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Home My WebLink About786 17TH ST - Building Permits� _� _ . ... . �- --� � - - - _ _ _ l7EST 17TH STREET 7�6 i � : Cancel 9-19-55 �43787)St�e.L idarensc . '-.., � ' comn. 6-z6-58 (6963)51;,�= . ComP. 6-26-58 ......_(6�)Sign , ;Comp: 1-7-58 (617§)�ter shon . � � Comp. 8-23-60 (12065)Ai=&�^.ent P:: , ; �. .' �..__..__.__._.. _. . '.__. __. ... ._. __51296f,�,ve,Qia�d4�hclosum for 3,OOO.I .� - Padcing s S�iay Booth - � i � -.�0�3 �'-3 Yn ----- --- i , E-2593- II.EC. (Parel, Sub) �� - C1�ID ft77@ ' 9-24-84 - � . ' �,�..d, 'r a�i�� ' I E287�9 _ 1 � I--� � — IB59132 �-�3_q� — No. 116-5 ECTIONS F OCCUPANCY GAUDENTI. AL g 1960 Owner/Bldr. VALUE LOT THACT FIRE ZONE DESCRIPTIOi ' DATE I GROUP J TYPE .G. Water '___ + _ I SUBCONTRACTOR Farm 210—SM-11-59 5-B P '� -12�(�5 � . i. l I�ELD. JEAN xo. 6963 GENERALCONT'RACTOR MESA ALIGNMENT VALUE$ 34.00' AP Nq.� (� � ��qT 'I'RACT PIRE ZONE DESCRIPTION OP WORK S 1 GN �� ae �rYrE zorre ' ecArr xo. 6963 PERMITSI9SUED INSPECTIONS � DATE � SUBCONTRACTOR , E�..al OwivER LACEFI� V1R ]�iliIDRCC � .. _ INSPECTIONS wat ERnal ; JEAN� � ' . ..... DATE SUBCONTRACTOR na� 6-18-� . . BUILDING PERMIT NO. 69' VAL[lE $ ».vu rVORK IGN - �� PLAN NO. ' 69i� PERMITSISSUED 6961� � � �� i PflOJECT RDUNESS: 7 B E W 1 7TH 5 T OWNEASNRME: FjARRY GRANT naoxess: G36 KP]OX ST COSTA.MESA CA 92627 UNIT: ApCN/ENGINEEH: HEG.NU.: RUOflE55: UNIT: PEXMIT7EE: LIARRY GRANT ( 714 ) 650-6068 ADOflE55: %B6 W 17TI-I ST COSTA MESA CA 92627 UCErySEO CONTBRCTOP DECLAMT�ON: I trereEy allirm Inai I am licemetl unAei prwisions al CnaO�er 9 �cammencinq wii� Section ]OOOj oi Divisinn 3 oi 111p BusuMss an0 Vrofessiars CDtle. an0 my litenu ¢ in �uA �Orce anE e�lect. CITY ��L.: STRTE LIL.: CIASS: Date: SqiuWre: WOPNENS' COMPENS�TION DECLANATION: 1 �eretyatfirm tnat I liave a certilicate of consent to sell-insure or a c¢niliwte al Workers' Compensation Insmance, or a cenilietl copy tnereol (SeCtqn 3800, Lab. q. PO11CY NO.: EXP. OATE: �COMPANY: � Cerlifietl cooY is nereey fum¢hea. ❑ Cenilie0 capy is ided with �he Gry BuilEinp OiNsion. Date: Applitdnt: EXEMPTIONFFOMWUAIlEXS'WMPFNSATIONUfLUAATION: (]h¢sectonnrednotLrca+qleteCiltfKp¢rrnlislamehsdre0�5100�aku�. I ceriify Inal in I�e OeAormance ot tAe work lor w�ic� tN5 permit is issuM. I s0y0 npt employ any person in any m ner m as Io 6ecome subi¢tl lo t�¢ rker5' mDenSdGon Laws ol q titOmuJ��„�7�iiZ�J!_�'L�� / Date: Si natun NOTI II. alt making inis Oecuraiim, you snoul me su6ject tB�ne Workeri Compenunon mNvons ot tAe LaUor Catle. yrou must fonAwit� comply with sucA DmNsrons or this permiiafiall Ce tleemetl revoked. CONSTPUCTION LENUING RGENCY: I Aereby allirm iAat I�ere is a canstruction lendinq apenty lor the Dertormance of the work for which Ihis De�mi� is i5sue4 (Section 3W7, Civ. C�. lFNOEfl: AUONESS: OWNEB BOILOEB OFCUBRTION: I I�ereOy atlirm rtwI I am exempt Imm ttre Coniratlors State l'aense Law tor �Np follovrinp reason (�ction 7031.5 BuSness aM Pmlessional CaEe: My dry of cwnry wtuch repares a perrtut �o mnsiruci, alter, imprwe. EemolaA, or RDair any 9ru[ture. D�br to i6 issuance, a150 r¢puires t�e aDD�nt lor suth permit to file � sipneG statement tAat hPJshe is Iicen5e0 purspam ta I�e D�avivons ol tne Contracmrs' Stale License Law �GuO�er 9 �wmmentinp wit� Sec�ion 7000) of Division 3 of ihe Business ana Pmlessions CAEe) or that �els�e is enempl Inemiram ana I�e ba5i5 for i�e allCpeG eRemption. My violation pf SKtion 7031.5 Ey any aOD�iwnt for a oermit suei��s ine aoW�cm1 to a civfl penalty of �ro� more Ilun live nunCrpE EOIWrs (5500). I, as owner al ihe pmDetly Or my employees wii� waq¢5 as �heir Sole comp¢nsation, wiil tlo IAe wark, and Iho ❑ simctureis noiimeneea orotferetllorsalel5ection 70e4, Business an0 Proles5ionalCotle: The Coniractors' State Licensa law does not aDPly Io an awner al 2 pmplriy w�o GuilGs or im0�ave5 i�lre0n, and who Ooes Sut� wOrk AlmSelt/AerSell Of �hrOUph �is o� her awn employees. D�ovitleG tAat suc� impmvemen6 are not inten0etl or alteretl br Sale. II, however Ihe buil0inq or � imD�avemem is solE vntAin one year ol cam0�etlon, tAe ownei vnll �ave tho bur0en ol proving �e/s�e Oi0 noi EviIE or improve lor i�e purD�e o� sale�. I, a5 owner af Ih¢ D��Detiy, am ¢MGusiv¢Iy COn(ractinp with IiCertuE cOnlractors lo W n5lmci Ihe D�ol�� (��on 7044, Business ❑ an0 Pro�exsims COEe: The Contranors Slate Licer�se Law Gces nat appty to an a.mei of pmperty w1w OmldS or improves tAereon anU w�o comracis tw suc� prqects vnt� a wntraCmqs) license Wrswnt to t�e Coniracrors' State Liceme Law�. 1 am aware i�w� o�� a� ��eir worker's Compen5ation insurance shoub Oe D�wiOetl m me. [� � am eKemo� uneer Sec�ion: B P 7 O 4 4 B. E a. C. �ar mis reason: NO EMPLOYEES ) DatF:9/�7�/ 2_ Q+meY ' � I Oo �e b cenity I�at I am aware af an0 unEemanO i�e repuirements ot Califomia Heali nU Salety Cotle Sections 25505. 25533, an0 25534 antl I�al I or any iWure Guilding acupant wilVwill no� (drUe one) neeE t0 ComDN �� sxiu state co0u antl tne reQuiremenis lor a permil lor canstruction or matlilication iroml�e Air ualiry Management Uisiricl. fl¢5idental cansiruction applications are exempt Irom IAese Owvisions. oaie: Mo�iwm: I heteGy ariily Iha� I Mve reaG lNs appliWiiOn �nU Slaie �hai Ihe aEove inialmaiion is [arreti. I a9ree �a campty wilA all city anG toUniy ordinances anU stale laWS reWting lo OuiMmq cpnstruction aM Icereby aNlpri[C repr¢SGnialires ol iN5 nry to enter upan Ihe a00vbmen�iUn¢4 p�OpQpy IOf IOSp CIi011 p�fp05¢5. Daie: � SiAnatud�r-y�.'�— / % �Yy1(LL'( Driver's �icense or Socia� Securiry a: � � i6<1.a6 wnne—Builtlmo: Green—Cotle Enlorcemen�; �anarv—Aoolicgm; pink—Revenue: GWCenrotl—Assessor _ ��` CITY OF COSTA MESA — BU2LDING PERMIT Y�K NU; ltl ;yl�� PERMIT NO: IB 059132 PLAN CHECK NO: N u i; rv 5urr: s CONSTRUCTION TYPE; PERMIT TYPE; OTH STR PURPOSE: OTH JOB DESCRIPTION : RENEWAL OF EXPIRED PERMIT 51296 SQ FT; CLAIM VALUE: 3,000.00 CALC—Vi9LUE; GROUP OCC: B-2 / COMMENTS; ENCLOSURE FOR PARKING S SPRAY BOOTH **�+r��x�rx�r�r**�r+r*�t�**�*+r**x��c�r�*#�r**�x�t*�*�r�r*��**�-��r***u�*��t��t*��x**�r***�*****� Z O N I N G R E Q U I R E M E N T S sEaBAcxs ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAk: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL: 4240A112 ZNE; REF NO: PLANNING NiST'ES> 7 if iF iE iE 3f �It iE ik 1E ik ik iE iF it if iF iE iE 1E 3E ik it 1E iE iF iE �f 3E �E ik if iE iF ik 1E �f iE 1E iE iF±E IE 3E 3E iE 3f 9E aF 1f iE iE iE iF �E iE if iF iE if ii ik i63F jf iE 3f 3f d[:fe'iE if iF if iF iF k* iF 3F D E V E L O P M E N T S E R V I C E S A E Q U Z R E IJ E N; �' S �:. � ZONING APPROVED BY DATE; _-- BUILDING APPROVED BY ; DATE; -i APPLICATION ISSUED BY: DATE; ��,/ *�r*��r��r�t�r�*�*x��t***��r�r �r�r�r�r�*�-**�r x *x iEiEiEiEiFiPiEiE1E1EitK�if3EiFiEleilifjFi61kiE1FiEkiEiEiPiFiE*3EM�iEiFiFiElEifiEiEiEif�t�f #ikiEiFlEifiEiFiFitififiE3ElEiFitifiE�fifiFiFifiFlEifµlF3EiE LEGALIZATION;N F E E S U M M A R Y STRUCTURAL�'SEGM$NT;Y BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING PERMIT 30,00 PLAN SMIP/NON—RES ISSUE FEE BUILDING—DZV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE TOTALS----> 30,00 0.00 0,00 30,00 30,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 30,00 OVER/SHORT; 00 BLDG PMT PLOMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.00 �rltiEaF�e�*rtx x*�t��+tat�r.��cit�r��*ifik��r**�it*�r*ir*itiE�t�r��i��**�E*�aFxiFk��*�*atiex*r�x*ic�*iE*�rat�r I N D I V I D U A L F E E H A E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST INS 1 BUILDING RE—INSPECTTON FEE 30,00 30,00 END OF FEES �t ,_c��,�.' ". . " . ' � - DHT�, : ' , , . : � CONSTRUCTION AND PLANNING �. PG S SPA APpROVALS Permit # Dace Inspector AppROVALS Permit # Date Inspector _ . 7�Temporary Electriwi Service o� Pole 52. Pool & Equipment Location 2, $pil 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. Eiectrical UPER Grnd. 57. APPROVAL YO COVER-GUNITE 7. Footings 58. Electrical Conduit•Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test . 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. ProPerty Sewer Line & House Connection gZ, 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 Sys[em-Final . i 6. Rough Electric Wiring 67. Fencing & Access ApProval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Eiectrical•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. Ducis, Ventilating 77. Product Pip'ing � Gas ❑ O�il 23. Gas Pipe•Rou9h & Test 72, Underground Flush ' 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � 74, Overhead Hydro 26. T•Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding, � i 77, FIXED SYSTEM FINAL 29. Insulation � � 76. FIRE PREV. FINAL 30. Drywall Naili�q � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ; � i 79. FINAL INSPECTION 32. Electrical Power Meter-Final � � 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' , ' Notes: 34. Final Heating & Air Conditioning � j � 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-Fina� 42. Batkflow Preventer � , � 43. BaGkflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 9�3 7�L _ 48. FINALPLANNING 49. Electric Release to Edison • !•. 50. Gas Release to Southern California Gas Co � �� 51. CERTIFICATE OF OCCUPANCY No. Date _ , COSTAMESABUILDING-SAFETVDEPARTMENT ' �P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 '� For Applicant to Fill in Completely — Use lnk Only ; BUILDING , � ADDRESS i OWNER OR � TENANT MAILING ADDRE55 � r TEL. �/{ CITV •/%.eJ� _ �%1H911ii3 NO. Cf e BRANCH � ADDRESS ARCHITEI nv Fvriuc A.P. NO. i BUILOING ti% ADDRE55 Q � UNIT OR SPACE NO. TR.N . LOT N ADD LTE TEL. � USE 'RU�C��. PERMIT 40, ( 0 TL S/ 2. � . :. -� — ( / r,,�b� s�K. �7 '.PAIR MOVING OEMOLISH VALUE � E . ADDRESS ZONE TYPE v GROUP H' � ) 1"�7� APPROVE �7 � rnnironrrnc � MLi/I iis"/i d/C '�,.. _. '� av DATE I L.(� � SEL. 7 � � + CITY O. r�Fi STATE �- CITY APPROVED SETBACKS LIC. NO. LIC. NO. {a� 512E I NO.OF BLDGS ) (FROM C L STPEET) 0. OF LOT NOW ON LOT f RONT FT. a USE OF J �%� „�. EXI5TING BLDG. — � . L � �' Separate permits are requaed for L. SIDE � FT. � electric, plumbing and heating work. REAR q• S FT. ' � USE OF BUILDING AND WORK TO BE PERFORMED PLp,NNING ACTION 1 F� � � � OATE Q APPROVED > ' "w`�.°wE� � ( %fo .P� r rl C W � I �ereby acknowletlBa Met I hBVB �BaG this appllcation enA 9tete � (y� t�at the abova Information ia corract antl e8�ee to comply wlth 4 ell lows repulatinp builtlinp const�uction, entl 1 shell not employ � z eny perwn in violation of tha workmen's compensailon laws of m � the State of California. - 3 1 heraby certify Nat I am properly Iieen»tl es e eonttaetor untler SQ. FT. w the Smta of Caltfornia Business antl P�otesslons Cotle, Div(sion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, antl that sueh lieanue are In tull foree end offnct, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � am axempt from Me pravlsions of t�eState of Caiifornla Businau VALUATION PERMIT FEE S Z , Qa N entl Professione Code, Divislon 3, Chapror 9. . / I, n SIB�eNre Of �/ �� (+/, � �— //� PLAN CHECK S /S, 6O o Parmittee �7��%.i�% � $ J B� TAX § � � u Authorizatl ABent Date � / � � TOTALPAID S O. �O OWNER I�y Gg� JOB ADDRESS 786 W. � sai '. SWR. LINE U HOUSE CON. NKLING SVSTEM ROUGH HEATING RND AIR CONOITIONING UNOERGROUNO � I POWER ROtIGH WIRING/ � TRENCNES FORMS STEEL REINF. � FLOOR SYSTEM � Bf 'EAM � STEEL REINFOFCE r] N Sh. MING •.i FRAME ANO FLASHIN N LATHING - IN � PLP.STER, BROWN CO rISTRUCTURAL,FINA a--..._ ..__- - FINAL ANO A.C., FINAL i TEST (-I DATE BUIL[ SUBCONTRACTOR �l 6i'79 � � _ : Ct�STA MESA BUILDING DEPARTMENT � �� P.O. BOX 31] COSTA MESA. CALIFORNIA FO��///R APPLICANT TO FILLL IN BUILDING � O /�/ / � � /l ADORE55 Q �// / ' COSTA MESA. CALIFORNIA OWNER CITY (% � �ARCHITECT OR ENGINEER LEGAL LQ DESCRIPTION N� A.P. NO. SIZE OF LOT O USE OF EXISTING BLDG. � �fL /'� �!,/i! Q�� MvS� TEL. NO. uc. NO. � GITV L C. � F so a ��O �o�/— 'O �BLOCK R — '�-�p—� 1 �.� NO. OF BLDGS. � �=5Ta3?_ln *�**n4.00 (iF.0 —4-57POuesa APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY � RECEIPT NO. p� Np. � �� O BUILDING /J (�j %� �. / /�^r= ADDRESS / Q �O W COSTA MESA. CALIFORNIA FIRE � 20NE ZpNE NO.OF TVPE GqOU I PL�NS � r� L 'qPPROVE � � f(% L BY � DA E « �� ,�eC� / /� . CORRECTIONS l.� � SETOqCK LINE FROM �/ _ � CENTER OF STREET REAF YARD f fj NEW REPAIR BUILOING � � // �� SUB�E RIGHT LEFT DESCRIPTION OF WORK � ALTERATION , AODITION PLAN MOVING � �EMOlISH X� ROOMS STORIES / �L /� COVERING �D�/� 0 / �� OWLEOGE TNFT 1 HRVE READ THIS RPPLIGTION 4NU STRTE TNAT TXE pBOVE IS COflPECT �NO .�GREE TO MPLV WITN ALL CITY OFOINnNCES ANO ST/.TE 5 FEGIII ING I ING CONSTRUC� TION. � { VALUATION SIGNATURE OF � PERMITTEE �SGU\ A RIZEO AGENT CL:'T. 0 PERMIT FEE 5 PLAN CHECK $ ��' TOTAL FEE S y�_ �°'"� 1ppLICATION FOR A BUILDING PEV`aIT Tratt e�otk �ot BUILDING PERMIT NO. Eie�cn�ai �o Pormil No. d �� Plumbin9 . ' Atlitl�rezs Porml[ No. 'p Cross Mec�aniwl a Aroa Street Vermit No. m Owner TYPa o/ Ro�ett: ❑ Naw ❑ Alter ❑ AtlGltion a Atltlross Repalr ❑ Convart ❑ Oemo ❑ Otcupancy Pmt. n Sup. Dist./ City Zip Phone %�� Insp. Area Archltect/ Zp�e Sp1. Vmt. No. Designer LicenSe No. Setbatks P/L Fronl C/L St Slreet WiCt Atltlreis arCs Left 9 ear ��ty Zlp Phona ave O�. e ig . . r En9lnoer Llcnnu No. C r ng pates eQu re rov 8 ovar a AtlOress ry Struct No. of No. of m CItY ZIP Phona Halght Storlei Famlly � LICENSED CONTRACTOR'S DECLARATION Park Fecs s Fee � Requlretl N C.T. Retelpt m I haraby affirm [het I eT licensad unAer provisions ot Chaptar 9 L (commoncing with Sectlon 7p00 of Divialon 3 oi tha Businezs antl Za��ng ADVrovetl BY: Oate ♦. Protesaions Cotla, antl my licanae is in full forca and �ft c 1. ?� Licenso Clas� Lice a Numb¢r . T Dam Co t)ect Misc. E Atltlress � � -Proposetl U58 of Struc[ure jy City anE ZiP � � Phone N CONSTRUCTION IENDING AGENCV d I �ereby etfirm that thare is a constt�ction lendinp aponty tor the Cotle a pertormance of the work for which this pormi[ is issuatl (Sec. 3097, Occ. Typ ' Civ. CJ. Ctass Cons . vear y Lender'a Neme - ---- USE/OCCUPA CV SIZE SQ. FT. � Lentler's Adtlrazs J OWNER-BUILDER DECLARATION y 1. I hereby aHirm Nat I am Bzempt from t�a Conveeaor'a License Law � for the following reason: � Q I, ef Owner Of [he p�Oparry, or my omployeos with weBas es t�oir 2. sola compenaatlon, will do tho work, antl tho abucture Is not ^ intondod or offorotl for5g�o. 3. � ❑ I, aa Ow�er of tha properiy, am oxelusively connectinB with IlcenaM conhaerorz to cOnrtruct the prOject. � ❑ I am axempt una¢r Soc, e&P r is reaso 4� a oac. �w�.,, .rj.},: "��'�i1�.(�,{�' E WORKEpS' COMPENSATI DECLAflATION 7otal valuatlon Qa� � I hereby etFirm thot I ha�e a 2erti(icate of consem to wlf-imuro, ��, or a carWicate of Workori• Compemation Insarance, Or q� � t.j� ��y EncroacY.menf Pormit RCqW�B ❑ No C copy thore�o�f��,> / /� n.� a� �NN�/'/�/ Gratling Pmt. Gre n9 � PlicyNorr.*an'f%^�6��Pany�ye�L�'�}y`r L�_ Requlretl ❑vez o Pmt. o. �Q Certified cooY �s hera0y furnishetl. Rou9� Gratlln9 � 6 Certi( efl So is filed wi�h Orenge Couniy, EMA. qOProvetl oy: Date � a Date �F� Appiicant 3 CERTIFICATE Of EXEMP710N ^' FROM WORKERS'COMPENSATIONINSURANCE Z (T�is �oetion neetl nat ha �ompletetl il parmi[ i� for E100 or less). � I certify the2 in the parfcrmanca oi tha work tor whieh thle permit is 3 issued, I chull not amploy pny persOn in uny manner so as io become A subjact to the Workars' Comoonsation Laws ot Calitorn�a. PERMIT FEES Data Applica�t NOTICE TO APPLICANT: �f; after mokine this Cortifiwta ot Structural E Plan Chack E ExempUon, you shouitl become subjxt to tho Worker�' Compensetion SPecial provisione ot the Labor Cotla, you must forthwith comply with such Elettrltal S S provlsions or t�is parmi[ thop ba daemad ravok¢d. Invest. I CERTIF V THAT I HAVE qEAD THIS APPIICATION AND STATE p�mbin9 S THAT TME ABOVE INFORMATION IS CORflECT. I AGREE TO COMPLV WITH ALL COUNTV ORDINANCES AND STATE LAWS FELATING TO BUILDING CONSTRUCTION, AND HEREBV AUTH- Methanl I E ORIZE FEPRESENTATIV�S OF THIS COUNTV TO ENTER UPON THE ABOVE MENTIONED PROPERTV FOR INSPECTION PUR- qe-Gr e PO�/� f--•.+, � � z 6 �� InsPa lon S �Sign ure of I�cant or Agenc�— Da �o- ratle E Permlt E ReG No. Iisue ff�4.Pae.,; �'� �T Print ApplieenYz/Agent's Ngme Plan • IsSuanta ' All spaees within thi� box murt be complated to proceu Cneck ev: Approvetl: CMF 033546 (BV-28) rov. 5/80 , � ' AOP�icant to f71i in all CITY OF COSTA MESA PERMIT NC CONSTRUCTION PERMIT �oZ w�, wlt�in heavy DorGa� lines antl sign all apDrOp�iate Ceclaratio�s. TRACT NO. LOT NO. . BLDG. NO. ; " ' , t _ rro�ec< <aaaress � /_� ! rt Jr'. ' TYPE OF CONSTRUC,T�/ION , Owner - �� S- U f,/_ Phone ,- f(i" ❑ NEW ❑ ADD L7.ALTERATION Addr25g am�! � � -- ❑ REPAIR O CONVERSION ❑DEMOLISH. ' Arch/Ehg. � � �- - - License Na. ❑ OTHER - � i'Addresg- � - - - . _ _ DESCRIPTION OF WORK � Contractor- ,Q�f� � S � � � Phone 9 j -�j/� TVPE OF PERMIT � � � �' -Addf252- - S' / 0�,/q0 � ❑C�RADING ❑ FOUNDATION ❑STRUCTVRAL LICENSED CONTRACTOR DECLARATION . � � O-TENANT ��ELECTRICAL �PLUMBING ❑MECHANIC I hereby aHirm lh:.t I am Iicanietl Yntler provislons ai Charter 9(com- ' i i �� mantin9�. with sectlon J000) o( � Olvislon 3-of the Business anG ❑ OTHER' - Profasslons Coda, ntl my Ilcensa is In full forc antl effect, PqOJECTDESCRIPTION�. � LlcenSeClas5 ��'0 'cense I 'S�l�y 'i"' . � _ - . . DSte C�'�-�-•Ctr% 519nature' ' SQ. FT. � . ' ' ' ' __ ' WORK�qS' COMPENSATION DECLARATION OCCUPANGV=CONSTRUCTION TYPE _ 'I hereby aHirm Ihat 1 have a certlficate ot tonsent to 5eH•nsure or a VAWATION `' ZONE '.�certifiwte of-Worke�i' �CompensaUon Insurance, or.a� certttletl copy ,thereof �Sectio 3800, Lab. .�, i GRADING CU. VDS. ACRES � ' 'cv rao: ' 3 � comoanv -STATh'. �Uit/� � - - _ - - - - 1 ertliietl COpyiS�herlby fumiShetl... _ _ , .. - REMARKS:'• . _ _ __ . _ .._ y ..:ertllietl copy iz file� with the city Builtlin9 Division. � EXEMP710N"FROM WORKERS"COMPENSATION DECLARATION � ' - '-' • - ^ ^' � t - - - � (Thiz settion neetl not �e comple[e� if tha permit iq for_one h�ntlretl - � - - ry '�E300) or lessl. '. . . .- . . - : - - - ' ' ' " -- ..' p Certify that In Ihe perforTance of tb¢ work for whiGh thli p¢rmit is � Issuotl,'I �shSll not em`Ploy any`person in any mauner-so as to be�ome PLUMBING ;PLAN CHECK' ' ' - sub�ect to the Workers �omDensatioqL,aws o1,Ulifornia. ' ' �Date � Si9nature � BATHTUBS -�� JSIiOWERS ' - �NOTIC@: It a(ter making this tleclaration, you shoultl become,subject TOILETS ,i ,.0 •URINACS '- ' '- � t0 the Workers' Comp¢nsatlon prOvlsions o( Ih¢ Labot CotlO, y0u must' � ;forthwlth complY'M�th su<h pravisions or this permit ihall be qeemetl �VATORIES DOUBLE l'AVS -- f9vOkCtl,_ _ CONSTqUCT10N LENDING AGENCV ` 'KIT. S11VK5 "' - -Dt$HWASHERS ""' ' I hereby atflrm tbat tbere is a consVuttion lentling agancy for the per- SERVICE SINKS ,�- �, SVMPS" -"' - "-"' formance ot tho work for whith lhis permlt I5 iszuetl (Sactlon 3097 Clv. C:�o- -• . --- - -- - •-- " "- - ' FLOOR SINKS - FLOOR�DRAINS ' � ILenUer'Y Nama Lentler'g qdtlress ' DRINKING FOUNTAINS'" �j'- ' "" -�"- - - 'OWNER•gU1LDERDECLARATION-- �INTERCEPTORS- � � CLARIFIERS' � - � �.I heroby attirm lhat I am exampt from ttte Conlracior's UcOnse Law lor - ' the4ollOwing.rcason-(SeeNon-l031-.5•Business•antl ProleSsions�Cotle: •SWIMMINGPOOL - PTRAP-'. - -- ' AnY ��y Or county whlch r<quires a p¢rmlt to COnStruct, alteq Improve,-tlemolish or�epair any�sbucture,-prior[O�ils iszuance, also�re- � yyq7ER SERVICE ' ' ALTERATION'��T• ' ' qulres tqe ap, Iiwnl tor sucn permit m fila a il9netl sbtemont tha[ he I5•Iicensetl pursuanbto t�e provlsions•of�the Contractor'S-License Lnw GAS SERV ICE �- OU7LET5� � �- � �� (Chapter 9(commenclnq with Sectlon 7000) ol Division 3 of the Buslness anG-Aofessions Coae) or [naPhe�is�ezempt thoreirom�antl.tho -�yyATER HEATERS ""'BTU OUTPUT' ' ''�'- - p-^a fov thc ullagetl exemptlon. Any vlolntlon o/ Section 7031.5 by 'fPpliwnt ior a-permil subjects-lhe-applicont-to a clvil penalty �SEWER CONNECTIONS " " "- "' �� more than liv¢ huntlretl tlollars (5500). �� , �, as owner -o(-the property, or'my empioyeei with wages ai lhelr" "SOLAR TANIC' ' "CO�LECTORS' "' - - TOIC Cofryp¢n5dtlon,,will tlo lbe wofk, antl the SlruCturC IS no[ In[entlGtl - . or oiferetl tor sale. (Sectlon 7044. Busineis antl Piotassions Cbtlr. The �SOLAR-PIPING SYS.- - �, `� - �I Conlrac�or's License_�aw tloes not appy to an owner ol a property _ _ _ who bulltls or improves thereon, antl who tloes 3uch work himseli or ISSUE�FEE lbrOugh his Owq emPloyGes„proviEntl tbat zucn improvemant5 are no[ � Intentletl' or biteretl for sale. I/, noweveq me building or improvement MECHANICAL PLAN CHECK ' Is soltl within one yedr ot completion, tne owner will ham the burCen O/ proving he tlitl not bufltl or Impwve (or [he purpoSe of-s510). HEATING SYSTEM 0-100,000 BTV ❑ I,-aS-ownar ol-4he-Pwporty,.am ezclusivey_conVacting with. ANDDUGTING-- - ' - Iicensetl cmlractors to conslruct Ihe prOjact (Section 7044, Bu5ine55 IOO,OOOi+ BTU antl Ro�¢ssions-Cod¢: T�a Contractor's-Llcense.Law tloes not apply to an owner oi property who builtls or improves lh¢reon, antl who con- REFRIGERATION 0-100,000 BTU ' iracis itom zu<h p�ojects-with a�contractor(sJ-Iicesnatl.pursuant-to -�5'�STEM ! - - � - ' -- - iha Can�raclor's Ucense Law). 300,000,* BTU ❑ I am exempt untler'Sectlon — 'B. S P.'C. for tnis -' - - - BOILERS BTV ieason Dato Owncr SVSTEMREPAIR,AC 1 hereby �¢rtity tM1at I have read [hiz appll�'atlon antl state that the above E%HAVST SVSTEM informa(ion is mrrect. I agree to comply" with'all ciry antl ��ounly ortlinan�es antl state laws relatlng to con5truction, antl hereby authorize represeqtalives of lhis city to enter upon the above mentianea property for ' e' n pu ses. Slgnature Date -� Drivers' License or 55 � " ISSV E FEE CMF 0865-46 White-Builtling; Unary-Applicant; Pink-qccounting; GOIEenrotl-Assezsor TIPLE =`4:?q�, � . ONI G EGULATIONS A.P. �' . . '. ' . SETBE��_� PLNGp:' gRUEFL. p+�' ' ACK C/L�STrs �ROPE�RTYNLINE SiDEYARD "' ' ---. L5EDFT R�IGHT 1 '• REAR VARD (TO P/L) � � � � � PKG.SPACE REQ. ��- PROVIDED STREET WI�TH PARK FEE § 20NING APPROVE� BV ' - DATE SPECIALCONDITIONS: � = _ _ _ . _ : . . '. t. .-_ _ . "_ '_ . . � . .. _ . :�' ._ - �ELECTRICAL' � ' - 'PLnN CNECK :," �',." _� ' j _ "' " ' _' " ' � - �'GENERATOR- '0-1 KW_1d0�KW � ITRANSFORMER � �� APPLIANCE ""30-50'KW_SO+KW --- -MOTORS- ""0-1 HP_1-10 HP '- - - - - - .(IN0. $OLARj_ .-]0-50 HP�y--50�+ �� _ _ . HP'" ' FIXTURES' OVTLETS "SWITCHES " --' ' - . 't � GASTUBESIGNS"---- - ' � � - �� - ' "'�POLE LIGHTS '-' ' . ---- - � _, _'." lPOLES METERED � � UB �..� � � � � 'PANEC$ - 'MAIN ' -SUB- ' a' ��' SERVICE ` '_ ' ' ' ' -� -`- AMP' - - ' . '1 I _ . .. " ' " ."' ' � " ''_.. '. . � ISSUE FEE - ' ' ' - - � 3 � � •' - AVPUCATtONAPPROVEDBV--^ �--DATE - SUMMARV OP F,EES, , ��- � �� ,BUIIDING' - .�--..- - ... . _ . . . VERMIT 5 . •�SMIP !,�f _ PIAN CHECK S �PERMIT� (PLUMBING § ' " "f55UANCE� �E - -_ �'.GRADIfJG�S t�LANCHECK"5 ��p . .�' - ;ii.�., �f s 1 . -ELECTRICAL 5-/�L_ " - � ' 'PLANCHECK- Y - - : MICROFILM §� 'MECHqNICAL E' ' ' - - � _' TOTAL' FEE b �' i � � • �LE55 AD- ` �PLANCHECK�S -' ' VANCEPC $_ � . � � . ..� ._ �� , _ FINALFEE 5_.�_ n.:� . . .� � . � CONSTRUCTIONANDPLANNING <-� • - � POOL&SPA =� � , -• �"f �� '; �; -'Dete Inspector - Date tnspector APPROVALS PermiE.� ?._ y� APPROVALS� Permit # . ::-- " .. -- -� - - -- - - 1. Tem orar Electrical Seryice or Pole _ ;�; i - - - • � - - - . ... _ _ P Y 43. , Pool & Equipment L3cation' ' 2. So_il ipe_Undrgrn �S ': ' - ' '.. 1 44. Steel Reinforcement � - � - � 3. _Electrical Conduit Utiliry-Undrgm � :.j 7 :. 45. . Forms � � - - � - 4. Electrical Conduit-Undrgm k,,,�nq ;,.�.�,��; :+�, ', ;(•; . 46. Electrical Bonding � � - - - - - - ' tee ein orce ' '"- � � 47. Rough Plumbin & Pressure Test - - - - � � ' 6. Electrical UFER Grn n . ' 48. APPROVAL TO COVER-GUNITE '- - ---- •� -- 7. Footings . 49. Electrical Conduit-Undr rn � • � �� ,..5. __Foundation 50. Gas Pipe, ❑ Undr rn, Test � � � � 9._ Water Pipe-Undrgrn_ - 51. Backwash Lines P-Tra -❑ ndr'm �'- �- -- • 10. Structural Flooc System 52. APPROVAL TO DECK ' " � ' ' -� "-' � ` `" ' 11. _ Property Sewer Line & House Connection � . 53. . Backwash & Rece tor-Final �� - � '•� � • • � 12. Street Sewer_Connection.. ' ' � � - - - � • 54. Heater & VenbFinal - 13. Rough Plumbing " ' - -� � ' � ` ' ` ' - ' - ""' ' 14. Rough Electric-Conduit --- - - - 56r Electrical-Final � � - . 15. Rou h Elecfric-Wiring - - - - - 57.- Solar System•Final ' ' ' - 16. Rough Hea[ing-& Air Conditioning ' - � � -� � - - • encing &.Access Approval . 17. Ducts in Structure � � � � APPROVED FOR PLASTERING ' - � ' ' - ' 18! Ducts, Venti�ating - - - - - � - ' � - - - --- - - . - - . .. - - - 19. Gas Pipe=Rough &'Test . � � -' 60.. POOL/SPA SYSTEMS FINAL - . . • , •� � 20. Roof'Framing- - � � -' � - - � � ' � - ' � • - '�� 21. Roof SheatFiin � ' - - - - ' • • -�� 22. Frame and Flashin " NOTES: - �. � ' ' " 23: �Insulation� ' -� � - i � - ' � �� 24: Lathing & Siding .. .. . _ ' � . . ' '-- --- - '- �- - -- -- � . 25. Drywall Nailing . . � - -+ • ' - � ' - - � 26. Plaster-Brown Coat, ' � . � • ' ' 27. Eleetrical Power Meter-Final - 1_ . t $� ' � � � � - --' . - � -28. Final Electric � - - - ' � � � ' , 29. Final Heating�&�Air Conditioning � . - . �' - � -- - . � , � - 30: �Final Gas Pipe-Test - _ � '� � � - . � . - � � -�- � .31! Final,Plumbing ' � "' " - 32. Water $ervice-Final - - - -' � � � ' ' ' � - 33. Gas Service-Finab -. � � � ' � " - 34. Solar pomestic-Final ' � - - � � ` ' � � � 35. Landsca e S rinklin S stem ' • � � � " " �� ' � ' � ' ' " ! 36. Sound Attenuation � ' � � � � - � � � • : 37. Handicap Regulations � � � �� - � 38. FINALSTRUCTURE&BUILDING - , 39. Special Requirements Completed � � - � 40. Electric Release to Edison ,'i '=f.�:` � 41. Gas Release to Southern California Gas Co. ' � 42. CERTIFICATE OF OCCUPANCY No. ' Date - ' �" � �_r_-'_-'--�`-'-'� ' NOTAF2IZED STATE:�'II:ISI' OF RCSPO^75IBILI'I'4' 'IC): WtiOh1 IT MAY CON(�RN Building Permit No. This Pexmit No. �86 �� .�-��- �Street. Address) . � (AP NlanUer) I, , as O.aner in Title of the above.refer- e�ced property, do herel�y authorize: �/��t ��-�� . -�- N�,� � �. � � ,// � State ) to obtain pexmits in my behalf, as owner/builder, for the oonstruction, alteration, moving, derolition, or repair of the above referenced property. Should any person becane an erg�loyee engaged in the improvemnt of the property, I shall im�diately provide Nbrkers CaTq�ensatian Insurance ooverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as rec�ired by State of California laws. As owner/builder in fact, I understand and acce.pt that my responsibilities do not transfer to any other person, o��any, or oorporation. I agree to indannify and hold the C.ity of Costa Mesa and its �loyees or offioers hazmless fran any claim resulting in damage or personal injuzy tn myself or any other parties. �f4 t?� V,�`�-'� r�1�1S.%�- %' ^ //� �O — (P lnted Name) (Date) G ,�r��`"1� �� S S��t: �� OFFICIAL SEAL KELLY B. HARTMAN j��- '" Notary Public - Californio ° PRINCIaAL OFFICE IN ��.•�'' e LOS ANGElES CCUNTY y MV GOMMISSION EXPIRES AUGUST 23, 1981 �- �o�► �� ,� .�-l� .�, ��'�,�; 1� ��- � �0,�-� � � 1 ) �`l./�./ � . coua�z�roFoxnrrcE . Application for Building P¢rmit Bun�INc DE�r. AND FOR A Permit No../.#..3..�� 636 No. Broadway ��/! s'�""°''�'''f°`�" Certificate of Use and Occu anc Phone: KI 2b211 P y OWNER'S NAME • ..�.t..--�� ...................�.�..._----�--...._....PHONE :--�------------------�--- MAILING ADDRESS.----�G-��------�-� !''u�-----------------------------------�--------------- CITY/�,�' "'�-•••�- _�...-------- Name.._ ....................--� .......--- �- -�---...----- -...----------- -...-�----�-- Name ....--(�'"��-----... -� -- ------------------......----------- (Archirect or Engincer) I (Contracror) Address------'----------------------....................--------...------ -----....-•------ �� Address City...................................................................'------- ----`-' ........ City -"----...........----.....--------......._...................---...-'-'---•'----�---'--'----'-• State, State Lic. No....._.__..._.........- .............. Phone---...---�--------�-------......_ Lic. No.......--� �---------�-� ------ -�� -� Phone....---------�------�----------- PROPOSED USE 2. JOB LOCATIObR!.__.: S'?...—. (HouseNo.) � NAME OF AND DIRECTION 3. LEGAL DESCRIPTION: - (I�a�of Strect) NEAREST CROSS /�/, / 9 '�=� n ./..� ��'_.�_��'z (Town or School District) - •-•----.-.... (Metes and Bounds Ducription—LTse rcverse side of form) `V 4. CORNER LOT ( ) INTERIOR LOT_� _THROUGH LOT (� SLOPE OF LOT ( ) i. SIZE OF BLDG.:ZG/� L��_._.AREA:----....------------•-•----.SIZE OF LOT:.�v..�--�.�S.U.....AREA: �-�---------� ��- ------ 6. HEIGHT OF BLDG.G�.'!:(..._��..��_.�'....CEILING HEIGHT :..................................NO. OF STORIES.........._........_....._..... 7. NO. FAMILIES---------------_--.--..........-.-._-.Size of Smallest Bedroom:..-.---.----_..-----...--._------.--_ Size of Kitchen..._--.---....:-.-----_------_--- 8. EXTERIOR WALL CONSTRUGTION��/.1�----.,..INTERIOR WALL COVERINC.__.�'.."`.._.!i%�--..... (Frame, Stucco, EtcJ (Plascer-Dryaall, Etc.) ROOFINGCOVERING ......�- �� --......... -....--- .._....._... ---� -- .......................--....._.... � --- -- -� � -� --� ................... ...... 9. STATE HOW MANY BUILDINGS NOW ON LOT AND GNE USE OF EACH....�� ................._.........._............ 10. SETBACKS: Front Yard From Center Line of ll 12. Nearest Side Yard ........................Rear Yard......._..____........Distance in Feet Between Bldgs. on Same Lot..... .!%!�Lk.................., (Property Line) (Property Line) ' , A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND US�ACH. / � (a) Footing: Width...l �!--//-......--_---.-.---_Depth in Ground.. � L`�----_----..----Wi of all.--G /._---------------_. (b) Size of Studs:--•-_.._------------------Spacing....-----_----........._..:'CC Material of oor-- _. - -------.---......-_ (c) Size of Floor Joists:-------�-----........----�-------....Spacing.--�----�-•------------�--------..�`�',� (d) Size of Rafters: ------......_-...- ------ --- --- -- --- Spacing ................---------------....:'CC 13. VALUATION OF PROPOS$D WORK: Induding all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal $---7:�-�..��...--------------- 14. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF C;THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. � D . _ , c /� .. _ '"`Plans Bldg. Permit Plan Check Total - - Receipt No. Paid to • Date ........... (Au[horized Agenc) FOR DEPARTMENTAL USE ONLY FEES: p 0 _ � — � GROUP--- �.--•--------•-------- ' $---��u"---�--------� , TYPE...._ . ....--- g--1...---- ..................... oV-----�--�-----� DIST. V ' $--- --'---- ------ ----.. J_y� M�---=---C__� .............. . _ ---- ----� -- � � � • -- -•� J 3------ SHEET NO.------ -�� ----------- C.�NC; BY APPLICATION.._... HEALTH ........:................... ZONING---------------V-_ FIRE PLANS AND MARSHAL ......................... SPEC'5....-----�-----------� -- STATE...-------�-- �-�-�------ CORRECTIONS ENGINEER � rna. ir.i�ou av� L� WSPeCTOR ^ .._. DATE------•--.. C..--- -/-��----._..._�.... ............... ... . � .. ............... � ....---------�--�- , ---•--� s000--rsa _ CEPUTY . � ' l�OG:� C(95TA MESA BUILDING-SAFETY DEPARTMENT �� P. O. BOX S�7 COHTA MEBA. GALIPORNIA .� For Appliean+ fo Ftll In Complefely TYPE OR PRINT BUILDING / � ADDRHSB {f COSTA MESA. CALIFORNIA � MAIL �J TEL. r 87'ATE TEL. U0. NO. NO. SIZE � � l- � NO, OF BlDG9. OF Lo7 �n D X%�D'� now on �oT s USE OF � � EXIBTING BLDG. v BBTBACK L1N8-FROM .�� // �� CHNTBR oP eTReBT �C% REAR YwRD SIDE YARD I LEFT I RIGNi DESCRIPTION OF WORK EXTER{OR WALL COVERING USE OF BUILDING w . BE FEE �ECEiVED •Jr/!� �C- 0 0 �i FINA4�CE DEPT. (APPL�CA�Z�,fl� F��PERM IT BUILDING For Office Use Only HELEIPT NO. P6P �'�`liL � ts/Y�LG � S�r�'/b 0 a��o,N � f�6 ��'t�l � ADDRESS COSTA MESA. CALIFORNIA FIRE ZONE TYPE ROUP APPROVED // BY ATE �J NING ��(�yS��— Z�/ I NO. OP ^ I U9H OP NEW� Q PV�N9 � BUIlDINO LEOAL a �'/ DEBCP{PTION A.P.NO. �1� - O��O`� YARDS EVE6 APPROVED ALLOWEO ICHNTBR LIN6 OT.1 �� / APPROVE� � DATF_ S 1 HEPBOY AGKNOW4m08 TXAT 1 XAVB R3AU TH18 APPLIGTION TMQ �MOUM 9HOWN UNDER YALUATtON le POR TH6 AND BTATE THAT TH8 A80VH 18 COARECT AND AGAEB TO CON- pUI8088 OP 86TABL19HIN� A PERYIT FH8 ONLY. PLY WITN I1LL CITY ORDINANC66 ND 8TAT8 LAWB RBpULATNO BUILo1Na CONBiRu N. VALUATION �J �y'i BIGNATURB OF • /� 0 PERM17 FEE S/'�� 1 N PERMITTE (1 p � $ �UO' P�N CHECK S AUTHORIZED AGENT /�`�— � TAL FEH �,