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Home My WebLink About568 18TH ST - Building Permitst � CITY OF COSTA MESA - � 9UILDING p1Y1S10N � � DEVELOPMENT SERVICES DEPARTMENT E98-00455 � PERMIT PERMIT NUMBER �� (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: 568 18TH ST Suite No Vicinity: Parcel Nunmber: 42425101 App�iwnt: AMBURGEY, RON Address: Phone: Zip Owner. COSTA MESA PARK &_ , Address RECREATION DIST - - , , PO BOX- - Phone: . %ATTN MARILYN ABARBEH � � - - Zip:92628 '�- Contractoc AMBURGEY-CARICH CONSTRUCTION INC Address: 135 COMMERICAL WAY , 1 � � " Phone:`�548-7001 COSTA'MESA, CA Zip: ��192627 , � . � . License:372804 ,-' SCOPE OF PERMIT EY INSPECTION FOR FISH-FRY FOR THE LYONS' CLUB, ELECTRICAL: 1 SUB L 8 2 MISC. APP., PLUMBING: 1 W/H, 1 GAS PIPE,B 3 GAS PIPING SYS 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 t 000a Service over t000a Motors to 1 hp Motors to 10hp Motors l0 50hp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Cirwits Temp Pwr Pole Intermed Pole $22.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 ao.00 $0.00 $0.00 50.00 527.25 50.00 50.00 50.00 $0.00 Quantity FEESUMMARY Status: ISSUED Applied: OSQ6/1998 �-!J Issued: OS/26/1998 Temp Dist System / Lighting Busway I100 ft � - Standing Section � Misc Electrical Equipment Transformers up to 1 kvalkw ................up to 10 kva/kw ..................up to 50 kva/kw ...........:.....up to 100 kva/kw ..................over 100 kva/kw `� Low Voltage Equipment Low Volt Wiring System I Ckt Misa Conduit Misc. Conductor � Circus ( gen or ride) � Ciiws (mech ride or lights) . . Christmas Tree Stand � � ' � ` Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspedion Fee Quantity $0.00 0 $0.00 0 $0.00 0 $32.50 2 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 80.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 , o so.00 $0.00 $0.00 50.00 TOTAL CALCULATED FEES 581.75 COMMENTS / SPECIAL CONDITIONS EXPIRED n� 3�alo� EXPIRATION: This parmlt shall automaticalty expire and become void il work is not commenced within 180 days, or If work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In ortler tor the work euthodzed urWer this pertnit to be considered legal, such work must comply with a�l applicable codes, and all i requlred Inapaetlons and flnal approval must be abtained. FaiWre to obtain Inspections and final approva� will result in the expiration of this permit. I FOR INSPECTIONS CALL: (714) 754-5826 ' WORKEHS' COMPENSATION DECLARATION: � I �ereby etfrtn under penelry oi pe�ury one of the IWlowirg tleUflrellons: ❑ I have end will maintein e ceNticete of consem ro selFlnsure tor wwkere' compensetion, az provided tor Dy aection 3700 of the Lebar Code, tor il�e peAartnence of Ne vroAc tor which ihis pertnit is iuuetl. ❑ I heve entl wlll maintein workers' compensallon Insurence, es required by sectlon 37pp ot tha Lebor Code, fo� ihe peAormence of Ue work for which tMs p9rtnit is iswed. My workers' compensatlon tnwrence carrfer antl policy number are: � Certier: Policy Number. (Th/s sectlon need nof be completetl il the peimlf Is va/ued af rne hundred dollers �$)00) oi less.) � i ❑ 1 cenity thel in the perfarmence o1 t�e woAc for which Ihis pertnll is Issuetl, I shall not employ eny peraon in any menner so es to become sub�ect to Ihe workers' tampansetlon laws of Celllo , erM e a Ihet it 1 s�oul0 become suDJect ro tha workers' compensetion provlsians of SeMio 3700 ot the Lebor CoAe, I shall forthwith compty wit� Nese ProWsion . G�t/'3� �� / Applicent Signeture:� Dete!1 � �i /7B WARNINO: FAILURE T� SEIXIRE OHI(ERS' COMPFI ATI COJERAGE IS UMAWFUL AND SI411 SUBIECf AN EMPLOVE O CRIMI PEW1L S AND CML FlNES W TO ONE HUNDRED TIIOUSAND DOLLARE (5/00,000), IN FOORIIXJ TO THE COST OF COMPENSATION, DPMAGES A$ PROVIDED FIXi IN SECTION 37080F THE IABOR CODE, INfERE$T, AND �TfORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eXirtn that I em Iicensed under proNslwu of Chapter 9(commendnp wllh Sectlon 7000) 01 DlWsion 3 0l Ihe Business and Prafessions Cotle, end my Ilcense is in tull lorce end eflacL Llc. p Clas9 tt Canlractors Signeture: �T , Date:7c� CONSTRUCTION LENDING AGENCV: , ❑ I �ereby etflrm that there is e construttlon lending egenq br Ihe peAortnance oi t�e work for which Ihis permlt Is Issuetl. (Sec. 3097, Clvil Code). Lendera Neme: Lenders Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: ' I hereby aHlrtn thet under penelry o1 per�ury Nat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the lollawing reewn (Sec. 7031.5, Business end Professions Cade: Any clry or counry which requlres e permlt to consWcl, elter, improve, demollsh, or repeir any sirucWre, pdor to Its Iuuance, elso requires the epplicent for such permit to file e signed atetement that he or she Is Ilcensetl pursuam ta Ihe provislons ot Ihe Coniredora License Lew (Chepter 9(commencing with Sectlon 7000) of DMsion 3 oi the Business antl Professions Code) or thef he or she is e:empt therefrom end t�e besis tor the alleged examptlon. Any vlolatlon of Section 7031.5 by eny epplicant for e pertnit aub�ects the eppllcent to a clvll penelry ot not more than tive hundred dWlers ($500).): ❑ I, es owner W ihe property, or my employees with wages aa thelr sWe compense6on, WILL DO THE WORK, antl the structure is not Intentled or oNeretl for sele (Sec. 7044, Business and Professions Cade: The Contraclore License Lew does not epply to en owner oi property who bulltls or Improves t�ereon, end who tloes such work hlmselt or herself or through his or her own employees, proNCetl thet suc� Improvements are not intentletl or oflered lor sale. If, however, tha bulltling or Improvement Is sdd wit�in ona year of completlan, Ne owner-builder will have tha buNen ot proving Nat he or she tlitl not build ar Imprwe for purpose of sale.). - ❑ I, es owner of Ne propeAy, flm EXCLUSIVELV CONTFIACTING WfTH LILENSED CONTAACTORS to construq ihe project (Sec. 76M14, Buslness arM Professions Code: The contraMors LJcense Lew tloes not eppy to an owner ot property w�o builds or impmves thereon, and who contracts tor such proJect wlth e contradoqs) license pursuant ro the Contractors LJcense LewsJ. ❑ I em eaempt under sec. Business ena Proleuions Cotle br this reason: Signetura: Dete: Owner ID veniled by drivers Ilcense. ❑ Ves ❑ No Drivets license No. Ezpires: Vediicetlon ot Ownership by (type ol tlocument, i.a. - property tes bill or tleetl): DIVISION OF INDUSTRIAL SAFET`/ PERMR CERTIFICATION: ❑ I hereby ceNy that no eacevetlon Me (5) or more teet In depth inro whkh e person Is requlretl to descend, wlll be matle In connection with work euthorized by ihis pertnit, end that no bulltlinp siructure, aceMdtling, telsewwk, or Aemditlon or Alsmantlinp Nereof, will be more Ihen thlrry-six (36) feet hig�. (C�ap. 32, Gry 2, M 2, Sec. 341, 71t1e 8. Califomle AdminisVaWe Catlej. ❑ As owner-bulltler, I will not employ enyone to tlo work which would requlre e permil trom Ihe DMsion of Intlustrlel Sefery, es noted ebove, unlesa such person hes e pertnit t0 do such work from the dMsion. Signalure: Date: DlWslon ol Industdel Safery Permit Number. ICERfIFICA7E OF COMPLIANCE AND AllTMORQATON OF EMAY:�I tertly'under pe�elry�of. per�ury ihat I have reed Ihis eppllcetlon end slete Uet �he informatlan given is I wrtect I egree lo comply with all stete laws 8nA dty orCinances relelipg to,bu0ding con'struction, flntl euthonze representetives of the Ciry ol Cos�e Mese �o enter upon �he ebovadescribed property tor inspectlon purposes. I egree not to ocaipy or ellow occuDaniy of ehy building authodzed by this permit until flnal Inspeclion. ZQQEy ixsvetnoxrrve OAIE II�ELS 1818 Fized System Finel Fire Preventlon 1288 200 Pool Spe Finel Finel Re�Rool 201 Finel BIocWReteining Well 202 Final Fectory Fire Place 203 Flnal Sign 204 Flnal Demdition 2a0Bde Date �� S/�/�� Dele COOE I INSPECTION TYPE 208 Finel Mechonlcal 20B Finel Plumbinp 210 Flnel Electdcel � 212 Final Flre Preventlon 220 Flnel Plenninp Apprwel 222 Flnal Site 250 Flnel � I�� CITY OF COSTA MESA •• - � BI/ILDING DIVISION � � � OEVELOPMENT SERVICES DEPARTMENT ✓ Eg$_00346 � PERMIT PERMIT NUMBER �� (714) 754-5273 • Fan (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 ' ELECTRICAL PERMIT Job Address: 568 18TH ST Suite No Vicinity: Pereel Nunmber. 42425101 Applicant: ALKEMA, DAVE Address: Phone: 2ip Owner COSTA MESA PARK 8 Address RECREATION DIST ,_ � PO BOX � Phone: °hATTN MARILYN ABARBEH Contractor: � ' Address: � ' � Phonei . Zip: License: Arch / Eng : Address: ISSUE FEE Temp service test Res. alc package New Res (1•2 units) New Res (3+units) Pool / Spa Lighting Fixts Recepl OuNets Switches Non Res App� Res Appl Service to 200a Service to 7000a Service over 1000a Motors to 1hp Motors to tOhp Motors to 50hp Motors to t00hp Motors over 100hp Communication drops Sub panal to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Phone: Zip License: ,' , Status: ISSUED Applied: 05/O6/1998 Issued: OSI06/1998 Zip:92628 � . :�. i SCOPE OF PERMIT 4 FIXTURES, 2 RECEPTACLES, 1 SUB-PANEL AND,MISCELLANEOUS CONDUIT. � 50.00 50.00 $0.00 $0.00 E0.00 $0.00 84.00 50.00 $2.00 50.00 $0.00 $0.00 80.00 50.00 $0.00 50.00 so.00 $0.00 $0.00 so.00 $27.25 $0.00 $0.00 $0.00 $0.00 Quantlty 0 0 0 4 0 2 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 FEE SUMMARY ; , Temp DisCSystem I Lighting Busway I100 ft.' Standing Section � Misc Eledriwl Equipment . ; Transformers up to 1 kva/kw • � ............:...up to 10 kva/kw � . ' .....:...........up to 50 kva/kw � ' - `� ........:..up to 100 kvalkw " ..... ........:.........over 100 kvalkw . _ . Low Voltage Equipment . � Low Voll Wiring System / Ckt � Misc. Conduit Misc. Conductor . . Circus ( gen or ride) � Circus (mech nde or lights) Christmas Tree Stand � '. FireworksStand � , � Other Eledncal Fee Investigation Fee Plan Check Fee Reinspection Fee QuanUty ao.00 0 $0.00 0 $0.00 . 0 $0.00 -- -'0 $0.00 0 $0.00, 0 ' so.00 0 50.00 0 $0.00 0 50.00 0 $0.00 � 0 $1625' 1 $0.00 . 0 E0.00 0 $0.00 0 $0.00 0 so.00 0 so.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 50.00 COMMENTS / SPECIAL CONDITIONS EXF�IRED �arr 3 0 EXPIRATION: Thls pertnit shall automatically expire and become voitl If work is not commenced within 180 days, or il work is suspended or abandoned for a period of 1B0 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepeetione and final epprovel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration ot this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS'COMPENSATON DECLARATION: I hereby etflrtn undar penelry of per�ury one of �he fdlowing dedaretians: � ❑ I have end wlll malnlein e ceniflcate of consent ta selbinwre fw workers' compensation, es provlOetl for by sectlon 3700.of ihe Lebor Catle, for Ihe perta`mence of Ihe vroAc for whlch Ihis pertnit Is IssueO. ❑ I heve arid will melntein workers' compensetion inwrance. es required by seciion 3700 of the Lebor Code. tw Ne peAortnence of ihe wwk for vrttlM thia pertNt Ls iswed. My workers' compensetlon Insurence caMer entl policy numDer ere: � Cartier. Policy Number. (rn�s secnon need nor ne compierea u rne pe�mu is vewed e� me nundreo mners �a ioo) or iess.� ❑ I certify Ihet In ihe peAortnence o1 the work lor whlch t�is permit b issue4 I shall not employ eny person In eny manner so ea �o Decome subject �o t�e workere' compensetlon lews ol Celllomla, end eprea Ihet it I s�oultl become sublect lo Ue workere' compensetlan pmvlslons of Sectlon 3700 ai the Lehar CoCe, I shell fanhwlth comply wlih these provislons. � Appllcant SlgneWre: Dete: � WARNINO: FAILURE TO SEWRE WORI(ERS' COMPENSATION OOVERA(iE IS UNUWFUI M1D SIULL SU&IECf PN EMPLOYER TO CRIMINAL PENALTIES AND qVIL FlNES UP TO ONE HUNDRED TIqUSl�ND DOLLr1RE (5100,000), IN ADDRION TO THE COST OF COMPENSATION, DFMFOES AS PROVIDED FOR IN SECfION 37080F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRAGTORS DECLARA710N: � I hereby effirtn t�et I em Ilcensed unOer provisions o� C�apter 9(commendnp with Seclion 7000) ot Divislon 3 0l t�e Busineu entl Professions Cade, enC my Ilcense is in tull force entl eHect. Llc. M Class a Contrectofs Slpnelure: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby affirtn Net there is a consiruction lentling epenq fw the pertartnance of the wark lor whieh Ihis permlt Is issued. (Sec. 3097, CINI Cade). Lenders Neme: Lendefs Address: SignaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby eiflrtn thet untler penelty o1 per�ury thet I em E%EMPT FROM THE CONTiiACTORS LICENSE LAW for the following reasan (Sec. 7031.5, BusNess entl Professians Code: Any clry or counry w�ic� requlres e permit to construd, alter, imprava, demolish, or repair any strucW re, pdor ro Its issuance, fllso requlres Ne epplicent for such pertnit to Ole e signed atetement Nat he or sha Is IlcenseE pursuan� to �he proNsions of the Contrectors License Lew (Chepter 9(commendng with Section 7000) of Dlvision 3 of Na Business and Professions Code) or Ihet he or she is exempt theretrom end the basis tw the elleped exemptlon. My Wolatlon of Section 7031.5 by any epplicent for e pertnit suD�ects the apv��nt to e cMl penelry ot not more Nan five nundred dalars (S5o0).): ❑ I, es axner of the properry, or my employees with weges es Neir sole compensation, WILL DO THE WOFK, enO the struMure is not intended or onered for sale (Sec. 7004, Business antl Professions Cade: The ConiraMors License Lew does not appy ro an owner oi property who builtls or improves lhereon, end who Aoes such work �imself or herself or through his ar her own emplqrees, proNded that such improvements ere not intended or ottered tor sale. N, �awever, t�e Duilding or Improvement is sold wlthin one year ot completbn, t�e owner-builder will hava the burden of proving that he or she tlitl not builtl or improve for purpose ot sele.). ❑ I, es owner o11he property, em EXCLUSIVELV CONTRACTING WfTH LICENSED CONTRACTORS to construct Ihe prolecl (Sec. 7044, Business and Professions Cotle: The wntrectors License Lew does not eppty to en owner of properry who builds or impmves thereon, end who contracts tor such proJecl with e contrector(s) licen5e pursuant to Ihe ContraMors Llcense Laws.). ❑ I em exempt untler sec. Business end Professions Cade for this reeson: � Signetura: Date: � Owner ID venfied by drivefs license. ❑ Ves ❑ No Drivefs Licensa No. � Expires: Verificatlon of Ownership by (rype o1 tlocument, i.e. - property tvc bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: ' ❑ I hereby certity thet no excavetlan tWe (5) or more feet In tlepth Into wMch a pereon Is reqNretl to descend, will be metle in connectlon wlth work eut�odzetl by Ihis permit, entl thet no building structure, acefloldinp, ffllvework, or tlemolltion or tlismentling thereoi, wlll be more then Ihirty-six (38) feat high. (Chep. 32, Grp 2, Atl 2, Sec. 341, Title B, Caltlomle AdminlslratNe CoOe). � ❑ As owner-bullder, I will not employ enyone lo do work whlch vroultl require a pertnll trom Ne Dlvlslan at Industrlal Satery, es noted ebove, unless such person hes e pertnit lo tlo such work trom the divlsbn. ' Signeture: Data: DMsion ot IndusMal Sefery Pemilt Number. CEHTIFlCATE OF COMPLIANCE AND AUTMORQATON OF ENTTiV: I certity untler penaly ot perjury Ihet I �eve reed Ihis epplicelion and slete t�et the intortnetion given is I wrrect. 1 agree to comDh �+'��h all slete laws enE ciry oNinances reletlng lo building consWction, enA aut�odze representetives of the Ciry of Costa Mese to enter upon the ebova-Cescribed propefty tor Inspectlon purposes. I egree not to occupy or allow occupancy o1 eny Dullding authorized by this permit until final inspeMion. �OE �. INavECTIOxTWE 1816 Fixed System Finel Flre Prevention 1286 Pool Spa Final 200 Flnel Re•Roof 201 Final BloCk/Reteining Well 202 Finel Fectory Flre Poece 203 Finel Sign 204 Flnal Demolltion zas+e GAiE It�lLS ;j�, `/ � ^ ' Date a� �� Date CODE� asPernoxme 208 Final Mechenlcel 200 Flnel Plumbing 210 Flnel Eledricel 212 Finel Flre Prevention , 220 FlnelPlennlnpApproval 222 Flnal Site 250 Finel Bulltling/Occupenry CITY OF COSTA MESA . ,, ° BYILDING DIVISION / � � DEVELOPMENT SERVICES DEPARTMENT P9$-00398 �/ � PERMIT PERMIT NUMBER �� (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Jab Address: 568 W 18TH $T Suite No Vicinity: ParcelNunmber: 42425101�' � - Applicant: AMBURGEY, RON Address: Owner: COST,S MESA PARK 8 Address RECREATION DIST . � PO BOX' , ., � � %ATTN MARILYN ABARBEH Phone: Zip: Phone: Zip:92628 Contrector: AMBURGEY-CARICH CONSTRUCTION INC Address: 135 COMMERICAL WAY � ' Phoner 548-7001 COSTA MESA, CA, �� Zip: - 92627 � i . - ` : '.; License: 372804 . � : . . - . � _-- � .' � ArchlEng: - ' ' Address: Phone: Zlp: License: � � . y_.,�,� SCOPE OF PERMIT �ASTEY INSPECTION FOR FISH-FRY FOR THE LYONS' CLUB, � � �'' ELECTRICAL: 1 SUB PANEL & 2 MISC. APP., PLUMBING: 1.W/H,.1 �� '-' GAS PIPE, 3 GAS PIP�NG SYS., 2 SERV. SINKS - - � � A ISSUE FEE BackAow irrigation Backflow Preventer Bathtub Clarifer System � Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT szz.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5.50 $3.00 $0.00 $0.00 $0.00 $0.00 � 0 0 0 �� .. 0 . 0 0 0 0 0 0 0 0 1 3 0 0 0 0 FEE SUMMARY ' AMT Laundry Tub / Washer $0.00 Landscape�lrrigalion $0.00 P-Trap � � ' $0.00 Pressure Regulator � $0.00 - � � Process Piping (per' 10 k) $0.00 � , Receptors = . �.� $0.00 � �' SepticTank� - $0.00 Sewer Cap for Demo � � $0.00 Sewer Connect � � $0.00 Sewer Private Line $0.00 � Shower. $0.00 • Sink, bar $0.00 � Sink, commercial . $0.00 � Sink, Floor ' $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 Qn 0 0 0 0 0 0 0' O.. 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Appl ied: 05/26/1998�� Issued: 05/26/1998 � �� 0 SumpPump , Swimming Pool Trap Primer ' Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin , Wash Basin SeY ' Waste and Vent System Water Closet (foilet) Water Heater! vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTALCALCULATEDFEES: $4�.50 orv 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapections end final epproval must be obtained. Failure to obtain inspections and final approval vrill result in the expiration� is permit. FOR INSPECTIONS CALL: (714) 754-5626 I • WOHKERS' COMPENSATION DECLARATION: � I hereby effirtn under penalty o1 pe�jury one of Ue fdlowing dederflUons: � � - ❑ I heve end will meintein e cerHflcate of consent to setl•Insure tor wwkers' compensetlon, es provitletl for by sectlon 3700 01 ihe Lehor Code, for ihe peAortnence of the work for which t�is permlt is Issued. � ❑ I heve and will meintain warkers' compensation insurence, es required by seclion 3700 of the Lebor Code, for iha peAortnance of the work for which this permit Is issueG. My workere' compensetion Insurence cartier entl policy number ere: I Certler: Policy Number: (lhls secffon need not be complefed i! the permit is va/uetl et one hundred dollers ($100) w/ess.J ❑ I ceN1y Ihat in the pertortnance of ihe work tor whic� t�is pertnit is issued, I shall no� employ eny person in eny manner so as to bewme subject to t�e workers' compensation laws ot CelitoMa, end egr ihet Ii I should become suhJect to Ihe workers' compensfltion provlsions of SeMion 370 of tha� Lebor Code, I shell forihwith compy wiM ihese DroWsions. Applicant Slgneture: �X1 �— Date: s `' WARNINO: FAILURE T SEO CURE WORKERS' COMPENSATI EMGE IS UNLAWFUL AND SMALL SUBIECT AN EMP�OYE O CHIMINAL PE! LT1ES D CML FlNES UP TO ONE HUNDRED 7FKK1SMID DOLLARE (5100.000�. IN ADDRION TO THE 00.5T OF COAAPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF TME LABOR OE, INfEREST, AND ATfORNE'f5 FEES. LJCENSED CON7RACTORS DECLARATION: I' I hereby ettirtn ihet I em Ilcensetl untler OroNsions of Chepter 9(commencing with Section 7000) of Divisian 3 of �he Business and Professions Cotle, antl my Iicanse is in full force and eNect. Lic. M Claw # Conireaofs Signature: Date: 2 L ' CONSTRUCTION LENDING AGENCV: � i ❑ I hareby eKrtn Ihet Ihere is a consiruction lending egency tor the pedortnance at the work for which ihls partnl� Is Issuetl. (Sec. 3097, pvll Code). , Lendefs Neme: Lentlers Addrass: Signeture: Dete: i OWNER-BUILDER DECLARA710NS: I hereby eMrm that under penalry of per�ury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the fdlowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry w�lc� requlres e pertnit ta consiruct, alter, improve, demolis�, or repair any structura, prior to Its Issuance, also requires t�e applicam tor sucli pertnit to file e slpneG stetement that he or she Is Ilcensed pursuant to Ihe proNslons of the Contredors License Lew (C�epter B(commendnp with Seqlon 7000) of DlWsion 3 of the Buslness end Professions Code) or ihet he or she is exempt tharefrom end ihe basis far the elleged exemption. My vialatlon oi Section 7031.5 by eny epplicant for e pertnit subJects the epD��nt lo a ciNl penelry of not mora then tive huntlred dollare ($500).�: ❑ I, es owner af the property, or my employees wlth wages as thelr sole comDensetion, WILL DO TlIE WORK, and tha structure is not Intended ar aHeretl for sele (Sec. 7044, Business antl Protesslons Code: The Cantrectors lJcense Law does not eDPly to en owner ot property w�o builds or improves thereon, and who tloes such work Mmself or herself or through hls or her own employees, provltled thet such improvements ere not IntenCed or oMered for sele. Ii, however, ihe builtlinq oi Improvement Is soltl within one year ol comple0on, t�e owner-bulltler wlll �ave the burtlen of proNng that he or she did not Oulltl or improve for purpose of saleJ. , ❑ I, es owner of the properly, am E7(CLUSIVELY COMHACTING WfTH LICENSED CONTAACTOqS to construM the proJec� (Sec. 7044, Business antl Protessions Code: The conirectors IJcense Law does not eppty ta an owner of property who bullds or improves ihereon, end who comreIXs for such pryecl with e contractor(s) license pursuaM ro the CoNractors license LawsJ. ❑ I em exempt untler sec. Business and Protessions CoCe for t�is reason: Signeture: Dete: i Owner ID venfletl by tlnvefs license. ❑ Yes ❑ No Drivels Ucense No. Expires: Verlficatlon of Ownership by (rype ot document, I.e. - proparry tex bill or deed): � DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: j ❑ I �ereby cetlity ihet no excevetlon fiva (5j or more feet In tlepth inro which a person Is reqNratl to Aescend, wlll be metle in connectlon with work authotlze� by ihis permit, and ihat no bullding atructure, scaHoltling, felsework, or demolition or Alsmantling ihereof, will be more then Ihirry-six (36) feet Ngh. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Tifle e, Celitomia Adminisiretive Code). � ❑ As ownar-6uilder, I wlll not employ enyone to Oo wark w�ich wauld require a permll trom the Division of Intlusirlal Satety, es noted ebove, unleu such person has e pertnit to tlo such work from Ihe division. ! Slpnelure: Date: Division ot Industdal Safery Permlt Number. I HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: � 1 WIII ihe applicant or present or future building occupent need to tila end cartily e Business Plan lar emargency response to release or Nreatened release af a hazardous meteAel? ❑ Yes ❑ No � (Sactlon 25505 of Ihe Celifomie Health end Safery Code requires, with some esceptions, �hat e Business Plan be filetl with ihe Costa Mese Fire Department by every business which has at eny one time during a reportetl year a quantiry ot hezardous materiels equal to or greater t�an a weipht of 500 pounds, or e volume oi 55 gallons, or 200 cubic feet of compresse0 gas at standard tempereture and pressure). .......................................................................................................................................................................................................................................................:............................ 2 Does or will the epplicent or present or future bullAing arupant need to file a repisVetlan torm tor ecutely hazerdws meterials4 ❑ Ves ❑ No (Sectian 25533 of the Calilomle Health end Sefery Code, with some eaceptions, requires registretion with ihe Coste Mesa Fire Department by each business which et any one time hes on hantl e quantiry at acutety hezardous materiflls equel to or greeter then e weight of 500 pounds, or e voluma of 55 pellons, or 200 cuDic feet of compressetl gas at slendard temperetura end preuure). ......................................................................................................................................................................................................................................................:............................. 3 Does or will the epplicent or D�esent or tuture 6uilding occupant need to prepare an RMPP (Risk Management antl Prevention Progrem for acutely harardous matenals)7 ❑ Ves ❑ No � •(SecHon 2553A of Ihe Celltomia Heelih end Satery CoCe provitles that tha Coste Mesa Fire Deparlment may require the preparatlon, ce�ificetion and filing with tha Fire Deperiment of an RMPP by businesses which ere requireA to register acutely hezerdous materlels with the Fire Depertrnent. � ........................................................................................................................................................................................................... ................. .................................................. 4 If an RMPP is presently required, has Section 25534 of the Califomia Health end Saiery Code been lully complied with7 ❑ Yes ❑ No i .................................................................................................................................................................................................................................................................................... 5 Does or will the epplicent or present or future building accupant require tor the work which is the suD�ecl ot t�Is �pllcatlon epertnit for such construction or modifcaUon from ihe Souih Coest Air Oueliry Management Disttict or from eny other eir polWtlon Comrd dlsMct or agenq7 Ves ❑ No (Seciion 658502 of the Celifomia Govemment Code requlres Ihat Ne requestetl Inioimetlon De fumishetl on epplicetlons for non-resiAen9al bullCing pertnits). .................................................................................................................................................................................................................................................................................... 8 Will any part of ihe feclllry lo De canstructed under this permlt be wiihin 1000 teet fram Iha outer boundanes af e schad7 ❑ Ves ❑ No � Qf yes", ihe faciliry must meet the requirement oi Sections 25534 antl 42303 ot ihe Celifamia Health entl Safery Cade). i .................................................................................................................................................................................................................................................................................... 7 II e permit from �he South Coest Alr Qualiry Manegement Disidd or other alr pollutlon control Olsitld or egency is reGuiretl far the work which Is the sub�ect ot ihis epplication, heve ell of ihe disclosures prascnbed by Celllornla Health end Setery Code Sedian 42303 been mada7 ❑ Ves ❑ No j .................................................................................................................................................................................................................................................................................... B (If'yes", ettech certiflcata of compliance irom Ihe epproprlete air pollutlon control oflicer). ! CERTIFICATE OF COMPLIANCE: I certily Ihat untler penelry oi perjury the intortnetion gNen above is correct. I agree ta compy with ell stete laws erid ciry ortlinances regerding Hazartlous MatedaLs end Emissions. , SlgnaNre: oate: CERTIFlCATE OF COMPIJANCE AND AUTHOR¢ATION OF ENTAY: I certify untler penalry of perjury thet 1 heve reed this epplicetion end stete that the informetion given is correct. I egree lo comply wit� ell state laws end ciry ortllnences relating ta building consWction, and euthorize representatives ot the Ciry ot Coste Mese lo enter upon the ebove-tlescribed property 1or inspection purpases. I apree not to occupy or allow occupency oi any building euthoAzed by this permit until finel inspection. i SgnaNr LegalOwner(s) Dete I � � u ��- A O A orized Applicant Date WpF /. pSPECTONME Qd¢ �{$ �QpFj INSPECTqNME �¢ 1616 Fxed System Flnal Fire Prevention 206 Final Mechanical 1266 Pool Spa Final ' � 208 � Finel Plumbing � 200 Final Re-Raot 210 Finel Eleddcel � 201 Final BIocWReteining Well 212 Final Fire Prevention � 202 Final Factory Fire Place 220 Finel Planning Approval ' 203 Final Sign • 2?2 Final Slte 204 Flnal Demolitian 250 Flnal Building/Occupanty � z+ae+a ' CITY OP COSTA MESA BUILpING D/VISION DEVELOPMENT SERVICES DEPARTMENT PERMIT P98-00354 ✓ PERMIT NUMBER ' (714) 754-5273 • Fa�c (714) 754-4856 pLUMBING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Sulte No Vleinity: 568 W 18TH ST Parcel Nunmber: 42425101 Applicant: COSTA MESA PARK & Address: Owner. COSTA MESA PARK & Address RECREATION DIST � PO 80X ' �. , - � %A7TN MARILYN ABARBEH Contreetor. � � Address: ArchlEng: Address: Plione: Zip: Phone: � ' Zip:92628 Phone: ; � � Zip:,- � . , - License: Phone: , Zip: License: Status: ISSUED Applied: OS/O6/7998 Issued: OSIO611998 SCOPE OF PERMIT 2 WASH BASINS, 3 WATER C�OSETS, 2 FLOOR DRAINS, 1 SEWER -� -� � � • - CONNECTION, i URINAL STALL - -� - . . ' ' � ' ' FEE SUMMARI! ' AMT QTY . AMT �TY � AMT QTY ISSUE FEE $22.00 Laundry Tub / Washer $0.00 0 Sump Pump , .. $0.00 0 Backflow irrigation' $0.00 0 Landscape Irrigation �� $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trep � � -��$0.00 0 Trep Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator � $0.00 0 Urinal � $8.75 1 �Clarifier System $0.00 0 Process�Piping (per t0�ftj $0.00 0 � Vacuum Brkr BkFlow(7-4) $0.00 0 Connect (Ice,Soda,etc) $0.00 0 Receptors �$0.00 0' Vacuum Brkr BkFlow(5+) $0.00 0 Dental Units ' $0.00 0 ; .Septic Tank " ' $0.00 0 � - Wash Basin $0.00 0 Dishwasher 50.00 0 , Sewer Cap for Demo .$0.00 0 � - Wash Basin Set � $17.50 2 Drain, Floor $17.50 2 � Sewer Conneol � '$22.00 1 ' Waste and Vent System $0.00 0 Drain, Rainwater 80.00 0 Sewer Private Line - $0.00 0 Water Closet (Toilet) $26.25 3 Drain, Roof $0.00 0 Shower . $0.00 0 Water Heater I vent $0.00 0 Dnnking Fountain 50.00 0 Sink, bar $0.00 0 Water Piping (Inst or Rep.) $0.00 0 Ezpansion Tank 50.00 0 � �Sink, wmmercial ' $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor . $0.00 0 Water Service $0.00 0 Gas (1-0 outlets) $0.00 0 Sink, kitchen � � $0.00 0 - Water Softener $0.00 0 Gas (Over 4 outlets) $0.00 0 Sink, service/mop � $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa (private) �$0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa (public) - �$0.00 0 PLAN CHECK $0.00 Interceptors (Grease, Oil) $0.00 0 REINSPECTION $0.00 0 Interceptore (Sand Auto ) 80.00 0 TOTAL CALCULATED FEES: $0.00 COMMENTS / SPECIAL CONDITtONS EXPIRATION: This permit shall automatically expire and becoma void iF work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECT�ONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes��, d all requlred Inepectione and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this p��. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: � � ' ' I hereby emrtn under penalry of per�ury ona of Ihe following tledaretions: , i ❑ I heve and wlll mainteln e certificete of cansent to se&Insure for workers' compansetlan, es provitled for by section 3700 01 ihe Labor Code, for �he pedormence of ihe work for which this permtl is Issued. ', ❑ I have arM will melntein workers' oompansatlon insurance, es repulred by section 3700 ot the Lebor Code, for Ne peAortnance W Me work ta whirh this pertnit is issuetl. My workers' compensetion Insurence certier entl policy number ere: � Cartier. _ Poliry Number. � (Thls secf/wn neetl nat be complete0 il the pertnit /s valued ef one hundred dWlars (5100) or Iess.J � ❑ I certiy that in the partortnence of Ihe work tor which Ihis pertnit is issuetl, I shall not employ eny person In eny manner so as to become subject to the workers' compen5ation laws ot Celitomie, entl egree [hat tl I shoulA Decome subJed lo the warkers' compensalion proNsions of Secllon 3700 01 the Lebor Catle, I shell forthwlth comPh �� Uese provisians. - Applicant Signeture: Date: WMNING: FAILURE TO SECURE WORKERS' COMPENSATION Q�VEMGE IS UNLAWFlIL PND SHALL SUBJEGf AN EMPLOYER TO CRIMINAL PENPLTIES AND GVIL FlNES VP TO IXJE HUNORED TMOUSAND DOLIARE (E100,000), IN ADDRION TO THE CQST OF COMPENSATION, OAANGES AS PFiOVIDEO fOR IN SECf10N 3]O60F THE LABOR ODDE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: � I hereby eMirtn ihet I em Ilcensed under pravisions at Chapter 9(commencing with Section 7000) of DiNsion 3 at ihe Business and Pratessions Code, end my Iicense is in full torce end ettect Lic. a Cless u I Coniractors SlgneWre: Date: � CONSTRUCTION LEN�INC AGENCV: I ❑ I hereby aiNrm tha� �here is e cons�ruction lentling egency for Ihe perfortnance of the work for which this permit is issued. (Sec. 3097, Clvll Code). Lenders Name: Lendefs AOtlress: SigneWre: Dete: ' OWNER-BUILDER DECLARATIONS: I hereby effirtn that under penelry of perjury ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions CoOe: My dry or couny which requires e pertnit to conswct, elter, improve, tlemdlsh, or repelr eny siruMure, pdor to its issuance, elso requires Ihe epplicant for such permfl to Ole a signed stetement thet he or she is Iicensed pursuant to the proNsions of the Coniractors tJcense Lew (Chepter 9(commencing with Sectlon 7000) of DlNsion 3 of the Business end Protesslons Cotle) or that he or she is exempt theretrom end the besis for t�e allegetl exemplion. Any violetion of Section 7031.5 by any epplicant for e permi� subJects ihe epplicent to e civll penelry of not more then five hundred dollars ($500).): i ❑ I, es owner oi Ihe properry, or my employees wIN wa9es as ihelr sole compensatlon, WILL DO Tl1E WORK, antl t�e siructure is not inientletl or ottered lor sale (Sec. 7044, Business end Professions Cotle: The Contrectors LJcense Lew tloes not eppty to en owner of praperry who huilds or improves thereon, entl wM tloes such work himself or heraelf or t�rough his or her own employees, provided thet such Improvementa ere not intendetl or oflered for sale. II, �owever, Ihe bullding or improvement Is sold wlthin one year of completlon, Ihe owner-builder wlll hava the burtlen of proving ihat he or she did not builtl or improve for purpose of sale.). ❑ I, es owner of the property, em E%CLUSIVELY CONTFiACTNG WITH LICENSED CONTRACTORS to construcl Ihe projed (Sec. 7044, Business antl Professions Code: The contredors License Lew does not apply to an owner of properry w�o bulltls or Improves thereon, and who contrads far such project with e contrector(s) licanse pursuant to �he Contrectars Llcense Lews.). . i ❑ I am exempt under sec. Business end Protessions Cotle for this reason: SignaNra: Date: i Owner ID verifled by drivers licensa. ❑ Ves ❑ Na Drivels License No. Explres: I VedOcetlon af Ownerehlp by (type of tlocumem, i.e. - properry t� bill or daed): �� DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ' ❑ I �ereEy certNy that no excavation five (5) ar more teet in depth into which e persan Is required to tlescentl, will be matle In connectlon with work�autharized by Ihis pertnit, entl Ihat no huilding sirucNre, scafrolding, falsework, or demolition or dismentlinp Ihereof, will be more Ihan ihirry-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Callfomie Atlministrative Code). ! ❑ As owner-builder, I will not employ enyone to do work which woulA require e pertnit fmm ihe DMsion ot Intlustnal Safety, es noted above, unless such �person has e pertnit to tlo such work irom the division. i SlgneNre: Date: ! DlNsion of Industnal Safery Pertnit Number: MAZARDOUS MATERIALS AND EMISSIONS CERTIFICATON: � 1 Will ihe epplicent or present or future building occupant neeC to tile end cartily a Business Plan lor emergency response to release or ihreatenetl release of a haiardous matarlell ❑ Yes � No (Seclion 25505 of Ihe Califamia Health end Safery CoCe requires, with some exceptions, ihat e Business Plan be fileA with ihe Coste Mese Flre De� partment by every husiness w�ich �es at any one time during a reported yeer e quentiry of hazerdous materlals equal to or greater Ihan e weight o1500 pounds, or a volume of 55 gallons, or 200 cubic feet ol compressed gas et standard temperature and pressure). I .............................................................................. .............................. .......................... ... 2 Does or wlll the eOP��cenf ar present or futuie Dulltling occuDent need to file e repistretlon form for ecutely hezerdous metedals? ❑ Yes ❑ No ! (Sectlon 25533 of the Califomla Healt� entl Satery Cade, wlth soma axce0��ons, requlres regisiratlon with the Casta Mese Fire Depenmem by each bu4lness whlch at eny one time hes on hantl e quentiry of ecutely hazertlous metenels equel to or greeter ihen e welght of 500 pountls, or e volume of 55 gallons, or 200 cubic feet of compressetl gas et stendard tempereture and pressure). � .................................................................................................................................................................................................................................................................................. 3 Does or will the epplicant or present or tuture building occupant need to prepare an RMPP (Risk Management entl Prevention Program tor ecutely hezertlous matenels)7 ❑ Yes ❑ No I (Section 25534 of t�e Califomie Heelth and Safery Code provides that the Caste Mesa Fire Department may require ihe preperetion, ceNiicatlon beperlment of en RMPP by businesses which ere required to register ecutely hezerdous materlels with Ihe Fire Depertment. . . .. ........................................................................................................................................................................ 4 If an RMPP is presentry required, has Section 25534,ot the Calitomla Heelih enA Safery Cotle been fulry complietl with? ❑ Ves ❑ No .............................................................................................................................................................................................................................................. 5 Does or will the epplicent ar present or tuture builtling accupent requlre for Ihe work which is Ihe subject oi thisa� plication e pertnit tor such cons from lhe South Coest Air Oualiry Manegement Dlstric1 ar Irom eny other elr pollutlon conirol disMct or egenq? C] Yes ❑ No (Section 858502 of ihe Calitomia Govemmen� Code requires that the requesied Information be fumished on epplicatlons for non-resi0entlel buildin ................................................................................................................................................................................................................................. ............ 8 Will any part oi Ihe feciliry to be construMed unOer Ihis permit be withln 1000 teel ham the outer boundanes at e uhool7 ❑ Yes ❑ No a ihe feclliN must meel the repuirement oi Sedions 2553A enA 62303 ot Ihe Califamie Health end Safery Cotle). have ell oi Ihe disclosures ............................................................................................................. nflgement Disidct or other air pollutlon contml tlistrict or egency is bv Celifomla Health end SeleN Code Section 42303 been meCe1 C Tling with the Fire or (It yes', ettech certilicate ot compliance iram ihe eppropriate eir pollWon control officer). CERTIFICATE OF COMPLIANCE: I certify Ihat unCer penelry of per�ury the Information gNen above is correct. I egree to compty wit� all stete laws entl ciry ortlinances rapartling Hezartlous MateAals end Emissions. Signeture: Date: CERTIFlCATE OF COMPLIANCE AND AIJfHORQATON OF ENTRY: I certify under penalry ot perjury that I have read Ihls application end state �het the infortnation given is correcL I egree ro wmply with all state laws and ciry ordinences relating to building consiruction, end eulhorize representatives of the Ciry ot Coste Mesa to emer upon the ebove-descrlbed property tor Inspeclion purposes. I egree not lo occupy or allow occupancy of eny bullding authorized by ihis permlt until finel Inspection. � COOE I. 1816 1266 � 200 201 202 203 204 2a&68 Flxed System Final Fire Preven6on Pool Spa Final Flnel Re-Roof Final BIocWReteining wall Finel Fedory Fire Plece Final Sign Final Demolitlon � ��$ SQQEj INSPEC110NTYPE 206 Finel Mechanical 208 Final Plumbing 210 Flnal Electrlcal 212 Final Fre Prevention , 220 Final Plenning Approval 222 FinalSite 250 Final Bulli � � �UOqE550G 9WILYlG: qyNERS WWE IF plqYtt C ADDNE55: 7 �vx. �u�aa �nox�ss: ��U U 18TA ST y QF CGSTr'1 k+� Sh FATA 'UR µ�NRECTORFlKfllEER:��Y� `lEU NCN�OPEIM.'SADDRESS: SOO SASMT1dE AtT coam�crarsru�: CORONA DEL kU�R ca+m�aons�uuxc dDDHESS VNi: CTTY OI' COSTA MESA — DUILI7ING PGRMII' PfiRh1TT YdOa GRA 086049 PI,AN CIiECR NUa 02572.-47 L GOV��1]PPt N CON3'fRC�CTION TYPEs F�ERM2T 'fYPE: GRA ��URPOSE: CON "`'f°' C�Ny67 :t09 DESCRIPTIOtd ; C�NST, SODSF M.RLB & TEA7ALE RE5TTtUQMS SQ FT: CA 92625 CL�AiP9 VALGE: C_AI.C—VAL�IE� GROUP OCCi S / uc.wo.: I uNf: LJCENSED COMHA�OFS DECLPR�TION: I MreW eflim uMm perelly d peejwy I!W I em licenxd uMm pvrision� W Claqer 9 (oM�me�M wY� :eclion 1000) d UYnion 3 d Na Budnm end Pmlesa'vn Code. eM mY ticeme e in h0 lau end afletl. cm uc. No.: uc. cuss: uc. no.: EXP t � Deia: ��rwmor. OWNEfl BUILDEP UEC4PITON: I Iweby dfimi untler puW y tl porjvy ihet I em exemq han Iha CaV'eGae lioenaa lew la Ne �q�pwvq reepn (�p^ �1.5 &n"vieef eM Raleslions Code: My cty or counry wltid nqui2e a perm4 to amsWCY. eMr. impow. t �emdivh, or repeir eny eVudure, pnor b Xa esuence, abo repuiree the epWirant ta auch Po�� to file e ep�d vie�amenl Ilut he w aM , i��,.<e w�w�a m�na aw�.�s a m. comreaa. ��.e �. IChepx e(wnmmdM wn� Seaion )0001 d Oiveion ] d Ib Buvineea vM Prdeesme Code� a thel M a ehe ie eaemq thseimn vk IM beaie la tM dbped eaemqion. Nry viddion d Sedan iaA� s M e�r evW�u i« e rormn wdsn+me eoW�v �o. cw oeneur a �a ma.e m.n iiv. nu�drea ddi.�. �tsoop. � � I.mownard�MV�Pe�YamYemdoM�rAhwegeamthaisdecomG��.vriAEOlhewok.eMtln�WCYureenaimeMeA'• }� wdleredlareab(Sectian]Osb.BuvrouuMPrdesaioneCode:TheConlredorsLiceroelawdaea�wteppNloenowiwalqoparry who WiEe a inpwm Ihereon. eiW xfio does euM wak limeetl a hene� or thrdqh he a M oxn �mWore�, pwkeE ihet wcA impwemenla me not inbMatl «dleeeE Im eab, tt, Mwever, �M buJtlirq a inpeaeenam ia votl wil�in ms ymr d eampblion. Ne ownu-0ubW will heva IM Wrden d�qwinB � or ehe d'id iwl Duild or improve la �M WTae at edel. '.. ❑ i. o w.�, w ma aro«ir..m �a,w.y mm.m:w wn s�..e �w«w. ro�nuw u» wd� csaa� �w.. a�:�o, �a Proleae'vn coEa: Tle Conira�faa licana lew doea rol MdY lo en oxmr a C�^�^M wM bu�lds « imG�'ea Ilwaon eM xfio convetla In eud� pqaea wnn e awuemor�a) IeemeE punueni w iM Comreaas lloeiva law),7 . � 1 � �1 em eeemq u�Mer Seclion: B. 8 P.C., la/r Ihe�(�,�re(eeon:,�5i/ �(( JA J/'fy'»' ,,// � pye:l /7 /'� �� ? �i Oww: %�1.?//i��'/ii`/1 , �/! /I�II�� em awara d vd imdentuM tha (arcb aa) r�eeE ib mnlplY wih uN pata ooEu eM iM �ep�omnsma lor epemem Oi�na. RevGeAtiel oonnrueion eppicmiom eie examp Imm thees Ode: Md� W OPKEq'S COYGFNS�TION DECLANATON: I M1areEy elfvm urder prally d pe�juy ar d IM bGowirp AWe�atiore: � I hevs eM wil meintein a cerliikele d mneen� lo eeX�ineun br workere' compenW ion, m prwiEed lor by Sedion �100 d Iha labor ca.. �« m. o��. d m..w�k �o.,.ticn m�. o«ma u o.uaa. � �bev.enewi��mv..�oh«a'aomo��.imwem..��.mi��Ws.ama�aoam.�ee«coe..rvubwnameno.am. wwk t« wA'rh tlw pertnn u issuad. MY wabn' cwnpenWion ireurerics urrim atl pdiy number ars: Cerrier: ' PaKr N�mea,: � M�s sMian nosd riw de camdmed / fM D�# u Iar aw huMred �14n /110V/ d ba.) � I mnh' � in the pMmvrca d�he wwk 1« whieh Ihie peemn u iasueE. 1 shell na emWv/ ary pem�n N eiry manmr �o ro to become �o tM xoM1.an' mnpmWion lew+ d CeNpna W aprae Ihtl ! 1�lotlC becain aEjetl lo iM r.o'Mn' COMI�EA1TSs 6 UPGRADE PARICIPIG LOT TO MEET ACCS55FBSiITY AE�UIREMENTS' ##�1tiEaPSS##iF;1ik:5iFii��kiFietU9Fif•�MNii84i6iP#ik#'#21��)!#if##iFiE##iFilfiL#i6#°Ifit#iF#'1f�YtiFN# 16#fi#33i4i49f1kif#iF#ff%ifif##Y.#it Z O N't D1 GS GRTED�AUCIS�SE M E N T 5 — Md�.IN }1vILDZNG ---------- -----^---- ACCES50RY BUILDTNG - — FRNTi u !FT SN REARt FT IN ' PRNT; FT ].N YtEAEts L'2 v�^IN LEFT: ," FT IN RGHT: - FT IN LEFT: E'T IN RGHT: E1' IN PAR#TNG RE�• . PROV: PAI�CEL: 92425101 ZNE= REE NU: PI,RNNING N TE5> ` ' ####iFfP#iF#!E#itiF####4fY'it#itlf#######k1Fk#######�E###1FStr###�k###'.t#iF#i!##Of iF�1Fi1iF#1'iiF #�l°##di###### D� V E L O P P4 E N T 5 E R V I C E 5 R E Q U T A E M E N T � 20NING APPR(2VED $Y � DATEa '} BUILDING A.PPROVEU BY : "�, �� llATE: �j �"1 T � P.PPLICATI0IV T85UED BYs 1�� DATEe lF�lf''L'af{k##§F1%#i4'ISS�.4!?0!k?�ifiiiliFik ��Ce�FiFiF'�F'1�"'##iFi{'###'1!dSEI• . ..�:'Iti? LEGALI2ATION:N F E E S q Fl M A k Y STRUCTUt2fl,L SF.Gt4EMT:N HLDG PM� PLUMHSNG ELFCTRIC PfiCiIANIC PERMIT PLA1V TSSUE FGE ; ' HUIiD'iNG—DIV—> ' PERMIT iSSUE PLAN—CHECR TOTAI.S----� 0.00 Q.QO 0.00 i REVENUE I7IVISZON TpTALS---> COLI,ECTEU: BLDG PtAT i�LUMHTNG L•1,ECTRTC MSC�IANIC FIAE FI�t� SA�IP /RES 6ft1�ll2WG a2.so SMIP/NON—RES 15.00 TQT�Q pAQO D9C �SN�11P�/TOT�SGRADING PLF1Pt—C�H��'.Clf compenuiwn�qonabro d seaia+ ��oo a �na �ebor toae, i ehen ionh..�n oompy wnn mw. po.�one. 7F?1' aF # ff 7.�# if ## iF # iE iF# #!E i.� �lF ## ### it #�ft# # it# if # ikif #�F iF M#f: ## St # W# it ## it #fE ## S?3t�1F i4 #### li ###fE ### #### i! �t ## otl,, �„i;v,,,: I N D I V I U U A L F E E H R E A K D' O W N WAmInp:FeNunroa�cenwohni'mmvnuatlonmverp�bun4wNl,�ntl�IWNW/�ctenrryr/oy�rroulMNlpxultluanC 'l;ip�" (1TY D E S C R I P T I O N UNTT COST T01'AL COST c/YM flnu ap ro om hurdrW tfnuurd ddYn (S1GO,GOVA M�lJlfbn b IM rost ol rompwuetloM1 Wm�ps u povklM br In SFtlon 91P6a1 tlw La6orCob. Irrtreaf. �n�etrom�yi /w�. CONST1i11CTION LDlDINO AOENCY: I heroby atfi�m ��,e.,,.�,M, a,e,,,ry �nm �n«.4 e�� w�a�� « �n. � Np FfiES Y1ER� S�LECTF.P F'OR THIS PERMIT peAormenro d IM �� la whid� �he pem�� ie esued (Sedbn 3081. G'v. CI. LENDEfl'S NAYE: LplDEN'S ADDRE53: I ceNN �� I heve reaE Nre eppicetian eM ueia the� Ne ebwe iNmne�ion b cmm. I eprse to camqy xith eA wry enE oourity wdi�ces ¢�d slme lexe releimg m Wikip conaruqion aq MreEy eNhwize repeeaentmivea oi lhn dty m enix upon �M ebo`e-menln�etl poqM � tw insped'wn Wrposes. , j ,� � . .. :Y E (St51-�6.WP o�<: � Wlule-&nkM 8 Stle�Y: Green-Fle: CenW-AOG��: Fnk-Flevanua: (3oAim�aC-Nseaaor {I 6 ;I � 1�-;': 1�i1/i� ,�R "v�";i�l.( t �ar:� i��l�.:�;:•��3�tr'�. {�7 t i � Ftr.�� .r:,.. J woeEssaFem�oue 568 W 18TH ST a�aswwEiFi°a"*': CITY OF COSTA MESP. �DDRESS: %% F'AIR DR COS'TI� MESA CA 92626 (/14)754-5�186 �vr�. �uia'o �ss: MCXRECT OP ENfdlEFA: CONR11CTpf3NAYE: CON111�CTOHSYNIdA �ooxEsx UNT: uu xo.: UNT: uc r�o.: urar: LICENSED COMHRCTOfl3 DECLANRTION: I hereby efl'rm uMer penely d perjury thu I em IironeeE uMar poviabre of Cheqer B (mmmerw�p xilh Section )000) d Diviaion � d iM Bueimm eiM Proleasions CaEe, eM my licenae is in hll laro aM eMetl. cm uc. No.: uc. cuss: uc. No.: E X P; oma: � c��aa: OWNEH BUII�ER OECLAflRTION: I hereby elfirm under perely of perjury thet I em emmp Irom the Canlredae licenae Lew tw iM I011owin0 �� (�ion ]03t.5 &niwss erd Pmimsiom COEe: ��ry cYY a munry whidi rtquim e permG to canabuc4 elix. improve. mdeh, a ropv eny awUure, peiu w na caueze, abo reQuim tM epplimnt fm wch permn to fib e ep�wd atetamanl Ihet he a aM ' IicemeE W�a�^t �o �M povieions d the Coniredan �imnae Lew �Cheqm 9(cammaivnp xilh Seeion )000) d Owebn � d Ihs - Businma vd P'dmsiwn Codal «�hm he a ehe n uamq �herNmn eM tM bava t« the elk0� aaemNion. Nrv voWion W Seaion 9ost.e by eny eoo��m �« e parme aibjeaa �ne appicem �o a d�nt ome�ry d �wt maa �nen fva nmMiad dd�en 15soo11. �I, m owner o/the propeny a my ampbyeas w1h wapes d IM1ei eob mmpenaetion, will do Iha xak, end tM nruc�ure c �at intenEed w oMered lar aele (Seeiion )OOJ. Busimee end ProtesaionaCOAe: TM Contreawe Lieensa lew tloas iwt epply loan oxm ol peopeny who Wlda w inpovp IMreon. ard x1w doee such xwk Nm+eH a ha�aaY a Nraph hi a her own empbyeec, prariEeA thet such impwemeMa ara rM inlenEetl a dle�ad ta eeb. tt.lwwever.lhe WilCiiq a'vnpoaemeM o edd xilhin areY� d complelon. Ne ow�a�� w�n n� me w� a v�uro na w mb a�a �a d,�w «�wo.. �� me wmo.a a.w). ❑ �. ee ovm« d �he Mowm. em uavmero m,�racrna wnn �icMma mnvaciv. m mn,mM me waea (seeion'ro... an'um. ene PMasaiom Code: TM Contreqon Lieenae Isw tloes ml eppty b an owmr d pea eM ��itle a imqovee iMean end wM conVecre la wM projede wnh e mnlreda(e) IkenaeC W nuent to Ihe Con � do ioema law). � em uema ��q„ Secibp: 0. b P.�.. �w ih�e m: me: � �C7 � o.,�.: erelvy cM'dy Uut I em ewere d eM uMenieiM Na re4uiremaNa el%omu Fbellh vM Sdey Sen'vu 25505, 25533, eM 2553a, eM thm I w anv Mum buildirq ottupenl vnll / wil_na (aicb naed �o romON �h aeid stele mEee eM iM ispuimnenb M pe�l: FpplceN: WOPKER'S CONPENSATION DECWIATION: I hmeby dfirm uMm penehy d psjuy ar d tM blbr.inp detle'atuna: � I heve end xil meinten e cerlJicete d ooneent to setlimure br warkere wmpemetion, m provided f« by Sedim J]OD d tha lebar COEe, lor iha pe�lomience d iM xork lor wNch �his permil ie imued. � I hava eM vnl meinten woMen' canpeneaton iroure'ae. m m�u'veE by Setlim 9]W d iM lebor Code. t« tM peAwmenw M 1M work la whiM Nu permn u muad. My warksa' mmpemetion ienurenea wrcr eM po4i.y rwmber ua: c�..: Pd'ry Number. lTAia se lion need nol be complereC %(M permt in M one hurMred Cdlam (51001 w IenJ ❑ 1 ce�ily ihm in the pa�lormvwa d tM wark br wh'rh �hie parme is ivuad, I ehdl ml employ ury penon in eny menner eo av to becane euqed to iM xaMns' campenaetian lews d Celilanie. aM epree ihet il I MouM became eubjed �o �M warken' mmwmmian r�ona w swon a�ao w in. �amr cme. �.ne�� onn.an mmpr .,m� mm. piowian. oma: Aca�: Waml�p: F�Nun ro axuro worken'rompxuetlon rowrep� Is unlaw/ul, entl �MII �WJxt an mrployx ro ulMrol peruMu eM clv/I flina up ro ons hunArsC fMuunO ONHn (S/0Q0001. M etltllfbn ro M� cwl ol comperwfbn, Lemspu �� pov/detl bi In Sxtlon 9)P6 0/ M� Labo/ COW, Inbmf. �ntllttomsYi hea. CONSTHUCTION LENDIN� 11OENCY: I hareby elfirm wMs pm�My d per'ryry IMt Ihen b e canxiutlbn kMinp apoM.y f« tM parlormeMa d Ihe xak b v�hirh Ih6 pem�i n uweE (�� ]. Cw. C). LENDEfl'S NMIE: LENUEfl'S ADDRE%: I cenfi/ ihet I heve reed this epplicelian eM mme Ihet Na ebove inlormetion o corncl. I epna to mmpy wil� ell fily end couMY �� eM nme bwe mlmiq to buiNvp cmwWion vd Aeratry eWwr¢e repasen�etivee d thu ury �o enter upon Iha ebwe-memioneE p�opeNy �°`��'°°""°""°°'°' ZKE S H AFER Pom n,e � oma: 3� % Sig�ura xinr/� D�✓��eda (St51d6.WP) dreaMFle: Cenery-Appf ant: Rnk-Revenue: Gddenro�Maeewr CITY OF COSTA MESA — BOTLDING PERMIT PERM NU: P U8311 PERMIT NO; P 083121 PLAN CHECK NO; N GOVT: N SUPP; N CONSTRUCTION TYPE: V—N SP PERMIT 'rYPE: PLU PURPOSE: OTH JOB DESCRIPTION ; SAFETY INSPECTION PERMIT FOR "FISH FRY" SQ FT: CLAIM VALUE; CALC—VALUE: Gk70UP OCC; B / CONIMENTS; SAFETY ZNSPECTIONS FOR THE "LZON'S CLUH FISH FRY" iF it�M�'k iF'1F'1k 1f if �YF �lf'k i! iF')f )F 7f 1f if'lE iF'lE if !f i! if'!k!f Yf'k ik'lE'k iF 1f ik iF �lk iF iF if # iE ik ik ik if if'k 1FlF 1E'h IE iE IE �It �Yf �]F!k if i! if %�lE iE # 1E 7f')f 3f iE if iF �Jf ik iF 3E 3f 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 ---------- --------- ACC�SSORY HUILDING --------- FkN'I'; FT IN AEAR: FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN F+AftKING REQ• PROV: PARCEL: 42228221 ZNE: REF NO: PLANNING N(STES3 % if -k k!E iE if iF if ik iF iF!! i! 1f iF if iF if 1E iF ik iF it ik 3F iE iF 3f �k itr 1f iE if 1k iF iF iE iE �E if'k if �ll� # if iElE iE dF if iF f! jE iE dF k if iE iE IE if �E if k iE % 3f �lk �X �7E � iE iE'3f �k if if iF iE D E V E L O P M E N'I' S E R V I C E S R E Q U I R E M E N T S ZUNING APPROVED BY DATE: BUILDING APPROVSD BY : DATE: APFLICATION ISSUED HY: DATE: � ��**��**�**��*�**** *�*��*� 7* LEGALIZATION:N F E E S U M M A R Y STRUCTURA S GMENT:N HLDG PMT PLUMBING ELEC'TRIC M�.CHANIC FIRE SMIP/RES GRADING P�RMZT 37.U0 258 SMIP/NON—RES PLAN ISSUE FEE 22.00 HUILDING—DIV—> PERMIT IS'STJE PLAN—CHECR TOTI�L PAID DUE TOTALS----> 37.00 22,00 0.00 59.00 59.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 59.00 OVER/SHORT: ,00 HLDG PMT PLUMBING ELEC7'RZC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 59.00 �1E �1E�k 71� ik iF �1E �E it if iF iE ik ik ik �7f #�E jE iE �lE iE iE ik ik 3E iE 7f � dE ik ik iE iE iF �1! iE 3t iE iE %iF%ik iE iF 3ElE iE ik it �iE aE 7E 3E �1f iF ik ik i6 iE iF dt IE iE iF iF lE �� lf 3E IE iE if i!� �1E 3E 1k iE Z N D Z V I D U A L F E E H R E A K D 0 W N TYPE QTY D E S C R I P T I O N UNIT COST 'fOTAL COST PLU PLU PLU PLU 1 WATER HEATER AND/OR VENT 11,00 1 GAS PIPING SYS OF 1'TO 4 OUTLETS 5.50 3 GAS PIPING SYS 5+ OUTL—PER OUTLET 1.00 2 SINRS, SERVICE / MOP 8.75 END OF rEES EXPI�� DATE.I"? (�� / 11.00 5.50 3.00 17.50 �5-30-1997/1E:59 Nfl/459.Cii RLGTM:�1-�C07E�9 PERi'IIT: �8312i � CONSTROCTION AND PIANNING POO.. .� SPA � AP,PROVALS Permit # Date inspecior , AppROVALS Permit # i Date Inspecior i 7. 7emporary E�ectriw� Service or Pole 52. Pool & Equipment Location : 2. �oil Pipe•Undrg�nd. , � � . 53. Steel Reinforcement j 3. Electrical Conduit Utility-Undrgrnd. _ 54. Forms ' . 4. Electrical Contluit-Undrgrnd. 55. Electrical Bonding � i. 5. Steel Reinforcement ' ', 56. Rough Plumbing & Pressure Test � � 6. ElectricalUFERGrnd. 57. APPROVAL7000VER�GUNITEi � 7. Footings ' ' S8. Electrical Conduit-Undrgrnd. � - 8. Poundatio❑ 59. Gas Pipe, t7 Undcgrnd., Test ' , 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgmd. - � 10. Structural floor System 61. APPROVAL 70 DECK � 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final � 12. Sewer Cap . 63. Heater & Vent•Pinal 73. Roof Drains 64. Plumbing System � Final ' 14. ftough Plumb�ng " 65. Electrical-Final - 15. Rough Electrical-Conduit 66. Solar System�finai � � i 6. Rough E�ectric Wiring ' � 67. Fencing & Access Approval � i�. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heatinq & Air Conditioning ' " F4RE DEPT. REQU4REMENT � 20. Rough Factory Fireplace APPROVALS Permii # � i 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product P�ping O Gas ❑ Oil 23. Gas Pipe-Rou9h & Test � 72. Underground Flush � 24. Roof Framing 73. Undergrnd. Storage Tank O Gas D OII 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 2J. Frame and Fiashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL � 29. insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. 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 Factory Fireplace ' ' � 38. Final Plumbin9 • � 39. Water Service-Final � 40. Gas Service�Final 41. Solar pomest�cFinat I 42. Backflow Preventer � 43. Backflow Irrigation 44. Landscape Ir�ipation System 45. Sound Attenuacion 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING - 48. FINAL PLANNING 49. Electric Retease to Edison 50. Gas Release to Southern Calitornia Gas Co ' 51. CERTtFICATE OF OCCUPANCY ' i No. Oate �nonEss oF euaanc: 5 6 8- W 1 wn�wsru�eiciv�owr+:CITY',OF: � . �'Do"� 77 FAII2 D • " COSTA MES (714)754— AVPL. MAIIING 1UDNESS ANCNRECT OP ENfd1EEF: coxrx�crarsru�: CONiP1CTOP'S YYIIIlG /�OOPE55: H ST TA MESA 86A 92626 � ua xo: IlC NO.: uar: UNT: uNr: LICENSEO COMflACTONS DECL�HATION: I Mreby eR'vm uMar peroNy d perjury ihm I em IceneeA uMer providona d Chepter 8 (mmmendn0 �h Section 9oao) d Orviaun 3 W �he Businaen �d Prafaeeiona Cada, eM my licenee ie in full Iwce end eHM. CRY LIC. NO.: LIC. C1A55: LIC. NO.: EXP : Dete: CaNradn: OWNEN BUILOEfl OECLANRTION: I Mreby elfirm uMer pMiely N perN�Y �� eRemq fmm IM Comredoea Licenae lew la Ihe 'Mbx'vq res+on (�� ]W t.5 Busi�ma eM Prdeasions COEe: AnY cry a countY �� Vuires e pe'mn to mshucY. Mer. impwa. �mdah, w repei any sbucture, qia w es iswence, eho raQuiree ihe epplirem la such pe�mG lo Rb a nq�rod stelamam Uw he a eM . IioenseE W�+�I �o IM pvrisiom d Ihe ConVedots lironae Law ICheqm 9(�meexrip wXh Setlion 1000) d Dvuion 3 d the Buaine� eM Prdemioris CoEe� a ihet he or she is uemq �hya�� ¢�y i� yAyy �a �ry� yleped a�amqion. My violetion ol5epun ]0'lt.5 by eny epd�� or e parmn euEpqs the epd� �o e civil panelry W ml mae ihen IWe �uMreE tldlen �5500�). � I,esoxnerd�heO�VaMe�myampbyeeawnhweBesqylhe'veolecompansation,willdotMvroAc,endlMeWciurearatinienEeC or oMered br sele (Saction ]OOa, Buanxs end Profeasio�a Coda�. The Contreclors Licenee Lew doea nM eppyto en owner ol piopaM wM buYEs w'unproves Iharean, end vAw doea auch xrork MmaeM or hene� ar thrau0h h's a her own emplayeea, pmvidad ihel euch improvemenb are not in�eMed ar dlered ta sele. ll, ho�ver, tM buiNinO w mprwament ie eok wdhin o� yeer A mmplmian, Ne owmr-0uilder xill heve Ihe bueden d povi�g he or ahe did rrot Wik a improve /a Ihe W�a d aele�. x[] I. m ovmar d iM D�w�Y. em utl�'Ny oonired'nY �^'nh lonaed cantrec�«a to conNUG IM poled (5equn )OM. Bueiims eM videvions com: rne coiureuoi. ucense �a. eoee na epWr a� o.�,a d worom wno waa. «�mpove. mai.on .ne wro mntrecb ta wtli pqeqa wnh e mmrmw(s) IcenmE p�nua�4 to iM GaNrerlora Licenae law). e.en,q ume, sen� n: e. a a.c., e« ino Immn� ma: �er: ereby cerliy �het I � ewere d d uMersiantl tha reyyiremenM W Celfomie Heellh end Seley Code Satlio 25505. 25533, eM 255�6. eM �het I a eny �w� w�im�a o�c�� ii i wai �oi �c,�b o�,� �,ee m�may..en .�a �a �oa� the repuiremenb br s epermittmmnswctionormotlifiWionhanlhaA'v��er�gemenlDislrkl.RniEen�idwn+truaunepplrali ereuemqimmtheea provisons. ! oma: now�m: WORKEN'S COMPENS�TION DKLIN�TON: I henEy elfi� ��qer pnreliy ci perj�vy wn d the blbvrirp Eadar�vre: � I hew eM xil meiMen e cenMcae d mn+mt m seMiny�� xaken' compmamion. o poviEaE la by Seaim �]00 af tha labor Code. In tM perlamarre d tM xwk b w1icM1 rhb pp�rip is is+ued. � I hew vM xiE meinlan warkere' campenamion ireurenq, m ropuirad by $aqim 3)00 d iM leEn COEe. br iM pa�wmenca d IM wak ta whidi thie permit ie ivueE. My wakaes' mmpp�syp� insurerca'artier eM pdiq number ua: c�a,: Pdky Number: ' �mi: axr�� e no� ae c�We�ee e me ro�e is ror a» nund�ee ed�em (tiaoi o, ks..I � I cenfy thal in Ne pe�lamerice d �M1e work fa whc� Ihie permil u ia��ed, I ehell m� empby eiry pefaw� in eny mannar eo m to become aM� io IM1e v.orken' canVe�aetian lexs d CelAanie. eM e9me �het A I eMUIE bxwne auM� to Ihe worbn' campensalbn prwis'uns d Sadian 3)00 d iM Lebor Code, I dWl tanhwnh mmpy wilh iM1oee povi+ioro. Dme: Apqi�yil: Waminp: FeN�n ro eroun workxi romveru+0on corerp� l� ��IewN( anC sMll subpct en miployx ro cAMml pwwlUu end c/vll ll� up b ons hunerM tMuund Golbr� (Sf00,000A In s�lf/on lo fh� cwf ol rompNwt/o2 damspe� u povWM br In SxXon 9105 0/ Me La6or COM, /nta+aq antl attomsy's /w�. CONSTHUCTION LENDINO AOENCY: I hereby eifirm urWar panelry ol parNrY �� here is e conshuaion IaMinp epency br iM periormenca ot tha work br which IM1u parmG c baued (Sedbn 30B1. Giv. C). LENDEH'S NAME: LENDEF'S ADOFES3: I cenM ihat I heve rend thia eOWicetian aM mme �het tlre ebvve inlame�ion ie wnee. l wrae �o comPN xiln all dN ud mumY ordinenma eM ate�e lews reWap Io Wik'vq conatrutlan enE Mreby eNhp¢e iepesenle�ivas d Iho ary to anlx upm IM ebwe-mentiwied propaM lorinspedion purpoeas. RON BURGEY ' Pnnt Ne�m�/%� � n � ^� --� �G " / oe�e: � �� SignaNm o �/��A ph�Qj/(;ont a � U � (5151�ie.WP) Whna-Buikip 8 Setary: Cenery-Rppirsm: Pink-Rerenue: Oddamo�baesaw CITY OF COSTA MESA — BUILDING PERMIT PERM NO: IP 07787Fi PERMIT NO: IP 077878 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: V—N SP PERMIT TYPE: OTH PLU PURPOSE: OTH SOH DESCRIPTION : SAFETY INSPECTION PERMIT FOR "FISH FRY" SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B / COMMENTS: SAFETY INSPECTIONS FOR TAE "LION'S CLUB FISH FRY" �E 1E iE if 1E iF 1E 1E 1E 1E 1E fE iE iE dF k 1E'lE 1E 1(� fE fE 1E �E 1E iElE!(� 1E iE 1f iE iE fE 1E 1E �E 1E ik 1E 1F 1E iF 1f fE iE iElf !t 1k 1f 1(� 1E 1(� iE 1k �E 1ElE �E fE 1E i(� 1E 1E iE fE iF iE if 1E 1f !E iE 1E 1f iF iE iE Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV; PARCEL: 42228221 ZNE: REF NO: PLANNING NOTES> i iE 1E iE iE'1F iE 1E 1E 1E * ff 1E 1E if'1E iE'lE ih iE 3f 3E 3E iE jE 1E fE iE iE if !k if 1ElE iE iE 1E iE 1E 3F 1E IE �E 1E')(' iE fElE 9E iE iE 1E �IE iE �lk 3E 3E �E 3ElE-0E 1E 1Elh jE 1E'IE'lE 3E iE �E 1E iF 1F iE 1f 1E 3E iE 1E 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 : APPLICATION ISSUED BY: !E �E �F iE 1E iElF 1k 1f 1f iE 1E 1E 1E �1f !E iE ik if if iE if LEGALIZATION:N BLDG PMT PLUMBING PEAMIT 42.00 F E E S U M M A R Y ELECTRIC MECHANIC DATE: DATE: DATE: STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING 25E �� SMIP/NON—RES PLAN ISSUE FEE BTJILDING—DIV—> PERMIT ISSUE PL�P:N—CHECK TOTAL PAID DUE TOTALS----> 42.00 0.00 � 0.00 42.00 42.00 ,00 .� REVENUE DIVISION TOTALS--> COLLECTED: 42,00 OVER/SHORT:_ .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 42.00 �� 9E 3E 3E iE iF iE iF iE iE iE iE iE 1E �ElE IE IE iE ff if 1F if 1E if 1E IE fE 1ElE IElE iE if 3E iF 9E'if iE if iF if !E!F 1F if iE iE �F 1F �k if i6 if if iF 1k �E 1F if if dk IF * iE if� if !F 1E iE iE 1E 3E iE 3E IE iE 1E aE �f 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 n PLU 1 PLUMHING RE—INSPECTION FEE 42.00 42.00 END OF FEES / l� EXPT�R(ED ��; � DATE ` �'I `"�U ` - CONSTRUCTION AND PLANNING Y' - POC . SPA � AFPROVALS Permit # Date Inspector pppROVALS Permit # Date i Inspector � 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location i 2. Soil Aipe•Undrgrnd. - 53. Steel Reinforcement � i , -3."Electrical Conduit Utility-Undrgrnd. �' . � , ,. � 54. Forms � . i , �4,�Electrical Conduit-Undre�rnd�. ' 55. Electrical Bonding . ' � � =- �-'Sie11 Rzinforcement 56. Rou9h Pium6ing & Pressure Test '" �"�EieCtrica� UFEfl Grnd. 57. APPROVAL TO COVER�GUN�TE i � ,�. ,., x..7. Foatings 58, Electrical Conduit-Und�gmd. � � � �� $, Foundation 59. Gas Pipe, L� Undrgrnd., Test � f9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System � � � ' 61. APPROVAL TO DECK ' I 11. Property Sewer Line & House Connection . _ 62. Backwash & Receptor-Finai i 12. Sewer Cap � � 63. Heater & Vent-Pinal 13. Roof Drains � . _ 64. Plumbing System - Final 14. Rough Plumbing `X. ' 65. Etectrical�Finai • � _ 15. fiough Electrical-Conduit . ., .- 66. Solar System-Finai - 76. Rough EleCvic Wiring � 67. Pencing & Access Approva� -. 17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING ! " � i 1$. Rough Electrica6T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL � 19. Ro�gh H ating & Aii Conditioning_ . , � v, , L FIRE,6EPT.�€jEQUlftEMENT 20. Roug�i Pactory,Fi[eplace � � � - -- :.APPROVAlS� . Peimit # " � ' _ - _� _ 21. Duct�; in:Structure'. �`. � �� ' '� � � .., 70. �Underground Hydro � 22. Qucts^, Vetttilating��,.� r. - � . ' ,.77, Product�'Piping JGas L�OiI . 23. G0s P,ipe-�pugh & Tesz ,.�, _ . - ' � � _ � 72, Undergrou�d Flu's'h � • 24. Roof FTaming � � ? � � �•73..Undergrnd.StorageTank�Gas L]Oii � 25. Roof Sheathing �''� �; " r� - r" -, � 74' Overhead Hydro• � - ;,�' e4 26. T-8ar Ceiling (Structuraq & Mopo�at �'�+ � 7�". Dry Chemical ._ - e p7, Frameand-Plashi�j �' - '^� _ ' - - ' 76. DryStandpipe r�' . � . '' ' r,.- �.�28. Lathing &�Siding �- r;•� ' � � � ��* 77, FIXED SYSTEM�FINAL - � - , j" ' } . 29. Insulatiort" � ° � , . .`: . .. ' � > _ 78. 'FIRE PREV. FINAL _ 30. Dryevall Nailing . . - � ` - . - HEALTH�.DEPT. REQUIREMENT � �31. Plaster Brown Coat,.. ' �r: .. . �, � 79. FINAL IRSPECTIQN " � � ^32. Electrical Power 141ecer=Kir�al � 80: FOOD CERTIFICATE ISSUED ' � �=33. Final_Electr�c , � � � �� Notes: ' ' � - - - � �1-��'�;C?k�2r�Z'Cdr_r ;�.'34. Finai`Heating & Air Conditioning '- :-� _ . - . ` ,��.; 35. Final Gas Pipe�Test � - ' � ' � - . ,- � • � m � �,36. Hoodor CanoPY `. _ .. - ' . � . . : ._ �� ' r � .., �37. Finai�FactoryPirepiace,� �Jr" � ' � ' , _ - � �. - + - �� i 138. Final_Piumb�ng - � � � � � , �� • 39. Wuter Service-Finai � _ � - � = , r'a r � -. i 8.�. i.� :40. Gas Service-Final . '� ' ., ;- '� " . .��J � c �41. So1ar pomesticFinat � ' ' ' - � - �� - ' 42. Backfiow.Preventec, , - ,,,-. . � . . i 43. Backfiow IrriqBtion � , � - � 44. Landscape'Irripation SYstem . ''- - ' ..-� ., . • � q5, $ound Attenuation • • - _ ` � � . ' � s _ �46. Nandlcap Regulatlons � _� „ ` ` 47. FINA� STRUCTURE & BUILDING , - , _. 48. PINAL PLANNING � � -� _ � 49. Electric Ralease to Edison � � � � � � � � < . - � i 50. Gas Release to Southem Califorma Gas Co ' ,-. - , � 51. CERTIFICATE OF OCCUPANCY N0. Oate ��"��a'"1°e'�° 568 W 1�TH ST avr�xs""°E"i°'°''n':CITY.fJF- Cc STA MESA • •��u 77 FAIR DR • ' COSTA MESA CA 92626 (714)754-5�86 MPL. WIIPIG ADUXESA YMHIfECTOfl FllCd1FFA: CONfR1CTqi'SNAME: CONIN�CTORSM4lM0 ADDRE55 uxT: uc no: UNT: IlG NO.: uxr LICENSE� COMRACTONS DECLINRTION: I Mreby eflim uMx penetly d perjury Mel I em licenasd uMm po�ieiona d CMqm 9 (rommendeq wiih Section ]000) d Diviaion � d Ue Butiirev eed PMeaeions COEe. enE mY ��b b in hll brca ud Nlea. cm uc. r+o.: uc. cuss: uc. No.: EXP : o�a: comreaor: OWNER BUILOEH DECIANATION: I MmEy effi�m uMer penaly d perjury thet I am azamp Irom ihe CaNredae Licenss law la Ihe 'Mbw'vp reawn (Seaion ]P11.5 Bu+iiea� eM Proleviona Cade: Amy cYY a munry whiN nyuim e pmmil to mutruci. Mm. imprwe. mWeh, w ropei eny eVuclure. pur b Ga weuann. e6o'equirea IM epplimM la wch permil b fib a �pned ewament Np he a eM IioeneeE purweni to ihe prwi+ion� d IM Convaawa Licenae lew �CMqer e(oomme�iq wilh Soqion )000) d Divebn 9 d tln dueinew vM PrMemiona Coda� or Ihel he or Me ie uemq �harehan vM iha beao lor Ihe dbpeE exempion. My violelion d Sepion )0�1.5 by eny eppliunl br e permn eubjeUe Ihe epplicen� �o e rnil peneM d iwl mae tMn IHe huMred dollen �5500��. � I. es owner ol iha properly or my em0�e wnh wepea es �he'v eole oompensetion, will tlo Ihe woM, end ihe eVuclun b nd inteMeE or ollereE iw eele (Saciion'l014. Busimsc eM PMeasionaCotle: The Comreawn Licenee lewEoee rat epON �o en owner d pmpaM wM Wilda ar inD�� Iherean, enE who daea auch work Nmsetl or henetl w �hrouph he a her own emdW�s. V�� het euc� imD�+mema ere nal imarded a o11aeU lor eale. tl, however, iM Wikirq a'vnqwemeM ie vaN wnhin me yev d mmplelon. IM �o.��w�n., mn neb ma a,�a«� a ww�'ro na «� ad �a w�a o. �mwo„a ia me wmo*< a�). I. n awrr d Ilw popeny, em udiawa�Y ��M � IicemeE conireclas ro muWd tlr prqxf (Swvn IOM. Buairime enE r�damm. cca: me cunrada. Liwn.. Lew ams na epdv �o e^ o'^Tb• d pw�r ..nu wi1f. «'unw«.. �nrem ena wro nVacq 1« uM mjeda wbh e mntredor�e) Icemed punuem io tAe Conumaa License Lew). I eremq � Section: B. 8 PA., fa ihie menqp da: � 2 C o,.��: � � areM �v m i i em e. e or �e �nwa.i.nd ub rew�«rc, d cdaom�e H..m� ena sda�r coa om usos. zssaa..m . W thet I a anv Muro Wikvq owaryani hill / wil rol (vcb aw) need io comply wiA �eid ume ooAu erd tM npuimmaMe br Dma: AGP« WONKEN'S COMVENS�TION DECL�R�TION: I hareW elfirm uMar panMy d pajury ms d the Idbvnrp Eetlerelions: � I heva eM wil maimen e cMXkeb d mruenl to eellinwn lar workas' wmpenWion, n povideE lor by Seaion �]00 d ihe lebar Coda, lor IM pa�loemenee d �M1e xak lor whieh Nc pamN w bausd. ❑ in....�e.�um.wa:,.�on��o��..��.aw.abrs«i�,arooau.t.ma.caas.ro.m.w�+«�.am. wark la whirli thb pom�u u�ueC. My wakaa' canpanW ion imureere furier end po4cy m�mbar ue: c� rdsrN�me� (Tnr. seaion neee rra ne canvbroe r urs w�� ror are n�ndne awe�s R�aol n lev.) � I cMN � in Ne perlormeze d the wak tor whch thu pe�mn b ixuaE. 1 ahell nd ampby ury penm in ury man�ror vo n �o bscartr wbpo lo �M wMn' mnpaiuelion lev�s d Ce4fomia, uM aprea Ntl tl I MwN becoma wb�w lo tM MOM1r�' canoa^��m wwnav a seaon a�oo a ine lmn. coa. � avu �auwitm m�W wM ums wa+sm+. Dms: AODr�_ Wam/ip: FW�n ro wcun woikeri rortpwvetlon cwerap� l� un1�wN{ �nAalWl ubNct en �nploys� ro eNMrrl pwltlu uW clvll flnu iq b arw h,nCiW (houuM dol4n (SIOO,aWA M aNltbn ro IM roa! ol rn�wnuWM1 Gm�pu u provlOW lor In S1ctlon J10G ol M� LMor CodS Infw4 ��d eRomsys /ww CONSTPUGTION LENDINO RQENCY: I Mroby elfirtn uMer peneny d pa'ryry tM ihsn u e cmpiutlian MnNrp pmcy br tM parlormuwe d tM �wk br which thu pxmi b iwad (Sedian 3f/d1. Cw. Cl. LENDEN'S NlJIE: LOIUER'S ADOHE55: I cenity Ihet I hme nsi Nn epplicetion W atla thtl Ne abv.e Wamelion u conetl. I epna to campy wilh eA ruy enC muMy ad'vww� aM eteta lawe rNe�iq to buitl'vq coruvurfion eM hsraby euthor¢e npneenietiwa d �hu dlyto arur upon �M abow�mamioned popMy lorimpetlbn Wrpo�ae. RO AMBURGEY PnN Neme �� /' G <q Deu: � Sqruwre at A reaa (5151Je.WG) While-BuilEip 85dery; OreemFile: Genery-ApD��: %nk-Revanua; OdEemod-b�mor CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: IM 077877 PLAN CHECK NO: N PERM NO: IM 077877 GOVT: N SUPP: Y CONSTRUCTION TYPE: V—N SP PERMIT TYPE: MEC OTH PURPOSE: OTH JOB DESCRIPTION : SAFETY INSPECTION PERMIT FOR "FISH FRY" SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B / COMMENTS: SAFETY INSPECTIONS FOR THE "LION'S CLUB FISH FRY" 1E 1E iE iF iE iE iE it 1E ik iF i! 1E iE iE iP if 1E iE ik 1E If 1E iE if 1f if 1E iE iE �E iE iE iE iE i!!E �E aE iE 1E 1E �E iE IE 1E 1E iE �E 1E fE 1k 1f if 1f iE iE 3E 7E IE IE 1E 3f i! iE �ElE iE if fE �E IElE If iE 1E 1f IElI' 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 BUZLDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL; 42228221 ZNE: REF NO: PLANNING NdTES> i IE 1ElE ik iE if 1F 1E if 1E 1E 1E 1E iE 1! 1E iE 741E 1f 1F 1E iklElE 1f 1E 1E'N-f4 iF iE 1E'lE fE 1E iE iE 1E iE 1F 1E 1E 1E 1E fE iE iE 1E �E 1E �E 1E i("lE'lE iE if 1E 1f If IP 1F iE!(� 1(� iE ik ff 1E 1h iE'lE 1E IE 1E IE 1E 1E D E V E L O P M E N T S E R C� Z C E S R E Q U I R E M E N T S ZONING APPROVED BY . BUILDING APPROVED BY : APPLICATION ISSUED BY: *�**x�*�+t**�*****x x x x�+�* LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMHING ELECTRIC MECHANIC PERMIT 42Z5$ DATE: DATE: �+ DATE: �( 7 � ��*******�� ** — STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING SMIP/NON—RES PLAN ,�, ISSUE FEE � BUILDING—DIV—> PERMIT ISSUE PL�AN—CHECK TOTAL PAID DUE TOTALS----> 42.00 0.00 j 0.00 42.00 42.00 .00 ./ REVENUE DIVISION TOTALS--> COLLECTED: 42.00 OVER/SHORT: ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK �,42.00 1 ih i(' ih i@ #!f i('!f 1h # ih if 1Elf ii' if ik if 1f if �E 1E ii� if if 1f'�f'lf if if if fh iI� if iE 1E 3E iE iE 1f iE iE±h ih ih if iE if if iElE 1f'N� 1f i("lE �f IF i4 if K 1h i4 if K if iF K 1E iE if iElF 1E 1f if 1f ff 1f 2 N D I V I D U A L G F E E H R E A K II O W N ^ TYPE QTY D E S C A 2 P T I O�N UNIT COST TOTAL COST MEC 1 MECHANICAL RE—INSPECTION FEE 42,00 42.00 END OF FEES EXPIRED DATE I ' �"� ` � (� CONSTRUCTION ANDPIANNING . . POC .SPA AFPROVA�S Permit # Oate t�spector � ApPROVALS Permit # Date Inspector 7. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement , 3: Electrical Conduit Utility-Undrgrnd. 54. Forms ' � �4. Electrical Conduit-Undrgmd. 55. Electrical Bonding ; � 5. Stee! Rei�forcement 56. Rough Plumbing & Pressure Test � _,�-�^�� Electrital UPER Grnd. 57. APPROVAL TO COVER-GUNITE � • 7. Footings 58. Electrical Conduit•Undrgrnd. i ;8. Foundation � 59. Gas Pipe, O Undrgrnd., Test � 9. 4Vater Pipe�Undrgrnd. 60, Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Fioor SYstem � � 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor•Final . 12. Sewer Cap � 63. Heater & Ven[�Final 13. Roof Drains 64. Plumbing System - Final 74. RoughPlumbing ' , "65. Electrical�Final � � _ 15. Rough ElectricabConduit ". 66. Solar SYstem•Final 16. Rough Electric Wiring 87. Fencing & Access Approval 'i " 17, qough Wiring Sign _ 68. APPROVED FOR PLASTERING � 78. Rough Elearical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � 19. Rough Heating & Ajy.Conditioniag �- ,, _ . FI�RE DEPT. REQUIRfMEfVT : 20. Roug�Faciory;Fi2epiace " � ° ^ ! APPROVALS'�.; Pe'rmit#�- 21, Ructs,�in Structure� � , � � 70. �Underground HVdro � 22. �'ucts, Ventilating ,�� `;; "� 71, Product Piping O.Gas G`10i1 � � 23. Gas Pipe�Rough & Test __ �' �'� � � 7z. Underground FIusK x 24. Roof framing - '� �, � '- „' 73. Undergrrid. Stoi'age 7ank`O Gas ❑ Oil �� 25. Roof.Sheathing _ . �, � '� " 7b. Overhead Hydro� s , 4 26. T-Bar Ceiling (Structural) & MonQcoat � - - 75': Dry Che�rjical " � ` � � 27. Frame and, Flashing „ �_ , - . 76. Dry Staridpipe �� ,- . . ., 1, ' 28. Lathing & Siding -� � ��- •'� 7J; FIXED SIxSTEM FINAL � _ � 29. Msulation' . � �- 78[ FIRE PREV. FWAL � � ' 30. Dtywall Nailing " - " � -' FtEALTH DEPT. REQUIREMENT � � • � 31. Plaster Brown Coa`t.'.' � � 79. F�NAL INSPECTION - - 32. Electriwl Power Meter-Final '� 80. FOOD CERTIFICATE ISSUED'� ; � 33. Final Electric . _ , Notes: S-31-5 6 • ;e��Irnv 34, finai_Heating & A'u Conditioning - . ' � � i 35. Finai Gas Pipe=Test '- - ' - � � , � • � 36. Haod or Canopy . - -. . x - ' " � ' �37. Final Factory Firepi3ce � ' ' , k � 38. Final-Piumbing - � , �'- � � ,. 39. Water Service�Final � � '_ ' -, .. 40. Gas Service-Final �� - � � � • 41. Solar pomEsticFinaf,; � . _ � � 42. Backflow Preventer. . �. � � • � 43. Backflow Irrigstion , � ; � " -� 44. Landscape Irrigation System .� � - ' J . 1 . ' � - 45. Sound Attenuation -, " : , ' ' ' _ 46. Handirap Regulations - _, � � 47. FINAL STRUCTURE & BUILDING � . � � 48. FINA'L PLANNING � � • � 49. Eleciric Release to Edison 50. Gas Release to Southern Caii(ornia Gas Co � � . 51. C�RTIfICATEOFOCCUPANCY No. Date , aoonEu oFemiuxc: 5 6 8 W 1 8 TII S T OWNEN'SNRMEIFpqWN:CITY OF COSTA MESA �nopEu:77 FAIR DR " �(�14A75455`286A 92626 �ar�. wuunc �ooneu: AfICXIfECT ON FNtlNEEN: pPCN.OH FNG.'S AUGHE55: CONIN�CTOP5NAME: carm�cronsxuue+c woxess: UNT: uc. xo.: UNf: uc. ra.: ur�r: UCENSED COMPRCTOFS DECLAHR110N: I hareby eflim uMer penetly d pnjury Ihel I em licenaad uMm provisiare ol CMqm 9 (mmmenarq wnh Sectian )000) d Ovis'an � d the Buaineu eM Pmleaaana CoEe. anE mY lioenae a in lull brce eM eXetl. cm uc. no.: uc. cuss: uc. No.: � EXP : OWNEN BUILDEN DECL�RRTON: I henEy alfirm �iMer pruly d perjury Oat 1 em e�amq Irom iM ConUetlas Licama law tar Ihe Idbwvp renaon (Setlion l0'lt.5 Busirosa vd Proteniom COEe: Airy <iY a aounry wfiidi rep�im a pem�n io mrtcl�ucl. ellm. impow. demd'cM1, a repei arry avucture, priv �o ia eweMe, ebo repuires ihe eppl'rent la euch parmit to fib e egiwC ebtemen� Uw he or ate � is licemed pmeuent lo �M protisbm d iM Comreaon lioenae Lew �Cheqm e(canmmriip wn� Setlion )000) d Diveion a d Or Bumrie� enE Rdemuns COEa� a thm ha a sM ia examq iAaelmn eM tM batia tor Ne elbpeE eaemqbn. My violeiion d Setlun )031.5 by enY aPd�l la e permn aubjeds iha epplicent w e dvil panelry ol M mae ihen ivs hurdred doAen �550011� � I. av owrer dtM popeM a my empoyeee wih wapes m Ihei eab mmpenaetion. will do Ns xoM1. eM iM nrucYure b nal inteMad a MereE I« aek (Secibn 1aa.6uanem eM PmtesaionsCaAe: The Conirauon lioeme Lewtloee mt rovNto en ownerd popsity wlw Euid+a inprwea the�ean. eM wha dms euN xwk Fimeell a henel a Ihrpqh he or har own empbye». qwided Ihel wM impewemenb ere iw imaMeE a allered lor aela. H. Iwwerar. the buiNi�q a inpo.emem ie eoM wilhin one Y� d eanpbtion. Me �o..�-waaa. �;n n� in, w�, a v��o na «.na ab m w�u «�mw� �« me wm�. d we). I. m oxmr d the poperry. am udueirely oonlrediq xiih IimneeE convenas to cauvW Ne qqetl (Sequn ]OM. Busi�ms end PMessione code: rM Conlreaac L'cenae Law doea mi evPN �o en owrcr d P�WMY wlw Wilda « impu'r thneon e�M who mntrecn far miN pqeaa wnh e aon�retl«(s) licanaed queuenl lo IM Conlrepon Liwnee lewl. I n eRemq uMe action: B. 8 P.C., br Nia �eemn: Dele: '� �' � rl % O.mer. cenily i l em eware d ark uMenteM iM reyuiremend d el/anie Heellh vd Stlery Coda ' 25505, 255�, vM 25534, arM Ne1 I a eny INure buikiiq oowpaM xill / wil �(rircb me) meA ro canply wIh aek etete ud iM repuiremanq lur e pmmnf«oonal�uction «madifimtionhaniMAi�y . erepament Dmntl. Rmideruid mmfvfion eppiralbmen eaemp tmm tMae provisions. Dete: AOdicenc W OflKEH'S COMPENS�TON DECLARRTION: I Mreby elfiim uMer penelty d pe1jury me d ihs lolloxiip dedvmioru: � I heve uM xil meintan e cenJicate d mneent ta veXinare M workero' canpametion. m povidsd Iw by Sqion 3)00 d ihe labar Gode, in �M pertamerca d tM work ta wluch thia pertnil n i»ueE. � I hero aM xil meinlevi vrotkan' mnpenfelion imuranca. o rpui�ad by Satlion 3]00 d I�a Lebor Code, br IM psrlormenae d tM wwk la which thie peimn is iuued. My worke'e' compenaelion ineurance wner vM pdiry numEer ere: Cemar: Poliry Number: �rn;: xaro� ,�d,wr ae c�aarad r m. o�a;e ro. �a n��d,.e ear�e Rrool o, rs,e.� � 1 cenAy thet in Ihe perlormence oi iM wak 1« whkh thn pe�mil ie iveueE. I Mell nd emWry any penon in ury menrwr eo m lo � bemma wbjea lo Iha waMme' wmpenaelion lewe d Cdil«nia, anE prea ihei d I Mouk bxroms wbjsa m tM xoMeis' compenselbn pmviaiwa oi SeGion 3100 W the labor COEe, I ehell Iorlhxdlh mmp�y wi�h thoee pmvieione. oma: Mo��: Wam/ny: Fellun ro ucun worksn' compxu�tlon covenp� b unbwNl, mC iNll �W/�cf m.mployx b etlMm/ p�n�ltlu mtl C/Y/I 11M! up b on1 hunered fMYHnd Col/In (7100,000)• M�MllHon b MI tolf O/COmpuwfbn, dlm�qs u proNEM blln Swtlon 9]OS ol fhs Le6or Coes, Infwoq entl ettomyl Iro. CONSTNUCTION LENDINO AOENCY: I hereb/ elfirm unEer penely d perN�Y �hn �hero u e eonetrudion bedin0 a0eney br ths �1Bl�of111BfICB d�hB NOf�[/OfW�IIC�I��IB pBflfiRl9 98UBd�50C11O11'�OB). �irv.(�i�. LENDEN'S NAME: LENUEfl'S ADONE55: I cerliy Ihet I heve reeE Ihu epplicetion eM slete thet iM ebova inlametion ia corted, l pree to compN ��h ell dty enE munty ordinanue eM e�me lews relating m building conslmqion eM hemEy eulMrize mpmaenletivm ol lhie ctly lo enter upon �he ebove�menlbned properry forinspeaion purposes. RON BURGEY Pnnl Nam / '/7�/ Dme: 3 �' / v Sipnelure d er W Dli VConimdw , (5151dfi.WP) Whn�Buildiq 8 Sefely; Greeo-Fle; Cenery-ApPlicenl: Pink-Revenue:0oldenro�rlemua CITY OF COSTA MESA — HUILDING PERMIT PERM NO: IB 077875 PERMIT NO: IB 077875 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: V—N SP PERMIT TYPE: OTH STR PURPOSE: OTH SOH DESCRIPTION : SAFETY INSPECTION PERMIT FOR "FISH FRY" SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B / COMMENTS: SAFETY INSPECTIONS FOR THE "LION'S CLUH FISH FRY" *at****+�**at**at�****�***atat��atat*�iEitit**ie�***it**itat*atatx�*it***�at*�***�at**iEieie��ie*at��*�at Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42228221 ZNE: REF NO: PLANNING NOTES> i �k fk 1E IE iF iE 1E 1E i(' �)E fE 1ElE fElE iElE ik dE if 1F 1f 1ElF'7F iE 1E 1E'lE 3E �ElE fF 1F iE iE iE 3ElE 3E ff iflE 1F ik iE 1f iE if iE 1Elf iflE iF 1ElE 1f if 1E iE 1(�lf� iE iE 1E iE!(� iE fE fE iE iE iE iE iE iE 1E �E 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 HY APPLICATION ISSUED B fE jE 1f 1ElF 1E if iElE 3ElE 1E iE iE iE iE iE iE 1F ik LEGALIZATION;N BLDG PMT PERMIT 42.00 F E E S U M M A R Y PLUMBING ELECTRIC MECHANIC DATE: q DATE; � 2 1 �V �FlfiE�E1ElE1EIE�E�E1EiE ik3f STRUCTURAL SEGMENT:Y FIAE SMIP/RES GRADING SMIP/NON—RES PLAN -1 ISSUE FEE ,.•` BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 42.00 0.00 ..� 0.00 42.00 42.00 .00 N � REVENUE DIVISION TOTALS--> COLLECTED; 42,00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 42.00 i' iF iE if IE iE 1E iE 1E jE iE 3E iElf aE 3E fE if 1E iE fF 4E'lE �E'� 3E iE 1E-0E iE'1E'� iE �E iE iE �)E 3klE iE Ik iElf iF i(� i(� IE jE i(� ik iE ikiE if if dE if iE iE i(� if� iE iF i(� iF 1E IE 3E i(� iE iE fflf iE 3k iE �E 1E iE �E 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 INS 1 HUILDING RE—INSPECTION FEE 42.00 ' 42.00 END OF FEES .I) EXPIRED I��DATE Ol [17�f,7•,r,-Cr' -- - � .G",' /� l , ._..., �6�.�1a -,-- (lt�7i,;• �:.ri:�?i73 r - - . 1? 7:: . ;: -� � �, ! l � CCNS7RUCTION ANQ PI.ANNING - POOL & SPA � APPROVALS Permit # Date (nspector APPROVA�S Permit # Date Inspector i, �emporary Electrical Service or Pole 52. Pool & Equipmeni Location 2. Soii Pipe�Undrgrnd. � 53. Steel Reinforcement � ; 3.' Electrical Conduit Utility-Undrgmd. . � 54. Forms 4:.Electncal Conduit-Undrgmd. 55. Electrical Bonding � `5. Steei Reinforcemer.t 56. Rough Plumbing & Pressure Test " i, :%6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUMTE i � �7. Footings 58. Electrical Conduit-Undrgmd. � �• 8. FoundaUo� - 59. Gas P4pe, O Undrgcnd., Test .9. Water Pipe�Undrgrnd. . 60. Backwash Unes, P�Trap, � Undrgmd. � 10. Structural Floor System . . 61. APPROVAL TO DECK i 71. Property Sewer Line & House Connection 62. Backwash & Receptor�Finat � 12, Sewer Cap � 63. Heater & Yent-Final I 13. Roof Drains . 64. Plumbing Systam - Final �4, Rough Plumbin9 , fi5. Electrical-Finai 15. Rough Electrical-Conduit .. 66. Solar System-Final 76. Rough Electric Wiring . 67. Fencing & Access Approval � }7. Rougfi Wiring Sign � 68. APPROVED FOR PLASTERING � 78. F±ough Electrical-T Sar Ceiling 69. POOUSPA SYSTEMS FINAL 79, Rough Heazing & Ai[ Conditioning �..� ,. „ tr FtR��06PT �REQUtREMENT -+ = - i-: - .� �. _ . . � 20. Rough Fettory'. Pireplace ^ � - -� �' * � �AppRbVACS� e Permit #�_ �T �i 27, puces; in �Structure : � � ' - � 70. -Underground Hjrdro ' 22. Ducts; Ventilaiing w � - �' - :� 71, Product'Piping.�:Gas C'JOiI 23. Gas Ripe-Aough &'Lest . � • - �' ` 72. Underground Fiush . - � 24, fi'oof Framing �� ` R _ �T' . ' 73r Undergmd. Stoiage Tanit O Gas ❑ Oil � 25. Roof_Sheaihing � r�- � r 7L. Overhead Hyd�o :- � 26. 7•Bar Ceiling (Structurel) & Monocoat i � ��, 75. �Dry Chemical '`! ' S - I 27, Frame and Plashing � -, _,. �. a, " " u' � 76. Dry Starjdpipe �, _ _ � r 28. Lathing & Siding,�'- .!- . • K 77� fIXED SY-STEM�FINAL '� Y'. 29. Insulation �� ,- � 78; F�RE PREV. FIN9L �"�� - 30. Orywatl Naiting c_ � •�� H@AITN DEPT. REQUIREMENT' ' � 31. Plaster Bcown Coat : � : � "" � � 79. fINAL lNSPECT,ION _ • � � - 32. Electrical-Powzr h�?eter�Finai � �� ' �' 80.. FOOD CERTIFICATE ISS�ED ^ �_��,� 33. Pinal,Electric,�, T � � � � � �� r. � �� Notes: �' � � � _, . �. c31�G,_lq'%S�-°�lcJ��{r � � 34. Findl-Heating;� Air 6onditioning' . , 'x-� �� /^ _ , r - 35. Finai Gas�Pipe�-Tesf ` � ' � " '- ; ,-' , . ; �,. . �� - 36. Hood or CanoPv : � ' � .. •- � � - - � ��`' � r �. � 37. Final"Faciory Flrepiace_�' " - ' �, , , - ' , - � 38. Final Plumbing - K � � � ' � � T Y' I 39. Water Secvice-Finai ' - . ' . . ' � r' � � � 40. Gas S,ervice-Final - : . �-. •, �. . � �, , � _ � � . � 41. Solar pomestioFinaf� � � iF ' - � � ` - � }� 42. Backflow Preyenter � „ � _ � . rs� �- '- �- 43. Backflow Irrigation " �� , ; • . _ , 44. Landscape irrigation System - < � - ' ' . ' s . . -' + •- - ' �'' - 45. Sound Attenuation` ' ' � ` ' ' ' ` ° . --r J • 46. Handicap Regulation's , ' � -_ . � � � � . - 47, FINAL S7RUCTUAE & BUILDING � ' ' '' � �. r � 48. F�NAL PLANNING �: ' s � � * � - , 4g. Electric Release to Edison � _ .', ' j . 50. Gas Retease to Southem Califomia Gas Co � .-� _ ' 51. CERTIFICATEOFOCCUPANCY No Date 608TA MESA BUIL .JG DE�NT 1T �� 1N Eart 20th Street ; , l� Coata Mesa, Calitornia Date...�.-.. � �.'.._'� .� ......................_....... CITY OF COSTA'MEBA CERTIFICATE OF OC�,UPANCY c. / Building Permit No..�.�:/.....Electrical Permit No../� '.......Ptumbfng Permit No..�.`�...._. Use ot Buildinp The 6uilding loeated 3 O�i 4-� d C,G ' ... Trxt._�_.._...._..�_..." '"-__._. � Lot ....................'.....�±................ Bloek........................................ ..........,,��r-r- K (See reverse side (or Metes and Bounds) ��'�j �/ui.'T �EJ•�} has been inspected and found to�comply with qth�e provisions oY a11lCity of Costa Mesa Or- dinances applicable thereto for a Group.....�..... L.._......Occupancy. ISSUE�TO:. ,f � � .�- A. J. VOLZ /1 :.._(..v.Pi�_ �. �/-✓;�.�.�'t`.':��.... c�ty e�t in¢/ofxi9 -- ........... _-�� (Owne�of Building) By .............._:.. .-. �. . �.(.:.""'_................__..... � CC: ❑ Original—pwner ❑ lst rnpy—Gas Co. ❑ 2nd copy dison Co.< � 3rd copy—FIIe Form 206 C-ft IM I$-63 aorcnEss a ea�own �we�aF� Ci � - ""o�� '7 7 ,�vx. �uiaa �ooxEu: �C�W 18TH ST Y OF COSTA MESA FAIR DR ,wcxnEcroxu+uo�+: RON YEO /JICN.OAFNO.'SMUNE55: SOO JASMINE AV CORONA DEL MAR cwm�crars w•�. ca+m�crons �uiw+ �nnx�ss urr: 'KNOi C3567 uxr: CA 92625 uc. rn.: uxr: 110EN5ED CONTP�CTONS DECWIAIMN: I Iweby d'rm wdx psuly W prjry tlW � en 4unwC u+ds w�� d CMqs e (camm«wnu wun sscWi �aoo) a Oivo'vn a a m. emao .,a aiao.wn coae`em mr cmms u m nm roRe end wse. cmuc.No.: uc.cuss: uc.No.: EXP: Otle: ��d%a: OWNEF BUILOEP DECURRTION: 1 henby eN�m uMer pe'u1y d pmj�ry IAtl I em eRemq Irom iM Canlrada+ lioenss Lew la IM IdloWvip reemn (�� 103t.5 &niw� aid PNeuiom Cade: MY UY a cauMy xfiid� rpame a psrmn to maMKY. Ma. Imqaro. Aemolsh, a ropei mry s�ructure, pia b is uawwiu, eho nV�e the appFaM la wrh pemil to fJe e aqneE ata�emem thel M a�M ie lioenaed WmwY to tlb prrnitlnu d tlr CONredn+ l+cxue Lew jCheqa 9(�e�^Y'^=h 8enion 1000) d�ebn 9 d �M Bummn eM F'dmaba Codaj a ihtl M a dr b asemq �herelmn ud IM Wm Iv Ns NbpeE exempion. My vbbtion d 8eeion )o�1s w m,v mc�N �« e w.mN .ubRm �n. mc« �o e ava wtiM a na moi. in.n fv. nw,eroa m0an Iss00U. .n I.noxTmd�Aep�yanH�r.ihrapumNsdswmD�.vriOdoMr�akeMNsebudunenol'utlaMd Kr nMmedbrWelSomanlOU.&mrowmdProlamauCode:lMCaNrmaslioen+�Lev4ownaewNtoenownardpWeM wta WiAa a inG�Was iM1sraon. end Np Eoe� tud� wak tbnaetl a IwW a Wdpli hu a!w o�m em0�'a*. C�'�� Ihel eWi �mpaw^eins ero MI'vaadeE w AknE Iv Ws. 0. howevm. iM E�dd'vq a in0�^� e wtl w'uhm ons Wr d mmPMion. Ur owmr-0 lEar wa hm �M dnden d pw"uq M a dr dil �m deld a"vnqwe Iv tM pvpwe tl alel. � I. m owmr d IM popeny. am azrLni�alY mmiaCnO r.'v� imued m�mxym ro mm�xa Ns pG� (Seeun ]ON. Bwmw� erd Prdmeiau Coda: TM Caqreem Liww ler 4r rid epply m en anw d P�Y Mo a Mpwm Ilwean W wM con�er,v Ior p� pqwe xVh � mN�otla(�) fr.ansW t tM Caa�ersa� e � .�..)�1 Z /n �/7�'7: e.o.�,��/I �11/►'�"' .YCo hereby ceniN � I y� aware d eM imdenuM IM reV�oemew al 255JI. eM ihet I a any Muro Mn'tlino �D� wJl / wT M(arck me� pwhoro. e�e sm.�r coae seeo�. assos. zsxv. �e wiA uid pale aodas md tM nqui�amaN Ia mnamin,.00fmion..e..r�a �mm mo. WONKER'S COMVEN9ATp! OKIARATION: I Aenby al(vm �ds ps�sly d prjuy ans d tlr b0ow'ap petlemidn: � �hmenA�tilmeqvanecetd'rirNodmiw�n�oulnwvabrwkan'mnpMWion.sqwtlNlwb/Sadion3100dIMleEn coa.. i« iro od+�. a m..on ia .� u:. wme e�.e. � I hew ud wil meuven xoNan' oompwmion Wuranm. o�epimeE W Saaim 9lW a� Ne lnbn Cads. b�M pmMmum d iM wdF fp wAid� 1�1A GMRIC 01OUM. M)' MVYAA� WIpMN�011 NPAGMO mfIM1 tlM V�/ �MnbY M: c�«: PMv.y Number. (Thie eMbn rresd rrot M mnpbted / �M pam! u br aro huiMrW Ccllen /J10V� a Nu.l � I oenh ��^ �+ P��s d IM rM br �MkA Ihb pemp b�Md. I Mell nd �mpb) arry pu�on in siry mwr �o n lo pecomo wEptl b �M xaYr�' wnNa'ue�un uw. a cara,m.. .m .o�.. u,r a i.nowa n.�o�» wniw to tM �wFen' compenWion pm�reiom d Saaion �10� d IM lebar Cods. I NeI11aNwGh aompy wuh tlnw pmiaau. om.: �cc��+: W�mMp: F�Yun b Ncun wortri rompw�u�tlon cmw�p� 4'mWl�q uM �IWI wU/st nr rrplqw roWMiW pwftlu ur0 elNl nnu W ro aw n�prM rlousuW aMYn ft�PO,auoA M� �� ro tln ewl o/ mrrp1nutbn Gnrp,s u prvvlJM ror In 9�etlm JIa6 oI tln l�Do� Cotl�. InewL W��mMs Ma CONSTNUCl10N LENpINO �6ENCY: I Iwab/ M4m uN�r penWy d psjry OW IMn u e amelMun bM'vp epenry tar IM perlormencs d iM xdk la rfikh Ilm pvml u'swd (SW ion �091. C'v. C�. LENOEH'S �WIE LENDEp•g �O�RE49: 1 cenih �� I Mve med ihia epplkatbn eM qma OW iM ebma iMomuiian u conetl. l ep�r �o oanply wuh M tlly eM caumv �� e�W e1e1a lewe rebtYq ia drikn0 �ion eM MraE1' euYw¢e �apseau+iiw d �!n M'ro artlx upon tM Wove�immioneE piopeny la' cn W�P��. DAV ALKEMA o,�: �� « (S151eE.WP) v WFM�Y�I�o 8 Se1MY• O�wrFb: Ce�ary-AVV��: Pink-Revm�w: �oNwod-0.vamsor CITY OF COSTA MESA - HUILDING PERMIT PERMZT NO; GRA 086044 CONSTRUCTION TYPE: JOb DESCRIPTION ; CONST CLAIM VALUE: PLAN CHECK NO: 02572-97 L PERMIT TYPE; GRA SOOSF MALE & FEMALE RESTROOM5 CALC-VALUE: C� R'1-000D I - PERM NO: GRA 086044 GOVT: Y SUPP: N PURPOSE: CON SQ FT: GROUP OCC: B / COMMENTS: 6 UPGRADE PARKING LOT TO MEET ACCESSIBILITY RE�UIREMENTS at*at*it**at��r�atatit***it�r�*�at��r��r3t**rt****jt***�at*+t+c*��*+tit*�+r+r+r **��+r**�+eat�*itit��**�rrt*+� 2 O N I N G R E(a U I R E M E N T S S E T B A C K S � ------------ MAIN HUILDING ---------- --------- ACCESSORY HUZLDING --------- 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 RES• PROV; PARCEL: 42425101 ZNE: REF NO: PLANNING N TES> i �r+r+r�r*�x**��r�r�***�*�r**x�x��r�rx�e�r��*�r��e**�rx�r+r�*�**��x�x��*x��*��**��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 EY DATE: ✓ HUILDING APPROVED BY : ��.A DATE: i � APPLICATION ISSUED BY: �� DATE: �/� *�e�t�t�tit�t�ti�i�*it�rx�ir**ir+r�ri�+riF�F�FiF�F3F3FiFiFiF3FiFiFiF3F7F�F 7F iF�F-�F�F�F3F�F£iF3F'x�x��r�tftfr�t�rrt� �rft LEGALI2ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/RES GRADING PERMIT 22,50 SMIP/NON-RES ISSUE FEE � 15.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 0.00 0.00 /� 0.00 0.00 .00 .00 REVENUE DIVISION TOTALS--> CULLECTED: ,00 OVER/SHORT; ,00 BLDG PMT PLUMHING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN-CHECK _ � .�: itlkfliklflkifiFit!llklkiklliFltiFkil�k�flkfFlk�Fk%1lkik1F1k1kilililifklkflk1f1E1k1kikitkikiEikifiFifkikkk�fkltklfiklklf%IFk1k�1E1FifikitifiFiFk I N D I V T D U A L'' F E E B R E A SC 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 %� Y7 :) � �/� IZ-�4-1397/03:18 FFi/pp,C� / � PEkMITPT08604J� Y�'ONSTRUCTION AND PLANNING ' POOL & SPA .•' � Date Inspector Date Inspector { APPROVALS Permit # APPROVALS Permit # , . � 1. Temporary E{ectricaf SeTvice or PoVe .. • 52. Poot & Equipment Location - � 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms . 4. Electrical Conduit•Undrgrnd. - 55. Electrical Bonding ' 5. Steel Reinforcement 56. Rough Plumhing & Pressure Ten � ' s• Electrital UFEfl Grnd. 57. APPROVAL TO COVER•GUNITE ` r 7. Pootings S�1-Q� 58. Electrical ConduirUnd�grnd. 8. Foundation . 59. Gas Pipe, O Undrgrnd., Test 9. Water pipe•Undrgrnd.. "� - 60. Backwash L'+nes, P-Trap, C1 U�tlsgrnd. 70. Structural Floor System , _611 APPROVAL TO DECK it. PropertY Sewer Line & House Connection .`-= 62. Backwash & ReceptorFinal I 12. Sewer Cap ' 63. Heater & Vent�Final - 13. Roof Drains �" 64. Piumbing SYstem - Final 14. Rough Plumbing � 65. Electrical-Final -� 15. Rough Electriwl�Conduit 66. Soiar SYstem•Final � 16. Rough Electric Wiring 67. Fenciny & Access Approval � ' ' 17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING � 76. Rough Electricaf•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.'-Rough Factory Fireplace APPROVALS Permit # 2L ,Duccs, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe•Rough & Test 72. Unde�ground Ffush 24. floof Framing 73. Undergrnd.StorageTank OGas ❑Oil . 25. Fioof Sheathing 74. Overhead Hydro 26. T•Bar Ceiling (Structurall & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Ory Standpipe 28. �a[hing & Siding 77. FIXED SYSTEM FINAL 29. Insulation ' 76, FIRE PREV. FINAL 30. Orywall Nailing HEALTH OEPT. RE�UIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:G�L 9� �L -� ��'Dv�i�� 34. Final Heating & Air Conditioning �� 35. Final Gas Pipe•Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service•Final 41. $olar pomestic-Fina� 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Atrenuation 46. HandicaP Regufations 47. FINALSTRUCTURE&BUILDING O�� 48. FiNAL PLANNING 49. Electric Release to Edison , 50. Gas Re{ease co Souther� California Gas Co - ' 51. CERTIFICATE OF OCCUPANCY , No. Date Pfl0.1ECTR00NESS: SE18 W i8TH $T UNI7: OWNEH'SNAME: CITY OF COSTA MESA nonwess: � � FA I R DR COSTA MESA, CA 92626 , I AHCM/ENG�NEEN: , �� C� P� FDURESS� �� l �� PE"MinEE' CARNI��AL IMES SHOWS, INC9268714 ) 824-2900 aouness: p.0. BOX 1206 COLTON CA 92324 LICENSED LONTPACTOB DECNflATION: I hereby allirm t�a� I am Iicense0 unGer provlsfons o� Chapter 9(commencing wi�h Seaion 71100� ol Divisian 3 of IAe Business antl Pmlessions Cotle, an0 my license is in lull lorce antl e��ec�. CITY LIL.: STATE LIL.: CLA55: Daie: Signamre: wOXNEBS' COMPENSPTION OECNBATION: I hereDy allirm �hat I have a cenilicate ol consem ta self-insure or a cenilicate ol workers' Compensatmn Insurance. or a[etli�iea copy Ihereo� (Seclion 3800. La�. C�. �ucr xo.: exr. oac: 'OMPFNV: (� C¢rti�ietl CODY i5 �ereby �umisheQ ❑ C¢�i�ie0 toOY is liletl �th Ihe Cily Building DiviSion. Oate: NpDlicant: E%EMPIION FflOM WOflKEflS' COMPENSRPON OFCfAflATION: �Tks section nee0 MI Ge wmplete0 if Itie permil ¢ lor ane hu�dreU (5100� w IesS�. I certily �ha� in ��e Dedormance ol l�e work lor which IAis Dermil is i� I sAall 1 eqp mploy any person in any manner so as lo become 5ublecl�o the Wor ers' mpen tion Laws ol Califomia. // aie. � � Signature: �� OTICE: II, alte making is Oec aralion, you should Oecome subject to ��e Warke ' Co Densation pmvisions of the Labor CoOe. yoo must IOMvnih compty wii� such pwvisions or �his permit s�all be AeemeO r okeA. CONSTBUL710N LENDING AGENLV: I Oe�ehy aHi�m fiai the�e is a corevuction IeiMing agency Ia ire perfo�mance ot ihe wo�k for w�ich �his peimil is issue0 (Seaion 3097. Civ. C�. �NOEfl: RDUpE55: OWNEN BUILPEfl DECLANATION: I �ereby a��irm ��a� I am exempt Irom Ihe CAnlratiors' State License Law far the lallowing reasan (S¢ction 70JL5 Business ana Pm�essional Code: Any city 01 county w�ich requires a permil �o ton5�mci, alier, impmve, Eemolish, or repair any slrpc�ure, priar to its Issuance. atm reQuires Ihe aDD�icam �or such Oe�mi� to file a signetl siatement ttwt he/she �s Iicense0 pursuam m I�e O�ovisions ol 10e Coniracmrs' S�ate License Law (CIwD�e� 91�ommencing wi�� Sec��an 7UW) o� Division 3 0l Ine Business anU Professions Cotle) or Ihal he/s�e is e*empt Iherefrom anU ihe Dasis for I�e allege0 exemplion. Any violation of Section 7031.5 6y any ap0licani �or a permit sublet�s ihe aDDlicant to a civil penalry of not more than tive hunCretl tlallars (E500). I, as owner ol Ihe propeny or my emp�oyees with wages as tAeir sole compensation, will Oo Ihe work, antl ihe ❑ stmcwre is no1 imenUetl or olfered tor sale �Seclian 70aa, Business anG Prolessional Code: The Contractors' S�a�e License Law aoes noi aoD�Y �o an owner oi a o�operty wtp euiltls or imo�m'es ihereon, antl wno tloes such xrork himsell/hersell ar tnrouAh �is or �er own employees. pmvitleG Ihat suc� improvements are no� in�entle0 or offere0 lor sale. IL twwever I�e builaing ar Impm�amenl is soltl wilhin one year ot completion, Ihe owner will have �he bur0en oi DrovinA �e/she Oi� noi buila or improve fot ��¢ PUrpose o� sal¢�. �L as awner ol Ihe pmpetly. am eKCWsivelY conVac�inB with licensed contraciors to consimct Ihe prolec� (Sec�ion 7044, Business � antl P(olessions CoEe: The Caniractors' S�a�e License Law Goes not appty to an owner o� pwperty who �uilUs or impro+es thereon an0 who coniracis lor such proletls w�� a conVactor�s�license pur5uani �o Ihe Conlrac�ars' Siale Litenie Law�.l am awafe ��at D�ool o� Iheit Worker'S Compensation insurante should be pmviaetl to me. � I am ¢•emp� uneer Section: B. d P. G. �� 0� IIIiS 1Ed50�11:A n d J —/ / � —I Owner I Go��ily ��at I am a re ol anG untlerstand Ihe re0uiremems o� Cahlomia Heal�h antl Safety COAe Sec� s 2 505, 25533. antl 2553< a� iha� � a� any Nw�e OuilEiip acupant wiWwitl not (urUe ane� neeA to wmply wit� saiA state cotles anA the requirements foc a permii �or conslmdian or modilicalion Irom ine Fir Oualily Management Di9ricl. flesitlential con5lNclion applicaiions are exem0� ��om t�ese provi5ion5. Oale: Npplicani: I hereby cetldy I�at I �ave read �his applica�ion and slale I�ai I�e a�ove intormalion i5 correct. I aA�¢e lo comDly wi1� all city antl counry orAinancesanAslalela 5relalinglobuA4ingconstmctionantlherebyaNhorizerepresental��iv11eSolthi5cilyioenleruponlheabove�men�ionea p'rapeny briPSDetli putpase5. � � Oate. SI9�lu�e; Driver's License r Socia Security n: 164La6 WM1i�e—Builtling; Green—Code EnlarcemenL Canary—App��canl: Pink—Revenue; GOldenroE—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; IM 067245 PERMIT NO: IM 067245 PLAN CI-IECK NO: N GOVT: N SUPP; Y CONSTRUCTION TYPE: V—N SP PERMIT TYPE: MEC OTH PURPOSE: OTH JOB DESCRIPTION : SAFETY INSPECTION PERMIT FOR "FISH FRY" SQ FT: CLAIM ��ALUE: CALC—VALUE: GROUP OCC: B-1 /B-2 COMMENTS: SAFETY INSPECTIONS FOR THE "LION'S CLUB FISH FRY"/ RE: IH67243 ***�r*w***+�+rx-**�r+rf�x�+t�t***��r*x*x�*�+��r*********�r***+r�r�r+��r****i�**�r�r**x��t+t**?�-�r**�c-*****�r* Z O N I N G5 ERTEB�AUCIKRSE M E N T 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 ZN PARAING REQ: PROC': PARCEL; 42228221 ZNE: REF NO; PLANNING NOTES> > *�+c-�t*x�*�ir*x�x�*+�***+t+��r**+r�r*x��r*i�i�**i�*****�r+r*�r*+r+t+r**it��r*�-*+f�r�x�+t�ri�*ar**+�xx�+�***�cx�*****+� D E V E L O P M E N T S E R t� I C E S R E Q U I R E M E N T S 20NING APPROVED BY DATE: BUILDING APPROVED BY ; DATE; APPLICATION ISSUED B • DATE: � '� . iFif9FiElEjEiffEiFiEiElElfiEiFiE7EiEiflf-�FiL 1 # � t t F ffiEitjFiElE3EifiE1F �rt iEiE iElfifjEifififif3fiEiEiEiEiPifiEifiEiEjfifiE*iEiFiEiEiFlFif1 . jfiFiRiff iliFfEif9 fFiE1E�1E iEjffElfiEifjfiFif�fjEififiEiflE1E{f%ififiEi4iFififiEif�1�-1F LEGALIZATION:N F E E S U M R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT � 30.00 � ' 25t SMZP/NON—RES PLAN ISSUE FEE �' BUILDING—DI�t—> PERMIT ISSUE PLAN-�CHECK TOTAL PAID DUE TOTALS----> 30.00 0.00 ��_ 0.00 30.00 30.00 .00 AEVENUE DIVISION TOTALS--> COLLECT.ED: 30,00 OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK , 30.00 iE if if if iE if if ff if iE iF iflE �14 %if fE f! 1E it if iE iF if iF if iE iE if �E �E 1E 1E ff if af if � jE ifiElf if if 1F IF if if iF iE iF 1E 3f ik jf iE �f iE if iE ic 3E iF if !E �E iF iE iE if iF iE jE iE iF iF �E iE 9f I N D I V I D U A L, F E E B R E A K D O W N .� TYPE QTY D E S C R I P T I O N-, " UNIT COST TOTAL COST MEC 1 MECHANICAL RE—INSP.ECTION FEE 30.00 30,OU •END OF FEES ., +. . � 1 Of ODI6�849—DQ160349 TUT 30.RQ DATE: O5/20/94 TIHE: 11:18 CONSTRU�`1'ION AND PLANNING APPROVALS Permit # 1. Tempo�ary ElectncaV Service or Pofe 2. So�.l P;pe-Ur,drgrnd. 3. E!eetri:td �Corviuft Ut:!ity-Undrgrnd. -��; 4. Electrica'1�'Mlouit-Undrgrnd. 5. Steel F�ei��i,Ftement � EnctrtC=+��.R Gmd. t - T 7. Footirjg��' �. 8, Fountlatioii 9 '.;ate� P�.pe�Gndrgrnd. � 70. Stn:cr�ral Ftoor Svstem '.1, FropertY Scwer Line & House Connection 12. Sewer Cap � 13. Ro�f Dl'sins r" ;. Aou ii ' g ��umbinq ri5 R��h �r.ctrica��Condu�t , 16. Raugh �ectricl'Jiring � 17. flough?V.'rmg$�gn 18. Rou�h Elec!rical�T Bar Ceiimg 79. Rough He;tng & Air Condiiioning 20. Ro�yh Factory Firepiace 27. Ducts, �� StructurC 72. Duct;, VenLiating � 23. G.:s Pip��Rough & Test -----_.-_ _._ - �- 24, 9oGf F/emirg 25 Root S��:athVng - � 26. �i 6ar C°�',rn !Svucturali �, i:'onocoat 27. Frameand Flash�ng 28. Lt:hm.g & Sid�n� � 29. in;u:at,�n ' c0, Drywaii tdailing 3i. 'laster Bro�vn Coat _ 3"7. c�actnca� Po�.�.er �5eter�Fina � 33. F�ra' Elcctr�.c 3q. Fioai Heat.rn & Air COnditioning 35. Final Gas Pipe-Test 36. Hood o' Canopy 37. Fina� Pactorv Firepiace 3&. Finai P�umbing 33. ltbter 5erwce�Pinal -00. Gas Sen^re�Final � rwi �alar pamcsucF�❑ai ' 42. B.,ckf10�� P�eventer A3_gackflOW �rriyation � - �44. Landscaae Irrgation System 45. Sound N�tcnuation 46. Handicap Regulations 47. FIRAL STRUCTURE & BUILDING �!$. FI�ALPLANNIRG 4� Elect: c Rele�se to Etlison 50. Gas Re�ease to Southern California Gas 51. CERTIFICATE OF OCCUPANCY Date Date � . POOI & SPA ---- � T_ Jnspector pppROVALS Permit ,� -J- 52. Poo1 & Equipmenc Locat�on � 53. Steel Reinforcement � 54. Forms 55. Electrical Bond�ng ' 56. iiough Plumbing & pressure Test ' 57. APPROY�L 70 COVER GUNiTE 56. Electrical ConduibUndrgrnd. , 59. Gas Pipe, Q Undrgr�d., Test i ' 60. Backwash Lines, P-Trap, ^ Und-grnd. ; i ' 61. APPROVAI TO DECK , 62. Baekr:vsh & 7ecantor�F�na1 � 63. Heater & Vent-Finai ' 64. Plumbing System • F�nai � G5. Electrical-Finai G6. Solar SYstem�I=ina1 67. Fencing & Access ApPro�:il 68. APPROVED FaR PLASTERING 69. POOVSPASYSTES.iSFINAL FIRE DEPT. qEQU1REMENI" ' APPROVALS -Permit # -t Date � Inspector 70. Underprp�nd Hydro � I 71. Product Piping G Gas C: Od 72. Under�round Flush . 73. Undergrnci. Storane Tank � Gas � 01� i 74. O�-enc�ad Hyoro i 75. Dry Chem'w� �- --1 76. Dry 5tardpine • 77. FIXED SVSTEPI FI��RL ' 78. FIRE PREV. FI�AL � �i -- --- -� HEALTH DEPT. REQUIRE�rviEiVT I 79. FINAL I�'SPECTtON � B0. FOOPCERTiFICA1EISSUED �� + 1_-� _i Notes:(�-z..G�¢ `,Sr yitSl7 IG�l�D EQ22./LCZrCAcCS cr _�-G `Y__ ��L- �0��' °F B1°1°p10` jiR�W 18 TH S T ON1E1�'""'�`� CITY OF COSTA MESA � �Ss �7 FAIR DR 1VPL. Y11tpIG /�pOFESS ""`""E`T°"e,rn�n` RON YEO u�on�n�s�ss: 500 JASMINE AV ��T�g� CORONA DEL MAR CpRF,1CT01f4Y1LLPl0 �non[ss: uxr: IIGW_ C�67 CA 92625 uc w: uNr: L10EN9ED CONiN�CTOpB DEC Wi�TON: I MnAy ellFm uMs psne�y d pe'jwy tM I un Grorosd iadw pwidm� d GAepa Y (mnmenvq wt� Saabn ]000) d �iwion a d Na &Nmn eM PNosbn Cods. uk mY tleaus u m hA Ww eed atlw. emuc.e+o.: ue.cuss: uc.No.: EXP: ' Ome: Gomredor: owXffn awLo¢n oeeuq�noM: � naw� d14m undar oe�e�r a oerFar uw � em n«np ham ur cam.am Lkwe lew e« me Vowiq nsaon ISedion 1OJ15 Bueiw� end Prdm'vn COAe: MJ �Y a wvqY wl�irh npWs� � D�i to mswn. etla, inVw+. md'e�, v rapei mry eMive. pv b ib saence, deo nquww IM epptinN la acA pmmu to fils e�ipwd uetMnx�t tlw M a�M . IicanaeE WrcueM to the V�w+e'vu M tlq Gonlredon licenee lew �CheWs 9(o0mmenerq wah SeUion )OW) M DiveRn J d IM Bu+'iMv W Prdmsiom Codel a IIW M a Me is eumq Iherahum enE IM bva Iv tM elbped ssemqion. My vidmion W Sapion ]091.5 b/ eny epp4rant la e pmmY m�bptl� IM epplcan� �o e rnil penMy d rM mM Ihen fxe huMreE EdIM �55WU. I � I,mownrdihepoprtyamyempb/eae�llThwey aniMiwbcomp�ueupn,wiTAotlrwoA,eMiM�WminenoliMmMed a dlered la eelslSrJian ]at. Bioi�w�entl Pmlessmv Cods: The Caumam liw�w LewAma na xwhto en owiwrd puOaM wro wim � mo�we. m�. ma wo m...w,.a� �.w «n..a «m.�n ne o. n. o.�.�robn... n«+�e mm.Kn impors�wm rs no� i�ustleEa afbrN fa ub. C. howwv. �M do'M'vp a inpownM e wN witlw� on� yw d mmqelun. (M vwrrrLuilder N Me IM dvden d Pa'm0 M1a a ehe Ek nd WJd a"unP� la IM NV� d edsl. '❑ �..s mme. w �n. aw.m..m.�d�+wr oomreeYw .iN� 4�w�eed conveda. m muuw m. c�pw (seaun roU. anin.. w Prdmaian+ COEe: TAs CaMretlm licanw Lew tloes na epply to mmar d pqrny wM GdN� p a ihxeon W who wnUecu la acA pmjMe xnh e aoxroGor�e) IicenseE punueM I Comienm� le�( ,�q �i .m �p �a.�: e. s v:o.. ro, .�i % s//i ✓ I / / /%(�4//�/� I Iwepy pMY Nd I am ewen d eM uMr�uM tla reWi�mmaw d Calfmue Cotls Saaiwn 15505. 255}�. ud . aM Nel I a ury IUwa dik'vq oaupenl vnll / wil M(wcb ans) �� e mdu enJ IM rpuiremsnb la eWRnnlaowuuud'n�amodllimtionham�hs�i u3�iyTvupem�mDlvrca. vaionaVGM'e�iamuaeumNtmmNns p�4an. Dale: ApplcaM: WONKEP'S COYPEN9�TON DKWIATION: 1 Mreby eflrm uM�r pmuEy d prjvy ar d tM b0or+'up d�tluetiom: ❑ I Mro eM xil mvuen a mnfw� d owueM Io �eMimuia br Mvksi wnperomion. m pwided b by S�Cim �]00 d tM leGa com. �« ��. o«�anwic. d m. wn� �> wrcn �h. v�u u 4.u.d. ❑ � n... ena.;� msim.h.�oM1.+• oomw�..aon im�n.�c.. m nwued W s.aim noo a me �.ea coe.. oo. m. w�«merce a m. work Iv whiM Mb pmmn is iwueE. My waMen mmpenaelion imurencs nniv W pdiry wmber ua: c.m. POGcy Numbr. m� ..aA, �.sd,�a w�ee � m. o.+�e 4 b. on. m.�.e emd. rs,rol> d..� ❑ 1 cMh �+ "vn tlr prlmiwce d Ne work br Midi thu pamn e 6w»tl. I qW m� anplv� my ps�on n ury memer c n to pxmr wbjp to IM xoitmn' mnqenWion �e+�+ d CWmis. end ap�as pW L I Yndd bacpro wA{ee to IM wM1r�' �o�� wo.i+on. a snon ��ao d me �wmr coee. � wn tonn.um m�pN wn, mu.e w�.. De�a: AVdKeM: WMMp: FWun trI reun roilrw�i romp�rwtlon roverp� I� unbWN, uWWlIWtl/M �n r�olqr ro MMnI pm�ItluW dvn n,r. w m on. nu�dna rnou...d awrr. (t�nlaaoA M.rtudon ro w cm� or m�rqnwwn �.�ro.. o aAva.e ror �n 9�cpm ]]G6 0l M Ltlor COM. INrut uM �tro/MY i Ir. CON9TPUCf10N LENOINU �QENCY: I Iraby elfiim indx psulry M ps�ny IMt �Mn h� mmhuqion Mntl4p qy�cy for tlw peAmnerca d �M MaM lur xnidi the pami u'swW (�� ). CH. Cl. LENDEH'9 NAME LQlDEq'9 �DOPESS: I criEy OW I hera �mC Ne u00M1�A^ ud Mtla IMI UN abow iNomWbn b ConW.l ePM lo oanVb wAh a0 UY md oavuY ad'vunw� eM tW s lew �Wlip b Mutlip mmtrutlian md Iwaby aWv¢a nq�nNetiht d�M aay b Ma upon IM eEwfmwJiansd p�Opa�ty la'ubpe ionprpaw�. DAVID EMA o�:� s �oo��o��reaa Selaly; �rsa�b: Canery-AOOfmv: Rnk�Mwr�w: GiaNewo-Na�wr �7- �lZ • �O�D � CI'CY U£ COSTA MESA - 5U7LDING PERMIT 0 5 PERMIT NO: B 086045 PLAN CiiECK iVO; 02571-97 L GOVT; Y SUPP; N CONSTRUCTION TYPE: PERMIT TYPE: STR �� a � PURPOSE; CON JOB DESCRIPTION : CONST. SOOSF MALE 6 FEMALE RESTROOMS SQ FT: 100,000 CLAIM VALUE; 100,000,00 CALC-VALUE; 100,000,00 GROUP OCC: H / COMMENTS: & UPGRADE PARKING LOT TO MEET ACCESSIHILITY RE�UIREMENTS it�tet�*�r*��rx�it+r+titrt*x-x�at+r+r+retft*+�itatit�ritiritit+e�*�e***it�tit�xet�r*�t�t�ttir+rat�t �tatitet+t+r*atitit�rit+�*et*et*�ritxx� Z O N I N G R E Q U I R E M E N T S sa•raacxs ------------ 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 PARKIIJG REQ: PROV: PARCEL: 42425101 ZNE: I6R REF NO: PA-97-49 PLANNING NOTES> CONSTRUCT S00 SF BATHROOM W/HANDICAP ACCESS AT DAVZS P.ARK > P i iE iE iElf i! iE iE iklf iE iE i! �t �f iE 1E ik IE iF 1k if ik iE 1E i! jF 1F ik R iE if !E iF �E'lE it if !E!k iF iE 1E iE ik if'1F 1f if !f 9E M i! f! iElF ft iE iFlE'Ik ii It fF 9E iE k'lE �! iE 1! * iE ik ik 1E iE iE iE �4 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-5 ZONING APPROVED HY ��` DATE: ` (� HUILDING APPROVED HY ; � � DATE: �` �, APPLICATION ISSUED BY; �� DATE: ***�r***+r�**�r+r�t�r��***�r�r *+r�e+e�r+�**+�+��'�x� LEGALIZATION:N F E E S U M M A R Y STRUCTUR'P.L SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 887.25 SMIP/NON-RES PLAN 576.71 21.00 ISSUE EEE � BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 0.00 0,00 0.00 U.00 .00 .00 REVENUE DZVISION TOTALS--> COLLECTED; ,00 OVER/SHORT; 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK if iE'If if'lFlk 1k ik iE if if'1E 1k ik ik 1f iE iE �7k ik �h 1f 1F ik iE 1E iE if iE 1F fE'1E iE 1k iE 1E 1! jt 1E iE jf if 1E iE if 1E if if 1f !f 9f ik fk 1(� 1k ft if 1k if ik ik ff #!F 1E 1ElE fk ik iE 1f iElE if'1E ik if'lE 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 A T I O N UNIT COST TOTAL COST SFC 100000 ALTER BY VALUE COMMERCIAL NOZONE 1.00 100,000.00 END OF FEES 12-04-199)/p3:2A PM/f�.B� kCPiq;6i-G816438 REkMIT:0860� ti _� � ,L�ONSTRUCTION AND PLANNING ' POO� & SPA ' APPROVALS. Permit # Date Inspector qPPROVALS Permit # Date I�nspecior l - . Temporary ElectriCal Service or Pole 52. Pool & Equipment Location . 2. Soil Pipe•Undrgrnd. ��53. Steel Reinforcement •= 3. Electrical Conduit Utility•Undrgrnd. . 54. Forms � ' 4. Electrical Conduit-Undrgmd. 55. Electrical Bonding ��/ ; 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. 57. APPROVAL 70 COVER�GUNITE �",.�, 7. Footings �7 �(� 58. Electrical Conduit-Undrgrnd. 8. Foundation ' 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. - .�� 60. Backwash Lines, P•Trap, � Undrgrnd. � 10. Structural Floor System ':. 67. APPROVAL TO DECK : 11. Property Sewer Liae & House Connection S! 62.-8ackwash & ReceptorFinal 12. Sewer Cap - G 63. Heater & Ven[�Final 13. Rooi Drains � . ' 64. Piumbing System � Final ' 14. Rough Plumbing � 65. ElecVfcal•Final . 15. Rough Electricai-Conduii '� 66. Solar System-Final ' , 16. Rough Electric Wiring � 67. Fencing & Access ApProval � 17. Rough Wiring Sign � l 68. APPROVED FOR PLASTERIIVG , 78. Rough Eiectricat-T Bar Ceiling ' 69. POOUSPA SYSTEMS FINA� � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Firepiace APPROVALS Permit # 21. Ducts, in Structure J0. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas OOiI 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Underyrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceiling (Structural) & Monocoat 75. Ory Chemical � � 27. Frame and Fiashing 76. Ory S[andpipe 28. I..athing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Orywa�l Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power MBter�Finai 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test t. 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. BackilOw Irrigation 44. la�dtcape IrriAatio� System 45. Sound Attenuation 46. Handicap Requlations 47. FINAL STRUCTURE & BUILDING p�q �� 48. FINALPLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CEFiTIFICATEOFOCCUPANCY No. Date PflOJECT AOOXESS: S 6 8 w 1 8 Tx S T UNIT: OWNEN'SNAME: CITY OF COSTA MESA nooRess: � � FA I R DR COSTA MESA, CA 92626 AflLNIENGINEER: � , `�� p�N4�\��T�'1w� 1 � �ODflESS: � - \ �� CA 92687 PEflMITTEE: CARNIVAL TIMES SHOWS, ZNC. f 714 ) 824-2900 AUONESS: [� , O. BOX 1 2 Q�7 COLTON CA 92324 LICENSEO CONTHPLTON OELIAfiATION: I �ere�y allirm �hat I am Iicen5e0 unE¢r pmvi5ion5 0l ChaD�e� B I�ommencinp wit� Section 7000) al Dirsion 3 0l 1he Business anE Pmkssions CoOe. ana my license is in tun farte anC eilect. CITY IIC.: STRTE LIL.: CU1SS: Date: Sipna�ure: WOfiNEPS' COMPENSA710N OECLANpTION: 1 here0yallirm tMt I �ave a ceniliwteal consent m selbinsure or a cenilicaie ot Workers' Comoensalion Insurance, or a cendiea coDY �nereol I��ion 3800. �a0. CI. POLICY NO.: E%P. O�TE: COMPANY: ❑ Cemliee copy is �ereby Iumishe0. ❑ CertilieJ copy a 10e0 wit� Ne dry BuilOing DNivon. �ate: MWicam: E%EMPTION FNOM WOflKENS' COMPENSIITION OECIANRTION: (ilct se[4on nee0 mi he compkleG if Ne pemot b lor One MMrM (5100� or kss�. I certily Iha� in ��e p armdnte al the vArk lor wNc� IhiS perrtui i5 iS5ue0, I Stull noi emD�%' any person in any mdnn¢f Su as �o becOme 5u0 ect to IAe LWSrk rs' CAm nsalion Laws o� Calilomia. /� //�' / �� / � �i SipnaNre: / /— � \ / L. /�-rr/J NO71LE: II, ler maMi g �his tleUaration, you stwultl Oewme suGjeci Io ��e Wo ers' Com nsa an ovisions o� �he LaGor CO�e. you mus� �oritrrnl� tOmply wit� 5ut� OrOvi5ron5 ar Ilis Oermii Shail b e¢meE revak CONSTflUCTION LENDING aGENCY: I �ereGy aHirm IIWI ��ere is a to�6iruttion IenOinq apenry �or t�e petlormance ol ihe vrork for wnicn i�is oermit is issueA (�tian 3097. Gv. CI. LENOEX: ADONESS: OWNEP BUILOEB DECUMTION: I nert0y allirm thai I am erem0� �mm Itce Contractwi Swte Lkense Law lor t�e lollowin9 �eason (SetliOn 7031.5 Bu5ine55 an0 Prot¢SSiOnal COae: My Ciiy OI mun�y whit� rEpuirPS a permii l0 COn5imtl. al(ef, improve, Eem01¢�, Or repair any simciwe, D�ioi to rts iuuance, also t¢Vuires Il�e applitant lor suU vermil tolile a si0n¢E statement Illat ne/she is IicenseU pursuani Io ��e pmvisions ol t�e Contranori State Lkense Law (CnaO�er 9(commrnanq xit� Section 7000) ol UNision 3 oi i�e Busineu ana Protes9ons CoGe) or Itut nUshe a eyemo� ��erefrom ana ihe eati5 lor tne aueqe0 e�emption. My violation ol 5¢tlion 7Q71.5 by d0y d00�iCdl1� �Of d Olf�llil SUGIQ��S i112 d001iW0I IO d CINI p[fldlfy 01 IIOI IIIOfG IINO INC IIII�ARQ QOIIdfS (55��. I, as awner of Ihe vroveny ar rtry employe¢5 xiV1 wape5 is InHr SOIe tampen5ation, will eo tAe vrork, antl ihe ❑ stmcwre is noi intenCeU or oflereE lor ule (Seclion 70aa, Busineu anC Pmlessional Code: 7Ae Coniractars' State License Law aoes nat appry ta an Owner ol a propeny wlq ouilUs or imprOVCs Itlere0n, an0 who 00¢5 suU wofk himsell/nerself or Inrougll �is or �e� wm empbyea. D«� �� mprwemenis are no� intenAed o� allereE tor ule. II, Iwwever the Duiltlinp or imOrovement is so10 wii�in one yeai ol complelion, 1�e owner will luve Ine �ur0en ol provinp �¢/s0e Gitl nol 6uilU ar improve lor �ne purpose ol ule1. I, as owner oi ��e pmpeny, am exclusivety conlracling wii� IicenseU contraCmrs m conslmci �he Diole�� I,Setlion 70aa. Business I Q' . an0 Pmieuions CoOe: Tlre Comrac�ws' State Liceiue Law Uces mi appy io an oxner al D�operty vrtw MnIOs onmD�s tAerron antl who [onlrat151or 5u[� pr%ttls wil� a mnVaC10r�5) litenu O��an1 Ia lhe CAnlratior5' State Licenu Lawl. I am awara ��al prool o� I�eir Work¢t'S fAm0en5diion in5uranCe S�ONE De proviU¢E to me. � I am eaemp� un0er Seciion: B. 8 P. C. lor Ihis reason: � L ^ _ Ow11ef: /� mpuiartrents ol Calilomia Healih an0 Salery CaEe Sec 25 , 25533, an0 rot (urUe one) nee0 io comvN w+�� id sUte co0es ana tne repuiremenis lor a �y Managemenl DiSUit�. fle5i0enlul tonslruclion appliCalions are exempt �mm I do �ere�y ceNiy Ih51 I am aware al anE wGerSiand I�e 255b an4ltul I or any Wure OuilAing OCCupdnl vrilVVNI pe�mil Im eonslmetion oe ma4ilieaiion Imm lhe Ai� Ouab ihe5e Drovision5. Oate: MG�cant: I h¢re0y cetliiy Ihal I tuve RaG I�is appliCatiOn and Siale IIWI I�e aOWe in�Ormdli0n 6 tOrr¢CI. I apree Io tOmpty wi�� all ti�y anC toVnly ortlinances an0 s1a�e laws relaiing l0 6utl0ing miWructiw aM hereby aulMriie reW�nlaiive5 0l Itrs diy to enter upon Ihe aUove�menlione0 pmDerty lor ins0ec�ion urpose. /� /f Date: !�� SignaWre: / "—'� N � �river's License or Salal S curity u: Applicanl: Pink—Revenue; GolEenroE—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERM NO: IP 067246 PERMIT NO: IP 067246 PLAN CFIECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: V—N SP PERMIT TYPE: OTH PLU PURPOSE: OTH JOH DESCRIPTION : SAFETY INSPECTION PERMIT FOR "FISH FRY" SQ FT: CLAIM VALUE; CALC—VALUE; GROUP OCC: B-1 /B-2 COMMENTS: SAFETY INSPECTIONS FOR THE "LION'S CLUB FISH FRY"/ RE: ZB67243 **�r*****��***+�+�**�r****�r+r+�***+�**+��r**+�+�*+c�********+r�**��c***+r*�*******x�*�r****r�c*�c** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42228221 ZNE: REF NO: PLANNING NOTES> > *�r****��ri�*�r�r*+�***�t*****x�******i��-*****�r*�r****�**�**;�+�+�+��e****�r***�r*�r*****+r***±�**� D E V E L O P M E N T S E R V I C E S, R E Q[J I R E M E N T S ZONING APPROVED HY • DATE: BUILDING APPROVED BY ; DATE: APPLZCATION ISSUED BY; � DATE: F 2p �' ififltiEifitifiFitifiFiEifififlFlf%ikilifiF -x . , iFiEiEiciE�fiE�lfitiE 1EiE 1EiEifiEifiFiEiEiliElfififififlfiFififlElEiEiklFifiElElfiEifiFR iiiElEjEiE 1tiPiE � �iliEififiEififK�Eff*3EiFftifiEiEffiflEafikikifiFifMifiFiE?fiE LEGALIZATION:N F E E S,U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 30.00 252 . SMIP/NON—RES PLAN ISSUE FEE BUILDING—DII�—> PERMIT ZSSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 30.00 0.00 0,00 30.00 30.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK 30.00 1E ih iE 1f ff fF 1E iF it 4 aE if 1F if ik 4 iF k ik if if iF 1E if M 1F fF if 1f if if k 1f Y if it i! if ff af 1F K k �E iE if iF if fflElE if iE iE jf iE iE iE fE it 1E 1E 1E if if iE %iF aF %iE if i! 1E 1f M IF af 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[� UNIT COST TOTAL COST PLU 1 PLUMHING RE—INSPECTION FEE 30.00 30,00 END OF FEES � 01 OD16�853-0016�353 TdT 30.00 DATE� OS/20J94 TINE: 11:23 CONSTRij�7lE�tti1 AND PLANNING ppPROVALS�- Permit� Date Inspector 1. 7emporery•Eletlntal 5=raice or Palc y. $oil Pipe`Uodrgrrd. . Y 3. El:ctnc�l.Go^ilint Ut ��!y�U^C�Grnd. 1 ---cr 4. El.ctr�5(�Gondu�.t�U�drmnd. I 5. Stcei R�Info�cumenc � -�. - ,.,--., _l b_�E:2Cif1461�Gy�'�R Gmd ------- I ' � - ---� 1. Footir.gs � __ _ � � _ 8. Fou^danon �� 6. V,3tei Pipe:!)r..;ryrnd. - 10. S!'uctural Floor SYster� 11. Property Sec+er Linr R Ho..so Conr.�ction � 12. Se,ver Cap - - --- - -� 13. Roof L1�ains , 14. Rough Wumh�ng 75. Rough ElCctrical-Condu : 76. Rough E6ctrit4Vving 77. Rough 4Viiing Sign 18. Rough Etectrical�T Bar Ceil�r.g 19. Ruugh Heat�ng & A:r Cord..�o�.�ag 26. Ra:.�h Far.a��; F�reptace � 2L puCti,in Strutiu�C 22_Ducts, Vent�4atirg 23. Gas Pipe Rouqh & Te,: 24. RooF F�amin9 25. RoOf Shcath�ng 26. T�Bir Ceiling (Snuctu�al' & ',:anac�at 27.F;ameardF:ash�a _ 28. L�,.'�.�ng & S:d�ry 23. Msulatio� 30. D�4�ea11 Na�l�ng 31. Plaster Brorrn Coa? � �2. Electr�ca� Po�.,_ar 6:z:c�� :� - -- � 33. Fin;,i Elec[r�C 34. Final Heanng & An Co��tic�� 35. Fmtl Gas PIce�T�st 36. Hood or Car.opy -- 3J. P�nai Factory fvepiace 38. Finai Plumbing 3�. 4Vater Service-F;nzl 4�. Gas Serv�ce�F�na! 41. So�ar pomect�cFral 42, B�ckflow Preventer 43. Backflow tn.gat:on 44. Li+ndscap. lu,qat�on Svstem �i5. Sound Attenuatior. 46. Handicap Regulat�ons � 47. FINAL STRIJCTURE a BUILDIf.G 4$. F;iVAL PLAL,II�.'C 49. Electric Release to �disnn 50. Gas Release to Southem CaUforn�a Gas 61. CERTIFICATE OF OCCUPANCY Date POOL � ..PA ' T__�-�- �T� i � A?PAOVALS P�rmit'? I Date I Inspectnr � i i 52. Pool & Equ:pment Locat�on 53. Steel ReinfoYcemen[ � 54. Forms � � � � ,� _ - � 55 E�Icct�ital Bond��y7 � � ' � �5E. Ruugh Plumbing t� P•ccsure Test � t--- 57 APPtlOVAL TO CnVEH�GU'� il t i -� �---------------'------�---t --� 3G. c� c�rical Coctiu�i .ind� yrnp. , I 1___ __ ____.-_._ � -t-- -• 59. G�31'�pE. C Ur•'rr' tl. �,: � I � B�c4�.v35h Lni. : P Tra± C: L'�,.i•n_ _7�- _� � -: 61. APPROVAI_TOUECK G2. B�e��..ash & R�•ceptc� Fina� 63. I l�atar & Vrnl•Findi S4. Plum�fng Syst^m � F��al 65. Eiectrical�Flna� 66. So!ar SYstam-Fin;.! 67. Fencin� & Acc�ss Anpn;��l 68. APPROVED FOH PIASTERING 69. POOL!SPASYSTEMSFINAL � FIRE DEPT. REQUIREPJrE,�T I � � APPROVfa45 Peretit'- �� ! 70. Unda�grour.0 Hy� o � � � 71. Pruduct Pipiny_l_Gas � Od J_ �� -� i2. UnGc•n•ou��l Flus�� f t_ _ _ _ ._ _ _-_ .- t_r i _ --_ __' ' 73. U�darg�ml. Stnnq�� T;.^:� '7 Ga, .- ... � ' `- ----------- - ---�--�- --- 74. Ou��rheud Hvaro � I I __ _______.t__ __ '_-' 75. D�y Chemical I -- -- ---- -� - -' y--- .. . I I 76. Dry Standp.,�.c - ------ -- -- - -- '�'- -- - � 77. F'kED SYSTE'�.', ; :':AL � � 78_ FIR[ PREV_f-I;�,?.L----- --�- - _ . , FiEALTH DEPT. REal11REMENT --- -- 79 Fli\AL�NSPEC�iU\ ---��- -- � -- �� - -- - - -3-t--- ----�------ -- -�-- - _.�__ _ . _� ' � 30. FCUDCERIIFIc;;�"-f ISSUE❑ � � � i -- -T^t- - -- -- --- - - - --- --- ``-' -' - - j, . �vo��s: . _ �- �9 -Z=�14-1sr Y�si_i-��_� �r,ytrz�z�a�rs _, ___ lc3ETb� G.t!y!C'!F�_T_/_mYT �_ �ii�KF_._��( 1�2/� - ��' >=�1 `�_- - -- ----- -- �- - .,� PPOJECTADDNESS: SC]B W 18TH ST OWNEfl'SNRME: CITY OF COSTA MESA noonEss: �� FAIR DR COSTA MESA, CA 92626 AHCH/ENGINEEH: ( 714 � 754-5z86 FDUPESS: flEG.NO.: uxiT: UNIT: PEPMITTEF: CARNIVAL TIMES SHOWS,INC. (719)829-2900 AOOflESS: �]�O, BOX LZ�6 COLTON CA 92329 LICENSEU LONTBRCTOH OECIANRTION: 1 �ere�y allirm Itut I am Iicense0 unGer D�ovisions ol ChaD�er 9(commencing with Section 7000� ol Oivision 3 of t�e Business an0 Protessions CaOe, an0 my licenu is in tull lorce ane effen. LITY UL: STRTE LIt.: CIASS: �ate: Signa�ure: WONREBS' LOMPENSpT10N OECLAI1AilON: 1 herety allirm inat I nave a ceniticate of cansent to sell-inmre or a cenifiwre ai Workers' Compensa�ion Insurance, or a ceni�ie0 copY I�ereol (S¢clion 9800. Lao. C�. POLICY NO.: E%P. ORTE: COMPPNY: �� Certili¢d topY 6 her¢Gy IurniSheE. ❑ Cenilietl copy is filetl with ihe city BuilOinA Division. Oate: po0licam: EXEMPTIONFBOMWOflNEBS'COMPENSl�TIONOECUflPTION: (iAsseclronneeGnalUecompleleGilthepermilisforoneMmdreE�El00�orless�. I ceriify I�at in ��e oedormance oi ihe work lor w�ich Ihis permit is i� I shall emplay any Derson in any manner so as lo become subl�� o I�e Wa �ers' Co pen5aiion Laws ol Calilornia. oat � `s � y siqnature: NOTICE: I. after king ihis Oeclaration, you shoulG �ecome su61�� o the Warkers pe�ation Dmvisions ai the labor Co�e. you must totlhwiih comply wil� 5uch Drovisions or I�is permit shall 6e deeme� revoked. CONSTflUCT10N LENOING AGENCY: I �er¢Gy a�lirm I�a� lh¢re i5 a wnilmt�ion IendinA agenCy �Or fhe pedormante oi lhe work �or w�ic0 Nis permit is issue0 (Seclion 3097. Civ. q. LENDEfl: AODPE$$: OWNEB BIIILOEfl DECLAPFTION: I hereby atiirm Ihal I am eKempt imm Ihe ConVacbrs' Siate License Law for Ihe following reason �Section 7031.5 Business an0 Pwl¢ssional CoOe: Any ciry nl county whic� reQuir¢5 a De�mil b constmct, alier, impmv¢, demolish, or repair any s�mclure. prior �o ils issuance, also requires �he applicanl lor such permit ro �ile a signetl sla�emenl Iha� �e/she is licensetl pursuan� lo Ihe pmvisions o� I�e Comracmrs' Sia�e License Law �Chapler 9(cammencinA with $ec�ion 7000) oi Oivision 3 0� �he Business antl Pmfessions Cotle) or ��at �e/she is eKempi I�erefrom an0 Ihe basis far ihe alleBeO exempiion. Fny violation ol Sec�ion 7N7.5 by anY appGcant br a permil subjec�s Ihe applicani Io a civil penalry ol nol more Ihan �ive hundretl dollars ($500). I, as awner oi Ihe propehy ar my employees with waAes as t�¢ir sole compensation, will Oo ihe wotk, and I�e ❑ sVucture is not in�en0ed or o��ered lor sale (Section 7044, Business antl Pm�essional Cotle', i�e ConVacmrs' Sta�e License Law tloes nol aOVty Io an owner ol a pmperiy who builtls or impmves ��ereon, and who Ooes suc� work himsel�/her5el� o� �Amugh �is or Aer own emDloyees, pmviaetl ihat such improvemenis are nol inlended or oflered lor sale. If, however the builOinA or impmvemen� is soltl wilhin one year ol camDle�ion, Ihe owner will have Ihe burden o� pmving he/she tli0 nol builtl or impmve lar �he Ourpase ol Sale�. � I, as owner ol Ihe pmpetly. am exclusivelp comracling with Iicense0 coniractors m conslmc� �he prolec� (Section 704d, Business antl Pmieuions Caae: T�e Contracbrs' Slate License Law Goes nat aOVly to an ovmer oi propert9 who Ouilas or impmves ihereon and who conlracis lor such prolecis wii� a conlracior�s) license pursuanl lo t�e Coniraciors' State License Law). I am aware Ihal proo� of �heir Worker's Compensa�ion insurance shoultl be pmvide0 �o me. � I am exempt unaer Seciion: B. 8 P. C. lor this reason: pa � � ! � Owner: I do �erety cenily Iha I am aware a� and un0eistanG IOe requirements o� Calitomia HeaIU anC Sa�ery Code Se ' s 505, 25533, an0 25534 antl I�a� I or any IWure Guileing occupanl will/will not (circle one) need ta compty wilA said slate cotles ana the requiremenis �or a permi� for conslmclion or motlificaiion �mm t�e Air Ouatily Managemenl Disiric�. flevEential conslmc�ion aDDlications are exempi Imm I�ese pmvisian5. Da�e: Applitanl: 1 �ereby [eility I�al I have rea01hi5 aD0litaii0n antl Sla�e I�ai I�e a0ove inlOrmalion i5 tarted. I apree to tompry wilA all ti�y an0 toun�y orainances antl slate law5 relating �o builGmg con5iruclion anE �¢reGy aNhorit¢ reprMenla�ive5 0� IAis tiry io enter upOn t�e a�ove�men6M¢a pmperiy b� in50ec n pur oses. � �/�� G V/ Date� � � � Signamre: � Oriver's Licens or $ocial Securily p: 16aL46 Whiie—Builtling; Green—Coee Enlo¢emenC Canary—Applitanl: Pink—Revenue: GolUenrotl—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: IB 06724_ PERMIT NO: IB 067249 PLAN CHECK NO: N GO��T: N SOPP; Y CONSTRUCTION TYPE: V-N SP � PERMIT TYPE: OTH STR PURPOSE: OTH JOB DESCRIPTZON : SAFETY INSPECTION PERMIT FOR "FISH FRY" SQ FT; CLAIM VALUE: CALC-VALUE: GROUP OCC: B-1 /B-2 COMMENTS: SAFETY INSPECTIONS FOR THE ANNOAL "LION'S CLUB FISH FRY" ��+c*it*x�x��+r*itit�ir*it�it.irit*+Eit�itit�+t��+tx��r***�+t****��**+r�***�itictrft***�r�ritu��r�r*ir*iF+�xit+t�r*� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUZLDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGFiT: FT IN PARKING REQ; PROV; PARCEL; 42228221 ZNE: REF NO: PLANNING NOTES> > - i�******�t��t*i�***�t****�f***�r*�r***�r**+��+tr-***�t****�t*r-*****�-�t*�t*+�*+t*x-ic�***+e�'.********�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 HY . DATE: BUILDING APPROVED BY : DATE: � APPLICATION ISSUED BY; DATE: s l ifiFiFitiFjF�EiE9Eic�IcifiFiEiFitifiFiFiFiF�1F iF if-9f�E�EaE9FifiFifif iFif iE iF iE iE iE iE 1E K iE aE ic iE iF iE 1E iF if iF iE if # iF rt iF rt if iF if f: if iF if iF �Y iE If iE iE iE iF af-ik if if '�✓ iE if IE iE 1E * iE iE iE iE *�E fE 3E iE if iF iE iE if iE iE 9F jE if iE iE if if iF iP iF iF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC' MECHANIC FIRE SMIP/RES GRADING PERMIT 30.00 SMIP/NON-RES PLAN ISSUE FEE • BUILDING-DIV-> PERMIT ISSUE �LAN-CHECK TOTAL PAID DUE TOTALS----> 30,00 0,00 ' 0.00 30.00 30.00 ,00 � ' f.; REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OC'ER/SFIORT: ,00 BLDG PMT PLUMBING ELECTRIC MECIiANIC FIRE SMZP/TOT GRADING PLAN-CFIECK 30.00 - , 9E iE iE iF 1f iE 1f iF iE 1E iE iE iF if iE K if 1f iE iF iE ff 1E iE iE fE i! iE �E 1E if ih iE iE iE'iF iE if ik It jf iE if 3F �)F jE jf 1E �E if 1f if if iE #E iF #c if * iE 1E iE if if iF if 9E iE if if if if if if iE ih ik if iE I N D I V I D O A'L F E E H R E A K D O W N l• TYPE QTY D E S C R I P T I O N• UNIT COST TOTAL COST INS 1 BUILDING RE-INSPECTION-FEE 30,00 30.00 END�OF FEES � •� � �.�.�' / I i 01 DOSbD8`5-�016085� T C�T 30.00 DA7E: OS/20/94 7IME: i1:28 ( CONSTRUCTION ANDPLANNING � APPROVALS Permit # 1. Temporary Electrical Service or Pole 2. So�l Pipe�Undrgrnd. �- 3. Elect�ic�l Cnnduit Utihty-Undrgrnd. 4. Electrlcal Conduit-Undrgrnd. 5. Ste:i Reir�fo�cem?nt 6. Electr.cai UPER Grnd. 7. Fooungs 8. FountlaLon 9. S'.'ater Pipe-Undrgrnd. � 10. Structura� Floor System � , 7?. Rrope•ty Sew�r Line & HouseConnection 1�� i3. Ho�f pra�ns 14. Rouqn Plumbing 15. Rouqh Electricai-COnduit '� i6. 7a�9h ElectricbJiring f i,-. Rougl.'��'�r,ngS�gn r---- r�. Rocyn E'.cL'raLT Bd! C2��.rg ?9. Ro�ch 1�._�":3 & A�r Carditienir:g - . Pc.. n F;.cto��,� F�:eP'a�E 2� D�:tr. �^ Svi.cture �2. D�cts, Veet�l�ting i � 23. Gas �':pe•Ro�,:yh & 7est �4. ftoof Fromir.g � 25 Rur� Sheathing � 2£ � B.� Cx�:�nc ;Str�eturall �, i�'p�oeoat 27. i%amc erG Flashing C�8 l�th ng & Sding 29. Insu':.t:On 30. Dryv,311 (<aihng 31. P�sster Bro�vn Coat i�- -32 Eiectr�cai Po«er 6':eter-Final � 33. Fir;' EI_CVic 34. F��a' HeaTng (4 Air COnditbning 35. Fina' Gas Pipe�Test _ _ 36. Hood or Canopy 37. Fi�al factorY Firep�ace 38. Final plumbing 39. \Vater SefviCe�Final . 40. Gas Sorv�ce-Finai I41. Solar pomesticFinal 42. Backflow Preventer A3. Backflowi Irrigation h4. landscap2 Irriqation System � . 45. Sound Attenuation 46. Handicap Regulations ' 41. FI�AL 57RUCTURE & BUILDING 48 FINALPLANNING 49. Electric Release to Edison 50. Gaa Release to Southern Califomia Gas 51. GERTIFICATE OF OCCUPANCY No. _. ... _ Date Date -'{.�Inspector POOL & SPA APPROVALS Permit # 52. Pool & Equipment �ocat�on 53. Steel Re�nfarcerseni = -,-: 54. Forms _ 55. Electricd� 8ond�ng . 56. Rouyh Plumbing & Pressure Test 57. APPROVAITOCOVER-GUNITE 58. Electrical Conduii�Undrgrnd. 59. Gas Pipe, �� Undrgrnd.. Test 60. Backwash lines, P-Trap, G� Undrgmd. 61. APPROVAL TQ DECK 62. Baek�roash & RecaptorF�nal 63. Heatcr & Vent•Finai 64. Plumbing Svstem - F:nal � G5. Elactrical-Final 66. Solar System-Finai 67. Fencinq & Accese Approval 68. APPROVED FOR PLASTERIRG 69. POOL/SPASYSTE:.iSFINAL ___ FIRE DEPT. REQUIRENEiVT r�P�ROVALS Pcrmit� 70. U��de�grpund Hy�ro ! 71. Product P�pin9 G Gas �:Oil 72. Underground Flush 73. Undergmd.5torageTank �Gns :Oi' 74. O�cnc�ad Nydro 75. �ry Chcrr'irol 7G. DryStar.�:,oz ---- 77. FIXEDSVSTE�1'Fi`:AL 78. FIRE PREV. FI�AL Date' �Inspector � 1-IEALTH DEPT. REQUIHE?%�E�'T ' 79. FINAL If�SPECTIO'V_' _ � � B0. FOOU CERTIFICATE ISSUED `L � l�ote,: �/e�9�/ __`��`7/� , csi�lJi� � � , yeT eo,x/iEsf'- __�o _�d c.vr...wl - -a �86�itd�',d ¢Tl T•�%(f _�nri -�� - - - - ---�------------- - � --------------------- i i ' I i - --� -- -- � � �onnrssaemiw�a: 568 W 18TH ST ' S9 oxr�xsru�eira+owr+: CITY OF COSTA MESA woncss 77 FAIR DP, COSTA MESA CA 92626 t714)759-5�286 uv�. Yuwa �oo�ss: - ANLNIfELT OII FNOMEEN: NCIL ON ENG5IDUNE54: ca+marara dua: ca+m�croas �uiu+o IODNER: uc.ao: UG N0: uNT: CITY OF COSTA MESA — BUILDING PERAIIT PERMIT NO: IH 072243 PLAN CHECH NO: N UNT: UNT: UCENSED COMR�LTOfl9 DECLAHRTION: I Mreby dl'rm under peneXy d perjury ihtl 1 am liconaed under povieiona d C�eper e (commsntlip wilh Sactbn 1000) d Drvieion 3 d Ne Bueinae� eM Piole�viom CaEe. enE my licenee b in hll brce vM eHea. cm uc. No.: uc. cuss: uc. No.: EXP ; OW NEfl BUILDEN DECLANRTION: I Aseby etfimi wker pruly d perjury �het 1 em a�omp han Iha Com�aaa+ Limroe lew ia tM Idbw+q �seaan (Sedian )W t.5 &nneu eM Prdesaiov COEe: AnY ctY a oouM' r.Tirh n0u"um e P�C to oomW cl. Ms. improw. Eemoleh, a ropeir any evucturo, prin lo na uauenm, ebo reyuim tM epplixnt lor euch partnA to fib e eqmd oWamant tlut M a eM o IicenwE W�� a tM pravona d iM Conveane Licenee lew jCMqar 9(cammendnp wilh Swian 1000) d Di+eion J d tlr Bue'viec md Rdaaom Cotle� a thm M a she e uemq thsahwn md tM bmis la Ne eAqed sssmqion. My videtion W Satlion )W �.5 by erry eopGu�u t« � parmu wmj�a� Uw eqa"ram to e dhl pe�Wiy d na� mon tMn Ma hunNW EoOan �55oop. ❑ i.mo.�,«an»wwe�v«mr�ronvan...�+�,in.:.w.00mn�+tl�.wiaom.wo�x.�eu,e.mm�emwawee or aflered I« eeb (Seclim )061. Butinea entl Pmlessiona Code: The CaMratlon Licanae lewdoee rw1eGNY �o an ow�erd properry xip buiN Of T0�'a Ihe�BM. tlM Wq do� eufh xvlk IiTYtl V MnN b Wa9h Ae> Mf OMT� amG�W�. M�b IIW WCh imP��W ue nd "vaadW ar Mlaed la ub. tl. howavr. tM dddW a inP��wn e mtl xdkn ans Yw d mmOM�. Ne Y ow�waaa...ai n�,. m. a,a.� a ww�a ne a� eb oa aae «Mwa+�a �n. ww�• a mel. � I. es awmr d IM popMY. em eatluyvely canirod'vq wnh liomeed oonvectae �o cmarve Me WWw (Seaion ]DII. &miness enE riamidu coae: Tn. com�.aon ucane �.. aoo �a ewN m.n w�« a novMr •no wua. « impw., mnean ena wro conVaaye br exl� �qada xVh a mireaa(e) GcemeE punueN lo IM CaM�etlan Lk�se Lew�. � I em e�emq u d� SeNon: 8. a P.c., br Nu re n: /\ l,[Set/el V O.mer: 1'�O henEy eanily Uw 1 em ewm d vd �mdxslenE the repweemmb d CeOan'v Meellh enE Selary wCe piom 25.505. R5531. ad 255J�, uM thet I a any Mure buikinp rcapem will / wJl rw� (tl�ck ona) msd to comply wYh eeiE m erd �he iepuiromanb M apermAlorcomwctionormodifra�imhomtMAk �e-GTy�enepemeMDis�rid.RmidmtielcaMiud'onnppice�ionae�eezemptiromiheee pmvieione. � Dete: MW�� WONKER'S COMPENS�TION DECL�NATION: I hereby dfirm uMer penally d psjury aro d dro blloxiip daderetum: � I hew vd xil meiMen e urWi�ate d mmeN Io telf-inwn b v.aMen' campenW un. n pwitlsd la bry SacVm 3]00 tl IM LabOr COM, la tM pMmnuice d tlr xM la w1Ych Ihu pe'mil u ivusd. � I havs uM wJ maimen MVFae' aomD�ion'umurenoe. m nW'vad M Swion �)00 a ihe Lebor CaEe. br iM Ge�� d ihs work lu v.fiiM I�ia pem�n n inueE. My wake�e' eampenaetion ieuurenes euria vd pdiry numEw aa: c.�w: Pd"ry Nwnber: � (Thie.«.iannawnaa.mnda�ee�meve^^�dro.a�enuMneemenrsroola�.l ❑ � oenM mm in �ne o«�«merce a �ne wax �ar wnicn �nb v�a u im�wa. � alud na anWw �r w�� n vn mamw m a �o peconw wEjetl :o tM �s' oompa�wion lewa d Cefdama, ud epns Ilw Y I Nwk Eecmr abjea �o IM woM1a�' rompeiyqipn pweiom d Seqion J1W d iM Lebor Coda. I die0lMhwuh mnpy wh tics p�w�e. Dma: AVd� Wunlip: F�Nun ro�wun Maikan' eompw+utlon crorsrepl Is vnNMiA ��I �Jst nr �mploysr ro alm'ml paWtlu eM elHl flnu'q ro wr h�nJrM Mouurd ?dMn (S1Pq000A M Wlfbn b IM mf o/ romqnutbM1 Wmpn u provWM br In S�ctlon 9106 0l tln Le6or Cotle, /ntw�st. �M etromys fw. CONSTNUCTION LENDINO AOENCY: I Mreby elfiim uMer penely d perjury ihel �Mro n a oonaeutlion bMinp epenry M ihe perlormerca M iM wak fa which the Oe�mY o owed (Secun �09]. C'v. G). LENOER'S NdNE: ' LENDEN'4 �DOflESS: I ca�iM �� I Mve read Ne epplicelian ud nma thel tM ebovs iNorme�ian n comtl. I eprss �o canply wilh M ury eM oounry ad'manms eM eima 4xe �Nniq w buiN'vq conYuueian end haroby aiMarse iapexniNrvae tl ihia dlyb eNs upan IM eEv.a-mertianed p�ope�ly �«��'pBd�°��°�"' ROPI AMBURGEY P. � ti T _ ome: S o y �— sq�m�rea �� iraa« (5151�l.WP) MTaw-Buddiq 6 Selery:O�aemida: Canery-AppireM: Rnk-Reronue:0atlwod-Aawm PER29 NO; IB 072293 GOC'T; N SUPP; Y CONSTRUCTION TYPE: V-N SP PERMIT TYPE: OTH STR PURPOSE: OTH JOB UESCRIPTION ; SAFETY INSPECTION PERMIT FOR "FISH FRY" SQ FT; CLAIM VALUE: CALC-VALUE; GROUP OCC: B-1 !B-2 COMMENTS; SAFETY INSPECTIONS FOP. THE ANA]UAL "LION'S CLUB FISH FP.Y" if if ii �1f if ih i� if �)f iE iF iF �If iF if if ih 4 Y- if iF �1f iE if af if 1E iE �!f� if * iM1 if iR aE if iL it {E.1L i�-lf iF if if 1F iF'iE! if 1f if iR iF if 3f iR iR af iF iF if iE if i� Y} iF i4 iF iF iE iF iF iF if ±f 1F iF Z O D] I N GS ERTEb�AUCZKRSE M E N T 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 FARKING REQ • PROV; PARCEL; 92228221 ZNE: REF NG; FLANNING NdTES> � / i!-'lE if Y-�)f iF if if iE 1f if if iF if'lf'IF iE> Y if �K jL dF if Y 1f �lf 1F iF iF ir �F ii iF if if Y- iF'Y �f if iF Y-if i� iR if Y iE i�-if� if 1F i� iF iR Y-if -Y iE iF iE'1E'1F if Y a a+C aE iF iF iF �IF Y'Y'Y' M i4 D E V E L U P M E N T S E R V I C E S A E Q U I P. E M E N T S 20NING APPROVED BY DATE; HUILDING APFROVED HY ; DATE; � APPLICATIOA] ISSUED BY• —_— � DATE; � � �lr ,.*+f+r*+fr*x�*r�+.**+�*�*x�aaiF��r,r�iz,F��r*k+r*�v*r�F+r*��Z.rr*�r+r�G*R*i�*��r+�*x-�r�� +r *+a LEGALI2ATION;N F E E S U M M A P. Y STRUCTURAL SEGM NT;Y BLDG PA9T PLUMBING ELECTRZC MECHADIIC FIRE SP1IP/RES GRADIAIG PERMIT 30,00 SMIP;NON—P,ES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 30,00 0,00 0,00 30.OQ 30,00 ,00 REVENOE DIVIuION TOTALS--> CULLErTED• 30,00 OVEP./SHOP.T; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/TOT GRADING PLAP7—CHECK 30.00 iE � tE if if iE 1f i! if 1E if if if 1F if af 4 f� f af if �)F'k af if i4'k i� tf 1f'1f if h'lf af 4 iF if if ie it ff iF �Y 1F 1E if 1f i: iF 4 if 1f �f i� iE'1F iF i:1f #' if �lf +f 4 N+(� } x if if if i(� iF sf i i� iF iF I N D I V I D U A L F E E B R E A K D O W N TYPE (jTY D E S C R I P T I O T] UNZT COST TOTAL COST INS 1 BUILDING AE—INSPECTION FEE 30,00 30,00 END OF FEES QI O�1E1568—OOi81s6e T�] T 30.00 DATE: OS/10/9� T?fiE: 04:35 C�NSTRUCTION ANO PLANNING VOOL d SPA ' APPRtlVALS Permit # Date Inspector qPPROVALS Permit # Date Inspector i. Tempo{ary Electrical Service or Pale 52. Poof & Equipment Location � 2. Soil Pipe-Undrgrnd. � 53. S[eel Reinforcement , 1 3. Electrical Conduit Ut�lity-Undrgrnd. 54. Forms 4. Electrical ConduibUndrgmd. �55. Elettriwl Bonding 5. Steef Reinforcement 56. Rough Piumbing & Pressure Test 6. Elactrical UFER Grnd. 57. APPROVAL TO COVEti-GUNITE:� _ 7. Footings 58. Electrical Conduit�Undrgrnd. B. Foundation 59. Gas PiPe, O Undrgrnd., Test � 9. 1Natar Pipe�Undrgrnd. 60. Backwash Lines, P•Trap, D Undrgnnd. 70. Structural Floor System 61. APPROVAL TO DECK 17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 72. Sewer Cap . 63. Heater & Vent�Final 13. Roof Drains 64. Plumbing System � Finai 14. Rougn Plumbing 65. Electrical�Final 15. Rough Electrical-Conduit 66. Soiar SYstem�Final ' 76. Rough Electric Wiring, 67. Fencing & Access Approval ' • 1). Rough Wiring Sign 66. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts. �n Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Pipin9 OGas ❑Oil 23. Gas Pipe-Fough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Aoof Sheathing 74. Overhead Hydro 26. T�Bar Ceilinq (Structural) & Monocoat 75. Dry Chemical , 27. Freme and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXEQ SYSTEM FINAL 29. Insulation 76. FIRE PREV. FINA� 30. Drywa�� Nailing HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION 32. E�ectrical Power MeterFinal 80. FOOD CERTIFICATE �SSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Tesi 36. Hood or Canopy • 37. Final Factory Firepiace � 38. Final Plumbing 39. 1Nater Service�Finai 40. Gas Se��ce�Final � 47. Solar pomestio-Final - 42. Backtlow Preventer 43. Backflow irrigation 44. Landscape Irriyation System ' 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING L S` 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cn , 51. CERTIFICATE OF OCCUPANCY No. Date �oonessacewiw+o: 568 W 18TH ST OF'l�R9NWEIFAAM�t CITY OF COSTA MESA �'D�"� 77 FAIR DR COSTA MESA CA 92626 � �� ( 719 ) 759-5586 APCNIfELT 01i EHOMEEN: AIICIIOR E/q.'4 ADDPESS: uxt: uc. rn.: UM: CONiiIALTpfS N�1�: CONfP1CTORSY�IWlO �ooxEss: ua ra.: unr: IJCENSED CONTN�CTORS DECL�P�TION: I Mroby dfim uMx pendy M prjury tlW I mn licenead uMm rywisione d Chepx 9 (oomm�naq xnh Sedian )000) d Oiviaian J al Ns Buensa and Pralwuons Code. utl mY &Mw o In hA Iaa mM MIW. CITY IIC. NO.: UC. ttA44: 11C. NO.: EXP; Dna: ��a OWNER BUILUEP DECLANATION: 1 Mnby dfirm uMu penNy al perj�ry thtl I am e�emq fmm IM Canradon Uoems law la tM tdbwn0 neson (Satlion )031 S Buenns md RdaWw Cads: AM M' n ooueuY wfiirA rpww e D�u m oom4ucl. Mx.'vnWw+. dsmd'vh, a repai ury aVucwro, pria io in uwenu, ebo repuiim iM applimnl fa auch pame lo fila e eprisd �ameM Net he a ehe s lioemed W�� o �M proveiom d Ns COMrapors Uame lew [Chepx B(oommerc�p xnh Setlion ]000) W Divhbn ] d IM Buvinsv enE Adwuns Codel a �het M a ehs u uemq IMrdmn uk tM Wao Iv Ns eCepW usmqian. My vioWion af Ssacn )o3t.5 by anY eDVliunl I« a permn wbjeqs the epplicent io e wil penely d rat maa ihan livs hundreE Adlen �f50011. � I. o oxner W IM poparty a my anpbyaee wl� wapae u thei role oompeneetion. rriA do tlw �wik. uM tM Nruclun b nd IMenEed or ollered for eele (��w^ )�. Buinep end Prdmeian� Coda: The Conveeon lloenee lewtlom rwl appN lo en ownerd propem/ who bulde w inprwm I�ereon. eM Wa Ew euch wk Nmwll or Meva1 a Mrouph he a Mr own amWWe��. poMded thet wch improvemenl� ue not inleMed a aflanA la �ds. tl, however, lhe buitlin0 a inprovemant u�oM xilhin m� yw d mmplabn, tM owrwrbuikbr will hme tM WNen d pwi�q M w eha did na dtlN n improva M iM purya�a d Wa). Q I. m ovmsr W tM p1aperly. em utlueivdy wntrmYp wilh liaensed canbatlas lo conmud tM projatl (9action l01/. Buaiiwe eM Prafsa�cm CoEe: The Carceeeon Licenaa lew Aom nol roWY ro an wnw d DAMM wM builb a �mpa'r Ilwaan end nfio wnVacu lar wdi qqea� wGh a mnrrlor��) Ikemsd Wnuem to the CaMre Liwrea LaM). Q1 em uamp u e Sectbn B. 8 G.C.. tar �auon: i ` Oeb: � + Ownar: ✓� I do Iwaby cenily NeI am awero d erd uMenlen0 iM �opulromanb d Celiomu HsMh ud a 8aaiom 25505. Y55a'f, eM 25531. eM Mn I a enY Murs bwlEi'q ow�u� vri0 / wil nal (aeb anel naeE to ecmWY. wih uid qeU aodw W �M epuv!m�nb fa Oela: �DWKN�� WOPKEfl'8 COMPEN4�TON DKL�fl�TON: I heroby aM�m uMar panelry d parjury ans d �M IODowi'q AWueliom: � I hew eM wI1 meiMen a canArste d consenllo �sMLuun br waka!' CampMWion, n pwfd�d I0r by 8adbn 3)OO W IM LabOr Code, lor t�s ps�ormanu M tM xork lu wMc� ihi� p�imX b Ipusd. � I he�n uM MI meiMen wmiwe' mmpaveton imurenm. n rpuind by Sopbn J]00 tl IM Lebor CaM. la IM putamenoe d tM wpk lor xfiieh Ihis parmil ie iuusd. My warkeei oompensetbn inwrenu mmar eM paliry mimbu vs: c�« Pdiry NumEer. (TIJs seeian riwd nat W amPkb / fM V�] u b arw hwMrd Eotlen Rfool n Im.J ❑ i nnM tlw In Uw V�omunc� a ihe xak lor v.hkh �nw ommu b WueE. I ehell no� ampW am' w� N enY men�wr w n to �MCqIN WqW �O IM Mq�plt� CMIpMW911 �!M f� Ci�01IY�. �114 �M �W b I�Idl{� bYVIM YI�C 10 IM Mq�fM�� wmoe�w�on wa+•�• a sea� a�oo d in. �mo. um. i wn ionnwnn canoN .m� u�. wo�.�. Dtls: Md� Wamlip: F.uun a ucun wrtr�• mrrprwaon ror�rp� U un4rhtl, uW �IWI �E/M �n rrploy�r ro c�h�IrW pmeftlq uM clNl flnu up ro m� h,.ntlrM MauuM tloll�n /fIPQ0001, M NGtlon b M� rosf ol rompxu�tb� tlem�pu u pvHWJ br In 9�ctlon 3)06 0l dn Ltlor Cab, Intwl, uM eRom�yL Iw. CONSTNUCiION LENOINO pOENC�: I Mreby elArm uMer psneM1y W per�ury iMl then u e wnstrutlbn bMi�p epmcy br iM perlmnuxa d tM xwk M M�iM ihi pamiY u'sewd (Ssqion 90D1. CN. C). LENOEH'S NAME: LENDEfl'S AODPE34: 1 cerlM �hm I hce read No eVd�� enE qals �hm Ne eEovs iMarmetion o ca�ea. I ap�as �o oomW wGh M cnYenA coun�Y aNinairwa vk etete lewe rolM�p b Wikip eonneueion eM heroW eWwrixe repeewntetivx d Iho dry ro emer upon tM eEwa�menlioried popaM la impwion Wrpoaea. . Deb: � 1/ (5�5f�i8.WP) Whue-Buildip85e/ery:OreerFle:Canery-Appicvu:RnkJlerenue:0otlenmd-Memw CITY OF COSTA MESA - BUILDING PEP.MIT nrn�.n ain. TD n�o')eG PERMIT NO: IP 072246 PLAN CHECK NO: N GOC'T: N SUPP: Y CONSTRUCTION TYPE: V-N SP PERMIT TYPE: OTH PLU PURPOSE: OTH JOB DESCRIPTION ; SAFETY INSPECTION PERMIT FOR "FISI-I FRY" SQ FT: CLAIM VALUE; CALC-VALUE: GROUP OCC: H-1 /B-2 COMMENTS: SAFETY INSPECTIONS FOR THE ANNOAL "LION'S CLUB FZSH FRY" iE if'M iF iE if �)f if� if iE iE'N� iF if 1f iF iF iE if 1F'k 1f if� if iF if 1F i!-if'1f')f i� * �f �)f if if �If iF if 1f if'� Y Y� if if if aE M�K i�' �1F if dF iF if �1F �)f �F Y iE �N- i�-iF iF iF if �1F i4 it dF if iF iF iE if if iF 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 ------------ MAI�! BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT: FT IN P.EAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT ID7 RGY.T; FT IN PARKING REQ: PROV: PARCEL: 92228221 ZNE: REF NO: PLANNING NOTES> � I %�IE if iF if if i:1t 1F 1E iE if �IE �f i4 iF 1t jc iE if iE 1E iF if 1f dE jE �)f if 1E if iElE iF 1E a4 * iF df iF iF iR iP if ih at �f iF if i! iF iF N iF jR iF?E �lf iF �Y 1f Y K if iF if iF +f iE jF 1f if if jf iM i�-Is iR ic D E V E L O P M E N T S E P. V I C E S' R E Q II I R E M E N T S 20NING APPROC'ED BY DATE; BUILDING APPAOC'EU BY : " � DATE: (� i�t**x�i�cA+�fi�t�***�***Dar�B*ic3Fi�iF�Fi�+r'if3FiF��F3F'T�'�+��iFic3ziFifG�'u'��SFY3FxK�*D**�+i��tnr� � J / J^ LEGALIZATION:N F E E S U M M A A Y STRUCTURAL EGM NT:N / BLDG PMT PLUNIBING �LECTRIC• MECHANIC FIAE SMIP;RES GRADIT]G PERMIT 30.00 ; � 25t s•': ; SMIP/NON-RES FLAN � �, 3 ISSUE FEE i,` HUILDING-DIV-> PERMIT I5SUE P,LAN'CHECK TOTAL PAID DUE TOTALS----> 30.00 0,00 0'.00 30,Q0 30.00 .00 RE�?ENUE DI�'ISION TOTALS--> COL'LECTED; ,, 30.00 OVER!SHORT: .00 BLDG PMT PL.UMBING ELECTRIC MECHANZC '� FIRE SMIP/TOT GRADING PLAP7-CAECY. 30.00 , - if K iF if if if af it�E �f iE if iE * �F 1f 1F iV 1F if K if if �EifiE if if 1f iE jfjf 1t if iF iEiE lfif if �f 1f�%'iF 1f iF iF iF #if if iF if � a4 iF if iFM if iFK 1f aE iF iG if � 1f if iiif N�if if iF iR iF iR I N D I i� Z D U A L- . F: E E H P, E A K D O W N TYFE QTY D E S C R I P T I O N- . UNIT COST TOTAL COST PLU 1 PLUMHING RE-INSPECTION FEE ET7D� OF FEES / 30.00 30.00 C1 QQ3835B5-00 1 8 156 6 Te]r7 30.1]U DATE� OJItOIS,J TItI�: G9:s4 CONSTRUCTION AND PLANNING POOL w SPA . APPROVALS Permit # Date Inspector qppROVALS Permit # Date i�spector t. Temporery Electrical Service or Poie 52. Pool & Equipment Location �� 2. Soii Pipe•Undrgrnd. _ 53. Steel Reinforcement 3. Electrical Conduit Utiliry•Undrgmd. 54. Forms 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding 5. Steel Fieinforcement 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. 57. APPRQVAL TO CQVER�GUNITE -_ 7. Footings 58. Elect�ical Cqndui[-Undrgrnd. � 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgr�d. " 60. Backwash �ines, P-Trap, L� Undrgrnd. 10. Structural Floor SYstem 61. RPPROVAL TO DECK � 11. Property Sewer Line & House Connectlon� �. ��- ' 62. Backwash & Recepto.-Fi�al 72. Sewer Cap 63. Heater & Vent•Fina� 13. Roof Drains � t64. Plumbing System � Final 14. Rough Pl�mbin9 . 85. Electrical-Final , 15. Rough Electricai•Cqnduit 66. Solar SYstem-Final : 76. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PIASTERING � 78. flough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS F�NAL �� 19. iiough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Pactory Fireplace APPROVALS Permic# 21. DuMs, in Struciure 70. Underground Hydro 22. Oucts, Ventilatin9 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Fiough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof SheSthing 74. Overhead Hydro 26. T�Bar CeiGng IStructural) & Monocoat 75. Dry Chemical 27. Frame and Elashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL '29. Insulation 78. FIRE PFEV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:��Z $- L• �-y�.�2 �.- 34. Final Heating & Air Conditioning �. . ��f1 i� ✓N ! - !�G 35. Final Gas PiPe-Test � ._ 36. Hood or Canopy usY�l7� '� 37. Final Factory Fireplace ' � - - 38. Final Plumbing - ' 39. Water Service-Final 40. Gas Service-Final 47. Solar pomestic-Final 42. Backflow Prevencer 43. Backfiow frrigation 44. Landscape irrigation System 45. Sound Attenuation 46. Handicap Regulations - 47. FINAI S7RUCTURE & BUILDING � 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date �OONF590FBNILPA: SGS FI 18TH ST ONNENSIUYEIFpriMk CITY OF COSTA MESA �� 77 FAIR DP. COSTA MESA CA 92626 (714)759-5�86 �vr�. ruiwo �ooxess: urcxrtecT on uaa+�n: CON111.1CTOR5 W11�: ca+m�croxs�aia+o wo�u UNT: ue ao.: UNT: 11G NO.: uxr: 110ENSED CONfPACTONS DECLANITION: 1 hweby eRrm uMs psnely d peejuy tlW I em lieeneed uMa peoriaiw d Cheplm B (eommand�q nilh Seeiion ]000) d Oivieion 9 M Ne Buainan vM Pmleeeione Code, aeM mY lioeme ie in full bres xd eHM. cm uc. No.: uc. cuss: uc. No.: g h p: Dma: Gam�eaor: OW NEfl BUILOEN DECLAR�TION: I hreby elfirm under pe�Wy M perjury I�N I em ezemq leom ihe CoMmqon Liewva lew la IM Idbw+q �eeson (5ed'an )W1.5 Businas vd Rdesaions CoEs: A�Y cYY a muniY wlwi� n0uires a W�n io mmtru.Y. alls. imVwa. �lamd'e�. a repei enY eWciure. priar lo ue uauence. deo mpuires Ihe epqimM ta wch pxmu tolJe e epned sbtmrru Net he n�M . ra„+ae w�� w me n�+. d m. comreeore �«w i.. Icnna.r s c��o�a wun s.a�, �000) a a�o�, a a �ro e�:�...m araa.,�., coael «�nn ne a ab e.�a �nad�om �a m. eme ea m..u.ae u.mqo�. ,Hv �mo� a s.a� ]W 1.5 by mry eDWiuni la e pormY wbjoGn �he epN� to a r'Ml pnetly d nal mae ihen frvs hurWeE AoOen �S!AO�. � I. se o�mer d tM qoperlY a mY ampbyees wYh wepea m thai ede mmpaneetion. will do �hs work. eM �M otnwYure o M imaMeA or dlerad la eeb (Senion 1W�, Budmsa eM ProMsiona Catle: The Conlracbn limnae lewEoee mi npWy io en ownard O�PaM who bulda a inpoven iM�am, eM xfio doae euM xwk NmwM a hanetl ar Nrap� I�Y a her own emplo�me, providad ihe� wM 'mpiwemame ere nol iMeMed a aMaad la eeb. tl. Mwewr. tM buiNiep n inpwemeM b add xi�Nn ans Y� d eamWe�ion, tM �, ow�,a�aa��;nn.�m.w�d.�do�mn.o,d.ebmw�a«�mwa+rau»w�o�.a.w). � � I. ro ovmaW the popeM. em utl�sneN mnirean0 Mil� lioenesd contmc�as m mmmutl iM M� (Seaion ]ON. Busi�e� ad Prdeaebna Gode: TM Comrman Licerw lew Eoes rwl epply to en owror d propMy wlw Witls a impovm thaaon eM who conVeea In wdi p4e��1f w4� e mm'atla(s) I�d R�ueN to iM CaMeaCas Lioaua leM). � I an eaemp uder Se Yon: B. 8 P.G.. lor Ne m: / � f � / � !i � / _iC-11 �. Deia: ( �� /CY/ I' � h� W caMy IIW 1 ewere d ud uMeawd Me requiremaN� d Cd�wnu Heellh vd S de Swbm u5o5.2ss39. eM e��eM � I a eiry Mun buitlirq om�peM wiil / wil rid (arcb one) nseE ro mmpy wih wd tlms oodm vW 1M rtWimmmd M ermil lammVuciion n modificmunhan�MMaiuiy�anperiw^� OiArie. Ra�dentil mMiutlion eppiretbroero exemP� Irom �I�xs povieims. Dele: ��5+^�: WOPKEN'S COYVENSATION OECLM�TION: I Mreby elfirtn undor pautly W pwjivy ar d tM Idbw'vq dotlerc'ioro: � IMneMVNmertueneuelliemedovroavtoaeG�i�aunbrwaAen'm�prmtion.saprvritlaElabySemm3]WdtMlabar ca.. i« me o.n�. a w. w�t i«.� w. o.mm o m�.e. � I hew aM rril meimen worken' cwnpemation imur+�m. ea rWuiroE Gy Sed'an �100 d iM leEu COM. br iM pMamuas d IM work la which Mu pmmn 6 isuW. MY ��' �^Ve�a^ iiuumrca mrier aM pdiry number us: c.m.�: Pdky NumEx: (7Aie settion need rwf 6e romplefeJ /�M psmi,t ic br ane hunEmJ Eolbn /SiDJI w bu.1 � I cMly tliel in Ihe pe�iwmanca M the wark br whch t�ie pemi� la iswed. I ehell iwl empby anY Va�^ In enY menna o m to pecome wbjetl b �M v.ohare' cwnpemtlim �ewa d Calilomie, eM epras Ihel il I ehauk became abjW to iM noMn' mmpenvlion pwiaiom d 6wion 31W d tM Lebor Cods. l tle0lathwtlh wmpy vNh �Iw paabro. ov.: �od�+: WunMp: F�9un b wcun roMwa'ronpau�tlon rovx�p Is unlMu4 ��4+M1�1 auD/ct m wmployM ro eNMiul pwMp nW GHI Mu W�� h�MrM tlwus�M dolYn (S1Pq000A N Mtlltlon ro fM cv�t o/ ronp.ru�tlort d+�W u provlbs b� In S�ctlon 9)O6 0l fM la4or COW. INw�s4 ��^°Y's !w. CONSTitUCT10N LENDIN(i R�ENCY: 1 Miaby tlfiim unEr peruM1Y a/ pxNry Ihm tlws 'v e aput�bn bndnp m�ozy lor IM periamenm d �he wwk la wfiiM t�w VM^Y n waued (Seaion 908]. Civ. CI. LENOEN'S NI1ME: LENDEP'S AODRES9: I canity Ihet 1 �me reed Ne eppfiWion enE tltla ihet Ne ebovs inlanblion b corted. I a�ppee to canply wu� NI r'dy eM camry ad'vwaw eM atme bwa relel'vq lo WYEip canprWion entl MrebY ei�hw¢a �opeeentetivae d iho tily b enler upan IM abova�mentioned pmpe?/ ��'�'W'� RO AMBURGEY Pmtl Nama ' oma: � � � 5 � s�c�d�,. d w�«��v�oo��vco�vwo. (5f 51d6 WP) O�eamFle; Cenery-AOG��, R�k-Re�enue: (3oldenmd-�veeewr CITY OF COSTA P9ESA — HUZLDING PERMIT PEP.M NO: IM 072245 PEP.MIT NO; IM 072245 �LAN CHECK NO: N GOVT; N S�JPF: Y CODISTRUCTIOr] TYP£: V—N SP PERMIT TYPE: MEC OTH PUAPOSE; OTH JOB UESCRIPTIOD] ; SAFETY INSPECTIUN FERMIT FOR "FISH FRY" SQ FT; CLAIN VALUE; CALC—VALUE: GROUF OCC: B-1 /H-2 COMA9ENTS; 5AFET: INSPECTIUDI� FOR THE ANNUAL "LION'S CLUB FISH FRY" i! iFiF M 1EiE 1Fif iif if'lf')f'M'1f if #Fif af if�V YF iF 3F'1f if Y'F�YF'IEY-'lf ilif 1f'If 16 tf 1Etf 1f1f'1I-if'N��)f1f if * iF fi r iE it ii Y ii'If Y lfif')f 'If'K �' aF aki� ±h if 1F ff 1f fF �E-1� if'Y�1(� Z O N I N G P. E Q U I R E M^c N T S S E T Ft A C K S ------------ P1AII3 BUILDING ---------- --------- ACCESSORY 9UILDING --------- FRNT: FT IN REAR: FT Ibl FRNT; FT IN REAP.; FT IN LEFT; FT IA] RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING RE • PROV; PARCEL; 42228221 ZNE; REF NO: PLANNING N TES> > � if iE iF M iE if if iF M 1F if 14 if if i4 � if iF �h if 14 if'M' if iF if i!� iF'If'K if if 1F 1k �f'If-lE if'?F Y' if �4 Ji �)f df iF if if if if'If iR #'-if i4 iF %if iF M iY if �1f +F iF 1F aF if iF �1f aF'If if +F 1F iF'W 4 iP D E V E L 0 P M E Dl T S E R i V" I C E S R E Q U I R E M E N T S � •-. ZONING APPROVEU �Y ^. DATE: BUILDING APPROC'ED BY ; �, DATE; ,,,///�� r APPLICATI�N ISSUED BY; �� DATE; � S� +E1EiFiEitif�itififlf+f+ti:ififsiEirif,fiF,FiF"iFxirxiF,iiFiF3F7FiFiFx ��+'is�3Fx'Fi +x�YifillfiisiFi�ifs,s � ioiF LEGALIZATION;N F E E S U A4 M A R Y STAUCTURAL EGM NT;P7 BLDG FMT PLUMbING ELECTRIC MECHANIC FIRE 5MIP/RES GRADIP]G PERMIT • 30,00 _ 25Y SMIP/NON—RES PLAN ZSSUE FEE FiUILUIP]G—DIV—> F�ERMIT ISSUE PLAN—CHECR TOTAL PAID DUE TOTALS----> 30.00 0.00 � 0,00 30.Q0 30.U0 .00 REVENUE UIVISION TOTALS--> COLI.EC2'ED: 30.00 Ot'ER/SfIORT; 00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GP.AUING PLAN—CYECK 30.00 if iF iF if 1f %%iE if� 1k if if iE iF?i iF'N� iF?(� if if iF iF 1f� iF 1F if'M�'1F iF if iR iF i4 i� i�-1G iF iF iF 3�- }} # 4 i� M'Y� iF w 1f w it i«+f ?E tF s}� f i'.f s 4� # s* i` i- i' i* s b i'r if c�Y+' if I T] D Z V Z D U A T., ; F E E E R E A K D O W N TYPE QTY D E S C R I P T I U N,. UNIT COST TOTAL COST MEC 1 MECHANZCAL AE—IC]SPECTION FEE 30,00 3Q.00 ENU OF FEES u 01 001815b9-00181569 TfjT 30.00 OAi:.: �JIIO�UJ TIPfE: 09�35 CONSTRUCTION ANOPLANN�NG ,� POO�.ySPA I APPROVALS Permit �F Date I�spector . APpROVALS Pei�mit # Date Inspector t. TemPorary Eleetrical Service or Pole 52. Pool & Equipment Location . � 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement 3. Elec[rical Conduit Utiiity-Undrgrnd. • 54. Forms . � 4. Eiectrical Conduit�Undrgrnd. � 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - � 6. Elettr(cal UFER Gmd. 57. APPROVAL TO COVEF�GUNITE , 7. Footings � 58. Electrical ConduirUndrgmd. 8. Poundation � 59. Gas PiAe, � U�drgrnd.. Test 9. Wat¢r P�Pe�Undrgrnd. 60. Backwash Lines, P-Trap, C� Undrgrnd. 70. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � �2. Sewe� Cap 63. Heater & Vent�Final 13. Roof Drains � f>4. Plumbing System - Finai 14. Rough Plumbing . 65. Electrical�Final 75. Rough Electricai�Conduit 66. Solar System-Final . 76. Rough ElectricWiring 67. Fencing & Access ApProval . 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18, Rough Electrical-T Bar Ceiling � 69. POOUSPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMEN7 ' 20. Rough Factory Fireplace APPROVALS Permit # 27. Dutts, in Struc[ure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Pipin9 ClGas OOiI 23. Gas Pipe-Raugh & Test 72. Under9round Flush . 24. Roof F�aming - 73. Undergmd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Geiling (Structuraq & Monocoat 75. Dry Chemical � 27. Frame and Flashing 76. Dry Standpipe � 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. I�su�ation 76. FIRE PREV. FINAI. 30. Drywali Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. F�NAL INSPECTION 32. Electrical Power Meter-Final 80: FOOD CERTIFICATE ISSUED 33. Fina� Electric Notes: -Z _CS � 34. Fina� Heating & Air Conditioning �� ' _��„+-1 �iZS'fa2c A�,�i�?C�2ai25 35. Final Gas Pipe�Tesi / 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Piumbing �• 39. Water Service�Final 40. Gas 5ervice�Final 41. Solar pomestic-Final 42. Backfiow Preventer 43. Backfiow Irrigation 44. landscape Irripation System 45. Sound Attenuation 46. Hand�cap Regulations 47. fINA�STRUCTURE'&BUILDING � 48. FINAL PLANNING 49. EYectric Retease to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PNOJELT ADUNESS: S 6 B W 1 8 TH ST UNIT: OWNEfl'SNRME: CITY OF COSTA MESA RDOHESS: '�'� FAIR DR COSTA MESA, CA 92626 `J �ABCM/ENGINEEB: ,- � ' �� VUA(yQ aoosess: . "�tli�ff ej CA 92687 reemiTrce: CARNIVAL TIMES SHOWS,INC. (714)824-2900 ADOHESS: P,O, HOX 1i�6 COLTON CA 92324 LILENSEO LONTBACTOfl OECIABATION: 1 ner¢py altirm Itwt I am GcenseO un0er pmvitions ot Chauter 9(Commenting vni� Seclion 70110) ol Drvision 3 0l t�e Business anG Pmtessions Cotle, and rtry license is in lull lorce and eflecl. LITV LIC.: STFTE LIL.: CUSS: �ate: SignaN�e: WONNEP$' LOMPENSRTION OECIABATION: I h¢re0y atlirm Ow� I have a ceM1iliw�¢ ol rons¢n� Io 5elbinsure Or a Cenilitaie Oi WOM¢rs' ComDen5ali0n Insurance, or a[erliheC copY ��Q�eol (Section 3800. LaE. q. POLICY NO.: E%P. ORTE: COMPFNY: � C¢hilietl topY is �ere�y �umishe0. ❑ CCtlIfICO [Opy i5 �ilCd YAfII I�C Giy BVIICIIIQ OINSIOf1. Date: AOP��ant E%EMPTION FflOM WOPKENS' COMPENSATION OE�pp7�pN: (il�s section nee0 not be compkteC il Ihe peiml is ta one huikrM (5700) or 1e55�. i cenily that in i�e petlarmance of t�e work for w�ic� tltis perrtut is iss� tu0 na emD�oy any person in any manner 5o as la Oecome su0ieci to I�e Workeri ompen5 ion �aws o� CaGtomia. Oate: � � Siqnamre: TICE: II. alter alting tni aeUaratian. rou snoultl oecortre subl�� a the warker5' n un pmvisions ol ine Labor CoOe. yau musl I rtirvnt� tomply vnin suc� provi5ions or iN5 permit sIWO be C¢emeU revokeG. CONSTNUQION LENUING RGENCY: I �er¢Cy al�irm tlui I�ere i5 a wnSlmtii0n IenOing apency tOr lhe periormanCe Of lhe wOrk far w�ice Ihis permn is issued (Seciion 3097. Civ. p�, LEN�Efl: ADOPESS: OWNEB BWLOEB OECLRBRTION: I �ereUy aflirm IAai 1 am exem0� ��Om l�e COnlrati0r5' State Lkense Law lor tne lallovnnp reason (Section 7031.5 Business antl Prolessional CoOe; pny ciry al counry wnich rtpuires a Oermil to consimct, aqer, impmve, aemolisn, or rtDait any 9mclure. prioe ;J its i55uance. aISO reQuires the aovtiWnt lor wcn pGrmillo Ii1e a SqneO sbtement tliat hPJshe is licensea pursuanllot�e O�ovisions oline ConVacmri Slale Lite�se Law�Llupier9�wmmencinp wiln Section 7000�oIDivision 3 o�ine Business anU PmlesSons Co0e) or ItWt OPJshe R eRemD� t�erefrom dn0 It1e OasiS fot t�e llleqe0 e�emD�a�� Y �olation of $ection 7fq7.5 by any aoDlicanl lor a Dermit suEiecis Ne avo�itant �o a ci'nl Oenally of not more inan live nun�reA Uonars (f500�. I, as owner ol I�e D�op¢rIY or my ¢mploy¢es �t� wdAes as Ineir sole tampensation, will Uo t�e work, anA I�e ❑ s�mcWre is not intenAeO or olhretl lor sbl¢ (Secoon 70na. Buvness and Proleuional CoAe: The Contractors' Stale License Law aoes not aDPly to an owner al a o�openy wlw OuilOs or im0�oves Iner¢on, anA who daes suc� wark nimsell/1lersell or �nmupn nis ar ner own employees. pmvi0e0 Ihat such impmvemenis are not intenAetl or olleretl far sale. If, nowever t�e Uuiltlinp ar improvemenl is solE witM1in one yeai ol completion, t�e owner will tWve I�e �WAen of provinA he/s�e Citl not Ouild or improue lor Ine ourpose oi sale�. m, I, as ownerdine D�oDerty,am exclu9vely Cantractinp vnlh IicenseU contractorslo canslNctihe D�olecl(Seciion 704a, Business W anE Prole55im5 COde: TM COnlrutp5' Siate LCeISC �aw Goe3 Ooi appy lo an Dwner ol Drop¢fiywlio OutlGS w imD�%'e5111eR00 an0 w�o comrads lo� sucn Dmlecls m1� a comractoqs) lirense pursuanl Ia Ihe Comraqars' Slate License Law�. I am aware Illd� pfOUl 0� lhElf WOlkli S COIIIpCf15d(q� NSYfdfICE SItlYW G! O��OM IO f11G. � I am uempl untler Stttion: B. 8 P. C. tor I�is reason: n�� JF /20 /f aI o«ner. � I oo nereCy cenily inat 1 m aware ol anG unGerslantl ihe r¢Quiremenis oi Lali�omu Heait� anG Sa�ety CaOe ec�ion 25505, 25537. anU 2559E and ihal I or any IUWre Guilding acupan� wilVwill nal (circle one) neeA lo comD�Y with SaiC sla�e coCes and ihe reQuiremenis lor a permi� �or conslmdion or mOaAicaiion bom ��C Au Oualiiy Managemeni Dislriq. fleSiG¢nlial wnslNction apPiicaiions are eKemp� Irom mese o�o�isions. Oale: p00��an1: I hereDy cenity iha� I have reaC t�is ap0licalion ana Slale Ilwl Ihe abov¢ informalian is correct. I agree lo comply wil� all ciry anA coun�y ortl�nances an0 slate laws reWiing to WNng rnn5�ruction ana �eretry auitnr¢e represmiatives ol lhis dry to ¢nte� upon ihe aGm¢�men�ionetl pmpeny lor inspeciion p pO5C5. � /`� Daie: � SignaNre: T_ l Driver's license or So iai Secu ny n: 164t�46 W�ite—Builtling; Green—CoOe En�arcemenL Canary—App6canl: Pink—Revanue: Goltlenrop—Assessor CITY OF COSTA MESA — BUILDING PERMIT FERM NO: IE 067244 PERMIT NO: IE 067244 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: V—N SP PERMIT TYPE: ELE OTH PURPOSE: OTH JOH DESCRIPTION : SAFETY INSPECTION PERMIT;FOR "FISH FRY" SQ FT: i CLAIM VALUE: CALC�VALUE; GROUP OCC; H-1 /B-2 COMMENTS: SAFETY ZNSPECTIONS�'FOR THE; "LION'S CLUB FISH �'RY"/ RE: IB67243 if 1E if if i! iE if aE iF iF if iF �f 9F iE iF iF if if if iF iF iE if 1E if if iEiE iE if jf �tE iE af if!if iE iE i! iP if iF iF iE if� iE if # M i4 �: iF if 3R af jF 3F ir� if iE it ic it 1E i� iM1 if iE iF if iF iM1 iE if ff iE x� Z O N I• N G; R E Q U�I R E M, E N T S S' E T B A C K S i ' ------------ MAZtJ BUILDZtJG ----------, --------- ACCESSOftY 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 FARKING REQ:, PROV;. , PARCEL;� 42228221 ZNE; !:REF NO: PLANNING NOTES> , � i I 1: � ' ififlh'lfifif'IfifiEiElE1EaE'lE'IFfEfEiEiEih'1('1h11'if1l'il'iEiEif'N'K'iE '1fif�E'1EiEihifififiFit'If'X�ihifififiE'1M1ifiEiE'1fiEiEiF�EiEiEifiklfikiEihifiarr**'%'*lfifififif D E V.E'L O P M.iE'N T S E R V Z,C. E S R E Q U I R E M E N T 5 �. '. � ZONING APPROVED BY , 'i'�l.. � � ' ' DATE: �-,.i. BUILDING APPROVED HY ; , ' � DATE: APPLICATION IS:SU�D BY; ��'' ! ' i ' DATE: S�-fl *�****it*�tit�*.jt*'�ritat�fr��i� t i e r. i **��t**�iFitit ,r ** ifiEifk!!lfifiE�EitifiE,i:iEifaflEiFlflffElfif%iEifiEititifiElF �� ltikifik�it ik Y�iPiFiF,ifiEiEiflfilifififiEiEiEiFiFiE�kMiFMiEdEififiEltiFfElfifM LEGALIZATION;N F E�E S U M M'A R Y• STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC�,MECHANIC PERMIT � 30,00 L � ' S03' i PLAN j , 1 " : ISSUE FEE • t ' HUILDING—DIV—> jPERMIT! ISSUE Pj�AN—CH$CK TOTALS----> ;� 30. 00' � Ot.00' j ; 0.00, . REVENUE DIVZSION;TOTALS-->' COLLECTED:' 3 BLDG PMT P3.UMHING�ELECTRIC MECHANZC FIR � � �Q.O� �� . FIRE SMZP/RES GAADING SMIP/NON—RES TOTAL PAID DUE 30.00 ' 30.00 .00 0.00. OVER/SHORT: .00 E SMDP/TOT GRADING PLAN—CHECK iF if it ih 4 k 4 it 1E ir iE iE ik iE ik ik if if iE !f iF �! iE 1F if it fF 1f iE 1E iE 1E iE iP iP it it if �f if 1f iE iE it if iE iF 1F iE %if iE iE 1f k 1! if iE if it jE iE iF iE iF iF 9t 1f i! if 1! iE ii it %iE iE if if I N D I V I D U A I,, • F E E � B R E A. K D O W N • I TYPE QTY D E S C R'I P T I�O N� ;UNIT COST TOTAL COST ELE 1 ELECTRICAL RE—INSPECTION,FEE 30.00 30,00 END'OF FEES i � .� ! . � . �f . i i ` j I, �1 0026�852-001608`2 T 4 T 30.0� ' , DATE: O5/20/94 TIHE: 11:22 -- � ._ -------rr.. , - CONSTRU.C'NOM AND PLANNING APPROVAI�S Permit $= I Data � bnspector 1. Temporary E�ectncal Service or Pole 2, $Oil Pip*�Undtgrr.d. -�""�--='� --- 3. ElCctrer,�l �N•7uit UhLtl'�llcd�grnd. 4. ElettrieKi;Cat'luit�Undrgrud. 5. Stuel Re�n�?aement ---r�Z'' ; -_- - 6. flc�h��1.F(�.tR Gmd `�.�_ _�_ i. r-ooc,�s.�:� 8. Fourdation B. lialcr P.pe Un�'q•rd. ' 10. S:�uaural Fluar Systeri 11. Property See�er Line R Hn�sa Conn�R�an 12. Sewcr Cap 13. Roof Orains _, 14. Rough Ptumb��g 15. Rough Erectr�cai-Conyu�.t � 16. Rou9h �pctric Y1'iring 17. Rough t�trt'r.g S�gn 18. Rough Electrical-T Bar Cel,�r.g 18. flough Heating & Av Cor.dit�on�ng 20. Fough Factory Fireplace 21. DuCts, in StNcture 22. Ducts, Vent•lat:ng -__ 23. Gas P�pe�Rough fL 7?s: 24. floo� Framing 25. Poo: Shcati,ing --�-�- 26. T•B�r Ce�ling (S[ructural, & �,:a,�oco��t ?7. Frameand F�ashing 28. lcthing & $icl rg �-- 29. fnsulaLon 30. l7ryc:all Na�iing 31. P��.,�,t:�r Bro�::n Coat -------- - 32. Elcctriral Po�aer '.:c:e� �F��I -------� --- 33. F_na1 Elettnc _____ 34. Fnal Heating � A�r Cor.d;to��irq 35. Fir.al Gas PiFe-Test 3G. Hood o� C:;^OPY 37. F��.a� Facto-Y Firep�ac_ 38. Pina� Plumbing 39. lYater Service-Final• 40. Gas Sernce�F�nal 41. Solar pomesc�o-F:nai ��2. Backflow Preventer 43. Backflow Irri3at:cn �- -- ' 44. L„cdscap= Ich4at�cn SVst,-�T � ---- j �i5. Sound Attenuatior. 46. Handicap Requ�atons A7. FINAL STRUCTURE & BUILDI�:G' 48. f-INAL PLAN�lING I 49. Electric Release to .dison ^ � 50. Gas Release to Southe�n Cal:fom�a Gas Co � 51. CERTIFICA7E OF OCCUPARCY Date --± POC .. SPA APPROVALS Permit','�_ 52. Pool & Equ7pment Locat:on 53. Stcel iieinforcer?ment '� - 64. Forms 55. Etcct�ica� Bondinp . � Date � Intpettor 56. Rough Plumbing �; P�;.ssurc Test 57. APPROVAL TO COVEH GUMiTE _ � -_ ____'_.-� 58. Elac[ncal Condwt lindinrna. � � 59. Gos P�pe, �� UrJ�n��id. Tc;� I -_rfi0. Bzt�avash L�ncs. P�TraP. � C �:!.;•.❑ � � si. aPaRova� ro cECK � - - - --� -- 62. Bzck�vash i4 R�ccy'u� f�.n.--- I �63. Huaier & Vent-Final �� GA. Plumbing System Fi�ai 65. Electrical�F�cal '� 66. Solar System-Finai ' 67. FenCing & AcGess 4npvv�l 68. APPROVED F07 PLASTERI;�G i�-----t- ---- r r----- G9. POOVSPASYST�';SFIVAL _ I __i __-. FlRE DEPT. REQUiAEMEIVI' I � i AppROVALS Per�ai: .',`_ I I 70. U�dergro�ntl H�q�o 71. ProuuctP.pin9':G,. ]O.i 72. Undergrou��d Flu�� -_ �-� - - � -- 73. Undergm�.'.S�n'�;.-� , ,- ---- -- j -. . - --- ----- - -- - -��--- 74. Ovcrhead N��nru ' . __ '. __-_-__ _ -_.___�___ _ _ . 75. Dry Chemicai . 76. Ory Standpipc - --� -- - - � -- - -- 77. F�kEDSYSiE'•'r',`JAL 7B. FIRE PREV�F,?_A: - -- ��_---- ---1--- - HEALTFi DEPT.'tE(IL'I�EP..?�aT 79. f-17dAL INSPEC'-IG ; - �- � --- --� - - E0. FOOD CER �F,�:'.. f- �...�C ) ---j - --- --r � ' -- /� n!/ /J -- �- - � ---- ' Noius: (O-Z "i 7 .LU�'��/�� - _(p_- � "`LS� - /�ro-l� _Lpcj��c�_ Q7��%� ; tM%�S c.c�.s ecs>+z.�6e�'•�uas� �n�� g�' cer�eo�.��;Y� -- ---� -- a -- - � --- - -- --- -. �ooxcss a euaowa 5 6 8 W 1 S TH S T OMNERSNYIEIFRlMIN: CITY OF COSTA P1ESA ,t �� 77 FAIR DR � COSTA MESA CA 92626 (714)759-5�186 i �vx. �uima �ss: �xcxrtecr ox u+ax�x: . coxrx�crars ru�: cwm�cmxs �uiwo wnnEss UNT: uc no.: uMr: uc Ho.: uxr: L1CQlSED CONTN�CTOPS DECLANATION: I hs�eby elfrm unEs psWy d q�ury Net I em fcmced uidsr prmmms d Cheqr 9 (comma��Y r,nh Section )oW) d Diviebn � d Ne Buu�roae eM P�dmdm� CoEe. end mY fioenee b m fWl brca mM Mlee. e'trr ue. no.: uc. cuss: uc. No.: EXP ; Dme: Camnda: OWNEP BIIILOEfl DECUIHATION: I Mreby dfiim uMer penal/ M per'ryry IMt 1 em axemq Irom the COMndae Uanaa law la Ne Ipwiq raamn (Seabn ]OJ1.5 &aiws� enE Pedevavu Code: AnYW w aouniy xfiiM nVuim e V�A lo oorut�uel. Mer.'unpow. md'nh, a repei airy evucture, pia to de usuuKe, ebo nquim �he applimm tor wc� pemil �o fila a eqM stelemen� tlw Iw n eM , IiceneeE Wn�e�� o the povieiwro d I�e Coniracore lironae Lew �Ghepter B(oomme�rp wuh Saqion'lU00) d Divelon J d tM BusiMm enE Prdeaionv CoCsl a Ihel M a Ne u naamq IMaliom end IM baai� la IM NbpeE axemqion. �M'vblelion d Setlian 1ro1.5 by erry eppGunt la a psrmtl aibpa� �M npplirsru to e dW pmWiy W ro� m«s �hen Ma MuMred doAm+ �5500U. � I.mowrordlMpwNYam/anDM+eax'vhwepeam�IwieobwnV��.�iOEOIMxrnk.udtMmununemlWeMeA «MerM fa eeb (Sec�ian 10U. Buriroo eM Pmindme Code: Ths canlreGon Liwua law Eom nd eOWYto en ownera p�opeity who WiM a inpwea ihasan. md �Mo daa �uM xM Fbnastl a hasN a tivwpli he a Mr oxn amWvlw�. G�'bb 11� wM impwrne'm are �w "upendod a aflanG la We. C. Mws.ar. Ne Wildi�q a in0�� u wtl wi�Am ar W� d wmWetion. tM � o.m.��wad.� Mn n� me w� a v��o n. a.ns au � e�a o. �mww. i> m. wmaee a..b�. Q 1. n owrror d ihe D�WsM. em sstlum�N mnlrotln0 wilh IimnM conlMon ro mrMrud tM Vqb (SeUion ]OM. &n4w� erd Profsuime Gode: Tha Camrrfm Licaw lew Aou M WMY b en ownr W PW�Y Ma buitls n'unP�'x tMrson enE who eonVeeb la axl� peopae wiN a muredor(s) IieemeC punueM lo IM ConVaUan liorua Law�. �I� I� m eaemp uM Seclion: / B. 8 P.C.. br thie remo � //'f �( � 1//Dus: I U 7 Oxner: �— W�� ll✓� �' \1.Sy��yy pnity t t I em ewere d eid undanWM �he raquiremenb d Cellomie HeeXh erd Sdaly Cade 45505. PSS�J. end 2553a, uM ihtl I«eny Mun buikvq omq�nl Mi0 / wil �(dRb ais) rweG to comply wYh uiE elele ooda W tM npuinm�nb br epertnXlamM'uc/v�airoEifrationMamlMAr�y ar�apanwuDimrie.RseEwtlWamYvaionewk'mamusu�^qha^thu+ o�m� Aop�N. WORKEfl'SCOYPOI3�TONDKWi�T10N:IMrobydf uMrparWlydprryryansaltMbOor'updedrebn+. � I hevs aM xil meinten a cMMrsts d wneent lo �Minsun br xpka�s' ednpavelion. m praiJed la by Sepion JMO d IM LeEn COA�. la the pMormarca d Ne wk lor wNc� �hie pamu u ueuad. �� 1 heva e�M wil memlen woeYen' mmpmwion imureMa, n�eW'vad by Saabn ]]W d Ns leEa COM.Iur IM pmfamu�os tl IM � work lu which ihn partnil ie iwueA. My wakore' oompanWion inaranca m�ir W poW.y number vs: c�.: aary rv�ma.: (Thia sedim need mr 6e cmrONroJ l fM ps+nT o la me huMnd Jd/ers �5100/ a ku.) � I mnN ihm in iM V�mnenca a �M work lar whcn �nle Dermit b luua0. I YWI z� amOW �Y Ga+� in enY manrwr o n �o pxpne wbjeil �o �M xwFa+' mnqaiaetion lew* d Gefdomi�. enE epn� Ntl Y I 4auN barone wibj�tl to �M w'ken' compy�mtian po+c'wm d Soqion 3'!UO d �M labor Cob. I sheG lonhwii� mm W wBh Yon qomiuv. DNe: ��"� w.m��ro: Faew ro.«un.�ok..• �oma�non eevr.w i. w��u.nn..ne.r.u.,eM.� �roi� ro aaawwMm...na cnn n�.s w ro om nu�a�.d �rou.w edl.n (sialaooA ��n ro m. ew� o� rnmprumon a.�.w u provww ror in ssctlon ]l06 0l Ih� LeUor COW. Intwt, �ntl �tbm�Y� Isw , CONSTIiU4TON LENDING �QENC1': I hseW elfirm uMer penelry d perjury �htl tAas w e mrel'utlian bMi�q panry lar Uw pMwmence d IM xwk lor which ihu prmi is u+usd (�� ]. Civ. CI. l.ENOEH'S NAME: LENDEWS RUDRE43: I cMiN thet I Iwe meE Nia epplicNian ud aels IMI IM ebove iNormation n oonM. I apne to canpy Mdh eA rYy eM muny adirurcs end etale bwe releinp io buJEiq crosvudion vd Mroby eWar¢e repreuntaiivea d iAia aiYto eMer upon iM ebaa.menlianad pWeM 1« impeaian w�Wb+� ROT;7 P.MBURGEY ,� /u ' Dme: (5151Jl.WP) While-Buikiq 8 Seley: �reemFb: Ce�ary-Appirsnt: Fnk-Rmenue:Oddeneo�Asseavor CITY GF COSTA MESA — BUILDING PEP,MIT PERM NO; IE 072249 PERMIT NO: IE 072244 FLAN CHECK NO: N GOl'T; N SUPP: Y CONSTRUCTIbN TYPE; V—N SP PERMIT TYPE; ELE OTH PUP.POSE: OTH JOH DESCRIPTION ; SAFETY INSPECTION PERMIT FOP. "FISH FRY" SQ FT; CLAIA9 VALUfi; CALC—VALUE; GROUP OCC; b-1 /H-2 COMMENTS; SAFETY IA]SPECTIONS FOR THE ANNUAL "LION'S CLUH FISF-I FRY" *it+ti«ri�it�tt*it+r�t*xa*��itit�iF*+f.ri�-�ri!+rai.ir�r+�+tif*�v*�*�sx+t**?ri�*�rrir*+�+t*+��x-sx�;r+t�.�r�rs�+rir�r*+eir**+r�t+r� Z O N I N G R£ Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IAd REAR; FT IN FftNT; FT IA] REAR; FT IP7 LEFT; FT IN RGHT: FT IN LEFT; FT IA] RGHT: FT IN PARHIN� P,EQ: PROV; PAkCEL: 42228221 ZNE: REF NO: FLAP]D]ING NOTES> i �� 'i ik if ft iF if if if� j4lF if iF it if if af iE it i4 iE ii If iE iF iF iF if MV iF lE if jf if if �Y'1f � iE 1f if it 4 if iE �)r �f if iF iF 1k+t K if 9F i4 iF if iE iF iF if iF if Y� di iL 141%iE +F iF al� �t iE if if if iE iF iE D E V E L O P M E N T S E' �R V I C E S P. E Q U I P. E M E N T S ZUNZNG APPROVED BY DATE: BUILDZNG APPROC'ED BY ; , DATE; APFLICATION ISSUED HY; '�,� DATE; � �� '1f iF if iR if ih'N'ih iE'If'If if'IF'Y'K ih if'If'N'iF i�"IF . . i iFiF Y af1E'lFlF {1"If i4 # ic # .'1 M' LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;r7 BLDG PMT PLUMBING ELECTRTC MECHANIC FIRE SMIF/RES GAAUING PERMIT 30.00 SOR SMIP/AJON—P,ES PLAN "� � . ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN=�AECK TOTAL PAID UUE TOTALS----> 30,00 0,00 �, }'-0.00 30.00 30.00 .00 r;' REVENUE DIVISION TOTALS--> COLLECTEv: 30,00 OC�EP.;SHORT; ,00 BLDG PMT PLUMBING ELECTRIC HECHANIC FIRE SMIP/TOT GRADING PLAN—CHECY. 30,00 ,�r �41E if iF if jf k if if it j: �f iE iE T'-lf i� iF 1f 1f if �f if!f iR iR if i4 iF jf af �Ii 1� if if i61�i_ �1F K�Y �f i� �Y i4 �E+� if K 41t �f i� �f iR �f iR+� 1E af iF if i4 if iR it i4 iF iF iR iF it Y if � iF � iF �f I N D I t� 2 D U A L �; F E E B R E A K D O W N TYPE QTY ELE 1 D E S C R I P T I O.N' ri� ELECTRICAL RE—INSPECTION FEE .END OF FEES 4 ' UNIT COST TOTAL CUST 30.00 30,00 'v: ��:vi557—0O2�4156i Trj T 30.00 DATE: DS/zD/95 7I15E: 04:34 � . ,�, r� C�JNSTRUCTION AND PLANNING PO. S SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date inspector 1. 7emporary Electrical Service or Pole 52. Pool & Equipment Location 2, Soil Pipe•Undrgrnd. •'53. Steel Reinforcement 3. Electrical Conduit UtilitV�Undrgrnd. 54. Forms 4. Electricai Conduii�Undrgrnd. 55. Electricai Bonding 5. Steel Reinforcement 56. Rough Piumbing & Pressure Test . 6. �lectrical UFER Grnd. 57. APPROVA� TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation ° 59. Gas Pipe, O Undrgrnd., Test . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd. 10. Structural Floor System , 61. APPROVAL TO DECK 11. Property Sewer line & House Connection 62. Backwash & Receptor•Final �2. SeWe� CaP 63. Heater & Vent-Fina1 13. Roof Drains � � 64. Plumbing System - Final 14. Rough Plumbing ,65. Electriral-Final , 75. Rough Electrical�Conduit , 66. Solar SYstem-Final ' 76. Rough Electric Wiring 67. Fencing & Access ApProval , 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 78. Rough E�ectrical�T Bar Ceiling � 69. POOUSPA SYSTEMS PINAL 79. Rough Heating & Air Conditionin9 . PIRE DEPT. REQUIREMENT 20. Rough Faciory Fireptace APPROVALS Pesmit # 21. Dutts, in Strutture 70. Underground Hydro 22. Ducts, Ventilating 71, Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Smraye Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame a�d Flashing , 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL 30. D�Ywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. PINAL INSPECTION 32. E�ectrical Power Meter�Fina! 80. FOOD CERTIFICATE ISSUEO 33. Final Electric �' Notes: �` � � /!/a m_!� l:ll/fip - 34. Final Heating & Air Conditioning � 35. Final Gas Pipe�Test 36. Hood or Canopy i 37. Final Factory Fireplace � 38. Final Plumbing � 39. Water Service�Final 40. Gas Service-Final - � 41. So�ar pomestio-Pinal 42. 69ckfiow Preventer 43. Backflow Irrigation 44, �andscape Irrigation SYstem 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co _ ' 51. CERTIFICATE OF OCCUPANCV No. Date AOOPFSSOiBUllqil�: S6A W 18TH ST �ps�yweiv�uio.vg;C�LT� OF COSTA MESA '`°o"Eu:77 FAIR DR COSTA MESA CA 92626 (714)754-5�286 APPL . I W 1II10 /�DDPESS: AXCXREtf OP Ell�lffA: MCN.ON ENO.'S /iDDPE54: CONfR1CTqI81UYE: cartn�croAawuuao 1DDNE44 uc. w_ ua r�o.: uxr: CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: IE 077876 PLAN CHECK NO: N IINT: UNT: LIGENSEO CONTfl�CTOR4 DECI.ANATION: I Mnb/ tllim uMa penely d qpury RW I un Iken�sE uMx prwi�om W Cheqx B (oomm�nd�p xith Sonion )oDO) o/ Divisbn 3 d �ha Budnaa enA Pmtaeeiom CaEs, enE my licanw b in hA lan eM eMad. cmue.No.: uc.cuss: uc.no.: EXP: Dns: Canream. OWNEP BUIlOEN DECL�N�TiON: I MeaW tlfirm mMor p�ntly tl perjiry thet I em exemq ham IM Comraaon Lkws law fa tM tdbxiq iamon (Sadbn ]m1.5 Buena� W PNepo'n COM: MY UY n munN whirA i+VWm � D�u to mnwc�. ebar.'vnc�w+. Eemolu�, a r�pair e�ry eVucl�ro. qbr b Y�'swMw, ebo rpuim IM eppfKent la auch psrmN lo Rk e�ipmd �ttlamsm �MI M or eM b Iicau�E W�^� lo iM prwiwons d Ns Can�retlm lianss lew �Cheqr B(�mercLq xnh BWbn ]00p) ot DMbbn 9 M th BuuMs aM PrNanbm Codel a iMt M a eM w usmq Owelmn eM IM bem la Ne eMpod u�mqion. My voluion W Swian )031.3 W eny epplkeni la e perm� wbjWe Ihe µplkent lo e mil ponalry ol nd mwa Ihan Ilve hunEred tlolkn �f300�). � I.esoxnsrdiMpopenYamyampbyanwihwapesnlheidecampemetion.wiOdotMwork.enENs�l�uctun'srwllmeMeG or ollered lor We �Seclion ]WA, Budneee and Prolessiona GoEs: The Convapon Lloenes lew Eoe� nM epplyto en owner d propeily who buiA� a inprovu Iherean. eM who Eom s�ch xM Nmrll w MnaC w Nrauph he a hm own ampbyas�, poMed ihtl wcA improwmenle va ml inlentleE a oHaieE lor aels. X, hanawr, ihe W ikiip a inprovemaM n�oN wnMn one yaer d mmpletion, iM ownarbulWar will hevs tha buMen d provi^p M or Me did not buiM a improve fp iha W�D�s d aele�. Y[] I. u ovmar d �M O�WMY, am utlueivM/ WnUaunO r.n� lioeiuetl conbeclon ro canprw iM WW� (Senion 1011. Bus'viws vd Proluabna Code: TM Conireqon licenae Vw doa rwl eppy b en ow*wr d qoperlY'^'� buiNa or impwp Iheraon ud who cmlracU b eu pqafa xM e cWrnqor(s) liunmd purswiv to tM CW�amrs li nee lew�. � I em exemq u x Seclio 8. d V.C.. la I�e eeean: T a. .S� G o.�,..: L� � m «wr i�. ara u.�w �.�a«.wa m. �a�,�ro a cw�, �un.m sdw nws. uva. �e uW thet 1 a ury Mure drikvq oowpenl will / wtll mi (aRb ma) neeE w comply wIh seH erd �M npuimnenb 1« a permX laownt�uctona modifimicn/mm�MAi�—aiupemaru piar"va. Ratldefuil mrm�ud'pn appfutianva vwmp Imm iheae „�,. Daia: — AOd�: WONKEN'S COMPENSATION DECLARATION: I hereby elfiim undu perWly W perjury me d �hs bllowiip Eetlueluna: � I heva eM xil meinten e canilicele d wnebnl to eeXinsun lar xo�ke�e' compenaetion. m pwidod Iw by Seaion �]00 d IM Lebor Gode, la IM pe�ormenca ol �he xvk Iw Which I�ie permii is imued. � I M1eve erd wll meintan waeken' eanpemmion ineureMe. m iepuired by Saqim 3)00 W tAe labn CaEe. b �he pMame�xn d iM woM /or which Ihie paimn ia iaeued. My wake�a' mmpeneetion insurence rartier erN poliry number ere: c.m..: Polcy Number: (ihis sMim nmE rwl be cwidaroC! tns 0�1 u M aro MUMrcE Edlan Rtaul w Iw.l � I eanh � in Ne peetmnanee d the wali la xfich tAw peimn b iswea. I ehell ml empoy enY M� in enY men�wr eo av lo becams wbjrf to tM w�ken' mmpe�se�ion Nwe d Cefdana. erd epree tlut J 1 NwM Exoma whjee to the Mvken' como�+a�on w�iom w s.aon aloo a ina teew Coa.. � wu tonn.nm m�,W wan mme pvAeioin. Dete: �DP«� w.mliq: F•xun ro uc�n woik�n'rompaWtlon cwer�p. b uwwNl, ana Msll rbJ�ct en �mployr ro cnmlul v�rou.ne clHl ll�rs �q ro om h�ntlrM Mouurd EWNry (11Pq000), M ed1ltlan b Ms mf ol rompwwtbR ��W u prvHtled br /n 9�c0on J106 0l M� L�bor Cotls, Inteiut, enJ attornry'+ Ir+. CONSTNUCTION LENDIN6 AGENCY: I Mreby elfirm uMx peneAy d perjury thm iMn ia e mn�iud'an brdi�p eperwy 1« tM pertormenee d ihe xwk 1« which t�a peemn ia beued (SeUion �09], CM. C�. LENDEP'S NPME: LENDER'S P�DXESS: I<anity Ihet I heve reeE I�ia epqcetion eM ste�e ihp ihe ebwe inlormetion ia mrtau. I epme to canply wdh dl ury eM oouniy aN'Mencm erd eWa lex� relmiq lo WJdiq consV Wian eM hxeby eullwrae epreaeMetivea d iM10 eilyto enlu upon IM ebwe-menlionad p/opeM iwinapadion W�D�9� RON AMBURGEY Pmt Np�y Dme: � % SipneWred�1`e' iun wNreqtt \ N (5151 d6 WP) While-BuiM'vq 8 Sefety; pMrFle: Cenery-AppFcem: F^k-Revewe: (3olEenrad-bsesaa PERM NO: IE 077876 GOVT: N SUPP: Y CONSTRUCTION TYPE: V—N SP PERMIT TYPE: ELE OTH PURPOSE: OTH JOB DESCRIPTION : SAFETY INSPECTION PERMIT FOR "FISH FRY" SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B / COMMENTS: SAFETY INSPECTIONS FOR THE "LION'S CLUB FISH FRY" **x�atititititit+tatat*�*rt*it�t�t+t�*�**atetit��tit**�t�t�r�r+t+t+�+tatitx�*it�r�*�at*�tet*rt�tft�*�t**�it�**it�r�t�tit*�t**�t Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- 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: 42228221 ZNE: REF NO: PLANNING NOTES> i 'lE'IE 1E iE iE 1E 1k 1E 1ElE 1E 1E �IE IE 3E iE 1E!(� �F iF 1k iE if 1E 1E iE 1(� 1E 1E �1! iE 1h fE fF iE iE iI� if if !F'k 1k'IE if 1E iE'IE 1E 1f if M iF ik 1(� if 1f� 1E If 1(� iE 1E 1E 1(� if if 1E �lF if iE IElE 1E 1(� it 1E 7! fE'If� 1E 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 HY : DATE: �+/ APPLICATION ISSUED BY: �/�^ DATE: Z F 1(J x�*rt*�t-i�**��****�itit�ti�i�*�3F'iFTF3F3F3FiFiFiF3F7F'iF7FTf'iF'i'FiF�FiFTFiF�F'iF#��iFfFiFiF3F�t�t*x��tx�**�t* it�t LEGALIZATION:N F E E S U M M A R Y STRUCTURAL S GMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG PERMIT 42.00 508 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 42.00 0.00 0.00 42.00 42.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 42.00 OVER/SAORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 42.00 1E iE')(' �E 1k if iE iE 1E 1ElE 1ElE 1E fElE ih �E 1E iE ik 1E iE 1E iE IE iElE iE iF if !E if 1F 1f� 1E 7E 1ElE 1ElE 1E iE iE 1E iE iE 1F fE iE �k 1E iE 1E 1E �E 1f iF 1E iE'IE �E 1E iElf iF 1E 1E iE fElF 1f IE �k 1E iE iE 1F 1k I N D I V Z 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 ONIT COST TOTAL COST ELE 1 ELECTRICAL RE—INSPECTION FEE 42.00 42.00 END OF FEES LL. i\ �f � :� � lJ . '�./ , In omplr.t� �spect�ons � � `}��2 f�/ �� ` : i , Mt6/�% � ._SIg��.C"�'- - ,�L��" ':.�. v �j'i� p;i�, _ '. ti - �- CONSTRUCTION AND PLANNING POOL & SPA - � AppROVALS Permit # Date Inspector � qppROVALS Permit # Date Inspector t. TBmporary Electrital Service or Pole 52. Pool & Equipment Locat{on , �. gpil Pipe•Undrgrnd. .� 53. Steel Reinforcement '.�. Electricai Conduit Utitity�Undrgmd. 54, forms i � �4.�Electrical Condui[-Undrgrnd. 55. Electrical Bonding '� 5: Steel Reinforcement 56. Rough P�umbing & Pressure Test �- 6- Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ,- ' 7. Footings 58. Electrical Conduit-Undrgmd. 8. Foundation _ 59. Gas Pipe, 0 Undrgrnd., Test 9. N/0ter Plpe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. 10. S'tructural Floor SYstem 61. APPROVAL TO DECK 1 t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final , 12. Sewer Cap 63. Heater & Vent-Final 7 3. Rdof Drains 64. Plumbing System - Final 74. Rcrugh Plumbing n�' 65. Electrical�Final 15. Raugh ElecvicahConduit ;, 66. Soiar SYstem�Final ' 76. Rough Electric Wiring 67. Fencing & Access Approval , 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air,Conditioning , - FIREDEPT. REQUIREMENT 20. Rougfi Fattory Firgplace . - - APPROVALS � Permit � - .� 21. Duct�inStructure`�" ' _ ' ' � ,-;, . 70. Lnderground Hyiiro 22. Oy�s, Vantilating�;�- �' ." -� 71, Product.Piping �Gas G'Oil � 23. Gas Pipe-�iougTh & Test � �� ,� n� :��` � 7Z, Unde�ground Flush . 24. Roof Framing �� ., l - ' 73, • Undergrnd. Stor�ge Tank O Gas ❑ Oil 25. Roof Sheathing �` " ,. . 74, Overhead Hydro 26. 7.Bar.CeiGng (Struci�ral) & Mono�oat r^ - 7^,�;]Dry Chemical ' L � 27. Fr2meand�Flashing•" - � �;' 76. DryStandpipe :; ' .28. Lathin &Sidin �� --�•� ' ` 9 9 � `� 77:' FIXEDSYSTEMFWAL 29. InSulation" -" � � �; 78:' FIRE PREV. FINAL ' � 30. DrYwall Nailing �t . FN � � t ' '~ NEALTH 6EPT. REQUIR�EMENT 31. Plaster Brown�oaL' ,' = ' 79. FINAL INSBECTION 32. EI¢ctrical'.power Meier�Finai � 80: FOOD CERTIFICATE ISSUED 33. Final Eleciricl, ; - -, . Nates: _ � , 34. Final Heating & Aq Con�fioning - '. - � � _ _ 35. Fina� Gas'Pipe�Tesr � • ' � ` - ' ' � - � + � . • = 36. Hood;or Canopy � ;•�; ' , , 37. Final FacCory Pirep.lace�` � •� '� - � ,,. . , ' �38. Final'Rlum'bing ; Y r ' � _ . i s. : �, - � 39. Wa2er Service•Finai � ... " � +� ' - � ' - � 40. GaSSuvice-Final �' °•"'; _ '" - . � . n ' - 41. Solar pomeSticFinal�. � � T "' - - 42. Batkflow Preventei � � '�' , : . �� - 43. BaCkffow Irrigation • _ 44. LandscapelrngationSYstem�'��,.; :Y � ' " � �� - - - . ' 45. Sound Atienuation � •�• ' - � ''' - " � ' - ' . ' C k � - . 46. Handicap Reguiation�. �' `,' ; ` - � � 47. FlNAISTRUCTUftE&BUI�DING ' - � 48. F�NAC PLANNING ' ' �� , . 49. Elearic Release to Edison 7� r ; ' 50. Gas Release to Southern Cafifornia Gas Co . 51. CERTIFICATE OF OCCUPANCY No Date moness a aw�axo: 5 6 8 W 1 8 TH S T OATIER8NA11EIFpqWN: CITY OF COSTA MESA eooxEss 77 FAIR DR (�714A754S5`286A 92626 .w�. �uur» �ow�sx u�cxrtecr ox �ffn: mxm�crarsru�: LONfF1tTOR4 WYlR10 AOONFSk UNT: uc w: uHr: IlG Iq: uxr: LILEN4ED COMNRCTONS OECWIAiION: I Mraby tlRm iatlr pxWy d prjuy tlmt I em fcaneE ivds parievu d Cheqr 9 (mmm+ndnY wnh SecYm ]000) tl Oivuun 9 d Ne Bu�imu end Pmlaiau Code. end im' Gomn u n M1A lau and ailaa. crtv uc. No.: uc. cuss: uc. No.: EX P; Dma �^^Um� OWNEF BUILDEP UECLANATION: I Axeb/ e16rm �vdx psWY tl par'�vy ihet I mn exemq Imm the Com�etlm lioema lew ta Ns IGbH'nC neson (5etlion 10]1.5 &nnm� and RMen'vu COM: MY M' a mmtY Mvd� reP� e V�Y to mmbuci. a�w. impa+. Mmd"eh, or repei mry �bucLva: qv b b'sn�enoe. ebo nC�im IM app&atl �o� wM pemiil to fib e erypwd aWament tlW M w aM o IicemW W�auW io tM pwirioiu W iM Cavreaan L'mna lew �Cha7a 9(amunmtiq Wh Sedon ]000) d Diveion 9 af IM BusMw eM Prds»bm Codal a tIW Ir a Ye b axanV Nsehan md IM Eeai� In Ihe alNpaC uamPion. MY videlion d Soqion )0'lt.5 by em/ epd� lor e permi MjW� Ilr eppfrsM lo e dvi pena4y d nol mae pmn Me MvdreE tla0en �S.AOD. � I.tlOwM�G11MP�WM�Yttt11Vd�D'�/MOMhMGQMtlIMIA'JOCq11pMMm41.WTbJNlMIXY.PoMNGlNL1WOOMIN�NMGE a onerod tor seb (5«iim )OH. Buriirn enE Pmfsas"vuCode: The Convmae limnse lew doea rot eppyto en ownerd qopeny wM Euids d'm0�� Ihasm. eM Wq dos� �url� wak Ybn�eC a Mnd aWa� he a!w wm emCbla^. Va'� thel wc� imprtwamems ue nd IMadad a aflretl la veb, tl, lawevar. iM GUMinp a inpwanani o eoltl wil�in ane yeer W rompletion, iM oxw-0udEm xi0 Aave iM dntlan d Vp+��q M a eM dd nd butld n'unqw+ln �M PODwe d vekl. � I. m oxw M �M P�WMY. em ud�rvMY oorureeiq wX� ticansad contrMae b muo-url IM p9� (SeCion 9011. Bueinre end Pmlevaione CaEe: TM Gontretlm licanea lew Eom �wl �pqy b an oxner d propMy who Wiltla a impwu t�raon eM x1a cmtrecb la arA p'qWs wVh e mraredu(e) fcan+ad punuW lo ihe CaNre ors Licen�e law). I em ecem�uM' S�ec�lyn� � B. b P.C.. br th'vy n: Ome: � om+«: ! 1 Aa <atiN tlw I em ewme d eM iMwetend IM �ea�� tl Cellomie IWM Code 6eabro 25505. 255]J. vN . ud IMI I Of M' M1llu!! buYA01Y �d k19 / wil MI (dCb Oro) �Nld b COTO�/ M� � qtl! NAOt end IM A9�YMIMIb �Of e o�C tawutructian a modifimionhamUrM�en+Oe^� D'mlrin. RwidW N omavfion ePV�iaman uemq hom IMs Dale: MW�w+: WONKER'9 COMPEN9�110N OK W1�TION: 1 MraOy Mvm uider pmdy d ps�uy one d IM bCo�mq ddveiioro: ❑ �n.r..mwilm.v4.n.ean!'w.dme.+�o.wa�wea.wM..•mmpemmbn..+a��aMs.monamoa�n.LeEar "" Cotls. la tM pMmiwic� tl Na wAc In wlich Nb pamY o b�ued. ❑ � n.v. w.;� meim.n wonw.� mmv«m�o� bw..nu.., nw� W s.aion amo a m. �.nor coe.. b m. a�«�wns a in. , wak ia v.TiN Oiu V�b u mW. EA' walun' cvmM�+mbn bmuu�ea mrrir mtl O�Y mvnEr en: c.�: a,c��r�n.: (Thc ncion mM iw a mmW�M l Nr o�t e b aw MM�! do[en Rtmi n IsnJ � I cMh Nn in tla DMamuc� d �Ir rak br xfiic� �h6 W� u muM. I Nel nU amDM �Y Ge� In enY men�ar w m lo Wcmw aEjse �o iM xohs�' m�prsuion Iew d CWuri�. ed �ys� tlr Y I Jvd] Ea mie wDjw to tM xvAx�' oompy�wbn tt�un d Satlian J]00 W IM lnbor Code. I tluG faNv.tlh wm W xvh �hme Pewi+ion+. om.: ��: WxnMp: F�4un b wcun woilr�n' eampru+tlen rovxp� li W�rN{ uM Ntll WC/�c( �n �mployr ro crIM�W prultlu �ml eMl nIw'q ro ar hvWrW MowaC AWW ltIPqQ00A ti�� a IM rost ol ro�ryxu�don �pu u provW W ror ln s«am ]ros u� m.lebo, cew. �nM1n,c .�e.rcemn'. �».. coNsrnucnoN ��rnrw �a�+cw i i.'.er .�, �w., o�W d oawr �n.� m.. b.�nNa� w�mro w�r �« ue peAamenu d iM wwk la Wwf� Oiu prm� u ua�E (Seaion �. GM. G�. LENDER'4 N�IIE LRlOEP'S �D�REA4: I<mlEy ihet 1 Mve nW iM1u epplicetion xd uele ihe� tM ebwa "udamdion b ca�ea. I qpee to comply wi1M1 eE r'ey eM mumy adinerices enA sWe Mwe raietiq b da1�' p armuCim e�dlwaEy aWvcs �apew�mivse d Ih'v �Yy b Ww �on tM ebv.smMiwrd popany �°`"'°°°�°�`D°°°° 4IKE CHEAFEA s � om.: (5151AB.WP) Whil�-Bu vq8 .OreeirFb:Cu�eiy-Appirani:Rnk-Rawnue:OokanmFA+seswr CITY OF COSTA MESA —�UILDING PERMIT PERM NO; E 08312 PERMIT NO; E 083122 PLAN CHECIt NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: V—N SP PERMZT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION ; SAFETY INSF+ECTION PERMIT FOR "FISH FRY" SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: H / COMMENTS: SAFETY INSPECTIONS FOR THE "LION'S CLUB FISH FRY" �f �1! Ik 1f �k �f �F i! iF if M 1E if iF ik M!E 1f jf iF iE iF if if if 1E �)f M iF % iE iE 1f if !E iE �f if �! 1E fk ik M if iflf iElf 1E iElk iF it iE 1F IE ik 1f If if �E fF �! k i! it iE �t !f it 3f IE iE ik 9f � 1f IE 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 --------- FRNT: FT IN REAR: FT IN FRNT: FT IN AEAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN AGHT: FT IN PARKING REQ• PROV: PARCEL; 42228221 ZNE: REF NO: PLANNZNG NCSTES> % kiliFkitiFit*kitiFikitififkiElEifkiEiEiEiEiflkiE�E#3EkiEiFiFiFiFififififitiFikiliEikiEikikitit�kiklfkkikilkiEiEitikitkiFitiEiE3lik3lkkkiE�EitiF D E V E L O P M E N T S"E�R V I C E S R E Q U i R E M E N T S ZONING APPAOVED i3Y • DATE: BUILDING APPROVED BY : APPLICATION ISSOED BY: � ' � �r�r�r��r�r��r�r*��**�*x*�e�r*�e��F#� �F�F�� LEGALIZATION;N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC FERMIT 48.75 SOR FIRE DATE: DATE ; '0 3f3kff*1EkiEiF� � ifik STRUCTURAL S'GME T:N SMIP/RES GRADING SMIP/NON—RES PLAN ISSUE FEE 22.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CAECK TOTAL PAID DUE TOTALS----> 98.75 22,00 0.00 70.75 70.75 ,00 AEVENUE DIVISION TOTALS--> COLLECTED: 70,75 OVER/SHOAT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMiP/TOT GRADZNG PLAN—CHECK 70.75 iF 1E JE �! if 1E i! 1! ik ik ih if it if iE if -7f'lf af'M' iE iF �k'lE ff iE'IE �f # i! jE �E ik jE'1E 1k �)k if iE 1E 1F'lh'7k'lF'1F'k'k �)k k i1 ik 1F'IF 1f �%� �If iF ik ik ]E if 1E'k 1E if )F dE 1E�% )E 1f ik if iE if iE ik'1f'1E I N D I V I D U A L F E E B R E A i( D O W N TYPE ELE ELE (JTY D E S C R I P T I O N UNIT COST TOTAL COST 1 SUH—PANEL 16.25 16,25 2 MISC APPARATUS NOT LZSTED RE� PERMIT 16.25 32,50 END OF k�EE Or3�-1991/i1:C� A,i/470.75 RLPT�:�1-2�a761� PEF2PII T : 083122 CONSTRUCT�ON AND PLANNING i . POOL & SPA APPROVAIS Permit # Date Inspector qPPROVALS Permit # Date Inspector 7. Temporary E�ectrical Service or Pole 52. Pool & Equipment Location �- . 2. Soil Pipe•Undrgmd'. - 53. Steel RePnforcement 3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms � 4. Electrical Cor�duit�Undrgmd. 55. Electrica� Bonding ' 5. Steel Reinforcement 56. Rough Plumbinq & Pressure Test 6. Electr�cal UFER Grnd. 57. APPROVALTO COVER�GUNITE � 7. Footings 58. Electrica� Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgmd. 10. Structural Floor System ' 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor•Final 12. Sewer Cap , 63. Hearer & Vent•Pinal 13. Roof Drains 64. Plumbing SYstem - Final 14. Rough P�umb�n9 65. Electrical-Final � 15. Rough Electrica��Conduit . 66. Solar System�final 16. Rough Electr�c Wiring � 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL 79. Rough Heatin9 & Air Cqnditioning FIRE �EPT. REQUIREMENT 20. Rough Facto�Y Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Dutts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe•Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathin9 74. Overhead Hydro 26. T•Bar Ceiling (Structurai) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. fIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Piaster Brown Coat 79. FINAL INSPECTION 32. Electricai Power Meter-Finai 80. FOOD CERTIFICATE ISSUED 33. Final Electric �� Notes: 34. Final Heating & Air Contlitioning 35. Final Gas Pipe•Test 36. Hood or CanoPY • 37. Final Factory Fireplace - -- 38. Final Plumbin9 -.� 39. Water Service�Final ` 40. Gas Seroice�Final 41. Solar OomesticFinal 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Ir�igation Sysiem 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. fINAI PLANNING 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co i' 51. CERTIFICA7E OF OCCUPANCY _ No Date � �OpFE550fBUILWIG: 568 W 18TH ST °"r,�R°'a'E'°'Q'°'"":CITY OF COSTA MESA �^� "p°"�77 FAIR DR COSTA MESA CA 92626 (714)754-5`286 �vr�. �uiaa �oo�ss: ANCNRECTONFNOMEEN: uc. xo.: �M CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 077505 PLAN CHECK NO; N UNT: e�m�cTon's""�ECRANK BROTHERS ROOFING CO ( 714 ) 548-5569 ��+��u�+ 126 COMMERCIAL WY �op��COSTA MESA CA ��= 408677 92627 uM: IJCEN9ED COMRAGTONS DECIANATION: I Mreb/ tllim uMx perielly d psejury thet I un liceruad uMm pewiebne d Gheqer B (cammendrq �MI� 6xtian ]Oo0) d Divbion 9 d Ihe &droa W Pmlpsions Cods. W mY �� V in full Mcs eM eMw. cmuc.No.pp gg uc.cuse:C 39 �0 40 7 EXP 6 6 ove: s— 3—�i � ��: ��e.� w. OWNEP BUILDEN DECLAN�TION: 1 Mroby tlfirm under pendy of per�ury ihm I un azamq Irom �M ConVeeon license Lew la �h� lolbwinp rwon (Seqion ]031.5 Buemme enE Pm/mlom COEs: �ny cEy a oounty whiM ropulm � psrtnil lo cauVucl, ellx, Imyow. demd'eh, m r�pei eny Nr�clun, p'w lo id's�uerwe, eYo ipuim Iha eppimnt ta �uch partnB w fil� e 4pnW �WameM tMt M a�M u IicamM pumienl to Ihe W�s d IM Gomreaon Lic�roa lew (Cheqer B(oommend�p wilh Bodbn l000) W DNhbn 3 at tM BueiMw uM Prdeesc�s Codal a �het hs a�M b uemp iharehan ud tM beeu la tM ellpeE axemqion. My violetion d SeCian 'I W1.5 by eny appirent Iw e permn wbpa� �M appkent to e cil penely d na man Ihen 1'n� huMr�d ddlen �55oof). � I, m awwr W Iha prape�y w my ampbyeas v.4h wepee ea Iha'r eds mmpawtion, will Eo Ns xork, and tM evuauro e nd iMeMeE w allaroE br eele (Section )o1e, BudMneM Proleseiona Coda: Tha Canlraawe Lkenes lew Eom �wt epptyto en ovmerd qopeny who Wlde a inpovas Ihereon, eM wM dom euch wak Nmeell ar Mna[ or M�aq� lie a Mr own ampbyeea. povided ihel euc� 'unpwpnema ere nd'uNendod ar atlsaE la ub. tl. lawaver. iM buitlinp a inpavneN u ad1 wflhm ons Y� d oompluion. Rr cwrrr-0uiHw WI Ma �he dvden d pwinp M m ehe tlitl nal bdd a impwe la ihs pvpma d eebl. � I. m owinr d ihe pWab. em ssAnnMY wntma�G r.ia� 4cweE rontrenm ro mnWtl the V�9b (Sotlun IOM. Bua'vms end viamnau coee: n,e comi.eon ucen.. ta. ew. �a moN �o en ownx a woo�v wno wua « impwa m...o� .ne wno conveaa la wrh pqeua wllh e comreria�a) IionaeC W nuam io �ha Conlrepor+ limroe law). � I em uanp urdm Sec�ion: B. 8 P.C., br Nn reamn: Dale: �^T�� eo nenM canM �nm � em ewme a ana uMen�ene �ne �uiremema a celCanm Neenn ena se/etv cods seaion. zssos. zss3�. ene 255�1, eM thn I a eny INure buiMi�q ¢apenl xill / wil not (aicb me) need io comply wlh eeiE elete cotlee eM IM reQuiremanp la epe�miilaconavuciionwmodifirationhmmtMR'x u-OTilyl.renepamantDietrid.RaeidenlWconavuaioneppliratbnsenazamqtmmiheee pOV1910118. oe�<: �vd�: WORKEP'S COMPENS�TON DECLAX�TION: I Mreby eff�m undm pereM1y d pe�jury one d Ua Idbwi�p dodvm'vn: � IhewaMwilmeimeFeceMra�edomeenllovaM+iuurelaxake�acwnpammion.mpwideAlaEySetlim9l00d�helebar CaEs, la tAe paelamerce ol Ne xwk la wM1ich Ihie pxmn'v iveued. �1 heva uW wJ mmeuen r.aken' eanD��ion inwreMe. m nWirad bY Seaian 9)00 d Ma lebor Code. br tM M�m� d tM work In vAiid� Nia D�e e usued. MY wkan' mmPemaion imuronca wris uM Odi�' nwnM vs: c�:,: $TATE FUND �� EXPIRES POW,Y Numbr: i R S— Q f��/ / 4 O 1 I O 1 I 9% (This asnion neeC nw be romOble.f I fM pwml ia lw are M1uMred ddbrs (StWI a Iw. ❑ i cenM �� ne Penam� d ine wanc ro� .n�n m�. p.� ia' ued. I ahell d ampl ` y pa�son menrrer m o to pacome wE�ea �o �M worken' wmPenaeilan lexa d Cel�l tl epree i� il I ahaJ bacame eu ' to IM wakan' comperyq�ion sion.s—��7y'y{/�m �)OU d Ihe lebor Cade, I I o h vill inp!/ ' �hoee Ue�e: � —� a f AGV�'�'anl: � Wamlrp: F�llun ro ucuro wrtsri conp�nuf/on eweray� l� unNwlul, ne alull •/�cf �n n ulMml pxuMu end clvll llrci up ro aa hunaretl tMuunJ Gollan lJIOO,OWI, In edd/tlon ro s cwf o mpxuetbn, tlamepu as pvvlGetl br In Sxtlon 9)O6 0l Ih� Le4or COW, Infrsif, �n0 �ttomey'� l�u. CONSTIiUCiION LFNqNa �GENC�: I hraby elfum wdm peneM1/ d perjiry Oim �Mn u e omatvfion bMiq pmry tor Ne parlortnvxa d tM wak tar xfiid� �he pemi u'vaed (`�� . Cn. CI. LENDEN'S NAME LENUEH'S AODPE%: I eenity �Mt I hevs ned Ihu ep[�e�� eM aete IMt Ne ebova in/ormm'an is eortaq. I epeea to rompy wil� ell ury eed muniy adinenue eM stels lexe rNeliq �o buikifq canetrypiuwWr�by eWar¢a representativ» d t�b tltY to eNa upon tM ebwe-meMioned popeny (St51dfi.WP) "3�� o�. J , Whne-BuiMvq 8 Sdery: �reert-Fle: Cerivy-Appicant: Rnk-Reranue: GalEenmE-A+xsaa PERM NO: B 077505 GOC'T: Y SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : REROOF SHELTER FOR "FISH FRY" SQ FT: 4,700 CLAIM VALUE: 4,7Q0.00 CALC-6'ALUE: 4,700.00 GROUP OCC: B / COMMENTS; REROOF SHELTER BUILDING *�**� ��x *�** *��**�rtrt�r�+��***�**�*�r��r*� *******�rx ��r**+t***�+r�*�r��x��****�**+�*��*x Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY 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: 42228221 ZNE: REF NO: PLANNING N(�TES>� �n fE jE iE 1E 1E iE iE ff 3E 3f 1Elf iE 1E iE iE iF iE iE iE 1f iE iE iE iE iF iE iE iF iE 1E iE iE fE 1E if iE jE if fE iE iE 1E 1f if iE iE iE iE iE iE iE iE iE iE iE iE 1ElE iE iE if 1k 1E iE iE �E iE 1E i61E iE 1E if iE if if iE 1E 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: i:, HUILDING APPROVED BY : DATE: i �Qj/ APPLICATION ISSUED BY: DATE: iEiFiE*iEatititiEiEx-iEiE�**iEiEiE�EitiElF3FiF3F7F'3f'3FiF'iF�F'�FiF3F7F�FiFiF3F3FiFiFiF'iF7FiF r�� iF�iFiE*�t�tititat-��E��*�E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 99,75 PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 0.00 0.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC TOTAL 0.00 SMIP/NON—RES .99 PAID DUE .00 .00 .00 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK 1f iE iE iE iE 1E iE IE iE iE iE iE if iE if iE iE if if')f 1f iE iE af !E 1I' 1ElE fE iE ik i(' iE if if ii' 1h If if if if �I' iF if'!f iF ii' If iE 3F iP iE 1E �E if if 3f fE IE'If if 1E iF iE iF'IE')E if ih if iE if iE if if ih 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 SFC 4700 ALTER BY VALUE COMMERCIAL NOZONE 1.00 4,700.00 END OF FEES c_ :��,.=; -�, ,,,�, - - . �-� - r-� . _ . . . �� V � . �• POOL & SPA fCONSTRUCTION AND PLANNING _ '' APPROVALS Permit # Date Inspector qppROVAL5 Permit # � Date Inspector 1, Temporery Electrical Service or�Pole' 52. Pool & Equipment Location� _ 2. Soil Pipe•Undrgrnd. , 53. Steel Reinforcement . 3. Electrical Conduit Utility�Undrgrnd. 54. Forms 4. Etectrical Cond�it-Undrgrnd. • 55. Electrica4 6ondi�g � 5. Steel Reinforcement 56. flough Pium6ing & Pressure Test 6. Elecv(cal UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7, Footings 58. Electrical Conduit�Undrgrnd. $. Foundation 59. Gas Pipe, D Undrgrnd., Test 9. Water Pipe-Undrgmd. ' � 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor SYstem � 61. APPROVAL TO DECK � i t. Property Sewer Line & House Connection 62. Backwash & Receptor-Fina! 12. Sewer Cap - _� 63. Heater & Vent•Final 13. Roof Drains . 64. Plumbing SYstem � Final 14. Rough Plumbing � �� 65. ElectricabFinal � . 15. Rough ElectricaLConduit -� 66. Solar SYstem-Final � , 16. Rough Electric Wiring ' 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � t$, Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FtNAL 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMEN7 20. Rough Factory Fireplace - APPROVALS Permit # ' 21. Ducts, in Structure 70. Underground Hydro 22. Ducts,Ventilating 77. ProductPipingOGas ❑Oil 23. Gas Pipe-Roagh & Test 72, UndergrountJ Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing S 1�6 ��,.� 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27, Frame and Fiashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing � � HEALTH DEPT. REQUIREMENT 37. P�aster Brown Coat 79. FINAL INSPECTION 32. Electriwl Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. F�nal Electric � Notes: 34. Final Heating & Air Conditioning �� 35. Fina� Gas Pipe�Test , 36. Hood or Canopy - . . . - 37. F�nal Factory Fireplace 38. Final Plumbing � 39. �Vater Service•Final �'% . . 40. Gas Service-Pinal �' '� , 41. 5oiar pomestic•Finai � , 42. Backfiow Preventer 43. 6ackflow Irrigation 44. la�dscape Irrigation System ' � _ 45. 5ound Attenuation 46. Nandicap Regulations 47. FiNAL STRUCTUAE & BUILDING � �( 48. FlNAL PIANNING � � 49. E�ectric Release to Edison �• 50. Gas Release to Southern Calitornia Gas Co 51. CERTtFiCATE OF OCCU4ANCY No. Date Mesa`Biulding Departme►w'--'�,.,� ,�__ - • �� `irI'O ...r,_.�.... _�` •�� n: 111 EAST 20th STHEET � F 7 _ g U I L.D.,Ii, � V_ `. ' 'i �- COSTA MESA, CALIFORNIA --- -- `'FOR APP ANT TO FILL IN � FOR OFFICE USE ONLY � .,/ � Receipt No. Pe�rmJit.No. Addross �G� L[��_ O�i/!i� .r�i.. � I � � I � / '/ —• I Receiv y � e R 'd. Date lssued� Custa Mesa, California �G�.� : -� I 4– �/,'= s � Nearest L � Cross St. BuilAing - � , Address � ' ? Owner d' P�{/ fN �'�� aT { Costa Mesa, �i&�1fOTlllfl� + Mall Address Nearest {, G�,E �y � � /� Tel. Cross St. � �3 /// • j City 1�� No. Zono J� No. of Type I G up •! Architecto s Lie. �•� I P��s I - : Engineer j v• o. Approved ', / _ }( bY Date ; Address `��Y�� '%ru� ' � CORRECTIONS � City Lic. ntraet .+- No. ' Address'✓ e GL� %r! ��i� [�K-'�-- ' • t De eription I No. I Black I Tract � � � i � � (Attach MeteS and Bounds) � � No. oT Bldgs. � � Size of lot I Now on Lot � ht �- --- --� � Use oi No. af No. of , „r ,y Existing Bldg. I Familles I Rooms , � Setback Linefrom Rear Vard - -- -(��"" � — � Center of Street Side Yard Z D DESCRIPTION OF WORdi — �` ; � ' "-. \� � New // I Alteration I I Addition I� � —��... �.: . \ Repair I I Moving I � Demolish I .~ � � � .. Bullding No. of ' � Size Raom Stories 'xterior Wall I a' ot �, AppROVALS �vering C ve��ng Jse of New Foundation Location InspeCto� D.ate Building - Forma, Materlals, �j'jj,� Under-Pinning ' Frame: Fire Stops, Bracing, Bolts i I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comply Lath. Ext. . wlth all City Ordinances and State Laws regulating building const tion. Plaster, Int. Signature Permittee Z . Plaster, Ext. Authorized Agt. Masonry Reinforced ' Valuation Permit Fee $ �i � Plan Cheek $ .I� C d Bond Beam $ �/ �� ` 7otal p p � Fee $ ��- FINAL o�m tnd G-H lM 12-6� . _�..___ Y ."IO'�irT2v��.�, . -. . .. �. ,6.. i 8treet PLOT PLAN . Show Iocation and distances from property line and between buildings. , "y r f, ., daom3zsqsQ �:tibliuc"Y, ,czsTiPi �'t r � . . .. . . . -.. _ .. ��r] „ ' \ . • � .. r�. ✓.. . . . .. '��i . • l� f . . • � . . - I.. � S � r_ ,�l . � ` - -' . ' . ` " � � '- �----� -�--�--- l- --'i.. - .�. � \ � . . . ,. . . . _. �l`. ..' � �' , _. , �„�' � �', • �.,. ;'. � - - �: . • - _ -. � ,,\ . - � - • • .: ;.:..��.,_, . . . . . . . - , .�. �' _ . '�: _''' ---- - �`--: �.. ._. :J•. � - - -- ' -- - _ ' - _ _ _ .�' , � ' . • , i .^ /..: �K'. , �. - ._� � ' _ , � � �. . . _ ��,_' � _' .. . ` ' ~\ ' - " � '_� . � ' " .i , . � � ., ' ' �� _ J •�` ' ' . . , . c "' \ � • . ' S' _ . . . _ . ' .� " i. � Costa� Mesa Building Department 5,7�PPLICATION FOR P�RDiIT � �• � . 111 EAST 20th STREET � - B �' `D �IIN_G___ _,.__' COSTA MESA, CALIFORNIA ---- -- FOR APPLICANT TO FILL IN ' �OR OFF'ICE US� ONLY � • Rec/eipt �. I Permft No. so��a��g . . �y�0� �—�, ��' ; Address = { . Costa 111esa, Ci&�l 01111$ Received by� Date Rec'd. Date Is�ued i Nearest ' ' 9�� -f —5 CrossSt. Building ' � � Address � ma°`� ,� _ �'�a. � Costa Mesa, California ; ' Y o� Engineei Address ' Address Legal I Lot Descriptio� No. (Attach Metes and Bo ■ Size of k Li�e from of Street ewimng Size Exterfor Ceverin< Use oi N Buiidino C N INo. of Bldgs Nowon Lot INo.ot I No.of Familfes Room�. Rear Vard Side Vard [PTION OF WOItK Alteration I I Addition Moving I I Demolish I No. of t Rooms Stories IRoof —7�C—overi—ng--�� .� � //. i . n� f-�_ � I hereby acknowledge that I have read this � and state that ihc ve is correct and agree with all C� , n s and State Laws building c nstr � Sipnatur Of ,._ � � :7 •— il Plans � �� roved i Date � COdiRECTTONS . _ ' _ '_'._.- O , .c 9 � " _ ' __ _ .'_`_ ' __ Z �' " � _1_�' �_ -� r Farms, Materials 1� Under-Pinning Frame: Flre Stops, — 8raci�g, Bolts — Lath.lnt. on �� Lath. Ext. ng _. Plaster, Int. Valuation �� Permit Fee $ � Plan Check $ � Bond 6� $ Total �U u Fee $ FINAL �...'_ .,�. , iti� �v_s� Date C • J d � � a 1 I Street I . Y f"'F,,''� :.-,. ;' ,�'''PLOT $LAN �. : . .. , �,{ ,R..j � Show locatiom�;and. ;tlistances irom - �� proper,ty line and�betiveenrbuildinge. � '- t . �, , V � �, . r�^„ -' .. �', . *" �r' �t ` � o �C. . .,�, rr �Lt��., ' - . . � t: yf � - . . ' i,� J, . . , . . � ♦ r � �� ' � � '1 ' • ' �" ' _ _. _" _' .. ' + • �� :� ` i . . : ,: ... - . - . . � . . i �; _ ., . � .�.;�,, ` . �, � .. .. ', . , .. �, . . � � , _" 9��i� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA, CALIFORNIA fOR APPI/CANT TO F/ll /N COMP[fTE_�[.Y/ TYPE OR PRINT _ � i,1 ,YlA� OF COSTA MESA. CALIFORNIA NO.OP BLOGB. IINE FqOM DESCRIPTION OF WORK WALL / NO.OF I HEREBY �GI(NDWLEOGE THPT 1 MAVE qEAD THI6 APPLIC�TION �ND 6TAT6 THAT TNE ABOVE IB CORRECT �NO AGHQfi TO COM� PLY WITH M1ll CITY OROINqNCEB AND STATE LAWB REOULATING 9UILD�NG CONSTROCT�OIi V-�� I V 6� li.�" 4 t959 fINANCE DEPT. CITY OF COSTA MESp APPLICATION FOR PERMlT BUILDING fOR Off/Cf USE ONIY I N¢CEIPT NO. PE ADDRE55 � OJ/rC, �flPJO� ��✓�l"�� -� COS�TA MESA, CALIFORNIA �FIRE�. ,,,�_��"'/�. �f✓/Y h r APPROVED APPROVEO l��.l��f,�� $ � ( 09..�-[¢DATE ZONING NO.Oi USE OF NI PLAN9 '� BUILDING BT.1 �a ,� �Zo� �- � IINT BHOWN IINOER VALUATION �8 FOfl TME OP HSTABLI6HIN0 • PERM�T REQ ONLY. / -i PERMIT FEE $ Z PLAN CHECK S � TOTAL FEE 8 � -� / COSTA MESA BUILDING DEPAR-TMENT � P. 0. BOX 317 COSTA MESA CALIFORNIA C.L. OF STREET ' ��PROP. TINE _ r 10 FT. FOR 60 FT. STREET— � � � � � F t I ST. IW �a lo Id r WI � �I - — —a'i ALLEY QR PR P, IINE t ¢I ^ a� N c �:1 , L 2aw � � ' a U � F G.�� r �V`m �� FI i �, � O `,, I � V.�j1 ,.. O ; � , � � �l � } aw � ~ I � � � �z � � \o C/ � V a N I m � .� � / � , , , I � —�PROP LINE __ _ -^=-- L. OF STREE , � i � —�-----=—� V H w w z w : � � � FT I 60 F ST. � F�E RE �IV OF MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES �NESq I I 5394 I � �FO��PPLICANT TO FII.L IN \ BUILDING ADDRESS � �� .� Owner��,51'/� iYt � S� �� 1� \ Mail Addres � ` � . J City SiRNTf7- /f N/�}- Ph. No. .a-r�-� Contractor ��/Q � � � n�Ph. No. L- � � —�G t � � City Lic._No. ______ State Lic. No. ��7 Qo'.�'�6 Size ot Lot � �'-% :� �� j AP No'� • �/ � �� G `�� / .�i�rJ— Setbacks: C/L Stree .' L+�"'�� Re� Side Yard - Right � � Left Type of Fence e� �G I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all City Ord- in�ces m1d State Laws regulating building conslruction. Signature , _/ %��, of Permittee f'-ti-�- �-�,—.—�— ra� �/ OFFICE USE ONLY 3�� -,�^- I � �^�- I 6 - VALUATION Permit Fee $— /o� • � � � Plan Check $ TOTAL FEE $ • � � USE REVERSE SIDE FOR DETAILS � z i 5�s FEE RECEIVED • + FEB 19 19�$ COST,4.MESA BUILDING-SAFEfY DEPARTMENT � • P.O: BOl[i1] G06fA MHHA. CALIPORNIA fINANCE DEPTF.ce ' For Applicant fo Fill In Completaly AppL1tATIbN1VR PERIGR! `� TYPE OR pRINT BUILDING �' BUILDIN6 For OHlca Use Only � ADDRES9 � RtC61If NO. PEqMIT O ^ . COSTA MESA. CALIFORNIA I � flK[/ o e �r� n givqo w� / OWNER Costa Mesa Newport Harbor Lions A" � �o f_ MAIL p BUILDIN 1 � ADDRH88 P'O• BOX 6Z(J ADDRH68� / ti�'� RIRH � TlL. ZONH �FdROUP CITY C.O$t.8 T'i2$$ NO. APPROVHD � 2 �L� � �eCHITECT ��Cis J. MasC81�� 548-245 ar - � wTe zNGINEBR ZONING ADDRESS 657 w. i9th st . u- ._��. � }�d q7 p�jyI zoH[, no. or ue[ or new C ,`� GONTRAGTOR O/baJ� YJYfA�" JJCC �� Puna eui�oiHn��`2 -- e-�/y• � L80AL � "'� � - � �/f A�DRHHB 9 �6 lt G✓ DeBCR�mo /f � ' T ^ O ,r-- .� CITY 1l liQ I�' A. P. NO. � � � V� �� , �/ _r�� NOTE: NOHAVEOVERHAN08HALL@HLE39THAN LIC.TNO.f�U NE�� ,��g� 90'TO81DfiQREARP.L. EAVEB SIZE 600'x600� no.o�e�oo�.2 ALLOWHD �U.B.C.REQUIREMeNT) OF LOT Now oN �.oT � YARDSAPPROVED VAROSAPPROVED USE OF picnic & Restrooms MAIN BUILDINO AGCESSORY BUILDING EXISTINO BLD6. ( FftOM GL HTReET ) /� seTe�crc LIN[ PROM � � RR NT ' �'�}T. � �/ . ✓L` �FT, CeNrea oP oTReei ZOO RHAR YARD ')— SIDHYAROI LHPT �OO'+ R16HT 1�� R.81DE � uPT.�� '1 L�• T� DESCRIPTION OF WORK �.aios J�.�"rr.�' Fr. NEW � ALTERATION ADDITION RHA �,> RT. � �U/ . DISfANCE BHT. BET. MAIN Q REPAIR MO INO DEMOLIHH MAIN BLD68. ACCESS. BLD6H. BUILDIN6 96tV�81 NO bF 1 1 VAR.iC DATE SIZE �� ROOMB 8TOR1B8 C.U.P. APPROVHD EXTERIORWALLCORCTCt�ROOP � ea AP Vs� [� COVERINO COVERINO PP 7 •� < � onre - Ubfi OF BUIlO1NG A11D WORK TD B6 PHRPORMBD C�J�� Handball Courts & 3tor e Shed .�.,r� �.-�:c. .� �f . il � � U //-�5- �a� / a BO. Ff. � 1 HHPBBY �CRNOWL8008 THAT I HI1yg pg�O TM19 APPLICATION T1i �MOUNT 9XOWN UNDHp VALU�TION IB ROR TNe y /�ND 8TAT8 THAT TX8 ABO,y3�ttCppA CT AND AOqBQ TO COM. PUHPO88 OP BYTABLI8HIN0 A PBqMIT PE6 ONLY. O PLY WITN ALL CITY OADI NCU AND B TH LAWH qeOYLATINO yALUATIO ///�� BUILOINO CONBTqY . �� , m ' SIGNATU P � PERMITFEE $ � c%a�j s�� ,�', � � a AUTMORIZBD AOfiNT J � TOTAL FEE $ J�� t !� 1' . ;. COSTA MESA BUICDING-SAFETY DEPARTMENr P.O. BOX 1200 COSTA MESA� CALIFORNIA OZBSE For Applirnnf /o Ffll In ComplNdy TYPE OR PRINT �u��o�no W. l8th Street • ADDReYY �� cl 03TA MESA, CALIFORNIA �' � ' Costa Mesa '�� it of Costa Mesa uo�Nee� Y Same Owner-Bldr. 6¢iB�eK LIN[ PxOM DESCWPTION OF WORK S IYVP � O d D ;oveniHo TO B� P[fl�ORM[D Add :$tucco ( �`-� V V � / Control Building to Park Shelter 1 N6RmY ACNNOWLiDO� TNAT.1 NAVt 11ZAD TNI� A�RIGTON AND BTAT6 TNAT iM{ AOOV�,I/ COM[CY AND AG116[ YO COY• VLY WITX ALL CITY OrtDINANCf� AryD �TATi UYH 11[OYMTN6 eumm�oeonerxurnoy. _. AUTNORIZ[D AO[N7 � JAN 25-67 00 753 �***'�**•00 —` ; iFi waw�u � ' Jr�ola. oc e�r� A►PLICATION FOR PERMR BUILDING . for Of/ln Ua� Only . -,R[C�Iri'NO. q ZONIN3 xo. o. u•[ ■ux� Q wn � ,\ ao , 6 � �� ' I�' o. _ 1 / � —o�''O — � NO lAV6 OVERHANO BXALL !6 L688 TXAN YARDBMPROVED I YARD9APPROVBD MAIN BUILDINQ ACGHHSORY BUILDINO VAR. ZF eer.� wcce DAT6 � � TX6 AYOYH! �XOWry 11ND6p V�LUATION I9 FOR TXt �YNPO![ 0I fI�AGLIlHINO A P6RYIT PH6 ONLY. VALUATION s /OD � P6RM1T PH6 �_ / �i a m � `� � � w w . � , . _ _.fu�-;c - , � <<, ,; . . :�}��4� � -•. � '" "`�4r...^..':IJ.'.� . �_.. .. � ' JJ .. . .. C'�•• � �� .� . :n:d%. y JL �, �j , ' , • . /� i.. ....� � .. _'. -� :�/."'_' a _. .-. . . . . .. ,I,.�I�Li/W ��R:%�%C-(�l, -- '7if/�� --�('�c'Ls� '. - ' .—� -' - -�- - � - . . �` - : . /�� - � ��<«:t��J � �� _ _�ri� r. r�e ��-r��-,��i�,s- . : . �- �' _ "._��---- °-:_ ---�------ -______.._-�;_- -�-�. '^ ! 2 �_ r,�,- ' �" _ .__---__-�___-_�'�.'__._ ..'_ _ ' " • �' � . ' • . • ' - :.:: . � . . . . 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' - �-'— -- =�+- y - - ' ' - - _ . � ' _ .. ._._.._ ' " �'_' 1 ' _'_ "�_""_ _ -.._ _ � .. , - " '..-. _ . . ___. . _ ' _ _ . � _ . � , . .. " .. . . , ' • . . . ' - . . � , �., : � � ',�..._ ... - '.... " .-" . ' .. .. __f _ ' :__ _ ._' _"_ '_ " . . . ' . � ~_- .. i.J�... ..� ....::.t..._...,. ..� .. . . . . .. . _ _� . . . :i . .. .. _ _ 'tr ' ' ' _ _" . i_ .. .�„ . 1 _ � • J �) . . �i ��j ,( ��s< : ' COSTA MESA BUILDINCrSAFElY DEPARTMENT • � P. A. BOX 720! COSTA MFBA, CALIFORNIA 92828 Po� AppBmM to FIII In Compl�fdy TYPE OR PRINT �UILDIN l. ) /� AODR ��/ V � COSTA MESA, CALIFORNIA l�lic/ �-L� . - , y1'r��._ . . NO. ' �i� s� yn Ta 3, 3�/ r BHTlACK LIN61R011 DESCRIPTION OP WORK BUILDINO PLY WITX ALL euuo�wo con, AUTHORIZ�D AO[!/t TXAT.1 >Y[.IB i1111C0 � JUiI 29-67c�;—s��Q2748 a�u�5.t C . ArPIICATION FOR PERMR " 6UILDING � f0� OHILY UH OIIIy nicurtrvo. ��{p��3 � . � • � ■o�r �T��b� / e-/.% �� 'QJ �� = Q Zo va.: .�91.,i�'a'�Pl. , + J6 l� v..,�/V T'PR J� OROUP f" 'ROV6D � f�///� � / � 9 fi /" DAT6 L vd ' ZONINCi � .. �,�/ wo. o► u�a or n[w �un� � ew�oiNo , � "` Lnf 3a3r/-3o�� ceiman ..No. //6-��a—o/ f!: NO PJ1V! OVERHANOBXALL EB LE88THAN YAHD6 MPPOV ED MAIN BUILDINO IOM C/L iTR[[T} )NT.�LL�1 FT. 'f �7 fIDR y � �T R_� ��os uc i rr. fi --r—= . _ 1 D 1 _ "Y" VM. iC (} c_ u. v.1t �ILi) G YARD9APPROV6D ACG6880RY BUILDINO UAT6 (�liu .'�:'.;: ;.�c.=r..�. .y.,�s--- � -� a w , . � �� . �. � TI{ AMOYNT /NOWq UNO6R VALUATON 19 POR n�e � ►URIOGi O! iiTApL19XIN0 A P6pY1T P68 ONLY. � VAWATION / �.� p PBRMIT PHH �(� � � �^ � w° /o� �. � TOTAL PfiH � . �. .. �� `�� `+�' -. . { � � . . --- - - .Y.;:.: - . ,.,- ' _... .�-.c.��•,:r.,.. _ , ._ .._. �� ,.. ' . ..s . ... . .... .. . ._ . . . . _ ' . "' _ _ ' _ ' ' � �_ . -. . -_ • .�'•:special �requirments_. _ _ _ --- - °�'--- ' .� -- - � --- - a,i,. �. , �-. :.,.:.,. ,�...�. -----� ---- ----�--- ---- ---- -------- . , I I . i •- '- 1:-` Fire Department"to, be ciotified:of-,exacG-route-and time�of =-- x . � , fl.�.� r IIIOVPIn2i1C.. . . . • .-"... :`A . � .. . . _,.7._': _ '�� . 2. Completion within� sixty days after.-.d'a"te'of� d`eliv`ery. � - 3�' Subject'Eo'all-the'-requirements_of_the..DeparCment_of- ___ __ - '- ` , - -.Building�_Safety__�'`' + ' - ' _:.. - 4. Thap_the•,exterior stucco tie re=coated. � " `" -� - - " , '---' . . .,...: :� -�--...-.-^-'- - .r __ -.----- ------- --- � - ---- -� -- -� .. , - . '_ . - - - - - --- -'--- - � . . . . . - i: , '� -'�--"-- ----.,--'-. .."..• �--- ., c - , ._i .i . ` . ' � .. '_ _ � _ ' _ "_ "_ '_-' _ "' _' "' "" "_ ' ' > Y'� , .1...!"_ ,�.1 ]...._.'... �. -i .V. :': '.'. . '_" � "�' ._.._ _'_" '_ _' ' _ "�_" " -- _. ' . ..I" � . . . . _. . , �....... . I C' . '_ _ _ . ....:'.' .:.. � ' " ' '_. . ' ' ' _ '. _ . .. _.. . , ' 7.'.^:..-S i. �u=� : 1 •r, ,_:.'!:: : ��.. . ' _" _ ' '_ _' . _ _ _ _ ' __" _" .__" " � ' :l`.I"� -JY:ll:l�_.1'. � � :11uJlt' . • • ' """" __. .' "' _."' ' • r•. �hl . � �,. :.t � � ) .- "'..' _""" ' "' ' " "_ _""' "_ _ ._. . . . .. _, . . . . . .. � ... ' ' . _ '_' ' ' "_.. _._ � _ � . - : i. . . , . . , _ ' " ' "_t _ " " .. .. L _ ' _ � '. ' � �._ _ —�_____ �_ _ .. _ __�_ ��_ __ . � _ � . __ . _ ' . � . � . � .. . � , � _ .�__' __.:.. _ _' __�_..____ .- � '.. _ . . . '. . . __- •' ___ __ _._ ' _. _ _' _ __-_Y.__.__; __' .' '- . _._ 1 . . . � . . .� . l.. - . . ". __ . _ _"__ ' ' . .. � . . ' - 1 . . . . . • _ __. _._ ___" . _' _ _ . . . _ . _ . _. . _r . .1�. .. `� __._ �_..__ __ __� _ . ; ._______.". _ , ... _ . _. _ .'. ..._ __"____.�. ..- .� .. .� _ _. ,.. - . ` ' _ _ _ _ � . ' . .. . .. �__i .. _ _.` . .. `. - .__.. . ,.. _ " __ _'_._ _. _ ._ _ '_ _ __ . _ _ __� -� . . _ . " _ _ . " J.r _ .. ' ' . :. .•, - '. ii ::.. t _. .:. . .ti : . .' ':.'-.' .'. .•.�. f4". . • 1 •: ' - � . • ' -��. . y i � r ' ' . . _ . - . i. •.. _ . .. ' ... . .. . ... � 5 �� . . . , � _ _ . . ' � . . . I r1l' �/f> �D�� '� . - � + 29079 , • COSTA MESA BUILDING-SAFETY DEPARTMENr P.O. BOX 1200 COSTA MEBA, CALIFORNIA Y2816 for Appllcanf to F!L In Comp/ataly TYPE OR PRINT ADDRE�SD � W. 18th Street COSTA ME3A, CALIFORNIA owNeR Cit of Costa Mesa inoa�at P. �. BOX � Z�� Owner-Builder -- NO. -- A INO. OI �LCO�. Mow on Lo7 Shelter - Storage EX. we�wv�we F DESCRIPTION OR WORK -21'X62� R�ooMa wwu ,. I noo� Handball Court Roof - Alteration 1 H6H88Y ACRNOWL6D06 THAT 1 NAV[ RQAC TXIB wPPLIGTON AND BT�TB TXAT TX6 �CW6 �t CORR6CT AryD AOpe[ TO COM• PLY WITN �LL CITY OPQINAXCiI AND �TAT{ I.AWY pIOYLl1TIN0 AUTHORIZiD AG[NT � _S'�PAIOOO i2() �t�t*irik CMSA Z OO APPUCATION FOR PERMR BUILDIN�i . for Offles Ute Only 11[c[IrtNO. P �%�.. ZONING ZON[ No, oI YY[ OI N[W/�� 1 �uM� Q eu�Lo�t1ol,Tl4 O( ouc��mox 6�Y� , c �!� � � ,.. �',T4 AP.NO. /��- n�TD '�� i N0T6: NO QAVQ OV LRMANO SHALL O8 LdBB TMAN 80' TO 8106 a RHAR P, L 6AV8B ALLOW[D (U.B.C..RlQUIRBMHNT7 YARDDMPROVBD YARD9APPROV6D MAIN BUILDIHO ACCHYBORY BUILDINO VM. �i 'ACCE DAT6 iX[ AMOUM OMOWN UND6R VALUATION IB POR n�a lUqPos6 OI [YTI�BLIBNINO A PBRM�T P8H ONLY. VALUATION PBRMITFEH � � /0� � � a/ � ' TOTAL FE8 S COUN'IY OF ORANGE � � � � "� ` `' ' ' ' BUII.DIIVG DEPT. . . p. . 636 No. Broadway , P¢rmit No..�..0.�.��..�.- . s��n�a,c�ro�a Application for Builcling Permit , Phone: KI 2-6211 ' AND FOR A '� ' Certificate of Us¢ and �ccupancy / r � ` � �J J ..r __....."..".. //^ /� % DICC ..............".'_....".........'.."...._... / _ _ . • _ /� /_ �. . 1. OWNER'S NAME-----,------�f/_TLL(.F..C...j�.._�7.^'1....�% MAILING ADDRESS_._ _— -- _--:.. -- .......:..:..._..... - ...---:.. , Name��._!/..r.�i�.FJN---....'....:._ ..............:.....' , � , � (Ar,chicec[ or Engineer) , Address �� ./�'��r.��'�.��_.�....__.. ' , . City:......_.. -"-' .....` ---- - � - - '- .....:...: '-'-'-----_.. State Lic. No......- �- -- -- --- . Phone.....:_ ..:..........: - "-- - Name ---`— :..:.......... ilddress' .--------...--- ` City - ....... ....... State , 'Lic. No.-----_...... �--.... PHONE:._ ..............:-........._... CITY-� - .:...._ -:_' ......................._- ................................._... i....—=---�------__.... . (Contracwr) � ' . ................—� ---.......--.......... _ ... . . _---- _ . IpROPOSED USE:...�L..��/T%d�:....>"�?.......:7r�.,`�_�:..._��..7'�4.F.�/'f�F�.........:..' -... �-------- .....-_. ' ,� � / , � ; j ( ��' LotS.P.-�.�. �..r� � .. )B] OS ��-Tss'.r. .�..�:e'.�.lr ... ' 2. OB LOCATION �� ....... : ..P.:.........._, .... .. . ..........__- ......_.. - •- - � - - ' House No. .;;' Name o( Street Town or School DisFrict)A/ � `� . . . LEGAL DESCRIP'FION' - o ...`-----------'._'.......--------. Tract � i ,.. �C%�.�^�... . (Mctes and Bounds Deacnpdo�r—Use reversc sidc of form) ; ,, . . 4. CORNER LOT ( ). , )NTERIOR LOT •( . ) THROUGH LOT ( ) SLOPE OF LOT ( ) i. SIZE OF BLDG.:.r� ��ld...AREA:--.�'�- .Y...�.•-,--_SIZE OF LOT:.�PP.X�,.��/+ .f�'.....AREA:..---_-.--..------_-_------_.. � . , : ; �}� � G. HEIGHT OF BLDG. _.....-_...�..-----...._.:...:._CEILING �HEIC:HT:------_�-------------------I�'O. OF STORIES-__._-_�-.-_--.-----.... 'i , . . 7. NO. FAMILIES----....-'-_'_�-._--...-.--':__.:.Sizc of�SmallesY'Bedroom::--.-__-..._.....--_---�.......... Size of Kitchen------...�.�...__._......... , ' ... , . . F. EXTERIOR WALL CONSTRUCTION :.:...:.........! .:...:.......:._;...._._INTERIOR WALL COVERING.._.._..:..___..............._....... � (Frame, Smcco, Etc.) . ' . . s : . . . ; ' y � : , ; (PlaaterDrywall, Etc.). .- ...... 9. SETBACKS: Front Yard From Center Line of 'Sfrect:...' .��f�%.�..:........ ' .._...._... . _ ........_. Nearest Side Yard..,...�`��._r. Rear Yard:�.._.��:.Distance in Feet�Between I31dgs. on Same Lot .............:......._�...,._'-...-....... . � �A_... , 10. A COMPLETE PLOT PLAN' IS REQUIRED; SHOWING ALL STRUCTURES AND USE OF EACH. ' 11. For (a): Eooting.: ;VJidth.. -- -- - -- :..' - ... .Depth i�nd :..,� ...................Width of Wall - ...'...... `_....- - - , . Accessory . . . . . . . . � ' � ` � : , �y � . . : i � . Similarand �b) Size of Scuds:.,..__........:.P�pyd�ag.`.-l:��/-------- CC Material of Floor----...---...------------ ..........:.._.... ' Struttures: � . '- � � . ' . -� .. . � . � ':� . . � . : ��):,Size _of .Floor Joists: - --� -`-- -- - :....�4./:'.:Spacing. - `- :--...:. ` .,... ` ...:'CC . ,, (d)� Size of Rafrers:.--'----�--------�--'---- ........:......--..Spacing---....:.--'- �-'---��------..........._.,CC � . . � 12. VALUfITION OF ��P720POSFD WORK: ; Including,all labor, plumbing, e]ecvical!wiring, heating, fire sprinklers, painting and 13. I HERSBY CERTIF?TI-IA'F:TO�T E BEST OF MY KN sewa e dis osal $,.�... -�.�_M ...............-- - -.- OWLEDGE AND BELIEF THE INFORMATION ]N THIS APPLICATION IS GORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM 7'O ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF: CAL NI PPLI ' . � . C..IP�: DONOFiIiE couNrv.eui�eirvo . � INSPECTOR , � - .. Signed:--- Ylans Filed:...........� ��......_ , � . ' - By:.... Bldg. Permit Plan Check Total • � • Receipt No.' -Paid to - - - ........- --......... . . ' . . . ' . . (�ui6orized Agent) . FOR DEPARTMENTAL USE ONLY FEES:' ; ' $---- - - - - �� GROUP.._....w�-�----- - • $ .................:.e�,�. TYPE..,......:�. • 5.....efa. � • .....:....... : DIST. -...._... • dl��,... �.f`....- -� --- MAP.......�..',..: _..._...:. - ......., .. �f .......:....... SHEET NO..........,...,- ... = - /f . APPLICATIOhI...�..r...�.�. .� HEA TH..:_ ......:..:........... ZONING...- --.c .............. FIRE., PLANS AND MARSHAL .....:......:......... SPEC'S -...-� .... ..........-- STATE--- --.....,...:. � ._. CORRECTIONS ENGINEER. ' � ' VERIFIED ........................ CAL. ,, � . T�$�$ �:/ �Pf�R �—�.�.V9..-�U DATE....._�1 �._JjjI�,Y......... ._..... -.._.��/z/... s m—e,i . � . / . ' ` _� .. �� .�;��/'�'�'� �tg� �acn-,c� UECOUNTY BUI.LDING �_ IN$PECT.OR . G �z�i n.�- � �dch".�'