HomeMy WebLinkAbout799 17TH ST - Building Permits` _.. ._ .. . _
`' yrEST 17.TH STREET, 199
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�, 33z59 - 2-15-51 Resi3ence � i��862, �
��5 - 10-19-55 Conv.Res. to Ca:. 8pp,
.. _ �5 42067 - 10-19-55 Garage gpp, !
, `y� 38638 - 8-13-75 Denolisn Com.�'te. lpp. '
- �-, 37726 - 7-24-75 �iesta•arant 29,000.
1 40062 - Z_yG_76 Si�n ?edes:ai 100. .
40194 - 7-21-75 �c. Grad. Sign 3ap.
�33 - 8-13-75 m.y Chemical syatem �p, '
39970 - 11-14-75 B1ac!ara11 1,^<00.
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— 866301`��yr�/N .� '�'^A n
� I,�1 LY✓T �J�� �I��/I �
!
DATE 5-13-`l5
0
r:.o� �an�����1-�7t1A-i1Ni4�1Cli/9
GAS
W ATER
ROUGH PLUMBING
PROP. SWR. LINE �
SPRINKLING SVSTE
MISCELLANEOUS
ROUGH HEnTING PND AIR CONDITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUNO rI POWER (—I
FLOOR SVSTEM
NING
I
P� -ER, BROWN COAT
5. fURPL,FINAL
SUBCONTRACTOR
y�t OWNER r'��Hls� A.N. DATE "�-3 ('+
A JOB ADDRESS 41• th St. BUILDING PERMIT
SUBCONTRACTOR
PROP. $WR. LINE Lf XOUSE CON. U
SPRINKLING SYSTEM
MISCELL4NEDU5
ROUGH NE�TING ANU AIR CONOITIONING
TEMPORARY SERVICE OR POLE
UN�ERGROUNO ❑ POWER �
fiOUGN WIRING
TRENCNES FORMS STEEI RF
FLOOR SYSTEM '
BON� 9EAM (] STEEL REINFORCE �
SHEr1TMING
FRAME RND FLRSHING �
LRTHING - IN n OUT r]
PLASTER, BROWN COnT
'TURAL, FINAL
h. ,NG, VEHT., REFRIG. AN� �.C., FI
PLUMBIN0. FINAL ANO GAS TEST �
' ELECTRIC, FINAL
BUILDING, FINAL
OWNER
A. Tom
West 17th Str
NERAL CONTRACTOR Oor,
0.116-260-01 LOT
,�ECTIONS
L
fER
IGH PLUMBING
iP. SWR. LINE � MOUSE CON. �
INKLING SYSTEM
CELLFNEOUS
GH HEATING ANO AIR CONOITIONING
UNOERGFOUN� U POWER U
ROUGH WIRING
TRENCHES �' FORMS 6ErREINF
FLOOR SYSTEM
BONO BEAM n STEEL REINFORCE ❑
SHEATHING
FqAME ANO F�ASNING
LATHING - IN j� OUT [-I
PI "TER, BROWN COAT
TURAL, FINAI
HEn�ING, VENT., REFRIG. AND A.C., FINAL
PLUMBING. FINAL ANO GAS TEST I-I
DATE
5-30-75
PERMIT N(
DESCRIPTION oi WORK Si�n Pede
FIRE ZONE VALUE $ 100.00
TVPE V GROUP J
SUBCONTRACTOR _
� �'"`�'-��,�/�-�..�-��
�--- -��`���Vu.:..� . �
�� .-G-G.-�� .�%1`��,u� D ,
� � i,
� OWNER gp
,� JOB ADDRESS
GENERAL C01
� lo�ll -2
Sf .
!J
� SOIL
GAS
� W AiER
FOUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. �
SPRINKLING SVSTEM
MISLELLANEOUS
ROUGM XEnTING AND AIR CONOITIONING
TEMPORARV SERVICE OR POLE
UNDEHGROUNO � POWER �
ROUGH WINING
TRENCNES � FORMS � STEEL RE
FLOOft SYSTEM '
BON� BEAM ❑ STEEL REINFORCE �
SHEATHING
FRAME AND FLRSHING ^�
LATHING - IN n OUT L'
PI "'TER, BROWN COAT
5 TURAL, FINAL
MEATING, VENT., REFRIG. AND p.0
PLUMBING, FINAL ANO GAS TEST I
fINAL
al�ll
F INAL
DATE .
SUBCONTRACTOR
P
CIECT �ESS: 7 (j 9 W �
OWNEfl'S me: TIM NICOLA
: nooness: � 9 9 W 19 TH
C.M,
AHLNIENGINEEfl:
AOUHESS:
S T uNir:
92626
HEG.NO.:
UNIT:
PEflMITTEF: CEST ROOFING (719)557-4040
noosess: '] 6 5 S T CLAIR B
COSTA MESA CA 92626
LICENSEO CONTHALTOP OECIAPATION: I �ere0y a�lirm ihal I am litensed Untler pmvisians ol ChaO�er B(cOmmenting wi�� $eCiion
7000) ol Dirsion J o� ihe Business anE Pmtessions Cotle, antl my license is in lull �o¢e an0 effec�.
cirruc.: 051718 sT"TEuc.:603323 cuss: �-39
a� � .�i N_ Signa�ure: —
OHREPS' COMPENSFTION OECIAflAT1UN: I �ereEy at�irm th I I have a Cetlili te of consent m self-insure or a cenilicate of workers'
Cqmpen5alion Insu�ante, or a c¢riili¢tl coDY ��ereol (Section 3800, LaO. C�.
roucrNo.: 1137512-93 E%P.�RTE: OG/OSI99
comvnxr: STATE FUND
a"� erlilieE [opy is �¢reEy IumiShetl. � CeflilieU COpY is liletl wi h �he ci Builtling Divisian.
:,:t .
;i-
+i` � , � �� qpplicani:
c
E%EMPTION fflOM WOflREflS' LOMPENSPTION OECLAPRTION: (Th setlion nee0 nol be omDleteO il Ihe permi� is lorone OunareU �St00) or less�.
I certity I�a� in I�e pedormance o� t�e work for w�ich Ihis pe�mil is i55ued. I shall not ploy any person m any manner so as �o Gecome
Subjeci l0 ��e Work¢rs' Compensalion Laws o� Califomia.
Oate: SiAnature:
NOTICE: II. afler making Ihis Oeclara�ion, you 5houlA become 5u61ec� �o Ihe Workers' Compensation pmvisions oi �he La6or
' CoOe. you musl fart�wi�� comply with such D�ovisions or this permi� shall �e deeme0 revoked.
CONSTflUCTION LENDING pGENCY: I hCreDy allirm Ihai Ihere is a con5imt�ion lenaing aAenCy for �Ae pedormanCe oi Ihe wOrk �or
which tnis permil is issuetl (Section 3097, Civ. C�.
LENUEP:
aooness:
OWNEB BUILOEB OECUPR710N: I �ereby allirm ��ai I am exempt Imm tAe Coniractors' State License Law for the following reason
�Seclion 7031.5 Business and Pmlessional Cotle: Any mly of coumy which requires a permit ro consimci, alter, impmve, demolish, or
repair any simclure. orior lo its issuance, also reQuires tM1e applicant �or 5uch De�mi� Io �ile a signe0 s�alement t�at he/she is licensetl
pursuant �o Ihe omvisions of Ihe Coniraclors' S�ale License Law �ChaO�er 91�ommencinA wi�A Section 7000) of Division 3 0� ihe Business
ane Pmlessions Cotle) or Ihal helsne is evemD� therelmm an0 the basis for the allegee exem0�ion. Any violation ni Section 7031.5 by
any applicani lor a permil sublecis �he apDlicanilo a civil penal�y ol not more Ihan �ive hunAred tlollars (5500).
❑ I, as owner of ine pmpeny ar rtry employees with wages as iheir sole comDensation, wi11 ao the work, an0 Ihe
stmCiure is no� inlentlea or ollere0 for Sale �SecuOn 7044, Busines5 and PwfeS5i0nai Code: The COn(ractors' S[ate LiCenSe Law
tloes nol apply to an owner o� a DmDerty who builds or improves thereon. antl who does Such work himselt/herselt or thmugA
nis or her own em0loyees, pmviaea Ihat such impmvements are not iNentleO or ofleretl for sale. If, however the building or
impmvement is solA wii�in one year o� complelion. I�e owner will have Ihe hu�den ol O�oving he/she di0 no� builtl m impmve
�or Ne Durpose o� 5aie�.
I, as owner ol t�e pwperty. am e�clusively conirac�ing wit� licensetl contractors to cansimcl lhe O�oleci (Section 70A4. Business
❑ antl Pmlessions Cotle: TAe Conlrac�ors' State License Law Eoes not apON �o an owner ot pmpeM � builds or imD�oves roereon
and who coniraCtS for Suc� pmjet�s wi�A a conlraCloqS�iicense pursuanilo Ihe Coniractors' Siate Litense Law�. I am aware
Iha� D�ool al t�eir Worker'S ComDe���ion insurance shoultl be proviE¢A �a me.
� I am exem0� untler Seciion: B. 8 P. C.
lor t�is reamn:
Date: Owner.
10o hereby teniry �hal I am aware ol anA un4er5lan0 �ne repuiremeni5 0l Calitomia Healt� anA Salety Cotle Sections 25505. 25533. antl
2553E an0 Inat I o� any luture Uuil�mg acupdnl wilVwill nollurcle ane) neee to fAmpty with uitl state Cotles an0 ihe tepuiremenLs lor a
permil lar conslmciion or moailicalion bom I�e Air Oualiry Managemenl Disincl. Resiaeniial con5iruciion apPlicaiions are exempi �mm
I�ese pmvisions.
Da�¢- ApO�icanL .
I �ere�y [eriity I�al I have mad Ihis apPlicalion antl sta�e
or0inances antl staie IawS relaii� to �uibing COnslmciion;
pmpe or inspeclion purposes.
ate' ���^� � Signaime:
%6river'S License or $ocial Securi�y a:
I agree to compty wilh all city and counry
rtns dry to enter upon the a�ove-mentione0
�6aLa6 Whiie—Bwltling: Green—COEe Enlorcemem: Canary—ApPlicam: Pink—�evenue: Goldenrod—Assessor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: H 066301
PERMIT NO: B 066301 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRZPTION ; T/O ROCK & REROOF W/BUR SQ FT; 1,880
CLAIM 6'ALUE: 1,880.00 CALC—VALUE; 1,880,00 GROUP OCC: R-3 /M-1
COMMENTS; LEGALIZE WORK
+�*�!+r�*xer*+rr+r��rr�+t*+er. *�it�*�*+r�r+�+r�r-�r**-�r�t**-�w-�+r*ir�r�r*�t****�r�rv**r�*xx-x-ir+��x�*�x-+t*r��rx�+t**
2 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 BUILDZNG ---------- --------- ACCESSORY BUILDING ---------
FP.NT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: PT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 42522220 ZNE: REF NO:
PLANNING NOTES>
> '
�E 1P iE if %if iE i41P iE 1F iP 1f iE iF � 1F jF %iF iF ic iE 1F 1� aE if iE if iF iF iF jf iM1 iE iF if iE 1F at �If iF if if �f aE 1E 1E iF if iF aF iF �f af �7c 1F iF iE iE if if iF iF �f iF iE iE if jE if iP �F �E if !f iE if iE
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY .
DATE:
BUILL�ING APPROVED HY : DATE:
APPLICATION ISSUED BY: �^� DATE: �1 � Q(`1�
****+t��***�**+cx**�c�c�c�c*3c�cTF�F3f3F�Fic�t�c�FS ���ac"ic3FiFiF�€7F7i";F;F7Fi:i��FiF�F'�lc�c+t�a�**�.�.+c*it {F� "i�li�iF�r-*
iF iF iF if iE � ic jF i� iF iF iF �-W 1E �f iF iF ic iF iF iF 9E iF if i4 iF ic 1F 9c jL ic {r� iE ac iF 9c * iE iF iF �K �F aF ic {f iE jF iF iFiE dF if Yr iF �1F ac jf x 3F iF iF u aa 9E iF fG 3F IF aF 4F * iF if jc iF iF iF 3�
LEGALIZATION:Y F E E ;S U M7M A R 14 ,;, STRUCTURAL SEGMENT:Y
BLUG PMT PLOMBING ELECTRTG� MECHANIC, �, �FIRE SMIP/RES GRADING
PERMIT 86.00 `, � , . , -�' S0
PLAN i -:� � ��, � .a �u SMIP/NON—RES
ISSUE FEE �'" ;;; � � • °
BUILDING—DIV—> PERMIT ISSUE PLAN�'—CHECK ;=� •:TOTAL PAID DUE
TOTALS----> 86.50 0.00 .:;�"0:00 �; ;:86.50 86.50 .00
REVENUE DIVISION TOTALS--> COLLECTE➢::.g _86.50 %'OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC'-, FIRE• SMIP/TOT GRADING PLAN—CHECK
86.00 r �� �_. .� A , t . 50
,ri ' �� � .i
iF it i! iF if r if iF 1E 1F iF if if 1E �7F iF �% ic {F M iF+F iF iF iF iF it iF ff jF �f it 1F if iE 1!�.iE K iE iHF if iE iF ic iF if iF %fM1,iF �1F9E if-tc iF iF +F * iF iE iE iF if iF if +f jF iF �f if 1E if if if if if * aE
I N D I V I D U A L : F.Y E; E B,, R;E A"� D O W N
TYPE QTY D E S C R I P T I O�N' ��� ,- �. � UNIT COST TOTAL COST
.'��' �il •s �� .
SFR 1880 REROOF BY VALUE RESIDEN'PIAIi' NOZONE'" , 1.00 1,880.00
END; �F FEES ; -
��/'" sh� %� �
, E ,; -
. �',•j' %i / , -+ �'
.. �' . .
�' ' , �,�^ � '�� ' ) i� 1
.,*" i" . %
- . � DATED10�%03/9415TIHE: 1'.�58 $b•50
�CONSTRUCTION AND PLANNING P�� ,'Pp'
APPROVALS Permit # Date Inspeetor APpROVALS Permit # Date Inspector
�`
�t. Temporary Electrical Service or Pale . 52. Pool & Equipment location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduic Utiiity-Und�grnd. � 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electricai Bonding , "
5. Steel Reinforcemeni 56. iiough Plumbing & Pressure Test
6. Electrical U�ER Grnd. 57. APPROVA� TO COVER�GUNITE
� 7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. .. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System 61.-APPROVAL TO DECK
7 t. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent•Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
75. Rough Electrica��Conduit 66. Solar System-Final
i6. Rough Electric Wiring 67. Fencing & Access ApProval
77. Rough Wiring Sign f$. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POO VSPA SYSTEMS FiNAL
79. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rpugh Factory Firep�ace APPROVALS Permit #
2/. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventila[ing 71. Procluct P'rpin9 O Gas ❑ Oii
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Praming 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 FINAI
29. Insutation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power h9eter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning _ �_ ,_
35. Final Gas Pipe�Test -
36. Hood or CanaPY
37. Final Factory Fireplace
38. Finai Plumbing 'j_l o � �Lf._ �H, �f � �� ,�
! � ��
39. Water Service-Finai
M-�e� �� � H���^ - ��
40. Gas Service�Final � D �a � ,/�� r,,e ^� G 1l
41. $olar pomesC�cFinal w �� � � _�e��= �� �
42. Backflow Pre�enter . . '"��
�O- p�.� .
43. Backfiow Irrigation �
44. Landscape Irrigation System �
45. Sound Attenuation
46. Nandicap Regulatlone -
47. FINAL STRUCTURE & BUIIDING ���,,,
48. FINALPLANNING � .
�
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OP OCCUPANCY
No. Date
i � �
. ti /J%
.. . • �� �J ( /l+a�i
� �' �COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant ta Fill in Completely „�,
�,�� PAIU . n
t n-;���y� 00 7n5 ��zi: �::99 G
ON FOR BUILDING PERMIT
q�TE RL�CEI E DATE ISSUI
� lG
BVILDING � �'✓(/ (� �I -� ^���^
ADDRE55
OWNER 1 . A.P. NO. � �-�7J�O
MAIL • BUILDING . )
Z ADDRESS Q� /L�YE �+DDRESS �
W W TEL. �^"�• ES%L /A�:.
a U CITY � L. NO.'� -�jOS T A T �/ 1<
Z
Z Q CONSTRUGTION W
O N LENDER N Fi L
am
J N BRANCH
Q W ADDRESS D I S7 � JVT/i. OWNER SI�/
m . ' �-'7/ IAI�
J ARCMITECT TE�.
OR ENGINEER
V Q FIRE /f
w Q AODRESS ZONE T PE � �
a w APPROVEO
W Z CONTRACTO Qa �' BV
m� /r
Z
J � ADDRE55
w w l�/ TE ZONE ^� NO.Of USE
ZF CITV NO. ^ Q 1�- P��� OUIL
WO STATE /J�-/' /'/ � CITV —_ �'ARDSAPPqOVED Y
� Q LIC. NO/J ( [o•r LIC. NO. MAIN BUILOING AC
7� SI2E � �/ NO.OF BLDCS. (FROM C/L TREET)
OF LOT ly D � NOW ON LOT (J2 RONT FT. � �A
USE OF � �
EXI5TING BLDG. (y �2 � �� �
F S12E OF �/ I / NO. OF /
Z NEW BLOG. �o ROOMS STORIE L SIDE T.
U EXTERIOP W ROOF
COVERIN VERINGCG FEAR FT.
J USE OF BUILDING AND WORK TO BE PEPFORMED DISTANCE BET.
n' MAIN BLDGS.
/
VAR. #
G c.u.v.�w
F' APPROVED
N
Zi
�
UI horeby acknowledge thet I hava reed thia epplication and atete
� thet the ebave informetion is correct entl aprae to comply wiih
� all lews reBuletln8 builtlinp conrtruction, anE I shall not employ
F any penon in vlolation of the workmen's companenNon lews of
N tha Stata of Celitomla.
ZI hereby certity that I em proparly Iicena¢tl es a coniractor under SQ. FT.
tha State of Celitornia Businesa antl Profeaeions Cotle, Divisicn 3, THE MOUNT SI
Cheptar 9, antl that such licenaes are In full torca entl affact, or I THE dURPp6E OF
am exempt irom Me provhlonsof tha Smm of Caltfornle Buflness VALVATION (S
antl Professiona Cotle, Divislon 3, C�apter 9.
SIB^etura of
Permittae � $"Y�
Autnorizea Apent
APPROVED
n
BET. fdA1N &
� �
O
/OWN UNDER VALUATION IS FOR '
E57ABLISNING-A PERMR FEE ONLV: ¢
� m
PERMR FEE $ �
//O 7S m
� rr_
',-/_, �� � 38638
�'�COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING �/�p ��p
enhpFSS / 7 � W. � � r/� �T
Z .
W W
a U
za
0 N
d m
J �
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H
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7
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!ER
L
cirv �K
CpP�STFUCTION
LENDER
BRANCH
ADORESS
CONTRACTOR
ADORESS
CITY
STATE
LIC. NO.
SIZE
OF 40T
USE OF
E%IST�NG BLDG.
S12E OF
WALL
USE
NO. OF
ROOM�
ROOF
COVER
3 AND WORK T BI
/ T/ON / n
TEL.
NO.
TEL.
TEI.
NO.
CITV
IIC. NO.
NO. OF BIDGS.
NOW ON LOT
��.� _5D
�i;� -3-74�;T�.O� 360:: ::,:*;:-'<<
FOR BUILDING PERMIT
4TE REGEIVED D ISSUED
7- � _7� %� '� '� t�
A.P. NO.
BUIL�ING
ADDRESS
VALUE /!�' �
$ �/ V
iE "
NE VPE GROUP
PROVE � �J'%
DATE (' � r
NO.OF USE OF NEIN�
�- PLANS�"'� BUILDING
VAqDSAPPROVED YAROSAPPR�VE[
VAF. #
C.U.P. #
APPROVEO
gTATE
I helaby acknowlatlpa that I have raetl this eDPlication antl rtero
tha[ t�e above lntormation ia correct en0 aBrae to comply with
ell laws raguletin0 builtlinB �onstrucUon, end I s�ell not employ
any Person in vloletlon of the workmen's companfatlon laws of
tha 5�ata of Californie.
I heloby certify Met I am properiy Ikensed as a contractor untler SQ. FT
tha 5tate of California Busineu entl Profess�ons Cotle, Divizicn 3, THE AMOUNT S
Chapter 9, antl that suc� licanses ere in full torca and at7act, or I THE PURP06E OF
em exampt from tha provisions of the Stete of Galifornie Businass VALUATION
entl Protessiom Code, Division 3, Chnpter 9.
SlpnPture of ,� / �-1 /, ^� � , �
Parmittee �/Yi �y7"�'J-��.«-c�-a ' $ /,Q'(
, (/ (/
AutMorizatl Apant
R4TE
APPROVED
TOTAL
&
���
-- m
w
O
VALUATION IS FOR ^
A PERMR FEE ONLY: ;
¢
E $ j
m
K3 E
0
LL
S /1
�_,
-" , - 40J62
� � COS7A MESA BUILDING-SAFETY DEPARTMENT
P.O, BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fi!! in Comp(e[e!y
BUIIDING
ADDRESS
pWNE
MAIL
Z ADDRESS
a U CITV NOL
ZQ CANSTRUCTION
O N LENDER
a tp
J � BRANCH
J N
a ��� ADDRE55
2'
J ARCHITECT TEI..
N OR ENGINEER N
U Q
WLL ADDRESS '
�W .
JO CONTRACTOR D �L���
m �
J � AOORESS
w W TEI.
� CITV NO.
Zh
wO STATE GTV
y a LIC. NO. LIC. NO.
� � SIZE / / NO.OF BLDGS.
OF LOT �� � NOW ON LOT
USE OF
EXISTING BLDG.
••�nv ;n-�sP°�°00 i 230 ^5S0
�,, � r�:r¢:�..
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AP I ATION fOR BUILDING PERMIT
iEl E BV DATE RECEIVED DATE ISSUED
� rl3o 79'
NO. IL•• �J Q.. O� PE MIT Oy�
L/
)RIESS �'{ (/(�. I7!� ST,
�Mrhll
TRACT / LOT O BLOCK
Y
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VER �
E 1 i . .1/ � T
ZONE NO.OF VSE OF NEW
CI • S PL4N5 � BUILDING
YAqpS APPROVEO YAROS A O'
MAIN BUILOING ACCESSOF BUI
(FROM C/L STR5 ET)
___._ie� 2_ g i..,e _
F" SIZE OF • / NO.OF
� NEWBL ROOMS STORIES L SID FT
a EMERIOR WAL ROOF /'J)P O - �� 1%,
V COVERING COVERING REAR �F
J USE OF BUILDI G AND WOFK TO BE PERFORMED DISTANCE BET. �
C MA N BlDGS: ``
�, VAR. W
O C.U.P. qY+
�' /� �/ i1PPROVED
N
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� � hereby ecknowl0tlpa thet 1 heva restl [hla eppllcaUon antl stata
7 tha[ iho abave informatlon is corract and aprea to comply wlth
a elI laws rBpulatlnB builtlinB �onrtrucHon, antl 1 shall not employ
f„ eny person in violation of tna workmen'� compensallon laws of
� ffie Stero o( Celifornia.
zI heraby certify that I am properly licansed as a contrector untler SQ. FT.
the Stata of Celifornia Businoss antl Profeuions Cotle, Divisicn 3, THE AMOVNT SMOWN
Chapter 9, end that s�ch licensas ara In tull force anE effact, or I THE PURPO6E OF ESTAE
am azempt from Me provisions ot the Stata of Celifornla 8usinass VALVATION
entl Professions Cotle, Diviston 3, Chaptar 9.
PE
SiB^ature ot �� � �% � / v�,V/l
Parmitta�,e /rrMe �� 5 /�'� PL
Authorizad Apent U � /
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r COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fi/l in Completely
�ill -9-75�A5 0�1021� �*a**8.5�
FOR BUILDING PEAMIT
BUILDING � � '
ADDRE55 � � �
•/ � I
OWNER N A.P. NO. "'
ADDRESS � / C•/ i' � AD'DRESS 9 `
iU CITV ` ��// /��ES� NO�. TRACT�� LO �
ZZ W
Q CONSTRUCTION ,J�--
O N LENDER �
am
J � BRANCH ' �
JN OWNER - �
a ADDFESS
2 �
J Q ARCHITECT TEL. S 1
� OR ENG�NEER N
V Q FIRE
W K AD�RESS 20NE TVPE GF
aw q
W z CONTHACTOR �OI/�I ` O � ByPROVED DATE
JO
m p
J a ADDFESS � � � � G�1� � •��j%Y�/�
� z TEL.' Z�N p��p,�NS� BUILDING F
Z r CITV �,�5 �'/,� ~ NO. ('f�I r/�.:
— p STATE CITY YAHDS APPROVEO YAR
�([ LIC. NO. LIC. NO. MAIN BVILDING ACCES C
�� 512E NO.OF BLOGS (FqOM C/L STREET)
OF �OT NOW ON LOT qONT FT
EXISTING BLDG, � /r• ' ,[
F— S1ZE OF NO. OF
� NEWBLDG. ROOMS STORIES L SIDE T "1
4 EMERIOR WALL FOOF
U COVERING COVERING REAR FT. �
. US OF BUILDING AND WORK TO BE PERFORMEO DISTANGE BET. BET, MAIN
— S T. MAIN BLDGS. ACCESS. BL
Q VAR, 9Y+ DATE
p C.U.P.qW APPROVED
y / // �� APPROVE �P
IULf/ •
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UI heraby ecknowletlBo ihet I have reetl this aPPlication antl ateta
� that tha abOve Information Is cOrrect antl apreo io Comply wlth
� ell laws repuleNnB bu(Itlinp eonsvucNon, anA I ahall not amploy
r eny Derson In violetion of iha workmen's compensotion laws of
y the Stata ol Cel%ornle.
� 1 hnreby cartify ffiac 1 am pmparlY licenaetl as a mnvactor unCer SQ. FT.
the State of Californla Business end Professions Cotla, Division 3, THE AMOUNTSHOWN VN
C�apte� 9, and that e�ch Iieenus are In full for[e and effect, or I THE PURPOSE OF ESTABLI51
am exempt from Me provisions of tha Stete of Celiforn(a Business VALUATION
entl Prof¢ssionsCotla, D��iaton 3, Chept 9.
/ PERM
Sipnatura of � ����/ � ^ ^
PermittaB .'�/`� ✓"—' ` $ � /// PLAN
fiv
Authorizetl Apent 1,�A�
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COSTA MESA BUILDtNG-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Fo� Applicant to Fi/I in Comptetely AP L ATIO�
R BY D
BUIl.DING
ADDNESS /
OWNER�/Y/fS DS/A �"�� �� 3' A.P. NO �p(I
MA I l BUIIDING
Z ADORESS S N' h'J � ADDRESS
aU CITV [idS A//�ES�' NOL TRA
CANSTRVCT40N �/t W A
ON LENDER JYD/t��
am
J � eRANCN
-� N OWNE
m��� ADDRESS .
J ARCHITECT TEL.
� OH ENGINE R N
V t( FINE
W � ADORE55 ZONE
a W Q APPROVE
wZ CONTflACTOfiO[lJiVFYG iC/LOe� BY
J Q
m Z
J� ADDRESS �7n.t�
�'AY 13-75P�„00 479=` *�',}.-18.50
cns+
FOR BUtLDING PERMIT
.TE RECEIVED DATE IS
r
'n_ � f PER ❑ NO
W W TEL. ZO E NOAF
Z� CITV NO. P��
W � STATE CITY VAROS APPpOVED
y CL LIC, NO. LIC. NO. MAIN BUILDING
_� S12E � NO.OFBIOGS. (FROMC/I.STREET)
OF LOT SQj� ��o s NOW ON l0T q �dT F,
VSE OF
E%15fING BIOG. ��s N J Q A�
F" S12E OF NO.OF
Z NEW BLDG. '�� ROOMS ^'STORIES � 1.51DE FT.
U EMERIOR WALL ROOF
COVERING COVERING REAR FT.
J USE OF BUILOING .�ND WOFK TO BE PERFOfiMED DISTANCE BET.
C MAIN BLDGS.
(
ONG • VAR.aW
a G r'6 �,,�r.d� �.�r�cr �.�.P.�w
�"' � lj � APPROVE f
v� � b . D O Lo a1�
Z �
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� I hereby acknawladg0 thet 1 have reetl thi� apP���eNon and steta
= thet tha above iNormeHon is corroc[ and apree to comply wiih
� all laws requletinp �uiVdtn9 conscructlon, entl 1 shell no� amploy
r anY Person in violatlon o� the workman's eom0ensetion lew� o�
y tPe State ot Celifornia.
? 1 Mareby cerNfy that 1 am properly liconsetl es e wntrector onder Sn. FT.
the Stam of CelUornie Businezs end Proiessions Cotla, Divbicn 3, THE AMOUNT SNOI
Chapter 9, end thet sucb liconsas e�e In tull forca and atfxt, o� 1 THE PURPO6E OF E5
am ezempt frOm the provisiOns of the Stete of Celifornia Businesa VAL VATION
and P�ofeasions Code, Division 3, Chaptar 9.
Signatura af /J^J �/�+ %�%/9/% �
Parmlttae �/1�YYYt/i.r.i (X�/L!/ .�� % S�d(��
Auth�rizetl Age�
+� J/
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.OT BLOCK
�
VALUE '
�G170UP
C
DATE �
E OF NEW � /�
ILOING
YApOS APPR�VE
I_�
T10( �
O
TION IS FOR y
T FEE ONLY: Q
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_ __ ._ . .._ .. ---_.�
•.
COUNTY OF ORANGB . � � ^f �
BUTLDING D�pT. - • ��3 L.�� •
636 No. Broadway Permu No.--- '_ --'-__-'--- -�
Santa Ana� California Application for Building Permit . .� �
Phoae: KI 2-6211 AND FOR A •
Certificate of Use and Occupancy
Da[e---�%c�'-'_,-`x- -!'L.'�--:f---"---'---
OWNER'S NAME.--�-��'--��--�-..--�'--�--�-��.�CI-/._..___.------...- ------- PHONE:_--��-R-��'�-�-�'M
MAILING ADDRESS.--�--�-�'�----�--{�'-r-�--�---Q-T..-!.f.L'//J-L�-------- ------._. CITY _�_U.�[?/?!��..U...�=_��._;/i
� /��i'.0
Name ...
(Archirect or Engineer)
Address
City --._..
$tate
Lic. No.
PROPOSED USE: ___.,�.J.
Phonc
Name.--�- � -'�"-' �'�-1------n."'L-- �-L'--f�..� `2-�-------'-"---'-----
(Contrncror)
Address.----...---'---'--------------------'-----------------�---------------------------
City----...---- ---- --
Sta[c
Lic. No..------.-----
2. JOB LOCATION.---�--1--- --------- � --�-� �--�- -�-1--------
(Housc No. (Name of Streec�OQ
�
3. LEGAL DESCRIPTION: Lot _�_�.6_.tu__rG_.,��_Block
(Meces and Baunda Des<ription—Use res¢rse side of form)
(Town oc School Discric[)
---------T�,« _N_t..�R!`_Ic1_�'S1�.
4. CORNER LQT (�) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
5. SIZE OF BLbG.: �-�-I�_-�-�--.AREA:._---�--�-�-_-_--_--.SIZE OF LOT:G6!t `6J REA:... /6.U_.�-�----._---
q i c, �j � /� �
6. HEIGHT OF BLDG.: _�c�_%-7-!__._._.___CEILING HEIGHT:._.._{)...__....�__.__._.___._. NO. OF STORIES ................___.._
'/ � �r If � / /
7. NO. FAMILIES __.______.__/__._.__.______..____._Size of Smalltst Bedroom:...L�.-�I-.�C--:L'�. Size of Kitchen:.._E�..n.._f�. /S�-�__
S. EXTHRIOR WALL CONSTRUC'I'ION:__��A_M_�__.._.._.._.INTERIOR WALL COVERI[VG.___�`_�ST��.
(Fratne, Stutto, Ecc.) (Plaa er-DrywaII�E
9. SETBACKS: Front Yard from Center Liae of Stceet.._____._.__.___.____..__.—___ �0--- ---- .�-_-_---.----.-------
/ / _-
IVearest Side Yard��:_._____._.Rwr Yard.__���__.Diswnte in Feet Between Blclgs. on Samc Lot _._../...v.._��V_
/ '-_-' -_"
IG. A COMPLETE PLOT PLA[V IS REQUIRED, SHOWI[VG ALL STRUCTURES AND USE OF EACH.
i/
--_--------._---..De ch in Ground._..--.�-.�'-_----__--.Wid[h of Wall..._.._--
ll. For (a) Footing: Widch--.---.--�--- p -.----'-----'-
Aeeessory
Bldgs. and ,{ L ��._.___._"CC Material of Floor..�'.O�(C__,� �G
Similar (b� Size of Studs: -'_1--C�- �------_-_-Spacing.--'-_--_�G.. '�. --
Strucmres: �
(t) Size oE Floor Joists: --"-'----"--"-"-"""' _'_'.Spacing ._......-"._..---'--'----------"CC
(d) Size of Rafters: --'-_-_�-�- 7 �''/ `
___ _'___ _ ._______________Spacing .'._a._. _".".__.__._______ CC
1?, VALUATION OF PROPOSEpD WORKOJIndudi all labor, plumbing, electtital wiring, heating, fire spr'utklers, paina
{ ��� � �_
�ng and sewage disposal �$....__d __� CO '
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLTCATION IS CORRECI' A[VD THAT Ti-iE COLVSTRUCTION WORK WILL CONFORM TO ALL
LC �S OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
0 /� y� //� —7��7--
/� ' Signed:.��LE� " � hi�L rv'/` '
'_""'_'_""_'_""'_____"_"'_'_'___,'___"_"'___'_'_""__'__'_"_"""'_""__
3 � -� , ; � 5�-/ �owne�,
� �ns Filed___________ _______ ______'__________'______._____._
/ ' , _______..________ By:..'._'_'_'_"'__""__"_______'_'._.'___ __" _ -__ _ _._______________"_'_"_"""'_'_
"'�� � (Authorized Agent)
Bldg. Pe:mit
Plan Check
Total - -
Receipt No.
Paid m
Da[e .._..._--..
�M-9.90
FEES:
_�
FOR DEPARTMENTAL USE ONLY
//"
� v'� GROUP---�1.�' -- -.---.!
-----------
�;i d-_'D TYPE --- ----�-�� ------
�DIST. _ /
� MAP-------------� --------
_____ SHEET NO._._.._�.._..
DATE._. ��-�-�--/--5 -- ---5�---/----
C ING BY
APPI_ICAT HEA'LTH..__.._...._..__..____._
ZONIN ..... IRE
-- -- MARSHAL--------------------
PLANS A
SPEC'5-----------------------. STATE.--- ---------------------
CORRECI'lONS ENGINEER
VERIFIED------------------ CAL.--------------------------�
PER �S �eilUE COUNTY BUILDtNG
� - TOR
------- ----------- - -
- -6�aorv----------- ----------------
��
COUNTYOFORANGE Application for Building P¢rmit � � // Q %� ``%-
BUII,DING DEPT. � Permit No.....7.. �^G. `! ..!
636 No. Broadway AN D FOR A •'
SanaAna,Ca4fomia Certificate of Use and Occu anc -� • ��
Fhone: KI 2b211 P Y
�/� 1^ / � /.=�/ � �--'
X\ I./ Datz------------------� -�---------...----......_............----..
1. OWNER'S
2.
MAILING
Name ........
Address ....
Gity ..........
State
Lic. No......
(Architect or Engineer)
Phone----------------------�----.....-----
*�
Name `\� �,\ \ C >1! ,. ��. A�C �-
.._�.------ ---� L ...... :......... ....-'---........-------.....----..:. : ....,..
�}, q i (Contattor) �
Address .,J---�`•�--.a..c..��.�".---•�--���---------------------...
City..�'.. �- "�-•---'.......----' ....................'-" --..._.......... --'---...
State
Lic. No. �•--- -�--------� -...- --- ---�--- Phone....---------��---------.....-----
PROPOSED USE:--�.:'..._(i1_J��1:_p-.------�-- �= -r---� �_l�`x n.:':: n_1/
JOB LOCATION......-. J..- --��-- �..r,.--�• r--�--•---�-�----- -�----.... �- ��-�• ��=��0.--��---,--°--=�
(House No.) (Namc of Street) (Town or School District) \
NAME OF AND DIRECTION FROM NEAREST C�REE�T� ��__ ........................................................................
LEGAL DESCRIPTION: Lot,.r' �._ e/....'�...J.�Q..��.....------------�----Block ..............---------------............---..... Tract.-----------•---......--�---...----
(Meces and Bounds DescriptiontUSe reverse side of form)
CORNER LOT ( ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
SIZE OF BLDG.:..�.�--------------AREA:.._t(_G b--------------SIZE OF LOT:_GIQ C'.�_9�.._....AREA:. --'3 6�C�.._-----•
r �
9�
HEIGHT. OF BLDG .:..........................................CEILING HEIGHT:.........._._..... NO. OF STORIES......I..__.....................
7. NO. PAMILIES----..-.----_-.._--..---_-.......-_Size of Smallest Bedroom:-_... `...-.---__ ............... Size of Kitchen...-----_�'
•--� ................
� (�� c
S. EXTERIOR WALL CONSTRUCTION:�-�.���.-�!�...INTERIOR WALL COVERING ............................................ '
(Prame, Stucco��Etc�.) � n � (PlastenDrywall, Etc.)
ROOFING COVERING �.--.�Al.:-- _`-.__.�./1...�. ---�`� .......... ....... ...._...- ---... -� ----........_.........- - -..
9. STATE HOW MANY BUILDINGS NOW ON LOT AND GNE USE OF EACH....�___..._f......�___....
]0. SETBACKS: Front Yard From Center Line of Street_------;l.-..,./.:-..v--.-'�-✓_�11....�-.-,--_ ............................. ---....._.---.........
Nearest Side Yard...�.,,±.:_/.....Reaz Yard._� ...,(_�_/Distance in Feet Between Bldgs. on Same Lot ............................................
(Pmperty Linc) � (Property Linc)
11. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
. r /I �� �/
12. (a) Footing: Wid"th---�.. ��.--....- ..............._---Depth in Ground.....�_L�......._...........Width of Wall----�2.....,.........---.--..
. V ���� . .
�b Size of Studs:,�...�1.._�.......5 acin "CC Material af Floor:.�c:�!�...�.,�.'..-........�......
) P 5--- .... ............_--
(c) Size of Floor Joists�/.�:h?r.�..._ �;._ ..............Spacing......._�..-...-....—..........:'CC
/% � � '
(d) SizeofRafters:..�:..�---L�---- ....._------Spacing. -------}---4 ..................:'QC
13. VALUATION OF PROPOSED WO�RIC:�Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal $....-----v`�`'--�=--d--------------------
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 OP
THE: COUNTY OF ORANGE AND THE STATE OP CALIFORNIA APPLICABLE THERETO.
(Owner)
PlansFiled:-------•--------"-'-"-'-�-'--- ....:........_.......-�---...-------"' • .
Bldg. permit
Plan Check
Total . •
Rece;p= No.
Paid Co •
FEES:
. �. UC/ '
- 5...:f...o..`.-------........
- $-_�...--- -----'-------.....
� ao
' $---...----... - -------...._
' --�-�- �--�'------
----
' -= - --------�---
---�Q--=� 3 '- -�'-
(Au[horized Agent)
FOR DEPARTMENTAL USE ONLY
GROUP---�------....---------•-
TYPE--------� ... ...............
DIST. C � y
MAP.......----------- - ...............
SHEET NO...� ...............
APPLICATION....�
Z ON IN G----------... _`..-:. _-
PLANS AND �
S PEC'S. ------ ..................--
CORRECTIONS
V ERIFIE D ........................
m
HEALTH.....-- ....................
FIRE
MARSHAL .........................
STATE...----•---...--------......
ENGINEER
' YE�i'Ir155HSDSY4 INSP'cCTOR
DATE. LU. � 3 �^ �' -- ....
.... ...................."--------•-'-----'-- ---'-------- :--....... �. .............'-'---..... .--'�EYL�t.......
s000--q-sa — —
V�
II
HIDDE MODEL HDR-25"^-INSTALLATION & MAINTET" NCE MANUAL
Plenum nozzle tee is center�d in length and wtdth of hood. Plenum norzloe installed at
upper third of plenum as measured from bottom of plenum. Duct nozilos centered in
_crosssection and 3" to 6"-into the duct above the hood. Each nozzie covers one-half
of the width of the long side of the duct.
EXMIIU9T DUCT �CENTERLINE OF OUCT
p�/�Yl L � L�/� `�IL � DETECTOR MOUNTLD IN C[NT[R
� � Of DUST YIN. ! IN. � MAX. 20 R.
A�OV[ NOOD.
i9 u� il.r
� s rf1 /Y1 � J/`�
i
n
NOT E :
//
KITCM[N
COOKINO''
���LI�NC[
!W N022
D[TlCT011 A10UNTCD
COOIfINO ��►LI�NCL
CORNER PULLEY
�SV-2 NOZ2LE9
I/16" CAOIE IN
Z�EMT
�urr�r rv[
� PLlNUM �IIlA
\
/ILTLII fAC[
YAIf. 91' �
YIM. 17'
YECNIINIG�L r
CONTIIOL NC
Maximum number of de- couibrcw�
tectors are shown. Where DRV CNEMIC�L�
cruNocn
cooking appliance ia directly
below duct, cooking appliance
detector may be deleted.
Hood without Filters or Plenum Area with Filtere - 24' 0" x 4' 0'
One Duct Unlimited Length x 15G" Perimeter; Round, Square
or Rectangular (Centered or Offset) -
Four Cooking Appiiances - Refer to Figures 23 and 24 for Detaile
BB
rigure 38., HDR-25DC-9 Fuaible Link Arrangement
L'
�
�
�� 5 � .s sHu �
y Q FF
(�ACUE
,qr/�'o MAf � c�
u
U. L. Ex 2153
i April 1973