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Home My WebLink About815 18TH ST - Building Permits�� rY -� .� �_ � <,. S r� �CEIU�D � ' � I 7Z�J� JUN 12 COSTA MESA BUILDING-SAFETY DEPARTMENT // ��2 '� ` 83�W ��fINANCE DEPT. P. e. eox g,� G08TA MEBA. CALIFORNIA �iS�(-� � CITY Of COSiA MESA For Applieanf io Fill In Complefel � �ir'qppLICATION FOR PERMIT TYp R PRI r BUILDING BUILDING l - � ADDRE68 S- ' COSTA M65A CALIFORNIA � FOI' Office Use Only . I ♦.. 11 9/iY (r r i / i/ i /� � RECEIPT NO. PERMIT NO. _ ■ MAIL ■ Al fEGT sys� �. /J�P, oa i : oc �� /� O X (� 3 d U6E OF /Jn � EXIBTING BLDG /-�h� 98TBACK LIN6 IROM ,� C V a BUILDIN6 vis r, '� Si�.Sy �ec�� OEBCM Ho, ov e�oca. � lJET y� LEFT � O RIGHT �yt DESCRIPTION OF WORK � BUILDING d/� Z l� d NO. OF sae o� ROOMS 6iORIEb I EXTERIOR WALI%�d �C I COVERING �� / � COVERING Ci USE OF BUILDING AND WORK TO BE PERFORMED l � ft r h. ,4- .v�� it�' TE 189U[D _ ti._, COSTA MESA, CALIFORNIA ZONING _' I NO. OF � I uae ov n vuHa em�o�Ho / , (GHNT[P lIN6 BT 1� jJ C¢ - D D �� A_.�� 9 .. I HlRYBY AGNNOWIEDGH THAT 1 XAVE R6�D TXIB APPYGTION TMg �MOUM BHOWN UNOER V�L TION IB POR TME AND BTATE TXAT YHE ABOV6 19 CORREQ AND AORC6 TO GOW . pU18096 OF EBl'�9LIBXING • PHRMIT FEE ONLV. � PLY WIi11 ALL GTY Oim�IUMC88 AND 6TAT8 LAWB Rg6VLATINO Bu1LDiN6 coH81AUCT1oN. // �a� . .. VALUATION ,//f 81GNATUR60P �j%/J.�� /I��/�� PERMITFEE $ /�j`(//� A AUTFIORIZED . : .�- isi2a COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIRORNIA Fo� Applicanf fo Fill In Complefely TYPE OR PRINT _ � BUILDING COSTA MESA. CALIFORNIA � �o• TEL. C. � �� X� C O�� I NO. OP BLDG9. NOW OH LOT 88TBACK LINB PROM � .,a..�e ..e �,o. / v o � � DESCRIPTION OF WORK BUILDING (� 5 fc BIZE O / 2 USE OP � BE �)FEE RECEIUEO 3 � �� NOV 7 p962 ,� �`-`�' - �i 9F=f�iAiVCE DEPT. pV�� r rv � rr�crn c •� �,�5� d�iAP��.I� 3 N�'F�oR�E I� �/ P33�%,,,^'� �/? ��UaLDI �/ t,/lar3) /�. �' For Offiee Use On1yCs`-�-�- 9J i�. RBCeiPT NO. P&RMIT NO. ' /�Q/�-8 I RECHIVED BY OAT6� CEy�6O DATe IBSUCD ' /v�--� ///�7/by I //��6 �i I BUILDING COSTA MESA. CALIFORNIA � �. APPROVED�T � �/ � DATE I I— 7— L z BV A � ZONING � 20NE /�—� I PIANB D' OUI�LOIN06WZh7fh. � �� Y �eo,.�,/+1��a T1i •- Le7`�f'i'o1 OHBGiIPT10N M • � A. P. NO. I/G �/G� G — U% � Y � YARDS EVES \ � APPROVED ALLOWED ` _ fC6NTCR LIN[ BT.1 1 HBIiHBY ACKNOWLHDOE THAT 1 HP�'e R¢AD TH18 APPLICATION ANO eTATe TXAT THE ABOV¢ I8 CORRE� AND A6RE8 TO CAN- PLY W�TH ALL CIiY OROINANCCB 8TAT6 I.AWB f16O TINO BUILDINO CONBiRUR10N. t i � ' � � SIGNATURE OF / i n IL �/� N i� ■ AUTNORIZED AGENT / TH¢ AMOUM 6HOWN UNDEH V�LUATION IB POP TH! PUqP08E OF EBT�BLIBXINO • YERMIT PEE ONLY. VALUATION � � 6O PERMIT FEE $ S �� PLAN CHECK $ V — t0 '�` 2��% ti i. ' . 'COSTA MESA BUILDINCrSAFE7Y DEPAKfMENi P.O. BOX 12W C08TA MESA, CALIFORNIA Y262! � Por ApplkaM fo F(11 In ComplsMly TYPE OR PRINT �VIL.nINO �jS �. � AOORHPG COSTA ME6A, GALIFORNIA .,....... /C • . �.V� -P�/� ■ STATE U8H OP E%I8T1� Q6TBACK DESCRIP710N OF, WORK WALL i ; TNAT.1 NAV6 11GD Tllll PLY WITH ALL CITY GWLDINtl CONlTpYf � � AUTN011�Z[D AOtN'[ � or e�eo�. DEC29-66 DO 977* **¢�13.50 MPIICATION FOR PERMR BUILDINO for Off)c� U» Only /t " � I iuni 2 CRITON �OI 1 �. NO. I ( � �— !6: NOlAYBOYfiRMA ' TO 61DH a REAR P. L 'E9 .OWED YARDD MPROVED MAIN BUILDINO vwr�. # �O� ee L698 THAN 1 \ U.B.C.RHOUIRlMHNT ` � YARDBAPPROVHD �`� ACGHi80HY BUILDIN6 �.\ `+O RI'. � l �� . \ Vp �. DATB � a m � so. rr. � TMt AYWlR 1HOWN UHD6A YALUATiON IB ROA TXH � NRNe[ 01 fffAGLI8XIN0 A PHpMIT F66 ONLY. � VALUAYION Gp _ GO p PERMIT FH6 � n � E s/J�ov �� w � �� AVD�icant to fill in all zDaees ezce0t thosa wlt�in neavy EorEer Ilnes anE sign all approvriate aeelantions. CITY 9F COSTA MESA CONSTR CTI(�j�7 PERMIT . Proj,c�•Address wEST ��T~ JT. i- . - v ,,;Applican['sMailingAddress ��g'�•ED/N! SR Owner's Name �Ov1��T5/!QR/'�E phone Address i 9 y4' E' �D/�� f��- ��'�' Arth/Eng. Licenu No. Address � ' � - p� ' Contractor's Nam e� C Phone �%�'O'�3 Addresslmailing) �Y�p EGFiq/GF/�� Si4Nr11-�iN�' City�License No. ' �.�� ( Q LICENSED CONTRHCTOR DECLAqATION I'M1ereby at(irm that 1 am licensetl untler provi5ioni ol Cnarter 9(commencing with section �000) of Divlsion 3 ot l�e Buslness antl Professions Cotle, anU my licenze is In tull torce antl ef(ect. � License Class � License o Date9-jq_ _ Si9nature �WORKERS' COMPENSATION OECLARATION � I hereDy aitirm that I have a cerHficate ol consent to self-inzure or a terti(Icate � of Workerz' Compensatlon Insurance, or a certifietl topY thereo( (Settion � 10, Lab. CJ Qp c 1 icy No. ��%Q��7�ap_ Company J�%f� �Mi� � Certifietl copy is hereby (urnishetl. Ce�ifietl Lopy iz filetl with the ciry I ng �ivisbn. � Date y ��Q � APPlicanl '� EXEMPTION FROM WORKERS' COMPENSATION ECLARATION (This section� neetl nOt bG completetl i/ lhe p¢rmil IS for one huntlretl (5100) or less). I C¢rtify that.in lhe pertorman<B Of th0 wo�k fo� wltich this pe�m�t Is Izsuetl I shall not employ any p r on in any manner so as to b subject to t�e. WOrke Co e a o ws of Callforql'J. � _�TM Dat6� Si9nalure-/ 1 NOTICE: If, aiter making this tloclaration, you shou become sub�ect L,the Workers' Compensalion provisions of the Labor Cotle, you must (orthwith -comply with such provisions or this Oermlt shall be tleemetl ravoketl. CONSTRVCTION,LENDING'AGENCV 1 hereby affi�m that lhere is a const�uctlon lentling agency fo� the pe�/o�mdnt¢ of tne work for whicn this permil is issuetl (Section 3097 Civ. C.) Lentler•s Name � LentleYs Atltlress OWNER BUILDER DECIARATION � 1 hereby affirm'ihat I am�exompt from the Contractor'S License Law forthe followin9 reason (Sectlon 7031.5 Business antl Pro(essional Code: Any city or m�mN which r¢oui�es a De�mlt to COMt�uct, aItB4lmp�ove, tlemolish or repai� �1.5 ,by, any applicant for a permit sub7ects the applicanl to a civil tlty ot nol more than tive huntlretl tlollars (§500). ' I, a5 owner of the prope�ty o� my employB85 wlth wage5 d5 th¢I� sole � compensation, will tlo Ih¢ wo�k, antl [M1e Structure I5 not intentl¢tl oi of(eretl for sale (Section 7044, Business antl Professional Cotle: The Contrac[or's LicenSe'ldw tloes�not apply to an owner ot a property who builtls or Improves the/eon, antl who tloes suth wo�k.himself/herself or lM1rough his or her own employees, provitletl that such improvements ara not Intentletl or ofteretl for Shce. If, how¢vGq the GUIItlIng or ImprovaTenl IS Soltl wlthin One year ot cOm- pletion, tne Owner will hav¢ the burtlen Of Proving he/She CiG not builtl Or im- prove forthe purpose of sale). ❑ I, az,owner of the proper[y, am exclusively contracting with Iicensetl con-' tractorsto tonstruct the project (Sectlon 7044, Buslness antl Protesslons Cotle: The Contractor'S License Law does not apply to dn owner of proDerty who builtls or improves thereon: antl who contracts for such oroiects wlth a con- [ractor(s1 Lcense pursuam to [ne ConVa<tor•5 License Law). I am aware that � proof ol [heir Wo�kerY Compensation Insutance Shoultl be provlCetl t0 me.. ❑ I am exempt untler Section B. & P. C. for this reason Date Owner I hereby certily that I have reai in(ormation iz wrrecL I a9�ee ro Si9nature dLi�lf�rtr�l .0 Driverz' License or 55 � T .' a TVPE OF CONSTRUCTION LI NEWq U ADD LJ ALTERATION LI REPAIR ❑ CONVERSION ❑ DEMOLISH W OTHER QeR�e.F DESCRIPTION OF WORK/USE OF BLDG. TVPEOFPERMIT GRADING FOUNDATION STRVCTVRAL ' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL � �oTHea �E(CoeF -�.�NDUSrR/AL ��DG � PROJECT DESCRIPTION 5�. FTY�eZ=.�O—,-. � OCCUPANCv CONSTRUCTION TVPE � VALUATION $�F, 2�J� %%S dd ZONE GRADING CV. VOS. ACRE� Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher � Drinking Fountains . Floor Drains � Floor Sinks� .� . Ci25$2fVICC ��Utl2t5 Kitchen Sink � �.Lavatories . , P—Trap Roof Drains . Reinspection�Fee" ' Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal. . ... Water Heater � Water Servica � A uto-W esh Leundry Tra'ys $15 � laue Fee, Duc[ - Under Ground � � Duct-Structural � Duct-Ventilating • Exhaust SySiem ❑ Multiple Firepl/Fact Blt. iCBO # � Heating System & Ducting ❑4100,000 BTU 0100,000 Reinspection Fea � 575�. 0865-46, rev. 5/88 White - Bulltlin9: Canary - Applitant: Pink - A<counting; Goltlenrotl - Assessor Hood or Typel ❑ Canopy. Typell ❑ Refrigeration System ❑0.100,OOOBTU ❑100,000 Sys[em Repair/Alteration Fire Dampers . Registers ' Izwe Fee �' .S 3 FEES $ 3 A.P. #t S Main Buildi E T Front B Rear A C Right S . Left Ping. Ret. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit , Dishwa5her Dryers ❑Gas ❑Electric Fan F.A.U. ' Fi%LureS Device eoxes Outlets Switches Garbage Disposal Generator �0.5 KW �5-1 Accessory Building: Z O N I � N G R ' Parking Req./Provided � E � M S. ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+ KW Meter ❑up to 100 amps Metei ❑over100amps" Sub Panel Motors �0.1 HP �1�X '8 Ina So�ar�09-15 HP 016-15+ Microwave � Pole Light � Range ' �._ ' '! .__ .. ' Standing Sections .KW Trash Compactor � Reinspeaion.Fee �$15 � � Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: 2oning Approved By BuildinB APP�oved By ' APPliration laued By n ' FEES $ 3 � SU M RV OF EES BUILDING PERMIT $ . . � SMIP � $ � � � PLAN CHECK $ � PERMIT • PLUMBING $� ISSUANCE � $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ � MECHANICAL $ �TOTALFEE $ �� PLAN CHECK 25% $ � oiraooia�io-uaa:��ii -�o� � 2ao.s� t�•'�.-i ,�ONSTRUCTION AND PLANNING 1; POOL' 'A � Date Inspector Date Inspector ` C�i'PROVALS Permit # APPROVALS Permit # :! 1 • (`j• �{.• � 1. Tempo�ary Electrical Service or Pole �• �� 52. Pool & Equipment Location r 2. Soil Pi.pe-Undrgrnd. ^,� :i ! �, 53. Steel Reinforcement ��` v , ! . 'ti . 3., ElecTiic�l Cond�itilJ'tility-Undrgrnd. � {,a (� 54. Forms . - . � 4. Elect�iFal Condui<,Un�1A9md. :' ' !-� 55. Electrical Bonding '%, . i. ; , yt. S�el;Reinforcemeht ` c+- 56. Rough Plumbing & Pressure Test q�1� � %%'' - 'f/A r.r � sY ��4ie�'I UFERJG�sd } �� 57. APPROVAL TO COVER-GUNITE !+ u' 7..�Foopn 3 ,'.�-{ + i n ��,� � g : r .. /`' ��f 58. Electrical Conduit-Undrgrnd. r�{ 8. Fou,rtdation � v,/� ;� � �;� 59. Gas Pipe, � Undrgrnd., Test r' :- i.,• ; 9J Wate��ipe-Und grnd. �'�/ ,'� '� �r 60. Backwash Lines, P-Tra ❑ Undr rnd. �� ' b .I� P, 9 � �.1 .,� y �� 10: Siiucturel Floor Syitem �� i� ��l, ��, 61. APPROVAL TO DECK 11. P�perty Sewer Line & House Connection ,• �' ,/b � �. - ri � '� 62. Backwash & Receptor-Final 12. S�er (,''aP I : , � �• .;� �r ;r y j,, � �. I� 63. Heater & VenbFinal y, . 13. Roof Drains �i. �' �''%; % �✓ � �Ai',� 64. Plumbin S stem - Final � E, �r'r,� 'J � 9 Y A��/ , 14. �Rnugh Plumbing i W- �� / - 65. Electrical-Final �' 15. Rough Electrical-Conduit 66. Solar System-Final B. Rough Electric Wiring 67. Fencing & Access Approval � `-17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL �19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory`i,�ireplate APPROVALS Permit # �21. Ducts, in Struciure 70. Underground Hydro 22. Ducts, Ventilating � 71. Product Piping OGas ❑Oil 23. Gas Pipe-Roug��B��Test_ 72. Underground Flush 24. Rodf Framing 7�0•, 73. Undergrnd.StorageTank �Gas ❑Oil . 25. floof Sheathing., � ' - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical 27. Fra`me and Flas�ing '76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation- �� 78, FIRE PREV. FINAL .� 30. Drywall Nailin9'� �i HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �. 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric n ' ' , Notes: O C� , .�8' 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. Solar pomesticFinal � � .� 42. Backflow Preventer � � "7� ' 43. Backflow Irrigation , , 44. Landscape Irrigation System t i 45. Sound Attenuation ', ' ' 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 6 Q 4R: Sner.ial Renuirements Completed . 49. Electric Release to Edison . �. � 50. as Release to Southern California Gas Co ��• ' a' Z �' 51. CERTIFICATE OF OCCUPANCY � � /, y ` : No. Date � -�� ^ I .. BUII,DENG SAFETY DEPAR7'MENT P. O. Boa Nv. 317 Costa Mesa, CaliforWa CERTIFI Building Permit Use of BuildlnS Ttie buildiag � N� is�s � Date � � o ' (� � CITY OF COSTA MESA ATE OF OCCUPANCY ctrical �ermit No��lumbing Permit No365�S� LEgel DCSCI'ipkiOn /�� (�- f/L�?�L w/� . 461 X U 7 /] •Y, +//(/ /(9�' (See reveTae side tor Metes and Bounds) has been inspected and found to comply with the provisions of atl Ciry of Costa Mesa Ordin- ances applicable thereto for a Group �� Occupancy. ISqUID TO: .��/� �/�/� City Bulldiug Offic'fll N/ „r' /� q�� `�� (owner ot auflding) B7 ^'� , ��'-'�"/�s" CC=.,�p O' tual—Owner lst c ~ p � � rtg' ❑ opy—Gas Co. ❑ 2nd co y—Edison�Co. � 3rd �—Elle Form 206 SB P IM i-60 � ►. ADC��cant to till Ci ��Y OF COSTA MESA CONSTRUCITION PERMIT project Address � � s � « r� _ Applicant'sMailingAddress �2-�� Z � �� Owner��JVame �UV� �N��^p�rS�S Phone�� Q —7' Addreu � —�—/ �/ I [ ^ 'r ca— aoti_�j •/a • Arch/Eng. License NO. Address ' Contractor's Name �w � F% �/«'FNOG Phone G5f"`�r�� Addresslmailing) ��lZ I' r� r�a�') City License No. � � � �� IICENSED CONTRACTOR DECLARATION 1 hereby atfi�m tltat I am licensetl untle� provi5lon5 of Cha�te� 9(commencin9 with section ]000) of Division 3 of tne Business antl Protessions Cotle, antl my license Is In tull /orce an-d�eof(�ett. License Class �� V � License �lo. Da[e (6'+�`-� S+� Si9nature �4i��Cl.a t� U WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate ot consent to self-insure or a certHicate ' Workers' Compensallon InSurdnGe, or a certifietl Copy thereof (SecUon 00, Lab. C.) ✓olicy No. Company CerHfietl copy is hereby fumishetl. Certitietl copY I5 (iletl with the city Builtlin9 Division. Date APPlicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This SeC[iOn neetl not b¢ completatl it the permit iz to� one huntl�Btl (E300) O� less�. I certify that In Ine per(Ormance ot the work tor which this pe�m�l i5I55uetl I shall not employ any perzon in any manner so as to become subject to t{�e Workers' Compan5atiqn Laws of Califor�y n Oate r•+��N �b Si9nature �'��/�L-�� NOTICE: If, atter making this tleclaration, you snoultl becoma 5 �ect to the I Workers' Compensation provislons of Ihe LaDor Cotle, you must forthwith comply with such provisions or thiz permit shall be tleemetl revoketl. CONSTRUCTION LENDING AC.ENCV I hereby ai9rm Ihat there is a construction lentling agency for the performance Of [he work fOr which thi5 pGrmit is issuetl (SectiOn 3097 Civ. C.) Lentler•s Name txntler's Atltlress OWNER BUIIDER DECLARATIDN I hereby affirm lhat I am ezempt Trom the Contractor'S License Law for the following reason (Saction 7031.5 Business antl Professional Cotla: Any clty or county which requires a permit [o construct, alter, improve, tlemolish or repair any ztruclure, prior to its issuance, also requires the applicant tor such permit lo (ile a signed stat¢ment Ihdt he/she Is IicenSEtl pu�suant to [he provi5iOn5 of Ihe Contractor's License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Busina55 antl Profe55ions Cotl¢) o� tha[ h¢/she IS BXempt '�erefrom anG the basis for tne alle9etl exemption. Any vlolation o( Sectlon �31.5 by any applitan[ tor a permit subjects [he applicant lo a civil �nalty of not more than five huntlretl tlollarz (E500). L� I, as owner of the property or my employees with wa9es as their sole compensation, will tlo the work, antl the structure is not intentletl or.offeretl tor sale (Section 7044, Business anG Professional Cotle: The Contractor's License law tloe5 no� apply to an owner of a property who builtl5 or Imp�ove5 ene�eo�, ana who tloe5 Such work nlm5elf/herSElf or Nrough his or be� own employees, provltletl that such improvements are not Intentletl or offeretl for zale. It, however, the builtlin9 or improvement is soltl within one year ot com- pletlon, the owner will have the burtlen of proving he/she tlitl not builtl or im- prave forthe purposa ot sale). ❑ I, as owner ot the proPerty, am extlusively contracting with licensetl ton- tfaGlOrs to COnstfuct the project ($ection 7044, Business antl PrOfG55Ion5 Cotla: The Contracror'S License Law does nol apply to an owner oi pro0erty who by�Itl5 Or improves thereon. antl who contratts for Zuch oroieCtS wi[h a con- trSctor(t1 hcense pursuan[ to rne Contrattor•s Licanse Law). i am aware that proof of their Wo�ker's Compensation insU�ance ihoultl be oro�iaea to me. L7 1 am exempt untler Section B. 8 P. C. tor this reason Date Owner _ 1 h¢rGby certify [hat I have rea� th information Is correct. I a9ree to cort antl state IawS /llaling t0 �uildmg Cf sentatives of Nis Uty to enter up inspection purposes� Signature �/��i/y,,,Oy�i � �' Drivers' Licanse or 55 � � � f state antl ca oate�(�-Ly.4s � TVPE OFCONSTRUCTION LI NEW LJ ADD �ALTERATION. LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTMER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL ❑ TENANT �ELECTi21CAL ❑ PLUMBING ❑ MEGHANICAL ❑ OTHER PROJECT DESCRIPTION S�.FT. oCCUPANCv CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.YDS. ACRES Remarks: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trep Roof Drains Reinspection Fee � $15 Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. iCBO # Heating System & Ducting ❑ 4100,000 BTU � 100,000 BT Reinspection Fea � $15 0865-46, rev. 5/86 White - Bulltling: Canary - APP�Icant; Pink - Accounting: Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connectian Solar Collectors Solar Pipin9 Solar Tank Swimming Poo� w/Spa Urinal Water Cioset Water Heater Water Service Auto-Wash Laundry Tra'ys laue Fee Hood or Typel O Canopy Typell ❑ Refrigeration System oaioo,000eTu ❑�oo,000 System Repair/Aiteration Fire Dampers Registers laue Fee A.P. ;W S Main Building: E T Front ARear C Right g , left Ping. Ref. # Planning Notes: FEES P.utomatic Washer Construction Pole Su6. Cooking Unit Dishwasher • Dryers ❑Gas ❑Electric Fan J F.A.U. r Fixtures � r Device Bozes Ou�le�s Switches - Garbage Disposal Generator 00.5 KW �5-15 Zone Accessory Building: Parking Req,/Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up ro 100 amps Meter �over 00 amps � Sub Panel Motors �0.1 HP �1'h- B Inc.Solar �9-15 HP �16-15+ Microwave Pole Light Range Standing Sections Trash Compactor Fee �$15 1 I Issue Fee $ 3 DEVELOPMENTSERVICESREQUIHEMENTS: Zoning ApOroved By FEES BuildinB AOProred By —�C APDlicatiOn Issued BV 7 $ 3 N I N G R E U M T S. FEES SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ � GRADING $ PLAN CHECK 50% $ MICROFILM $ __�_ ��'],1�� MECHANICAL $ TOTAL FEE $ y,{C�,t= PLAN CHECK 25% $ ,, oi �ooi��si-000i»si -rnr ;?.sc DATE: 10/24/8$ TItiE: 13:40 �'CONSTRUCTION AND PLANNING � POO! �PA � APPRO`lALS Permit# Date Inspector qppROVALS Permit# ' Date. Inspector� i • 1. Tert{pbrary Electrical Service or Pole �� 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � :. 53. Steel Reinforcement ' i �a � 3: Elect'ric31 Conduit UtilitY-Undrgmd�. ,., 54. Forms ' � 4. Electiical Conduit�Undr rnd. � - � . g 55. Electrical Bonding 5. Steel ReSnforcemen� - � 56. Rough Plumbing & Pressure�Test ,• -6. Etectrical UFER�Grnd. ' 57. APPROVAL TO COVER-GUNITE �� ' 7.� Footings � � - : • 58. Electrical Conduit-Undrgrnd. � �'` 8. Foundation ~� �� .� ,� 59. Gas Pipe, � Undrgrnd., Test , . 9.- Water Pipe-Undrgrnd. ' �' 60. Backwash Lines, P-Trap, O Undrgrnd. �� 10. Structurel Floor System � �. 61. APPROVAL TO DECK 11. �,Property Sewer Line & House Connection . � 62. Backwash & Receptor-Final 72.�Seuver Cap ' �^j : 63. Heater & Vent-Final �' .� 13.`RoofiDrains � � ' � �� _ ; � 64. Plumbing System - Final 14. Rough Plumbirig �` 65. Electrical-Final ., .. 15. Rough Electrical-Conduit 66. Solar System-Final 1'1�6. Rough Electric Wiring - 67. Fencing & Access Approval ',i�. Rough Wiring Sign 68. APPROVED FOR PLASTERING � �78. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � 1`9. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT ., � ,�-20. Rough Factory Fireplace APPROVALS Permit # � 21. Ducts, in Struc[ure . 70. Underground Hydro 22. Duas, Ventilatin9 71. Product Piping 0 Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush - 24. floofFraming 73. Undergrnd.StorageTankOGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27.'Frame and Flashing 76. Dry Standpipe 2S. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat . FINAL INSPECTION 32. Electrical Power Meter-Final ��.� FOOD CERTIFICATE ISSUED 33. Final Electric otes: 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. Solar pomestic-Final " � �„ 42. Backflow Preventer -- _� :� , � 43. Backflow Irrigation ,�i 44. .Landscape Irrigation System � � 45. Sound Attenuation � � 46. Handicap Regulations -` 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � 49. Electric Release to Ed'+son � � 50. Gas Release to Southern California Gas Co __ � �� r�� 51. CERTIFICATE OF OCCUPANCY _, -. "� � ; No. Date � LI . - � � ` _ _. � ,_ _ AVP��cant to flll in all svaces ezcept those within heavy Eortler lines ana s(gn ali aoD�oo��ate aeclarations. �. CITY OF COSTA MESA � ' - , � � pERMIT NO.. , . TRACT NO. , .LOT NO.�.. BLDG. . CONSTRUCTION PERMIT � ` 'L7 S ` +' •. � . ; . ' . PrOject Addre55 ' tf ,' TI ��/ �' TYPE OF CONSTRUCTION. � � � NEW ADD ' ALTERATION , REPAI R AppliCant'S Mailing Addr2u ./G0� � NYiUST IZ%/ii. . W�i i' Q� CONVERSION '❑ DEMOLISH ❑ OTHER -'A:p '# 5� � DESCRIPTION OF VJORK Owner'sName �M :L�OA( '7� Ptfdn�3�3C0� � ,.;, ._ ,- . - . . . ' �� + S. MainBuildi Address L� C �'�� AiL 1`LH ZA ' NEwl�d/TT �: TYPE,OF PERMIT` GRADING �❑ FOUNDATION _STRUCTURAL .� Arch/Eng. _ . � ' Licenu No.' � �❑ TENANT ❑� ELECTRIGAL' O PLUMBING O(MECHANICA� � , • Addfess � - ' ' ��,�OTHER � � � `. . • . ' • Contracmr:s Nam��C�� '� �G '� C''�hone 4( ' PROJECT DESCRIPTION; 5�. FT. ' OCCUPANCY Address (mailingl �7/., Jd .rN�.JS`f .n/ H.� k%� � ';� 6 �� CONSTRUCTION TVPE � VALUATION $ ; � . , , ' �� ZONE ' GRADINGCU.VDS. ACRES � Ciry License No. � LICENSED CONTRACTOR DECLARATION ' Remarks: , � ' • , . � I hereby, affirm that 9' am Iicensetl untler provislons o� Charter 9(commendng , with section �000) of Dlvision 3 of the Business antl Protessionz Cotle, antl - • � my license is in full force ana ef/ect. ' y��v � Licens�e� Cla)s� � Licens No� � ' PLUMBING FEES Da[e`"��L.Z�� Signature � `vORKERS' COMPENSATION D CLARATION' - BatSink ShOw¢rs ereby affirm that I.have a.certificate of consenl to seli-insure or a cartificate Backflow Preventer � Service Sink � Worke�s' Compensation Insu�ance,' o� a certitietl coOY the�eof (SeCtlon e800, Lab. C) / ' J� : Backtlow Irrigation Sewer Cap Poli<y No. 1+%C (-•�n � c�%d - CompanyN. �iI' - CQ2A .�� , 8 Certitietl copy Is hereby furnlshetl. � Bathtubs - � Sewe� Connectiom 1 C tifi cop I5 £letl with [he city�� iW�ng i' io . �� f�_ �� ,q�/ ,�/'1,�,� Clarifiers SolarCollectors . Dat APPIiw ��. , .. ' EXEMPTION FRO WORKERS' MPENSATION ECLARATION Di3hwasher � ' Solar Piping �- � (This section neetl not be completetl it the permit is for one huntlretl (§100) or less). . Drinkin Fountains 1 certity that in tne pertoimance of thC wo�k /o� which this pe�mk is ISsuetl I 9 $012� Tdnk shall not em0loy any pevsOn ln any manner So as to become subjeG[ to t�e Workers' Compensation. Laws oi Calitornia.- � . Floor Drains � Swimming Pool w/Spa Date � Si9nature ' : NOTICE: It,iafte� making this tletla�ation, you snoultl become SubjeCt-to the FI00� Sinks �hindl � - - Workers' Compenwtion provisions ot tne Labor Cotle, you. must torthwitn . , mmply wNh such provislons or fhis permit shall be�tleemetl revoketl. GaSS¢rJice Outlets WaterCloset � CONSTRUCTION LENDINC� AGENCV I hereby af(irm that there IS a con5tructlon Ientling agen[y tor the perf0/maoce Int¢fc2ptOI5 Wdt¢I H¢dt2� • ot Ihe work tor which this permit i5 i55uetl (Section 3097 Clv. CJ l.entler's Name � � , Kitchen Sink ' Water Service lsnder's Atltlress _ . ' , _________ . , I hereby affirm that I following reason (Sect county wnich requires any struchre, prloi to to file a 5ignetl statem the Contractor's'Licen. 'vlsion 3 ot the Bu� �ref�om antl the ba�. 31.5 by any appli �enalty of not more th I, as owner ot th� mmpensation will tlo for saie ($ec�ion ]04 �icense l.aw tloes not thereon, anG �who do� employee5, prOvlaeO t sale. If, however, the I pletlon, the owner.wil �rove tor the purpose i I, as owne� Oi the tractors td construct tl The Contractor's Lice builtls or Improve5 th tractor(s) Ilcense purA ❑ I am exempt untler �xempt trom the '031.5 Busine55a rmit to construcl ssuance, also req hat he/she is lice w (Chapter 9 (ca �� antl Professlon! �r the allegetl exe for a. permit s ve huntlretl tlolla �perty or my en work, antl the st Usine55 antl Pro� / t0 an owner of [h wo�k him5¢If� uch lmorovemen Date Owner I-hereby ttrtify Ihat I have rea information is correct. I agree to ana,:state laws relatin9 to builtlir sentatives of jfJs_dty to enter apP��cdnt for suth p �suant to the orovisi� i9 with Section ]00( or that he/she,is er Any viola[ion of Se the aoolicant to a � oa P-Trap pair mit Roof Droins . s of of . nPt . lon :ivil Reinspection Fee $25 Dp¢Ity WYlO bU11Os OI ITproves BpIIC� s¢It o� th�ough M1is o� he� own ' re notincentletl or ofterea for is soltl within one year oT com- Dutt - Under GrOund rin9 he/she tlitl nof builtl or im- Duct - Structurel , cont�acting with lic¢n5¢tl COn- Businezs antl Protessions Cotle: Duct - Ventilating to an owner of pmp¢rty who -- s tor such projects with a con- Exhaust System ❑ Multiple .icense Lawl. — B. & P. C. tor [his reason Firepl/FacL Blt. ICBO � � � Heating'System & Ducting � tion anG stata tnat the above�'- �❑6100,OOOBTU 0100,000 all <Ity antl county ortlinances n,.anE hereby authorize repre- .b.Jove-mentionetl property ?or . ��yna.u�e .. -. -V Oate�'�.7'r�i� '. , Drlvers' License�or 55 � - ��- ' Reinspettion Fee �$25 CMF 0865-46 rev. 12/83 White - Bulitling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assetsor Issue Fee Hood ar Typel ❑ ' Canopy Typell ❑ � Refrigeration System � ❑a�oo,000sru ❑ioo,000ar System Repair/Alteration i laue Fee $ 3 as E.. . . T- Front B Rear � A. C. Right K' Left S 'Ping. Ref. # Parking Req./Pn Use of Building: Plannina Notes: i � Automatic Washer � Construction Pole Sub., , Cooking Unit - � ' Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Device Boxes OutIeLS Switches Garbage Disposal • Generator �0.5 KW r 8662 4%16/ Zone � Accessory Building: Park.Fees . . t . " _ � .ELECTRICAL , 5KW � Reinspection Fae . �, � $ PUBLIC SERVICES REQUIREMENTS: Zoning Approved By Buildin9�APProved BY �r � 8G .� 5000 'TL Z O � ,: N � ^ N _ , . . � . � � , - E . � U { U _ R . E � E f Transformer LJ 15-50 KW ' ❑ 50+KW Meter ❑up to 100 amps . Meter ❑overi00amps Sub Panel Motors�0.1 HP �7'/,-8 InaSolar 09-15 HP �i6-15+ Microwave Pole Light Range Standing Sections Trash Compactor Issue Fee � �, $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP. $ PLAN CHECK �$ PERMIT � PLUMBING ' ;$ �iDZ) ISSUANCE $ � PLAN CHECK 25% l$ ' ENERGV P.0. �$ � , ELECTRICAL '$ ' GRADING� ;$ ' ; PLAN CHECK 50% �$ MICROFILM $ �-��%� MECHANICAL I $ TOTALFEE $ � , PLAN CHECK 25% $ �. � � �. , - -CONSTRUCTION AND�PLANNING ' �� PA • - -�- • _ � - Date Inspector ' . Date'� Inspectoi� � • APP.ROVALS - Permit # �.. APPROVALS Permit # - �. �;.. . � � �: ` 1' Temporary'Electrical Serdice or-Pole �- • 52. Pool & Equipment Location . _ ; c .. , - ^� 2: Soil�Pipe.Undrgrnd.�� '_ �� Y , . . � � ' - 53. Steel Reinforcement ' . - � � 3. Electrical Conduit Utiliiy-Undrgrnd. � �� 54. Forms , " � � � 4. Electrical Conduit-Undigrnd� ,, ' _ . 55. Electrical Bonding � 5�, Steel �Reinforcement " �_ ' � . - . 56. Rough Plumbing & Pressure Test - � `,� ' 6.�Iectiical�UFE Grnd� � � 57. APPROVALTOCOVER-GUNITE- - .'F, 7. Fo�ngs .. � '.� . - � 58. Electrical Conduit-Undrgrnd. • �; = � �� _ 8. Foundation � � �" `. 59. Gas Pipe, O Undrgrnd., Test - � � 9. Water Pipe;Undrgrnd. � � ,. 60. Backwash Lines, P-Trap, O Undrgrnd.. - •�� ; � 10. Structural Floor Syste"m . 67. APPROVAL TO DECK :_ 11. Property Sewer Line & House Connectlon 62. Backwash & Receptor-Final - 12. Sewer Capr . •- ``� � ; � � 63. Heater & Vent-Final ' . � 13. Roof Drains : � j�.'r . � �• . � 64. Plumbing System - Final � _ �. 74. Rou h Plumbin �� , .. , g . 9 - 65. Electrical-Final � � ,; 75.`Rough Electrical-Conduit ' ' �66r SolanSystem-Final � � � • - ^�i 6. Rough, Electric Wiring- � . � 67. Fencing & Access Approval . -- �"- - �, 77. Rou9h-Wirin'g Sign ' � 68. APPROVED FOR PLASTERING - 18: Rough ElBctrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL = � �� 19.' Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT � � 20. flough,Factory Fireplace APPROVALS Permit #� 1 ' i _ � � 21. DuC[5, in St_ruc[ure : � 70. Underground Hydro � � '22. �Ducts, Venfilating , � 71: Product Piping O Gas ❑ Oil � � .;, � 23. Gas Pi e-Fou h & Test .- � � , � ' � ' P 9 . 72. Underground Flush . � ;;�24. Roof Framing . � � � 73. Undergrnd.StorageTank OGas ❑Oil . 25. Roof Sheathing � � . 74. Overhead Hydro � � ' ' . � ' 26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical � � � , ,'-27. Freme and Flashing .� . � 76. Dry Standpipe ' , . ' � ' 28. Lathing & Siding' � ' 77. FIXED SYSTEM FINAL � � 29. 4n"sulation : � i 78. FIRE PREV. FINAL ' ' 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT � � 31. Plaster Brown Coat � 79. FINAL INSPECTION ( I � 32. �Electrical Power MeterFinal ' ' 80. FOOD CERTIFICATE ISSUED i �' � � 33. Final Electric � Notes: , 34. Final Heating & Air'Eonditioning � �l�7 � £ � 35. Final Gas�Pipe-Test � , � - ! �7 �r/� � � ; .. 1 . - � . .. , . . 36. Hood or'Canopy ' . � � 37. Final Factory Fireplace • � . r .r, � , - � . - .. 38. Final P,luri�bing . � . � 39. Water Service-Final � � � _ � - � .� 1 I 40. Gas Service-Final � . � ' � �� '` � '` � � � , 41. Solar pomestic-Final � � • - -� � ' 42. Backflow Preyenter, � ' - . _ ;� _ 43. Backflow�lrrigation � ' , ' I + ' ; ' ,, 44. Landscape iriigation System � - � � 45. So,und' Atten�uation ' . . • - � , � � , � � 46. Handicap�Regulations � ' � � � � � � ' , - �� 47. FINAL STRUCTURE & BUILDING ' ` � � � � 48. Special Requirements Completed� ' � , � � � �� ' 49. Electric Release to Edison � � -' � . �. S ' . � � ' i� 50. Gas' Release to Southern California Gas Co , � ' . "� � 51. CERTIFIGATE OF OCCUPANCY - - , • , , , ' � n,_ _ , , . , No. � - - Date' -. - . - -�-- - - - • � - - � - - - - ��,� Applicant to till in au spaces exceo< those within heavy bortler Ilnes antl sign all appropriate aeclarations. , CITY OF COSTA MESA . . ' , ' . , , pEFMIT NO. - • .. � TRAC7 NO. .LOT NO.. , ; BLOG. . � • CONSTRUCTION PERMIT ' • � ` � � Project Address � Applican['s Mailing` A,�d'dress �. ��/�� t�Rc i rtL�Z.4VE Owner's Name �`�M � �-si�L.� �%• � Phone Address ��' W !S� 7-1 Areh/Eng. - License No. AJdress; " g�� ' Contractor's Name_.{�] '� Phone Addiess,lmailing) ��'� � �F�LU l4v[s 19�i u City LicenseNa. ' /..��.� ��% �/� 9� LICENSED CONTRACTOR DECIARATION ' I.�ereby affirm that I am licensetl untler provisions of Charter 9(commencing with section �000) of �ivision 3 of t e Busines antl Professions Cotle, antl � my Ilcense is in tull force antl etfect. �icense� i ss • " ense No?S�l Zg� Date Si9nature `^�ORKE 5' COMPENSATION DECLA TIO � 'ereby�affirm that I have a certificate of consent to self-Inzure or a certiflcate � Workers' Compensation Insurance, or a certifietl cOpy thereot (Section lB00, Lab. �J �^/ / / � Policy No. � tl�—( Company��F�` y�M� � 8 Certifietl copy is hereby turnishetl. - � _ \ Cerfifietl copY IS tlletl with the city Builtling Division. Date ApP��cant � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be complet¢tl if the permit is tor one huntlretl ($100) or . � � less). I certify that in the periormance of the work tor which this perm�t is issuetl I shall not ¢mploy any pe�son in any manner so,as to become subject to t�e Work¢rs'. Compen5ation� l.aw5 ot CalifOrnia., , Date $ignature , NOTICE: It,latte� makinq this tlecla�atlon, you Shoultl b¢COT¢ subject to the Workers' Compensation provlsions of the Labor Cotle, you must forthwith comply with such provisions or .tnis'permit snall be'tleemetl �evoketl. CONSTRUCTION LENDING AGENCV . ' '� I hereby affirm that there is a construction lentling a9ency for t�e performance � of the work for which this. permit� is issuetl (Se<tion 309T Civ. CJ . Lentlflr'S Name � - Lender's Atltlress DER DECLARATION ' � fM1at 1 am exempt from the Co m (Section 7031.5 BuSfnessantl. requires a permit to construct, al1 prior to its issuance,�also reqWre I statement thdt he/She is Iicense� 's License Law (Chapter 9 (comm the,8usiness antl Professions Cc the basis for the allegetl ezemp� y applicant for a permit subp more than iive huntlretl tlollars (9 r o( the�P�operty or my empla will tlo the wo�k, antl tne st�uct lon,]044, Business antl Professi owner wl : purpose licenze Law forthe �I Cotle: Anv citv or a TYPE OFCONSTRUCTION- LI NEW� A00 LI ALTERATION LI REPAIR ❑ CONVERSION.O DEMOLISH OTHER DESCRIPTION OF WORK ^ — TVPEOFPERMIT GRADING FOUNDATION ❑ STRUCTURAL ❑ TENANT D,ELECTRICAL ❑ PLUMBING � MECHANICAL O OTHER PROJECT DESCRIPTION 5q. FT. 4F+�� OCCUPANCV ' C O N ST RUCTI ON TYPE V ALUATI ON $ ��ZONE � GRA�INGCU.VDS. ACRES Remarkz: , ' Backflow Irrigation Bathtubs Clarifiers Drinking Fountains Floor Drains' Floor Sinks- GasService � Interceptors � Kitchen Sink . � Showers Service Sink Sewer Cap Sewer Connection � ' Solar Collecmrs ' - Solar Pipin9 . Solar Tank � Swimming Pool w/Spa � Urinal " tlets Water�Closet • - Water Heater � -�� '- . . - Water Service � P—Trap " I .T. I - ' Roof Drains � • � ' � � , . •Reinspaction Fea ily to an owner ot a properry wno ouuas or improves uch work hlmsel(/herself or through his or her own ' sucn improvements are not intentletl or oiteretl for ' tlin9 or improvement Is soltl within one year of com- �ve the bu�tlen Of provin9 h¢/She tlitl not builtl orim- � a1eJ. — �perry, am exclusivery contracting withdicensetl con- �roject ISection 7044, Business antl Profe55ions.Cotla: y- Law dOes not apply to an owner Of property who an, antl who contracts for such projects with a com � �. to the COMractor's License Law1: � . Ll I am ezempt untler Settion B. & R C. for this reason Date Owner 4 herebvi certitv^that L have rea� : � $25 I I ' laue Fee - , �� MECHANICAL Hootl or� Typel ❑ 'i' Canopy Type II � ❑ � Duct - Structural . Duct - Ventilating . . . Exhaust System ❑ Multiple � � ' Firepl/Fact.Blt.ICBO# Heating System & Ducting � �, oo;000 sTu o, oo,000 eri i , Signature ' uacasi [ �rsY I I � — � —�� ReinspectionFee Orivers' LI e se CMF 0865-46 rev. 12/83 W�Ite - Builtling; Canary'- ApP��nt; Pink - Accounting; Goltlenrotl - Assessor ❑4100,000 BTU ❑ i � � �-laue Fe.e BT �• A.P. # S- Main Building: E T Front B Rear A C Right SLeft �Ping. Refi# Parking Req./Provided Use of euilding: -Planning Notes: Auromatic Washer Construction Pole Cooking Unit Dishwasher Dryers ❑Gas ❑ Fan '. F.A.U. Fixtures Device Boxes - Outlets Switches Garbage Dispoul Generator O65 K 78�0 .4/p2/84 • B.OQ TL Accessory Building: Park.Fees $ ELECTRICAL FEES Transformer ❑ 15-50 KW ❑ 50+ KW • Me[er ❑uptot00amps Meter ❑over100amps . �tc Sub Panel Motors OO-1 HP �7 %- 6 , . Inc.Solar �9-15 HP �16-15+ . , 2 O N I N G R E R E N E N T ' Pole Light, Fange � ' i ,Si9n ' .Standing Sections � � t KW ,Trash Compactor $ 3 ' i Reinspection Fee � $25 �uue.Fee ' • �$ 3 FEES �PUBLICSERVICESREQUIREMENTS: ' - `� � ' 2oning Approved By � Date � Building'Approved:By ' Date � � Appliration Issued By ' Data ' SUMMARV OF FEES j ' � BUILDING PERMIT �$ SMIP� � $ PLAN CHECK i$ � PERMIT � � � � ! PLUMBING ' $ � ' �SSUANCE •$ i ' PLAN CHECK 25% $' � ENERGV P.C. $ ELECTRICAL $ � GRADING �$ PLANCHECK 50% �$ MICROFICM ;$ � ' � : MECHANICAL $ � � ��U TOTALFEE �$ � '•QG' $ 3 � PLAN CHECK 25% $ ' � . . . . � i . CONSTRUCTION AND PLANNING � . P�� °A ' � Date Inspector � ' Date � Inspector - APPROVALS Permit # APPROVALS Permit�# � ; 1. Temporary Electrical Service or Pole . ' - , 52.. Pool & Equipment Location , - - - � �' 2. Soil Pipe-Undrgrnd. • ' 53: Steel Reinforcement - • . � � '- � 3. Electrical Conduit Utility-Undrgrnd. ' 54: Forms � � �� . 4. Electrical Conduit-Undrgmd. 55.- Electrical Bondjng -� � 5. Steel Reinforcement � ' 56. Rough Plumbing & Pressure Test . - ,_ 6. Electrical UFER Grnd. 57. APPROVAL�TO COVER-GUNITE' � 7. Fbotings . 58. Electrical Conduit-Undrgrnd. � - - 8. Foundation � 59. Gas Pipe, � Undrgrnd., Test . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Und�grnd. � � 10. Structural Floor System . , 61. APPROVAL TO DECK � � _ 11. Property Sewer Line & House Connection 62. Backwash &'Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final ' � , 13. Roof Drains 64. Plumbing System - Final - , . 14. Rough Plumbing , . 65. Electrical-Final 15. Rough Electrical-Conduit 66. �Solar System-Final � - '- :1 16�,Rough Electric Wiring 67. Fencing & Access Approval �� -� --- 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' - 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '. '' 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' ' 20. Rough Factory Fireplace APPROVALS � Permit #- � 21. Ducts, in Struaure 70. Underground Hydro . 22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil � 23. Gas Pipe-Rough & Test - ' 72. � Underground Flush i 24. Roof Framing _ 73. Undergrnd.StorageTank��Gas ❑Oil ' , . 25. Roof Sheathing . 74. Overhead Hydro � 26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical . , � 27. Frame and Fla`shing � '� 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 SO.,FOOD CERTIFICATE ISSUED � 33. Final Electric , Notes:� ' � 34. Final Heating & Air Conditioning /7�ry �' . ' ' . 35. Final Gas Pipe-Test � . 36. Hood or Canopy� � � ' ' � � 37. Final Factory Fireplace . � � • - ' - '�- - , 38. Final Plumbing � ' � . � � � - � 39. Water Service-Final . ' , � ' � � ' i 40. Gas Service-Final . � � � 41. Solar pomesticFinal ! - ' - - - . � � � ' 42. Backflow Preventer � � _ . , .. . _ � 43. Backflow Irrigation � � . � 44. .Landscape Irrigation System , ' � 45. Sound Attenuation � � � � ' � 46. Handicap Regulations � � � 47. FINALSTRUCTURE & BUILDING � ' ' '�� i 48. Special Requirements Completed �� _ � � 49. Electrie Release to Edison � �' �. 50. Gas Release to Southern California Gas Cv � � � ' . 51. CERTIFICATEOFOCCUPANCY -, - No. � Date � . . ' .. _ . , _ /� � �' I PflOJEC`��OflESS: B I% W 1 8 TH $T OWNEX'SNAME: BOYDS ENTERPRISES ;�' aooxess: 1962 BOYD ST SANTA ANA CA., 92704 (714) 258-1177 AHLH/ENGINEEfl: AOOflESS: flEG.NO.: UNIT: UNIT: rexmmee:p,M. ELECTRIC (909)590-7026 nooness: q$ 21 LAN Z ER RD CHINO CA 91710' tICENSEO CONiRAC70R oECIABaTION: I hereby a(firm Ihal I am licensetl uneer o�o�isions of Chapter 9(commencing wiih Seclian 7000� ol �ivision 3 ot I�e Business antl Pro�es5ion5 Cotle, anA my license is in full �o¢e and effec�. CITYLIC./:�OSS1��i+S sraTeuc.:53637/2/ cuss: 10 �ale' T"L�l� L 3 Si9na� /�a'//li �i � . 1 Co�mpenpation�Ws�yzppe.�p� �r,epitiel r,p� Wel¢�(Secti n�3800� �e of co em to setl-ii5ure or a cenilicate ot Woders' POLICY ND.; V 9 O 7 V V 11 V L 7 ExP. oaTE: 1/ O 1/ 9 4 COMPRNY: STAE FUND ,+� r] Cetlifie0 copY is he�eby fumis�etl. L] Cehi�ied copy is �ile0 wLLh t ciiy BuilOing Division. �ate: "1 —Z ��L?l qpplicani ��—�_�� ''�'+�� E%EMPTION FqOM WONKEpS' COMPENSRTION OECUflRTION �iBis sec�ion nee0 not be wmpkietl il perrmt is fo;Dne huntlred (3700� or less�. I ceNty �hal in Ihe pedormance oi Ihe woB �or w�ich �his permit is issue0, I shall nol employ any person in any manne� so as to become su�lect Io the Warkers' Compensa�ion Laws of Califomia. Oate: Signaiure: NOTICE: II, aner making ihis tleclara�ion, you shoul0 become subjeci �o ihe Workers' Compensa�ion pmvisions o� Ihe Labor Coee, ypu mus� foqhwilh comply with such provisians or �his permi� shall �e deemetl revokeA. CONSTNUCTIDN LENDINC AGENCY: I here0y a��irm �hai t�ere is a wn5�mciion lentling agency tor �h¢ p¢dorman�e o� the work lo� whic� Ihis oermi� is i<suetl (Sec�ion 3097. Civ. C). lENOEfl: AbDHE55: OWNEH BUILDEB DECLABATION: I hereby a�lirm �hat I am exempt Imm �h¢ Caniraclors' Sia�e Litense Law �or �he �ollOwing reasOn (Seclion 7031.5 Busines5 an� �mfessional Code: Any cily o� coun�y w�ic� requires a permi� �o conslmC�, al�er, improve, demolish, o� repair any s�mciure. prior to its issuance, also requires the applican� �or such Oermii to file a signetl Slaiement ��at he/ihe is licensetl pursuan�tothe pmvisions ol�he Conlracbrs' S�ate License Law�Chapier9�commencing with Sec�ion 70110)afDivision 3 ofihe Bu5ine55 and Pro�essions Code) or Nal he/she is exempi theretmm antl the basis brihe alleAetl exemption. Nny violation of Section 7031.5 hy a�y aoplicaN �or a permii sub7ecis Ihe appllcaot Io a civll penal�y oi not more �han live hunOred tlo0&rs ($SOOJ. 1. as owner ol I�e pmperiy or my employees wi�� wages as iheir sole compensation, will Oo �he work, anU ihe ❑ stmaure is not imentletl or oileretl for sale (Section 70a4, eusiness and Prolessional Code: The ContracroK State License Law does not apply Io an owner o� a propeny who builtls or impwves �hereon, and who does such work �imselVhersel� or Ihmugh his or her awn employees, provide0 Na� such impmvemen�s are no� in�en0ed or oi�eretl tor sale. If, however �he builtling or imp�ovement is sold wi�hin one year oi completion, Ihe owner will have I�e burden oi Droving he/she tlid noi �ui10 or impmve . lor ��e Ourpose ol sale�. I, a3 owner ol Ihe Oroperty, am exclusively contractin0 With Iicen5e0 conlraciofs [o cons�mc[ the pmlect (Section 7044. Business ❑ antl Pmfessions Code: The Con(rac�ors' Sta�e License Law Ooes noi appty �o an ovmer o� OroOany who huilas or imOroves Ihereon ana wha conf2Ci5 for such pmle�ts with a cantractor(51 �icense pursuanl ta the Contractors' State License Law�. 1 am aware �hat proof oliheir Workefs Compensation insurance 5�ou10 De pmviaetl Io me. � I am exemp� under Secnon: B. 6 P. C. CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 06421 PERMIT NO: E 064218 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: REP JOB DESCRIPTION : REPAIR HURN OUT 100 AMP $ERVICE SQ FT: CLAIM VALUE: 200.00 CALC—VALUE: GROUP OCC: B-2 / COMMENTS: ELECTRICAL WORK ONLY, REPLACE SERVICES BELOW 600V 6 BELOW 201AMP ***�r****�r�r*�****�r��r****�t�t*�t*�r******�t**�****�tr*�r*****�t****+�*i�**+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 BIIILDING ---------- --------- ACCESSORY BUILDTNG --------- FRNT; FT Iht 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; 00000000 ZNE: REF NO: PLANNING N6TES> 7 if iF 1! M if if it 1E if iFlf 1f if iE iE ik k it 1F iFlFlF if ik iF k!F if ik 1F iF if if i! iE iF iF if 1f iF if ik 1F iF it 1! 4!F iE iE 1F iF!! if iF iFlf if if ik iE 1f !F 1E iE if 1F if �E iE if iE iE 1f it itlE if if D E V E L O P M E N T iS�E R V I C E S R E Q U I R E M E N T S �•�-- ZONING APPROVED BY --��= DATE: BUILDING APPROVED BY : DATE; APPLICATION ISSOED $Y: �-i.r DATE: !L 3 ikfFlflkklEifkifiFiflEifklkkflkiElf!!1f '1k4�F1tkjEfklF1FM �Eif iE 1E 1E if 1ElF iE fE iE 1E 1E iE 1f 1f !E!E iE it if iE 1E iE iF k# 1f if if if iF M if ��flE if it ft 1f # 1f M 1f iE iE iE if if it 4 iE 1E it it if iE 1f 1f if iE �t 1f !f if iF if if iE �)f 1F #E!! fE fE ff itiE itlE LEGALIZATION;N F''E E S U M M A A Y' STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECIIANIC FIRE SMZP/RES GAADING PERMIT 18.50 S0E SMIP/NON—RES PLAN ISSUE FEE 15.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CAECK TOTAL PAZD DUE TOTALS----> 18,50 15.00 0.00 33.50 33.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 33,50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.50 ft 1f iE iElf �f �f 1f # 1f if it if k�F �t �tlE iFft if �F1F �f it M 1f �f iF ff dF iE 1E 1E it aE 1E fEiFlf iE �F ib if iF �f k iE iF fE iE iE iE it �F ff iE ft If fE IE it If IF if if fE iE iF if !E if if iF �f if if if �t I N D I V I D U A L F E E B R E A K D O W N mrinisreason: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST oate: owner: ELE 1 SERVICES BELOW 600 V& BELQW 201 AMP 18.50 18,50 I do nereby cenify inat I am aware oi ano understana tne requiremenis ol California Healtn ano Sa�ery Coae Sections 25505, z5533. ana END OF F EES 25534 antl �hal I or any fuWre builtling occupan� wilVwill noi (circle one) neetl to comply with said 5la[e codes antl ��e repuiremen�4lor a p¢rrttif 7or cor5tractian or rtroditication Imm ihe Air Quahry Managemenf OisMCL Residential constructiun a00��atians are exempt from Ihese pmvisions. Da1e: FO�licant I hereby certity that i have reaa this application anq stale that the above informatian is crorrecL I agme ro compty wifh aA ciry and counry orUmances an0 staie laws relating �o builOmg cons�mcaan an0 here�y aWhorize represemanves o� �his ciry m en�er u0on the above�men�ionetl , pmperry �or inspeciion purposes. (� /1/1 �? �01474Q7-001479C7 T ra T 33.5� �ate: ��ZB�t 3 Si9naWre: y C O/ 4 a �- � , Gai�.: U„2�i93 7I15F: 13:56 oriver's �icense or Socia� Secun�y �p� � ,� ' ' 1646<6 Whiie—Builaing: Green—Cotle Enlortemen�; Canary—Ap01¢anC Pink—Revenue: GolOenroa—Asyessor � � � .. . -- � � —�� "�__'�� __ _ / ,�„ , x�, , � =CONSTfiUCTION AND PLANNlNG POOI PA APPROVALS Permit #- Date Inspector qpPROVAIS Permit # Date inspector I i t. Temporary Electrical Serviceor Pole 52.-Pool & Equipment location 2. Soii Pipe-Undrgrnd; � � -=. 53. Steel Reinforcement � n `'� �tilit Undr md., 54. Forms ' 3..�EiectPical Con�{u{x,!: Y' 9 ' ..4. Electrical Conduit•Undrgrnd. 55. Electrical 6ondi�g '-� 5. S{eei Reinforcemont � 56. Rough Plumbing & Pressure Test 6. Electrical UF�R�.�irnd. . .� � 57. APPROVAL 70 COVER-GUNITE .. ��'1:^Footfi'gs ",' � • ' 58. Electrical Conduit�Undrgmd. � 8. Foundation i� J'� : � 59. Gas Pipe, � U�drgrnd., Test � � -9. 4'Vater Pipe�Undrgrnd. ' 60. Backwash Lioes, P-Trap, Cl Undrgmd, , iQ. Structural Ploor SYstem �- ' 61. APPROVAL TO DECK it. Property Sewer Line & H6use�Connection � 62. Backwash & ReceptorFinal 72. Sewer Cap LL, '� ' , ' 63. Heater & VenbPinal . - 13. Roof Drains � ' f 64. Plumbing System - Final , 74. Rough Plumbiny � � 65, Electrical�Finai 15. Rough Electrical-Condu�t 66. Solar System-Final 76. Rough Electric Wiring 67: Fencing & Access Approval � V. Rough 4Viring Sign 68. APPROVED FOR PLASTERING I 18. Rough Electrical-T Bar Ceiiing 69. POOLISPA SYSTEMS FINAL 19. Rough Heating &%��r Conditioning PIRE DEPT. REQUIREMENT .� : 20: RoUgh FaCiOry F.ir6plaCe c:�.i • ' .) 'APPROVALS:-' � Perfiit # " "' . * � I 2i. Qucts, in SfructurRt i f�� , � �;� ;70. Under�roun� Hydre T� 22. Oucts, Venttlatin� r ! = . ; � � 1 � � 77, �Produr�t P.�p�ng C��,as ❑ Oil , � 23..Gas�Pipe-Rou4h&7esc � ;�, r ,� - -;;� ;:''7y, Undergroun'dFlusti � � � ' 24,.,Roaf Framing -- ^� _ z' 73T' Undergrntl. StoPag"g Tank O Gas ❑ Oil 25. Roof Sheathing " t �� 'r'�, � i�� 74.. Overhead`Hydro,� � 26. �T-8ar Ceiling IStructuraq & Monocoat " ��? �� 75:. Dry Chemica� "' � a ' '� i _y , . - ,. 27. Frame a�d Flashin� �,,, , ` �; # ` 76.� Dry Standpipe _ � ' � _�28.� Lathing & Siding� :, � - �:;,r. ` :~ •• ��*� y 77i' FIXED SYSTEM`�INAL �.� "2.:�. fnsulation '' � ` `' = "' '„ ' • �; : 7g,� FIRE PREV. FINAL � � � I . 30. Drywall:Nailing = � i+. t �• ,�ME�ALTH�DEPT. REQUIREMENT � 31. Plaster �iow� Co'2t, ' .,r,. ° � � ; ` � , J9: FINAL IN;SPECTIbM1j � '' .. - � �.32:Electrical?ov✓er'Meter-Finat ��3�t � f'.�SO.�POODCERTIFICs1T.fISSUED �� ..33,'�Fir,el E�ectric � ' ,� _ // "�� i ��, No�es; ._ j?j r. y _ ` ,q . , / , '�34; Finel Heating& Air Conditiqning• - x j ; � .. F , ;�• . = .;;j r " i . ,. �35:�Fiha'I Gas Pip'e-Tega� -• . � i : � {. � ', � ' -' . ''`-� : �;: , � ' �I -'�36. Hood oi CanoPV ` - _ ; � � �, . . � - I � '�37. Firiai fa'Ctory Firepl3ce„ � ' "'' � �� '" �� , � �' 4 t� i. -38. Fin2� Plumbing , � . •. . . . ' � 1 � . _ ; - I :�39. YVater Service-Fintl• � cn s ' i �, f -, _ : � I � � i ' , . - r , . . ,� . ��40. Gas Service�Final� �- ._ . ;41. Solar pomestio-Einal> �� , � . ' - .,. t;; i „ � � �.. � �'42.�Backflow Preventgr, . � ,, � , �y ' ,. - " -� � i 43. Backflow Irclgatibri - .- • � - ` ' -. -' I � :44. landscape trfigation System,,, . - r- . . - , -tA5..Sound Attenuation - � � - . . - -� - n1 t �46:; Handicap Regulatia`ns ,.� ; " �' ' _ ' ,} � 41:_FINAL STRUCTURE & BUILDING � ti � , � ' - - ' . �._� - i . 4$._FINALPLAl�NIJVG` � ; ' t , _ f � .. -�49. Electric Release � �d(son � , ' , - _ - -. " r � .50. Gas.Release to SouLhern Caiifomia Gas Co . ' _ ; : . �; _.;� . , 51. CERTIFICATEOf:OCCUPANCY , , - , r= : _ Np. Date 1 �� I! %70JE�i qDOflE55: $ 1 9 W 1 8 TH ST �OWNEfl'SN�ME� BOYDS ENTEAPRISES � pDOflE55: 1 9 ij 2 B OYD S T SANTA ANA CA., 92704 (714> 258-1177 AflCHIENGMEEfl: . ROOHESS: PEG.NO.: UNIT: UNIT: aexmmee: P.M. ELECTAIC ( 909 ) 590-7026 noosess: q 8 21 LAN I ER RD CHINO CA 91710 LICENSEO CONTBRCTOfl OECLAXATION: I hereby afiirm that I am Iicen5e0 unAer D�ovisions ol ChaD�e� 9(commencing wiih Section 7000� ol �ivision 3 0l t�e Business anA Pmlessions CoOe, antl my license is in lull lorce and e��eci. cirruc.: 055145 sTaTeuc.:536372� ,/c�us`s: C/1� G Oate: 9�g'" 9T Signatur= !�✓`�/" '��iC�-� �'t�— WOBREflS' COMPENSATION UECLAflATION: 1 hereby firm ihat I have a cerii6cate al co eni m sel6�ns�rC or a cenil¢a�e o� Workers' ComOensalion UtcujapCe, q� a,cR[1We0. rppy, tke�¢oL�Section 3800. Lab. C1�S / O S/ 9 4 POLICY NO.: U 9 O 7 3 U V V 1/ .l L 7 J EXP. ORTE: V coMvaxr: STAE FUND ,y � Ceriilietl topY is �ereD lumis�ea. L'T Cehilietl capy is fileJ with � at Builain Divisio� Y Y �.� � Date�. 7 Zl� �� AD�IicanP�� _{a � �—'/—/'-./ E%EMPTION FflOM WOBKEflS' fAMPENSRTION DECUBATION: (This seclian neeA noi be completeG il Ih �mil is lorone huntl�eE (510D) or less�. I ce�iry t�al in Ne p¢rlarmance ol Ihe wark lor whic� Ihis Oe�mif is issuetl. I s�all noi employ any De«n in any manner so a5 io become Suble�� o I�e Workers' Compensation Laws ol Califomia. Daie: Signa�ure: � NOTICE: If, a�ier making ihis Geclaratian. you shoNa become su61�� o t�e Warkers' Compensation 0«�ons al ��e Labor � fAAe. yau mu5i fort�wit� ComD�Y �^'�� such pmvisions or tNs perrtui Stlall Ue 4eemeO revoke0. CONSTflUCTION LENDING RGENCY: I nere6y affirm ��at there is a canslmclion lentling aAency �or t�e peAormance af �he vrork lar wnicn this oe�mit is issuetl (Section 3097. Civ. C�. LENOEfl: aooecss: OWNEB BIIILDEN OECIAflATION: I hereby a��irm �hai I am exempt �mm Ihe ConVac�ors' S�a�e License Law lor �he �ollowing reason (Section 7031.5 Business antl Pmiessional Cotle: Any ci�y o� counly which requires a D¢�mii �o cons�mct, aller, improve, tlemolis�, or repau any 51mcWre. prior to ils issuance. also repuires �he applicani for such permit lo lile a 5igne0 s�atemen� ihal he/ihe is licensetl pursuanl �o t�e pmvisions ol lhe Contraclors' Stale License Law (Chapter 9 �commencing with Sec�ion 7000) ol Division 3 0� the Business an0 Pmlessions Coae) or Nal he/she is exempl l�erefmm an0 ihe basis for Ihe allepetl exemD�ion. Any violalion of Section 7031.5 by any applicanl �ar a permit Subjecis I�e ap0lican� to a civii penal�y o� not mare �han five �undretl Oollars (5500�. I, as awner oi t�e pm0e�y or my ¢mployees vn�h wages as Ihei� sole compen5aiion, will Co ��e work, antl ��e ❑ slmclure is not inten0ed or ollereU lor sale �Section 7044. Business anG Pmiessional CoGe: The Coniractors' Slate License Law UoeS noi apPty lo an own¢r 0� a Dmpe�y w�o bUiids or impmves l�ere0n, antl who tloe5 Sut� wOrk him5ell/OerSei� ar Ihmugh �is or Aer own employees, provitlea t�at such impmvemenis are nol inlended or oflere0 tor sale. II, �owever t�e building or imD�ovemenl is solU wi�hin one year oi com0le�ion, the owner will have Ihe Ourden of Dmving �e/s�e tlia not builtl or impmve lor Ine purpose ol salel. I. as owner ni �he prnpenY. am e�clusively conVacting wiih licensetl contrac�ors lo constmci Ihe Dmleci (Seclion 7044, Business ❑ ana Pmlessians Cade: The Conlrac�ors' S�a�e License Law daes noi apDly Io an awner oi proDeny who bmIG3 ar imDmves �hereon antl who comrac�s lar suc� pmjetls wilA a conVacmr(s)license Oursuan� b I�e Contracmrs' Stale License Law�.l am aware Ihal O�ool oi iheir Worker'S CompenSaiion insurance shoul0 �e O�onOed �a me. � I am evempl untler Section: B. 8 P. C. lor tM1is reason: Uate: Unner. i Ao nereey cenily �nat I am aware ol ana unaers�and Ihe requirements ol Calilomia Healih an0 Safery Coae Sections 25505, 25533, an0 25534 an0 ihat I ar any Iuiwe buil�ing occupan� will/will na� (circle one) need �o comDty with said sta�e codes antl Ihe repuiremen�s tor a permil lor construc�ion or mo0ilication bom I�e Nir Ouahry Managemenl Oistricl. Re5i0enlial consimclion applications are exemD� ��om I�ese pmvisions. Oale: Fpplicanl: I hereUy cetltly ihat I �ave reatl I�is aD�lication antl slate ihat ihe ahove inlo' �alion is correct. I agree to compty wilh all cily antl county ordinancesan4slalelawsrelalingloDuiltlmgcanslmc�ionandherebyaWhoriz epreSnlaliveSollM12 itytoenierup n��ea�ove�menlione0 pmperiy lor inspeclion Durposes. Daie: � �L 8'�t 3 SignaWre: Oriver's License or Social Searily x: / i6<Lab W�i�e—Builtling: Green—Cotlo Enlorcemem; Canary—Applicanl; Pink—RevOnue; Golaenroa—Assessor i "��' CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 069220 PERMIT NO; E 064220 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: REP JOH DESCRIPTION ; REPAIR BURND OUT 100 AMP SERVICE SQ FT: CLAIM VALUE: 200.00 CALC—VALUE: GROUP OCC: B-2 / COMMENTS: ELECTRICAL WORK ONLY, REPLACE SERVICES HELOW 600V & BELOW 201AMP �t*�r**�r�r**i�+r**i�*�r**�****�r**x��t�*�ri��c********�*x�***�******+t****i�*****+�*�r+t******+��r*�t 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 HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN AEAR; FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING N6'PES> > �r��r*�r*+r�rx�r�rx*«*xx��r�rx�r��r*�***�r�r+r.�r*�r�e+rr�r�*,rx�r�rx�*+r��r�r**�r�+r�r*x�r*+r****■x�*******�+�* D E V E L O P M E N T,S:'.E R V I C E S R E Q U I R E M E N T S �� 20NING APPROVED HY ��.`/_ DATE: � BUILDING APPROVED BY : _� DATE: APPLICATION ISSUED BY: �� i�l/lO \ DATE: �J 1!4!!1lMiliF1E!lifM1k1f1E1f1k1flffffliE!! � iflfifiF4ifM1Elfif 1fM iE fE ff if 1f if if iE iE fE if iE 1f if 1f iE 1k fF ft fE iE �! iE if iE k iE if K M if iFif 1F it if k iF 1k ft itlf f! 1t if ik iF 1f it iF M!f i! 1E k 1F if iF if iF iE it iE 1f M iF iF jF if it iE �f 1E iE 1t %iE 1F If LEGALIZATION:N F�E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PEAMIT 18.50 SOt SMIP/NON—RES PLAN ISSUE FEE 15.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECIC TOTAL PAID DUE TOTALS----> 18.50 15,00 0.00 33.50 33.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 33.50 OVER/SE[ORT: ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.50 k ft �k if �k %if it iF �t if k!k 1E if if ik it it M it k if it M if iE 4 ik ik!! M if iF M �k 1E if if 1f iF M ff 1! it iE if if if iE if if iF iE it if k if if if iF 1Elf 1f ff fk 1f if ff if 1f if iE 1F if 1F iF 1f 1f I N D I V I D U A L F E E B R E A H D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 SERVICES BELOW 600 V& BELOW 201 AMP 18,50 18,50 END OF FEES 01 00147903-00147908 T O T DAiE: 09!28/?3 TTME: 13:56 1 33.50 :� •CONSTRUCTION AND PLANNING - P��' 'pA APPR�VALS Permit �k Date Inspector APpROVALS Permit # Oate Inspec2or J - �, Temporary Electr(cal Service or Pole ;� 52. Pool & Equipment Location � y, $oil Pipe-Undrgrnd. . - 53. Steel Reinforcement � 3. E�ecJ[�,calCondLitlhilityUndrgmd. , 54. Forms . 4. �EtCctrical Conduit-Elndrgrnd. 55. Electrical Bonding - 5:-5teel peinforcement -�~ 56. Rough Plumbing & Pressure Test ', -6. Electrical UFBR Gmd. � 57. APPROVAL TO COVER�GUNITE ' �� 7, Footings !+ - 58. Elecirical Conduit�Undrgmd. . "� �$, Fou�Bation - � � 59. Gas Pipe, � Undrgmd., 7est 9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, O Und:grnd. 10. Structural Floor System ' ' .�. 61. APPROVAI TO DECK 11. Property Sewer Line & NOuse Connection '. 62. Backwash & Receptor-Finai � 12. Sewer Cap � - , 63. Heater & Vent-Final -. 73. Roof Orains � � 64. Plumbing System - Final ' 14. Rough Plumbipg � • 65. Electrical-Final 15. Rough Electri`cal-Conduit � 66. Solar System-Final . i6. Rough ElectricWiring . 67. Fencing & Access ApPruval 17, Rough Wiring§ign 68. APPftOVED FOR PLASTEFING 18, fiough Electrii;�i-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 79, pough Heating & Air Conditioning FIRE DEPT, REQUIREMENT 20. �RoUgh Factory Ftreplace ' �� , . _ � APPROVRLS': " Penhit # � . _ . , _ , 21::Clucts, in� StractUi-e' .� �, j .70. Underground Hydro , � 22 �ucts, Venttlatinq�� ' ,. ' -'•� ;'� 71. Product:Piping Cl,�as q0it - , � e r, 23.. Gas Pipe�Rough & Test , ,: ' ,J -, ; ; , � 72, Underground FlusTi � -�` i�24,. Roof Praming i=- � < �•c� r yy . 73, Undergrnd.Stora�e'Tank OGas ❑Oil ' 25. Rnqi Sheathing `� , � „. ,� '74:.Overhead�Hydrtr�� 26: T-Bar Ceiling fStrueturall &1Nonocoat � � .+- - 75. Dry Chemical J - " � ' � 27. �Frame and FlasMn§ , i , , _' � ; . 76. Dry Stanc}pipe � ;� � � 28.'�Lathing & Si�ing �� ;, 77G' FIXED SYSTEM-fINAL '29. Insulation " - _ -� �' �� '� � � �Y ; 78�; FIRE PREV. FfNAL . - :�3p, Drywa�LNailing �� • � �HEi4LTH�DEPT.REQUIREMENT 31. P�aster Brown Co�t. ,;, �� C,°, ; J9'. FINAL INSpEC710R1 ' � � �32. E�ectrical PoE'ver Meter�Final � `,', � 80. FOOD CERT FII CAT.E ISSUED .33c:F�nal E�tric � ` ' - / �7 �� _ ' Notes; � c� j�; - � ., . , - . 34, ,Finel Heating & Air Conditioning. � , , ' , �.-,� �• + � ,. � 35"Firfal Ga3 Pipe�TeSY � � � � r. •� = � � .! ' - . � � � . -� ,36. 1Hood oi.Canoav� - - + � � '� a - : � . . •. . 37�.�Fin'xl Factory Fireplace • �"�-- � �' � � " ' ' t . .' i o I N �: u, �.. . .... . � �: +. •� ---- `�38. Fina,i Pl�mnbing ,-.,: � � • - 1 �x � + � �� .39. WaYEr Service-Pinal. ' ` , .T `�-`". .. . �;�40. Gas Service-Final'�` , . , . � j ' , ' � .41. Salar OomestiaF]nsl... • • _ � i '� : r_. ' - a � I t � ' ' -� �142. Beckflow Preventer , " �� , •� � 43. Backflow IrFigation T�.: � ' ..44. Landscape K�ripation System� , �, - �-: ; p. ' • � �� .��45::Sc�und Atcenuafion - • �- - �;;" " ' . - ,� • i • - -46. HandicaP Reguia�lqns ' .. .. . � , .. ". 47: FINALSTRUCTURE&BUILDING � - �• � ' ' z �- � • r' 4 - 48.�FINALPIA(�NWG ; ' i •.,b ` �' 49.� E�ectric Release to Edison , , ' 50. Gas,Release to Southern Cal;forniaGasCn • � + .; , 51. CERTIFICRTE OF OCCUPANCY - - - -- No. Date � � PflOJECT AOONE55: 8 2 1 OWNEN'S NRME: BOYD � noosess: 19 6 5 SANTA AflLXIENGINEEN: RDDHESS: 18TH ST SCA flEG.NO.: UNIT: UNIT: PEpMmEE: P.M, ELECTRIC ( 909 ) 590-7026 nooaEss: 4821 LANIER RD CHINO CA 91710 IICENSED CONTBACTOfl DECLAHATION: I hereby allirm thai I am licensetl untler pmvisions o� Chapter 9(wmmencing wi�� Section 7004� ol �rvision 3 0l I�e Business and Pmlessions Cotle. and my license is in full torce antl ef7ecl. ciTvuc.:055195 sTareuc.:536372 ss:��3�1 /j n � Oate'. �Z" 2 I ��__ Signa�ure: _ ' _ ' _f� _ " WONREfl$' COMPENSRiION OECIANATION: I her¢�y alfirm �ha� I �ave a cetli�itate consenl � setl-insure Or a certificate oi WOBers' Comoensa�ion �s�a�ce. �a3r��o��C[�o})iSecuon 7soo. �ao.��l /O1 /94 aoucr no.: STAE FUND EXP. ORTE: COMPANY: ,y ❑ Cenifiea copY is Aereby lumisned. L' f Cenifietl coDY �s I e wrth t B�ui -nng Div//is'�p�p /n/ Dare: �2 Z7 l �� po4Acanr. ��f✓" // �"W E%EMPTION FBOM WOPMEXS' fAMPEN5ATI0N OECUPRTION: RMs section ne no� he com0leteG i t�e Demul fs tar one hunUreO (St00) or less�. I cerlily IM1aI in ihe peda�mance ol Ihe work �or whic� Ihis permi� is issuea. I 5hali no� employ any Derson in any manner to as lo becOme su�lecl to I�e Wo�kers' Compensation Laws af Calitomia. ' Oate: Signamre: NOTICE: If, atler making this eeclaration, you shoWJ 6ecome subiect to �ne workers' ComDensation v�a�isions ol ine Labor CoOe, yau muSl �orihwilh comply wi�h suc� pmvisions or Ihis permil shall be tleeme0 revoketl. CONSTNUCTION LENOING pCENCY: I here6y afiirm ��at Ihere is a cons�mction lentling agency �or Ihe petlormance ol �Ae work �or which Ihis permil is issued (Section 3097. Civ. C�. LENOEfl: aooness: ,_ , � CITY OF COSTA MESA — HUILDING PERMIT PERM NO: E 06544 PEAMIT NO: E 065440 , PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYpE: V—N SP PEAMIT TYPE: ELE PURPOSE: OTH JOH DESCRIPTION ; METER UPGRADE SQ FT: CLAIM VALUE: CALC—VALUE; GROUP OCC: H-2 / COMMENTS: NO OTHEA WORK AUTEIORI2ED BY THIS PERMIT **�r�r�rr**x�r�rx�r�rx�r*+t*+r*+r��rx�rxx�r*�xx�r��r***w*�r*+r*�e�r��r+rx�+r***+r*x��e�*xx��r+r*�+r�r+r�r�rx�*r�r�e�r�r Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGIiT: FT IN PARKING REQ• PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING NdT'ES> i �rw��r��**�r:�r�*�r�r***r*�r*�rr�r�r�r�r�r+e�rri�+r*+r�r�r�r*�r+�**�r�rr�r�r�r*x�****�r�r��r+r**�rx **+r*�e*�*�rw�x 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 ZONZNG APPROVED BY '1 DATE: BUILDING APPAOVED BY ; � DATE; APPLICATION ISSUED HY; DATE: � 2 lS ififkk/tiklfiFitlfiFifMlffflF!l1fMKlFik ititMlEiklElFltitit fE1t iEifMMifMMiEiEMiEMM1ffEMiF4MifiEifit%ifikltitiElEifMiklFMMiEkMKiFM%MiFiflfiFiFillfM%K1EMififMlflFifiFiEiFiFikM�FMiFitiEiEiFMifiElf LEGALIZATION:N F E E S U M M A R Y STAUCTURAL SEGMENT:N AT.IIG DMT DT.fIM[iTA1C FT.F(`TATP /dC!'AL/.1T!` rrnr CUTe/Drc ronnriir OWNEB BUILUFH OtGlnxnnun: i nereoy anum ma� i am enemyi �min me wuuacmn ��e,� ��< <a.. ,�, ,,,� ,�„�..,,,d ,=ow.. pERM I (Seciion 70J1.5 Business an� Pmlessianal CoOe: Any city oi taunty wtiich reauires a permit to consimct, alter, imprwe, tlemolisn, or repair any simcWre. D�ior to its issuance. also requires ine appiicani for such vermit to Iile a signetl statement Inat ne/she is licensetl pursuantlolhe provi5ions ol�Ae Coniractors'Sla�e License Law�C�aO�ar Blcommencing wiih Sec�ion 70110�o�0ivi5ion 3 all�e Business PL� anC Pmlessions Cotle) oi that �eR�e is exempt i�erefmm ana �he basis for t�e alleged exemption. Any doWtion oi Section 7031.5 by Z SSUE any aoo�ican� far a oermit suDiects ine apvlicant to a civil penatty ol not moa ihan five nunared dollars (35W). $U I LD i, as owner o� ine DmoenY or my empioyees wiin wages as mev soie compen5aiion, will tlo lhe work, antl tne TOTAL �❑ s�mcm�e is no1 imenaea or oueree for sale �Sec�ion 70aa. Business an0 Pmlessionai Cotle: The ConVaciors' Stale License Law I Uoes not apP�Y �o an owner of a Ompeny who �uiltls or impmves �hereon, an0 who Ooes such work Ilimselflhersell or IhmuAh hi5 ar her own emDlayees. providetl thai Such imD�ovemenl5 are no� in�¢nGed or o��eretl tar saie. II, however �he buil0ing ar REVEN improv¢men� is 5n10 vmhin one year ol compleiion. Ihe awner vnll �ave Ihe burden oi pmhng helShe tlid no� bui10 or impmve lor ine puroose of salel. I, as owner ol Ihe ompeny. am exclusively coniracting with licensed coniractors lo consimct the Droiect (Section 704a, Business ❑ and Pwies5ion5 CoOe: The Conlractors' S�aie Litense Law aaes n0i apPly t0 an owner o� propetly who bwltl5 or impmv¢5 fhereon ana who tonVatiS lor Such D�Ojet�s wiih a ConVatlor�s) licen5e pUrSUani�o �he ConlfaClors' S�at¢ LiCense Law�. I am aware Ihat Dmol ol Iheir Worker'S Compensaiion in5urance s�oultl �e D�ovitletl �o me. � I am exempl under Section: 8. 8 P. C. lor Ihis reason: �ate: 6wnec I Uo �ere0y ceni�y I�at I am aware of an0 untlerstantl the repuiremems al Calilomia Heal�h antl Safery Cotle Sec�ions 25505, 25533, anA 2553d antl I�al I or any Wture builtling occupant will/will no� (circle one� neetl Io comply wilh SaiA state code5 and �he iepuirements lor a Oermit br conSlmciian or modilica�ion �mm �he Nir Ouali�y Managemenl Di5Vic1. ReSiJeniial canslmc�ion appliwfions are erempi Imm I�eSe provisions. Oaie: Applicanl: I hereDy [eilily ��al I have reaa IhiS aDD�itaiion anU Sla�e �hal I�e a0ove in� rmali n is com o�drtunces aM Slale laws relating lo builtling conslmetion an0 hereby au� ¢e i 5enlaiive: pmperly loi inspeclion Ourposes. �ate: �Z�Z?—�L3 Signal oriver's ucense m sociai secu�iry x: . . _. tomply with all city an0 16<F<6 Whue—Bmltling: Green—Code EnbrcemenC Canary—Applicant: Pink—Revanue', Goltlenrotl—Assessor T 18.50 5�� SMIP/NON—RES FEE 15.00 ING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE 5----> 18.50 15,00 0.00 33.50 33.50 ,00 UE DIVISION TOTALS--> COLLECTED: 33.50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.50 iEitlFikitiEiflfiFititiF7fiflkMMiFMMMff1flFMiElEfFiFikMMifiFlfKiFiFiFiFiFMiFiFMillfiFiEiElFitlENltlflfMMitifliififlFMlEihikiFKiFiEKiFifMifk I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18.50 18.50 END OF FEES O1 001527a1-001527£1 Tt] T 33.50 DATE� 12/27/93 TIlif: is":39 r 4 1_ i . I . CONSTRUCTION AND PLANNING - APPROVALS Permii # Date Vnepector �-•1 7. Temporary Electncal Ser�ice or Pnts�,� � 2. Soil Pioe�Undrqrnd. " • "=1 ��teel Reinfo�r�.!:�nt ,'r'� ,� T-'-`----'�r'S .-^- 'S. Elcctr�cti ::( Eft �rrtd. �+ y Y' � f.'`.i�ot�nys nK � ` .i g. Fou^d�tron 7 • � . 9. Water Pipr�Undrqrnd. i% � 14. Struct�ral F1oor System �� -» ��, Property Scv:2r LinA & F'.ot35c.Co n ction /. 12. Se.vc• Ca? „ ' -� y , ' 13. Aoof Drains �- �. .y i 14. Rouah Plur6wig c � � 15 Pa �yh E.ee!nca�-Condwt ,-� ,_76. Ro�gh Eiectri;'4'Uiring 17. Rocyh t'! � �nc��gn A POOL �PA ' APPROVALS Permit # 52. Pool & Equipment Location 53. Steel Reinfarcemeat __ 54. Forms 55. Electrical B�nd�ng 56. Ra�yh Plumbing & Pressure Test 57. APPROVAL TO COVCR�GUNITE 56. Electrical Condurt�Undrgmd. 5�J. Gas P.pe, G Undrgmd., Test � I 60. Backwash Lines, P�Trap, � Undrgmd. �--- 6i. APPROVALTODECK 62. Dack�;wsh tii Receptor-F�nai 63. H3ater & Vent•Finai 64. Plumbing Systam � Final G5. E:cctrical•Finai 66. Sol�r SYstem�l-�n�l 67. Fendng & Access Anp�ova! ^ 68. APPROVED FOR PLASTERING Date � inspector } 6 _ •', � 1Q, flough Elcet�i�if T Bar Ced nq I I 69. POOVSPA SYS7EhiS PINAL I i � �- ---'--- � 79. Ruu�h H�a:mg & A�r Cu�d��;oning � FIRE DEPi. REQUIRE�VIEN f � `. ^ '--r'1-:l .. , ?r,=7 e^ '�. . ... C 7' Ft �i1 f-• - t i+ T 2(iT1R�lgh!�a�.i;ry�iiePiaca �-.^7 '�'y � � '� ."r'"R!APPN'�V f'p=�OPc�"7nit� i >'�_ c: t d - ' ats` 4 S Ck x[ .� �.v..,!. + �. D � t_ . S � ct`-�B' ��r+ y`_- G _ Y . .: .:..� �'-`�� :�-l--i 2ry {t ^, ;i .hY N, I � S ' J '1 1 %Q. �'S��C�Ef�f'"'iT �5'C�fO �lf j � � t 22iD�fits,Leii{�i��,atikr�a i t7? �.:Y {� f 71. Prudu��inq�'��s C�OiI ' r �- � �T�� . 2�C��'if2e�Rod9h � est � •. .� � -�-+y t .,�� D;'I i�l'F,. • � e.� t c1S [+; O R 72. Ur.dcrt�r�,yrid F�B� a F ----�`-c'--M- "�. ��trtn--E,6 �. � �: �,h. :�-v--; '--?, --� '24i] RrT�'f F,remi�g 04 !(�i-� ••F w.• p �^ �� i,': 7,� Undcrgrr�?f.Sto��7an�OGas '�TS�i i . i�,, _ � �: a.*l m J nT x �- v Tr-�__� __-' 25. Rnq �.aih�ng�' g ,. , .� C � �r s % . O�cri�eatl Hyor�+- � �� - .'--°�T."-� --� - 2R,GT-N6r Ceilmg lSt,nt�turall F'SSvrom�coat '� ^ t� �^` � 7'�r, Dry Che�ical H� �� % R 2i'.' Frame,'�rd Flas k "' � " * �- [6 � �' �! S n� �17 -� r• � s c _7� # 76. Dry S!arttt�me r- ^+ : --� T- .-_'�- -='-�--��;Y'J-V - --" _ 4""---t-6---P3-T`-- --- --- y26. l3ihir�.$iS�tl�ng;� �. '7�:.� 'Mi. •.4? 7T+,�' FIXEDS�f�TF`r'4,? INA%� 1 -(� r�T - ^ r+ ::.. - --� + ^' ��- I ' 29. in��:Lt:Ln . ' c� .. ,;,.: q f=:t 7� FIR[ PREV. F'�(�iL a� tr _� �----�r----:�-s-�--:Z - } -M-* '- "30. D�Y'/�•e��N�il�ng�'�� k � � � ^_ f}'+�'ALT{nD�EPY.ifi[(�NJIR�MENT -- ' � P ��3 .^'� . '�: z 79 F�\A ^�� `r.0 � O s O � ; � 1 �aste �o �:n Ca� �- � � �. #�' � Cntn r ;'�� v� L t.j.t(,'ECT4-�,,.: a 3 ' � ;--r-L; --'.��- _-�-�^:-F- �'r �:.. +'ti --a'�-'-*-_ _- y - 3� Eiecinql Pbsoer.A7etet�Final �, �/ � X.. 8Q'1 FOOD CE�iTIF?�ZAv."E I�SUEU � I i S=,- -�:.�:,.s. ,� � . .� �f,�, 4, . � � p ~ t .-+ � 2J_ _ �_. ��_-y _ 3:i Fi�yl Elecnic .' n h � � ' * r?' i( �p * '� \b#eS' "� "7ta a '7 n �rn � �- :,� . l. �c-�- i cr--��-'i*;T*-_^--'.�_�-- -� ,; 34., F��I Heat�rN; & Ias �ar.�rtio�t9 n �, �! 0.•t� .� �.; � h ---- - ' �- "'' ' z = ' -��--1' `- - �= --- - - -� Y3S�Fi^:�Ga;'r�e. ,y *. `� � � �c:. c.. mS -:' :> �4 � �� x-I-^ o+-, � z+ n' F I < l � •'I ' . . �_r� __��.+�---- -! � 36.� Hond or CanoPYU � a ' � x �� i � . 'R <: , . � + `7 a' -- - -- - - I J�L---'�=-- ' ' . ^i Z:2- -'-�C7---�'�7------ --- - - I ''^ ` '•:m :'. :Y :O � � R w Ct v 3'4 i '37:%F�r:�i Factory' F�ce�.��'"ce; � � * .�� '� {�� * � �; 1; ✓ •. . J �. � � � �T -Tr� �. __ y . . �_ i y38.•F�[ql Plumbing � �r_ � y . x � �- t .-i �t C7 O ;�c. � : ^ �- � '+' Y" ' __ __-- _ - _i �39. ��JS!�r Ser�iic'�Fi. 2" � � ^ . � t x !� ::1 .0 x �% � i �_ . s .:. y -�-;--s�- ----- - �,�40. Gas Servico�Final x�r7 c,�'m 5 r.T, I �'. � O�� "'' -:` �' � i, b-A . � . �-, -.- �r. , r - - �41. $nia� Domcst�.c-FtrYa6 1 �• ' � !�� ` '� �' ''a ` . n� c • » x � �4Y.c9ackflor: Prevente: :J x J i , . k r,'"-,� j�., :-�S _�---__. i t-�=�;-r:- i •rf� - F-�-= � - -, 43. Packflox� Ir�igaUoit' '=.S`' >� �� " �:F" * `' "O ', � V 1. Y„ X, }� � > 7 T _ __ � �44. LandscePe �ri4acip.n SYste .;j.�n. ` �; Cit �i � ,; :L �: C� r ,c i ` � ----- 1 4� Sound Att�nuatioy ,-. i. ' . X � � F'�• � . " J �= '' ^ � � -i qn '. . . ,_ � * i ��-*-- �z---t-- -- ------ --�j �4B;;Handic$�p Re�ulati�ns ;..; j X�' V r c� :� t: � 5 � I 47�•FI��L+AL ST2.*JCTIt��E & BL'DLDING :E y ; 1 ��,; , N i3 � � „ r � , 1"_ ., � � r r a&:;Fi`v[�� P�r;uNirv� ; �: - : -; I � = - w, �^ � �, ._ ; .,� ` c�49TE�ectncReleasetoEtlison � � -;+ " '" ' h . ; � :� � � � �' �-->. -,-;-- ,',54SGas�Release to Sou�hem Califnsnia GasCo �: I �« �r` ,-c r+ •�n; a o y 51. C T�FICATE OF+OCCUP N & -% a;., t�=1c . � w� Ro. Date PflOJECTROUHESS: �32�5 t] 18TH ST OWNEH'SNAME:BOYD EATERPRISES aooeess:1946 E EDINGER AV SANTA ANA, CA AflLHIENCINEEP: 2 5 8' 1 1 7 7 noonEss: , s UNIT: i flEG.NO.: ux�t: °E"minEE:p.M. ELECTRIC ( 909 ) 590-7026 aooxess: q821 LANIER RD CHZNO CA 91710 LICENSED CONTBACTOP OECLABATION: I �er¢Gy allirm tlut I am Iicense0 unCer provisions ol C�apier 9 �commenclnp wll� Seciian 7U00� al Oivisian 3 ot I�e Busin¢u arM Pmtessians CoGe. anG rtry IittnSe is in �NI torCe anG G��eci. aTruc.:055145 srnTeuc.�36372 �uss:C10 Oa�¢: _/(r ��C�7� Signature: _�� — WONNENS' COMPENSATION UECIABATION: I hereGy ailirm ��a� I �ave a certd¢ate ol cansen� Io sel �insu or a cenilicate ol waMers' Compen5ation Insurance. or a cenilied copy inet¢at (�cii0n 3800. LaG. C�. POIICY NO.: EXP. DRTE: COMPANY: I� CenilieE copy is �ereby �umisne0. ❑ Certilie0 copy a f 0 wit� Itre ciry BuiWinp Division. Jale: Applicani: EXEMPTIO i FNOM WOPKEflS' LOMPENSATION OEQAl1ATI0N: (itus sMion neeU m� Oe campetN i� Ne permt u for one IiuMrM �5100) Or kss�. I certity I�ai in �he petlarmance af �he vroA for wNc� IN5 p¢rmit is iuue0. I shall not ¢mploy any Derson in any manner so as �a Oecome su�lect lo t�e Worker5' ComOensaiion LavS of Cafifamia. Date: SiqnaW2: NOTILE: II, alter maXinp tNs DeUaration. yau shoulG Decome suGjttt m t�e Workers Campe�ation Orovisians ot t�e LaEor CaCe, you must �ortmvitn comO�Y m�� suc� Orovisons ar INs permit shall be OeemeG revaked. CONSTBULTION LENUING �GENCY: I �ereGy atlirm t�at t�ere is a con5trucibn IenOing age�rc.y tor t�e performance ol t�e wOrk for w�ic� ��is Oermit is �suea �Seciion 3097. Gv. C�. LENDEfl: nooeess: OwNEfl BWLOEP oECIAH/�7lON: I hereoy ailirm tlul I am eMempt Imm ine Coniractor5' Slate License Law lar tne I011awinA �eason (Sec�wn 7031.5 Business anG Prolessunal CoOe: My dty al coumy wNc� repuires a permit to ca�nwct, atler, imprwe, OemolisR or repait any sVucWre. odor to ils issuance, also repuirts the apo�iWnt lor such perrtnl ta lile a sipneG slatement ihat npJsne is Iicense0 pursuam io �ne Omvisiare ot t�e Canvactors' State Licenu Law (Chapter 9(wmmeMinq wit� Sectian 70W) of Oivision 3 ot ��e Business ana ProlesSions Caae) or tlWt ne/she 6 eRempt Inerelrom an0lne Oasis lor Ine allepe0 exemption. Fny nolalion al Section 7Q3f.5 by any apvlicant tor a permil suojecis the avG��nt to a dvil penally oi Irot mare tlNn live nunerCO aolldrs (5500). i, as ovmer ol t�e D�operty oi my employees wii� wapes as t�eir wle compensatian, vrill Ua t�e work, anA Ihe ❑ simcmre is not intenaea or oflere0lar sale (Section 70a4, Business anE Pmlessional CoOe: The Contractors' Siate Licensa Law Goes nol apqy Io an Owner al a Omp¢rIY w� OuilGs or improves I�er¢On, azM wM Ooes sutli wOrk Ilimsell/hersell ot i�rouq� f115 Uf �Cf Owll EIIIpI0yEC5. pfOV�AC4 Ihd� SUC11 IIIIpfWtrt121115 dit f10I IOIlOGEU Of OIIEfCU IOf Shcl. I�, IIOWBVEf IIIE 011114100 0! improvement is sol0 vnlnin one yWr ot como�elion, ttM owner vnll tWve Ine ouraen oi provinp ne/sne aia nat Duild or improve br ine ouepase a1 Salel. I, as owner ol the pmDeny, am e�clusively contracting with IicenseJ wmraclors to wnstmci i�e pmlecl (Seclion 704a, Business ❑ an0 Pmfessions CoOe: Tne Canlractars State Li[d6e Law EceS not apply lo an oxner ol propGrry wflo bml0s or improv¢5 t�erMn ana wno coniracts Ior sucn pmiects with a coniractoqs) license purzuant ta ine Caniractors' State License Law1. I am aware ��at 0�� ol t�eit Worker's Compensation insurance stwul0 Oe p�oviCetl to me. � I am eeempi unJer $ectim: B. 8 P. C. b� Nis rea5on: �ate: Owner. I do hereGy cenily Ihal I am aware of and untlers�an0l�e tepuir¢menis al Calilamia Healih an0 Salety CaUe Sections 25505, 25533, an0 2557G an0lnat I or any luture builGmg acupant will/will not (drUe one) nee0lo wmply wit� SaiE state WEes anA Ihe reQuiremMts lor a permi� �or cons�mclion o� moaification imm �he !u� Oualily Management Oisintl. ReAOenlial conslruclion applicalions are exempl Imm ihese provisions. Oa�¢: AOOlicani: 1 hQ�Qby LEtlily Ihd� I IIdV¢ fPd0I1115 dppllCdI100 dflA S�dlC11W1 IIIE dGMC IIIIOfrtldlp0 6 COfflCI.IdJBC 10 C011lply w1111dIICiiy d110 LOYfIIY ordinances antl s�ate Wws relating �o �udtlirg constmciion aM Oereby auttqr¢e repreSenUliveS al I�¢ tiry �a enier upon Ihe a0ove�m¢ntioneA prODetly lorin5petli0n purpose5. �ate'. �_{L�.�—_ Signamre: �, --- - oriver's �icense or soo�ai se��nv +: � 164t�a6 Whiie—Buildinq: Green—Code Entorcemenl; Canary—AOPlican�; Pink—Rovenue: Gol�enmtl—Assassor CIT�'"—OF COSTA MESA — BUILDING PERMIT PERMIT NO: E Q61709 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMZT TYPE: ELE JOB DESCRIPTION : 100AMP SERVICE CHG,OUT 6100AMP SUB—PAN CLAIM�VALUE: CALC—VALOE: PEHM NO: E 062709 GOVT: N SUPP: N PURPOS'E: OTH SQ FT: GROUP OCC: / COMMENTS: NO 'B' PERMIT INVOLVED. ELECTRICAL WORK ONLY x�it�+t*itx�,r*rt+�*�t*�*ft�e�fc�x�r***�-�rit*��*u��r*****xx�t�x*x�t�rftft�ititie*�*?�ir***x*iE***i��t�t�ritx�x�*�t�x*�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 --------- --------- ACCESSOkY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT ?N REAR: FT iN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REO� PROV: PARCEL: 00000000 2NE: REF NO: PiANNING NiSTES> > **�**�r*x�r��r+��t*�r�t�r+r�r*�*u*x��*��*��**�r�*�r�r*��r*,r***��**�r�tr*�**�r�*�#*****�##�r**** D E V E L O P M E N T 5"E.R V Z C E S R E Q U: R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : j ' APPLICATION ISSUED BY: ! /'„_„ , �(, *ifififiEkkiFiEiFiEiFiEiEiEiEif7liEiFifk . z �rvr . x. . +r jk if k if iF iF :�E iF i! i! if i! iE 1k iE ik if ik 1f� 3F iE if iE if iE if k 1f iFlF iE?E.it iE,if iE if if if iE if ?f i! iE iE it iE 3f 1�� LEGALIZATION:N F E'E S U M M A R BLDG PMT PLUMHING ELECTRIC MECHANIC PERMIT 29��50� PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ZSSUE PLAN—CHECK TOTALS----> 29.50 15.00 0,00 REVENUE DIVZSiON TOTAI,S--> COLLECTED; 4 BLDG PMT PLUMBING ELECTRIC MECHANIC FIR 94.50 DATE: �� DATE: �3 tt� ftlf�ifit�if�ElElflEiE#?E1FiE ftft x�riE X N-it �1F it iE iE 1ElE #iE iE?E } i! tE iE if iE iF # it it ik iF 1E?E iE STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING SMZP/NON—RES TOTAL PAID DUE 44.50 49.50 .00 9,50 OVER/SHORT: ,00 E SMIP/TOT GRADING PLAN—CHECK i! fE ik if !f if if ik 1E iE IE iE iE iE il� i! ik if iE fE jf if 1F i! iE ik iE �t iE if iE if it 1! i! ik if iF!f dt iF if iE iElt iF iE iF-1(� 7! 1E iE 1f il-1!!f 1E 1F # 1f 1E il� 1F iE if f!!E 1(� i(� 1F iF 1(� ik i! E 1E iE iE if I N D I V I D il A L F E E B R E A R D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST �ELE 1 SERI�ICES BELOW 600 V 6 HELOW 201 AMP 18.50 18.50 ELE 1 SUB—PANEL 11.00 11.00 END OF FEES oi aoia�si�—ooi371n T �T, 44.`4 DATEs 04/13l93 TIt1E: 09:25 . CONSTRUCTION AND PLANNING , APPROVALS Permie # 1, Temporary Electrical Service nr Pole 2. Sod Pipe•Undrgrnd. , A 3. Electrical Conduit Ut�hty�Unoryrrtd. 4. Electricai Conduit-Undrgrnd. 1 5. Steel Reinforcement 6. Electntal UFER Grnd 7. Footings 8. Foundation --y 9. Water Pipe•U�drgrnd. � 10. Structural Floor System i t. Property Sewer Line & House Gonnection 12. Sewer Cap Y 13. Roof Drains 14. Rough Plumbing 15. Rough Electrical-Comiu�.t 16. Rough Electric Wiring 17. Rough Wiring S�gn 18. Rough Electricai-T Bar Ce�ding 19. Rough Hea2i�4 & Air Condit�oning 20. Ro�9h Factory Firep:ace 21. Ducts, in 5tructurC 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceding (Structurail & �'onocoat 27. Frame and F�ashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Bro�vn Coat 32. Electrical ?oWer MeterF�nal 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Finat FactorY Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Ser�ce-F�nal 41. $olar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. landscape Irrigation System 45. Sound Attenuacion 46. Handicap Regulations 47, FINALSTRUCTURE&BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to $outhern Caiifornia Gas Co 51. CERTIFICATE OF OCCUPANCY Date Date � POO L 'A Inspector qppROVALS Permit,$ 52. Pool & Equipment Location 53. Steel Reinforcemeat 54. Forms 55. Eiectrical Bondmg 56, Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNiTE 58. Electrlcal Conduit�Undrgrnd. 59. Gas P�pe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, L� Undramd. 61. APPROVAI. TO DECK 62. Backwash & Receptor�Finai 63. Heater & VenbFinal 64. Plumbing SYstem - Final 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. P00�/SPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT APPROVALS Permit � 70. Underground Hydro 71. Produci Piping CJ Gas � Oil --'^-�- 72. Underqrountl F4ush 73. Undergmd. Smrage Tank O Gas ❑ Od 74. Overhead Hydrd ' 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT /%i. FINAL INSPECTION _ � 30. FOOD CERTIF�CATE ISSUED Date Inspector ,. � -y I `7 ii ~I : i : � I� Pfl01FCT ADDNESS: 8 2% j�J 1 8 TFj 5'T owxes•sxamE:BOYD ENTERPRISES aouxess:1946 E EDINGER AV .SANTA ANA, CE: 258-1177 RflCN/ENGINEEB: pU�PESS: -.. �. ' UNIT: flEG.NO.: UNIi: rEamiTTee: P,M. ELECTRIC ( 909 ) 590-7026 nooeess: q 8 7.1 LAN I ER RD CHINO CA 91710 UCENSEo LONTIIACiOp UECUBATION: I nertby atlirm tlwt I am Iicerttt0 unaer Drwitions ol CliaDler 91�mmentinA xit� $¢ction 70001 0l �ivision 3 al tAe Business ana Professions CoOe. ana rtry license is in tuA brce and eflect. . ciTr uc.:0 5 51 S 5 sT�ie ut.:5 � ss. � 10 oate: 3�"��V'S Signawre:_ _ �� WONflEPS' COMPENSaiION oECtANpiION: I nereby affirm tnat I nave a cenificate af consent to self-insure ar a cenificate oi Workers' Comoensation Mmmnce. or a certifiea copy ihereoi (5ection 3800. LaO. CI. i POLICY NO.: EXP. OATE: COMPANY: ❑ Cenilie0 coOY � �ereEy fumis�etl. ❑ Cenitied copy ¢ IileE vnt� I�e dry BuilOing Division. Daie: ApDlitant: E%EMPTION fROM WOHIfENS' COMVENSRPON OECLRMPON: (i1ti5 seclqn neeE rot Ge mmpkteG it Ne p¢rml i5 �a we huMreE (5100� Or less�. I certi(y (hal in (he pertOrmance af t�e woB far which t�is erm�l is i55ue0, s�a oi employ any pe6an in any manner 5a as to become su�lecl �p I�e Warkers' CqmDensalion LawS o� orma. ' oate: �� Y��'3 sio�awre: NO71CF: it.` aiter making inis tleclaeatinn, you snould Oecome su0iect to the workers' Compensation pmvisions of ihe Labor Caee. you must fonhxiin comoN ��n sucn O�ovisions a OJs vermt 5Iu0 Ee aeemetl rewke0. COh$TqUCTION LENOING �GENCY: I �ere0y allirm tlw� tAere ¢ a construction lentlinq apency lor I�e peAorman�e af t�e work lor wnicA ihis permi� is isSueO �Section 3097, �iv. C). LFNOEN: aooxess: OWNER BUILOEfl OECLABRTION: I �ereby aHirm ��at I am exempt Imm I�e Contracmrs' State License Law br tAe followinq reason (Seciion 7091.5 Business anU Role55i0nal Cotle: Any city ol c0unly which reQuires a permi� Ia consiruct, alier, improve, aemolish, or �evair any simclure, prior lo its iuuance. also repuires ine aoDlicanl tor such permit to lile a si0nee stalement ihat neJshe is ticensetl pursuam �o Ine O�ovisions ol l�e Comracmrs' Siate License Uw �C�aO�er 9 �commencing with Sec�ion 7000) of Oivision 3 of t�e Business anG 7�alesvans Code) or ilui �ds�e R ewemD� ��ere�rom an0 I�e EdSs fot It1e allege0 exemption. My viola�ion o� S¢c�ion 7031.5 Ey any ypplicani lor a permit SUUlec15 I�e ap0licant Io a civil Denally al noi more t�an Irve hunOretl Eollars (5500). I, as owner of Ine o�ooeny or my em7loyea vnin wa0es as tneir Sole compenution, win Oo tAe waM, ana ina ❑ sirucwre is not imeMea ar anereu for sate (Satwn 70a4. Business antl Pmtessionai Catle: IDe Contracrors' Stafe Licensa Law Ooes not ap01y ta an awner ol a proDeny who EuilOs ar impwv¢5 tllereal. an0 wtlo tices suc� work Idmsell/hersell or t�muAh IIiS Of IICf Owp pfIlplOyClS. O�Ov10CG llldl SYL11 IIIlpfpvQI11C0�5 dfC f101 ipi211dC0 Of OIIEfCU �O( 521P. I1, IIpWCVCf IhP �OIId10p Of im0�ovemeni is 5010 wihin ane year ol completion, I�e owne� wi0 �ave I�e OurGen ol provinq �Ns�e Uitl n0� build or impwve lor I�e purpose ol sale�. I. as owner oi I�e O�open . am ex�lusively conirac�inp wiin IicenseE coniracmrs to constmcl t�e pmle�� (Section 704a, Business '� ❑ an0 Prnfessions CaOe: 7Xe Coniraclurs' Stare Lkense law Oces nol apply to an owner ol O�We�y +'+� �uJ�s or improves therean ana wno comracls lor suc� pmlecis wil� a comracloqs�license Dursuant Io IAe Coniratmrs' S�ate 4cense Law�. I am aware Ihal pr0ol of Iheir Worker'S fAmpensatqn in5urancE StwNG Oe provq¢E lo me. � I am e*empi untler Seclion: B. d P. C. I �o� mis reamn: Dam; O.mer. I ao �er¢�y ceniiy ��a� 1 am aware ol anG untlers�antl t�e �epuiamenls of Calilamia Healt� anE Salety COGe Sections 25505, 25533, and 255A4 ana Ihal I or any lulure �uilding ocWO�nt wilVwill no� �ci¢le one) neeE b compty wi�h SaiG slale co0e5 antl Ihe re0uiremenis lo� a peimil br consVuclion or modilication irpmihe Air Ouality Manapement Usirict. pesiUeniial consimction apolications are eremo� Irom Ihe58 pmvisions. Date: ApWicant: I her¢by cetldy Ihal I Oave �ea0 �his aD0liUtion an0 slate �IWI lhe a�ove in�aimation is correcl. I aprte lo comply vnl� all ciiy an0 coun�y or0inancesanCstaleWwsre�aWpIaWMOmgconsVunp i eo��nutnesoltnisdNtoenterupontheaoove�memionee pmperly lor in5pection Ou�0ose5. �atC: �� l � S'onawre- � � onv�r�s �icense or sociai seariiv x: 164Lqfi White—Builtling: Green—Cotle Enlorcemenl: Canary—ApPlicant; Pink—Revonu6; GolOenroC—ASSessar CITY OF COSTA MESA — BUILDING PERMIT x ; �: ub1 qi PERMIT NO; E 061247 PLAN CHECK NO; N 1'; N buYr; CONSTRUCTION TYPE; PERMIT TYPE; ELE PURPOSE; OTH JOB DESCRIPTION ; CHP,NGE METER SQ FT: CLAIM VALUE; CALC—VALUE; GROUP OCC; / COMMENTS; NO OTHER WORK AUTHORISED BY THIS PERMIT x��#**x��r�r*�x**�r*� ��rx**�*+�x�e******�r***x*#**+�*��r*�*u��r��*�*�+�*******�***��*�*#�*� Z O N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; fiT iN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT iN PARKING REQ • PROV; PARCEL: 00000000 2NE: REF NO; PLANNING NOT'ES> 1 �lE �lE ik iE iE 1E if iE iE iE �E iE �E iF iFik # iE iF iF k if 1F lE iF �E if it iF iE �t 3f iE i6 iE iE iE iF �E iF iE iFib if if iE 3E 3E iF IF iE ft iE #if if� if �E iE # iFlE iE 8f iE if 3E iE iF iF ### iE if K- 3k )f -0f D E V E L O P M E N T S E R V I C E S R B Q U T R c M E N T S ZONZNG APPAOVED BY DATE: BUILDING APPROVED BY : DATE; APPLICATION ISSUED HY: DATE: (�� iEiFikiEiFiFitiFikiFifiEil�ifiEiFfF�tikikkiEiF3FiFiF�iFiF'iFiF%�"cif3fx+'FlF3F7FiFiFiF icxif7Fx�iFiFTFiFiF�kiEiEiFif-1iiEiEiFiF�r r r e r iiiE 7f iF �f iE iF 3E �f 7E 1f if if 1f �F 1E Ik if if iE �E iF iE IE it iE if iF iE ikit iE'1F �E iE if ikik if if �f �F if K� iF it 1F iFlf If IE �t #E if !F if if jE if if ik iE if �E if iE �f if iE iE !k 3F i(� 3f 1E iF �f� IE �E?E i� LEGALIZATION;N F E E:. S U M M A R Y STRUCTURAL SEGMENT;N PERMIT BLDG PMT PLUMBING ELE18R50 MECHANIC FIRE SMIP/RES GRADING �OS S,SIP/NON—AES PLAN ISSUE FEE 15,00 HOILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 18.50 25,00 0.00 33,50 33,50 .�0 REVENUE DIVISION TOTALS--> COLLECTED; 33,50 OVER/SHORT: 00 BLDG PMi PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.50 3E 1E if iE it ik if i! iE k k it 1E iF iE iF iF iE iF iElk iE fF iE iF if i!'lf iF k i! if iF iE iE iF iF if if if jF it iF �lE if� i! if ikiE iF if 1F it �E iE �N-iFlt IE if iE!! ii iE k il� ih if 3f iF iE fE iE ik if lf # 3f ie I N D Z V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R i P T I O N UNIT COST TOTAL COST ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP I8,50 18,50 END OF FEES CONSTRUCTION ANDPLANNING APPROVALS Permit # 1. Temporary Electricai Service or Pole 2. Soil Pipe-Undrgrnd. 3, Electrical Canduit Uti1�ry�Undrgrnd. 4. Electrical Conduit�Undrgrnd. 5. Steel Reinforcement 6. Electrical UFEfl Grnd. �. Footings 8. Foundation 9. Water Pipe•Undrgrnd. 10. Structural Floor System ' ' 71. Property Sewer Line & House Connection 12. Sewer Cap � 13. Raof Drains 74, qpu9h Piumbing 15. ROugh Electriwl-Condu�t 16. Rough Electric Wiring 77. Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & A�r Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilanng 23. Ges Pipe�Rough & Tes� 24. ROof Framing 25. Roof Sheathing 26. 7-Bar Ceiling (Structurai) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plasiec 8rown Coat 32. Electrical ?ower NeterF�nal 33. Final Electric 34. Fioal Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final factory Fireplace 38. Final Plumbing 39. Water Service-Finai 40. Gas Service-Final 41. Solar pomesticFinal 42. Backflow Preven[er 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FIN<1L STRUCTURE & BUILDING 48. FINALPLANNING 49. E�ectric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date Date POOL oPA Inspector appR6VALS Permit # 52. Pool & Equipment Location 53. Steel Reinforcement 54. Focros 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAI TO COVER-GUNITE 58. EIacV(cal Conduit•Undrgrnd. 59. Gas Pipe, � Un�rgrnd., Test 60. Backwash Lines, P•Trap, O Undrg�nd. 61. APPROVALTODECK 62. Backwash & Receptor-Final 63. Hea[er & Vent-Final 64. Plumbing System - Fina� 65. Eiectrical-Final 66. Solar System-Final 67. fencing & Access ApP�oval 68. APPROVED fOR PLASTERING 69. POOL/SPASrSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit �#` 70. Underground Hydro 77. Product Pipinq O Gas O Oil 72. Underground F1ush 73. Undergrnd.Storoye Tank O Gas C Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. F�"'aLtNSPECTtON �D CERTIFICATE ISSUED Date �Inspector i � � f� ,. Pfl0.iECTADOflE55: $z9 W 18TH ST '�r- OWNEB'$NAME:BOYD ENTERPRISBS ... aooness:1946 E EDSNGER AV SANTA ANA, CA 258-1177 AflCN/ENGINEEN: NEG.NU.: AOOflESS: uxrt: UNIT: PEpMiTTEE: p, M. ELECTRIC ( 909 ) 590-7076 ADOXE55: QBZS LANIER RD CHINO CA_91710 � LICENSEU LONTRACTON DECLABATION: I heie�y al�irm IOat I am licensetl unGer pmvisions ol Chapter 9(commencing wit� Seclion 71100) ol Orvision 3 of Ihe Business antl Pmlessions Code, and my Iicense is in full force antl effect. citr uc.:0 5 514 5 STATF LIC.:S 3��SS C 0 oate: �� `'� � �T_?— Signalure: _ WOfiNEBS' COmPENSpTION oECLAHRTION: I nereby affirm inat I nave a cenificate ot consem to selbinsure or a cenilicate ot workers' Campensation Insurance. or a certitietl copy thereoi (Sec�ion 3800, Lab. C�. POLICY NO.: El(P. OIITE: COMPANY: �� Cenilie0 caOY is hereGy fumished. ❑ Cenilied copY is fileG wilh ihe ciry Builaing Divis�an. ,aie: Applicant E%EMPTION FBOM WOflREPS' COM7ENSAiION OECUMTION: Qhis sec�ion neetl nol be Com0letM if �M perm� is lar One hunAted (311p) ar less�. I cenity IIWt in ine pedormance ol ine work lor qyWMis'p¢rtnrt'ism� �I nol employ any person in any manner so as to become su0letl l0 1�¢ W �rker�s.'� Compensaiion Laws ofCali�amia. Date: ��y 1��% Signamre: �� NOTICE: II, af�er making ��is tleclara�ion, you shoultl become subjec� to Ihe Warkers' ti0mpensa ion pmvisions of the LaOor CaOe. you must farthwi�n comply witn sucn pmvisions or ihis permit shall Ue OeemeO revoketl. CONSTflUCTION LENOING RGENCY: I hereDy allirm (hat I�¢re is a tonS�mcli0n lending aAenty fOr ��e pedOrmante ai Ihe wOrk lOr which ��fs permil is issued (Section 3097. Civ. C�. LENDEfl: nooxess: OWNEB BWL�EB UECIAHRTION: I here0y ailirm ihat I am exempt imm the Conlractors' Staie License Law for t�e following reason (Seclion 703L5 Business antl Pmlessional CoOe: Nny city al county which repuires a Dermil to consimct, alter, improve, Oemolish, or repai� any 5lmqure. prior Io ils issuance. also repuires I�e apDlicani lor suc� permii �o tile a 5igne0 sta�emen� that �e/she i5licen5e0 pursuanl �o ��e provisions o� �he Con�raclors' $ta�e License Law (Chap�er 9(commencing vnih $etli0n 7000� ot DiNsion 3 of �Ae Bu5ine55 an0 Pmlessions Cotle) or I�at he/she is exempl lherehom and Ihe 6asis lor ��e allegetl ezemp�ion. Any violalion o� Seclion 70.31.5 by any applitanl lor a p¢rmil 5u0jec�5 Ihe aDPli[an� �o a civil penal�y oi not more IAan five Aund�etl dollars (E500�. I. as awner of ihe pmpeny or my employees wilh wages as tAeir sole compensation, will Go t�e work, antl t�e ❑ slmclure is not inlenAetl or aiferetl lar sale (Section 76ad. Busineu antl Pmi¢ssional Cade: The Coniracbrs' Siate License Law does noi appry Io an owner oi a pwpeny who 6uiltls or impmves Ihereon, antl who does such work IlimselV�ersell or t�muAh �is or her own em0loyees, pmvi0etl Ihai such imD�ovements are nol intentletl or oflered lor sale. fl, however ��e building or im0�ovement is sald wilhin one year ol completion, �he owner will have �he �urden o� Omving he/she Aid nol hui10 or impmve lar Ine ourpose ol sale�. � I, as owner ol ihe D�oDerty, am exclusiveN contracting wi�h IicenseU wniracmrs m consimct ihe Dmject �Seciian 704a, Business J anC Pm�essions CaUe' The Cantracmrs' $tate License Law does not apDM �o an awner oi pmDerty who bwlds anmpmves tAereon antl w�o conirac�s tor such prolecis wi�� a conVacloqs�li[ense pursuan� to �he ContraclorY Staie License Law),I am aware Ihat pioo� of I�eir Worker'S Compensa�ion insurance shaultl be pNvided Io me. � I am eKemp� under Section: B. 8 P. C. lor Ihis reasan: Date�. O�vner. I tlo hereby ceaify Iha� I am aware ol anU underslantl ihe reQuirements ol Calilamia Healt� an0 $alety Cotle Seclions 25505, 25533, and 25594 an4 ihal I or any Iulure builtling accupani will/will noi (tircle one) need �o Comply wi�� SaiA Slal¢ totle5 antl lhe r¢pUir¢m¢nI5 �or a Oermii tor con5tmtlion o� motlilication Imm I�e Air Oualiry Managemeni DiStrici. Hesiaenlial con5�mciion applica�ions are exem0� ��om ��ese pmvisions. Da�e: ApplicanL I �ereby Cerlify I�at I �ave reaa Ihis apPlita�ion antl Slale �hal l�e above inioimaiion is tOrreci. I agree lo Compty wi�� all ti�y and counry or0inancesandstatelawsrelalingiabuildingcons�mc�ionandhere�ya r¢ereD�esema�ivesofthiscitytoenierupon�heahove-men�ionetl pmperiy Iar inspet�ion OurpOses. Daie�, 3\ �11 �! S 5' � � oriver's License or Socia� 5ecuriry x: t6at n6 While—BuilOing: Green—CaEe Enloecemem: Canary—Applicant: Pink—Ravanue; GOltlenroE—A55ossor � CITY OF COSTA MESA — BUZLDING PERMIT PERM NO: E 061298 PERMIT NO: E 061248 PLAN CHECSC NO; N GOVT: N SUPP; N CONSTRUCTION T'YPE; PERMIT TYPE; ELE PURPOSE; OTH JOB DESCRIPTION : CHANGE METER SQ FT: CLAIM VALUE; • CALC—VALUE: GkOUP OCC: / COA7MENTS; NO OTHEk WORK AUTHORZSED BY THIS PERMIT iE It ik iE !f iE ik It if iE f! iE 1F fE iFlf !F if !(� i! iE 1F iElf iElf i! lf if iF if %!F iE if �lE iF iE iE i! iF �F 1F �lt �lf it �E iFlE iElE fE iEll�jE !f iE 1F lt # iF fE iE if iE if� !E if �k if iE iFiE if� if it iE if !E 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 5 ------------ MAIN BUILDING ---------- --------- ACCESSORY BUSLUING --------- FRNT; FT IN REAR; FT IN FkNT: FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REO• PROV; PARCEL; 00000000 ZNE: REF NO; PLANNING NOT'ES> > iE iE iE ik it dF if iF �)f iE ik 1E iF iF iP iF iE iF if 1E i! 1f iF if �F if iE k it iF 1F jE �F if if iE �E ik if !t iF 1P ik i! iP �f iE �tiE !E 1f� ih iE if iE # ff dt iFif if iF jE 1(� i6 k iE iE jE If'1(�!E ik iE 3FlElElE iE D E V E L O P M E N T �S�.E R V I C E S R E Q U I R E M E N T S ZUNING APPROVED BY ; l DATE: HUILDING APPROVED BY : DATE;: APPLICATION ISSUED BY; ° � C—�— DATE: 3�� ii3 iElEifiEiFif�Eik kiEiElF�EitiliF�kiE1E1!lFiE�FiF3F3FiF3F3fiFiFiF3FiF3FiF3FiF3FiF3tiFiF%f�itiFiF3f7Fi�iFiFiFiFi'Fi'FfEitil�9fitiF7EiFlfir�itiFlPiE !k if k iF!! if IF if it iE iE !E iE if 1t itlF IE iF i! k iE k iF iE iE if ff ik iE iE it iE 1E 1E �E iE if iE iF iF 1t �f !E if If iF ik fE iE �!� 7k if if if iE if If iE iE 1k iE iF iI� 1F iE �E 1Fif� iFlElF iElE iFlE iF iE?E LEGALIZATION;N F E''E�", S D M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING .ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 18�OR SMIP/NON—RES �PLAN ISSUE FEE 15.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 18,50 15.00 0,00 33,50 33,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 33,50 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK 33.50 i4 iE 1t If k fE iF it 1f lFiE it � 1f iE iE iE )k !E il� iE iE iE �lf 1F iE �E it iF iE 1E 3Elt ik iE if if iE if 1F iE iE iE iE if� if 1k ik iFiF if iE'"%�k� !f dF 1f #E iE il� iElE iE ik if-if i(� 3E 3f!! iE iE if 1E �1f 9f ff aE 1f I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18,50 END OF FEES i8.S0 CONSTRUCTION ANDPLANNING ' APPROVALS Permit # 1. Tempo�ary Elecvical 5ervice or Pole 2, Soil Pipe�Undrgmd. 3. ElectriCai Conduit Utility�Undrgrnd. 4. Electrital Conduit�Undrgrnd. 5. Steel Rein4orcement i 6. Flectrical UFER Grnd. 7. Footings B. ; oundation t 9� Water Pipe-Undrgmd. 101 Structu�al Floor Svstem • ,� 'i 1. PropertY Sewer Li�e & House Connection 12. Sewer Cap 13. Roof Orains 14. Rough Plum6ing 15. Rough Electrical-Conduit 16. flough Electric Wiring 77. Rough Wiring Sign 18. Rough Elect�ical-T Bar Ceiling 79. Rough Heating & Air Conditioni�g 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, 4entiiating 23. Gas Pipe�Rough & Test 24. Roof Framing 25. Roof Sneathing 26. T�Bar Ceiling (Structural) & Monocoai 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter�Finai 33. Final Electric 34. Final Heating & Air Conditioning 35. Final G�s Pipe-Test 36. Hood or Canopy 37. Final F2ctory Fireplace 38. Final Plumbing 39. 4Nater Service-Final 40. Gas Service-Final 41. Solar Oomestic•Final 42. Backflo�v Preventer 43. BackfloW �«�9ation 44. LandscaPe Irriqation SYstem 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 4$. FINALPLANNING 49. Eiectric Release to Edison 50. Gas Retease to Southern Catifornia Gas Cn 51. CERTIF�CATE OF OCCUPANCY Date Date 1'OOL . �� Inspector p�PpROVALS Permit ,�k 52. Poot & Equipment location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash l.ines, P�Trap, � Undrgrnd. 67. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater $ Vent-Final 64. Plumbing System • Final 65. Electrical�Final 66. Solar System�Final - 67.� Fencinq & Access Approval 68. APPROVED FOR PLASTERING 69. POQL/SPA SYSTEPAS F WAL FIRE DEPT. REQUtREMENT APPROVALS Permit # 70. Underground Hydro 71. ProductPipingOGas OOiI 72. Underground Flush 73. Undergmd. S[orage Tank � Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe � • 77. FIXED SYSTEM FINAL � . 78. FIRE PREV. FiNAL � HEALTH DEPT. REQUIREMENT 7�9J FINAL INSPECTION /y_: 1f7.j>70D CERTfPICATE 15SUED Date �Inspector ., i� COSTA MESA BUILDING-SAFETY DEPARTMENT . P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUI�DING ('^� � � / �� i ADDRESS O iL�� F Ci OW. Q y y T F G� W � .d Q � � C W a O � 4 z � 3 OWNEROR �� / jl L ___.. / TENANT �L�s-��'— ��T�• /-••`�x ADDRE 51� D t�/� �f/I �/t. CITV lyd�l/�� /�^w-�Y� / /-G // NOL. BRANCH ADDRESS ARCHITECT TEL. CONTRACTOR Qj'6—"�� CY'1'P'✓� `+'— ADDRESS I % � � /� �.M� � TEI. arv �s�y %S "-�- No.y16•l�j'J- LIC. NO. �' Z�' �O ? r' �J� LICyNO. SIZE ) NO.OF BLDGS. OF LOT �v 7 �� / NOWONLOT � USE OF q /_ _ _ _ _ � 4�— EXI5�ING BLDG. / V�'�"'�� f- / Separate permits are required for electric, plumbing and heating work: U$� OF BUILDING�} ND WOFK TO BE PERFORMED� Y ) Y.--�— !L T '1.o1-'-V-- I hereby acknowledBe that I hava reatl this application antl rtete Met the ebove information is correct enE aprea to comply with all laws repulatinB builtlln0 consb�etion, entl I shall not employ any Oermn in violation of Me workmen's compensation laws of Me State of Calitornfa. I �areby certify thai I am properly licansed as a conttactor untlar tha State of California B�siness antl Professions Code, Division 3, Chapter 9, antl thet sueh licenses ere in tull force antl affect, or I am exempt f�om the provisions ot the State of Celitornie Businass antl Professions Code, Division 3, Chaptar 9. $ipnature ot � � �,y{ Permittee or � � � /�, Authorizetl Bant Date � APPLICATIO��R9STRUCTURALPERMIT 5.50 TL RECEIVEDBV PERMIT ' N° 48323 A.P. NO.�/I'l ~L [ Z — �� BUILDING� 1 / / l - ' _ �� ADDRE55 ��7 k/� UNIT OR SPACE NO. tf�.NO. � LOT OWNER USE AOD ED APPROVED PLANNING ACTION REPAI R DATE VALUE s DEMOLISH a C 'e m SQ. FT. a THE AMOUNTSHOWN UNDEF VALUATION IS FOii m THE PURPOSE OF ESTABLISMING A PERMIT FEE ONLV: � VALUATION PERMIT FEE E S• OG q m O G PINN CHEGK y o $�O TAX E �f0 � U TOTALPAID $ SSO ✓ i 7 W 18TH ST IS BOYD E EDDZNGER A 92705 PflCX/ENCINEEfl: RDOflE55: flEG.NO.: uxrt: UNIT: PEBMITTEE:JOHN JANIS PLUMBiNG (714)642-7764 aooness: � 539 MONROVIA 8 NB CA 92663 `ILENSED CONTBACTOP OECLABATION: I nere�y allirm Nal I am Iicense0 unUer mvision5 01 C�apier 9 �tommentinp wii� Setiion 7000) o� �ivision 3 a� Ihe Business antl Pmlessions Code, antl my lic se is in � brce ana e�lecl. cirruc.:052820 srarEuc..�5463i ��'S �-36 ' Daie: Y��4� S3 Signature: WOBREflS' LOMPENSPTION OECLAflRTION: I here0y aflirm have a tehi�iCate oi c nt m selbinsure or a cenilicate oi Workers' Compensalion Insu�ance. or a cerlilietl copY Ihereol (Sec' 00. Lab. C). ra��crr,o.:1091393 xP.o^rE:02/0�/94 comraxr:gTATE FUND "] Cenifie0 copy is nereby IumiSheU. ❑ Cenilied caDY �s fileE wi he city B' ng Oivision. B � eate: ��"f 3 PpPlitani: EXEMVTION FPOM WOflKEflS' COMPENSRTION OECIAflATION: (T6 tion neetl noi �e com01ete0 i e permi� is la� one �unarM (S10D) or les5�. I ceriily I�al in I�e pedormance ol Ihe work lor whic� lhis per issuetl. I shall not ¢mpl ny person in any manne� so as lo �¢come su�le�� la i�e Worker5' CAmpensation Laws ol Calilornia. Oate: Signature: NOTICE: I�, a�ier makinB ��is Oetlatalion, you Shaultl b¢cOme Su�jett lo ��e WOA¢r5' Comcensation pmvisians ol tne LaEor Code. you mu5i Io��wiih tomD�Y with 5u[� D�oh5ion5 ar I�is permit Shall Ce Oeemetl revok¢a. CONSTflULTION LENOING AGENCV: I nere�y allirm thal lhere is a con9mclion lenaing agency for ihe peAormance ol Ine work for whic� ihis Dermit is issue0 (Section 3097. Civ. C�. � LENOEfl: aooxess: OWNEN BOILDEB OECLAflATION: I hereby allirm Ihat I am eaempt imm tAe Contractors' Sta�e License Law br �he lollowing reason (Sedion 70.31.5 Business antl Pmlessional CoEe: Any cily o� munly w�ich re0uires a permi� to consimtl, alier, impmve, tlemolisM1, or re0air any Slmclure. O��or lo its iSSuance. also reQuires t�e apD�icant �or such Dermit to lile a 5igne0 Slaiement ihal h¢/she i5 iicensetl pursuani lothe pmvisions ollne Coniractors' Siale LicenSe Law�C�api¢r9�cOmmenCing wi�h SeCiion 70011) o�0ivi5ion 3 o�ihe BuSinesS antl Piofessions Code) ar IM1aI �e/she is e�em0� ��erefmm antl Ihe basis for Ihe allege0 eKempiion. Any viola�ion a� Sec�ion 7031.5 Gy any aoplicant lor a permil subie��s Ihe applicant lo a civil penalry o1 not more ihan five hundretl tlollars ($5011). I, as owner al i�e pmpetly or my employees wilh wages as �Iheir sole compen5aiion, will do �he work, antl the ❑ simcWre is not intentled or ollere0lor sale (Section 7044, Business and Protessional Code�, The Cantracbrs' State License Law tloes nol appty Io an owner of a pmOehY wha �uilds or impwves t�ereon. antl who tloes Suc� work �imsell/h¢rsel� o� �hroupA �is ar h¢r own employees, O�ovitlea IAa� SUt� impmvemen�s are no� inlentle0 ar offereE IOr 5ale. Ii. howev¢r Ihe buil0ing or ' impmvemen� is sold wilhin one year o� comple�ian, �he owner vnil have Ihe burden of Dmving �e/s0e Oitl not �uiltl or impmve for me purpose ol salel. I, as owner of Ihe propeny, am exclusively coniractinA with licensed contractors m constmct tAe pmle�� (Section 70ad, Business ❑ antl Pm�essions COUe: The Conirac�ors' Sta�e License Law tloes no� appty to an owner o� pmpeny who Uwltls or impmves Ihereon anU w�o conirac�s lor suc� pmjecis wii� a contracior�s) license pursuani lo t�e Cantraciors' Staie License Law). I am awart that prool of their Worker's Comp¢nsation insurance shoul0 be pmviGetl Io me. � I am e�empi untler Section: B. 8 P. C. � lor Ihis reason: �aie: ' Gvne[ I do �ereGy cetlity tlWt I am aware of and untlerstan0 Ihe requiremenis of Calitomia Health anA Safety Ca�e Sections 25505. 25533, antl 2553a ane Iliat I or any IUWre OuilUing acupanl wilVwill not (circle one) neea �a compty with Saitl s�ate WEes and lAe re0uirements lor a permit lor constm[lion or rtwdilicalion Irom I�e Ai� Oualiry Managemen� DiSVict. flev0en�ial con5�mciion aOP��ion5 are exemp� Irom Ihese pmvisions. oate' Ppplicanl: I heBby C¢r�ily I�al I have reatl I�iS a001iCatiOn anA 9a�¢ t�ai t�e abov¢ inbtma�ion o�dinances a� state lav+s relaiing lo �uilaing canslmction an0 �ereW amMnze si pmOe��Y l�oi /ipnspection pmpa5e5.�j pyyj: "/'��+^• /� $ignaWre: Driver's License or Sociai Seariiy a: \ t6aL46 wnne—Building; Green—Goae EmoqemenC C ry—Applicam; Pi n all city anA wunty Ihe a0ov¢�mentione0 � GOIEenroa—Auessor CITY OF COSTA MESA — BUZLDT_NG PERN,IT PEHM NO: P 06?889 PERMIT NO: P 061889 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRiJCTION TYPE; PERMIT TYPE: PLU PURPOSE: �T3 JOB DESCRIPTZON : GAS LZNE FOR 1,000,000 BTU DRYER SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / CUMMENTS: NON FLAM.}�.3LE INHS/PAINTS ONLY!!::� 3E iE'1f if #'1E'%iE iE'1E 3E'� iF'1f iF if 1f if if iE iE �7f ?E iE 1E ih'IF'1f 1I' iF iE if ie iE if'� F if if fE'lE iE iE if if ?F 1E iEiF iE iE �F if iE')h iFi'E 1E �!'lf i(' if if iF iF i%iE iF 1f iF'%iE'� # iF if if ?f ?f 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 BQILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT SN FRNT: FT ZN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; F? IN PARHING REU: PROV;. PARCEL: 00000000 ZNE: REF NO; PLANNING NCITES> > 3f if �IE k iE iE if iF 3E if if iE 3E 3f # iF iE if ## if iE if iE iF if iE if # 1f iE iE iE iE iE iE if iE iEicii iE iE if �lFif #'k!E iE # if iE iE # iE # if iE ik 1E # ff # it ### iE 1F fE ## iE # if iE ic iE D E V E i O P M E N T S E R V�Ii C E S�';, R E Q U I R E M E N T S 20NING APPROVED BY � � /� DATE: BUILDING APPROVED BY : ^ � DATE: kZ � APPLICATSON FSSUED BY: se.�lbv�er� DATE: �Zf,q, ififif?EiE±f'.'h�E'�3fifiE#iEifiEii'ifif?f-0EiE -�C n�rc'ltx •Yc%'! t ' t i ifififif'1Eifif###�F1�F#�iF�e�Fit��F�fif jf iE i!� 3F iF �E iF iE iE iE 3F iE if iE iE iF iE # iF 1E iF iE iE+: iE iE # if 1E iE iE if if iE 3E �1f iE iE 3(- Y iE ik iE it 3f �lE 3F iE # iE # 1E iE �f if� �IE ie 1f iE # iE if #�IE iF # if� ###!t iE r. iE # iE jE±E iE LcGALIZAT20N:N F E E S J M M A R Y STRUCT'URAL SEGMENT:N BLDG PMT PLUMBING EiECTH .: MECHAi�IC _.-FIRE SMIP/RES GRADING PERMIT 5 00 '158 SMIP/NON—RES PLAN ISSUE FEE 20.00 BUILDING-DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 5.00 20.00 0.00 25.00 25.00 .00 REVENUE DIVISION TOTALS--> ��COLLECTED; 25.00 OVER/SHORT: .00 BiDG PMT PLUMBING ELECTRIC MECHAN3C FIRE SMIP/TOT GRADING PLAU—CHECK 25,�� * iE iE iF if if E iE 1E iE iE iE iE iE iE iElE 1E if df iF if iE if 1f if %iE �lFlE iE iE IE 1E iE if !E iE 9E �)E iE ### iF �IEjf -7E if iE if # iE ## jE �E iE ##:�f # If # iE # af ### if ff # iF # 1f !F 1E i! 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 PLU ? GAS PIPING=SY5 OF 1 TO 9 OUTLETS 5.00 5.00 END OF FEES � 01 00137942-00137942 TOT 25.00 Dn7Er 04/26/98 TINEt 13s56 . iUCT10N AND PLANNING ' ALS Permiz # - erv Elettrical ServiceorPote I 2. piii Pipe�Undrgrnd. i. 3. Electrlca' Conduit Utitity-Und�grr.d, I 4. E�ectrical Condu�t�Undrgrnd. 5. Stez� Reinto�cement � � 6 E;nr.tn:a' UFER urnd. 7. foonnas � $. Fou�tlanOn - � 9• Water P�pe�Undrgrnd. � . , 70. Structural Floor SYstem , . 11. Properiy Sewvr �ine & F"(o�se Connection �i 12. �Sewer Cap , � i 1� 3. Root Drains �.. ri4. Rough Pl�mbing ' � 15. Rnugh Etecvical•Conduit , '.G. Rou7h Eiectric�"�liring , 17. Rough l^.'�ring Sign � 18. Rough Elcttrical�T Bar Cziling 19 Ro:.yh Heating & kir Cor.ditioning - 20. Ro�,.yh Factory Fire�lace 21. Du_':, �r, S.ructure 22. Duas, Venti�ating 23. Gas'ip��Rough & Test 24. Ao�i Framing I ZS' Roof Sh��athing r2E. T�Ea� C^�'ing l5:iuc,urall & F�:onocoat 27. Frema a^d Flashing r2H. ' �h n� iL Sidmg 29. InSu;:.Lcn 30. Drywall iJailing 31. F��zster pra.a�n Coat " 32. E!er.tnca� Pov,er ivieter-Plnal _ 33. Firal EL^rtric 3h. Final H�,.ting & Air Condrtioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. P��a! Factory Fireplace 38. Finai pli,mbing 39. iVater Sc:vice�Final 40. Gas Ser�me-F�nal 41. Solar'Jomes:ic-Fina! .. _ ____ __ _.__ ___ 42. Backflor. Preventer G3. Backflow Irrigation 44. Lacdsu.?e Irnqation System 40. Sound Attenuation 46. Har.dicap Regulations 47. PIRAL STRUCTURE & BUIIDING 48. FiRAL PLANNING 49. Electnc Release to Edison 50. Gas Release to Sou[hern California Gas Cn 51. CERTIFICATE OF OCCUPANCY No. Date Date a Poot �n Inspector APPRaVALS Permit �` �� 52. Pool � Equ�pment Location 'i 53. Stcel Reinforwment ' 54. Fn�ms 55. Electrical8ond��ng 56. Pough PIum6�ng & Pressure Test 57. APPROVAL T� COVER GUNITE 58. Electrical Conduit�Undrgrnd. 59. Gas P�pe, Cl Uneirgrnd., Test . �� 60. BaCkwash Lines,.P-Trap, O U�idrgrnd. ��. I 61. APPROVAL TO DECK i` ' 62.'9aCicwash&P,Fv.r.ptar•��inal... ... 63. Heater & Vent�Final � � 64. Plumbing System - Finai 65. Elactrical�Final 66. Solar System�Final 67. F❑ne�ng & Access Approval � 68. APPROVED FOR PLASTERING 69. POOLlSPASYSTEl15FINAL fIRE DEPT. REQUIREYIENT APPROVALS Permit � 70. Undergrou�d FlydrO 77. Product Pipinr� :.' Gas i7 0i1 , 72. Urdergraun6 Flu+h - - ? 73. Undorgrr.c.5toraaa Ta�k .^_ Gas �..: 0�� 74 O�crh,�ad Hvdro � __ 75. Or; Cner^'ul - - _ 76. Dry Sta';dpice � 77. FIXED S�STE.'.S FIN,AL � 78. FIflE PREV. FIR'AL �� I HEALTH DEPT REQUIREMENT 79. FINF�L IRSPECTICN I - i------- -- _ 1 30. FOOD CERTIFICATE ISSUED _I_ 1 Notes: � Date �Inspector E --; rxaecraooxess: g37 W 10TH ST OWNEN'BN�ME: UICI{SILVF..R INC. AOORESB: ��q0 MONROVIP, AV CM' CA 9262.7 714)645-1395 �flCNIENGINEEN: �ooness: . uxn: REO.NO.: UNR: PEPMITTEE:BLEEKF.R nROS (714)994-1'1L2 eooeess: 10A68' DRURY LN LYNWUOD CA 90?.62 LILENSED CONTMCTOB DFCIAMTION: I �ereCy atlirm tlwt I am ficense0 unEer O��a�s ol ChaDier 9(commencin0 �� Sectlan 7000) of Oivision 3 of Ine Business anU Protessians Catle, an0 my Iicenu is in NII foae an0 etlep. � cin uc/.: )p 4 0C,6 5 2s ST�T� uc.: 4 2 0 � 0 2 cusa: C:- 4 3 //�� na�e: /P�� / � '�f Si7naNre: ��L�� cY-� � NNEflS' fAMPENgAT10N OELLANITION: I MreEy affirm Wt I Aave a certiticate ol �pnsent ro selN�ure or a certificate ot Workers' �pensaiion Insurance. or a�cetlifieG copy ihereoi (��tion 3800, L�E. q. Iroucrxo.:PWC0602II7 ocr.oA�; O1/O1/90 cornr►xr: GULDEN EAGLF. l Certitie0 copy is hereCy fum}f"s'he0. m Certi�M capy is fdeE with Ihe /d�ry Builtlinp Opision./'� �J � r Date:�-'��0 / MDficam: �l�i��[L( �.' /.1 ��'l.�/�(` �S E%FMPf10N FIIOM V/OPNFBS' COMPENS�TIOX OEGANA1110X: (Ilrt stttim neN not be cortpkteE il the pemit 5 fm dw hundreE (f100) or lasl. I ceqity lhat in the peAormance al tAe work fw whic� thi5 perrmt is issue0, I slull rot employ any person in any manner so az ro Gecome su�lect ro tAe WaAers' Campensation Laws of Califomia. oate: � SiqnaNrc: NOTICE: II, aller malanA � d�aration. you stpuM Eewme SUOjxY ro ttie Workers' Compe�sation D��or¢ oi Ne LaUor CodB, you must Iorllrvni� compy wiN suc� D�sroirs or Ittis pemut 5tu0 be UeemeC rewke0. COryy�qUCfION 1EN01NG RGFNCY: 1 �ereDy atfrm tlut ihere s a[roi¢Iruction IentlinA apenry tar t�e peAormaxe of t�e xrork for whiC� I�is petmli is IssueO (Section 3097, Civ. C�. lFNOER: �OOflE38: • , � OWNEN BUIIDER OECUMTION: I �ereW amrm Wt I am exempt imm Ue Canvaclars' State Liceiue Ww lar Iha Ipllowui0 aason (SeGtion 7037.5 Business antl PmIeSLanal Cotle: My tiry at counry wlik� repuias a Dermit to wnstruct, alter, Impmve, Uemolisn, ar reoair any stmcture, o�or to its Issuance, also mpuiras tne apv�iwnt lor such Oermit to lile a sipnea sWtamem ihat ne/sne Is Ilcensea puRuant ta t�e DroNsions of ihe Camnctars' State License Law (CMpkr 9(commendnp xit� Sectlon 7000) oi ONislon 3 of the Businass anU Pratessions COUe) w Nat MJslro fs ezemDt Nerelrwn aM Itro EaSLi lar Ue alle0� exem0�. �y �tion ol Sactlon 7031.5 Ey ' applkant Iw a pemut wEjEtu tM appliant lo a dv0 pmaliy ol not rtqro tllan Me �unGRE dolly5 (5500). I, as ovmer ol rtre D�De�Y or my empl�yees vritn wapa az Neir s01e campe�atlon, vnll Uo Ue xrork, an0 IM � structura fs nm fntenEeO ar aHereL tor sate (Sact(on 70aa. Business anE Pmfessionaf CaUe: Tne Contracmrs' Spte License Law Eoes nat aDPN to an owner ol a Droperty w�o OuilCs ar impmves t�ereon, antl wlro Eces suc� vrork �imsell/�ersell or I�mupA nis or ner own employeas, proviOeG that wU ImOrovertrenu are irot IntendeE or oflere0 lor sale. 11. however ttw OuIl0lnp ar ImD�ovement Ls soltl wit�in ane year of compeGon, Ne awner wip luve Ne Eurtlen ol Omvinq he/she EIO not Ouiltl or Impmve for tAe Durpose ol salel. . • I, as owner oi l�e D�aperty� am exUusivery mntrutlnp wit� Ilcense0 contractors lo construct t�e pmject (Section 7044, Business I❑ a� Professiom Code: TM Cmiraciors' SMe Liaroa L�w Aas mt appty ro an owner al propeM wlp OuA�s or imprpves thereon LOE WIIO COIIIIdLL510f WUI pf0�MI5 WIIII d WfIIf2ClOf�S) GCCIISB �11ROdfIi IO IIIB �.00IfiCIOR $IIIE �IC8058 LiW). I drtl 2Wd(0 that praof ol tAeir Worker's Campensatiou insurance s�oul0 Ge D�aviJeA to me. . I� I am eMempt un0er Sectlan: B: 8 P. C. lor I�is reazOn: , Date: �+.ner. I GO Aereby cenlry IAat I am aware oi anA unEerstanA Iha repuiamenis ol Califomia Healih an0 Satery CoUe Sactions 25505, 25593, anE 25$3C anE t�at I or any luture EuilEinq occupant vnlUwlll not (tirtle one) neeE ta wmpy wit� saitl sWte coCes antl I�a repuiremenLs lor a per� tor wnstruction or moEilicaiqn irom tAe ar �aliry Manapement Distrkt HevOentlal consiructbn apDllwtloris are exemOt Iram inesp provivons. Dzle: AppGcant: I here�y ceniry Nat I nave aaA inis apD��tion anO s�ate tlwt tne above inlarmation is corrxt. I apree to comDN �� all cRy an0 counry orpinances an0 sWte laxs relatinp to buildin0 �«�� Rq' aultpr¢e apresentatives al Ih¢ dry to enter upon Ue a -mentloned. DrOpeM �or inspecUon pu@oses. /�]� ///J Date: ' ('� SBnatua: (�.�+� �� p /� onver's License or Sociai Securiry x: ' 1891i6 White-Buikiriq; Green-COEe Enlorcemant: CanarV-Applicent; Pink-Revenue; GdtlenroE-AssesBor , CTTY OF COSTA MESA - I3UILD'ING PERMIT PGRM NO: BME 045445 PERMZT NO: ti7ME•045445 PI.AN CHECK bIO: , N GOVT: N SUFP: N � CONSTRUCTION TYPE: P£•.RMIT TYPE: F•.LL• ML'.0 STR PURPqSE: NEW SOB DESCRIPTION : SPRAY BUOTH SQ FT: 4,500 CLAIM VALUE: 4,500.00 CAT.C-VALUE: 4,500.00 GROUP OCC: B'-2 / � COMMENTS: SPR BOOTH/NO FINAL UNTIL FIRE SUP FINAL .. . �+�***�*x x****•�*x*�e*��r*v��*#**�x��+��x�*x��r*��c x�r*r�*�x��**at��•x*�+�irrt�r*�*�k��c-*xx��**�** Z O N I N G R E Q U I R E M E N T a ' . S E T➢ A C F< 5 ' ---------- MAIN AOILDING --------- --------- ACC�SaORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT It�t REAR: �'T ZN LT:F1'; F.T IN RGHT: FT IN LEFT: FT , IN RGFI,T: ['T IN . PARKING REQ: PRqV: PARCEL: 42406105 'LNE: MG RFI' NU: PLANNING NCiTES> APPROVAL TO ZNSTALL SPRAY FJOOTFt . . . 3 .. ' _ � . iE iE iE iE iE'.E ie �lE iE iE iE 4 iE iE iE jE lh ±f If iE if iE ih iE i4 3c?E lE iE iE �%if i' jE iE iE �lE iE �% if fE iE iE �E iF?E it iE iE i' ik iE iE�jF 3E �E iE 3f 1E aE iF if iE iE iE?t �}:- k)E l-iE � iE?F?E iE it iF iE - D� V E L O P M E N T S E R V,I C r S R.F_ Q U I R F M E N T S 'LONING APPROVEU BY :�s'��/G P P7� � `_ 1)ATE: _� I' 3O i� DUILDING ApPROVED BY :�- _ __ _ � � DATH: L� �`� APPLICAT.IUN ISSUED BY: '� DATE: �Z�' �� `� # iE if iE i("x' i:' H"X' il"%"Y'r'N- 9E lE iPll' i4 iE'IF'x"JE$. 1Fif iFiF�'R r, ie F . . ��F�F�F' 7F-�3FR, i! iE'I!'% #'K 1h iI' if'ItiF iF�i'�{F 1Fi(' SFiF�'� jE iFiFiEitif#IEiEK�iEiElfiEif�lEiEfEiFi'ifitiEiElEil1liElFitiEi4iEiEiE�EiEiE .MiFifiElEifiEiE�1E1t#ili�kit!Eifil�EiEifiEiEilikfElF�Xk3EitiE�t3fifiEitik�)fik ' LEGALI7,ATION:N • r E E � U M M A R Y STRUCTURAL SEGMENT:Y F3LDG Pt4T PLUMAING ELECTRIC MECI�ANIC FIRe SMIP/RE$., GRADING PERMI'T 72.00: �Sp� 42�a SMIp/NON�RES� PLAN • - . ISSUE FGE 15.00 15.00 HOILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL• PAID DUF. TOTALS----� 84.50 70.00 0.00 11q,50 � 114.50 ,,�, .00 REVENUE DIVISION TOTALS--> COLLECTED: 114.50• OVEA/SFIOR'C: ,. 00 BLDG PMT PI,UMBING fiLECTR.T.0 ML•:CHANTC FIRE SMIP/TOT GRADING PLAN--CHECK 72.00 22.50 19.50 .50 • jE i(� if� if if iF�iE 3k if k M it iE iE fk if �1E ik ik if k�1P iE ik k i' )E itlE d'c # if iE 14 iF ik if jk # ii iE iklk %� �k ip �lE iE iE �lE!@ iE 1F iE jE �)E �lE 3X �It ik iE af �F 1E !f i(-iE it if 1E if iC k iF iE i! 3E •k iF - S N D T V I D U A L F F, Ii D R E A K U O W N • � TYP� SFR ELE ML•:C QTY 4500 1 9 D E S C R I P T I O AI UNZT COST' 'STRUCTURAL BY VALUE PE:R °y'1.U0 1.00 � MOTOR/POWR APPARATOS 1.1 - 10.0 HP 7.50 , VENTILATION FAN CONN TO SINGLE DUCT 4.50 END OF .FEE.`', ' ��°� �..-� ��,��/ TOTAL COST r' % 4,500.00 " 7.50 4.50 vi 000soois-ooasoozz-��OT . 114.50 DATE: 12/19/$9 TIt1E: �10:24 � � c � 0 ,I .� �,; �CONSTRUCTION AND PLAN�._d '00' :PA . . APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. � � 53. Steel Reinforcement � 3. Electrical Conduit Utility�Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding � 5. Steel Reinfoicement - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. • 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. - 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe•Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & HouseConnection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent•Final 13. Roof Drains 64. Plumbing System � Final 14. Rough Plumbing . 65. Electrical-Final � 15. Rough Electriwl-Conduit • 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval � � 17. Rough Wirin9 Sign � 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydra 22. DuMs, Ventilating 77. Product Piping �Gas ❑Oil � 23. Gas Pipe•Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof $heathing 74. Overhead Hydro .� •- � �26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . � • 27. Frame and Flashing �6. Dry Standpipe � �: 26. Lathing & Siding � 77. FIXED SYS7EM FINAL �' 29. Insulation -• f'i� 78. FIRE PREV. FINAL 30. Drywall Nailing �_ . . HEALTH DEPT. REQUIREMENT �� . 31. Plaster Brown Coat . 79. FINAL INSPECTION � r . 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED �� ,� 33. Final Electric �- � �� •i,' , Notes: � 34. Final Heating & Air Conditioning t�� i�tf � , 35. Final Gas Pipe�Test � ' ;�' � �1 � . 36. Hood or Canopy � � �- '~ �i - 37. Final Factory Fireplace _ 38. Final Plumbing �� . 39. Water ServicB�Final 40. Gas Service-F�nal 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System . 45. Sound Attenuation 46. Handicap Regulatiorts •- 47. FINALSTRUCTURE&BUILDING _�--�1 y�, � � �� a0 48. FINALPLANNING `%� - t' . ��' � (Je � 49. Electric Release to Edison '"� !, :�� 50. Gas Release to Southern California Gas Co `,� (' ' 51. CERTIFICATE OF OCCUPANCY No. Date I r" I �' Pfl0.1ECT RODflESS: 8 3'� W 18 i H S T OWNFfl'SNAME;BOYD ENTERPkISES nooeess: 19 4 6 E ED I NGER AV SANTA A�A.-CA ABLH/ENGINEEfl� z 5 8' 1 1 7 7 RODNE55: uxiT: NEG.NO.: UNR: °E""unEE:P.M. ELECTRTC (909)590-7026 nooness: q g z 1 LAN I ER RD - CHINO CA 91710 LICENSEO CONTBACTOB DECLABpT10N: I hereoy aliirm Inai I am Iicense0 untler Drovisians of CAapter 9(cammencinq with Section 7qq) ol Orvi9on 3 otlne BuSiness anA Pralession5 Code, anG my Ikense is in lulllorce anG e�fect. cirruc.:05�145 suTeuc.536372� /�'"Ss:�tn.p — Date: � sianam�e: Ll�`� /w✓ — WONNENS MPEN TION OECIABATION: 1 her¢Dy aliirm I�ai I have a t¢�iliCaie ol mn5en� lo Sell�insufe or a cetliliW�e 01 Workers' Compensali n Insurence. or a ceniliea covY ��ereol ISeclion 3800, LaD. C�. POLICY NO.: E%P. ORTE: COMPRNY: �] Ceniliea caDY is �ereUy fumisneU. ❑ Cetlilietl cooY is filed wi1� the cily Builainp Oivision. Oate: ApoliwN: E%EMPIION fXOM WppMEXS' COMPENSIITION OEQNNITION: (Tltis secipn nee0 noi De compe�ep il Ilre p¢rml is fa om �unOreO (5700) a less�. I cenily t�al in Ihe P¢rtormance o� Ihe wrork lor which IAis permil is issue0, 1 shall nol emDloy any person in any manner So as t0 hecome SUEjett Io ///IA��/e V orkp� '('pmp¢n5alion Laws ol California. ,. Oaie: 7 Signature: �� xonEE. II, a er making tnis oeclaration, you shoul0 Oecame subject to me Workers' ComDenution pwvisians of ine LaOor Code, yrou must IonAwitn comDly witn such pwvlSions or iNs oermit Slull �e deemea revakeC. CONSTflULTION LENOINC �GENCY: I nere�y allirm ��ai I�ere is a consimction IenCing apency for Ihe peAormance ol t�e work for wtucn mis oermit is issuea I�tiw 3097. Civ. t). LENOEfl: aoosess: OwNEN BWLOEB DECLABR7ION: I hereey aflirm Ihal I am exempl Irom ihe Coniracbr5' Stale License Law for Ihe tollowinB reason �Section 7037.5 Busfness and Pmlessional Co�e- Any �ily of wunty whic� requires a permil to constmct, alter, imprme, tlemolisR or repair any sirucW�e. prior to i6 issuance. aI50 repuires the aDGlicant for such permit to lile a siAned statemene tlut h¢/sne 6licen5e0 pursuam to ine o�avisions ol �ne Comractors' $tate License Law �C�aO�er 9(commencing vn�h Section 7000) o� Oivision 3 oi I�e Busineu and Pmfe5vm5 Ca�e) or ihat he/s�e 5 exemD� IDerelmm an0 ihe basis for the allegeG eNemption. My vidation of Section 7q71.5 by any applicani for a permit su�l��s Ine aOVlicani Io a eivil penaity ol na� more Ihan live �unOretl dallars (f500). I, as owner ol ��e DmDe�y ar my emplayees with wages as Neir sole campensatian, will Oo IAe work, anG Ihe ❑ stmcmre a not intenaea or offeretl for sale 15eclion 704a, Busmess anE Pmiessional CoOe: T�e Contracmrs' Sute License Law tlaes not apply lo an awn¢r o� a pmperty who 6uiltl5 ar impmves �hereon, and who does such work him5elf/Aerseli or �hroug� his or �er oWn employees. pmvided IOat such improvemenis are no1 intendea or oflereU br saie. II, �owever IOe 6uil0ing or improvement is sol0 wi�hin one year ol completion, ine owner will have �he Gurden of pmving he/sne tlitl not Duild ar imprme lor ihe ourpose af sate). I, as axner pf t�e O�oDeny. am e.clusively con�ractine �� IicenseU contraclors �o consimtl t�e pmlec� (Section 7044, Busin¢ss ❑ ane Protessiqis �e: T�e Contractors' Slaie License Law aces not appy to an oxner o1 properIy WIIO ENIAS Of IIIIpfQYf!5Ii1CR011 and wlp mnlracls tor sucn O�oiecis wi�h a caniractor15) license pursuanl to Ihe Cqnirattors' State License Law�. I am aware Ilul proo� o� IDNr Worker'S Comyensation insuran[e SMu1E �e proviGeG Io me. � I am e.¢mp� unEer $eCtiOn: B. d P. C. tor tnis reasnn: Date: Owner I Oo nere0y ceN�y Ifyi I am aware ol anU un0ers�and �he roQuiremenls o� Calilomia Mealih and Salety CAAe Setiions i5505, 25533, and 25574 antl inai I or any tuture builGing occupant wilWrill not (cirUe one) neea m wmON wi�� 5ai0 state coaes an0 I�e mQuiremems lor a pe�mil foi con9mcuon or m04ilica�ion fmm t�e pn Ouah�y Managemenl District. FesiAen�ial tonsimclion apolicaiions are evempt Irom I�ese OrwisiWis. Da�e: Appli[ant: fherCOy t¢rli(y(�al Ihave r¢adlhi5 aDD��alion an0 Slale Ihal Ihe abovein/ormali n is corre5. IaAiee�o tOm�y wilh allCily and COunry ortlmanreSanOStalelawSreWlin0lobUilGinq[onSlmtliananE�¢re�yaulhor¢¢Te enlai' So histilyloen Uponl�eaov¢�meniion¢0 pmDcriy br ins c�ion Ourpases. Oa�e� ��Q� Signamre� Orrvers LKense or $paal Seturity x: Baba6 Wnilo—BWICmg: Graon—CoEo Enb¢emom: Canery—Ppplicam: Pmk—Revenuo: 6oleenro0—Assassar CITY OF COSTA NESA — BUILDING PERMZ'T PERM NO; E 061601 PERMIT NO; E 061601 pLAN CHECIC NO; N GOVT; N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: UTH JOB DESCRIPT'ION ; 200AMP SEkVICE UPGRADE 6200AMF SUB—PAN SQ Fi: CLAIM VALUE; CALC—VALUE: GROOP OCC; / COMMENTS; NO OTHER WORK ADTHORISED BX THIS PERMIT # 1t k k it 7f iE iE 1E if iE rt iE it it iF iE iE it iF iE iF it 3h iE k iE ih ik iF # jE 3E ih %if iE iE i! if ih k!t k#�IE iF M� #!F i6 it i4 iF iE # iE iF iE iF iF ## iE 7Eih 3E if iE iE iF N� iF i(• iE it #iE iE 7. O N I N G R E Q U I R E M E N T S ssTBAcxs ------------ N.AIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT IN kEAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT ZN RGHT; FT IN PARKING REQ• PROV; PARCEL: 00000000 2NE; REF NO: PLANNING NZST'ES> > ff i@ iE 1E IE i(� if iE it fE k ft if if iF iE iklE i(� if # il� i4 iF if if iF # iF �If itlf iE i! it iE iE-1f k�)F ik iP iF iE iE iE 1E # iE iE * iElF iF #-%it iE N� IE k it iE # i(�!E il� #!f ## iF 1i� 3E ih ## 3F if D E V E L U P M E N T S' E�cR V I C E S R E Q U I R E M E N'P S 20NING APPROVED BY '� � DATE; BUILDING APPROVED BY : � DATE: APPLICATION ISSUED BY; /LA ' DATE; '?� lfitifiEiElEi('1FlElkiFiEkiEif1k1E1EiEi%1f7F�F�:h ��FR 'R it'F�iF�:1tl�f . �feiFte �t� '�;Fil�iEiEiFik'lEiFif'lEiEit A'1tNR�ex%'Ri%Ik 1F 1E i! iE iE !E if if if !f fE 1!!E iE 7E if iE i(� ik 1E iF ik # iE if ik 1FlE iF it iF iF 1i 1E iE iE iF iE iE iE N� # i ik {�)f it fk �1(� iF ih # fE 1E !F �lE �E *�%iF iE if ![� ik IE #iE i(� ## IF # K�lF Il� 1f 11�l4 iF LEGALZZATION;h F E�E� S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMHING ELEG'tRIC MECHANIC rIRE SMIP/RES GRADING PERMIT 29.50 50� SMIP/NON—RES PLAN ZSSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DOE TOTALS----> 29.50 15.00 0.00 44.50 44.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 44.50 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 44,50 iE !k')k iE �E 1E iF if If fFlt i4 iE iF 1k iF 1ElF 1E ft ik if iE fE 3E iE iE iF 7F 1f� IE iE 1E �Jf iE iE ik it iF 1k iF # ik 1E%ff if �It iE il�1E ii* i4 iklf� il�lF it i( iF 1E 1E 3F �E 3(� �k 1h ih lf iE 1E ## iElE 3(-iF 1k 1k T N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 SERVICES BELOW 600 V 5 BELOW 201 AMP 18,50 18.50 ELE 1 SUH—PANEL 11,00 11.00 END OF FEES CONSTRUCTION AR1D PLANNING ' APPROVALS Permit �t- 1, TemPorary Electrical Service drPole 2. Soii Pipe•Undrg�nd. � 3. EleGtrical Conduit Utdrty-Undrgtnd. 4. Electrical CondwbUntlrgrnd. 5. Stee� Reinforcement fi. EleGtr'cal UFER Grnd 7. Footings \R. Fou�dation •3. Water P�pe�Undrgmd. .� ��- 10. Structural Floor System � 1',. Property Sewer Line & Hoy5eConn � 12. $er✓er CaP . 13. Roof Drains � 14. Rough Plumbing � 15. Rough Electrical-Condu�t 76. Rough Electricb:'iring 77. RoUgh Wiring Sign 18. Rou4h Electric�i-T Bar Ceiling � 79. Rough Hcating & Air Conditioning r 20. Rough Factory Firep�ace 21. Ducts, in Structura 22. Duats, Venti�aLng 23. Gas PiPe�Rough & Test 24. Roof Framing 25. RoOf Sheathing 26. T�Bar Ceiling (Structura�) & Monocoat 27. Frame and Fiashing 28. Lathinq & Siding 29. Insulation 30. Dry�.all Nailing 31. Plaster Brown Coat 32. Elecirical ?o�ver MeterPinaf 33. Fin21 Eleciric 34. Finel Heating & An Conditioning i 35. Fina� Gas Pipe•Test '�, 36. Hood or Canopy 37. Fina� Fac[ory Firepiace 38. Fina� Plumbinq 39. VVatc� Service�Final 40. Gas Service•final 41. Solar pomestic•Final 42. Backflow Preventer 43. Backftow Irr�gation 4�4. Landscape Irriqation System 45. Sound Attenuation 46. Hand�caP F±egulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas 51. CERTIFICATE OF OCCUPANCY No. Date P00 iPA Date Inspector qppROVALS Permit � 52. Pool & Equipment Location 53. Steel Reinforcemrnt 54. Forms 55. Electriral Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNtTE 58. Electncal Condwt�Undrgrnd. 59. Gas Pipe, O Undrgmd.. Test 60. Backwash Lines, P�Trap, � Undrgrnd. 67. APPROVAL TO DECK 62. Backwash & Receptor�Finai 63. Heater & Vent-Final 64. Plumbing System - F�nal 65. Electrical�Final 66. Solar System-Final 67. Fencing & Accese Approval 68. APPROVED FOR PLASTERING 69. POOUSPA SYSTEtJ�S f INAI FIRE DEPT. REQUIREMENT APPROVALS Permit n 70. Underground Hydro 71. Product Piping � G.�s Q Od 72. Underground Flush 73. Undergmd. Smrage Tank O Gas ❑ Oil 74. Ovefiead Hytlro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTE�S FINAL ; � 78. FIRE PFEV. FINAL � � HEALTH DEPT. REQUIREMEN7 7� F�NAL INSPECTION � 1�,�3 ��OD CERTIFICATE ISSUED � i Date �Inspector v u r _-� APPLICANT: DO NOT FILL IN SHADED AREAS: � CITY OP COSTA MESA CONSTRUCTION PERMIT PERMIT NO. UNIT MODEL g37 w. /gt�s� - � '�S.S03 . _ Pryecl Manu:. ' �unit: . Umm'� Nama: �>> G. �^+ � Utt � � PURPOSE: .❑ NEW ❑ ADDITION � ALTERA710N '❑ REPAIR Mdna: / D M o R'ovl.� ' � _ . . � � � . . ' . � .�c-}-e . M £S-� ' O WNVERSION ❑ DEMOLITION ❑� OTHER � � Mch.lEnpinasr: . . Neq. Nn: .' IWEroa: � - Unlc - DESCHIPTIONOFWOfiK/USEOF.BLDG.- �EI£cf<+u) �jook-w� rem,uro. � l E s<...��s zrs -9�-6-3aoz , o�- PA�.��- S�e„ y�ioaF� G Mdrtu: � / L'7 ! )^`'�.a K s E " � � � . . � 7VPE OF PERMIT: ❑ GRADING ❑ FIRE ❑ STRUCNRAL ❑ SIGN LICENSEDCONTMCIUR�ECWIAION: II¢retr/allirmWllamticensNunEerprJ+iSioina�CAap�er9�commentinp ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑�REINSPECfION ' n � xi!h SecGon 7000) ol OWison 3 al tAe Busineu aM �rofeuans CoEe, anE m/ Gcense b in WII lorce aiM eHM. .!/ . CI7Y IIC: ,�7 ^� 2 STIITE LIG: 3ni C o�I1 � CUSS: C iD � � JpB OESCRIPTION: ❑ SO. FT. OCCUPANCY GROUP r/ `Z �ate: ��Z��-/�%'9 Sipnatua: �� , 1NER%' COMPENSIRION OFCtANRTION: I �ereby atlirm t�at I have a certi(icate af conunt to sdldnsua CONSTRUCTION 1YPE � VALUATION $ GRADING CU. VDS. certifkate ol Nbrkers Campensauon Insuance, or a ieNfieC capy ihertol (Sectbn 3000, UE. C). � � � ' ' rUl1C/ NO.: %Q'a 32D ' E%P. dUE: //�j� � CATEGORV: � MINOR CONSTRUCfION ❑ MAIOR CANSTRUCfION (UnCer 200,000 sq.h.) LOMPdNY: . , , � ' � � Cenilie0 cop/ is �ereUy WmisME. ❑ Cenilie0 wpy nis lilea MtA the cRy BuilGinp D'Msioa � MAIOR/HIGH RISE (OJer 200,000 sq. fl.) � � ' I�Z/2/I&9� Applicam: S�n.,,aYn\�.,�� L..I�" � �Remarks:� .�L—.,�� c..AVfION FPOM VlONNEBS' fAMPEN&1ilON OECUIUfION: Rhis section neeE not 6e camyletetl il I�e Oermit , � -pwMBING FEES is for one hunAreO (5100) or less�. I cetlity that in t�a pertormance of I�e wark for w�ich tMs Dermit rs issue0, ISIWndempryartypersanmurymaimermaloDewmewb�eqtottceNbil¢rsCompenS�wW�salfa�lomla. BackflowPrevention � � Repipe � ' �ate: - Sipiuture: -- - ' ' 'Backilow Irrigation � ' Root Diain �- - � 'NOfICE: II. arttt malm0 ��M��. YW y� �= � tn Na WbrVsrs' Comper5atim P� . Bar Sink � • Sarvice Sink � sius ol Na UDw Cotle. )ui ms� IWrxiN caroN v.�h such praaipu a tAs Oemit shaA be OcertcA mdmA. . . fANSIHUCf10N LENDING AGENLY: I hereGy ailirm that Ihere ¢ a constmctlon IenEinA aOe�Y �a� lhe Dedor, Bathtub ' � Sewer Cap � mance of t�e vmd lor w0ich tAis permit is rssueG (Secuon 30Y{ Ci¢ C). ' , Clerifier Sewar Connection - LENDEN: � � , ' , � , . �ODflE83: - �' ' ` . ' . ' Dishwasher -- - " " ' ' Shower - " " ' ' - � tws' State Liunse law (CIuO�e� 91 Cotle) or Ihat heh�e is erempt ther Uy aM aD7��nt far a permit suqe 9, as mmer of t�e propeM or tAe simclure is nat imentle0 ' tadors' State License law U . who daes such vmrk Almself/ are not intentle0 or oBereG.for pleiion. tAe wmer wiil hav¢ t � I, as wmer oi Ine pmperry. (Seclion 711Cd, Busineu an0 mmer ol DropeM who buil0.s licensa Dursuam to t�e Coma tian ifnuante shoulU he p � I am crempt unCer Section: lor �his 2ason: I hereDy aifirm tAafl am exe t Imm Ne CaMractors Staze License law Drinking Fountain 1315 Business'ana Professional�e: My dry oi wumy which requl2s a' femolish, or aDair airy sirudure, prior to Its issuance, also requires t�e applf p�� Drein � I statement�t�at MhM ¢'GcenseC �ursuam lo Ne D�A'��s � Ne Cmtac- . wmme�rcinp witn Seqion 7f1001 a� iv'aion 3 oi tlre Business and Professions Floor Sink ' efmm antl Ihe Oasis tor.the allepetl �emplian. Airy violation of Section 7031.5 cts the aDP��m to a uvil penalry oi ml more iWn /rve hunE20 tlollars (ESW). Gas Service � '' rtry employees with �rdAes as their sole'campensa[ion; will ao tAe xnrk. en0 � Ges System .- Outlel or otteaU for sale (Settlon 7444, Businew antl Pmfessbnal Code: The Com ' oes nM aDDly lo an mmer oi a property w�o 6uilOsror impm�es t�ereon, antl Interceptor �� herseil or tArouq� Ms or her own emDlqrees, provi0e0 that such impmrements , . ute. II, Aw.ner tAe bwltlinq or imprwement is sa10 within one year ol com Kitchen'Sink � Ae 6ur0en of O�nO he/she Oi0 nol 0uild or imprmc iw Ne Durposa ot ule�. am atlusivelY conVaclinp wtt� ticenseU contactors to construcl Ihe pmlecl ��undry 4ay � Pmlessians COGe: T�e Contactors State Licenu lax does nd apPH �o an P Trep � � or impm.es thereon anG who mntaqs lar suc� pmleds wit� a contactar(s) .. ctars Slate L¢ense law). I am aware Ihat pmof at Nev N4rker'S ComDensa- - ' roriEed m me. . . � . �. B. 8 P. C. • Relnspectlon Fee �� Date: Owner I Uo �ereGy caniTy Itwt I am aweie al an0 uMerstanE Ne requireme�rts al Califomia Hea1N ana Safety Cude Seu tims 25505, 25533, anE 25534 anA tAat I or airy IuNre huilUing occupant xullOmLL➢nt (circle one) neeE to campy wilA uil sfate co0es aiM ihe mVuremems �or a permit lor mnstruction or motlilication Imm Ihe tir Waliry Manaqe- ment Disirict. He5i0ential consiruction applicaGons are eumpt Iram these O�sions. Date: ApDliwnt: � � . I �ereCy certity that I �ave rea0 ��is applicationjanA state t�at t�e ahove information is correcl. I agrea �o comply whh all ciry anE county ordinances an0 sWte Wrs rtWtinq to �ud0inp construNon an0 �ereb� authonre reD�um tatives M Uis city lo enter upon �he a6ove�mentione0�D�openy for/,JinsDec/tioJn puryoses! ; Daze: I2%2/� � 9 SiOnamre: 'f'"Ls..+G...l�L..ov�+t . Dfner's Lkeme or $aul Secunry M: � � � Boiler Ducl—Underground Dud—Sirudural ' � Ducl—Ventilating Eahaust Sys[em ❑ Multi� Fan � � Fire Damper � Fireplaca/Fact. BIt. ICBO X i Reinspectlon Fee ; rev. 1d89 W�Ite - BuilCing; Green - COEe Enlarcemen�; Cenery - Applicant; Pink � Revenue: Goltlenmd � 0.vsesaor Solar � Toilet� ' " Urinel : � Wash Basin � - �Washing Mathine - Water Heater � Watar Service 530 Is'sue Fee MECHANICAL � � Heating System 8 Ducting � , ❑ 6100,000 BTU ♦ ❑ 100,0008fU +' Hood oi Type 1 � �- Canopy Type 11 ❑ ❑ efriqeration System ' O aioo,000 eru + O ioo,000 aru ., Svstem RwnnidAlleration• • ' - sao� � iss�e r-ee S Main TFront B LaX A C RinM Rear aef. p ng Notes: Automatic Washer Christmas 7ree Lot ConslruMion Pole Sub Pole Caaking Unit Dis�washer " Dryer O Gas ❑ F.A.U. Fireworks Stand FiaNre GeneraWr: Size _ Meter 0 up [0 200 Meter �"over 200 i � � Parking Req./Provided ELECTHICAL, . • Motor 0�,47 HP �Q 140 HP ❑ 1650 HP ❑ 56100 HP � ❑ ovBr 100 , ' ' Outlet Pole Lig�l " - Sign'Oullei ; ric ' Squere Footage Fee ' Standing Sedion Sub Panel ' ' - Swimming Pool/Spa " -' - a. Switch Temporary Wark With �s � Transformer � � 9 $i20 � ' flelnspectlon Fee � 530� � • . DEVEIOPMENT SERVICES RE�UIREMENTS: Zoning Approved By . Builtling Approved By�� Application Issued 8y � 53 FEES S15 BUILDING PERMIT PLAN CHECK PLUMBINC� PLAN CHECK ELECfRICAL PIAN CHECK 2 O N I N' .G R E O M T S. Iseue:Fee ��• S75 �� ' Dete ' t �C��Date Date ��TS� SUMMARY OF FEES � $ MECHANICAL $ $ �PIAN CHECK 2545�$ S SMIP § 25% S GRADING S $ . vv 5046 $ �' TOTAL FEE S %T ' �!' O1 0�050373-00050373 T4T � DATE: 12/21/84 TIME: l5:55 24.00 hi,�'f�''x';"� f1C:�'�.c _..�vr vv.n� -vw,�:u��uWT'g,fT� S ' � 1 Ft . . . . . . . . ,��. . 'Y....1'••.T� Y . . CONSTRUCTION AND PLAN. , . 'OOL F � 'APPROVALS Permit # � .ate Inspector � qppROVALS Permit # Date Inspector i 1. Temporary Electrical Service'or Pole � 52. Pool.& Equipment Location i 2. Soil Pipe-Undrgrnd. �� 53. Steel Reinforcement ,i � j • 3i Electrical Conduit Utility�Undrgrnd? �� 54. Forms � 4.. Electrical Conduit-Undrgrnd. �' 55. Electrica� Bonding 5:� St'eel Reinfor ert�ent 56. Rough Plumbing & Pressure Test u 6� Electrical UFER,Gmd. ' 57. APPROVAL TO COVER-GUNITE ;�i �. . � 7. Footings � ; 1> �:� 58. Electrical Conduit-Undrgrnd. �; -� 8. Foundation : ";' 59. Gas Pipe, � Undrgrnd., Test �� < .; � , 9: Water Pipe-Undrgrnd. } 60. Backwash Lines, P-Trap, O Undrgrnd. �'�1 .� 10. Structural Floor System �,� .'. 61. APPROVAL TO DECK �% 11. Property Sewer Line & House Connection ';. ' � . ,, 62. Backwash & �2eceptor-Final /', 12. Sewer Cap �,'-; ' ' 63. Heater & Vent-Final „}, 73. Roof Drains , 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring;: 67. Fencing & Access Approval 19�. Rough Wiring:Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling i, 69. POOVSPA SYSTEMS FINAL 1�9. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT ,i �20. Rough Factory Fireplace '� APPROVALS Permit # �21. Ducts, in Stru�ture '(, 70. Underground Hydro '22. Ducts, Ventilating •�','_ 71. Product Piping � Gas ❑ Oil � 23. Gas Pipe-Rough & Test � 72. Underground Flush �� / �24�: Roof Framing; ; 73. Undergrnd.StorageTank OGas OOiI � 25. Roof Sheathing y 74. Overhead Hydro i. 26. T-Bar Ceiling (Structural) & Monocoat `�''� 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulatiori� 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 Plumbing � 39. Water Service-Final ��,�.. 40. Gas Service-Final � .t ;1 41. Solar pomestic-Final ��"'` . ,�;� , 42. Backflow Preventer '-; t.' � '' q - � . 43. Backflow Irrigation - ' ;`' 44. Landscape Irrigation SYstem � '"� �d / � 45. Sound Attenuation L �� (J ��_i . 46. Handicap Regulations �j '� 47. FINALSTRUCTURE&BUILDING , � 48. FINAL PLANNING � 49. Electrie Release to Edison ' �! :- .�.�'- 50. Gas Release to Southern California Gas Co �, 51. CERTIFICATE OF OCCUPANCY- � � ', � No. Date � � � - � � j V' >r ,, ..,Y,- . h_... � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Fo/ Applicant to Fill in Comple[ely Bn;,�°c"c /? � /l> / .k I /.� C y , OWNER F� ADDRESS I� L G/ � L�'�.'—SQ+I � CITV S�t(.�-..�.L NO` Q)S CON5fRUCTON BRANCH �— ADDRE55 � ARGHITECT �—_ ADDRE55 CONTRACTOF ADDRESS CITV STATE IIC. NO. S12E � OF LOT USE OF EXISTING BIDG. SI2E OF ^ USE OF BUILD TE�. NO. TEL. NO. CITV LIC. NO. NO.OF BLDGS. NOW ON LOT // � NO.OF —7 � ROOMS STOf � ROOF `�`� � COVEFING G ANO WORK TO BE PERFORMED 1 �ereby acknowletlpe t�at I have raetl Mis apPllcation entl smte that the ebove i�formetion is carract nntl aprae to comply wlih all laws regulatl�B builtlinp conatrucUon, entl I nhall not employ any percon In vlolatlon ot the workman's companseNon lewa of the Stete of Cali7ornla. I �areby certify that I em properly Iicenfetl ez a conttactor unEer tha State of California Business antl Profeasions Code, Divisicn 3, Cheptar 9, antl thet sucM Ifcanses are In tutl Sorce entl attect, or 1 am exempt irOm the prOvisio 5 Of the $tete of Calitornia Buciness antl ProfessiOns Code, Dlvisl liep� . - / Si0^eture ot / f/ � Parmittae ��•' L Authorizatl Agant — \. APR 15-70�qs�00 906 0�**¢*5.00 APPLICATION FOR BUILDING PERMIT RECEIj(ED V D TE RECEIVED DATE ISSUI �` ys_ �_,s=• A.P. NO. ��f'J'r I6� _ D7 PE'S �I'7 /, BUILDING p 'fS f7,. ADDRESS O?7 � �g ` OWNER W/LL/f IRE VED �O Y� VAIVS�q O. f/ 'PE GRO�UP � v �. ATE / '+� r �� O ZON � NO.OF USE OF NEW iA'T�%l�o� �ti ' PLANS � BUILDING PETii�G�✓r „�VARDSAPPflOVEO VARDSAPPflOVED \ MAIN BUILDING ACCESSORV BUILDING ��. V � REAR DISTANCE BET. MAIN BLDGS. VAR. 3k & OATE APPROVED H--�s_>o m W S�. FT. o THE AMOVNTSHpWN UNDER VALUATION IS FOR ' THE PURP06E OF ESTABLISNING A PEHMIT FEE ONLY: Q VALUATION �` � �q PERMIT FEE S � � m $�OW PLAN CHECK S �_ E D, s-- — LL TOTAL FEE 5 � � , s ;w "' . � ` COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Fo� Applicant tQ Fill in Completely APR 2R-70��5t001599 �***�Z�.O� APPLICATION FOR BUILDING PERMIT 'EIVED V DATERECEIVED DATEISSUI �✓ -2J- O �f-o?7- OWNER IL I S L� U A.P. NO. /C.'L'� O P U�. MAIL ADDRIE 5 �� Z ADDRESS �/� � d U �ITV C� f NO. z' � T ACT //w� LOT QS BIOCK ZZ Q CONSTRUCTION O � LENDER ./ 7t I BRANCH -� OwNER m J ADDRESS � '• qLUE � m AqCHITECT TEI. S \ �'ra/ S[a J� OR ENGINEER S A E NO � � V Q FIRE W� ADORESS 20NE TVPE GROUP d w fl, /�.^ E APPROVED �7 J� WNTRACTOR r��1Jn� B�' DATE Z/ � � m Z J � ADDRESS � w W TEL. ZONE/�� NO.OF /J USE OF N W � Z= CITV NO. ///'� � P�'�OL� BUILDINC�j �- � F w� STATE CITV �'�1FlDSAPPROVED YARDSAPPROVED N Q LIC. NO. LIC. NO. MAIN BU�LDING ACCESSORV BUILDING \ 7O (FROMC/LSTREET) , 512E NO.OF BLDGS. � OF LOT NOW ON LOT ONT FT. � EXISTINGBLDG.MAUU "� �1�6 5 ' F �S' • F" SIZE OF NO. OF � �.�� Z NEW BLOG. � ROOMS STORIES L SIOE FT. Z EMERIOR WALL ROOF COVERING COVERING REAR A FT. J USE OF BUILDING AND WORK TO BE PEPFORMED DISTANCE . BEf. MAIN& d MAIN BLDGS. ACCESS. BLDGS. a Q VAR.sW DATE � =NS Ll," S A� c.u.P.�w APPROVED ~ ►30o e - S ro l �'n �ROVED� �, � v� �2 - 0 �„ 1 I Yl O � 1 VI haraby acknowletlBa that I h ve reetl this application entl smte � ffiat No ebove InformeUon is rorrect antl a9ree to comply with _ all laws repulatinp bullEinp construction, entl I shall not employ � any person in violaUon of tha workmen's compenuNon lows of � y Ma Stata of CelHomie. w ? I haraby certity thet I am proparly Iicensatl es a contreetor untler SQ. FT. O tha Sute oi Celitornla Business antl Profeaions Coda, Dlvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF � Chapter 9, entl thet such licanses ara In full torca enC effect, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: Q am eKempt trom ihe provlsions oi the State ot Californie Businass VALVATION �j. �p entl Profassions Cotle, Dlvision 3, Chapter 9. PERMff FEE S � � � Signatwe ot tosea � �� m Permittee 5 PLAN GHECK S E � �� b �- ° Au[horizatl Apant TOTAL FEE 5 � - 34823 . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING q � � ADDFE55 V OWNER � � � MAIL Z ADDRESS a U CITV �0�. %%)GS/ � NOI. ZZ Q ODNSTRUCTION � O N LENDER a - _ � BRANCH � m J ADDRE55 J m ARCHITECT . ,_ TEL._ a OR ENGINEER N U N Q w � ADDFESS d W JO CONTRACTOR Lt�.y � J� ADDRESS �� n Q W w 0 = TEL. Z� CITV !�e �, � NO. 3 w 0 STATE CITV y Q IIC. NO. LIC. NO. � � SI2E NO.OF BLOGS. OF LOT NOW ON LOT � i?-7^�A1i001312 �**�*+*f=5.00 APPLICATION FOR BUILDING PERMIT A.P. NO. I�! � / t7O � � )NE /NO.OF� PLAN$ VARDS APPROV ED MAIN BUILDING ROM C/L STREET) VALUE USE OF D BUILDING BLOCK �\� ( �`� W \ \ \ H SIZE OF NO. OF Z NEW BLDG. ROOMS STORIES L. SID / FT. t , EMEFIOR WALL ROOF � COVERING COVERING REAR FT. FT. J USE OF BUILOING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & a MAIN BLOGS. ACC65. BLDGS. a Q VAR.vW DATE O C.U.P.� APVROVEO f' APPROVE /�/� C7 y b O� Z O UI hereby ecknowlatlBe thet 1 have reatl this apPlication antl ztate � Mat Me above iniormation is correct antl epree to comply wiM � ell laws regulaNnp builtlinp consvuction, antl I shall not employ F any pormn in violation of the workman's compensation lawe ot � Me Stete of Celifornia. m ? I hereby cart(fy that I am properly licenzetl az a contractor under SQ. FT. o the State o( California Business entl Protessions Code, Dlvision 3, THE AMOUNT SNOWN UNDER VA�UATION IS FOR �� Chapter 9, antl that such licenses ara in full torce enE affect, or I THE PURPO6E OF FSTABL6MING A PEFMR FEE ONLY: ¢ am ¢zempt trom Ma provisions of tha State of Calitornia Businau VALUATION anE Professions Cotle, Division 3, Chapier 9. � � r PERMR FEE $ ] Sipnature of � m Permlttea � $ �� PLAN CHECK $ E O r LL Authorizetl Apent TQfAL FEE $ �f —