HomeMy WebLinkAbout875 18TH ST - Building PermitsCity of Costa Mesa
Building SafeTy Deparfinent
P. O. Box 917
Coeto Mem, Golifornia
CERTIFICATE OF OCCUPANCY N� 2171 C
The Building located at�� �A%l�t o�Y'CtBt
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group �► Occupancy.
Use of Building �'t�'�1� ��*'�� �*»�+�'+ti+�+ � Ay4,�pt�,�!@ �C7�8:+�
Legal Description �"�'O14
(Soo revarsa side for Mate� and Bound�)
Building Permit No.��� Electrical Permit No. ��C,g_ Plumbing Permit No. ►.1,A�—
Floor Load Signs have been installed as Room Capacity Signs have been insfaled as
required under Sec. 2308 U. B. C. . required under Sec. 3301. (1) U. B. C. .
17050. CERTIFIGATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging ho�se shall be used or occupied
until the owner or operator has been issued a valid cerTificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The n�mber of apartments or guest rooms
3) �N'�ership
If Group H Occupancy, number of apartmenfs and/or guest rooms as required under Sec. 17050.1 (d), California
Adminisirative Code, Title 8, Chapier 9, Article 8.
Number of apartments cnd/or guest rooms
ISSUED TO: euilding O �
tfiSliatm D� 1'v� D. 8or�aLt bysa�=-���C��� �
�a�e_ t�rch-�s �5
This Certificafe of Occupdncy SHALL BE posted in a conspieuous place on fhe premises and SHALL NOT BE removed
except by the Building Official of the City of CosTa Mesa under SBC. SOG �B� U.B.C. Form BU39--1M-11-63—$-$ p
I J
�
� CITY OF COSTA MESA
o� MF, svao�N� �►v►s�oN
F�� 77 FAIR DRIVE. COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
�#�� FOR INSPECTIONS CALL: (714) 754•5626
PERMIT NUMBER: SB11-00013
PERMIT TYPE B_SIGN
JOB ADDRESS: `^�W 18.T.H`_ST.�CM-�—�--�
Viciniry:
SQ. FT: 0
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Valuation
ISSUED
0210912011
RMD
$1,495.00
SCOPE OF WORK: INSTALLATION OF A NON-ILLUMINATED 60 SQ. FT. FOAM LETiER SIGN FOR "AUTONETRIX".
OWNER:
PHONE:
APPLICANT:
PHONE:
MC INTOSH, DUNCAN R JR
MORGAN,ROBERT
949-608-7312
CONTRACTOR: COMECO GROUPINC
Address: 23422 PERALTA DRUnit: UNIT I
City/State: LAGUNA HILLS, CA ZipCode: 92653
ARCHITECT:
ENGINEER:
SIGN PERMIT FEE SUMMARY
PLAN CHECK FEE:
HOURLY PC FEE:
PERMIT FEE:
ELECTRICAL FEE:
SMIP FEE:
OTHER:
INSPECTION:
BLDG STD ADMIN FUND
TOTAL FEE:
$35.10
$0.00
$54.00
$0.00
, $0.50
$0.00
$0.00 ,
$1.00
$90.60
Addrass: 17782 COWAN Unit: �
CitylState/Zip: IRVINE, CA ��
Address: Unit:
City/State/zZip:
License No.
License No.
License No. 888849
PHONE: 949-608-7312
CELL:
PHONE:
PHONE:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work auihorized under this permit to be considered legal, such work must comply with all applirable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
C D�Et. INSPECTIONME ORTE INi1TIRL OOE INSYEGTIONTYiE DAl INTI71AL5
1816 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Elecirical
201 Final Blak/Retaining Wall 212 Final Fire Prevemion
202 Final Fac�ory Fire Place �(� � 220 Final Planning Approval
203 FinalSi9n x 3�__ ��I_I_(�(�� 222 FinalSiie
204 Final Demolition 250 Final Building/Occupancy
,
WORKERS' COMPENSqTION DECLARATION:
I hereby affirtn under penalty ot perjury one of the follovnng declarations:
0 I have and will maintain a certifcate of consent to self-Insure (or workers'
compensation, as providCd for hy section 3700 of the Labor Code,'for the
peRormance of the work for which this permit is issued.
❑ I have and will maintain v.orkers' compensation insurance, as required by
section 3700 of the Labor Cotle, for the peAormance of the work for v,hich this
pertnit is issued. My workers' compensation Insurance carrier and policy
�number a—re�:
ra s�G �er�C� o w r+J � 1-�S J�Q..R h1 Ct
(Thissec(.onneetlnotbe mpletedilf�epeimrtisvaWetla(onehundreetlollars(5�00)onessJ
Pdli�ey—NGmber: dds �p�-( � � ` �
� I certify that in Ihe performance of lhe work for which [his permit is
issuetl, I shall not employ any person in any manner so as to hecome subject
to the rkers' compensation lavrs of California, antl agree that iF I should
bec s je lo t rkers' compensation provisions of Section 3700 of
bor o s a f vi comply with these provi ion .
Z �1 I l
A'". � . iqnaWre 'Qa�e--y
WARNING FAILUR�TO 5ECU}FEWORKERS' COMPENSATION COVER4GE
IS UNLAWFUL A D SHALL SU&IEC7 AN EMPLOYER 70 CR(MINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IPfTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I �ereby affirm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full (orce and effecl.
�Lic �S �a;s�p. �J GG I l7`i Z
-+.:--'—
�
6rsSigr�at�i ✓ (L� eu.
CONSTRUCTIO LENDING AGENCY:
❑ I hereby affrm that [here is a construcfion lending agency for the
peAortnance of the work fq which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
SiB�aWr¢
OW NER•BUILDER DECLqRqT10NS:
I �ereby aKrm that untler penaliy ot perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5,
Business antl Pro(essions Cotle: Any ciry or counry which requires a pertnit lo
construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such pertnit to file a signed statement
that he or she is licensetl pursuant to [he pmvisions of the Conlractors
License Law (Chapter 9(commencing vrith Section 7000) o( Division 3 of Ihe
Business and Profession5 Cotle) or that he or she is exempt therefrom antl
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant (or a permit subjects the applicant to a civil penalty o( not more than
fve hundred dollars ($500),):
❑ I, as owner of the property, or my employees with vrdges as their sole
compensation, WILL DO THE WORK, and the structure is not intentled or
oflered for sale (Sec. 704d, Business and Protessions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such vrork himself or herself or through his or her own
employees, provided that such improvemenis are not intentled or oNered for
sale. I(, however, the builtling or improvement is sold wilhin one year of
wmplelion, Ihe owner-builder will have the burden of proving that he or she
ditl not build or improve lor purpose of sale.). -
❑ I, as ovmer of ihe property. am E%CLUSIVELY CONTRACTING WITH
IJCENSED CONTRACTORS to const�uct the prqect (Sec. 7044, Business and
Profe55'ions Code: The contractors License Law dces not appy to an avner of
proDerty vmo builds or imDroves I�ereon, and who contracts for such project vrith
a cont2cta(s) license pursuant to the Contractors Ltcense Wws.).
❑ I am exempt under gec.
Business and Professions Code for lhis reason:
305)-<6(3I0))
Owner ID verified by drive. _�icense. ❑ Yes [] No �
Driver's License No. Expires:
Verification of Ownership by (rype of tlocument, i.e. - property lax bill or deetl):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby certAy Ihat no excavation five (5) or more feet in depth into wfiich a
person is requiretl to descentl, will be made in connectbn vri[h work authorized
by Ihis��pertnit, and that no building stmcture, scalfolding, falsework, or tlemolition
or tlismantling thereof, will be more than thirty-six (36) (eet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Title B, Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as no[ed above, unless
such person has a permit to do such work from the tlivision.
Applinnl's Signature Da�e
Division of Industnal Safery Permil Number:
HAZ/1RDOUS MATERIALS AND EMISSIONS CERTIFICATION:
7. Will the applicant or present or future buil0ing occupant neeG ro fle and
certify a Business Plan (or eme�gency response Io release a lhrealene0
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of Ihe Califomia Health and Safety Code requires, vrith some
exceptions, lhat a Business Plan be fled vrith the Costa Mesa Fire
Deparlment by every business which �as at any one lime dunng a reponed
year a quantiry of hazartlous materials equal to or greater than a weight of
500 pounds, or a volume o/ 55 gallons, or 200 cubic feet of compressetl gas
at standard temperaNre antl pressure).
2. Does or will the applicant or present or fuWre building occupant neetl to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 ot the Califomia Health and Safery Code, with some
eaceptions, requires regisVation with the Costa Mesa Fire Departmem by
each business which al any one time has on hand a quanti[y of acutely
hazardous materials equal to or greater than a weight o� 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressetl gas at standard
temperature and pressure).
3. Does or will the applicant or present or fuWre building occupant need to
prepare an RMPP (Risk Management antl Prevention Program (or acutely
hazardous matenals)? ❑ Yes ❑ No
(Seclion 25534 of the California Health and Safety Cotle provitles that Ihe
CosW Mesa Fire Department may require lhe preparation, certification and
flinq with the Fire Department of an RMPP by businesses which are required
to register aculely hazardous malenals with the Fire Department.
4. If an RMPP is presently requiretl, has Section 25534 of lhe Califomia
Health and Safety Cotle been fully complietl with7 ❑ Yes ❑ No
5. Does or will the applicant or present or future builtling xcupant require for
the vrork which is the subject of this apPlication a permit for such construclion
or modification from the South Coast Air Quality Management DisMct or trom
any other air pollution control disMct or agency? ❑ Yes ❑ No
(Sectbn 658502 of Ihe Califomia Govemment Code requires lhat lhe requested
infwmatbn be fumished on applicatans for non-residential building pertnits).
6. Will any part of the (acili[y to be constructed under this permil be within
1000 feel from ihe outer boundanes ot a schooll ❑ Ves ❑ No
(If yes", the facility must meet the requirement of Sections 25534 antl 42303
of the Calilomia Health antl Safely Code).
7. If a permit from the South Coast Air Qualiry Management District or olher
air pollution control distric[ or agency is required for the work which is lhe
subject of this application, have all ol the disclosures prescribed by California
Health antl Safely Code Seclion 42303 been made? � Yes ❑ No
8. Qf "yes", attach certificate of compliance from the appropriate air pollution
control offcer).
CERTIFICATE OF COMPLIANCE: I certify ihat under penalty of perjury the
infortnation 9iven above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
Daie
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify untler penalty of perjury that I have reatl this application and state that
Ihe information given is correcL I agree to comply with all state laws anA city
ordinances relating to building consWction, and authonze represenWlives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. 1 agree noi to occupy or aliow occupancy of any building
authoriz y this permit until fnal inspection.
gna' re H g Ybwn . Is) Da�e
/
QA�v �, t etl ApP ��nl a�
V W
�� AVO���ant to flll in all s0atts axcept thasa witltin �mvy Co�Ee� Iines anG si9n au aDD�oorlate eeelanttons.
CITY OF COSTA M CONSTR�TION PERMIT �- -- PERMIT NO. ; TRACT NO. LOT NO. UNIT N6. � . ,
CI
Pmject Address � �' � �' � ,.y� � - . . . . . . ,
� Applicant'S Mailing Address '�w/� ��.� �. TVPE OF CONSTRUCTION. NEW ADD , ACTERATION REPAIR
�j� .1 O CONVERSION ❑ DEMOLISH ;❑ OTHER q.p. #
Owner's Nam /��G�%� � hone DESCRIPTION OF WORK/USE OF'BLDG. - S Main Building:
Address d�A�P�u �. ' . n, . � . E .
Arch/Eng. /� Licenu No. `� . `. . TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL ,_ T Front ' '
Address �"�LV1 �_1Cp "��• �`� � TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL B Rear �
' � ❑ ATHER - p'
Contrac[or'sNam ' Phone' - � ' - - , C Right �
+. �� . - � P,ROJECTDESCRIPTION, 5� T�� oCCVaANnCv K
AddreSSlmailing) . , � ' . , � CONSTRUCTIQNTVPE " VALUATION$.�([�Q�_�_ g LeF[
� City LiCfnu No. � ' ' ZONE GRADI�NG CU. VDS.' ^� � ,ACRES � '
LICENSED CONTRACTOR DECLARATION � � ' � � Plny. R¢f. # ' '
I hereby aifirm lhat'I am Ilcensetl untler provisions oi Charter 9(<ommencin9 Remarks: � � V P,lanning Notes: � �,
with secllon ]000) o� Division 3 ot the BuSiness and Professions Cotle, antl ' " • ����'� , ,
my licenie is in (ull force antl effect. ' ` ' - ' � /I //�G'i� � Of P "1iS� . S � � �
L'icense Clazs Licenze'No.� '
Date ' Slgnature �
WORKERS' GOMPENSATION DECLARATION' - � '
! hereby'al(irm that I nave a cer[i/ica[e of consent ro selt-insure or a certlficate
+" Workers' Compensation_ Insurance, or a certitietl� cooY �hareof (Section , ,
..::00� Lab. C.) . .-- . . . '. -i.. . .
'��olicy No. Company
eCertifietl copy is her¢by (umi5hetl. �
Certi(ietl copy 6 filetl with the city Builtlin9 Division. � �
Oate ' ApPlicant
EXEMPTION�FROM WORKERS'�COMPENSATION DECLARATION
-(This sectlon neetl nof be completetl H the permit is'for one hunCretl (§100) or
less)� '
I certify�that in [he per(o�mancG O/ th¢ wo�k to� whith (hi5 p¢rrtiit is�issuetl, I �
shall not employ any person m any manner so'as to become subjett to,the .
Workers' ComOansation laws ot Califomia.. ; • � , , �
. Data ' ' Si9naturc ' - ' '
'NOTICE: If, aiter making tM1is tleclaration, you shoultl becom¢ subject to the ,
Workers' Compensatlon.provisions of the_Labor Cotle, you.must forthwith .
comply �witM1• suclt provizions o� thls permit � shall be itleemetl revoketl. �
CONSTRUCTION LENDING AGENCV �' � � � '+ - � �
1 nereby attirm thal th¢re is a'consVuction lentling agency for the peitaimance _
of the work (or whicn this permit is Issuetl (Section 3097 Civ. C.),
LenUer's Name � .
i
Lentler's Atlaress . "
OWNER BUILDEH bECIARATION ' - � �
I hereby affirm that I am exempt from the Contractor's Llcense Law foFthe
following reason (Section'7031.5 Business antl Professional Cotle: Any city or
county whlclt r¢qui�es a p¢rmlt to con5[ruct, alter, impwve, tlemOlish o� repair
,any structure, prior to its issuance, also requires the aoPlicant tor such permlt '
: t0 file a Signetl statement that he/sne IS Iitensetl pu�sudnt to tlte p�ovisions of �
the Contractor'S•Llcense Law (Chapter 9.(commentlng wltn Section 7000) ofi
Division 3 of the: Business antl Protessions Cotle) or that he/she is exempt
� aefrom antl the basis tor the allegetl exemption: Any violation of SecHon
R.5 by any applicant (or a permi6 subjects the� applicant'to a civil �
�alty of not more than five huntlretl tlollars (E500)., .
L� I, as owner oi lhe property O� my ¢mployees with wag¢z as thei� sole •
� Compen5atlon, will tlo t�e work, antl the st�ucture i5 no[ Intentletl ot offeretl
for sale ($ectlon �-7044, Bu5ine55 antl Profezsional Cotle: The Contractor's '
Licenie ,Law tloas not applY lo an own¢r Ot a p�op¢rty who builtls or imp�ove5 �
tpareon, antl wno, tloes such work himself/herselt or throu9h his or her own '
employee5, provitletl tnat SucFl ImprOvement5 are not intehtletl O/ oftere0,fo�
sale. It, however, the builtling or Imorovement Is zoltl withln one year of com-
pletlon,lthe owner wilYhave'tM1e burtlen of praving'he/she tlitl not builtl o��im-
��rove for the:purpose of sale). �'
I, aslowner of the property, am ex<lusively contractin9 witti licensetl ton-
tractors to construcf the project (Sectian 7044, Buslness antl Professions Cotle:
The Contractor'S License Ldw dOes not ap01y to an owner of prope�ty who . ,
bulltls or Improve3 thereon, antl who contracts for such projects with a con-
IraGtOr(51 llcense pur5uant to �he Con(racto�'s LlcenSe Law). I am aware tha[ �
p�oot o( thalr Worke�'S Comp¢nSatlOn insurance shoultl b¢ OrOvitletl to me.
❑ I am ezempt untler Sectlon B. 3 P. C. tor this reason
Date ' Owner
I herebycertity ihat-I have.reatl this�application antl slate that Ihe above. �� ,
iniormation is <ortect. I agree to compty wlth all city antl county ortlinances �
antl state IawS rela[ing to builtling conStruCbon, antl h¢reby authorize re0re- ,
s¢ntative5 Ot: this city to enlCr upOn the abOve-mentlonetl 'Propeliy �fol
inspectlon purposes. � � � !
Signature �� ! � Date '
Drivers' License or�55 %F '
dF 0865-46, rev. 30/84 Whlte - Builtlin9; Canary - APPlicanq Plnk - Accountin9; Go
7
A
Irrigation
loor Drains�
loor Sinks � _
Sink
Drains
Reinspection
PLUMBING ; . ' � ;� FE
Showers "' � ' .
. - ServiceSink� --- , �- � -
� Sewer Cap � � �
' Sew¢r COnnection '
Solar Cqllecmrs I '
�
Solar Piping; � �
� Solar Tank � �
Boiler R
Duct = Under Ground �
Duct - Structural
Duct - Ventilating '
Exhaust System ❑ Multiple
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑ ai oo,oao eru � i oo;000
Swimmin ol w/Spa
Ur nal I -
W Ler CIOSet -.
ater Heater •
�ter.SerJice .
Auro- sh
LAundry Trays�� '
i
�
• laue Fee
Automatic'Washer ' �
Cons tion Pole Sub. �
ooking Unit
D shwasher �
ers as ❑Electrii
Fa '
F.A. �
Fixturas . ' �
I . � �
� ' Zone •
Accessory.8uilding: . -
. 2
� . �
' � N
. N
. � - . , . . . . G
' R_
, . Parkin9 Req./Provided' . . . , . E: ,
r-
1 � �
ELEC ICAL , ' � • �
� "- ( ansformer ❑ 15�50KW"
� ' ❑50+KW
� � eter ❑�up to 100 amps .
! Meter ❑over 100amps
'Sub Panel
� Motors061 HP�1'F�-8 �
�InaSolar �9-15 HP �16-15+
- �Microwave ,- . • -
• Device Boxes � .
� Outlets � � '
' Switches �
Gar6age Dispoul
Generator �0-5 KW �5-15 KW
Hood or� Type I • ❑ .
Canopy Typell ❑ . .
j Rehigeration System .
❑aioo,aooeTu ❑iob,000e•,
^ System Repair/Alteration '
i' . Registeri �
' � i
Reins{iection Fee $15 � �
n�otl - Assessor r
luue Fae
$ 3
' Pole Light
Si9n
; Standing
' Trash CO
� Reinspection Fee �$15 � i ��Issue Fee
DEVELOPMENTSERVICESRE�UIREMENTS: .
2oninq Approved By
Building Approved By
�
T
S
FEES
�-
i
$ 3
�
ation Issued�By ' � - � Date �� r
i 'SUMM RV OF FEES I
BUILDING PERMIT $ � ��1.�� •� SMIP � $ � / •�7o i
PLAN CHECK $ �y PERMIT
PLUMBiNG ' ' $ ' � ISSUANCE $
PLAN CHECK 25% $ ' ENERGV P.C. $ �
ELECTRICAL . $ GRADING ; $ �
PLAN CHECK 50% $ � i MICROFILM !$ �
MECHANICAL $ � TOTAL FEE � $ � �
PLAN CHECK ZS%� $ ' ' < < ' � '
CONSTRUCTION AND PLANNING � POOf .'PA .
APPROVALS Permit# � Date � Inspector `APpROVALS Permit# Date Inspector
1. Temposary EleFtrical Service or Pole ' 52. Pool & Equipment Location •
2. Soil Pipe-Undr�rnd. � . . � 53. Steel Reinforcement �
,3.�''Electrical Conduit Utility-Undrgrnd. � 54. Forms �
�4�.{Elec�ical Conduit-Undrgmd. � 55. Electrical Bonding . �
-5:''$teel.Reinfo�cement " ' . 56. Rough Plumbing & Pressure Test
6: �Electrjcal UPER Gmd. 57. APPROVAL TO COVER-GUNITE
-7:�Footings :��,�-`� ' 58. Electrical Conduit-Undrgmd.
�. .
�B: Fouri�atioii�.r� � 59. Gas Pipe, O Undrgrnd., Test
9. Water �Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, � Undrgrnd:
10. Structural Floor System 61. APPROVAL TO DECK '� �
11. Property Seivei Line & House Connection . 62. Backwash & Receptor-Final �
12. Se'wer,�Capr .' 63. Heater & Vent-Final . _
13. R6of�Drains . 64. Plumbing System - Final
14. R_ougFi Plumbing 65. Electrical-Final -
.
15. RougFi Electrical-Conduit ' 66. Solar System-Final �
����16..Rough Elearic Wiri�ng . -' 67. Fencing & Access Approval - ��
17.•Rough Wiring�.Sign 68. APPROVED FOR PLASTERING �
18.. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT
20. Rough Factory Fiieplace APPROVALS Permit #
21. Duc[s, in Structure , 70. Underground HyAro .
22. `Ducts, Ventilating '"�' 71. Product Piping O Gas ❑ Oil ,
23. Gas'Pipe-Rough &�T.est 72. Underground Flush�
24. �Roof Framing �''' 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing r: . 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat ' 75. Dry Chemical �
27. Frame and Flashing `, 76.- Dry Standpipe
� 28. Lathing & Siding . • . 77. FIXED�SYSTEM FINAL
29. Insulation . 78. FIRE PREV. fINAL
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat �' • . 79. FINAL INSPECTION
a _
32..Electrical Power Meter-Final ; 80. FOOD CERTIFICATE ISSUED
��
33. Final Electric � �� Notes:
34. Final Heating & AirConditioning ,
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 � . • � -:�•
� k
42. Backflow Preventer -
. �.
43. Backflow Irrigation � , -- � � � �
44. ,Landscape Irriga[ion System �
45. Sound Attenuation � � ' � � -
46. Handicap Regulations � � .
47. FINALSTRUCTURE&BUILDING ' . .
48. Special Requirements Completed ' -� '
49. Electrie Release.to Edison - � � - � - - -
50. Gas Release to Southern California Gas Cv !�
51. CERTIFICATE OF OCCUPQNCY ' . • . _ _ '
No. ' �' Date . '
� -' 0�7�12
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOXt200 COSTAMESA,CALIFORNIA92626
For Applican[ to Fill in Completely — Use Ink Only
BVILOING ^
nnnwcst 7' .�� lAJ l�' _� l
F
C
W
G.
Q
.N.
y
."C
F
O
F
a
G
�
Q
�
r
..l
C
W
a
O
a
a
Z
W
S
3
OWNER
MAIL
CITY
BRANCH
ADDRESS
ARCHITECT
�u ��s �� /�-a rc
�
TEL. _
�,p � NO.
TEL.
AODRESS ����,j �GO(y�, N�vE
TEL. .�3�
CITY �%%`-�' /YI�S�' NO. �� �
STATE CITV
LIC. NO. 2 ry r�S-� LIC. NO.
SI2E i NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXI5TING BLDG.
Separate permits are required for
electric, plumbing and heating work.
VSE OF BUILDING AND WORK TO BE PERFORMED
I hareby acknowledpe thet 1 have reed t�is applicatlon antl scete
chat the ebove information Is eorrect and a0�ee to comply with
all lews reguletinB bulltling constr�ction, entl I shall not emplay
eny person in vlolation of tha workm¢n's comDensetion laws of
She Stata ot Californle.
t hereby certify that I am properly Ilcensatl as a contracior untler
the State of Californla Business and Professions Cotle, Dlvlslon 3,
Chepier 9, and thet such Iicenses ere in full force entl affect, or I
am exampt from the provisions of Sha Stata ot Califo�nle Businecs
end Professions Cod Division 3, Chapter 9.
Signatura of AD' � /�{/( //�/�
Pefmlttee ��'/� /'i�� / ' ' ' _ " —'
Authorlxatl AOent
4 8364 jl/03/7B 27.50 TU
APPLICATION FOR STRUCTURAL PERMIT p�
RECEIVEDBV DATERECEIVEC nercicc�im �
A.P.NO. �Z��O�I �ll�I
BUILDING y
ADDRESS p S � .
aw ro-
TRACT M F SA LOT 44
ER
FIRE '
ZONE
APPROVED
PERMIT NO.
DATE
B I.00 K
ZONE NO.OF USE OF NEW UKY
� � PLA15 � BUILDING e�j 1/
VAFDSAPPROVED VARDSAPPROVED
DISTANCE BET
MAIN BLDGS.
VAR. 9W
C.U.P.yW
APPROVED T,
BEf. MAIN &
ACCESS.BLO
OATE
APPFOVED
THEAMOUNTSHOWN UNDERVALU
THE PURPOSE OF ESTABLISHING A PEFI
VAIUATION PERMIT FEE S
PLAN CHECK $
$ r(�//In / TAX S
Ib«
TOTALPAID $
N
�
m
v
m'
N
IS FOF m
ONLV: "
e
v
N
m
m
. o
� s: 23156 � . ' �E� RECEIVEI�
' COSTA ME$A BUILDING-SAFEfY DEPARTMEM �CT 2 7 ,ggq�
R.O. BOX a17 COSTA MBBA, CALIFORNIA FINANCE i�EPT.l
CITY OF COSTA. MESA
For Appllcant fo Fill In Completely APPLICATION FOR PERMR
TYPE OR PRINT ' BUILDING
BUILDIN6 ?� � � h Szc For Office Usa Only
ADDRESS � <
R8C61PTN0. PEPMITNI
COSTA MESA..CALIFORNIA �. � �, �j !3
f✓�«�AM D. I vaN p. SARREL L ""` %?J ` ° i j"T 18�
OWNER
e'nnoecn'^OS'] �i�LL�y /QDAD BUILD O 7 I n t ��.
ADDRE58 l��
L.L.
69 �
� Q `
USE OF
E%ISTIN6 BLD6.
86TBACK LIN[ PROM
NO.OF
DESCRIPTION OF WORK
s¢a�
81ZE ✓`� "3O O ROOMS ST RIEB
E%TERIOR W LL ROOF
COVERING /�Sa'VR� COVERIN6 i�dM�O
U8B OF BUI101I1G AND ORK TO BE PHRFORMBD
1 HEPEBY ACKNOWL8D06 THAT I HAV! RCAD T1113 APPLIGTION
•ND BTAT6 TXAT THB ABOVB IY CORRECT ANO AGREE TO COM•
PLT WITH ALL CITY OPOINAHCiB ANO 9TATt 1J1W9 R80UlATING
BUILO�NO CONBTHUCpON. II B
, AUTHORIZHD AGENT
�
ZONING
YY8E Of NI
BU�LDINO
�. no. 6' �/ 6 O- `�
fE: NO EAVE OVERHAN6 SHALL BE E55 THAN �'
TO 81DH Q REAR P. L.
�ES
.OWED �U.B.G.REQUIREMENTI
YARDHAPPROVED YARDSAPPROVED �
MAIN BUILDINO ACCESSORY BUILOIIi6 '
tOM GL 6TREET)
JNT FT. FT. �
=,,,w n�,� �.
�. e�o � �.
RHAR OFT.
DIBTANGfi BET. BET. I
MAIN BLDGS. ACCfi
VAR.SF DATE
TXE AMOUNT 6HOWN UNOHR VALUATION IS
PUNP086 OP H6TABLI8NIN0 A pERMIT FI
�; s \
//`-� ,
TH8 =
NLY, p
7�� 0
� N
� ,
i !r m
� J ¢
;
S?� '
I
., . . . ,
r
- COST
P.O.
Z .
W W
aV
H Z
Z Q
am
J �
J N
p] J
J m
Q
U �
ZQ
W �
d W
W Z
J Q
m Z
J �
W w
�
2H
W �
70
H
z
Q
U
J
a
a
Q
�
F
y
z
O
F
U
�
�
�
h
z
�____-----�-
'�2?'�0
For Applicant to Fill in Completely
BUILDING ;�` \ C Q�
ADDRESS � �
OWNER • � � �
MAIL r_
CITY `Q.� �� M� ,/-! NO.
..�
CONSTRVCTION /� �I
LENDER �)�j I�A F� � �(1 i�CN
BRANCH
ADORE55
ARCHITECT TEL.
CONTRACTpR �(f-��t�.���j�,
ADORESS
TEL.
CIT V NO.
STATE CITV
LIC. NO. LIC. NO.
SIZE NO.OF BLD('a5.
OF LOT I NOW ON LOT
USE Of
EXISTING BLp�,
SIZE OF NO. OF
NEW BLDG. ROOMS STORIE:
EXTERIOR WA�L ROOF
COVERING COVERING
USE OF BUILDING AND WOFiK TO BE PERFORMED
,St�U�D ���. i�N�iEP�
FF823-71�IasA00 750 0*****5.00
APPLICATION FOR BUILDING PERMIT
BUILOING
ADDRESS
FIRE
ZONE
APPROVED
ZONE _ NO.OF
PLAh1S �
VARDSAPPROVED
MAIN BUILDING
VAR.9W _
� L.U.P. iW
APPROVED �`'
i
y HOLD FOR SPl
�
DATE
USE OF NEW (fAS�
BUILDING (�GSi
vAqDSAPPROV
ACCESSORV BUIL
I 90 + FT.�
3 � FT 1
Z * FT.
I TO 1 FT I
BEf. MAIN 8i /
ACCESS. BLOGi. � �
DATE --
APPROVED
1ATF L— L S —
REQUIRFMENT:
1 hereby acknowletlBe Nax I hava reatl chis application antl stete YOI�l6i. �/($UU1 ��teK IN �
[ha[ the above in(ormaxlon is cor�oct and apree to comply witM
ali laws reBu�atinB builtlinp constructlon, entl 1 shall not employ `
eny perion In vjOla[iOn of Ma workmen's compensation lews of lS �$� La S�d L�
Me Stata o( Celilomie.
b
I hereby certify that t em properly liconsetl as a coniractor untler SQ. FT. o
the Stata of Calitornia Businoss antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chapter 9, a�tl that suc� licanses ere in tuil force and effect, or 1 THE PURPOSE OF ESTABLISHING A PERMR FEE ONLV: m
¢
am eKempt trom the prov(sions of t�e State of Cellfornia Businass VALUATION
antl Professi0ns Cotle, Division 3, Chepter 9. r
1 PERMIT FEE 5 . � �
Signature of� � ��,1 �j�- �j /�`c��r ��
Permittee � �OQ / � � N � �' $ /��G �� PLAN CHECK 3 E
-r— v 1r �_ .) °
A�thorizetl Agent S TOTAL FEE 5 GY/ LL
/
�
� • . �Y5'71�
,,�.� -
F
�
a
Q
�
h
�
C
W
F
C
:�
�
.ra
a
w
e.
�
G�.
a
z
W
3
• COSTA MESA BUILDING-SAFETY DEPARTMENT
' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
ADDRESS v�v W � V
OWNER 11�C41AQv �R��'v '
MAIL
ADDRESS SF�:�'�t
CITV
CONSTRUCTION A lO M L
LENDER 1`�
BRANCH
ADDR ESS
AFCMITECT M�IIE FE
11R LN(:INFFR
CONTRACTOR (
ADDRESS
CITY
STATE
IIC. NO.
SIZE �O �
OF LOT
USE OF
NO. �J'\L
.Z�(1 TEL.p(,Q
�� NO. 4 �
rAtv\ (3�v�
w..e,r- - b:,,
TEL.
NO.
CITV
IIC. NO.
NO. OF BLOGS,
NOW ON LOT
Se�+awte permits are requued for
electric, plumbing and heating work.
UI�,pING AND WORK TO BE PERFOR�
P� 5 l n (�+JiO
� Pl� �2 6���D�� L
6tl23 3/24/78
APPLICATION FOR STRUCI'URAL PERMIT
ECEIV.EDBV DAT�flEC61VED ner�iccimr
A.P. N�
BUILDINc �:�.��,
ADDRESS /�7
TFiACT
A
OWNER
USO_
FIRE
ZONE
AVPROVED .
ROM
VAR. #
C.U.P. #
� NO.OF
PlAI�6
APPROVED
LI
USE OF NEW
BUILDNJG
VARDSAPVROVED
I53o2U TL
3-2g-?B
U
I heraby acknowletlpe that I hwa reatl chla eppliceNon antl rtate �
Met tha ebove Info�matlon Is cor�act antl a0ree to eomply wiih m
all lews raquleNnp bulltlinp conrtruction, antl 1 ahall noi amploy �
eny parwn In vloletion of Ma workman's compensallon laws of m
me ste�e or can+o��ia. •
m
1 hereby certify that 1 am p�operly Ilcensetl as a eontrector untlar D S�. FT. ' �+
Me Stete of Californle Businea entl Professions Code, Dlvinion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chaptar 9, and that suc� lieenses ere in full force and effxt, or I THE PURPOSE OF ESTABLISHING A PERMR FEE ONLY: �
em exempt from Me provislons oi the State of Celitornia Business a
and PfofesElonf C e, Dlviaio 3, Chaptef 9. VALUATION PERMIT FEE § m n
PLAN CHECK E I O o �
Sipnature of � �
Pe�mlttsa \ ��k $�O/ OD � TAX S � O f �
U �
Authorizad Apent TOTAL PAID � 2 �j