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Home My WebLink About730 17TH ST - Building Permits(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa: BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 730 W 17TH ST Suite: Vicinity: ROOF Pnmary Occ: B Eat<50/ Officel Bar<50 Type of Construction: V-N Parcel Number: 42408119 Zoning: npplicant: PATRICK GRAY Address: 1015 E CHESTNUT Owner: Address Contractor: Address: Arch : Address: SANTA ANA, CA - ROTHSCHILD, PETER B TR %DAVIS PARTNERS LLC NEWPORTBEACH,.CA � 1420 BRISTOL ST NORTH#100 YOUNGS ROOFING CO, INC 1015 E CHESTNUT SANTA ANA, CA Zip: 92701 Phone: Phone: (714) 953-5444 Zip: 92701 Phone: ` 2ip: 92660-2914 . Phone: p14)953-5444 .License: 568560 Eng: Address: Status: ISSUED Applied: 04/05/2005 Issued: 04/OS/2005 ISSUED BY: � Phone: 2ip: � License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 4 PLY BUILT UP ROOF SYSTEM AND TEAR OFF COMPOSITION MANSARD AND INSTALL NEW 30 YEAR COMPOSITION SHINGLES. 6,400 S.F. FOR COMMERCIAVINDUSTRIAL BLDG. Plan Check: $0.00 Permit: $335.25 SMIP Res: $0.00 SMIP Com: $4.41 Other: $0.00 Inspection: $0.00 FEE SUMMARY Calc Valuation: 82i,000.00 Claim Valuation: Sz�,000.00 Total: $339.66 PLANNING & ZONING , SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existinq: C Rear 0- 0 Rear 0- 0 Reauired: 0 Left 0- 0 Left 0• 0 Proposed: 0� R�gn� a a � Right 0- 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calilornia statutes and related regulations. (Ord. No. 92•2B, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not cammenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be consideretl legal, such work must comply with all epplicable codes, and all requlred Inspections end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 znae.se �vao� WORKERS'COMPENSAnON DECLARAnON: � I hereby eKrm under penelry ot pe�ury one ol the tollowing declaratfons: ❑ I have and will meinrein e ce�tcate of consent to self-�nsure br workers' compensation, as piovltled for by seMion 3700 ot t�e Lebor Catle, tor the peKortnance of Ihe �ark tor which this pertnit is issued. maintein work¢rs' compensation lm0ansetlob��5urence certlef e �, es raquired by sectlon 3700 ot the Lebor Code, Por the peAormance of Ihe work for wNch this pertnit is issuo0. number ere: �� ^ �W'�� 1/ one hunEreC dollers (3100) or lass.) ❑ I certify t�at in the pertortnsn�e ol tha work Por whlch this Permit ig Issuetl, I shell not employ eny person in eny manner so as t become sub�ect ro the workere' crompensation lews ol Celif �, tl a e thal il I shoultl become sub�ect to Ihe workers' compensetlon provislons at Se tio 3700 1lhe Le or Code, I shell forthwith comply with ihes@proNsio , � D � Awpo,�lieertt �gneNre�.`re . . '� J"" W/�NI : FAILURE TO SECURE WOfIXEPS' COMP NSRTION OVERApE IS UNUWFUL AND SNALL $UBIECT AN EMPLOVER TO CRIMINAI. ENALT $ AND CIVIL FlNES UP TOONE HUNpREO T/KK1SAN� DOLLARE (5100.000), INAOaT101'! TO ODSi OF C�DMPENSATION, DAALIGES AS PROVIDED Fpq IN SECiIqJ 3]p50FTHE IABOR CODE, IMEREST, qN0 ATTOqNEI^S FEES. LICENSED CONTRACTORS DECLARATION: u�der pr`ovisi��o�apter 9,.(`commencing wilh Section 7000) oi Dlvision 3 0l the ausu�s gtStlRrolessions Code, and my Iicense is in full CONSTRUCTION LENDING AGENCY: ❑ I hereby alfirm that t�ere Is a�sWction lending agency tor Ihe peAormence ol the work fo� wMch Ihis parmit is issued. (Sec. 3097, Civil Code). Lender'9 Name: Lender's Adtlre55: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereGy ettirtn thet under penalry oi perjury thel I em E%EMVT FROM THE CONTRACTORS LICENSE LAW lor the tollowing reason (Sec. 7031.5, Business antl Professlons Cotle: Any ciry w counry whicli requires e pertnit to consiruct, elter, improve. demolish, or repelr any slmcWre, prlor Io ita Issuance, also requires ihe applicant for such permlt to file e signed stetement thet he a� sha is Ilcensed pursuant to ihe provisions ol the Contractora LJcense Lew (Cheptar B(comme�ng wit� Sectlon 700p) of Divislon 3 0l t�e Business entl Professions Code) o� �at he a s�e Is eaempt theralrom entl Ihe Eesis lor the elleged eKemption. Any Woletion of Section 7031.5 by any a00��nt for a permit suDjects the epplicant to e dNl penalty ol rwt more Ihan tNe �untlreE CWlers (5500)J: ❑ I, es owner ol t�e properry, a! my emplqrees wilh weges es Iheir sde compensetion, WILL DO 7HE WORK, and the siruciure is not inrentletl or oflereE for sale (Sec. 70a4, Business end Protessions Cotla: TTe Contrectors License Lew does no� apON �o en ownoi of Droperty who Ouilds or imDroves Iheraon, and who Coes such work himseN or herseN or through pis or �er own emplqrees, provitletl t�at such impmvements era not Intentletl or oHered lor sale. Ii, however, t�e building or improvement is soltl wit�in one year of completion, the owner-builder will have the Ourden ol proving that he or she did not build or improve b� purposa of sale.). ❑ I, as owner oi the properry, arti E%CLUSIVELV CONTRACTING WITH LICENSED LONTRACTORS to constmct the project (SecJ044, Business and Professions Cotle: Tha contrectors License L.ew �oas not epply to an owner ol pmperty who bulltls or Improves Ihereon, antl who wntracts br suU project with a contractor(s) license pur5uent to ihe Cantractars License Lews.). ❑ I am exempt untler sec. _ Signature: Owner ID varifietl by tlriver s IicensB. � �es ❑ No Business entl Prolessions Catle lor ihis reason: venfication oi Ownersnip Ey (type o� dxument, I.e. - property tax bill or tleed): DIVISION OF INDUS7AIAL SAFEY�' PERMIT CERTIFICATION: Drivers license No. Date: E>pires: ❑ I hereby certily Ihet no exwvelion live (5) or more leet in depth Inio whic� e person is reQuiretl to tlescentl, will be mede in connection wiih work authonze0 by this pertnit, antl thet no builtling sW�iure, swfloltling, falsework, or demolition or dismamlinp t�areoi, will ba more than thirry-six (36) leet �ig�. (Chap. 32, Gry 2, Art 2, Sec. 341, 7lle 8, Celifomia AAminiStraWe Cade). ❑ As owner-buildar, I will not employ enyone Io tlo work whic� would require a permit trom t�e Division of Intlustrial Safery, as noted above, unless such person hes e permit Io tlo such work tmm tpe division. SigneWre: Date: Division of Industrial Sefery Pertnit Number: CERfiFlCA7E OF COMPLIANCE AND AIfTYIOR¢A710N OF ENTAY: I cenity under penalry ol perjury Ihel I have reed Ihls eppllcalion antl state tliat I�e information given is wrrect. I agree to comply wlth all s�e�e lews en0 ciry ordinances relellnp to builAing constructlon, entl euthodze representatives ol Ihe Clry ol Costa Mesa to enter upon Ihe ebovo-Oestnbed propetly lor inspec�ion purpo9p9. I egree noi Io octupy ar ellow occupency ol eny building eut�orizetl Uy Ihi9 permit until linal inspection. COOE 1, IMSPECTION TYVE 7616 Fixed System Final Fire Prevenlion 1266 Pool Spe Finel 200 Flnal Re�Rool 201 FIneI8locWRetalning Well 202 Final Fectory Fire Place 203 204 Final Sign Final Demolitlon � �` SQQEj INSVECTONTYPE 208 Flnal Mechenlcol 208 Flnel Plumbing 2t0 Final Electricel 212 Final Fire Prevenllon 220 Finel Planning Approval 222 FInelSite 250 FInelBullaing/Occupancy ��p��a�� 730 W 17TH ST °w"Fa'"""E'°�awrc pETER ROTHSCHILD "0°"Eu' 151 KALMUS DRA D101 C.M. �vc�. �uuNo �ss: "'�cNrtEa°"'�m'�': MUSSER ARCH op�'g�xi 1S1 KALMUS C.M, ��r ��.�,�,�: . ��f cwm,�crars�a�wo . mo�ss UNf: ��= C-15234 °NT D 10 3 CA 92626 uc w: .� Imrt: -- - - -- V CEN4ED CONfqACTON9 OECL�pAT10N: I Inreby dlim uMx psroly d pa'ryy Uw I em I'pnpd wMer prwieiw d Ghaqr 9 (rommenaq xv� Seclion )Ooo) d Onuion 9 d tha B�aron eM Pmleavvu Cotle. W mY fcarae u m hA laca mM ellect. CM IJC. NO.: L1C CLA35: L1C. NO.: EXP ; 6 � J��I om.: cam.d�: �WNER BUILOEq DECIANATON: I Iwa� dNm uder psWy d per'Wy IIW I on aremq han �M CaY�erlas Licenes lew la iM �Ipwnp ewm (SMion ]W 15 &eiw nd Rtlaeioro Code: My NY a mvnY nfiirA ia0�va a M�i w mmb�d. eEr. im>wa. J4md'oh, ar rpv ury svuUura: p'v m ua iauence, ebo repiva iM epp4rsrC lor wch psm0 to fib a eqned �tmemeN Net M or eM iv liceneed W�+N� to ihe po�+sbm d tM Camretlan lioerue Lew IChaqer 9(mmmenenp w4h Seaion ]000) d D'wuion � d �hs Buainea arM Proleaeiona Cade� a thei he a Me u exemq Ihsehan eM 1M basu la IM elbpaA mamqian. My violelion d Sadion �M1 s W anv eon��wn �« e o�il wbpa+ ihs apNicem io e aw w�n a na mne �hm Me hu�med emen f55oop. [] I.eaowrrdlMVWMYamyrmW�wihwapesoNVWeaomM�.wAdotlnwvM.vdNe+4ucNeaunoliNeMed a ollxeE la eeb (Sedion ]Oa�.Buvma+end Prda+vvu Code: The CaNreqm liaros lawdoes nu eGNY loen owrord papeily who WMf M inP�� 1lwean. end Mn Eoee eut3� v.ak h'vnfM a hafd 4 WUNh he a Iw own aripb/eee. pa'MSE IM vuM imV�^+wpa ms m� mie�ded a a1MeA tar eab. �. hoWww. the GnHnO a inP��M u wH wGhvn ar Yaer d oomdaon. tlr �owrer-0uldy rrtll hew the WNm d pw"vq M a dr ftl nd Wdd a impow Iv IM p�epws d etlal. I. ea m�ner d iM pWeM. an extluivW comrean0 M:�h fiianeeE canvenon m oonmud Ne pqetl (Senion lWe. &nirw� vd PMes+ione Cob: TM ConVedan Lieevs lnw Eoes rM epply ro en oxner d qapMy x1ro Wld� a impwm �he�aon eM who convecle br vuN prajoda r.ilh e ooN'adMe) ficenaed pmueN to e Camretla� Lioeme Lew). qI em azanq Mr S'on: B. 8 P.G..1or '� u� : Dms: 'Y Ow�+r i ao n.�er � mm i�.�.�n.s a w wb..w�e me � a c.uo�:. wdm.�a sm.rv cod. sw�m. uws. ns�a..�e � 26iv. erd thN I a vn Mun bwk'va ovxmde vn'9 / wC nol lmeb ma) netl b camaN wi� mtl aate mEa� end �M nN��aM� br Qw: Md'rsN: WONKER'S CO4VEN9�Tp1 OECIAPATION: I Iraby dfrm uMr prieEy d psjuy ww d Ns b0owinp Aedvp"nv: [] IhewxdvNmrNen.emLuudmme�viowlLmuabv.aMan'm^Vd�bn.mpo.''ddluM6seion0)ooalMlelwr coa.. io, ine cenwm.M. a u» .An i> w:U ma v.+� e �o�ed. [] in�..�ww��m.�..o�w.,•�o�o��.o�.a,:.eo-�s.a�arvodw.i.m,ca..ro�m.o�u�edin. .on� io..nid, w. v.m,n a eu.a. rM �.or�a,.• mnw�wn� ti.uerc. m�« .�d wr.v �e. m.: c.m.: I PosryNumns: nn;,..aim �..n M. e. m+w.�.e, w c«m• e m. a.�. m.�aee aaen rsioo� p we..� [] I oenN Ntl m Ne DMmrerca M Ne M br �fi'rh Nu P+�a b 6�wd. I tlW nd emVb/ enY Dd� M M' menew �o m lo bscams vubjetl b iM wYwY mmW�wion �ew d Cefdamis, enJ ap�es thu E I Nouk becmie whjea �o IM xqluri rnmpanulim paiaom d Seeion ]ro0 d iM leEa Code. I 4xA IonhwXh oompfy xnh tMss pwlebn�. Deie: Mq�u: Wxnbro: Fwun ro ucun wikw�i m�ryvwCon m�rap bW�rntl. rp Mtll u�N�� m nritm� ro eAnYIWC�tluW CMI Mu W N ar� Mnsnd MouvN EWI�n (SIMOWA h tl9fbn b M mt ol eomqwtlwl d�^MT� uWrMM br In 8�ctlan 9108 0l IM l�6or Co4. IN�n�t ��Y� I�. CON4TNUCTION LENDINO AOENCY: I hasby dFrm undar panelly d parjury �NI IMn o e omelrupion brd'mp epa�/ M IM perlamerca d IM wak 1« w1iiM �hu pemii b'n�ued (Sspion �OY1. C'v. C). LENDER'S NAYE ldOER'S MONE49: � cMi�Y II� I hGVO �eBA tllo WV� Md tltl� IM Cq �bW� vlfOnNlion e m11W.1 ePM IO aomP�Y wCA G0 mY GM muM�/ qdYWqet eM nme lexw �aletn0 to drild,q conmWm M hxobf eWw¢s npawXethn d �In N7 b eNx w� tM ebwa�meMiwrd poparry lor impeaion Wmw�. � BARRY WALKER om.: �7' /b (51S1�B.WP) NTdo-Bwldrq d Se1dY: (Lean-Fb: CenvY-�GVF'�: Pink�is+enue:OdEmraA-Fswvor CITY OF COSTA MESA - HUILDING PERMIT PERMIT NO: E 086184 PLAN CHECK NO: CONSTRUCTION TYPE: V-N PEAMIT TYPE: ELE JOB DESCRZPTION : INTERZOR 1000SF OFFICE T.I f. (L — : � PERM NO: E 086184 GOVT: N SUPP: N SQ FT: PURPOSE: • ALT CLAIM.VALUE: CALC-VALUE: GROUP OCC: H / *��**�***�r�**�**�r�*�+�***��***��**�e*�*w******�************fr*****8*****+r*�r�*** Z O N I N G A E Q U I R E M E N T S S& T B A C K S ------------ MAIN_BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT: FT ._ IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PAARING REQ• PROV; PAACEL: 42408119 ZNE; REF NO: PLANNING NfSI'ES> i ikMifkiFitifitiF�FlEMifiFikMiFiFlFik1laFiFififiFffltiFkiEiFlfiF�FiFiF1F1FiFNiFiF�E1EfF1fMlfitkiFiEifikiEiEiFMiE�E1F�FIkkfEiklfikifltMifiFkiEiFikik D E V E L_O P N E N T S E R V I C E S R E Q U I R E M E N T S ZONZNG APPROVED BY DATE: HUILDING APPROVED BY. : DATE: APPLICATION ISSUED BY; DATE: l ICO( **�r***+r****r*�**r��w�* **�r**�rr*r* ** LEGALIZATION:N.. F E E S U M M A R Y STRUCTUAAL SEGHENT:N HLDG PMT .PLUMBING ELECTftIC MECHANIC FIRE SMZP/RES GRADING PERMIT - - — - 3z502 SMIP/NON-RES PLAN ISSUE FEE 22,00 . BUILDING-DIV->_ PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> _.32.65 22.00 0,00 54.65 54.65 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 54.65 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN�CHECK 54.65 ifMM�tlkMifNK1EMNMMM1FM1kMM1kkMlFMifMMMiFitMfF1FMMMikiFiElfNMMiF1FifMKkilMllfElFiFMlFifMMMifiEMMMkiEiFMMMRMftMMik I N D.I V I D U A L F E E H A E A K D O W N TYpE �.QTY___ D E S C R Z P T Z O N UNIT COST TOTAL COST ELE B__ FZXTURES, LIGHTING 1 ST 20 EA. 1.00 8,00 ELE _20 _ RECEPT/OUTLET 1 ST 20 EA, 1.00 20.00 ELE 1 RECEPT/OUTLET ADDITIONAL EA, ,65 ,65 ELE. . 4 AECEPT/SWITCH 1 ST 20 EA, 1.00 4.00 END OF FEES _ ,• '• . � : l�' �//� � / IP-16-199)/a9:48 An/854.65 kCPifl:pi-@316894 F�Ekf9I T s 6b6184 �� t r, .. �� CONSTRUCTION AND PLANNING Pt,_e & SPA APPROVALS Permit # Date Inspeetor pppROVALS Permit q�* Date Inspector i. Temporary Electrical Service or Poie 52. Pool & Equipment Locacion - 2. Soil Pipe• ndr rnd. 53. Steel Reinforcemen[ r, „p,(��lectrica.i�o��cc#uuit Utility-Undrgrnd. � 54. Forms ��4MElectriwt�bnduit-Undrgrnd. 55. ElectricaiBonding � � Steel Rei�f�cement 56. Rough Plumbing & Pressure Test ; '-x�U Electricaf'lJSER Gmd. 57. APPROVAL TO COVER-GUNITE �� FootingsT''� 58. Electrical Conduit�Undrgrnd. J��$. Foundation 59. Gas Pipe, O Undrgrnd., Test ~9a Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. � 10. Structural Floor System 61. APPROVAL TO DECK • i 11. Property Sewe'n Line & Ho�se ConneMion 62. Backwazh & Feceptor�Final 12. Sewer Cap y 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing SVstem � Final 14. Rou h P mb� '`' 9 k�j 9 ;� 65. Electrical�Final 15. Rough E7e�ctrical-Cond�it :. - 66. Solar System-Final � 16. Rough E�Gltic Wiring 67. Fencing & Access Approval 17. Rough Wir'Lng Sign : � 68. APPROVED FOR PLASTERING � 18. Rough Electricai-T Bar Ceiling - 69. POOUSPA SYSTEMS FINAL 19.,&ou� Fe�iting,&Piy,Conditiqn}ng; � � n � ��: Q FtR��6PT�REQUIREMEQl�T �,^.;,. !*; ' _ ' !�1 `'N'>`J i 1 1�` >! '7'7 20.'�3ou� F�Cto� Fi��slace � S[' hS * S�.r'z . APP bV,'�'$-+�^ Permit #* "" "7�% • S � J r� 3,: I L. c-� %� S a: M �7 `7 k � �^] Q; !:j A i��. 21. �c^ . 'K .. .. F-1 J �F .� rf .{ • uCEr� inytrii�tur y . Sr-: x i� �; (lx� 70.F61ndergraurfd I�dro .t 22.7Juct`s, VentilriEingvr � ^:� x G 6� Fk .� 71. Produm�iding ,�',�as �J Oil �. 23. Gas. pe- o &T''st � mS � � c 4 Or •,.' � k: � � � �j Ps m�n p.p � x ;� S* 72. Undergra.md �s �� :n ,. � . - 24. Roof Framing �� [� � � �'n. +-�A • 7� Undergr�d.$t[{��eTanl��Gas ❑Oil ;U•Y„ c; •I v fi (L c J � � 25.�oo�She�thing �,.�* ti �� p; �x 7�4�. Overhead Hydr,Q�� r 26..di-Bar�Ceiling (Struc6ural) & MCfl�oat � O Y O* 7�, Dry Chcr�'1i ical � � �; � � �"'� • '� ��"� ' 27. ra �a Flashi k°' ^ x� ✓ Nm s Fr:; • 7 � � � �.� ?4� 76. Dr Sta� i e �„ ,- e .;c,� � x rfi Y PP dH +:. N�_ j.28. Lat ing�Siding=�� C�F J '� � � 777 FIXED`9YSTEAA�FINA�"' ^�?.�,_'; t: w x a K •-�� .t 29. Insulaticta �F S S �� x S � Y; 7�j FIRE PREV. F.��L x F, r-+ w. 30. Drywall Nailing �'� �-' � � � � � �- S '.HffALTffI'DE�. REQUIR-EyNTEN7 ` 31. Plaster 8�iw at'� -' �``�'' M ( ' 79, FINAL ^ S EC * � �T� IFE+ K .k �� F 32. �ElectricahPov✓er MEter`��iaal � x�V I I F� 8± FOOD CERTIF3�CATE CSSCIED� s � '7.K lTi � i �K � ' � �� ,��"] "�I YF `: J I*1 � � 33. 7�in •Electric'r. �!y � � �N � �; ,� f�qt�s: ��Q �;r A � r ;C34.FinaC;He�ing^&PpcCoryditioriing :, �� ' �;: ri�oo o�� FK --��-%�+� n r 35. �Fin �1 Gas PipC-Tes z Q •• * r, I , � ^0 7r+ '. ~ Nn+r+Nm �r, a� � 1 �v: [T7 • .•n * m �-Fe-t-� 1 r 6 �{ 1 i� 36.�ioo�.or�anoPY Mt yn ^m � � I � :z: X,o *:*� =��.lC�+� I ,: -� � < m '� 37. Finatfaet'ory FirEpl*c�z �-`'F" � x �y � i y� w T .� �:.i r� - '4 y . y{�_ . +� # � . � . ._ - 38. Fina�lumbing n ;: �. i �, �: � � � � H � � 39. Water Service-Findt"? F i � *%: a x� -;n,;.-,r :-; x v� � : � t-z: • x m ¢ s, C d � 40. Gas Service-Final �� m n-,f� r,�; � h� r•;vs �� i-. 41. Solar pomesiicFirt2t: c"t t^ � t" "yN =` � x 7 �- x c. *� i t� ti O � r - 42. Backflow Prevent�* n; �;,_,,,,,� * ,.., � � % M ;qq i � _ 43. Backflow IrrigatidA�+� ryu '� � �K � � ;' r' • • • • ,t ;x ; fii a�. 3 C �c'7o E 7U[T:t,l G � T7 � � ,- .v � .. .... ., �4. �j.andsca`p� Irrigati�r,�System�,Qy m � � a;. �', E g �� O�'�' � S F � �.� ,.,.. � 45.; und AttenU�tiont "� •• •� * r"• >'7 tTix a' t' 6• F�� x �c• � G. (1 �•k t f*' •�1 � / / H�O •�ii �K �,46. Hand�caa Regu4ati�t�s S x s ..� .. � j �, " � ;� ;47. �'IN� �L STRUC7UiiE & BUILDING * F� � � � Q' � `' i ,�• . z x �7 s � 48. �IN(�L PLANNIfVG+: i`"F' x � � ` � R; S + <t c49. �61ect�+c Release to &fison i Y' I 4:� G� � ,� �� 0. •6as �elease to Sout�em Ca�it6rri'a_,�1ias Co � � � E � p� `�� c' oo'�o 'S1. CEFtTIFICA7E0F CCUPANCY '" . ' No. Date � • y�� ; ��: ; ; .. CIN OF COSTA MESA BI/ILDING p1VIS10N DEVELOPMENT SERVICES DEPARTMENT �� PERMIT ' PERMITNUMBER E97-00121 (714) 754-5273 • Fan (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber. Appliwnt Address: 730 W 17TH ST 42408119 WALKER,BARRY ELECTRICAL PERMIT Phone: Zip: Owner. ROTHSCHILD, PETER B TR Address %NEWPORT COAST MGNT CO . , 157 KALMUS DR SUITE D- �� Phone: , � INC � - Zip: 92626 . ... ' Contractor.,� , , Address: � - ' ' INTERIOR 1000SF T.I. 4uantlty ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches . . Non Res Appl Res Appl Service to 200a Service to t000a Service over t000a Motors to 1 hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pote Intermed Pole $22.00 $0.00 so.00 $0.00 $0.00 $0.00 $8.00 $20.65 $4.00 80.00 50.00 50.00 80.00 50.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 0 0 0 8 21 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Phona: . Zip: iicense: SCOPE OF PERMIT FEE SUMMARY s�aws: ISSUED Applied: 04/0717998 Isaued: 12/i611997 -Temp Dist System / Lighting Busway %Y00 fl � Standing Sedion � Misc Eledrical Equipment Trensformers up to 1 kva/kw ................uP to 10 kva/kw .................up to 50 kva/kw .................up to 100 kvalkw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. ConduCor Cirws ( gen or ride) Cirws (mech ride or lights) Christmas Tree Stand Fireworks Stand Olher Eledrical Fee Investigation Fee Plan Check Fea Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quantlty $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 ' $0.00 0 $0.00 0 $0.00 0 50.00 - 0 $0.00 0 $0.00 $0.00 so.00 $0.00 E54.65 EXPIRATION: This permit shall automatically expire and become void iF work is not commenced within 7 BO days, or if work is suspended or abandoned for a period of 180 days. , INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetlona end tinal epprovel must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545826 WORKERS' COMPENSA710N DECLARA710N: � I hereby eHirm under penalry of perjury one o! the tollowing 7eclaretions: � ❑ 1 heve and will meintain e certiticele ot consent to self-Insure for workers' �pmpensetlon, es provitleA for Cy sectian 3700 of tne Labor Code, lor the peAortnenca of Ihe work tor whlch this Oermit is issued. ❑ I heve en0 wW melniein workere' compensa�ion insurance, es requlred by seclion 3700 oi Ue Lebor Cotle, tar the peAormance of the work br which ihiy permit is issued. My workers' compensetion Insurenca ceMer anG pollcy number are: Cartigr. pollcy Num09r. (fhls secNon need nat be aomp/eteC I! tne perml( Is velued ef one hundred dW/ers (5100) or less.) ❑ I certily Ihat in ihe peAortnance ol Ihe work for which ihis parmlt Is IssueO, I shell not employ any person in any manner so es to become subject to Ihe workers' compensation lews ol Cellfomia, end egree lhat II I shoultl �ecome sub�ect to the workere' compensetlon provL91on5 0l Seclion 3700 oi the Lebor Cotla, I shall totthwith compy with Ihese provisions. AppliCant Signature: Dete: � 'P/ARryINO: FAIW RE TO SEWRE WOFiKERS' COMPENSATIIXJ COVERAGE IS UNLAW R1L M1D SHALL SUBJECT AN EMPLOYER TO CRIMItJAL PENALTIES M!D CML FlNES UP TO ONE HUNDRED THOUSqN� Dp.LARE �5100,0OO�.IN ADOITION TO THE COST OF COMPENSATION, UAMAGES �1S PRWIDED FOR IN SECfION 37080F TME UBOR CODE. INTEREST, AND ATTORNEYS FEES. LICENSEO CONTHACTORS OECLARATfON: , I hereby effirtn �het I am licensed under pmvisions of Chapter 9(mmmencing with Seaion 7000) ot Dlvision 3 01 the Business and Pmfessiors Cotla, and my license is In full force and eHect. Lic. q Class N ConVeIXors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirtn thet Ihere Is a construction lentlinp epenry lor the perfortnance 01 the work tor which Ihis permlt is issued. (Sec. 3097, CINI Cotle). Lentl�fs Nflme: Lentlefs Address: Si8^ature: Date: OWNER•BUILDER DECLARATIONS: � I hereby effirtn ihat untler penalry oi per�ury t�at I am E%EMM FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7037.5, Buslness end Professions Code: Any ciry or cWnry which raqulres a permlt to wnslrucL alter, Improve, tlemdlsh, or repair any strucWre, pdor to its issuance, elso requires the epplicam tor such pertnit lo tile e signeC stefement thet he or sha Is Iicense0 pursuant to the provtstons of Iha Contredom L(cense Lew (Chepter 8(commencing wiih Sectbn 7000) of DMslon 3 oi ihe Business and Professions Code) or Ihal he a sha is exempt theretmm and the baSls for Ne elleped e:emptlon. Any violatlon of Seclion )031.5 by any applicent tor e pertni� subjects the applicant to a crt•�I penalry of not more then frve huntlred Collars ($500).): ❑ I, es owner of the properry• or my employees with weges es their sde compensation, WILL DO TTIE WORK, and the StruMure Is not Intentletl or ottered for sale (Sac. 7044, Business and Professions Cade: The Contractors License Lew tloes not�appty to an owner ot properry who builds or imprwes Uereon, and who does such work himsetl or herselt or [hrough his or her own emplayees, O�ovlAetl that such ImprwemenLa era not intentletl or oXeretl lor sale. If, however, [he bullding or Improvement is soltl within one year of comple6on, t�e or.ner-builder will �ave Ihe burtlen of proving that �e or s�e tlitl not build or imprwe for purpose of sale.�. ❑ I, as owner ot Na property, em EXCWSIVELV CONTRACTNG WITH LICENSED CONTRACTORS �o construct the pmjed (Sec, 7044, Business and Pmfessions Cotla: Tha contrectors License Lew does not epply to an owner ot properry who Duilds or Impmves t�ereon, end who contracts tor such pro�ecl with e wntracror(s) license pursuant to iha Coniractore License Lews.). ❑ I em axempt under sec. Business entl Professions Cotle lor this reeson: SigndNre: Date: Owner ID verified by drivets license. � Ves ❑ No Dr'rvers License No. Expires: Vedfr,afion oi Ownership Dy (rype ol daumem,l.6. - properry tex blll or tleea): CERTIFlCATE OF COMPLIANCE qND AUTHORIZA710N OF ENfAY: I certtly under penaliy ot per�ury thel I have reed ihla appliCetion and sfete ihet the intortnetion given is wrteq. I egree to compty wlth all stete lews en0 ury oMinences relatlng to huilding construction, entl euthorize represenlatives o1 t�e Ciry of Costa Mesa to enter upon the ebove-dauribed properry tor inspaction purposes. I egree not m occupy or allow occupanq ot eny bulltling authodzed by this permll untll Iinal InspecUon. Signature Of Legal Owner(s) Md/Or Authorizetl Applicant GO�E � Ix5>ECTroNTYPE 7616 Fixetl System Final Fire Prevenlion 1266 Pool Spa Final 200 Fnal RaRoot 201 Final BIocWFieteining Wall 202 Final Faciory Fire Place 203 Fnal Sign 20a Final Demdition 2<4G46 �g �� QflFj INSPECTONME 206 Flnel Mechenicel 20B Finel Plumbing 210 Finel Elecidcal 212 220 Final Fire Preventlon Flnel Planning Ap0«'el 222 Flnel Sile 250 Flnel Building/Occupanry QAg ItIIIDAlS (714)754•5273 • Fax(714)754-4856 Job Address: 730 W 17TH ST Suite No Vicinity: Parcel Nunmber: 42408119 Applicant: WALKER, BARRY Address: � CITY OF COSTA MESA � BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ELECTRICAL PERMIT Owner: ROTHSCHILD, PETER B TR Address %NEWPORT COAST MGNT CO , 757 KALMUS DR SUITE D- .- . INC . �" �. � - - Contractor: Address: � Phone: Zip: � 8�18 PERMIT NUMBER. E97-00121 77 FAIR DRIVE, COSTA MESA, CA 92626 Phone: �� . , 2ip: 92626 - . Phone: Zip: Cicensei status: ISSUED Applled: 04/0111998 Issued: 12/16I1997 �O O Op �� SCOPE OF PERMIT /--� � INTERIOR 1000SF T.I. � $_ ��-j�s � � - /�['�7%/�ll%�jtj� I ^�"��LJ. H- ��T/SkLT�F�S FEE SUMMARY ISSUE FEE Temp sarvice test Res. alc package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts � Recept Outlets Switches Non Res Appl , Res Appl Service to 200a Service to 1000a Service over 1000a MotorS to 1 hp Motors to 10hp Motors to 50hp Molors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pale $22.00 $0.00 50.00 $0.00 $0.00 $0.00 $8.00 $20.65 $4.00 $0.00 $0.00 so.ao so.ao $0.00 $0.00 $0.00 $0.00 $0.00 ao.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 4uantity 0 0 0 8 21 4 0 0 0 o, 0 0 • , 0 0 0 0 0 0 0 0 0 0 . - -Temp Dist System I Lighting � BuswayYt00fl - _- StandingSection Misc Electrical Equipment Transtormers up to 1 kva/kw ................up to 10 kvalkw .................up to 50 kvalkw .................up to 700 kva/kw ' ..:...............over 100 kva/kw - Low Voltage Equipment , Low Volt Wiring System I Ckt ; Misa Conduit � � Misa Conductor � Circus ( gen or ride), . Circus (mech ride or lights) Christmas Tree Stand � ' Fireworks Stand Other Electrical Fee Investigation Fee �� . , Plan Check Fee - Reinspec[ion Fee Quantity $0.00 0 So.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 . $0.00 0 $0:00 0 ' so.00 0 so.00 0 $0.00 0 so.00 0 $0.00 0 " $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 554.65 COMMENTS / SPECIAL CONDITIONS � �� ,�e� � z -� 7 -�r �� %� EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or it work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes. and all required inspeetlone end final approval must be obtained. Failure to obtain inspeclions and tinal approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATIbN DECLARATION: � I hereby ettirtn untler penalry ol per�ury one oi ihe following declarations: ❑ I heve fln0 will maintain e certiticate of consent to self-Insure for workers' compensation, es provitletl for by seclion 3700 of the Lebor Cotle, for the pertormence of the work lor which this permic is issued. � I heve enG will maintein workers' compensation insurance, es required 6y section 3700 of tha Lahar Code, for Ihe peAortnance of iha work for which this permit is iuuetl. My workars' compensetion Insurance cartier en0 policy number are: Cartier. Policy Numbec (This section neetl not be camp/eretl i/ fhe permif is valued et one huntlretl tlollars ($100) or less.) ❑ I certity ihet in Iha perfortnance ot the work tor which this permit is issued, I shall no� employ any parson in any menner so es to become subject to ihe workers' compensation lews of Califomia, antl agree that II I should 6ecome su6ject to the workers' compensation provlslons of Section 3700 of Ihe Labor Code, I shell torthwlth wmply with Ihese provisions. Applicant Signature: Date: WARNING FAILURE TO SECURp WORKERS' Q7MPENSATION COVERAGE IS UNLAWFUL rWD SHALI SU6IECT AN EMPLOVER TO CRIMINAL PENALilES AND CIVIL FlNES UP TOONE HUNORED THOUSAND DOLLARE (5100,OW�, IN ADDRIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED WR IN SECTION 3]OB OF THE IABOR ODDE, INTEREST, AND ATTORNEI^5 FEES. LICENSED CONTRAC70R8 DECLARATION: I �ereby eMirm ihat 1 em licehsed under provisions of ChaD�er 9(commencing with Section 7000) ol DiNsion 3 of I�e Business entl ProFeuiors Cotle, and my Iicense is In tull force end eXect. Lic. a Class a CoMractofs SignaNre: Dete: CONSTRUC710N LENDIN4 pGENCY: ❑ I �ereby aHirm ihat there is a construction lending egency for the DeAortnance ot tha work tor which this pertnit Is issued. (Sec. 3097, Civil Code). Lendels Name: lender's Atldress: Signeture: Date: OWNER-BUILDER DECLApA710N5: I hareby atlirtn Ihet untler penalry of perjury Ihat I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW tor the follawing reason (Sec. 7031.5, Business end Professlans Coda: Any clry or counry which requires a permit ta canstruct, efler, improve, Cemolis�, or repair any structure, pnor to its luuance, also requires Ihe eOPliwnt lor such partnit to file e signad statement th�t he or she Is IlcenseC Dursuant to the proNsions of t�e Contraclors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of Ihe Business entl Professions Code) or that he or she is exempt therefrom and the basis for Ue alleged exemption. Any violation ot Seclion 7031.5 by any epplicant for a pertnit subjects ihe epplicent to a cie,l penalry of not more �han Ove hundred dollars (3500).): ❑ I, as owner of the propeM. or my employees wilh waBes as their sole compensation, WILL 00 THF WORK, antl ihe structure is not intentlad or oHered for sale (Sec. 7044, Business and Professions Gode: The Cantrectors Licanse Lew does not eppy to en owner oi praperty who builds or improves thereon, and who does such work hlmsel� or herselt or th��gh his or� her own empbyees, provtded tna! suc� Improvements are rrot InterMed or ofleretl tor sale. If, however, t�e bulltling ar Improvement is sold within one year of completion, the owner-builtler will have the burden of proving �hat he or she did not bulld or Improve for purpose of sale.). ❑ I, es ownar ot ihe propehy, am E%CLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Prafessions Cotle: The contractore License Lew does not epD�Y �o en owner of pmperry who builds or Improves thereon, entl who contracts tor such pro�ect wit� a coNrector(s) Ilcense pursuant ta ihe Conirectors License Lews.). ❑ I am exempt untler sec. Signature: Owner ID verified by tlriver's license. ❑ Ves ❑ No Business antl Professions Code tor Ihis reason: Venficetion of Ownership by (ype of daumem, i.e. - property tax bill or Oeed): Drivefs License No. Date: Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CEHTIFICATION: - � I hereby certify that no excevation five (5) ar more feet in tlepih Into which a person Is requlretl to tlescand, will be made in connection with work eut�odzeA by ihis permi6 a�d Ihet no building structure, scaHolding, lalsework, or tlamalition or dismantling thereof, will be more Ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 3d1, Tille 8, Celitomla Atlministrative CoCe). ❑ As owner-builder, I will not employ enyone to do work which would require e pertnit Iram Ihe Division oi lntlustrial Setery, es noted ebove, unless such person hes e pertnit to tlo such work tram Ihe tlivision. Signature: Daie: DlNsion of Indusirial Safety Permit Number: CERTIFlCATE OF COMPUANCE AND AUiHOR¢ATON OF ENTRY: I cerlity under Denalry oi perjury that I have read this applicetion and state thet the intormation qiven is correct. I egree to comply with all state laws and ciry ordinences relating to building wnstructlon, end euthanze representatives ot the City ot Coste Mesa to enier upon the ebove-describetl proparly for inspection Durposes. I agree not to occupy or allow occupancy ot any building authonzed by �his permit until tinal in5pection. Signature O( Legel Owner(s) And/Or Aut�odzed Applican� CODE �. INSPECTIONTYVE �jQ �9L5 1616 Fixed System Finel Fire Prevention 1266 200 201 202 203 Pool Spe Final Flnal Re-Roof Final BIocWRetaining Wall Finel Facrory Fira Place Final Sign 204 Final Demolition 26a&46 COpE1 INSPECTONTYPE �¢ IIiI�LS 206 Final Mechenical 20B 210 212 220 Finel Plumbing Final ElecMcal Final Fire Preventlon Final Plenning Approval 222 FinelSite 250 Flnal Building/Occupancy �nnnessaea�wx+: , .730 W 17'PH ST ' wmensru�eiFiaavn: pETER ROTPISEHILD ��151 KALMUS DR# D101_ C,M. � � �vx. �uuNa �ooxEsa ��*op�� MUSSER ARCH .. . . . uicx.on�++a.•s�ooxess: 151 KALMUS � _ C.M. , - cox�n�crars wu¢: CONIN�ttORS YYl➢IG . �oo�ss urar: _ __ _ ____ _ _ . .CITY OF COSTA MESA -, BUILDING _PERMIT. , �r—" / . __. _.. . PERM NO: B 086183_ PERMIT NO: B 086183 PLAN CHECK NO: 04672-97 A GOVT: N SUPP: N CONSTRUCTZON TYPE: V-N . PERMIT TYPE: STR PURPOSE� ALT __..._-�c�. C-15234 JOB DESCRIPTION_ ; INTERIOR._1000SF OFFICE T.I SQ FT: 25,000 ��: D103 CA 92626 CLAIM VALUE: 25,000,00. CALC-VALUE: 25,000.00 GROUP OCC:.B / COMMENTS: "MUSSER ARCH" REMOVE WALLS TO CREATE OFFICE SPACES 11C.N0.: KiFiEifMlflfKKlFKiFMIFMI('kMiFifiFii1F1f1(�1F1FikiFlfifNiFiEifKififiFiklFlEitiFfElE1F3FKiFiFMiFiFikKifiEifiklFlEMMifiFlkitiFiFMifiFiENifiElF�h uxr: Z O N I N G R E Q U Z R E M E N T S LICENSEU CONfN�CTON3 DECLARATION: 1 Mreby Nim uMer penely d pxjury Ihel I am Ikaroed uMer poNeians d Cheqer 9 S E T H A C K S ' (mmmendrq vrith Secicn ]000) d Gvrsian 3 d iM Bua'viau W PMxeiwu Coda. and mY ��w b In IWI bm end Med. cmuc.No.: uacuss: ue.No.: EXP: _._ _------------ MAIN BUILDING _---------- --------- ACCESSORY BUILDING --------- FANT: FT.___IN.REAR: FT IN FRNT: FT IN REAR: FT ZN o�a: °oitliatlo° LEFT: FT __ IN RGHT: FT IN LEFT; _ FT IN RGHT: FT IN , � OW NER BUILDEfl DECIARATtON: I Fweby elfiim uMer pendy G perryiY �hel � un azemq from tM Cont�edan Lkanvs lew la �M �ouo„+ro�(saa��m�se��o9�evrde�ac�:��y�rvo�oo�mvwn�nw�aoe�n�ommwc+.an«,imyow, pp�jKING AE�• PROV: PARCEL: 42408119 ZNE• MG REF NO: demd'oh, w rqar eny elrvcuna. pv b ds iwnce. e6o npu'um �M applicant la wc� pmNl lo Rb e�qroE qalamenl tlW M a eM 4�,,,en,�viom,n�aa.c��«+�..�..Icnaq«s��.��ns.a�,�000�ao;.e�,awme PLANNING N TES� EXISTING NDUSTRIAL HUILDING�,CHITECT'S OFFICE IN AN B� end Ndos'vro Codel «Ihet he « Ne u ewmmq iherdmn ud �M baw In Ne eAeOb eiamqm. Mf'vidtlion d Ssaion ]031.5 b/ e^Y ePG�imM for a Mmm wbpm �M eGVr�'aY lo e dvd D�Y d nol maa Ilun Gva hund�ed do0ln �Semp. 1F if iF 1k ii iF iF 1! iFll' 1k if 1f IF 1f 1f ik iF 1f if ik 1f if if 1f 1f 1f if iF 1F if if 1F f41f'lF ah 1f iFiF iF 1E if iF iE if ii if if 1E if if i(' iE iE IE 1F 1f iE if if iF 1f ii 1E if iE 1f iF 1F iF ii if M 1f if iF 1f iF ❑ i.�,o.M..dmapw.nr«��pw�...+n.�....m.:.a.��,.;uaom.�..min..o�,A.�a�w.e D E V E L O P M E N T S E R V I C E S R E U I R E M E N T S «aiaae ro,.w ts.a� �o... e�M.. �e a�d��. eoe.: m,eom�m� uo�. �w m« �a eoarm.� o�e. a nw.m Q who Widt a inpone tMraon. vW Mq doee euN wak h'unWl a MnM a Wwph ho a Mr oxn amVb'1w. D�b 1!� wch impmanaHaerem�imrdeAaaMeedlpeW.tl,hmvsnr.iMbud'vqainpwanMmwldwuhinarymdmmpbtm.IM ZONZNG APPROVED BY �J3-Al� ' DATE: �2 ��O�R� �ow�wa��.wn.�ein.n.emao��ron.«dedd�aw�a«�a��«m.n�ro»a.wl. 1. n owrs d the VrWatl. am udv�aN mM'een0 wM fimasd contradm b mum�n tM p4� (Seeuri'lW�. &n'vrs md amr.n�me caa.: rn. com�.aa. u�«ue �.. aoee m wcN m.� ow�w a ww�v wro wiu. «'vnpw« m..o� .d .nw wnirena tor urh pNae vmh e aim�acMe) IcemeE O�uenl lo iM CaMreda� �kmne lewl. � I em uemq Ss/cj� p B. 8 P.C.. M N; ae n: Date:� Fl_�/�� Ovnr. � iI do hmabY eMM Nm I am ewere d md udseterM Ihe epu'vam� tl Caliorrve Iketlh ud SelaY COAs Sadiom TS505. 255�J. ad 2553a, vM Ne� I a enY Mwa buildin0 �. vrill / wil M(dicb'ans) rwsa ro canOF/ w[h uid qeta mdm W tM nG��Mh la eoertnnlamutrunionarmodifratunham�MA� u�e�penwMD'ntnd.RevdeniWmMrutlionWV�iomenazanqhomtMa � BOILDING APPROVED BY : DATE: APPLICATION ISSUED HY: V�C DATE: 2� ififififMkkNMlFlfifiklfitkiFlkikMiFlE M1FikiklFNikiEiklE ikif LEGALIZATION:N_ F E E S U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMBING ELECTRIC-,�MECHANZC FIRE SMIP/RES GRADING PERMIT . 349.75 /;.%r� om,: ,�p;um: ' ; >` SMIP /NON-RES WONKEP'S COMVENS�TION DKLM�iION: I Mrab� elfvm uMr perolly W pw�uy ar d iM b0oxinp detluubn: P LAN 5 6. 8 4 �,�� 5. 2 5 ISSUE FEE �i_" ❑ i".�^'^°"""�""°".�rv'.a�°"°°'"'°.°""'"°`"'"°*""°'"o°"'"'°".°'^'°"°°°i°'°rs°m°""°°°"'"i""°' BUILDING-DIV-> PERMIT ISSUE PLAN-CHfiCK TOTAL pAID DUE cea.,i�meose«�.am..�xia.i:�nm�,�n��e. � TOTALS----> 355,00. 0,00 r56":84 411.84 411.84 .00 ❑ in.V.�aw�m�.�on�..•�o��...�w��.dbrs.a�a�aoame�e«coe..to.irow�«��am. v+ak b whi�A tivs G� e mued. MY wnYen' canPM�ian inarenca wrix end V�Y munEr ua: � c.m. REVENUE DIVISION TOTALS--> COLLECTED� 355.00 OVER/SHORT: 00 awcrw�,n. HLDG PMT.PLUMBING ELECTRIC MECHANIG FIRE SMIP/TOT GRADING PLAN-CHECK �w s.a�on neee na as �w+�de�� r rns c«m,t e ro. me nulw�sd adwa R�aol a �w.! 3 4 J.% S_ _ ,,... "(� � . S. Z S � i mnry tlmt in Ne pMmnence d �M wark br whch tho pe'md b iauwE. I tlWl �w empby ury pswn w u�y mww n m m � . bxvro d4� �o iM wks+' mnqenwian laxs d CelAanM. ard eY�es Nq tl I NadE bacanr w4a m tM xabn' iFIFM11iF1fMIFiFiFM1FMiFMititMifMlFIFiFIFiFNlkfEiFMlFiFiF1EiFMiflf�iFiFiE1EMMiklEikMMiFM1E1FiF1E1EMIF1flfikikiFififiElFiflFifiFiFififMMlE1EiF compen�slion pwubn d Setlion 3]00 d �M Lebor COM. I duA tMhrYh wmV�' wYh IMw pwubu. p� �� I N D I V Z. D U A L "F E E H R E A K D O W N Wamlip:FaNunb�ecunwoMreriro�owwtlonroverp�l�unl�wNl,�rWNtll�ubJcf�nr�plqwroulMnlpaMlUwaW TYPE QTY D E S C R I P T I O N� �� UNIT COST TOTAL COST c/HI llnu'q ro orro huWretl t�aua�rd JWbn /SI W,PWA M Maltlon b M cwf ol ronpoue(bM1 Oem�pu o povWM br In s.�n«,s�oso�m.�.ao.cow,�m...o.�e.m,my.r.... SFC 25000 ALTEA BY VALUE COMMERCIAL NOZONE 1.00 25,000.00 CON9Ti1UCT10N LENOINU AOENCI': I MrWy dfirtn urder paiuly tl psr�ny ihel IMn o a w�utvaion bMrq pmry M ihs END �•,OF ' FEES penom,enoe a �ne..ak eu wnid� �n: w�+ e ewee (seaim �On. cH. cl. `� /' LENDER'S N�IIE: LENDEfl'S �OONE55: � "� 1 cMily tIW 1 here reW Nu eppl'rmim eM nete Ihat IM ebws iMamation is conatl. I apies to canply wllh M tlty erd cauMy adimrces "J � erdslalslewsMe�Mbbu2diqmmtrud'aneMMebYeWacenV��e4vaedihedtYmeMvuP�IMebwe-mamonedV�WdM ��T Y ��'�`�HARAY WALKER j � Pnm Neme —��_ p y;'l, ��-�/: �ti�-�iL�.� b YJH 9 �i o�? �-r?� � Dme: Spnmure W OwnaelApen reda �J (St51de.WP) While-Buikip 8 Selery:O�romFla: Guwy-AppFani: Fnk-Ravenua:Oddaneo�Nwvor 12-15-1997/e9:49 p�/E355.Ca �'EFtf•1I T eT066183 ♦ + •CONSTRUCTION AND PLANNING ' PO.... & SPR APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date inspector i. Temporary Electrical Service or Poie ' 52. Pool & Equipment Locatio� ' T2.�oil Pipe-Undrgrnd. . ' 53. Steel Reinforcement ;, tm.,�.'�IectricaT�Cor�iuit Utility-Undrgr�d. " 54. Forms .. 4 c(7� ElectricaPL'dnduit•Undrgrnd. ` 55. Electrical Bonding � � '"'�L;S� Steel Re�f.�wcement 56. Rough Plumbing & Pressure Test � : r�i Electriwi�ClFEfl Grnd. 57. APPROVAL TO COVER�GUNITE F ��{ Footingsy''� 58. Electrical Conduit�Undrgrnd. � E,-y . Foundation 59. Gas Pipe, O Undrgrnd., Test � Water Pipe�Undrgrnd. '� 60. Backwash Lines. P-Trap, O Undrgrnd.. �� 10. Structural Floor Svstem 61. APPROVAL TO DECK . 1 i. Property Sew�r Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap 1, � 63. Heater & Vent�Pinal 73. Roof Drains'� � 64. Plumbing SVstem � final �n 14. Rough P�umbYng j� - 65. Electricai-Final - 15. Rough Electrica6Conduit •• 66. Solar SYstem-Final � : 7 G. Rough H�cLric Wiring 67. Fencing & Access ApProval ' 17. Rough Wietyg Sign . . 68. APpROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - 69. POOI/SPA SYSTEMS FINAL 79.;,Roug,h F�e�tirjg &,4:k( Conditinc�lny rns ��: m Q�: _ C FI�RE�EPT:�2EQUIFtEMEPAT !u b1 ^.7 � •J C�! * �" 20.�''Tio �^p F3'cto� Fr lace i SC�' ��Q i: S �--i �� C APp�j OV �S'�" P�mit #�* ` n _ (9 � `<.� i F-� i-� n S r r� `7 '7 x i �..'7 �". " M t�-- �.., s ; .. .. � a 21.�.Duaps, it�;6tru�tu * � �: s n�� i.� 70 Wnder9rsu0d �ydro � 22.::Duois, �lelitil�in �': i '� *'� 'Q � �-� � � =^ . � �.. � � r., H� . 71. Produ�,LtPi�ing. ,_ Jas �70i1 a .v 23. Gas�ipe�to�h &'i�est � nS x� t*1 0� n � 9 � �-+. a , � a�tT� QO r �C � Sx 72. Under row+d F_iusFn, ,p � o I 24. Aoof Framing �s m Y� > cC F-+* • 7,�., Undergmd.St�a�7an� OGas ❑Oil I � s .� . � c� x � � v �'', 4- Nx. 'C v ; x > N a �.� • �� .v a.� . 25.�iodf,She�athing mx F., �c y by �;% 4�.a.Ove[,head Hyd�ge� � `u��'"„ � I 28.�'3-Ba* CeiVing (Structural) & MO'hDcoat S � O �+ �z� 7Ft-pry.CheTjii�ai F"T � ,t, '� ��;M1 • I' � 27.��ra ea�d �a3hi � F�,,mn �� L} C' �' a,* 76. Dr StaidN F" .%n � I�.1 � � Y wP�2.-+ �x _ n� cc � 28. Lat ing;$ SiCing'r"a C+.�^.i-� 00 -W � � * 771. FIXED�'S�STFi✓'aFIN '"� r: T� ' h �^ i n' , 29. InSUlatiO ` �+ ^ 'S y� , � (. It+�" z a J� O�;r � t� C�x 5 �. FIRE PREV. �1ry�4L r > � i 30. Drywall Nailing GM � i F �x F , I � S ni�EqLT�fd DER7_REQUIR'EMENT n�- � s � r� c� x a r I x � m �� 31. P�asier B�wplCoatx. , rr, �� M � � � 79. fINAL�PECT�ON ;� ;, :, , 32.�-Efectricat;PoWer kA�terJF,Snal i i-+ ,r �V `' �� 891 FO00 CERTIFJCATE 16SQJE6� n Y� �.? '7�k D7 1 '�(S ^�Y I �f (-Y. :l ^: ^]I'3 !�-; �� S[: • 33.�ina�7,Elecin iv9tes: y mt1 g� .�. .� yi :�M ts; : .�.. .� t x I �r 34.�ina1'He�ating� A'wrCpnditiomn9 Mp '� � � i � p ^ h� t�,�� ^/=�5i�^_"��"�y',"^'� �,y - 35.;r inal Gas Pipe'-Test r �^ � ,� '� '-' � {�. ^ ��/r�T� o�LGGI +/ � 36.�Ho or no `��'� � ' � � �� z � r� PY [Tl �F Cl � C C' '✓. # � i!: � 7 . , a Y [� � [*] C 37. finat'FaLRory Fir�p cez '`"F" �'` '* p: z * N ,,.�,.. � • • m;� *r� � F� �¢ r• � S �a i ... .n .� J-- - 38.�inal.Plumbie�g p�: h i -�r-� :K � � �. � � ux �: :� �. � - y �� 39,-YJater $ervic�firiil* f: • �' � x ! Y �y ^�; * r � �.� o., :n �: n� i 1 �. ;. �, , x , 40.�GasService-F�nal�,�* .,_,F, M� *` c., • p� � _ � I �.,, � ', 41. So1ar pomesuc-final � tT� * ( ( p �° 'Ya � * � = � m r�.. � x D I 1 t�: �+ O� u �: 5 Q'Y: C. it R' �r H I I M� iT! i�7O�� K� ;-. 42, Backflow Prevent�er.� �� ,..��.., �:. i t43, 8ackflow Irru}atio"itr �'' ` ;*^ x F � :K 3 O o � ? L V , lb J+tJ �4,rLandscabe Iriigatio5� Systemaq;; Yju .K � lZ <{�: E � � �� M 5 �" v `. v . . _. . 45,=Sound .atten�latioM "� .: .. � ^ m m mr '� c^ c� �2 . �� * c r-. x m •�K � ir� Hc� ••:ti � 6.yNandica 'Re ulatio, s ^' " ` � �. C 9 � S r S ..� ..� m��cn (J r' cz47,�IN'AL STRUCTUR£ & BUILDING � r . ! ' � � 'J' * F" r: r r. �.n;r k � � C; t �'J � I 48.�IN''.�L PQANNINC� � '''� � �. , �•, J • �.9 � � i I I'` � c� r� s ;: �t ,. =49,��ectiic Belease to 6dison i �x I � t� •� � ��• �, �i o r^ r-.;-; x � � �. :� �• � . � - �O.�as.f�ele�se to Soutfiem Calif'ori+�aGasCo ,; �; • S ;�c i� .« .^� o Date Pfl0.1Et7pODflESE: 73O W 17TH ST uxrt: p owpex�sNaMe: pETER ROTHSCHILD nooness: g66 W, 18TH ST ' _ COSTA MESA �- ' CA 92627 excxieNcixeee: �� 14 ) 6 5 0- 9 4 6 6 qE0.N0.: C.R. ALLEN S1823 ,� RDOflESS: S7I1 MTTCHELL NO, uxrt: IRVINE CA 92715 PEPMIITEE: rjUILDER' S GROUP ( 714 ) 969-0169 �i nooness: 10190 IMPERIAL HWY GARDEN GROVE CA 92643 LICENSE� fANTMC70R UECUMTIOX: I hereGy aRirm that I am IicenSeA unEer pravisions ol Clwpier 9(commendnp witA Secfian 7000) ai Oivision 3 at t�e Buslness and Prolessbns CoOe. anC my lirense is in full foru a�M attecl. ciTr uc.: 0 5 O 10 6 psu�re,�.,uc.: 5 g 3 � q cuss: g � ^ � ��" � V SiAnaNra: - KEHS' COMPENSATION �ECIAM710N; 1 herehy aifirm that I have a certi/icate oi onsent ta selFinsure or a certificate o1 Woders' � i�OEnu[ion Insurance, or a certifietl copy ihereof (Section 3900, laE. C�. raucyNo.: 1182325-90 exr.o�re: 03/O1/91 coMraxr: STATE FUND ❑ CertifiM copy is here0y tumi50eE. � CertifieE co�vefiled vrit� Ue dry BuilUinO �on. �_�s-- �o (% � //%/ ` Date: ApD�icant: � �" �'�'� u �' E%EMPTION FROM WOBKEpB' fAMPENSITIOX OFCUMTION: Qhis saction neetl not be co plete0 il ihe Dermit is Mr one AunOrep (E7 W) or Inss�. I certify that in Ihe Dedormance ol the woM lor whicA this permi� Is IssueO, I s�all not employ any Derson in any manner so as to 6ecame su6jeq to [he Workers' Compensation Laws af Calitarnia. Date: ' ' Siqnamre: Np710E: If, aher malonp tNs EeGaratian. you sMu10 Gecome suhject ta the Workeri Campe�ation prwisbns of t�e Labor COAe, yau must tortlrvntA wmDN ��h such Oravisims or tNs perMt shatl be OeemeO revakaA. CONSTBUCTION LFNOINO AGENCY: I �ere�y atfrm that ihem is a consiructian IenOinp aOe��Y �or I�e pertarmance oi IAe work lor wnich tys pumit is issuetl (Sec�ion 3097, Civ_ C). IFNDEfl: ADOflE33: ' ' 0 u BUILOEN DEClAM7I0N: I here0y attirm tiwt I am exemD� �mm Ihe Contradors' State License Law tor the followlnp reasan 7031.5 Business an0 Professional CuEe: My ciry ol counry which repuires a Dermlt to conaWct, alhr, improva. demol¢h, ar iy simqure, O�ar to ils issuanca, also requires Ne applicant lor suc� Dermit to lile a sipnetl statemeM that ha/she is IlcenseE ttothe Drovisions alt�e Cont2ctors' State License Law�Chapter9(commencinp wit� Sectlon 7000)oiDiWsion 3 ott�e Businass lessions Catle) or that IreJshe is exempt t�ereimm an0 t�e Oazis Por the allegetl exem0��on. My Wolatian al Section 7031.5 6y licant tar a Oermit suDl�� e appliwnt to a cNil penalry ol not moa than frve hundreE tlollars (5500�. 1, az awner al tha DropeM or my employees wIN wapes u their sole comDe�atian, wi0 do tM xork, anE IM structure is mt intendM ar ottereA lor sale (Sectron 70qA, Buvneu and Pmfeuional CoOe: T�e Con[rsccors' SWte License Law Eaes notappty ro an awnero�a property who buitds orimD�oves thereon. and who Coes sucn work liimulHherseliwt�rwrpA his or �er own amployees, proviAea t�at such impravements am nat intenEed ar offerad tOr sale. If, however the Cuildinq or improvement is sol� within one year of completion, Ihe owner will have Ihe buraen of DraNnp he/she Oitl nat build or impmve lar the DurOosa ol sale�. I, as owner oi lhe prope�y� am exclusively contrattinp wit� IicenSeE cant2ctors to construct Ihe pml� {Sectlon 701d, Business and Prohssions Cade: TM ConVectors State License Lew Oota not apPN m an owner al propeM � budds a Improves tlrereon ana who canVacts lor such projects xith a contraclor�s) licenu Dursuan[ m Ne Cantnclors' SWte license Law). 1 am aware that proof at Iheir Wohsr's CompensaGon msurance ¢twulE ba pro�MeO to me. I am exempt unEer Seclion: B. E V. C. , for thk reason: Oale: Owner: I Oo here6y certiN ��at I am awa�e ol an0 urtAenWrM the reQuiiements a� CaG�wnia Health and Satety Cotle Sectbns 25505, 25533. arW 2553d an0 [hat 1 or any future Cuilainq occupaM xilBwill nat (circle ane) neetl ro comDly wit� saiU sta�e coAes antl tAe repuirements lar a permp for cansWction ar moEificanon tmm tM Air Owliry Manapement District. HesiEential construction appliwtions are exemp� imm I�eu provisions. Daie: Apyliwni: I �ergpy �ity that I nave reaE ttus appliwtion an0 state that Ihe abnve inlormatlon 6 conect_ I aD�ea to co pN �t� all ciry an0 counry orEinances antl sWte laws reWtlnp �o EuilUinO construction an re0y a oritt repreuntatives IO' Ry t t�e abova-memianeA DroDlrry for,inspection purposas. Date; �o � 1$— 9 0 Sipnature: Oriver's Liunse ar Soda� Secunry x: ( 184/i8 W�ita—Bu1101ng; Oraen—Cqtle EnlorcemanF. Canory—Applicant; Pink—Revenua; OOIEenroE—Aseenepr 7' CITY OF COSTA MESA - bUILDING PERMIT PERM NO: B 047796 PERMIT NO: B 047796 PLAN CHECK NO: 04500-90 S GOVT: N SUPP:,N CONSTRUCTION TYPE: 2-N PEAMIT TYPE: STR j PURPOSE: NEW JOB DESCRIPTION ; fiOUNDATION & SLAB FOR FUTURE BLDG. .SQ FT; �9--8-6`�i-/ �I� CLAZM VALUE: 10,000.00 CALC-VALUE: 10,000,Q0 G�YOUP OCC; �� ,p��/ FrF�i COMMENTS: RE: 46380 PRIMARY HLDG. PERMIT, •� ��cP,{ ,./�/Qo ��t�t�t�e*�t**�t�r�t*�r*�r�r****��r��t�t�txz�r�r****�*�r�r�t�t*�r*�t�t**«�r*��*��*��t�t�r�t�t*** �r*��t*x�* Z O N I N G R E Q U I R E M� N T S 5 E T b A C K S ------------ MAIN BUILDING ---------- --------- FRNT: FT IN REAR: FT IN FANT: LEFT: FT IN RGHT: FT IN LEFT: PARKING REQ: PROV: PARCEL: 4240811 PLANNING NOTES> SLAB AND FOUNDATION FOR A FUTURE I i ***��,��e,�,�**�,�,��,«+��*,�*,�*�**,�***,�*�,��*��x*. �� D E C' E L O P M E N T S E R V I C E S R ZONING APPROVED bY _S �e _,��' � BUILDING APPROVED HY ; APPLICATION ISSUED BY: Bt2 iF if it it iF ik it ik iE it it jf i! it 3(� it ik jf it iE if 3f iFiEiEitiEifiFitifiPiEitifiFit�fifififiE3lfEifjEiEifkiFiEiFiEjliElfiEitifiEiEif1Elkif iF LEGALIZATION;N F E E S U M M A �?CCESSORY,BUILDING --------- FT IN REAR: , FT IN FT IN RGHT; FT IN T1E�• MG REF NO: ��. �BLDG � � x�**��+r�t+��e� *�r�+��*�'.+�*+�*+r�«**� E Q U I�E M E N'�T,' S � ., . DATE : 6''-��—�O " D�\ E: C--ifJ'— O k itlk 7F it iE iE iE iE ik 1E if iE it iE iE iE iE it i� i�.1� it it it iE iE iE 1E iE iE 1 Y STRUCT��R'JfiL �SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANy.0 FZ.RE SMIP/'�ES, GRADING PERMIT 117,00 � SMIP/NON-RES PLAN 76.05 1.50 ISSUE FEE . � ._ D - IC > PE MIT - BUIL ING_D R ISSUE PLAN CHECK TOTAL PA7,d DUE TOTALS- -> 118.50 0.00 76.05 � 194.55 194.•'�5 .00 i� ' • REVENUE DIVISION TOTALS--> COLLECTED•: 194,55 OVER/SH��ING PLAN-CHECK BLDG PMT PLUMBING ELECTRIC MECH�3o'iC FIRE SMIP/TOT (� 117.00 , - 1.50 y 76.05 ��****��****��*�+��«��*,�,�**��y.*��*,��,�**,��**��*�� «,�**,�+�*,��*��*� I N D I V I D CY 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 CO�T TOTAL COST SFC 10000 ALTER �Y VALUE COENDROFAFEESNOZONE 1, 0 10,000.00 / . ! % � () i 1 i � ✓ tli fi0�b's3�6-� `�6339$ Tf7 i' 19b,S5 � �ATE= 06/18t� 7Il7E: 1S-l2 . i n CONSTR �GTIOBAAND PLAI� , JOL & SPA APPROVALS Permit #� +Date Inspector qppROVALS Permit # Date lnspector 1, Temporary Electriwl Service or Pole 52. Pool & Equipment Location .� 2, Soil Pipe-Undrgmd. � - 53. Steel Reinforcement '" 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd��, ' � 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7, Footings � .. � 58. Electrical Conduit-Undrgrnd. •� 8. Foundation `"n �,.� 59. Gas Pipe, O Undrgrnd., Test :�� 9. Water Pipe-Undrgmd. ` 4i >� j 60. Backwash Lines, P�Trap, O Undrgmd. � n. 10. Struaural Floor System r % 61. APPROVAL TO DECK � 11, Properry Sewer Line & Hou`�Connection �� 62. Backwash & Receptor-Final ,i' i. 12. Sewer Cap i 63. Heater & Vent-Final i�}Z" 13. Roof Drains '� � � - �) 64. Plumbing System • Final ,•'1 14. Rough Plumbing i l� �j �% - 65. Electrical-Final � . ' � . �� 75. Rough Electrical�Conduit 66. $olar SYstem-Fi�al - 16. Rough Elearic Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in St�ucture �� 70. Underground Hydro 22. Dutts, Ventilating 77. Produc[ Piping OGas ❑Oil 23. Gas Pipe�flough & Test 72. Underground Flush 24, Roof Framing ' 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical Z7, Frame and Flathing 76. Dry Standpipe L�,-"` 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. �FIRE PREV. FINAL 30. Drywall Nailing ' � r' �' HEALTH DEPT. REOUIREMENT 31, Plaster Brown Coat � �, 79, FINAL INSPECTION 32. Electrical Power Meter�Final ,/ 80. FOOD CERTIFICATE ISy�"VED 33. Final Electric " , Notes: � - ' 34. Final Heating & Air Conditioning � 35. Final Gas Pipe�Test !� . : 36. Hood or Canopy �,1-' , � 37. Final FactorY Pireplace ��" � � 38: Final Plumbing � . � �- �... 3g. Water Service-Final ' r. 40. Gas Service-Final -�"�"r� . ' -- �� / 41. Solar pomestic-Fi�al �� q2, Backflow Prevenjer � � �� , 43. Backflow I�iigation �"'\ 44. Landscape Irrigation System ' � � 45. Sound Attenuation � • � �� --1 ' 46. Handicap Regulations � 47. FINAL STFlUCTURE & BUILDING L 48. FINAL PLANNING 4g. Electric��Release�to Edison � � 50. Gas Release ta.Southern California Gas Co ' • . 51. CERTIF�ICATE OF OCCUPANCY No. >' � Date v,N rrs ��G � COSTA MESA BUILDING•SAFETY DEPARTMENT APPLICAT � P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 RECEIVED BV � For Aoolicant to Fill in Cmm�letelv — Use Ink Onlv . ,�_ .. - - ----- ----�-----, . /' BUILOING �.��.q� � "hj C � A.P.NO. � / AIIIIFFSS QI I J �{O MAILING � ADDRESS CITV (�iS � w CONSTRUCTION LENDER BRANCH AODRESS ADDRESS CONTRACTOR �� ADDRESS TEL. CITV NO. F STATE CITV LIC. NO. . LIC. NO. � 512E NO.OF BLDGS. a OF LOT NOW ON LOT a USE OF ,N. E%ISTING BLDG. y FSeparate permits are required for 0 electric, plumbing and hea[ing work: �.W., VSE OF BUILDING AND WORK TO BE PERFORMED a ❑ Q Tb Q J4G E � 7 r � a w a. ILLi�7 • � • USE PERMIT 10.5 TL' 7'1� L/ .. LOT ��- /D r/ �eLl !O 2S 4LTER REPAIR MOVING DEMOLI APPROVEDSETBACKS PLANNING ACTION DATE�' %l C/lf1 onre APPROVED � I hereby acknawletlpe t�et I hava rentl this appllceNon antl state �y, thot tha ebava Informetlon ia correct enC epree to comply wlth a oll lews reguleting builtllnB �onrt�uction, entl I chall not employ z any person In violailon of the workmen'z compensation laws of � tha Stata ot Celifornia. 3 I hereby certify thet I am p�oDerly Iicenfetl es a contrecior unAer FT. the Stam oi California Business end Profauions Code, Olvlslon 3, THE AMOUNT SHOWN UNDER VALVATI Chapmr 9, antl ihat cueh lieanses ere In full �orca enG effxt, or 1 THE GURPOSE OF ESTABLISHING A PERMR am exampt irom the provlsions oi thaStete of Cellfornla BuSlness VALVATION PERMIT FEE E and Profassions Cotle, D' (Non 3, Ch ter 9. Slgnetura of , � PLAN CHECK E Permittae S a� TAX S of e Authorize Apa Date ` � TOTALPAID E/ / m n i m 7 m m Y n M O LL F u i , . ' 43402 - COSTA MESA BUILDING-SAFETY DEPARTMENT � P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUI I.DING ADDFiESS OWNEP � � MAIL �JO ,�� )• , ADDRESS / {y TEL. CITV NO. CONSTRUCTION LENDER BRANCN ADDRESS L. ADDRESS AODRESS p�J� �� TEL. CITY � NO. ��-� j� F r7y ',y � L C NO. LJSp J'� IICVNO. {rd SIZE ' ( NO.OF BLDGS. //. C. OF LOT O NOW ON LOT (! a VSE OF � EXISTING BLDG.'./I� , OF h FSeparate permits are required for 0 electric, plumbing and hea[ing work. � USE OF BUILDING AND WORK TO BE PERFORMED F a C ..1 Q 7 i• � � w � I heraby acknowleCpe that I have reatl ihiz applicotion end stote � y� chat the ebove Informatlon is correct and eptoe to comply wiM � ell laws roguletlnB 4uilrlinp construcNon, antl I shell not amploy Z anY Pa�son In vlolation of ffie workman's compensetion laws of � Me Smm ol Califorq�e.///�� 3 I haroby certify Nat� proparly Iicanutl aa a contrector under the State o( California uafness enC Profasslona Cotla, Dlvislon 3, C�eptet 9, entl thnt fh Iieenms ara in uil rc tl act, ar I am exompi trom c�e (�rovlslons oyth of olif qi u�ass antl Professlons COC�ivialon 3l / // Au � �te--i-�,P"—�`DQ ea3:> ,:,:.:Zg•-:.SG _ �,�� APPLICATION FOR STRUCTURAL PERMIT • .` REGEIVED BY DATE RECEIVED DATE IS ED � r— \�y�. P RM T NO. A.P. NOI " �� AD R'E S/ q� ��, I'/.� �+ ER I �ib�% • � NO.OF PLANS YARDS APPROV E MAIN BUILDINC DISTANCE BET MAIN BLDCS. VAR.� � n FOR THE AMOUI THE PURPOS VALUATION /v _ V' VALUE USE OF V BET. MAIN & ACCESS. BLD DATE . V.V ' � n m i m m N VN UNDER VALUATION IS FOR m -ABLISHING A PERMIT FEE ONLV; � PERMIT FEE 5 Q m ALAN CHECK S ^� 0 LL TAX E �v U TOTALPAID 5 � 43¢v � -- _ COSTA MESA BUILDING-SAFETY DEPARTMENT o n aOX 1200 COSTA MESA. CALIFORNIA 92626 'M1Y t t-77,Y—..�,�:'OG 57�' c�'. �..'� �' 3:' ^C APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely Use Ink Only RECEIVEO BV DATE RECEIVED DATE IS UED BUILOING 7 ADDRE55 // ^ � ✓ - I PERMIT NO. OWNER J� • C IEN A.P. NO. BUILDING % MAIL ADDRESS 3O / ! � S ADDRESS TEL. TRACT LOT BLOCK CITV N� CONSTRUCTION W A AL R P M LENDER BRANCH � / OWNER C�iC/v ADDRESS V LUE ARCHITECT TEL. S L. 5 OR ENGIN ER FIRE ADDRESS ZONE TVPE -- GPOUP APPROVED CONTFAGTOR LD B�' DATE ADDRESS TEL. ZONE NO.OF USE OF NEW CITV NO. PLANS BUILDING STATE CITV �'ARDSAPPROVED VARDSAPPROVED IIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING S12E NO.OF BLDGS (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. VSE OF EXISTING 9LDG. F . FT Separate permits are required for L SID F. FT. electric, plumbing and heating work. REAR F7. FT. USE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN & MAIN BL�GS. ACCF�. BLDGS. VAR.qW DATE C.V.P.µs APPROVED APPROVED I hareby ecknowletlge that I heve �ead this eppllcetion antl atate '^ that the ebove InformeNon Is corract entl oprea to comply wlih � m all laws re0�letinp bulldinp conctruction, end I chall not employ � any person �� olaiion of tha workmen's compenmtlon lews of m Me State of California. m I haraby ce/tify thet I em p�operly I(canzetl ef a conttecior under SQ. FT. N Me Stnro of California Business antl Profauions Code, Dlvislon 3, TME AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, enE theS such Iicances ere In ful� forea end affect, or 1 THE PURFO6E OF ESTABIISHING A PERMIT FEE ONLV: am exempt from the provlslans of the Steta of Cellfornia Buslneca 'O VALUATION PERMIT FEE $ and Profacdons Cotla, Division 3, Chapter 9. u� m Signeiure of PLAN CHECK S "� 0 Permittee 5 TAK y LL . f U Authori2etl �+Oent TOTA� PAID § z � . • . �395b � COSTA MESA BUILDING-SAFETY DEPARTMENT • P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completel — Use Ink Only BUILDING ADDRESS / �� OWNER _ �• �JL:y�h� MAIL ADDRESS TEL. CITV NO. O�NSTRUCTION LENDER BRANCH ADDRESS ARCHITECT TEL. ADDRESS CONTRACTOR �yV"�LK/ ' ADDRESS TEI. CITV NO. F STATE CITV LIC. NO. LIC. NO. � SI2E NO.OF BlDGS. o. OF LOT NOW ON LOT a USE OF „�,. E%ISTING BLDG. y FSepara[e permits are required for A electric, plumbing and hea[ing work. E.W., USE OF BUILDING AND wOiiK TO BE PERFOFMED Q � �N a a > � .a ce w QI hereby ecknowlad0e t�at 1 hwe raad thls applicatlon and steta p�. that tha abava information is corract antl agrea to comply with a ell laws re9uletinp bulltling eonrtruction, end I ahall not employ Z any Da�son in vloletio of Me workman's eompensallon lawa ot Si�o State of Californl . 3 I haroby cartify iha I m pro0arly Iieensed es a cont�ector untler the Smta af Callfo I Busineu antl Profassions Co lai Chopter 9, antl th t eh licanfea erB in tull }orc entl a} .Or I em exempt from h provislons ofj� e Ste}� i Iforn uiinesa antl Profasaions otl vl�ion 3, Qfiqgte/ � �� APPqOVED r�.0 ��.c 5: ,�AY 11-77cuK=a`� S:S7 : .. . _.. ION FOR STRUCTURAL PERMIT ' DATE RECEIVED DATE IS UED 3- ��i � PEFMIT NO. 73o IN / J - .� T- [�/T �Gi E�iyyWE N(: C. 5 DATE jJ� �r NO.OF USE OF I/J /� PLANS 2 BUILDING � VARDSAPPROVED YAFDSAPPROVEO MAIN BUILDING ACCESSORV BUILDI 30M C/L STREET) VAR. 9W DATE APPFOVED __� //_ n w i m SQ. FT. w TME AMOUNT SHOWN UNDER VALUATION IS FOR m THE PURPpgE OF ESiAeLISHINO A PERMIT FE ' � VALUATION PERMIT FEE E � N �-y � PLAN CHECK S ^ 5 li/� 0 vv TAX E LL (/ � u TOTALPAID S � ' ' � �� • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applican[ to Fill in Comple[ely Use Ink Only BUILDING 73a � l — �� ADDRESS / OWNER � / �L �I C� MAIL ADDRESS TEL. CITV �/ NO. F � {i] a a y y x F G F a c .� � } .� �i W a 0 Q�. a Z{t� Y" 3 BRANCH ADORESS ARCHITECT TEL. CONTRACTOR, TyO/LE ADDRESS / 6 �J / � ��T� .z/zd�a�F STATE /��2 � O/ LIC. NO. L Q SIZE OF LOT USE OF �i�E �2a� O�t/.TT lQL�Lf CITV LIC. NO. INO. O LF 9�DC NOW ON LOT Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED �-i2� d.Q�sv.c�� SEP 19-77PAIDOO s4z# �*� 138.83 CMSA APPL[CATION FOR STRUCTURAL PERMIT A.P. NO. (��` BUILDING �i�.i ADOFESS l �� TRACT W A D A x OWNER I IIGF TI/�E, �/ FIHE 20NE APPflOVED NE NO.OF PLANS � YARDSAPPROVED sE7 VAR. ,X� C.U.P.�W APPROVED PERMIT NO. J USE OF N BVILDING � VARD: BEf. MAIN & I hereby acknowlatlBa thet I hava reatl this epplication antl staie ST •�" that the ebove Informeilon Is correci antl egree to comply wiih ell laws repuletin8 bulltling construction, antl I shall not employ eny perzon In viola<ian of che workmen's compensatlon laws of the State of Californla. // �? � / 1 hareby cenlfy thet 1 em prope�ly Ileensetl as a contractor untler � ��SO. FT. the Siete of California Business antl Prafenions Cotla, Divlslon 3, THE AMOUNT SHOWN UNDEfl VALU Chapter 9, antl that such licensez ere In full force antl affect, or I THE PVRPOSE OF ESTABLISHING A PERI am ezampt from the prov(cions of the Stete of Callfornle Buslnass VALUATION PERMIT FEE § and Professions Code, Divislon 3, Chepter 9. PLAN CHECK S Signetureof � � $ // n0 Permittee ��J ` � Q TAX S Authorizad Apant TOTAL PAI D E r ROVED BUILDING ,e e � m m 0 f U � �• • 5�82 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 • For AppGcant to Fill in Completely — Use Ink Only ADORESS 7�� L�,�� /7� 5�. C�I� I OWNER K j'� �'j�� N 'r' • SC�I-�E ADDRESS %Z� 1.�� 17� S�. �III � �/y7 TEL. CITY nc h4 ///C—< l� NO. �.310/ BRANCH ADORESS ADORESS r .�� re�.633a1Z5 Pk30 ':OV 16-77cwsa�� 914:> ,:*��U0.10 APPLICATION FOR STRUCTIJRAL PERMIT ECEI DA7E RECBIVED ncTc is �Fn A.P. NO. BUILDING A�OHESS uN�>c FIHE >J��jb ZONE 2 q�PROVEO ADDRESS TEL. GTV ' NO. ~ STATE CITY i LIC. NO. LIC. NO. � {ail SIZE NO.OF BLOGS. 6 OF LOT 2/� CKES NOW ON LOT � a USE OF � EXISTiNG eLDG. 3fV0 . TD (-I y FSeparate permits are required for � electric, plumbing and heating work. �.W. yJSE F BUI DING AND W�A TO E RFOF ED q F 3 a > � a x w 0 1 hereby acknow�atlBe that I heva raetl thif applicatlon antl emte p� Mat the ebave Informetlon Is correct entl eprae to comply wli� � ell Inws regulating bulitlinp conrtruction, entl I ahell not amploy z o�V Oerson In vlaleTion O+ Me workman's compenxation lew� of J Me State of Celifarnie. 3 i nerao� oen�ty tnet i ern Propetly Iicenmtl ea e conttector untlm � the Stata af Cellfornie BUsinasa antl Profeulons Cotla, Dlvlelan 3, Chaptar 9, entl thet wch Iicanaas ara in full force antl affact, or I em exampt from Ma pro�r�iom of theSteta of C IlforN � slnov antl Profeasions Cotle, islon 3, Che tar 9. SlpnBturO Of Permittee AUMorizatl AflanT � (�V �� U � LO O BLOCK F}-12 IU SClfl � �.n VALUE �% VL- $ TVPE GROUP DATE OF USE OF N KS Z BUILDING VED VAHDSAPPROVED NG ACCESSORV BUILDING DISTANCE BET. I BET. MAIN & I 1 MAIN BLDGS. ACC65. BLOGS. VAR. $ pA'fE n m i 0 SQ. FT. cmv THE AMOUNTSHOWN UNDEH VALVATION IS FOR m TNE PURPOSE OF ESTABLISHING A PERMR FE ONLV: e VALUATION PERMIT FEE S d IOO N $ Zl�OOOO T XNCHECK S�S� O � Sd � TOTALPAID S ,.O Pfl0.1ECTA00NESS: %3O W 17TH ST awaeeseame: METALCRAFTERS aoosess: 730 W 17TH COSTA MESA 714 65Q-9466 APCN/ENGINEEP: . AUDflE55: NEG.NO.: urnT: CITY OF COSTA MESA — BUILDING PERMZT , ,_ 1_ UNIT: PEHMITTEE: LEU LOPE2 ( 714 ) 786-0312 nooxess: 17632 MANCHESTER AVE. IRVINE CA 92714 ULENSEo CONTHACTOfl oELLAflaiION: I nereDy affi�m ihai I am licensea unaer pmvisions ol Cnao�er 9(cammencing wilh Section 7000� al Oivison 3 0� I�e Business anE Pmlessions Coae. and my license i5 in �ull forte an0 et�ec�. ciTvuc.:030335 srnTeuc.:3104 0 �ate: �� Signaiure: _ WORNEBS'COMPENSATIONOECLANATION: I�ereEyaflirmtlwll aveacetliliwt otmnsem� sell�insureoracertificatealWorkers' ComDensation Insurance. or a c¢nitieA copY Ihereol (Seciion 3800. Lab. C�. POLICY NO.: E%P. OATE: / COMPFNY: /� SV O Cenifie� cooY �s hereby lurnisnetl. ❑ Cenireo copy is liiee witn�t ps�t�WCi�A o� �� C.- E%EMPTIONFNOMWOBI(EBS'fAMVENSATI0N0EC1APRTION: (T�issectianHeeOnotbecom0leieUitihepermnisim ehmNreO(St00�orless). I cenity ihal in �he pedormance ol t�e work for w�ic� t�is permi� is is e� nl �1san i y nner so a5 io become 5u01ecl lo ihe Warkers' Compensation Lavrs o� Calilomia. Oa��_��—� � SignaNre: NOTICE: I�, aller making ��is tleclaraiion, you shoultl become suhleci to IAe W kers' Compensa�ion pmvisions ol the LaDo� Cotle. you musl fOtlhwilh Comply with SUth pwvisians Or IAiS permi� Shall be tl¢emeE rewkeA. CONSTPUCTION LENOING AGENCY: 1 hereby alfirm Iha� Ihere is a can5�m[Iion lending aAency lor ihe Oe�Ormance 0� t�e wark lor which Ihis oermil is i=sue0 �Senion 3097. Civ. C�. LENOEH: AODHE55: � PERMIT NO: E 049928 PLAN CHECK NO: N , , CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE; OTH JOB DESCRIPTION ; ADD MISC. ELECTRICAL SQ FT: CLAIM VALUE: CALC—VALUE; GROUP OCC; B-2 / COMMENTS: ADD MISC: ELECTRICAL *' �***� x**��*�***�*�***�**�**+�***�e�e*�'** �*�+�****��**��*�e*��***x**+�**�ex*�*�*�e�**** Z O N I N GS ERTEB�At�CIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT ZN REAR: FT � IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REQ• PROV: PARCEL; 42408119 ZNE: REF NO; PLANNING N01'ES> • > iE i6 if dt if it iF iF k it If If it it aF k iF lE 7E it if iE iF aFiE iF it iE if it if i6 �k 3�l�-iE"if iE jE if •IF if iP if ik �lE iE M IF �t �E ik iF if 3f it jE iE k it it iE �f 1E lE �IF+6 ib !(� �t iF iF iF it �f �1E if� lf �E D E V E L O P M E N T S"E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE; BUILDING APPROVED HY : DATE: APPLICATION ISSUED BY: �� DATE: �I—/ —Q Q IfiFlfiEiEiFik�EiFikil3EifitlflflFiEifif�fiF if�EiF�fiE�flfiE�f1E 1liF iF�IF iF if IF iE IF 1E �f If �F if if iF M k IF iF iF iE 3F 9F �f 1E 3f iE iE if IE a! jf 3f ih if jf �F 3F iE �f �F �E IE k�f if iF IE if if 1f 1F if iE iE if 1F if jE M IE �f �E 3f if IE �f iE ff if )f iF 3E iF M iF iF 3E 4 3F LEGALI2ATION:N F E,-�E•, 5 U M M A R Y STRUCTURAL SEGMENT:N OWNEPBUIL�EBOECtANATION: Iherebyaltirmlhallamexempt�mmt�eContractors'StaleLicenSeLawlor�he�ollovringreason BLDG PMT PLUMHIN('i ELECTRIC MECHANIC FIR$ $MIP/Fi$S GRADING (Sectian 7031.5 Business and Pmlessional Code: Any ciry ol counry wAic� requires a permi� to conslmci, atle�, impmve. Oemolish, or P ERM I T . 10 , 50 repair any slrunure. D�ior to ils issuance. aiso rtquires t�e ap0licant br such Oermit to file a signe0 stalement that he/she is licensed - S O� SMI P/N�N—R fi$ pursuant to �Ae provisions of the Comracmei State license Law (C�apler 9(cammencing vnt� Section 7000) oi Oivision 3 of t�e Busineu PL� ana Pm�essions Coae) ar I�a� he/she is exemp� �herefmm an0 Ih¢ basi510r IAe alteged exemption. Any violation of S¢clion 7031.5 �y any apo�icam ror a permit sunjects tne aPP�icant to a c��i pena�ry ot not more inan iive nundred oonars ISsoo). ISSUE FEE 1 5, 00 �, as owner a� �he piaoeny or my employees wilh wages as iheir so�e compensa�ion, will tlo me work, and the Bt1ILDING—DIV—> _PERMIT I$$�J$ PLAN—CHECK TOTAL PAID DUE ❑ simcture is noi imen4e0 or ollerea tor sale (Section 70G4, Business anG Pmlessional Cotle: The Coniraciors' State �icense �aw TOTALS -- --> - 1 �. 5 0 15 , 0 0 0. 0 0 2 5. 5 0 2 S. 5 0 , 0 0 tloes nol apply to an owner o� a O�oOeny w�o builaS or improves Ihereon, and wh0 does such work himsell/her5eil or Ihroug� r nis ar her own employees. o�wlaeU that such impmvements are not mtenAetl ar aflereA for sale. u, hmvever the Ouiltlinq or REVENUE DI VIS ION TOTALS--> COLLECTED • 2 5. 50 OVER /S$ORT • �� imD�ovemem is saltl wit�in one year ol comple�ion. �he owner will �ave �he GurGen o� pmving he/sAe tliU no� �uiltl or improve BLDCi PM'1' p LUMB ING EL ECTR I C MECHAN ZC F IRE SM I P/ TOT GRAD I NG PLAN—CHECK ' for Ihe purpose a� sale�. I, as owner ol IAe O�oDe��Y� am exclusively conimc�inp wilh licensetl coniractors to constmc� �he pwlecl (Section 7094, Business � 5, 50 ❑ antlProfe55ionsCaOe: 7�eContraclor5'S�a�eLicenSeLawtloe5nola00�Yioanovmeroipropert9 whobuilQsorimpraveSNereon *************�********�************************�**********�******************** antl wha Conlracis tor such pmlecis wii� a conirac�m�s�license pursuan� to Ihe Coniractors' Staie Lic¢nu Law). I am aware ma� o�oo� o� meir worker's Compensaiion insurance showa be pmvided m me. I N D I V T D T7 A L F$ E H Fi E A K D � W N � � � I am e�empt un0er Seclion: B. 8 P. C. m� inis reason: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST �ale: M+neC I ao nereby cenily that I am aware oi and unUerslanU Ihe repuirements ol Calilomia Nealth anU Salery Cotle Sections 25505. 25533, and 25534 an0lhal I or any IuNre huiltling occupani will/will no� (circle one) need to compty wi�h saitl s�ate cotles antl t�e requirements �or a permi� �or con5imclion or moUilication tmm Ihe Air Ouah�y Managemeni Dktrici. RevGentul con5iruciion aOVlica�ion5 are ¢rempt Imm Ihese D�ovisions. Dale: Applicanl: I �ere0y cetlAy I�al I luve reaC IN5 applitati0n ane S�ate Ihal lhe a0ove in�ormalion i5 corretl. I agr¢e Ia ComD�Y ��h all tity and counry ortlinancesandslalelawsrela�ingtoUuildingconslmclionana�ere0yauthar e9�e ntativesa�f' itytoenier ontheabove�mentione0 D�oOe��Y �or inspeclion Ourposes. Date f�� Signalure: �rive�3 License oi Social Security +: 1641�a6 White—Bmltling�, Gmen—Code Enlorcemem; Canary—ApP�icanf, Pmk—Revonue; Goltlemo0—Assessor e _ � ELE 6 FIXTURES LIGHTING 1 ST 20 EA. ,'75 4,50 ELE A RECEPT/O{TTLET END10FTFEES EA� 01 OQD�4291—OQ074191 g��'�' 6,00�.`_� DRTE� 11/14/90 TIPIE� 1Q:3? CONSTRUCTION ANDPLANNING P�O SPA APPROVALS Vermit # �Date Inspector p�ppROVALS Permit # Date Inspector 1. Temporery Electrical Service or Pole �� 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement i � t, 3.; E�e trical Conduit �7tiliry-Undigrnd. � 54. Forms " " 4:�Electrical Conduit-Undrgrnd. . •I 55. Electrical Bonding � 1 5. Steel Reinforcement �'� 56. Rough Plumbing & Pressure Test -� �6:: ElecVical UFER Grnd. � • � 57. APPROVAL TO COVER�GUNITE .c ' ,'7,. Footings ��; _ � � 58. Electrical Conduit-Undrgrnd. ' 8. Foundation z ' �} 59. Gas Pipe, � Undrgrnd., Test � 9. Water Pipe�Undrgmd. i � 60. Backwash Lines, P-Trap, O Undrgrnd. . � 10. Structural Ploor �SYstem �� 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection ' � 62. Backwash & Receptor-Final - 12. Sewer Cap -1. .- � : - 63. Heater & Vent-Final � 13. Roof Drains . �� , I _ 64. Plumbing SYstem � Final '• ' 74. Rough Plumbing � �. 65. Electrical�Final �' � 15. Rough Electrical-Conduit �� . 66. SolarSystem-Final i6. Rough Electric W�ring j 67. Fencing & Access ApProval / 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING ` 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS F�NAL 19. Rough Heating & A�r Conditioning FIRE DEPT. REQUIREMENT - - r � 20' Rough �Factory Fireplace ! +_�T� - _ ' � APPROVACS r � � Perinit # ` - '1. ' 1; " 21: Ducts, imStruaure: . .... ,~� � � � � _70. Underground Hydro � 22. Ducts, Ventilating' _ ! . -�-71. ProducT Piping O Gas ❑ Oil 23.-Gas PiperRough & Test , ". , ., ' ,- , , .7z. Underground Flush� ' 24.• Roof Framing " �� _ ,�_' � 73 �Undergrnd�. Storage Tank � Gas ❑ Oil' � 25. Roof Sheathing - • "_ � � . � '74=Overhead Hydro:. � 26. T-Bar Ceiling (Structural) &:Monocoat �� ""� � 75: Dry Chemical - � 27.''Prame and Flashing. � �� ; 76:'� Dry Stand'pipe ' - ' 28. Lathing=& Siding; •'-� _� �: x �•� • � �" 77: FIXED SYSTEM FINAL . "� "'29. Insulation - � - �� ". I � �. -�. 78,� FIRE PREV. FINAL • � � • : 30. Drywall'Nailing '� � J I ('��? � HEALTH. DEPT�. REQUIREMENT 31. Plas[er Brown Coac, I �'%�; ,,� 79.� FINAL INSRECTION. ; ' � 32-Electrical Power Meter-Pinal � '� `� 80.• FOOD CERTIFICATE ISSUED � 33.:Final Electric � .Q� t �- , otes: ' '' ', - " , ��34: Final Heating & Air. Conditioni�g� - i r i � . .. _ - . . ' 35.: Final Gas Pi e-Test - � '� ^ _ � ' ' P .. �, . , , :. , . , 36. Hood or Canopy _ � �r � ' ' - • :' c: 37.�Final Factory Pireplacer � .`�" ' " ' ' � ";;, ,- 38. Final Plumbing • � �?' �-+ s . i ,:' '39. WaYer Service�Final • • , ' ' � • � ' �:40. Gaz Service�Final ' - �,- r = - + � � _ • � '.41. Solar pomesticFinal- - • � ' ' r ' '.7 -42.'Backflow Preventer � : _ ' � j j� , , ;a •`- • . � I � 43. Backflow Irrigatio❑� ' �' _ ' � ' � , J r.44. Landscape Irrigauon System � ,_ r . - n: � z. - -r � •� ' I = 45.: Sound Attenuation 's � - - '' ` ' ' . � - , � - - • � 46., Handicep Regulat�ons - , ' � � ��, : �• 'j '� �_ , 47.cfINAL STRUCTURE & BUILDING �� I• • 48:;FINALPLANNING • � � ' � , �� . � - I - 49 � Electric Release to Edison 1 I ' �• ' � ' " - i- , '' �50..�Gas Release to Southem Califor,nia Gas Co : ; � � . � u i . ' - � 51. CERTIFICATE OF.00CUPANCY � � t , ,j �r� ^ + . .. - No. Date ADo��ant to flll In all svaces e: +t tnose witnin heavY �ortler lines antl sign all approo/�ate aeclarations. CITY OF COSTA M SA CONSTRU1CTIy(�] N[� PERMIT Project Address �� w• r 7 ''J �+pplic/ya npt('s� M�a�iliin�g A�d��dre�s�s� n - Owne/'SNart�.fye�-f�]�L`L�i�[L�� 'V�4v Phone Adtlress ! 3�% �) � 7*'{7 i�11 �� M- P$i'� Lt/1�- ArChlEng. Licenu No. Adtlress Convactor's Nom p��- S � � PhOne�� /� " � Adtlress (mailingl �Lp3�7 n r~�A�C L-��L' �17�n��ps'i� Ciry License No. �% / / dn ' LICENSED CONTRACTOR DECLARATION I hereDy allirm that I am Ilcensatl untler provisloni ol Charter 9(commencing ' with saction 7000) o/ Dlvision 3 ot the Buziness ana vrofessions Cotle, antl my Ifcense is in (ull to fe and tf l i�' UCenSe C a55 ' LiCeMe NO. � /• Oate. �%�3 � 519 t �� ti• -� WQRKERS' COM ENSATION D LARATION I h�reby aHirm ihat 1 have d Certilicato ot consent t0 Selt-InSur¢ o� a<Brtl�lcal¢ � Woskert' Componsbtion InSurance, nf a cerl7fietl COPY thereof (SGCI on , '°�. "°. �3865/-8j� S-�r&'�/ �.� Policy No. Company / f"� Certifietl copy is hereby tumishetl. Cerffi cop s flletl with the <it Bi mq D{al Isi1on-._� � , Da e � Applicanl ^'�"^"` EXEMPT ON��RKERS'CO PE SATION DECLA0.ATION _ (Thissection neetl not be completetl i the permit is for one huntlretl (E300) or les;). I ce�Ufy�tha[ in [�e pertormance of [h0 work for whicn tM1ii p¢�m�l is i55uetl, I zhdll not employ dny Person Ih any manner So as to batom9 subjeGt lo the `NOrkers' Compensation LawS of CalilOrnla. I Da(e Signaluro NOTICE: H, after makin9 this tleclaralion, You shoultl Docoma subject [o ttte WOrkers' CompOnsation PvoviSions Ot lhe Labol Cotlo, y0u must tOrtnwlth Campty wiU zucn proviSiOnS or tNs permit,5hall be.tl8emetl revokCtl. ��.CQNSTRUCTION LENDING AGENCV ' I npreby attirm tnal lhare is a conslrucqon Ientling agoncy'tor tne performanco 01 th0 wOrk for wM1ich Ihis permit is issued (SOGtion 3097 Clv. CJ LDneer's Nama Lo�tler's Atltlrlss OWNER BUI4DER DECIARATION�� 1 here�y aHirm tnat I am exempt Irom tbe Conlractor's Licenze l.aw for �he tallowing reason (Section ]031'.5 BuSiness antl Professianal CoOe: Any city ar cOunty wnich �epWres a permit t0 const�uGt, alter, ImOrovO, demolisn or �epair aqy sbvcture, p�lor lo its isivance, also requires the apP��cant tor such permit t0 file a si9netl zlatemen[ tbat he/She IS IlcenSetl purivant to �he provisfoq5 ot �4e Contractor's License Law (Chapter 9(commencing with Section 7000) of Oiyi5lon 3 of Ihe Bu5ine55 antl Profe55ion5 Cotl¢) o� thdl he/she is ¢xempt '•refrom antl the basB for the allegeC ezemption. Any violat{on o( Sectlon 11.5 by any appliwnt for a permit subjec[s the ap0�icant to a civil ialty of not mO�e than tive huntl/etl t1011aR (SWO). i-1 1, as owner o7 the oro0a�ry or my employeas with wagei az their zole cOmpensatlon, wlil do the wo�k, antl Ihe Structu/E is not In[Cntletl or OHeretl 10r sale (Section 7044, gusiness antl Protessional CoAe: Tne Contractor's License Ldw tloes not apply to dn owner ot a property who builtls or lmprovez t4ereon, antl wno tloes such work himself/herself or throu90 his or her own emo�oyees, provlaatl that such Improvements are not intentlea or offeretl tor sAlc. It, how¢ver, Iho Dulltlln9 cr Improvement is sola within one Year of com- PIOIion, the OwnC� wlll hdve the burtlBn 01 Orovinq he/She tlltl not builtl or Im- �rOve fo� the Our0o5o ot Shc¢�. 1, as owner o1 th< Oroperty, am oxclusively contracting wlth licensee con- «acmrs to constru<t tne vro7ect (Sectlon ]044. Businesi antl AotesSions Cotle: Tpe Contractor's LJtense Law does bol appty to an owner of PmOcrry who builtls or improves thereon, antl who mntracts for such projetts wi[h a con- Lactor(il license pursuant�[o tne ConVactor's Litunse Lnw). I am awaro that proo( of thelr Worker's Compensatlon lnsuranco ihoultl Ue provitletl ro me. ❑ I am exempt unCer Sectlon B. 6 P. C. tor thiz reason Date Owner _ I hereby certiiy that I have reatl thli iqtormation ii corract. I agrea to compl aqtl state laws ralating to bu(Itling cons sentatives ot thli city to enter upon ana that TVPEOFCONSTRUCTION �NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHTE�R DESCAIPTIONOFWORK/USEOFBLDG, rLE7C1(��__LE-Z%C�j' TVPE OF PERMIT LJ GRADirvG ❑ TENANT ❑ ELECTRICAL ❑ OTHER PROJECT DESCRIPTION 5�. FT.� J FOUNDATION LJ STRVCTURAL PLUMBING ❑ MECHANICAL CONSTRUCTION TVPE VALUATION $. ZONE GRADINGCV.YDS. AC Remarks: ' Bar Sink Bathtubs Showers Preventer Service Sink � Irrigation Sewer Cap Sewer Connection . Solar Collecrors tr Solar Piping Drinking Founreins FloOr Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink ' " Lavatories Foof Dreins Reinspection Fee � $15 Duct- Under Ground Duct � Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fect.81L ICBO dp Heating System & Ducting ❑4100,000 BTU 0100,000 �"��,�•` �- - •. ��--��-'— I I ReinsPection Fee I $15 Orivers' Li nsa or 55 # CMF 0865-46, rev. 4/84 Whi[e - BuilUing: Canary -Applicant Pink - AccounEin9: Goldenrotl - Assessor Solar Tank Swimming Pool w/Spa Urinel Water Closet Water Heaeer -Water Service Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑P100,OOOBTU ❑100,000 System Repair/Alteration laue Fee A.P. il'� S Main Building: E T Front B Rear A C Right g Left Ping. Ref. dk Planning Notes: ' Automatic Washer Constructior Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan ' F,A,U. Fixtures Device Boxes Outlets Switches Garbage Disposal Genera�or OD-5 KW OS-' 2123 6i13/84 Zone Acceszory Buildin9: Parking Req./Provitled ELECTRICAL � � Transformer ❑ 75-50 KW ❑ 50+KW Meter ❑up to 100 amps Me[er �over 100am'ps 5KW Sub Panel Momn�]0.1 HP OtX-B Inc. So�ar 09-15 HP 016-75+ Microwave Pole Light Range Sign Standing Sections Trash Compactor 5 3 Reinspection Fee $75 Issua Fee FEES DEVELOPMENT SERVICES RE�UIREMENTS: Zoning qpproved By Building Approved By AppliCatiOn IssuBtl BV � $ 3 19oG7 TC Z O N 1 N G R E � M T $. FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ _!�_� '� SMIP $ �•� PLAN CHECK S 7s�%7 PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL 5 GRADING $ PLAN CHECK 50% S MICftOFILM $ Q MECHANICAL S TOTALFEE $ �7�. �z PLAN CHECK 25% $ CONSTRUCTION AND PLANNING APPROVAI.S Permit # , 1. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. 3..Electrical Conduit:Utility-Undrgrnd. 4. Electrical Conduit-Undrgrnd. � 5. Steel Reinforcement , � � �6. Electrical UFER Grnd. � � � '7. Foo[ings� , ' 8. Foundation �- �9r Water Pipe-Undrgmd�. 10. Structural Floor System 11. Property�Sewer Line & House C6�rinection 12. Sewer CaP , . 13. Roof Drains � � 14. Rough Plumbing �. � 75. Rough Eiectrical-Conduit �1�6.� Rough Electric Wiring , 17. Rough Wiring.Sign� 18. Rough Electrical-T Bar Ceiling -� 19, Rough Heating & Air �nditioning 20: Rough Fectory Fireplace ' �, 21. Ducts, in_Structure• . 2. D�ucts, Ventilating � 23. Gas Pipe-Rough & Test , � 24. Roof Framing . 25. Roof Sheathing . 26. T-Bar Ceiling (Structura�) & Monocoat 27. Frame.arid Flashing 28. Lathirig & Siding 29. Insulation 30. Drywall'Nailing �t � 31. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy ' 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow.lrrigation . � 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING � 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Date � • POOL 'A Inspector qppROVALS Permit# - 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Elecirical Bonding - 56. �Rough Plumbing & Pressure Test 57. APPROVALTOCOVER-GUNITE � 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P�Trap, O Undrgrnd. 61. APPROVALTODECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System • Final 65. Electrical-Final 66. Solar System-Finat 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping OGas ❑Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT.REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: 0 Date � Inspector � 0 Appllcant to fill in all spacef ex<ept thasG wil�in heavy EOrtler Ilnas antl si9n all ap0/oD��ate Cecla�ations. CITY OF COSTA MESA CONSTR UCTIQN PcE�RMIT FER�yf 11T NO. , _ � TRACT NO. LOT NO. UNIT NO. Project Address 73� �✓• � %'Ei1 ✓f .1pplicant's Mailing/�Addre Owner'sName _CJ��NAR -Phone Addreu 73d j,�/, �' S 7VPE OFCONSTRUCTION LJ NEW �1.ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORKIUSE OF BLDG. Arch/Eng. Licenu No. TVPE OF PERMIi ' LJ GRADIr�G LJ FOVNDATION IJ STRUCTURAI AddiEsS p ? ❑ TENANT w ELECTRICAL ❑ PLVM8ING ❑ MECHANICAL Coniractor'sNam � � � Phon OS �J � OTHER � S� /� �` PROJECT DESCRIPTION 5Q. FT. OCCUPANCv_ Addres5lme 1' g) CONSTRUCTION TVPE VALUATION $ Cit License No. / 2 V `� ZONE GRADINGCU.YDS. ACRES— LICENSE� CONTRACTOR DECLARATION I he�eby alfirm [hal I am Ifcensetl unanr D�ovislOnS ot Charte� 9(commenCing with 5ection ]000) OI Dlvislon 3 of tho Business antl PrOt¢SsiOns Cotle, antl my Iicense Is in full t�Cfl�a�„a«. 233i a� License I ss �� LI<en No. Daro � Sl9naturo WOR RS' OMVENSATION DECLARATION I here0y affirm that 1 have a cerUti<ate ol consent to self-insure or a certltit'ate 01 Workers' CompenSa[ion InsuranG¢, Or a certlfietl copy thareOt ($ectlon 3800, lab. C.) >olicy No. Company _ �Certifietl copy Is nereby tumishetl. �/J� Gert111eG o6ov IY1Iletl with the clty Bupe,n�,ai �. EXEMGTI6N FkOM WORKERS' COMPENSATION DECLARATION (Tnis section neetl not be mm0letetl ii the permit is for one huntlretl (y100) or less). I certlty Ihat In lM1 p¢rfOrmanco Of the ws rk- for Ich Inis,�er� IzSueQ I zhall not e pl y ny person In any��P�f so lo bat e suD' ct to the Worker �n�e n LawS oi Cali1oyn�/ � Date Signatura _�L.Sr �Z A�/ NOTIC : If, a ar makin9 this tloclaratlon, you shoultl becomo subjact to tne Workers' Componsalion provislons of tha Labor Cotle, you must tort�wilh Comply wlth suGh provislons or this po�mlt shall b< tlaemetl revoketl. CONSTRUCTION IENDING AGENCV I horeby allirm that tnere Is a<onstruction Iontling a9oncy tor ihe pertormancc oi lh0 work ior whith Ihls permit IS IS5uo0 (SecHon 3097 Civ. C.) Lpntl¢r'z Namo Lentler's Atltlre55 OWNER BUILDER UECIARNTION I hereby aHirm that I am exom0� trom tho Contractor'S Littnse Law tor [ne tollowin9 reason (Sectlon ]031.5 Buslnoss antl ProfaStional Cotle: Any city or counlY whiGh �eq Wre5 a petmit to Const�uct, alter, Improve, tlemolis� or rapair any 5[rutture, prlOr lo Its IssuanGe, also r¢quires Ihe applicant for Suth permit to liie a siqnetl sta[ement that he/she is Ilcrnsetl pursuant to the provislons ot the Coniraclor'z License Law (Chapter 9(commencing with Section 7000) of DiviSiOn 3 Of lbe BusinGiz antl Profes5ion5 COtle) or thdt he/zne I5 exemPt Ihcrefrom antl the basis for the allegetl exemptlon. Any vlolaUon of Sectlon �031.5 by any applicant for a permi[ subjects tne applicant to a civil �nalty of not more than five huntlretl tlollars (5500). i I, as own¢r of (h¢ Oroperty or my employees with wages as thair sole omDensation, will tlo the work, antl the structure is not Intontletl or offeretl lor sale (Seclion 7044, Business antl Professional Cotle: Tha Contractor's lfCGnse Law tloe5 ml apply to an owner of a property who Uuiltls or Imptov¢S tM1ereon, antl who tloes such work nimselt/herself or tnrough his or her own empl0Yee5, provitletl that SUGh Improvements are not intentletl or OHeretl 1or sale. It howovtt, tha bulltling or Improvement IS soltl wlthin on0 Yea� ot com- pletlon, lno owner wlll have tne burtlen ot proving he/she tlltl not builtl or im• ' plOve fof tlle pufpo50 01 sale). ❑ I, as owncr ol tho Orooerry, am oxclusWaly contracting with Iicensea con- l�actotsto COnsVu<t [ha project ($ection 7044, Bu5Ina55 antl Profe55iont COOe: Tba ConVactor's Utense Law doas not apply to an ownor of proparty who builtls or Imo�ovus thcrcon, antl who con(racts lor such orojacts with a con- tractor(s) ucense pursuant to tne Contractor's �Iconsa �aw). I am awaro.tnat prooi o( thalr Worker's Compensatlon Insurance shoultl ba provltled lo mo. ❑ I am exempt unaar Soction B. 6 P. C. for in6 roason Da[0 Signature �-�v Drivers' License or SS Owncr 1 nave reatl [hls appllcation antl state that the above I agree to comply with all clty antl county ortlinances lo by�Itling mn�truttlon, antl hereoy authorize repre- � to/j/➢�ar upqp the abovo-mentlonetl Sroporty/1or Remarks: Bar Sink Backflow Preventer Backflow IrrigatiOn Bathtubs Clerifiers Dishwasher Drinking Fountains Floor Drains FloocSinks Gas Service Outlets Interceptors Kiichen Sink � Reinspection Fee � $15 Boiler Duct - Under Ground Ducl - Strutturel Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact Blt. ICBO # Heating System & Ducting ❑0�100,000 BTU 0100,000 Reinspection Fee � $75 CMF OBfiS-4fi, r¢v. 10/B4 White - - Accountin9: GOltlenrotl - AsseSSor Showers Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping . Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auro-Wash Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ Re(rigeration System ❑o-i oo,000 eTu ❑ i oo,000 eT System Repair/Alteretion Fire Dampers � Registers -laue Fee 5 3 $ 3 A.P. # S Main Buildi E T Front B Rear A C Right K Left 5 Ping. Ret. �I`- Planning Notes: Automatic Washer Construction Pale Su6. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. . Fixtures Device Boxes Outlets Switches Garbage Disposal Generator DO-5 KW [ 6181 9/28/87 2one Actessory Building: ' Parking Req./Provided EIECTRICAL Transformer ❑ 15-50 KW ❑ SO + KW Meter ❑up lo 100 amps Meter ❑over 100 amps 5KW Sub Panel Motors O0.1 HP Inc. Solar �9-15 Microwave Pole Light Range Standing Sections Trash Compactor I Reinspection Fee I$15 I � Issue Fee DEVELOPMENT SERVICES RE�UIREMENTS: ZoninB Appraved By Building Approved 8y Applifation luued By SUMMARV OF FEES BUILDING PEFiMIT $ SMIP PLAN CHECK $ PERMIT PLUMBING $ ��UANCE PLAN CHECK 25% $� ENERGV P.C. ELECTRICAL $ GRADING PLANCHECK 50% $ MICROFILM MECHANICAL $ � TOTAL FEE PLAN CHECK 25% $ S , 6-15+ $ 4e5D TL FEES $ 3 Z O N I N G R E � M T s T. CONSTRUCTION AfdD�PLANNING ! % POOL & SPA �-� s'� Date Inspector Date Inspector A!PROVALS Permit #� -APPROVALS Permit # : 1. �Temporary Electrical Service or Pole 52. Pool & Equipment Location 2• Soil Pipe-Undrgrnd.' V , 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. I; 54. Forms 4. Electrical Conduit-Undrgrnd. 55v'Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE 7. Footings �.� • � 58. Electrical Conduit-Undrgrnd. 8. Fou�dation �� , ', 59. Gas Pipe, O Undrgrnd., Test � 9. WatajtiPipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal __ 12. Sewer Cap 63. Heater & Vent�Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electric2l-Final 15. Rough E�ectri�I�Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 16. 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 77. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test - 72. Underground Flush 24. Roof Framing ' 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling �Structuial) & Monocoat 75. Dry Chemical �. 27. Frame and Flashing 76. Dry S[andpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ,i 31. Plaster Brown �at 79. FINAL INSPECTION �. ��. 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �:� 33. Final Electric a Notes: ��' 34. Final Heating & Air Conditioning � �!i 35. Final Gas Pipe-Test 36. .Hood or Canopy 37.�Final Factory Fireplace . 38. �inal Plumbing � ' . � �'�39. Water Service-Final '�� .. . i�40. GasService-Final i� i . , 47. Solar pomestic-Final � ' � � � i .'42. Backflow Preventer � ;�� 43�. Backflow Irrigation i•: � . ' ' „ :�44. Landscape Irrigation SYstem � � �. �� : , '145. Sound Attenuation : �. � . . 46.� Handicap Regulations ' " • 47. FiNAL STRUCTURE & BUILDING � �• �, , , 48.'Special Requirements Completed - , , . ' 49. Electric Release to Edison ,: � i - .„ . 50. Gas Release ta Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY � ; ,� _ . . . No. Date _ :' � � �j ,�,�-c��C � � 44 � ��'� M+11N \ �fC�t'a'` Ij� rtC� NC� -�-b — � �_� � o � u E�� 1 4 ni # w° ba� LL 2�9 � �ooF c �� Lr r�!(-� �nairt BNn^'� � � ►aEr�'�- 6¢ACtE p�- �e, ox � — � z" �� Pw,errnotic r��-ir.rrr /� �- . 2 � � 3'�� S � 2Q L�sri' LLR �� - � ` � v nwN "� 2f 4� i�F-L30 2-- �C-W�EtitT N+.�LS v �y NC�FFO'�- �C�'4Nl � OFKE N� Hqs MUSj BE p �ArE��Jy �F p 1'U TA . �EPi. NG� WITHON JOB AT AL� (.i j'C CEN�C'^�T F�-O0� THE ISS VT PRIOR APPRp A� OF �ANCE OR P�dS AND SPECIfICATIpry'SG �F A f'ERMIT pR . OF ANYA PERMlT FOR, OR ON APP yAIL NOT ��OVAL SUMING �F TH PROVISIOI�s OF ROVAI OF BE �ONSTRUED PhOVISIONS G�� A�TN TH�S CODE. qN� VIO�r��N OF THIS COp ITY 70 VIO �!0 PERMIT PRE- FAR � THE WORH E SNA(l �TE.OR:CANCEI THE ' �R USE WHICH �TBE �ALID. �CEPT � SPF��FICATlpry S�ANC AUTHORIZEg IS �qW �N SO �S� SAID PLAENS AND P� R N�R� ENCO RE BUfLDINC OFFI��D i!N VIO(/TI �PERATIONS gE1ry FICATIONS ECTIOry pp ERRORS 1DIN Sp ' OF ipE. ��N OF. TH1S CODE CARRIED ON TNEREUNREVENTIEN OR OF ANY OTHER �ER WH - I OROINpNCE �� !� �,) p.� — l, � �� / '► C. K. ALLEN, JR. STRUCTURAL ENGINEER 1967 ROSEMARY PLACE COSTA MESA, CALIFORNIA 92627 July 9, 1990 Mr. Tom Miller CREATIVE IDEAS P.O. Box 8563 Newport Beach, California 92658-8563 Re: Foundations for Metal Buildings, Metalcrafters 730-and 732--West 17th Street, Costa Mesa, CA (CKA Project No. 02289) Dear Mr. Miller: I am in receipt of and have read the Concrete Inspection Reports from Smith-Emery Company, dated 3-30-90, 4-5-90, and 4-10-90 (Job No. 20881). Based on the above reports and my job visitations, iC is my opinion that the foundations and slabs for the new metal buildings were constructed in substantial conformance with the City aopro�ded cira�iings as nreoared k�y me for this project. Sincerely, G � C. K. Allen, Jr. Structural Engineer #1823 CKA/la <J' "--- %�i� / �� (..� 1✓�� ^ `^ �\�� '�� ' AOGlicant to till in all spaces ex<ept thoze wit�in heavy Eortler lines anE sign all appro0riate tleclarations. _ ' — - -- - – ' � -- -... �--�� CITV OF COST%1 MESA ONST,,RyUCTION PERMIT Project Address 30 . � `]J- . Applicant's Mailing Ac�dress - I�__�p. Owner's Name oneL i i%%� Addreu �� • ,�'f� � Arch/Eng. License No. � Address Comraccor's Nam ��'� � Phone �53 Addresslmaiiingl ��`72 l '��-IZ�Y L.tJS��M�lc4 Ciry License No. �� .r'��o.3 LICENSED CONTRACTOR DECLARATION I h¢reby a(firm that I am Iicensetl untlet provi5ions oi Cnarter 9(commencing with sec[ion ]000) at Dlvislon 3 ot the Business antl P otessions Cotle, antl my Iicense is in full for�e antl eftect. � o License.Class ��%�� i s o `\ Date - �" Signature 'b WORKERS' COMPENSATION DE ARATI N ` ' hereby aitirm that I have a certificale ot consent l0 581LI e a certlflcate � .8Workers' Compensa�jon Insurance, Or a certifietl COpy there1ot (Sectlon ��. Lab. C_ �>i�..��`2-�¢ l �. / ,.f Polity No.� ��...�e.i Company ��}�( �•,�V��! �ertifietl co is h@reby furnishetl. � // Certif'etl copy{Ips t" tl with the tlry B' 7/151 oate �� ^T'� Aoo��cant EXEMPTION FROM WORKERS' COM E SATION ECLARATI (This seclion n¢etl nat De completetl it the permit Is ( r one huntl� ( 00j or less). 1 certi(y Ihat in fhe pe�fo�mance of IM1e wOrk fo� wnith thi5 p¢tm�t is i55uGtl I shall no[ employ any per5on In any mdnne� so ai to become subjeGt to t�te Workers' CompensaHon l.aws o! California. . _ . Date Si9nature 'NOTICE: It, after makin9 this tletlaration, you ihoultl become subject to the Workers' Compensatipn provisions of the Labor Coqe, you must torthwitM1 comply with zuch provisions or this permlt sha11 be aeemetl revoketl. CONSTRUCTION LQNDIfiG AGENCV 1 nereby atiirm thal lh¢�e is a cons(ruction lentling agency for the performance of the work for which t�is permit i5 issuetl (Section 3097 Civ. C.) l.entler's Name Lentler's Aatlresz OWNER BUILDER OECLARATION I hereby affirm ihat I am exempt irom Ihe Contrac[or's License Law for the tollowing reason (Se<(lon 7031.5 Business antl Professional Cotle: Any city or county which �equires a pe�mi[ to con5t�uct, al[¢�, {mprOvo, demOlish o� r¢palr any s[ructure, prior to its issuance, also requires the applicant for such perml[ IO file a signetl staterryent Iha[ he/she is licensetl pu�suant lo the provisions of Ihe Cont�acto/'S Li<e45e Law (CItaO�er 9�commencing wlth SecliOn 7000) of Oivision 3 of tne BUsiness antl Profe55ion5 Cotle) o� that he/she is exemp[ herefrom an0 the basis tor the allegetl exemption. Any viola[ion of Snctlon 031.5 by any applicant for a permit subjects tna apPlicant to a civil �enal[y of not more than tive huntlretl tlollars ($500). I, as owner of tha O�operty or my�employeas with wages as thei� sole com0ensation, will tlb the wo�k, antl the siructure I5 nol intentletl or olferetl tot sale (Section ]Oqq, gusiness antl Profe55ional Cotle: The Contractor'S LicenSe Law does not apply to an owner ot a O�operty who builtls or Improves thereon, antl who tl0es such wo�k himself/he/self or (hrOuqh nls or her own employees, provitletl that suclt improvements are not �Intentle0 0/ offeretl for sale. If, however, the builtling o� imprOvement Is soltl within one year of com- pl¢tloq the owner w�ll have tne burtlen ot proving he/she altl not builtl or Im- prova for the purpose oi sala). ❑ I, as owner of th& proDerty, am exclusivery contractlng wi[h licensetl Con- Vactorsto construct the project (Section ]044, Business antl Protessions Cotle: The Contractor's License Law does mt apply to an owner of property wh0 builds or improves thereon, ana who conVacts (or such projects with�a con- tractor(s) license pursuant'to the Contracror's Liconse Law). I am aware that proof of their Wo�ker's ComPensation insUrance shoultl be provitletl to me. ❑ I am eaempt untler Section B. & P. C. tor this reason Date Owner hava rea tne above ortlinances TYPE OF CONSTRUCTION LI NEW LJ ADD I].�J ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TYPE OF PERMIT LJ GRA�ING LI FOVNDATIO(�Ny LJ STRUCTVRAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING lal MECHANICAL ❑ OTHER PROJECT DESCRIP710N SQ.FT. OCCUPANCV— CONSTRUCTION TVPE � VALUATION $ 20NE GRADING CU. VDS. ACRES_ Remarks: $ink Preventer _ Drinking Fountains Floor Drains Floor Sinks � Gas Service Outlets Interceptors Kitchen Sink Lavatories � P-Trap ' Roof Drains Reinspection Fee ' I $15 Boiler Ducr-UnderGround Duct-Structural � Duct - Ventilating Exhaust System � Multiple ❑ Firepl/Fact.Blt.ICBO# ^ Heating System & Ducting ❑6100,OOOBTU 0100,OOOBTi lDrivers' Lic se or 5$ // /� �� I I Reinspec[ion Fee I $15 CMF 0865-46, rev. 30/84 White - 8ulltlin9: Canary - Applicant; Pink - ACCOunting; GOltlenrotl - A5ses5or Showers Service Sink . Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fee Hood or Typel ❑ Canopy Typell ❑ 4efrjgeration System . �0 100,000 BTU ❑ 100,000 BTU System Repair/Alteration Fire Dampers � Registers Isue Fee FEES $ 3 $ 3 A.P. qW S Main Buildi E T Front B Rear A C Right K Left S Ping. Ret. # Planninn Notes: Automatic Washer Construction Pole Sub. Cooking Uni[ . � Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes 2649 4/Ob/:6 Zone Accessory Building: Parking Req./Providetl - ��1' ' _'„ . �� ' ELECTHICAL � - �Transformer ❑ 15-50 KW � ❑ 50+KW Merer ❑up to 100 amps • Meter ❑over700amp5 Sub Panel MotorsO41 HPO1h-8 • Inc.Solar �9-15 HP �16-15+ Microwave . . Pole Light ' , Switches Sign Garbage Dispoul ; Standing Sections Generator �45 KW �5-15 KW Trash Compactor � Rainspection Fee I$15 � ' luue Fea DEVELOPMENT SERVICES REQUIREMENTS: Zoning qppravad By � Buildin9 Approved By Appliration IAued By / SUMMARV OF FEES BUILDINGPERMIT $ SMIP PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE PLAN CHECK 25% $ ENERGV P.C. ELECTRICAL $ GRADING PLAN CHECK 50% $ MICROFILM MECHANICAL $ ----��-LL TOTALFEE PLAN CHECK ZS% $ $ '�'oi~ TL Z O N 1 N G R E Q M T S FEES $ 3 � I _ CONSTRUCTION AND PLANNING . � � POC._,1 S?A � .' „ APPROVALS � Permit # Date Inspector � AppROVALS �Permit # Date Inspector 7. Temporary Electrical Service or Pole � 52. Pool & Equipment Location . � : . 2. -Soil Pipe-Undrgrnd. � 53. Steel Reinforcement - 3. Electrical Condui4 Utility�Undrgrnd. 54. Forms . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . 5. Steel� Reinforcement � 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUN�TE . � 7. Footings 58. Electrical Conduif-Undrgrnd. � . . . 8: Foundation � 59. Gas Pipe, O Undrgrnd., Test �9. Water Pipe-Undrgmd. . � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor SYstem 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � 12. Sewer Cap � 63. Heater & Vent-Final _ 13. floof Drains � 64. Plumbing System - Final 14. Rough Plumbing � . 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SVstem-Final . �' i 6. Rough Electric Wiring � 67. Fencing & Access Approval - 17. Rough Wiring Sign ,' 68. APPROVED FOR PLASTERING 18. Rough Electrical-7 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 � 7l. Product Piping O Gas ❑ Oil ' 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof�Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. 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 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED ' 33. Final Electric Notes: C�� r � J 34. Final Heating & Air Conditioning `�� 35. Final Gas Pipe�Test , . 36.� Hood or Canopy . _ 37. Final Factory Fireplace . • 38. Final Plumbing • . � 39. Water Service-Final ��".'"-� � . � . �i; 40. Gas Service-Final � . � 41. Solar pomestic-Final . _ _ _ " S 42. Backflow Preventer • • - . � 43. Backflow Irrigation " � � � � � 44. Landscape Irripation System_: ' � 45. Sound Attenuation . • � 46. Handicap Regulatians ' " � , 47. FINALSTRUCTURE & BU�LDING � 48. Special Requirements Completed ' � � 49. Electric Release to Edison -, . - - �. 50. Gas Release to Southem Califomia Gas Co 51. CERTIFICATE OF OCCUPANCY . � _ . - � No. Date . . � � � , � ` �pE=$� i3O W 17TH ST u"�T: p 'tx�Me: pETER ROTHSCHILD �ooaess: g 6 6 W 1 8 TH S T CM CA 92627 `� 650-9466 �NLMIENGINFER: 11EO.N0.: ` eooeess: uxrt: r�R'"iTTEE: gUILDERS GROUP ( 714 ) 969-0169 �ooness: 10190 IMPERIAL HWY GARDEN GROVE CA 92693 110EN5FD fANTMCfOH DECUILITION: 1 AereOy atfirm Itut I am Ace�eE wWer D«s ol Chapter 9(wmmenGnq witA Sectlon 7000) ol OivlSion 3 0� Ihe Businw an0 Prolessions WEe. an0 my GcenSB i5 In lull larce anE etteC. cinuc.:050106 $Tp��583704 � �u�.��,,B��/ `ue: ,'fo — 2�� SIOiuNre:%1��M�"`^' -"'^ Ipl(Epg' �pMPENS11TI0N OELUMTION; 1 �eaUy afllrm that I have a certifieate ol nsegt ro xHJnsuro ar a ceni/iwte al Workars' ,mpensalion Insuranca or a cenilied mpy (Aereol (Seciion 38W, Lab. G7. � roucr xo.: 118 � 3 2 S- 9 0 o�r. o�n: 0 3/ O 1/ 91 wMr�xr: STATE FUND ! ' Ceni/ied coOY �s hereEy fumisned. � Cerli�iM cOpY � �IeO wiUi Na cRy BuilEinp Division, _ A —_ ��, /1 � Dale: G�'2 2 �[i APDliwnt: w.�.�A�GI�N�� j�::a�rii � F%FAIP�ION FlIOM WORKEpS' COMPEXSIITION OECIAMTION: (flus sec6an nee0 irot Oe comD U if ihe prml & lor me nunOreE (5100) m kss). I cerfiy ��at in Ihe pertormance of the work for which Ihis ce� �s �sSueU, 1 stWl nof empby any person in any manner so az ro become suUle�< <o the Workers' Compenutlon Laws of Calilornia. � �ate: SlOnatura: NOTICE: II, atler makin0 ihis CeclaraGon, you s�oNE Eecome sublect to the Workers' ComDensation D�ovisions ol tAa LaGor CuEe, you must forlhxitA comDN �+�� suc� O��o� or tAis permit shaA Ce Ueemed ravokeE. CONSTqUCTION LfN01N0 AGENCY: I �ereDy atlirm WI IMm u a mm[nntion Ien�in0 a0enry lor the petlormance al I�a vrork lor w�ic� Ihls permli I5 iuued (Sacqon 309I, Gv. C�. IFNOEN: aooxess: OWNEq BUIIDEH OELUMTION: I MreCy attirm ttwt I am ezemD� ��m the Contrapors' S�ata License Law lor IM IOAwrinp reason (Section 7631.5 Business aM Ro:essbtul CaOe: My dry of mwry wNch repuires a permit to wiatnict. atter, im0�wa. EemdisA, or repair �y sirucNre. D�or ro IU Lssuance, also repuUes Ne apD�� ar sucA permit ro tile a sipn¢E statemenl Itwt he/sM a Ilcansee pursuaryt to tAe provaio� oi tha Contrzttas' SGte License Law (Gupttr 9(commendnp wil� Secfion 7000) oi Uivisian 3 0l IM Business �b PrOfessians CoEe) w Uat trJslu h exempt Nerzhom aM Ne basis lor Ne a�epetl exemD�, �Y ��on ol Sectlon 7031.5 Cy � apDliwnt lor a DermH su0lects Ne applicanl ro a ciWl penalry ol rot moro than Me hunOreO dolWrs (550�. j I. as owner ol IM D�M or my em wlt� w+0a as t�eir sole rnmpensatlan. will Eo �M wark. an0 Ne � struceure is not imenOea or ottare0lar sale ( bn 70e1, Busmas ark ProfessiwW CoOe: T�e Contnpors' Sute Uanse Uw Eces not appN to an owner ol a propeM x1q DutlQs m imyoves Nueon. an0 wM Oces 5uU wmk NrtselVAersell or UrauO� his ar Aer own emD�oyees, proviaeU tWt wch imprwements ara �ro� intenCeE ar ollere0 tor sale. 11. Iroxrever t�a bull0inp or imDrouemant b solO wI1Mn ona year of complatbn. Itre mmer will tuve ttre EurOen ol proNnO �Ns�e Ei0 �rot �WO or Improve Por the purpose of sale�. I, ss oxner ol tire propertY, am axdu5lveN wnVacWO'•'�U IkenuE con4anors to mnswct Ne prqect (SecUon 70N, Businass O arm protessior+s coae: rhe canvacxors' Sute �kmu �aw aces ria aoqy ro a� mmer ai properry wla CwMs a improues tlmreon anE wAo contneLa lor wcn prolects qN a canUactor(s) GceM1se Wnwnt to Ne Cantrzctors Sbte Lke�a Law). I am aware tlut praol of t�eir WorYer's Compens;Uon insunnu ¢MUIE Oe proNdeO to me. � I am exampt untler Sectbn: B. 8 P. C. lOr t�is reason: Date: Oxmr: I Eo nereCy ceniry ttwt I �m aware of aM uMerstaM Na reQuirertrents oi CatitortJa Heatt� an0 Satery CoEe Sections 25505, 25533. and 25534 ana t�at I or any �uture OuiIEInO a�upant wlNwlil not (cirde ona) need ta compry vrith sai0 state coaes an0 tAe reauirements for a parmit lor construcl'wn or moEiliwtlon hom I�e Nr aliry ManaOement Gstrict. pesi0entlal wnstruction appliwtions are exemDt Irom I�ese prmdsi0n5. Data: ApOFcant I hempy ceniry that I �ave reaE �his ap011wlion an0 state Ilwt tAe a0ove iniormatlon ¢ carrect. I a0ree to compty wRh all ciry anE counry oMinances and sWte Wws reWOnp to EUIIONp wnstruclim antl �ereR/ auVnrize rcpresenUtivu al tlds ciry ro emer upan the aEovo-mentloned DroDerry/ lo�r Inspection Durposes. oate: �o� 7—Z"�� 9pnamre: e� Odvers �icensa ar Socia� Security x: 1841J$ W�ite—BUIWirp; Oreen—COEe Enlorcement: Cenary—Appliunt: Pink—Revenue: GOltlenraE—Avesaor CITY OF COSTA MESA - HUILDING PERMIT PERM NO: B 047863 PERMIT NO: $ 047863 PLAN CHECK NO: 04522-90 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD JOB DESCRIPTION : ADD TO INDUSTRIAL HLDG. SQ FT: 1,000 , CLAIM VALUE; 22,000,00 CALC-VALUE: 27,400.00 GROUP OCC: ti-2 / COMMENTS: ��r*+r*�r*�r�*x�rx***�**x**�+�*x *x�*�exx�*�**+r�*�*��*****+�**�r*�*+�+r�r�r**�**+�****+�+r�****** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ---------=-- MAIN BUILDING ---------- --------- ACCESSORY HUILDZNG --------- FRNT: FT ZN REAR; 27 FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; 13 FT 6 IN LEFT: FT IN RGHT: FT IN PARKING REQ: 86 PROV; 86 PARC£L: 92408119 2NE: MG REF NO: DA-89-54 PLANNING NOTES> ADDITION OF A 1000 SQ,FT. INDUSTRIAL BUZLDING TO THE BACK OF > AN EXZSTING INDUSTRIAL bUILDING. ,,. �t iF it if i! 1f iE iE iE iE it iE iE N iE �t 1f iE?f iE if �E ff iE ik iE if iE k iE if jt if ik iE jt if i! 1E 1f i! 1E iF it iE if ik iE 1t iE iE i! jf �E ik k iE ik jE fF if iE iE iE jE jE iE iE if iE"iE 1E 1E iklE �F iE if iF D E V E L O P M E N T S E R V I C E S R E Q U I' R E M E N,'T.S ZONING APPROVED 5Y Lf�B DATE: ��1Z—P� i � BUILDING APPROVED HY :_ DATE; 6-Z-'�-'� APPLICATION ISSUED BY • � � DATE: lo,=-�'�- itititifiEiti(�iEil�ikrit�ttiEitit#itit#iti6 , iEiEiEititiEitititif � F�ltit klfifiElfiEillFikifififiEiElEitiEikil�FitiEiElEikitiEftitiFifitkdfiE if . itiEififik�iEiEifkiElFiEiFfEiEdEiEiEltlEififikiFiEifiE`fF'�FifitififiEikMik3FdE LEGALIZATION:N F E E S U M M A R Y STRUCTUIYALOSEGMENT:Y ��- BLDG PMT PLUMHING ELECTRIC MECHANZC FIRE SMZP/RES GRADING PERMIT 271.50 . SMIP/NON-RES PLAN 176.48 � � 4.11 ISSUG FEE ' - . BUILOING-DIV-> PERMIT ISSUE PLAN-CHECIC TOTAL PAID DUE TOTALS----> 275.61 0.00 176.48 452.09 452.09 .00 REVENUE DIVISION TOTALS--> COLLECTED: 275,61 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTAIC MECHANIC •"FIRE SMIP/TOT GRADZNG PLAN-CHECK 271.50 4,11 if it ik it ik if it % if iE iE 4 it iF if ik iE iE if jt i6 iF it if it k it ik i! it if it iE ik iF it it 7k if iE ik iE iF iE � ik if iE ik iF iF M iE iE iE it if it iE iF iE iE �E iE iF ik if if it iF it it 3k * i(-if if iE jf I N D I V Z D U A L F E E�% B R E A K D O W N TYPE QTY D E S C R Z P T I O N '" UNIT COST TOTAL COST SFC 1000 ZND-TYPE V-N -AVEft 27,40 27,400.00 ' END OF FEE� � ' ' i .i:�1 �t . ., 02 �d063754-OQ063755 TQ'Q' 2i5.51 DATE: �b/22{90 TIflE: 13�15 TRUCTION AND PLANt....0 !00 SPA p�✓ALS Permit # Date Inspector pPpROVALS Permit # Date Inspector - t..Temparary Electrical Service or Pole 52. Pool & Equipment Location � . 2. Soil Pipe-Undrgrnd. � 53. Steel Reintorcement ' 3. ElectriCal Conduit UtilitY-Undrgrnd. 54. Forms 4. ElectriGal Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough PVumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings , 58. Elec[rical CqnduiFUndrgmd. 8. Foundation c ' 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgmd. � •� 60. Backwash Lines, P�Trap, � Undrqrnd. - 10. Structural Floor System i= � 61. APPROVAL TO DECK . 11. PropertY Sewer Line & House'Connection , 62. Backwash & Receptor-Final � 12. Sewer Gap " 63. Heater & Vent�Final 13. Roof Dreins •� ' 64. Plumbing System • Final �� 14. Rough Plumbing • � 65. Electrical�Final _ 15. Rough Electrical�Conduit l 66. Solar System-Final 76. Rough Electric Wiring 67."Pencing & Access ApP�o�al 17. Rou9h Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Fattory Fireplace APPROVALS Permit # 21. Dutts, in Struaure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof $heathing 74. Overhead Hydro 26. T�Bar Ceiling (Strucwral) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation • r' l� 78. FIRE PREV. FINAL 30. Drywall Nailing �� ,' HEALTH DEPT. REQUIREMEN7 31. Plaster Brown Coat ��` �;`�� 79. PINAL INSPECTION 32. Electrical Power Meter-Final . S0. FOOD CERTIFICATE ISSUED 33. Final Electric , ' Notes: 34. Final Heating & Air Conditioning 35. Fina� Ges Pipe�Test � �� 36. Hood o� Canopy �� i' 37. Final F3ctory Fireplace ' 38. Final Plumbing 39. Water Service�Final • 40. Gas Service-Final ' 47. Solar pomesticFinal 42. BackfloW Preventer 43. BackfloW Irrigation 44. LandscdPe Irrigation System 45. Sound Attenuation 46. Handiwp Regulations 47. FINAL STRUCTURE & BUILDING Z f1 48. FINALPLANNING ��C�� -Z(;,� 49. Electric Release to Edison ,� � �'� 50. Gas Release [o Southern California Gas Co " �:, ,y, 51. CERTIF�CATE OF OCCUPANCY No. Date PPOJECT AODflE55: 7 3O W 1% 1 H ST OWNEN'SNAME: pETER ROTHSCHILD ,a�wness: g66 W 18TH ST � CM CA 9262'7 RNCMIENGINEER: 6 S �' 9 4�7 6 ADONESS: flEC.NO.: uniT: A UNIT: PENMITTEE: A.S,A,��. FIRE PROT. (213)327-0160 aooness: 113 E SAVARONA WAY CAP.SQN CA 90"l46 UCpNSED CONTPFCTOP OECLRNRTION: I �ereEy affirm t�a� I am fKensed unUet provisions of CIUD�e� 9(commentinp wil� Seqion 700p� ol Orvision 3 0l t�e Business an0 Pmlessions CoOe. anE my license is in tNl loae anE effect. cirr uc.: 0 419 9 8 STATE LIC/ : S 4 1 3 � 9 �� 55: C' �� Oatp; ' �/—Z_/'4_� _/ Signature: %2�� i'��5 �'�� / WOpNENS' COMPENSRTION OECNflAT10N: I �ere0y ailirm tlwl l Aave a tertilical¢ oi consen� �o Sel4insUre Or a CeM1ilitafe o� WorkerS' Compertution Insurance. or a cetlilied coDY �hereal �Section 3800. �ab. C1. PO��CYNO.: BWCi03736 ExP.o�rE: 04/O1/91 con+rnxr: HIGiiLANDS � Cendie0 cooy is hereby �umishe0. enitie0 wpy is fi�e0 wiID ihe ury Builtlinp Division. oate: / � 2I ' P ApDlicam: � • ��H� � S�f' E%EMPiION FflOM WOflKE115' COMPEN511710N OECIAflqTION: (TN5 seciion neeE rot Ce complele0 if Ue permt rs iw one huMred (5700) ar kss�. I Cenify iha� in I�e peAormance ol I�e work for wNu1 Ms permil is i45ueG. � shall not em0�' any De� �n any manner w as �o become w6itti to tlie wo�kers Compen5d1i0n Laws W CJfi7wnia. Da�e: SignaWre: NOTICE: I�, alter makinq tNs UeClaralian, y0V Shaula �eCome SuCjetl to Ille Work¢rs' Compensatwn orovisions of Ihe Labor Catle. you must Iorihwilh comply willl 5uch pmvisions ar IN5 permit shall Ee aeeme0 revoketl. CONSTPUCTION LENDING RGENCY: I �er¢Oy allitm Ihal ��ere 6 a mnslmCiion 1¢n0ing agency lar Ne p¢tlormanCe ai f�¢ wofk fOr wnicn (Ns pemnt is inuetl (Sectron 3097. Civ. CI. LENOEp: aouxess: OWNEB BWL�EB OECLABRTION: I �ere�y allirm ihal I am exempt imm �he Comractors' Staie Li�ense Law lor Ne lollawinp reason (Snciion 7031.5 Business and Pmfessional Code: Any ciry ol county w�ich repuires a permi� to constmci. alter, improve, Aemolish, or �eGair any simcWre, prior tolis issuance, aISO rtpuires Ine apDtiWnt tor such perM� to lile a signe0 siatement I�at hPJslle Is licensetl pursuant �o Ine O�a�iSians ol ��e Comratmrs' S1ate License Law (ChaD�er 91�mmencinp with Section 70001 of Oivivon 3 0l tAe Business antl Pmfesvons Code� or tlwt hels�e b ecemD� ther¢Imm �ik Ne Easis fo� t�e allepe0 exemption. My viola�ion ol Sectian 7031.5 Ey any applicanifor a permii sub�ec6 ihe aDGliwntto a civil penalty ol noi more tAan live huntlreE UOIWts (55001. I, as owne� oi ��e D�oDeriy or my em loyees wit� wapes as t�eir �le compensation, will tlo the work, and ihe ❑ s�mcmre Is noi imeneeo or oueree mr sa�e (S�¢clion 70Aa, Business anG Pmlessional Cotle: T�e ConUacbrs' Sla�a Licenso Law Uoes not aD�ly to an owner of a O�openy w�o Euiltls or im0�oves Ihereon. antl w�o Gaes suc� wOrk Aimsell/heRell or I�rouph �is or �er own em0�oyees. pmvi0e0 t�at suc� imD�avements are nol intentleU or olleretl for sate. II, �owever I�e builainA or �• im0�ovemenl is SOIG wiihin pne year ol camptetion. IIIe owner will have I�e EUNen of prONnp Adstle tliE not bui10 or imOmV¢ mr me pmoose o� saiel. I. as owner ol me Dmpeny. am eKcluively Cpntrat�inp with litertutl mmraclor5lo consirvcl lhe prolect (5eciion 704E, Busin¢55 � antl 7mlessions COGe Tne Convaclars' State License Law ry�es not appN �o an wmer ol DmDerry w�o DwICs or impwves tAereon an0 who mmrac�s lor suc� pmjecis vnl� a comracmqs)li�ense pursuanit0 Ihe Contractars' Siaie License Law�.l am awara tnai pmol ot iheir Worker's Campensaiion insurance snoule Ge D�ovi0e4 to me. q I am ewemD� untler Section: B. d P. C. for �nis reamn: Oate: Owner. I 7o here0y certily Ihal I am aware af anC un4erslanG I�e reQuirements al Cahlomia Heallh anU Safeiy CoAe Settions 25505, 25533, and 2553a ana Ihat I or any lulure building occuoanl winlwill noi (circle onel neea la comply wiln saia state cotles anA Ihe requiremenis lor a PNrmil for conslmclion or modihcalion fmm Ihe Air uafify ManaBement Oistrict. FesiAential canstmclion aOP��almns are exempl from �Mse D�ovisions. Oale: AppliCdni: I hereUy cenily ��at I �ave reaE tnis a07b iron ana state tlwt t�e above informa�ion is corrtct. I agr¢e to compty wit� all ury an0 county a�tlmaxesarMstarelawsreWtinqroMnb' B�StructionarMlrere�yauitwr'¢erepresentaiivesoli7GSGry�oenterupont�ea6ovemqhtioned pmpeny mi insoec2n Ourposes. ^^ �^ /4� � � Date: �� "' � �� SignaNre: �4 / ��L Onvei s License or Soual Secumy �,- i6nLa6 While—BuilOing; Green—COUe Enbrcemen�: Canary—Applicanl: Pink—Revenue: GOWenroE—Assessor CITY OF COSTA MESA — BUILDING PERMIT PHRM NO; F 05003 PER,NI'1' NO: F 050031 PLAN CHECK Nq; 06702-90 S GO�'T'; N.SiJPP; N CGNSTRUCTION TYPE: PERMZT TYPE: FIR PURPOSE: ADD J08 DESCRIPTION : P.DD TO INDUSTRIRL $LDG. SQ FT; . Ct.AIM VAI..UE: CALC—VAii7E: GROUP UCC; H-2 J COMMENTS: REF 647863 Y if iE i' -?� � i�' #� Y Y: Y. Y IE Y K u� iE a!� !�Y. X#� if # 4E M.'�Y.':�� i=iF i�if if �f if "� if iE �' iL iE i!"1Eif -1F#!�iE'A' i: Y-Y i� i' #' i�Y �Y Y�Y if if'lf Y Yil ► iE *� X�! iF iEd! ir �L" if Y Z U N I N G R E Q U.T, R E M E N T 5 S E T A A C K S ----�-------- MATN BOTLllINC- ---------- --------- ACCE:SS"ORY HUILilING --------- FRNT: F'T' IN RtAR: rT IN FRNT.: PT IN REAR: FT IN i,lil�T: PT IN RGHT; FT IN LEFT: F'T IN RGHT: FT IN PARY.ING REp • PROV: PARCEL: 9290$119 ZNE; REF NO: PI.ANNING Nr3TES> > �if if u 3F x� lf )f ti� 7f� JE K 3E+F �f -7E if aF �If +F iF 3f iE+f af it� iE lc if if ��E it?f jf M�f �r.+f i(- tt aF #� if� �k N� ��f+E1P �71� x 1F if if aa.E+F if if �F �F 1F �%iF if N� If r dE iE �If iF IF iE �f� N� �f��f %� ac if ]) E �� E L O P M E N T S E R V i C F. S R E Q U Z R E M E N i S ZC)NING APPRUVED 3Y DAi E: BUTLDLNG APPROVh:I) ilY : DATE: APPLICP.TiON C:�SiIED BY: �/� � DATE: �o iE iF iE �F M+F 9t+f i� Y� X 7F k Y� X�;E 7-#?E tF ic+F g�iF iF g SF g'iF'iF'�FfF�FiF�IF'C�:7FiFTF iFF�F'iF'Y'��FiF'i+f +f iE+f af r.-�?f �1E+E 3E 3f if 1f M 3f �f k#f 7!Y af 3F X�'if k' ?F i� %� df # iF?F if �E+f 1f 1:1(�+f�+f df i'r iF 1F af �IF if if� �F �F i(� if dF if� �k?F if iF * 3f��lE if iF iF iF if 3F if +f+f +i Y�+f-?E jf iF If af i(� # Y� iF+F iE Y 1F if lE iF iF if I,EGALI2A'f.f.ON:N F �, E S U M M A R Y S7RJCTURAL SEGMENT;N BI.DG FMT FLUMBING ELECTRTC MECHANIC PZRF. SMZP/RES GRAD'iA1G PERM7T' 3365Y SMIP/NON—RES PLAN 21.45 ISSUE E'EE BUIi.DING—llZV-> Pi�RMIT ISSUE PLAN—CHECY, TOTAL PAiD DUE TOTALS-----> 33,00 0.00 21.45 59.45 54.95 .00 REVENUE DCVt:iION TOTALS--> C07..LECTED: 33.00 OC'ER/SHORT: 00 BLDG PM'T P1,UMBING ELEC'PRIC MECi{ANIC cIRC• SMIP/TO'C GRADING PLAN—CHECK 33.00 1F iF �Y IE d4 �M •K iEY.� iF 1E Y Ti iE if �yi If # dE �.`E 1E i4 �1�.Y }:..1R y.Y.� 1%dP if if ij �E lf iF dF'KiE �K�Y d4 �K i5 �%� �1f �Y if•N..y.Y.-ii 1E �1f Y df .y .x•Y. IF dc �V��)f �1f 1� Y. #( �Y,� If K�Y i5 �4 �Y� iE �l� dE •X .ti I N D! V I D U A I. F F.. E H k L•' A K D U W N TYPB QTY L� E S C R T P T I O N UNIT COST TOTAI. COST FIR 33 FIRE EQUZP FEE (FROM BLPG VAL TA4LE) 1.00 33.00 END OF Fi,ES 'JS C�OOi4752—�[074)8? TCaT 's3.G� Dp7E: tlf?1/i0 TTwE� i2:32 CGNSTRUCTION ANDPLANNING POO� SPA �A6PROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. °Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement 3. Electrical Conduit Uti�ity-Undrgrnd. 54. Forms 4. .Electrical Conduit-Undrgmd. 55. Electrical Bonding 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. . 60. Backwash Lines,P�Trap, O Undrgrnd. - 10. Structurol Floor System � 61. APPFOVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap . ' 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System � Final 14. Rough Plumbing , 65. Electrical-Finai 15. (iough Electrical�Conduit 66. Solar SYstem•Final 16. Rouqh Electric Wiring 67. Fencing & Access ApProval 17. Rou9h Wiring Sign 68. APPflOVED FOR PLASTER�NG 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - . � 20. Rough Factory Fireplace ' �� APPROVALS • Permit # 21. Ducts, in Structure � � � 70. Underground Hydro 22. Ducts, Ventiiating . 77. Product Piping O Gas ❑ Oil 23. G'as Pipe�Rough & Test 72, Underground Flush- 24. Roof Framing � ' • 73.� Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing � 74. Overhead Hydro� �� 26. T�Bar Ceiling (Structura�) & Monocoat � �� 75.' Dry Chemical ' • 27. Frame and Flashing � � .� 76. Dry S[andpipe ,,• , � 28. Lathing & Siding � •� i 77. FIXED SYSTEM FINAL f •2 I I..vJO 29. Insulation � � � �j � 78. FIflE PREV. FINAL ;�J 30. Drywall Nailing . � i� � � HEALTH,DEPT: REQUIREMENT 31. Plaster Brown Coat . ' � . (; ;, 79.' FINAL INSPECTION 32. Electrical Power Meter-Final � � i � 80. FOOD CERTIFICATE ISSUED 33. Final Electric � � � ' , Notes: � , , 34. FinaFHeating & Air Conditioning � � � � , 35. Final Gas Pipe-Test � � � � . , 36. Hood or Canopy , j ' �� . i 37. Final Factory Fireplace, � � ; � , � i. 38. Final Plumbing � � �� 39. Water Service-Finai � ; ' ' � 40. Gas Service-Final . � j f, , � . . � 47. Solar pomesticFinal • � � � I� a 42. Backflow Preventer. . 4 - I � �, , . , ' 43. Backflow Irrigation � ' ' ' ' ' � 44. Landscape Irriga[ion Sys[em� . . . � � � 45. Sound Attenuation • � � . ' �i 46. Handicap Regulations � �� . 47. FINAL STRUCTURE & BUILDING i � � 48. FINALPLANNING I � 49. Eiectric Release to Edison � (� 50. Gas Release to Southern California Gas Co . � �. .� . 51. CERTIFICATE OF OCCUPANCY , , , , , No. � Date Pfl0.1ECT FOONESS: '] ] O W 17 T H S T owNERv"aME: pETER ROTHSCHILD ` aooness: 8 6( W 1 8 TH S T uMrt: A & H 650-9466 nxcx�exc�Neee: C. K. ALL EN xeo.xo.: S 18 2 3 RODRF53: -SS7SS MITCHELL NORTA uxn: p, ZRVINE CA 92714 PEaM'nEf: A.S.A.P. FIAE PROTECTION (213)327-0160 ^ooflEss: 113 E. SAVARONA WAY CARSON CA 90746 LICENSED CONTMCTOP OECUMiION: I �ere�y affirm that I am licensad untler provlsions af ChaO�er 9(commencin0 �� tion 7000) at Division 3 oi tAe BuSiness antl Pmtessions COEe, anA my licansa is in lull brce antl effect. cm uc.: p/d1 g g g st�re u.: 5 41319 �� — '•�: _(�� SiOnature: ��q � � IIKERS' COMPENSIITION UECU1RRilON: I here0y attirm ihat I have a ceN/late ai consant to ull-Insure or a aNfiwte of Worke ' .npenSalion InsuranCe. Or a certiM1eO co thereol ($ectlon 3800, La6. C. IPOLILYNO.: HWC 20373� E%P.D17E: ��iIOSI9i cornrnxr: HIGHLANDS � CeN/ie0 wpy is �ere0y Iumis�e0. � Certi/ieU copy is fil� ciry B' dinp Division. � Date: ��' D MDlicant: F%EMPftON FAOM V/OPNEHS' WNPEXSITION UECUIWTION: (ihis uctian nee0 not Oe com0leteE II Ne perrtdt is for one AunOreO (510D) or kx�. I ceNry Ihat in Ihe performance ol t�a work tor whic� I�is permit is issued, I shall not employ any perwn in any mannar so as [o become su�ject to IAa Workers' Com0en5aiion Laws o1 Calilomia. . Date: Siqnature: NOTICE: II, aller makinq Nis EeclaraGon, you shoul0 Eecome subjecl ta t�e Warkers' Compensatbn D��s�� a� Ihe Labor Cotle, yau must fanMnN wmpy with wch provisiore or ttus permlt shall De tleemeE rewkeE. fANSTHUtT10N 1FN01N0 AGENCY: I hereDy amrm t�a� Urere'a a consiruction IenUinO a0ency tor the certormance of tice work lor whic� lhis Oarmii is issueE �Section 3097, Civ. C�. lFNOEB: 100HESS: IOWNEB BUILOER OECIAMTION: I �e�eby aXirm Ihat I am exempt trom IAe Comractors' State License Law lor IAe fallowinA reason (Section 7031.5 Business antl Professional CoOe: My Ury oi counry wtiich requiru a Dermit ro constmct, alter, ImDrove, demolish, or repair any StmcWre, pdar to ils issuance, also requiru the apDlicant for suc� Dermn to lile a siqne0 slatement I�at he/s�e ¢ IicenSOE pursuant to Ihe praNsions oi Itce Coniradors' State licanse Law (Chapter 9(commencinA ��h Section 7000) ot DMs�on 3 0l I�e Buvness � Professions Code) ar that ��s�e is exempt t�erelrom an0 the hasis lor ��e allepeE axemptlon. My violatinn ol Section 7031.5 Oy applicant for a Oermit suhlects t�e aD0!�cant to a cMl penalry oi no� mom Ihan Me hunAatl Collars (5500). I. a5 owner al the Properry ar'rtry em loyees wiN wapes u IMir sole compemation, rnll tlo lAe work. an0 Uie ) I❑ semcmre is not imenaea or onerea tnr uie I�tion 70b1, Business an0 Pmiessional Cotle: TM Contactars' State License Law tloes not apply to an owner al a pmpeM w�o builGs or improves t�ereon, antl wAa tlaes suc� wark himself/Aersell or tAroup� � �• Ilis or her own employ?es, D�a��Oetl lhat such Improvamenis am nol IntenGeC or otlemtl for sale. It, however tha CuilOinp or � impmvement is soltl Wi�hin one year ot completion, [he awner vnll Aave the burEen ol Drovinq hUsha tlid not huild or improve lor the pmpose of sale). I, az owner ot IAe Droparry. am ezUusivety cantractinq wiTh IkenseE contractors ro wnstruct the Drol� (��on 707C, Business ❑ an0 Pmlessions COEa: The Contractars' Slate License Law Uoes not appry lo an owner of Dmperry wlw Omltls or improves IAereon antl w�o contracts lor suc� projects c�th a wntractoqs) license Dursuant to the Contractors' State Licensa Law). I am aware that Droo/ of t�eir Woh.er's Compens:Fion insurance sMultl Ee provl0etl to me. ' � I am exempt unEer Se�tion: B. 8 P. C. br Inis reasan: Daie: Owner: I Oa here0y ceniy that I am awem ol an0 unaerstan0 Ine reyuirements ol Califoma HealtA ana Satery COGe Secnora 25505; 25533, anA 25534 and ��at I or any future Uuil0in0 occupant will/will not (circle onepneeE to camply wit� saiE sta[e co0es antl tAe requirements lor a permit lar cansimctwn or modilication Imm the Nr ualiry Manapement Oisidct. Fe5i0ential consimctian apDlicatlons are exempl imm fAese prov'tsion5. Oate: � Appliwnl: 1 hertsy certiy that 1 hare read Ihis aPO�tlan anU sWte Uwt Ne a0ave InbrmaGon is conect. I apree to camply wltA all ciry a�tl caunty nrtlinances mE state Wxs relatin0 ro Ouildinp canstructlon ariE heatry auiho�rn aD� �s of tlus dry to rnter upon Ne aEov�-mentlonetl propeM �or inspection Deurpases. � Oate: � 7 � T � Siqnature: Drroer's Lianse or Sacial Secunry M: W�I�e—BuilCing; Green—Cotle Enbrcemant; Pink—Revanue; Goltlenraa—Aeaaeeor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; F,097646 PERMZT NO: F 047646 PLAN CHECK NO: 09053-90 S GOVT: N SUPPc N_ CONSTRUCTION TYPE: PERMIT TYPE: FIR P.URPOSE; OTH JOB DESCRIPTION ; INSTALL FIRE SPRINKLER SYSTEM SQ FT: CLAIM VALUE; 1,fi00.00 CALC—VALUE; GROUP OCC: H-2 / COMMENTS: RE: B46380 PRIMARY HLDG. PERMIT. x�r�e�r�exx**�e***�**�*�r�r�r�*�r***�r�r*��+r**�r��r+r***�*��r�e�e*�*x *��*�r��r�**�r***�*+r+��*�x��*�r* Z O N I N G R E Q U I R E M E N T S S E T H A C K S ---------=-- MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKZNG REQ: PROV: PARCEL: 42408119 ZNE; REF NO; PLANNING NOTES> > it iE iElE if ik if iE if !f iF if iE ik iF fE fE 1t 1t i! jE ik iE iElF jE it �F �k 3F fFlF iE iElE if if iE if if iE i! iE iE iE if iF fk iE fF aE it iE iE iE iF iE iF iE iE if if iE iE if if iF iE iE iE iE if iE iE iE �F if 1E iF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONZNG APPROVED BY DATE: HUILDING APPROVED HY : DATE: APPLICATION ISSUED BY; DATE: � iEiEilitMiEiEiEilikiflEififiFitiEiF%if1EiE iFiElFltifihifitiFip iFiF 1f if i! k iE if if if if it iflElE 1E iF 9E k it �k if �E iE if if !f k iE ik it �E iF 1f if ik iElFlf ik it if iE 1E ik k if df i! iflE if fk%1k if ik M if iE if if if 1E ib iE iF iilE if iF iElf %dE iE if 1k iE iF iF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GAADING PLANIT 246�55 SMIP/NON—FtES ISSUE FEE , BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 37.00 0.00 24,05 61.05 61.05 .00 REVENUE DIVISION TOTALS--> COLLECTED: 37.00 OVER/SHORT: 00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 37.00 . iE dE iE iE if 1E 1E iFif iFiEiE iE M iF iFif iEiFit dE ib iF9FjE it iE iFiE iE iFdE iE * iF IF jt i! iEiE* iF iF it iFit iE if iE iE if 1E �lEif * iF* iF iE-lE jE iF iE iE 3E jf iEiE ik �t iE iE iF iE iE 1E iFiEiF I N D I V I D U A L F E E H R E A K D O W N TYPE FIR QTY D E S C R I P T I O N UNIT COST 37 FIRE EQUIP FEE (FAOM BLDG VAL TAHLE) 1.00 END OF FEES TOTAL QOST 37.00 0 �CONSTRUCTION AND PLAN. .a � ' ��II� & SPA ;APPROVALS Permit# � Date Inspector qppROVALS Permit# Date Inspector i7. Temporary Electrical Service,or Pole _ ; 52. Pool & Equipmeni Location . 2. Soil Pipe-Undrgrnd. � ` 53. Steel Reinforcement 3..Electri�yl Conduit Utility�Undrgrnd. 54. Forms ` 4'ElectriCal Conduit�Undrgrnd. ' S5. Etectrical Bonding 5. Steel Reintorcement - 56. Rough Plumbing & Pressure Test 6.-Electri�al UFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings ' 58. Electrical Conduit•Undrgrnd. 8. Foundation � . 59. Gas Pipe, � Undrgrnd., Test 9. Water pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, O Undrqrnd. ��' 10. Structural Floor�SYstem �%� �; 61. APPROVAL TO DECK �' 11. Property Sewer Line & House�6onnection ' 62. Backwash & Receptor-Final / 12. Sewer Cap '- , . � . 63. Heater & Vent�Final . 13. Roof Drains -� � � 64. Plumbing System - Final 14. Rough plumbing 65. Electrical�Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling � " 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioninq FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � � _ APPROVALS Permit # 21.Ducts,inStructu�e. ��. 70. UndergroundHydro 22. Ducts, Ventilating • - ._ � � �71, product Piping O Gas ❑ Oil 23. Gas Pipe:Rough & Test � .72. Underground Flush 24. Roof Framing '- ' • ' ; 73. Undergrnd. Storage�Tank O Gas ❑ Oil 25. Roof Sheathing � � � . � 74..Overhead Hydro �, ,�_�� (N„O . 26. T�Bar Ceiling (Structurall & Monocoat , 75 Dry Chemical , � 27. Frame and Flashing -� + 76. Dry Standpipe � 28.• Lathing & Siding - :t� - ' ' 77, FIXED SYSTEM FINAL _ �-$-q/J Q�� 29. Insulation �- 78: FIRE PREV. FINAL 1p_g-GD [�,�+ 30. Drywall Nailing HEALTH-DEPT. REQUIREMENT ��31. Plaster 8rown Coat � 79. FINAL INSPECTION � � � 32. Electrical Power MeterFjnal -' . �•80: FOOD CERTIFICAT� ISSUED �33. Final Electric � � � �Notes: � _ " �34; Final Heating�& Air Conditioning' '' , -� . *t 35. �Final Gas Pipe-Te"st : . � � � - " � ^ 36. HoodorCanopy �' ', i � � , " .`; , . _- 37. .Pinal Factory Fireplace`,- � _ ' ' -- 38�. Final Plumbing , . � . 39.�Water Service�Final - . - � � 40.�GasService-Final '" . ' �- ' , � 41. Solar pomesticFinal ' � � . . 42. Backflow Preventer � , � � � 43. BackFlow Irrigation. . � " , , . � ,", . � 44. Landscape Irrigation Syscem � � -- � _ - - - �" � 45.- Sountl Attenuation .. , � - • � � 46.� Handicap Regulations ' ,�. � � � 47. FINAL STRUCTURE & BUILDING � � , 46. FINAL PLANNING � � � , - �" ,49. Electric Release to Edison � , . - - � ' 50. Gas Release [o Southern California Gas Co - - � 51. CERTIFICATE OF OCCUPANCY No. Date � ��p�qE�' %3O W 17TH ST OWXFH'SN11ME: p�TER ROTHSCHILD , �ooaess: n E� W 1 8 TH S T • uxiT: A � �d50-9466 xec.ho.: , ANCHIENGINEEfl: C, K. ALL EN S 1 3 �oowt�: 1 Y 711 MITCHELL NORTH '�` A ' IRVINE CA 92714 � PERMITTEE: BUILDER GROUP � ( 714 ) 969-0169 �ooxess: 10190 IMPERIAL AV GARDEN GROVE CA 92643 LICENSEO CONtMCT08 OECUMTION: I hereDy aKrm IMt I am IicenSeE un0er proWsions ol C�aDjer 9(commencinp wiN Section 7W0� o1.DNisian 3 0l IAe BuSNess �nO Protessbns CoOe, an0 my 5cense is in hAI torce aiM etty�t. cirvuc.:050106 $T^TEuc.:583704y cuss:p � Oate: ��'r�( �Onatua: 7/'7-✓! � fe �qNEBS' COMPENSATION OEIXAMTION: 1 haraEy aMrm tAat I �ave a certi� te ol conum ro sel4insure or a certificate af WOBere' .npensatian Insuranca, or a cenifie0 copy Orereol (�tbn 3800, LaE. C). � IAL1CY NO.: IXP. OATE: � COMP�NY: � Certifie0 wpy is IieROy Iur�tisheG. ❑ CertlfieA copy ¢ fihE wiN Ne tlry BuiMmO Division. ' Oate: ApDlicant: _ _ F%EMPf10N FlIOM WONNEqg' �OMPEN311110N OEUAILITION: (TFis secuon neN not Ce campeteE I� Ne pemrt 5 ta ane �untlaE (510� a less). I certiry that in the perfor��e ol iM xrork lor wNc� tliis permit ¢ L5sue0. i slWl not empby an person in any manner so az ro hewme sublect to the Workers' Compensalion Laws af Calilomia .A/ �- 9b G � ' ' Oa[e: ' ] — SiGiutua: /l)7? /v a�( . NOTICE: II, atter maWnq Uiis dedarauon, you SMNd me suEjecf { the Worken' Compensation provisiws oi tAe LaOor �ppg, yDu mu51 tarthwit� Lromyly wii� suU O�o�s�o�s 9r ttus pErmrthhaA EB EetmtO revokEO. � CONS7HUCTION LENOINO RGENCY: I �ereby aKrm that t�ere is a corn[ruclion lendinq a0ency for t�e peAormance of Ihe work far whicA tAis permit is issu¢Q (Section 3W7, Gv. C). � LENOEP: aooeess: OWNEB BOIIDER OECUMTION: I OeaUy aflirm tliat I am eaem0� ��m t�e Cantrzqors' State License Law lor tM tallowin0 ro�n (Seclion 7031.5 Busineu an0 Profeszonat CoOe: My dry of counry Mikli requires a pemdt ro construct, alter, improve, tlemolish, or mpalr any structure, D�ior ta i6 issuance, atso reqWms t�e aDW�� or wcA permit ro lile a s�qneE statement tAat hUshe is licensea pursuant ta tAa O��slon3 al Ne Contrac�ws' State License Law (CMpter 91�mmenUnp wil� Section 7000) ol Oivlsion 3 0l tne Business an0 Professions COAe) ar ��ut tre/sna is eeempt t�erefmm antl tAe DaSis lor the alle0ed exemD�ian. My violatlan of Sectian 7031.5 hy � applicant far a Dermit w0i��s tne appGcant ro a rivil penalry ol no� mom t�an frve nunEreO Oollan (SSW�. i, az owmr a� tne o�o��v a my empIoyees wim wapes as mNr sole compensation. vrill Eo the work. and IM � I � stnctum Is �rot IntenOM or atterM lor s�le (Section 701A, Busifrcss �M Protessioiul CaCe: TM Contactws' State Licenu Law does not apOM �0 an awoer ol a DroD�M � �uilEs or improves therron, an0 w0o Uoes such work Mmsell/�ersell or t�rouph �is or ner own amplayees, pmviOeE tAat suc� imD�ovemems are no� inten0e0 or otlereG tor sale. II, �owever i�e Euildinp or i Impmremant is SOIG witAin One yaar ol completion, I�e owner will �ave tha �urden ol prpvinp �e/sAe Oi0 noI Euild or imDrove � lar the purpose at ule). I, as owner ol ttb propeM. � exUuSNeN wnvaninp wit� OcenSeE wntractors ta construct Ihe prqect (Section 70dd. Business ❑ anU Prolessions CoOe: Tha Contnctors' State Lice�e Law Ooa not appy W am m�ier oi Droperty wtio GuilGs or improres IMreon anE who crontraMs lor suU Drol�s wit� a con(nnw�s) Ikense pursuam ta tAe Contnqws' SWte lWenu Lawl. I am aware ttui prool ol t�gu Worker's Compematbn mwa�e shw10 Oe DrmaUeO,lo me. � I am eKempt untler Secllon: B. 8 P. C. far this reazon: Date: uwner. � I Oo AereEy aniry Ilut I� aware ol aM uMersUnO tM repWrtments of Calilomia HWN anA Safery Cotle Secliom 25505. 25531. anU p5591 and thatlor 0ny tuiure EltilOinp oCwDNi�wlWwillirot (qrtle ane) nEMto Wmply witn SaiO s�dte WGes dn0inertqViremenislor a pEfiNl�Of fAfISVIlCI10f10! IIpEI(ILd�OfIh01111118 !11! OlWlty MdNOEffIGll U6IIICl, fl61GE11IIdifAI1SWLI1011 dppllWl10115 if0 BRCrtIpi If0111 theSE p�Ovivon5. , �i � Oate: Appliwnc 1 nereby ceNty that I Aayp rcaOlNs apWiwYon an0 sfaro Nat ihe abova inlarmatlon ¢ carrect. I apree ro wmDry witA all ury aM caunry ortlinances antl slata lawn relaGn9 to EwlEinp crosWCWn aM IrtrehY a�� represenutiva ol Itus py to efrter upon ihe aDove-mentioneG pmpeM �ar inspection pwposetp. ( �y o__' �ate: ��—'/�D �I Si9nature: lCJ�L.f� 7�, r Onver's License or Social Secunry x: 18a1J6 Whita—Buiki�w: GreerCotla Enimcement: Canarv—Poo�icarR: Pink—Revenue: GOWenrotl—Auessor CITY_OF COSTA MfiSA - DUILDING PERMIT FF.RMIT NO: H 046360 �� PLAN CH£.CK NO: 02,594-90 S CONSTRUCTION TYFF.: . PERMIT TYPE: STR JOB DESCRIPTZON : IOOOSF INDUSTRIAL BUILDZNG CLAIM VALUF.: 28,OOO.UO CALC-VALUE:, 27,975.40 PEltM NO: B 04638U GOVT: N SUFP: N PURPOSE: NEW SQ F1': 1,021 . GROUP OCC: H-2 / COMMENTS: ' • *�r+r*��**��*�**+��r**��****��r***�*�*�+�**x�r*�r**�r**+r+r*�*�**�r+�**+�+r*****+�***��r*��*�* Z O N I N G R E Q U I R E M E N T S . S E T D A C K S - MAIN BUILDING — --�------ -------�--:ACCESSORY HUILDING -- - FRNT: FT IN REAR: 24 FT IN FRNT: ''F'T IN REAR: .FT IN LEFT: 150 FT' IN RGHT: 64 FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: 83 PROV: 84 PARCEL: 42408119 'LNE: MG REF NO:. DR8954 PLANNING NOTES> 1000 SQ FT METAL BLDG ATT TO REAR OF EX TILT-UP BLDG. •BUILT > IN CONJ WITH 3 METAL BLDGS AT- 720 W 17TH ST; A& D � - *x��*******�t�t**x*x� *�t*�*�r*�t�r�t+��t�t*�t*�t+�*+t�r�r�****�x****�r**��r**�r�***+c��***�i�a��r***�t*** ; D E V E L O P M E N T S E R V I C E S R E Q U I R.E M E N'=T S� ZONING APPROVED BY �2' C. . DATB: _��rI--�1d �E3UILDING APPROVED DY : __ DATE: ! 1 , • APPi,ICATION ISSUED HY: DATE: ~ Q� ititit-if�tit�tit�fif�t*itit�it�t�tx�ftitieit �tif�F*�t�t*�t�t�t*�r�t ,�3FiF3F?F1FiF�t* iFlf k�f �f 1k M iE M�k iE 1E k k k IE iE 1E iE iE it it if if k K IE iE M k M k k!F!k iE 1f 1t IE �t ik k iE it N� 1f 1E iF ik k iE ik 3k IE iE iE it ik k iF If ik fE iE ik if iE iEiE fE If Ik K� M fE iE IE 1k iF LEGALIZATION:N ` F E E S U M M A R Y' ' STRUCTUR�AL�SEGMENT:Y r HLUG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRAAING PBRMIT 271.50 ' • � � � SMIP/NON—RES PLAN 176.A8 , , q,20 TSSUE F'EE BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID � DUE TOTALS----> 275.70 0.00 176.48 452.18 452.18 .00 REVENUE DIVISION TOTALS--> COLLECTED: 275.70 OVER/SHORT: .00 BLDG PMT PI.UNBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 271.50 ' 4,20 ii iE iE if� iF k if k if k if i TYP� ATY SFC 1021 if if MiE if iE if ik k iF �! fE k iF IP 1k k iE iF iE iE if Ik k 1! �! k iE iE iF �f it iF if iF lkif �! iF ik 1P 1E 1k �E K iF 1! iF iE ik iE iE iE If If iF if iF iE iF iE k iE I rI D I V I D U A L F G F. B R E A K D O W N D E S C R I P T I O N UNIT COST TOTAL COS1' ; INL—TYPE V—N —AVER 2%.40 27,975.40 I END OF FEES' P 01 00055575-OU055576 Td T :75.70 DATE: 03/07/90 TIHE: 09:47 EON 1 RUC�ION AND PLANh.._,; - � 00� a SPA ' APPROVALS Permit # - ' Date Inspector qppROVALS Permit # Date Inspector ' 9. Temporary F,Iectrical Service or Pole 52. Pool & Equipment Location N ,2.. Soil Qjpe�Undrgrnd. -' 53. Steel Reinforcement -�3:=Electrical�Conduit^Utility-Undrgmd. 54. Forms � 4rElectrical.Conduit-�Undrgrnd. . 55. Electrical Bonding - -.5�. �Steel Rein�orcement. 56. Rough Plumbing & Pressure Test j ��6.'=Electrital UFER'Giod. � 57. APPROVAI TO COVER�GUNITE � � �7;;.�Footings :- =;;'; `� 58. Electrical Conduit-Undrgrnd. '' 8; Foundation. � , 59..Gas Pipe, O Undrgrnd., Test 9. Water Pipe=Undr§rnd. ' 60. Backwash Lines, P�Trap, O Undrgrnd. . 10. Structural�Floor System 61. APPROVAI TO DECK . 11. PropertY Sewer Line.& House Connection 62. Backwash & Receptor-Final , 12. Sewer Cap �_ � 63. Heater & Vent�Final ''� 13. Roof Drains_, ,'; � 64. Plumbing Svstem � Final 14. Rough Plumbin9 � 65. Electrical-Final 15. Rough Electrical�Conduit 66. Solar System�Final � i6. Rough Electric;Wiring 67. Fencing & Access ApProval � 17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19.�Rough Neating-&_ xir Conditioning „ � _FIRE DEPT. REQUIREMENT ,_ - - � - 20��Aough Factory F.�replace -r; =r,' - _ � C ;" -APPROVALS �;Permit # �' 21:-Ducts, i� Structurei� '� '- - ' - ' �70. Underg�ourid Hydro ' r_ -t � l x 22.�yDucts, Ventilatin`g,, ^�= � .� ' �''r ; ;7�, Product,Piping OGas ❑�Oil 23 �Gas-Pipe�Ro�gh & Test - � - 72. Undergro'und FlusFi ' � - 24`Roof Framing -'J �- x' � _ _ '' _' ; 73=�Undergmd.Storage:Tank��Gas OOiI 25. Roof Sheathing > 4' �k � _� ' 74' Overhead Hyd% _ 26�T-8ar Ceiling (Structural) &�Mon`ocoat�.�. � � , � - � 75: pry Chemical " ` � ' ' 27 �Frame a�d Flashing- - � .� � � ' � � �. r 76. Ory StandpiPe - =7 '� . i- � c -28.�Lathing&Siding �'"' _�•= `}; ��K'`" " "��;� 77:,FIXEDSYSTEMFINAL�.... {. = �29. Insulation � ' • C::' � � '' ` 76; FIRE PREV. FINAL ' "�30. Drywall.Nailing '' ^ ' ' ` r t " �HEALTH:DEPY,: REQUIREMENT -'31. Plaster Brown Coatr ;: � ��- c^ k= '79.yFINAL INSPECTION � •`.'32._Electric8,l Power Mete��FLnal `'�'� cti �- ,` ` 80::FOOD CERTIFICATE ISSUED_ _�33rFinal Electric r r <;�:t: i� - � ��: �: �Notes: �;r � �-' _ �T: " 34�Fina� Heating & Ai��Conditioning� T; �- � ;a ., � •i, ; , S_ / r.y�_ � ' 1� r .� /�� ' ' 35°Final G0s Pipe-Test� - .- ; �+: • - � �_ -+ r � -' � 36. �_Hood o{ CanoPY x G _� `. --: : iK .' . ,f x - .- +` -.. < �� - .,: . c 'r: r �.,.:. �- r. .-± , � . ... ~ ` ,. �-37..-Final Factory Fireplace- �-.-� - - ' `e < w � •- �38.=Final Plumbing ' . -^ ' ' '^ ` _ = _ ,�. � - C.: L . .5 Y+ 39''VJaier Service-Finai.`. --� - ' . �.�- ::. : , j '�. ,. � a ^ • ' .i: ' _ , �Y40. GasService-Final - . '•L:'? =:' : -. � u '=��; -' " - ic c � � � ' F � h41.'$olarpomes`tioFinal- � ��r'" ` `� - ;,. , � . p; p , w I �: ... 42. Backflow Preventer•' � . "r-'' � x � � ' '� " �"' . '. - ,� . ' �i -.r�er� t:v� ^C � r 1 ' •' � J � - • 'ti F 6 - ,. . . � � , 43. Backflow Irrigation, .- r; .:. �= r.. �. ' • �44.^LandscaPe lrrigatior SYsterti= ;�� ="�� ` =� y f f = � �. " =�� .; rt _ - � �45rSound Attenuation,' � ., � ' � ` . � z t. _ . r :. � � ,-.'�i �. _46��HandicapRegulations - C�� • � • •-' � � . ..f� .p �T, r ,47 =FINAL STRUCTURE & BUILDING- ' L � � SJ _ . . 48�FINALPLANNING -�- �-'' � iLj( �� •' � �": ` - . . � * '�: �'49'Electric�Release to,Edison � 4�� ' i � µ ' - .`, ' �. -50._Gas :Release to Southem Califom^a Gas Co ' ' � �= ' ''i' '' '-' ' :: _� : ,-, G � '51. CERTIFICATE OF OCCUPANCY ' � �" "' ' ' � No. Date - _ . 1 '� �E'�q�.t e"�s�i�'rS �,r/,�CSO S�r/,G6 7�o cz. /7�f/ S 7` .�oS f/yJES.9 .�A. �/oo.p 3� y� �/Yo�a77vo%`s �jS/�`^� !-� FNi57`;vG �.C• o�`0�00•9 3�n y w. ao�/ii,f- v Zo S� C. E . w e-r ��, n. e L �, o y` y ci �, - 3PNNW.,to�'ji�S✓.