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HomeMy WebLinkAbout799 17TH ST - Building Permits` _.. ._ .. . _ `' yrEST 17.TH STREET, 199 ; 1 s �, 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. � _ — 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 � J � Q W R' U N Z a W � aw W 2 J Q m Z J � W W 0 ZH W � 70 H z Q U J r 0 H y z O F U 7 � r N Z !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¢:�.. � 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 v 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 Z O � � 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 � / TC BET. MAIN FEE A d" 6PAT6 W 0 i ¢ N 7 m `o LL I ..� `i � i } �Jv 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/ • Z O 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� FEE A / 8 FT [i�CJ W O � ¢ m H 7 m o` LL � 39°70 , .. 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 � O � 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/ O .OT BLOCK � VALUE ' �G170UP C DATE � E OF NEW � /� ILOING YApOS APPR�VE I_� T10( � O TION IS FOR y T FEE ONLY: Q � � rv � �_ m � Y I/ LL �__.___ � � _ __ ._ . .._ .. ---_.� •. 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