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(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ,lob nddress: 843 W 19TH ST Suite: Vicinity: Parcel Nunmber: 42419107 SIGN PERMIT Zoning: Status: ISSUED Applied: 06/21/2002 Issued: O6/25/2002 ISSUED BY: � VU Applicant: BODE, ZEPH . - , . � � � , . � Address: - � ' . � - . - . . Phone: 714-283-0639 .' . � , " , Zip: ' • . . . Owner: i� BOECKMAN, BRADLEY L TR OF PAUL A TRAUTWEIN E TR ` Addfess -%l & M PROPERTY MGNT � . � � � � � � NEWPORT BEACH, CA Phone: � - � ' � 1617 WESTCLIFF DR #206 Zip: 92660-5526 � , � Contractor. ��(hY._ �� 5 • Address: .��- 5Z �� S�,7 �''� � S Phone.` 1 � � Z� - �O'7j� i�-i� a-�1.� r� ��- z�P: C,� 2� . � License: � v�Z2 Arch / Eng : � � � � � Address . . ' . � ..�. Phone: � , " �,� � " . . ZiP: � � •. License: - SCOPE OF PERMIT , INSTALL A 2' BY 10' �LLUMINATED BUILDING SIGN ON TOP OF AN EXISTING CANOPY. WILL NOT PROJECT ABOVE ROOF LINE. ' � Plan Check: Permit: SMIP Com: Other: Inspection: Total: NOTES: $29.15 $o.00 $44.85 $0.50 $0.00 $0.00 $0.00 $0.00 $0.00 $74.50 FEE SUMMARY PLANNING & ZONING Calc Valuation: Claimed Valuation s�,zoo.00 s�,zoo.00 NOTICE: The work authorized by this pertnit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12•21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, end all requlred Inspeetiona entl final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of this Dermit. FOR INSPECTIONS CALL: (714) 7545626 , zaaaae �erao� WORKERS' COMPENSA710N DECLARATION: - I hereby elfirtn under penalty oi perjury one oi the tdlowing dedarations: ❑ I heve end will mainleln e cenifiwte ot consem ro sell-Insure for workers' compensation, as provitletl for by section 3700 oi ihe Lebor Code, for the peAormance ot tha work for which thfs pertnll is issuetl. . ❑ I heve end will meintain workers' canpansatlon inwrance, as requireO by sectim 3700 of Ne Lebor Codu, tor the Firtortnance of Ne work far whic� Ihls pertnit is Ls,wetl. My workers' wmperis§�lon Ipsurance carriy�� policy number are: Certler. . U � poliry Number. h/s secflon ne�pl etlll he pe /t Is veluetl et one hundred dollars ($100) or less.) I Ny ihet in t�e pertormancs af the work lor w�ich this pertnil is Issued, I s�all not employ eny person in any menner so es to hecome subject to t�e workers' mpensation laws of Celllomia, end egree thet II I should become sub�ec� to Ihe workers' compansetlon provislons ol Seciion 3700 at t�e Labor Code, I shell lorihwlth comD�Y with Ihese prov ' ns. n�,// Applicant Signature: g� Dete: � � I /i71 �� WARNIN6: FNLURE TO SECURE W RS' C�OMPENSATION COVEMOE IS UMAW FUL Ml� SHRLL SUBIECf AN EMPLOVER TO CRIAUNAI ENALTI AND CML FlNES UP TOONE HUNDRED hI0US4ND DOLLARE (5100,000�, IN ADqTION TO THE OOST OF COMPENSlTION, DMNOES AS PROVIDED FOR IN SECTION 3]OB OF THE 1A80R OODE, IMEREST, AND AiTORNEV'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby eflirm ihet I em Ilcensed under provislons of ChaO�er 9(commencing with Section 7000) of Dlvlslon 3 of Ihe Business end Professions Cotle, and my license is in tull torce end ettect. IJc. q Class p Contrectofs Signature: � Dete: jY7_ � CONSTRUCTION LENDING AGENCY: � ❑ I hereby aHirtn Ihet there is e construction lentling egenq tor t�e pertormance ol lhe work tor w�ich t�is partnit is issuetl. (Sec. 3097, CMI CoEe). Lontler's Name: Lendels Atltlreu: Slgnature: Date: OWNEH-BUILDER DECLARATIONS: I hereby ettirtn that under penalry of perjury that I em EXEMPT FROM TME CONTFiACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Prolassions Code: Any ciry or counry which raquires a pertnit ta canstruct, alter, improve, tlemolish, or repair any struqure, D�or to its issuance, elso requires Ihe apD��eN tor surli pertnit lo flle e signed stetement Ihat ha or she is Iicensed purauant to ihe provisbns of Ne Contractors License Lew (C�apter 9(commenGng wit� Sectlon 7000) ot DMsion 3 of Na Business and Prolessions Code) or that he or she is ezempt therefrom antl the Casis lor the elleged eaemptlon. Any violatlon of SecUon 7031.5 by eny applicant for e pertnit subJects the epplicant to e clWl penalry of not more than five hundred dollars ($500).): ❑ I, as awnar of the property, or my employees wit� wages es their sole compenselion, WILL DO TNE WORK, and Ihe structure Is not intanded or otteretl for sele (Sec. 7044, Business entl Professions Code: The Conirectors License Lew does not epply to an owner of property who builds or Improves thereon, antl w�o tloes such work himsalf or herself or through his or her own employees, provided thet such improvements are not intendetl or oifered for sele. II, however, the builtling or Improvement is sold within ona year of completion, ihe owner-builder will hava Ihe burden ol proving that he or she dld no� build or improva for purpose of sale.). ❑ I, as owner oF the properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CON7fiAC70RS to construct the projed (Sec. 7044, Business antl Professiwu Coda: The contractors License Law does noi epply to an owner of property who builds or imprwes Ihereon, end who conirects tor suU project with e wntrectar(s) license pursuant to ihe Contractors ucense Lews.). � � � ❑ I am axempt untlar sec. � Business an0 Professions Code for this reason: Signature: ' Date: Owner ID veritied by drivers Iicense. ❑ Ves ❑ No „ Drivers Licensa No. Expires: Vedticatlon ot Ownership by (type of documant, i.e. - property tes hill ar tleed): DIVISION OF INDUSTAIAL SAFETV PERMR CERTFICATION: ❑ I hereby certlfy ihat no excavation frve (5) or more teet in depth inta which a person is required to descend, will ba made in connedion with work authoAzeC Dy Ihis pertnit, entl Ihet no building structure, sceitolding, telsework, or demolition or dismantling thereot, will be more lhen Ihirry-six (38) teet �igh. (Chap. 32, Grp 2, Ar12, Sac. 341, Tule B, Celilamla AdministratNe Cotle). ❑ As awner-bullder, I wlll not employ enyone to do work which would require e pertnit Irom the Division of Industnel Setety, es noteA eDove, unless such person has e permit to tlo such wark irom lhe division. Slgne�ure: Date: �Idslon oi Industdel Safery Permit Number. CERTIFlCA7E OF COMPLIANCE AND AVTHORQATION OF EMRV: 1 certify under penalry of per�ury thet I heva reed �his eppliwtlon antl state Ihat the intortnallon given is correct. I agree to compty with ell state laws end ciry ordinances relating to building construdion, end authorize representatives ot the Ciry ot Coste Mesa to enter upon the above-descnbed D�opetly tor inspection purposes. I agree not to occupy or allow occupancy of any building emhonzed by �his pertnit umil finel inspection. _��, p_ o ,..� SIQnBWre_10f Legal Owner(s) � / - �n ` �e_ iy�-�'h�L'4S�v-l_, lX l� it � And/Or Auihodzed Appliwm � Date COUE I. INSPECTIONTYPE 1676 Fixed System Finel Fire Prevention 1266 Pool Spe Final 200 Finel Re-Roof 201 Flnel BIocWRelaining Well 202 Final Factory Fire Place � 203 204 Finel Sign Final Damolitian ceg �e:i COOEI INSVECTIONTYPE . 206 Finel Mec�anical 208 Final PlumDing 210 Finel Elecirical 212 Finel Fire PrevenNon 220 Final Plenning Approval 222 Final Site 250 Final BuiltlincyOccupancy � IM�eLS (71a) 754-5273 • Fax (7ta) 754•4856 • www.cl.costa-mesa.ca.us Jobnddress: 843 W 19TH ST Suite No Vicinity: TOP OF CANOPY (DETROIT BAR) Parcel Nunmber: Applicant: Address: 42419107 BODE,ZEPH 552 EVENINGSONG CT , ANAHEIM,CA . ELECTRICAL PERMIT Phone: 714-283-0639 Zip: 92808 77 FAIR DFiIVE, C:USTA MESA, GA 9"L6Lti Status: ISSUED Applied: O6/21/2002 Issued: O6/25/2002 ISSUED BY: I W 1✓ Owner. BOECKMAN, BRADLEY L TR OF PAUL A TRAUTWEIN E TR Addr@ss %C& M PROPERTY MGNT � , , . NEN/PORT BEACH, CA Phone: ' , � 1617 WESTCLIFF DR #206 Zip: 92660-5526 � � Contractor. ,Sddress: ISSUE FEE Temp service lest Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Swilches Non Res Appl � Res Appl Service to 200a Service to t000a Service over 1000a Motors to 1 hp Motors to 10hp Molors to SOhp Motors to 100hp Motors over 100hp Communicatlon tlmps Sub panel to 200a Pole Light Pkg Sign CircuiLs Temp Pwr Pole Intertned Pole BODE' S SIGN SERVICES 552 EVENINGSONG CT ANAHEIM,CA �Phone: 714-283-0639 Zip: 92808 License: 608623 SCOPE OF PERMIT ELEC PERMIT FOR A 2' BY 10' ILLUMINATED BUILDING SIGN ON TOP OF AN EXISTING CANOPY. WILL NOT PROJECT ABOVE ROOF LINE. REF: SB02-00077 ' 523.50 $0.00 $0.00 So.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 so.00 $0.00 $0.00 $0.00 30.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 524.60 $0.00 $0.00 Quantiry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 FEE SUMMARY Temp Dist System / Lighting Busway N 00 ft Standing Section Misc Electncal Equipmenl Transfortners 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 Syslem I Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) ChrisVnas Tree Stand Fireworks Stand Other Elecirical Fee � InvestlgaUon Fee Plan Check Fee Reinspection Fee Quantiry $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 50.00 $0.00 TOTAL CALCULATED FEES 548.10 COMMENTS / SPECIAL CONDITIONS NOTICE: The Work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regula�ions. (Ord. No. 92-28, § 1, 12•21•92) EXPIRATION: This permit shall automatically ezplre and become vold it work is not commenced within 180 days, or it work is suspended or abandoned for a period of 18b days. INSPECTIONS: In order for the work authorized under this permit to be considered legai, such work must comply with all applicabie codes, and all requlred inepectlona end finel approvel must be obtainetl. Failure lo obtain inspections and final approval will result in ihe expiration of this pertnit. FOR INSPECTIONS CALL: (714) 754-5626 , zaaa+e �a�w) WORKERS'COMPENSATONDECLARAnON: � I hereby aftirtn under penalry of perjury one of the following decla2tions: ❑ I have end wlll meintain a certificate o1 consent to sell-Insure for workers' compensatlon, es providetl for 6y sectlon 3700 oi the Lebor Cotle, for the peAormance of t�e work tor whic� l�is permit 151ssuetl. . ❑ I �ave arM will meintain workers' compensatipn insurance, es requiretl by section 3700 of Ne Lebw Coae. for ihe pertortnance of Ne vrork for which Ihis pertnit is issuetl. My worke�atlon Insursr�edranier and pdicy number ere: Cerder. \ � n' � � ��Y �/C'"w � PolicyNumber: (Thfs sec0on ne o( be mp/eted I/ he permit is valued ef one bundred dollers ($100) or less.) � ertity Ihet In the pertormence oi Ihe work tor which thls pertnit is issued, I shall nol employ eny person in any menner so es to become subject to the workers' compensatlon laws of Celifomla, end egrea t�at it I should become sub�ect to Ihe workers' compensetion provisions ot Sactlon 37 0 oi Ihe bor Cotle, I ahall forthwlth comptywich t�ese pro�sion> s�� n��— � P� c/�O� AppllcanlSlpneture: SG�P�'<-- Dele: I �tJ WARNING FAILURE TO SECURE RS' COMPEN$qTIpN Ca/EMGE IS UNL1W R1L AND SlULL SU9IECT rW EMPLOVER TO CRIMINAI PENAL ES PND GVII FlNES UP TO ONE HUNORED THOUSAN� DOl1ARE (5100,000), IN PDDITION TO iHE WST OF CpAPEN5AT10N, DAAUGES AS PROVIDED Poq IN SELTION 3]OB OF THE UBOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby aHlrtn ihet I em IicenseC under provisions ol Chapter 9(commendnp with Section 7000) oi Divislon 3 at t�e Business antl Prolessions Cade, entl my license is In tull rorce ana enec�. uc. a CIB59 M �., A Comrector's Signeture: Date: CONSTRUCTION LENDING AGENCV: • ❑ I hereDy eHirtn t�et Ihere Is e consiruction lentling agenCy br ihe pedormance ot tha wark br w�ich this permil is issuetl. (Sec. 3097, Civil Code). Lentlers Neme: Lendera Atltlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby alfirm Ihat untler penalry ot per�ury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which requires e pertnit to consirud, alter, improve, tlemdish, or repair any strudure, pnor to its issuance, also raquires the apD��nt tor such pertnit m fle e signetl statement Ihat he w she Is IlcenseC pursuant to the proWslons oi �he Contredors License Law (Chapter 9(commendng with Section 7000) ot Dlvision 3 of the Business entl Professlons Code) or Nat he or she b exempt therefrom ark the 6asis for ��e elleged ezemption. Any violetion of SecUon 7031.5 by flny epplicant tor a pertnit suC�ects ihe eOGlicenl to a civil penelry of not more then Me huntlretl dollars (5500).): ❑ I, as owner ol ihe properry, or my employees with weges as their sWe compensation, WILL DO THE WORK, end the sWCWre Is not Inientletl or oMered for sale (Sec. 7044, Buslness and Professions Code: Tha Coniractors Llcense Law does not apply to an owner of property who builds or improves Ihereon, end who does such work himsetl or hersetl or thraugh his or �er own employees, providad Ihat such improvemenis are not intendad or oNeretl for sale. If, however, ihe building or imprwement is sold within one year o1 completion, the owner-builtler will have ihe burden of proving t�at he or she did not Duiltl or improve tor puryose of sale.). ❑ I, es owner of the properry, am EXCLUSIVELY CONTRACTING WRFI UCENSED CON7RACTORS to canstrutt t�e prolect (Sec. 7044, Business antl Professions Code: The coniredors Ucense Law does not eppty ta en owner ot propeny who builds or Improves thareon, and who wNrects lor such project with a contrecior(s) IitBn58 pur5uant to the Conlrectors LiCense Lews.). ❑ I em exempt under sec. Business antl Professions Code lor this reason: Signeture: Date: Owner ID verilied by tlrivers license. ❑ Ves ❑ No Drivels License No. Vedtiwtion of Ownership hy (rype oi tlocument, i.e. - properry ta�c bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMR CER7IFICA710N: Expires: ❑ I hereby certly thet no excavetlon Ilve (5) or mora feet in depth inta which a pereon is required to descend, will be metla in connectlan with work euthodzed by thls permit, entl t�et no builtling siructure, scaHWding, telsewark, ar demolition or tlisman0ing theraot, will ba mora then thirty-si: (36) taet high. (Chap• 32, Gry 2, Ar12, Sec. 341, Title 8, Celifomia AdminislratNe Code). ❑ As or.neo-bullder, I vrill not employ enyane to do work which would require e permit trom the Division at Industrial Satery, es notad ebove, unless such person hes e pertnit to do such work from the dlvLsion. Signeture: Date: Division ol Industrial Selery Pertnit NumEer: CERTIFlCATE OF COMPLIANCE AND AUfMORQATON OF EMRY: I cenity untler penalry of perjury that I heve reed this applicatlan en0 state that the information given is correct. 1 agrae to comply with ell state laws entl ciry ordinances relating to bulltling construction, and euthodze representatives of Ihe Ciry of Cwta Mesa ro enter upon Ihe ebove-descnbed pmpeRy tor inspection purposes. I egree not to occupy or ellow acupancy of any building euthanzed by this pertnit uNil flnel inspection. S natur f� Lg�al Owneqs) Cn I2 �/ �Jle "C�t� 5 / l� nd/Or Authorized Applicent —� Date COOE �. INSGECTION TYPE 161fi Fiaed Sysiem Final Fira Prevention 1266 Pool Spe Final 200 Finel Re-Roof 201 Finel BIocWReteining Well 202 Final Fectory Fire Place 203 Final Sign 204 Finel Demolition �j[ �$ f�(,( INSPECTIONTYPE 206 Finel Mechanicel 20B Finel PlumDing 210 Finel Electrical 212 Finel Fire Prevention 220 Finel Planning Approvel 222 Finel Slte 250 FineIBullding/OccuDanq � 7• 1•DZ JIII . : pt4) 75a-5273 • Faz pt4) 75a-4856 • www.ci.coste•mesa.ca.us 77 hAIH UHIVt, GUS IA Mt.1A, GA tlZ6Lti BUILDING PERMIT ,lob Address: 843 W 19TH ST Status: ISSUED Suite: Applied: 09/14I2001 Vicinity: DETROIT BAR / CLUB MESA Issued: 10I05/2001 Parcel Number: 42419107 Applicant: BRADLEY, DAN Adtlress: Zoning: ISSUED 8Y: -',i/-_ � - Phone: 714-715-1978 � � �, j;' , , Zip: � - , i :_ ' / .. %� � ' _ '� Owner. TRAUTWEIN; PAUC TR � � � . � �� Address /%L & M PROPERTY MGNT ' � � � � � � ��-� �" NEWPORT BEACH,CA .- Phone: - . . , , � � � � 1677 WESTCLIFF DR #112 ' Zip: 92660 . - � " , � - � Contractnr: B 8 B CONTRACTORS INC � � �, ` � � � � Address: 13745 SEMINOCE DR DR ` " - � . � Phone: " 909-627-3651 � . � � CHINO�HILLS - � � _ Zip: 91770" � License: 436418 � , . . • Arch : WILLIAM GARY LAMB eng: Address: INTERSTICES - � � ' � Address: LONG BEACH, CA � Phone: 562-432-6242 - � , � . . Phone: � 320 PINE AV STE 610- � � � � Zip: 90802 � License: C-22737 'License: SCOPE OF PERMIT � " FACADE IMPROVEMENTS TO INCLUDE WINDOW.CHANGE-OUTS, REPL'ACING FRONT DOOR WITH ADA COMPLIANT ONE, STUCCO REPAIRS 8 SCREENING FOR MECHANICAL EQUIPMENT. WORK TO ALSO INCLUDE INTERIOR TENANT � IMPROVEMENTS (SOFFIT REMOVAL 8 REMOVE/REPLACE OF DRYWALL); INCLUDES UNREASONABLE HARDSHIP. " � Plan Check: Permit: SMIP Res: SMIP Com: � Othec . Inspection: Total: $190.61 $293.25 $0.00 $3.78 $0.00 $0.00 $487.64 SETBACKS . MAIN STRUCTURE Front , 0- 0 ACCESSORY Front .0-0 PARKING Existinq: o NOTES: FEE SUMMARY - . PLANNING & ZONING � Rear 0- 0 Left 0- 0 Rear � 0- 0 Left 0- 0 Required: 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 sie.000.00 518,000.00 NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATION: This pertnit shall automatically expire and become void il work is not commenced within 180 days, or if work Is suspended or abandonad for a period of 180 days. INSPECTIONS: In order for the work euthorized under this permit to be consldered legal, such work must comply with all applicable cotles, and all requlred inepeetlons end final epprovel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis pertnit. FOR INSPECTIONS CALL: (714) 754-5828 2aa�ae (aroo� WORKERS'COMPENSAnON DECLARAnON: I hereby aHirtn untler penalry of perjury ane o1 the fdlowing dedarations: ❑ I have end will mainWin e cenificete ot consent to selt-Insure tor workers' compensation, es proWded for by section 3700 0l the Le6or Cotle, for 1he pertortnance of the /�ork tor whlch Ihis permit Ls issuetl. „� I heve entl wlll meintain wo�kers' compenseilon insurence, es required by section 3700 of Ihe Labor Coda, for the perfo�ance af the work for which this pertnit I5 iswetl. My �w+o �ers�' comp(gi nsatlon ��surarce rarri antl iq number ere: Certier: 1 �� PoliCy Number: _, S%G I��I' D I (This section nee not be comp 1ed!! fhe permlf 15 veluetl et one hundred dollars ($100) or less.) . ❑ I cenity t�at in the paAormence of Iha work lor which Ihis pertnit Is Issue4 I ahell nol employ eny person In any manner so es to become subject to the workers' compensetlon laws of Celi}omle, entl a�thet II I should Gecome sub�eq to the workers' compensetlon proNsions of Section 3700 01 the Labor Cotle, I shall lort�with comply wlth t�o5e�8Clsio�s. ApDllcantSigneNre; �PP—� �� _ Dete: ��•�'O/ � WARNING FAILURE TO SECURE WORKERS' COMPENS�TION ERACE IS UMAW R1L AND SHFLL SUBJEGf Ml EMPLOYER TO CRIMINAL PEfULT1E5,W D CML FlNES UP TO ONE HUNORED l` _ _T110USAND DOILARE (5100,000). IN r�DOfiION TO THE CQST OF ENSRTION, DMWGES A$ PipVIDED FOR IN SECfION 3]OB OF THE LABOR COOE, IMEREST, AND �TfORNEY$ FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm.that I em Ilcansed under provislons rorce ena enea uc. a Comrectora �Signeture:� .. � wlih Section 7000) of Dlvislan 3 of the Business entl Professlons Code, anC my license Is in lull ` _ ��a99 « e c.4 CONSTRUCTION'LENDING A6ENCY: �� 0� �ITereby efllrtn thal thera Is e consiruction lending egency for the peAormence of Ihe work tor which ihls permlt Is Issued. (Sec. 3097, Clvil Code). Landers Neme: Lenders Atltlress: SignaNre: OWNER-BUILDER DECLARATIONS: Dete'. I hereby atlirtn Ihei under penalry of per�ury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW lar the following reason (Sec. 7031.5, Business end Prolesslons Code: Any city ar counry which reQuires e permit to wnsiruct, elter, improve. Oemolish, or repeir eny structure, prlor to its issuance, elso requires ihe epplicanl for such permll to tile e signed stetement that �e or she Is licensed pursuant to Ue pmNsions o1 the Contractors IJcense Lew (Chapter 9(cammencing with SecUon 7000) 01 Divlsion 3 of the Business and Pmtessions Code) or that he or she is a:empt Nerefrom and tha hasis for Ue ellegetl exempNon. Any Nolatlon ot Secllon 7031.5 by eny epplkant for e pem+: subjecls the appllcant to a civil pa�alry of not more then frve �untlreA AWlars (5500).): ❑ I, as owner of Ihe properry, or my employees wit� weges es their sde compensation, WILL DO 7HE WORK, antl the structure Is not intentleC or ottered for sale (Sec. 7044, Business end Professlons Code: The Contractors Licensa Lew does not apply to en owner of property who builds or improves thereon, end who tloes such work himself or herself or through his or her own employees, provided that such impravemenis era not intendetl or otfered for sale. If, however, iha building or improvement ls sold within ona year ot completion, ihe owner-bullder will have the burtlen of proving that he or she did not build or improve for purpose oi ule.). ❑ I, as owner of Iha properry, em EXCLUSIVELV CONTRAC7ING WIT}1 LICENSED CONTRACTORS to construct lhe project (Sec. 7044, Business an0 Professlons Code: The contractors Lice�se Lew tlaes not epply to an owner ol property who bullds or Improves ihereon, antl wh0 contracts for such proJed wiih a contrector(s) license pursuant to the Con��actors License Laws.�. ❑ I am exempt under sec. Signature: Owner ID venlied by drivefs license. ❑ Ves ❑ No Business anG Professions Code lor ihis reason: Veriticatlan of Ownership by (IypB of Cocument, i.e. - praperty tax blll or deetl): DIVISION OF INDUSTAIAL SAF�' PERMR CEHTFICATION: Dnvefs LJcen9e No. Date: Eapires: ❑ I hereby certity thet no exca�etion tive (5) or more feet in depth into which e person is requlred ta descend, wlll be mede in connectlon with work euthoAzed by Ihls permit, entl t�et no builtlinp siruCture, scattoldinp, talsework, or demolitlon or dismantling thereol, will be more then thirry-six (38) feet nigh, (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle B, Celllornla Atlminlstretiva Cade). ❑ As owner�builder, I will not employ enyone to do work which would require e permit irom the Division oi IntlustAal Satery, es noted above, unless such pereon hes e permit to tlo such work trom lhe tlivision. Signature: Date: Didslon ol Intlustrial Salery Permit Number. CERTIFlCATE OF COMPLJANCE NdD AUiHOROA710N OF EHTAY: I canity under penalry ol perjury that I �ave reatl this application and stale t�et the information given fs caaect. I agrae to compty wilh ell slete laws and dry ordinances relating to builAing construction, and authodze representatives ol the Ciry of Coste Mesa to enter upon the ebove-descnbed pmperty for inspectlon purposes. I epree not to oCCupy or ellow occupancy of eny building euthorized by this permit until final inspectian. COOE 1. INSPEC710N TYPE PAIE 1818 Fized System Final Fire Preventlon 1286 200 201 202 203 Pool Spa Final Finel Re-Raot Finel Block/Retaining Wd�� Final Fectory Fire Place Finel Slpn 204 Final DemollUon U•S-o � y0DE1 INSPEGTIONTYPE 208 Finel Mechanlcal 208 Flnel Plumbing 210 Finel Eleciricfll 212 Finel Fire PrevenUon 220 Finel Plennlnp Approval 222 Finel Site 250 Finel Buil � ��r,��ma�� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 hAIFI UF11Vt, IiVJ I N MCJF, GH tlLOGO Job Address: 843 W 19TH ST Suite: Viciniry: Parcel Nunmber: 42419107 Applicant: UN Address: Owner.'�� %��! i'�.� .,.._._/' ,�Contractoc'�" CONTI �i � i��, ,Address.,�i754�1 SAN l i`� � � SUITE D i r � r � ST�ANTO � �-. l\ L .� ;/i/j� l, �( ArchYfng ,�%J/ � il� � Address ��, 1 �. � � ' ,y�. . ,� ��; °�J ��I , � . �; � ;�^ i - �' . i� SIGN PERMIT ISSUED BY: s,�.� j��=�.-. 1 (�1,� �`\ c;-�. � ` t•�'�-� � �? i\ % !� � � \� =-�\ ��.-. �� i Phone: i__I ,_ �"// '/�� ` �i � \�� `�. .\ ')��-Lp � "Jtl,../� �� \ �.Tl� l �j�✓�"�'...v --� `_ `>;- �A'\�\ `/� J �� -`\\� . \� \ � NAN,�GAROL-Y:N:SUE'TR �,�� / A� .�- .- ��:�y�r �''s�-y\\ ,/' � �UTWEIN TRUST� ; CA' �r Phone: `��\ \� � l-fi : A P� � � Status: ISSUED Applied: OS/12/2005 Issued: OS/12/2005 JRA;P-V Lp: 98001-0100 ��, � �� f.�, �/ �. � �� -� ��t NENTAL SIGNS INC �� . �' � 1)��. TA RITA CIRCLE � ' � . � � -- - ` �, � �� `. • Phone �,(714) 894-20� 1 i `� i �� A�. � " � ��. �- ( � - `� � �� N. CA�� Z y �ip.' 90680 � ; �� V�, i-. � l��d,../ ; Ga ense: 664525 ,� J J i � /,� \`n�, C)�' �,� , y � _ � c <:. i '1 ��-.."�'_- �`' �� .�-.�� i�� r `.� �� Phone: �-� �� ., �� ;� . � Zip: � t � � .� � - - - �--^-' �" - - � � � -� - n _ _ -'-License� 7!- - - -- �— - i „ i � i .��jn,� �'�,�l�1�9� �1�1-��;1�' �,��1.� ��. ��.��.t i�. � 1 , � ' � � i, ,, �J �13 �SQ.FT. WALI . � � � �i ��,�� ` �� . � `1;{ , �PIan.Check: `\,1' �$39.07 ,`�,�1 �%�'' V`;tG��. $o.00 �« � Permit:�. �� $60.10 ' °SMIPCom��\�\\, $0.50 �A��th8� ��$�.�� .\\ ` \\�0�� .� � , � � y. Inspection: � $0,00 ti �? \ ./" e.�...2:da NOTES: -' -- - '- ==J\.VY-C:VC 1'CttlVlli-=== '.-_ - SIGN. ILLMINATED WALL SIGN FOR DOLLAR MAf2T. � �. -. i--� , �x.>. �i�h '__-� - ` �FEE-SUMMARY.jy/��-"+:`��- .- ��-_t^� ^` ` �-'----�' _'----�-% ` ' '" —Calc Valuation: .___��. � � �� . ` c �� f� Claimed Valuation: � ,��:.��cv� : � � :2_ � �i 2 .iL.�:cv"U'` . ° � " - , ,'�J; . .v � : t.. .: u. tl}� o'%J :' �� n' a. S>Ii� < �, ., 0 0 G� �� o f, 'f'r��,.e �..: �� Q� �� o [yQ r , Ofet':-'�t-� IU °�' �0 �., /� �r s�o �'G� G> , J � �\o�' 0�.`�'�' '"� �� `', o, 0 6 � �� \�-�Yit�~. � �� '-a��j.- �� i i i i ^ ��--_'- - — �"��,�'�/�;jr.P_LANNING & ZO � �` / `~ �iJUV t:lU �! _ ='=�!jc��0/_7�� 0 �1 ' �� "� �-_ j „J�; I ; % c_ �) s�� v �!� � � � � . �� C/ �i ln ✓ �� ;)�0 ,/, INOTICE: The work authodzed by lhis permit shall comply with all applicable handicap access requirementa under Califomia statutes and related , �egulations. (Ord. No. 92-28, § 1, 12-2b92) EXPIRATION: This permit shall automatically expire end become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all epplicable eodes, and all requlred Inepectiona end flnal epprovel must be obtained. Failure to oblain Inspedions anC final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 Pr_L�.:it�;i�➢ WORKERS' COMPEWSAnON DECLAfiAnON: � , . , I hereby aNirm under�penalry of perjury one ot the following declarations:' '� � - • ' - ❑ I have�end will maintein a cenificate oi consent to self�lnsure lor workers' compense0on, es provitlad.for by section 3700 of the Lehor Cotle, lor the peAormenca ot the work tor which this permit Is issuetl. �' - . . I h will maintain woikers' compensation insurance, as required by section 3700 oi the Lebor Code, tor Ihe perfortnance of the work for which Ihis pertnit is issued. y wo rs' compensation Insurence carder and policy number ere: /'J % ' r: �T� fi � icyNumb ' I! ! �K�� y�Ible4ection neetl nat be comp/eted il the permit is valuetl a! one hundretl tlallars ($f 00) or less J ❑ I certity Iha(in ihe pedormence ol.the work for which tfiis permiYis issued, I sfiall not employ eny person in any mannei p;gs to becorrie sublect ta'the workers' compe n s of Californla, and agree tha� ii I should become subject to t�e workers' wmpensatlon pra o Section 3700 ot the Lebor Code, 1 s�ell forthwith c y.wittff�- p�r visions. r ! Ap nt Signat .� J_ '-� ate: 102 — � r7 ^ ARNINO: F RE TO SECURE WORKEFS' COAAPENSFTIdJ COVERAOE IS UNIAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVI� FlNES UP TO IXJE HIINDRED DOLLAflE ($100,000), IN ADDRION TO THE C0.ST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN $ECiION 3]O60F TME LABOR CODE, INTEREST, AND ATTORNEV$ FEES. LICENSED CY�ONT ��ORS UECLARATION: I hereb m that I a icensed untler pro�isions o�apter 9(commencing with Section 7000) of Division Date: , 1 — Code, end my license Is in full CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirtn tha� �here is e construction lentling agency for tha pedortnance ot Ihe work for which ihis pertnii is issue0. (Sec. 3097, Civil Code). LentleYs Neme: Lenders Atltlress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I here6y aNirtn Ihat untler penalry af perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business entl Professlons Cotla: Any ciry or counry which requires a permit to construct, alter, improve, tlemWish, or repair any strucWre, pnor lo its issuance, elso requires the epplicant for such pertnit to file a signetl statement Ihat he or she is Ilcensetl pursuant to the provisions oi the Comractors Licensa Lew (Chepter 9(cammendnq with Sectlan 7000) of Dlvision 3 of the Business end Professions Cotle) or that he or she is exemp� therefrom and tha hasis for the alleged exemption. Any violation of Section 7031.5 by any appllcant for a pertnit subjects the epplicant ro a ciWl penalty of not more than tive �untlretl dollars (5500) J: ❑ I, es owner of Ihe pmperry, or my employees wi�h weges es thalr sole compensa�lon, WILL DO THE WORK, end the structura Is not intentle0 or oXeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, end who tloes such work himself or herself or t�rough his or her own employees, providetl thal such improvements ere not intended or oiterad for sele. Ii, howaver, Ihe builtling or Improvement Is sold within one year of comple�ion, ihe ownerbuilder will heve Ihe burtlen ot pmving that he or she did nol build or improve for purpose of sale.). � ❑ I, es owner of the pmperty, am E%CLUSIVELY CONTRAC7INC WI7H LICENSED CONTRAC70RS to construct the pro�ect (SecJ04a, Business and Professions Gode: The contrectore License Law tloes not apply to en owner of propeny who builds or Improves t�ereon, and who comrects tor such project with e comractor(s) license Dursuant to ihe Contractors License Laws.). ❑ 1 em exempt under sec. Business entl Professions Code tor this reason: Signatura: Date: Owner ID venfied by drivefs license. ❑ Ves ❑ No Driver's License No. � E�cpires: Verification af Ownership 6y (type ol documenL i.e. - praperty tex 6III or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereDy certify Ihet no excevetion five (5) or more feei In tlepih inio which e person is required to descend, wlll be made In connection with work authorized by ihis permit, end ihat no building structure, scaHolding, talsework, or demolitlon or dismantling thereof, will be more than ihirty-six (36) feet high. (C�ep. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Administrative Cotla). ❑ As owner-builder, I will not employ enyone to tlo work which would requira a pertnit trom t�e Division of Industnal Satety, es noted abova, unless such person has e permit to tlo such work Irom tha division. Signature: Date: Division of Industrial Satery Pertnit Number: CERTFICATE OF COMPLIANCE AND AUfHORVJ1710N OF ENTAV: I cenity untler penalty ot perjury that I have read this epplication antl state that the infortnalion given is correc�. I egree to comply with all state laws entl city ordinences relatinq to builtling construc�ion, end aNhorize representatives of the City of Costa Mesa to enter upon �he aDove-described property br inspection purpases. I agree not �o occupy or ellow occupancy ot eny building authorized by Ihis permit until final inspection. �QA / � Sig atur � �a � / �� f .2 �a.� AnNOr thonz Aoolicant ate COUE I, INSPECTONTIPE •• • . . •• .•'.p�IE . ` U�$ •. 1616 Fixed System Final Fire Preven�ion ' ' ' ' 1266 Pool Spa Final 200 Finel Re-Roo� � � ` - ' �� ' 201 Final BIocWRetaining Well 202 Final�FadoryFirePlace �' ' ` �� `"' ��/�/� 203 � Finel Sign � ��"�-+ 1.L1N—� � 204 Finel Demolition CODEI MSPECfIONTYPE ' � • 208 Final Mechanical � 20B Final Plumbing ' 210 FinelElecMcal �� ' 212 Final Fire Prevention 220 � Final Planning Approval 222 Final Site � 250 Final Building/Oaupency (7ta) 75a-5273 • Fax (7�4) 754-aB56 • www.ci.costa-mesa.��LDING PERMIT �� rnin unrvt, GVJ IX MCJA, GH 8LOL0 Job nddress: 843 W 19TH ST Suite: Vicinity: DETROIT BAR ROOF Primary Occ: M Display/Sale Merchandise Type of Consfruclion: V-N Parcel Number: 42419107 Zoning: Applicant: HANSEN, DUKE Address: 260 E ALTON SANTA ANA, CA � N6646636 Owner: BOECKMAN,;CAROLYN SUE TR Address PAULTRAUTWEINTRUST • , � REDDING, CA � � ��. 536AURORAPL, ' � � ; . . - . , . : �. " . :- _ Contracior:, ROSS AND�BARROWS INC� Address:' 260 E ALTON AVE �.� , . . ' �'," %' . SqNTA ANA, CA ' �Zip: 92707,, ." � � Arch : Address: , . ,. � � � Phone:� � License: Phone: 714-557-7440 Zip: 92705 ISSUED BY: Phone: "" Zip: 96001-0100 � � Phone: 714-557-7440 . , � , License: 327802 , Eng: Address: - Status: ISSUED Applied: Oi/04/2006 Issued: 01/04/2006 Phone: License: � a�.vr� vr rcrtnu � � REMOVE EXISTING BUR AND INSTALL NEW BUR ROOF FOR "DETROIT BAR", APPROX 65 SQUARES. "ROOF MUST COMPLY WITH T-24 COOL ROOF STANDARDS FOR COMMERCIAL BUILDINGS". � � • - FEE SUMMARY � Pfan Check: $0.00 � � Calc Valuation: gn,ioo.00 Permit: $29325 Claim Valuation: sn,ioo.00 SMIP Res: $0.00 . � �, � �SMIP Com�:+ $3.59 — ._ �� ; �=-_--� - . ' - � Other: $0.00 - ' Ihspection: $0.00 Total: $296.84 - ��, - ' PLANNING & ZONING SETBACKS MAIN-STRUCTURE Front'�0�0 �p�; �„_,Rear-. 0-0 ._ . Le(t 0-0 � �- ,�-. Right 0.0 ACCESSORY -Front 0-0 ;� Rear 0-0 � � Lefl 0-0 Right 0-0�i PARKING xistin : 0 Re uired: 0 ' Pr000sed: 0 � �- . .. ',� , , � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or it work is suspendad or abandoned for a period of 180 days. • ' . INSPECTIONS: In order for the work authorized under this permit to be considered lagal, such work must comply with all applicable codes, and all required inapeetlona and finel epproval must be obtained. Failure to obtain inspections and final approval wlll result in the expirallon of �his pertnit. FOR INSPECTIONS CALL: (714) 754-5626 �w� �dw� WORKERS'COMPENSAnON DECLARAnON:� _ I �ereby a�rtn under penalry of perjury one of iha tollowing tledarations: � I have entl wlll maintain e certilicete of consent to setl-Insure for workers' compensetion, as provitled tor by section 3700 of the Lahor Code, tor Ihe peAortnance of the work for which this permit is issuetl. '8„�I,. �have.entl wlll maintain vrorkers' Gompansation insurence, es required by secHon 3700 of I�a Lebor Gotle, Por t�a pertormance of ihe work for whiGi this pertnit is issued. �My workers' compansation InsuJ{nfe carder antl policy wmber ere: i' �^-� Cerrler�.�.��L��(i r�/ �✓� Policy Number.�'��%i'/fP� A� /I� —L'OQ—d ' ('TIs'sectlon neetl nof be canp/etetl/l the permit is valuetl at wre hundred tlollars ($100) or less.) ❑ I cenify Ihat in t�e partormance o� ihe work for which t�is pertnit is issueG, 1 shall not employ eny persan In eny manner so es to become subject to Ihe workars' compenutbn laws tlomia, efM aqree that it I shoultl become subjed to the workars' compensalion prwisions of Section 3700 oi the Labor Catle, I shall forthwllh complywiththe provis ns. `� ��1� t l-y-o-6 ApPttcenft SipnaWre: Da`te: `�. WARNING: FAILUflE TO SECURE WORNERS' COMPENSATION COVEMGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVE O CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED hKK15AN0 DdlARE (5100,000), IN ADDRION TO THE CQST OF CpMpENSATION, OAMAGES AS PqOVIDED FOR IN SECTION 370fi OF THE LA60R CODE, IMEREST, PNO ATTOAfIEY'S FEES. 4�CENSED CONTRACTORS DECLAPATION: aHirm Ihal I am licensetl under provlsions ot Chapter 9(commencing with Sectlon 7000) of Division 3 0l Ihe Business and Professions Code, end my license is in full a ana�. ��c s �'z_ �a�ss�� e-- ��9 ors uSig`eture:'a i ��i � Dete; - f�-- �/— �.6 CONS7RUCTON LENDING AGENCY: ❑ I �ereby aHirm that there is e con5truction lending agenty lar tha pertormance ol ihe work for w�ich this permit is iuuetl. (Sec. 3097, Civil Cotle). Lendels Neme: Lender's Address: $Igneture: Date: OWNER•BUILOER DECLARATIONS: I hereby aftirtn that under penaly of perjury Ihat I am EXEMVT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Busines5 and Professions Gotle: Any ciry or wunry which requires e partnit to construct, elter, impmve, demolis�, or repair any strucWre, pnor to its issuance, also requires the epplicant for such permit to file a signed statemem t�a� he or she �s licensed pursuant to the provisions of the Canirectors llcense Law (Chapter 9(commencing with SecUon 700�) at Oivision 3 oi the �usiness end Profeuions Code) or thet �e or she is exempt Iherefram and ihe Easis tor the alleged e:emption. Any violation of Section 7031.5 by eny eDP�icant for a permit subjecis Ihe appliwnt to a civil penalry o� �ot more than five hundred dollars ($500).): ❑ I, as owner of ihe property, or my employees wilh wages as t�elr sole compensation, WILL DO THE WORK, end the strucWre Is not intended or oflered �or sale (Sec. 7044, Business and Professions Gotle: The Coniractors License Law dces not apply to en owner of property who builds or improves thereon, entl who does such work himselt or hersetl or through his or her own employees, pmvided Nat such improvements ere not inte�tled or oftered tor sale. ll, howevar, the buUding or improvemenl is sold within one year oi wmpletion. Ihe owner-budder will have the burden of pmving the� he or she did not 6uild or improve for purpose of sale.). � ❑ I, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTOpS to construct the project (Sec. 7044, Business end Protessions Cotle: 7he comracbrs License Law does not appty to en owner ol propeny w�o builtls or impmves �hereon, and who coniracis for such prolect wtlh e coniractor(s) license pursuent to ihe Conirectors License Laws.). [� I em axempt untlar sec. Signe�ure: Owner ID venfied by tlnvers license. ❑ Ves ❑ No BUsinass antl PrNessions Code tor thls reason: VeAflcation oi Ownership by (rype ol tlocument, i.e. - property tex bill or tleetl): Onvefs License No. oate: Expires: DIVISION OF INDUSTflIAL SAFETV PERMR CER7IFICATION: ❑ I �ereby cenify thet no excavatlon flva (5) or more leet in tlepth into which a person Is requireC to descentl, will be made in connection with work authonzetl by this permit, and ihat no building simcture, scaflolding, falsework, or tlemolition or dismantling Ihereof, will be more than ihirty-slx (36) feet high. (Chap. 3.2, Grp 2. Art 2, Sec. 341, Ttle B, California Atlministrelive Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require e pertnit Imm Ihe Division ol Indusirial Safery, es noted above, unless such person has e pertnit to tlo such work trom the division. Slgnature: Data: Di�ision of Industnal Safety Pertnit Number: ICE�FlCATE OF COMPLIANCE AND A{!T}IORIZATION OF EMAV: I cenify under penalry of perjury Ihat I have read Ihis application antl state Ihat t�e infortnation given is � coYrect. I egree to comply with ell stete laws end ciry ordinences releting to 6uilding conslruc�ion, antl aulhonze repre5entatives of the Cily of Costa Mese lo enter upon ihe ebove-described proparty fa inspection purposes. I agree not to occupy or allow occupancy oi eny building euthorized by this permit until final inspection. Legal Owner(s) _ � ` rn�E t. INSYECTIONT'PE 1616 Fixetl System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Root . 201 Final elock/Relaining Well 202 Final Factory Fire Place 203 204 Final Sign Final Oemolition �g AL a 0 . Z ,�i P'. r . C09Et txsvsEnoNnve 206 � Final Mechanical � 208 Final Plumbing 21Q ' Final ElBciriWl 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Oaupenc ��a) �sa-52�s • Fex (�ta) �sa-aess • www.ci.costa•mesa.ca.us 77 FAIH UHIVt, GUSIA MtSA, GA yY62ti ELECTRICAL PERMIT Job AddreBs: Suite No Vicinity: Parcel Nunmber: 843 W 19TH ST 42419107 Applicant PAULARTINGER ��i�r'-�%.v�-�.=?—�� Y_ ^ .�, �`_ Address: 7541 SANTA RITA.CIRCCE� {',� r� i� 1 SUITE D �f� Phona�pl4) 894-2011 `, STANTON CA � Zip �90680 j ��' /�/�'� �'`� . LJ i ' �_� ,- �%��i1\ �' \ \� �// �_ ""��c=+=��.�� \. , �io Status: ISSUED Applied: 05/12I2005 Issued: 05/12/2005 ISSUED BY: `!, �� .v _' .1�`(�� f . "��f��/ � ^``\\ \ V�� ' � � REDDING,'�CA'%�'%� Phone: A� �\ � � i r `.' \ / /i�'Ii. �� ' S36A1'JRORA'PL Zip: 96001-0700 \��A� ��/ , , .. : �i,':� � ` ' 'i ,� V ' i /,',g , (� � ,,�� . ' ; �i ' i ,'� � % , , -% � ;:, �' - - . �r+Convactor CONTINENTAL SIGNS INC -a•• r-` �• hg� � �r� ;i` A`@ss /7541 SANTARI CIRCLE ��.e� ��' �� i,{ �" � `.,�•`� � (� t � � ��SUITE D� , .� � �'-�c �Phone: (714) 894-2071� ; J � � � . � � � ;�;STANTON. CA ,�.� _ - � � Zip: 90680 _ ��_i; �� i r'�J� �� ; �i' � License:6B4525 � � � l �°��" ,�� _�,�, , ; � l,- � i , , �' , __J � ri � �. --- — _—_�. .._-,._�.___-__ �. _ ✓ ' �� _� �' � �!`�i; q �, ,'��ILLUMINTED WALL SIGN�SB( �� , � �� `�. , ,�„� � � �_,. �"" 1y. 1 New Res�.(1-2 uniLs)' New Res.(3+units) \ Pool / Sp2� � �� Lighting Fixts, �/ Recepl Outlets SwitChes �v�'�� Non Res Appl. �� Res Appl '..�.\ Service to 200a � `- Service to 1000a ` � Service over t000a�• Motors to .1 hp Motors to tOhp Motars to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Il�� $23.50 \\5; $0.00 ao.00 � �� ao.00 �� $0.00 �� $0.00 ��50.00 ��$0:00 \50.00 $0.00 i $0.00 \ `$0.00 $0.00 $0.00 $0.00 $24.60 $0.00 i �� . .rct a� Quanhty_ _-� � - �. — G � ^ _ r a �� 0 l 0 -•i 0 0 , ti� ,, _---- _ . � = _ �. MMARY �� r� �_�\ - / 'r ��; Quandty Temp.Disl Syslem / Lighting � � $0.00 0 Busway/t00�ft y $0.00 0 Standing'SecUon �_$0.00 0 MiscElecirical.Equipment 50.00 0% � ?, •„ , �'F��`� , � ��i.�%:: �� Jb "i� � � -Low \ � ,. � ,: � ` 9 Low�.\ �-'„'' � o,Misc: �_ n�3�`�'�r: CMisc, � �� `.�>� ��p—_,.,��_ .. �0� � \O�i (I;� ��lP �i\ i �'� 7 � ` ��-� -��_'� G 0 __ 1 0 -up-to 1 kva/kw to 10 kva/kw to 50 kva/kw �to;100 kva/kw Sy,stem 7 Ckt o � �o � �lightsj l � c�\ t\ $0.00 $0.00 TOTAL CALCULATED FEES $48.10 l : ✓ � ; �__J ; U ��U�i� - � �� p ti-� ,..�� 0 �� /��i'i 0 �f/ / NOTICE: The work euthorized by this permit shall comply with all applicable handlcap access requirements under Calitomia alatutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) EXPIRATION: 7his pertnit shail eutomatically expire and become void if work is not commenced within 180 days, or it work Is sUspended or abandoned for a period of 18p days. INSPECTIONS: In order for the work authorized under this permit to be consitlared legal, such work must compty with ali epplicabla codes, and all requlred inapectlona end flnal epproval must ba obleined. Failure to obtain inspections end final approval will result In the explratlon of thls permit. FOR INSPECTIONS CALL: (714) 7545626 za+e-ee (eroo) WOAKERS' COMPENSAnON DECLAfiATON: ' � I hereby atfirtn untler penalry of perjury one ot Iha following tledaretions: . . ' ❑ I heve antl will maiNain e certilicate oi consent to selt-Insure tor woricers' campensetlon, es provitle0 tor by section 3700 ot the Lebor Code, for tha {iertortnance of the �ork for which Ihis pertnit is issued. � hava entl will maintaln workers' compensation insurance, es required by section 3700 0l Ihe Lebor Cotle, lor Ne perfortnanca ol the work tor wNch Ihis permit I5155ue0. �j1�worker_ cortJpe3atlon Insyrance carrier and policy number ere: one Pali umb r: � L 7`7 U %� L' or /ess.) �❑ I certiy ihet in the'peiformence oi the work tor which IhLs pertnit is ISsueC, I sliell not emplo'y eny Oorson in eny manner so es to become subject lo the workers' 'on laws ol Celilomle, antl egrea t�at i� s�ould become subject to the workers' campensatlon provisions oi Sectlon 3700 of the Labor Code, I s�all IOMwith co ' tnese gtyvisions. � - cant Si u e: �r � Dete: —�r'� �O� ` �S . AILURE TO SEWRE WORNERS' COMPENSATION COV GE I$ UNLAW FUL AND SHALL SUBJECi rW EMPLOVER O CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED TFKKI$ANDOOLLHRE�f10p,000�,INADDITIONTOTHEOp$TOFCpA SATION,DMNGESASFROVIDEDFORINSECTIdJ3]OBOFTHELABORCODE,IMEREST,ANDATTORNEI"SFEES. LICENSED CONTRACTORS DECLARATON: I hereby em Ilcensetl untler provislons ol C�epter B(commencing with Section 7000) of Dlvislon 3 o usiness and Pro�uestons Code, entl my Ilcense Is In tull force ette . q /�(�� .� -_J Cless a�� i i Comr rs Sig ure: %. ��a �—�� a e: �5 P P,'J. �/J� .i CONSTfiUCTION LENDING AGENCV: • �. I hereby aMirtn that there is e constructlon lending epenty for the pertormance oi t�e work tor which this permit is issuetl. (Sec. 3097, CMI Cotle). Londer's Neme: Signeture: _ OWNER-BUILDER OECLARATIONS: Lenders AAtlress: Date: I hereby aHirm that under penalry ot perjury Ihat I am EXEMPT FROM THE CONTFiACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Busineu flnO Professions Code: Any ciry or counry which requires e permit to consiruM, elter, imprwe, demolish, or repair any slrucNre, prior to its issuance, eLso requires the eppiiwnt for such permit b tile a signetl statement t�at he or she Is IlcenseA Dursuant to Ne proWsions at the Contrectora License Lew (Chapter 9(commendng with Section 7000) of DMslon 3 ot the Business end Prafessions Catle) or Ihat he or she is exempt Iherefrom and the basls for the allepetl e:emption. Any violetion of Sedlan 7031.5 by flny applkent for e pertni� sub�ects t�e epplicent ta e civil penalty oi not more than five hunAretl Oollars (3500J.): ❑ I, es owner ol the property, or my employees with weges es Iheir sde compensetlon, WILL DO TME WORK, antl ihe structure is nat IntentleA or otteretl for sele (Sec. 7044, Business end Proteuions Cotle: The Con(ractors License Lew Coes noI apply to en owner of property who builds or improves thereon, antl who does such work himselt or hersetl or thmugh his or her own employees, providad that such improvemenis ere not Intentletl or ofleretl for sale. II, however, the bulitlin9 or improvement is sold within one year of com0�etion, the owner-builder will have the burdan of proving thet he or she did not build or improve tor purpose of sale.). � ❑ I, as awner of the property, flm E%CLUSIVELV CONTRACTING WI7H LICENSED CON7RAC70RS to consiruct ihe pro�ect (Sec. 7044, Business flnd Professions Code: Tha wntracmrs License Lew does not applY to en owner ol pwpeny who builds or Improves ihareon, and who contracts tor such projen with e conirector(s) license pursuant to ihe Contractors License Laws.). ❑ I em exempt untler sec. Signatura: Owner ID verified by drivefs license. ❑ Yes ❑ Na Business and Professions Cade tor this reason: Vedfication ol Owners�ip by (rype of document, i.e. - properry tex bill or deed): DIVISION OF INDUS7RIAL SAFETV PERMIT CEHTIFICATON: DrivelS LicenSe No. Date: Explres: ❑ I heraDy certily t�et no excavetion tive (5) ar more leel in depih into w�ich e person Is requlretl to Oescentl, wlll be mede in connectlon with work euthorized by this pertni�, entl that no builtling strucWre, sceHolding, falsework, or demolition or dismantling t�ereoi, will be more Ihen ihirty-six (38) feet high. (Chap. 32, Gry 2, An 2, Sec. 341, Title 8, Calltomia Administrative Code). ❑ As owner-bulider, I wlll not employ enyane to do work which would require e pertnit frwn the Divisian of Industriel Sefary, es noted ebove, unless such person hes e permit to tlo such work trom tne tlivisian. Signawre: Date: Divislon ol Industnal Salery Permit NumDer: CERTIFlCATE OF COMPLIANCE AND AIfTHORIIATON OF ENTAV: I certity untler penalry ol perjury that I �ave read this eppliwtlon and state that the intormation given is correcL I egree to compy wlth ell stete lews end ciry ordlnances relating to buil0ing consiruction, antl eut�orize representatives oi ihe Ciry of Costa Mesa to emer upon the ebove�descnCed property tor Inspection purposes. I egree not to occupy or allow occupency of any building euthorizotl by t�is permit umil tinel inspectlon. LOUE r. INSGECTONTYPE - ' � 1616 Fized System Final Flre Prevention 1266 Pool SDe Finel 200 Finel Re-Rool � ' � 201 FInaI BIocWRetalning Well 202 Final Fattory Flte Plece 203 Final�Sign 204 FinalOemdition �� j + •� • QQyf„( INSPECTIONTYPE 206 208 � 210 212 220 . 222 250 Flnal MBChenlCel. Flnal Plumbing Finel Electricel � Final Flre Prevenllon Final Plenning Approvel Finel Site Final Building/Occupency �. : i � ' �. � .uu' ' � 0 �� PNOJELT RDOflESS: 8 4 3 W 1 9 TH S T OWNEN'S NRME: PAUL TRAUTWEIN aonsess: 1617 WES'1'CLIFF DR#12 N�WPORT BEACH CA 92663 (714)646-3679 AflCN/ENGINEEN: RUUPE55: uxrt: wec.xo.: UNIT: PENMITTEE: PAUL TRAUTWEIN ( 714 ) 646-3679 noosess: 1617 WESTCLII•'F ilR 12 � UEWPORT BEACH CA 92663 i IICENSED CONTflRLTOB OECIAflATION: I htr¢Gy aHirm ��a� 1 am IirenuO unG¢r O��s��ns ol C�aD�e� 9(commencinB �Ih S¢clion 7000� 01 UiviSion 3 0l ��e Busin¢ss antl Pml¢SSionS CaUe, an0 my li[¢nu is in lull lorce an0 e�feCi. CITY LIt.: STRTE IJC.: CUSS: Oate: Sipnawa: WOflKEPS'COMPENSR710N�ELUMTION: itcert0yallumtlutlluveacertifitateoftonsenitoselbinwreoraC¢niliWteolWorker5' Compensation Insurance. or a cenilieA wpy ihereol I�tun 3800. LaO. C). POLICY NO.: E%P. O�TE: COMPANY: r] Cenilie0 coDY is �ere0y fumis�e0. ❑ Cenilietl topy is IileO witA tlle Ury BuilUing DiviSron. �ate: ApDlicant: EXEMPiION FPOM WOflNEPS' COMPENSIITION OEClAIL1TI0N: (itis setuon nee0 no� Ee canpletrp J Ihe pumii is �a o� �uMred (5100) or less�. I cehify inal in Ihe pedarmance of tne work lor wnicn t�4 Dermil6 i55uetl. I shall not em0 dy any person in any manner so as to hecome subiec� io'i�'e Wo ers' Compe sation Laws ol Califomia� ( Date: � a Z Signature: ' ' NOTICE: II. after ma ' g t�is aeclaration. yau s�oulC Oecome subject to t e orkers' Com ensation provisions ot tAe Labor COEe. you mun fan��niA comON h+t� sucn provbions or IRs pemrit 5Aa11 Oe tleeme0 rewkM. CONSTBlIL710N LENOING RGENCY: I hereGy aflirm tlwt t�ere is a construciqn lendmg aAen�y lor Ue peAormaixe ol t�e wark lar which t�is permit is �ssuM (Sectian 3W7. Gv. C�. LENOEN: nooxess: OWNEB BUILDEB OELUNR710N: I here6y allirm tlut I am exem0� ��om Ihe Comracrors' State License Law lor Ihe lollowinp reason (Section 7031,5 Business anG Professional COGe: Any city al county wNc� repulres a permii to WnstNtt, aller, imD�%'e, tlem0lis�, or r¢Oair any Simt�ure, OriOr la ils i55uan[e. a150 t¢puirl5 Ilm appliWni lOf SUth perrtni 10 �ile a 90nEE SlitEmBn� �hd� hUSh! 15 licensetl pursuanl lolhe pmvisions ofl�e Coniraclors' State License Law�Chaptet9�commencinp wit� Section 70W�o1 Division 3 ol�tle Business ana Pmlessions Coee) orina� ne/she is exemo��e�elmm an� Ine easis lor ine all¢geE etemplian. Any violalion of Section 7031.5 Uy any aDGlicanl lo� a Oermit subjetts tAe aDVlicanl to a civil penally of nol mare than live hundretl Collars (35001. I. as owner of t�e propeny or my employees wii� wdAes as I�eir 5ole compensation, will Uo t�e work, and Ihe ❑ strucmre is noi imenOetl ar offered lar sale (Sectlon 70C4. Business anA Professional Cotle: The Comractors' Stale License Law Aoes not ao7ty to an owner af a pmperty wlw Oui105 or imDioves iherean, ana who do¢S such woM1 himsell/hersell or ihrougn �is or �er own emD�%'¢es, pwvitleG tAdl suc� imprOvemenls are tWl IntenOeO or oflereU fot Sale. II, Mwever tAe builtlinp or , improvement is 5dd wilNn one year ol comple�iw. IM owner wiu luve t�e Oureen ol D�ovinp ne/sne Uia nol ouild or imprme lor Ihe puroose ol 5a1e1. I. as awner ol Ine pmpeny. am exclusivery camractln0 �� k�eG wntractors to constmct t�e proleci (Sec�ion 7MC, Business ❑ anU Pwtessians CaGe: T�e Contractors State Lke�xe Law tices irot apqy to an wmer o1 proper1y wAa �m10.5 w improves tAereon ana wno contracts lor wcn prqects wIN a contqctoqs) �ense Dursuant �o Ine Contractors' State Laense Uwl. I am aware I�al prool ol Ineir Woder's CAmp¢n5diian insurance S�ouIE Oe prwitle0 lo me. _ (� � am eremot unaer Set�ion: B P% O 4 4 B. 8 P. C. ro� inis reaso�: gy OWNr.R AGENT Daie: /O /� 7� r1 v _ Owner. � I tlo �ereU cenify al I am aware ol anA untlerstantl ihe reQuirements ol Cabfomia Healt� anE Satery COAe Sections 25505, 25533, antl 2553<ana I�a� I or any IUWre buil0inq OCcupani wilVwill noi (tirtle ane) neeA l0 tamply wilh SaiU S�a�e COGes an4 i�e feQuiremenls lOr a permii lor conslruc�ion or mod�licalion Imm ibe Air Ouabty ManaAemenl Dislrici. flesiUeniial conslNc�ion aOPlications are eNempi Irom Ihese pmvisions. Oaie: ApDlicanC I hereGy Rrtily thdt I have read Ihis application an0 stale Itut Ihe a6ove inlorrtution ¢ corrttL I agree lo wmply wilh all city antl county orOmances anC slale Ww5 relating Ia Uuiltlmg conSlmciion a� �ere7y aui� pr¢5¢ntaY 11 � Ia enier upOn 111! a60ve�mention¢d pmpeny la� insp¢clion purpases. �ale: � 5�9nature: �_��_�� ori�er's cense or z� Smunty �: 16<La6 Wnile—BUAEing; Green—CaOe EnlorcemenL Canary—/pW�wnC Pink—Revenue; GdEenrop—wssesmr . � CZTY OF COSTA MESA – HUILDING P�RMIT PERMIT NO: E 059704 t�LAA1 CH�CK NO: N CONSTRUCTION TYPt; PERMII' TYPE; ELE JOB D�.SCRIPTION : tLECTRICAL METER (BELOW 200 AMPS) PERM NO: E 079704 GOVi'; �i SUPP; ti PURPOSr'; OTH SQ FT; CLAIM VALUE: CALC–VALUE; GROUP OCC: B-2 / COMM�:NTS: �� *x*ttu#*�r****u��###�#*#�#*u*�u*##�r�#*x#*�#x�u*i�#*#x��#�rt#*tr�#�#ttrr#*��r*#� x x�#��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 ---------- --------- ACCESSOitY BUtLDING --------- FANT; FT IN AEAR; rT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARHING REU� PROV; PARCEL: 00000000 ZNE; Rr'.H NO; PLANNING NdT'ES> � if if %# ik iF # if # if -]E # 1FiE iE if fF # iE �lf-iE �E #!E ff # iE if �1E iE # i@'��/ lEdk3F 1E #!f # if� if # if # if� !F iE# iE �f�lE iklf 1E ### iF iE if # iE #!E iFlE iF 1f fE iF iE iF if tf ### 3E D E V E L O P M E N T �Sr�a R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY '~ DATE: BUILDING APPROVEll BY ; I � — APPLICATION ISSUED BY ifiFiEil�i(�iE16iFiEifit#iFiE####3Eif3! iF!(� if if # iF 11� iE 1E if i(� # 1f !E if iE M## iE fE LEGALI2ATION:N BLDG PMT PERMIT F E E DATE: DATE; l0 2 f.%'ft f[ YCR ft.:itRltliRYt ?fif3l"�IF�('#3h##NfttlTYRlIRatR1tN'iF iE#1FiEtEi1 i� ikiEiE##iF##%�##iffhikiE#iE#iFiFikiF#iElE##iflf±E#ifi(�ihi! S U M M A R Y STRUCTURAL SEGNENT;N MECHANIC FIRE SM3P/RES GkADING SMZP/NON–RES PLAN ISSUE FEE 15,00 BUILDING–DIV–> PERMIT ISSUE PLAN–CHECK TOTAL PAIll DUE TOTALS----> 18.50 15.00 0.00 33.50 33.50 .00 REVENUE DIVISION TOTALS--> COLLECTED; 33,50 OVEt1/SHOttT: ,00 BLDG PMT PLliMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN–CH�:CK 33.so ifiFlfik#ihf(�itifik?F1l"�'IfiEiE#�!#iEiFikit�l(iE1F#3k#iElfif##ik#iFlEikiE#IfitiF#ffif�lf##�ki(�1E�1F1EK�##1f#if###ih}F#iflF1E#1E9f##i6iF#?f I N D I V I D U A L F E E B k E A K D O W N TYPE QTY D E S C k I P T I O N UNIT COST TOTAL COST ELE 1 SERVICES HELOW 600 V 6 BELOW 201 AMP 18,50 18.50 END OF FEES PLUNBING EiECTRIC 1850Y j,� Li ��':� �'.. �'�-� T�-'� . r_ 7M'.:: SC,�;,"'� - – • ' CONSTRUCTION AND PLANNING POOL 'A APPROVALS Permit # - Date lospector qppROVALS Permit # Date Inspector 1. Temporary Eiectricai Service or Pole � 52. Pool & Equipment Location 2. $oil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utii(ty�Undrgrnd. 54. Forms ' 4. Electrical ConduibUndrgmtl. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVEft�GUN�TE 7. Footings 58. Electrical Conduit•Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�7rap, O Undrgrnd. 10. Structural Fioor System 61. APPROVAL TO DECK }}, Property 5ewer Line & House Connection 62. Backwash & Aeceptor�Final 72. Sewer Cap . � 63. Heater & Vent-Final � 73. Roof Drains 64. Plum6ing System • Final 14. Rough Plumbing 65. Electrical�Final � 15. Rough Elsctrical-Conduic 66. Solar System-Finat 76. Rough Electric Wiring 67. Fencing & Access APProval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in $tructure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe•Ftough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storaye Tank O Gas O Oil 25. Roof Sheathing 74. Overhead Hydro .: . 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. F�NAL 30. Drywall Nailing HEAITH DEPT. RE�UIREMENT 31. Plaster BrOwn Coat � 79. FINAL INSPECTION 32. Electrical Power Meter-Final � O,� 80. FOOD CERTIFICATE ISSUED 33. Final Electric �O��l��' • Notes: 34. Final Heating & Air Conditioning � ; 35. Final Gas P�Pe-Test ; 36. Hood or CanopY " � 37. Final Factory Firep�ace ' ' � i _ � 38. Final Plumbing 39. Water Service-Final � � � 40. Gas Service-Final � � i 41, Solar pomesticFinal i � 42. Backflow Preventer � , 43. Backflow Irrigation 44. Landscape �rrigation System 45. Sound Attenuation , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ' � 46. FINAL PLANNING ' - ' 49. Electric Release to Edison � , 50. Gas fielease to Southem Califomia Gas Co , � 51. CERTIFICATE OF OCCUPANCY No. Date �i VHOJECT ADUPESS: 8 4 3 W 1 9 TH ST : OWNEH'SNAME: PAUL TRAUTWEIN/VERA aooxess: ....,....... FPCH/ENGINEEfl: �� 1 9� 6 4 6— nooxess: '�D VENTU 365 N. PFflMInEE: NEWPORT B auoness: RICHARD L 693 W. COSTA MES 'ENSEO CONTBACTOfl UECWflATION: I heri 00� ot Division 3 0� ihe Business and Pmless�. UNIT: �IFF DR #112 4CH, CA92660 �S9 PEG.NO.: NO 3WPORT BL �' B �SMITH CA 9266�14)692-8446 9TH ST CA 92627 aHirm ��at I am licensed unAer provisions ol C�apler 9(commencing wilh Sec�ion CoOe. antl my license is in full lorce and e��ecl. CITY LIL.: STqTE LIC.: CLASS: Oate: Signawre: I WONNEBS' COMPENSR710N DECIANATION: I �ereby atlirm ihat I have a certilicate oi cansent to sell-insure or a cenilicate o1 WOBers' , Compen5atian Insurance. or a cenilied copy I�ereol �Section 3800. Lab. C�. PoLICY NO.: E%P. OATE: COMPFNY: CenifieA copy is AereOy fumishetl. ❑ Cenifiea coDY �s IileC vntA ihe city Builainp Division. Oate: Applicanl: EXEMPIION FflOM WOBNEflS' COMPENSFTION OECIAMTION: (�liis section neN irot Ge camOkleO il Ihe permt i5 for are �unJreO (5f00) or less�. I teriity lhai in the petlormance al I�e wOrk �Or w�ic� this pefmii is i55ueG, I SAall nolpTy loy any p¢r50n in any mannef 50 a5 io 0¢cOme SUble�� o t�e WOrk¢rs' ComDenu�ion laws o� Califomia. ^�Q / V\ � i i� � Oa�e: � � Sipnalure: G� �x� � �� NO71 E: If. atier making t�is Oeclaraiion. you shoultl become sublecl ta t�e Worker ComDensation pmvisions oi �he La�ar Code. you musl ton�with comply witA suc� Dmvisions or iNs D¢�mi1 5hall Ge EeemeO revoke0. CONSTflUtTION LENOING AGENCY: I hereCy allirm ��a� Ihere is a Cons�Nclion IenEing agenty lor ihe perlormance ol 1he work lor which this permit is i<sue0 (Section 3097. Gv. C�. LENDEX: AOURESS: OWNEfl BWlOEB OELNBRTION: I hereGy aifirm lha� I am exempt imm lhe Coniractars' Slale License Law �or Ihe tollowinp reason (Section 7031.5 Busineu antl Pmtessronal CoEe: My ciry of wwry wNCA mquiru a permit m cnnsimct, atter. imprwe. Gemalis�, or repair any slNCNre. prior lo ils iuuance. also repuires ihe applicant lor suc� permit lo lile a signetl statement Nat he/s�e is licensetl Dursuam ro ine pmvisions af �ne Coniractors' State License Law (Cluv�e� 9l�mmencin9 wi�� Section 7U0� of Oivision 3 0l tAe Busineu ana Pmfesvons COUe� or thai he/s�e is ecempt therelmm an0 the basis lor the all¢ge0 e�emplion. Any violation al Seclion 7037.5 �y any aOD��Ent for a Oermit suElects Ihe applicant to a civJ pendlty of not rtqre Itldn live �unEreO Oo1Wrs (f5011�. n I, as owner ol ��e Dmpeny ar my employees with wages as their mle compenution, vnll ao ihe work, antl I�e yq simcture is not imenGeC or oifered lor sale (Sectron 70aa, Business an0 Pmfessional Cotle: ihe Contrattors' State Licenu Law does noi apply to an owner ol a pmpe�y who bui105 ar impmves �hereon, and wAo dces such work �imsell/A¢rselt or lhrouAh �is or �er own employees. O�a�ae0 lha� tuc� imprOvemenis are not intendea or oftereU for sale. If, hOwev¢r I�e EuilOinq or impmvemeni fs sald vnlhin one year ol complelion, �he awner vnll have Ne buraen o� O�odnp he/s�e Oitl nai bui10 0� improve for t�e purpou ol sale). I, az owner ai ihe pmperiy. am exclusiv¢Iy comracunA �t0licenseC wmracmrs to constmct the pmlea (Section 7044, Business ❑ aM ProfeSSions Code: T�e Contraztors Slate Lkense Law 00¢5 not appy to an ovmer al propem/ wA0 bml4G ar improues there0n anU who contracls lor sucA D�olecls wi(h a conlracmr�s)license pursuan�lo Ihe Canirac�ors' Staie Lic¢nse Law),I am aware that 0�� ai t�eir Worker's Compen5aiion insurante shoulA be DroviOetl to me. � I am exempt untler Sec�ion: B. 6 P. C. �or Inis rea5an: i , Date: � /� � S 2 Umer. � _��— I do �ereb ertity t a� I am aware ol and unAers�anG t�e requirements o� Calilomia Healih anU Safety COJe $ectians 25505. 25533, an0 2553C and IAaI I Or any Iuiure Omlding accupanl wiil/will nol (circle one) n¢e0 id Comply wiih SaiE Slaie totles antl lhe repuifemen�s lar a permit �ar can5iruc�ion or rtwAilicaiion irom �he Nr Oualily Managemeni OiS�ncL HesiOential conSlmciion aDO��on5 are exempl �mm Ihese O�OhSions. Da�e: Applicanl: I her¢Uy tetlity �ha� 1 have read Ihis appliWlion antl S�ale Ihdi I�e above inlOrmalian R fArret ree Io wmpty vni� atl city an0 caun�y ordinancesantls�atelaw5relatinqlo0uil0inpcon5tmclionanEherehyaulhoriierepresentaiive qi ' Ioenleruponl�ea6ove�meniione4 pm0any fot inspec�ion purposes. Oate: ` Signature: �river' L¢ense or Social Securiiy x: � 16aLa6 W�ile—Builtlina: Green—COEe Eniorcement: Canarv—AoolicanC Pink—Revenua: GolCenroC—Pssessor CITY OF COSTA MESA — BIIILDING PERMIT PERM NO; B 06378 PERMIT NO: H 063780 PLAN CHECK NO; N GOVT: N SUPP; N CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE; DEM JOB DESCRIPTION : DEMO WALL NEAR KITCHEN AREA FOR NEW T,I, SQ FT; CLAIM VALUE; 1,000.00 CALC—VALUE; 1,0OO,OQ GROUP OCC: B-2 /A-3 COMMENTS: THE "CLUH MESA" BAR & GRILL/DEMO TO PREPARE FOR TI/RE:PC�13230-93L �r�e��r*�e�r�r�r��ex*�r*�r�r�r�r�r�r*�r�r�r�r�r*�r�r�r�r�rx��e�r��r�e�r**�rrr**�r�r�***�*�*�r�*��r�r��e**�r�r*�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 IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 42919107 ZNE: REF NO; PLANNING Nt5'PES> „ ) L � jf if if �F ik 1f k if ik iF if it �t if iE it iF ik i! ih ik if iE iFif iF iE if M iFlf it it ik k iE ik if iE k �f if if iF iF iE �E iE iE iE 1E k iE if iE if iE �E iF iFiE iF iE iF if iE iF 1E.1E iEiE if if if ik iE iE M�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'� T'� S 20NING APPROVED BY DATE:� ' BUILDING APPROVED BY : DATE: �'.� APPLICATZON ISSUED BY: DATE. kif�filiE�FkififikkifiFlEkiFffkkiFkif iE1EiEkikifiE�EiEif !Ei! iFkifiFifkkiEiFkkiF1lilif�fiF3fiEifk3lif�EitkifiEifjfifiFiE�EifiEiFiEiEifiFifiFiFiE�f iEifjEifif�fif�EiEfEfE3FifiFif�F�EiF3EiFiEiEiFiffkiEifiEfliFiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 25,00 PLAN SMIP/NON�—RES ISSUE FEE ' BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 25,50 0.00 0.00 25.50 25.50 .00 REVENUE DIVISION TOTALS--> COLLECTED; 25.50 OVER/SHORT; 00 BLDZSP00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOO GRADING PLAN—CHECK 1k iE iE �f af if iE iE if iE if �f iF 1E �Elf if k if if k if IE iE 1f if 1f if If k�F �E 1f 1f if 1f iF iF i! iE iE if iE 1! iF if iE iFiE�E it �E if if if �E iE iF k iE iE iE �E iE 1E iE iE iFiE iE ik 3f iE iE �E iE it 1! 3E I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT 01 0014b2a7-001462Q8 T�� T 25.50 DATE: 04/DI/9,� TIP9E: 14:32 CONSTRUCTION AND PLANNING P00 ;PA . Date Inspec[or - � Oate Inspector ADPROVALS Permit # ' � APPROVALS Permit # 1. Temporary Electrica� Service or Pole ' 52. Pool & Equipment Location . 2. 5oil Pipe•Undrgrnd. 53. Steel Reinforcement 3. Eiectrirat Cond'uit Utility•Undrgrnd. i 54. Forms ' , 4 �� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinfoicement' 56. Rough Plumbing & Pressure Test 6. �IectricahUFER.Gmd. 57. APPROVALTOCOVER�GUNITE 7. Footings , , 58. Electrtcal Conduii�Undrgrnd. -,8. Poundation � 59. Gas Pipe, � Untlrgmd., Test -, 9. Watet Pipe-Undrgrnd. - 60. Backwash Lines, P�Trap, � Undrgrnd. 10: Structural Floor Sysiem ' � 61. APPROVAL TO DECK � 11. Property Sewer Line & House Conneaion 62. Backwash & Receptor-Fina4 12. Sewer Cap 63. Heater & Vent-Final 73. Roof Drains �• 64. Plumbing System • Final . 14. Aough Plumbing �- 65. ElectricabFinal ' � . 75. Rough Electrica6Conduit 66. Solar System�Final ,. . 16. Rough E�ectric Wiring 67. Fencing & Access Approval 77, qough Wiring Sign 68. APPROVED FOfl PLAS7ERING 18. RoughElecvica6TBarCeiling 69. POOUSPASYS7EMS�FINAL 19. flough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20.,Rough Factory Fireplace i �.,�i ;r.' , ! � ,� �. i- �pppROT/AlS': � _PermSt # i - � �� ..ii �', i ��, �. ;�.: , � '�, , ' •' : r. _; � . 21. �Duct;, in-StruCtu�g i.. ., i_, � �. . Y��70. Underground �Hyiiro � 22. Ducts, Vantilating n � ��' +, �, ; ��1. Product�Piping �'G_as OOiI 23.'Gas'Fi e�Rou h&'Test ' '� � ' :" ' � •,'� "' � '_ � , P 9 � . _ �., �,• � , } � t 72• Underground, Flush-,,, � i " 24.iRoof�Framing� . � r i �:.� . i - � � • � - - �73.�Undergmd.Srorage'Tank �Gas OOiI 25. Roof Sheathing . ' � ' � � �� ' �74,�pverhead Hydro.` ,� ��' 26. T�Ba{ Ceiling (Structural) & PQonocoat � .• 75. Dry Chemical J• -� " 27.�Fromeand FlashiNg '�_� , ,�, '� ' " 76: DryStandpipe . � . ' ,�8. Lathinq & Siding��•i. , � i �, � � i ' z. � 77.�rFIXED SYSTEM�F�tNAL" � .r '29. Insulatioq � ' ' ' � "'� �� ,� 78. FIRE PREV. FtNAL � 30. Drywall�Nailing '�� • HEALTH DEPT. FEQUkREMENT � 31. Plasrer Brown Coat;. � � �' , 79.'�FINAL INSP,ECTION , � ' ; 32. Electrical��Power Mefer•Final i°�� . 80. ,FOOD CERTIPICATE ISSUEO 33.�Final Electric' � i ' "' � Notes: '', �-' , 34.,Finai'Heating.&Air`Conditioning.� ' � � ._ . , � 35. FinaPGas Pipe-Test � � • t' ' - � , �. ,i, 36.� Hood or CanopY - � ' , , � � {� [ c. 37. Fina� Factory Fireplace � ' � • � � � .- � 38. Final Plumbin9 ' � � .. .. - , � I - ' 39. Water Service�Final. � �'� �- � 40. Gas Service-Final �'� , , 1 , , - � _ ,41. Solar pomesticFinal . ( �- •� . I � � , ' 42. 8ackftow Preventei , ' • � � , � . � � . 43. Backflow�irrigation�• �� - _ -� •� �• � 44. Landscape Ir,rigation SYstem , � � � . _ � . , � . . =45. SOund Attenuation: � .� . � • � - ' ' `" `46.�HandicapRe§ula{ions � � �� _ . -. � ' �47,.PINAL STRUCTURE & BUILDING , �� : � , 48.�FINALPLANNING� I ; �- 49.iElectric Release to Edison - � I y�l - 50. Gas, Release to. Southem Califomia Gas Co I I � - 51. CERTIPICATE OF OCCUPANCY' , � , • No. Date _--. rnaccTnooncss: PAUL3TRAUTWEIN/VERA uxiT: OWNEX'S NRME: HUGHES nooeEss: 1617 WESTCLIFF DR tF112 NEWPORT BEACH, CA92660 (714)646-3679 AflCH/ENGMEEB: �p VENTURES nec.xo.: NONE aaoxess: NEWPORT BEACHOAT BL CA 92663 ux�T: B renmirree: OLYP7ZELFGUIROROTECTION ( 714 ) 588-3602 aooeess: RANCHO SAN MARGARITA CA 92688 IICENSEO CONTBAC70fl OEClAMT10N: I �ereEy aHirm Inat I am IicenseE untler provision5 al CAaD�er 9(tommencinp wit� Section 70W� ol Uvs�on 3 0l t�e BuSiness an0 Fml 0 my license it in IM lor[� ana eflect., CITY UC.: 3T4TE LIL. �� CLASR.'')C {�" � �l 6L( '�" Date: ��_�2 � Signalure: OL..— — — I WONNEflS' COMPENSATION bECIABATION: I hereGy a�hrmahat I nave a cenilicate al consem m sell-insure or a cenilicate of workers' Camoensaiion Insurance. or a cenilie0 copy t�e�eol (Section 3800. Lao. CI. POLICY NO.: EXP. ORTE: COMPANY: ❑ Ceniuee coDY �s Aere�y lumisnea. ❑ Cenifiea copy is fileE vrim tAe ciry BuJdinO Division. Oale: Ap0licanC E%EMPTIONFNOMWOPKENS'COMPENSA710NOEClAf1ATI0N: (ilm'�„po1Ee �`theoamtata�57� 1 certily I�a� in t�e OerlOrmanCe o� lhe vrork lOr wNcll lNs Dermi � ueE, I 511d11 no� e an p¢rs�wp an me su�jecl to I�e WorkerS' Campensation Lam ot Cdlifomia. ; ^ �ate: ��ZZ—�%3 SiAnature: �j0� � �i NOTICE: II. alier making �his tleclaraiion, you s�oultl Eeco e su0ject to l�e Workeri Compensation pmvisions of I�e La�or Coee. you must tartllwitn compty wiin suc11 provisians or ihis varmit stWll ee aeemed ravoked. CONSTPUCTION LENUING AGENCY: I �ere0y afiirm t�at t�ere is a construclian IenEinq a0ancy for tAe Dedormance al t�e work far wOiM ��is p¢rmit is issuea ($¢��ion 3W7, Civ. C�. LENOEfl: nooxess: OWNEB 9111LOEB OECIAMTION: I IiereOy aflum tlwi I am aempt tmm tAa Cantrattors' State Lkense Law lor tAe IOIIovAnp reasan (SecliOn 7031.5 Business antl Pro�ess�ondl COOe: My tity ol fAunry wNcn rCpuirts a p¢rmil ta ConSiNct. alter, improve. Uemolisn, or reoaii any slNCWre. Drior to its issuance. aI50 rlpuires ine aoo�iWnt br suctl oermit to Iile a Fqnea statement tllat nE/sha is IlcenseU pursuant to ine pmvisions ol Ine Conuaclori Sute Lkense Law (CtwD�er 9(mmmendnp wit� Sectlon 700U) ol Oivivon 3 of t�e Business anE Pmte5vOn5 Co�e) or Ndl ee/5�B 5 eeempi IAerelrom anU Ih¢ Oa;iS lar lhe allCpeE exempti0n. My vi0lalio0 0� SeC�iOn 7031.5 Oy any applicanlfor a permit sp0letls tlle aOGlicant lo a civil Denalty ol nat moie tlnn live �unGreE tlallars (5500). I. as owner ol ih0 O�openy or my employees wit0 wapes as t�eir sole compen5atlan, wlll tlo ihe wark, and Ihe ❑ s�mcmre is no� intentleA ar ollerea for sale (Seclion 70ad, Busine55 anA Pro�essional COOe: TAe ConVactors' S�a�a Licanse Law Uoes nm aDPly to an owner ot a OmDenY w� �uiltls or imD��'es t�ereon. anG wAo tlaes suc� work Aimself/Aersel� or l�mup� . �is ar �er own emplpyees, proW4eE I�al such improvemems �m not IntenCeG or olhre0 for sale. II, tqwaver Ne builtlinp or ' imo�a�emenl is sole yninin one year al com0letion, Ine Owner vnll nave ine OurOen al Omvinp ntlsne Aid not Euild or impmve lor I�e purDOse ol Sal¢). I. as owner ol me prooeny. am e.cWsivery comracting witn IicensBE comrattors to consimtt I�e pmlep ISectlon 704a, Business ❑ an0 PrOfessions COEP: Tl�e Contracmrs S�ate trce�ae �aw aoes roi appy �o an ovmer ot vrocerry � b+�i�s ar improves thereon an0 who coniracts lor sucn Drajects vritn a rnnvactoqsllkense pursuantta ihe Contractors' State 1.icense Law�.l am aware Inal Dwol ol ineir WoAer's ComDensation insurance snould be proviaea to me. � I am evempl un0er Seclion: B. d P. C. lor Inis reason: Daie: �er. I ao �ereby cenily that I am aware ol anA un0erstanOl�e requiremems ol Calilomia Heatt� an0 Safery Cotle Sections 25505, 25533, antl 255� and I�al l a any IWure OuilUinq acupanl vnlVwill not (circle We) neeG to compty with SaiO state COGCS anU ihe reQuirtmenis lor a permit lor conArCction or m00ilicalian Imm IOe Air Duaqry Manaqement DRtrict. flevtlential consimction applications are exempt Imm Inese O�ovisions. �ate: Applicam: I h¢re0y t¢rli�y I�a� 1 �ave rea0 �MS aDO��n atb Slale I�ai I� ormnion 6 mrrecl. 1 agree ro comDN �� a0 dty anG wunry oruinancesantlstarekvrsreyting�ouuatlinqcaucnxtianan rebyautMrire entati�csotttcsdryroe � pmrt v nionetl pru0erty Iorinspection purposes. Oate: �` �� ' � Sipnaiure: � , �rivei's License ar Sociai Securiry w: 1646a6 W�ne—B�ilaing: G�een—CoOe EnlorcemenC Canary—AOp��^�� P'^k—Revenue; GolCanroC—Assesaor CITY OF COSTA MESA — BUILDING PERMIT YhKM N�: r vb�uut PERMIT NO: P 065008 PLAN CHECK NO: N t,vvi; �v 5urr: �� CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: ALT JOB DESCRIPTION : DISABLED ACCESS UPGRADE E COMM. T.I. SQ FT: CLAIM VALUE: CALC—VALUE; GROUP OCC: B-2 /A-3 COMMENTS: AEF: B-64686 *�+t***�*i�****�*�***+t+t*+t*+�**�**�****i�**+rrt+t******r*+�**+�*�c�*�cx+f*�c*****�r*�c*�***�c*a«x� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING -------,-- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN AEAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT ZN PARKZNG REQ: PROV: PARCEL: 42419107 ZNE: REF NO: PLANNING NOTES> > i! Hk if if it M if iE if iP?E iE?E it iE if if iE if �f if iF 41E fE jc iE if if if 3E if if !f if aE 1E if iE iE 1f if iE if iE iF it iE 1f jf iE 9Elf jF �1F 1E �t �F if 1f it iE iF 3E 3f +', iF M r iF �Y if iE if� iE iE if iF i: D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: HUILDING APPROVED BY : DATE: APPLICATION ZSSUED BY: �//� � DATE: 11� 2 Z(� ifik*ifii�ifiF�lFihiE�1(�*ifjEififitiFiEiFifjE ��: ,� �ci�'��Eif�F3:�F�fFi'�$iFiFiE?FiG3FjFY.iEr�i �Fi�fTE1T3Eic if �f if if ff if �E 1! iF iF iE iE iE �t if iE if i! iE 1f if i! IE iE iE iE �f if if iE *%if if iE 1E iF if iE iF �f iF fE �E iE i! R 3E �k 9f jE iE if �t 1F iF iF iF iE iE M iF iF if aE jf ?E iF �F i4 jE iE iE 3F if 3F 94+E if LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/RES GRF.DING PERMIT 21,00 25E SMZP/NON—RES PLAN ISSUE FEE 20.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 21,00 20.00 Q,00 91.00 41.00 .00 REVENUE DIVISION TOTALS--> COLLECTED; 41,00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 41,00 �f �E it iF iF �f #' iE ac {f if iE iF iF 1F iF iE if iF iE if ii jF K iF it 1f 1f if iF it iF fE 1E iE iE iE if %ff iF iF iE iE iF 1E ip if if 1E iE iF iE iF 3f iF 1f iF iE if it iF iF %iF iE ik 3F if iF iF iE+F iE iE iF iF 3f iE I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 WASH BASIN 7.00 7,00 PLU 1 WATER CLOSET (TOILET) 7.00 7,00 PLU 1 FLOOR DRAINS 7.00 7,00 END OF FEES ui en�sio,s-eais109� �01- 4t.oa D�TE: 11/22/43 TI�"G: i?:4J , CONSTRUCTION AND PLANNING POOL � ,PA � '� APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Poie 52. Pool & Equipment Location � 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement " 3, Electrical Conduii Utility-Und�gmd. � 54. Forms ` 4. Efectricaf Conduit-Undrgrnd. 55. EfectricaV 8onding 5. Sieel Reinforcemenc 56. Rough Ptumbing & Pressure Test 6. Electr�cal UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings _ 58. Elactrical Conduit�Undrgrnd. _ 8. Foundation 59. Gas Pipe, Q Untlrgrnd., Test 9. Water PiPe�Undrgrnd. � 60. Backwash Lines, P•Trap, O Undrqrnd. � 10. Struciural Floor SYstem . � 67. APPfiOVAL TO DECK - 11. Property Sewer Line & HouSe�Connectio� 62. Backwash & Receptor•Final 12. Sewer Cap �.� . 63. Heater & Vent�Final /. 73. Roof Drains ` 64, Plumbing System � Final �_� -� � i - 14. RoughP�umbing G��'��g��`+ ��'� 65. Electrical-Final 15. Rouyh Electrical-Condua' { ' 66. Solar System-Final � 76. Rough Electric Wiring � 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING l � 18. flough Efettrical�T Bar Ceiting 69. POOUSPA SYSTEPAS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, �n Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping O Gas O Oil 23. Gas Pipe•Rough & Tes: 72. Underground Flush 24. Roof Framing � 73. Underyrnd. Storaye Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead FWdro 26. T�Bar Ceiling IStructural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 76. FIRE PREV. FINAL 30. Drytva�i Nailing HEALTH DEP7. REQUIREMENT 37. P�aster Brown Coat 79. FINAL INSPECTION 32. Electr�cal Power Nleter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Gonditioning , 35. Final Gas Pipe�Test ' 36. Hood or CanopY ;-, 37. Final Factory Firep�ace 38. Final Plumbing .3. J'1 I� �� 39. Water Service-Finai 40. Gas Service-Final 41. Solar pomestic-Final � 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuadon 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING _ � 48. FINA4 PLANNING -- 49. Electric Release to Edison 50. Gas Release to Southem Califomia Gas Co - 51: CERTIFICATE OF OCCUPANCV No. Date �. PflWECT RODHESS: 84 3 W 19T2? �T ' DWNEH'SNAME: PAUL TRAUTWEIN/VERA aooxess: HUGHES 1617 WESTCLIFF DR #112 NEWPORT BEACH, CA92660 ANCHIENGINEEH: (714�'6q6-3679 ADD IENTURES aoosess: 365 N, NEWPORT BL UNIT: PFO.NO.: NO�,'�, iiH . H NEWPORT BEACH CA 92663 PEpMinEE: TRAUTWEIN/ HUGHES (714)642-8448 aooeess: 1617 WESTCLIFF DR 112 NEWPORT BEACH CA 92660 LICENSED CONTRRCiOfl OEClAMT10N: I �ere0y atlirm inal I am Iicense0 un0er prw'sions al CIwO�er 9(commencinp wil� Section 7000� ol Division 3 of tne Business antl Prq�¢uions Coae. anU my license is in full forc etfect. LITY LIC.: STRfE IIC.: S5: WOBKEflS'�MPENSRT%N UEClABi1TI0N: I trereEy aifirm t�at I �ave a cenilicate oi consent to setl�nsure or a certifiwte al Woders' Compensat on Insurance. ar a cenilietl mpy �hereof I�ction 3800. LaU7 CI. POLICY NO.: E%P. O�TE: , COMPANY: ❑ C¢rtitie� coOY � �Q�QOy fum6�eE. ❑ f,¢nilieE copy is IileE vnU t�e ciry BuilGing UNision. Date: Pppiiwnl E%EMPTION FROM WOXREN$' COMPENSRTION UECUMTION: (itus Seclmi neeO iw� Ee mmple�eC i� Ne permit ¢ lor one hUntlred (5100) af less�. I certily Ihat in Ihe Derlormanc2 0� t�e work lor w�ith Ni5 Oermil i5 i55ue0, I 5�all noi uYdoy any DersOn in any manner So as �0 betome sublecl Io t�e orker5' COmOensation Laws af Cali�omia. .Oaie: _ Signature: � � NUT E: tf. ai making t�is GecWratipn. you s�oWE became suC�e m Ihe Workers mpen�tion pmvisions ol Ne LaOar CoOe. you m s� fon�vnt� comD�Y �� suc� provisions ar tNs permn slwll Oe EeemeA rewkeG. � CONSTBUC710N LENOING RGENCY: I �er¢py aitirm t�at Nere is a mnstruaion IenUinp aOe�Y �a� ��e Dedormance of tAe work for I w�ic� inis permi� is i�suea �Section 3W7. �iv. C). LENUEfl: RUORESS: OWNEB BIIILDEN UEClABFT�ON: I �ereby aifirm ��at I am exempt Imm ine Contractors' State License Law lor tAe lollovnnp reason �Sec�ion 7031.5 Business antl Pmlessional �e: My city ol counry w�icli «Quires a permit m mnsiruct. atler, impmve, Oemolis�, or apair any simcmre. D�ior m i�s issuance. atto rtpuires t�e a001iwnt for wU permit to tile a sipnetl statement ihat he/she is limnsed pwwant to t�e pmvisions ol tM Coniractorg' S�ate License �aw (CI�aO�er 9(commencinp wit� Seclian 7000) ol 0ivisian 3 of t�e Business ana Pmtes9ons Ca0e) or inal ne/sne is erem0� Iherefrom ana ine easrs �or ine anepeE e.emo�ion, pny violation al Settion 70.11.5 oy any apolicant lor a permit suOjttts �ne applicant to a civil O�alty al iro� more ttun �ive nunCreE EOIWrs (`3�). ^ I. as owner ol ine Dropeny or �ty emyIoyeeS �t� wa0es as tneir 5ole compensation, wiil ao ine woM. ana Iha Sq s�mcwre is nol intenEeO ar allere0lor sale (Section 70ad. Bus�ness aiM Protessional CoAe: T�e Contractors' Seate License Law aoes not apPh �a an owner of a oropeny wtq oWOs or imD�aves tnereon. an0 who dces sucn woM himself/herselt ar ihroup� �is or �er own employees, proviAeO t�ai suc� ImD�%'ements are nol inlenUetl or aflerea �or 5ale. II, Aowever Ihe buiidinp or imD�ovement is solC wilhin one year ol completian, I�e owner will �ave Ihe bur0en ol pmNnq �els�e di0 nol 6ui10 or improva lor Ine purpose ol salel. I, as owner o� t�e O�oDenV. am evclusively contractinp witn licensea conlraclors lo conslNci I�e pmiec� (Seclion 7044, Busines5 ❑ anU Protessrons COEe: Tt�e Comraqprs' gtate Liceine Law Cces rrot appty to an wmer ol prope�Iy wAp �mltls or Improves Ihereon an0 w�o COnirafls �or Suth Or01eq5 wit� a fAnlraCtor�S) IkenSE W�Suani to ��t COn(ratto6' Staie liCBn50 Law�. I am aWafe itlal D�oaf of t�ei� Worker's CAm0en5ation insurance s�ould Oe pmviG¢E to me. � I am exempl unEet Section: 8. 8 P. C. lor I�is reason: '/� Oatc:� � �� Owner: � I tlo A¢reby erii�y Ih I am aware ol anG pnAerstantl i�e repuiremems al Califomia Healtn anA Salery COAe Sections 25505, 25533, anA 2553< anU t�at I or any luture Ouil4inB occupant vnll/witl nol (cirCle one) neeG lo tompN vriih SaiE state co0es an0 ihe reQuirtments lor a nermi� lor consimction or mo0dication Imm �ne Air Ouality ManaOement Oistrict. FevOential consimction aoDliwtians are exempt Irom mese proNsions. Oa�e: MV��wm: I �¢reby Ceitity Ihal I have reaOINS aDD�diian attl Slate WI I�e a6ov¢ in�Ormation 6 orrtct. ree to wmDly wih all city ana cowry or0inances and state Wws relaling lo Euiloinq cort5lNclion ana here0y aNlpr¢e represen ' s af INs 'ry to enter upOn tne a�ove�mentione0 propetly loi in50e/c1ion purposes. �aie: _%!�/� Signamr ' . i � oriveYs Licefise or Social Security x: 16aLa6 Whi�e—OuiMing: Gieen—CoOe En�orcemenL Canary—ApplrcanC Pi^k—Revenue: GoWenroE—Assessoe CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 064687 PLAN CHECK NO; N CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU � JOB DESCRIPTION : DISABLED ACCESS UPGRADE E COMM. T,I, CLAIM VALOE: CALC—VALUE: 6S�a� PERM NO: P 06468; GOVT; N SUPP: N PURPOSE: ALT SQ FT: GROUP OCC: H—Z /A-3 COMMENTS: REF: B-64686 it*+r�t+�ir�r*iF*�+�it�ft+ritit�r*ititiritit�ititit�rrititirit+ritifit�rftttitirititit+rx�it*+t*ia***�r**riaiE«***it��+t*.c�***** 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 ---------- --------- ACCESSOAY BUZLDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKZNG REQ • PROV; PARCEL; 42919107 ZNE; REF NO; PLANNING NdI'ES> > it iE k M if iE 7F 1f ih if if iE if if if �f iE iF fE iE iE if if if it it if !t if if 1f if it iF iE k if it i! it if M if 1E if if iE it iF iE �F �f i! if iF jf iE iE if i4 if r af 1E if iF!R jE if iE ?: iE af iE if jE k* if D E V E L O P M E N T S E R C' I C E S�; R E Q U I R E M E N T S ZONING APPRdVED BY �" DATE: BUILDZNG APPROVED BY ; DATE: .-. �• .. APPLICATION ISSUED BY: ' ."-- DATE: � ��****�**��**��*****�� ,� *******�*� �� 3 iEfEfFit9fihiE7l�lEifiEifiE�IFififlfiflkltiFifi(�ikii�ifiEififififififiM1ifiFiEifiEifihififikifihiFifif#1EiFi4iFiE7flEiFiElFKiFiFiffflliFiFiFiE� Fif1F�Ifififilit LEGALIZATION:N F E E S U M M A R•Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES GRADING PERMIT 28.00 • 252 SMIP/NON—RES PLAN • . ISSUE FEE 20.00 BUILDZNG—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 28.00 20.00 0.00 46,00 48.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 48',,00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE"S.SMIP/TOT GRADING PLAN—CHECK 48.00 ♦ 1k 1f iFlE iF 1F if if i! it 1F k iE if if if 4 fE 1F %1E k iF iE #k if !f if if if if M 1t ik 1E if if ik if 1h M if i� if if if iF af if � 1k M if M if ik iE 1f aE �E iE iF 1f if iE iF if i{ K if �Y if if iF �7R if if if if I N D I V I D U A L F E E $'R E A K D O W N TYPE QTY D E S C R I P T I O N•. PLU 2 WASH BASIN � ' PLU 2 WATER CLOSET (TOILETj END OF FEES ! ,i F- / u UNIT COST 7.00 7.00 TOTAL COST 14.00 19.00 D1 0�1i4°831—ODi49331 Y t7T LS.O� r�ATE: i�/29;93 TZ%E: ;?:27 ' CONSTRUCTION AND PLANNING POOL �_rA I � APPROVALS Permit# Date Inspector APpqOVALS Permit�k Date Inspector 1 � 1. Temporary Electrical Service 0� Po1e 52. Pool & Equipment Location • � 2. $pi� Pipe�Undrgrnd. � _¢ C.. (� /i � 53. Steei Reinforcement . ! A�^.� 3. Electrical Conduit Utiiity-Undrgrnd. 54. Forms � 4. Electrical Conduit�Undrgrnd. , 55. Electrical Bonding 5. Steel Reinforcement � 56. Fough Plum6ing & Pressure Test � 6. Eleccr�cal UFER Grnd. 5I. APPROVAL TO COVER�GUNITE . 7. Footings � 58. Electrical ConduiFUndrgrnd. 8. Foundation ,� 59. Gas Pipe. O Untlrgrnd., Test � 9. Water Pipe-Undrgrnd. 60. 9ackwash Lines, P�Trap, � Undrgrnd. 10. Structural Floor SYstem 67. APPflOVAL TO OECK i i. Property Sewer Line & House Connection g2, gackwash & Receptor�Finat 72. Sewer Cap ' - 63. Heater & Vent•Final • 73. Roof Drains 64. Plumbing System - final 14. Rough Plumbing Z jsl�, _ � 65. Electrical-Final ' 15. Rough ElectricaLConduit 66. Solar SYstem-Pinal � 16. Rough Electric Wiring 67. Fencing & Access Approval � i7. Rough Wirinq Sign 68. APPROVED FOft PLASTERING I 78. Rough Electricai-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 1 20. Rough Factory Fireplace APPROVA�S Permit � I 21. DuGts, in Structure ,. 70. Underground HYdro I 22. Dutis, Ventiiating � 77. Product Piping 0 Gas ❑ Od 23. Gas P�Pe�Rough & Test 72, Undergrou�A Flush 24. Roo� F�aming. 73. Undergmd.Stora9eTank OGas '�Oil I 25. Roof Sheathing 74. O�erhead Hvdro 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. fIXED SYSTEM FINAL 29. Insulation 76. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREN7ENT 3l. Plaster Brown Coat 79. FINA� INSPEGTtON ' 32. Electrical Power Meter�Final • 80. FOOD CERTIFICATE ISSUED 33. Fina� Electric � ` ' - � Notes: / � � � . !/_�:-'1�(�3 �� LD <_v✓rY?'a_v t- . 34. FinB� Heating & Air Conditioning . r • `1-`�� __�� !'� .�+sCs's`) r! o O' T 35. Fina� Gas Pipe-Test ' 36. Hood or Canopy ^ � �, �} 2 Z' � � _L''1-'�-/2L�_ri p„� IJ �J'tCG� 37. Fin21 Faciory Fireplace U^'-1�"��_. o:�'e-+'"� '^^�7 +'t'�yv;en� 38. Final Plumbing _L,L' ,�4%) 2-- v_Gi.__ � . Q i �./�!j � 1' _ - � 39. Water Service�Final � ! Z -� -- =- �d��S ��'` .� 40. Gas Service�Pinal 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation Sy'stem 45. Sound Attenuacion 46. Handicap Regulations 47. FINAL STRUCTUAE & BUILDING 48. FINAL PLANNING � i' 49. Electric Release to Edison �� ,, 50. Gas Release to Southern California Gas Co ' 51. CEaTIFICATE OF OCCUPANCY - ,_ No. Date � - � � PP'�p00flE55: 843 W 19TH $T UNIT: � f�EP'SNAME: pAUL TRAUTWEIN/VERA nooness: HUGHES 1617 WESTCLIFF DR #112 NEWPORT HEACH, CA92660 (714)646-3679 RHCM/ENGINEEfl: �D VENTURES NEG.NO.: NO��; nooness: 365 N, NEWPORT HL H NEWPORT BEACH CA 92663 PE"mmEE:TRAUTWEIN/ HUGHES (714)642-8448 nooeess: 1617 WESTCLIFF DR 112 NEWPORT BEACH CA 92660 LICENSEO CONTHRQOfl OECUBRTION: I �ereUy atlirm tnai I am IicenseG uMer O�waions ol CAaOter 9(commenanq wit� Seclion 7000� ol Division 3 0l i�e Business anC Pmhssians CaCe. anG rtry license is in Iu0 larce anG eBect. CITY LIC.: STRTE LIC.: CLASS: Oaie: 9gnature: WOBKEflS' COMPENSRTION �ECIAMTIQN: I herzEy a�lirm �tu� I hav! a¢M1iticafe 01 consent t0 Se14in5ur¢ or a ttrti�itate oi WOMefs' fqmpensatian Insurance. or a ceniliea fAOY �nereol (�ti0n 3800. La�. CI. POLILY NO.: E%P. O�TE: � COMPANY: '� '❑ CenilieE capy is �ereGy Iurn6t1e0. ❑ Cenilie0 copy ¢ IileE witll t�e tlry BulUinq Uivition. �ate: AGWicam: EXEMPTION fHOM WOflNEflS' COMPENSRTION OECNPATION: (i116 5etfun nM0 noi Ee tAmpl¢t¢E i rp� tm me hwqrea I51001 w kss�. I c¢tlily I�al in Ihe 02dormante o� Ihe work �or w�kh t�i5 permii is issu¢A, I S�al ot employ ry D� in any manner so as ta become su�leci to t�e W rkers' Compensation Laws of CaGfomia. Date: Siqnamm: � r+On : n. aner akinB ��i5 detlaraiion, y0u 5�ou10 �emme SUEIe to ine w rs oe ovisions ol the LaDor Code. you mus� tonnwitn comDN �+�� sucn D�o�ons or tNs permit stwn oe EeemeA revoketl. LONSTNUCTION LENUING pGENtY: I �ereby allirm ttwt I�ere is a constmction lentlinq apency for t�e Oertormance of the work for wnicn this oermi� is issue0 ISection 3W7, Civ. C1. LENUEN: aoonEss: OWNEB BIlILOEP DECIAHRTION: I �ere0y allirm tlwt I am eMemp� Imm ihe Contractors' State License law tor ihe lollowing reason (Section 7031.5 Business anU Pmlessional Cotle: Any ciry ol caunty whic� mquires a Oermit m cons�mct, alter, impmve, Eemolish, or repair any stNcture, O�ior �o its iuuance. also repuiros I�e applipnl lor suc� permil to file a sipne0 slaiement ihat hPlshe is iicensetl pursuam �o ine provisions ol Ihe Commcmrs' Slate Licensa Law (C�apter 91�ommencinp with Section 7000) ol Division 3 of t�e Business ane Pmlessions Co0e1 or tnat nUshe is exemp� �healmm an0 tne Oasis lar ihe alleOeE eKemD�ion. pny violation al Sectian 7031.5 by any aOVlicant for a Oermit suble��s Ne aD0licanl lo a civil penalty ot noi more tllan Irve huntlre0 tlollars (E500�. I, as owner ol i�e D�operiy or my em loyees vnt� wa0es as t�eir sole comDensalion, will Eo tAe woM, anU Ine C simcWre is not imende0 ar alleretl lor ule (�clian 70<4, Busineu anU Professional CaEe: T�e Caniractors' State License Law tloes not apply to an owner ol a propertY w� ��IGs ar improves therean, anC w�o Eoes SucA woA himselflhersell or thmuph �is or �er own employees, O�ovidetl t�a� suc� imDrovemenis are noi imen0e0 or offere0 lor ule. II, �owever the Cuildin0 or impmvemenl is SOIG wil�m ane year ol completion, It1e awnet vrill Ilave IOe UurOen of provinp hNsOe ditl not OuiIG or impmve lor ihe ourpose o� sale�. ' I. 25 Owner ol �hu Oro08rly, am exCluSivtly convaciinp wiin IlcenseE comraclors to constmct ihe D�olect (Saction 70C<, Business ❑ antl Molessions Catle: The Cantractas' Stata Licenu Law Oaes no� appy to an owner of D�opeM1y wAo Wil0.s or imOroves therean and wh0 tanlracl5 �or Sutll D�oletl5 wilh a COnlotior�s�liCense pur5uani lo I�e CAntraCI0r5' SIa10 Lit¢n5e Law�.l am awam I�a� O�oat ol I�eir Wader'S Compensaiion insurante Slwultl Oe prOviGeG Ia me. � I am erempl un0er Setlion: B. 8 P. C. lar Inis reazon: Da�e: .�_ Ovmer. • . 1 eo nereUy ceni Ilut I am awar al aM unaerstan0 �ne repuirtmen6 0l Cahlorrva Healtn arM Salery CoOe Sections 25505. 25533, an0 2553< antl l�a� I or any �ulure Ouilainp acupani mNvrill no1(Grcle o�e) nee0 Io comply wit� SaiE state t00e5 an0 ��e reQuiremenis �or a permii for con5lmCliOn ar moCdiuli0n Imm Itre Air hly Mmapemtnt Di5lntt. flev0enl'wl con5inxtion applicati0n5 af¢ e�em0� �mm IheSe Orovi5ion5. Oale: MO��: I �ere�y [etlity I�ai I have rea4l�i5 aOP��aiion an0 Slaie llul Ihe a0ov¢ inlormaii0n is LrorreCi. I aqr tomDly with all [ity antl [Ounry 0lGI�dfICCS dM S�df! �dw5 fpldiillg �0 OUtlEIIIQ CMNULIi011 dM �CfCb/ dY1110f1[C flOfESlfIIdIN60� �' �0 E er upon tne aDove�mentime0 pmDeriy lor inSD/eciion Ourpo5e5. /'� Dale' / o /�Z1 SignaWre: UT' � 4�� Driver'S L¢ense or Sociai Securiry �: t64t�06 Whne—Bwltling: Green—CoOe Enlorcemen�: Canary—Appliwnl; Pink—qevanue: GolOenroC—Assessor CITY OF CUSTA MESA — BUILDING PERMIT PERMIT NO: H 064686 CONSTRUCTION TYPE: S—N PLAN CHECK NO: 03230-93 L PERMIT TYPE: STR JOH DESCRIPTION : DISABLED ACCESS UPGRADE & COMM. T.I PERM NO: B 06468E GOVT: N SUPP: N PUAPOSE: ALT SQ FT: 1,500 CLAIM VALUE: 1,500.00 CALC—VALUE: 59,857.00 GROUP OCC: H-2 /A-3 COMMENTS: "CLUB MESA"BAR 6GRILL/ACCESS UPGRADE INCLUDES INTERIOR & EXTERIOR �tr�c�r***r*+r+r+t*****?�**�-***i�****x-+�****+�*i�*�**�c*�**�***��*+t*+r+��c�*�c�+�*x�*+�r***��r+�**+r* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING -------- £RNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: ' PROV; PARCEL; 42419107 ZNE: Ci REF NO: PLANNING NOTES> INTERIOR REMODEL TO ADD HANDICAP RESTROOM , > iE it k jE if k if if it if #E iE iE if fE k if if �f k iF it 1t if it iE M if M iE iE itlt iE it jf iF if if iE ik iE iF iE iE 1f iF iF 1F iE iF it fF?F iF if iF iF iE !E k 4 if iF ia iF r iF �f if iE if it it if iE?! iF ik 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 ��jK DATE: J Z`_' �� BUILDING APPROVED HY : K'�7t1D- DATE; _� � Z 4� � APPLICATION ISSUED HY: �'� C��j�i� DATE: I� I2 `! S' *�t**�r+f***�rx�**�r*�tx��r*�r*i��*�F�.�r�r� * **�t+r** ��r*iF�Tri�+��.**�c*��***�c�7zi�ij�F+r��*�r it i! iE if iE it 1E it if it iF if i! if M if if if if iF if iE it k if iF jt if if iE �lt 1E k if it if 11� k i4 k it ik iF 1E ik iE it iE iE if it if it iE if it 1f 1E 1F %ic iE fE x it if 7� it it it if iF+t it it 1f # if if LEGALI2ATION:N F E E S U M'M A R Y STRUCTUAAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 459.50 PLAN 298.68 ISSUE FEE HUILDING—DIV—> P£RMIT TOTALS----> 472.07 .. . SMIP/NON—RES y 12.57 ISSUE PLAN—CAECK - , TOTAL PAZD DUE 0.00 ;298,68 � ' 770.75 770.75 ,00 i REVENUE DIVISION TOTALS--> COLLECTED:• - 472,07 OVEA/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC' � IRE IP/TOT GRADING PLAN—CHECK 459.50 , ,. 12.57 i! i! iE it M�f iE i! iF 1k 1f iE iF i! it k if if 1f 1t M if if k!f k it if i! it if if M ilif fE iF 1ElE if if # 1t if iE iE 1t if 1E if 41E if �tE i! if M if iF if if if +F 1f if if * iF 1f ft if iF ff if iF iF if iE iE I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T Z� •O 'N .UNIT COST TOTAL COST SFC 59857 ALTER BY VALUE COMMERCIAL NOZONE 1.00 59,857.00 END OF FEES D2 OOi44233—C�]149p33 T�7 T DnTE: lU/29;53 'Ii�E: it:23 4'•2.C7 r � CONSTRUCTION ANDPLANNING POOL �A - TAPPROVALS Permit# Date Inspector APpROVA�S Permit?� Date Inspector 1. Temporary Electrical Service or Po�e 52. Pool & Equipmenc Locetion '' 2. Soil Pipe-Undrgmd. 53. Steel Reinforcement - 3. Electrical Conduii Utility-Undrgrnd. 54. Porms ' 4. Electrical Conduit-Undrgrnd. 55. Electricai Bonding • 5. Steei Reinforcement 56. Rough Plumbing & Pressure 7esi , 6. Electncal UFER Gmd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical ConduibUndrgrnd. 8. Foundation 59. Gas Pipe, � Undrgcnd., Tesc 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structurel Floor SYstem 67. APPROVAL TO DECK 11. Property Sewe* Line & House Connection 62. Backwash & Receptor�Final 12. Sawer Cap 63. Heater & Vent-Final � '� 13. Roof Drains , 64. Plumbing Sysiem - Final �- � 14, qpugh Plumbing � 65. Electrical�Finat . 15. ROugh Electrical-Condu�t 66. Solar SVstem-Finai 16. Rough Electric Wiring 6J. Fencing & Access Approval 77. Rough Wiring Sigri 68. APPROVED FOR PLASTERING 19. Raugh Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1 ig. ROugh Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Firepiace APPRQVALS Permit # 21. Duc[s,in Structure 70. Underground Hydro 22. Oucti, Ventilating 71. Product Pipin9 p Gas OOiI 23. Gas Pipe�Rough & Test 72. Underground Flush 24. ROof Framing 73. Undergrnd. S[orage Tank O Gas � Oil 25. Roof SheaThing 74. Overhead Flydro 26. T�Bar Ceiiing (Svuctural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry $tandpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. insulation 78. FIfiE PREV. FINAL 30. DrYwali Nailing HEALTH OEPT. RE�UIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. F000 CERTIFICATE ISSUED 33. Finai Elec:ric _ Notes: ��.2 .. �'�f - ��J� 34. Finai Heat(ng & Air Cond(tioning - .� '� 1'L�l- �� 35. Final Gas PiDe-Test � • 36. Haod or CanopY �� S c.� No/�L e'rc ��a.r F-v✓ EjL�'i r� 37. Final Factory Fir=place Z�r : /�� a ` v�� y ( - .f- 38. Final Plum6ing 2-�� r 39. Water Service-Final 40. Gas Service-Final 41. So�ar Oomestic•Final i ' � 42. Backflow Prevenier 43. Backflow irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAISTRUCTURE&OUIL�ING �f4 l�t� 48. FINAL PLANNING 49. Electric Release to Edison • � 50. Gas Retease to Southem California Gas Co �� 51. CERTIFICATE OF OCCUPANCY No. Date � ' Z . aV Z ZQ � �m J � � J Q U � Za W � aw J Q m Z J � W W 0 ZF W � � � H z a U 4 � H N Z O H U � � f N z .. 3258 ��1��-�D �JZ-�y 7a� �z-,o�"„—saoo s�o �*��,*s.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P,O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT FoiApplicant to Fill in Completely RECEI DATE RECEI ED DATE ISSUED BUILDING . / � I%'►Z3— "D Z ^1 3'�G ADDRESS OWNER � A.P. NO. / � � PER1411i�jS 1:��.1�.� MAIL / / � ��/'/� BUILDING � (f', � � ADDRESS ( /+C W ADDRESS d CITV �JGU�,v l/ NOL �3J �07� TRA LO BLOCK fl BRANCH '� A�ORESS p ARCHITECT A� A�DRESS � CONTRACTOR �� ADDRESS CITV � STATk LIC. NO. SI2E OF LOT USE OF EXISTING BLDG. SIZE OF USE OF BUILDING AND WORK TO BE X OWNE /T ' � VALUE ,y� L. S $�/✓' FIRE Z/ ZONE ^TVPE GROUP APPROVED �� oTF�=,. j3 ,L RV TEL. NO. CITY IIC. NO. INO. O LBF�DGS. NOW �N LOT � I hore�V ocknowletlBe [hat I hava reetl [his application antl stote tha[ the abovo information is corrac[ antl apree to comply wlt� ell leWs ragulotln8 builtling ronavuction, antl I sholl not amploy any permn In violeUon o( the workman's compensetion lows of ffie S[s�e of Califomla. 1 herebVi certify that I am proparly Iicensetl es a eonttector untlar the StS�a of California Busi�esz antl Professionz Code, Divisicn 3, Choptar 9, antl that such licanses ara In full forca antl effact, or I am exempt from tho provisions of th tata of Cnlifornia Businecs antl PrGfasslOns tle, Division 3, t Sle�atNra o Permlt<ae Authof�s Agent DJ= NO.OF � PLAN$ VAROS APPROVED IF VAR. qW C.U.P.�{'+ THEAMOUNI THE PURP06E VALUATION §j��.J VSE OF NE BUILDING « VARDSAPPROVED ACCESSOFV BUIL�ING FT & . 1 J � � 0 VAI.UATION IS FOR � A PEflMIT FEE ON�V: Q �. p.� �� m E S � "' � m K S � E �- LL § t . . : . 320� � ��+-�—b g— c 7-�� r ' ea*o COSTAMESABUILDING-SAFETYDEPARTMENT 16-70cH5nOO1632 o**�*z3.00 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant ro Fill in Completely RE 1 D B DATE RECEIVED DATE ISSUED BUILDING [i� �� • � �� O lI/�7� AODRESS � — � �� ' .. ' ' . r / : ti i _ � ccvnur nin . OWNER / � / � , � MAIL ��('1 AI'fORFSS y •J GTV BRANCM ADOflESS ARCH�TECT ADDRESS � CONTRACTOR ADORE�S J�S CITV STATE �IC. NO.� � S12E OF LOT USE OF EXISTING BLOG. SIZE OF NEW BLDG. EXTERIOR WALL u �� TEL. NO. TEL. � N O. �'/ CITV / LIC. NO, p� INO.OF BLpG$. NOW ON LOT NO. OF AND WORK TO BE PERFORM � I hereby acknowledpe that I have reetl this applieation antl stete thet [ha ebova InfOrmetion ia corract end eBree to tomply wIM all laws reguletin0 bulltlinp construction, and I shall not employ any person in violaNOn of the workmen'z compansation laws of tne Steta ot Colifo/�la. I hereby cartlfy thpt I am properly Ilcensetl as a contrector untler tha $tate ot CelifoY��a Business entl PrOtessions Cotle, Oivislcn 3, Chaptar 9, entl ihat such licenses era in full torca antl effect, or I am ezempt from tMe provisfons Of the Steie of Californle Businass antl Protesslone Code, Division 3, apte . ' . Slp^atura of � �� S �"� Permlttee Autho�izetlAgan hArh ON.s'�•� , ADDR OWNE FIRE ZONE APPqOVED fYE NO.OF �� PLANS 1 VARDSAPPROVED MAIN BUILDING VAR, qW C.U.P.q VALUATION b0 � �� 5 � �-P.�G+L/ VALUE 5 -�^ GROUP J � DATE USE OF NE BUILOING' � VARD APPROVED BET. MAIN & e 0 ER VA�UATION IS FOR ^ VG A PERMIT FEE ONLV: � �J ¢ FEE $ �< �/� �" � m iECK S E o` =EE 5 z3,Bo LL , _ , � 2 �� ;!� ��tig� Fi� �J �1� �07HAY 15-67cnsn00 819 o�aTM�*j.C�Q COSTA MESA BUILDINGSAFETY DEPARTMEM' P.O. BOX 7200 � COSTA MEBA. CALIFORNIA Y4620 ' , • ' iS�!7�8 ��N�i'�� D' �D PAi� �t � atr�3.�� .. . APR 27-67cF�sAOO1396 a :.: C05TA MESA BUIIDING-SAFETY DEPARSMENT P.O. BOX 1400 COSTA ME8A, CALIFOHNIA Y26t6 For App1)canf ro Fill In Complefoly APPLICATION FOR PERMR TYPE OR PRINT BUILDIN(i eui�ino�/ 3 - s'T ,£ For Offlce Use Only ADDRH D / R[C[IRNO. pi8yljJ(Q.�'� COSTA ME$A, CALIFORNIA 44�n��1� / ,�/ ■� �� ux�etc�i�"G �a7-('� . owNe� �• l.�// �iP � d ' MAIL u� 1_�� /r. T.Qi f_.� , BVILDINO �"h�� /�f! /9��. S`f. ♦nnoe¢a _1 C- S, Y6TpACK LIM[ IROY �I DESCRIPTION OF WORK G y ZONING NO.O� UYtOINtW �LAHI O OYIlDINO fS�4 �7 �� / r'. Z/%2 ii__�� YARO� MPROVHD MAIN BUILDINO vwrs. # err. l' 7 BHALL E6 LH88 THAN YAROg MPROVHD ACCEGSORYBUILDINO DAT6 1 XRR80Y ACKNOWL[DO[ T XAVr RQAD TII� AI�LIGTION Tit AYOUMT 6NOWM UNO6R VALYAT�OH 19 IOp TN6 I�NO BTAYH TNAT TM6 A� 6 1 CORN�CT�AND AOHB[ TO COY• �YNPG!{ O! UTApL10NIN0 • P6RMIT P68 ONLY. PLY WITX ALL CITY ORDI AND iTAT[ LAW/ 11[O�LATINO yALUATIOH BUILOINO CONOTIIYGTO . � Q /� PHAM�TTBe 0= PERMITPEB !/ � s 2a0 �uTHon�zeo wcir�r I TOTALFEE S �'OO "!� . rEE �EGEI�ED � �� - � �S��.o �� y,_ AUG2 ��, COSTA MESA BUILDiNGSAFETY DEPAR7MENT ,"'"NCE DEP�l. �ur-- P, o. aox 9,� GOBTA MEBA, CALIFORNIA CITY OF COSTA MESA For Applicani fo Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT gUILDING ADD E'SS " �� `-"' � � T� � COSTA MESA. CALIFORNIA FOr Office US@ �fl�y/ r1 1 �w/ •['J �� . .T HlCEIPT NO. Fl�MI ■ SIZE � 88TBALK LIN6 FROM PCCEIV6D BV I DATB RECEIV:� 1 � TEL.�'"43�� BUILDI i[ ��' NO. q�DRESS W Tu�' � GQJS�FA MESA. CALIFORNIA NO. OF BLD68. I6x i s r�.vc. I LEFf RIGHT DESCRIPTION OF WORK WALL NO. OF WORK TO BE PHRFORMED I H8R6BY ACKNOWLeD68 THAT 1 HAVE N6AD TNIB APP4WTION AND 8TAT2 TMAT THE ABOV6 IB CORHEGT I�ND AONH¢ TO COM- PLY WITH wL WTY OPDINANCHB AND HTAT6 LAWB 1ie0ULATINO BUILOINa CON9TRURION. � BIGNATUREORR�ERTS. ��SIALi�/lN� PERMITTEF n �i , . n n �, n I AGENT FIRE ZONE TVPE GROUP APP �J BY DATE ZONING zor+e no. or use oa Hew %� _/ I PUNB D I BUILDINO � LBOAL I //�/�/�,�� %J � / DEBCRIPTION (/� v � � {�^ � O�� A. P. NO. J I v-^ O 3 O•� YARDS EVES APPROVED ALLOWED ICeNTHR LIN[ lT.1 � ��' FRONT ��l/ FT. R. SIDE L.�FT L.81DE �P'T f.�� REAR FT. APPROVED (}� BY �ATE CS , / O .- n \ � � �'aJ�_, TXE AMOUNT BXOWN UND¢R VALUATION 18 FOR TX! PURP088 OP EHTp0L19M�N6 A PEPMIT FEE ONLY. VA�UATION ^ , e_ � o� PERMIT FEE $ I1 � $ / � / • PLAN CHECK $ � vo e 0 4 - � ... �2 �Inl,4tig� H—�:•�.1 �[ pg 'I� COSTA MESA BUILDING-SAFETY DEPARTMENT i L�� IL��B V��L� P. O. 90X 917 C08TA MEBA. CALIPORNIA a,�dUL �/� IW1�p For Applicanf io Fill In Complelely APPLICATION FOR�PERMrITDEPT. TYPE OR PRINT gUILDC�NGOF COSTA MES,q BUaoWc � �^ � ADDRHSB � �C i1S� COSTA MESA. CALIFORNIA For Office Use Only � � YifR1VT NO_ PLNMIT NO. � Z i V ^H6 " L� � „o: �ej�?Lo ADDI � S No' L6 _ 3 FIRE / Y No: �a3/96 o ga�R �� u°W°��a��e.// . _ . [L COSTA MESA. CALIFORNIA / ZONING NO. OP I U8H OP NCW •LAN6 OUILDINO ! fiHTBACN UN8 RRON lC6NTCR LINe BTJ CHNT6R OP 8�88T �_ REAR VARD � FRONT ^ �� 81DE YARD LEFY � RIGHT �� 8 R SIDE DESCRIPTION OF WORK BUILOING NO. OF SIZE ROOM6 EXTERIOR WALL ROOF COVERING COVERI! USE OP 9UILDING AND WORK TO BE 1 HER88Y ACKNOWLEDOB TXAT 1 XAVE fiHAD THIB APPLIGTION AND BTATQ THAT TX8 ABOVE 18 COHRCCT ANO AGRB¢ TO WM• p�Y y/�TFI ALL WiY INANC'H/6 ANO 8TAT8 LAWB REGYLATINO BUILDINO CONB N� '' � SIGNATURE OF � AGENT /� � � THe AMOUNT BXOWN UNDEq VALU�TION IB IOR TH! PURP08H OP EBTABLIBXINO A PERM�T FE6 ONLY. 0.�, $ �Obo 0 � � �' � � '•�9`7s '�dnU � ' � �fsq�('Jtl��.l� 1 b� (:OSTA MESA BUILDING-SAFETY DEPARTMENT �^"V �� 2 41959 P.O. BOX 317 COSTA MEffiA. CALIFORNIA FINANCE DEPT. fOR APPUCANT TO F/LL /N COMP[fTEU' A�PPLICATION FEOR PERMIT TMPE oR iNr BUILDING G tARG"'TECT OR iINEER COSTA MESA, CqLIFORNIA � AODRESS� 0 Sd y�{ _ �sr� LEGAL ILOT � I I oesCniPiioN NO. �� BLOCK TRAC A.P. NO. ' C/ O i� U` � SIZE ) �/ NO.OF BLO09. OF LOT /S /�� nOW On �oi USE OF ,�,��T�uR,u Nr EXISTING BLDG. SEfBNCR LINE PROM cENi[n oF S�nEFi REAR YARD SIDE YARO ILEFT IRIGHT DESCRIPTION Op WORK ING IOR WALL AL AND 1 HEHEBY ACKNOWLHOGE THhT I HAVI�^ READ TMIS PPPLICATION AND STATE TNM1T TNB ABOVE 18 CONflECT AND AGREE TO COM� PLY WITH ALL CITY OROINANCE9 ANO ST�TE LAWB REGULAT�NO BLIILDINO CONSTN CTION. SIGNATUREOF ` �� P�� PERMITTEE � 0 AUTHORIZED AGENT foR offic� usE oNcy I RELEIPT NO. I �RMI'NO. � ,.f PECEI,`�D BY �D7ATE RECEIV-BJG� OATE 1 Sl1ED �.iYV� / I / ` i-�/- S % �- � �f- "�f BUILDI ADDRESS COSTA MESA, CALIFORNIA FIRE 1� � a ZONE TYPE /�' GROUP APPROVED�/ /� BY DATE —� ONING � ZONE I NO.OP I 118E OF NEW � PLANB �;\��/�IjBUILDIN6 ' APPROVE �(//� /j�a/� �` BY ��. !� ' �� TE / �'Y VARDS ��gVES� REQUIRED ALLOWED fCBNTER LINE BT.1 � � /f FRONT �f'-{i� FT. �N. R.SIDE FT. �N. L.SIDE FI'. IN. REAR �. �N. � /ilL.v !i/.r/3 �% _ TNE AMOUNT BMOWN UNDER VALUATION 18 FOR TME PUqP08H OR EBTPBLIBHING A PEflMIT F8H ONIY. VALUATION � �O PERMIT FEE $ �; � � $ �bOO P�N GHEGK S �� / TOTAL FEE $ J.l-�- � C'nsta Mesa Snilding Department 3` � 4� APPLICATION FOR PERMIT � ��• 111 EABT 20th STREET �� g U I L D! N G ' - 'f '. �+YOSTA ME8A. CAUFORNIA � FOR APPLICANr TO FILL IN FOR O&'FICE USE ONLY Reeeipt No. �ermit Ny nddre� 84 iY. 1 th St. Costa Mesa �� j Costa, Mes�, California y.��a ny Date Rec'd. �j Date lesu/ / � q� w ZED�.l �l (Attach Metea and Size of LM Use of Existing Bldg. Setback Line Trom Center oT Street DESCI New I X Repair I Building Size r �ior Wali � rfna Tel. No. Lic. PC No. Calif c�ty sell, �ran�e IB�ock j 7ract N V�. 130� Portion INo. of Bldgs. Nowon Lot I No.of I No.oi No. of Stories — L • /�–r-�� /1 -/6` Buildfng � � ^ �� Address Costa Mesa, California Nearest ��C ��/ �__ Cross St. $ Zone�_ � I No. of I Type �/ Gro oi�..� COItREC9.'YONS k7G��iR�X See attached Addenda Sheet Founaation �oce — Forms, Materi Revised Roof Structure Under-Pinnin� �� -,�� 3 y Frame: Fire Sto Bracing, Bolts I hereby acknowledge that I have read this Application and state that the abwe Is correct and agree to comply Lath. InS. with all City Ordinances and 5tate Iaws regulating buildLng constrUCtion. Lath. ExS. Signatureof rU � Ylf� _.a- „�� Permittee �� + 111�@�t_G0..�� 1r Plaster, Int AuthPrized AgS. �3G@M� � 1 plaster, Ext vaiudtlon PermltFee$/UC c�"�'"� MasonryReinto /. �\ Plan Check $ G CC Bond Beam Total G Fee $ fi�� FINAL �AP 8M ft-RR . �� APPROVALS 6 O a � c J 0 , a` c �� . 1� •^'S, '� >' _� .: . .. . . r._': . . i -I . . Street . + . I . , '., . � � . . . . .. .�''?;�• . � . � PLO� PI:AN � - - -- _ - - _ . - � &how location and distances from , •- � . � �- property line and batween buildinge. ' 6^. � - CC i. - ' ' . ' . _ . _ . . . � .. � - ,- .`._ —._ . . . . . 4� ' � ' � ' , � "_-__� ._' __ _... , " . . .. `,.) .. . .. _ _. . _� _ . ' '. _ .__ _ �__ . �') 1 • ' � - . __ . �. _ _ _ . . . - _ o� '- - - - - - - . . �� , . � . , , . , r .r ' _ , L: - . . ._ . ._ . . . .. ,.� . �. �...'_ ; .` ,. .f:��,, �. __ _ - o- - - � �- . - - - a� . - � - - - - - -- - � - � ' � � - � : �,:, .�c:-.. ! ortr.� .. �-� . . _ _'.'��'_- _' . ' `'. '___ __ _" "_ ' _ .- _ ._ � _ ` � -," .. '' _ � . , ...: x. � � F � W 0. Q � � F L� W .� Q 7 %� � �i W a� 0�. C. z 3 � ° 414.1;8 .I � �I AJ�LF�p 1 �� .��7� 76��°O(1 63��- �x'«79.77 COSTA MESA BUILDING-SAFETY DEPARTMEN P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING �y{ 7 .._n Y' IG _%�'� ADDflESS r .7 VV'��lil / i/�� OWNER T j� �. � rw r-_ � v t �-t-�C-�� MAIL n � � ADORESS / %7� IO n/LP�.� � ' / TEL. CITVMP.r.��T-n� /�iP��L, NO.(�'/3/`I BRANCH ADDRESS AFCHITECT CONTRACTOR � —�� ADDRESS LLJ l CITV , STATE LIC. NO. ' 512E OF LOT flE� A.P. NO. BUILDING / ADDFESS yy I M • '" YEiln r : W A P X OWNER I/ 5 � FIRE FORSTRUCTURALPERMIT DATE RECEIVED D E S E� �_na� ��i�J"�. � VALUE � . TEL. ONE NO.OF USE OF NEW NO.� `�.. � rZ P�� Z BUILDING CITV .'�n 1'AftDSAPPROVED VARDSAPPqOVED LIC. Np!�J�' MAIN BUILDING ACCESSORV BUIIDING NO.OF BLDGS. (FROM C/L STREET) NOW ON LOT ROM FT. _ FT. STING BLDG. Separate permits are required for electric, plumbing and heating work. E OF BUILDING AND WORK TO BE PERFOR� � C.0 BET. MAIN & I heraby acknowladpe thet I have reatl thla epplicatlon and steta I thet tha above Informatlon Is correct antl a0rea to comply wlih I ell laws raguleHnO bulltlinp construction, entl I shall not employ any Oerwn in vloleSion of Ne workmen'c compensetlon laws of She Stete af Colifarnie. I' 1 hereby certify that 1 am proDerly Iieensatl es e conirecior undar SQ. FT. iha Siete of CallfOrnla Buzineu antl PrOfesslons Cotle, Dlvlsion 3, I THE AMOUNT SHOWN VNDER VALUATION IS Chaptar 9, entl thet sueh Iicanses are in full foree anC affect, or i i THE PURPOSE OF ESTABLISHING A PERMIT FE O am exempt from the provislonsof thaStete of Calitornia Businaaa VALVATION PERMIT FEE 5 an0 Prof¢ssions Code, Divislon 3, Chapiar 9. Sipneture of /,y /'., {/ � i/��— Q PLAN CHECK $ L �,r �i! J— $ / � P¢�mittee �V ,1 r -�aV O TAX S ` AuihorizeA ABent TOTAL PAID E C 0 � m u N m m 0 LL � U