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Home My WebLink About545 18TH ST - Building Permitsrnu'!cr eooxess: S 4 5 W 18 TH ST owNea•sr+ame: TEMPEST EQUITY aooxess: SAME AHCMIENGINEEfl: nooxEss: PEflMITTEE: SIGN TOPPERS INC aooxcss: 22552 MUIRLAN S LAKE FOREST LICENSED CONTflRCTOfl DECIAMTION: I �ereEy atlirm 1 I m 7000� ol Div,sion 3 al t�e Business an0 Pmlessions Cotle. 0 cirruc.: 66 s Teuc.:63651 ( �aie: Sipna�ure: _ . _ WONHENS' MPENSATION CIAflATION: I�ereOyaifirm 1R CAmpenSati n Insurance. or a rertilieG coDY ihereof (Seclia . POLI xo.: 115 9 9 B 5f 9 4 P� o� \c�nxr.�TATE F/UND I 6��Certitietl py rs �eryEy lu�anea 13�cena�ea w v�/�ea uxir: A xec.No.: uxiT: (714)458-1000 2630 �n1.Lnaoter Alrnmmencinp witn Section ave a cenincare ai consem n LaO. CI. �E: O1/01/95 t�e tlry or yC'eh��cate o� workers' EXEMP 10 FPOM NKE ' fAMPENSpTION DEClAMT10N: Rlns;¢ction neetl iwt Ge comDle�eO i� t�e permt a � o hun4rN (5100) or less�. I ceri y I 1 in th per�0 ant¢ ol ��e wOrk lOr w�ich I�iS Dermii i5 i55Ue0. I shall no� employ any per50n in an a ner 5o a5 �0 b¢cam¢ sublecl I the W rkers' ComDensation Laws ot Califomia. Oate: SignaWre: NOTICE: Ii. after maWng l�is Geclaraiion, you siwul0 Decome suGjeci to lhe Workers' Compensafion provisions of t�e LaEar COCe. yau mu5i fOh�vril� COmDIy mt� SUCh provisions or ItYs permii Shall be Oe¢metl revOked. CONSTNUCTION LENOING RGENCY: I nereEy affirm chat tllert Is a consimction IenEing a0ency for itle petlormance of t�e work for w�it0 i�i5 Oermi� is i55ue0 �SectiOn 3097. Gv. C�. LENUEfl: RDOHE55: OWNEP BUIL�EP DECIAH�TION: I �ereby aifirm tAat I am exemD� «am t�e Contractors' State License Law br the Iallowin0 reasan (Section 70.71.5 Business antl Pmlessional Cade: My ciry of ca�nry which repuires a permii to constmc6 alter, imDrova, tlemolisA, or repair any stmcture, D�ior ro i�s issuance. also repuires t�e a00��Cant lar suc� perrtn� to lile a siOneE statement thet he/s0e is licensed pursuant io ine o�ovicfms ot ine Caivactors' State licenu Law IGwpter 9lcommencinq wiin Section 7000) of �iNsion 3 af Ne Business anG Pmfessions Cotle) or t�a� �els�e is e.empt �nerelrom anE ��e Oasis tor ��e allepeU eKemD�ion. Any dolaiion ol Section 7031.5 �y any aDG�icant lor a permi� su0lKts �ne apWiwm to a dvil Demlty ol not mare ttun iWe hunOreG Eo9ars 1`�1. I, as owner ol t�e pmpeny ot my empIoyetS xith y�p�5 as their SOIe compen5dtian, vri0 Eo the work, antl ihe ❑ slrucwre is not inten0e4 or otfere0lor ule (Seclion 70aa, gusiness anU Prafewional CoAe: T�e Canlraciors' Slate License Law aoes not aOP�Y �a an awne� ol a property wtu OuilOs or imprwes tMrean. an0 wlio Eoes suc� work Mmsei��Aersetl or I�rouOh his or �er own employees, pwvi4eA Ihat SucA impmvemenis aie noi intenAetl or ollereA lar sale. II, however t�e �uiltlinp or impmvement is sol0 wtlhin one year ol comvletian, ihe Owner will have ine �ur0en ol pmtinp ne/sne tli0 not hui10 or imDrove , lor �he purpose al sale�. I, as owner oi t�e pmpeny, am evclusively contractlnp vn�p IicenSeA mntratmr5lo consVuti Ihe prole�� (Sec�ion 7044. Business ❑ ane Pmlessions COGe: TAe Com2ctors' State L'rceize Law Uces not appty to an ovmer of propeM w�o Wilds or imDroves t�ereon ana w�o canUacts lo� suc� pmjecis wii� a coniracroqt) license purzuam to t�e Contractars' Siate License Law�. I am aware Ihal OrOo� ol I�eir WOfker 5 CAmDen5ali0n insurance SOpulO Ee prOviEeE lo me. � I am ec¢m0� un0er Settiw: B. 8 P. C. br t�is �eaSOn: Oaie: O�mec 1 ao nereey cenify inai I am aware al ana unaerstanE tne requi¢mems of Calilornu Healt� antl Safety Catle Sections 25505, 25533, an0 2553A and Ihat I or any IUWre 6uilAing occu0ant wilVwill no� (circle one� neeG to comply wi�h saiA stale coaes antl �he reQuiremen�s for a permil tor consimclion or mo0ilicalion Imm ihe Air Oualiiy Mandgemenl DiSincL PeSiUeniial cOn5lmction applications are exem0� ��om I�ese provisions. � Date: Appticant: � I nere0y Rtlity thai I IWve tW tlti5 appliCalion an0 �' e a00 e inlotmalion is COrrtct. I aqree to fAmpty ' all ciry antl county orainancesane atelaxsrelau gto�N�aingconsim ' n ne py tlrorizereD�e tatHeso " irytoenter nea0ove�mentione0 o�openy lor" . ecibn putp0 et � Oaie', Signature: �river's Lic . e or Social Se uri� e: �64Fafi Whi�e—Bmlaing; Green—Cotle Enlorcemeni; Candry—AOGliwnl; Pink—Revenua; Goldenrotl—Assessor CITY OF COSTA MESA — SIGN PERMIT PERM NO: SB 069000 PERMZT NO: SB 069000 PLAN CHECK NO: 03594-94 S GOVT; N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE: STR SIG PURPOSE: OTH JOB DESCRIPTION ; 22,SSF LUMINATED WALL SIGN 5Q FT: CLAIM VALUE: 1,800.00 CALC—VALUE: 1,800.00 GROUP OCC; H-2 / COMMENTS: "THE USED CAMERA STORE" WALL SZGN *�r�x�*�t�t�t�t�t�r�tx**�r�r�t�r*�*+r��*�r�r*+r�r*w�r*+��r�r��r�t�x�x�r*�t�+�x��r**+*�e*x�r�*�rxk***��****+��r*+t�r# S I G N I N F O A M A T Z O N DISTRICT: 3 TYPE; WALL ILLOMINATION: INT CATEGORY; NEW DIMENSIONS; 3FT 09IN }C 6FT OOIN AREA; 22,SOSQFT LETTER HT; 14 STREET FRONTAGE 1: 145.00 STREET 1: [�EWPORT BL STREET FRONTAGE 2; 114,00 STREET 2; W 18TH ST PARCEL: 42427101 ZONE: C1 LOCATION > FRONT: X REAR: BUSZNESS NAME: TAE USED CAMERA STORE > LEFT; RIGHT: O T H E R T O T A L S G R O U N D S I G N TFIIS ACTIVITY . 22.SOSQFT OVERALL HEIGHT; OFT OIN THIS SITE , 1.00SQFT GRO(JND CLEARANCE; OFT OIN ITEMS OF INFO 1 PLANTER AREA: O,OOSQFT ITEMS FOR ACTIVITYc 1 BLDG SET BACK: OFT COPY VERBIAGE ; TAE USED CAM$RA STORE 28 LF BUILDING FRONTAGE FACING W 18TH ST PLANNING NOTES; iE iE iE if iE iE if fE 1E ft it fF �! �ElE k 1f iE if 1f i! iE iE iE iE k iE it iE it it itlE if !f iF if f! i! it it iF jE i! fE if if if 1E if if if ff k it iE iF 1E it �f k if 1f 1k if 1k 1t fF iE iE iE it iFlE iE 1F i! iE 1! D E C� E L O P M E N T S E R V I C tE S R E Q U I R E M E N T S ZONING APPROVED BY \IS��L DATE: 2�� BUILDING APPROVED HY ; .. _„ _ DATE; APPLICATION ISSUED BY ik k�E iE 1E 1k fE it if iE �f if itlf it ik if jt iE iE it LEGALIZATION:N PERMIT BLDG PMT 41,00 PLAN 26.65 ISSUE FEE F E E S U M M A R Y PLUMBZNG ELECTRZC MECHANIC DATE STRUCTURAL SEGMENT:Y SIGN SMIP/RES GAADING 22.50 SMIP/NON—RES ,SO BUILDING—DIt,'—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 64,00 0.00 26.65 90,65� 90,65 .00 � REVENUE DIVISION TOTALS--> COLLECTED: 90.65 OVER/SHORT; ,00 BLDG PMT PLUMHING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN—CHECK 41,00 22,50 ,50 26.65 it iE k if 1! if iE 1t i! fE if 1t i! if iE iE iklE 1E 1E iE iE it k!E iE 1E it �E 1t it fE 1! if it 1f 1E ff iE if iE iE iE 1f f! IE if iE iE it if iF 1E k!! 1E k if iE if iE k ff if fE it 1E if i! it if iE iE it it it if 1� if I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT EXPIRED i co p ete Inspedi ns �Slg � � U1 OOib8361-00163366 T OiT 9D.6.`+ DATE= 09/26/44 TINE: 11:45 CONSTRUCTION AND PLANNING POOL .PA a APPROVALS Permit # Date Inspector APPROVALS Permit # Oate � Inspector i t. 7emporary Electrical Service or Pole � 52. Pool & Equipment Location � y, $oil Pipe-Undrgrnd. • 53. Steei Reinforcement � i 3. Elecirical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Condu�i-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plum6ing & Pressure Tzzt 6. &lecvicai UFER Gmd. 57. APPROVAL TO COVER-GUNITE i 7. Footings ' S8. Electrical Conduit�Undrgrnd. 8. Foundation 59. Gas PiPe, � U�drgrnd., Test 9. Water P�pe-Und.grnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor•Pinal 12. Sewer Cap , 63. Heater & Vent�Final � 73. Roof Drains 64. Plumbing System � Final 14. flough Plumbing 65. Electrical-Final 15. Rough Electrical�Conduit ' 66. Soiar SYstem•Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wirin9 Sign 68. APPROVED FOR PLASTERING i 78. Rough Electricai-T Bar Cei�ing 69. POOUSPA SYS7EM5 FINAL : 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � ' 20. Rough Factory Fireplace APPROVALS Pe�mit # 21. Duc:s, in Struct�re 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping f.7 Gas OOiI I�� • �_• �- 23. Gas Pipe�Rough & Test 72. Underground Flush � � y� � 24. Roof Framing 73. Undergrnd.StorageTank OGas �JOiI ' �"- 25. Roof Sheathing 74. Overhead Hydro -- 26. T-Bar Ceiling (Structurap & Monocoat 75. Ory Chemicat , 27. Frame and Flashing 76. Dry Standpipe ' • 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL � 30. DrywaO Nailing � HEALTH OEPT. REQUIREMENT ! 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED , 33. Final Electric Notes: � 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Farory Fireplace � 38. Final Plum6in9 3y. Water Service�Pinal , 40. Gas Service-Final 41. Solar pomestic-Final 42. Backf�ow Preventer ' 43. Backflow Irrigation i 44. Landsca0e IrriGation System ' 45. Sound Attenuation 46. Hendicap Regulations 47. FINAL STRUCTURE & BUILDING 46. FINAL PLANNING i 49. Electric Release to Edison � i 50. Gas Retease to Southern Califomia Gas Co 51. CERTIFICATEOFOCCUPANCY No. Date " � �� I � PflOJECT ADONESS: S 4 S W 1 S TH ST OWNEN'SNAME: TEMPEST EQIIITY ADOHESS: SAME FXCHIENGINEffl: RUOflESS: PENMITTEE: SIGN TOPPERS INC aooness: zZ552 MUIRLANDS LAKE FOREST IILENSEU CONTHFCTON DEC TION: I hereGy afiirm tlwt I a 7000� of Orvision 7 OI Ihe 9 ine antl Pmlessions Coae. antl m I c�T'� � 9 �T TE �c 636512 Da�e�_�� Sipnature: _ . � 8 uxir: A flEG.NO.: UNIT: (719)958-1000 92630 m5 al C�aD�er (commenung vnth $¢clian InG effet�. S�jX. : / 7 / 9 S WONRE S' C MPEN FTION ECIABA UN: I herehy affirm Ihat I have a cetlifica�e otconsent to seli-in ir y�a cenificate of WOM1ers' Compen tion'Insurance, or cenilie coDY ��ereot (Senian 3800, Lae. C). \i Poucrxo.: 1159965-99 E TE O1 /O1 /95 � COMPAN ST TE FUN� ❑ Certihe topy is reGy tur ishe Cerlilie0 wp i li wil� 1�¢ tity ilJi Divisi . Jale: APPIic t'. EXEMPTIO OMWO REBS'COMPENSPTIONOEClA8ATI0N:� �7hissectionne anot ewmpleteGillhe ermilisf nehurMa0�3100�or�ess�. 1 cenify in t e oeAormance of ihe work tor whicn Ihis permil is issued, I shall not employ any oerson in an anner so as to become su01e��: � qrkers' Com0en5aiion LawS oi Calilomia. Date: ` � Signature: NOTILE f. fier making I�is tleclaralion, yau shaulU Oetome su�jeci to Ihe Workeri Campensation Orovisions of Ihe La6or Cade. you U5� �otl�wii� tomply wii� 5ut� pwvisions or IAis Oermii Shall be Ae¢meU revokeE. CONSTXUCTION LENOING RGENLY: I hereDy afiirm iha� there is a consimction lentling apency lor the peAormance of the work for w�ich �his permilis issuea (Sec�ion 3097. Civ. C�. LENOEfl: RUONESS: OWNEF BUILOEB oECIARATION: I �ereby affirm Iha� I am eeempt Imm the Contraciors' State License Law Por ihe follovnng reasan (Section 7031.5 Business antl Pmfessional Cotle: Any city ol county which repuires a permit lo cansiruc�, alter, impmve, demolish, or repair any simcture, orior lo ils issuance, also reauires the apv�icanl for such permit to lile a sipnetl statement tha� he/she is licensed pursuam to the pmvisions ol ihe Coniraclors' Staie License Law (Chap�er 9(cammencinp with Section 7000) ol Division 3 of the Business and Professions Code) or �ha� helshe is exempl lherelmm and �he �asis for the alleAed exemption. Any violation oi Sec�ion 7031.5 6y any applican� lor a permii 5u0jec�s ihe applican� to a civil penally ol not more than five huntlretl tlollars ($500�. I, as owner oi the pmpeny or my employees witA waqes as t�eir sole comDensation, will do ihe wark, antl the ❑ simcwre is noi imenUeO or oueretl lor sale (SecUon 70a4: Business antl Pmfessional CaOe: The Contractors' State License Law tloes not apDly lo an owner ol a o�ooeny who Uuiltls or improves tAereon, an0 wno does such work himself/herself or throuAh his or �er own employees. O�ovidetl �hat such impmvemen�s are nol intentle0 or offered for sale. It, however the �uilding or improvemem is soltl within one year ol completion, t�e owner will Aave t�e AurUen ol Droving he/s�e Oitl not huilA or impmve for Ihe purpose ol sale). � I, as owner of t�e pmpehy, am exclusively conVac�ing wit� licensetl coniracmrs �o conslmc� the pmlact (Sec�ion 7044, Business I❑ an0 Pmfessions Cotle: The Contraqors' State License Law does not aD71y to an owner ol pmperry who hutlds or improves thereon antl wAo comracls for such pwlects wit� a camractor(s�license Oursuant ro t�e Contractors' State License law�.l am aware that proa� ol Iheir Worker 5 Compensation insmance ShoulG Ge provide0 io me. � I am e�em0� under Setlion: B. 8 P. C. Ior Ihis reasOn: Dale: Owner. I tlo nereby cenily that l am aware of antl uneers�anOlhe reQuiremenis ol Califomia Healih ana Salery COAe Sections 25505, 25533, antl 2553a andt�at lor anyluture GuilOmg occuDan�will/vnll nol (circle one) neetl lo Camply with Saitl state cotles anEthe rtquiremenisfor a permil for conslmciion ar motlificaiion Imm I�e Air Oualiiy ManaOemenl Dislrict. ReSiUential conslmciion aDDliwlion5 are exempt fmm these pmhsions. Oate: AOPlicanl: I nereby c �ify ��at I ave reaa ihis apDlication ana stale t 1 a�ove inlormati s corre I agree o comply wiN all city an� county o�tlmancesantlslate wsrelalingtobuiltlingconslruclion n re auNo' �sentaiives Ihisciryoenteruponihea�ove-menlioneA pmp I r inspecl n purplose� Oal '.' ' J $i9ndiure: �mer\S i nse o Social Security a: t64Pa6 W�ne—Building: Green—COEe Enlorcemenl: Canary—Applicem: Pink—Revenue; GOIEenroa—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 069001 PERMIT NO: E 069001 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION : 22,SSF LUMZNATED WALL SIGN SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS: "THE USED CAMERA STORE" WALL SIGN, RE#SB69000 i��r****+t�rx��r**+t*x�*+t+r�r+r�rx-�ri�x�x�x��r*x*�*�*ir***x�ft+t**+�*+��**+�r*x**�r�r+r***�r****r�t***+r**x��t*�t Z O N I N G R E Q U Z R E M E N T S S E T B A C K 5 ------------ MAIN HOILDING ---------- --------- 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: 42427101 ZNE: REF NO: PLANNING NOTES> > iE if i! iE iE i! iE ft iF ik fk if iF fk iE fE 1! 1E if 1E 1E iE iE iE 1E 4 if ih fE!! if !F i! iF iE iE iF iF if iE iE iE iF 3ElE iE 1F iF �E iE ak if iF 9E 3f iE 3F iE aF 1E iF iE 1F if af iF iF if 1E 1k iE iElE fE k �f IE iF if D E V E L O P M E N T S E R V I C E 5 R E g U I R E M E N T S ZONING APPROVED BY _ DATE: HUILDING APPROVED BY : DATE; APPLICATION ISSUED BY: DATE: � ikiPikiFiEifitiFifik*iEifiFiElEiFlEiEiEiEiE ifiFjE�74iEiFiF�tiEit iFjf jE iE iE iE if iE if it iF iE iE iE if iE if iE if it it 1E iE i! iE iE if ih 1E i! 1t aE �fE ff if i! it 16 iE k it 1E iE iE if� iE iF iE if iE i6 ihih iF iE �IE iE �lE iF iF iE iM1 iF dP iF # iE 3f jE iF �IE it iE �lf it if #!(� i! if iF LEGALIZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 15,00 SOR` SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 15.00 15.00 0.00 30,00 30,00 ,00 REVENUE DIVISION TOTALS--> COLLEC'I''ED: . 30.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30,00 iE 3F iE iE ff k k iF iE iE i.'!k it iE �E if iE iE i! 1k iE iE!! if !t if it fk fE fE iE �! if fF if i! 3f iE it iE it it iE iE iE jE jElk k if if it if 3F iE i! it �f !t if if iE if'lE fE ff if if iE iF fE it 1E iE if iF ik if iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 SIGN/ OUTLINE LIGHT SYS ON 1 BR CIRC 15.00 15.00 END OF FEES � FxPIRED f mP� fe Inspect ns ��ats l � Slg Y �± 00165360—�016336D TC�T 30.00 DArE: Q9/26/94 TINE: 11:43 CONSTRUCTION ANPPLAroNING APPROVALS Permit #� ' i. 7emporary Electric2l Service or Poie 2. Soil Pipe-Undr9md. 3. Electrical Conduit Uti�ity-Undrgrnd. � 4. Efectricaf ConduiblSndrgrnd.- � 5. Siee! Reinforcement � 6. Electrical UFER Gfnd. 7. Footings 8. Foundation � 9. Water Pipe-Undrgrnd. 10. Structural Floor SYstem 17. Proper,y Sewer Line f+ House Connection 12. Sewer Cap �� 73. Roof Drains - 14. Rough Plumbinq 15. Rough ElectricabConduit � 16. Rough Electric Wiring� � i 77. Rou�h Wiring Sign 18. Rough ElectricabT Bat Celiing 79. fiough Heati�g & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure , . , 22. Ducts, Ventilating 23. Gas Pipe-Rough & Tzst 24. Roof Framing � 25. Roo` Sheathing 26. T-Bar Ceilinq IStructu�al) & Monocoat 27. Frame and Flashing 28. La,hing & Siding 29. Insutation 30. Drywait Nailing 31. Piaster Brown Coat 32. Elzctrical Power A4eter�Flnal 33. Fina� Efectric 34. Final Heating & Air Canditioning 35. Final Gas PiDe�Test � 36. Nood or Canopy 37. Finai Pactory Firepiace 38. Final Plumbing 39. Wate� Service�Final 40. Gas Szrvice-final 41. Solar �omestic-Final 42, Back'.low Preventer 43. Backflow Irrigatio� 44. Landscape irrigation 5Ystem 45. Sound Attenuation -- 46. Handicap Regulations 47. PfNAL STAUCTURE & BUfLDVNG 48. FINAL PLANNING 49. Electric Release to Ed�son 50. Gas Release to Southern California Gas Ca Date POOL ?A Inspector APpROVAIS Permit # 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Efectricai Bond�ing 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Electrica! Conduit�Undrgrnd. 59. Gas Pipe, L� Undrgrnd., Test 60. Backwash L.ines, P-Trap, L Undrgrnd. 67. APPFOVAL TO DECK 62. Backwash & RecepmrFinal 63. Heater & Vent�Fi�al 64. Plumb�ng System � Final 65. Electrical�F�nal 66. Solar System�Final 67. Fencing & Rccess Approval 68. APPROVED FOR PLASTERING 69. POOLiSPASYSTEP,15FiNAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Undergrourd Hvdro � 77. Product Piping � Gas ❑ Oi1 72. Underc�round Flush 73. Undergrnd.StorayeTar,k t=;Gas ❑0:1 74. Overhead Hvdro 75. Dry Chemicai 76. Dry Star,dpipe 77. FIXED SYS7EM PINAL 78. F�flE PREV. FINAL HEALTH DEPT. REQUIREt 79. FINAL !,'�SPEC'fIQN , 80. FOOD CEftTiPICATE lSSUED Notes: Oate I t�spector A Date 1 1 I I . City of Costa Mesa Development Services Department Building Safety Division P.O.Box 1200 Costa Mesa, Califomia : CERTIFICATE OF OCCUPANCY No. The Building located at 5�5 W. 18th St. Urilt C has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto tor a G�roup B-2 Occupancy. Use of Building barber shop Legal Description 424-271-01 (See reverse side for Metes and Bounds) Building Permit No �EP51363 Electrical Permit No.BEP51363 Plumbing Permi[ No.BEPS1iE3 Mechanical Permit No. Number of apartments and/or guest rooms ISSUED TO: BuildingOfficial Tony C'De Baca Tempest Equity , 1by11 nol5a Chica Rd. 3i1U1 by �"_ - Huntingtmn Beach, CA 92699 � Date `�arch 3, 1992 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 Whire -Owner, Canary - Numerical Pile; Pink - Bldg. Permit File 0 PHOJECT FDOflESS: j 4 S W 1�•rH S C OWNEfl'SNAME: TEMPEST Eo UITY nooeess: 16912 HOLSA CHICA RD#i201 HUNTINGTON BEACH CA 97.649 RPCH/ENGINEEH: �� t 4� 8 4 6—` 5 B 8 REG.NO.: AO�flESS: UNIT: C UNIT: PENMITTEE:'�EMPEST EpUITIES (714)A46-2588 aooness: 16952 BOLSA CHICA RD HUNTINGTON BEACH CA 92649 IICENSEO CONTNACTOB OECIAAATION: I �ereby afli�m t�ai I am Iicense0 un0er O�ovixions of C�apter 9(commendnq with Sectian 7000� ol Division 3 0l t�e Business anG Vmlessions CaCe. anG my litense is in lulllarce anA ellect. t CITY LIC.: STFTE LIC.: CU1SS: i � �Oa�e: SignaNre: ^ VOBREBS' COMPENSRTION UECLAFATION: I �ereEy a8irm iAat I luve a certiliwte ol cronsent m selbinsure or a certiliwte of Workers' Compensalion Insurance. or a cenifiea coDY �he�eal I�cGon 3800. La�. CI. �POLICY NO.: E%P. ORTE: COMPANY: ❑ Cenifietl copY is nereey fumisnea. � Cenilied copy is filetl wit� ihe ciry Builtling Division. �ate: ApWiunt: EXEMVfION FflOM WOXKEflS' COMPENSATION OECIAMTION: (11i5 seclian nee0 not Oe cOmpl2tM il Ihe perml R Ia one huntlrCG (5100) Or less�. I certily �na� in lhe peAormance al t�e vrork lor wNc� tN5 pelmil is k5ue0, I shall noi employ any person in any manner 5a as �o become sublecl Ia I�e Workers' ComOehsation Laws o� Califomia. Oate: S�Anature: NOTICE: II. a��e� maMing tNs EeUarati0n. you 5hau10 Uecom¢ SUEI�� o Ihe Workers' Compensation o�wisions al ine la0or Coae. you musl lart�with comply vnt� such pmnsions Or tks permil s�all Oe Oeemed revOkea. CONSTBUCTION LENOING AGENCY: I hereby allirm ttwt ��ere is a consimqion lending aqency lor 1ne DeMa�mance ol Ne work �or wnicn ihiz permit a issue0 ISection 3097. Civ. C). LENOEfl: AODNESS: IOWNEH BUILOEP OECIANpTION: I hereDy aflirm i�at I am exempt Irom ��e Comrac�ws' Sta�e L'aense Law br t�e followin0 �eason (Section 703t5 Business an0 Professional Co�e: My ury ol counry wNU reQuires a cermii to conswct, alter, impmve. Oemolis�, or reDair any slmctu�e, prior to ils i55uance. a150 repuires the a001itant lor suc� permli lo lile a 9gneU statement t�at Ile/sba is IicenseU pursuam�o��epmvisionsolihetomracmri S�ateLiunuLaw(Clwp¢r9l�mmencingwit�5ection70W�alONisionJott�eBusines5 ana Ro�esvons Catle) or �nal he/sne a eRempt tAeretmm an0 Ine �avs IOr Ine alle0ea exemption. My violatian ol SECtiM 703t.5 Gy ny applicant lar a permil suEl��s lhe appliCant to a ciWl oenalty of WI rtqre tilan Irve �unCreO OWlars (U`�1. I, as owner ol t�e pmpeny oi my emWoyees wil� wapes as t�eir sole wmpensatqn, vn0 Eo I�e work, an0 the I❑ simcmre ¢ �oi inten0e0 or olfereA lar sale (Sectian 7Md: Business aM Pmlessional CoOe: TAe Contractors' State license Law Ooes noi ap0lyia an owner ol a D�oDeny wM GuilGs orim0�oves �hereon, anG who tloes suc� wOrk Ilimse0/Aersell or ihrough �is ar �¢r own emDloyees. OrariOed thai suc� imD�womcnts are rwi inimdetl or olhre0 lof sale. II, how¢ver I�! OuilGinp Or impmvemen� is SOIG wi�Nn ane year oi complelian, t�e owner will tuve i�e OmCen ol D�ovin0 �s�e Oitl nol OuiIC or impmve lor ine puroase ol sa�e�. � I. as own& ol the D�ap¢ny. am eaclu5ivelY coniractinA wii� Iicen5t0 coniractors to conSiNcl Ihe prolecl,$eciion 7044, BuSineSS antl Prolei5ions CoOe: The COntraclors' Siate L'Kense Law Aces not appty to an owller of Oropenp wM OmICs or imorov¢s Inereon anU wtq ContraClS lor suc� prOj¢[I5 wit� a cOniracta��s� license WrSuani �o I�! Contraclor5' SIaiE LittnSe Law�. I am awdre t�at proof ol t�eir Worker's Compensation insurance shaul0 Ge D�a��etl to me. � I am exempt un0er Setiion: B. 8 P. C. lor t�is reamn: Q / �� —/ Oa�e:�� l �L�( L� Ow �) _ (C�'��/� I Do �ereby cerofy Ihat I am aware al anG iaerstan0 i�e reQuiremems al Calilomia M It nd Salety CoGe Sections 25505, Ni37, anU 2553C antl I�al I or any Iuiure builGing accupani wiNwill n0t (cifde one) n¢¢G 10 cOmpty vni� u�0 s�ate cotles aiM t�e ieQuimments br a permit for wnstmction or motldiwtion Imm tlle Fir Ouatity ManaAement Distrkl. PesiOentul wnsimction apD��wns are exempt Irom these provi5ions. Date: Appli[anl: I nereey cetlily Ihal I have rea0 Ihis aoo�iWtian ana stale Inal ine above in�ormation is corrtcl. I aAree to com0ly wiln all city ana counly Ot0iWI1tC5 d04 SIdIPIdv5f21dt10910 OOAW09 fAIISINC�lOf13t1U11QfC0yd0I1ptRC fCOre3211Id�1YC5 OIlhS On'10 C11IEf Op011(hEdC0V2-IIIEf111011CC pmpetly for in5peciion pur ¢5. oa�e�. ��L�� Signa�ur �� orive�'s License ar Social Secwi�y n: i6at-a6 Wnile-6utlding: Green—Coae EnlarcemenL Canary—Appl�cam: Pink—Revenue; GolOanroE—Assassor CITY OF COSTA MESA — BUILAING PERMIT PERM NO: BEP 05136: PERMI't NO; HEP 051363 PLAN CHECK NO; 00933-91 5 GOVT; N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE: ELE PLU STR PJRPOSE; ALT JOB AESCRIPTION ; COMMERCIAL T.I. "AMADOR'S HARBER SHOP" SQ FT; S00 CI.AIM VALiJF,: 500.00 CALC—VALUE: 500,00 GROUP OCC: H-2 / COMMEN'PS ; $ **x��:**�xr�r�*xx��r��r�t�t+tr�r�r****��r**�x�*�r**rx�r*�u±t***,c�*±��•*��*r��t��r***x�x�r+r**�** 2 O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ----- --- ACCESSORY BUILDING FRNT: rT tN REAR; FT, IN �FRNT: FT ` ZN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN r�GRT: FT ZN PARRING REQ• PROV: PARCEL: 42927101 ZNE: C2 REF NO; PLANNZNG NZSTES> TENANT IMPROVEMfiNTS TO END "JN3T (RIGHT SIDE) Or A RECENTLY > CONSTRUCTED 3—UNIT COMMERCIAL B,UILDING (TENANT; BARHER SHOP) *�e�r*�r�**�r+r+t�tx*�t�**±rxr*�t*�*x *rx*+��**��r�**x�x-�x�*+F***�t*�+•r*�t��*��r*+� ��x *v*�v�ac�+��t D E V E L O P M E N T S E R V 2 C E S�. R E Q II I R E M E N=T S ZONING APPROVED BY � DATE: BUILDING APPROVED BY • - DATE: ��%L APPLICATZON ISSUED HY; DATE; ififiEi?if3f-aEififiFkiFaflf±fMifif�iEiFif . . �F1E�!1EIF�ifiF3f��iF"�FiEi! 1F1Eif�fiEiF�f�flFiFifaEiFiE1EfE±EiEiE3�iFif3ElF)EiE1Fff1�7F1E1fiflfiEfEjfi6�fiEik)EiEikifiFififY-i( iE1F . lf3FiEiEiElE3(�iElEihiEiFjEiF#�EiEaEifK•i�fFifaF LEGALIZATION;N F E E S U M M A R Y STROCTURAI. SEGNENT:Y HLDG PMT PLI7MBING ELECTRIC MECHANIC FIRE SMZF/RES GRADING PERMIT 15,00 8.00 52.90 PLAN 9,75 75Y SOY SMIP/NOU—RES ISSUE FEE 3.00 15.00 HUILDING—DIV—> PERMIT ISSU£ PLAN—CHECK TOTAL PAID DUE TOTALS----> 76.40 18,00 9,'75 109,15 109,15 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 104,15 OVER/SHORT: ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PiAN—CHECK 15.00 11,00 67.90 ,50 9,'75 *ii'*i�'�*-K'ifiE*�"X'�fif��%1�'i�'i{'��fiY�'�'�('�('if�lF�'i�'�"K'i�'�'iiii'.Y'i�'X'iQ'*if*�')f ji'i%iE%('Y.i�'%�'}�-✓'ifK'�fi�'Y'�'i��'�if'V��*i�'ifK'�if�.-Yl."�il I N D I V I D U A L F E E H R E A R D O W N TYPE QTY D E S C R Z P T I O N JNZT COST TOTAi COST EI.E ELE EL,E ELE EI�E PI�O PI�D ALTER BY VAL'JE COMMERCIAL NOZONE FIXTURES LIGHTING 1 ST 20 EA, RECEPT/OiJTLET 1 ST 20 EA, RECEPT/OUTLET ADDITIONAL EA, RECEPT/SWITCH 1 ST 20 EA, SERVICES BELOW 600 V 6 BELOW 201 AMP crip_on�irr. WATER (TOILET) END OF FEES 1:05 . '15 .'75 18.50 11.00 2,00 �,00 500.00 5.25 1�.90 18,50 11.00 6,00 2,00 R1 J�082b68—�80$2672 "�47T il�;.f` ''u�l (=: 0311:�/91 7?ME: 16:0�7 CONSTRUCTION AND PLANN�NG POOL , .PA � -_ APPROVALS Permit # Date Inspector qppROVALS Permit � � Date Inspector ; 1. Temporary Electrical $ervice or Pole 52. Pool & Equipment Location �%" r�" � . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �a ' i ' 3. Electrical Conduit Utility-Undr9md. 54. Forms �' � I 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding �, �/ 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � � . 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. , � 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwath Lines, P�Trap, O Undrgrnd. � 10. Structural floor SYstem 67. APPROVAL TO DECK � �, 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �• ' 12. Sewer Cap . � 63. Heater & Vent-Final �� 13. Roof Drains ' 64. Plum6ing System - Final �\ 14. Rough Plumbing 65. Electrical-Final � � 15. Rouqh Electrical-Conduit 66. Solar System-Final Il 16. Rough Electric Wiring 67. Fencing & Access ApProval � 17. Fiough Wiring $ign 68. APPROVED FOR PLASTERING .�, 18. Rough Electriw�-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �� 20. �Rough Facmry Fireplace - � - APPROVALS � Permit # - 21. Ducts, in Structure . ' 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping O'Gas ❑ Oil � 23. Gas Pipe-Rough & Test ,� . : 72, Underground Flu'sh ' ( 24. Roof Framing � 73: Undergind. Storage Tank O Gas �� Oil 25. Roof Sheathing � . 74. Overhead Hydro ' 26. T•Bar Ceiling (Str�ctural) & Monocoat ' 75. Dry Chemical � 27. Freme and Flashing 76. Dry Standpipe � � 28. Lathing & Siding • • 77, FIXED SYSTEM FINAL �� 29. Insulation � �-'� �`.' 78: FIRE PREV. FINAi � �� . 30. Drywall Nailing �_ �_' HEALTH DEPT. REQUIREMENT ` 31. Plaster Brown Coat . , � � 79.' FINAL INSPECTION ' . - � 32. Electrical Power Meter�Final � 1! 80, �FOOD CERTIFICATE ISSUED • :». 33. Final Electric � . Z Notes, ' I - 34. Final Heating & Air Conditioning. � � � � .. 35.'Final Gas Pipe•Test ' � �' , , 36. Hood or Gnopy - ' 37. Final Factory Fireplace � ' �{ 38. Final Plumbing . � ?( !{� (� ' . 39. Water Service-Final� - ' 40. GasService-Final _ �� 41. Solar pomesticFinal •- � ' � 42. Backflow Preventer, �' ' Y 43. Backilow Irrigat'ion • ' � 44. Landscape Irrigation SYstem , � � 45. Sound Attenuation ' ' 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING . y�-q2 � 46. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co �� 51. CERTIFICATE OF OCCUPANCY • i No. Date � i � '\ City ot Costa Mesa Development Services Department Buildin9 Safety Division P.O.Box 1200 Cos[a Mesa, Califomia CERTIFICATE OF OCCUPANCY No. OD�v�� The Building located at 545 We9t 18th TC6tt� Un1t9 A�BiC has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R� __Occupancy. Use of Building Legal Descriptio (See reverse side for Metes and Bounds) Building Permit NoR 47523 Electrical Permit No. EP 49408 Plumbing Permit No. RPA9408 Mechanical Permit No. ISSUED TO: Temotest Eauities 545 West 18th Stre2t A.B,C Costa M�sa, CA 92627 Number of apartments and/or guest rooms Building Official Zbnv C'D2 Baca by Date Aori 1 2. 1991 This Certificaie of Occupan�y SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 3015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bld9. Permit File � � c! /�� \ rnaecr aooxeu: �-q-3- W 18 TH ST uxR:A/�J owxe��sHaMe: TEMPEST EQUITIES, RDOpESS: S691Z BOLSA CHICA RD HUNTINGTON BEACFI • ' CA 92649 FHv,pEN01NEER: � 7 S Q) B A G— Z S S E REO.NO.: �oosEss: RENGEL ASSO. C-�x�199 333 CAMINO REAL � TUSTIN CA 92680 •-`� vFwnrtr�E: TEMPEST EQUITIES ( 714 ) 846-2588 �• anoness: 16912 BOLSA CHI.CA RD HUNTINGTON BEACH CA 92649 11tENSEU CONTMCTOH DELUM710N: I hereDy allirm tAal.l,arti licensetl untler provisions af Ctwp[er 9(commencinp wit� Section 7000) ol Division 3 al Ihe Business an0 Proleulons CaEe, enU rtry license is in full force an0 eflect. CITY LIC.: ST1TE LIC.: —� CUSB: ^it0: $Ip02W10: PI(ERS' COMPEN3117ION OEClAW1TI0N: I hem0y affirm t�at I �ave a certificate oi consem to setl-insum or a ceNOcate of Workers' ,npensa[ion Insurence, ar a certifieU copy �hareal (Seclion 3800, Lah. C�. I� PoIICV NO.: E%P. D�TE: COMPINY: � Certifie0 copy is hereby fumlSheU. ❑ CetlilieC copy is iiled with t�e ciry BuilAing Divivon. Oaie: AOVlicani: E%EMPItON FHOM WORKEHS' COMPENSIITION DECIAMTiON: (Rik secUon neeU not he comDleteO tt Ne permit is for one hunOrM (5100) ar less�. � I certlly that in the petlormance o1 t�a xrork lor which Ihis Oe�mi� is issue0, I shall not employ any person in any manner so as ro become suble�� o �he Workers' ComDansation Laws of Calilornia. � Oate: SlpnaNre: N0710E: It, atter makinp Ihis Oeclaration, you shdultl �ecome su01�� a ��e Woikers' Compensatlon Orovisions ol Ihe La�or , COEe, you must lorthwith compy with such OroNsions ar IN5 permit s�all Da deemeU avoketl. . CONSTBUCTION IFNDINO ��ENCY: I AereEy allirm that t�ere is a mnstructlon Ie�Minp apenty tor Ue peAormance oi t�e vrork lor '� WIIIGII II115 PCfI01i IS ISSUBU �$BCI100 31I97, CIV. C�. � ' � �xoEe: . �oowess: ' � I OWNEN BUILDEH DECUNITION: 1 here�y a/lirm tlwt I am exempt irom tha Comractors' SUIe License Law lor tM reason (Section 7031.5 Business and Prolessional COEe: My dry ol wunry w�ich repuires a p¢rmit lo construct, ayer, i Oertwlish, or repalr arry structure, prior to ds issuance, alw reQuires the apD�� or suc� permit ro lile a sipned statement she k Iicense0 pursuant Io Ue D�%'w�s al the Contractors' Slate Lkense Law (Chapter 9(commendnq wtth Sectlon 7000) of ' on 3 at Ne Buvness �M Pmfesvons Code) or that �e/she is exempt t�erelrom aM t�e hazis lor Ihe a�le0e0 exemption. nolation ol Section 7031.5 hy apDliwit lor a Dermit whl�� Ne aDWicant to a civil penalry ot not moro than five hunO.eO�e (5500). I 1, as v+mer of the proDerry ar my employea wiN wapes as t�eir sole wmpensa4on, win do Ue vrork. an0 t�e � L� 5trucWre is noI intenAetl or otlea0lor sale (Seclian 704/; Business anE Pmfessianal CoOe: The Coninctors' Sute Licensa Law Oces rrot aDPN �o an ovmer of a DmpeM � builUs or imDroves t�ereon. anE wlw Eoes such work �imselfPoersell or ihmupA his ar �er own employees. O�oNdeO IAat sur.� imprwements are not NtendM or ottereE for sale. If, �ov,ever the EuiWinp or imD�%'ement is sd0 wit�in one year oi wmDletian, tAe awnei wiA have t�e OurEen af proNnO he/she EiA not huilU or impmve for Ne puryase ol sale�. I, az awner ol l�e DropeM, am exduciveN wnVactlnp wiN licei6eE contrattors Io cansirucl ttle Drojecl (Sec�ion 7041, BuSineu � an0 Profes4ans Catle: The Contactars' State License Law Cces not appty to an owner of property who W�Cs a impmves Nereon anU wtro contnqs lor suc� Drol�s wtt� a cantaclnqs) lirensa pursuant ro tM Conimclars' Siate Licenu Law�. I am aware Nat Draof oi tAeir Warker's Compensatlon insuance s1wulE Oe provideE lo me. � I am exemD� un0er Sectlon: , B. 8 P. C. tar t�is reason: . � Oate: s� � / r�� Owne : - I do �ereEy cetliy Itut I am awam ol and unEerstanE Ne aQuiamenis ol Calilomi leaIN anG Safery COEe Sections 255115, 2 , and 2553C an0 ��at I or any fuNre �uilCinO accupant vnlUwill not (circle one) neaE ro pN'M�h saitl sWte co0es an0 Ihe requirements lor a permit far mnstructian ar motlifiwtion Irom tAa Nr Qualiry ManaOement Us '. HesiEenfial conswclion apDliwtions are exempt trom Ihese p10vi5ion5. Date: ApPliwnt: I �ereEy cetlity ihat I Iwve reaG this aDDliwtion antl sute �Iwt Ne a�ove Intormation is wnect. I aAree to campy vrit� all ciry and counry or0inances anE state laws relatinp to �ullEinp cons[ruclion antl hereby authonze apresentatives af Nis ciry ro emer upan t�e abwe�mentloneE propetiy �or inspeciian putpoSEs. ' Date: � � ��( � SiAnaWm: ��y.� Driver's �icensa ar Soc�a� Seadry x: / ' 18ab68 Whlte—Builtling; Groen—Cotle Enlorcement; Can —Appllcant; Pink—Revenue; Goltlenrotl—Assassor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 04 523 �ERMIT NO: B 047523 PLAN CHECK NO; 04206-90 L GOVT: N SUPP; ONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE: A T JOB DESCAIPTION : INT 6 EXT ALTERATIONS TO �XIST BLDG. SQ FT: 70,000 CLAIM� ALUE: CALC—VALUE; �/ 70,000,00 GROUP OCC: H-2' / COMMENTS: RE: ORIG, PL CHK #776-88L. ` �r�r*�r�r*�r�r*�r�r*�r�r*x��r*�r�r�*x�e*�r��rx*�r**�r�r��r��*�r�r��r�r�r��r**�*�e�r�e�e*x�+r***�r**+r********�*�rx� Z O N I N G R E Q U I R E M.E N T S ,. S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: 67 FT IN FRNT: FT IN REAR: FT• IN LEFT: FT IN RGHT: 35 FT IN LEFT: FT IN RGHT: FT . ZN PARKING REQ• PROV: 6 PARCEL: 42427101 ZNE: C2 REF NO: RA8806 PLANNING NZSTES> EXTERIOR FACADE IMPROVEMENTS TO BLDG AND DEMO 232 SF HLDG AR > AREA & ADD 311 SF FOR NEW RESTAMS, INT HAI:L, STAIRS/LAND,ING if iE k if if it i! ik iE i! if iE if iF k i! ik ik if ik if ik ik iF 1t if i! if iF if ik 1E it iF if iE i! it iF iE iE iE if if if if iF iFlF iF if iE if ik if iE it it it if iE 1E if if iF if iE i! iE iF iF iE �t 1E iE ik iE iE iE D E V E L O P M E N T S E R V I� E S R E Q U I R E M E N_T, S•- ZONING APPROVED BY DATE: 3' 26�9'0 BUILDING APPROVED BY : DATE: 2- S,rJ'U APPLICATION ISSUED BY: ATE: =� _-, o ifiFiEiF�tiElfMiEikit�Elf�fiFlf%ifiFiElEiE 1EiFitiEifiEiFifiEiF {E{E . x*�r*��r**�r�r**�ex��*+r�r*�r�r+�x�r�e�r***�*�r+�*�r� ** x��r*�r�r�**�***x*��r****�r+r**�x�+r*�r*�*�r+�+r* LEGALIZATION:N F E E S,U M M A R`Y STRUCTURAL �SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 504.50 __� -� PLAN 327.93 SMIP/NON-RES ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTALS----> 515.00 0.00 327.93 10.5� TOTAL PAI� DUE 842.93 842„9� � .00 REVENUE DIVISION TOTALS--> COLLECTED: 515.00 OVER/S • 00 HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT ING PLAN-CHECK 504.�J� 10,5� ifikikikikifififififikikikikiFifi!lfikikififkifikiEifiFififiFikiEififiFifiEiEiEiEifiEiFififiFiFitiliEiEikkiEifiE kkiEltik3kiEikitiElEikiEiF3FiFMif I N D I V I D U A L F E E B R E A K W N TYPE (jTY D E S C R I P T I O N T COST TOTAL COST "' -S�FE- 70000 ALTER BY VALUE COMMERCIAL NOZONE 1,00 70,000.00 END OF FEES a / O1 00061E35-00061E35 T� 7 515.4Q OpTE: OS/24/9U TI11E: 11�24 ' I COIVSTRUCTIQN AND PLANt�....i � �� " �PA � I �APPRdV1{fLS `�Permit # Date Inspector qppROVALS Permit # Date Inspector I 1.'Temporary, Electrical Service or Pole 52. Pool & Equipment Location � � - i 2._Soil-Pipe•Undrgrnd..- 53. Steel�Reinforcement -' � ' ' 3:cElectriwl"Cond'uit'-Utility-Undrgrnd. 54. Forms ' � � 1' � '4.'Electiical'Coriduit=Undrgrnd. 55. Electrical Bonding • � • 5. Steel�Reinforcement- 56. Rough Plumbing & Pressure Test � •< ."6:•Electrical'UFER.Grnd. 57. APPROVALTOCOVER�GUNITE i ��7.,Footings .' n 58. ElectricalConduit-Undrgrnd. � r' 8!',Foundation .Q /�_ �� '�. ' 59. Gas Pipe, O Undrgrnd., Test I ,�, � 9.'Water Pipe�Undrgrnd. 60. Backwath Lines, P�Trap, O Undrg� d. � � r 10.'Scruciural Floor SYstem - 61. APPROVAL TO DECK / �/ �'� i 11. Property Sewer Line�&. House Connection 62. Backwash & ReceptorFinal !� %� 12. Sewer CaP c. . � ' � t 63. Heater & Vent-Final 2 i' 13. Roof Drains � � � ' - �. - . 64. PlumbjngrSystem � Final , `: 14. Rough Plumbing 65. Electrical-Final � ' / I 75. Rough Electricai-Conduit 66. SVstem-Final � �� ,� . 16. Rough Electric Wiring 67. - ncing & Access ApProval �." . i , I 17. Rou h Wirin Si n • - �:, t� ' 9 9 9 68. APPROVED FOR PLASTERING � , 18. Rough Electrical-T Bar Ceiling .69. POOL/SPA SYSTEMS FINAL �� 1'9.,Rough Heating & Air Conditioning _ t _ � _FIRE DEPT. REQUIREMENT, �{}.� I 1 20.;;Rouyh Factory Fir,eplace ' , - :. -. � ` APpROYAL"5�.. Permit # ' `" � - r � 21.-Duats,in_Structure "�" _'`�- f: '` 70. Underground�Hydro i 22. Ducts, VBntilating; � �� - - -77, ProducCPiping O�Gas �'Oil _ � 23. Gas�Pipe-Rouqh & Test r?� � � �; � . 72. Underground Flush�= � ' � -_' � �_ _ . ; 24.�Roof Fralnin9 "; ' r� - �� 73. Undergrnd. Storage.Tank O Gas ❑ Oil � 25. Roo4SHeathing � . •�� ?;,_, ' _�` � 74 �Oyerhead Hydro,-_„ ' � 26.`T�Bai Ceiling (Str`uc�ural) &�Monocoat'� '�' -� � ''i, 75;_Dry Chemical � � I 27._Frame a�d Flashing�� . _. � . ��: � � 76. Dry Standqipe -- � :=I _� _28. Lathing�& Siding"' " _-'t" =.� �' '= � � ''F ; 77,�FIXED SYSTEM�FINAL� �� ,i 29. Insulation = � � -' -;y „_, � ! �"? ° ' ` 78.' PIRE PREV. FINAL �: `� • _i 30. Drywall�Nailing ,;,i, �., ' �' ��, ,_ �� l- . , ` HEALTH DEPT..fiEQUiREMENT _31. Plaster Browri Coat�' :: �"`" = � • ? i��Y r '79. 'FINAL INSPECTION � '� ;c32...Electrical;Power Mete� Final � r'~ '�� ' ,!, `� � ` � 80:'.F000 CERTIFICATE IS$UED , � �33.,�FinalElectrit• -�� "a � :�� > Notes: - ' ' � � -t � . �n '�34.;.FinalHeating�&AirxCoritlitioning ;.�; � '��•, * _ �•6 � �= - v 35.-Final GasiPipe-Test.� - � �� .;, � ' ' ! - 36. Hootl or�CanoPY - ,� � '•., a = ,.s: .�.... �n - � ` ` , -37.•Final•FactoryFireplace-: � _ � �..+ � _ r,-i �38.�fina(Plum6ing ' ~, ' _ � _ ', `1, . � _" , ' r , -, �-. y, ' 39._Wat`ei Service:Final: �, :� -, i , � . .," �. '' ` . ,t i �40. GasService-Final -'� ': '"' �>�� 1' `� • - �• :� - : ♦ • - - :� :�41.`Solar OomestioFinal ' � =' � ' , - . - - � , 42. Backflow Preventer� ,i � J-.iX :� i 4 .. '' . I � I 43. Batkflow Irrigationr � �u �� . + � " " • i- -'44. Landscape Ir�igation System ' ' ' ;` � - = � ' x _' �� " ,` - � I' Y 1�b =JL'1 - ! r .�� '45.-�Sound Atterivation � . ., -`' ' � ` � � . � -= z � =46. •Handicap'Regulatioos -+ " `� � . _' ' � � i � -: f � I 47.'FINAL STRUCTURE & BUILDING . �'� � y ,� �� , . -- , _. � , ae:� .s � .. � i -� ,. - . , � � � 49.' Electric �Release to Ed on . " "' � • ' ; ' � V . io- �� "�; �. , ;; r .� ' 50.-Gas�Releaseto $outhern CalifomiaGasCo ' � � �. �" _ r,_' '';� ' ,' I ' 51. CERTIFICATE OF OCCUPANCY ' -• ` I' No. Date � i II f rnaennoowess: TEMPEST EQUITIES �� OWNEfl'SjIRMF: 16(j1Z BOLSA CHICA RD ao0eess: HUNTINGTON BEACH ' CA 92649 (714)846-2588 RENGEL ASSO. �BCNIENGINEEB: 3 3 3 CAM I NO REAL �' nnneess: TUSTIN 'TEMPEST E�UITIES PENMITTEE: 1(�j12 BOL A CHICA AD �ooeess: HUNTINGTON BEACH 174�..-�ri UNR: C-14199 REU.NO.: CA 92680 uxrt: (714)896-2588 CA 92649 � LICENSED CONTMLTOB OECIAMTIOX: I h¢re0y atlirm that I am Iicense0 unEer pmvisions oi ChaD�er 9(commencinp wit� Section 7W0) ot Oivision 3 ot the Business anU Prolessians Catle, ana my licensa is In lull lorca anA effect. CI7Y 11C.: STRTF LIC.: ' ClABE: ' ��e: � � Siqnatua: iIIEfl3' COMPENSFTION OECWUTION: I hereEy attirm Ihat I �ave a cMiilca�e oi wnsent to SelFinsure or a cehificate ol Workers' npenuiion Insurance, or a certitie0 copy th¢aol (Sectian 3800, LaC. C�. Ivoucr xo.: exr. n�rE: coMraNr: 1��¢4 �py is �erehy hmislie0. ❑ Certifie0 coOY � �ileA wit� the ciry BuilOinp Division. Date: ' ApDlicanl: � . ^ ex�x+mox rxon� vroxK[xs� ea�xxs�nox oEa,uunoM: mis sxuw� reca w� oe amqeue n me oemn a iu ne nw,eaa �siml ��sl. I certiry tAat in tne peAarmanca of ��e xrork lor whic� t�is permit is issueE. I shall not e any so � manner m s to Ueco� subject ro the Workers'� mD ��on Laws ol Calilomia. .- Date: Q S�pnaNm: �`�'� NOTICE: If, aRe mal q Nis GeUaation, you slwul0 Decom uEjece to tAe Workers' Compensatian�pro ' ions tAe o COJe, you must'forthxit� comDN �� such Dmvisions or t 5 permit shall De UeemeO rewketl. LONSiAUCT10N IFNUING �GENCY: I �ereEy affirm that I�ere ¢ a constructlon IenEinp aAency for the pedormance oi the work lor wNc� this permit is issueA (Sectlon 3097, Civ. C�. �xoex: nooeess: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; EP 049908 PERMIT NO: EP 049408 PLAN CHECK NO: N GOVT: N SUPP; N CONSTkOCTION TYPE; 5—N I�fiFtMIT TYPE; ELE PLU PUAPOSE; ALT JOH DESCRIPTION ; INT & EXT ALTERATIONS TO EXIST BLDG, SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: H-2 / COMMENTS: RE: JtH47523 � iE if if 3k iE i! 1E iF iE if jklE it it ik i! it if iE �! it iE M!E if ik �k iF 1F fk i! iE if iE ik it iE 1FlE if jt it iF 3E df if iF iE iF ik 3klf iE if i! iF iF iE iE if it iE iE iE iF iE iF iF it 1E iE it ik if if iE i! if iF 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 --------- FkNT; FT IN kEAk; FT IN FkNT; FT IN REAA; FT IN LEFT: FT IN AGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL; 42427101 2NE; REF NO: PLANNING NdTES> > � ' ik if iE ik iE it iF ik fF iE j! iElE!! iElf iF M if iF M M fElElE 3t iF 1F k iE!!!E ff if if if iF �k i! iE if iF iE if jF it if ib iE %IE ik iF it ih if iE it it iF if iF i! iE iE ik it iF if ff 1E iF it iE 3E iE it iE iE D E V E L O P M E N T S:E R V I C E S-'R E Q U I R E M E N T S ZONING APPROVED BY ' ' DATE: BUILDING APPROVED BY : � DATE: APPLICATION ISSUED BY: :t DATE: In *****�r***�r�t�r*�r**��t�t�r�r�r �t�t**�*�t***#F��*� It �F it 1E ik iF it f! iFlk ik it 1tlE 1k iF iE jF i! iE i! if !f ik iF 1f 3t iE 1E �f it it iF iE iE iE 3E iE iF iF k ik jF i! fE iElf iF iE it iE if iE 3f iE iE iF if 1! it It it if it iF ip if iE i4 fE iE it if IF if if it it iF LEGALIZATION;N F E E. S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC OWNEN BURDEP OECUNITION: I here0y aKrm �hat I am exemD< <rom the Contactors' State License law for IAe IonovAnp reazon P ERM I T 18 . 0 0 i i 2. 0 � (Section 7031.5 Business zn0 Pm7essional CoOe: My dry ol counry wAich repuires a Dermit to consiruct, atter, ImD�we, Uemolkh, or i 5� 5 0 R repair any simcNre, pdor ro ils issuanca, also reQuires the apD��wnt �o� such permR to lile a sipne0 statement [lut �dshe is Iicense0 PLAN pursuant to the O�sians ot Ihe Canvactors' State Licensa Law (CAaO�e� 9(cammencinp witA Section 7000) al DNivon 3 ot ihe Business j S S UE F E E -+ Pmfessions Code) ar that hWs�e is exempt t�erelmm anC t�e basis for IAe alle0e0 exemption. My violation ot Sec[ron 7037.5 by B U I LD I NG -D I V-> �DDlicant lor a Oermit SUEjeclS Ne appliwnt to a civil panalry ol w� mora tlun five huntlretl tlollars (5500). a � TOTALS----> � I, as owner ol Iha Oroperty ar my employees witA wayes as t�eir sola compensailon, will do ��e work, anU the LI sirucwre is nat intenCed or ollered lor sale 15ection 7044 Business antl Pmtessional Cotle' T�e Contracrors' State License Law PERMIT 3ISSUE PLAN�CHECK 130,00 18.00 0.00 FIRE SMIP/RES GRADING SMIP/NON—RES TOTAL PAID DUE 198,00 148,00 .00 I� ticesnotaDDN�oanownero�aproOenYwhohullCSorlmprovesiheroon,andwtioCoe55uc�workAimutl/hersatlortArouOh REVENUE DIVISION TOTALS--> COLLECTED; 14$,00 OVER/SHORT: 00 hisar�erownemployees,D�a�iOetlt�alsucAlmprwementsarenotlntenOeEorofferedtorsale.Il,�owaverlhe0uiltlinpor HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK imOruvement is wld within one year al completion, t�e awner will �ave t�e UurEen ol Dmvinp he/s�e tliC not bui10 or improve Z 1, � 0 1 z 7, � 0 X tor the purpose of sale�. , I,asawneroftheproDerty,amexctusively contractlnOw��hllcenSeEconlractorstaconstructlAaproject(Sectlon704A,Business .K.**�.*.*�.*�.*.�.*�.****�.***.�,H,�,*,*,*,*,**,�*�,**,*�,*,�,*****�,**�,******************************* ❑ ana PrNassians Coae: The Cantactors' State License Law does not apply Io an owner ot OropeM wtio �mlEs or imD�s mereon an0 w�o wntracts /or suih D�olec[s ��Ih a cantractor(s) license pursuant ro t�e Contrzctors' State License Law�. I am aware I N D I V I D U A L F E E• H R E A K D O W N ihat Droof ot t�eir Woder'S Compens:Non Insurance shoul0 Ue Orovi0e0 to me. � p �amexemp�unaersection: � e.sr.C. TYPE QTY D E S C A I P T I O N UNIT COST TOTAL COST for ihis reawn: j / � �� ELE 20 RECEPT/OUTLET 1 ST 20 EA, ,75 15,00 Date:T � 9 �IC9 er. ELE 10 . RECEPT/SWITCH 1 ST 20 EA. ,75 . 7.50 I da AereEy certiry Ihat I m aw e of ane unaerstand �ne requiamems al Califor Healih ana Sa�ery Cotle Sactions 25G0 , 533, ane EL E 4 NON -RES APPL IANCE NOT OV ER 1 � HP 3, 0 � � 1 2. � � 2553a an0 enat I or any fumre Euil0in0 occupant wilVwill not (circle ane) naeE t compN wim saie state codes ane me repuiremems Ior a EL E 1 S E V I C ES B ELOW 6 0 0 V 6 2 0 1- 1 0 0 � AM P 3 7. 5 0 3%. S � permit lor constructwn or moAificaGon Irom ihe A r�ity Manapemenl Dis cl. NevAentul wnstnrction applications are exempt Irom EL E 2 SU�-PANEL 1 1, � � 2 2, 0 � tnesepro�ons. ELE 1 SIGN/ OUTLINE LIGHT SYS ON 1 BR CIRC 15,00 15.00 Data: �v npoi�� ELE 1 SIGN%ADDTN'L BR CIRC WITHIN SAME EA. 3.00 3.00 I hereDy certiry tAat I �ave aa0 tnis application an0 sute tnat the ahove informatlon Is crorrat I a0�ea toyoqipy wi�n yl dry ano wunry P L U 4 WAS H B AS I N � 2, 0 0 $. � � ordinancesantlsWtelawsrtlaWptobuilUinpcan5vuctlonariAherebyaulMrizereDre 6e Rrupo f4aewe.me uonee PLU 4 WATER CLOSET ( TOILET ) 2, 00 8, 00 propem�orinsp mn umoses. "-�l%yM1'! PLU 1 GAS SERVICE 2,00 G 2.00 oate: § Dnver's Lice 58 or SoGdl $Bcullry N: 76C1J8 W�ite—BvlMirp; 6reen—CWa Enlorcament; Gnary—FpPlkanf, Pink—Revenue: GOWenrob—Auesaor � END OF FEES DL �J�011f,43-QOOi 1h44 �f�AT 14P.�7� LATE: 30/09i4R TIrE: ?,:;7 0 e i� I � �1 ! i CllNSTRUCTION AND PLANI G 00 SPA ; APPROVALS Permit # Date Inspector AppROVALS Permit # i Date Inspector i'. Temporary Electrical Service or Pole 52. Pool & Equipment Location � ' 2..Soil Pipe-Undrgrnd. �� p D(� 53. Steel Reinforcement - i �; 8: Elecfricxl Conduit� Utility-Undrgrnd. 54. Forms � ; 4. Electrical Gonduit;Undrgrnd. 55. Electrical Bonding 5�, Steef Reintorce`ment 56. Rough Plumbing & Pressure Test, � - m �-�6.1 Electrical UFER Grnd. , 57. APPROVAL TO COVER�GUNITE �� 7. Footings F-•: �`; 58. Electrical Conduit-Undrgrnd. ' 8.� Foundation ~;. �� i � 59. Gas Pipe, O Undrgmd., Test , � 9. Water Pipe-Und�grnd. 60. Backwash Lines, P�Trap, � Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK I 11. Property Sewer Li,ne & House Connection 62. Backwash & Receptor�Final � i 12. Sewer Cap :� � 63. Heater & Vent-Final � 13. Roof Drains - � -s 64. Plumbing System - Final � 14. Rough Plumbing �2 b'/C�b (�p 65.- Electrical-Final I ' 15. Rough.Electrical-Conduit 66. SolarSYstem-Final I � i6. Rough Electric Wiring . 67. Fencing & Access Approval I' • i17. Rouqh�Wiring�Sign � 68. APPROVED FOR PLASTERING 18. Rough Electcical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � 19. Rough�Heating.&..AirConditioning,F. �� ,,,. ._ FIREAEPT,REQUIREMENT„�,;.n ��q,ti_�r•�:•�• 20�. Rou h�Factor �F..ire lace • .. ~ �� •�. �.,: � �. .�:'��-�'��_'_.-� _ 9 Y:_ P �:Q �` �: i,i APPROVALS': Permit#� ^^'•"•'1�*' . � -. . �- � � � i 21'. Ducts; in S{ructu�e "' j;-` ' ' �� . 70.; Underground Hydro i I J 22. Ducts,�Ventilating �� • �• 71. ProducfPiping QGas '�Oil. 23. Gas Pipe�Rough,& Test �„�, , �,., - S; �� 7z, Underground F'lush �. i ,; - 24'. Roof'F.raming': � �� r r - i�. '� 73. Undergrnd. Stoiage Tank O Gas ❑ Oil 25. Roof Sheathing'a • '' �+ - � `� "} t {` 7b. Overhead Hydro. � � i 26. T-Bar Ceiling IStructuraq &.Monocoat . � . 7�5. Dry Chemical��. � � r : �' : � � �. � , �. 27: Frame�and Flashing f ��; _ - ;„! � 76. Dry Standpipe: " ' � "c' _ "�', � 28. lathiriy&Siding� � "�`;' ' - �� + � 77. FIXED�SYSTEM•FINAL- � � ' .29. Insulation � _ ' r,_ � 78.-FIfiEPREV.FINAL , - - F'`-��,+^�-:i,� . ._ . ..� - - .. , 30. Drywall Nailing . +r �. -�� HEALTH-DEP,T. REQUIR.EMfNT � 31. Plaster Brown Coat" �•'�•' 79. FINA�:INSPECT�ION �' _- _ _ t- •. � 32. Electrical Power MeterFinaly 80. FOOD CERTIFICATE IS3UED ,`> > 33: Final Electric � � Notes: �' � �• �- E"'� h. O : 34. Final Heating & Qir Conditioning �r , , . , r_" - _ �"' � - ' . - ,' . 35. Final�Gas Pipe-Test`ti � •• -� , • � - �� - � - �'= ''' - ' ,t rmn 36. HOod'or CanoPV', " �",�� `�: ' -� _ i .,� _ . . �� 37: Final.FactoryFireplace � - • _� . " ,r r�� I ,� : 38. Final Plumbing ' � . � 2 � . � a � • - . . � 39. WaterService-Final�. � , ' - i ,..'1_'�: �.? e - L ' 40. Ga's Ser'vice-Final 'n „ _ - �`' , .. - '�:' � � � � � � .. � 41. Solar pomesticFinal . �j ' � � � . - ^ -. 42. Backflow Preventer . ' � ' ' , . � - i � - --- . 43. Backflow Iriigation - + .. . ' ' ; '.' ' '..; �_' , . , .. _ . . - , - - . _,-.� .. 44. Landscape Irripation Syscem ! '. ' ' � .. . . � � 45. Sound-Attenuation -y �� . ^ � '" " �. ' 46: Handicap Regulations - � . . �' " "I � 47. FINALSTRUCTURE&BUILDWG , � � 48. FINAL PLANNING ' �. ' f � 49. Electric Release to Edison - � ,� ' 50. Gas Release to Southem California Gas Co ' � ' 'J � -� �-�, � . , � 51. CERTIFICATE OF OCCUPANCY ' " I � �� No. Date / PflOJECTPODflE� �.�w i$TH $T UNIT: �� OWNEP'Sl�NR E: TEMPEST EQUITZES ,.RWBESS: 16Cj1� BOLSA CHICA RD ' HUNTINGTUN BEACH CA 92649 AflCN/ENGINEEfl: ( 719 � 846 �J88 HEG.NO.: RENGEL ASSO. C—bN'�199 aooness: 333 CAMINO REAi 'PUSTIN CA 92680 PEflm'TTEE: TEMPEST EQ UITIES (719)846-2588 nooness: 16912 BOLSA CHICA RD HUNTINGTON BEACH CA 92699 LICENSEU CONTBALTON OEClAN11710N: I hereby alfirm tha� I am Iicense0 untler O�ovisions ol ChaD�e� 9(commencing wil� Section 7000) o� Division 3 o1�Ae Business antl Pmlessions Code, anU my license is in full brce and effec�. CITY LIC.: STATE LIC.: LNSS: Date: SignaNre'. WOBNEflS' COMPENSR7ION OECLANRTION: I nere%' aflirm tna11 have a cenilicate ol consent to self-insure or a cenilicate of workeR' Compensation Insurance. or a[enilieU copy I�e�¢ol (SecliOn 3800, LaE. C�. POLICY NO.: EXP. OPTE: Cenilietl copy is hereDy Wrnished. ❑ Cenilie0 copy is lile� wilh ��e ciry BuilOinA Oivision. �ate: Fpplitani: EXEMPTION FflOM WOfl8Efl5' COMPENSIITION OECUIIATION: (This section neetl not De compleleA i� I�e permil6 tw ane twnGreG (5700) a less�. I ceriity t�al in Ihe pedormance oi I�e work for w�ic� Ihis permii is issuea, I 5hall na� ¢mploy any person in any manner so a5la Uecome subiect lo ine workerY Comoensation Laws ot Califomia. 1_. Oate'. Signature: NOTICE: II. af�er makinp Ihis Eetlaraiion, you should become su0lecl lo �he WoMers' Compensa�ion provisions o�. the Labor Coae. yaU mus� IorlMnih tomply vni� Sut� pmvi5ion5 or lNs permii Shall �e tleeme0 revoked. CONSTHOCTION LEN�ING RGENCY: I �ere�y allirm Nat �here is a con5imclion lentling agency lor �he peAormance a� Ihe work lar w�ic� i�is Dermn is issued (Section 3097. Gv. C�. ' ,- --i � LENOEfl: � n AOOflESS: OWNEB 6UILDEB �ECLABR710N: I herehy aflirm t�at I am exem0� ��om t�e Contractors' State License Law for ��e followinA �eason �Sec�ion 7031.5 Business an0 Pmfessional CoEe: Pny cily o� counry which repuires a permil ta con5�mci, all¢r, improve. Oemolish, or repair any slmcture. prior lo iis issuance, also repuires I�e applicanl lor 5uth permit b �ile a SigneO s�a�ement I�ai hels�e is IicenseA pursuam m I�e provisions ol the CanUaclors' S�ale License Law (C�apier 9(commencinA with Sec�ion 7000) ol DiNsion 3 oi ��e Business ane Pmlessions CoOe) or ihat ne/she is eKempl therelwm antl IAe Aasis lor ihe altegetl exemption. Any uiolation ol Section 7031.5 6y any appl¢am lor a permi� sublecis the aDPlicani �o a civil penalry ol no� more �han �ive hundre0 tlollars ($500�. CITY OF COSTA MESA — BUILDING PERMZT PERM NO: E 05123 PERMIT NO: E 051238 PLAN CHECK NO: N GOVT: N SUPP; Y CONSTRUCTION TYPE; 5—N PERMIT TYFE: ELE PURPOSE; ALT JOB DESCRIPTION ; INT 6 EXT ALTERATIONS TO EXIST BLDG. SQ•FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / , COMMENTS: RE: #EP49408 +r*+t*r�*�**+t*� *x ��*+t*�*+��: x *�**� �**��r**�r**it****+�*�+��x+��x it***�rx�+r*�t�*+E+�+t v �**+�x ***it Z O N Z N G R E Q U I R E M E N T S 5 E T H A C K, S ------------ MAIN BUTLDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT' IN FRNT: FT IN REAR: FT IN iEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REp • PROV; PARCEL; 42427101 ZNE; REF NO: PLANNING Nf)TES> � � . i�ipiF�EifiFlfiFlf�lfiFiEiPlEiEiF#iEiEiEiEk�fifiFiPiflfiFlfifk'*iF�FiEjflfifiElf�EiEfE3EiPIfiEiF#fiEiFIP�EiF�FiFiEiFiRiflE�E#EN�jFjEiSaF�F�fifiP�ki��jFk � D E V E L O P M E N T -S'E R V I C E S R E Q U i R E M E N T S ZONING APPROVED BY - DATE: BUILDING APPROVED BY ; DATE: ' •./ APPLICATION ISSUED B, DATE: 03 O / ifjfkiflFifiEiEiEiFiFiflfifiFkiFlF�Fk ... . � � �€;'TFifi4ifiEi!ihiEiSleiE �fk1f 1f�Fif3FlEifiF�7FiE�k#�iEiEklEiEiFiljFk�lEif3llEifik�EiF#fkilkiEiF�F 1FiEiEifMiEiEifiEilk#ififiFitklfifiEiEifkaE7(�ifll/kif�)(�ifk�EafifiE#ififkiEif LEGALIZATIUN;N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELE TRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 55.50 SOY SMIP/NON—RES 9,50 i, as owner o� ine Dmoeny or my emyioyees wim wa0es as tneir soie compensaGon, vnu eo me work, and Ibe BUILDIN('i—DIV—> PERMIT ISS�IE PLAN—CHECK TOT]11. Pp,ID DQE ❑ slmcWre is no� imenaed oroifereE lor sale (SecUon 70aa. Business anG arofessianal Code: T�e Coniractars' S�ate �icense Law TOTALS ----> - S 5. 50 4. S � 0. 0 � fi �. 0 � 6 �, � 0 � , Q Q doe5 n0i apDly la an Owner ot a pmperty wha Eviltls or imO�Ov¢S I�¢r¢on, 2na wM Joes SUGh work MmSelMerseii of Ihroup� � � nis or ner own employees, O�ovitlea thai such impmvemenis are not intentle0 or ollered lar sale. II, �owever the OuilOing or REVENUE D I VIS ION TOTALS--> � COLLECTED • 00 OVe,ti /SH�'I� • �Q impmvement is soltl wilhin one year ol comple�ion. Ihe owner will have ��e �urEen o� pmving �e/she ai0 not hui10 or impmve iorineP��ooseoisaie�. BLDG PMT PLUMBING ELECTRIC MECHANIC rIRE IP/TOT �RADING PiAN—CHECK I, as owner of t�e propeny. am exclusively contracting with licensed coniractors to cons�mci ihe Dmject (Section 7044, Business 6 �, � � � anU Pmfessions Coae: TAe Contracmrs' Sia�e License Law Aoes not apply to an owner af pmperty who bwlGs or impmves ihereon anOwlroconiracisbrsucnprolectswit�aconlractor�s�licensepursuanttot�eConirac�ors'S�a�eLiCenSeLaw�.lamaware j(�{E{(�{fifif{(�*IE!(�1(�i4ifiFiEiflflfiEifiFiFiflfklfiFiflEiFifififiElE�1E{EMitiE{Ekif{E�E�E�1!{E3(.IEihif{(�jLif{(�je{(.{(.j(.N.{(.*{(.y,.*.jR{c)(.�(.{(.*j(..)(.a(.{6{(.*�(. � tnat pmoi o� meir workei's camoensauon insurance showd oe oroviaea m me. � . I N D I V I D U A L F E E B R E A K D O W N � � I am erempt un0er ection: B. 8 P. C. mrmisreasore � • TYPE QTY D E S C R I P T Z O N ' UNIT COST TOTAL COST oate:� — ow�er ELE 3 SERVICES BELOW 600 V 6 BELOW 201 AMP 18, SO j5. SO 1 ao nereoy cenily �na� I m aware ol antl untlers�and t�e repuiremen�s af Catilom' HeaIN an a�ery Coee sections sos, 255�, ana END OF FEES � 255JE and ihal I or any tulure builaing occupant wiluv+ill nol (cfRle one� neee to c mpN ��n sai0 stale co0es an0 ine requiremenis for a� � ' • permit lor constmction or rtwdilicalion imm Ihe Air Ouah�y Managemenl Disiricl. esitlential cons�mction applica�ions are exempl Imm ��CSC plOVI5i0�5. PLAN ISSUE FEE Oate: ppDlicanc I herehy Ceridythat I �ave reaaihi5 applicaiion and 51ale�ha�i�e a�Ove inlormationi5 tOrr¢C1. I aAr¢¢ lo ply wii� alltiiy anU orGinancesandsla�eU SrClalinglo�uildington5lNtibnandh¢r¢byaul�Orizere0�esentalive �tNsci . terupon�he Ove-me pro0erty lor mspecf.n purpOses. �Oaie; � / Signa�ure: Drivcr•s Licens or Sociai Security a: i6GbA6 WM1 e—Bviltlinq: Green—CWe EnlorcemenL CanarV- AOP��canC Pink—Revenoe: Goltlenroa—Assessor oi oao�issa-coa�i�sa -raa-� �a.oc 6nTE: 03104/41 iTClE: 11:?3 C(fNSTRUCTION AND PLANNING � 'I � APPROVALS Permit # Date Inspector pppROVALS Permit # � � 1�'Temporary Electriwl Service or Pole 52. Pool & Equipment Location �� / 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement i . � 3. Electrical'Conduit;Utility-Undrgmd. 54. Forms �" �._ II�^t.� � 4. Electrical�Conduit-Undrgmd. 55. Electrical Bonding j� `' � - 5. Steel Reinforcertient 56. Rough Plumbing & Pressure Test ; � 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE • 7. Footings 58. Electrical Conduit-Undrgmd. � _ � • 8.� Foundation = 59. Gas Pipe, O Undrgrnd., Test � i 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trep, O Undrgrnd. 10..Structural Floor System 61. APPROVAL TO DECK �. 11. Prope�ty Sewer Line & House Connection 62. Backwash & ReceptorFinal !,"�� 12. Sewer Cap � � 63. Heater & Vent•Final ��' 13. Roof Drains � � 64. Plumbing System - Final �.� '� 14. Rough Plumbing ' 65. Electrical-Final � 15. Rough Electrical-Conduit 66. Solar System-Final � 1 16. Rough Electric Wiring Z- �� 67. Fencing & Access ApProval i: �� = 17. Rough Wiring Sign F°� L 68. APPROVED FOR PLASTERING' .. 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � 79. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT � � � � 20. �Rough Factory Fireplace i �� ' � . ' APPROVALS� ' "Permit # ' , i - ' ' 21.`Ducts, in Structure ... ��':� . � - 70. Undeiground.Hydro � � 22. Ducts, Ventilating • ' " ' � �71. Product�Piping OGas ❑Oil 23. ;Gas Pipe-Rough & Test , � ]Q, Underground Flush- � 24. ,Roof Faming, � �' _ � ��73.'Undergmd��. Smrage Tank O�Gas O Oil 25. Roof Sheathing � ' �.' ;,� 74:=0verhead Hydro� � I 26. T�Bar Ceiling (S[ructural) & Monocoat - • 75. Dry Chemical j � � r 27.- Frame and Flashing _ ,.� ' 76�� Dry Standpipe - :� � , 28. Lathing & Sidingr. �. . - .. • f� , 77. � FIXED SYSTEM FINAL,� 29. Insulation ' '" � � � 78q-FIRE PREV. FINAL �� • � � i �30. Drywall Nailing � � �` � HEALTH DEPT� REQUIREMENT .31. Plaster Brown Coat , � � .� �' + ~ 79 �'FINAL INSPECTION' �` - 32. Electrical Power Meter�Final. � � _�:BO..FOOD CERTIFICAT:E ISSUED - 33. Final Electric •� � " "'-'--•-'� � � .34. Finel Heating & Air`Conditioning. = , ' 35.'Final Gas Pipe•Test • - ' . 36. Hood or Canopy , ' . _ � � 37.-Final Factory Fireptace , ' ' ' ' �'� . . � .. .. , -38. Final Plumbing , , , , ' �39. Water Service�Finals •- , .� 40. Gas Service-Final �. • � , � , -41. Solar pomestic-Final " • , ' 42. Backflow Preventer � ' : 43. Backflow Irrigation - 44. Landscape Irrigation System! 1� ,, - 45.� Sound Attenuation - ' 46. _Handicap Regulations - , �� 47. FINALSTRUCTURE&BUILDING • � � 48. FINALPLANNING � ;� ' 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co , i 51. CERTIFICATE OF'OCCUPANCY Date ��i/�� '� , c - o : _� �, �� . ; i Date Inspector ;� � � n~ i. � � !" d ^ / � �j / �� 7 . A , � � I . . � i � c 1 • u �. - I ;� , I - M In - '. �'. , . � � � > � � , � t r City of Costa Mesa . Development Services Department Building Safety Division P.O. Box 7y00 Costa Mesa, California CERTIFICATE OF OCCUPANCY No. QO�$�� The Building Iqcated at 545 Vdeest 18th StYEBt� U711t B has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto . . , for a Group R� Occupancy. Use of Building Hai.r Sal.on Legal Description 424-271-01 (See reverse side for Metes and Bounds) Building Permit No RFP S1�E.� Electrical Permit No.BEP 51362 Plumbing Permit No. BEP $1362 Mechanical Permit No. � Number of apartments and/or guest rooms iSSUED T0: BuildingOfficial _�iny C'ne Baca Hair Salon , 545 47. l8th St. by r�..� /' / i. . Costa Mesa, CA 92627 . — - � Date April 2. 1991 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the �uilding Official of the City of Corta Mesa under Sec. 307 (e) U.B.C. CMF 3015-46 rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Permil File PPOJECT AO�PESS: S 4 S w 1 8 TH �J T awr�s�sr+ame: TEMPEST EQUITIES aoonfr,: 16912 Bc�LSA CHICA RD ., Jl201. H.B. 846-2588 RNCH/ENGINEEfl: AOONESS: flEG.NO.: uxiT:B CIiY OF COSTA.MESA - BUILDING PERMIT PERM NO: BEP 05136: PERMIT NO: BEP 051362 PLAN CHECK NO: UU932-91 S GOVT: N SUPP: N � CONSTAUCTION TYPE: PERMIT TYPE: ELE PLU STR PURFOSE: ALT UNIT: PEflMITTEE: TEMPESI Ep liI1IE5 (714)846-2588 nooness: � 6912 BOLSA CHICA KD HUN'1'INGTUN BEACH CA 9:649 LICENSEO CONTNACTOP �ECLAflATION: I hereDy a�tirm Ihai I am licensed under O�ovi5ion5 al Chapier 9(commencinA wi�� Seclion 7000) ol OiNsion 3 0l the Business antl Pmfessions Code. an0 my licen5e is in lull lo¢e ana el�eci. CITY UC.: STATE UC.: LIASS: � late: Signalure: . /ONNEX$' COMPENSATION UELLAflAT10N: I �ereby aitirm t�ai I have a[erlificaie oi mnsen� to selbinsure or a certi�icate o� Workers' �Compensalion Insurance. or a certitied copY lhereo� (Seclion 3800. Lab. C�. POLICY NO.: EXP. URTE: COMPANY: ❑ Cenilietl copy is Aereby furnis�etl. ❑ Ce�ified copy is filetl vn�� t�e ciry Builtling Oivision. Dale: APPlican�: E%EMPTION FNOM W�FREFS'COMPENSFTION OECIAPATION: (iha section need no16e campletetli�[he permiiisforone huntlre0�5100)orless). I cetlily Iha� In t�e performanie o� the wark lor whic� �his permit is issued. I shall no� empl0y any De«n in any manner so as �o become subleci to �he Workers' Compensation Laws a� Califomia- Oaie: SignaNre: ' NOTICE: II, alter making ��is tleclaration, you shoul0 Cecome suDlect �o t�e Workers' CAmpensation pmvisions o� the Labor Code, you musl fonhwith comply with suc� pmvisions or this permil shall be deeme0 revoke0. CONSTBUCTION LENUING AGENCY: I he�eby attirm that Ihere is a constmclion lentling agency (or �he pertormance o� �he work for which I�is permi� is issuetl (Seciion 3097. Civ. C). LEN�Efl: nooAEss: IOWNEB BUILOEfl OELNPATION: I herehy allirm t�at I am exempt imm I�e Comraclors' State License Law for IAe lollowing reason (Seclion 7031,5 Business and Pmlessional CoGe: Any cily o� COunty whitA reqNres a permil �a conslNtl, aller, improve, Oemalis�, or r¢pair any sttucWre, ptior to ils issuance. also tepuires the apD�icant lor such Oermit ta lile a signed statement ��at �e/she is licensed Oursuant m Ibe Omvisions ol Ine Coniractors' Slale License Law (ChaO�er 9(commencinp wilh Seclion 7000) of Oivision 3 of Ihe Business '�a Pmlessions Coael or Inal ne/she is exemo� therefmm an0 Ihe basis lor Ine alleAed exemption. Any violation ol S¢ction 7031.5 by �,y aODlicant for a permil suGl��s tAe applicanl to a civil penalty of not mare ttWn live �undreG Jollars (5500). � " I, as owner of Ihe ompeny or my employees wlih wa0es as their sale wmpensation, will da Ihe work, and ihe I❑ simcmre is not intende0 ar olferea lar sate 15ection 70aa. Buvness anE Professional Cotle: t�e Coniractors' Stale License law does nol apply �n an owner oi a pmperty who Ouil�s or imprOves �hereon, an0 who Aoes suc� woB �imsel�/herseli or Ihmugh nis or �er own employees. pwvieee tha� sucA impmvements are nat intenOeA or ollere0 lar sale. If, however the builainp ar impmvement is solC witilin one year oi ComO�e�ion, ihe owner vnll have Ihe 6urtlen of Omdng he/s�e Eid not build or impmve lor the purpose al sale). � 1, as owner ol t�e D�opetly, am exclusively coniracting with Iicense0 wntractors ta wnsimct i�e pmject (Section 7044, Business �' antl Profession5 Code: The Contraciors' State LicenSe Law Qoes nol aOPty �o an owner of pmperiy wlm �uilds or improves lhereon anC who Conlracis lor suc� prole��s wilA a coniracior�s) license pursuan� lo t�e CONiactaf5' Slaie Lic¢n5e Law). I am awafe Ihn� prool ol t�eir Worker'S Compen5aiqn insurance shoulp oe pmviUetl to me. ' � I am exem0� untle� Setlion: B. 8 P/C. lor ihis reason: , JOB DE�CRIPYION : 488SF HAIR SALON T.I. S� rT: 500 CLAIM VALUE: 500.00 CALC-VALUE: 500.00 GROUP OCC: H-2 / COMMENTS: I.ESCOT HAI:R SALON df �IE iE �IE�� iE iE �� M� if fk%?F if �k 3E if �fE �lf 9F �Jk3E iElf i! 1E if k�If iE if if iEif �k �IE if iE �!6 i(-if �M �lf 3f �%�)f �� IE-0f dC M iE �N��tE �M di iE iE �f 8E•Y. iF if if iE dE �%�K �If �)f if 4E i(� if �!f �%dC # 'L O N I N GS ERTEBQAUCIxRSE M E N T S ---�--�------- MAIN BliZLDING ---------- --------- �1CCESSORY HUILDZNG --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN I,EFT: FT IN RGHT: FT IN LEFT: FT IN RGRT: FT IN PARKING REQ• PROV: 5 PARCEL: 42427101 ZNE: C2 REF NO: PLANNING NdTE5> TENANT IMPROVEMENTS TO MiDDLE: SUITE OF A NEW, 3-UNIT COMMEP,- i C.IAL BUILDING. (TENANT: $EAUTY SALON) - ***�***�***x****+�**��e*+�*�r�+�** �***�****��***�� *a�**�*�� v+� �*******+��+t+c x**** � D E V E L U P M E N T S E P. V I C E S R E Q li I R E M E N.i,Y S,/� 'lONING APPROVED HY �,��C-- DATE: ��`{�( . ' BUTLDING APPROVED HY ; .�-: DATE: ' � .r (�-,� APPLICATION ISSUED BY: ''= V� o �� DATE: :�� dPif�1E9E��kififiEaEefififafiEaEiEiE�7f1EiE�f7F�iiFiFiFiE1F�F�FiF3fTF3FitiFiFiF�FiF7f�F3F�F�i'aF3F�FiF3E�F3EiFi€3fiFM�7EiEaFiEafiEi(��r� x�7f iE if iFiE dFif iF if if �% iE if if 1EiE iE if iF �lf -1f iE if �1f �%if if iE �N if i! iE �IE iF iEiE 9E �f-�IE �If iE if iE �M if �� IE �k if 3E �f �1E �lE i( �%iF �%�4 if # iE iE iF� if �1F iEjF �%if iE •K� 1E �K�-1E �)f 16 iF # 1F iF LEGAI.IZATZON;N F E E S U M M A R Y � STRUCTIIRAL SEGMENT:Y BLAG PMT PLUMBING ,ELECTRTC MECHANIC FIRE SMIP/RES GRADING PERMIT 15.00 2 00 55,30 �'St SOR SMIP/NON-RES PI.AN 9,'15 • ,50 TSSUE FEE 3,00 15,00 BUILDING-DIV-> PERMIT ISSUc PLAN-CHECK TOTAL PAID DUE TOTALS----� 72.80 18.00 9,75 100,55 100.55 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 100.5.�, OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I5,00 5.00 70.30 �� ,50 9,75 \ !6 af M iE �f ak �f lf 3k-)F 1f 1F iF 3F if if iE i(� iE IE 1f� iF k iE % IF 3f If 1f 141E iE iE If �F 3f iE i4 iE 1E dk 1E 3f 1E �f• fE if ie lE M� K��f iF iE lE if N� 3f )f iE If !E �E i4 iE if )F �f # 1F if iE iEdf iF #F iP i� iG I N D I V I D U A L F E E `B R E A K D U W N !CYPE QTY D E S C R I P T I O N ' UNIT COST TOTAL COST oate: �_t_1.—�L-�.—'N �-u�� — ' SFC I do here0y cehity �ha� I am aware oi and untlerslanU Ihe reQuiremenls ol Calibm' He Ih an0 Salery Cotle Sections 25505, 255 3, antl ELE 25534 an0 ��al I ar any IUWre building occu0anl will/vnll nol (circle ane) need lo co ry wilh saitl state codes anU the requireme s lor a ELE permit im constmction ar mo0il¢ation �mm �he Air Oualiry ManaAemeni Oistric�. fleSiCenlial consimction applicaiions are ¢Kempi �mm EL�. I�ese provisions. ELE oale: pp�ieanL EL$ I �ereby ceriily Ihal I �ave read Ihis applicali n and 5taie that �he a�ove fnlormation is correci. I agree �o comply wi�� all ci�y and counly EL E ortlinancesantlstalelaw5relatingloDuilAing onSlmctionanAherebyaultrontereDreSenta�ivesollhisciry�oenteruponlheabave�mentioned pLU pmperiy br inspecl� n purposes. Oaie: ��5��_ Signai _ oriver's License oi Social Securiry a: _\` i6dt-a6 Whlte—BuilOing: Green—Code EnbrremenL Canarv—Appl¢am: Pink—Revenue: Goldenmtl—Nssessm S00 ALTER BY VAiUE COMMERCIAL NUZONE 10 FIXTURES LIGHTZNG 1 ST 20 EA. 20 RECEPT/OCTTLET 1 ST 20 EA. 9 RECEPT/OUTLET All]�STIONAL EA, 2 RECEPT/SWTTCH 1 ST 20 EA. 1 SERVICeS BELOW 600 V 6 BELOW ZO1 AMP 1 Si7B-PANEL 1 WASH BASIN END OF FEES 1.�5 .45 .75 18,50 1?.00 500.00 7.50 15.00 1.80 1.;0 18.50 1 1 , � � 2 , � � 01 0�082663-QOOE�Sci i�"�T 3G0.55 DAic': U3/1:;5; 'i1ifE: 2�t'J7 � _, _ � - • - CONSTRUCTION AND PLAINo�iJG ' �POOL & SPA . �APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electriwl Service or Pole 52. Pool & Equipment Location -;} � __ _. 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement - - 3. Electrical Conduit Utility-Undrgmd. 54. Forms ` � � 4. Electrical ConduihUndrgmd. 55. Electrical Bonding _� � 5. Steel Reinforcement 56. Rough Plumbing & Presture Test � 6. �Electrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE . . 7. Footings 56. Electrical Conduit-Undrgrnd. � 8. Foundation 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. � V J 10. Structural Floor System 61. APPROVAL TO DECK ' � � 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final � 12. Sewer Cap 63. Heater & Vent-Final � . � 13. Root Dreins 64. Plumbing System - Final � , . 14. Rough Plumbing 65. Electrical-Final 15. Raugh Electrical-Conduit 66. Solar SVstem-Final i' `- 16. Rough Elec[ric Wiring 67. Fencing & Access ApProval ' �17. Rough Wiring Sign 68. APPROVED FOR PLASTERING f � 18. Rough Electrical�T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � � 20. Rough Factory Fireplace � APPROVALS' Permit# � i� 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventiiating _ - 71. Product Piping O Gas ❑ Oil � 23. Gas Pipe�Rough & Test - 72. Underground Flush �• 24. Roof Framing • . 73. Undergrnd.StorageTankOGas ❑Oil - 25. Roof Sheathin9 74. Overhead Hydro 26. T•Bar Ceiling (Structural) & Monocoat � � 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe � 28. Wthing & Siding . . 77. FIXED $YSTEM FINAL 29. Insulation ' � 76. FIRE PREV. FINAL 30. Drywall Nailing � � HEALTH DEP7. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power MeterFinal • 80. FOOD CERTIFICATE ISSUED 33.'Final Electric _ � , � �6-� Notes: - 34. Final Heating & Air Conditioning . . 35. Final Gas Pipe-Test . 36. Hood or Canopy . � � 37. Final Factory Fireplace ' � 38. FinalPlumbing 3211� (�[� 39. Water Service�Final � - 40. Gas Service-Final , .. ' 41. Solar pomesticFinal � � � 42. Backflow Preventer - � 43. Backflow Irrigation • _ 44. Landscape Irrigation SYstem � 45. Sound Attenuation - � 46. Handicap Regulations - � 47. FINALSTRUCTURE&BUILDING �.u�' 48. FINAL PLANNING ' 49. Elearic Release to Edison • � 50. Gas Release to Southern California Gas Co ' � � 51. CERTIFICATE OF OCCUPANCY , � No. Date i � ADO��ant to fill In all spaeas axce0t those wlthin heavy EorCer Ilnes antl si9n all apDroD��ata Oacla�atians. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CO ST UCT Q J P IT .ScD6. � n•P• 9w Projeci qddress r '6 � 2 Appiicant's Mailing ddress � Owner's Name ��is one Address Arch/Eng. icense /� ( Address � � '1 a Contractor's Nam Phone Address Imailingl City LicenSe NO. LICENSED CONTRACTOR DECLARATION I hereby alfirm that 1 am Iiconzetl untler provi5lons of Cnarter 9(commencing wlth sectian 7000) o/ Divislon 3 of the Business anO Pro/ezsio�i Cotle, antl my Iicense is in f W I force antl eftect. License Class Licenze No. Date Si9nalure WORKERS' COMVENSATION DECLARATION hereby atfirm tnal I have a cerUficate of consent to self-insure or a<ertltiwte ,f Workers' Compensalion Insurance, or d certl(ietl copy thereof ($ection 3800, Lab. CJ � Policy No. Company BGertifietl copy I5 hereby (umiihetl. Certltled copy 6 filetl with tne city BWltling Division. Date AOP��ant EXEMVTION FROM WORKERS' COMPENSATION DECLARATION (Thi55ection neetl not be completetl i7 the p¢rmit Is for one huntlretl ($300) or IC55). I certi y inat in the performance o1 Ne work for wnicn this perm�t is issuetl, I snall not employ any person In any manner so as to becoma subject to Ihe Workers' Compensatlon Laws o/ California. Date Signature NOTICE: 1(, aft¢r making t�ls tlecla�a��on, you Shoultl coma Subj¢Ct t e Workers' Compensation provisions a� the Labor C ou mu comply with sucn proWslons or tnis permit z � e aee CONSTRUCTION LENDING AGENCV I hereby atflrm that there I5 a construt��on lentll ency he pertorma 01 lhe work for whiGh thi5 pCrrt�� is ITsu (5 30 Civ. Lentler's Name Lentler's Adtl�e55 OWNER BUILDER DECLARATION I hereby alflrm lhat I dm axempt irom the Conlra nse L.aw fo� the Division 3 01 tho Bu57nB55 and Pro�al5ions Cotlej Or iha[ he/sna fi ax<mp[ therefram antl tne bails /or the alle4etl exemptlon. Any vlolatlon of Section 7031.5 by any apDlicant lor a p¢rmit subjectz tha apPlltant ro a civil �enalty of not more than flve �untlretl tlollars (f500). LJ I, as owner of the property or my omployees with wa9es az their zole compensatlon, will aa tha wor k, an d l h e s t r u c t u r e i s n o t i n t e n tl e tl o r o f f e r e tl for sale (Sectlon ]044, Businais a�tl Professlonal Cotle: The Contractor'S LiCenze l.aw tlo¢s not apply to an owner oi a property wtio builtls or Improves thereon, antl who tloes such work nlmself/hersol( or tnrougn his or her own emn�oyces, proviaotl tnat sucn ImprJ�aments aro not Intentletl or offeretl tor sale. If, however, the bullding or ImO�a�oment is soltl wlthin one year of <om- pletiOn, lh0 Owna� wlll nave tha EurFen O( prOVing hG/She tlltl not builtl o� im- �rove for the purposo ol salo). t, as owner of tha property, am ax<Iusively contracling wllh Ilcensatl con- trac[ort to construct lhe pro�¢ct (Sec{�on 7044, Buslness antl Protessionz Coae: The Contrattor'i License Law does not apply to an owner of properry who builtls or Imoroves thereon. antl who contracts for such oroiects with a mn- tractor�s1 hcense pursuan[ ro me Co�Vactor's Llcense Law). I am aware that proof Ol thelr Work¢r'S COmpensation InSuranG¢ Sltoultl be prOvltletl to me. ❑ I am exempt untler Settion B. 3 P. C. for thls reason Date Owner I hereby certify that 1 nave roaG tNs applicatlon antl state tha[ [he above information is cortect. 1 agree to coTV�Y '�'�th all tity an0 county ortlinances antl state laws relatin9 ro bulltling conslruction, antl hereby au[horize repre- sentatives ot Ihli Uty to entar upon Ne above-mentionetl property�for inspectlon purpases. Signature Date Drivers' License or 55 � TVPE OF CONSTRUCTION LI NEW LJ AOD U ALTERATION LJ REPA�R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DE�j',RIPTION F WO /USE OF LD . � TVPE OF PERMIT GRADING FOVNDATION STRU T A ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICA O �OTHER PROJECT DESCRIPTION 5�. FT. oCCUP CJy v � CONSTRUCTIONTVGE vN VALUATION � ZONE GRADINGCLLVOS. A S �«1/7rb Ramarks: Bar Sink Backflow Preventer BackflDw Irrigation Bathtubs � �r Sinks SefViCe Fee �UtIEtS $15 E st Syst ❑ Multiple Fire a ItICBO# Heating stem & Ducting ❑6100,000 BTU �100,000 Reinspac[ion Fee � S75 0865-46, rev. 5/08 White - Build��9: Canary - Appliwnt: Pink - Accounting; Goltlenrotl - Assassor Showers Solar Piping Solar Tank Swimming Pool wlSpa Na[er Service Auto�Wesh Typel ❑ Type I I ❑ fiefrigerstion System ❑aioo,000sru ❑ioo,000 Sysrem RepairlAlteration Fire Dampers Registers Isue Fee S Mam Bi E Front T B Rear A C Right g Left Ping. Ret. # FEES Automatic Washer Construction Pole Si Cooking Unit Dishwasher Dryers OGas ❑EI Fan F.A.U. Fix[ure5 Device Boxes Outlecs $WILCIICS arbage Disposal nerator �0.5 KW 5 sa-�3 2one Accessory Building: 2 O N I N G H Parking Req./Provided E Q M T S. ELECTRICAL Transformer � 15-50 KW ❑ SO+KW Meter ❑up to 100amps Meter �over 100 amps Sub Panel Motors�Oi HP�1'f.-8 Inc.Solar �9-15 HP �16 Microwave Pole Light Range Standing Sections Trash Compactor FEES Reinspection Fea 515 Issue Fee $ 3 S 3 DEVELOPMENTSERVICESREUU�REMENTS: 2aning APProved BY �ate FEES Buildine APProved By pate Application Issued By nate SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT P�UMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFI�M $ MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $ ' $ 3 , COfVSTRUCTION ANDPLANNING r APPROVALS Permit # 1. Temporary Electrical Service or Pole 2. Soil Pipe-UnilPgrnd. 3.; Electrical Ctinduit Utility-Undrgrnd. 4; Electrical �Coniluit-Undrgrnd. -t _ 5! Steel Reinfcircement UFER Gmd. 7. Foqtings•- • ' 8. .Foundation,- 9..1Nater:Pipe-Unc 10. Structural Floor System 1�1 �_Property Sewer Line & House Connection 12. Sewer CaP'. ' 13. floof Drains'-_ 14. �Rough Plumbi�ng 15. Rough Electrical-Conduit 16. Rough Electric Wiring 17.' Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling . ' 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace ' 21. Ducts, in Strucmre ` 22. Ducts, Ventilating � 23. Gas Pipe=Rough & Test +„ 24. Roof Framing �� -- 25. Roof Sheathing 1 I�-� 26. T-Bar Ceiling �Structural) & Nloriocoat �� 27. FrameandFlashing ,"t�j�-) � 28. l.athing & Siding " I 29. Insulation c'. � ,� ;� 30. Drywall Nailing i . : 31. Plastee�8rown Coat '' � - t t, 32. ElectriCal�Power Mete,r-Final�- 33. Final Electric " ' yI' 34. Final Heating & Air Co'nilitioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. .Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUC`fURE&BUILDING 48. Special Requirements Completed ? 49. Electric Release to Edison !,- 50. Gas Release to Southern California Gas Co d% 51. CERTIFICATE OF OCCUPANCY No Date Date � � POO� d SPA Inspector qppROVALS Permit # � 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical6onding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER•GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. �Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVALTODECK 62. Backwash & Receptor-Final 63. lieater & Ven[-Final 64. Plumbing System - Final � 65. Electrical-Final ��,fi . 66. Solar System-Final • , 67. Fencing%& ,A,,,,,ccess Approval , %`�'y4 f '�• n 68� APPfiOVED FOR;PLASTERING - �� 69. POOL%SPASYSTEMSrFINAL � � FIRE DEPT;REQUIREMENT , ! �� APPROVALS,�I�.�Pe mit # 70. Underg o�und Hydro . 71. P.rod c; Piping O Gas ❑ Oil �` 72. Und�Psground Flush , '- � 73. Undergrnd. Storage Tank O Gas .O Oil 74. Overhead Hydro L c ' ' 75..,�Dry Chemical 76. Dry Standpipe • 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL IPJSPECTION 80. FOOD.'CERTIFICATE ISSUED Notes: " �, Date Ilnspector�l - i a i 4 .. � COUNTY OF ORANGE BUII.DING DEP'T. 636 No. Broadway Santa Ma, Glifomia Phone: KI 2fi211 1. OWNER'S MAILING Name ......... Address _.._ � Application for Building Permit AND FOR A Certificate of Use and Occupancy � (Archicect or Engineer) City............. ' � - - ' - .....--- -...................- -----... -- State Lic. No.. -........ --- ...._...------- Phone. -...---...----- ----�---... ;� � . . PROPOSED USE Name Address Permic No.. �.L�.�...�.�..._�G. /�% r Date...!!._:�.(!-`-'-'-'- �--`--------�'---�-_.. .._......--- PHONE :......................--�------ �,�.a CITY--CL.�!�el.�- �ra..!L�....----- (Contractor) City--.... ..................-'--... --... -- ----....---...............----..... State Lic. No. ..................._ ... Phone - -'-'---...-"----...------'-' 2y.JOB LOCATION__n�.�. . �/J. � � � - ----------- /_".�.�19it !'"..��:..�— -...------�--------- -..._.--- ......... ... . - �--�---�-•= ------.......-- -.......--- -------------�-------•----......... (House No.) (Name o( Street) � 9 (Town or Sc600l District) C, NAME OF AND DIRECTION.FROM NEAREST CROSS STREET...:��'!`�?_:. =�+"�'�c..�t_-Y'.�i...�.�..=p..>..r"r>%:'.�.".:� :..�5��9 y �J � � .. L�_ 3. LEGAL DESCRIPTION: Lot:------'�..---...- ----�--��--- -...--------Block .....-� �_ . ............................ Tract-- �-- ------ - • ------...__.. �� (Metes and Bounds Descrip[ion—Use r�verse side of form) 4. CORNER LOT ( ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( ) i. SIZE OF BLDG.:- �------ ----------------AREA:---------------- �---�----....SIZE OF LOT: ------..............-------....AREA: ------�---�-- --�--- . � 6. HEIGHT OF BLDG.:....-.--_-------------------------_---_CEILING HEIGHT:.. �.--�----------------....NO. OF STORIES.....:�---,----_.-----.---- 7 s. 9. NO. FAMILIES ..............................._•_.---Size of Smallest Bedroom:......-.---....._-_................... Size of Kitchen_-----_.....-.--_-.......----.... � �r EXTERIOR WALL CONSTRUCTION:.._x w��r:?:n_......._INTERIORWALLCOVERING...___:=:::s�"':.i�� (Frame, Stucto, Etc.) �r (Plaster�Drywall, Pty ) � - • -� ----�----.... ROOFING COVERING ........�1!�J ��7',,• _=�2�--- .............................. -�- - �� - - ................. - - - ---� ....... ., STATE HOW MANY DUILDINGS NOW ON LOT AND GIVE USE OF EACH.... ��....._^'...,: j:_:�..:-`..: ' - - . ................... �% . i - � y.. � �.+. l- _ ..> / �19. SETBACKS: Front Yard From Center Line of Street. �-�-.R .............--------------------.-------.-----..........-----------------------.-,-----------...... Nearest Side I'azd_�. U_.f.......Rear Yazd..... r� g..r__.Distance in Feet Between Bldgs. on Same Lot......._� ........................... (Property Line) (Property I.inc) � , tl. A COMPLET� PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 12. (a) Footing: Width----�..... -------......�...De ^h in Ground --- ---- ..............Width of WaIL--.........--�-- -.......... V (b) Size of'Studs :..:..............�_�---�p�1np---z_:n......-.__"CC MaEerial of� (c) Size of Floor Joisu "CC (d) Size of Rafters :..................��--- - - --------...- -- Spacing--...- ----- ----- -- - - --- -:'CC 13. VALUATION OF PROPOS�D—! RK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal 5--.�-�-g......------------------.... 14. I HEREBY CCRTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. Plans FEES: Bldg. Permit Plan Check Tocal • • Receipt No. Paid to • Sigr FOR DEPARTMENTAL USE ONLY ov GRO UP......---------- ............. - -----�-�� - �-�----------�- TYPE...... ---- �- .................... 30--•------..... DIST. G MAP ................ . G. �..'... �-r-L-----�--- - �-- --- --�-- SHEET NO.-------.�......-------- � _ r �l:�ri�t;,Cy:�K1NU BY APPLICATION__..S�..o..J HEALTH ............................ ZOI�'ING .............` --..-.--_- FIRE PLANS AND MARSHAL ......................... SPEC'S-- -._...... -------....... STATE ... .........................-- CORRECTIONS ENGINEER �'"` ""�` """" � ""'v�'� INSPECTOR �4 - - ..s� DATE ..... ............... .I......--�----�---.._....... .. ---� --- --- - ----------. . .�.---- - -......... ....._-------- s000--�-�z _ oEPurv