Inst FAU >700 k BTU , Repair I Alt ,CoolinglHeat Inst I Rep. Recess Wail Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping � . Factory Fireplace � " Hood w/Mech Exhaust � VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 70000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $0.00 $0.00 $0.00 50.00 50.00 50.00 56.15 50.00 $21.30 50.00 , 50.00 30.00 50.00 50.00: $0.00 510.65 536.20 $0.00 50.00 Quantity 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 1 2 0 0 FEE SUMMARY . � _ Repair/AltAbsorbtionUnit � - ' � �-� �Repair / Alt Refrigeration Unit ' � Ventillation System Evaporetive Cooler i .',� � Commercial Incinerator = • � � :� - - Domestic Incinerator � - � �� / � Compressors / Absorption Systems ' �Up[o3hp/100k8TU �� : �� 3To15hp/500kBTU� " � � 15 To 30 hp / 7,000 k BTU ' / 30 To 50 hp I 1,750 k BTU � �" � Over 50 hp I Over 1,750 BTU ' - �� Boilers - � - � � Upto3hp i ��'�� . 3To15hp ' , 15to30hp : _ � , 30 to 50.hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspeclion Fee TOTAL CALCULATED FEES COMMENTS I SPECIAL CONDITIONS $0.00 $0.00 50.00 50.00 50.00 $0.00 � 50.00 $352.95 50.00 ' S0.00 $0.00 Quantity 0 , 0 0, 0 0 0 0 13 0 0 0 50.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 $47.00 50.00 5497.75 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulatlons. (Ord. No. 92-28, § 1, 1241-92) � EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or il work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to ba considered legal, such work must comply with all applicable codes, and all � required Inspections end final epproval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaeae �eroo� WORKERS' COMPENSATION DECLARATION: � I hereby aHirtn untler penalry ol perjury one af Ihe lollowing dedareUons: ❑ I heve entl wlll melntain e cenificete ol consent to self-Insure lor workers' compensatlon, es Orovided for by section 3700 ot the Labor Cade, br Ihe pertortnance of [he woAt tor whiGh �IliS �IBRtlit 15155U8A. ❑ I have and will maintain workers' compensation insu2nce, as requireC Dy section 3700 of the Lebor Code, for Ihe pertortnance of Ihe work far whkh Nis pertnit fs issued. My workers' compensatlon Insurance cartier entl policy number are: Cerrier. Policy Number. (Thls secflon need not be comp/efed l! (he permit is ve/ued e! one huntlred tlollars ($f 00) or /ess.) ❑ I certify thet in the pertormance ol the w c for which this permit is issued, I shall not employ any person In eny manner so as to become su�ject to Ihe workers' compensetlon laws of Califamle, antl r e Ihet il I should become subjeq �o Iha workera' compensation pmvisions of Sectlon37 00 oi Ihe Labor CoOe, I shall forUlwlih ^^�^pIY-wilh.Ihese.Qrovlsl , ,/ /� I A Ilcant Si neture: � _ � y/ �L1 n PP 9 � Date: �� WARNINO: FAILURE TO SECURE WOHKERS' COMPENS/TION WVERAOE IS UMAW FUL PND SHALI SUBJECf Ml EMPLOYER TO CRIMIWIL PE�JALTIES M1D GVIL FlNES UP TO ONE HUNORED TIKKISAND DOLLARE (5100,000), IN AODfTION TO THE COST OF COMPENSATION, DPMAGES AS PROVIDED FOR IN SECiION 3]OB OF THE UBOR COOE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I em licensed under provisic CoNractors with Sectlon 7000) ol Divislon 3 of the Business entl Prolessions Cotle, antl my license Is In tull Cless p r. ,/ _ _ . CONSTR�DTION LENDING AGENCY: ❑ 1 hereDy ettirm Ihal �here is a canstruciion lending egenry tor the pertormance ol the work lor which this permit is issuad. (Sec. 3097, Civil Cotle). LentleYs Nema: Lentlers Atltlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eMirtn that unAer penelry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professlons Code: Any ciry or caunry whic� repuires a pertnit to construct, alter, impmve, tlemolis�, or repair any structure, prior to i�s issuance, also requires the epplicant for such permit to file e signetl statement t�et �e or s�e is licensed pursuam to the provisions ot the Camrectors License Lew (C�apter 9(commenGng wit� Section 7000) of Dfvision 3 oi the Business end Professions Code) or t�et he or sha is exempt therefran and the basls for the ellegetl e:emption. Any violetion of Section 7031.5 by eny applicant for e pertnil subjacts the epplicam to a civil penalty of noI more ihan tive hundred dWlars (5500).): ❑ 1, as owner of the properry, or my employees with wages as Iheir sWe compenseCron, WILL DO TNE WORK, and Ihe siruIXure is not intendetl or oNeretl tor sale (Sec. 7044, Business and Professions Code: Tha Contrc:.tors License Law dces not appty to an owner of properry who builtls or Impmves thereon, and who does such work himself or hersetl or throug� his or her own employaes, proviCed �hat such improvements are not intendetl or oHered tor sale. N, however, �he building or impmvemem is sold within one yearai completioq Ihe ownerbuilder will have the burden ot pmving thet he or she did not build or improve for purpose oi sale.). ❑ I, as owner ot Ne properry, am E%CWSIVEIY CONTRACTING WITH LICENSEp CONTRACTORS to construct iha project (SecJ044, Business and Pmfessions Cotle: The conlraclors License Lew does not �'ppl¢to en ownar of property who �ui105 or Improves ihareon, and who contracis tor such prolect with a contrector(s) license pursuant to the Comredors License Lews.). ❑ 1 am exempt under sec. Business ana Professions Code lor Ihis reason: Signature: Date: Owner ID veAfied by drivefs Ilcensa. ❑ Yes ❑ No Drivefs Ucense No. Vedfication at Ownership by (type ol tlacumeni, i.e. - properry tex bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby cenify thet no excavatlon five (5) or more feet In depth into which e person is reqWred to descend, will be made In conneciion with work euthodzed by this permit, end ihat no building swcWre, scaHWtling, talsework, or demolition or tlismaniling t�ereol, will be more then thirty-six (36) feet high. (Chap. 32, Gry 2, An 2, Sec. 341, Ttle 8, Celitomia Administretive Code). ' ❑ As owner-builtler, I will not employ enyone to do work which would require e pertnit irom �he Divislon ol Industriel Selery, es noted ebove, unless such person has e pertnit to do such work tram Ihe division. Signature: Date: Division oi Intlustrial Salery Permit Number. CERTIFICATE OF COMPLIANCE AND AUTHORIIATION OF EMRY: I cenity under penelty ol perjury ihat I have read this epplication antl state ihat Ihe information given is correcL I agree to comDly with ell state laws and ciry ordinances relating ro building construction, and euthotlze representetives ot the Ciry of Costa Mesa to enter upon the ebove�descnbed property for inspection pyryoses. I agree not to occupy or ellow occupancy of eny building au�horizad by thls permit until tinel inspection. COOE I. INSPECTIONtYPE 1616 Flxed System Final Flre Prevention 1286 Pool Spa Final 200 Final Re-Root 201 Flnel BIocWRetaining Wall 202 Final Factary Fire Place 203 Final Sign 20C Final Demditlon �� uu, _ v N�/ l�ate � CJ/ � Date MQE� INSPECTIONTYPE 206 Final Mechanicel 20B Finel Plumbing 210 Final Electtical 212 Final Fire Preventlon 220 Flnel Planning Approval 222 FinalSite 250 FinalBuilding/Octupenty — �� i:iiii!1� i (714) 754-5273 • Fax (714) 754-4856 • v+ww.ci.costa-mesa.ca.us � � �^�^ �^� • �, ��' ^'•""^, "^ �""" Job Address: Suite No Vicinity: Parcel Nunmber: 877 W 19TH ST EL METATE MARKET 42419111 App�icant: HOWARD, RICK Address: 12798 SANTA ANITA TRAIL VICTORVILLE, CA P O BOX 7031 SVL BOX Owner. Address TRAUTWEIN. PAUL TR °/aL & M PROPERTY MGNT NEWpORT BEACH,CA 1617 VVESTCLIFF OR #112 ELECTRICAL PERMIT Phone: 760-245-7325 2ip: 92392 Phone: Zip: 92660 Contractor: W P HOWARD CONSTRUCTION CO Address: 12798 SANTA ANITA TRAIL VICTORVILLE, CA P 0 BOX 7037 SVL BOX '-�Phone: 760-245-7325 Zip: 92392 License: 645138 ISSUED BY: Status: ISSUED Applied: 09/13I2000 Issued: 09/13I2000 SCOPE OF PERMIT 15,537 SF TI FOR "EL.METATE MARKET."- - .� . _. 30 FIXTURES, 20 OUTLETS, 10 SWITCHES, 2 MOTORS TO 1 HP, 10 MOTORS TO 10 HP, 3 SUB PANELS TO 200A, 6 LOW VOLT WIRING SYSTEM/CKT. REF: 800-00437 ISSUE FEE Temp service test. Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept OuUets � � . Switches , � Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to 7hp Motors to 10hp Motors to SOhp Motors to 100hp Morors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole 523.50 50.00 $0.00 $0.00 $0.00 so.00 $27.30 � '. $22;00 $11.00 $0.00 50.00 $0.00 $0.00 50.00 59.50 $723.00 50.00 $0.00 $0.00 $0.00 $91.50 $0.00 $0.00 50.00 $0.00 �uantity 0 0 0 30 20 , 10.: 0 0 , 0 0 0 2 70 0 0 0 0 3 0 0 0 0 FEESUMMARY Temp Dist System / Lighting � � Busway/t00fl � Standing Section Misc Electncal Equipment Transformers up to 1 kva/kw �� ................up to 10 kva/kw .................up to 50 kva/kw , .................up to 100 kva/kw - � ..................over 100 kva/kw-. � Low Voltage Equipment � Low Volt Wiring System / Ckt Misa Conduit Misc. Conductor Cirws ( gen or ride) . Circus (mech ride or lights) - Christmas Tree Stand Fireworks Stand Other Electrical Fee Investi9ation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 - $0.00 0 so.00 0 so.00 , o $0.00. 0 so.ao 0 $0.00 0. � $0.00 0 $0.00 "0 - 50.00,- 0 $150.00 6 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 50.00 50.00 $0.00 TOTAL CALCULATED FEES 5457.60 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This parmit shall automatically expire and become voitl if work is not commenced within 1B0 days, or if work is suspended or abandoned tor a period ot 180 days. . . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply wilh all applieabla codes, and all required Inapectlone and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiratlon o� this permit. FOR INSPECTIONS CAL�: (714) 7545626 zas.s �a�m� WORKERS'COMPENSATON OECLARAnON: I hereby aXirtn under penalry of perjury one of ihe tollowing dedaratlons: ❑ I have entl wlll mainteln e ceniticate ol consent to selFlnsure tor workers' compensetion, es D��ded for by section 3700 0l ihe Lebor CoEe, lor Ihe pertortnance of ihe work tor which thls permlt is issuetl. ❑ I have end will maintain woAcers' compensetion insurance, es required by secllon 3700 of Ihe Labor Coae, lor the peAortnance of �he work tar whic� UJs pertnit is iswed. My workers' compensation Insurence cartler antl policy number are: Certier: Policy Number: (Thls secNon need not be completed lllhe pemut ls value0 ef one hundretl tlW/eis (5100) or less.) �I certity that in the peAormance of tha work tor w�ich I�Is permit is issued, I shell not employ any person In eny menner so es ta become suD�ect lo the workers' compensetlon lews at Celtl la, end epree Ihat tl I shoultl become sub�ect to the workers' compensetlon provislons ol Sectlon 3700 01 the Lebor Cotle, I shell larthwith comply with these OroNsi Applicam Signature: �� Date: �� 3 ^ �^J WARNINO: FAILURE TO SECURE WORK ENSATION COVERAOE IS UMAWFUL AND SNALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES M10 CML FlNES UP TO ONE HUNDRED THOUSANO WLLARE (5100,000). IN ADDRION TO THE COST OF COMPENSATION, UMMOES r1S PHOVIDED f-0R IN SECTION 37080F THE IABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I here6y aHirm ihat I am licensedpnder proNsions ol Chapter 9(commendng with Sectlon 7000) af Division 3 0l lhe Business end Professions Catle, and my license Ls in fu0 torce an0 eflect.11c_a i� ` Class a Coniractofs Signatur� ��` \ Dete: 4.— iQ �[N CONS7RUC710N LENDING AGENCV: ❑ I hereby eHirtn that there Is e consWcOon IerWinp egenry tw Ne peAormence of the work tor which INs permit Is issued. (Sec. 3097, CIWI CoOe). Lenders Neme: Lendefs Atltlress: Slgnature: Dete: OWNER-BUILDER DECLARATIONS: I here6y etllrtn ihet under penelty ol perjury Ihet I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW for t�e tollowing reesan (Sec. 7037.5, Business an0 Professions Cotle: Any uty or counry which requires e permit to consWct, alter, impmve, tlemolish, or reDeir eny stmcture, prior to its issuence, also requires the applicant tor such pertnit to flle a signetl siatemen� that �e or she Is Ilcensed pursuant ta the provisions of ihe Conirectors License Lew (Chepter 9(commenGng wit� SecUon �000) 01 DlWsion 3 01 the Busineu flnd Professions Code) or that he or she is exempt Iherefrom antl the Desis tor the alleped exemptian. Any violation of Section 7031.5 Oy any epplicent for a permlt sub�ects the flppliwnt to a clvll penalry of not mwe than tNe huntlred tldlars (E500)J: ❑ I, as owner of t�a properry, or my employees with wages as their sde campensatlon, WILI DO THE WORK, and the siructure is not Intended or ottered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner oi proparty who builds ar Improves thereon, antl who Aoes such work �imself or harself or through his or her own employees, pravided that such improvemenls ere nat intended or oHered for sele. It, however, the building or improvement is soltl wi�hin one year oi completioq the owner-builder will have the burtlen of proving ihat he or she did not build or improve br purpose oi sele.). ❑ I, as owner of Ihe property, am El(CLUSIVELV CONTHACTNG WITH LICENSED CONTBACTORS to construct the pmject (Sec. 7044, eusinass and Professions Code: The conUaciors Llcense Law tloes not eppty to en owner ot pmperty who builds or improves Ihereon, end who contrecls tor such project with e contrector(s) license pursuant to the Contwctors License Laws J. ❑ I em ezempt under sec. Business end Pmfessions Code for Ihis reason: Signature: Dete: Owner 1� veAfleG by tlrivefs Ilcense. ❑ Ves ❑ No Orivefs License No. Verilicatlan of Ownership �y (type of document, i.e. - properry tac bill or tleetl): DIVISION OF INOUSTRIAL SAFETY PERMR CERTIFICATION: ExpirBs: ❑ I hereby certity t�et no excavation frve (5) or more teet in depth into which e person is reQuiretl to descen4 wlll be metle In connection with work euNorizetl by ihis permit, entl t�at no DuilAing siruIXure, scattdCing, falsework, or demdition or dismantling thereoi, will Oe more than ihirly-six (38) teet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, T111e 8, Celitomia AtlminisVatNe Cotle). ❑ As owner-buildar, I wlll nat emplay anyane to do work which would require e pertnii trom t�e Division of Indusirial Sefery, es notetl ebove, unless such person has a permit ta do such work from the division. Signeture: Da�e: DlvLsion oi Intluslrial Sefery Permit Number: CERTFlCATE OF COMPLIANCE AND AIRHORQATION OF EMRY: I cenity under penalry of perjury �hat I have read this epplication and stele thet the informatlon given is correct. I egree to comply with all state lews end dry ortlinences relating ro bullding conslructlon, and euthodze representatives of the Clry of Costa Mese to enier upon Ne ebove�descnbed propeM lor inspechon puryoses. I agree noI lo oaupy or allow occupancy of eny building euthonzed by lhis permit until final inspection. COQE I' INSVECiIONTTPE �� 76�6 Fi:aA System Final Fire Preventlon 1266 Paol Spe Final 200 Flnal Re-Roof 201 Flnal Block/Reteininp Well 202 Flnel Fetlory Fire Placa 203 Finel Sipn 200 Flnal Demditlon Qdff. Q� CODEI MSPEG710NTYPE 208 Flnal Mechenical 20B Flnal Plumbing 210 Finel Electrical 212 Flnal Fire Prevention 220 Flnal Planning Approval 222 Final Site 250 Finel Bullding�Occupenq Date 4- r3-� Date � �� i �'� .Ir' (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us . " �^'^ "^'"`, """'^'•""^„'^ """" Job Address: 817 W i9TH ST Suite No Vicinity: EL METATE MARKET Parcel Nunmber: 42419111 Applicant: HOWARD, RICK . Address: 12798 SANTq ANITA TRAIL VICTORVICLp, CA P O BOX 7031 SVL BOX ` Owner: TRAUTlNEIN, PAUL TR � Address %L 8 M PROpERTY MGNT \ NEWPORT BEACH,CA 1617 WESTCLIFF DR #112 PLUMBING PERMIT Phone: 760-245-7325 Zip: 92392 Phone: Zip 92660 Contractor. W P HOWARD CONSTRUCTION'CO Address: 12798 SANTq ANITA TRAIL - . VICTORVILLE, CA- Phone: 760-245-7325 P O BOX 7031 SVL BOX Zip: 92392 License: 645138 Arch / Eng : Address: Phone: _ - _ 2ip: License: ISSUED BY: Status: ISSUED Applied: 09/13/2000 Issued: 09/13/2000 _ SCOPE OF PERMIT 15,531 SF TI FOR "EL METATE MARKET." � . 2 CONNECT (ICE, SODA, ETC), 5 FLOOR DRAINS, 1�SEWER CAP FOR DEMO, 1 SEWER CONNECT, 1" .� BAR SINK, 9 COMMERCIAL SINKS, 79 FLOOR SINKS, 1 SERVICE/MOP SINK, 5 TRAP PRIMERS, 1�� WASTE 8 V�NT SYSTEM, 3 WATER CLOSETS. "' ' -. '�� REF: 800.00431 : ' . � ' � �' ' � , ' ` - ISSUE FEE BackFlow irrigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental UnitS Dishwasher Drain, Floor Drein, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (t-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip FEE SUMMARY , AMT� = "QTY , �- � AMT $23.50. � � � Laundry Tub / Washer $0.00 $0.00 � 0 � , � � Lzndscape Irrigation $0.00 $0.00 0 � P-Trap ' . �$0.00 $0.00� 0 � Pressure Regulator �$0.00 $0.00 � 0 -; Process Piping (per 10 R) $0.00 $19.60 2 � Receptors $0.00 $0.00 p SepticTank $0.00 $0.00 0 Sewer Cap for Demo� � $9.80 $49.00 5 Sewer Connect $24.65 $0.00 0 Sewer Private Line 50.00 $0.00 0 ShoWer $0.00 $0.00 0 Sink, bar $9.80 $0.00 0 Sink, commercial $8820 $0.00 0 Sink, Floor $186.20 $0.00 0 Sink, kitchen $0.00 $0.00 0 Sink, service/mop $9.80 $0.00 0 Spa (private) $0.00 $0.00 0 Spa (public) $0.00 $0.00 0 �. �i., QTY � i, 0 �SumpPump':- " 0 � � Swimming Pool 0 . Trap Brimer � 0 Urinal 0 - Vacuum Brkr BkFlow(1-4) 0 � Vacuum Brkr BkFlow(5+) � 0 Wash Basin 1 Wash Basin Set 1 Waste and Vent System 0 Water Closet (Toilet) 0 Water Heater / vent 1 Water Piping (Inst or Rep.) 9 Water Re-pipe 19 Water Service 0 Water Sokener 1 OTHER 0 VIOLATION - 0 PLAN CHECK REINSPECTION AMT $0.00 $0.00 $49.00 $0.00 So.oO $0.00 $0.00 $0.00 $9.80 $29.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 5 0 0 0 0 0 1 3 0 0 0 0 0 NOTICE: 7he work authorized by this permit shall comply with all applicable handicap access r�bLL@I�6�rAd-GHddtT�ili�6G�stS6B8s78nd related EXPIRATION: This permit shall automatically e�i��mSh�ve�l��{��d�lVfivithin 180 days, or if work is suspended or abandoned for a period of 180 days. -• INSPECTIONS: In order fo� the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 75q-5626 244&a6 (fi/00) WORKERS' COMPENSATON DECLARA710N: I hereby eXirtn under panelty of Perjury ona of the following tledaretions: ❑ I have and will maintein e cenificate ot consent to self-Insure for workers' compensetlon, es provlded for by section 3700 of ihe Lebor Cotle, for Ihe peAormance of the work for which this pertnit is issueA. ❑ I have and will maintaln wo�kers' compensatlon insurance, as required by section 3700 oi iha Lebor Cotle, for tha perfortnance of Ihe work for which NIs pertnit Is luuetl. My workers' compensatlon Insurence carrier antl policy number are: Cerrier. Policy Number: (This sectlon need not be completed i/ the permit is velued et one huntlretl tlollers ($100) or /ess.) '� I certify that in the pertormance oi Ihe work for which t�is permit is issued, I shall not employ any pereon In any manner so as lo becoma subject to iha workers' wmpensation lews o elifomia, end e t-W�ahouhYtracBme sub�ect to the workers' compensetion provisions of Section 3700 of the Lebor Code, I s�all forthwit� comply with these r' p. ApplicanlSlgnaWre�' Data: �' � �/ � � WARNING: FAILURE TO SECURE W�ERS' COMPENSATION COVERAC�E IS UNUWFUL AND SHALL SUBIECT AN EM%.OVER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLARE (5100,000), IN �DRION TO THE WST OF COMPENSATION, DMMGES AS PROVIDED FOR IN SECfION 310fi OF THE LABOR CODE, IMEREST, AND ATTORNENS FEES. LICENSED CONTRACTORS DECLAHATION: I hereby aHirm t�a� I em licensed un er provisions of Cha qjypmmencing with Section 7000) ot Dlvision 3 of the Business and Protessions Code, entl my licanse Is In lull force end eHect. Lic. M Class x ContractoYs Slgneture:� Date: �Y �� 3^ b CONSTRUCTION LENDING AGENCV: ❑ I heieDy attirtn ihat (here i9 a consiruction lending egency for ihe pertormance of Ihe woM for which this pertnit is issued. (Sec. 3097, Ciril Code). Lendefs Neme: Lendefs Address: S'�gnature�. OWNER-BUILDER DECLARATIONS: Data: I hereby ettlrm thet under penalry of perJury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, 8usiness antl Professlons Cotle: Any ciry or counry which requires e pertnit to consiruct, elter, improve, demolish, or repair any strucWre, pnor to its issuance, also requires the epplicant for such pertnit b tile e signed stetement Ihat �e or she Is Ilcensetl pursuent to ihe pmvislons of ihe ConlreMors License Lew (Chepter 9(commencing with Seclion 7000) of DlvLsion 3 of ihe Business and Pmfessions Cotle) or t�at he or she is esempt iherefmm and the basis for t�e alleged ezemption. Any violation ot Sedion 7031.5 by eny appllcant for e pertnit subjecis ihe epplicant �o a civll penalty ot not more than ilva hundred dollare ($500).): ❑ I, as owner ot the propeny, or my employees with weges as iheir sole compensetion, WILL DO THE WOpK, and iha struciure is not IntendeC or ottered tor sale (Sec. 7044, Business and Professions Code: The Contrac�ors License Lew does not apply to an owner ot properry who builds or improves thereon, antl who does such work himself or herseN or ihrough his or her own employees, provided Ihat such improvements ere not intenAed or otlered tor sale. If, however, ihe buliding or improvament is sold wilhin one year oi co�n0�etion, the owner-builder will have the burden oi proving ihat he or she ditl not build or Improve tor puryose oi sale.). ❑ I, as owner of the property, am EXCLUSIVELV COMRAC7ING WITH LICENSED CONTRACTOHS to wnsiruct Ihe project (Sec. 7044, Business and Protessions Coda: The contractore License Ww does not apply to en owner ol properry who bulltls or Improves Ihereon, antl who contracts for such project with e contrector(s) license pursuant to ihe Conlractors License Lews.). ❑ I flm exempt under sec. Signature: Owner ID venfietl by driver's lice�se. ❑ Yes ❑ No Business an0 Professions Code tor ihis reason: Verificetion oi Ownership by (typa a� tlocument, i.e. - propeny tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Onvers LiCense No. Date: Eapires: ❑ I hereby certity that no excd�ation five (5) or mora teet in tlepih into which e person is required to descend, will be metle in connec�ion with work euthorized by Ihis parmit, and tha� no builtling sirucWre, sCaftdding, falsework, or aemWition or dismantling ihereof, will be more than Ihirty-six (38) feet high. (Chap. 32, Grp 2, AA 2, Sec. 341, Title 8, Calitomle Atlminisiretive Code). ❑ As ownerDuiltler, I will not employ enyone to tlo work which would require a permit from tha Division ot Industrial Safery, es noted abova, unless such person hes a permit to tlo such work from ihe division. SignaNre: Date: Division oi Industnal Safary Perm�t Number. CEFiTIFlCATE Of COMPLJANCE AND AUTHORQATION OF ENfiiY: I certity under penelry of perjury Ihe� I have read this application end state thet the infortnation given is corteq. I agree to comply wtth sll state laws end ciry ordina�ss ralatlng to building conshuction, and auttwrize representatives ot the City ot CoSta Mesa to enter upon the ebove-describad praperty for Inspection purposes. I agree not lo occupy or ellow occupancy of eny building euthorized by this permit until final inspectlan. �% Signature 01 Legal Owner(s) qnd/Or Authorized Applicant COOE �. INSPECTON TYPE 1616 Fixed System Flnal Fire P�evenilon 1266 Pool Spa Final 200 Flnal Re-Root 201 Flnal Block/Reteining W9�� 202 Final Fectory Fire Place 203 Finel Sign 204 Finel Demolition P�IE II�dF3 Date � 13—v� oeia COpE� INSPECTIONTYPE 206 Finel Mechanical 208 Final Plumbing 210 Finel Electrical 212 Finel Flre PrevenUon 220 Finel Planning Approval 227 FIneI5lte - 250 Final Building/Occupency PAffi 1IffQ1SLH ♦ . r G PNO1ECf RODRES3: B S% W 1 9 TH J�T mvx¢x•sN�Me: TRAUTWEIN PAUL A TR �ooeess: ; L & M MANAGEMENT 1617 WESTCLIFF DR 7ti12 • NEWPORT BEACH,CA 92660 �� `NIENGINEEB: 110DNE33: .� NEO.NO.: uxrt: UNR: ecn�mEE: RAY TRAUTWEIN ( 714 ) 646-3679 �ooxEss: 1617 WESTCLIFF 112 NEWPORT HEACH CA 92660 LICENSED fANTMCTOH OEC1AM710N: I �eaGy alfirm Ihal I am GcenseE unOer prwisions of Clwpur 9(��0 �N ��Uon 70W� ot Divsiai 3 0l tAe Business mE Profession CoEe, anU my Iicrose k in hdl farce aM ettect. cm uc.: ar�� uc.: cuss: Date: SiO�Wre: WUNKEHS' fAMYEN3�T10N OECIAWITION: I hereEy atllrm t�at I lave a artilkate ol mnunt ta ulNnsura w a artilkate af WorMers' �qI11pEI15ilYNl IIISIIfB(ICE, Of d CGNflE LOPY IhEfC01 ($CCliOn 3Q�, L2�. �. �POl1LY NO.: E%P. D�TE: CeN1ieE copy is nare0y IumisAeO. ❑ Cen111eE copy Is IileE vAtn IM dry BuiINnO Division. �GaIl: ApPliWrn: F7IEAPfION FHON WOBNEHS' COMPEM&TIOM OECIIIMTION: (This section rerd mt Ee camWeteE if ihe perRil is la one AUMreE (5100) w kssl. I cenity Nat m t�e pertormance oi Vro wnA lor wluch Ihis Dermit is i55ueE, I sAall not employ any person in any manner w az lo bacome suhject ta t�epWarkers' Compenou�ion Laws f Califomla. 1n,� Date: I`� �� 7 f) Slpnatura: I � �� , NOfICE: If, atter makinp thh Eeclantlon, you s�oNE hecome subl� ro IM WOAers' Compensatlon prwisioi¢ at Iha Labar CoOe, you must forlMvlth wmDN �� D�ovislons ar I�is permil slull Oe EeemeA revoke0. fANSTHUCTION 1EN01N0 �UENCY: I �ereEy atllrm that I�am I5 a construcfion Ientlln0 apancy for tlre pedorrtunce al t�e wark for wNc� IniS Dermit is issued �Sectlon 3097, Civ. C). IFNUEP: ROOflES3: , ' OWNEB BUILOEB OECUMTION: I �ereby atlirm ttwt 1 am exemD� imm Itm Contadors' State License Law lor Ne lollowinp reason (Sectbn 7031.5 Business anE Pmfessional COEe: My city ol counry wNc� reyuires a Dermit to cansWp, atler, impmve, Eemolish, or repa�r airy strucWa, O�ar lo its LSsuance, alsa requires tAe ap011cant lor such permil to fila a sipned statemeni Itat neJSAe Is IlcenseA pursuant ta tAe pmvl5ion5 0l tAe Conlrapon' Sute Llunu Law (CMpttr 9(commenpnp wiN Sectbn 7000) of OiWsion 3 of Ne Business anA Prolessians Coae) or Itwt twJs�a is exempt t�emtrom anE IAe hasa lor IOe vle0e0 �empiion. My vialatlon ol Section 7031.5 Oy airy apWkant lor a Oermit suhjxta �M appdcant ta a clWl oanalry ol �rot moa ttwn IFre nuntlmd CWlars (�1. �I, u owner o� t�a Dropany ar rtry e�ployees xitA xapn az t�eir wle comperi5atlon, vntl Eo Ihe xork, antl I�B structurel5rqtintenCaO oroHerMforvle�5ectlon 7064, Business arN ProlessionalCatla: TAa Convaztors' Sutelicense Law does not apDN �o an mmer ol a DropeM� �ullOs or improves IMreon, arM who Uces suc� work kmsell/Aerselt or I�roupA , N5 or Imr mm empbyees, DrmiEed IM� wc� Improvemmis are not NtWeU or ofieretl lor sale. If, Iqwever tha hu04in0 or improvement i5 SOIG witAin one year oi comdetlon, the awner xi0 Aave Ue EuNen oi D�0 �s�e OW not hWE or imDrave for Ne wmose of ulcl. I. u mmer al tAe Oraperty. am ewUuSiveN cwlractinp with IkenseE cantractars to consiruct Ne Drol� /�n 706C. Business ❑ aM Prolessions CaUe: The ConVacias' Sute Licensa Law Eces not appy to an mmer ol property wlp h� or mproues Iherem yM who contaqs lor suc� D�� qt� a caniractw(5) Ikense pursuant to Ne ContracroK SGte Lke�Se Law�. I am av.ara tlut praof ol Ueir Worker's Compen52� �wrance sMulO oe WovWeC ro me. � I am ezempt un0er Sectlon: B. 8 P. C. lor Ih¢ reason: j� � Date: � ' � � � � �! —r Ovmer. 1 r�`'� I Oo IierzEy certity Wt I am aware oi aM unEentan0 Ne repuiremen6 al Glilwnu Healtn anE Sahry CaEe SecGois 25505. 25533, antl 25534 aM tlut I or arry Imura WiIEinO �� noI kirde one) nttE ro mmpN �� d sWte coGa aM Ne repWaments lor a permtt tor caatnrttian or mo0itkatbn trwn tM N�ualiry ManaOement Oisirip. HesiEential consiruction appGcalions ara .xemD� �rom Nese OroYsions. Date: MDGcant: I tmre0y ceNry ttwt I Mve read tltls appliatbn a�M siate tlut the aEow Informatlon k wrrect. I apree to mmqy with all dry ana counry ortinances anG snte laws rzlalinp ro Cu0Ein0 ' an01ure0y aNlq�ize reD��s ol tNs dry m eMer upan Ne aEwe�menUonN DropeM lor inspection Durposas. � � � / Daro: SIOnaWm: om�er's �iceirse or sacia� Security M: IBtl-�8 NTite—BuilOinp; OrBen—CaOe Enlorcement; Canery—Applicnm: Pi^k—Revenue: GolEanrotl—Asseswr CITY OF COSTA MESA — BOILDING PERMIT PERHIT NO: GRA 049155 PLAN CHECK NO: N CONSTRUCTION TYPE; PEAMIT TYPE; GAA SOB DESCRIPTION ; 170LF CONCRETE SWALE CLAIM VALUE: CALC—VALUE: PERM NO:'GRA 049155 GOVT: N SUPP: N PURPOSE: OTH sg er: GROUP OCC: / COMMENTS: X r**r��rr*******xw******�ww*�e�r�er�rrr***�r**�r+r*x**ww**+rwr**r+t**r�+r�e*�rw*+r*rr****�*�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 FANT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PAOV: PARCEL: 42419111 ZNE: AEF NO: PLANNING NfSTES> > itiFkiFikMlfM%ffMiFMMkiFM1lMM�l�FiFlflFMiFMkiFikiFifMfFMMiklkiFiFifiFMIkMMMM1FMiFifMifiFMIFMiFMifM1FMMikMMMitifiFkMlfifikif 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 HY DATE; HUILDING APPAOVED BY ; DATE: -�' 1 � c APPLICATION ISSUED BY; DATE: �i �`� 1lMMMiFififMlFMMiFMifMMMikMMkM iFMM1fMMMMMk kik ikilMMiFifMMkMMMM1fMMMMiFMiFkMitMMMMMMil1fMMM1Fik1kltikilifNikitkiFiFMMMMitMkifMMM1fMMMMMMifMMM1lkiFMMMkMik LEGALIZATION;N' F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMHING ELECTRIC MECHANIC ��:�:�� FIRE SMIP/RES GRADING 15,0� SMIP/NON—RES PLAN ISSUE EEE 3,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 15,00 3.00 0.00 18,00 18.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 18,00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTAIC MECAANIC , FIRE SNIP/TOT GRADING PLAN—CHECK L8,�0 ifMiFiFNif MMiFNKiFM1FM1fiEMiFiFMMMif�FMiFiFKMif ifitMlfiFMiEiFMikiFiEakMif MMMiFMMikMMikMMiFiFiFikiFiklkif akikMitif MifMMiFiFikit I N D I V I D U A L F E E H R E A K D O W N �3YPE QTY D E S C A I P T I O N UNIT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT �'�� , 0] OD0;035b—00077350 '�'o� T :L.OG DATE: 09/25i9C• TIrE: i2:0%r ; CON �`","i ION AND PLANNING �DOL � oPA APPRUvALS Permit#� Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location c.2,,,So�Pipe-Undeg.rnc� 53. Steel Reinforcement ��Ie�rical Co�au�@tility-Undrgrnd. 54. Forms ��. �}gqriwl Condp [ drgrnd. 55. Electrical Bonding y�5^ te� Reinforcem,�r� � 56. Rough Plumbing & Pressure Test � � �`_E(n`Y�'tricalUF_;�',r�d. 57. APPROVALTOCOVER�GUNITE ,``��, ,tEl��fOdZings STS 58. Electrical Conduit-Undrgrnd. w `" B�Lo�dation ' , 59. Gas Pipe, O Undrgrnd., Test HNater Pipe�Undrgrnd. . 60. Backwash Lines, P�Trap, O Undrgrnd. . i�. S[{y5tural Floor System 61. APPROVAL TO DECK � 11. �ogerty Sewer Lirtq & House Connection 62. Backwash & Receptor-Final � 12. Sew"2r Cap y �� 63. Heater & Vent-final . 13. Roof Drains -- � 64. Plumbing System - Final 14. Rough Plumbifr ^ 65. Electrical�Final 15. Rough Electric2l-Conduit 66. Solar System-Final i6. Rough ElectriGWiring 67. Fencing & Access ApProval 77. Rough Wiring�g,`r� •� 68. APPROVED FOR PLASTERING 18. Rough ElectriAl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19�,Ro}+Qh I�atyq9 �r Condit�qqip� ,y,C, * y�,a* * tr,FI�,�E,�£T. fkEQUIFtEMENS ,• " , m �cu�o m * i- 20�Rop8h �sct�Y "�ffi�eDlace i St^ �d � S � C� * �,APPFtDViQ&�-+FPeimit # � 'T� c., Y � ^ y '+- s 21�uCrIS {� StfLCt..* �•••• HS X S ti#�K IT: F .' Y+1 �� SH �k CJ � C'�# *.70. Gndergrqwi� H�ro �e 22�Du�is, Yfint�tiriq* i � CJ X C7 6 C� F* � 77. ProducFUr'�pdng [i�s C'�Oil 23.'Ga$�ip�Ro�h ��est t yS ��t o" K O� x- O i � Y i-� � , i�,.,,". ;� * � � S* # 72. Undergro}u� F��i � y� 24�fioo Fiaming x r� t7 * > c� �-+*M ^73"�Undergrnd.Sro ank?L7Gas OOiI �• x 25�,Ro�f SF�athing * � � x,.7 `� m �* � 7q�Overhead Hydr�a � 26�1'� ar Ceiling (Stru&tural) & r�coat x p :. V* x 75iDry ChertCcal F-D * n 27i�+Frame 3nd Flashin �� * � �' ��` * �"� '•` r� 'v ;.,�tT]CJ * i,* # 76. Dry Stan�i�je 4:.; x G - �28. Lathing� Siding �'n vaF O x f I �� 777 FIXED $'/BfE��INA2� ^'� C ^29. Insulati n � S � " * S * 7$�pFIRE PREV. FI(��l�L * � � � m30. Drywal ailing � ri i * e-� � S 4d6ALTk'DEPAc REQUIREMENT 031. Plaster ovJr� Coat�` 5 i 44 % � 79. FINAL If�CTI�N *✓ ,3 -� c, ¢32,'-�yElectriqai PqWer M�er�Fjnali x� I x 80.`;FOOD CERTIFIaATE I`'aS�,ED-t :*: F.335Fi V E' trie �K c*1 t 4 * � � N 5: '7 '-7!+7 �: `: O ti M � � � x * a � « `� �¢ m n � �;*� ,n'4,�.34'��Fir� He�tir�& Ai�Cq,rS�ition m x� * r.� � E-•� � "' ��. n ti !35ffinal Gas Pipe�Test� O�N •• x H I � �� `?n � � �" ' I;M 6 �C �6�Jio�'U or CanoPv *�n i St�*7 cn x * !�7 xo *� � '�37.�finaf Factory Fire�ac � � �' y * � I - * � �,., " O x S, �8. Fir� Plumbin9 � c�7� i �~-+ � ' � * � � '� -' �39. Water Service•Fina[� £ i * G �K * p � ~ `'' v: K I fK � F'-+ • �,r, ;L` - r40. Gas Service�Final *� '��"r' S � m � ,,, * Cl F F [*! � I 7� F• O e^. �i t O' �1. So1ar pomestic�Fina1 =q � -. f * � "�o U� M x � � 42. Backflow PreventerK �� * � � ^ � *C� OHH *� *« m m0 * F i-� 43. Backflow Ir(�atiortx >+ �'� �' � � � � '� x #M' N #3 O �4.�Landsc'd�e liriqatio�i Syste j'''�Qx ��,y *� ,Q d �* * f g p� r S ;. 45.Sound �ccemiacior� 7� •• ' * tn :� m� * v� c� �¢ • hv�:, x r+ n •.* * i / HC •'1-� • % �46.'Ha�jica(i Re�'ulati�s ~ O * � �` � S * lk Y ir. CJ O * �17. I L STRUCTU , E& BU �DING � �� i Q' x r' i r.. *N S '� * O ``48.�If�L PLANNINC� � `'F" L � * � ,� 1; 5 � C a49.`:Elec�ic Release to fdison i fi � � t*1 <C�+ •n " � : ON w OT x :'� � 50.`-Cia�elease to Sou'�ern Calit 'o�h� Gas Co * I I *^ !-� • •�- ' � � x * a: .. so o�o ri * r� "51. CERTIFICA7E OF OCCUPANCY - ' No. Date � PNOJECT AOOflESS: g 1 7 W 1 9 TH ST OWNEP'SNPME:TRAUTWEIN PAUL TR � aooness: RL & M PR(SPERTY MGNT 1617 WEST'CLIFF UR i{112 NEWPORT BEACH,CA 92660 APCHIENGINEEP: flEG.NO.: AUOflESS: UNIT: UNIT: PEflMITTEE:�BURGEY S ELECTRIC ( 714 ) 979-2311 FODflESS: 94S COLORADO ST (' G'j']� �EGp, CA 92 6 LICENSED CONTNRCTbB�ECI?�AlT16N[ ITiereby aflirm Ihat I am Iicen5e0 untler pmvisions o aD�e� 9 kammencing wi10 Sec�ion 7000) ol Orv;sion 3 0� the Business antl Pm�essions Coae. antl my license is in lull force ana eflecl. c�rvuc.:P 23 sTnTeuc.:395199 �"SS 0 �. Oate: __{Q�—� Signamre: _ l— . - — — I WOHNEflS' COMPENSATION OECLAPa7lON: I hereUy affirm that I have a certificate of consent to self�ins e or a ce icate ol worker5' ' Compensa�ion Insurance. or a cerlified copy thereoi (Seciion 3800. La�. C�. POLICY NO.: EXP. URTE: COMPANY: ❑ Ceriified copY is hereby fumished. ❑ Cehiiied copy is �iletl wi�h i�e City BuilOing Division. � Date: AODlicant: EXEMVfION FBOM WONI(EPS' fAMVEN5i1TI0N �EClA8ATI0N: (ih6 sedion neeG no� he complele0 il Itre permt is lo� one hu�reU �5100� or less�. I ceriify I�at in Ihe peAo�manw ol ��e work lor whic� I�is Dermit is issuetl. I shall no� empioy any person in any manner so as to Cecom¢ SuDle�� o Ihe WOtkers' ComDensation Laws ol Calilomia. /1, ' � (� � Si �Cil �ate:_� �'7 gnalure: NOTICE: II. alier making I�is tleclaration, you shoultl become su�leci ta ��e Workers Compensaii n pmvisions of Ihe La6or CAEe, you must fonAwil� comply with suc� pmvisions or t�is Dermit shall Oe aeemed revokeA. CONSTBIlCtION LENOING AGENCY: I hereCy ailirm i�at �here is a consimction lentling aAency tor t�e peAormance af the work for whic� ��is permil is issuea (Section 3091. Civ. C�. LENOEB: ADUflESS: OWNEfl BUILOEfl OECIAH�TION: I Aere�y aifirm t�at I am exemD� ��om t�e Comracmrs' State License Law tor t�e follovnng reason ISection 703t.5 Business an0 Pmlessional Cotle: pny city ol counry which requires a permit to consimc�, al�er, impmve, Oemolisn, or reDair any slmcWre. prio� to its issuance, also repuires tM1e aODlicant lor such permit to file a signetl statement itut �¢/she is licenud pursuam m t�e pmvisions ol i�e Convactors' Staie License Law (Chapter 9lcommencinA �� Section 7000) ol Division 3 of Ihe Business and Pmlessions Code) or ��ai nels�e is exempl Iherelwm and I�e hasis for Ihe alieged exem0�ion. Any Wolaiion o� Setiion 7031.5 Oy any apDlicani lor a permil su�le��s Ine applicant to a civil DQnally of not more Ihan �ive nuntlre0 tlollaR (5500�. i, as owner o� t�e D�oDeny or my employees wlt� waAes as their wle compensation, will Eo t�e wark, an0 the ❑ slmcNre is no� �n�endea or oifemG lar syle (Section 70a4. Business an0 Prolessional Cotle: The Contractors' State License Law Ooes not apDW �o an owner o1 a pmpeny wno owles or imomves Inereon, antl wno Ooes such wark himsell/AerSelf or inrougA �is or �er own employees, Drovitletl �hai sucl�imDmvements are not intentleE or oflerta �ar sale. If, however l�e Euilding or imD�ovemeN is sola wiNin one year of completion. Ihe owner vnll �ave the Uurden ol proving hrJSAe Oitl not builtl ar improve for ��e Ourpose ol sale). I, as owner of ��e pm0eny, am ex[Nsively conVacling wiih IicenseA contractars to constmct the pmject (Section 7044, Business ❑ anG Pmfessions CoEe: T�e Contracmrs' State License Law Gces not aODN �o an owner ol pmperry who Dmlht ar imprwes Ihereon antl w�o coniracls lor such pml��s wi�h a camracmqs) license pursuam Io I�e Coniractors' Slaie License Law). I am aware ��at pmol oi Iheir Worker'S Campensalion insurance S�aNG Ge pmh0ea ro me. � I am exempi under Sec�ion: B. 8 P. C. lor ihis reason: oale: Owner. i aa nereDy cenily �nat I am aware ol ana unaerstan0 tne repuiremenis ot Calilomia Healih antl Satety COEe Sections 25505. 25533, an0 2553d an0l�at I oe any fuNre Ouilding occupant wilUwill nol (circle one) need �o compy vnih SaiU slate co0es antl the r¢Quiremene5lor a permn lor constmc�ion or motlilicaiion imm ihe Nir �uahry Managemeni Oisinci. flesiGeniial constmciion aDVlicaiions are erempi Imm IhQSC O�OVIS10�5. Da�e: Fpplicanl: I hereby cei�dylha� I have rea41N5 ap0��aiion antl Sla�e�hat�Ae aboveinlormationis correct.lagreeio compty vnl� allciiy an0 counly ordinances and s�a�elawsrelalingto bmlaing consiruclion anA hereEy autlarixe repre5enialive5 olihis cityto en�er uponl�e aEove-mentioneA pmpetly lar in50ec�ion purposes. (��\] Oale: � ` �7 ��_o�SigwWre: l `�% �— Uriver's Gcense or Social Secunry x: �6at�a6 W�ne—Building; Green—Cotle Entorcemenl Canary—Applican�: Pink—Revenuo: Gdtlenrod—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERM NO; E 062787 PERMIT NO: E 062787 PLAN CHECK NO; N GOVT; N SUPP; N CONSTROCTION TYPE: PERMIT TYPE: ELE PURPOSE; OTH JOB DESCRIPTION ; FIREWORHS STAND SQ FT; CLAIM VALUE: CALC—VALUE; GROUP OCC; / COMMENTS; FIREWORKS STAND FOR THE "COSTA MESA HIGH SCHOOL COLOR GUARD" �e�rx�r�r��r�r*��*�e�e�*�r*�e�rx��r�r*,r��r��r�r�e+��e�r��r*�r****�r*�r�r*�*�x�r�r*�r�e*�r�r*�r�r�r***�rx **��r�**�r�r�r Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT; FT ZN LEFT: FT IN RGHT: FT IN PARICING REQ• PROV; PARCEL; 92419111 ZNE; REF NO; PLANNING N(STES> � f,' iE 1t if ik iE if if if iF 1k iE iE iF iE if 3f iF iF k 1E if ik if if f! iF k 1f 1f ik It ik ik ik.ik iE it i! iF if iE 1k iE if iE if k iE iE iEif iF it k k iE if if iF if iF i! �EiE iF IE if jE iE iE 1E iF 1E fE if iE * ff 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 20NING APPROVED BY . °�' DATE• BUILDING APPROVED BY : APPLICATION ISSUED BY: if ik iE k iF iF it it �t if i! if if it if k!F it iF �k k k if !! iE ik if If ff if if 1k k�F 1t ik!! 1E if M if if IE �f LEGALIZATION;N BLDG PMT PLUMHING PERMIT PLAN ISSUE FEE i ELECTRIC MECHANIC 7.50 50Y 15.00 DATE; DATE; 1S'� ��r�r**��**�r �r�r ik �F fE k 1E if i! �! 3F !E ik �F1F k iF iF �EiE iEiE if ik iE iE �E STRUCTURAL SEGMENT;N FIRE SMIP/RES GRADING SMIP/NON—RES BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE TOTALS----> 7,50 15.00 0,00 22,50 22,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 22,50 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 22,50 if if k k iF ff if ik �k iF iE k if 1t if iF IE 3F it it iE iF ik 1F it iF iF if if if if iF iF �f iE iE if if ff fk ik if if iF it iE if iE it iE iE iE iF iE iE if fk ik if if iE ik �ElE k iE jF iF 1E iE iE k!E iE 1ElF iF iF iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 FZREWORI(S STANDS EA. 7,50 7,50 END OF FEES O1 00141918-00141918 Tl7 T 22.SQ Df�TE: 05/29/93 TII1E: ID:ZS CONSTRUCTION AND PLANNING '�, APPROVALS Permit # , t. Temporary Elettrical Service or Pole� 2. Soil Pipe-Undrgrnd. �I 3. Electricai Conduit Uti�iCy�Undrgrnd. '�, 4: Electrical Conduit-Undrgrnd. , 5. Steel Reinforcement 6..Electrical UFER Grnd. 7. Footings ' � B• Foundation 9. Water Pipe�Undrgrnd. �- 70. Structural Floor System 11. Property Sewer Line.& House Connection 12. Sewer Cap 73. Roof Drains . 14. Rough Plumbing 15. Rou9h Electrica6COnduit i6. Rou9h EtectricWiring � 17. Rough Wirinq Sign 78. Rough Electrical-T Bar Cei�ing 79. Rough Heating & Air Conditioning 20. Rough Factory FireDlace - ' 21. Ducts, in-Structure ' ' - i 22. Ducts, Ventilating . � ' , 23. Gas Pipe�Rough & Test ' � 24. Roof framing � ' 25. Roof Sheathing . 26. T-Bar_Ceiling (Structurai} & Monocoat 27. Frame and Flashing . � 28. Lathing & Siding � ' . ' 29. Insulation 30. Drywall Nailing � . 31. Plaster Brown Coat . 32. �Electricaf Power Meter-Final ,33.•Einal Eleatric+ � -.. 34. Final Heating& Air Conditionir5g� 35. Final Gas Pipe�Test 36. Hood or Canopy ' , 37. Final Factory Firep�ace 38. Final Pl�mbing . � 39. �Vater Service-Finai . 40. Gas Service-Final 41. Solar pomescic�Final - 42. Backfiow Preventer 43. Backflow Irrigation 44. Landscape Irrigation SYstem � � � 45. Sound Attenuation 46. Handicap Regulati0ns _ 47. FINAL STRUCTURE & BUIIDING 48. FINALPLANNING� '49. Electric Release to Edison 50. Gas Release to Southern California Gas Ca 51. CERTIPICATE O� OCCUPANCY No. - Date POOL . ePA Date Inspector APPROVALS Permtt # 52. Pooi & Equipment Location 53. Steet Reinforcement 54. Forms 55. Electrical Bonding 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, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Etectrical-Final 66. Solar System�Final 67. Fencing & Acces: ApProval 68. APPROVED FOR PLASTERING 69. POOLlSPASYSTEMSFINAL FIR��DEPT. REQUIREMENT r�: . APPROVAL-SS' �Permit# -- ' � i 90. Undergraund Hydro . .71. Product PiRing O Gas ❑ Oil - , 72. Underground FIusH� '� � , 73.1lndergmd.StorageTank �Gas ❑Oil - 74. Overhead Hydro � . 75. Dry Chemical - • ^ 76. Dry Standpipe ' 77. FIXED Sl'STEM F�NAL �' ' 78.� FIRE PREV. FINAL � � HEALTH DEPT_ REQUIREMENT �� 79. FINAL INSRBCTION I -�- F,.� 80. '�OOD CERTIFICATE IS$UED � � ��` . ' , ' � ( ` : I �� I . . �� Date � Inspector A �onnrssaew�w+o: 817 W 19TH ST oxmeneruYeicoawx: TRAUTWEIN PAUL TR „no�ss; ±L S M PRbPERTY MGNT 1617 WESTCLIFF DR #112 NEWPORT HEACH,CA 92660 .vr�. �uia'o wo�ss wcxrtecT on [xuw¢x: uHr: CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: E 083943 PLAN CHECK NO; N CONSTRUCTION TYPE; PERMIT TYPE: ELE ucr», JOB DESCRIPTION ; FIREWORKS STAND WCIt 011 EN0.4 �UDPES4: UNT: `��`T�� 945GCORONADOCDRZVE ��14)979-2311 cwm�croxs�uian COSTA MESA CA 395199 ��' 92626 "`'� „�: UCENSED COMRACTOfl4 DECLAPATION: I liraby Nim uks paWy d perjivy Ntl I em fcwwE wMr pw�mwi� d Gheqs B �o�.�a wn s.�,� �000 a onea, � a m. a� w v�«:�. we...�w �.e. x b nm e�. w.n.a. cmuc.No.:023866� uc.cuss: C-10 uc./i�/p�7�39/51�)39 EXP• 02/98 Dma: �(�. /7 V'�� Camwr. ! 1`�/ [��//!_i 7� OWNEN BUILDEP DECIAN�TION: I hstly dfum �vder pwly d perjvy Nel I�m asemp hom Ur m' Lev �w ihs IdbwM �eeaan (Setlbn ]W I.5 Bunea� mA HWmrians Cods: My dY a odvaY w1iN ndw�at s Oum� b awshun. etls. inpow. damd'nn. a�apei enY wueiva; P� m'ta uawwa, e6o npiiim Ne ePO� la ach oa� to fils s i{pieE efetenstl tlW M a eM '� linn»d Wnuent b �M prwe'vir d Cr CaN�tlas lidee lar �C�eps B(�q �h Sedion ]000) d OFvian 3 d �M �,�y'vya yd peQlmiom Codsl a tMl M a tlr u mampl ihsa6an and IM boo lu Ur eUepeE sssmqun. Nry vidYun d Swion rm1.s W em evN� �a a o+� .�+�ns wpbw �o e da v�mv a ia mas �hen fxs �w�ed ddma IsSaoD. ❑ �.e�mwwd�nspwMv«mr«�Wrywwnwps+mNe:.demmv�.waotl»wk.dmsm�miaena'vnemee a dlered br veb (Section )oa,. Bmen eM PmlariwCaEe: TM GaMredon L'wne lerdm� no1 eGM'/to en owiwd pwaM Mnm md�hoEosad�wkl'vnrtlrcMnNa4+d�heaharwnemplqw P�diheleurh PERM NO: E 083493 GOVT: N SUPP: N PCTRPOSE: OTH SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC: / COMMENTS: FIREWORRS STAND FOR THE "COSTA MESA HIGH SCHOOL HAND" �r�+r**��*x��r�rx�**�it�it��r*x�rx******�r�**�r�r*�r*��r�r*�*�**x�*�r**�+�**�e�r�3t**�r#�*+r��r*�**+t* 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 BUILDZNG ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT ZN LEFT: FT IN RGFIT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ: PROV: PARCEL: 92419111 ZNE: REF NO: PLANNING NOTES> � '1E jf jf iE fE jE IE iF if if M iF iE 1E if iF iE 1f iFlElk iE if !E ik it it �F iE iF iE iE iE ��1f"1E if iE iE it if i! if iFlf iE if 1E 1f if iE iE if iE 1f dE 1F if iE if if �E ik'lE �E 3E')E if 1E iE if iE iE dF iE iE if �f 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'f S Mn dids a mpewae � !�'• impwamaMemenaimeMMadleWlaeab.tl.howsnr,tMddtlmpainpo.anstlewtlwdhnareywdmmqMion,lhe ZUNING APPROVED BY +/' DATE: cwmrbuilder wi0 Nw �M Widen d pw'vq M a Ne AN nol Mdtl a'vnpwe Iw Ns qvpms d�ebl. � I.nownerdlMpopeny.amvduwWmNreC�O��e��d'^VMal�n^�.��s+^E HUZLDZNG APPROVED BY : / DATE: vmeevon. coa: m. comme.. tc.n. �.w eo.. m mvM m.� wiw a o�w�v w,o aad. w mww« m..m .iw wno , r! i cmtre�Ye la wtli poptls xiN s mNraqw(s) Ica�ueE qusuW �o ihe CaMrada� Licwa lew). p,,,,,..,,,,a„�a.s,n�: e.av.c..n,w.�: APPLICATION ZSSUED BY: � i k DATE: it�t*iti(�3titit**�1Eit�lEit*iE�kiFititik*iF�iFiFiFiFiF�FiFiFi�'�F�F3f3F iFiF3FiF3FiFiF3F�Fi:iE�7E�1E*�(-3t�t*itit itit Dme: �� LEGALIZATION:N F E% �� S U M M A R Y STRUCTURAL .iEGME T;N i ao n.�eq� «n�h �n.� i.m .,,�r. a.na we.+,ene m. nP,i�«o«a. a e.um:. w.m� .w se'e+r coe. s.aian. uws. usas..m 255J,,erdNNlaanyM1nunbwM'vqooapenlwll��wi�nu(dicbw)neaEl000mqywi�uidtletemduenE�M�epuinmaHsM HLDG PMT PLUMBING EL CTRIC MECHANIC FIRE SMIP/RES GRADING apemull«mromxlianamoEdralonhwn�MAi�ty anpmiraduria.RrNsawlcauuuGionappimtbroareeumqM1anNeu pERMIT 11 . 00 °`�"' S0 � SMIP /NON—RES o°'°: "°°i`°m' PLAN W ONKEH'9 COMPEN9ATq1 OECL�R�110N: I Mraby eMirm uMx penMy d pe�ury one W Ne lolbwinp dedva�iom: j S S I� E F E E 2 2. � � ❑ in„,,,�e„n��i.:�.�«mr�.a�ie..n;�..i«.�.:�w�m�...wo.�+.ei�,nrsw�a�ooam.�.ea BUILDING—DIV—> PERMIT ISSIIE PLAN—CHECH TOTAL PAID DUE caa..�«m.wn�.�.am.�i>.nr.nu,ao.�ew�.a. TOTALS----> 11.00 22.00 0.00 33.00 33.00 .00 � i ne,» �a �� md,.�on�a.� oomo«�m� ��.�e... �.wa.a w saano aroo a m. �no, wm. ro� m. w�«�. a m. ,.o,xr«w�u�v.mm:o.�.e.�nr.a*..'�nP+�o�,u��..�ew�i��b.�.: EXPTRES REVENUE DIVISION TOTALS--> COLLECTED: 33.00 OVER/SHORT: .00 `°"'°" ' 07/O1/98 BLDG PMT PLUMHING ELECTRZC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECI( Paf .ry Numbs: 1 J 1 J V/ — J/ iM1ia eectian roM �rot e� mnnNlW Y rM P�'mt u M ar hWred Ao9ei� Rrwl a Nu./ � I ceniy rtx� In Ne pMormerca d IM wark br v.Tk� I�o pmmn b iwusd. 1 pvtl nd ampb� ury pr�on n ury mv�nar o m io Wmro abjaf to tM Maha�' mnprutlian Iex� d CeNorti E epn� tlW ! I Yald bacarr rApa to Ns wabn' wm/p� mtion pwaaioeu d Iraion J)00 d�MleOorCoda.l wuA in M x'nh Nw� Dme: ( (J^` � — �L_ MpFa�u: C . W�minp: F�Ilun ro ucun roMvn'rompw�tlon rovxp� l� unYwiW, mCWl1 �WNcI �n w Iqr ro crMl el p n�ltlu uM �.i� nnu w ro m. nuw�w rnowrd earw. lnu4owA h.m�mn m m. cm� or rnmp.n..wn w�+w vww ror in s«aon aros n� m. LNo, coe., brt...c .�w •mrmy r».. CONSTIIUCf10N LQlqNO �6ENCY: I hsWy M'em urder pwuly M pw�ry �Aw iMn u e mruvutlion MrM'vp aparcy br tlw qrlormaro d tM xM b r.hitli �Iro paml e ea�tl (Sad'on �. Cb. CI. LENDEN'9 NAME IOIDEN'8 �DONESS: I caWy Ihet I Mw ned Ne appG�w� �d �� Ns �or�'vdametbn u oortq. I rypaa b mmyy w'nh M my rd mvry ad'mum eM etme lewe rNmM m dik�0 mntrudn� md Mreb/ aWv¢s nP��miw� d Ilv aYm amr upan tM abv.smsN'vad D�Wdb '°'°n"°°'"'"'D°'°' ORV AMBURGEY Pmtl Nem� ��i Dme: � s�e d w.�w a (5151-aB.WP) WhYe-Buld�q85elelY•anm-Fde:CeemY-�OVk'+�:Pink-Revemw:0akamod-Aisem 33.00 ik if �FlF df iF iE if ik ik IE 1f ik if ff iFlk if 1k if if !E if iE iF if 7klf �k * 1f iE if iE M iE jf if 1E �1E jF iE �f iE 1E iF 1klf iE fE iE iE iF iklt if if itlt if iF 1f 1f iF if jf fE ff �k fF aF �F if �f if IF if 3E if Z N D I V I D U A L F E E H R E A I( D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 FIREWORKS STANDS EA. 11.00 11,00 END OF FEES r � �� 'c^-�� JUrJ 2 5 1997 � CITY. OFCO�iA.M��A i, _ CONSTkUCTION AND PLANNING - � POOL ?A APPAOVALS Permit# � Date Inspector AppflOVALS_ Permit# Date Inspector t. 7emporary Electiical Service or Pole 52, Pool & Equipment Location � 2. Soi� Pipe-Undrgrnd. 53. Steel Reinlorcement � ',' 3. Electrical Conduit UtilityUndrgrnd. - 54. Forms . 4, plecirical Conduit-Undrgrnd. ' S5. Electrical Bonding � 5. Steel Reinforcement � ' S6. Rough Plumbing & Pressure Test . 6. &lectrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE 7, �ootings 58. Electrical Conduit-Undrgrnd. . 6. Faundation 59. Gas Pipe, O� Undrgmd., Test 9. Water Pipe-Undrgrnd. ,' 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor Svstem � � 61. APPROVAL TO DECK 11. Property Sewer Line & 4oute Con�ection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent�Final 13. Roof Drains 64. Plum6ing System - Final 14. Rough Plumbing . 65. Electrical-Final • 15. Rough Electrical-Conduit " . �66. Solar SYstem•Final 16. Rough Electric Wiring . 67. Fencing & Access Approval ' ' 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING - � 18. Rough Electrical�T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioning •' � - FIRE DEPi. REQUIREMENT 20. flough Factory Fireplace APPROVALS Permit # 21, pucts, in Structure . 70. Underground HYdro 22. Ducts. Ventilating 77. Product Piping 0 Gas � Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24, qoof Framing 73. Undergrnd. Stora9e Tank O Gas ❑ Oi� 25. Fioof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 7B, FIRE PREV. FINAI. 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. E�ectrical Power Meter�Final R^ FOOD CERTIFiCATE ISSUED 33. Final Electric - � �/��l 1 � ^:.,tes: L 34. Finai Heating & Air Conditioning ' 35. Final Gas Pive�Test 36. Hood or CanoPY 37. final Fattory Fireplace 38. final Plumhing • � 3g. Water Service�Final 40. Gas Service-Final qt, Solar pomesticFinal � - d�C ._� 42. Backflow Preventer ��: % ' � J 43. 8ackflow Irrigation � • -� r ,'. ,r 44. Landscape Irripation System �r' • �- 45. SOund Attenuation � _ 46�. Handicap Regulations :� _ ';-+ 47�. FINAL STRUCTURE & BUILDING , . - "" 46. FINAL PLANNING ` ' � - ... 49,. Electric Release to Edizon 50. Gas Release to Southern California Gas Co � 51. CERTIPICATE OF OCCUPANCY . No. Date 6 \ ADP��ant to /III In all sDaees etcept those within heavy Doreer Iines ana si9n all apvroo/�ate tleelarations. CITV OF COSTA MESA CONSTRUCTION PERMIT Prolect Address �� - .Applicant's Mailing Address '-�[!�—�,, ��Owner'sName L'�'� �*-�'��'"n{p��"�"�• Pho`ne�%% �Address ��J�� i� �i�.a�a�[�''st� %�i^�.� 'Arch/Eng. _ License No. Address Contracror'sNam y �� Phone�rs�� Address (mailingl �1�� `- S-%� 9-1 ��7 City License No. �-�d� � `� LICENSED CONTRACTOR DECLARATION I hereby aftirm that I am licensetl untler provislons o/ Charter 9(commencing with section 7000) of Division 3 0( tne Business antl Protesslons Cotle, antl my Iicense is In full force a e(tB� . �� qa� License CI SS iG�j^se No. � � Da[e '/��/; k✓ 5'9 t r��^�Lw'H WORI(ERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certifita[e of consent to zelf-Insure or a cartlficate .of Workers' Compensation .Insurance, or a certitietl copy thereof (Sactlon �800, Lab. C.) S3 / � r� � , olicY No. UOG � — ComPanv •C�C JI+-�v Certi(ietl copy is hereby furnishetl. D e��ertNie c is i etl wilh the Uty Bu,Stlin vis on. ^ - � APGlicant ��' �'`^ EXEMPTI N FROM WORKERS' COMPENSATION DECLARATION �(ThisseCtiOn neetl not be complptetl if the permit I5 fo� one hundretl ($100) or less). I certily that In N¢ performanC¢ Of tbe work fOr which tnii perm�t is lssuetl, I znall nol emDloy any person ih any manner so as to become zubject to Ihe Workers' Compensation Laws o} Calitomia. . �a[e ' Si9neturc - NOTICE: If, alter making this qeclaration, you shoultl become subject to�roe Work¢rs' Compinsation proWSions ot Ih¢'Labor Cotle, y0u must Porthwith ' comply with such provisions or Ihis permit 5hall be Ceemetl .revoketl. CONSTRUCTION�LENDING AGENCV - ' • 1 hereby aHlrm Ihat tnere is a construttion Ientlin9 agency for the pertormance of th0 work for which Inig p¢rmit is issuatl (Sectlon 309] Civ. C.) LenCer's Name Lenaer's Atltliess OWNER BUILDER DECLARq71pN � i ne•ebv afflrm Lhat I am exomo[ from the ConVactor'S License Law for [he county whicb �equi�es a p¢rmit to COnst�uct, alter ITp�ov¢, aemousn or repav any struc[ure, prior ro its issudnce, also requires t�e applicant for such Dermi[ I to file a signetl statement tbal he/she is Iicensetl pursuant to the provi5ions of icthe Contraclor's Licenze Law (Chapter 9(commencin9 with SecHon 7000) o( Division 3 0( the Business antl Profezsions Cotle) or t�at he/she is ezempt there(rom antl the basis for tlle alle9etl ezemplion. Any vioiation ot Section '031.5 by any applicant ror a permit subjects the applicant lo a civil �nalty �of not more than tive �untlretl tlollars ($500). . � I, az own¢f of the prOpefty Of my ¢mploy0¢5 with wages a5 thelf SOIe �compensation, will tlo the work, antl the structura Is not intentletl or offeretl for sale (Seation'7044, Busiqess antl Pro(essional Cotle: The Contractor'S License Law;aoes not appty to an owner of a property who bulltls or improves th¢reOn, antl who tloes Such Wp�k hlm5elf/h¢rs¢I! on th�ough hls o� h8r Own employ¢es, OrOvitletl thdt such Improvemen[s are not Intentletl o� ofte�etl tor sale. If, howovcr, the builtlin9 or im0�o�ement is soltl wllhin ona Year ot com- pletion, tne owner will have the burden of provin9 he/she tlitl nol builC or Im- prava lor the purpose of sale). � ❑ I, as.owner af the property, am eaclusively contratting with Ilcensetl con- tractOfs[O ConsVuc[ the prOjec{ ($ectiOn 7044, BusinG55 antl Professions Cotle: Tbe Contractor's .License Law does not aOPly t0 an owner of property who builtls o� improves Ihereon, arytl wno mMrdtts fo� Such o�oieCts wlth a con- tractor�sl license pursuant [o tne Con[ractor's Llcanse Law�. I am aware that � prooi O( tlt¢ir Worker,'s Combensa[lon in5urancB Shoultl be p�ovitle0 (O me, ❑'I am exempt untler Sectlon � B. & P. C. for Ihis reason ' Date antl state zentatives Inspection Signature Driveri' L� Owner — certlty tbat I havo reatl ihis �n is correct. I agree to como� laws rela[ing to builtlin9 conf of this city to en�¢r upon .� 3�243 I I I _ __ . TYPEOFCONSTRUCTION NEW ADD A ERATION REPAIR � . ❑ GONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/US€ OF BLDG. � N.� /7' �.[�.�I �A �/ TVPE OF PERMIT GRADIN FO NDATION STRVCTURAL ❑ TENANT �❑yE�LECTRICAL ❑ PLUMBING ❑ MECHANICAL O �OTHER ILA�i�rT PROJECT DESCRlPrinu n_ F`_ /i-,Zr10 nrr_.uvnNgv � CONSTRUCTION TVP� VALUATION $ ��. �J(iO,-UD ZONE GRADING CU. VDS. AG0.E5 Remarks: ; � ' Preventer� Irrigation Dishevasher Drinking Fountains Floor Draios Flaor Sinks Gas Service � Outlets Interceptars ' Kitchen Sink ' ' lavatories , Roof Drains Reinspaction Fee ShOwCfs Service Sink � Sewer Cap _ ' Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Water Clout Water Heater - Water Service - Auta-Wesh Leundry Tra'ys $15 laue Fee Duct - Under Ground Duct - Structural Duct - Ventilating , Exhaust System ❑ Multiple Firepl/Fact. BIL �CBO # Heating System & Ducting ❑0.100,000 BTU � 100,000 0�55 9f. ,--- �. � ""�Y` I. I Reinspection Fee I.$15 i8 White - Builtling; Canary - Appllcant; Pink - Accounting; Goltlenrotl - Assessor Hood or Typel ❑ Canopy Typell ❑ Refrigeretion System ❑0.100,OOOBTU ❑700,000 ystem Repair/Alteration Fire Dampers � Regis[ers Issue Fee i r $ 3. '.i. F $ 3 A.P. # S Main Building: E T Front A Rear C Right gLeft Ping. Ret. # Planning Notes: ELECTRICAL Automatic Washer � Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher � Meter ❑over100amps. Dryers ❑Gas ❑Electric SubPanel '� Fan Motors 00.1 HP � i X- 8 F�A�U� � InaSolar O9�t5 HP 016-75+ Fixtures - � Microwave ' ' Device Boxes Pole Light � �J ; Outlets � Switches Garbage Disposal Generator 00�5 KW 05-15 KW Zone Reinspection Fee � $15 Range ! Sign Standing Sections Tresh Compacror � . Issue Fee �EVELOPMEN7 SERVICES REQUIREMENTS: Zoning Approved By Building Approved By � p��__�._.,n�+'� FEES O N I N G R E Q M T S. A SUMMARVO ES BUILDING PERMIT $ �s't�• B� • SMIP $ 3•3� , PLAN CHECK $ PERMIT ' PLUMBING $ ISSUANCE $ PLAN CHECK 25% S � � ENERGY P.C. $ ELECTRICAL $' GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ . TOTAL FEE $ ��g ' 3C PLAN CHECK 25% $ � . o.� oaoi��.ts-oon�9t2o �07�-. s�e.� DATE� 11/16188 iINE: 16:U7 _. , _ CONSTRUCTION ANDPLANNING APPROVALS Permit # 1. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. 3. Electrical Conduit Utility-Undrgrnd. '4~'Electrical Conduit-Undrgrnd. �5�Steel Reinforcement � •6� Elect�ical UFER Grnd.� � 7' Footings 8rFoundation � � n.. 9�. Water Pipe-Undrgrnd. . �10. Structural Floor System 11. Property Sewer Line & House Connection 12. Sewer Cap � 13. Roof Drains 14. Rough Plumbing • 15. Roygh Electrical-Conduit 16: Rough Electric Wiring .'J .17. Rotgh Wiring Sign •18. Rough Electrical-T Bar Ceiling �79. Rough Heating & Air Conditioning �20. Rough Factory Fireplace 21. Ducts, in Structure � 22. Ducts, Ventilating - �f � 23. Gas Pipe;Rough & Test , 24. Roof Framing 25. Roof Sheathing- ^ • ' ' � � � � 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and �Flashing � 28. Lathing &�Siding 29. Insulatibn � 30. Drywall Nailing 31. 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 - 39. Water Service-Final i 40. Gas Service-Final ' 41. Solar pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. F.INALSTRUCTURE&,BUILDI.NG � 4R. Soecial Requiremr.nts Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co Date Date F � POOL. A Inspector qppROVALS Permit # 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Electrical Cqnduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test ' 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVALTODECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final � 66. Solar System-Final - � 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit# 70. Underground Hydro �77. ProductPipingOGas ❑Oil 72' Underground Flush .73. Undergrnd. Storage Tank O Gas ❑ Oil �' •�74': �Overhead Hydro -' �' ' - - 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: B� i i� . �✓ .0 � .�� n < . . : r Date �Inspector � AOONESSOFBIALqM: 817 W 19TH ST °'""E"s"""E'F'°'°`''": TRAUTWEIN, PAUL TR A0D"�� 3L 6 M PROPERTY MGNT 1617 WESTCLIFF DR #112 NEWPORT BEACH,CA 92660 �vv�. �,uwia �oonEsa IMCXRECTOFFNOINFFA: /JMH.OX EN0.'91WPES3: 11C NO.: uMr: UNT: �""�Ta"''""'� AMBURGEY' S ELECTRIC ( 714 ) 979-2311 cam�croxs�uuxo 9q5 CORONADO DR �Sg COSTA MESA CA ��= 395199 92626 uM: UCENSEO CONfNACTON3 DECUP�TION: I hmeby dlim �vder paeWy M px'ryry Mtl I em Icwuad uMs prvnwm d Cheqs B (wmmmwirq v.il� Seciim 1000) d Dnisun J d ihe &�e'vnw and P�dwaans Cods. end mY liwnes u in fWl Mce W Mtetl. cmuc.a :02386t`6 uc.cuss: C 10 �0 39 9 XP: 02/96 � a _'�� c�a: o�a:,.^� � J \ OWNER BUILDEP DECLAF4TION; I hereby eMrm uMa pmdy d perjury thet I em sxemp trom �M Con on li� e law �w Ne� 'olbwvp reewn (�=an ]0�1.5 Bufiwse azd Rdeaeions COEe: My ciy a munty wl�idi tpuiiae e permil to oonM'. ellx. imPraro. emdah, w repei any atrvclure. pnw io ia eauance, abo repui�m IM epplimM la euch pemu lo Rb e aq�rd awemant Nel he a sM � iice�s�e w�a �o in. ao.�siar, e u. comreaa. umnsa �ew Icnap« e(can+m«�a .an swo� �000l d or.o� a a m. Buairim eM Prdaseiw Codel ^r thet he a she b azanp thaehan end the bese ta Ne elbpeE memqion. My vblmion d Sepion ]W1.5 Ey enY eOW�^t la e permG suEjMs IM epd�t lo e dW penelly d nal maro �hen Me huMred ddlen �5500�. ❑ Le,o.maramewwe�r«mv«�cM�+wYnrrepesmme:.d.aomo��+..:ueoubaak�au..m,wreenaimeneee a oMerad br veb (5aclion )OM. Buvross eM PMeasiom Coda: Tha Coruraawa lioeeue lew Eoee na eDON lo en ownmd pWaM wno waes « mw�* �na�. �a.no doa..�n w� mmsw «na�� «m�n n: «no� w„ �cbwv, w�.e ma.�n impmvanmila ere nq ir�ended a dlaed la ub. tl. Mwe`er. �M WAdvp a inpo.anaM u eald wnhin ms yav d mmpinion. the owMr-0udtls xi0 heve IM Gvden M pwfnp M a ehe did m ddd a imprws Im tM pupme d aeb�. � I. ea o�mer M IM puWM. em md�a!/ mnlrotliq wCh Gomsed conVectas b mrahW tlr p4ad (5etl'vn )W 6.8usine5a enE r�a.�» cae.: rns cam�.ca. u� �.w m.. oa ww m d, o..,,�. a nwmr .,no wu� �, �ww., m� �e wno mnlrecu tar wM P�deq� wnh . mNetlMa) lica�wd P�umu io IM Coru'man lironse LaW. � I em uamp uMa Secfion: B. a P.C.. br thu raemn: n.�.� Ownec � m nareby c.nily Nm �.m e.,a,. d u,a imd.++end u,. rpiuen+em a ceYon,u IbNn ena sdMr coaa swbn. zssos. zss�J. end 255N. eM iM� I v erry tutun buiNi�q moipeM xill / wil m� (�6 aw) rmd m mmpy x'tA eeiE tleta oodw ud IM rapulremsnU br apamillmownVuc�ionamoEKreiionkan�M�i�ty enepanwmDatritl.Reedenlblmntlrvqunappiotiomeraexemplromihme proviaionf. Oete: �DN�� W ORKER'S CONFFHS�TION DEttAPATION: i Mraby eMm+ imder penMy d pa�juy me d iM blbw'up Eetleretione: � I Mro eM vril meinlen e ceMiWs M m�uenl to �Minuw la xarken' companWian. n pwded Iw by Saeion 9]00 d tha lebar Cda, la Ihs peAormence d IM r.aek la wNc� Inb qmw u fvued. � I haw eM xil meimen wbn' wmwroeiion imurenu. m n0uiraE M Setlian �1W d Ns lebor Cods. M �he W�ormence d �M wwk la whidi i�ie Vermil ie iuusd. MY waFen' comG�+mion iuurerce uirir uW PawV �+mbm ve: �� S�TE FU��n EXPIRES aaKyN�mn«: �t�n-la_on 07/Ol./95 �rn;, ,.a� „�e na w�d.�� e rne �e n ro� o� hu�e�ed edw. R�ool a�J � I cMN � in iM p«lormence al tlr worlc lor whic� �M penw e ueued. I WA m� ampby erry pe�son in ury meniwr �o v to becwne eubl� �o Ihe xvM1nre' compeneetian lews M C ' � pns�pp A I shouk b cane wbjee m ihe worke�e' �o/q��e „i a ao a me �n« wa.. i� i. ir� h h rtm som. Dme: l (/ � � Mo�� Weminp: F�Ilun ro Ncun woM1'�ri ronpwuetlon rovnp� l� unbWul, �nd�IWl rbNcf �n wrplqw b Mn Iu p�ruMu �ntl nH� nnu w ro a�. n�.rer.a rrow.ne eo/rn lsiW aooA n.m�rmn ro m. cm� or corrqwv.rwn eamqi., va.e ror m sxtlm 81G6 or M. Le4o. COJs. InMwt uW •ttormY'• rNa CONSTHUCTON LENDINO AGENCY: I Mreby elfiim uMa peneM1y d pxjury ihei then b e fnnnNd'an bMi�p eperwy la �M pertormeMe d �M xvrk la whitli Ihe pemi e eaueE (SWvn �O61. Cv. C�. LENUEN'S NM1E: LENDEH'S �DONESS: I canity ihm I Faw reaE No applicmim and mis iMt Ne ebo+e'vJumetion e cmm. I epise b mmply wuh all My W muNy adinarcee arq ale�a laxc reletiq b buik'vp cmNutlia� eid hereDy eWvrse �epreaenle�i.as dihu tirylo mter upon IM ebv+e-ma�tioned popeM �o�impeqion purpasee. i prvu Nems t o�, �_ sre�+re a o.o«u.pe v�uco�� 5151d6 WP) WAna9uildiq 8 Selery: �raeMFJe: Cene�y-AppFau: Pink-Rsienue:OONenmd-Asmaor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 072978 PERMIT NO: E 072978 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE; ELE PURPOSE; OTH JOB DESCRIPTION : FIREWORKS STAND SQ FT: CLAIM VALUE: CALC—VALUE; GROUP OCC: / COMMENTS: FIREWORKS STAND FOR THE "COSTA MESA HIGH SCHOOL TALL FLAGS" *��x ��***�r*****��*��*�******��r�+r+r��***�*****+�x ****+��r�r�r�r*� *��*�*�r+rx��rx �**+��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 ftEAR: ET IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42419111 ZNE: REF NO: PLANNING NOTES> _ � �� 'IE 3E iE 1(� �1F �E iE i(-if if 1E 1E 3E iE K iE iE iE * K IE i! IE �IE 1E 3E �f 1E �(-3f if iF iF iF 3F i! IElt iE if iE 1E IE 1k iE �E 1ElE iE iF 1f if if 1E iFlf if ff� iE 1f 1E IE 3E 1E �E iE iF If iE 1F iF fF �E iE iE'1E �E if 3E 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: ��F��f^ lfifiEik M'1E1Eif�1EiE1E1liFfFiEKiEfF1EiE1ElEiFiFii-{FiFiFiF3F�F7FiF{FiFiF�f iFif ifiFiFiFiF3FiF�FTFiFTf3FiFiFlElfiEiFi41E1EikiE 3EfE LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT . 7.50 50$ SMIP/NON—RES PLAN ISSUE FEE 15,00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7.50 15,00 0.00 22.50 22.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 22.50 OVER/SHORT: ,00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 22.50 �FlFilIE1F1lit1E1E1FiEik1F16fkikiEfFlFiFiFilitiFiFiFlElFiFiFiF1ElElElFiflFiEiEiEiElFfbfkikif1E1k1f1EikfEikiE3EfkiEiFlE1EiE1EiEfE1!lEfFiEiEfEikiEfEikff�EiE1FaE �� I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 FIREWORKS STANDS EA. 7.50 7.50 END OF FEES a� �oiasiai-ooias�oi Tr_�r .�:.s� DATE: 6n123/95 TIFtE: 15:44 CONSTRUCTION AND PIANNING , POO� & SPA APPROVAIS Pennit # Date Inspector qppROVALS Permit #T_ Oate inspector i. Temporary Electriral Service o� Pole 52. Pool & Epuipment Location 2. Soil Pipe•Undrgmd. - � 53. Steel Reinforcement l,» r -3..Electricai Conduit Utility�Undrgrt5d. 54. Forms � ; 4: Electricai Conduit�:Undrgrnd. - 55. Electrical Bonding ^' ,, -5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. E�ectrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE 7. Footings � 58. Electrical Conduit-Undrgmd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test ,� 9. Water Pipe-Undrgrnd. � i 60. Backwash Lines; P-Trap,.iJ Undrgrnd. 70.-Structural FloorSvstem '• 61. APPROVALTO DECK� "` 17. Property Sewer �ine & House Corjnection 62. Backwash & Receptor-Final � 12. Sewer Cap '� 63. Heater & Vent-Final ' 13. Rooi Drains 64. Plumbing System - Final � 14. flough Piumbinq . 1 65. Electrical-final '"� 75. flough Electrica6Conduit - • 66. Solar SVstem-Final �� 16. Rough Electric 4Viring � f, 67. Pencing & Access Approval -' 77. Rough Wiring Sign 68. APPROVEO FOR PLASTERING i �. 78. Rough Electrica6T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace _ _ APPROV�IS �F Permit # 21. Oucts, in Structure � � - 70. Undergiound Hydro 22. Ducts, Ventilating ' � � 71. Prodoct Piping l7Gas OOiI 23. Gas Pipe-Rough & Test . - 72. Underground Flush - 24. Roof Framing � -, � 73. Undergrnd.SrorayeTank OGas ❑Oii 25. Roof Sheathing �� 74. Overhead Hydro 26. T�Bar Ceiling IStructural) & Monocoat 75. Dry Chemical , 27. Frame and Flashing i _ 76. Dry Standpipe ' 28. Lathing & Siding - � 77. FIXED SYSTEM FINAL 29. Insulation • . � 78. FIRE PFEV. FINAL 30. Drywall Nailing :� HEALTH DEPT: REQUIREMENT 31. Ptaster Brown Coat ; 79. FINAL INSPECTION r � 32. Electrical Power Met�r-Final ' S0. FOOD CERTIFICATE ISSUED r r' ' 33. Fina6Electric, _ �� ti ;.�'Y Notes:_ � 34. Final Heating & Air Conditioning ' '� - ' " � ' � 35. Final Gas Pipe-Test . , � • � _ _ 36. Hood or Canopy . - 4, ' , �� '- ' , - <-. 37. Final Factory Fireplace . "- - � • . � 38. Final Plumbing � _ .- ' � 39. Water Service-Finat ` � � . � � - 40. Gas Service-Pinal _ . - ' � � 41. Solar pomestio-Final �- � ' ' � 42. 8ackftow Preventer T - � • � - � 43. Backflow irrigation. , . �� ' 44. Landscape Irrigation System " � _ � � •45. Sound Attenua[ion�, � ' � ; _ -; �- � � 46. Handicap Regulations � �� _ ' 47. FINAL STRUCTURE & BUILDING + 4 �., • ' 48. FINALPLANNING - ' � ,." ' . " 49. Electric Release to Edison !� � 50. Gas Release to Southern California Gas Cv '" 51. CERTIFICATE OF OCCUPANCY � ' No Date ' PflOJECTFDOFESS: 81'] W 19TI-I ST owNensxamE: TRAUTWEIN, PAOL TR noosess: ;L S M PROPERTY MGNT 1617 WESTCLIFF DR it112 NEWPORT BEACH,CA 92660 pRCH/ENGINEEN: AUUflESS: HEG.NO.: ueir: UNIT: PEHMITTEE: AMBURGEY' S ELECTRIC ( 719 ) 979-2311 aoosess: 9 q 5 CORONADO DR COSTA MESA CA 92626 LILENSEo CONTflRC70B oECLAMTION: I nereby attirm that I am Iicen5e0 un0er provi9ons a1 Chapter 9(commencing witn Section 7000) of Oivision 3 of Ihe eusiness ana Pmtessions CoOe. antl my license is in iWl forte anA effect. cirru1c.: —0'2�3(�86C6 sTnTeuc.:395199 ��C 1� ExP• 02/�, Oa�e: iQ�1_ `� $igna�ure:_� C�`10o •� /� 400NREB5' COMPENSATION UECLAPpTION: I hereby afiirm I�al I �ave a cehifica�e ol ConSeni to sell-i e or a�tiRa�e of Workers' Compensa�ion Insuranc �or @ cenilied copY ��ereol (Sec�ion 3800. Lah. C�. roucrno.: 131�073-94 E%P.DpTE: O%/OI/9S COMPRNY: STATE FUND ❑ Certi�ie0 topy i5 hereby �umis�ed. CS Certdietl cuOY �S liletl�e ci il0ing UNsion. roro�� ^�' 1�—( 4' ApPlieant: �� i.�el„ ESEMPTIONFflOMWOXNEflS'LOMPENSAiION�ECNNRTION: (ThissectionneeAnotbecomplete0ilihepermi(i ronel eU�51W)orle5s�. I certity tnat in ihe oeMormance of tne work for which lhis permit is issue0. I shall not emDloy any oerson in any manner so as ta becoma sublect �o ihe Worker5' ComDensalion Laws oi Cahbmia. Dare: SigwWre: NOTICE: II, alter making this Geclaration, yau shoWG Gecame subject to t�e WOM1ers' Compensation Drwisions af the LaEor Coae. you mu51 foRhvnth comply wi�� suc� pmvi5ion5 or IN5 p¢rmii s�all Ue OeemeC r¢vokeE. CONSTPUCTION LENDING AGENCY: I �ere0y affirm that ihere is a constmction IendinA aAency tor the pedarmance of the work for which I�is permi� is i=suetl (Section 3097, Civ. C�. LENOEN: AOOflESS: OWNEN BWLDEB �EClABR710N: I Aereby afiirm t�at I am exempt tmm the Caniractars' State License �aw for the tollovnnp reason �Section 7031.5 Business and Professional Cade: Pny city of county whic� reavires a permit to consimct. alier, improve, DemolisR or repair any siNCWre. prior lo its issuance. also requires tne applicant for sucn permit ta file a signetl statement t�at nelshe is IitenseE pursuam m the pmmsions ai the Cantractors' State License Law (Chapter 9(commencinq witn Section 7000) of Division 3 of Ihe Business ana Prolessions Code) or that he/she is exemo� �nerelmm anU the basis for ihe al�ege0 exemo�ion. Any violation ol Section 7037.5 by any apPlicant �or a Dermit sublec�s 1he aD0licam to a civil penal�y ot noi more �Aan live �undretl Dollars (5500�. I. as owner o1 ihe o�oveny ar my employees witn waBes as iheir sole compensation, vnll Oo lhe wOrk, an0 ihe ❑ simcture is not intentletl ar ofleretl for sate (Section 7044, Business anA Proleuional CoGe: The Contractors' State License Law aoes nol apply m an owner ol a pmperty w�o Ouilds or impmves t�er¢on, anG who Goes suc� work �imselUherseti or I�muph hi5 or Aer awn employees. D�oviEeE Ihal SUth impmvemenis ar¢ n01 int¢ntleG or aflef¢0 faf sale. II, AOwevef lhe UuilUinp Or impmvemenl is sold witbin one year of compleiion, 1�0 awner will have the �uraen oi pmvinp he/she EiE noi 6uild or impmve for Ihe purpose of sale�. I, as owner of the pro0eny. am exclusivety coniracting with licensea conlractors to constmct Ne O�alect (Section 7U94, Buslness ❑ and Pmlessions Code� The Coniractors' State License Law Does not ap01y ro an owner of Ompeny who Uuilds or impmves Ihereon an0 who [onlrac�s lor such pmlecis wi�A a contractar(5) lirense pursuant to Ihe ConVactors' Staie Lit¢nse Law). 1 am aware inal prool of their Worker's Comvensation insurance snoultl �e pmvieetl to me. � I am erempt untler Seciion: B. 8 P. C. for Ihis reason: Da�e: Ownec I tlo hereby cenity Ihat I am aware ot antl unAerstanOlhe requiremenls ol Calilornia Health and Safety Cotle Sections 25505. 25533, antl 2553a antl I�at I or any IUNre �uilding occu0ant will/will not (circle one� neetl to comDty with said state cotles an0 ihe repuiremenis br a permil for constmclion or motlilication �mm ��e Air Ouabiy ManaAement DisiricL Residential constmction appliWtions are exem0� �mm IhPSC Of0VI51005. Daie: Fpplicant: I hereby cenify ��al I have reaa �his aDDlica�ion antl state �hai �he a�ove informa�ion is cortecl. I agree fo comply ordmances antl s�ate laws relating lo buildmg consimction and hereby aulhorize �epresen�atives of lhis ciry �o enier u[ propetly for inspection purposes, , � n /` � � \,Q y ( � (, `�/ SignaWre: � � IIX �� oriver's �icense ai Socia� Security n: I 1641-46 Whi�e—BuilOmg: Green—Cotle Enbrcement: Canary—Applicanf. Pink—Revenue; Goldenmd—Assessor CITY OF COSTA MESA — BUILDING PBRMIT PERM NO: E 067825 PERMIT NO: E 067825 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH SOB DESCRIPTION : FIREWORKS STAND SQ FT: CLAIM VALUE: CALC—VALOE: GAOUP OCC; / COMMENTS: FIREWORKS STAND FOR THE "COSTA MESA HIGH SCHOOL COLOR GUARD" �r****ir**+t*+t�r*�it�ti��ftf**i�**i�*�t*�t*+r�t*i�*it**ir***�t�t*�t**�r*�t�ft*�x�*�x�****iti�i��;r*it***�t�+��*�r+t 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 --------- FANT; FT IN REAR; FT IN FRNT; FT IN AEAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGFIT: FT IN PARKING REQ: PROV; PARCEL: 42419111 ZNE: REF NO; PLANNZNG NOTES> > i! it'iE it it it iE it it if it iF i4 it it it it it it it iE it iE if it ir it it i! it iE it if x�.9E it ih i! it iF iF it if it it iF 3t 3f if it iF iE ft it it it it iE iE 16+E i4 it iP it x tE iE ib ic-it i@ 9t iE k iF # it it 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: I V l. < < DATE: ��Z� �r*+�*+r***�***x�*fr�t*x�*fr**i'r3FTFTr��*��rT�*ic�x�x��r�3F�r�r .�**i . �� ***�r�r�r�r�r*x�**+trt**x�*�r�r�r +r x+r**�c� ifiEiflfifi(�iElEifik3fiE*jEiFiflEiEiEiElfiEiFihitiEiElEifififitiPlf;lEiF3fiFifiFlEifiEitx '�lif. *ilifiEieiFifiEifiFiP�1C�iEifiFitifkiF�FifiFifiFiEiEiE?E3Fif LEGALIZATION:N F EiE S U M M A h 1 STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRSC MECAANIC FIRE SMIP/RES GRADING PERMIT 7.50 SOY SMIP/NON—RES PLAN , ISSUE FEE 1'S.00 BUILDZNG—DIV—> PEAMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7,50 15.00 • 0.00 22,SQ 22.50 ,00 REVENUE DIVISION TOTALS--> COLL'ECTED; 22.50 OVER/SHORT: ,00 BLDG PMT PLUMHING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECK 22.50 . iE iE fE i91f iE !E iF iE �F 1k iF iE ik i! ik if if 1E if !E 1! iE iE if iE iE fE fklf ik if if ik iE,iF iE ff iE iE if fE �)E!f !E iF i! iE dF fElE iE �k if iE if iE iF if i: iE iElElF:E iE iE if iE iE * i�-iE iE iP fE jE iE iE I N D I V I D U A L' F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 FIREWORKS STANDS " EA, 7.50 7,50 END OF FEES 8 �J1 00163149-00163149 T C1T 22.SD OATE: OdJ30/94 TIf1E� 15:51 � CONSTRUCTION ANO PLANNING POOL & SPA ' APPROVALS Permit# Date Inspector APPROVALS 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•Undrgmd. 55. Electricai Bonding �� 5. Scee! Reinforcement 56. Rough Plumbing & Pressure Test 6. Electricai UPER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical ConduiFUndrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Tes[ - 9. Water Pipe�Undrgrnd. � -� 60. Backwash Lines, P�Trap, O Undrgmd. . 10. Structural Floo� System (� 67. APPROVAL TO DECK 11. Property Sewer line & House�Connection �' 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heaier & Vent•Final ' 73. Roof Drains ' 64, Plumbiny System • Final .' 14. Rough Plumbin9 � 65. Electrical�Final 75. Rough Electrical-Condu�t 66. Soiar System•Final ' i 6. Rough Electric Wiring , � 67. Fencing & Access Approval 17. Rough Wiring 5ign 68. APPROVED FOR PLASTERING 18. Rough Electricai•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Pireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas D Oil 23. Gas Pipe�Rough & Test 72. U�derground Flush 24. Roof 'rraming 73. Undergmd. S[orage Tank � Gas ❑ Oil 25. floo; Sheathing 74. Overhead Hydro 26. T�Bar Ceiling (Structural} & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe I 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PiiEV. FINAL 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat �--� 79. FINAL INSPECTION 32. Elecvical Power MeterPinai . .. - �80. FOOD CERTIFICATE ISSUED 33. Finai� Electric 7%y��'� __ ntes: jk,��,� ��v�_,_N� ��.�� 34. Fina4 Heating & Air Conditioning - � -- 35. Final Gas Pipe-Test �" 36. Hood or CanopY � \ 37. Finai Factory Fireplace � , . ` 38. Final Plumbinq ; �� , 39. Water Service�Final i 40. Gas Szrvice�Final � 47. Solar pomesticFinal � 42. Backflow Preventer • 43. Backflow Irrigatio� � 44. landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STFUGTURE & BUILOING 46. F�NAL PLANNING 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY ' . No. Date