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Home My WebLink About866 18TH ST - Building Permits.00p�sso�B��dr�: 866 W 18TH ST' /' oxxFxsruyeivu+axrnROTHSCHILD INDUSTRIES INC � � �ooxess:$66 W 18TH ST COSTA MESA,CA 92627 � �vri. Yuupa �oox[m I O YICXIfECT ON EIMd1EER: ANCN.ONFNO:SIUUPE55: uc. no: UM: UNT: coam�ctarswu�ROSS 6 HARROWS INC. ( 714 ) 557-7440 cam�cronsruiwc 260 E. ALTON AV �ooxEssSANTA ANA CA uaao.: 327802 92707 ur�r: LICENSEO CONfPRCTOq4 DECL�pRTION: I hareby dl�m under peneMy of perjury thet I em Icenaetl under pwiaians ot Chepter 9 (cammawinY xilh Seclim )000) d DNrsion 3 d IM Businem vd PNmebna Cotle. ud my 4oanx e N lup brte vd elleq. cmuc.No.flZp92q uc.cuss:C-39 uc.No.: 327802 EXP: 11 /96 OWNER��DE� un�noN: i na.eny mnm, ��a ��y a� I�p Imm IM C�ed«a Licenae Lew la Ihe Idbv.+q rmvan (Satlion 10�1.5 &niieas md Prdeaeiona Cade: �M <iY a munty whirA nVu'vea a D�il �o omsvucl. Mm. 'unMora. ndoh, a rapu eiry stnwtura. prior io Ia'sauerce, dw rpu'vee IM epplimM Iw wc� psimG �o fib e eyneE eWamem Nai M a she ��a w+�� m in, ww�.�. a U. com,aa«a �m. �w fcnepa a l�ma,are wan saao� �oao) w o�+o�, a w iro MIIB# 911� �}P�MSU.V �iOjG�ptity�llp ]�IG 0 lFBIIIi1�1B'G�IfM1B(1�1�18 �9lf! �p�:b BOB'J4j 6[!T�(M.AI�'YY�BILVIC� 59".1SNI �wi s M env eoW�u �« e w.mn .wi� �ne aap�cem m a d�a ro�r d na maa inm rHe n�eroe ddien Rsoop. � 1, m owrier d ihe propaily or my empbyaea xa� wepes es Ihe'v ede compemUian, will do IM wak, end the sirunuro u riot inlendeE «dlereE la eeb (Seciion 1WA.6uenee=erd Pmleeabna COCe: The Comreeon Limrue LawAoee rot eppyto en owrw of popMy wno Widv a inG�^�'� thnaon. uM who Ewe auM wak timaell a heneL aWaph he a her own amWnr�. p�b �hel vc� impwemew ere M in�eMeE w dlereE fa eeb. X. however.IM WiNinB a imqovanaM is edtl xil�in me Y� d wmpblion, the ownx�MriYbr xiN Mv Ihe bWen d pronrp M ar eM dtl not ddd u imVa+la ihe G�Go+a d eWl. � I. ea on�sr M �M V WeM. em uMn'NY mn�reqM wiU lieenasd eonuaelws ro emaeW tlro pol� (Setlun �Osa. Buei�roea eM Praleeaiane Coda: TM Conlredon L'cenea lew doee mt eppty to en owriar d qopenY �o WiWe a impovae Iheraon eM x1a mmexte lor mitli propeta vmh a mMreaMa) Icenaed W�� lo IM Contredors Lieema Lex�. � I em eaemp under Senion: B. 8 P.C., tor Inu reovon: Dme: �: I do hereEy cMity thet I om ewere W ard uMentend iM rpuiremenn d Cellomio MeMh eM Selery Code Seaiam P5505, 255]3, eM Y553p. vM Ilu� 1 a ury Mun buiMinp oocupam. will / wil nd (dreb one) need to comply w�� oeid eteta aoEw uM tM mQuimnanh br e Oerm� Iw construcUon a mod'dKul'wn homtMAr�ereBement Didna. Reaidentiel oonn�uqbn MDke�bm w ezamq liom IAsee p�oviaione. Dma: Aoq�: WOXKEP'S COMFENSATION DECLAP�TION: I Mraby eifi�m wNx psiWty d perjury ons d Me Idloxitg tlsdaretipu: � I haw enC wil maintan s cmW�e d mnami to sellinw�e la wa�kae' wmpamelion. n paiEed la by Senion �]00 d iM labar Code, lor iM paAormence ol iM wA for wlich Ihia peimn is iaued. � nm..�e M� imiinen.enun• odno�� wrerce. m rw�u.a by s«tim noo a Ne L.m cae.. w m. ro�ro,menu a m. wM ta whidi this W� u mued. MY waken' camG��on imuren:e cen4r mtl O�Y numbr ero: c�.: FOUNDATION EXPIRES pdry NumEx 0 7/ O 1/ 9 6 ,s sMion rresd rat bs cvmPkrod 1 tM perm! i� br one hundrod ddlere �SfooJ w bsvJ � I cenA' �� in ihe paAortnenca d IM wwk la whch Ihia permn u laued, 1 Nell np employ eiry pa�un in any menMr eo n lo bscoms wbjW b tM xakwa' ampenwbn kwe a1 CelEomie, ud eprss thel A I elquld becmw wiEjq �o IM xoM1an' �w� � w�o�+ a s.a� rroo a m. imo. coes. i.ndi i..nn oa,�oN w�m mo.. pwnw�,. om,: `I /,� � 9 t, �oa�: �/1.,�,b2 �/ WamNrp: F�llwr ro�wcuro wonFw-i'eompe�Yon rovxapeli �nHw/W, aMihN/ r�A�Lef m Nrrpb r fo MMm! pimlY�s mC enn nlr, � ro m. nwe..e Mouoro dabn !t1 onoaol, M M��tlan ro n. ewe o� mmps�wnon, e.nrp.. •s pov�d.d ro. �n Sectlon 3106 nl I�s Lebor COL�, Irrtw4 eiM eMmry'i /su. CONSTq11CT10N LENqNG AOENCY: I hueM elfi�m uMer �eneMy d per'/vy tIW �hms u e aonarutlion 4ndiiq eperwy tor IM ppAWTUKG 011M xvelt �tt wllid� Ihe p4mi if IflYlA (SMion �OB'!. Civ. CI. LENDEN'S NAME: LENUEF'4 ADOpE55: � ICMitytlrmlhawrae�lhiaepd�alimendme�ell�e��heaboveuqom�imumrrsd.IN�lorompywRhaAarye�Mmun�Yordinacee entl aWa lavn Met'vp b WJEiq cwUudian vd Mroby aNhor2e �apraeenle�ivM d �he dly b eMm upon �M ebwe-meMbnsd propMy '� ��'�W�RICHARD VIRGIN P�n/m Neme . I �....�� iY1- L/a+7...� ome: ,� I G/'�_ Spreturo M Uvrw AppYcenilCoiurepa (5151�e6WP) WMe-Buitlipd5elery:0�aen-We:Canary-Appicani:Rnk-Revenue:(blden�od-b�eoor CI��S�il17�Ciji:] CITY OF COSTA MESA — BUILDING PEAMIT 076691 PLAN CHECK NO: N ERM NO; H 076691 GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH J09 DESCRIPTION : T/OFF 6 RE—ROOF W/HUR SQ FT: 8,166 CLAIM VALUE: 8,166.00 CALC—VALUE: 8,166.00 GROUP OCC: B / COMMENTS: REROOF 3300SF COMMERCIAL BUILDING W/HUILT—UP �*****x �*x��r**+��r�***�****+�*****+�*�x ��*�+�*�� *�r�****�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 HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PAAKING REQ: PROV: PARCEL: 42418233 ZNE: REF NO: PLANNING NOTES> > . *'rti�'**'x'x��'�'*'�x'x�*x'*i�'�'�t**'x-�'�-**�+�'�*i�'�'*'�*�'�t*�'�ric��'�'*'�t�'**�**i�*�c'�-�c'**+t*'x'*�t+t**�-*ic�'��'**'��'**+t'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 ZONING APPROVED BY DATE: ��' ! BUILDING APPROVED BY : DATE: : APPLICATION ISSUED BY: ?� DATE; � I,�Co � iE*ftiEiFiEiE�Ei[�itititiFi[�itjEiE�[-it-itir*7f7FTF7FiF34TF3FiE7FiFiF3F7FTF3FTFiF±F3F3F7�F 3FiFTF3FiFiF3F3F3F3FiEitiE*itit�it�iFiEiE ,, iEir LEGALIZATION:N� F E E S U M M A R Y STRUCTt]RAL:SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/RES�� GRADING PEEiMST 108.00 ' ` PLAN �., ` r� SMIPiNOi—RES ISSU$ FEE ' HOILDING—DIV—> PERMIT ISSUE PL�AN=CHECK TOTAL PAID DUE TOTALS----> 109.71 0.00 y- 0.00 109.71 109.71 .00 REVENUE DIVISION TOTALS--> COLLECTED: 109.71 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 108.00 , v� � ', / 1 .71 1E 1FlE 1f 1E fE iE iE iElE ih 1E fE iE iE 1E 1E 1F 1E 1E iF'1ElE If !E iE 1f iE fE fE 1E 1E IE 1E fE 9E,1E 1E iE ib'� if 1E 1E iE Ik'IE iE if �E ik 3E 1E 1E %7E iE 1E 1ElE �f 1E 1E'�E iE iE iF if 1k iE iE 1k iE aE �E iElE iE 1f I N D I V I D U A L� £ 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 ' �i. SFC 8166 REROOF BY VALUE COMMERCIAL NOZONE 1.00 8,166.00 END�OF FEES ^i �� l� i i�. p�.`.,_ . i;�,i -ir�a— 1C? Vf.if_: �. !�' -r."� �. ... . . CONSTRUCTION AND PLANN�NG POO ;PA APPROVALS Permit # Date I�spector APPROVALS Permit # Date Inspector i. 7emporery Elect�icai Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. , - 53. Steal Reinfarcement '.3. Electrical Conduit Utility-Undrgrnd. . 54, Forms 4. Electricai ConduibUndrgmd. . - 55. Electrical Bonding ,.5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUN�TE 7. Footinqs 58. Electrical Condu'it�Undrgrnd. 8. Foundation ' � 59. Gas Pipe, O Undrgrnd., Test 9. 4Vater Pipe-Undrgrnd. , • 60. Backwash Lines, P•Trap, CI Undrgmd.- � � 10. Structural Floor SYstem 67. APPROVAL TO DECK • 1 i. Property Sewer line & House Connection 62. Backwash & Receptor-Fina� ' 12. Sewer Cap • 63. Heater & Vent-Final � 13. Root Drains 64. Plumbing System • Final 14. Rough Plumbing � � 65. Electricai-Final � • 15. Rough Eleccrical-Conduic • 66. Solar Svstem-Final 16. Ro�gh EleMric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign . , 68. APPROVED FOR PLASTERING 18. Rough Electricaf�T Bar Ceiling - 69. POOL/SPA SYS7EMS FINAL 19. Rough Hea.Ing & Afr Conditipning . , � FIRE OEPT. REQUIREMENT 20. Rough Factory Fireplace - �. AppROVAL$. �, Petmit # 21. Ducts, in Structur`e . �- 70. Underqrountl Hydro i 22. Ducts, Ventilating . . , 77, Product Piping OGas OOiI . 23. Gas Pipe�Rough & Test � � - 72. Underground Flush- - 24. Roof Framin9 � - � 73, Undergmd.Storage.Tank OGas ❑Oil 25. f7oot.Sheathing '�S�f/6- � 74, Overhead Hydrb'r � ! 26. 7-Bar Ceiiing �Structural) & Monocoai � � 75. Dry Chemical - 27. Frame and Piashing " .` 76. Dry Standpipe� - � 28. Lathing & Siding -• 7Z., fIXED SYSTEM FINAL � _ 29. Insulation �� . • � 78. FIRE PREV. FIfQ�AL 30. Drywall Nailing •� � � = .I+EALTH DEPT. REQUIREMENT 31. Plaster Brown.Coat � " � � � � 79. FINAL INSPECTION � . 32. Elecirical Power Meter-Final , B0. FOOD CERTIFICATF '��;;�� ' " 3/ 7�j�. Z�qb �� s � � 33. Final. E�earic ,; - , � Notes: // 34. Pinal Heating�& Air Conditioning� '� .AI_-, � -- �� l . _.�'�'�'�'� 35. Final Gas�Pipe-Test . _ � '. 36. Hood or Canopy - � ' � " � 37. Final'Factory Fireplace ' • � ' '� : 38. Final Plumbing _ ; � . � ' � ' r 39. Water Service;Final ' -- " , ' ' 40. Gas Service-Final � ' � 41. Solar pomestic•Final " 42. Backflow Preventer - � - � 43. Backflow IrriBation ` � �� , _ _ 44. Landscape Irripation System � � + ._ " � � 45. Sound Attenuation , . " . . , . 46. Handicap Regulations ' - � � 47. FINAL STRUCTUflE & BUIIDING l��3/�� _. ;� � 48. FINAL PLANN�NG ' " 49. Electric ftelease to Edison � f A _ 50. Gas Releaseto Southern CalitorniaGasCo ` '• - 51. CERTIfICATE OF OCCUPANCY No , Date � N � . � CIT� OF CosrA '�Q Pro�ect Addreit _ � \_ Nrch/Eng. T AVo�icant to tlll in ail soaees except thosa witnin neavY boraer Iines an0 sign all apOropriate tleelarations. Addresslmailingl �52.� w� K�f10ti�'vC�VI A1,4�' Ciry License No. 410ENSEO CONTRACTOR OE lA ATION I hereby afflrm ihat I am Iicens u tler pravisic s�f Char ar 9(commencing �+itb 5ection 70 0) of Dlvislon the Busl S ntl Pr i qp antl my Iicen e s in In e antl el . ' � �I License I U ' Gate 5 9�alure WORKE O PENSATION DECLARATION 1 hereby aiflrm Nat I have a certiticate of consen[ to seH-insura or a certifiUte ^f Workers' Compensation Insurance, or a IfieO top ( l�ter (Se on `00, Lab. CJ . - - 1{cy No. Compa �] Certitietl copY �s h¢�<by fumlShe,E/� �� .�� (\ �� n U Cer[jjjeQ spv�e is f;letl wilh the cp�suiiyqug'pry1y09�.�',jja �/ '/OfS`FROM WpRKERS' COMPE ion nee0 not be completetl if tne tnat In the pertOrmant0 ot th¢ w e ploY/any parson in an enfefM Laws of one huntl (5300) or �� o t i issuetl 1 b o b' ct to t�e NOTICE!Ii, after frkking this tleclaration, �6u shoultl ba<oma subject to t�e Work¢�5' COmpensdllon provlSiOns ol the �ab0/ Cotla, you Tust (orlhwitn �omply wllh SUGh p�OviSionS o� Ihis pe�mit inall be tla<metl revok¢G. CONSTRUCTION LENDING AGENCV I hereby aftirm that tnere is a constructlon lentlin9 agency for the parformanco Of thB wOrk 1or Whith this permlt ii issuotl' (SectlOn 3097 Civ. C.) l.entler's Namo londer's AatlrOzs , OWNER BUILDER OECIlARA710fi�- I hereby affl�m lhat I am oxompt from the ContractorY LI<ense Law for tlta followin9 reason (Section 7031,5 Business antl Vrofezsional Cotle: Any city or county which repuirez a permil to construct, al[eq improvo, tlamolish or repa(r any structure, prior to its issuance, also requires tne applicant for sucn permil to file a slgnetl z[atement tnat he/she Is Ilcenserl pursuant to lhe provisions of Ihe Contractor's Littnse law (Chapter'9.(commencing with Section �000) ot Dlvision 3 ot [ne BUsiness anO Proiessions Cotle) ot thal ne/sht is ¢xempt therefrom antl the Dasis tor tha allegetl exempHon. qny violation of Saction `33.5 by dny ap0��nt (o� a permit SuOjeCts t�e appiiCant [o a civil ialty ot not more Ihan five huntlretl tlollars (5500). . I, a5 owner ot the v�ooe�ey o� my Bmploye¢5 wilh wag¢5 as thlit SolO COmOensation, will do Ihe wo�k, antl the Struclu�e is no[ IntcOtletl o� otf¢r¢tl for sale (5ection 7044, Business anC Protezsional Cotle: The Contractor's LlcenSe Law tloes mt apP�Y lo an owne� of a prope�ty who builtlz or improves [her¢On, an0 wbo tlOes such work M1(mself/her581f o� lhrOu9b �is or ne� own emploY ees, OrOvitled Lha[ Such Improvem¢nl5 a!¢ nOt Intelltletl Or otter¢tl tof sa1G. It, hOwOv¢r, Ih¢ buil0ing Gr improvement is soltl wlthin One year oi com- plGtlon, thn owner will navc tho burden of proving he/she tlIC not ouiltl or im- orova tor tna purvosc ot salo). �1, as owncr ot che krRiors to construct U Tna Conlractor's Li« builds ar improvaz U tractor(sl licenu purs proot of tbair Worke ❑ 1 am axempt untler Date I he�¢b c ttify hdt in/ormation is correct antl state Iaws relatin sentativ tnis InsCectl o Si9natur Drivers' License r 55 CMF 0865-46, rev. � co an owner of property wbo i fo� such Pro�eGts with a con- Licanse Law�. 1 am awaro lhat �Ce zhoultl be provltlatl to me. — B. 6 P. C for �bis •ason > Non antl stato tbat [he above all tltv antl coun[v ortllnancns TYPE OFCONSTRUCTION ❑ CONVERSION ❑ I TVPE OF PERMIT U GaADING ❑ TENANT ❑ ELECTRICAL ❑ OTHER � PROJECT DESCRIPTION Sq.Fr J ADD LJ ALTERATION lJ REPAIR OTHER 1 FOUNDATION lljSTRUCTURAL PWMBING ❑ MECHANICAL GONSTRVCTIONTYPE -� ��N - VALUATIONS 20NE GRADING CV. VDS. M Remarks: Slnk Irrigation Drinking Fountains Floor Drains Floor Sinks " Gas Service Outlets Interceptors Kitchen Sink Lavamries Roof Drains Reinzpaction Fee Servite Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping ' Solar Tank � Swimming Pool w/Spe . Urinal Waler Closet ' Water Heater ' Warer Service � $15 Issue Fee g 3 Boiler Duct- Under Ground Duct - Svuctural Duct - Ventilating Exhaust System ❑ Multiple Fi�epl/Facf. BIL IC80 :iE Heating System & Ducting ❑aioo,000 eTu oioo,000 ��_��'T I— I_Reinspeetion Fee Canary - Applicanp Pink - Acmunting; GolUenrOtl - ASsessor �$15 Hood or Typel ❑ Canopy Type II ❑' iefrigeration System 7o-ioo,000eTu ❑iao,000 System Repair/Alteration Issue Fae S 3 A.P.�" L�� S Main Building: E T Front 8 Rear A C Right K S PIn9. Ref. dh Planning Notes: F�J 60�:6 8/�9/94 Parking Req./P.rovided ELECTRICAL . Automatic Washer Transformer ❑ 15-50 KW Constructior Pole Sub. ❑ 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher Merer ❑over400amps Dryers ❑Gas ❑Electric i Fan F.A, U. Fixtures ' Device Boxes . OuUets Swicches Garbage Disposal . Generator �0.5 KW �5-15 KW Zona 1 Reinspection Fee ' $15 DEVELOPMEN7 SERVICES R�/F�a�i Zoning APProved BY--117_ BuildinB APProved By APPliptian laued BY Suh Panel Morors OO-1 HP O1 X�- 6 Inc.Solar 09-15 HP �i6-15+ Microwa've - Pole Light Range Sign Standing Sections . Trash Compactor . Issue Fee I`]lo^;I �� FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ I SZ•.SO SMIP $ �SO PLAN CHECK $ 2%.3� pERM1T PLUMBING § ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAI 5 TOTALFEE $ PLAN CHECK 25% $ _ • Z O N 1 N G R E Q M T S. CONSTRUCTION AND PLANNING POOL 8 �APPROVALS Permit# Date Inspector APpROVALS Permit# Date Inspector � 1. Tempdrary Electrlca� Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgind; � 53. Steel Reinforcement , � 3..Electrical Conduit Utility-Undrgrnd. � 54. Forms �'� 4. Electrical Conduit-Undrgmd. �- 55. Electrical Bonding 5. Steel Reinforcement ,� �( ✓� 56. Rough Plumbing & Pressure Test � 6• Electrical UFER Grnd. - - 57. APPROVALTO COVER-GUNITE . ' 7: Footings . � , � v� - 58. Electrical Condui[-Undrgrnd. ', 8. Foundation '' � � ' . 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. ,� � � 60. Backwash Lines, P-Trap, � Undrgrnd. � 10. Structurel Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Conriection � 62. Backwash & Receptor-Final � i 12. Sewer Cap � � ' � � � 63. Heater & Vent-Final , . 13. Roof Drains ' . �� 64. Plumbing System - Final " ��' 14. RoughPlumbing � 65. Electrical-Final �� 15. Rough�Electrical-Conduit 66. SolarSystem-Final 76.'Rough Electric Wiring � 67. Fencing & Access Approval 17. Rough Wtring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL 79: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - , APPROVALS Permit # 21�. Ducts, in Structure • , 70. Underground Hydro 22. Ducts, Ventilating • �� 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test „ 72. Underground Flush 24. Roof Fra{ning � 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing ., . 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing . - - ''' 76. Dry Standpipe 28. Lathing & Siding � i 77. FIXED SYSTEM FINAL 29. Insulation • . � 78. FIRE PREV. FINAL 30. Drywall Nailing . ' HEALTH DEPT. REQUIREMENT � , 31. Plaster Brown Coat ' . 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test , 36. Hood�or Gnopy � 37. Final,Factory Fireplace 38. Final.Plumbing . 39. Water'Service-Final - 40. Gas Service-Final 41. Solar pomestic•Final 42. Backflow Preventer � � � 43. Backflow,lrrigation , . � ' 44. �Landscape Irrigation System 45. Sound Attenua[ion • 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING � � � �� 48. Special Requirements Completed 49. Electrie Release to Edison 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY " . No. Date % v ^1 �'u,P°� �� ADG�icant to fill in all spaces exca0 hosa �tnin heavy or0er ii antl zign all approoriate aeclarations. 1� PERMIT NO. TRACT NO. LOT NO.. uNiT Nn CITY OF COSTA ES t,l�VNti UG IUN Ytt�rvn i Projecc Address � « ��(� � Applicant's Mailin Addresst� �1'.L Owner's Name g ��Phone Addreu ArchlEng. License No. Address Contrector's Nam Phone Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION 1 hereby altirm that 1 am licensotl untler provision5 ot Char[er 9(commencing with sectlon 7000) oi DiviSion 3 Of the Buslness antl Profe55ions Cotle, antl my Iicense is in full force antl e(i Litense Class Lfcense No. Date Si9nature 40RKER5' COMPENSATION DEGLARATION � �nereby affirm tnat 1 have a certificate of consent to self-Insure or a certi(icate Of Wo�ker5' Compensation Insurance, o� a certi(ietl topy thereof ($ectlon 3800, Lab. C.) - Policy No. Company BCertifietl m0Y is hereby fumizM1etl. ' Certitietl mpy is tiletl with Ne ciry Builtling pivision. Date APplicant � EXEMCTION FROM WORKERS' COMPENSATION DECLARATION (This Section-neetl not be completetl it the permit is tor one huntlretl (E300) or less). • I�certify that In the Per(ormance of the work tor which [his per �t is I55 tl, I sM1all not employ any person m any m ner so , ¢ ome bje t the Worke� ' tion Laws of Calif . �ate ��Si9nature � NOTIC . If, a(ter making this declaratlon, you sioultl become 5ubject to the Workers' Compensation provitions ot the Labor Cotle, you must (orthwitn comply wi[� suCh p�ovislons o� th15 permit Shall b¢ tleemetl �evoketl. CONSTRUCTION LENDING AGENCV - I hereby af8rm that there is a�construction Ientling agen<y for the performance o/ IhB work tor whlch this Oermil i5 ISSuOtl (Sec[ion 3097 Civ. CJ Lantler's Name ' Lantler's AGtlress OWNER BUILDER DECLARlITION�� - ' I hereby a(firT that I am exemp[ from the Con[racto�'s LiCenSe Law 10� thE (ollowing reason (Section ]031.5 Business antl P�ofe55ional Cotle: Hny cily Oi mnnrv wn�rn remure.s a oermit to const�uct. alter. imorove. �emolish or repal to file a signetl statement tna[.ne/sne is ncensev pursuam m me provumm oi `�e Contractor's License Law (Chapter 9(commencing with Section 7000) ot ivision 3 of [ne Busin¢ss antl Professions Cotle) or tha[ he/She is exempD� ,ierefrom anC the basis tor the alle9etl exemption. Any violation ot Section 7031.5 by any applicant tor a permit subjectr the' applicant to a civil .�enalty of not more than tive huntlre0 tlollars (E500). LJ I, as owner of the property or my employees witn wages as their sole compensation, will Oo the work, antl the struc[ure is not intentletl or oHeretl fo� sal¢ ($ection ]046, Busine55 antl P�ofe55ional Cotle: The Cont�acto�'s License Law tloes not apply to an owner of a property who builCs or improves thereon, antl who tloes sucn work himselt/herself or throu9h nis or her own Cmployees, O�ovitl¢tl thal Such imptovements are not intentletl or Ofte�etl to� sale. It, how¢ve�, tlte bulltling cr improvement is Soltl within one Year of com- pl¢tiOn, [he owner will have the bu�tlen o( proving M1e/she tlitl not builtl or im- / ve for the purpose o/ sale). ds owne� oi the pro0erty, am ex[Iu5lvely cont�aG[ing with IlcenSeU con- ra<[ors to con5truct tbe project (Section 7044, Business antl Professions Cotle: The Contractor's License Law tloes not apply to an owner of property who builtlz or Imoroves thereon, ana who contracts for such oroje<ts with a con- t�actor(5) license pursuan[ [o [he Contractor's License Law). I am aware that proof o( their Wo�ke�'S Compensation insurance shoultl be provltl¢tl to me. ❑ 1 am exempt untler Section B. & P..C. (n/ this reason Date I have reatl thls I agree to comp I to builtling cofis _to en[er upon TYPE OF CONSTRUCTION LI NEW LJ AOO J�i` ALTERATION LI REPAIR ' ' ❑ CONVERSION ❑ �EMOLISH ❑ OT ER AP # n DESCRIPTION OF WORK/USE OF BLDG. ��fZ_. � � G S Main Buildl TVPE OF PERMIT GRAOING ❑ FOVNDATION STRUCTURAL T Front ❑ TENANT ❑ ELEGTRICAL ❑ PLUMBING ❑ MEGHANICAL 6 Rear ❑ OTHER A PROJECT DESCRIPTION 5� FT\�� f� oCCUPA7 Cv = C fiight �• CONSTRUCTIONTYPF Y N VGI_IIATION$ (�_ g Lef[ / ZONE RADING CU. VDS. ACRES Ping. Ref. # Remarks: � C O� Planning Notes: .O /' -,:� C' _ SXL .- � Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceprors Kitchen Sink Lavatories � P—Trap . Roof Drains Reinspectian Fee $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System � Multiple ❑ Firepl/Fatt BIL ICBO # Heating System & Ducting ❑ 0.100,000 BTU O 100,000 BT' Signatur9. � ua[e Drivers' Llcense o 5 Reinspeetion Fee $15 GMF 0865-4fi, rev. 4/84 Wni{e - Bulltling; Canary - Appliwnt: Pink - Accounting; Goltlenrotl - ASsessor FEES Showers Service Sink Sewer Cap • . Sewer Connection Solar Collectors Solar Piping ... Solar Tank � � ! Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service .y - � Issue Fee g 3 iANICAL FEE Hood or Typel ❑ CanOpy' Typell ❑ � Refrigeration SVstem 00-100,OOOBTU Ot00,0008TU System Repair/Alteration laue Fee � $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwashe� Dryers ❑Gas ❑Elecvi Fan F.A. U. Fixtures Device Boxes OuUets Switches • • Garbage Disposal Generator �0-5 KW �5 � Reinspection Fee �� DEVELOPMENTSER, Zoning Approved By— Buildin8 APProved BY 6039 8/09/84 Zone Accessory Building: �� Parking Req./Provided �' ELECTRICAL Transformer ❑ 15-50 KW ❑ SO,+KW Meter ❑up to 100 amps, Meter ❑over100amps Sub Panel 5KW S15 MomrfyL`J'0-1 HP L71%,- 8 Inc.Solar 09-15 HP 016-15+ Microwave . Pole Light Range . ' Standing Sections Trash Compacmr � luue Fee REMENTS: 57ean TL FEES $ 3 SUM�n�yn RV. �OF FEES � � � BUI�DING PERMIT $ �Q SMIP $ �•�i PLAN CHECK $ PERMIT PLUMBING $ �SSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ 57•�O PLAN CHECK 25% $ Z O N I N G R E Q M T $. �� i� CONSTRUCTION AND PLANNING � PC & SPA _ APPROVALS P.ermit# Date Inspector qppROVALS Permit# � Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil.Pipe-Undrgmd. � 53. Steel Reinforcement � •'.s Electrical Conduit Utility-Undrgrnd. , 54. Forms ' '4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding 5. Steel Reinforcement � � 56. �Rough Plumbing & Pressure Test , : 6. Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE 7. Footings - 1�', �� 58�. Electrical Conduit-Undrgmd. _ ' , 8. Foundation 59. Gas Pipe, 0 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 & House Connection 62. Backwash & Receptor-Finai 12. Sewer Cap 63. Heater & Vent-Final � . 13. Roof Drains gq. 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 � 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 Structure 70. Underground Hydro 22. Ducts, Ventilating �' •� � 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test� ;�� 72. Underground Flush 24. Roof Framing � 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing � 74. Overhead Hydro . I 26. T-Bar Ceiling (Structural) & Mbnocoat � 75. Dry Chemical � - 27.�Frameand Flashing •��;� �� .� �� 76. Dry Standpipe� 28. Lathing & Siding j � , 77. FIXED SYSTEM FINAL 29. Insulation � 78. F,IRE PREV. FINAL ' 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat . � 79. FINAL INSPECTION 32. Electrical Power Meter-Final, 80. FOOD CEfiTIFiCATE ISSUED 33. Final Electric Notes; ` 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � " 36. Nood or Canopy �, � 37. Final Factory Fireplace ,' � - - 38. Final Plumbing' . � 39. Water Service-Final � ' � 40. Gas Service-Final � 41. Solar pomestioFinal . � 42. Backflow Preventer , � 43. 9ackflow Irrigation . � . - � � � 44. l.andscape Irrigation System 45. Sound Attenuation � 46. Handicap Regulations � � � 47. FINALSTRUCTURE & BUILDtNG �7 7 • �� 48. Special Requirements Completed � . 49. Electric Release to Edison � � •- � . . 50. Gas Release.to Southern California Gas Co . ' 57. CERTIFICATE OF OCCUPANCY � ' � ' • � � � No. Date ., , . 17682 CO3TA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9�7 COBTA MEBA. CALIFORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT BUILDING y.�/` W. ��TH. ST� ADDRE65 �"�P" C05TA MESA. CALIFORNIA (1WNFRS Gl.�../�T�� • HITECT FIRE ZONE APPROVE� F E RECEI�ED auc 2 o issr � FlNANCE DEPT. CITY OF COSTA MESA � � APPLICATION FOR PERMIT � BUILDING ` ` For Offiee Use Only � FECEIPT NO. P � ��-- , `1 BY UATE RECEIVED �ATE IBBUEO �y�_ - I k -a.c -6 � I /O /s ' �y v*v CLU • � rf -- COSTA MESA, CALIFORNIA GROUP � � � ZONING NO.OF O6E OF p I PLANB BUILOINO STATE . Q NO. �� ' R✓ I LECAL 1{�pe� 11 LIC. NO w oescrtivnoN"f " �S?U SIZE /' � 1/ �' I NO. OP BLDOe. O ) �� /� OF LOT v �� NOW ON LOT p, p, NO. I USE OF YARDS EXI6TING BL�G. APPROVED BHTBACK LIN6 PflOM 1 (CENTER LIN! BTJ �/� CENiER OP 6TR88T S REAR YAR� FRONT � l� I SIDEYARD LEFT� � RIGHT ��„ R.SIDE I DESCRIPTION OF WORK __ i., � IANDRBTATEAGKNT THE A�V¢ IB ORRECI'�AND�A¢RQE TO COM� TX6 AMOl1NT BMOWN UNOER VALUAi10N IB FOR THE PUPP08E OF EBTqBLIBHIN� q PERMIT FEE ONLY. VALUATION /[Q U PERMIT F_ EE $ �'j(J•�OQ �� / Q% �� / V � $ + :I, �� PLAN CHECK $ � u - BUILUII�'G SAFETY DEPAR.TMENT P, O. $os No. 317 N° 1694 � Cos[a Mesa, California �/ 9 /�^� Date %�i`�!w'l/i/ 7 o i � / /S " CPfY OF COSTA MESA CERTIFICATE OF OCCUPANCY r Building Permit No�`��o `Ele/ctrical Permit No ��Plnmbin Permit No'��-'r Z Use of Building / -��'�'�"""} ��7� � ��- Ttie ba�ding locatcf,d xa °[. � Nv .��l o� ��: �� r Legal I)escriph'�oa..`�{'/ �'/.�i✓� I//i.G�"/ �lvy H�, i i%�. �%G '/! L' i� (See reverse si�e for Metes and Bounds) .s beCn inspected and found to comply with the rovisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group .�—Occupancy. ISSUEA TO: y � City B,u/ilding Off' ialj� 1 (Owner oE By' � B1 B� f.�/?�� `iU. `,/��!'��✓ CC: p Origiaal—Owner ❑ lst copy—Gas Co. ❑ 2nd copy—Edi,`o�Co. ❑ 3rd �opy—FYIe Form 208 �B P 1M 1-80 . , , C18599 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BDX 877 COSTA MESA. GLIFORNIA For Applleanf to Fill In Complefely TYPE OR PRINT , COSTA MESA CALIFORNIA � / � No. oF ■ 9[iBACK LING FNGM DESCRIPTION OF WORK BUILDING NO. OF 81ZE ROOMS EXTBRIOR WALL IROOF FEE�A�EC�IVED � FINANCE OEPT. ,. CITY OF COSTA MESA � APPLICATION FOR PERMIT � BUILDING \ For Office Use Onty � � PEC8IPT NO. I P�{ `T NO�' �• 1 L � � // ) �J BY I �AJ6'RECE�VEU I D^iE 1'89,ZUE�Z / '1 A_/.2 / BUI{.DING (L�/ / ADDRE55 rJ �C LI COSTA MESA. FIRE ZON6 �� LEG�L (CENTHR a ZONIIdG NO. OF I UBE OP N PLANB !]� 9UILDING 1 H8R8BY AGRNOWL6DG6 THAT 1 HAVB pBAD TNIB APPLIWTION TX6 AMOUM SHOWN UNOER VALUATION IB FOR THE AND BTATB TXA� �HH A00VE IB GORPER ANO AGP88 TO COM- pURPOBH Op E6TABL19HIN6 A PlRMIT FEE ONLY. PLY WITX ALL CITY OflDINANCH6 AND 8TAT8 UW8 qCOULATNO Bu1tnlNa wN�UCnoN. VALUATION HIGNATURE OF PEftM1T FEE $ � PERMITTE ��T GA� O�^M _Ct� S/��-� PLAN CHEGK S �- AUTHORRED AGENT v i3cu�Q-�=S-' -_- o �ro�r� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFOHNIA 92626 For Applicant to Fill in Comple[ely — Use Ink Only BUILDING� /� � /„ ,�� '^ OWNI MAIL CITV BRANCH ADDRESS ARCH�TECT TEL. NO. TEL. ADDRESS TE CITV NO F STATE pTV S-� UC. NO. / 6 LIC. NO. a W SIZE NO.OF BLDGS. 4 OF LOT NOW ON LOT a USE OF .�.. E%ISfING B4OG. y FSeparate permits are required for o electric, plumbing and heating work. VSE OF BUILn1i�G AND WORK TO BE PERFORMED 0 ..1 a > r a x w w 0 �. On z � 3 BUILDING ADDRESS TRACT ED \ �-� t 9'165 If/17/78 j3.i6 TL• FOR$TRUCTURALPERMIT "- "- �" DATE FECEIVED nnvc icci �rn (0-l12-3z - GR U DATE � � / ` ZONE m NOOF USEOFNEW 6FFrcE /�/ � PaNS � BUILDING VqRDSAPPROVED VARDSAPPROVED MAIN BUILDING ACCESSORV BUILDING (FROMGLSTtiEET6 n SO VAR. # 0.U.P, �+ APPROVED L I'�J I hareby acknowledge that I have reatl this applicaiion and state that the abova info�mation Is correci antl agree to comply with all laws reSulatlnB builtling conrtruciion, and I shall not employ any parwn in vlolation ot the workman's compansation laws of the Stata of California. 1 hereby caRify that I am prape�ly Iicensetl as a coniractor under SQ. FT. the State of Califotnle 8usiness enA P�ofessions Cotla, Division 3, _. THE AMOUNT SHOWN UNOER VALU Chapter 9, antl thet such licenses ara in full force end effect, or I THE PURP06E OF ESTABLISHING A PERI am exempt from the provlsions of the Stete of California eusiness VALUATION PERMIT FEE $ and Professions Cotle, Divislon 3, Chapter 9. � $Ignaiu�,,,P�.,�/��, f PLAN CHECK $ Parml �� /�� $ �� TAX $ ��l AutharizedAgent . TOTALPAID $ �\ N n m > m m � U