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Home My WebLink About442 19TH ST - Building PermitsGTY OF COSTA MESA BDILDING DIYISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BC07-00491 PERMIT TYPE: B COMBO STATUS: ISSUED Sub Type: COM_ALT DATE ISSUED: 05/1412008 ISSUED BY: RMD J08 ADDRESS: 442 W 19TH ST CM;, '� �, SUlte/Unit: _. APN: 41920515 .'i� � .�-�ZOning . .. - - , ., Vicinity: � Primary' Occ: B . ' ' ' Const Type: V-N !� SQ::FT>.: ''' 0 Valustion: $8,500.00 '��• � � ,�, .. , , �- SCOPE OF WORK: EXTERIOR'REMODELING TO REPLACE EXISTING CANOPY WITH TILE CANOPY. REPLACE HVAC SYSTEM AND GLAZING. DEMpLISH'AL.L'NON-LOAD BEARING INTERIOR WALLS AND RESTROOMS WITH 4:CIGHT FIXTS, 2 OUTLETS, 2 SWITCHES, 2 MOTORS TO 10 H,P, 2 COMPRESSORS 3-15 HP, 2 WATER PIPE, 2 WATER SVC. NO FLOOR AREA ADDED. REF: BC07-00490 1 < � � ,- r ; f � ' � _ ', ti,.`. r i- � ��i _ � '� OWNER: SOMERS, LAWRENCE'ORIN TR � � ��Address:" 471 OLD NEWPORT BLVD #301 � .,� . Uoit: Phone: �i��f� <<l,'�� w �'� Gty/Sfate/Zip: NEWPORT BEACH;�CA �,' ' .; � ' ' -:--� �;�� U � i r. APPLICANT: MOORE JEFF R �; -- ` � Address ..,.. . , _-. `. � , � Unit: : Phone: •;,� �/�i � . " City/State/zZip_ ' -: . . � '- 1 ",�' � ;' . coNrRacroa: ROSEEN BUILDERS INC License No. Bt3939 Phone: 949•716-7g00 — �� Address: �23011�MOUL70N PARKWAYUnit: � Cell: � City/State: LAGUNAHILLS,-CA �'\� S��- - . ' :. - `` _ ARCHITECT: EHDAIE, BEHROUZE I License No.C14264 - ENGINEER: '. ,. . ,,. � � License,No. � COMBINTATION PEi2MIT FEE SUMMARY Building Plan Check: � - $108.71' Building Fees: $167.25 Electrical Fees: $56.90 . Mechanical Fees: $77.80 Plumbing Fees: ' , $62.70 SMIP Residential: ��=='$0.00 SMIP Commercial: $1.78�"" TOTAL FEES: $475.14 "Refer to fee receipts (or all fees paid for prqect `i� " _ .. - . 1' " ZipCode 92653 PHONE:949-497-1935 PHONE: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) , EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be wnsidered legal, such work musl comply with all applicable codes, and all required inspections and f(nal approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of ihis permit. CODEO, INSPEC710NTVPE 1816 Fiaed System Final Fire Prevenlion 1288 Pool SDa Final . 200 Final Re-Roof 20f FinalBlock/RetainingWall 202 Final Factory Fire Place 203 . Final Sign 204 FinalOemolition o� ix n�� y� ixsaecnoxrwe 208 Final Mechanital 208 Final Plumbing 210 Final Elecirical 272 220 222 250 Final Fire Arevention Final Planning Approval Final Site Final Building/Occupancy DjT N7fIlAL 2— 'O � WORKERS' COMPENSATION DECLARATION: I hereby aKrtn under penalry of perjury one of the following declarations: � I have and will mainlain a certifcale of consent to self-Insure for workers' wmpensation, as provided for by section 3700 of the Labor Code, tor the peRortnance of the work for which ihis permit is issued. ❑ I have and will maintain v.orkers' compensation insu2nce, as required by section 3700 of the Labor Code, for the peAortnance of the v.ork for which this pertnit is issued. My workers' compensation Insurance arrier and policy number are: C1 �l=,� .`�^j� GCamer:� 1`I`�i�Y-^� I `�`�C . (ihusecYionnee0irol0emmplet dthepeimRisrdluetlafone untlreeMllars($f00)alessJ �-- oa��c� Policy.NumCer: ❑ I certify ihat in the peRormance of the work for which this permit is issueC, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to Ihe vrorkers' compensation provisions of Section 3700 of the Labor e, I shal foAhwith comply vnth these provisions. — 5 = � �� ok plk3nf5 ipnaWre - Dale� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(wmmencing with Section 7000) of Division 3 of ihe Business and Protessions Code, and my license is in full for e an�d e/fle��./� �� Lic.�# � � I � J�� Y 1 �Class #. \ ��%��i�%un.,/ -/ �y�s SlgnaW�ei oa�e CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm lhat there is a consiruclbn lending agency /or [he peAortnance of the work for whi thi permit is is d. (Sec. 3097, Gvil Code). Lender's Name: Lentler's Address: Signawre OWNER-BUILDER DECLARATIONS: I hereby affirm ihat under penalty of peryury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for lhe (ollowing reason (Sec. 7031.5. Business and Professions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any structure, prior lo its issuance, also requires the appliwnt for such permit to file a signed statement that he or she is licensed pursuant to the provisions ot the Contractors License Law (Chapter 9(commencing with Section 7000) o( Division 3 of the Business and Professions Code) or Ihat he or she is exempt therefrom and the basis for the alleged exemption. Any violation ot Section 7031.5 by any applicanl for a permil subjecis the applicant to a civil penalty of nol more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, and the sUucture is not intendetl or oftered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves thereon, antl who does such vrork himself or herself or throu9h his or her own employees. provided that such improvemenis are not intende0 or offered for sale. If, however, lhe building or improvement is sold within one year of completion, the ovmer-builder will have the burden of proving ihal he or she did not build or improve for purpose of sale.). ❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnstmct the project (Sec. 7044, Business and Professions Code: The cont2ctors License Law dces not apply to an a.mer of pmperty who builds or improves thereon, antl who contracts tor such projec� v.i�h a can[ractor(s) license pursuant ro the Cont2ctors License Laws.). ❑ I am ezempt under sec. Business and Professions Code for Ihis reason: Ovmer ID veri(etl by dnver's lic. ❑ Yas � No Driver's License No. Expires: Venfication of Ownership 6y (type of tlocument, i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certRy that no excavation (rve (5) or more feet in depth into wfiich a person is requiretl to descend, will be made in conneclion with work authonzed by this pertnit, and ihat no building structure, scaffdding, falsewurk, a demolition or dismantling thereof. vrill be more than thirty-six (36) feet high. (C�ap. 32, Grp 2, M 2, Sec. 341, Ttle 8, Calitomia Atlminislrative Code). ❑ As owner-builtler, I will not employ anyone lo do work which vrould require a permit from Ihe Division of Industrial Safely, as noted above, unless such person has a permit to tlo such vrork from lhe tlivision. Appliranl's Signature Division of Intlustnal Safety Pertnit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the appliwnt or present or future building occupant need to file and certify a Business Plan for emergency response to release or Ihreatenetl release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Healih and Safety Code requires, with some exceplions, tha[ a Business Plan be filed with the Cosla Mesa Fire Department by every business which has at any one time during a reported year a quanlity of hazardous materials equal to or greater lhan a weight of 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressetl gas at standard temperature antl pressure�. 2. Does or will the applicant or present or fulure building occupant need to file a registration form for acutely hazartlous materials7 ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantiry of acutely hazardous matedals equal ro or greater than a weight of 500 pounCs, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will ihe applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for aculely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the Califomia Heal[h and Sa(ety Code provides that Ihe Costa Mesa Fire Department may require the preparation, ceAifiwtion and filing with the Fire Department of an RMPP by businesses which are requiretl to register acutey hazardous matenals with the Fire Department. 4. II an RMPP is presenlly required, has Section 25534 of the Califomia Health and Safery Code been fully complietl with? ❑ Yes ❑ No 5. Does or will the applirant or present or future building occupant require for lhe work which is lhe subjec� of [his application a pertnit (or such wnsWction or motlification from �he SouN Coast Air Qualiry Management Disirict or from any other air pollulion wntrol dis[rict or agency? ❑ Yes ❑ No (Section 65850.2 of the Califomia Govemment Cqde requires that Ihe requesled infwmation De fumishetl on applications (or non-residential builCing permits). 6. Will any part of Ihe facility to be construcletl under this pertnit De within 1000 feet from the outer boundaries of a school? � Yes ❑ No Qf yes", the (acili[y must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7. If a permit fmm the Soulh Coast Air Qualiry Management Districl or other air polWtion control district or a9ency is requiretl for ihe vrork which is the subject of this appliwtion, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made'! ❑ Yes ❑ No 8. Qf yes", attach certificate of compliance from �he appropriate air polWtion control oKcer). . ' CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is conect. I agree to wmply with all state laws antl city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry ot perjury that I have read this applicalion and sWte that the information given is cortect. I agree ro comply with all state laws and city ortlinances relating ro builtling wnsWction, and authorize representatives o( the City o( Costa Mesa to enter upon lhe above-described properry for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until fnal inspeclion. SignaNre f Legal Ovmer(s) /�- Dale �/ SgnaWrG Date � �� // O O l05]-06 (3I0]) "� I� nElw Au� 1=onze0 Spliranl �Dale (714) 754•5273 • Fex (714) 754-4856 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT, PERMIT 442 W 19TH ST 41920515 SQUEAK KOSSNAR 1274 N GROVE ANAHEIM CA ELECTRICAL PERMIT Phone: 714-630-8414 Zip: 92806 Owner: - SOMERS, LAWRENCE ORIN.TR Address � 471 OLD NEVJPORT BLVD #301 ' � � , � � Phone: . �.NEWPORT BEACH, CA Zip: 92663 Contracror. CAREY SIGN GRAPHICS Address: 1274 N GROVE REF:SB00-00064 ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a , Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ANAHEIM CA .Phone: 714-630-8414 � Zip: 92806 License: 376085 SCOPE OF PERMIT EELCTRICAL FOR ILLUMINATED WALL SIGN FOR THE WICKED CHAMBER. $23.50 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 50.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 SO.oO 30.00 $0.00 $24.60 30.00 $0.00 Quantity � FEE SUMMARY Temp Dist System / Lighting Busway I100 ft � Standing Seclion _ Misc Electrical Equipment Transformers up to 1 kva/kw ................uP to 10 kva/kw .................up to 50 kvalkw .................up to 100 kvalkw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System I Ckt Misc. Conduit, Misc. Conductor � Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Sland Other Eledrical Fee. Investigation Fee Plan Check Fee Reinspection Fee PERMIT NUMBER E00-00503 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: O6I022000 Issued: O6/02I2000 ISSUED BY: Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.ao 0 $0.00 0 50.00 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 50.00 0 50.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E48.10 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap eccess requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automaticslly expire and become void if work is not�commenced within 1B0 days, or it work is suspended or abandoned for a penod of 180 days. INSPECTIONS: In order for the work authorized under thls permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepeeliona end flnel epprovel must be obtained. Feilure to obtain inspections and final approval will resul� in �he expiration ot lhis permi�. FOR INSPECTIONS CALL: (714) 7545628 WORKERS'COMPENSAnON DECLARAnON: I herehy atlirm untler penalry oi perjury one oi the following declarations: ❑ I heve end wlll maintain e caniticate of conseN ro self-Insure for workers' compensation, es provitletl for by section 3700 ot the Lebor Cotle, for the peAormance of the work for which ihis pertnit is iuuetl. �I have and will maintein workers' compensatlon insurance, as requiretl by section 3700 of �he Lebor Code, for the peAormence of t�e work for which Nis pertnit Is issuetl. My workers' compensati0n Insurence carrier antl policy number are: �j Carrier: �T^�� HW� PoliqNumber. � �� s" (Tlds section need not be complefed i! fhe pertnitls ve/ued et one hundred dollers (S 100) or /ess.) ❑ I certity Ihet In the eAortnance at the work for which ihis permit is issued, I shell nol employ eny person in eny menner so as to became subject to Ihe workere' compensetion laws t Celifom' end egree t�at il I should become subject to the warkers' compensation proWsions at $$$edirn 3700 of the Lebor Code, I shall torthwith compty wlth these p isions �/�� Applicant Signatura: Dete: / WAqNINO: FAILURE TO SECU RKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHFLL SU6IECT AN EMP�OVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNORED THOUSAND DOLLARE (5100, N ODRION TO TNE 005T OF C�DMPENSATION, DMMGES AS PROVIDED FOR IN SECTION 3]OB OF THE IABOR CODE, IMEREST, FND ATTORNEY'S FEES. LICENSED CONTRACTOHS DECLARATION: I hereby atfirm Ihat I am Ilcensetl under provislons ol Chapter 9(commenUng wlth Sectlon 7000) of Division 3 of ihe Buslness and Professions Cotle, antl my Ilcense is in tull lorce entl eMect. Llc. q_---_3,�'�T� Cless a 'S� Contractors SigneWre: Date: �a 2 AO CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn thet there Is a consimctlon Ientling egency tor the peAortnance ot t�e work tor which Ihis permit is Issued. (Sec. 3097, Civil CoGe). Lender's Neme: Lender's Address: Signeture: Date: OWNER•BUILDER DECLARATIONS: I hereby aHirm that under penalry of per�ury thet I em EXEMPT FHOM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Proteuions Code: Any ciry or wunry which requires e permit to consWci, alter, impmva, demolish, or repair any slrucWre, pnor to its Issuence, also requires ihe applicant br such pertnil lo file a signed statertient Nat he or she is Iicensed pursuant to the provisions of Ihe Conirectors License Lew (Chapfer 9(cammencing wl�h Sectlon 7000) ot DiN51on 3 oi t�e Business entl Protessions'Cotle) or thet he or s�e is exempt Iherefrwn end the basis tor t�e allegetl exemptlon. Any violetlon oi SecNon 703L5 by any epplicant tor e permit subJects Ihe epplicant to e civil�penalry at not more then Me hundred dollars ($500).): �,,r�.� ❑ I, as owner ot the property, or my employees with wages as their sole compensetion, WILL DO THE WORK, entl the structure is not intended or otteretl for sale (Sec. 7044, Business and Pmfessions Code:.The Conirectors License Lew tloes not eppty to en owner of property who builds or imprwes thereon, antl w�o tloes such work himself or herself or thmugh his or,6er.nwn employees, provitled thai such improvemenis are not intended or oflered for seie. Ii, however, the builtling or improvemem is sold within one year of completioq �he'owner-builtler vNl �ave ihe bur0en of proving that he or she did not build or improve tor purpose of sale J. ❑ I, as owner at the property, arri ExGW51VELY CONTHACTNG WrtH LICENSED CONTRACTORS b construd the proJect (Sec. 7044, Businass and Pmtessions Code: The coniracrors License Lew.daes not epply to an owner af property who Duiltls or improves ihereon, and who contrects for such projeci with e contracmr(s) license pursuant ro the Coniractors License LawsJ. ❑ I em exempt under sec. Business end Protessions Cotle tor t�is reason: Signeture: Dete: Owner ID verified by dnvers license. ❑ Yes ❑ No Drlver's License No. Expires: Vedflcation of Ownership by (rype ol document, i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I hereby certity that no e:cavatlon five (5) or more feet in depth Into which a person is reQuireU to tlescend, wlll ba metle In connection with work euthorizeG by this permit, entl t�at no Duiltling strucNre, scetlolEing, talsework, or demolition or Aismentling Ihereof, will be mora �hen thirry-six (36) feet high. (Chap. 32, Gry 2, An 2, Sec. 341, Ttle 8, Califomia AtlminiSlrative Code). ❑ As awner-hulltler, I will not employ enyone to tlo work which woNU repWre e Oermll trom the Division ot lndusidal Salery, es natetl ebove, unless such peroon has e permit to tlo such work from the tlivislon. Signeture: Date: Divlslon oi IntlusMel Sefery Permit Number. CERTflCATE OF COMPLIANCE AND AUfHOR6ATON OF EMRV: I certity untler penalry ot perjury ihat I have read this epplication antl state that ihe intortnation given is correcL I agree to compty wl�h all state laws entl ciry ordinances relating to Ouiltling consiruction, end euthodze representatives ol the Ciry ot Cosia Mesa lo emer upon the aDove-described properry for inspection purposes. I agree not to occupy or allow occupanq ol eny builtling authoAzed by thLs permit untll Ilnal Inspection. CO�E 1, INSPECTIONTYVE 1818 Flsod System Finel Fire Preventlon 1266 Pool Spe Finel 200 Final Re-Roof 201 FineI8laWRetalning Wall 202 203 Finel Feclory Fire Place Final Sipn 200 Finel Demoliti0n 2a&68 Pdff. � It�EL: SOOE� INSPECTIONTVPE 206 Final Mechenlcal 20B Final Plumbinp 210 Finel ElectAcal 212 Pinal Fire Prevention 220 Final Planning Approval 222 Flnal Site 250 Final Building/Occupancy Dat � o �Ao , � ,� TJ� - q-�`�l�.:�'. ; ...:�::� ;' �, (714) 754-5273 • Fa�t (714) 754-4856 Job Address: 442 W 19TH ST Suite: Vicinity: Parcel Nunmber: 41920515 CITY OF COSTA MESA BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Applicant: SQUEAK KOSSNAR Address: • SIGN PERMIT Zoning: Phone: Zip: Ownec -,SOMERS, LAWRENCE ORIN TR � � _ Addres4. � -4NALD NEWPORT BLVD #301 � , ' . . - Phone: � . � , NEWPORT BEACH; CA Zip: 92663 Contracroc CAREY"SIGN GRAPHICS Addressi 1274 N GROVE - Phone:� 714-630-8414 ANAHEIM CA Zip: 92806 , - - . � " , � ,License: 376085 Arch / Eng : Address: .'•-�.. PERMIT NUMBER I SB00-00064 77 FAIR DR�VE, COSTA MESA, CA 92626 Status: ISSUED Applied: O6/02/2000 Issued: 06/02/2000 ISSUED BY: „ � Phone: � . Zip: - � . License: , ' ' SCOPE OF PERMIT - 4'X70' INTERNALLY ILLUMINATED WALL SIGN CABINET FOR WICKED CHAMBER Plan Check: Permit: SMIP Com: Other: Inspection: Total: NOTES: $43.03 $0.00 $66.20 $0.50 $0.00 $0.00 $0.00 $0.00 $0.00 $109.73 , , - . FEE SUMMARY _ — -_ ' PLANNING 8 ZONING Calc Valuation: $�,soo.00 Claimed Valuation: $i,eoo.00 NOTICE: The work authorized by this pertnit shall comply with all applicable handicap access requirements under Califomia stalutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) ' EXPIRATION: This permit shall automatically expire and become void if work is nobcommenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work au�horized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlone and finel epproval must be obtained. Failura to obtain inspections and final epproval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 �� I hereby eMirm untler penelry of perjury one of the lollowing declarations: � ❑ I heve entl will meintaln a ceniticate of consent b self�lnsure for workers' compensation, as providetl for by sectlon 3700 ot the Labor Code, tor the pertormance of the �work lar w�ich Ihis permit is issued. , . I have end will maintain workers' compensation insurance, es raquiretl by section 3700 of lhe LaDor Code, lor the partormance of Ihe work for which this pertnit Is Issued. My wo ers' compensatlon Insurance carrier antl policy number era: , 'I (. Cerrier: ��f� FVta'J POIIcyNumber Y'�0 � (This secfion need nof be crompletetl i! the permit is velued ef one huntlretl dollers ($100) or Iess.J ❑ I certiy thet in the perfo ance of the work lor which this permit is issued, I shall not employ eny pereon in any menner so as to become subject lo the workers' compensation laws of Ca fomia, an0 egree �hat ii I should becrome sub�ect to ihe workers' compensetion provisions of Section 3700 of the LaDor Code, I shall fort�with comply with these provis' ns. �/z�o Appliwnt Signature: Date: WARNINO:FNLURETOSECURE !O KE S'COMPENSATIONCOVERAGEISUMAWPULPNDSMALLSUBJEGTANEMPLOYEFTOCRIMINALPENALTIESANDCIVILFlNESUPTOONEHUNDRED T!K)USAND DOLLARE ($100,000), I 01TI TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE, INTEREST, AN� ATTORNEY'S FEES. LICENSEO CONTRACTORS DECLARATON: I hereby attirm Ihet I am licensed under provisions oi Chapter 9(commencing with Section 7000) of Division 3 of �he Business an0 Professions Coda, and my license is in tull tome and ettem. ua x 3i�0.oF�1� Ciass a(' Coniractols Signeture: Data: �� 2. 0 O CONSTRUCTION LENDING AGENCY: ❑ I hereby alfirm that Ihere is a consiruaion lentlinq agency br the peAormence oi t�e work for which this pertnit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lentlets Address: SignaWre: Date: OWNER-BUILDER DECLARATONS: I hereby eHirtn that untler penairy af perjury that I am E%EMPT FROM TME CONTRACTOHS LICENSE LAW for the tollowing reason (Sec. 7037.5, Business and Professions Cotle: Any ciry or counry which requires a permit to construct, elter, improve, demolish, or repair any siructure, pdor to its issuance, elso requires the applicant for such permit to file a signed stetement ihet he or she is licensetl pursuant to the provisions of ihe Coniractors Licanse Lew (Chepter 9(commencing with Section 7000) of Division 3 0l ihe Business and Proleuions Cotle) or t�at ha or she is e:empt iherelran entl t�e basis for Ihe alleged exempiion. My vlolation ol Section 7037.5 by eny applicant br a pertnit sub�eds Ihe applicant to a civil penalty of not more than five �undred dollers ($500).): ❑ I, as owner of the properry, or my employees wlth wapes es thelr sole wmpensation, WILL DO THE WORK, antl the slructure is not intendetl or oHered tor sela (Sec. 7044, Business end Professions Code: The Contractors License Law does not epply to en owner ol proparry who builds or improves thereon, flnd who does such work � himself or herself or ihrough his or her own emplayees, provitletl Ihet such improvements ara not Intendetl or oflered for sale. If, however, the building or improvement is ' soltl within one yeer of completion, the owner-builder will heve the burtlen ot proving Ihat he or she ditl noI build or impmve tor purpose of sale.). ❑ I, as owner ol Ihe pmperty, am EXCLUSIVELV CONTRAC7ING WI7H LICENSED CONTRACTORS to cons�ruct the pro�ed (Sec. 7044, Business and Prolessians Cotle: The conirectors License Lew does not epply to en owner ot property who builds or improves thereon, antl who coniracis for such project with a coniractor(s) license pursuant to the Contractors License Lews.). ❑ I am exempt under sec. Business antl Professions Code tor this reason: Signeture: Dete: Ownar ID verified by tlrivefs license. ❑ Yes ❑ No Dnvels License No. E:pires: Venfication ol Ownership by (type of tlocument, i.e. - properry lax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CEiiTFICATON: ❑ I hereby cerllfy ihat no ezcavation five (5) or more feet In depth Inio which a person is required to descend, will be made in connection with work authonzetl by this pertnit, and Ihat no builtling structure, scattoltling, falsework, or Oemolitlon or dismantling thereol, will Ge more Ihan Ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 347, Title 8, Calitomla Adminisiretive Code). ❑ As owner-builtler, I will not employ anyona to do work which would require a pertnit from the Oivision of Indusirial Sefety, as noted above, unless such person hes a pertnit ta do 5uch work trom the division. Slgneture: � Dete: Dlvislon of Intlusirlal Sefery Permit Number: CERTIFICATE OF COMPLIANCE AND AUfHORQATON OF ENTAV: I certify under penalry oi perjury that I have read ihis application antl state ihat ihe inlormation given is correct. I egree to comply with all siate laws end city ordinances relaiing to building conswction, end authodza representatives oi Ihe City of Costa Mese to enler upon the above-described property tor in;pection purposes. I agree not Io occupy or allow occupancy oi any builtling au�horized Dy this pertnit until tinal inspection. COpE I, INSPECTIONTYPE Q�¢, �$ 1616 Fixed Sysfem Finel Fire Preventian 1266 200 201 202 203 Pool Spe Flnal Final Re-Rooi Finel Block/Retaining Wall Finel Fectory Fire Place Finel Sign 204 Final Demolition 2a46d6 Date 6B � Date COOE� INSPELTIONTYPE 20B Finel MeChenicel 208 Final Plum6ing 210 Final ElecMcel 212 Finel Fire Preventian 220 Final Planning Approval 222 FinalSite 250 Finel BuiltlingiOccuDency Q�g �$ � I � Pp0.1EtT AODflESS: 4 q 2 W 19TH $T OWNEX'S NAME: HARVEY SOMERS TRUST aooeess: Z01 SAIPYARD WAY #8 NEWPORT BEACH, CA 92663 AflCHIENGINEEN: AO�flESS: XEG.NO.: uxrt: IINIT: PEflMITTEE: KELLY $ARRAZA ( 714 ) 631-5616 ADDRESS: q 4 2 W 1 9 TH C.M. CA 92627 UCENSED CON7HACTOB OECIAPATION: I here�y allirm ihat I am licensetl un0er pmvisions of Chapter 9(commencing wiN Section 7000� oi Oivision 3 0l I�e Business anA Pmlessions Cotle. an0 my license is in lull lorce antl ellen. CITY LIC.: SiATE LIC.: CLA55: EXP ; Date: Signalure: WONREHS' COMPENSFTION OECLABRTION: I hereW affirm inat I have a ceniliwte ai consent m selbinsure or a certificate ol Workers' Compensation Insurante, or a centlietl copy ineteol �Section 380p, LaU. C1. POUCY NO.: EXP. qp7E: COMPFNY: �] Ceniliea copy is nereby Iumishe0. ❑ Cenilietl copy is filed witn tne city Builtlin8 Division. Date: Applicanl: E%EMPTION fflOM WOflNEBS' COMPENSRTION oECUBAT10N: (This Seclion nttd no1 Ue completea il Ihe permt b lOr one huntlrcd (5100) or kss�. I CeNty I�al in Ihe petlormante oI lhe work far whitA Ihis p¢rmii i5 issued. I 5hall not employ any persOn in any manner 50 a510 beCOmE subiectto the w rkers' fAmoensation Laws ol Calibmia. (�(� � Dale: a" ZL � LI Sipnalure: � �Y Y.... NO710E: IL af er making ihis declaration, you shoula become suhlect to e orkers' Campensation pwvisions of the Labor Code. you musl Ionhwiih comply wiN such provisions or �his permil sha e deemetl revoked. CONSTPUCTION LENDING RGENCY: I hereby atlirm that t�ere is a constmctian lending agency for t�e Dertormance oi the work lor w�ich Ihis permil is i55ueE (Seciion 3097. Civ. C�. LENUEH: aoonEss: OWNEB BWL�EP DECLNBRTION: I hereby alfirm Ihat I am exempt irom tAe Contractors' State license Law for the followinA �eason (Seclion 7031.5 Business and Professionai CoOe: Any ci�y of county whic� repuires a Dermit to constNc6 alter, impmve, tlemolish, or repair any simc�ure. Drior to i�s issuance, also repuires the aD��Can� tor such permi� Io lile a signeG Slaiement t�a� �e/she is licensetl pursuant to ihe D�ovisions ol ��e Caniracmrs' State License Law (CpaD�e� 9(commencing with Section 7000) of Oivision 3 oi t�e Business ane Pmtessions Coae1 or thai he/she is exem0� therelrom an0 in¢ easis lor ine alleBed exemption. Any violation of Section 7U31.5 Gy any aDPlicant �or a permit subjec�s lhe applicant lo a civil penalty ot no� more I�an five hunUreG dollars (5500). , � I, as owner ol t�e Dmpeny ar my employees vnth wages as t�eir Sale compensation, will tlo t�e woA, antl t�e simctureis nolintenOeA aroilered �orsale�5ecuon 7044. Business anU PmlessionalCaOe: The Coniractors' State License Law Ooes not aOP�Y �o an owner of a O�aCeny w�o bmlEs ar impwves tAerean, antl who tloes suc� wark AimulO�erself or ihmu0h Ais or her own employees, pwvided IM1ai Suth impmvemen�s are noi in�¢nd¢d or oflefe0 lOr Sale. fl, Aowever t�e buil0in0 0� imD�ovemen� is sold within one year al completion. Ihe 4wner will have Ihe burtlen ot Orovinp he/she ditl not builtl or improve for Ihe ourpose ol sale�. 1, as owner of Ihe pmDeM1y, am exclusively conlracling wi�h IicenseE contractors to consimc� �he pwle�� (Sec�ian 7044, Business ❑ ana Pmfessians COOe: The fAntroctors' State License Law Qoes nol appy to an owner oi D�oDefty who Omlds or improues thereon ana w�o eoniracls lor such prole��5 �I� a coniractor(s�litense Dursuantlo Ihe ConVa[Iors' $�a�e Lit¢nse Law),I am awar¢ Iha� pr0ol oi Ih¢ir WOrker'S Lompen5ation insurante shpuld 6e O�a�iEeO l0 m¢. � 1 am exempt unUer Seclion: B. 8 P. C. for ihis reasan: (� oate: � ��I � �` owner'. �„]S,� I tlo here�y cenify that I am aware of ana unders�anG i�e requiremems ol Calilomia Healt� anG Sa ae Sections 25505, 25 , ana 2553G anU ihal I or any luture buildmg occuDant will/will nol (circle one) neea to comply wilh saiA state co0es antl lhe repuiremenis for a permi� for conSVuction or rtqtldi[aiion Imm t�e Air uality Managemen� OiSinct. Nesitlential canstmction aOD��ons are eK¢mpi �mm �AeSe ptovisions. Dale: Fpplicanl: I �ereby retlity Ihai I �ave rea01hi5 applicalion antl state �Aat �he aDove information is corfect I agree lo comply with all ci�y antl county or0inances antl statelawsrelalingio builtling consimc�ion and hereGy aulhorizerepresenialives o�ihis ci�yto enleru0onihe above-menlione0 o�apetly forinspeclian purposes ) �ale: �Z ZZ' � Signature: �J 4Q - ��-�"'�r� ou�e� s �hense ar Sac�ai seadiy .: 16<L46 Whne—Builtling; Green—GoOe EnlorcemenC Candry—ApP��canl; Pink—Revenoe: GOIEenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 070486 PERMIT NO; E 070486 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PORPOSE: OTH JOB DESCRIPTION ; SSSF LUMINATED WALL SIGN SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC: B-2 / COMMENTS: "TANYA'S" WALL SIGN, RE;7tSH70485 x�******ririr*�rr*******r�r�*****x****+t*i�r*r****r*+r*****«�**r*�*�*x��r*******�r**+r�r***�r Z O N I N G R E(J U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PAAKING REQ• PROV; PARCEL: 41920515 ZNE: REF NO: PLANNZIVG NZSTES> i rit**it�«*+r*r��r****r+r*ir�r«**r****�*�r�r*r�r�r**irr�t*�r*r*****w�r**ic+�«ir*�»*�*��r****+t*r*�r� 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 , BUILDING APPROVED BY : DATE; DATE: APPLICATION ISSUED BY: DATE: 22�Q iFitMihftihihlFkM4ifM7kififllilMlfitk 1fMifMilitlkiFiFlt ifif k1f If %!!if itltMff 1f ifltMffMiFMMMM1f1f 1f ififltltMMitMkM1F4MM1FiF1tM1f MitlkitMlf itMMitMMY1f M1F�EM1f MMMM1�iEMfFiF4k1lkMihif4 LEGALZZATION;N F E E S U M M A R Y STRUCTUAAI. SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP'%RES GAADING PERMIT 15,00 50! SMTP/NON—AES PLAN ISSOE FEE 15.00 BUILDING—DIV—> PERMZT ISSDE PLAN—CHECK TOTAL PAID DUE TOTALS----> 15,00 15.00 0.00 30,00 30,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.00 iF ff it k k iF it 1f ff if !F!F 1f 1f 1f M iF 1! �It if !! if 1h ff M M!f M 1f iFlf 1f 1t �tlf 1f 1F 1t if if M ik if M M 1flF 1f RiF it if M k M ih M ih if i! it M 1t M 7f itlF il� M M if M iF iF fE 1f 1f 1f iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C A I P T I O N UNIT COST TOTAL COST ELE 1 SIGN/ OUTLINE LIGHT SYS ON 1 BA CIRC END OF FEES EXPIRED I cor� lete Inspecti s V )ats � Sig 15,00 15.00 01 Qo173957—DOt73957 Tf_lT 30,00 �ATE: 1�/y2/os TItIE: 11:16 ,.- CONSTRUC710N AND PLANNING P00,, SPA qPPROVALS Permit # Date I�specior APPROVAIS Pe�mit # Oate l�spector 1, Temporary Electrical Service or Pole 52. Pool & EGuipment Location 2.c,Soil Pipe�Und�yfnd, 53. Steei Relnforcement � „��ctrical ConduiE,�tility-Undrgrnd. 54. Forms . � �{�t!�ctrical CondulY+Undrgrnd. 55. Electrical Bonding ti,� ''',§�C.�teel Reinfore ��nt 5fi. Raugh Plumhing & Pres,ure Test `��; � m�aRtBctricai UFPR;Crnd. 57. APPROVAL 70 COVER�GUNITE 4� ��J�tings �'�' 58. Electrical Conduit�Undrgmd. . rtj �-. g,�youndation 59. Gas Pipe, 17 Undrgrnd., Test 1 . � ��.�/J�tei Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, C', Undryrnd. � 15� �r.uctural Floor System 61. APPROVAL TO DECK � 17, Pi�operty Sewer Line�& House Connection ' 62. Backwash & Recepta��Finai w � 72. $ewer Cap �, 63. Heater & Vent�Final . 73. Roof Drains 'n ;" 64. Plumbing System - Final •., 1 14. Rough Plumbi¢g � °, 65. Electrical�Final • � ( 15. Rough Electrical-Conduit 66. Solar SYstem-Final 16. Rough ElectricVJiring 67. Fencing & 0.cceu Approva( , 17. Fough Wiring Sign 68. APPROVED POR PLASTEA WG 18. Rough Electric�j�T 8ar Ceiling 69. POOL/SPA SYSTEPIIS FINAL 19. Rovgh Heating & Air Conditioning FiRE DEPT. RE�UIREMENT . "'- C: r-;C7i-� '1: F F i�7 20.�o�jh if�'ct� P,�cc�lace • j;M �� i �PPR�` VA`E�HE,Per'�lit #�- 21.,.TJ��, iro�5tr�t4^4+ i`.• •• r�� n C7 -� i^.70. U:ldergt8untl%Hy`^ro ' C .-'. ^•i I CJ�C Y' S�Y%'. i ut1 ^>. 22.zpue+l5, V�nti � tin� r i � ; p ,Z <� Fx +. �77. Produc�ing fU �s CJ;OiI ; � - � , ; � . 23..aa' ip�Ro h&� est � ;. - r `•. • . `� - . , � L'�9 � i MS a tn r•.� pr- v�72. UndergroGrld Flmh: a 'r ��. !:• . 24.'�€iodz Freming H { � F"� "M k = ;� C, y * y �]3..�.�Undergmd.'Stor��7'ank � Gas ❑ Oil « • • 25. Rob},Sh�e'athing ;�: a v �i � c: � P1• _��7q'J,'pverhead HydroO� ! ' :u C' �*1 � A � `7 � �-• O N 26.x�B�i Celling (Sv�ctural} &:SAafi�'coat .� � �. ; � a * 75.�rv Che�uai _,� , r; � � .. .. � ry � . . r. i. . . c .�. � � � � � I 27.�remeapd Flashing� �rr,�; � a ,;:_ . 76. DryStandp'q�e FU1 � �- �-�38. 4athing�& Sidingt }�� '1`t�: a' *� ' a 77;;FIXED S�S7EP1 �NAL; U �, rr� ^yn t'7�:' <l !; i F.. tl H f� •: � Cl H .. .. v [rJ • • i I '�9, Insulatio� - .• ,q �k # 78EFIRE PREV. FII`O�L ' > �: r r�$0. Drywail�7ailing n� � •� i� . ` `e � ci H�;ALTH;'p,`EPT;REQt11R�MENT j�l. Plaste� 8�,own�Co'�5,�'� -; j n+p. � � �# .� �9.` FINAL I(�SP,,ECTIOiV . +: � � . E32.'��ectrica?�PoWer @'feYeF�Final � � ° '= � � ' � ^i30.�00D CERTIFICAT�E� IS�SU�D,y � .r .y r. I ..i I n+ i P' t.;n z� r. � �t �33..�in�,l� Ele�tris;. :� � b7 i �c; � k: �F ' No{as:, -,h '�?7 t ^. � �� i �.' ... � . . � i�.4.(Fin3tHe'aiing.$ %atr�ConditionidgS i � � � = r a: .v •� C�H: s _. �v0 ..� � i n+ rr r t N ri00 C� I r\' n J� � 7i '7 k 4 t [ w> u( i - .��J .35.�ina`i'Ga.{PiP�:Te�2� v, .. t N !:a :L':� C+i-+ a [*' . � ' -' !c36.�HotldorfCanoPY�'�x p I(*�'7 .�. � i�� I� # i tlC> . c n r � i'1 1 3' w ''t a [q -C 0 -�T' .Ti �, ~ � s:r �, Y ,n , ;� _.. ,^j7.`Finaj,Factory Firep(ace� � r.F, :� ' ;t * � i: � �7 r38. Finai;Plumbi�g + �Su 1 n� x �* M .� .., :-a ; '^� 'r �� : v� H a; r �39. Wate7 Service Final; _. � ".� + � � > � �' nR` � .�, ;y � tAO. GasSe:vice-Final ^� .y��n� . . r �70 �.�v ., :'i c.. i i _� i' � • �1, So�ar pomestirFinai =�� ' ' �., � ` Ct • • t (T 4 �• �• - r tn r � r, •y C. _ ,.r _� , I ' '- - rd2.'Backfiow Preventer� � rt7 i! �� :C :-�'� ' C7 � � .. t n, , •-+ 43. Backflow Irrgation� �;c� �.a ; � �� ) n �� r : ....�. .. �� . - _ . _ . �A4. �andscape Irtipation SYstzm�t�(� �: + t•^. r; C7 G, ;. u; n: .:� � �, : iu o a t T "[t' v C F �d5.`Eound l�;ter�ijation' ��m,F [*� � E F N Fa z Ci r-: .-� c•a r,•,, : � �] • I+7 i�: .Ti t� a F C' v, f-• CJ i � r !i t .� .� " . . . ��}6.�NandicapRegulatioes N Q -! � yy �'�n 'j: S ''Jo �: * M � i ,47. �FIMAL STRh7CTURE & BUh�DING � F � � � '� "� _ t �7• S F 48..71N_LPIAf� ING= t'-•`-• +n: �+�7 ?1 •^a + ..n � . A9, �Electiic Retease to 2dison � " � ` ' �` � �" � ' � t: � = A C�l ti •C1 ?' -� �.. � . . �. - . ,50. _fjas Releate to Soutkern Califpcnia+Gas Co �r � i`;;' �+ EF .a C? •��h; t �� r : Y �• �> , , , Z', c; �51. GER7IFICA7E OF OCCUPANCV . a� S CJ h�U �': � . • No. Date �I � PPOJECT ROOHESS: 4 4 Z W 19TH JrT OWNEP'SNAMF: HARVEY SOMERS TRUST aooness: 201 SHZPYARD WAY It8 NEWPORT BEACH, CA 92663 ANCNIENGINEEB: aoosess: flEC.NO.: UNIT: uxir: PEHMITTEE: KELLY �ARRAZA ( 719 ) 631-5616 aooness: y q 2 W 19TH C,M, CA 92627 LICENSEO CONTflACT08 DECIAPATION: I hereoy aflirm I�at I am licensetl wG¢r pmvisions al C�apter 9(commencinp wilh Seclion 7000� ol Division 3 0l I�e Business and Pmleisions Coae. an0 my license is in iWl lorce an0 effect. CITY LIC.: STRTE LIC.: ClA$S: �aie: Signature: wOBNEHS' COMPENSp7I0N OECIAHPTION: I nereCy atlum tnat I nave a cenifiwte ol consent m sel4insure or a cenilicate ol workers' Compensation insurance. or a cenAiea covY tneaol (�tion 3800. Lab. C�. POLICY NO.: E%P. D�TE: camrnxv: ❑ Cenifie0 copY is �ereby tumishetl. ❑ CenitieU copy is We0 vnih tAe ciry BuilGinp DNaion. Oa�e: AODlicani: E%EMPTIONFflOMWOPKEN$'fAMPEN5NTI0N0EQANiiiION: (ihitsecuonnee0nol0emmDleteAilNepemolbtorO��uMaA(3100�orks5�. I c¢tli�y Ilut in ��e periormance ol Ille xrork lar w�ich ttlit Defmii is i55u¢4 I Shall noi employ any perSOn in any mdnnet so as to b¢Come Su�le�� a �he Wo ers' Com ensauon LavS a� Caiitomia. �) (� � Date: �� Siqnama: F��'/� -�QY-+ �- NOTILE: Ii. alt r maMing tus aeUaration. you sMua EecomeSuOject to t�e eri Campe�ation prm4sions of I�e LaEor Code. you must fonhwitn comply with suc� omvisions or Iks permit shdll be OeemeG revokeC. CONSTflIILTION LENOING RGENCY: I herz0y aflirm IIUI I�ert is a comlmCliOn ImtlinO aBe�' �Or t�e pedormante Of I�0 work IOr wnich this permn is i=suea ISectiw 3097. Gv. CI. LENOEfl: AODNESS: OWNEB BOILDEN OEClAM710N: I hereby allirm tlut I am exempt Irom Ine CAniractoti State License Law for ine lollowinq reason ISection 703t.5 Busineu ana Pmlessional COEe: Any dty al county whkn repuires a permit Io construct, alter, imo�wa. OemolisR or re0air any Sim[Iute, D�iur Ia il5 is5uana, also repuires l�¢ ap0�� o� SUCh permii lo file a SiOneE Slai¢m¢nl lhal �NS�¢ is IitenSeC pursuam �o �ne o�ovisions ol ine Contractors' State Licenu Law (Clupter 91�mmenpnp vnin Sectian 7W0) ot DNision 3 al tne Business antl Pmles5ion5 CaUe) o� thdt �e/s�e is evempt I�erelrom an0 t�e Oa5i5 lot t�e a11Epe0 e.empiion. My NOWtion ol Section 7031 S Cy any ap0licani �or a permii su�lecis Ine appliwnl 10 a civil Denalty ol irot more tAan live �unGrCE OMlars (f5U0�. ro I, as owner ol �na pm0erty or my em7IoyeM vnih wapM as Ineir So1e compen5ation, wlll Uo tAe woA, anU Ina � sirucwre is not intenCee or allerea lar ule (Seciwn 70<4. Business anE Pmfessiorel CoOe: TAe Contractors' State License Law Uaes not aDDN �o an ovmer o� a O�oDeny who OuilGs or imD�wes t�ereon. aiM wtro Eoes suUi work �Imsell/�erself or t�muph �i5 ar �er Own emD�oy¢¢5, prOvbeE 1ha1 SUC� imprOv¢mm6 are no�inl¢nECE Or Otlefetl lof sale. I1, twwev¢r I�e CuilElnp af improvemeni is sola wit�in one year of completion, t�e ovmer will twve I�e EurOen ol Drovin0 �s�a OiA nol Cui10 or imD�ove lar ine purpose of Shcel. I. as owne� al ine prop¢ny, am eacluSiveN fAntractulq witn Iicenu0 COntractors to ConslNci ine pmieq (Seclion 70C1, Business ❑ ana Proles4ms Catle: Tne Coniractors' SWte Licerise Law Uoes mt apqy to an ovmer of pmpe�ty xtw OmIQs or ImD�es ihereon antl w�o conlracis tor suc� pmlens wii� a contractoq5) lirense Wrsuan� m tha Coniraclars' State Licensa Law�. I am awara inat prool of lneir Worker's COmoenSatqn i�ttuq�rce sMula oe o�A+d� �a me. � I am eaemp� unOer Sw�ion: B. 8 P. C. lar lhis reason: ) �^ � Date: �7--��-_A'�`C�_ PxneoK .�-�-w^ i�J�� I 4o her¢�y [eriily I�ai I am awar¢ 01 aM unEeRland l�e repuir¢m¢nI5 0l CalitorNa Meall� anG y CoOe Sections 25505, 25533, antl 2553�t ana ihat I or any fuwre tuilaing acupant wiNwiil not (drde one) nee0 to compN �� 4 state a0e5 anA tha reQuiremenis lor a peirtut for consimction w moEAiwiim Imm ��e Au Ouabty ManaAement Distnct. NevCemul constmcUon applicaiions are exem0� �rom . ihese Orovisions. Dale: pDO��: I here0y ceniry inat I nave read �nis aoo��ion ana sta�e t11a� ine a0we intorma�ion is correp. I a9ree to comvN'M�� all city anU caunty or0inances ana s�a�e laws reWting to E�nbing canstmction aM �e�eW amtnri:e reD�esmutives of ttus dry la enter upon the a0ove�menlioneA pioperiy lor inspe tion Durposes. �� /) (� Oaie: � SiqnaWre:GT�=Y��-. �0.- =�-=-��- orivers ucense ar sonai searny e: _ _ ifiai�46 W�ne-Bwltling; Green-Catle Enlorcement: Canary-Appliwnl: Pink-Revenue; Goltlanrotl-Assessor CITY OF COSTA MESA — SIGN PERMIT PERMIT NO; SB 070485 PLAN CHECK NO: 05099-94 L CONSTRUCTION TYPE; PERMIT TYPE: STR SIG JOB DESCRIPTION ; 155F LUMINATED WALL SIGN PERM NO; SB 070485 GOVT; N SUPP: N PURPOSE: OTH SQ FT: CLAIM VALUE; 900,00 CALC—VALUE; 900,00 GROUP OCC; B-2 / COMMENTS; "TANYA'S" WALL SIGN **rr*�r�rr�r�r�r��*��rw:�rww+r�rr*x��r*k�rx�x�r�r+r�e*�+r�rkirr*+r*+e��r�xxx��r��r�rxx��r�rx�e�x*��*+r S I G N I N F O R M A T I O N DISTAZCT; 1 TYPE: WALL CABINET SIGN ILLUMINATION; INT CATEGOAY; NEW DIMENSIONS; 3FT OOZN X SFT OOIN AREA; 15,OOSpFT LETTER HT; 28" STAEET FRONTAGE 1; 130,00 STREET 1; W, 19TH STREET STAEET FRONTAGE 2; 0.00 STREET 2; PAACEL: 41920515 ZONE: C1 LOCATION > FRONT; X AEAR: BUSINESS NAME: TANYA'S > LEFT: RIGHT; O T H E R T O T A L S G R O U N D S I G N T}iI5 ACTIVZTY , 15.00SQFT OVERALL HEIGHT: OFT OIN TAIS SITE , SS.00SQFT GROUND CLEAAANCE; OFT OIN ZTEMS OF INFO 1 PLANTER AREA; O,OOSQFT ITEMS FOR ACTIVITY: 1 HLDG SET BACK; SFT COPY VEABIAGE ; TANYA'S PLANNING NOTES: LETTERS HAVE BEEN AVERAGED **��r�r�rir*�ririr�rir+tarr+t�t�trr�tx**�r***r�r�e*+t�*itw*�e�r*�tar«*�tr�r�w**+tK«rrwar+t+t+�arir+r�eirr+t*+rr��r�r* D E V E L O P M E N T S E R V I C E S R E Q U T A E M E N T S ZONING APPROVED BY � DATE: L� C( HUILDING APPROVED BY ; DATE; APPLICATION ISSUED HY: DATE; i � M/fiFMMMMiFiFMitM1FlEMif7tM4MMM iFMMMMkMil1FM �f1! LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/RES GRADING PERMIT 23.00 15.00 PLAN 14.95 SMIP/NSN�—RES ISSUE FEE BUILDING—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 38.50 0,00 14,95 53.45 53.45 ,00 AEVENUE DIVISION TOTALS--> COLLECTED: 53,45 OVER/SAORT; ,00 BLDG PMT PLUMHZNG ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN—CFiECK 23,00 15.00 ,50 14,95 1f 1h 1f 1f iF 1f 1tlh 1F 1f 1f iF 1F 1F 1f Y 1k ih 1! 1h M fF 1f if !h %1F 1k if if 1f 1F 7! 1k 1t 1f 1f if 1F if 1f 1f 1f iF 1f ii 1h 1k 1f 1F if ff 7f ih 1f if 1' 1f if 1! Ih i! 1f 1Flk 1F i! 1F 1f if if 1f if 1f 11� ff 1f �f'1F I N D I V I D U A L F E E B R E A K D O W N TYPE ___QTY D E S C R I P T I O N UNIT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT EXPIRED 1 m te tnspecti ns p \ 01 001739Sp-00173461 T�3 T S3.:S ,�at6 ,�( Q�g _ �ATE: i2/22/44 TIitE: li:lb .�, CONSTRUC710N AND PLANNtNG P�� 'PA APPROVALS Permit# Date I�spector AppqOVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -� 2, Sq,il Pipe�Undrgrnd.,� 53. Steel Rei��forcement � .,.,;�ctrical Cond'aitdlrliry-Undrgrnd. 54. Forms . -+1i:i€/actrical CondiiiY�flndrgrnd. 55. Electrical Bonding -- ''' Si�i el Reinforce{�Fnc 56. Rough Plumbing & Pressure Test , � �� E�ctrical UFER:6tnd. 57. APPflOVAL TO COVER�GUNITE � :, - c. : �'y��-�btings ':�x 58. Electrical Conduit•Undrgmd. � �' •� F��.#=oundation 59. Gas Pipe, C7 Undrgrnd., Tes[ � _7' � VOa"ter P�pe-Undrgmd. 60. Backwash Lines, P�Trap, O Undrgrnd. � iD. Suvctural Floor Svstem � 61. APPROVALTO DECK 11. PrSpertv Sewer Line'� House Conneciion 62. Backwash & Recepior�Final 12. Sewer Cap ,;� 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing SYs[em - Final �t 14. Rough Plumbinp, �` 65. Electrical�Final 15. Rough ElectricaYConduft 66. Solar System-Final • 16. Rough Electric�iring 67. Fencing & Access A�proval ' 17. Rough W�ring Sign 68. APPROVED FOR PLASTERING ( 18. Rough Electricai;T Bar Ceiling 69. POOI%SPA SYSTEMS F�NAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT .,. .�• ; m r�-,�:- m, t . 20.';�io�h Fscto Fl�Qlace"r'^^`•'�% `'O -o =� y�PP��1�lS r? P��t�% � y " . a � r� � a: q r.; .� ^ m r s�, a, , r, .--.--3- 21.,. ucu, io-Str ture;. " ��i -e� , r - � ' '• . ' a5 ¢:S[.t*. O� �NN a � CAO.`�lfiQ7ryroihnd I-IY�'3'-f n,. N �-. .n. � �� 22.,�ue(�, tilasin�"i nn..�,. ��F�� '`:pa1 `'� v . �1."��{o�uct PiPirig C'.�s� O�(1a�., , i � 23.�.'13 �. . . , c. �, a i-, .. � .., � ,, ,-_ _ � . - -' C " as�ipG�io &� :esc ��v�,`, �'-+S i -� �- y nt 'T �'J2.:tinderground Plusiv7 i -i?�r ! n r� 24.�RodFFr'�ming' L" �"'^'�+T `' �'��? ?> �- �j3.�hc?rgr�d.Storaye''iank��as;�0il - �' n: .-� _ .* M o'* .^.::r .7 E� 7 �, i 25. Roo�.Sh6�athing y• M._:rvi-+.. �. G, 4.nUveihea!��bivdro �r a . I 26.«�Bsa Ceiling (Straceural;•&M6Aoc r' c' •' "' 3/5.�Ri'Y Ch�"u^al ' � * '"' �� '' j^ :1- � � i ^ N :�� .Y Ci n f-�7 + �. _ �- .. .. .. .. 27.;�rameaa Flashin ' �� '�� .. .."..ry ' � `�•.., ° " • . - (1 9+ �,� r�a; '• �+ ;�76.UDry Standpipe r:•r i�'r1 r y .�B. Lathing�&SiBingH+ �7S-� ��?%�, ��-'�. :y`' '7.7... IXED:�'YSTEMFiN'�L;��:a r..� :� j � r• o '7� C�%:UOCt --� � :u i ;r, ; � p?,9. Insulatioq . , N�, .•�, �;v � 8. ' RE PFtEV. FINAL i T Y� n . � � , . Drywall�+7aili»�j ,-+i `�H Co iuo �II " � �HEALTH'P��PT. R��UIREM[NT ^� -+�, c� St: c.. 1 S (�.C� t 'li '131. PlaSter Q`_Wwr�-�odY � �"�n,� �� : �9. {NAL ��1SPECTI(�j o• ` � - �2.�Iectric�t;Po�?3r Metmr�F9A� '9 � �� , • ;: � `•" �y � �D G�RTIFICATE ISS,UED �, _� ,�, ;�3.:�in�,Eleptri�� r r,�� ;q i"� ote� "7 ij 7 y„ �.�-a � n; �4.•finafjHeaiing-&AirC�ditioning-+ • i a; -��: `: ': .� -. � • : n� .i i r. �. .*� �,i5. �(na`I'Gas��Pipd�Test f '� � = v �� i ' •' . . � � �i =' r r. . , ` ' . -� •� �- 36. Hoad or� naPv t �� . il + S � : i a� •.. O <- :-. .• ~ r �� m a � {i �7 .C'.i > ?' • � r, � �.. a; ^'; . m i � y `�7.'final,PactoryPirepl@c�..-� c:a'Q� � � .t'+" ' f-- �i- : .,.:.... . ,. . ' - " S.:EinelJP�umbin9 i Q ,'-�Dif'?�f' ,� ! ( � - � � � - � ' 'z� -39.'Watei�$ervice-Final+ `'E • ^> "� " � n v.�:^ • �: .:. �i Cir R F:�%'-IC�:•: .�'r�� i ! 5. i k i` W .� �'y `40. ,�'ias$�rvice-F.t al ,; ��;:u C�: � �:7 s .: � I � (;.. .:.nt r - .. u.,� Y L. J%� � � '41.•SolarOomesYi@-Finat ^�'r'^ _. '"F�.0 +t � � + =.=. '^. • �'' G a �p;� �77:r1'7 +Y 1 �. �t7-+ �y�J r-� #:C J R: 42. �ackflow Preventer } . up+a; ` ;�� i � ;� � � H • r C� r+ ,...�... �• �"�ri x i-. 43. Backflow Irric,JStion' '"'�� ' ' '' '`c' ' �� .1 s r�.., '��Tf^ • t%. rf i r� Mr�, r�. �.:. �4. Landscapg IrqgatiorySyscem�• o;N • •• •• _ �i O :7 t'* a N !u ��:� � ci: .�' r' : '� T 'l S ��.�9ound Atienu�tion� < ''7 th`1" ' E "' ` F'* �1 '-' `� e'w c' ` �� ^ ti rn c i i w �: � :.: � [+; iT1 ,r, �. �-. 7 b' �t • � . . f . '• �:, ,-� � ; � � `4,6. �aandica egulat�oris �� .. .. .. �:. ��:: e `' . rc �-• . r7 :. ' e i � n� s 47..£INNL STRUCTURE &BFI�LDING ^ � � �� ` m n. i m o . �. . I F 48..�INRi PLANNING; -+m . N c1 a7 �: n �-+ `. r-� n a �r 49. Eiecmic Release co EdisoA� '� ° �?' E C; •' ' `� i. � i.. n f ' I' t.7 C �.1�� t 5D. 6as 8elease to SoutFiem California GasCo Y � ;: 4. �-i �.:t •:,�i �* C? � -, n 5,1. CER3IFICA7E OF OCCUPANCY -� Ca :+t � x'�� a • No. Da[e