HomeMy WebLinkAbout760 17TH ST - Building PermitsOWNER ��L� Fred
IB ADDRF.SS '
6e VALUE
DATE
SUBCONTRACTOR
6-2i-63
4
� 13�8�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 817 COHTA MBBA. CALIPORNIA
For Applieant fo Fill In Completely
TYPE OR PR NT '
ADD6E'88 6 _ � � = S 1� ! BU�RDE�VRER.'
COSTA MESA CALIFORNIA ' J�/ ' For OffIC@ �iS@ �II�,I
j� r e � (� a RECHIPT NO. ' [RMI
OWNER 1� G S 4 "� �+ � /
MAIL / RGCHIV6D OY DA qHCel HD I D�TH 16!
ADDRESS I _ � ' /y � � �• I � O V �=� 'e
TEL.� BUILDING 0 /' S/�
GIIY NO. �'ysv� pOORE66 Cs
ARG'NITECT , TEL.
l�/�F_-
$Tq'(E TEL.
LIG. NO. NO.
e�ZE � ,-3 X ov
OF LOT .
USH OP
EXI6TING BLDG
86T6I1GK LIN! FIiON q D/ n.✓
CeNTHP oI BTAE6T � '���
SIDE YARD LEFT � S� , I F
DESCRIPTION OF
■ U8H OR BU
No. COSTA MESA. CALIFORNIA
PIRE
ZONE IYPE GROUP
APPROVED �
BY DATE / � ^ �l
7� NING
y( I NO. OI 86 OP NEW J
VLANB BUILDIN6
�.�.� p a �� � o 0
D86CR1'iION
�, on e�oae.
fW oN wT A. P. NO. O—
YARDS EVES
� APPROVED ALLOWED
/( / (C[NTLR LIN6 GT.1
t YARD �7 FRONT O FT. I
[� il • ,
APPROVED /� A%/� 1 � /
BY ir i
. �
I H811HBY �CNNOWL8D08 THAT I HAVB ReAO TNIB APPLlGT10N
AND 9TAT8 TMAT TH8 I�BOVe 19 CORRCCT AND AOR86 M COY• TM6 AMOUNT BHOWN UNDeN VALUATION I POR TH6
PUflP088 OP 86TABLIBXINO A PBNMIT F88 ONLY.
PLY WITN ALL WTY OIIDINANCH9 AND BTAT6 W9 XSOUTATINO
Bu1LOIN0 CONeTFtuCnON. VALUATION Q-
SIGNATURE OF PERMIT FEE $ Q �
PERMITTH � � �
j� � rJ�+ PLAN CHHGK $
AUTHORIZED AGENT / �/�/ �
TOTAL FHE
� �3�ss
CGSTA MESA BUILDING-SAFETY DEPARTMENT
P. o. eox sn C08TA MEBA. CALIRORNIA
�
For Applieanf fo Flll In Complefely
TYPE OR PRINT �
ADDREI88 O� � � ✓ /.
COSTA MESA. CALIFORf�IA
� SIZE
fi
NO. OP BLDG9.
�I NOW ON LAT
f . •
BHTBACK LIN6 PROM '
GeNTeR Ot ern[6i 1 I s REAR YAR[
81DE YARD LEFf I RIGHT
DESCRIPTION OF WORK
! I ALTERATION ( II ADDITIO
RHPAIR I II MOVING I II DEMOLIf
BBU=le ING �1 / NO. OF
( ROOMB BTOF
PXTERIOR WALL IROOP p-r
COVBRING GOVHRING ���-
USE OF BUILDING AND WORK TO BH PERFORMED
FEE RECEIVED
JAN 3 i���
FI14/+NCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RBCHIPT NO. PeRMIT NO.
/�S7nS—
aecgrve_o er I csre,rte eyv / I cr�� � 6�
�e� Y r� 6 ,-•
BV�L��ND /y / 71 ,�[- �� /.�� � /' _-�-
ADORH88 / (B �� L
/
COSTA MESA. CALIFORNIA
AePPROVED ��`�"�R,.r / 26
NO. OF /� UB8 OF N8W
PU�NB �/� OU�lD�NO
LHOAL
� . (CHNTtP LINB BT.1
-a�o-3 6
EVES
1 NepBpY ACNNOWLfD08 TXAT I NAVB R6AD iN19 APPYWT�ON THE �MOUM BMOWN UNO6ft V�LUATION IB POR TXH
ANU BTAT6 THAT TN8 ABOVB 19 CARPLGT ANO A6REH M COM-
PUIiPOBE OP EBTABLIBHINO A PERMIT FE8 ONLY.
PLY WITII ALL CITY ORDINANC68 AND @il�T6 W9 R86ULATNG
eu1lDlNo WNSTRurnoH. VALUATION �
81GNATURE OP PERMIi FHE S��
PERMITfE � � /�
$ �/�� � PLAN CHECK $ / �
AUTHORIZED AGHNT �T
TOTAL PEE
� ' � ��339
CGSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. HOX 917 COBTA MEBA. CALIFORNIA
For Applicanf fo Fill In Complefel
TYPE Oti PRINT �, �4
BUILDING ' / _ s� ��
ADDRE6S � '
COSTA MESA. GALIFORNIA
OWNER r v o�-re��,Pe� ,� so N
MAIL ,_ � ,_, I 'Y� (' / •
ADDRESS J
cin b i' �-S f� iuo: L f e
/ YITECT a 1 i i w � I- n TEL. L�"
r1
I TEL.
NO.
No. OP BlDae.
J(I /I NOW ON LOT I
� USE OF
EXISTING BLOG_
BLTBACK LIN¢ PROM
OF WORK
BUIIAING ' NO. OF 4
81ZE ROOMS ��
EXTERIOR WA4L .y ROOF
COVERING -S/G:{( C COVERIN6
U8E OF BUILOING ANO WORK TO BE PB
1 H8R6BY ACKNOWtPDGE TXAT i HAVB R6AD THIB APPlJGT10N
•NO BTATE THAT TH6 I�BOVE IB COpRELT ANO AOReH TO GOM-
PLY WITH A�L Gi1'Y OxnINANCEe ANO BiATe�/LAW6 R80UTATINO
9UILD�NO CON9�UCTION�' �'%i // _
y���
SIGNATURE OF � A d jj���
PERMITTE^ 6
AUTHORIZED AGENT
- . racaN. ...�.�.� . . /lWV
� � � � �'�{, � I'Y� � �1 CO Td �.�C'�
.�. �
��—aPR 2a t�st
FINFi�CE DEPT.
CITY OF COSTA iNESA
APPLICATION FOR PERMIT
BUILDING
For Off7ce Use Only
FIRE
LBWL
COSTA MESA. CALIFORNIA
� . _ � TYPE I / GROIJP / 7/
ZONING '
NO. OP � I U8H OP N8W
PLAN9 9UILDIN�
A. P. NO. I I �_ � I �"
YAROS EVES
APPROVED ALLO\
(CBNT[R LINB BT.) {�-,+
FRONT ✓�.
v
EAR F
°PROVHD �A/ � �
r LV
HOLD FOR 5PECiAI
Y�. �-O k
�
�
�' `�O
=tia-r:Ts
TNE AMOUNT BNOWN UNOEP VALUATION IG POR rHe
PUIiPOBH OF E9TABLIBHING A PEPNIT PE¢ ONLY.
VALUATION /
.� PERMIT FEE $ _� fl' -r
A7S` / "
A �
$ �� X P�N CHECK $ / r
F
_5 y- p
iOTAL FEE a
LL
,
� i�_t ��; ��
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. o. BOX 917 COBTA MBHA. CALIFORNIA
For Applicani to Fill In Complefely
TYPE OR PRINT
BUILDING /� O rf n
ADDRE6S Y !
COSTA MESh CALIFORNIA
OWNER C�[S �-'. b �+�- J P/<S b�
MAIL I �7 � !^ �/ ,�c+ i i
nnnoree
H
BIZE � NO. OF BIDOB.
OP LOT D NOW oN LOT
U6H OF �/ //��/J/)� �/y p /�
EXISTING BLDG �����_�
86TBAGK LIN6 >POM
C6NTER OP BTReET REAR YARD
BI�E YARDDESCRIPTION OFR�WORK
c�y
WALL
1 H6i18BY AGNNOWLlDGB THAT I MAV6 RUD TX18 MPLIGTION
AND 8TAT8 THAT TH6 I1BOV¢ 19 CORRHCT AND AGRHB TO COM-
PLY WITH �LL CITY OFIDINANCEB AND 6TATB W6 H86ULATINO
BUII.DINO CON9��0� ^� .^�
BIGNATURE OP
PERMITTE�� d
AUTFIORIZED AGENT
r t RECEIVED
AlAY 19 i$61
�fINANCE OEPT,
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offlee Use Only
I �/
COSTA MESA.
FIRE
6Y p / '�W - OATF
ZONING
20NE I NO. OF U8H OP I:
/ PLAN9 BUILOINO
LEOAL � //
DEBCHIPTIO! [�
A.P.NO./�(p'� �LL%^��
YAROS EVES
APPROVED ALLOWEC
fCHHiBP LIN6 BT4 ♦ /
0
�a!�
T.-!�
�
� THH AMOUNT BXOWN UNDER VAI.UATION IB ROR THE
PU18086 OP HBTABLIBHINa A PlHMIT PEE ONLY.
VALUATION
A /' � PERMIT FEE $ � a
UU o
S PLAN CHECK $ �
K
TOTAL FEE � �
u
' 2Q028
EOSTA MESA BUILDING-SAFEfY DEPARTMI
P.O. BOX 277 COBTA MH9A. CALIPORfiIA
For Appllcant to FIII In Complately
PE OR PRINT
ILDINO %/ �I /�%
DRESS L�� �
COSTA MESA, CALIFORNIA
N�e �/Z�U �o w e
�q v cv,
'_ f??C.S,
�
LIC.TNW " /���� NO. / ��Q a/
SIZE � No. ap B�.oae.
OF LOT NOW orv wT
USE OF
EXISTING BLD6. ��
BETOACK LINH PROM
ceniea ov eipeR RHAR YARD
81DEYARDI LHRT RIOHT
DESCRIPTION OF WORK
BHPfiRFORMHD
% �J1I
1 HEPE6Y ACKNOWL8O06 TXAT I XAVB flHA� TN18 APPLICATION
/�ND BTATH THAT TN8 ABOVB 19 CORF6CT AND AOpEB TO COM�
Pf:Y WITH ALL CITY OpOINANC68 9TATl LAWH RHOULATIN4
BUILOINO CONBTPUCTION.
SIGNATURE OP
PERMITTH
-......� �� .
AUTHORIZHD ABH �
� EE RECElVEU
APPUCATION FOR PERMIT
�u wF�B{�B��,o�ir
fl i ' J
4C �
:erv nr n�FeT�e/" p-.3 �l
!a 6
APPROVEO
ZONING ' �
NO. OP ^ I U86 OP N6W
PLANB /LF BUILOINO �,
YARD9APPROVED
MAIN BUILDING
tOM C/L STREET)
VAR. JC
V
� � Q
SHALL BE LE35 THAN �
( U. B. C. REQIIIREMENT
YAftDSAPPROVED
'ACCESSORV BUILDING
OATE
a
6Q.FT. 4
TX¢ AMOUHT 9HOWN IINOER VALUATON IB POR TH8 F
PORP09H OF HBTABLI8HIN0 A PCRMIT PE8 ONLY. Q
VALUATION m
PERMIT FEE $ � �
y �
Fr, m
� �O_ 9
O
�� �
J
3398.6
COSTA MESA BUILDING-SAFETY OEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
OWNER
MAI l
Z ADDRESS
W W
a U CITv
� Z
Z Q OONSTHUCTION ,�
O y LENDER
am
BRANCH �
�J
ADDRESS �
J m ARCHITECT
a OR ENGINEEF �
U N
Q
w � ADDRESS
aW
W Z CONTRACTOR
J Q
m Z
JQ ADDRESS
W W
� CITV
ZF
W � STATE
(pK� LI0.N0.
7 � SI2E
OF LOT �OO X
USE OF A ,R
EXI5TING BLDG. / V(/
���,�� � .
4EC 72-7��„� �00 93'� �,r.::: .:7 l. f
APPLICATION FOR BUILDING PERMIT
RECEIVED e DATE RECE/IV/ED pATE ISSUED
/�� �—��'� / � �.�1 2 —%
/// O / / �J �i PERMIT NO. /
A.P. NO. /�
BUILDING •
ADORESS ,
TE L. A�
NO.
OWNER
TEI.
NO
FIRE
� 20NE
APPROVED
TEL. ZON/Ey�/' NO.OF �
NO � - /'/� PLqfS�
CITV �AFDS APPROV ED
LIC. NO. MAIN BUILDING
NO.OF BLDGS. (FROM C/L STREET)
NOW ON LOT � �ROM /F�FT�/) �
VALU$ �' /! D N
bv
VPE GROUP • �_
�
DATE Z ^
USE OF NEW�S�(r✓�
BUILDINGy.
VAROS APPROV D
ACCESSORV BUILDING
FT.
// __
Z N1EWBLDG. C� , ROOMS / /
STORIES L SIDE � FT.
a E%TERIOR WAL ROOF �.,�/ ..,L
COVERING O COVERING � REAF GC��FIi:(SJ�
USE OF BUILDING ND OftK TO BE PERFORMED DiSTANCE BET.
a �� MAIN BIDC>5.
Q VqR. aR
G � 5� c ` , c.u.P.vW
y ��� � O� '
O �PE
. V 1 hereby ecknowletlge 2hat I have reatl this application and rtate
� the[ the Bbove information is cOrrect antl egree to comply wi[h _
� all laws reBulating buiiding consauc[ion, and 1 shall not employ ��
F eny parmn in violation of Me workman's compensation lews oi � "
y Ma Smta ot Calitornia. � SO
?' I �ereby cartify t�at 1 am proparly licensetl as e canttactor untlar SQ, FT.
�Yy�� � the Stete of Calitornia Business antl Professions Code, Divisicn 3, THE AMOUNT SHOWN
�lk Chepter 9, entl Mat suc� licanses ara 7n tWl torce an0 etfect, or 1 THE PUAPO6E OF 6TA!
\ am ezempx from Ma provisions ot the Stata of Celifornia Busineu VALUATION
, � enC Protessions Cotle, Division 3, Chapter 9.
PE
Slenamre of /�`
Parmlttee $ / /�D (�v PL
� �_ �
AuthoAzetl Agent S" 5` � T(
BET. MAIM
AOCESS. B4
DATE
FEE
A
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IS FOR
ONLY: �
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, 339� ' ' �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
''�' 1'i2cr+s�OO 385 �***�35.00
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely qECEI V ED B V DATE RECEIVED
DATE ISSUED
BUILDING c^
ADDRESS 7W W,
PERMI��I p,
OWNER WIII. J. �r2'l3SCOtL A.P• NO.�.ZG—zu� O W
MA I L BUI LDING
ADDRE55 ADDRE55
TEL. TRACT LOT 9LOCK
CITV NO.
CONSTRUCT�ON W ADD A P
LENDER
BRANCH
OWNER �• S. TIR1SCOt'.�'.
� A�DRESS VAWE
ARCHITEC7 TEL. S S
OR ENGINE R N _� �
FIRE
ADORESS ZONE TYPE GROUP
APPROVEO
CONTRACTOR BV OATE
ADDRESS ZONE NO.OF VSE OF NEW
TEL. P�p,ry$ BUILDING
CIT V NO.
STATE CITY �'A:IDSAPPROVED YARDSAPPqpVED
LIC.NO. LIC.NO. MAINBUILDING ACCESSORVBVILDING
SI2E NO.OF BLDGS. (FROM pL STqEET)
OF lOT NOW ON LOT ROM FT. FT.
USE OF
E%ISfING e�p�:, F FT.
SIZE OF NO. OF
NEWBLDG. ilOOMS STOFIES L.SIDE FT. FT,
EXTERIOR WqLL ROOF
COVERING COVEPING REAR FT. FT,
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
StoT e& Ri in of Alum. and MAIN BLDGS. ACCESS, dLDGS.
VAR.3F` DATE
Stain�e6s steel parts c.u.P.� APPROVED
APPROVED
I hareby eeknowletlpe that I heve �aetl Ihis apD���ation antl ste[e
[hat the obova intormation is correct antl egrea to cOmply wi[�
ell Iaws raB�letinp builtlinp construttion, antl I shall nOi employ
any perzan �n viole[ion of the workmen's companzation lows o(
the State of California.
I hereby ceri�ty Nat I am properly licensed es e contrector under SQ. FT.
tho State of California Business antl Professions Cotla, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chepta� 9, antl tnat suc� licanses are in full force untl attact, or 1 THE PURP�E OF ESTABLISHING A PERMIT FEE ONLV:
am exempt {rom the provisions ot the Statn of Callfornia Buslness VALUATION
ontl Protossione Cotle, Division 3, Chapter 9.
PEfiM1T FEE S .00
Sipnature of .
Permittoe $ ����— PLAN CHECK $
Authorizatl Apent QQ
TOTAL FEE $
(714) 754-5273 • Fax (714) 75q-d856 • �wiw.ci.costa-mese.ca.us
Job Address:
Suite No
Viciniry
Parcel Nunmber:
Applicant:
Address:
760 W 17TH ST
42408116
SCOTfBROWN
Owner. " FOpTHILL FINANCIAL L P
Address %INVESTMENT MGNT SERVICE
NEWpORTBEACH,CA
1575 PLACENTIA AVE
Contractor: SUPERIOR SERVICES
Address: .1006 E SOUTH ST
ANqHEIM,CA
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 1000a � ,_
Service over 1000a
Motors to 1hp
Motors to tOhp
Motors to 50hp
Motors to t00hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
ELECTRICAL PERMIT
Phone: 714-883-4796
Zip:
Phone:
Zip: 92663
� Phone: 714-502-0240
Zip: 92805
License: 463579
; SCOPE OF PERMIT
REPLACE 400AMP SEf2VICE W/A NEW 800AMP SERVICE AND 8 SUBPANELS
C�t,CZ-i t�,mt-l� �¢,,� 1
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$62.15
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$244.00
$0.00
$0.00
Quarttity- ----
0
0
0
0
0
0
�.. �
0
0
1
0
0
0
0
0
0
0
8
0
0
FEE SUMMARY
Temp Dist System / Lighting
Busway /100 ft
SWnding Section
Misc Electrical Equipment
T2nsformers up to 1 kva/kw
_�: �.', � � ..:...:..:......up to 10 kva/kw
., .:; .� ...........:.....up to 50 kva/kw
" .................up to 100 kva/kw
......:...........over 100 kvalkw
� Low Voltage Equipment
Low Volt Wiring System / Ckt
Misc. Conduit
Misa Conductor
Circus ( gen or ride) ,
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Sland
Other Electrical Fee
Investlgatlon Fee
Plan Check Fee
Reinspection Fee
ii rnin unrvt, �w i r. mcah, i.i+ azozo
Status: ISSUED
Applied: O7J23/2004
Issued: 02/23/2004
ISSUED BY: �/ "�
�uantity
$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
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
50.00
$0.00
$0.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, $ 1, 12-27-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abantloned
for a perlod of 180 days.
INSPECTIONS: In order for the work authorized under this parmit to be considered legal, such work must comply with all epplicable codes, end ell
required Inapeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of ihis pertnit.
FOR INSPECTtONS CALL: (714) 7i45826
ras �_.+Yr.�;cni
�
WORKERS' COMPENSATION DECLARATION: � �
I hereby eftirtn under penalry oi perjury one of ihe following declarations: �
❑ I heve and will malntelq a certiticate of wnsent to setl-Insure tor workers' compensation, as provided for by section 3700 ot the Labor Code, for the partormance of the
work fOr whiCh �hi5 permi� i5 issued. �
� I have antl will maintain workers' compensation insurance, es required 6y section 3700 of the Lebor Cotle, for the perfortnance of the work for which this pertnit is issuetl.
. My workars' compensetion Insurance wrrier and pollcy number ere: y� /�(�
Carrier _�GO j�L.\' �'1 �� PolicyNumber: 1"') Cci I I�i � Z-1-1
(This section need nof be cromplefed i! fhe p i( is va/ d at one hundred dollers ($l0U) or less.) i
❑ I certify Ihat in Ihe peAOrmence of e rk fo hich Ihis permit is issued, I shall not employ eny person in any manner so as to become subject m tha workers'
compenselion laws of Calitornia, gre at if 1 should become subject to the workers' compensation provisions oi Sectlon 3700 of �he Labor Code, I shall fonhwith
comply with these provisions. 2 1 �
Applicant SignaNre: � Date: �— ZJ ` ��'� i
WARNING FAILURE TO SECUR� WORKERS' COMPENSATION COVEPAGE IS UNUWFUI PND SNALL SUBJECT AN EMPIOVER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED
THOUSAND DOLIARE (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOfl IN SECTION 3106 OF THE L4BOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn ihat I am
force and eflect. Lic. # _
� Contractor's Signature:
--�
m
Section 7000) of �ivision 3 ot Ihe Business antl Professions Coda, and my license I5 in full
� Class A
_ _/ � oa�e: Z - Z� — �_
CONSTRUCTION LENDING AGENCY: '
❑ I hereby aflirtn ihat thera is a consWction lending agency for ihe pedormance of ihe work For which this permit is iuued. (Sec. 3097, Civil Cotle). .
Lentler's Name: Lender's Address:
Signature: Dare:
OWNEP-BUILDER DECLAqpTIONS:
I hereby aHirtn thet under penalry ot perjury Iha� 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business and Protessions
Code: Any city or counry which requires a Dermit to construct, alter, improve, demolish, or repair eny structure, pnor to its issuance, also requlres the applicant tor such pertnit
to file a signed statement ihat he or she is licensatl pursuent to Ihe provisions of Ihe Contractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 ot the
Business end Professions Cptle) or Ihat he or she is exempt therefrom and ihe besis for ihe elleqed exemption. Any violation of Section 7037.5 by eny applicant for a permit
subjects the epplicflnt to a ciyii penalry ot not more then five hundred dollars ($500).):
❑ I, as owner of ihe prop@rty, or my employees with weges es iheir sole compensa�ion, WILL DD 7HE WORK, and the slructure is not intendetl or ofleretl tor sale (Sec.
7044, Business and PrOfessions Code: The Contractors License Ww does not apD�Y �o en owner of property who builds or improves thereon, entl w�o tloes such work
himself or herself or ihrough his a her own employees, provided ihat such improvemenis are not intentletl or oHered tor sale. If, however, ihe building a Improvement is
soltl within one year of completion, ihe ownerbuilder will have ihe burden of proving ihat he or she ditl not build or improve for purpose ot sale.). ' �
❑ I, as owner of Ihe pmpBrty, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business antl Professions
Code: The contrectors License Law does not apply to an owner of property who builds or Improves ihereon, and who contracis tor such proiect with e coniractor(s)
license pursuant to the Comractors License Lews.).
❑ I am eaempt under sec, Business and Professions Code for Ihis reason: �
Signature: Date:
Owner ID verified by dnver's license. ❑ Ves ❑ No Dnvers License No. Ezpires: '
Verification of Ownership by (type of tlocument, i.e. - property taa bill or deed):
DIVISION OF INDUSTRIAL 6AFETV PERMIT CERTIFICATION:
❑ I hereby certity ihat no excevation five (5) or more fee� in depih into which a person is required to descenQ will be made in connection wi�h work authorized by Ihis
permit, and ihat no building structure. scaflolding, talsework, or demolition or dismantling Ihereoi, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec.
341, Ttle 8, Califomia Atlministrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Intlustnal Setety, es notetl ebove, unless such person hes a
permit ta do such work from the division.
Signature: _ Date:
Division of Industrial Safery Permit Number:
CERTIFlCATE OF COy DGAAC AND AUTHORIZATION OF ENTRV: I certify untler penalty of perjury ihat I have read this application and state that ihe information given is
correct. I egree to �m� with�l state laws entl ciry ordinances releting to builCing consWction, end authorize representatives of the Ciry of Costa Mesa to enter upon ihe
above-descnbe ro for i pection purposes. I agree not to occuDY or allow occupancy of any building euthonzed by Ihis permit until Final inspection.
wner(s) Dafe
Z-2� �o �
And/Or Authorized Applicam Date �
CODE t. INSPECTIONTYPE Qejg IMITI�LS
7616 Fixed System Final Fire Prevention
7266 Paol Spa Finel
200 Final RB-Rooi
201 Final BIocWRetaining Wall
202 Final Fectory Fire Place
203
204
Final Sign
Final Demolition
COOE� INSPELTIONiYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Finel Site
250 Finel Buiitling/Occupancy
CITY OF COSTA MESA ,
° BUILDING DMSION -
y �
� DEVELOPMENT SERVICES DEPARTMENT
� PERMIT PERMIT NUMBER �
�m � /
698-01614 \/
(714) 754•5273 • Fau (714) 754-4856 � 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite:
Vicinity:
760 W 17TH ST
UNITS 4& 5 IN REAR.
Parcel Nunmber: 42408116
App�iwnt: KIRKHAM, ROGER C.
Address:
Owner. F(
Address %I
BUILDING PERMIT
Zoning:
- , = -Phane: ' 949-076-6323 - � -
;/-S ,- ' Zip: _ .
� . �
FINANCIAL L P, �- / , - _
�-
�NTMGNT.SERVICE�. � � � _ • %j � �'��- ���
Status: ISSUED �
Applied: 09/09I1998
Issued: 09/25/1998
NEWPORT BEACH,CA -' . � Phone:- -, --,;.,_ _,- - ' �� �` '� � "�'-`,
�
�,�157 PLACENTIA AVE ` � Zip: 92663 � ':,A - � � < � � ��� ���
i %��: � %-��. � ' i� /��,� �
Contractoci�PECK/JONES=�"INERCON `,=�.�� � ���
,
' � . �',
Address: 17951 SKY-PARK�CI
� %�
"'�'�' ,7358 =i=i� Phone:�94947&1990 A,: _ ���,,.
�
. . � = .'IRVINE; CA � Zip�. 92614 ' _ . - ,
� �� -. i� � License:��.690519 , �
Archl,Eag: �." . :�,-.. "., � �,, - ��
i_,
' Address: - _ -� ' ' '^' _� _ -- ' .. _ �:� .
. ' _ ' � �- - � . .'P-hone: . - " �ti
, . . � . ' " Zip: �� _ - , - � " �
' �; , . � License: , . �
; ..
fi . ' SCOPE OF PERMIT �
.�REPAIR FIRE DAMAGE-INCLUDING RECONSTRUCTION OF 2 HANDICAPPED BATHROOMS, ROOF
�.STRUCTURE. REF 898-01603 DEMO. UNITS 4 AND S IN REAR. . � � �
, ,
Rlan Check: $30.43
Permit ' '$187.25
SMIP.Res: $0.00
SMIP Com: � $2.52
Otlier. ' . � $0.00
Inspection:� : $Oi00
� � :�:`
Total: - $220.20 , ,
\���:,
FEE.SUMMARY ,-•:,
-- _ _-- �,
->'_ I
,�:
Calc Valuation:
Claim Valuation: '
, , ': `� - .. PCANNING�B ZONING . �
�.� ' �. -; �,. � � �
SETBACKS ' - � � . . . . � �` �.
•.. ,
MAIN STRUCTURE Front , 0. 0 , ,- Rear 0- 0 Left 0- 0 � RighL " 0- 0
ACCESSORY Front �0-0 �
PARKING Existina: o
NOTES:
Rear 0. 0
Reauired: 0
Left 0- 0
� Pr000sed: 0
Right 0. 0
$�z,000.00
s�2,000.oa
� .
/
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or If work is suspended or abandoned
for a periotl of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapeetions and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (774) 7545626
WORKERS' COMPENSATON DECLARATION:
I �ereDy atfirm under penelry ai perjury one of Ihe tollawing tleclaretions: ' �
❑ I �eve entl will maintein e certificate ot consem to setl-Insure for workers' compensallon, es provided far by section 3700 of the Lebor Cotle, far t�e peAortnance ot the
work for which thi5 Dertnil is issued.
0 I hava and will meintein woAcers' compensaUon insurance, as required by section 3700 oi Ihe Lelwr Cade, for the peAortnance ot the work iw which this pertnit is issued.
My workers' compensation Insurance cartier and policy number ere:
Cartier. Policy Number:
(Th/s section need no( be comp/eted i/ the permit is ve/ued af ane hundred do0ars ($100) or less.)
❑ I ceniy that in t�e pertortnence of t�e work for which this permlt is issued, I shell noI employ eny person in any mennar so as to become subject to Ihe workere'
compensetion laws of Celifomie, end egree thet If I should become subject to t�e workers' compensation provlslons of Sectlon 3700 of tha Lehor Code, I shell fonhwlth
comply with Ihese ovi 'ans. �� � /� /
Applicent Signatura: ��a i..� �- .C.�._Jl_(�— Date: ^' �j �L P� 5 d
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENqLTIES AND CNIL FlNES UP TO ONE HUNDRED
THOUSAND DOILARE ($100,000), IN A�DITION TOTHE WST OF COMPENSATIqJ, DAMAGES AS PROVIDED FOR IN SECTION 3�Ofi OF iHE IABOR W�E, IMEREST. AND ATfORNE`fS FEES.
LICENSED CONTRACTORS DECLAFATION:
I hereDy eNirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code, entl my license is in full
force and eflect. Lic. # Cless #/
Comrectors Signature: ✓ ��.�� c. oate: _� S' / Lf/ f.V
CONSTRUCTION LENDING AGENCY:
❑ I �ereby affirm ihet ihere is e construction lenaing agency for Ihe peAortnance of the work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lenders Address:
Signeture: Dete:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn ihat untler penelry of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for �he following reason (Sec. 7031.5, Business end Professlons
Cade: Any ciry ar counry which reqWres e permit to consiruct, elter, Improve, tlemollsh, or repelr any siructure, pdor to Its Issuance, elso requlres Ihe epplicant for such permlt
to tile e signetl statement that �e or she is Ilcensed pursuant to the provisions of t�e Contrectars Licensa Law (ChaD�er 9(commancing with Sedlon 7000) oi Divlsion 3 of ihe
Business antl Professlons Cotle) or Ihat he or she is exempt therefrom and the basis for the elleged exemption. My violatlon of Seclion 7031.5 by any epplicant for a pertnit
subJecLa ihe epplicant to e civil panelry of not more than five hunAred dollars (3500).): �
❑ I, es owner of the property, or my employees with wages es their sole compensatlon, WILL DO TXE WORK, an0 Ihe structure is not intentled or oflered tor sale (Sec.
7044, Business and Protessions Code: The Contrectors License Lew does nol epply ta an owner oi property who builAs or improves thereon, entl w�o tloes such work
himself or hereelf or through �is or her own employees, provitletl that such improvemenis are not Intended or otteretl tor sale. It, however, Ihe builtling or improvement is
sold within one year ol campletion, Ihe owneabuilder wlll have ihe burden of praving that �e or she did not build or improve for purpose of sale.).
❑ I, es owner of ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTOHS to construct ihe project (Sec. 7044, Busineu antl Professians
Code: The contractors License Law does not apply Io an owner ol properry w�o bullds or improves thereon, en0 w�o contracts for suCh project wit� e contractor(5)
license pursuant to the Contractors License Laws.). �
❑ I am exempt un0er sec. Business and Professions Cotla for ihis reason:
Signetura: Date:
Owner ID verified hy drivefs license. ❑ Yes ❑ No Drivefs License No.
Vedflcation oi Ownership by (rype at document, i.e. - property teu bill or tleed):
DIVISION OF INDUSTRIAL SAFE7V PERMR CERTIFICATION:
Explres:
❑ I hereby certity ihet na ezcavetion tive (5) or more teet In depth Into which a person Is requlre0 to tlescenQ wlll 6e mede in cannectlon wiih work authorizetl by this
pertnit, and thet no building siructure, scattoltling, felsework, or tlemolition or tlismentling Ihereaf, will ba more t�en thirry-six (36) feet high. (Chep. 32, Grp 2, An 2, Sec.
341, Title e, Calitomla Atlministretive Cotle).
i
❑ As owner-builtler, I will not employ anyone to do work which would require e pertnit from the Division at Intlusirlal Safery, es noted ebove, unless such pereon has a
pertnit to do such work trom the division.
Signalure: Date:
Division of Industrial Satery Pertnil Number:
CEHTIFlCATE OF COMPLIANCE AND AUTHORPATON OF EMFiY: I certity under penalry of perjury that I have read this epplication antl stete that the intortnetion given is
conecL I agrae ro comply with ell stete laws entl ciry ordinances relating to builCing construdion, and authorize representetives ot the Ciry of Costa Mesa to enter upon the
ebove-described property for inspection purposes. I agree not to occupy or allow occupency oi any building authoAzed by �his pertnit until final InSpeQion.
1/ ^ o��_ Sign ture Ot�g Owner(s) / /y�/ y� Dete
�� � �
��� AnNOr AuNodzed Applicant Date
CODE �. INSPECTIONTYPE
1816 Fixed Systam Finel Fire Prevention
1288 Pool SDe Final
200 Final Re-Roo�
201 Final BIocWRetaining Well
202 Final Fedory Fire Plece
203
206
Final Sign
Fnal Demolitlon
QAff II�lLS
LOOE• INSPECTONTYPE
206 Finel Mec�enical
208 Final PlumDing
210 Finel Electrlcal
212 Final Fire Praventlon
220 Flnel Planning Approvel
222 Final Site � � �� I
2W Fnal Building/Occupaniy� =�� tb t C; �`� "'� �
(714) 754•5273 • Fax (714) 754-4856
Job Address:
Suite:
Vicinity:
y
CITY OF COSTA MESA
� BIIILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
760 W 17TH ST
UNITS 4 AND 5
Parcel Nunmber: 42408116
�
�
F
s
:
Applicant: KIRKHAM, ROGER C.
Address: _ -- -
�--��i �=Pfione:` 949-476=1990 .: '' �
��Y/�--- " — � . _ ,_- ` .
, :. _ , . � - Zip' , � ' ,� _��.,
��� � � '�. _ � , �� � ,.� - ��
��
:IALL P- , '�, '� / �� V�� ��
, y'_ �-
i (
SERVICE�. ' '- - _ �I� ,_A � � ��
� ,Phone - +� � \ �\`v �. � � �
/_ Zip :-92663 ��� �. �������`�. i\,-
�� ���
�;�'� �:��.��,�� �/ � �
, �V� V A���i �
� �,\\�✓�
BUILDING PERMIT
Zoning:
Owner:
Address
i �� �
' /��j �., i;
Contractoe, , � ��
Address ���
i� �_. j i//
� -
G�
PERMIT NUMBER
.77 FAIR ORIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 09I04I1998
Issued: 09/09/1998
, �, �j i �� Phone�
� �n
�'„.` ,i/ ,//%% Zip;.,i:
� �.�,� � _ ? � ��/ License:.,
Arch I Eng /-'���� _ . ' . . � � ' •�•
.. Address� ', i� . . � '� 11 ..,r.����`-�'
, � � I " � � ' \,-�
� � /�� 'Phone:r y-�
i . % �,� " _ � "�'"� - ' Zip:
-�,1""� - License:
\" ��
j.
}:: �
. _ - - � ���� � _
.. � � , � � :
<•s• - � ; �i • �
_ ' �� � .�..
�. , .
\
� ' � � � � � �' SCOPE OF PERMIT V �� � �
�/ fFIRE REPAIR FOR�RECONSTRUCTION OFAN�EXISTING INDUSTRIAL�UNIR; UNITS 4AND 5 �� ,
/ ,-ONLY.FOR DEMOLITION, INSP,ECTION�REQUIRED PRIOR 70 OTHER'�PERMITS BEING ISSUED PER �
�GARYHOOK. � ....-.,., ,.,.......4_..1 .... ............... � .. . 1
.. _ ' --- - _ —_ _ �� ; i
s�
�. r.',
� :
Plan Check: `,, �� $0.00
�,;� Permit:� :��"$74J5
SMIP"Res: .
SMIP Com: �, ,,
�,Other; ' ,
InspecUon:��
Total:
. :'�
�
- _`�=_ �r"'FEE SUMM/
- _ .: _ . - --=� - �
�
, , � ': � ��� �
`r �� , . i�.5 .
�'-' ` � ii. � �i.l� •
� ��,
�
. .. , . 'ir..- . ,
� - �
, \\`\ `% ji'\ / \ . \\ ',.`..".
SETBACKS �," �, ��� � � - ---
, � ; . / � / ._'� ,
MAINSTRUC7URE Front�=0=0 ���� �.Rean.�-0-0.
���-
ACCESSORY Front 0-0 -`� .� Rear' 0-0
PARKING ezistinq: o Requiied: -0
NOTES:
�
� �s n �
Left , .0. 0 � � �
, '. , , . � \. -
�,-� �;LeR 0.0 � �
' ° ' ProDosed: : � p� .
� �
Calc Valuation: `,' ' ss,000.00
Ciaim Valuation:�;� � $s,000.00
r,
i�� � ,. _ � ' ,
;
�.; �: ,
i ;
'�ii� /
, �� ' �
�
/ �; ,
� � � �
C�i �
- �,: i . � ,A ✓ /ii
_ i�`�� ��/ J/`�
' �/ �
�
� //•
Right � 0=0� j
_Right '�� 0- 0
�, ,
EXPIRATION: This permit shall automatically explre and become void if work is not commenced within 180 days, or if 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
requlred inepectlo�a end flnal epproval must be obtained. Failure to obtain inspeaions and final approval will resuR in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5828
WORKERS' COMPENSATION DECLARAY�ON:
I hereby efArtn under penalty of perjury one of ihe fallowing tleclarations: �
❑ I heve end wlll melntein e cenHicete oi consent to self-Insure for workera' wmpensellon, es provided tor by sectlon 3700 01 ihe Lebor Cotle, for ihe perfortnence of ihe
work for whlc� Ihis pertnit is issued.
❑ I heve end will melntein workers' compensation insurance, as required by sectlon 3700 of the labor Cotle, tor the pertormance of the work tor which ihis permit is issuetl.
My workers' compensetlon Insurance Cerrier end pollcy number are:
Certler: ' � � Policy Number:
(Thl ectlon nee0 not be comp/eted /l Me pelmit /s ve/ued et one huntlred dallars ($100) or less.)
� I cenity ihet in the peAortnence ot the wark for which this pertnit Is issued, I ahell not employ eny persan in any menner so es to become sub�ect to Ihe workers'
compensetlon laws of Califomla, end ag�ea Ihat If I shaultl become subJecl to Ihe warkers' compensetion provlslons ol Section 3700 oi t�e Lebor Cotle, I shell forthwith
Ih thes,�j provisions. ^ ' � _ � /'�
plicant Signatu : -I� y�� �_� � Date: `'-� ��_
TO SECUqE WORKERS' COM7ENSATION COVERAOE IS UNLAW FUL AND S W1LL SUBJECf AN EMPLOYEP TO CRIMINFL PENALTIES AND qVIL FlNES UP TO ONE HUNDRED
T}IOUSAND DOLL4RE ($100,OW), IN ADORION TO THE COST OF COMPENSATION, DAMAGES PS PROVI�ED FOR IN SEGTON 3%OB OF THE LABOR OODE, INTEREST. AND ATTORNEYS FEES.
LICENSED COMRACTORS DECLANATON:
I hereby eHirtn t�at I em Ilcensed under pryNsi<
with Section 7000) oi Division 3 of the Busineu end PjpLassions Code, enC my license is in full
Class M ��
_ Date: — '
CONSTRUCTION LENDING AGENCY:
❑ I hereby elflrm thet Ihera is a consimct�on lending agency tor Ihe peAortnance oi Ihe work lor which Nis pertnit Is issuetl. (Sec. 3097, qWl Code).
Lentlefs Neme: Lender's Address:
SignaWre:
Date:
OWNER-BUILDER DECLARATIONS: .
I hereby eHlrtn Ihat under penelry of pehury ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the Iollowing reason (Sec. 7031.5, eusiness entl Professions
CoEe: My ciry or munry which requires a pe��t to construct, alter, Improve, Gemolish, or repair eny structure, pnor to its issuance, elso reQuires Ihe applicant for such permit
to file e sipned stetement that he or she Is Iicensetl pursuent to ihe provislons of the Contreclore LJcense Lew (Chapter 9(commencing wlih Sectlon 7000) of Dlvislon 3 af the
Business entl Professions Code}or that he o� she Is exempt therefrom flntl tha besls tor the alleged exemption. My vidatlon o1 Section 7031.5 by any eppliwnt for e pertnit
wb(ects Ne appllcent to a civil penalry of nol �e t�ao flve hundred dolla�s ($500).):
❑ I, es owner ot the property, or my employees with wages as their sole compensfltion, WILL DO THE WORK, and ihe structure is not Intended or oHered for sale (Sec.
7044, Busineu antl Pmfessions Coae; The Contractore License Law Ooes not appty ro an owner of property who builtls or improves thereon, end who tloes such work
hlmseN or herself or through his or her own employees, proNdetl Ihat such impravements ere nat IntenAetl or oMered tor sele. Ii, however, Ihe builtling or impmvement Is
soltl wlihln one year of completlon, �he wvner-Duiltler will have the burOen o1 proving that he or she ditl not build or improve for purpose o1 sale.).
❑ I, as owner oi the D�aPerry, em EXCLUSIVELV CONTRAC7ING WRH LICENSE� CONTRACTORS to consiruct Ihe project (Sec. 7044, Busine55 entl Protessions
Cotle: The contractors License Lew dPes not apP�Y �o an owner of property who Dullds or impmves thereon, entl who comrects for such pm�ect wilh a contractor(s)
Iicense pursuant to the Contractors Licanse Laws.).
❑ I am exemp� under sec. Business and Professions Code for Ihis reason:
Signeture: Date:
Owner ID veriflad by driver's license. ❑ Yes ❑ No Driver's Licensa No.
Vedficetlon of Ownership by (rype oi tlocume��, i.e. - properry tax bill or deed);
DIVISION OF INDUSTRIAL SAFETY PEHMR CEHTIFICATION:
Expires:
❑ I here�y cenity ihet no excavatlon five (5) or more feat In tlepth Inm which e person is reqWretl to descend, will be metle In connectlon with work euthodzed by ihis
permll, end ihet no builtling siructure, s�aHolding, telsework, ar tlemolitlon or dlsmentling thereof, will be more then ihirry-siz (36) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Tille 8, C8lifomle Atlminl5iretiv8 Code).
❑ As owner-bullGer, I wlll not employ any0ne to do work which woultl requlre a pertnit lrom the Division of Intlustriel Safery, es noted above, unless such person has a
pertnit to do such woM trom tTe tlihsio0. �
SignaWre: Date:
DiNsion ot IndusMal Safary Pertnit Number:
CERi1FlCATE OF COMPLIANCE AND AIIT}IORIZATON OF ENTRV: I certiy under penalry of perjury that I heve reetl t�is application and stete thet the information given is
correct. I egree to comply with ell stete laws end ciry ordinences rela�ing to building construction, end authorize representatives of Ihe Ciry af Costa Mese to enter upan the
ebove-tlescrlbed property for inspection purpOses. I egree no� to xcupy or allow xcupancy of any building authorized by thls permlt until finel inspection.
WDE 1. INSPECTIONTYPE
1676 Flzed System Finel Flre PrevenGon
1268 Pool Spe Final
200 Flnal Re�Roof
201 Finel BIocWRetaining Wall
202 Flnal Fedory Fire Place
203 FInalSign
204 Finel Demolition
2ba&48
� I��
q-L9-qP Gw.K-
� �'Y/
•. ,
COOE� INSPECTONTYVE
206 Finel Mechenlcal
208 Finel Plumbing
210 Final Electrfcel
212 Finel Fire Preven6on
220 Fnal Plenning Approvel
222 Final Site
250 FinaIBullding/Occupancy
� ��
0
�
pia) �sa-sz�s • Fax (714) 754-4856
Job Address: 760 W 17TH ST
Suite No
Vicinity:
Parcel Nunmber: 42408116
CITY OF COSTA MESA
BUILDING DIYISION
DEVELOPMENT SEFVICES DEPARTMENT
PERMIT
npp�icant: GREGGORY, GEORGE
Address:
ELECTRICAI PERMIT
. ^ Phone: " �
Zip:
{'
-",i,;.�, . �
7 '
Owner. FOOTHILL FINANCIAL L P
Address %INVESTMENT MGNT SERVICE
' NEWPORT BEACH,CA '
�� 1575PLACENTIAAVE. -
� ' � � i�j .
Contractor: > GEORGE�GREGORY
'Address: =� . 221 AVENTIA MONTERAY %
� � Phone��,949 492-8685
' , SANCLEMENTE, CA ..� 2ip:� 92622-' "
. . . �,�-.-,- .
�.- Cicense: - 531930
Phone:
Zip: 92663
� • -� PERMIT NUMBER � '
E98-01224 �
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUE FEE
Temp service test
Res. a/c package
New Res (i-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts �
Recept Outlets , _
Switches
Non Res Appl .
Res Appl �
Service to 200a -
Service to 7000a � -
Service over 1000a�
Motors to 1hp
Motors to 10hp
Molors to 50hp
Motors to 100hp
Motors over t00hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
Status: ISSUED f�
� Applied: 11/25/1998
Issued: 11/25/1998
'\
T". i i
� 1`
���� i
,. .
- SCOPE OF PERMIT
ADDITIONAL ELECTRICAL REQUIRED PER INSPECTOR: i LOAD CENTER 200A 3 PHASE 4 WIRE
REF:E98-01129, B98-01614 & 898-01603. . „ �
, _, . .
, $22.00
, $0.00
$0.00
$0.00
so.00
$0.00
��.•,$0.00
$0.00
$0.00
$0.00
� � $0:00�� ..
$0.00
$0.00
$0.00
. . $0.00��� ��
- $0.00 ,
$0.00
$0.00
$0.00
$0.00
$2725
$0.00
$0.00
$0.00
$0.00
Quantity
0
0
0
0
0
0
0
0
0
0
0
0
0
��0
' 0
0
0
1
0
0
0
0
FEE SUMMARY _,
=- . ' '"' Semp Dist Syslemr/��Lighting=
_ . - Busway /100 ft i -
Standing Section
Misc Eledrical�Equipment
Transformers�up to 1 kva/kw
................up to �10 kva/kw
, .................up to 50 kva/kw
� . .:...............up to 100 kva/kw
' �' .� ' ; ,.' .::........::.....over 100 kva/kw
� � ,� Low Voltage Equipment
��- � ., <�� Low Volt Wiring System / Ckt
� � - Misa Conduit
� �. �� , � �Mi'sc.;Conductorr, ,
� Circus ( gen or ride) - .
�'� t� .� �� � 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
$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
$0.00 0
$0.00 � - 0 ' �
$0.00 -- 0'� � %
$OAOi 0
$0.00 0
$0.00 ' , 0
$0.00
$0.00
so.00
$0.00
TOTAL CALCULATED FEES E49.25
COMMENTS / SPECIAL CONDITIONS
0
a
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
tor 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 inapeatlons antl tinal approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
; FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION: -
I hereby afFirtn untler p9nalry ot perjury ona of the following declarations:
� I have entl will m�intaln a certificete of consent to SelFlnsure for workars' compensation, as D�ovided for by section 3700 of the labor Code, (or the pedortnance of the
wark for which this pertnit is issuetl.
❑ I have flntl will maintain workers' wmpensation insurance, es required by section 3700 ot Ihe Lebor Code, tor ihe pertortnance of the work tor which this pertnit is issued.
My workers' compensation Insurance cartier entl policy number ar��
Carrier:
(nrls se
❑ I certify thet in Ihe pe
compensation lews of
comply with these pro�
Applicant ' neW�e: _�
WARNING: FAIWRE TO S�CUF
TFiOUSAND DOLLARE ($1COmE
LICENSEDCONTRAC70RS
I hereby eHirtn thet I ar� licen:
THE
�he�
this
Policy Number:
Ydolle ($i00loNess.) .
' issue4 I shall employ any person in any manner so as to become subject tos pthqe workers'
sublect to orkere' compensalion provisions of Section 3700 ot Ihe Le6or Cade, I II fotlhwith
-- —y�a%
�� // 2s�
UNLAWFUL ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORED
ON, �AMAGES AS PROVIDED FOR IN SEGTION 3]O6 OF THE LABOR fADE, IMEREST, AND ATTORNEV'S FEES.
7000) ot Division 3 ot the Business and Professions Cotle, and my license is in full
�wce and eflectcj- Clau N
Contredar's5igneture: i _ Dgte:7 ��75�-7
� �
CONSTRUCTION LEN G AGpfN ENCy: �.
❑ I hereby aflirtn thal ihere is a construction lentling egency for the perfortnance of the work for which this pertnit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lender's Address:
SignaNre:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aNirtn ihat undgr penelry of perjury ihet I am EXEMPT FROM TF1E CONTRACTOHS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business end Professlons
Code: Any ciry or county which requires a permit to constmct, alter, Improve, tlemolish, or repalr any structure, Drior to its issuance, also requires the applicant for such permit
to file a signed stetement thet he or she Is licensed pursuant to the D�ovisions of the ConVactors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the
Business end Professions Code) or Ihet he or sha Is exempt therefrom and the basis for ihe elleged exemption. Any violation of Saction 7031.5 by any applicant for a permit
subjeds ihe ap0�icant �o a civ�l penalty ot not more than five huntlred tlollars ($500).):
❑ I, as owner of Ihe property, or my employees with wages as iheir sole compensetion, WILL DO TME WORK, entl tha siructure is rrot intantletl or oHered for sale (Sec.
704a, Business end Protessions Code: The Contrectore License Law does not apply to an owner ot property who builds or improves thereon, and who dces such work
himself or herself or through �is or her own employees, provided that such improvements are not intentled or oHered for sale. If, however, the builtling or Improvement is
soltl within one year oi completion, the owner-builder will have Ihe burden of proving thet he or she dld not build or improva tor purpose of sela.).
❑ I, as owner oi ih@ properry, am EICCLU5IVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct ihe prolect (Sec. 7044, Business end Pratessions
Code: The coniractors License Lew tloes not apply to en owner ot property who bulltls or improves ihereon, and Who coniracis for such projeci with a contractor(s)
license pursuant to the Contractors License Lews.).
❑ I am exempt und�r sec. Business end Pwfessions Code tor ihis reason:
Signawre: Date:
Owner ID venfied by dnvefs license. ❑ Ves ❑ No Drivefs License No. Expires:
Verification of Ownership by (rype of document, i.e. - proparty tax biil or tlaetl):
DIVISION OF INOUSTqIpL SAFETY PERMR CER7IFICATON:
❑ I hereby certify that no excavation tive (5) or more feet in tlept� inta which e person is required lo descend, will 6e matle in connection with work euthorized by ihis
pertnit, and ihet no builtling structure, sceHoltling, falsework, or tlemalition or dismentling thereot, will be more then thlrry-siz (36) feet hlgh. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, CelifOmla Atlministretive Cotle).
❑ As owner-builder, I will not employ anyone to do work which would require a pertnit from ihe Division of Industriel Safery, as notetl ebove, unless such person has a
pertnit to do such work irom t�e divisian.
SignaNre:
Division of Industnal Safery Pertnil Number:
Date:
�p[y IN�PECTIONTYVC
7616 Fixed System Finel Fire Prevention
1266
200
201
202
203
204
2A46�06
Pool Spa Final
Final Re-Root
Final BIocWRgtaining Well
Final Factory Fire Place
Final Sign
Final Demolitio�
�� �:4
COOEY INSDECTIONTYPE
206 Finel Mechanical
20B Final Plumbing
270 Finel Eleddcal
2/2 Finel Fire Prevention
220 Finel Planning Approval
222 Final Site
250 FinalBuilding/Occupancy
P1:11q
i
�.
tli11111A�.
��-�il:�
� q��
i �..:�::: I .' ,
CITY OF COSTA MESA
BIIILDING p1VISION
DEVELOPMENT SERVICES DEPARTMENT
V .. �
�� PERMIT PERMIT NUMBER
P98-00759
(714) 754-5273 • Fe�t (714) 754-0856 77 FAIR DRIVE, COSTA MESA, CA 92628
Job Address: 760 W 17TH ST
Suite No
Vicinity:
Parcel Nunmber: 42408116
�
PLUMBING PERMIT
Applicank COLMAR, KEITH
y .,' .. � �+ ..,-
Address: -�"�, i��'-" - -
i ;;,f �� . �. Phone:
/ �i :- -" ��� Zip:
-/r..' � - � � ,
�i� � � ��.%� � . ' .
i �� ;� . -'
/� -
owner. FOOTHILL FINANGIAL L P "_ -�
,..---- /v� � ^ � �. i _
CT�ILI.IT \If`\IT h
Status: ISSUED �
Applied: 10/Ot/1998
Issued: 10I0111998
����� ���� -
��
� �.�
��7 /�� ���i -�=�
' / / � �\ \ ,
� � < L�'' � � � \: \
� � � J � �
� \�� \\ � �\ \ \
; �'�; NEWPORT BEACH CA � Phone. ��\\ ;:� � /�\\�= .\
�
��-% 7675 PLACENTIA�AVE Zip: 92663 �\���/`�� � � ' -
i'i,i �\ /�//� �\�\����i� ���.�,
' � �`�.�`, � � �
,'-�;'� ; , ,. �,i/ �. ,
c�t' t" �� `ISAACS'PLUMBING ' �����` t -' � �
on rec oc ,�
� Address -01910�E EDINGER 1,: i ; ; -
� - �" • Phone� � " '. �
� �
♦ � � ' ��� ' / i t l� ^� . \ � '1 11
� � SANTA ANA CA , �� , .: . , -2ip. 92705 \ '-'' y � , �
. . / � '�� .�Cicense:� 429549 . 1
. , . ... . ._ _ . . . �l,
ArchlEng: � � � ,� � �
, i �� /�, - - � A
Address: �,
� - , .. ,�--_ -- �Phone:; ,, ��r, %�,..`�.•�� ,� � �
.. ���,..� ��i� . Zipr„�✓'.i.�, vC1,A� ...�A._�.� . �
.. -- License: � - "-„zl i
� .,/
- " �-�'�SCOPE OF:PERMIT'
� FIRE DAMAGE REPAIR: RELOCATE EXISTING 2 TOICETS AN
r,.�, -.
...:�
WASH.BASINS. �' �
�
V � \�� ' ,' ,
FEE SUMMARY:�� _ � � �
�� �,� , .s;-AMT QTY AMT-�-QTV /�:�'j � •' AMT
ISSUE PEE'� _�,��, . � 522.00 � Laundry Tub I Washer � $0.00 0 Sump Pump� � � � ".E0.00
BackFlow irrigahon , $0.00 � 0 Landscape Irrigation � �.,� � $0.00 0 Swimming Pool . � � $0.00
BackFlowPreventer $0.00.„� 0 P-7rap .. ^0� �. ,'$0.00 0 TrapPrimer . -'�$0.00
BathWb � �� ' � $0.00�; ;; �0 Pressure Regulator : `r � 30.00 0 Urinal"� -' � � �', $0.00
Clarifier System ; ` ' ' $0.00 � ; �0 � Process Piping (per 10 ft) � $0 00='. �.,0�, ; �,Vacuum Brkr Bkflow(1-4) �,= E0.00
Connect (Ice,Soda;etc) $0.00 ��0: �' - � ,Receptors", , �� $0'00 "�, 0: " . : ,Vacuum Bikr Bkflow(5+), $0.00
Dental Units - - $0.00, , 0�;'�\ _; Septie-Tank �' �, � � �� $0:00 ��- 0-.� - "�; N/ash Basin �"-j $17.50
Dishwasher � $0.00 • � 0 � �, �Sewe� Cap.for Demo ;. �; = $0:00. �._ 0 Wash Basin Set��, ! $0.00
Drain, Floor , �50.00 � �'0 , � � �SeweF Connect �� � � � � � $0.00 ' � 0 r%� _ � =Waste and Venl'Syatem $0.00
Drain, Rainwater ' -$0.00 � � 0 �, � . Sewer Brivate Line � ' ` E0.00 - � 0 , N/ater Closet (ToileQ 517.50
Drein,Roof '50.00� �0 Shower $0.00 ..0 ' �' WaterHeaterlvent 50.00
Drinking Fountain $0.00 � - ' 0 � � � , � Sink, bar � , $0.00- �. 0, ' �� � Water Piping (Inst or Rep.) $0.00
Expansion Tank 50.00 - - 0_ -, � . Sink, commercial - $0.00 , "`0, . . , � Water Re-pipe $0.00
Gas Earthquake VaNe 50.00 0'' , Sink, Floor , $0.00 '0 �� :! � Water Service $0.00
Gas(1-4outlets) 50.00 0 -� . -`.Sink,kitchen � � � � $0.00 -0-"� �- � WaterSoftener 50.00
Gas (Over 4 outlets) 30.00 0 �Sink; service/mop, ��,50.00 '0 �� OTHER $0.00
Gas Repipe $0.00 0 Spa (private) ��� 50:00 � 0 VIOLATION $0.00
Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHECK $0.00
Interceptors (Grease, Oil) $0.00 0 REINSPECTION $0.00
Interceptors (Sand Auto ) $0.00 0
TOTALCALCULATEDFEES: $57.00
COMMENTS / SPECIAL CONDITIONS
Qn
0
0
0
0
0
0
2
0
0
2
0
0
0
0
0
0
EXPIRATION: This permit shall autometically expire and become void if work Is not commenced within 180 days, or if work is suspended or abandoned
tor a period ol 180 days.
INSPECnoNS: In orUer for the work authorized under this permfl to be cansldered legal, such work must comply with all applicable codes, and ell
requlred Inepeetlons and finel approvel must be obteined. Fallura to obtain inspectlons end final epproval will result In the expiratlon ot this permit.
FOR INSPECTIONS CALL: (714) 7545828
WORKERS' COMPENSATION DBCLARATION: �
I hereby affirtn under penalry of pedury one of Ihe fallowing declarations:
❑ I have end will maintein a ceNficete of consent to seR-Insure br workers' compensatlan, es provitletl for by sectlon 3700 of Ihe LeDor Code, for Ihe peAortnence ot the
work for which Ihis pertnit is issued.
❑ I heve end will meintain workers' compensaGon insurence, es requlretl Dy section 3700 of Ihe Lebor Code, tor ihe pertormanGe of Ihe work lor which Ihis permit is issued.
My workers' compensetlon Inwrance certier antl polity number ere:
Certler: Policy Numbar.
(rnls secum neec nor ne comp�erea Ir meQenNt /s ve�uee er one nuneled aoners (sioa) or �ess.)
❑ I certily that in t�e performance o1 Ne work tor which NIs pertnit is issued, I shall not employ any persan in eny menner so es to become suD�ect to the workera'
compensatlon laws oi Cellfom�e, and egree Uet If 1 shyuld become sub�ea ro t�e workere' compensetlon provisions ot Sectlon 3700 of the Lahor Cotle. I shall fotlhwlth
compy wIM ihese p%�visi / /`��%y��� � �/ / �y
Applicant Signetore: v _�__���6 /�.(� _�LAkk/t/ Date: " ! � � _ � 6
WARNINO: FNLURE TO SECURE WORKERS' COMPEN54TION COVERAGE IS UMAWFUL AND SW1LL SUBJECT AN EMPLOVEP TO CRIMINAL PENALTIES M1D qVIL FlNE$ UP TO ONE HUNDRED
THOUSANO WILARE (5100,000), IN ADOmOM TO THE COST OF 00lAPENSATION, OAMAOES AS PPOVIOEO FOR IN SECTION 37060F THE UBOFl CODE, INiEREST, AND AT70RNEY5 FEES.
LICENSED CONTRACTORS DECWAA710N:
I hereby ettirm that I em Ilcensetl u�der provlsions of Chepter 9(commencinp wlth Section 7000) of DlWslon 3 0l the Business end Professions Cotle, en0 my Ilcense is in tull
force end ettect. Llc. M Class q
ConVeclo/sSlgnature: _ Dete: —� '
CONSTRUC710N LENDING AGENCY: .
❑ I hereby eKrm that there is e Ca�s�n+cUan lentling agency lor the pertortnence ot tha work for which Ihis permlt Is Issued. (Sec. 3097, CIWI Cotlej.
Lendels Neme: Lenders Adtlress:
Slgneture: Dete:
OWNER-BUILDER DECLARATIONS:
I hereby atflrtn Ihet under penelry oi per�ury t�et I em El(EMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7037.5, Business end Protessions
Cotle: Any ciry or counry which requ�res e permlt to consiruM, elter, Imprwe, demdish, or repair any struaure, pdor to its issuance, also requires Ne epplicent for such permlt
lo flle e slpneO stetement Nat he or she b IlcenseO pursuant ro the provisiorw of t�e Contrecrors LJcense Lew (Chapter 9(commendnp wlth Sectlon 7000) of DMsion 3 of ihe
Business entl Professlons COUe) or that he or she is eaempt iheretrom antl Ihe Easis far the allegetl exempllon. My Wdatlon ot Section 7031.5 by any appliwnt tor e pertnit
sub�ects Ne epplicant to a civll pen6lry of not more Nan five hundred dWlars (3500).):
❑ I, es owner of ihe properry, o! my employeas vnth weges fls Ihair sole compensation, WILL DO TME WORK, ana the slrucNre is not intended or oXeretl for sele (Sec.
70a4, Business end Protessio�s Code: The Contraccors License Law daes not appty to en owner oi Oroperty who builds or improves thereon, and who tloes such work
�Imsell or �erselt or through h�s or her own employees, praNdetl Ihel such Improvements ere not intended or ofrered for sele. N, however, ihe bulltlinq or Improvement is
sold within one year ot wmpleUon, the owner-builtler will heve the burden af proving Ihat he or s�e tlitl not build or improve fo� purpase oi sele.).
❑ I, as owner of Ihe properry, am EXCLUSIVELY CON7RACTING WITH LICENSED COMRACTORS lo consiruct ihe proJect (Sec. 7044, Business antl Professions
Code: The contractors License Law Coes not appty to en owner of property who builds or Improves ihereon, end who conireds for such pro�ect with a contrecbr(s)
Ilcense pursuant to the ConVe�lars License Laws.).
❑ I am exempt un0er sec.
Signeture:
Business and Professions Cotle lor Ihis reason:
Owner ID veri0ed by tlrivers license. ❑ Yes ❑ No Drivefs Licanse No.
Vedflcatlon ot Ownershlp by (hPe ol tlocument, i.e. - properry tae biil or tlee0):
Oate:
Expires:
DIVISION OF INUUSTRIAL SAFET�' PERMR CERTIFICATON:
❑ I hereby certly ihet no evcavalion 11ve (5) ar more feet In tlepth Into which a person is required to descend, will be matle �n connedlan with work authorizeC by ihis
permit, end that no Dulltling stNcture, scattolding, telsewark, or tlemolitlon or dismantling t�ereof, wlll be more then ihirty-sla (38) feet hiph. (Chep. 32, Grp 2, Art 2, Sec.
341, 71t1e B, Celifomia Atlminls�retiva Code).
❑ As owner-bulitler, I wlll not employ enyone to do work whic� woultl requlre e pertnit from the Dlvlslon of Intlustrlal Sefery, es noted ebove, unless such person has e
pertnit to tlo such work hom Ihe Olvlslon.
Signeture: Date:
DMslon of Industrial Satery Permlt Number.
CERTIFlCATE OF COMPLIANCE AND AUiliOR¢A710N OF EMAV: I certily under penalry oi perjury that I have read this epplication end stete that ihe information given is
correct. I egree to comply wit� ell stete laws end ciry ordinences reletinp to builtlinq consWctlon, entl euthodze representetives of Ihe Ciry oi Costa Mese to enter upon the
ebove-described property for InspecUwi Purposes. I agree not to occupy or allow occupancy of eny bullding euthorized Dy this pertnit until Mal inspedion.
✓ ��� S��y'`a a� �ens ✓ l6 ' / ' f`'
AnNOr AuNOAzetl Appliwnt Oate
tooe �. INSPEGTONTYPE OASE I�LS
1618 Flxetl System Finel Fire Pre�entlon
1288
200
201
202
203
200
YM8�e8
Pool Spe Finel
Flnel Re-Roo1
Finel Block/Helaining Wall
Flnal Feaary Fire Place
Final Sign
Flnel DemdlUon
SQQFj INSVECiIONTYPE
208 Flnel Mec�enlcal
208 Flnel Plumbing
210 Flnel Electrlcal
212 Flnal Fire Preventlon
220 Flnel Plenning Apprwal
FYi]
250
Final Site
Flnal Bulltlinp/Occupency
�ff It��
, ..
CiTY OF COSTA MESA
BI/ILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
(714)754-5273 • Fax(714)754-4856
Job Address:
Suite No
Viciniry:
760 W 17TH ST
UNITS 4 AND 5 IN REAR
Parcel Nunmber: 42408116
App�icant: GREGORY, GEORGE
Address:
ELECTRICAL PERMIT
Phone:
Zip:
owner. FOOTHILL FINANCIAL t P
Address %INVESTMENT MGNT SERVICE � . . � - - ��
, NEWpORT BEACH,CA � ' Phone:
1375 PLACENTIA AVE 2ip: 92663
Contractor. GEORGE GREGORY
Address: 221 AVENTIA MONTERAY '
� Phone:� 949 492-8685
SAN CLEMENTE, CA .' Zip: 92622 -
. � License: 53'1930
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fizts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to t000a
Service aver t000a
Motors to ihp
Motors to 10hp
Motors to SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
i
PERMIT NUMBER
E98-01129 „
77 FAIR DRIVE. COSTA MESA, CA 92626
Status: I SSU E D��
Applied: 10/26/1998
Issued: 10/26/1998
SCOPE OF PERMIT
FIRE REPAIR TO AN EXISTING STRUCTURE, AND RECONSTRUCT 2 HANDICAP BATHROOMS
REF"B98-01614 &- B98-01603: 12 FIXT., 18 REC., 6 SW., 2 SUB-PANELS, AND 1 MOTOR UP TO
10.OHP. � ,. � .
FbR760 W 17TH S7. UNITS 4 6 5
$22.00
$0.00
$0.00
�,$0.00
$0.00
'$0.00
$14.00
$18.00
$6.00
$0.00
$0.00
$0.00
$0.00
$0.00"
so.00
$11.00
so.00
$0.00
so.00
$0.00
$54.50
so.00
$0.00
$0.00
$0.00
Quantity
0
0
0
14
18
6
0
0
0
0
0
0
1
0
0
0
0
2
0
0
0
0
FEE SUMMARY
� �
Temp Dist System / Ligh�ing
Busway/100ft��
Standing Section
Misc Electrical Equipment
Transformers up to 1 kva/kw
................up to 10 kva/kw
.....:...........up to 50 kva/kw
.:...............up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Winng System / Ckt
Misa Conduit '
Misa Conductor
Circus ( gen or ride)
Circus (mech ride ar li9hts)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Quantity
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
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES 5125.50
COMMENTS / SPECIAL CONDITIONS
,
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days. ,
INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeotions end finel approval must be obtained. Failure to obtain inspections and tinal approval will result in ihe expiration of this permi�.
FOR INSPECTIONS CALL: (714) 754-5626
WORKERS' COMPENSATON DECLARATION:
I hereby attirm untler penalry of perjury one oi the tollowing tleclerations:
❑ I heve and will maintein a cenificate oi consent to self-Insure for workers' compensation, es provided for by section 3700 of ihe Lebor Code, tor the peAortnence of Ihe
work tor which Ihis permit is is5ued.
❑ I have end will meintaln workers' comp�nsetion insurance, es required by sedion 3700 al Ihe Labor Cade, far the pertartnance of Ihe xrork for which this pertnit is issued.
My workers' compensetion Insurence cqrrier and policy number are:
Certier.
(This sectlon neetl nol be complefetl il the
❑ I certify Ihat in t�e paA
wmpensation laws of C
comply with these prov
Appliwnt Signeture:
WFRNINO: FAILURE TO SECURE
THOUSAND DOLLARE (E/00.000).
LICENSEDCON7RACTORS
1 hereDy ettirm that I em Ilce :
force end eflect. Lic. a
Comractors Si9namre:
Policy Number
�ne huntlred do ers ($100) or less.) �^
Ihispermi issued, I shall not emplay eny person in an manner so es to become subject to the workers'
� e� worker9' Compen58tlon proNsion of Seqlon 3700 of the Lebor Cotle, I 5hall f hwlth
oe�a: — 2 �' 9� �
GE IS UNLAWFUL AND SHALL SUBIECi AN EM%.OYER TO CRIMI PENALTIES AND GVIL FlNES UP TOONE HUNDREO
PENSATION, DAANGES AS PROVIDEU WR IN SECrIIXJ J]OB OF THE LABOR CODE. INTEREST, AND ATTOPNEV'S FEES.
7000) of Divlsion 3 of the B siness end Professiur,s Code, and my license is in full
Cless # � _ _
Dere: '— 7 li ^ c3'
CONSTRUCTION LENDING AGENCV: �'
❑ I hereby atfirtn Nat there is a conswcGon lending egenry far iha peAortnance ot the work for whic� Nis permit is iuuetl. (Sec. 3097, Civil Cotle).
Lenders Neme:
Signatura: _
OWNER-BUILDEH DECLARATIONS:
Lentlefs Address:
Date:
I hereby effirtn ihat under penalty oi perjury thet I em E%EMPT FROM THE CONTRACTOHS LICENSE LAW for the following reeson (Sec. 7031.5, Business enA Professions
Cotle: Any ciry or counry which requires a permit to constmct, elter, Improve, demolish, or repelr eny structure, prior to its issuance, elso raquires ihe epplicant for such permit
to ille a signetl stetemen� thet he or s�e is Ilcensed pursuant to the provisions of the Contrectore LJcense Lew (Chepter 9(commencing with Sectlon 7000) ot Divisian 3 ot Ihe
Business entl Professions Code) or Ihet he qr she is exemp� therefrom and the basis lor the elleged exemD��on. Any violation of Section 7037.5 by any applicant tor a pertnit
sub�acts the applicent to e civ�l penalry ot not more then five �untlred dollars ($500).):
❑ I, as owner of the properry, or my employees with wages es iheir sole compensetion, WILL DO THE WORK, and the structure is not Intended or oMered for sale (Sec.
7044, Business and Professions Gotle: The Cantrectors License Law tloes not appty to an owner oi property who builds or improves thereon, end who does such work
himselt or herself or through his or her own employees, provitleA ihat such improvements ara not intentletl or otteretl far sale. If, however, Ihe bullCing or Improvement is
soltl wlthin one year ol completlon, t�e owner-builder wlll have the burden of pmving t�et he or she tlid not build or impmve tor purpaae of sela.).
❑ I, as owner ai the properry,,em EXCWSIVELV CONTRACTING WIiTI LICENSED CONTRACTORS to construct Ihe pryect (Sec. 7044, Business flnd Pmtessions
Cade: The contractors License Lew dpes not epply to en owner of property w�a builds or Improves ihereon, and who conirects for such prqect with e conirector(s)
license Dursuant ro the Conirecbrs Lic9nse Laws.).
❑ I am exempt untler sec. Business and Professlons Cotle lor this reason:
Signature: Date:
Owner ID veritied by drivets license. ❑ Ves ❑ No Drivers License No.
Vedticetlon of Ownership by (rype oi tlocument, i.e. - property tac bill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Expires: i
', _
❑ I hereby certlfy that no excevetlon flve (5) or more teet In depth Into whlch a person Is requlred to tlescend, will be mede in connection with work euthodzed by Ihis
pertnit, antl Ihet na building siructure, scaHoltling, telsework, or Oemolitlon or dismentling thereoi, will be more than ihiny-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califomia AdminislraWe Cotle).
❑ As owner-builtler, I will not employ enyone to do work which woultl require a pertnit irom the Divlslon of InGusinal Sefery, as noted ebove, unless such person has a
pertnit to do such work hom the divisio�.
Signature: Date:
DiNsion o1 Indusinel Safery Permit Numbar.
yppEy INSVECTOXTYPE pe7y ���$ ZQQ�y INSPECTIONTYPE �7E I�E{$ I
1616 Fixed System Finel Fire Prevention 208 Finel Mechenical
1266
200
Pool Spa Final
Final Re-Roof
201 Final BIocWReWining Wall
202 Final Fectory Fire Plece
203 Final Sign
260 Final Demolition
2048-afi
20B Finel Plumbing
210 Finel Electrical
212 Final Fire PrevenUon
220 Final Plenning Approval
222 Final Site
250 Final Building/Occupancy
�
� �
J ' Aop���ant to /ill in all soacm except tnose wit�in neavy Dortler Ilnes antl sign a11 aporoo/�ata aaclantlons.
CITY OF COSTA MESA� CONSTRUCTION PERMIT PERMIT NO.Zb� TRACT NO. LOT NO. UNIT NO.
ProjectAddress -�6� j'�.� 1 7th SY- �
Applitanl'S Mailin9 Addfezs 4 TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ OEMOLISH ❑ OTHER A p, �6
Owner'sName � �QPhone§.�.�44 DESCRIPTIONOFWORK/USEOFBLDG.
Address S Main Buildi
E
Arch/Eng. LicenSe No. TVPE OF PEHMIT GRADIrvG FOUNDATION STRUC7URAL T Front
Atldress ❑ TENANT ❑ ELECTRICAL � PLVMBING ❑ MECHANICAL 8 Reef
❑ OTHER A
Contraclor'S Nam���ar_jll_am�}}'� Phone O��i'�. C Hight
PROJECT DESCRIP710N SQ. FT. OCCUPANCV
Addresslmailing! �S�Q], Spar rS� 6a�desr--6ran� CONSTRUCTIONTVPE VALUATIONS S Left
CityLicenseNo, nZg�i� - ZONE GRADINGCU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION 71ng. Re(. #
I�har¢by affirm thdt I am I�CBnsed untle� provl5ions ot Cnarter�9 (commencing q�marks: Plditniny NOIES:
wi[h suctlon 7000) ot Divl5lon 3 ot lhe Businass antl Grofesilons Code, antl
my I7<onso It in ivll torce antl eliect. '
� lJtense Class Lice a Noy��Crd�
I� Date NC1VPTf1AP_T' Ignature� . .
WORKERS'COMPENS�'I���DE ARATION
r,a.hereby ailirm tnal I have a�¢r[i(tcate of consent to snlbinsure r a ttrtificate �
��P Workers' COmpenSa[iOn Insurance, or a certifi¢tl cOpy the�eof ($ection
800, Lab. C '
vou�Y No.N�107 39 77WCcomaa�v Truck Ins. Excha
�Ce�tifietl cbpy i5 heteby tumisnetl. � �
Certifietl copy is lilea wi�h the cit u' m9 OI Isia i.
Dat��—S—S6, APPlican ' '
EXEMPTION FROM WORKEftS' COMpE NSA ION DECLA(j, � N�
(Tnissection neetl not be completeC il the perml[ is tor one hun tl(yl 0) or
less).
I C¢rtity that In th¢ Perto�rt�anGn 01 th0 work to� wnlch tN5 permit is issuetl, I
thall no[ employ any po�SOn In any manne� so as to becOme subjec[ to the �
Workers' ComOensation Laws of Callfornla. '
Oate Si9natura ' �
�NOTICE: If, at[er making tq�s tlaclaration, you 5hoW4 become subject to t�e
Workers' COmpensatiOn prbvi5ion5 oi t�e LabOr Cotle, you' mu5t fOrNwith
compty wllh su<h proviilons or this permlt snall be�tleeme0 revoketl.
CONSTFVCTION LENDING AGENCV '
I hotaby alllrm lhal t�ere IS a Cons[ruttlOn IenUing agenty 10r th< pertormance
Ot th0 work Por whiGh (p�s Oermil is Issuetl (SeGtlOn 3097 Civ. C.)
Lentler's Name
IAntler's AtlCress
OWNER BUILDEN DECLARIITION� � -
I hereby aHirm that I am Bxempt irom the Contractor's Licenie L.aw for tne
muewina reason (Sectlon 7031.5 Builness antl Professional Cotle: Any city or
any structure, prior ta its issuance, also reqWres tbe appucant ior sucn Dermrt
t0 file a Signetl statem¢nt t�at he/zhe IS licensetl pu�suant to the p�ovi5ions of
the Contractor's L7<ense Law (Gbapter 9_(commencing wlth Section 7000) ot
�ivision 3 O/ ltl¢ B�TI�¢Sj and Professions Cotle) or that he/she is ezempt
�eretrom antl lhe Dasis fOr the alle9eU exemp[lon. Any violation of Seclion
033:5 by any appliWn[ }o� a Pe�mit subjects th! ap0licant to a tivil
�enalty of not more than fi�e huntlretl t1011ars (5500�.
I, as Owner Of Ine prOperty or my emplOYees with wages a5 their sole
<oTpenSation, wil� tlo the �york, antl [ne 5[ructure is not intentletl or offer¢0
for ule (Se<tion 7044, B�sine55 antl Professional Cotle: The Contractor•s
License Ldw tloes not apply to an owner oi a Oroperty who bulltls or improvez
thereon; antl who tlocs su�h work hlmsclf/nerself or tnrou9h his or her own
emplO�eei, provitl¢tl Ihat Such Improv¢menl5 ar0 n0[ IntenUe4 or otteretl foI
SdIG. I hOwev¢r, Ihe bu71E�n9 c� IiTProvarnent Is soltl wlthin One year of com-
o�atlon, tne owner wlll hav¢ tha burtlen ol proving he/she ela not builtl or im-
�rova for the Ourposo of sale).
I, as ownt/ Oi tho prOOerty, am enclu5ively Cont�acting wi[h IicenSatl con-
tfattol5 t0 con5[fuct lh0 PIOjOct ($CCllon 7044, Buslne55 antl PrOfe55ions Cotle:
The Conlrattor'S License �aw dOns nOt apply to an owner ot property who
builtls or Improves thereob, ana who con(racts tor such projetts with a con-
tlactor(5t I1cen5B putsuant�(O lhe�COntlactor'S LlCense Ldw). 1 am awarC Ihat
proa/ of thelr Worker'S ComponsaHon InSurance ShOultl be provitlltl to me.
❑ I am axempt untler Secqon B. 6 P. C. lor this reason
Dato Owncr
� I hereby certily that I ha�e reai
iniormatinn is corruct. I aornx tn
Signatu
i 5tate that the above
antl county ortlinances
�reoy authoNze repre-
IOtlon¢tl,property for
�'oate 11-5-86
Bar Sink
Backflow Preventer
Backflow Irrigalion
Clarifiers .
�IShNldShCl
Drinking Foun[ains
FloOr Drains
Floor Sinks , -
GasService �" Outlets
Kitchen Sink '
Lavamries
P—Trap
Roof Drains -
Reinspection Fee 575
Boiler
Duct - Under Ground
Duct � Slructural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. IC80 ;W
Heating System & Ducting
❑ai oo,oao eru O i oo,000
IDrivers' L en or 55 � % I I Reinspection Fee I $15
CMFOB65<6,rev.4/84 Whi[e-BWItlIn9tCanary-Appliwnt;Pink-Accounting;Goltlenrotl-Assessor
Service Sink � -
Sewer Cap .
Sewer Connection
Solar Collectors
Solar Pipin9� �
Solar Tank
Swimming Pool w/Spa
Urinal
-Water Closet �
Water Heater • �
Water Service .
�Z'
a
Issue Fee�
Hood or Typel ❑
Canopy Type I I ❑
Refrigeration System
❑o-iao.000eru ❑ioo,000
System Repair/Alteretion �
Issue Fea
FEES
Auromatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasber �
Dryers ❑Gas ❑Elec
Fan.
F,A,U.
Fixtures
Device Boxei �.
Ou[lets
Garbage Dispowl
Generator O0.5 KW 05-15
6785 II/O5/86
Zone
Accessory Building: �
Parking Req./Provided
ELECTRICAL .
Transformer ❑ 15-50 KW ' �
❑ 50+KW
Meter ❑up to 100 amps
Meter �over700amps
Sub Panel
Momrs DU7 HP �1 X- 8
Inc.Solar 09-15 HP �16-15+
Microwave -
Pole Light
Range
Standing Sections
Trash Compactor
$ g :
Rainspection Fee $15 luue Fee
FEES
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning APP�oved By
Building Approved By
Appliption luued By
$ 3
9.00 TL
2
O
N
I
N
G
R
E
O
M
T
S.
FEES
$ 3
� SUMMARV OF FEES � •
BUILDING PERMIT $ SMIP $
PLAMCHECK $ PERM17 •
PLUMBING $ �— ISSUANCE . $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ TOTALFEE $ ��
PLAN CHECK 25% $
v� CONSTRUCTION AND PLANNING .. POO. SPA
APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement �•
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-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 Gonduit-Undrgrnd.
6. Foundation ' ' 59. Gas Pipe, O Undrgrnd., Test ,
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final '
14. Rough Plumbing � 65. Electrical-Final •
15. Rough Electrical-Conduit � � �� 66. Solar SYstem-Final -
16. Rough Electric Wiring . '- 67. Fencing & Access Approval
17. Rough Wiring Sign � ' 68. APPROVED FOR PLASTERING
18. Fough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIflEMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro �
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
• 23. Gas Pipe-Rough & Test , 72, Underground Flush
24. Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical
27. Frame and Flashing ' 76. Dry Standpipe
' 28. Lathing & Siding - 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: � n�v Y
34. FinalHeating&AirConditioning �/.y�-y(o L�F7--(��y/�• C�C.�
35. Final Gas Pipe=Test ' �G G� - /
a< � i G .5� ' il�rt'
36. Hood or Canopy ' r �„
37. Final Factory Fireplace /i / � y
y.�: < ,l. .C- G
38 inal�umbing � ,_��a�''� , '
39. Water Service-Finai
�
�iB-B�s Service-Final
41. Solar pomestic-Final '
42. Backflow Preventer �
43. Backflow Irrigation . . ' '
44. .Landscape Irriga[ion System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed • . � �. '
49. Electric Release to Edison � � � '-
50. Gas Release to Southem California Gas Co � � �
51. CERTIFICATE OF OCCUPANCY
No. Date � ' �
AOV���ant to till in all spaces exeeot those witnin heavy Cortler Ilnes antl sign all avoravriate aeclaratlons.
CITY OF,COSTA MESA CONSTRUCTION PERMIT PE$M1T NO. , TRACT NO. LOT NO. UNIT NO.
Project Address n �j%�' C! M. �
Applicant's Mailing Addres�i I a—s �P7 /� .
Owner's Name r_�( � rhone�qy��
Address 2 ��% � 7 J �%"
Arch/Eng. License No.
Address '
Contracmr's Nam�f q� o„P rio4�4D
Adtlreu (mailing) A-Q�S � • � SJ� ��'
Ciry Licenu No.
LICENSED CONTRACTOR DECLARATION '
I be�eby alfitm that I am Ilcensetl untler provlslon5 of Chdrler 9(mmmendng
with section 7000) of Division 3 of tne Businesz antl Crofes5ion5 CoOe, antl
my Iicense Is in fWl force antl ftect.
License Class — � icen e No !Sa'�
Oate g��' S'9 t 6�� / e
M WORKERS'COMPENSATION DECLP.RATIO
\ • hereby affirm that I have a certifl<a[¢ ot consent to SelNnsure or a certiflwte
' VJorkers' Compensation Insurance, or a certifieC copY thereof (Sectlon
\ 300, Lab. C.) �
Pollcy No. ' Cor�pany
rtifietl copY �s hereby fuTish¢0.
Cerfitletl capy i5 file� witn the City B il�' ,DI./��ion �
Date � "'.T �� �— ApPliCant / L%/"�% �/1�.6"
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This suction neetl not be comple[etl if the permit iz for one huntlretl (5300) or
less). '
I certHy lha[ in the pe�fo�mdnte O1 tne �yo�k tOr whlch Ihis pe�m�t is i55u<tl 1
shall not employ any person In any manner iq as to become z �ect to t�e
workers om e�ws ot Ca�i�orn��1C �/J �
Dato �� 519nature
NOTICE: It, after making Inis tleclaralian, ypu snaultl bacome su�ject to lhe �
Workers' ComOeosxt�On provlsiOni O1 Ihe Labo� COtla, y0u must forthwilh
comply wi[h such OrOvi5IOn5 O/ tttis p¢rmit Shall be deemetl revokatl.
CONSTRUCTION LENDING AGENCY
I horeby dlflrm that [hGrO is a const�uctiqn Ien�ing agenty for the perfo�mance
oi lho wotk for which tn`5_pCrmit is Issued (SeCtion 309] Civ. C.)
l.entler's Name
ionCer's AUtlress � �~- -
OWNER BUILOER �ECLARATION � �
I heie�y affl�m [hat 1 am OxemO�'(rom the ConVaGto�'s License Law tor the
tollowin9 reason (Section 7031.5 Buiiness antl Professional Code: Any ci[y or
county which �equire5 a Pe�mit t0 cOns(�uGl, altet, improve, tlamoli5h o� �e0air
any slructure, prior to its issuance, also reqWres tho applicant (or such parmit
to filn a 5ignetl ztatement that he/Sh¢ 15 IlcenSeE pUrsuant l0 the provi570ns oi
tha ConlmCtor'S LiCenSa Law (ChaO�er 9(COmmencin9 with SecUon 7000) Ot
Olvtsion' 3 of t�e Builness antl Profes;lons Cotle) or tnat na/she is exempt
creirom dn0 the baSiz 1or th¢ allegeq exemptlon. Any vlolation ot Socllon
91.5 by any applicanl tor a permit subjects tba applicant to a clvil
snelty of not mora [nan five nuntlretl qollars (5500).
❑ 1, a5 owne� of Ine prope�ly O/ my ¢mploYee2 with wages as thair solo
compOnSdtion, will Eo f110 work, antl th¢ stfutlur0 IS nOt Intentl¢tl ol oHBrOU
for sab (SeCtion 7044, Bu5ine55 antl.P�oteSslonal CotlO: The Contractor'S
� i�....e i,,., n..a< nnt aeoH to an owner of a orooertv who builtls or imprOvos
�. Il, nowevGr, Ibe builtliny or Impro�ement IS soltl wi[hin on0 year Ot Com-
;IOn, th¢ Owner will have tha bUrtlen Of Proving h¢/Sha tlitl not builtl ar IT-
ve for[he Ourposa oisale).
I, a5 owner ot tne proparly, am exClusively cont�acting wlth IlcenS¢tl COn-
:tors to construct [ho project (Sectloh 7044, Businesz antl Protessions Cotle:
� ConVactor'S IJcanse law does nOt apPb �a an owner of property who
Itls or Improvas tnereon, antl wno Conlracts for sutn projects with a con-
:tOr(5) Ilcense pursuant to tha COnt�aGto!'s LICOnfo Ldwj. I am aware thdt
of o( their Worke�'S COTp¢nzalbq in5urance s�oultl be prOvitletl to ma.
r--
I am ezempt untler Section _ 8. & P. C. tor thls reason
Date ~--- �Owner _
I hereby Certi(y that I bave reatl this a
Iniormation Is correct. I agree [o comply
ana state laws relating to Duiltlin9 canst
sentatives of th iry to ent r on
Inspectlon Our
Si9�ature
Driveri• License ar 55 �
] state that the above
antl countY ortlinancez
ieraby dutho�lie �¢pr¢-
mtlonen orooertv for
TVPE OF CONSTRUCTION LJS NEW LJ ADD LI ALTERATION LI REPAIR
❑ CONVERSION ❑ OEMdLISH ❑ OTHER�
DESCRIPTIONOFWORK/USEOFBLDG. �'�'�Tl`l�A �//Zb'S.'l�i/�lvl
TVPE OF PERMIT I.J GRADING LJ FOUNDATION LJ STRUCTVRAL
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING �MECHANICAL .
❑ OTHER
PROJEC7 DESCRIPTION S�.FT. OCGUaArvCv
CONSTRVCTIONTVPE ' VALUATIONS «���
�
ZONE GRADINGCU.VDS. ACRES
Remarks: ��, ����/�
Bar Sink •
Backflow Prevenrer
Backflow Irrigation
t Bathtubs � - .
Clarifiers
Dishwasher '
Drinking Fountains
Floor Drains
Floor Sinks
- Gas Service Ouuees
Intercepiors
Kitchen Sink � - -
Lavamries ,
P—Trap
� Roof Dreins �
Reinspection Fee $15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System O Multiple
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑ a i oo,000 eTu O i oo.000
ReinspectionFea' � $15
CMF 0865-46, rev. 10/B4 White - Builtling; Canary - Appliwnt; Pink - ACCOuntin9; GOltlenrotl - As5e55or
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors '
Solar Pipin9 �
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
WeterService� �
Auto-Wash
Isue Fee
Hood or Typel ❑
CanoPV TYPeIt ❑
Refrigeration System
❑6100.00OBTU ❑100.000
System Repair/Alteretion
Fire Dampers
Registers
laue Fee
ES
S 3
$ 3
A.P. 5W
S Main Bu
E
T FrOn[
B Fear
A
C Aight
K Left
S
Ping. Ref. #
Planning No'
Automatic Washer �
Construction Pole Sub,
Cooking Unit -
Dishwasher '
Dryers ❑Gas ❑Electric
Fan
Fixcures
Device Boxes
O�tlets
Switches
Gar6age Dispi
Generator �i
25050 TL
Zone
y Building:
Parking Req./Provided
0
ELECTRICAL
Transtormer ❑ 75-50 KW -
❑50+KW
Meter ❑up to 700 amps
Meter �over100amps
Sub Panel
Motor: Oa 7 Ha O t u- 9
Inc.Solar 0415 HP �1G75+
Microwave
Pole Light
Range
Siqn ,
' Standing Sections
KW�5�15KW TreshCompactor
� Reinspection Fee �$15 � � luue Fee '
DEVELOPMENTSERVICESREQUIREMENTS:
2oning Approvad By
Building AOOroved B� �
APPliption laued BY ��
FEES
$
Z
O
N
I
N
G
R
E
Q
M
T
S
0
SUMM V OF FEES
BUILDING PERMIT $ � SMIP' $. ' ��
PLAN CHECK $ �PERMIT . -
PLUMBING $ � - ISSUANCE $" .
PLAN'CHECK 25% $ ' ' ENERGV P.C. $ _
ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $-�
MECHANICAL $ TOTAt FEE $
PLAN CHECK � 25% $
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector _
1. Temporary Elec[rical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel 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, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � 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. Roof Drains 64. Piumbing System � Final
74. 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
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit # _
21. DuCts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � 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 (Structural) & Monocoat 75. Dry Chemical �
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. F�XED SYSTEM FINAL
29. Iniulation 78, FIRE PREV. FINAL '�0'
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION �
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �
33. Final Electric Notes:
34. Final Heating & Air Conditioning ,
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace '
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final �
41. Solar pomestic-Final .
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed � �
49. Electrie Release to Edison
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date ' - '
PN0.IECT ADOHESB: '� ( C W 17 TH 5 T
owr+en•sxnrn¢: REGZNALD M. JACICSON
�oowess: 6615 E. PCH #260
LONG BEACH
CA 90803
nxcxrtxcixeen: � 213 1 4 3 0- 6 5 7 S
�ooeess:
HE�.NO.:
uxrt:
uxrt:
PEpMrtr�E' FREEAAND SIGN ( 714 ) 650-7446
RDOflE33: t'� 3 O POMONA 1
COSTA MESA CA 92627
UCENSEO WNTMCTOR OECIAMT10N: I hereDy allirm ttwt I am licensetl wUer Drovaims of ChaD�er 9(commendn0 �[h Sectlon
7000) ol OlWsion 3 olt�e Business an0 Pmfessions Cade, anE my Ilcense is in 1u11/arce antl effeet.
em uc.: 0 4 �3 p9 4 4 /sTn�� uc.: 5 � e<. ��
^-'°:�� L—CJ�L/ Snnat r�%��� —� �
PBS' COMPENSATION OECWUTION: I Aereby aifirm ttut I �ave a certificate ai consent to seli-insure or a ceNfiwte af Workers'
�ensation Insurance, ar a cenife0 copy thereof (Sectlon 3800, La6. C�.
voucrxo.: p1062C �P�opTE� OS/09/91
cornrnxr: CA INDEh1NITY
7 CeN1ieG coDY is hereby Iumb�eE. L��� CenifieE caDY ���h Iha ciry Buil
Date: l� � D- ^
pIEMP11pN FIIOM VIOqCEH&' COMPExS1Ti0n oECUMnax: (ilis section neeA na be comp�eteE il ihe ce�� �s ia one nunerea (st0� or less�.
I certity that in ihe DeAormance of itle work for whic� Uis permit is ISSueO, I shall not empby any pCrwn in any mdnner So ds to Decome
su01� �a Ihe Workers' Campen5a0on Laws o1 Caldomia.
Daie: Slpnature:
NOTICE:If, aRer malanp tAis Oeclarztion, you s�auld Decome subjectto Ihe Workers' Compansatlon D�sloris otthe LaOor
Code, yau must IonRMt� mmpty vnt� suc� Dravlslons ar t�is permit shall Oe EeemeO revokeE.
CONSTBUCTION 1EN01N0 ►GFNCY: I �ereby aKrm tAat Ihera is a constmctlon IenOinp a0ency lar Ihe Dedormanca oi tha vrork for
whic� IDis permitis iuued (Sectlon 3097, Civ. C). '
lFNOEfl:
eonxess: .
OWNEB BWI➢ER OECIAMTION: I hereby alllrm itut I am exempt Imm t�e ConVapors' State License law lor tAe followinA reuon
(Sectbn 7037.5 Business anE Pro7essional Coae: My ciry ai wunry wAich mOWres a Dermit to constmct, atter, Imprwe. Oamolish, or
r¢pair any stmcture. D�or ta Rs issuanca, also reaWres tha apP��cant for sucA Oermit to lile a 5ipneE statemem that �e/s�e Is licensetl
pursuant to the pmWsions ol the ConVactors' State Licenu Law (Chapter 9(commencln0 ��� ��tlon 7000) at Divisian 3 0l IM Business
--� Pmlessions COCe) or that he/s�e is exemD< <�emlrom anU t�e Oasis br IM allcqe0 exempilon. Any vioWtlon ol SectPon 7031.5 by
Dplkant for a permil SuEjectS t�e apDlicant ta a civil penalry ol not mara Itun live huntlretl Uollars (5500).
I, ss awner ol the property or my� emp layees vnN waAes az I�eir sale mmpensation, will Oo Ne work, ana tAe
❑ structureis notinte�ked orotteadiorsale(Sectron 7044, Business antl PrafessionalCotle: The Cont2ctors' Sta[e License Law
tices not apDry ta an awner ai a pmperry who builOs or impraves Ihereon. anU who Jces such work himsel//�erself or t�roup�
his or �er own employees. pmvideG that suc� improvements are not intenEeA or attereE tor sale. If, however t�e Uuildinq or
impmvement Is soltl vnt�in one year ot completion, t�e owner will �ava t�e EurEen of provinp Ae/she EiE imt UuilA ar imprmre
far the Ourposa ol ule).
I, as owner al tAe D�Derty� am exclusively crontractinp with IicensaG contranors m mnstmct tha Dmjep {Seceion 7044, Business
❑ anE Prafes4ans CaOe: TM Cantractars' State License Law Oces not appry ro an owner ot D�oDeM w� ��� or imprpres therean
arW w�o wntacB for such prolects c�th a contractoqs) license pursuant to the Contractors' State License Law�. I am awam
�, Nat Orool ol their Worker'S Compens:Flon mwrance s�au10 �e D�a�d� �o me. �
I� 1 am exem0� un0¢r Seclion: B. d P. C. � '
tor mis reason:
Oate: Owner.
I Eo �er¢Ey cetliry Itut I am aware ol and unUerstanA IAe reyuiremenis ol Calilomia HWt� an0 Safety CoOe Secliow 25505, 25533, anE
25534 anOl�al I or any IUWra �vilAinO occupant wilVwlll not (circle one) neeG ro wmpry wR� saiU state co0es and t�e apuiremenls for a
permit lor constmctwn or mo0ifiwtion Irom the Nr ualiry Manapament Dhtdct. Hesidennal consWction a071iw[iorn am exemOt fmm
tAese pmvLsians.
Oate: Applicant:
1 hereGy ceNry that I have reaE this apDlication and state that the aC ' mn is carac rea to wmpty xi�h all ciry anC counry
ordinances anC staro laws relatinq 10 ENltlinq cans[mabn a aN�an p�J.,.._._ ,�IAe a�m�e�mentlonatl
Oroperty larinspection purposes.
Date:? � o � / � Slnnal��e._ �/��`� �--�
DrNer's �iunse ar Social Security
—Applicant; Pink—Revenue; GOIEenraE—Aseeeaor
PERMZT NO: SH 09li191
CONSTRUCTION TYPE:
CITY OF COSTA MESA - SIGN PERMIT.
PLAN CHECF( NO: 09907-90 S
PERMIT TYPE: STA SIG
PERM NO: SB 04II191
GOVT: N SUPP: 3V
PURPOSE: OTH
JOB DESCRIFTION : NON-ILLUMINATED WALL SIGN SQ FT:
CLAIM VALUE: 300.00 CALC-VALUE: 500.00 GROUP OCC; B-2 /
COMMENTS: NONE
�**���r***#*��*********��r�r*�*********�-*x#+�+�**���*�r�r�e*+rx��r�r��****�**�**+����*******
S I G N I'N F O R M A T Z O N
DISTRICT: 1 TYPE: FOAM LETTER WALL ILLUMINATION: NON CATEGORY: NEW
DIMEI�SZONS: 2FT OOIN X 12FT 06IN AREA: 25,OOSQFT LETTER HT: 13
_STREET FRONTAGE 1: 60.00 STREET 1: W 17TH ST
STREET FRONTAGE 2; 0,00 STREET 2;
PARCEL: 92408116 ZONE: MG LOCATION > FRONT: X REAR:
BUSINESS NAME: WESTECH BODY WORKS > LEFT: RIGHT:
O T H E R T O T A L S G R O U N D 5 I G N
THIS ACTIVZTY . 25.00SQFT OVERALL HEIGHT:_ OFT OIN
THIS SITE . 25.00SQFT GROUND CLEARANCE: OFT OIN
ZTEMS OF INFO 2 PLANTER AREA: O.00SQFT
ITEMS FOFt ACTI�'ITYc 2 BLDG SET BACK: 20FT
COPY VERBIAGE : WESTECH bODY WORKS WITH A LOGO -
PLANNING NOTES: FOAM LETTER WALL SIGN
iE if jE if iE �R iE iE iE fE iE 3E iE iE iF iE iE ?E �E dE if iFiE iF iE iFiF iE iE it iE if iF iF iP jFif iF iE jE jE it iE iE iE iE iE iF i61E jf if iF iE jE if 9E 1E if iP ik ib iF i(� iE �1F ik aE ib if iE if aE dE iE if if aF if
D E V E L O P M E N T S E R V I.0 E S R E Q U I R E M E N T,S
ZONING APPROVED BY : G(�,8j� ��l�� DATE: 7�f g— �'%
��� _�_
BUILDING APPROVED BY ;_Q�ryQ��" /— DATE: 7—! S'�Q
APPLICATION ZSSUED HY:
iEiElEiEiF�tEiEatitiEif*iFik3E3EiE3Edt�tit�tic'.'.ft�il��,rii. 'fciFi��ftiFii�±� :�# �i�'riFiF
LEGALIZATZON:N F E E S�' M M A R Y
bLDG PMT PLUMBING 'ELECTRIC MECHANIC
PERMIT 21.00
PLAN 13.65
ISSUE FEE
bUILUING-DIV-> PERMZT ISSUE PLAN-CHECK
TOTALS----> 46,50 0.00 13.65
REVENUE DIVISION TOTALS--> COLLECTED:
HLDG PhfT PLUMBING ELECTRIC MECHANIC
21_00
SIGN
25.00
TOTAL
60.15
A
STRUCTURAL SEGMENT:Y
SMIP/RES GRAUING
SMZP/NON-RES '
„ 50
PAID DUE
60.15 .00
60.15 OVER/SHORT: ,00
SIGN SMIP/TOT GRADING PLAN-CHECK
25,00 ,50 13.65
iElF if 3E jE iF iE iE if iE jt iE iE if iE if it iE �E iE if it k iE if iE it jF ik?Fik iE?E # iE if iE iF iE±E it?F i5 if if iE?E iE it iE ;t �t if jF iE jE iF iE iE iF!! iE?f * iE?t �f �)E �E iE iE iE �E iE iE iE iE iE?4
I N D I V I D U A L F E E b R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL C,OST
NO FEES WERE SELECTED FOR THIS PERMIT
O1 00065b?2-b�065625 Ttl T tr0,:i
DATE: 07/1°/90 TI11E: 12:;E
CONSTRUCTION AND PLAN. ;- '00, SPA
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement �
3. Electrical Conduit UtilityUndrqmd. � 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 59. Gas Pipe, O Undrgrnd., Test '
9. Water Pipe�Undrgrnd. . � � '� 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �
/
12. Sewer Cap �,, 63. Heater & Vent�Final �
13. Roof Drains �, �� , 64. Plumbing System - Final ��
14. Rough Plumbing 65. Electrical-Final i
15. Rough Electrical-Conduit � 66. Solar SYstem-Final ��
16. Rough Electric Wiring � 67. Fencing & Access Approval
17. Rough Wiring Sign �' �� - � 68. APPROVED FOR PLASTERWG
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas O Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Root Framing , 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling IStructurall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXEO SYSTEM FINAL
29. Insulation ' '� 78: �FIRE PREV. FINAL
30. Drywall Nailing %� " �� HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � �' 79.KFINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric 'l' Notrs:
34. Final Heating & Air Conditioning ' i'� �
35. Final Gas Pipe-Test /•;' ' _
36. Hood or Canopy �: ,
37. Final Fattory Fireplace ���
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulacions ,
.. '
47. FINAL STRUCTURE & BUILDING �7 11 - _
48. FINAL PLANNING � �
49. Electric Release to Edison ,�� •i� �
50. Gas Release to Southern California Gas Co �'
51. CERTIFICATE OP OCCUPANCY
No. Date
/�
/�
ADOlicant to flll in.all spaces exeeD� those within neavY Dortler Ilnes ana si9n a11 approvriate aeelarationz.
; I��' COSTA MESA CONSTRUCTION PERMIT P�Kg MIT NO. ' TRACT NO. LOT NO. UNIT NO.,
Project Address ��-� W'� 7!� S T� _ G. M� `� 2S 3� �--
Applicant'sMailin AddrCss 7�8 w. r�T� ST. � TVPEOFCONSTRUCTION � rvEW
Owner'sName �'�-�N NA��t� � CONVERSION ❑ DEMOLISH 0
Phone DESCRIP.TIONQ�Vj�O$}C/j15Ef�FBLDI
Address ��� W I iT%�i Si •
Arch/Eng. License No.
Addreu ~'
Contiactor'sName �wN�� Phone
Address (mailing)
City License No. -
LICENSED CONTRACTOR DECLARATION
1 hereDy aHirm that i am licenzatl untler provisions ol Charter 9(commencin9
with section 7000) of DlvfSion 3 ot tha Busineis antl Proteisions Cotle, anG
my license is in fu11 force a�tl e(fect. �
Litense Class LiCense No.
Date � 519nature
WORI(ERS' COMPENSAY��N OECLARATION
1 hereby ailirm that I hava a certlticate ot consent to selt-insure or a certi(Icate
�f Workers' Compensatio� ��surance, or a cerUtietl cooY �hereof (Section
B00. Lab. C.)� ,. ' .
Policy No: _— Company
Certlfietl copy is herebY fumishetl.
Certlfietl copy is flletl W�th tha city Builtling Dlvislon. , _
Da[e �AD�licant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section neetl not be tompletetl if the permit Is for one hundretl (5300) or
lass). ' . •: . . �
I ce�Nty [hat in the,perfO�mSnC¢ of theyvo�lifor whir,t� Ihis Permk is isSueQ I
shall not emolov anv OersOn in any b�m(e� so mtolbpcome subject to tne
NOTICE: It, after �making this tleclaratl n, you shoultl becom�fubrect to-tha�
Wo�kers' Compensatian provlSions of he Labo� Cotle, you must fOrthw{[h
comply wi[h such .Orov�vons or � tbis, permit 5hall be tleemetl revoked.
CONSTRUCTION LEND�NG AGENCV
1 hereby aftirm [hat there iz a cans[ruction lentling agoncy for the performance
Of [hG work for whicn ihis permil ii Issuetl (Section 3097 Civ. C.)
I..ontler's Name
LenCar'S Atld�e55
OWNER BUIIDER �ECLARATION
1 herCbv aftllm lhdt I artl Gzempt trom tM1e CoOVattor'S L�Cen58 �Ldw 10/ Itfe
a siqncA statement �hat
allo9eC oxemption. Any v�oiat�on of Sc
a pnrmic SUDjacls the applltant to a
naity or no[ more man ��va ���� ����..���a�� �a+��i.
L� I, a: own¢r of the prope�ty or my amploy¢85 with Wages a5 th0ir sole
<ompensation, wlll Oo4hP work, antl [no sbucWra is not intentlotl or offeretl
1or sale (Section 7044, Business antl Prolosslonal Cotle: The Contrac[or's
� License I.aw tloes.not app�Y �o an owner ot a prOperty who builtls or improves
theroon,.antl who <loes'sucn work himself/hersoli or throu9n his or her own
employcas, prOvl�etl tnal suCM1 ImOrovements aro nOt IntentlBtl o� ot�e�etl for
sale. If, however, the bui�d�ng or Improvoment is soltl within one year oi com-
pletloq tne owner wlll nnve tna burtlen of praving ho/sne ditl not builtl or im-
�t farthe Pu�posa Of Se�e).
a5 own¢r ot Ihe prtlPerty, dT ezclu5iv01y Con[racting with Iiclnsetl con-
t�actor5 tU cOnztruct lhe OrojeCt 15ecllon 7044, Busin¢ss anC Prof¢551on5 Cotle:
The ConVactor's Litensa Lzw does not appry to an owner of Oroper[y who
builas or imoroves thereon, antl who contracts tor sucn projetts wltn a con-
tractor(sl ucense pursuan< <o the Cantractor's Licansa Law),I am aware that
ptoof o( their Wo�ke�'S Compen5ation InSurdnGe shOultl be provitle0 to ma.
❑ 1 am Cxemp[ untllr Set��on . 6 P. C�o� this r¢a50n
Date /�' a-3 ' Owne
I hereDy certity that I nave reatl is appl7caUon antl s e tnat the above
' Informatlon is correct. I a9ree to co v�Y �+��� ap Uty antl county ortlinances
antl state lawz relatin to buiitling construction, antl hereby authorize repre-
san[atives ot [�i Nt to pon lhe above-men[ionetl property for
'Inspectlon pu�po �G
� Signature � �
��
ALTERATIOfJ L1 REPHIR
OTHER
TVPE OF PERMIT LJ GRADING LJ FOUNDATION L�'J�STRUCTURAL
❑ TENANT ❑ EIECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROdEGT DESCRIPTI�N Stl. FT. OCCUPqNC
CONSTRUCTIONTVPEr_ vn�'uqTIONS�
ZONE GRADINGCU.VDS. ACRES__
Remark�: 1[]CTd/ / Cf�i /[f R_9 /�1/`/��ienn�./`•
er Sink
ackflow Preventer. .
ackflow Irrigation
athabs � ' .,
Drinking Fountains
Floor Orains .
FlOor Sinks •
Gas Service Outlets
Interceptors �
Kitchen Sink -
Lavatories
P—Trap
Roof Droins
Reinspection'Foe �
$15
Boiler
Duct - Under Ground
Duct � Structural '
Duct - Ventilating
Ezhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑ ai oo,000 eru O i oo,000 ar�
Reinspection Fee I $�5 I
CMF 0865-46. rev. 10/84 Wnite - Builtling; Canary - Applltant: Pink - Accounting; Goltlenrotl - Assessor
Showers
Service Sink
Sewer.Cap �
Sewer Connection � -
Solar Coliecrors
Solar Pipin9�. . .
Solar Tank
Swimming Pool wlSpa
Water Closet
Water Heater
Water Service
Auto-Wesh
Isue Fea
Hood or Typel ❑
Canopy Typell ❑
Re(rigeration System
❑aioo,000eTu Oioo,000
System Repair/Alteration
Fire Oampers
Registers
laue Fee
— A.P. qW '--,'.
S Main Buildi
E
T Front
B Rear
A
�r� C Right
�Q•'� g Lef
Ping. Ref. #
� . Planning NOtes:
FEES
Automatic Washer
Construction Pole
Cooking Unit, .
Dishwasher
Dryers ❑Gas ❑
Zone
Accessory
ELECTRICAL � ' .
.Transformer ❑ 75-50 KW
❑ SO+KW
F.A.U.
F,ixtures '
Device Boxes
OUtI¢t5
Switches •
Garbage Oisposa�
Generatar O65 KW �515 KW
$� '
Rainspection Fee $15
FEES
DEVELOPMEN7 SERVICES (�qJ
2onin9 APVroved BY—��
Building Approved By
$ 3
Meter Uup m 100 amps
Meter ❑over 100 amps
Sub Panel �
Motors00.1 HP�1'f.-8.
Inc.Soler �9-15 HP �76-15+
Microwave
Pole Light
Scanding Secfions .
Trash Compacmr
Issue Fee
FEES
$
Z
O
N
I
N
G
R
E
�
M
T
S
6
SUMMARV OF FEES / 7�
BUIIDING PERMIT $ � �A. So SMIP §
PLAN CHECK $ ���1_�.� PERMIT
PWMBING $ � ISSUANCE $
PLAN CHECK 25% $- ENERGY P.C. $. -
ELECTRICAI $ GRADING $
PLANCHECK 50% g MICROFILM $
MECHANICAL $ . TOTAL FEE $ 2�P3 • °�
PLAN CHECK 25% $ � �
CONSTRUCTION AND PL'ANNING POOL & SPA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspectqr
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ��
2. Soil Pipe-Untlrgrnd. 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 � 56. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test �
9. Water Pipe-Undrgrnd. 60. Backwash Lines; P-Trap, O Undrgrnd.
10. Structural Floor SYstem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-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. POOUSPA SYSTEMS FINAL � -
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit # _
'.
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas OOiI
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:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace �
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final -
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation Sysiem
45. Sound Attenuation -
46. Handicap Regulations � � ,
47. FINAL STRUCTURE & BUILDING �- � -
. So JB v
48. Special Requirements Completed '
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. � Date _ _ * I
y .
STRUCTURAL APPROUAL ONLY
SEPAflATE PERMITS ARE REQUIflED
FOR ELECTRICAL, PWMBING.
H�A71�u. VENilIATiNG AN�
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EMPL YE[i. WE Si�GGESt THAT THE S'•aTE OF�
CpLi RNIAOIV�StON�OflN�US�RIAISAFETY
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AAAKE NO CHANGES WITHOUi PRIOR APVROVAC �
CF OEPT.
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PROVISIO�S Cf TH!S C�JDt' SHidL BE V,;:i�, EXCEPf lil SO
. PAR IS TRE R'�RK OR USE YlfitLµ IT AGAf6Fl:i.i t.: lA7fr.l1L
THE I;SUANCE OF f. PER;51i tir"iSE� UPQ:I 1'Llu1i /pYD
SPECIFICATIONS SHA:L �07 fRCVC!i 74E PU�!DC:� CFAC4IL'
fROM THEREAfTER REQUiRlNG TiIE G]'AECTI.�`.7 Oi EiEt0i2S
! IN SAID FLANS AND S7'fCIFICAiIOt:; OR R�OM PREV�iiiYG
i Et11LDING�BBE(tATIQNSBEIN6CARR1Ei)0;1iHEREU7IDERWHE:1
i IN ViC'J?T:4t:'OF iHIS CODE OR Of ANY O7HER ORDCyy1�J �
i:` 7HE C�TY.
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EtECTRlCAL LINE CLEARANCE REQUIREMENTS APPRO .V�ED
IN ACCCFDANCE WI7H STATE SAFETY REGULATIOfVS, �F �"1�� F COSTA MESa
CONSTRUCTION REQUIRES WORKERS, EQUIPMENT, CRANES p�NN{NG 6EPT.
OR HOISTING DEVICES TO BE IN PROXIMITY OF OVERHEAD �U�IECf TO bLDG. DEPT. REG
ELECTRICAL LiNES, OR UNDERGROUND ELECTRIC
FACILITIES, CALL SOUTHERN CALIFORNIA EDISON COMPANY ���nEEro DA (0-�3
IMMEDIATELY (714) 895-0244 D ! Or MNNINO
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cartnecrarsru� MUNIZ CONCRETE ( 714 ) 650-4869
CCMN�CTORSYYIRlG 2013 PLACENTIA AV
�o�u, COSTA MESA 9z6z� CA �,�, 489489
UNT:
LICENSED COMRACTORS OECl1RATON: I heroby eAFm under psnaty d parjury Nm I em liqnsed uMer pvrieiam W Chepx B
(oommeiwrp xi�h See�ion ]OW) d Dineion � N Ne Buaiinu enE Prda�wna CaE . eed f ��� b In Iu0laea enE etlw.
cmue.no.:039035 uaeuss: C 8 uc.N 9 �EXP: O1/96
Dete: 75 � � '� / S CoMruaa:
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OWNEP BUI�DEN DECIANAnON: I hereby dfirtn uMx panNy d ps ry �h 1 I a exemp Ir a Comrapwe Lioenee Lew la tM
folbw'vp rseaon I�bn )0.'11.5 Buaiese eM Rdmmons COEa: Mry c�Y a caun7 �� e pertnil to mrovua. Mn. impove.
Aemduh, a ropai vry evuelUro, prior to il� iauviw, Wo eeQuiree iM epplieeM ta weh ' o Rb e sy�wd stalemeM thet M a eM
'e IioemeE Wn��� �o Ihe p�s d IM Conlrapws Liroma lew �CAaqm B(commendip wnh Sepion ]OOp) d Di.eion 3 d �M
H�vnpe vd Prdeasiona Codel v �Ae� 1+ v Mie in mmmq �harshom antl IM buis la Ihe dlapeE exemq'nn. My voktian of SWion
]0'l1.5 by enY eVW�� Iw a permil wEpda iM apd�3 e wil peneAy d �wl mora tAen f'�va huMred ddWe �55W7).
� I, d owr�er d �ha propeAY or my empbyee� wilh wapm m �hsi sde compeneelion, will do Ne wwk. eM Ihe qrucfuro u rM in�endetl
w oRarad la eeb (��^ )�. Bueirou end Pminwone CaEs: Tha CmVepon Limnas Lewtlaw rm appFy lo en ovmmd proparry
wM W1Cs a inpo.es IMmm. uM nho Eoes �uM rak himrotl n hene� a Nraqh hu a hm oxn anVMw. V�'� �hel vurh
'unprtr�emeNs are no1 in��b a dlanE la ub. tl, Mwaver, iM W�kinp a inprownem w wld willwi one yw d canpMun. Ihe
owinrbuitlr rriA hew IM1� d+� tl pon�q he a ehe d'd nd MaM a'unprvn la Ihe qvpoea d ule).
� I. u owror d ihe prapMY. ��dud+MY W^irep'p MiN IcmuM eonbslm b mrienua tM piqeN (Satlion'lOM. &s'uwe vd
Prolevuons Cotla: Ths ��repwa L'csnes Lew daes iw1 apply io en oxner af prapeny who Witl� a impovw iMraan end wM
mmrene la auM OrojMe wilh a oonlreUor(e) licen'va0 punueni lo IM CoMreaore Lioenae Lew�.
❑ I em uempt urMar SMim; B;8 P.C., br Nia raeaan:
Dete: �+�
I Ao heroEy aNN � I em a�s d vM uMenWM ihe'epuinmann d Calfomu HeMh W SNsty Cods Setlion 45505. 2551t. eM
255J1. uM Nu I a eery Muro buiki�q oaupem will / wil m� (dre4 aro) � to comply w'th uid qel� mdr erq iM rpuinmanb br
e0ermillwmnaVuc�ianormo0ifiulionhamlM�i u�Tie�yl�enepemeMDinAd.RaiEentielaonYruebnWWutbmenuemO�ImmiMss
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WOflKER'8 CONVENS�TON OECl1P�TI0N: 1 MrMy eMum �nErt pwuEy W pppiry ona d iM bOOMrp dsdeepiom:
❑ I heva end wil maiMeh n wnXbma d causni to soMineurs br worken' campanW ion, o provNM Iw by 9atlion 9]0o d ths lebor
Cods, ta �M pe�lorman<e W Ihe xoh Ia which thle pe�md b laued.
� I hew and xil meinten'.�Me� aomM�u�bn ��aurarws, m nqWred b/ Satllon 3)00 d the Lebor Cods, M tM pailormenoe d tM
work Ia whiW Nu pem+� b Irued. My warFeii canpnwbn Imurence nrtMr ud pdky numbr v�:
c.nw:
Pdicy NumEx:
(7ryu �}� �p �q ys �yirp'nM / tM prm16 la me hwrdrsd ddbn /SfOJI a Iw.)
❑ I cMyy UW in tM perlpmencs d tM wak M w1ic� Ihh psrmX b inueE. Iy�eII m� emyoy erry ps�on ury mwier p m lo
becartr aubiea to iM ��' �m� V�+'a d Cef�lamb. qk epr�rNtl tly+wuk Eecanw�iiAjed lo tM xakr�'
Dets: 73 r' "T' r —7 � MdiuM: �� `�
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Weminp: F�Nun ro sxun N'o�Mxi rompnwHon row� b unl�wNl, m �M wDf�cf en • I w fo ctlMml pxutt/u �M
c/vll flrN� up ro ans huntlrq «uund doll�n (f100,000), In �lCltlen b M� cwf o/ compe I derrrpu +� prov/AMlor In
S�ctlon ]l08 al tlro Lebar GaM. Infxul. eiW �ttom�Y � Iws.
CONSTpUC710N LFNDINO �OENCY: 1 henEy etfiem unEar paroXy d perjury tAm tMre u e wMruCion NnNrq epanry M ihs
qrtamwa G �M r.ak lar wTid� �hu O�Y u ewW (5eeion �OB). CN. C).
LENDEN'8 NiW E:
LENOEN'S RODPE99:
I<enAY Ihet I Mw reaE uo epdicNian W qme �Iw ths ebwa imormNio� b cana. l Wna �o canVN wNn M dIY erd mumy ad'vunu�
erd ems kws Mmiq to Wik+q ��✓� ���eM+N�ats � d ihis dty ro eMm upon tM ebo�rmamionetl p'oWny
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CITY OF COSTA MESA — BUILDING PF.RMIT
PERM NO; B 073703
PERMIT NO: B 073703 PLAN CHECK NO: 03161-95 S GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; REPLACE 15LF WALL W/CITY STANDA[iD BLOCK SQ FT: 15
CLAIM VALUE: 300.00 CALC—VALUE: 300.00 GROUP OCC: B-2 /
COMMENTS: CZTY STANDARD HLOCK WALL
���*�*���*+t�c**x *****�*+��t�r�ert��*x����it*�r*�**+t**it�*��r�r�r�**��rx�*x�*�t**�*�*it*�+�***�*+c
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 BUILAING
FRNT: FT IN REAR: FT IN FRNT: FT ZN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 92408116 ZNE: MG REF NO:
PLANNING NOTES> 6 FT HIGH HLOCI{ WALL, 15 FEET LONG EVEN W/FRONT OF BUILDING
> (25FT SETBACK).
1E iE if iE iE iE if iE 3E 1F if iE 1f IE i(� 1f 1E IE 1E 1E fE iE iF if iE 1E 1E if if if iF 1E 1E 3E 1f if �f i(� iE 3E iE 1E iE If 1E iE fE if iF iE 1E iE if if if if 14 fE 7E 1E 1E ik iE iE IE if iE iE if 1F if 7E 1f iE jE fE iE'1F 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 BY g'CJO DATE: ��1.
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY: DATE: �l �
iE1Elfif�iFiE1E1EiEiEiEiEiEiElEiflflf�iEiEiEiE iFifiEiElflfaFifiE�E 1EfE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIPIRES GRADING
PERMIT 15.00
PLAN 9,'75 SMIP/NO�N—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 15.50 0.00 9.75 25.25 25.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 25.25 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
15.00 ,50 9.75
IE iE iF iE 1E �f iE iE if !E iE iE iE 3E 1E 1E IE 1E 1f 1f if 1E 1E iE iE 1E iE iElk 1F 1E 1E 3E 1ElE 1f 1f 1E iE 1F'IE'IF 1E 1E iE IE iE 1f 1E iE iE �E 1f if iE �IE fElh iE IE �IE fE I(�!f 1E 1E']E iE iE iE fE fElF fE iE IE 1E 1f 1f
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFC 15 RES—CONCAETE BLOCK WALL / FT. 20.00
END OF FEES
. �µ Y. � W • �r
, t�,. ; ., . i , � �.. M'
� ' 4 �I■=r�
300.00
i7Y Opl&7936-O�J;8792° 'i�7 T 25.25
DATE: OS/G4l45 ?I!",E: 1(7:3�
,�. . .�
COPSSTRUCTVON AP1D PLANPIING POO� . SPA ,
APPROVALS Permit# Date Inspector qppROVALS Permit# Date lnspector
i. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. '' 53. Steel Reinforcement �
3. Electriwl Cond'u5t Uiility-Undrgrnd. 54. Forms � � -
�4. �Electrical Cond"uit=Undrgrnd. i 55. Electrical Bonding . �
-.5. Steei Reintorcement 56. Rough Plumbin9 & Pressure Test
6. ElectriWl UFER:Grnd. 57. APPROVAL TO COVER-GUNITE '
-7. Footings rt; _ � fj �� � 5$. Electrical Conduit�Undrgrnd.
v
�"�.g. Foundation '_ � -- 59. Gas Pipe, O Undrgrnd„ Test
-r �
- 9. 4Vater Pipe-Undrgc�d.�` . � . 60. 8ackwash Lines, P�Trap, � UQdrgrnd.
-10. Structurai Floor SYstem �- 67. APPROVA�TO DECK ,' ., .
7 7. �ropertY Sewer Line & House Condection � 62. Backwash & Receptor-Final . �
12. Sewer Cap -' � � .i 63. Heater & Vent-finat ' - �
�•
13� Roof Drains � ' 64. Plumbing System � Final �
74. Rough Plumbing "? 65. Efectrical-Final '
15. Rough Electrical-CoPduit `, � 66. Soldr System-Final
16. Rough Elettric Wiring _ � 67. Fencing�& Access Approval
77. Rough Wiring Sign � 68: APPfiOVED FOR PLASTERING
7$. Rouqh Electrical�7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning _ '_ _ FIRE`DEPT. REQUIREMENT
20.'�Rough Factory Firepiace =� ,- - `, j.,� - APPROVA�LS ... Permit #- � s��
- - ' �.
21. �Ducts, in �Structure � �' ' - - "� ` � 70.��, Jnderground 1-tydro
�.s
22. Ducts. Ventil8tfng . ,;. . �`- -. 71. Product:Piping OGas ❑Oil
23. Gas Pipe-Rough & Tesi - ',T; ;1 �'" 72. Underground FYush ' :
24. RooYFraming' ". �� � �, =. ;_ � � 73: Undergrnd. Strnage�Tank O Gas ❑ Oil
25, Roof Sheathin9 � � y_� ,,� 7+1'. Overhead Nydco , . -
26.�T-Bar Ceiling (Structural) & Monocoat �- -x n - - . 75.-Dry Chemical -� < - � �,
27, � Frame�and Flashing- _ ' - 76. Dry Sta4dpipe � _ � __ . '
_28. Lathing&SiQtng�,�, �r, -Y� ``� • ��:. 77. FIXEO��STEivi'FINAL- ` � •
29, Insulation • � -� a 7�, FIRE PREV. F;IV�AL J
30, Drywall Nailing ��_ V� , r+LEALTH DEP,T. REQUIREMENT
31. Plaster Brown Coat • -. ' ' '� ; � - ' 79. FINAL fN$PECT1bN ' . �
, 32,:ElectricaLPowzr Me�ei'Finai � �_ ' 80' FOOD CERTIF(CATE I$SUEFJ. �J
�� 33. FinabElectric> � � � r`� � Ndtes: ? - "' -= - _ -
3q, �Finaf-Heating�$ Air Conditioning� ;t., � �- - 'K ,-, ^ _ % -' � ^
_ �
35. ,Fi�al Ga5'Pipe�Test . .� � '* _ � '"
r
. � S _ �
36. Hood:or CanoP4 • ^ �" • . - r `� -
�� '1 r i' -1 .
-. 37. Final�FaCiory Fireplace � � � • . � � � '-
�
38.`�inal�Pfuinbing � -, k ' ``n =• ;, : -. -
3g. 4Vater Service Final� � _ �,: � �, �
40. Gas Service-Final ".-- - ' r � _ ' '
- � '• E `
_ 41, Solarpomestic�FinaJ - . :� :n� • . . _
.. � � -
42, Backflow Preventer � � ' f . � '' �'
. - ' - 7
43. Backflow Irrigation, . �- �': r L _t _ '
44. Landscape Irrigatiorl�System' � . - ` , - � _ ��
. ' _' , . _ " : .
45.�Sound Atrenuation.� - •. •� � �i -� _ " • - -� •
�
46. �Handicap Regulations " J ^ ' :` , , �'`�'' - .
r •' • �
47. FINAI STRUCTURE & BUILDING -' � J ` -
48. FINAL P�ANNING" � ' '�� �` ' '
,� , <
49. Electric AeYease to Edison �- - .� �
50. Gas Release to Southem Califoroia"Gas Co � - , ' ' �' � .
51. CERTIFICATE OF OCCUPANCY ' "
No. Date
�
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Existing
Building
' 770 W. 17TH ST
9
� P�.��D
TY OF COSTA MESA
PLAKP:I\Ci C`EPT.
a ecr ro e�o:w. ofvr. e[0.
r DATP�;
ov �ty1�,P
2p� n 770 -
l.Sr h �l00 ...
i
73
Curb 6 qutter
93
4`
New b ckl
�all
Existing
Building
760 W.17TH ST
i '
�zo b-�� y s
N OF BUILDING SqF'
OF COSTA MESA
p�1PPROVED
t
� �et'ol Plmu and s �� r
�q �� �� � m �m�s MUST De kapt ��js ab
DM81n nn � m,,d����d on same withan w;�re,
"°"y, �� y o osta Mesa.
atb� m�� p�� � SD���avo�s SMAIi NOT be held to e��
���o� SWte law.tion of an(y/ �provisions of ,,,iy �iry ot Cosia
rn� ��d Dermii shafl expire by limitation ai;d ecV �,ll and voitl if
����9 °' Work is not commenced ann ma�ma�ne �_
(� wlthhi 180 deys p� iuuance. -' '�PC f 303
-------�
'� • -
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ZS
TYPICAL
Cement Coping Optional —'
Channel Block With 1-3/8�
Horizontal Top of all
Fenees
For Fenees 5' or Leu
Vert. Bars 3/9"Qi at 4' -0" O.C.
For Fences Higher Than 5'
Vert. Ban 3/8"� at 32" O.C.
Fill Cells Solid With Grout
Where Steel Oecurs
Reinforcing Steel Shall
Conform to Sec.A�15-39
A.S.T.M.
AllSteelto be Lapped
�24" or to Code
NATURALGRADE
TWO 3/8"¢ BARS �1
CON7INUOUSTOP �
E BOTTOM
HORILSTEEL MUST BE TIED IN
'PLACE AT TIME OP 7RENCH
INSPEC710N.
a x
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w �n
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F�— WIDTH
� SEE CHl
1 BELOW
D' I '�.
6�� CONCRETE BLOCK FENCE
FOOTING REQUIREMENTS CHART
�ENERAL- NOTES
MORTAR; p�e part Plastic Cemenf, and
Three Paris Sand
GROUT; One Purt Cemenf Three an0
One Half Ports S�and
COPING: One Port Cement, Three
Parts Sand
CONCRETE: W¢II Mixed 1:2-I/2:3-I/2
MaY. of 7- I/2 Goltens ot
Water Pei Sack of Cement
GROUT MAV BE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLSANDAHEASOF MORIZONTAL REIN-
FORCEMEN7 SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS, E7C.
H UF E4RTHTCOTH
V3 iHE HEIGTH OF FENCE
�OW BOTTOM OF FOGT�NG
WIOTH . . . 14" . . . . . . . . . . .14�' . . . 12��. .
THICKNES$ . . . . . . 10��. . . . . . . . . . . .10�� 8��.
DEPTH OF EARTHTOOTH ... 24"...
20" . . 16". . . .
SPACING OF EARTHTOOTH. . 12' 14' .... 16�. .
City of Costa Mesa, California
Building Department
� � .',�-�•:75EP Nov.e4
SCALE: I/2��= I'
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