HomeMy WebLinkAbout878 18TH ST - Building Permits�
CITY OF COSTA MESA `
� BUILDING p1VIS10N
r1� f .� DEVELOPMENT SERVICES DEPARTMENT �
° � - � PERMIT PERMIT NUMBER
. ��
P98-00599
(714) 754-5273 • Fex (714) 754-4856 , 77 FAIR DRIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
� Job Address: 878 W 18TH ST
Suite No
Vicinity:
Parcel Nunmber: 42418237
Applicant: BYERS, HAP -
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Address: --�yy-i'_ - _ - - - _
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Status: ISSUED
Applied: O7131/7998
Isaued: 07131/1998
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� l`� �-' ', ��REF 898-01078, INST 1 SHWR, 1WASH BASIN, 1 TOILET, 1,W.H.,-1 GAS REPIPE, t SEWER 1
�. � �� ��,' SEWER CONN, 1 INST REPAIR WATER PIPING EQUIP� / �
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� `�' " � �' FEE SUMMARY -- � � �
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��\� ��A. � ; `�nrnT g�rv ,-. , nMr gTv : "�
ISSUE FEE\� A_/ 522.00.� Laundry Tub I Washar� -,.�, 50.00 0 Sump�Pump �
Backflow irtigation $0.00�•�� 0� Landscape Imgation ° •$0.00 0 Swimming Pool
BackFlow Preventer ,' $0.00��� 0 P-Trep.- '' , , � - � �-i " $0.00� 0 Trap Primer - '
BathWb � � -� � $0,00��`0 �,� - � � P_ressure Regulator ; � _, $0.00 � ' 0 • � = �Urinal �
Clarifier System��� 50.00. ��0� �� �;Process Piping-(per 10 R)�, 50.00- .� 0; -,�=Vacuum Brkr Bkflow(1-4)
Connect (Ice,Soda,etc), �;50.00 n 0�� '�� -� Receptors ,�� - - , ,$0.00. � �0'-� _ %��- � �' Vacuum=8rkr Bkflow(5+)
Dental Units V - �� � $0.00� � 0 � � �, Septic Tank �� � - "50.00 � : 0 . � Wasb Basin , '
Dishwasher `;�" $0.00 � �0'� �� �-Sewer Cap for Demo ., _ ; _ $0.00 � -0- � " � � " Wash Basin Set �
Drein, Floor ��$0.00 ��-0"� ' �_ SawerConned ' $22.00 7 � Waste and Venf System
Drain, Rainwater � -$0.00�� 0 ,� �. - i � " Sewer Private Line $22.00 1 �. � � Water Closet (Toileq
Drain, Roof $0.00 -.�'� 0 � � ', ` Shower , � $8:75 ,1 Water Heater / vent
Drinking Fountain $0.00 ���� 0��_ �`'-Sink, bar , 50.00. � 0. ' �,N/ater Piping (Inst or Rep.)
expansion rank 30.00 �0 �- ' - _ Sink, commercial `,� � $0.00 � 0 - � � � ' � Water Re•pipe
Gas EaRhquake Valve $0.00 0 Sink, Floor ... ,.. So.Oo o�%� � water Service
Gas (1-4 outlets) $0.00 0 �� Sink, kitchen . - -$0.00 0 Waler Softener
Gas (Over 4 outlets) $0.00 0 Sink, servicelmop -� $0.00 0 OTHER
Gas Repipe $8.75 1 Spa (private) $0.00 0 VIOLATION
Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHECK
Interceptors (Grease, Oil) $0.00 0 REINSPECTION
Inlerceptors (Sand Auto ) $0.00 0
COMMENTS / SPECIAL CONDITIONS
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AMT
Eo.oO
$0.00
50.00
50.00
$0.00
$0.00
88.75
$0.00
$0.00
$8.75
$17.00
$8.75
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
So.ao
TOTALCALCULATEOFEES: $120.75
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0
0
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1
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1
1
1
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0
EXPIRATION: This permit shall automaticalty ezpire and become void if work is not commenced within 180 days, or if work is suspendetl or abandoned
far a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be cansidered legal, such work must comply with all applicable codes, antl all
required Inepaetlona end final approval must be obtained. Failure to obtein Inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545628 -
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WORKERS' COMPENSATION DECLARA710N:
I �ereDy etfirm under penalty o1 pe7jury one ot Ihe idlowinp tledaretions:
❑ I heve end will maintaln e certiticate of consent to selt-Insure for workers' compensetlon, as proNtletl for by secllon 3700 of the Lebor Code, tor Ihe pertormance o1 Ue
work for which �his permlt Is IssueA.
0 I �eve aM wlli meinteln workers' canpensation insurence, es required by section 3700 of the LaOor CoDe, for the perfortnanca of Ne wwk tor which this pertnil is issueO.
My vrorkers' oompansetion Inwrance prrier an0 polky number ere:
Cartier. Pollcy Number.
(Thls secNon neetl not De oompleted i! the peimitls value0 ef one hundreC dW/ers (S 100) or IessJ
❑ I certify ihet in Ne OeAortnance of Ihe work tor which Ihis permit is iuuetl, I ahell not employ eny person In eny menner so es to Uecome sub�ect to the workers'
compensetlon lews of Celllomla, entl egree ihat tl I should become subJect to the workers' compensetlon provlslons of Sectlon 3700 of the Lebor Code, 1 s�all fonhwith
compy wlt� Ihese pmvlsions.
Applicent Signeture: Dete:
WARNINO: FAILURE TO SECURE WORI(ERS' COMPENSITIIXJ COVERA�E IS UNfAWFUL AND SHALL SUBJECf AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED
THOVSAND DOUARE (E10D,000), IN ADOR70N TO THE COST OF Cp.1PENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE IPBOR CODE, IMEREST. AND ATTORNEVS FEES.
LICENSED CONTRACTORS DECLARATON:
I hereby eNirtn that 1 em Iicensed under provislons oi Chepter 8(commencing wit� Sectlon 7000) ol DlWslon 3 of Ihe Buslness entl Prolessions Cotle, end my Ilcense Is in tull
forca end ettect. Lic. # Cless a
Contrectors Signeture: - Dale:
CONS7RUCTION LENUING AGENCV:
❑ I hereby eifirtn the� Ihere is a wnsiructlon lentlinp egenty for Iha pertartnence oi the work lor which this permit Is Issued. (Sec. 3097, CIWI Code).
l.enders Name: Lenders Address:
SlgnaNre: Date:
OWNER-BUILDER DECLAPATIONS:
I hereby eHirm ihet untler penalry ot perJury ihat I em EXEMPT FROM THE COMRAC70RS LICENSE LAW for ihe following reesan (Sec. 7031.5, Business end Professions
Cotle: Any ciry or counry w�ich requires a pertnit to construct, elter, Imprwe, tlemolish, or repelr eny sirucNre, pdor to Its luuance, elso requires t�e epplicant for suU permit
to flle e sl8netl slatement Nat he a s�e is IlcenseC pursuant to ihe provlsions ol the Contrectors tJcense Lew (Chapter 8(commenUng with Section 7000) of Division 3 of ihe
Busineu and Protessions Code) or that he or she is exemp� t�eretrom an0 the basis lor Ihe elleged e:emptlon. Any Nolation of Seclion 7031.5 by any epplicaN for e permi�
sub�ects the epDlicant to e cNil penelry of not more than frve hundretl tlollars (3500).):
, as owner of t�e property, w my employees wiN wapes es their wle compensation, WILL DO THE WORK, end Ihe sttucture is not Iniendetl w oflered tor sale (Sec.
7044, Business and Professions Cotle: The Contractors Llcense Law does not epply to en owner of Droperty who builds or imprwes thereon, entl w�o tloes such work
himsetl or herself or through his or her own employees, provltletl t�at such improvements era not intentled or otteretl for sale. It, however, the Duilding or imprwement Is
sold wlihin one year of completion. �he owner-bullder wlll have iha burden of proving t�at �e or s�e ditl not build or imprave tor puryose ot sele.).
❑ I, es owner o1 the properry, em EXCLUSIVELY CONTRACTING WRli LICENSED CONTRACTORS lo construct ihe prqect (Sec. 7044, Business and Pmtessions
Code: The conirectors License Lew does not apply to an owner of property who Dullds or Improves thereon, end who conirects for such proJed with a coniractor(s)
Iicense rsua �o the Contr�prsLieenmlxwsj.—
am
�ID verified by CrNefs licen.
VeriOcetion of Ownership by (type
Business and Professions Cotle for Ihis reason:
❑ Yes �.�'o Drivefs llcense No.
nent. I.e. - propeny tex bill a deed):
DIVISION OF INDUSTRIAL SAFETV VERMR CER7IFICATION:
Eapires:
❑ I �ereby certify that no excavatlon tiva (5) or more feet in depth into whlch e person Is requlred to descend, will be matle In connectlon with work euttiorizetl �y this
permlt, entl thet no bulltling strucWra, scaHaltling, lelsework, or tlemolitlon or tllsmentlinp thereof, wlll be more then Ihirly-six (36) teet high. (CheD� 32, Grp 2, Art 2, Sec.
341, T1Ile B, Celifomla AtlminiSlretNe Code).
❑ As owner-Duiltler, I wlll not employ enyone to do work whic� woultl requlre a pertnit irom the DlNsion ol Industriel Sefary, es noteC ehove, unleu such person hes e
pertnit to do such work trom the division.
Sipneture: Da�e:
Dlvision of Industrial Safery Permil Number:
CERTIFlCATE OF BM LJANCE AND AUfHOR¢ATON OF EMAY: I certify untler penalry o1 perjury that I heve reetl t�is epplication end stete thet the infortnation given is
conect. I egre o com at ^•s ^^� �'ry nrdingnces relating to building canstructlon, and authodze repres8ntatNe9 M lhe Ciry ot Coste Mese to enter upon the
ebove-dexr a fo inSpBcU purposes.S 1�ree not to occupy ar allow occupancy of eny building euthodzed by this permit �I fipal I�ion.
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j9QEJ, INSpECT10NTYVE
7818
1288
Flxetl System Flnel Flre Prevention
Pad Spe Flnel
200 Flnel Re-Roof
201 Finel 81ock/Retelning Wall
202 Final Fectory Fire Plece
203 FIneI5lgn
200 Finel Demdltlon
zaa as
PAiE V�lLS
ZQOEy INSPECfIONTYP!
208 Finel Mechanical
20B Finel Plumbinp
210 Final Eleclricel
212 FInel�Fire Preventlon
220 Flnel Plennlnp Apprwel
222 Finel Sile
250 Fnel Bullding/Occupency
ALL
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' CITY OF COSTA MESA
avao�N� oma�oN
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
698-0'I 079
PERMIT NUMBER
(714) 754-5273 • Fax (714) 754-4&56 gUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 878 18TH ST
Suite:
Vicinity: FRONT HOUSE�ON PROPERTY ' ',
Parcel Nunmber: 42418237
Applicant: BYERS, HAP
Address: 3300 W. COAST HWY
Zoning:
Phone: 949b15-2251
NEWPORT BEACH CA —�' -Zip:.,,,- 92663 - —_
owner: . BYERS, HAP
Address 3300 W. COAST
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Status: ISSUED �
Applied: 0611 B/1998
Issued: 06/18/1998
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DF REMODEL W/O PERMITS: 2 WINDOS,.BATHROOM REMODEL_3 SINKS, GAS LINE,�SEWER LINE, 10 FIX; 3 SW.,-3 REC. v�
RK'AT�SITEINILL�BESUBMITTED�W/PIANS,ATALATERDATEi�'1f' /1 �; ���� - ��,,�',�\ , , , � �`,
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lan Check y � � �, $
\,� Permit� ��1;;$I
SMIP,Res' �� $
iMIP Cam: ^ ��$
��OtFier: �V'� $I
Inspection: � i $
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--_� •'` 4-`Calc Valuation 52 000 00
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Claimed Valuation. 52 000 00,'�- (
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SETBACKS ' - . � � j��- \�-� \� _�. � =.'�.� �_ � �
MAIN STRUCTURE Front 0 0`> !�� �,Rear 0. 0�' Ceft� 0 0 ,
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ACCESSORY Front 0 0 �- '�Rear� .0-0 � -� � i �,�Left�+1 }0 0 �,}\ � '�
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PARKING EYIsGna: 0��- �uirea: o`� � ''Pr000sed:, o-_'� '
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NOTES: � � -- -- ---'
EXPIRATION: This pertnit shall automalically expire and become void if work is not commenced within 780 days, or if work fs suspended or abandoned
for a perlod of 180 days.
INSPEC710NS: In order for the work authorized under ihis Dertnit to be considered legal, such xrork must wmply with all applicable codes, and all
requlred Inepeetlone end flnel approvel must be oblained. Failure to obtain Inspactions end final approval wlll result in ihe expiration of ihis permlt.
FOR INSPECTIONS CALI: (71C) 7545828
WORKERS' COMPENSATON DECLARATION:
I hereby affirtn unde� penalry ol per�ury one of the followinp declaratlons: �.- " � � �,
❑ 1 heve end will melntain e certmcate of cansent to aeM-insure for workere' compeneatlon, es pravideA for by aectlon 3700 of the LeDor Code, for the pertortnflnce oi ihe
work for which this permit is Issuetl.
❑ I I�eva entl will meintein vrorkers' oompensation insure�e, es required by sectbn 3700 of Me Lebw Code, for Me paAwmance ot the work tor whlch this pertnit is lswed.
My vrorkers' compensatlon Insurence cerrier and pollcy numCer ere: -
Cartler: Pdiry Number.
(Thls sectlon need nof be completetllllhe pertntt L9 velued ef one huntlretl tlollars (§100) or less.)
� I certily that in the performance af ihe work lor which ihis permit is issued, I ahall not employ any person In eny menner so es to hecome aub�ect to ihe workers'
compensation laws oi Celifamle, end agrae t�et If I ehould became sub�ect to t�e workere' compensetlon proNsions af Sectlan 3700 of Ihe Lebor Cotle, I shell forthwllh
comply wIN these provlslons.
Appllcflnt Signeture: Date: �
WARNINO: FAIWRE TO SECURE WORKERS' COMPENSATION ODVERA(iE IS UNLAWFUL AND SINLL SU6IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE MUNDRED
7lIOUSIWD DOLLME (5100.000),IN AWff10N T07ME COST OF COMPENS�TION, DAAL4�ES AS Pfi0�9DED FOR IN $ECi1pJ 31080F 7ME LABOR CODE, INiERE9T, PND ATTORNEY'S FEES.
LICENSED CONTRAGTORS DECLARATION:
I hereby eKrm that I em Iicensed under proNsians oi Chapter 9(commendng with Sectlon 7000) of Dlvision 3 of ihe Business entl Professions Cade, enC my license is in Iuli
force end eflect. Lic. a Cless p
CoNrectoVs SlgneNre: Dete:
CONS7RUCTION LENDINO AGENCV:
❑ I hereby effirtn ihet Ihere is e construction lendlnp apenty for the pertortnance of ihe work for whlch Ihis pemflt Is issuetl. (Sec. 3097, Clvll Cotle).
Lentlera Name: Lentlers Address:
Signature:
Dete:
OWNER-BUILDER OECLARATIONS:
I hereby ettirtn that unde��Ppnelry o1 per�ury that I em EXEMPT FROM TliE CONTRACTORS UCENSE LAW tor the lollowing reeson (Sec. 7031.5, Buslness antl Professlons
Code: Any ciry or cou�y krhfc requlres a pertnit ro conatruct, elter, Improve, demolish, or repalr eny atructure, pdor ro Its issuance, elsa requlrea the epplicent for such pertnit
ro tlle e slpnetl sletemeM, e'! eSor�she Is Ilcensed pursuent to ihe provlsions ot Ne Contreclors Llcense Lew (Chepter 9(commencing with Sectlon 7000) of Dlvision 3 of Ihe
Business anE Professions ) or �a6h� or she is e:empt theretrom and �he basis for ihe elleged exemption. Any Wolellon of Seclion 7031.5 by eny epplicent for e pertnl�
�s �ects Me epplicent to e dWl pe`nelry of��ioi�tjQre Nan flve hundred dollars ($500).): -
I, es owner of the'properry, or my emp�� It� wepes es their sole compensatlon, WILL DO TNE WORK, end the siructure Is not Intended or otteretl for sele (Sec.
7044, Business end Protesslons Cotle: Conirflctors LJcense Law does not epply lo en owner of property wM bulids or improves Nereon, end who does such work
hlmself or herseR or Nrough hls or her own employaes, proNEetl that suU improvemente ere not intended or oBeretl for aele. If, �axever, ihe hulltling or improvement Is
sold wllhin one year of Completion, Ne�owner-Dulltler wlll �ava the burden o1 provinp thet he or s�e tlltl not Duild or improve far purpose ot sala.).
❑ I, es owner M Ihe properry, em EXCLUSIVELY COMiIACTING WfTH LICENSED COMAACTOflS ro construct the prolect (Sec. 7044, Business and Protessions
Code: The contracrors LJcense Lew does nol epply to en owner ot property who bulltls or Improves thereon, end who wniracts far such pro�ect with e wntreclor(s)
Iicense pursuent to the Con eclors LJcense Lews.).
❑ I em exe t u er sec. Busineu and Professions Code for ihis reason:
SlpneWre: � i . '7�� � Date: '— "'
Owner ID v� by d' s cen . Yes Drivele Llcense No. Ezpires:
Vedflcatlon of Ownership by (typ§�of tlocument, I.e. - Oroperry tex DIII or Oeetl):
DIVISION OF INDUSTRIAL SAFETY PERMR CER'TIFlCATON:
❑ I hereby certity thet no excevatlon Me (5) or more leet In tlepth Into wMch e parson is requlretl to tlescen4 will De mede in connectlon wHh work authoAzed Dy thla
permit, end thet no building atruclure, acaHolAing,lalsework, or demolition o� dismentlinp t�ereof, will be more then ihirty-siz (38) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Title 8, CalMomia Adminlstretive Code).
❑ As owner-6ullder, I wlll not employ enyone to do work whlch would require e pertnl� trom the Dlvlsion af IndusMel Sefery, as noted ebove, unless such person hes e
permi� to do such work from �he division.
Sipneture: ° Dete:
Dlvision ot Industrial Sefary Permit NumOer
CEHi1FlCATE OF COMPLIANCE IWD AUfXOR¢ATON OF EMFiY: I certily under penelry of perjury thet I heve reetl Nb applicatlon end stete t�at Ne informellon given is
conect. I agree to co pty'wll� ell stete lews e ciry ordinences relaling to bullding construction, end euthodze represenlatNes W the Ciry of Casta Mesa ro entar upon the
ebove-tlescdbed pro rty for Ins ecfion pu es. I agree not to occupy or allow occupanq of eny building euNodzed by Mi permit until finel ins on.
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AnNOrAuthodz dApDlicent . Dete
�J, L�PVECTIONTYPE DdiE �:8
1676 Flzetl System Finel Fire Preventlon
1288
200
Pool Spe Flnel .
Final Re-Roof .
201 Finel BIocWReteining Well
202 Finel Fectory Flre Plece
203 Fnal Sign
204 Fnal Demditlon
F�.:•�.]
�j MSVECIIOMTYVE
206 Flnel Mechenlcel
208 Fnel Plumbing
210 Flnal Electdcel
212 Finel Fire Preventlon
220 Flnel Plennlnp Approval
222 Flnel Site
250 Flnel Building/Occupenq
GAiE . Q�lL:
C�TY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
�/
PERMIT N ER
E98-00811
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 ,
Job Address: 878 W 18TH ST
Suite No
Vicinity:
Parcel Nunmber: 42418237
Applicant:
Address:
Owner:
Address
BYERS,HAP
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ELECTRICAL PERMIT
staws: ISSUED
Applied: 07/31/1998
Issued: 07/31/1998
f��.= �Phone� �714=6452251-�;�_ `
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'COAST HWY '" / �"" w �a� �_ � � � ``� �
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RT BEACH CA �/� Zlp: 92663 \� ����� i� ����
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1-�� �)�, ��f�INST�I5FIS U�
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', ISSUE PEE • ' ,•� �.;,�. $22.00
1Tempservicetest�����,J, �I $0.00
�Res. a/c package',�.`,'i -� $0.00
New'�Res (tr2 units) � �'.�t��� $0.00
New R`es,(3+unit's) � `�• :� $0.00
Pool%'Spa, ,�� �`�v, $0.00
Lightmg Fizts ,� � � ����� $15.00
Recept Outlets�,, �/ ` \�4-�$2.00
Switches�'��A �� � V�� $2.00
Non Res Appl�, ,
Res Appl � ��
Service to 200a; �
Service to 1000a`; =�
Service over 1000a �
Motors to 1 hp A
Motors to 10hp
Motors to SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intertned Pole
SCOPE OF PERMIT � `�. ' , �
RES, 2-RECEPT, 2 SWITCHES, 1 NON RES APPL�NOT OVER 1.0 HP REF 898-07076.
l _ �
l� . i � � i r . '` ' i'a' �� �'� -� �/-J f � . " V �
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t `` :'' �•M _.._FEE'SUMMARY ' � , � •
��Quantity r, . �.kj � QuaMity' ,
,r.�-� ,1 ,� Temp,Dist'System/�Lighting,; $0.00 0 '
- � �A.i..�� t` - - .� �
- _ ..__�. ..- _-Busway/100�ft f . .._._ $0.00 0,. , - , ,.�-�
� " - - �- - � � � --� - -.- Standing Seclion � � $0.00 0�� . �
. 0 Misc Electiical'Equipment $0.00 ,0; ' - ,.�� �
0 Transfoimers�up to 1 kva/kw �,$0.00 i 0:' -;
(� � ��
0 .. .. .`.r. up ta10 kva/kw .$0 00 ? p� ��', t` �
� 15 . .. .. .. .....up to 50 kva/kw $0 00 ; -, 0 � �� � , ,,,' �
' 2 � .... .. .. up to 100 kva/kw t$0 OOi ,r- i 0��
`. 2 1 � � . .. over 100 kva/kw $0 00� ; 0 �.� � �� `
1 f��t�� Low Voltage Equipment $0 00 ' 0• ��'
� 0 ��� C�' Low Volt Wiring System / Ckt ._$0.00 0' '� �
���., -'0� � -��i. ;�� ; cMiso: Conduit',,.`z� = :$0.00 0 � : "',''
\�� . • 0�„ > F� "� �i � Mi`sa ConEuctor-- � $0.00�. � 0
',� � j $0 00 ' � "��"0" ��' +v� �����} � �Gias ( gen or ride) � � ' $0.00' �/ 0 � �;'
�- - $000� �O�,Z�`.� -�-� r ..Circusjmecfi�rideorhghts) .�$000� � 0 �
����V �$0.00 � �� 0 �� �''��,�, "'.�CFristmesTreeStand�� $0.00' ,�0�
� � �, $0.00 ; ; � . 0- _ Fireworks.Stand� -$0.00,,; �- 0
\��`;$0;00'���:i`/0�1-� -OtherElectricalFee� •��$0.00�"i�
�.$0.00� ,i0 �; � � � �� A � - --� . -, , - , . �, . '' � � i
$0.00 =�`'� 0�? ; . �"� ' " � Irrvest�gation Fee -. - ` - �$0.00
$0.00� _'= : �0�„ .. � , �; PIan,Check Fee - . - �$0.00
$0.00 � 0� : � . , _ . „ . , Reinspection Fee . � � � $0.00
- $0.00 0 � -. - � ', . �
$0.00 0 � - TOTAL CALCULATED FEES 545.25
$0.00 0
COMMENTS / SPECIAL CONDITIONS
EXPIRATION: This permit shall automatically expire and becoma void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a perlod of 180 days. •
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inapeetions and tinel approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 �
WORKERS' COMPENSATION DECLARATION:
I hereby elfirtn under penely of perjury one of the tollowing tleclerations:
❑ I heve entl will meintein e certificete ol consent ta self-Insure for workers' compensetlon, es prodded lar by section 3700 of the Lebor Cade, tor Ihe peAortnence ot the
wark tor which this permit i5lssuetl.
❑ I heve enA will maintein workers' compensation insurance, es required by seMion 3700 of the Lebor Code, for tha peAortnence o1 Iha work for which this pertnit is issued.
My workers' compensetion Insurance cartler enG pollcy number ere:
Cartler: Policy Numbar:
(Thls secNon neetl no( be comp/eted il the permiUs veluetl et one bundred dollars ($100) or /ess.)
❑ I certiy that in the peAormance at tha work tor which �his pertnit is issued, I shall not employ eny person in any manner so es to become sub�ect to the workers'
compensatlon laws af Califamia, end egree thet Ii I shoultl bacome su6ject to the workers' compensetion provlslons ot Section 3700 of ihe Lebor Code, I shell forthwith
compy wlth ihese provisions.
AppIICeM SlgnaWre: Date:
WARNINO: PAILURE TO SECURE WORKERS' COMPENSATIIXJ NVERAGE IS UNUW FUL AND SFULL SUBIECT AN EMPLOVER TO CRIMINAL PENNLTIES AN� CML FlNES UP TO ONE MUNDRED
TMOUSAND DOLLARE (E100,000�, IN ADOITION TO THE COST OF COMPENSATION, UAMAGES AS PROVIDED f-0R IN SECTION 31080F THE LABOR CODE, INfEREST, AND ATTORNEPS FEES.
LICENSED CONTRACTORS DECLARATION:
I heraby ettirm ihet I em licensed under provlsions o� Chepter 9(cammencing with Sectlon 7000) of Divlslon 3 of the Business end Profassions Cotle, end my license is in full
torca end ettect. Lia a Class a
Canirectors Signeture: Dete:
CONSTRUCTION LENDING AGENCY:
❑ I hereby eKrtn thet ihere is a wnstruction lentling epency lor Ihe pertormance of Ihe work for which this pertnit is issuetl. (Sec. 3097, CINI Code).
Lenders Neme: Lendefs Address:
Signature: ' � Date:
OWNER•BUILDER DECLARATIONS:
I hereby eflirm Ihet untler penalry oi per�ury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Buslness end Professions
Gotle: Any ciry or county which requires a pertnit to construct, elter, Improve, demolish, or repair any siructure, pnor to Its issuance, also requlres the applicant for such pertnit
to flle e slgnetl statemem that he or sha Is licensed pursuant to tha provisions of Ihe Contrectors Llcense Lew (Chaptar 9(commencing with Section 7000) of DiNsion 3 of Ihe
Buslness en rofessions Code) or thet he or she Is eaempt therehOm and the basis 1or the ellegad exemption. Any violatlon of Sectlon 7031.5 6y eny epplicant tor a permit
sub�ec applicent lo a dNl penalry ot not more then five hundred dollars ($500).):
I, es owner of the property, or my employees wit� weges es ihelr sole compensatlon, WILL DO 7HE WORK, entl Ihe siructure Is not Intended or oNeretl for sale (Sec.
7044, Business entl Professions Cade: The Contrectors License Law does not epply ta en owner of property who Duilds or improves ihereon, end who does such work
hlmseli or herself or Ihrough his or her own employees, provldetl Ihat such improvements ere not Intended or ottared for sale. If, however, the Dulltlinp or Improvement is
sold within one year of wmpletlon, the owner-builder wlll have Ihe burden o1 proving that he or she dld not builA or improve tor purpose of sale.).
❑ I, es owner af the pmperty, flm EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS �o consiruct Ihe pmject (Sec. 7044, Business entl Professions
CoGe: The co ractors License Lew does not epply to en owner ot property who bulltls or Improves thereon, end who contrects far such pro�ect wlih a contrector(s)
license p uant o tha Contrayl6re License Laws.).
Business and Professions Code for this reason:
Dd by tlnvers license. es ❑ No Drivers Llcense No.
Ownership by (rype dacumant, I.e. - property ten bill or tleetl):
Expires:
�IVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify that no excevation five (5) or more feet In depth into which a person Is requlretl to descenG, wlll be made in connectlon wlih work authonzed by this
pertnit, and that no bullding sirucWre, scaflolding, telsewark, or demolition or tlismantling thereol, wlll be more Ihan ihirry-six (36) feet hlph. (CheD� 32, Grp 2, Art 2, Sec.
341, Ttle B, Callfomia Adminisirative Code).
❑ As owner-buildar, I will not employ anyone to do wark whlch would require e pertnit trom the Dlvlslon of InEustrlfll Safery, as noted flbove, unless such person has a
permit to tlo such work from Ihe division.
Signetura: Date:
D'Msion o1 Industrlal Safery Pertnit Number:
CERTIFlCATE OF COMPW WCE /WD AUTMOR¢ATION OF EHTHY: I certily under penalry ol per�ury that I heve read this application end stete ihat ihe information given is
conect. I ep o c mpty with all state laws and ciry ordinances relatlng ro builtling construdion, antl authorize representatives of Ihe Ciry of Costa Mesa to enter upon the
fl6ove-Ues Ded pr rty � insD �iag n purposes. I egree not to occupy or ellow occupancy of any building authorized by this permit until finel In ection.
/% /L�-� `�� �/- �%8'
a aa �s, -�' oa�e
COQE 1, ir�svecnoxtvve
1616
1288
Fixad System Finel Fire Prevention
Pool Spe Final
200 Final Re-Roof
201 Final BIacWReteining Well
202 Final Fedary Fire Place
203 Final Sign
204 Final Demolltion
244&I6
.L
��f �j INSPECTONTYVE
206 Finel Mechenical
20B Finel Plumbing
210 Finel Electricel
212 Finel Fira Preventlon
220 Flnel Plenning Appravel
222 Final Sita
250 Final BuIlEinyOccupancy
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,uu.
• �CITY OF COSTA MESA
� sva��N� onr�s�oN
f � DEVELOPMENT SERVICES DEPARTMENT
� PERMIT
•�Aa'
EQ8-00586
PERMIT NUMBER
(714) 754-5273 • Fe�t (714) 754•4856 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
_ Vicinity:
878 18TH ST
FRONT FiOUSE ON PROPERTY
Parcel Nu�mber: 42418237
Applicant:
Address:
Owner:
Address
ALL OTHER WORK'AT-SIT
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ISSUE FEE '
BYERS, HAP
3300 W. COAST HWY
Status: ISSUED ��
Applied: O6/18/1998
Issued: O6I1811998
Phone: 949f45-2251
NEWPORT BEACH CA i_ Z�p� �92663 ��r . f- -._\
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BYERS„HAP; ��'' � � `�'
��a� �/ �� ��5��; �� 1 � r��`?\
3300 W.,COAST'HWY .1 �� �-.� ,-� �\
��r���`, � � ,..�-,�Phone �949-645=22\�..�- � � i � �
��,� ..--' .t-•;__� _._ . �` `�'-`...'�� \
NEWPORT BEACH CA /�%�Zip:"- 92663� ,` �`� �
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<<� r i i �� r,� ,�s?'�a �,,,,� x..<�,r���, �:�
I /!�` � �I �f �""��"'`��'" SCOPE OF PERMIT" � � ���
(f . ���' .��`--'—' —
'i �'_rl ����%
>EU WIO,PERMITS: 2 WINDOS, BATHROOM REMODEL: 3 SINKS, GAS LINE,
E IMLL�BE SUBMITTED,WIPLANS AT A LATER DATE
~I
New Res (7-2�unitsy \\'�
New Res`(3+units)
Pool / Spe��i � \
LightingFizts �� �
Recept Outlets �� �
Switches ��`
NonResAppl�� � ,��
Res Appl �� �• �
Service to 200a���
Service to 1000a �A
Service over 1000a � ._
Motors to 1hp ` �
Motors to 10hp �
Motors to 50hp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuils
Temp Pwr Pole .
Intermed Pole
r�,�;��,n
' u u'.J 1_:
�l�-===
Quantity
$ZZ.00 �,,;!'J
$0.00 t�—�_
$0.00 �
$0.00 I 0
$0.00 � 0
$0.00 0
s+o.00 io
��$3.00 3
��$3.00 3
�$0.00 � ' 0
$0:00��� i 0
�$0.00,��\r�i "�i
�-___ __ -___=_- --- =- _=_- =
�-_, ST�-•-� it.(�jn��v^�•1 /�!((��'!,,^,i
-- ' ""- .t{.p! ,.0 UL.IUt=;.Jl:
—�-FEE SUMMARY —= --
� X� ��
���;;�.-���Temp�Dist'System / LLghting,.
_ —�Buswayl100�ft� �i __ --
'-����- r StandingSedion � - —
Misc Electncal Equipment
Transfortners�up to 1 kva/kw
.......... `�.:up 1o�10.kva/kw
, ..up to 50 kva/kw
n. • up to 100 kva/kw
�} �'��`^ over 100 kva/kw
i� .... .......:......
(����-`�'` ��,L�ow Voltage Equipment
�'��9��`�(��t� ,L'ow Volt Winng System / Ckt
,_,)`"G- id ' , ` 1W;� "fulier� (:nnAui}' 1 i 4� -
LINE,
J � ' �'
� . I
` � '` �1
� Quandty : . - '
$0.00 0 � ' `� . � i��
� $0.00 0�-;;� � ,��:,;
$0.00 0�,�-% ,'� /,��;
! $0.00 0 ,, r ,�-, t� /
-�.50.00 ;0����� �,. � ;'��l
i$o.00 � o�i �'�� ,,f%�
�
�$0.00 ,�0 i� � �V1
0 �� �
�� ��� � ���
0% �i���/
Da ; � i
%J
�� � �)1�
,�� ,.li/
�
C%a�f,� /
i0 �;: �
, �$o;oo \,//�o ��"�'- `S� �chnstma5_7ree-$tand'" � �l�
�$0 00> '( i� 0�� -;- -� Fireworks Stantl �
_
$0�00 �v%�0,<.Y�/` -. _ OtherElectncalFee � _
�,�,
$0.00�.,� �.,0 \ �J � i � �,�'� --� r_ L .,� � ` .
$0.00;, c, ��0 �' �✓ � ;� ; � � - Investigation Fea�1�� '
�
$0.00 'r.� ? 0=�- �'-J ���`Flari"CAeck Fee � �f.
. $0.00 � �-0 ; Z��; _-��_��.���.�.a,..Reinspection,Fee.!i!' - -''�
$0.00 0 � -'�-'�: ,-?_�: �...! �=�! � � � '
$0.00 0 �- - � � TOTAL CALCULATED FEES
$0.00 0
COMMENTS / SPECIAL CONDITIONS
$0.00
Esa.00
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work Is suspended or abandoned
for a pedod of 180 days.- ' .
INSPECTIONS: In orcler for the work authorized under this permit to be considered legel, such work must comply with ell appliceble codes, and all
requlred Inapeetlona and flnel approval must be obteined. Failure to obtain inspec[ions and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545826 , _
WORKEqS'COMPENSATIONDECLARATION: � ' . . � � �
I hereby ettirtn untler penelry of perjury one of the following declaretlons: . , ,_ - �
❑ I heve end will meinlein a certiflcate of consent ta setl-Insure for workers' compensetlon, es providetl for by section 3700 of �he Lebor Cotle, for ihe peAortnance of the
vrofk for whiCh ifiis permit Is issuetl. . -
❑ I have arW will meintein workeB' campensatim insurence, as required by sectlon 3700 oi the Lebor Cotle, for the peAormence of Ne wwk fa which Nis pertnit is issuetl.
My warkers' compensetion Insurence ceMer entl policy number ere:
Cartier: Policy Number.
(Th/s sectfwr neea not be completed U the perm/t is velued et one hundred dollars ($f00) or/ess.)
❑ I cenity ihet in ihe perlortnance o� Ihe work for which this pertnit is issued, I shall not employ eny person in eny manner eo es to become sub�ect to the workers'
compensetion laws ai Celifomle, end egree thet If I ahould become eub�ecl ta the workera' compensetlon provisions of Seclion 3700 of the Lebor Code, I shell fonhwlth
comply wl�h these O�ovlslons.
Applicant Signeture: Dete:
WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERA(3E IS UNUW Fl1L AND SHALL SUBJECf AN EMPLOYER TO CRIMIWIL PENALTIES AND qVIL FlNES UP TO ONE HUNDRED
TIIIXISANO OOLLARE (E100.000�. IN ADDRION TO TNE COST OF COMPENSATIIXJ, DMNOES AS PRWIDED FOR IN SECTION �O60F THE UBOR CODE, INTEREST, AND ATTORNEI^S FEES.
IJCENSED CONTHACTOHS DECLARATION:
1 hereby efflrm that I am Iicensed under provlslons of Chepter 9(commencing wifh Sectlon 7000) of Dlvision 3 of the Business end Professions Code, end my Iicense is in full
torce and etfect Uc. k Cless R
Contrectors Signature: Date:
CONSTRUCTION LENDINO AGENCY: � �
❑ I hereby eifirm thet thare is e constructlon lentling a8ency for ihe pertortnance of the work for whlch this pertnit Is issued. (Sec. 3097, Civll Code).
Lendefs Neme: LendeYs Address:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eflirtn ihe[ under penelry of per�ury that I em EXEMPT FROM TIiE CONTRACTORS LICENSE LAW tor iha following reeson (Sec. 7031.5, Business end Professions
Code: Any city or county whlch requlres a pertnit to consiruct, elter, Improve, demolish, ar repair eny atruclure, DMar to its Issuence, elso requires ihe epplicent lor such permit
to flle e slgned statement that he or ahe Is Ilcensed pureuant to the provisions of the Contredora LJcense Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 of the
Business and Professions Code) or thet he or she is ezempt therefrom end ihe basis for the ellaged exemption. My violetion of Sedion 7031.5 by any epplicent for e permit
81ub��ec�ts Me eppliwnt to a civil parielry af not more than flve huntlred dollers ($500).):
LYI�, es owner of Ne property, or my employees with weges es thelr sole campensatlon, WILL DO TF1E WORK, end [he structure is not intentletl or oHered for sele (Sec.
0' 7044, Business enA Professlona Code: Tha Conirectors License Law does not epply to en owner of properry w�o bu�lds or improvas thereon, entl who does such work
himsett or herself or through hls or her own employees, proNtleC thet such Improvemen�s ere not Intentletl or offered for sale. If, however, t�e building or Improvement is
soltl withln one year of completion, ihe owner-builder will heve ihe burtlen of proving ihat he or she did not build or Improve for puryose of sele.).
❑ I, as owner of Ne praperty, em EXCLUSIVELY COMFiACTING WITM LICENSED CONTRACTORS to construct the prqect (Sec. 7044, Business and Professions
Code: The contrectors LJcense Lew tloes not epply to en owner of property who bullds or Improves thereon, enE who coniracts for such project with e contrector(s)
Ilcense pursuan� to the Contr�ors License Laws.).
❑ lam
Signeture:
Verlflcetion of Ownership by
� Business end Professions Code for ihis reason: —
Dete: `''
❑ Yes ❑ No Drivers License No. Expirea: �
I.e. - properry tez blll or tleetl):
DIVISION OF INDUSTflIAL SAFETY PERMR CEHTIFICATION:
❑ I hereby ceNty thet no evicevetlon flve (5) or more �eet In depih inro w�lch a person is reqWrad to descentl, wlll be mede in connection with work authodzed by t�ls
pertnit, antl ihet no builtlinp struclure, aceftoltling, falsework, or demolition or dismantling Ihereof, will be mare than N�M1y-six (38) feet hlph. (Chep. 32, Grp 2, Art 2, Sec.
341, Tille 8, Celifomle AOministretive Cotle).
❑ As owner-builtler, I wlll not employ enyone to do wo�k which would requlre e pertnit trom the Dlvlslon of Industriel Sefey, ea noted ebove, unless such person hes e
pertnit to do such work from the division. "
Signeture: � Dete:
DlWslon of Industrial Safery Permll Number:
�,ppE�, MSVECTIONTYPE
1816 Fixed System Final Fire Preventlon
1268 Paol Spe Final - - �
�200 � Final Re-Roof " �
201 Finel Block/Retelriing Well �
202 Finel Factory Flre Plece �
203 Finel Sign
204 Final DemoliGon
2M&d6
� I��
� msveenoxme
208 Finel Mechanicel
208 Flnel Plum6ing ��
210 ' Flnal Electricel �
212 Flnal Fire Preventlon
220 � Flnel Plenning Approvel
222 � Final Site
Flnel Building/Occupanq
CITY OFCOSTA MESA
BYILpIN6 pIVIS10N
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
�
P98-00485
PERMIT NUMBER
(�14) 754-5273 • Fax (714) 754-4856 P FAIR DRIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
Job Address: 878 W 18TH ST
Suite No
Vlcinity: FRONT OF PROPERTY
Parcel Nunmber. 42478237
Applicant BYERS, HAP
4ddress� 3300 W COAST FiWY
Status: ISSUED �i1%
Applled: O6118/1998
Issued: O6/1811998
. . �i� ,i,�Phone> ;949f645-2257. �-` � - �_
NEWPORT BEACH CA� %'-i�� � Zip:"��- 92683 �' � �� �� _, � .; ��
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owner: BYER5,,;HAP�\v ^) /� 1_ - ��_____, v_� �� i /� �) j���
Address 3300 W�COAST•HWY // � "_ ;� ��. .�` � � -2; ��`� ' � ��\
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�NEWPORT BEP,CH CA�� Zip: 92663 �'��V��� j�/ �'
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- , �nSCOPE OF PERMIT
ZATION OF,REMODEL W/O PERMITS: 2 WINDOS,:BATHROOM-�_ ��i.'
IEL: 3 SINKS,�GAS LINE, SEWER�LINE, 10 FIX`:, 3�SW 3 -� � ��
:C OTHER WORK AT SITE WILCBE SUBMITTED W/PIANSAT.A _
DAT�� �\ IA' '
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ISSUEFEE\��� \�-�
Backflow irrigation
Backflow Preventer
Bathtub �,��� �
Cladfier System ��_ �
Connect (Ice,Soda,etc) �
Dental Units � '
Oishwasher �
Drain, Floor �
Drain, Rainwater
Drain, Roof
Drinking Fountain
6cpansion Tank
Gas Earthquake VaNe
Gas (1-4 outlets)
Gas (Over 4 autlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
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�i ', FEE SUMMARY=� `-=, � /�i� � �� � ,��� �
�nr,ir nrx ' �,, nnnr orv � i /� � �' �Ai�nr
22.00��� ! LaundryTub/Wa hs e�r����=�h$0.00 0 SumpPump �� �,�'$0:00
SO 00AtV 0 Landscape Irrigation j% o$0 00 0 Swimining Paol✓, �' ' S0.00
$000 �0 i PTrep�q-((g��� �� 1`' $0004�,�0� .iUri aP'iner ' :� !!i,�$0.00
50 00\0\ ' Pressure Re ulator
50,00� � 0��� � �,P.rocess��P�ping (per 10-ft)Zj 30 00 ',h 0-' �`�'%Vacuum Brkr Bkflow(1;4)' $0.00
50.00 � 0 ��ReceptOf4��� � ��<i $0 00 i' 0 -� �� VeCUUm Bri(f,Bk}loW(5+) $0.00
E000 �Oti�SephcTank-� `' ��',O `$0.00��- 0---j � Wash.Basin ��'�/ E26.25
$0 00'� r��0 ��\, SewecCap for Demo -�$0.00 ;-%0 �` �, ", Wash Basin Setr � $0.00
$0.00 \0 � � �� � -�Sewei CorineQ: _ �_ $22.00 1 -Waste and-Vent System $0.00
30.00���0 �� � �Sewer P,rivate Lme 50.00 ,� 0�� � � � Water Closet (Toileq $0.00
80.00 �� 0, </� Shower� � � �. -_� � _'`;$0.00�-�0, )�� Water-Heater/vent 50.00
$0.00 �0� _ �� � `Sink, bar� � � ; � ' . $0.00 � _0 -� � N%ater Piping Qnst or Rep.) 50.00
$0.00 0' �� =�� Sink, commercial ��V � . "-', .30.00 "� �0 . - �� �= ' - Water Re-pipe $0.00
50.00 0 �� Sink,,Floor-r-- . -., ,. �, $0.00%,0-��_ -� Water Service $0.00
$0.00 0 Sink, kitchen �-cl- ,,:-,� --$0:00 �, - 0' � Water Softener $0.00
$0.00 0 Sink, service/mop ��-$0.00 0 OTHER $0.00
80.00 0 Spa (private) $0.00 0 VIOLATION $57.00
88.75 1 Spa (public) $0.00 0 PLAN CHECK $0.00
$0.00� 0 REINSPECTION $0.00
$0.00 0
COMMENTS I SPECIAL CONDITIONS
TOTAL CALCULATED FEES: 5�36.00
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0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
E%PIRATON: This permlt shall automatically expire and become voitl if work is not commenced withln 180 days, or if work is suspended or abandoned
for e perlod of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with ell applicable codes, and all
requlred Inepeetlone end final epproval must be obtained. Failure to obtain inspedions end final epprovel will result In the expiration of this permlt.
FOR INSPECTIONS CALL: (714) 750-5828
WORKERS'COMPENSATIONDECIAPATION: �
I hareby eifirm under penalry ot per�ury one of Ne tdlowing dedaretbns: � �
❑ I heve enE will maintaln a certHkete o1 consent Io aetl-Insure tor woilcere' compensatlon, es provitled tor by sectlon 3700 of ihe Lebor Code, for Ne peAortnence of Ne
work for which this permit Is Issued.
❑ I heve end will maintein workers' oompensetion Insurence, ea requlretl py aectlon 3700 0l t�e Lehor Code, for the pertortnance of Ne woAc for which this pertnit Is issueC.
My workera' compensetlon Inwrance cartler end pollq numCer ere:
Certler. Pollcy Number.
(Thls sectlon need nof be canpletetl If the pe�mltls velued et me huiMred dollars ($100) a less.)
❑ I ceNty Net In Ne pertortnence of the work fa whleh Ihis pertnit Ls Issued, 1 ahall not empby eny person in eny manner eo es ro becane eub�ect ro Ihe workers'
compensetlon lawa of Celifomle, end epree that it I s�ould Eecome subJecl to Ihe workere' compensetlon provlslons of Section 3700 ot the Lebor Code, I a�eil forthwlih
canpty wlt� ihese provisiau.
Appllcent Signature: Data:
WARNINO: FAI�UFE TO SEd1RE WOR1�R5' COMPENSATION COVEfUOE IS UNUWRIL AND SMML SUBIECf AN EMPLOVER TO CRIMINAL PEWLLTIES AND pVIL FNES UP TOONE HUNORED
TMOU9MID DOLURE (5100,000), IN ADDffION TOT1E OOST OF COMPENS�TION, DAAN�ES PS PRpVIDED FOR IN SECiION 37080F THE LABOR OODE, INfEREST, AND �TTdVJEV'S FEES.
LICENSED CONTRACTOR9 DECLAHATION:
I �ereEy effirtn Net I am Iicensed urMer provlslons of Chepter B(cammenUnp with Sectlon 7000) of DlNsion 3 of the Business end Protesslons Code, entl my Iicense Is in tull
torce enC aHect. Lla x Class p
Contredors SlgneNre: Date:
CONSTRUCTON LENDINO AGENCY:
❑ I �ereby etflrtn ihet there Is e construction lendinp epency for iha peAoimence of Ihe work tor which thls Oermit Is Issued. (Sec. 3097, CINI CoGe).
LenOefe Neme: Lendefa Atltlress:
Signeture: Dete:
OWNER-BUILDER DECLARAT10N3:
1 hereby effirm that under penalry of per�ury that I em EXEMPT FROM THE COMRACTORS LICENSE LAW lor Ihe lollowing reeson (Sec. 7031.5, Business entl Professbns
Code: My dry or munry whl� requlres a pertnit ro cansuuct, etler, lmprove, demdish, w repalr eny structure, prbr to IL5 issuance, elso requlres Ne applkant tw such pertNt
lo tile e sipned stetement thet �e or she Is Ikensed pursuent to the O��ons o1 Ne Contreclom Llcense Lew (Chepter 9(commendng wiN Section 7000) of Divisbn 3 of Ne
Business entl Protessions Code) or that he or she is exempt Iheretrwn eiM Ne Oasis lor the alleged exemptlon. My vfdetion of Sectlon 7037.5 by any eppOcent for e pertnN
sub�ecls the epplicant lo e dvil penelry of not more than five hundred ddlars ($500).):
�I, es owner of the property, or my employees with wages as Nelr sole compensatlon, WILL DO TNE WORK, end t�e etructure b not Intended or otteretl tor sele (Sec.
7044, Business end Protesslons Code: The Contrectora LJcense Lew does not eppty to en owner of proparry who builtls or Improves thereon, antl who does such work
hlmself or herseN or through hls or her own employees, provlded Met such Improvemenis ere nat IntenAetl or oflered for sele. tl, however, the bulltlinp or Improvement Is
adG wit�ln one year of compleUon, tl�e owner-builCer will heve ttie burden oi proNng �het he or she did not bulld or improve fa purpose of sele.).
❑ I, es owner W Ne property, em EXCLUSNELY CONTAACTING WfiN LICENSED COHrRACTORS to construcl Ne pro�ect (Sec. 70M14, Buslness entl Professions
Cotle: contredora LJcense lew tloes rrot eppy to en owner of properry who builds or Improves thereon, end who contrecLa tor such prqect wlth a contredor(s)
Ilcen pu uant W thB traMws Licensa Lews.).
❑ I em : � BuslnBss end Protessions Code for Nis reason:
Slpnatur " Dete:
P.vner erifled by d efs I ce sa. ❑ Yes ❑ No Drivels lkense No. Ezpires: �
Vedflcation of Ownership by (lybe of document, i.e. - pmperry tex bill or Ceetl):
DIVISION OF INDUSTRIAL SAFETV iERMR CERTIflCATON:
❑ I hereby certity Net no excavatlon fWe (5) or more leet In tlepN Into wMch a pereon is requlred to descend, wlll be matle in connection wIN work euthorizetl by NL5
pertnit, end Nat no Duiltllnp atructure, ecaXOltlinp, felaework, or tlemollGon or Elsmentlinp thereol, witl be more Ihen ihirly�six (38) feet high. (Chep. 32. Grp 2, An 2, Sec.
341, Ttle 8, Califomia AtlminlstreWe Cotle).
❑ As owner-bullEer, I wpl not employ enyone to do work whkh would require e peimit hom Ihe DMsion ot IntlusMel Sefery, es nofetl above, unleu such peraon hes e
pertnit to do such work trom Ihe Olvlsbn.
Slgneture: Dete:
Dlvlsion of Indusirlal Selely Permit Number:
CEHTIFlCATE OF COMPLIM! E AND AUTHORPATION OF ENTAY: I certily under penalry of per�ury Nat I have read Ihis applicatlon and stete that the Intorma0on given is
conect. I egree to canpl N el {ete lews entl Iry ordinance9 reletlnp lo bulldinp Con9�NClion, entl euthorize represen�ellves of the Ciry ot Coste Mese lo enter upon the
eEove-dexdbed prapert� lor inspeckion puryos . I egree not lo occupy or ellow occupenq ol eny building euModzed by Ihis permiy u`tll�n�ns �o/'q.
� � s
Sipn e er(e) Date
MC/Or AuUari Applican� Dete
LCQLL ItlS�ffiF
1818 Fixed System Flnal Flre Prevention
1288 Pool SDe Final
200 Flnal Re-Roof
,201 Finel BIocWReteining Wall
202
203
204
zma+e�.
Flnel Fectory Fire Plece
Flnel Slgn
Flnel Demolitlan
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ypyFj psvecnoNrre
208 Flnel Mechenicel
20B � Flnel PlumDlnp
210 Finel Electdcal -
212 Flnel Fire Preventlon
220 Finel Plenning Approvel
222 Flnal Sita
250 FlnelBulldlnp/Occupanry
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CITY OF COSTA MESA �
BUILDING p1Y1SlON
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
�f I /
PEfiMIT NUMBER
M98-00338
(714) 754-5273 • Feu (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
Job Address: 878 W 18TH ST
Sulte No
Vlcinity:
Percel Nunmber. 42418237
Applicant: BYERS, HAP
Address: ���� .Y � - � � �,
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�' �>;� � �.: Phone: 714-645-2251 � � � - � , � .
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�CHCA"' Zlp: 92663 ..AA ,; - � � � ` ' `�
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, Address: . , ; � , i � - - - - . ..- � : - � /.' � .
' � � � ' ' � � � Phone: � . , , ,
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� �' �� � ' � � �- SCOPE OF RERMIT, „ , � �
L" ^ ' INST 1 REF,SYSTEM INDER'100 K BTU, REF B98-01078. �-- - �� '
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Owner:
Address:
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Status: ISSUED
Applied: 07131/1998
Issued: 07/37/1998
�. _ , ,,-, _.�-� ���,'-FEE�SUMMARYI�.._�1.�„.
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� ��� . Quantity - J- . _ - . i .
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ISSUE FEE'" � � 322.00 Repair I Alt Absorbtion Unit
Inst FAU�<100 k BTU • , 50.00 Repair�! All Refrigeration Unit �
Inst FAU >100 k BTU. ��� E0.00 Ventillalion System �
Repair/,AIt.�,CoolingMeat�,A',�,, E0.00 0 EvaporativeCooler
Inst I Rep: Recess Wall Htr -, �' � $0.00 0 ,.- Commercial Incinerator , '
Refrig Sys c100 k BTU ����, 513.25 1 ' �-- �Domestic Incinerator '
Refrig Sys >100 k BTU - \��A $0.00 0 ��' Compressors I Absomtion Svstams� �
Gas Piping � `\, • �, `� � SO 00 0 �i ° � �' .Up to 3 h'p / 700 k BTU - '
Facto Fire lace., ��� �' � �, J: �` - _ ,
ry p � � 50.00 0°- -� �� ���3 To 15 hp I'S00 k BTU = � j� ,
Hood w/Mech Exfiaust //� �$0.00� 0_ � _' ' : �� � ��%� . �� �y15 To 30 hp / 7,000 k BTU� = = .
VAV Box ` � < , _ '> E0.00 --�0 �", " >� �� =_ �, -,30 To 50 hpf 1;750 k BTU - ' �'
Vent Fan I Single DuG � � - :�SO 00 �0� ,-' ��- ' -' � ' � � �Over 50 hp I Over,1,750 BTU -,' ; . � � �<
Appliance '. `� -� � �= 'S0.00 0 � � _ ��; � �., � . . � Boilers - " . . � ,
Fire Dampers � -,50.00 . �0 - � Up to 3 hp � � . � '
Smoke Dampers ��. $0.00 � 0 � � 3 To 15 hp � � ' , '
Inst or Relocate Appl Vent � -$OAO � :0 �� � � � 15 to 30 hp�_ �, - �
; %
Air Handlers < 10000cfm ��,50.00 _, 0 ` � � � � '30 to 50 tip ; ' . �
Air Handlers > 10000cfm $0.00 � 0 - ' - ' . . Over 50 hp � �
Floor Furnaca $0.00 0 � Other Mechanical Fee
Floor or Suspend Heater $0.00 0 - � � Investiga6on Fee
Plan Check Fee
Reinspection Fee
TOTAL CALCULATED FEES
COMMENTS / SPECIAL CONDITIONS
QuanUty
-E0.00 � 0 � �
$0.00 0'
$0.00 - 0 '
� - $0.00 ' , 0:
E0.00, 0
� E0.00 , 0
$0.00 �
EO.DO
, ao.00
so.00
� � E0.00
i
E0.00
50.00
$0.00
$0.00
50.00
80.00
$0.00
$0.00
E35.25
a
0
0
0
0
0
0
0
0
0
0
EXPIRATION: This permit shell automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abantloned
for a perlod ol 180 days.
INSPECTIONS: In order lor the work aulhorized under thls permit to be considered legal, such wark must comply vAth all applicable codes, end ell
requlred Inapectlona end final approval must be obtained. Feilure to obtain Inspeaions antl tinal approval will result in the expiration of this permlt.
FOR INSPECTIONS CALL: (714) 7545828
WORKERS' COMPENSATION DEGLARATION; .
1 hereby eftirm under penalry of perjury one of the fdlowing Eedaretlons: .
❑ I heve end will melntein e cenifiwte of consent to seli-Insure lor workers' compensation, es provided for �y sectlon 3700 of Ihe Lebor Cotle, tor Ihe peAortnance ot Ihe
work tor whlch t�is permit is issuad.
❑ I heve end will meintein workers' compensalion insurence, es requiretl Dy section 3700 of the Labor Code, for ihe pertortnance ot I�e work tw which tNs pertnit is issueO.
My wOrker9' compensation Insurence carrier eiW polity number ere:
Certler: Poliq Number.
(lhls sectlon neetl not be completeo il tne peimlt Is velued at me nu�red ddlaa (S�oo) or /ess.)
❑ I certity Ihat in the peAarmance of Ihe wark for whic� INs pertnit is issued, I shall not employ any person in eny menner so as lo become subJect to the workers'
compensetlon laws of Celitomia, end egree that It I should Eecome suD�ecl to Ihe workers' compensetion provlslons of Sectlon 3700 of the Lehor Code, I shell lanhwlt�
comply wit� Ihese provisions. '
ADPllcant Slgneture: Date:
WARNINO: FAILURE TO SEWRE WOflKERS' COMPENSATION WVEMGE IS UNUWFUL AND SW1LL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNORED
THOUSAND OOLIARE (E100,000�, IN ADDRION TO THE COST OF COMPENSATION, OMNOES AS PqOVIDED FIXi IN SECiION 3]OB OF THE LPBOR CODE. INTEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS OECLARATION:
I hereby eHirtn Ihat I am Ilcensetl under provisions ot C�apter 8(commencinp with Section 7000) oi Dlvision 3 of Ihe Business end Proteulons Code, end my Ilcense is in tull
force end ettect. IJc. M Cless k
Contrectors Slpneture: Date:
CONSTRUCTION LENOING AGENCY:
❑ I hereby eMirtn thet there Is a cons[ructlon lending epenty lor Ihe pertartnence of the work for which this permit Is issued. (Sec. 3097, Civll Cade).
LenCefs Name: Lendefs Address:
Slpnature: Dete:
OWNER-BUILDER DECLAHATIONS:
I herehy effirtn thet under penelry ot per�ury ihet I em E%EMM FROM?HE CONTRACTORS LICENSE LAW lar the Iallowing reeson (Sec. 7037.5, Business and Protesslons
Code: Any ciry or counry w�ich reQWres a pertnit to construd, alter, Imprrne, tlemolis�, or repair any structure, pdor ro its Issuence, elso requires ihe eppliwnt for such permit
to file e sipnetl slatement t�at he or she is Iicensetl pursuent lo Ihe proNsions o1 Ne Contredors Ucense Lew (Chepter 9(commendng with SecUon 7000) ot Division 3 ot the
Business enC Proteuions Code) or that he ar she is exempt theralrom end the basis tor ihe elleged exemptlon. Any violatlon of Section 7037.5 by any epplicant tor e pertnit
sub�acts t�e e plicant to e civil penalry of not mare Ihan five hundred ddlars ($500).):
, es owner of the properry. or my employees with weges es their sole compensatlon, WILL DO THE WORK, end �he structure Is not intended ar aHeretl tor sele (Sec.
7044, Buslness and Professions Code: The Contractors LJcense Lew does not apply to en owner of proparty who bullds or improves thereon, and who does such work
himsell or herself or ihrough his or her own employees, proviAetl that such Improvements are not intendetl or oHered for sele. N, however, Ihe building ar improvement Is
wld within one year o1 completlon, the ownerbuilder will have the burtlen of pmving that he or she did not builtl or Improve for purposa ot sale.).
❑ I, as owner of ihe properry, em EXCLUSIVELV CONTRACTING WITFI LICENSED CONTRACTORS to construct Ihe prqect (Sec. 7044, Business end Pmfessions
Code: irectoro License Law does not eppy to en owner ol pmperry who builtls or improves thereon, antl who contreds for such project with a conirector(s)
licen puBu nt to the Go aIXors License Laws.).
❑ a exe r sec Buslness end Professions Code for thls reason:
Ignat rf��
�Ezpires:
Venflcetion of Ownership by ( M dacumant, i.e. - pmperry ten bill or deed):
DIVISION OF INDUSTRI SAFETV PERMR CERTFlCATION:
❑ 1 hereDy ceritly t�at rw excavetion tive (5) or mwe leet in depth into whlch a person is repuired to descend, will be mede in connection wlih wark auNorizeC by t�is
pertnit, end thet no bulltling structure, scetfolding, feLsework, or demolition or dlsmanUing ihereof, will be more then Ihirly-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Ti�le 8, Celifomle AdminislretNe Cotle).
❑ As ownervbuilder, I wlll not employ enyone to do work which would requlre a pertnit trom Ihe Divislon of Industrlel Selery, as noted ebove, unless such person hes e
permit lo tlo such wark irom t�e division.
SlgneNre: Dele:
DlWslon ot IndusMal Safety Permit Number:
CEf1TIFlCATE OF COMPLJANCE AND A ORQATION OF ENTRV: 1 cenity under penalry of perjury that I �ave reed this application end sWte Nat the intomietion given (s
cortect. I egree D�Y wit� all stat aws end dry ordinances relatlng to building construIXion, and euthodze represenlatNes af Ihe Ciry of Costa Mesa to enter upon the
above-dexdb prop � pw' ��9nr�eeee'Lago occupy or ellow occupency oi any 6ullding euthodzetl by th� rtnit uptil fnal IIIsp ion.
� J7 ��
_ innw uruA wnal(?u rlsl �- DOIe
COUE �. Ix50EL'TIONME I
7878 Flxed System Flnal Fire Preven6on
1288 Pool Spe Final
200 Flnel Re-ROot
201 Final BIocWReteining Wal1
202 Finel Fedory Fire Plece
203 Flnel Slgn
204 Flnel Demolitlon
26aeJ8
�g ��
COOE� INSVECTIONTYPE
206 Finel Mechenical
208 Finel Plumbinp
2t0 Flnel Electrlcal
212 Finel Flre Preventlon
220 Finel Plenning Approvel
222 Final Site
250 � Finel Bullding�Occupanry
�
.,
�' 4 CITY'OP'COSTA MESA _
` `- BI�►1LDING DIVISION �j
, �
� � � DEVELOPMENT SERVICES DEPARTMENT '
�•w PERMIT PERMIT NUMBER
�*�am� �
898-01078
(714) 754-5273 • Fax (714) 754•4856 77 FAIR DRIVE, COSTA MESA, CA 92626
Job nddress: 878 W 18TH ST
Suite:
Vicinity:
Parcel Nunmber: 42418237
npp�icant: BYER, HAP
Address:
Owner:
Address
BUILDING PERMIT
Status: ISSUED
Appfied: 0 6/1 811 9 9 8
Issued: 07131/1998
Zoning:
= „�f=Phone: 949-6452251. .
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, � - � � - i �i; �`s i � � ^Phone:_ . � •.
_ . . . _ - Zip: . � - � , i . �. .
� t i" . _ License: � � .
� `� �• -
�, �;� , , �; � � � / SCOPE OP PERMIT � � ' , �
���� '/ - ti INSTALL RESTROOM, SUSPENDED CEILING 8;A/C TO:fO RE.4R BLDG. ���,�
� ' � , ,. , ' � ��-- ' ._ .,�� ,_. :�.._ � .. � . .
�, � , FEESUMMARY ; '
`Plan Check: . -$146.09 _ .� � � , �"•�,,�. .-- �� � � ; i .'•-_ -Calc Valuation: S�e,aoo.00
�.� Permd $224.75 — ��- � � � �' � ClaimValuation: S�s,000.00
�SMIP Res �, $0.00 � � � �
�SMIP.Gom ���,�$3.15 � � '
\ .. �., �� � > _� 1,, . '
�;�,� Other. , ;��$0.00 � - _ _
,
Inspection:� `� ��$0.00 � ' � %
V `.� � ��;� ;' . � , . ,. �
`\Total: $373:99 � �
� �_ �
�.\\\ \\���.. ,G� .� - : �i" _
��.� j�- �V � � � ,'PGANNING & ZONING / �
SETBACKS��.�� � � � '�� >�� ` ',��j
, � �
MAIN STRUCTURE �Front 24- 0 �� �l � Rear � 53 0`` `- � -Left � 7- 4 � - � Right - 0- 0 , �� �� �
, � .
ACCESSORY Front- � 0=0 � ���, ,Rear . -0.0 LeR. 0+0 � � Right 0-0 ,
'�� � ; J . A -. . . _ . �
� =�' .'� . -".�t � . .
�
PARKING Existinq: 5-,� -�',Re uired: �5_�� ���� Proaosed: �5� --
. ,'/:-�'�-
NOTES: � � � . � � �
EXPIRATION: This pertnit shall automaticeily expire end become void it work is not commenced within 180 days, or if work Is suspended or abandoned
for a period o1180 days.
INSPECTIONS: In order for the work euthorized under this permit to be considered �egal, such work must comply wlth all applicable codes, and all
requlred Inapectlona and finel approval must be obtained. Failure to obtain inspections and tinal epproval will result In the expiratlon of ihis permit.
FOR INSPECTIONS CALL: (714) 754-5826
WORKERS' COMPENSATION DECLARATION: � i
I hereby affi'm under penalry oi pe�jury one of the fdlowing dedaretions: �
❑ 1 heve entl will melntain e ceM1lfcate of consem ro setl-Insure for workers' compensatlon, es proviCetl lor by section 3700 of the Lebor Code, for the pertortnence ot the
wOrk for whlCh this pertni� IS I55ued.
❑ I heve end will meintein workere' compensatlon insurenCe, es requlre0 by seccion 3700 of the Labor Cotle, for the peAortnance of the work for whkh Uis pertnit La iswetl.
My workers' compensetion Insuranca certler and policy number are:
Certier: Policy Number.
(Thls sectlar need not be comple(etl U the peimlt Is veluetl at one hundred doUars (S 100) or/essJ
❑ I certify thet in Iha pertortnence ol the work tor which this permit is issued, I shall not employ eny person In any manner so es to 6ewme subject to the workere'
compensetion lews ol Calitomia, and egree thet if I should became sub�ed to t�e workere' compensetlon provlsions ot Sectlon 3700 of Ihe Lebor Cotle, I shall tonhwith
comply wlih Ihese provislons.
Appllcant SlgnaNre: Date:
W/ RNINO: FAILURE TO SEWRE WORKERS' GUMPENSATIIXJ COVEMGE IS UMAWFUL AND SFULL SU&IECf AN EMPLOYER TO CRIMIN�L PENALTIES AND CML FlNES UP TO ONE MUNDRED
hKK15AN0 DOLIAHE R����)� IN ADDRION TO TNE CO6T OF COMPENSATIIXJ, DANAOES AS PipVI�ED FOR IN SECfION 370fi OF THE LABOR CODE, INTEFE5T, AND ATTOHNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I here6y eflirtn Ihet I em licensed under provlslons ol Chapter 9(crommencing wlth Sectlon 7000) ol Dlvislon 3 of the Business end Professions CoGe, end my licensa is in tull
force end eHect. Llc. a Class M
Contrectols SlgneWre: Data:
CONSTRUCTION LENDINO AGENCY:
❑ I hereby effirtn t�et I�ere is e wnstructlon lontllnp apency for Ihe peAormence ol the work for which this permit Is issued. (Sec. 3097, CIWI Cotle).
Lendefs Neme: ' Lender's Address:
SlgnaNre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby efflrtn t�et untler penalry oi per�ury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Buslness end Pratesslons
Code: Any clry or county which requires a pertnit to construcl, elter, Improve, tlemolish, or repeir eny structure, prior to its Issuance, also requires the applicant lor such permlt
to lile e signetl stetement that he or she lv IlcenseC Dursuant to the provisions of the Coniraclors License Lew (C�aO�er 9(commencing wlth Sectlon 7000) of Dlvislon 3 at the
Business and Professions Code) or Ihet ha or she is exemp� theretrom and ihe Oasis for the elleged e:emptlon. Any ddation of Section 7031.5 6y eny apP����� �or e pertnit
suD�ectv Ne "N to e Gvil penelry ot not more Nan five hundretl dollars ($500).):
, es owner of the property, or my employees wit� wapes as iheir sole comDensetion, WILL DO THE WORK, end ihe structure is not intentletl or oflered for sela (Sec.
7044, Business and Protessions Coda: The Contrectors Ucense Lew tloes noi apP�'to an owner oi property who huilds or improves thereon, antl who tloes such work
hlmseH or hersetl or Nrough hls or her own empiqrees, provided that such improvements ere not intended or oHered for sale. If, hov.•ever, the builAing or imprrnemeni is
sdd within one year of completion, Ihe owner-bullder will have the burden of proving t�at he or she ditl not build or Imprwe for puryose of sale.).
❑ I, es owner at the properry, flm EXCLUSIVELY CONTHACTING WfTH LICENSED CONTAACTORS to construct the project (Sec. 7044, Busineu entl Prolessions
CoOe: The ctors Llcense Lew tloes not eppty ta en awner of property who builds or Improves thereon, and who coniracis for such proJect with e wntractor(s)
license pu nt t Ihe Comrectgis License LewsJ.
VerHlcation of Ownershlp by (rypa
Business an0 Professions Cotle for this reason:
Yes ❑ No" Dr'rvers License No.
I.e. - pmperry tex bill or deed):
DIVISION OF INDUSTRIAL SAF�fY PERMR CERTIFICATION:
Evpires:
❑ I hareby certify t�at no exeevetlan tNe (5) or rtwre leet in depth into whlch a person is repuireG to descend, will be made in connectlon wlth work euthodzetl by t�is
pertnit, end t�at no builtling structure, scafldOing, falsewoAc, or CemollHon or dismantling Ihereat, will be more than ihirly-si: (38) feet high. (Chep. 32, Gry 2, M 2, Sec.
341, Title 8, Calitomle Atlminlslrelive Code).
❑ Aa owner-bullder, I will no� employ anyone to do work whlch would requlre a pertnit irom the DlNsion ol IndusMel Safery, es noted ebove, unless such person has e
permit to Oo such work trom tha Efvlsbn.
Signeture: Date:
Dlvisian of Intlusirial Salety Permlt Number.
CERTIFlCATE�COMPLIANCE AND AUTHORVJITION OF ENTRV: I certity untler penalty ol perjury Ihat I have read ihis applicalion antl stste Ihet Ihe Infortnetlon gNen is
corred. I�e �otompy wit� eli ete laws antl dry ordinences relatlng to builtling consWction, and authonze representatNes ot the Clry of C{o�esta Mesa to enter upon the
ebove-d scribed perty lor in eU� urposes. I epree not to occupy or ellow occupanq of any building authonzed by this permi��ril fi�n�cUorl,�
!fi
/ /
. In d Lmnl i5�3nlrf 18 D8�9
COpE I. IN$PECTONTYPE /
1616 Flzetl System Finel Fire Preventlon
1288 Pool Spe Flnel
200 Flnel Re-Roof
201 Flnal Blak/Reteining Well
202 Final Fectory Flre Place
203 Finel Sipn
rJ' , I 20d Flnel DemdlUon
zaaees
�g ��
COQE I INSPELTION TYPE
208 Final Mechenical
208 Final Plumbinp
210 Final ElecMcel
272 Final Fire Prevention
220 Final Plenning Approvel
222 Final Site
250 Finel Building/OccuDenq
PflQIEtT ADDRESB: � 8 7��.�, 1 S TH S T
OWNER'SNAME: ENHAY ENGZNEERING
"°oREss: q007 W S£GERSTROM, S.A.
ewGUExcixEex: 6 6 8— 0 6 61
�noxeas:
RE8.N0:
uxrt:
. .� �
uxm
PEBMRTEE: C.D. IiISK ELECTRIC (714)850-9771
�ooness: 1702 NEWPORT CI E
S.A. CA 92705
UCEN;ED CONTMCTON OECUMTION; I hereby afflrm that 1 am Ifcense0 unCer Dravidans ol Chapier 9(wmmenUnO �� ���on
7000) ol Divlsim 3 0l Np Business an0 Prolezslan5 COAe, antl my Ilcense is N lull lorce aM etlecl.
ciTruc.:045R75 �+�T"�uc'430791 cus,� $' C10 �
OdIO: � � � � " C � < SIOnaWro: _/�'��
WOBI(EBS' COMPENSRTION OELLAMTION: I �ereEy aBirm ttut I have a certllicate ol wnSMt to ul4insure or a certlficata ol Workers'
Comp@nsation Insurance. or a ceNlietl eoDY ���eof (Seqion 3800, La�. C�.
crxo.: 1079997-90 E%P.0�7E: OiIO1I91
Mv�xr: STATE
U CeNfieE m%I5 hereM IqumiStreA. CeNfieO coOY 5 I'IeE vriN the city BuiMinO qri4on� �
I oaze: �� r�� C b � Mp�icant: �
IXEMPTION FPOM WOflKFf18' COMPENSI�710N OELIAM710N: (Ilus secnan neM not Ee canDleteU tl IAe perirct ¢ fa me Mntlred (510%a less).
� I canify ihat in the peAormanca ol �tre work tor whic� this permit is iuue0, 1�all not empby any person in any manner sa as ro hecome
Isuoject ro t�e Woders' Compensation Lavrs oi Calitomia.
�2[0: $IQOdIOR:
NO710E: If, atter maldnp Ihis Oecla2tian, you shoulp became w�lect ro Ihe WorYcrs' Compensation proW4ons al Ne LaEor
' Cotle, you mus� IorthwiN wmply wiN suc� D�ah�ons or tNs Dermit StaA Ee EeemeO revokeE.
CONSTqUC710N 1FN01NG �GENLY: I �ere�y atllrm that t�em is a conslluctbn Ien0in0 apenty lor Ne petlamunce of the work lor
w�ich I�iS plrmil i9 ISSueO (�Ibn 3097. GV. Cl.
lFNOER:
AUUNESS:
OWNEH BIIItDEP OFCUMTION: I IceteEy aifirm ttut I am exemD� �rom tM ConlraMrs' Slate Littnu Law la Ne Iqlowinp reawn
(Secqon 7031.5 Buslness and Protarbnal CaEe: Am/ dty ol counry whic� repuires a permit to mnsWct, atler, ImD�'e, Oemdhh, or
revalr �y structure. prbr lo i6 issuance, also repuires the apo��cant lor such pemtit to lile a SlpneU statement that hNs�e Is licensea
pursuant ta tlre Ormdsions of tAa ConlractoB' State lkense Law (C�aOter 9(commenurip with SecUon 7000) ol DMsbn 3 oi the Busineu
anE Professlons COEe) or that trclshe is exem0� ��erefrom an0 I�e Uasis lor t�e allepeE exemDtlon. My Nolation of Sectlon 7031.5 by
any appficant lor a parrtd� wGjecls IM aDDliwnt to a civil penalry of not moro rtun IM �unOreE Eollars (5500).
I, az awner ol tM Droperry or my em loyees wlt� wayes az I�eir sde compensation, vri0 Ao Ne work, anE tAe
stnwtua b ip1 inteiMN or o11erEE Im sale I�Iqn 70a4, Business arM Hotes4mal Cotle: The Contractors' Sute Lkense �aw
tices mt appy lo an awner of a propeM � 6WItls or imD� «�n, aM who Eoes wch wmk IumsdVAersell or tivoup�
� lis a her own empbyees, proWdeE ttut sucb ImprovemeMs aro rwt InterMM w ollered la sak. li, howevei tice DuOtlup a
improvement is sdd wittin one year ot mmpleqon, tM owner wlll have tM EurEen ol prwinp 1re/she EW not DuilO w ImO�'e
for iha purpose al sale). . .
I, as axner ol Ue D�aperty� am eaUusivdy coniraCinA with IlcenSeU wntractors to construcl the project (Sectbn 70C4. Business
❑ aM Protessims COEe: TM ConUactms,' Stala lkensa Law aces nat appty ro am m�cer of procerry '�'� ewWs a Imoroves ihereon
and wtn conlncis lor such D�IMs ��N a conUactor�s) Ikense Oursuant ro Ure Contraclars' SWte I.iunsa Law�. I am aware
we proW a urL workrr•s canyens.ibn uuurance showa ee woviQee to me.
� I am wempt uMu Seclion: B. E P. C.
Iw Nk rwson:
Uate: U�mer.
� do hereEy ceNy tlw1 I am aware of anE uMersbntl ttre repuiaments of GHfamia Health anC $afery Cade Sectlorts 25505, 25533, antl
T5534 aM ttul I o� any lulura EUHEmO �upant wilUxill not (drUe one) neM to mmpty wit� saiE staro aOes aM Ue rapuirements lor a
perMt lor caatruclion m mo0ilication Irom tlk ATr �ua4ry Manapement Oistrkf. FesiOentiL �pnstructun apqiraUons are exempt Iram
tAesO Drwiswns.
Data: MDGCanI:
I �ar�Ey ceNty IAat I Aava reaE Ihis aD�lication an0 sroia tAat t�e aDova inlarmatian's corte�t. I aprm to comOty w��A all clry antl counry
or0inances anU sUle laws relaiinp to DuilEi�pconstmcllon antl heaEy aN�orl:e represantatives of Itdsc�t� mter upon tAe ahove�mentioqeE
praperty�wns�ct.i'onDu � a 1 ,/ � �
7 � ,�
Oale: ! SI n�Wre:
Omer's ticense w SocW SxunN �:
W�ita—Buikinp; Grea�Cotle Enlarcamant; Cenery—Applicam; Pink—Revanuo; GdGanrW—Asxaaor
CITY OF COSTA MESA — bUILDING PERMIT
P£RMIT NO: E 098172 PLAN CHECK NO; N
CONSTRUCTION TYPE: PERMIT TYPE; ELE
JOH DESCRIPTION
CLAIM VALLIE:
: hiET£R CHANGE—OUT
CALC—VALUE:
PERM NO: E 04t3172
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GAOUP OCC: /
COMMENTS: X
*+r****�r+r��t�x�*���r�*�r���*+�*�r*�#**�*x**�r*��e****�r*�**�*�r*�*****�r**�+�+�*�r*+�****�rr��c�*
Z O N I N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; FT IN REAR: FT IN FANT; 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:
PLANNZNG NOTES>
> -
��r*tt***�r�e******��e**t�*����tt**�***�'*x��*�t*x+t�t*x��t�r�t�t**�t�t�t*rt*�t*+��*�t�tx*+��t+t�t�c*�***��
A E V E L O P M E N T,��5 �E R V I C E S R E Q U I R E M E N T.5
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : •,� DATE:
APPLICATION ISSUED HY: �" n
*�r*�e*�r�x*�e�e*�ex****�r**� � *�*+rD�**i�+r����F**
if iE iF 1E iE aE?E # it 1k?6!F iE iE iE 3f iF ik fk if iE iE iE if �f iE jf iE if if it if�it iE iE iE ff 1F iF iE iE if iF �)4 if if �)E iF i! iF if 3k iE 1f iE iE jE if if iE iE af iElE iE if i6 �)f 3F iE iE iFlf iE if if iE 1E �H�
LEGALIZATION:N . F E E S II M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING £LECTRIC MECHANIC FIRE SMTP/RES GRADING
PERMIT , 18.50
SOY
PLAN
ISSUE FEE 15.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 13,50 15.00 0.00
REVENOE DIVZSION TOTALS--> COLLECTED:
bLDG PMT PLUMBING'ELECTRIC MECHANIC
33.50
SMIP/NON—RES'
TOTAL PAID DUE
33.50 33.50 .00
33,50 GVER/SHORT; 00
FIRE SMIP/TOT GRADING PLAN—CHECK
iF iE iE iE # iE iP �1F if it it iE if if iE if iE ih �f fF if �1(-�lf �lE iE ik iF iE # i! it if i! ik if iE �iF iE 3!-j! iE ik �1F iE it �)E iF?41E if if if if �1f it iE iE'�p if i! if iF iE iE iE iE iE iE iF iF �)k iE iE iE iE iE iE iE IE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 SERVICES HELOW 600 V& bELOW 201 AMP 18.50 10.50
END OF FEES
0? a0065`26—OQD��JJZ�1 '9'�"� 33.SU
DATE: Q1i17/90 iIME: l.i:19
CONSTRUCTION AND PLANNIN(: � L& SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
,,
1. Temperary Electrical Service or Pole � - 52. Pool & Equipment Location .�
2. Soil Pipe-U�drgmd. . - 53. Steel Reinforcement
�
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
. 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reintorcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Etectrical ConduiFUndrgrnd.
8. Foundation - i �, 59. Gas Pipe, O Undrgrnd., Test �'
r
9. Water Pipe�Undrgrnd. � 60. Backwash Lines, P�Trep, O Undr9rnd. ��
10. Structural Floor System �; 61. APPROVAL TO DECK
17. Property Sewer Line & House Connection , 62. Backwash & Receptor-Final `
12. Sewer Cap 63. Heater & Vent-Final r
73. Roof Drains 64. Plumbing System � Final �'
14.. Rough Plumbing ' 65. Electrical�Final
15' Rough Elettricai-Conduit n 66. Solar System-Final .
16� Rough EleCtric Wiring 1 �. 67. Fencing & Access Approval �
17. Rough Wiring Si9n _ ` . _
68. APPF�OVED FOR PLASTER4fdG
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 O Gas ❑ Oi4
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceilin9 (Structurall & Monocoat 75. Dry Chemical
27. Frame and Fta:hirtg 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Na�ling HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED K. '
33. Final Electric Notes: I
34. Final Heating & Air Conditioning '�`�
35. Final Gas Pipe-Test
36. Hood or Gnopy
37. FinaV Facto�Y Fireplace
38. Final Plumping
39. Water Service�Final
40. Gas Service-Final
41. Solar pomestio-Final
42. Backf4ow Preve�ter
43. Backflow Irrigation
44. L.andscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING `
48. FINALPLANNING �
49. Electric Re�ease to Edison
50. Gas Releas¢ to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY
No. Date
� `` 4 � _.��
COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely Use nk Only
BUILDING p/�� �,(/ _f
ADDRESS / n y�
�--.'_
OWNER
MAIL
ADDRESS
TEL.
CITV NO.
F
C
a
Q
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N
2
F
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F
Q
Ca
a
Q
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a
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BRANCH
ADOFESS
ARCHITECT
ADDRESS
CITV
STATE
�IC. NO.
512E
OF LOT
USE OF
TEL.
CITV
LIC. NO.
NO. OF BLDGS
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
UILDING AND WORK TO BE PERFORMED
.'4PR -9-76PA'`�OD 477'� *****5.50
f.�i5'
APPLICATION FOR STRUCTURAL PERMIT
ECEIVEDBY DATERECEIVED nnrF�eciicn
BUILDING
ADDRESS
NE NO.OF
v�o.n�.0
VAflDS APPROVED
� V �(i
$ �'_
GROUP
DATE � � p
/
USE OF NEWC�J _
BUILDING 7���
VARDS PPROVED
ACCESSO V VILDING
T.
�
FT.
BET. IN &
ACC . BLDGS.
DA
APPR V D
— — /-� � �/.
I hereby ecknowlatlpa that I have reatl this applleetion antl state
that the ebove Informetlan Is corraci antl agrea to comply wiih
all law� repuletlnp bulltllnp conKructlon, entl I shall not amploy
any perton In violntion of tha workmen'c'compenuilon lews of
che S<ate of Calitornla.
I hareby carUfy ffiat 1 am properly Ilcanxtl as e coniracto� untler SQ. FT.
the Stata oi Callfornia Businaw and Profasslons Code, Divislon 3, THE AMOUNT SHOWN UNDER VALIJ
Cheptar 9, end that auch Ilcensea ere In full force entl etfact, or 1 TME PURPOSE OF ESTABLISHING A PERI
am exempi from ihe provielonc of tha State of Celifotnie Businass VALVATION PERMIT FEE E
antl Prof ane Code, Dlvislon 3, Chepcer 9.
PLAN CHECK E
SIB�afura of I
Permittee S/ i i1 � TAX 5
/ �r7/
Authorlxed Apent , TOTAL PAID $
N
n
m
i
�
w
N
ON IS FOR m
FEE ONLV: �
—� n,�'7 a
(/(/ m
M
0
LL
� O f
�
�
�
1� j�
)
:%, ;-�� 4� 3�
� � '—
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING �,
ADDRESS
OWNER /�2itnAu� �..T�v..n/Y
CITY
BHANCH
ADDRESS
ARCHITECT
OF ENGINEEf
ADDRESS I'
TEL.
NO.
L.
BUILOING
ADDRESS
OWNER
FIRE
ZONE
APPROV
l�
vafo
•n� ?7-���n,;,00 s23� *** �+78.79
AR
FOR STRUCCURAL PERMIT
DATE �'%��7
ADDRESS y '� � �
TEL. Z� NO.OF USE OF NE ,�
CITV NO. '
PLAN$ BUIIDING
F STATE CITV �ARDSAPPROVED ' VARDSAPPROVED /�
LIC. NO. '� �'� (�� LI0. NO. MAIN BUILDING - ACCESSORV BUILDING ��
(FROM C/L T EET
{c� SIZE NO.OFBIOGS. ^
LL OF LOT NOW ON LOT RONT .T. FT.
a USE OF ��
^ EXISTING BLDG. FT. ' FT. \
v] �(
� Separate permits are required for � � �. sioe FT. FT. �
electric, plumbing and heating work. / I/
G REAR FT. �V FT.
[.W. USE OF BUILDING AND WORK TO BE PERFORMED ' DISTANCE BET. BET. MA�N &
QMAIN BLOGS. � ACCE55. BLDGS. I��
VAR.� DATE `��—
Q,7 0 , C.U.7.$'+ " APPROVED
� � APPROVE G
� _ �
.d
{�x7 ... '... r rr� ne�... ... .
a 1 hereby acknowletlpa that I hava raetl Mle appllcallon antl rtete �✓� �~�� �� ��b ������VI�IF� �: ,�
� that iha above Informetion is mrrect end aB�ee to comply whh �
m
� ell lawa reBuletinp bulltlin0 �onsttuctlon, and i zhell not amploy
Wany person In vlolatlon of the workmen'a compenmtion lawz of �
� ffie State ot Ca�Hornle. '
3 1 hareby cartify thai l em properly Iicensetl as a conttactor unAer SQ. FT. N
the Stnte of Califo�nle Businesz entl Professionc Code, Olvision 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR m
Chepiar 9, entl thai sueh Ilcansas ara in full force antl aftect, or I TNE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am exampt tfom Me provlsions of iha State oi Celifornia Businou e
VALUATION PERMIT FEE $
end Professlans Cotle, Dlvlslon 3, Chaptar 9. �
PLAN CHECK E ^�
Ipneture of /� /] 9/� • �
rmlttee 1\_✓D.��� 7%1wn��xl i 5� Gir// TAX E LL
�1 I � v U
Authorizad ABent / TOTAL PAI � §
,
�,. . - -.�� 3729�
i COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA ME$A, CALIFORNIA 92626
PAIDOO 665+rt **°'�*5.50
.�EP 19-73����,.
APPLICATION FOR BUILDING PERMIT
For Applicant to Fi/! in Completely
FECE D TE E ED D TEI U'.
BVILDING ��-j� Lv / y �/ _� �
ADDRESS ! d ���
�Y'- r � _/ /�_ PE 8
OWNERIIO��lwh{9 f_� ]l'Gi�.�] A.P.NO. � L . _
BRANCH
ARCHITEGT
OF ENGINEEF
ADDRE55
CONTRACTOR
ADORESS
CITY
STATE
LIC. NO.
512E
OF LOT
VSE OF
EXISTING BLDG.
' tv/ d' ?a� '
/�% TEL.
( / C SC'/ NO. �
�oti r
TEL.
oN P No.
OWLI F'Y
TEL.
NO.
CITV
LI0. NO.
INO.OF LB�OGS.
NOW ON LOT
BUILOING �
ADDRESS
4 �
TRACT
W
OWNER C
S
FIRE
ZONE T
APPROVED
BV
NE NO.OF
PLAN$
VAFD PPROVED
MAIN B DING
SIZE OF N4. OF
NEWBLDG. FlOOMS STORIES I.SIDE FT
EXTERIOR WALL ROOF
COVERING COVERING REAR FT.
USE OF BUILDING AND WORK 70 BE PERFORMED OISTANCE BET.
MAIN BIDGS.
2 y/I�L L /./�/ S�� (� O� C URP. qp
/7 � ^ fy��6� APPROVED
oC /'f /'1�
/ f/-JLL /CX .7`�' 02
I hereby acknowletlpa that I have'read t�is application antl siate-
Ihet [he abOve Info�mation is cor�ect antl agree to comply with
ell lews raguleting builtlinB consttuccion, antl I shell not ¢mploy
eny persOn in violotion of Me workman's compensation lews of
��
VAIUE /,
DATE
USE OF NEW
BUILDING
VAROSAP ROVED
ACCESSO BUILDING
DATE
APPROVED
&
�
[he Stam of Celifornia. � "� m
b
I hereby carHfy thnt I am properly p�ensatl as a controcror under� SQ. PT. o
t�e Smte ot Celifornia B�ziness and Professians Cotle, Divieicn 3,� TME AMOUNT SHOWN VNDER VAL IS FOR �
Chapcar 9, antl that sach licenses 0te In fuil torco ontl otfoet, or 1 71�E PURPO6E OF ESiABLISHING A PERMR FEE ONLV: m
em exompt �rom the provlslons ot ihe Stam of Callfornle Business ¢
antl Profossions Cnaa, Division 3, C�aptar 9. VALUATION �"_ m
PERMIT FEE S J �
J ]
51 netureof �\��% // �O � m
Permittae ���7/1/fl�i� � ('�.i-sif?�(�Gci/ $ //.QO� Pl.4NCMECK $ E
T � a
Authorizatl Apant � u
TOTAL FEE $
. , � ? ���
i�-- �...
COSTA MESA BUILDING-SAFETY DEPARTMENT
� P. o, eox an eoarw Meew. cwurow+u
Fo� ApplJeanf fo Fill In Complefely
� � TYPE OR PRINT •
BUILDING S J
ADDRE6B ��
COSTA MESA. CALIFORNIA
ARCHIT6GT �
OR ENCINHER �
.....e�« �.--�
_ _ �
�EE RECEIVED
�OCT 3 196�
A P P L I CA T I O N, P OR ��R1cA17'
e6��io4��os►A mEs�
For Office Use Only
AEC6fVjD HY
���
BUILDING
ADDRESS
CO
snuE \ �
LHOAL
� �, l�Y�
MESA. CALIFORNIA
(/ ZONING
NO. OP US! OP NEWAAA
PLAN9 BYILDING �
/// — //�--�
$IZE �, I NO. OP BLDG6.
OF LOT Now oN LOT p, p, NO. �-
U6E OF YARDS
E%16TING B DG APPROVED
86iBACK LIN6 PROM � ICeNT[R LIN6 BT.)
CHNT¢q pp gyRE6T REAR YARD FRONT
� . i / � � .� /
I NO. OF
I HBqBpY ACI(NOWL8D08 iNAT 1 XAVH HBAO TH18 AP�IAGTION� }X6 �MOUNT BXOWN UNDER VALUATION IB FOR THE
AND BTATB THAT TN6 ABOVH 18 GOItRBGi AND AORl6'TO COM- pUPP09E OP HBTABLIBH�NO � PERMIT FE ONLY.
PLY WITH�ALL WT' OIiDINANCBB AND 6TAT6 LAWe q86U TIN BI
WLLDIN6 CPN ��jy�J//QN./JQ //-/� / 1/ ■�VALU/s'T/I��y�\� /
SIGNATURE OFetL'!// // / / ti� L-i .�7/ nn AI' ■ /.. ////. \� I PERMIT FEE S J _
$