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Home My WebLink About903 17TH ST - Building Permits��ia� �sa-sz�3 • Fax (714) 754-4856 • www.ci.cosca-mesa.ca.��ECTRICAL PERMIT Job Address: 903 W 17TH ST � Suite No � Vicinily: � Parcel Nunm6er: 42438107 � npplicant: DUNCAN, JIM Address: Phone: 949-650-7042 Zip owner: WATTS, FRANK A Address %PLAYPORT MOBILE VILLAGE CORONA DEL MAR,CA Phone: 1127 EBBTIDE RD� Zip: 92625 Contractoc Address: ISSUE FEE Temp service test Res. alc package New Res (1-2 units) New Res (3+units) Pool / Spa Liqhting Fizts Recept Outlets Switches Non Res Appl Res Appl Phone: Zip: License: SCOPE OF PERMIT INST NEW POOL LIGHT, TIME CLOCK AND GFCI PER 116049.1. 522.00 50.00 $0.00 50.00 50.00 50.00 57.00 51.00 50.00 50.00 50.00 Quantity 0 0 0 1 1 0 0 0 FEE SUMMARY 77 FAIR DRIVE, COSTA MESA, CA 92626 Temp Dist System / Lighting Busway /700 ft Standing Section Misc Electrical Equipment Transformers up to 7 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up l0 100 kva/kw ..................over 100 kva/kw Low Voliage Equipment Low Voli Wiring System I Ckt ISSUED BY: Status: FINALED Applied: 08/03/1998 Issued: OB/03/7998 CJ � Quantity 50.00 0 50.00 0 50.00 0 516.25 1 50.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 30.00 0 50.00 0 ! NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 72Q7-92) EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inapeetlons and final epproval must be obtained. Faiiure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 ��...�.�,;.GiJ; WORKERS'COMPENSAnON DECLARAnON: ' I �ereby eHirtn under penalty ol perjury one oi ihe following OeUareUons: ❑ I have end will maimain e ceNficate ot consent m se&Insure for workers' campensetion, es O�ovided for by sectlon 3700 af t�e Lebor Code, for the peAormance ot the work tor w�ich this pertnit is issuetl. ❑ I have and wlll maintaln workers' compensation Utwrer�ce, as required by section 3700 of the Labor Catla, for the pertortnance of the woAc for which Ws pertnit Is I55ueU, My workers' compensatlon Insurence carrier and policy number ere: Carrier: Policy Number: (This secNon need no! be comp/eled 1! fhe peimitls valued ef one hundred tlollers ($100J ar less.) ❑ I certity t�a� In t�e peAormance ot the work for which this pertnit Is issued, I shell nol employ eny person In any manner so as to become suD�ect to Ihe workers' cwnpensetlon laws of Cellfomia, end agree Ihat If I shoultl Oecome sub�ect to Ihe workers' compensetion praWsions of Section 3700 of the Lebor Code, I sheli forthwit� Comply with these provision9. Q� Applicent Slgneture: 19 s� Dela: WARNINO: FAILURE RJ SECURE WORKERS' COMPENSATION COVERApE IS UNLAWFUSi� S.I�ALI.�UBJECT AN EMPLOYEF TO CRIMINAL PENALTES M10 CML FlNES UP TO ONE HUNDRED THOUSrW � Dd1ME (5100,000),IN AODfT10N TO THE COST OF WAIPEN$ATIpN, DANACa�S AS PROVIOm FOR IN SECTION �OB OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLAFATION: C7' ' � I hereby aHirm thet I em Ilcensed under provislons of Chepter 9(commencing with Sectlon 7000) force and ettect. Lia u ContrecioYs Signature: 3 bf�the Business entl Protesslons Cotle, and my Ilcense Is in full ° Cless a Dete: CONSTAUC710N LENDING AGENCV: ❑ I �ereby ettirtn I�aI Ihere is a construction lending agency for t�e pertormance ol the work br which Ihis Oermit Is issued. (Sec. 3097, Civil Cotle). Lendefs Neme: Lenders AOtlreu: Signature: Date: OWNER•BUILDER DECLARATONS: I here6y aHirm that under penalry of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which repuires a pertnit to conswct, alter, improve, demolish, or repair any stmcWra, prior lo Its issuance, also requires ihe eppliwnt for such permit to file e signetl statemant Ihet he or she Is licensed pursuem to the provisions ot the Cantrecrors License Lew (Chapter 8(commendng wiN SecUon 7000) 01 Dlvision 3 of t�e Business end Professions Code) or ihat he or she is exempt Neretmm antl Ne basls for Ihe ellegetl exemptlon. Any violation of SecUon 7031.5 by eny appliwnt for a partnit subjecis the applicant to e cidl penalry oi not more than tive hundred tlollars ($500).): ❑ I, es owner ot the property, or my employees wlth wages es their sole wmpensatlon, WILL DO THE WORK, entl t�e structure is not intentletl or ofleretl tor sale (Sec. 7044, Business and Protessions Code: The Contracrors License Law dces not apply to en owner of properry who builds or improves thereon, antl who does such work himself or herself or ihrough his or her own employees, provltled ihat such improvements ere not intended or oHeraC for sele. If, however, Ihe building or Improvement is sold within one year of completion, the owner-builtler will hava the burden of proving ihat �e or she did no� 6uild or improve tor purpose of sale.). ❑ I, as ownet oi the properry. am EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro construct lhe pro�act (Sec. 7044, Business end Pmfesslons Code: The contracmrs License Lew tloes not apply to an owner oi property who �ulltls or Improves ihareon, antl who comrects for such pro�ect with e contractor(s) license pursuam to the Contractors License Laws.). � I am exempt under sec. Business end Professions Cotle lor ihis reason: Slgnature: Date: Owner ID venfied by tlrivar's Iicense. ❑ Yes ❑ No Dnvafs License No. E:pires: Vedficelian af Ownership by (lype of tlocument, i.e. - pmperty teu bill or tlaed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavetlon five (5) or more feet in depih info which e person Is required to descend, will be metle In connectian with work authorizetl by t�is pertni�, end ihat no builtllnq sirudure, scaflolding, fal5ework, or demolition or dismantling thereot, will ba more than thirry-sIa (36) teet high. (Chap. 32, Grp 2, A� 2, Sec. 341, 7tle 8, Celifomia Adminisiretive Code). ❑ As owner-Dullder, I wlll not empby enyone to do work which would require e permit Irom ihe Division ot Indusirial Salety, es notetl ebove, unless such person has e permit to do such work trom the division. Signeture: Oato: Division ol Indusirial Sefery Permit Number: CERTIFlCA7E OF COMPLIANCE AND AUTHOROA710N OF ENTRY: I cerlify under penalry of peryury �hai I have read Ihis epplication and state that the IntormaGon given lq correct. I egree b comply wll� ell state laws end ciry ortlinances relating to building conslmc�lon, antl authorize representetives of the Cly of Coste Mesa to enter upon Ihe ebove�tlescribed property for Inspection purpases. I egree not to oCcupy or allow acupancy oi eny building aulhorized by this permit until fnel inspection. SignaWre OI Legal Owner�s) Date And/OrAuthorized Applicent CODE I. INSFECTIONTYPE Q�jE p�$ 1816 Fixed System Final Fire Prevention 1266 200 Pool Spa Final Final Re-Roof 201 FInaI8locWReteining Wall 202 Final Factory Fire Plece 203 Final Sign 204 Final Demollilon COUE I INSPEC710N TYPE 206 Final Mec�anical 208 Finel Plumbing 210 Final Eleclrical 212 Finel Fire Prevention 220 Finel Planning Approval 222 Final Sile 250 Finel Buiiding/Occupancy QAg Q�kS S � !o � AVolieant to 1111 in all spaces wit�in CITV OF COSTA MESA PERMIT ryoo � CONSTRUCTION PERMIT �,� ProjettAddress 03 W. 1 th St� �k44 owner Mrs, Azevedo Address 903 W. 17th St Arch/Eng. Address co�craccor p-8mes Plum� Address 10422 Trask Av LICENSED CONTRACTOR DEf 1 heroby altirm thdt 1 am IlcanS¢f mancing wltn ooctlon 1000) o Aofesslons Cotla, antl my Iin Llcensa Claii C�20 � � Phone License No. bortler lines ana sign all approD��ate Oeclantlons. TRACT NO. LOT NO. �BLDG. NO. ' TYPE OF CONSTRUCTION � GO ❑ NEW ❑ AOD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DEYARIPTIONOFWORK RPnl�'1CPRIPTII' •f r ii 44 TVPE OF PERMIT � ❑ GRADING . ❑ FOUNDATION ❑ STRVCTV RAL ❑ TENANT ❑ ECECTRICAL ❑PLUMBING �MECHAN om- antl ❑ OTMER 'OS' PROJEC7 DESCRIPTION . Date �—� R—Ra -Si9nature — — �� — .SQ. FT. . WORKERS' COMPENSATION D CL RAT OCCVPANCY_GONSTRUGTION TY.PE _ 1 hereby aHirm Ihat I have a certificate consent to self-insure or a VALUHTION ZONE tertHiwte ol Worker5' CompensatiOn I urance, or d CerHfietl copy - - thereof (Se<tion 3800, lab. C.). GRADING CV. YDS. ACRES aoucy NoWPR9h7F,4'19 company FramnnY r-;.erti/letl cOpy is �eteby turpiihetl. - REMARKS: • �' � — y,� l��{„-irtlfletl copy is (iletl with Ihe city Builtling Divizlon. '.%'xMPT10N FROM W00.KER5' COMPENSATION DECLARATION �'� -� (Th15 5¢CUOn neatl not b¢ completetl it the permit 6 tor onE huntlretl . , _ (E300) or Iess1. 1 tertiry thal irtthe pertormance of_t�e work for w�ic� this permit is _ i55ue0, I shall not emPloy any person in dny manner so as to become PLUMBING , PLAN CFIECK � subject to the Workars Compensation Lawi of Glifornia, gqTHTU85 SHOWERS �� Date Slqnature NOTICE: If after making [his tleclaration, ypu shoultl become subject ' TOILETS� � URINA�S � to [ha Workers' Compensation provislons 0/ the tabor Cotla, you must �VATORIES DOUB�E �AVS � forthwith Comply wlth SUCh p�ovl5lon5 0� (his pGrTil shall be tleem¢tl rBVOketl. � '- -� � - . . .__ CONSTRUCTION LENDING AGENCV KIT.SINKS DISHWASHERS I hereby aHirm [hat there is a construction lentling agency tor Ihe per- SERVICE SINKS SUMPS tormanca ol the work for which this Dermit is issuatl (Sectlon 309] ��' C'�' FLOOR $INK$ FLOOR DRP.IN$ Lentler's Name .Lantlar's Atltlrez5 DRINKING POUNTAINS OWNER BUILDER DECLARATION '- INTERCEPTORS CLARIFIERS I hereby alfirm that I am exempt from the �ontrattor's Licenu Law for lho following reazon (Sectlon ]031.5 Buz��ess antl Profassionz Cotle: SWIMMING POOL P TRAP - Any clty Or County whith rGqWres a permit t0 COnstruct, alt¢r, im�rova, tlemolish or repalr any 5[rutture, prior to iti Issuance, also re- ' yyqTER SERVICE ALTERATION qu res tha appliWnt fo� Such p¢rTi[ to ti10 a SlgnaE tlatOmenl lM1at h¢ � i5 II<Cnsetl DurSuant to the prOvlsions ai the COntratlor'S Litense Law GAS SERV ICE OUTLETS 1Chapter 9(commencin9 wilh Section �000) ol Olvlslon 3 0l the Bu5lnoss antl ProleSSions CoCo) or that he Is exempt lherelrom anE the yyqTER HEATERS �— BTV OUTPUT � basis for ihe allegetl exemptlon. Any vialatlon of 5ottion 7031.5 by anJ applifanl'br a permit su�lects the appllcant to a Uvll penalty SEWER CONNECTIONS � o' ' moro than Ilve huntlretl tlollarz (5500). [ 5 owner ol Ihe property, or my e�hployeas with wa9os as Iheir SOLAR TANK ' COLLECTORS' 50. .Jmpensatlon, will tlo the work, antl the SlruCtur015.noI intentletl . _ or otferotl lor sale. (Soclion 7044, BuSinezs antl Prolessions Cotle: The SOLAR PIPING SVS. Contractor'S LICCn50 Ldw tloes not apply to an Owner ot a Property .. who bulltls or improves theraon, antl whb tloes such work nimself or ISSUE FEE thrOu9h his own emplayees, proWdetl tbat suGh Improvement5 are no[ intentletl or oHoretl lor zale. I(, howeveq tne oullaing or improvement MECHANICAL PLAN CHECK iz soltl witnin one year o/ completion, the owner will have the burtlen ol Oroving he tlitl not builtl or improva tor the purposa of sale). HEATING SVSTEM 0-100,000 BTU j/� ❑ I, as owner ot'the property, am exclusiwly contracting with qNDDUCTING ' �* IlcenSetl conlydCtorS t0 mnstrucl tht projeCl (Seclion ]044, Busine55 100,000+8TV 'C antl PrOleSsiOns Cotle: The Contra<tor's Lit¢nse Law tloGs nOt apply [o dn owner o1 ptoparty wh0 builtls or ImprOves lhertOn, antl who COn- REFRIGERATION 0-300,000 BTV [�aCIS from suGh -prOj¢CI5' with a contraetor(sp Iicesnea purSuan[ to SVSTEM " - - [ne Conlractor's Llcenze l.aw). 300,000 � BTU ❑ I am !%empt untllr SeCUOn B. 8 P. C. br this ' BOILERS BTV reason Date - - Owner . SVSTEMREPAIR,ALTERATION I h¢rCby certity lhdt I have reatl thi5 appliUtiOn antl StdtG tha[ Ih¢ dbove EXHAVST $VSTEM MULTIPLE Informatlon is c . ee [o m pl V,•�yy� all city antl county , ortlinances an atc laws relat 9I0 fl p[Li6n. antl hereDv authorize pruumiv. �� ij� � Slgnature Drivers' Litense or 55 -�SSVE FEE CMF 0865-46 Whita-Builtling; Canary-qpplicant: Pink-Attounting; Goltlenrotl-Assessor 4756 2/22/83 ZONING REGULATION A.P. � ZONE PING. REF. $ REAR VARD (TO P/L) ' � PKG.SPACE REQ. PROVIDED STREET WIDTH • PARK FEE 5 ZONING APPROVEO BV SPECIAL CONDITIONS: u ELECTRICAL - r�AN " GENERATOR p-1 KW_I-301(W 'TRHNSFORMER APPLIHNCE� 10-SOKW_SO+KW - .MOTORS' 0-1 HP_1-30 HP' - (INC. SOLAR) - 10-50 HP 50 � HP FI%TVRES OUTLETS SWITCHES' " GASTVBESIGNS ' ' i PANELS MAIN SERVICE- ' " 7.Ofl TL ISSUE FEE �I � �I APPLICiiTIONAPPROVEOBV DATE' SUMMARV OF FEES BUILDING PERMIT $ SMIP § PLAN CHECK S PERMIT � ISSUANCE E �� PLUMBING S . GRADING S PLAN CHECK S ELECTRICAL S � S PLAN CHECK g��_..� MICROFILM E MECHANICAI.�S� TOTAL FEE $ PLAN CHECK' E LE55 AD- VANCEPC S_ FINALFEE $ A�O� CONSTRUCTION AND PLANNING POOL & SPA \ ; �/( -GjC�Q � Date Inspector � Date �nspector APPROVALS Permit # APPROVALS Permit # •�•` - - iC ^ , l; `'" � 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � "� ' °"' Soil ipe-Un rgrn 4. Steel Reinforcement '' '' . 3., lectrical Conduit Utility-Undrgm � �� -� 45.� Forms 4. Electrical Conduit-Undrgrn 46. Electrical �onding _ � - - .. .. _., .... i, .,,- ..._ . tee ein orce .. 47. Rough Plumbin & Pressure Test -�' ' ' 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNI`fE"' � � -' ^- �� 7. ootings � - 49. Electrical Conduit-Undr m 8. Foundation � 50. Gas Pipe, ❑ Undr rn, Test_ _ 9. Water Pipe-Undrgrn 51.� Backwash Lines P-Tra �❑ ndr rn � 10. _ Structural Floor System 52. APPROVAL TO DECK -- - 11. Property $ewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street $ewer Connection � 54. Heater & Vent-Final 13. Rough Plumbing - � ' "' `' ` �- ' 14. Rough ElectrioConduit �56. Electrical-Final 15. Rou h Electric-Wiring 57. Solar SYstem-Final � � � 16. Rough Heating & Air Conditioning .� � encing & Access Approval � 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL , 20. Roof Framing � 21. Roof Sheathin . 22. Frame and Flashin NOTES: 23. Insulation � 24. lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat � � 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning 5- Y _(�,y 30. Final Gas Rpe-Test 31. Final Plumbing 32. Water Service-Final 33. Gas Service-Final - � 34. Solar pomestic-Final 35. Landsca e S rinklin S stem � 36. Sound Attenuation � 37. Handicap Regulations ' 38. FINALSTRUCTURE&BUIIDING 39. Special Requirements Completed - � 40. Electric Release to Edison � 41. Gas Release to Southern California Gas Co. . 42. CERTIFICATE OF OCCUPANCY No Date � CITY bF COSTA MESq CONSTRUCTION.PERMIT - � Project Address yp� ' �. � � % # � � G ' Applicant's'Mailin9 Addr@ss ' S Owner's nlame S�fi"6C.rL - � phone Address �Q� �_i�a�� .Arch/Eng. � " License No. Address Convector's Name�L�L�S QLu� !f ^�C Phone 7% Z 3�/� Address (mailing) ' � - Ciry License No. , LICENSE� CONTRACTOR DECLARATION ' ' � �;1 hereby affitm tM1at I'am Ilcensetl unCer provislons of Charf¢r 9(commencin9 with section ]000). o( Dlvision 3 0� tM1e BuSiness antl ProteSsions Cotle, antl my Ilcense is in full Po e ana etiect. �LiGense Clasz ' G y Lice�}5¢ � , Datc `� — 5ignature _ WORKERS' COMPENSA710N DECLARATION � I hereby atfirm that I nave a certificate oi <onsent to self-insure or a certlflcate � �of Workers' compensatiun_Insurance, or a certifietl copY'thereoi,(Sectlon 3800, Lab. C.) r,)�,io �_...T/r , Policy No. �� Company �� Cer[ifletl'copY is hereby furnishetl. 8 Certifietl y Is tiletl with the city Buiitlin9 Di� � o'ny'r 1 Dale �� AOP�i[ant � '�^ `� � � �� EXEMPTION FROM WORKERS' COMPENSATION DECLARATIOfi� (ThiS seciion neetl not be Complet¢tl it the permlt is tor on¢ huntlretl ($300) or � less). I c¢rlify lhat in the perlqrmanG¢ Of the work to� whlch thiS p¢rm�t Is i55uetl, I shall not employ any pelson in any manner so as to become subject to tM1e Wo�k¢rs' Compensatlo0 Laws of CalifOrnia. Date ' Signature ' ' `NOTICE: It, atter making tnis tleUaration, you snoultl becoma subject to the Worke�s' Compen5dti0n p�ovi5iOn5 of the Ldbo� Cotle, you must forthwith�.. comply wittt such Orovi5iOn5 0� thi5 pe�mlt Shall b¢ tleemetl revokeE.. CONSTFUCTION�LENDING AGENCV ` � ' �� I horeby affirm thai there is a construction IenGin9 agency for tlie per/ormance �' o/ Ihe work� for which tni5 permit, i5 i55uetl (SecUon 3097 Civ. CJ � Lentler's Name LenOeYs AtlOress ' OWNER BUIL�ER dECLARAT101V ' 1 hereby aftirin [hat I am exempt from ttie'ConVactor's License Law for tbe �..unwino reasnn t5ection �031 S Rusiness antl Protessional Cotle: Any city or ApD��ant ta /ill in all s0aces excapt tnose witnin heavy CorCer Iines anE sign all appropriate PERjvll� N�O. �� TRACT NO. LOT NO. � - U�T U, �_ r c, ' � ' • _ T.YPE OF CONSTRUCTION NEW ' ADD ALTERATION RE � /�/ /yZ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ ` l 7 �[ EJ to file a SIJf12d 5[dICR1E0( (IIdI hE/StlE n ucensea pursuam co me provurona o� the COn[ractor's Lic¢nse-�,iw (ChaOter 9(commencing with SeCtion 7000) ot Divlsion 3 of the Bu51ne55 antl Prot¢55Ion5�Coae) or [hat ne/sh¢ is exemp[ therelrom antl the basis lor tne alle9etl exemption. Any violation of SecHon 7031.5 by any applican� for a Permit subje<ts the appli<ant to a civil. �e�dity of not mo�e lhan (jy¢ hund�etl t1011a�S (5500). I, as owner of the proPerty or my employees with wages as lheir sole <omPenSaliOn, will Oo Ihe wo�k, antl the st�uctuv¢ is not IntenOeC or otteretl ' IOr Sale (Section ]044, 8u5ine55 antl Profe55ional Cotle; Tha Contractor's License Law tloes not apply [o an owner of a property who builCs or Impmvez thereon, ana who aoes such work himselt/herseli or throu9ti his or her own employees, provltletl tha[ such improvements are not intentletl or oiferea tor sale. If, however; the bulltling or improvement iz solC within one year of com- pl¢UOn, the owner wlll have the burtlen oi proving h¢/She tlitl not builtl or im- �roVe tor the pur0o5e ot 5ale). I, as owner oi the Oroperty,'am exclusively contractin9 with Iicensetl con- IfaclOrs t0 Wnstruct the prOject (Section ]044, Bu5ine55 dntl ProfeSslonS Cotle: The'Contractor's License Law does not apply to an owner of property who ' Duilas or imo�oves tnereon, ana who contracts for such'pro)ects with a�con- tractor�sl license pursuap(�{o the Cont�actor'S LlcenSe Law). I am aware that prOo/ o( their Wo�ker's Compensatlon insu�ance shoultl be provltletl to me. ❑ I am exempt untler Sect�pn � B. &�P. C. for this reason 1 Date O� 1 hereby ce�tity�that�l have Intormationlis mrrect. I ae.n � entl State lhat the abOve ty antl county orainances i hereby authorize repre- mentlonetl property for Date� DESCRIPTION OF WORK/USE OF BLDG. ,' . T.VPEOFPERMIT� ' GRADING � FOUNDATION' STRUCTURAt � O TENANT ❑ ELECTRIGAL.-O PLVMBING ❑ MECHANICAL O OTHER PRQIEC7 DESCRIP710N 54. FT. oCCUPANCY� CONSTRUCTION TVPE - � VALUATION $ ZONE GF Ramarks: � Bar Sink � . � Backflow�Preventer � Backflow Irrigation ' Bathtubs � Clarifiers ' Oishwasher, Drinking Fountains � Floor Drains ' .. Floor Sinks — � ( GasService � Outlets " � Interceptors . Kitchen Sink . Lavatories � ' P-Trap -, � � Roof Drains' - '. Reinspection'Fee- � $15 Boiler ' i Duct - Under Gmund Duct-Sttuctural ' � Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. BIL ICBO # Heating System & Ducting ❑P100,OOO�BTU 0100,000 'l Orlvers' LicenSe or 55,$ ' Reinspet[ion Fee CMF 0865�46, rev. 30/84 White - Builtling; Canary - Appllcan[; Pink - Ac<ounting; Goltlenrotl - Assessor $15 A Showers � ' �v Service Sink � ' - Sewer Cap � Sewer Connection - Solar Collectors Solar Pipin9 � Solar Tank Swimming Pool w/Spa ! . Ufinel �- - ' - '- Water Closet Y � ' Water Heater . � Water Service � • Auto�WasH . - � I aundrv TraJs �. � . PAIR. � laue Fee� _ ' $ 3 Hood or T.ypel � `Canopy Type I I ❑ Refrigeration System ' ❑4100,OOOBTU ❑100, System Repair/Alteration FireDampers � Issue Fea A.P. # - S Main Buildi E T Front B Rear A C A�9ht K Left .S Ping. Ref. #, .Planning Notes: Automatic Washer "� Construc[ion Pale Sub. � Cooking Unit DiShwaiher Dryers ❑Gas ❑Elect� Fan F.A.U. Fixtures � - Device Boxes OuUets ' Switches Garbage DiSpoul ' Generaror �0.5 KW �! 6418 8/09/85 —� 2one Accessory Building: Parliing Req./Provided � � ELECTRICAL ' � - � Tiansformer ❑ 15-50 KW ❑ 50+KW 0 Meter �up to 100amps Meter ❑over 100 amps Sub Panel • ' Motors �41 HP �1 %- 8 Inc.Solar �9-15 HP �16-15+ � Microwave ' . ' Pole Light Range ' ' � ; Standing Sections' 5 KW Trash COmpactor � Reinspection Fee �$15 laue Fee FEES . .� DEVELOPMENT SERVICES RE�UIREMENTS: . � . j Zonin9 APProved BY r Building Approved By ApPliption laued BY � � ..�.. i. � S 3 I • 0 ;n.. '1 PEES $ 3 ' . SUMMARV OF FEES . . ; � BUILDING PERMIT $ � ; SMIP . $ PLAN CHECK � $ ' ' PERMIT ' � PLUMBING $ S� CCi i ISSUANCE $� � ,. �PLAN CHECK 25% $ � ENERGV P.C. $- i �ELECTRICAL � $ GRADING $' � -� PLAN CHECK 50% $ � � ' MICROFILM � 5 � � :• MECHANICAL � $ TOTALFEE $' S'�� PLAN CHECK � 25% $, ' ' , ' , � 2 O N 1, N G R E � M T S ��CONSTRUC710N AND PLANNING POOL &. � ' ' - APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical CondUit Utility-Undrgrnd: 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � 5. Steel Reinforcement �- 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation ' , ' 59. Gas Pipe, � Undrgrnd., Test � 9. Water Pipe-Undrgrnd. . � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System ' 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ; 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing System - Final 14. Rough Plumbing � 65. Electrical-Final 15. Rough Electrical-Conduit _ 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PIASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil 23. Gas Pipe-Rough & Test v� 72. Underground Flush 24. Roof Framing '� • � 73. Undergrnd.StorageTank OGas OOiI 25. Roof Sheathing � 74. Overhead Hydro - 26. T-Bar Ceiling (Structuraq �&� Monocoat 75. Dry Chemical � 27. Frame and Flashing t•' • 76. Dry Standpipe . 28. Lathing & Siding ', , 77. FIXED SYSTEM FINAL 29. ,Insulation � � 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power MeterFinal �. 80. FOOD CERTIFICATE ISSUED 33. Final Electric � - Notes: p��I �� Q 34. Final Heating & Air Conditioning � p S'�� . �T / 35. Final Gas Pipe-Test _ �e 36. Hood or Canopy � � � 37. Final Fac[ory Fireplace 38. Final Plumbing ' . , 39. Water Service-Fihal � . , 40. Gas Service-Final � � � 41. Solar pomestic-Final � 42. Backflow.Preventer 43. Backflow Irrigation � - , ' 44. ,Landscape Irrigation System � � 45. Sound� Attenuation � " 46. Handica'p Regulations - 47. FINALSTRUCTURE&BUILDING� - � � 48. Special Requirements Completed � 49. Electrie Release to Edison , . ' . ' 50. Gas Release to Southern California Gas Co . � 51. CERTIFICATEOF.00CUPANCY ' ' No Date CITY OF COSTA MESA � � . , CONSTRUCTION PERMIT ' �-`' Applicant's Mailinq9 -Addrea ' � ' ' � Prolec[ Address `�-��' ��T � 3 � ' ��/- Owner'sNa —'Dmo�-f �ohor�j�;L Addrea� �l3 ��,�% � S/ �/ii .i Applieant lo fill In all spaces azcept t�ose wit�in heary DorEer Iines anE sign all apOrooriale tleclantions, j• �IT, NO. � TRACT NO. LOT NO. BL . . . 3 � - 7a`7_ . . , . � - TVPE OP CONSTRUCTION - '� NEW ADO ALTERATION REPAI R �' ,� p ❑ CONVERSION ❑ DEMOLISH ❑ OTMER: _ , � DESCRIPTION OF WORK ' , 3 . .. - Aich/Eng., - Lice�sa No. Addreu � Contractor's Nam "'a'�- hone� Address (mailingl x-�"��S license No. � � LICENSED CONTRACTOR DECLARATION I'hereby a1/1rm lhat I am Iicensetl untler pravislons of Charter 9(commencinq miy II enze is 170 u�l t rce.antl�ow� o/ tha Buslness a�tl Profaislons CoOe, anA. Llunsa C � T L�<enu p�� Dale � 5 g u e '��`�� T� �°'^ - WOR RS'COMPENSATION DECLARATION, ' ItereEy afllrm that 1 have a certiflwie oi consent t0 se�fansure or a certNlcate Workers• Companutlon Insurance, or a<,��naq coDY ��ereof (Section �eo. un. c;�� .3 i (o // �� ._� PolicY No. ComDdnY - �erlH Ir Ilatl wil� tha Nty Bulltlln9 51 �/�� DatB �� ' AD�Iiwnt � �_:� �� i `� ExEMPTI N FROM WORKERS' COMPENSATIOH DECLARPCTION (Tnis saction neetl no[ be <ompletatl if the parmlt is for ane huntl�etl (5300) or Iessj. ' � ' I certily [hat In t�e GerfOtmSnce of tha work for wP��h thii perm�� Is Isiuetl I ihall. not employ any person in any manner so as to De<ortre suDject to tile Workers' Compensation laws ot Glifornla. Date �I9naWre NOTICE: If, after inaking this tleclaratlan, you shaultl. becoma subject to the' Workers' Companzatlon provlslons of the Labor Catle, you must�/orthwith tomply wlth Su[h OrOvislons a� tnis permlt znall be A88matl revoketl. CONSTRUCTION�IENDING ACENCV ' I hareby aftirm that there Is a conitructian Iantling a9ency for tha performance of the work for whic� [hii Oermit Is ;IuueO �(��t�on 3097 Civ. C.) Lentler'i� Nama � � Lentler'S AUEress � OWNER'BVILDER DECLARATION ' ' I hereDy affirm Mat I am_exempt'lrom lhe Contractor's� Ucanze Law for tne _�;Ye�`".,-L5 by any.appllunt tor a permit subjoctz ��e appilwnt ro a civu . ""3ilty af not mora than llve �untlretl Aollars (55001. � � I, as owner of tha �property or my employea5 wil� wa9es ai thelr sole wmpenSdtlOn' wlll GO [�0 wOik; dntl MB slruttura IS not InlenOeC ar of/OrOC for salo (Secrlon 7044, Business antl Protassiona� Cotla: The Coniractor's , Litensa Law Ooes not aDD�Y to 5n owna� of a proOeltY �'M10 bulltls or Improves ' • the�BOn, dntl who dO0z�5Uch w0/k hlmself/�er281f Or tnrough hls or �er own , em01oy ee5, p�Ovitlatl lhdt such Imp�ovaments a�e nOt IntOntlaE Or O//OrOtl /0/ � Sd10. If, �Owevl�, IhB �Ulltling o� ITO�ovam9nt IS 6010 wlt�ln One yea� o/ com- � pletlon, tne ownar wlll hava the burtlen o/ proving no/ihe OIO not Dulltl or Im• �rova for tha purpote o! sale�. , 1 I, d5 OwnBf Ot [f19 plopefty, am 8%CIUSIVBIy COntrdtting wlth,IICBfISBtl <011- tractorsto construct tne�pro7ect (Sectlon 7044, Busl�ozs antl Rofessions.Cotlo: . Tha Contractor's LJtense Law daet not apply to 0� o�+nar o/ property who ', bulltls or Improves lhereon, antl who contracts for such pro�acts with a com � �[ractor(5) Iicensa pursuant ta the Contrattor's License Law): . ❑ I am axempt unOer 5octlon , B. d P. C. for tM1ls roason � � Date Owner� � ' Drivers' License or 55 � _ CMF OB65-46 rav. 12/82 Whita - Builtling; Canary TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL � P.. P.9W � ❑ TENANT, � ELECTRICAL ❑ GLVMBING ❑ MECHANICAL � -pLNG. REF. qW O��OTNER , � �- TO BUILDING ' PRQIECT DESCRIPTION' S0. FT. � �� occVPANGv � IN ' CONSTRUCTIONTVPF' - VALUATION§ LEPTSIDEVARD ZON� GRA�INGGU.VOS. ACRFc ' PKG.SPACEREa. Remarku I Irrigation Sinks Sink ' es.. . � ShOwerS , ' Service Sink / � � PLUMBING - ' Sewer Cap ' ' $BNRr(�.OnnECtlon"- ' Solar Collettors � . Solar PiPing � . , Solar Tank ' . � Swimming Pool w(Spe ; Urinal Water qo � --- at H �� Ouuen _�� 'ee' �1 � f�r, : �t � f� ' 1.�. ' N ..•! .1\ _ � Boiler Duct - Under Grountl Duct-Structural ' Duct - Ventileting . . Exhaust System ❑ Multi Fiiepl/Fa[t. Blt. ICBO 51� Heeting�System & Ducting �te mat tha above- ' IJ6100000,87 county ortlinances i y autnorize repre- � Hood or T nea D Pe tor , , YPe � d.� �. Cano :� T " e ate • Registers I int; Pink - Accounting; Goltlenrotl -A55ossor ° ��a � . ' ' _ C�I. `� � � �`C.1� ction�Fee. $15 laue Fee . � $ 3 iANICAL Refrigeration System - ' , ❑aioo,000eTu ❑ioo,000eru' , �■ � �■ � �� _ �■ � STFEET WIDTH . SPECIAL CONDITIONS: _ AutomaticWasher Constcuttion Pole Cooking Unit , Dishwasher � Dryers ❑Gas ❑E,le Fan• F.A.U. Fiztures Device Boxes ' , 94�3 .a/26/D3 . �. � . BUILDING cargn� ri� er REAR VARD (TO P/L) ' RIGHTSIDEYARD , � ' PROVIDED � • � " PAHK FEE.S � � A..i, i _ _ . , Mecer Llover.100 amps . . _ . , �Sub Panel ' / U Sub Pole . , MoCors OO-1 HP ❑1'h-B Inc.Solar.O9-15 HP 016-15+ �Microwave Pole Light � , . _ ..Renge . ' _.. ' Sien ' StandingSections � TIeSh COmpeCtof � . . Garbage Disposal Generator �0-5 KW �5-15KW Transformer �15-50KW , ❑5U+ KW Meter ❑up tti 100,amps � ��9 APOrowd By ' Appliotion Approved 8� Application Issued BY L Reinspection M . � SUMfdARV OF FEES � ' � �BUILDINGpERM1T $ SMIP � � . $ � ' � PLAN CHECK, , � : $, PERMIT , .PLUMBWG � i: $ �� ISSUANCE $ � PIAN CHECK� " $ 1 ' GRADING '. � S, �ELECTRICAL $' � ��B I •• $ � . �PLAN CHECK� $ � MICROFILM ' $ �'MECHANICAI . $" � TOTAL.FEE $ � LESS PLAN CHECK . $ � , � ' AOVANCED PC i $ � � , , . ' � , , , ' FINAL FEE � ; E �'� ' � i � "_ '�CONSTRUCTION AND PLANNING� �_ �•-�, - -. . �- -s_� i _ � ---, �� ._��OL � -' 4 � - - -- , - '- - --- -- _ - •. Date' �'Inspector � � - - � � Date Inspe"ctor �- �APPROVALS.� Permit# - - - _ - � APPROVALS.•�Permit# _ � �. 1. � ._ . �� t� Temporary Electrical Service or'Pole' : N ."52: Pool &�Eguipment Location ' � �� .. . ... _. _ _. .. � 2': �Soil Pipe-Undrgrnd:'_ � � � � 1 � ' ' , .`..` � , �'53,� Steel Reinforcement � . � - _ ��` _ + .- 3: Electrical Conduit Utilitv-Undrgrnd. ' ' _ ._o . = 54 Forms ��, - - � ,, � � � , �� 47 Electrical Conduit-Undrgmd: -_ ` , � ' %^ �55:� Electrical Bonding. � �� - } -r '� . . . . 5. Steel Reinforcement' �, , � !� ' � � =''- � . ; 56.� Rough. Rlumbing'& Pressure Test ' -. 6. ElectricalUFERGrnd. '. -'� � 57:�APPROVALTOCOVER-GUNITE �� • - � � 7. Footings ' • ` . � ' , _ , � �I �58:� Electricai-�nduit-Undror�rl. � � ., - 8. Foundation. � � ' ' � :� ' , ' , " _ � 59. Gas Pipe,-O Undrgmd., Test � ' ' . � 9. Water Pipe-Undrgrnd. • �_ - - 60. Backwash:Lines, P•Trap, � Undrgmd. �:� • 10. Structural Floor System � 61. APPROVAL'TO DECK � , �. � • .� I11 . Property Sewer Line &�House Connection - • "' 62. Backwash & Receptor-Final 12. Se'wer Cap` � ',' � - , 2 �, ' � z � 63. Heater� &Vent-Final ' � 13. Roof Drains � � ' . . . - �_ � 64, Plumbing SYstem - Final r � ... 14. Rough Plumbing � ' - � - � ' 65. Electrical-Final= � - - - G 15.`Rough Electriral-Conduit't--'.' -" " � �-i''' '"'�' ; - ;" 66.�-Solai Sysfem-Final - � - �� . ' � , � 16. �Rough Electric Wiring �. �' i� --` r ' - - - � - ' - -- - - - r . . � ; j �� _ . 67., Fencing &-Access�Approval � - ' ' 17. Raugh_Wiring SignF ` .� � � � � � : j^ � _- ! ;" •, � �68.� QPPROVED FOR PLASTER�NG � - ' � = 16. Rough Electrical-T Bar Ceiling: � � - � =' 69.� POOL/SPA SYSTEMS FINAL ' � 19. 'Rough'-Heating & Air Conditioning �' - � �, � � = i � ; � FIRE DEPT. REQUIREMENT= �� ' 20. Rough�Factory Fireplace � ' � � � � , AppROVALS, Peimit# - ' ' � i I � i , 21. Ducts, in St�ucturen: �' i, �` ; � 70.. Underground Hydro •, 22o Ducts, Ventilefing '� � �I % � i + � . i � � ' � 71., P.roduct Piping O Gas ❑ Oil ' ' ,. 23. Gas Pipe-Rough & Test ,� � �.�- �� ! T I � '. .92.� Uriderground Flush � . _ � �`24". Roof Framing_ ' � , i � :- � �; j._ ; ;, � � � � � 73. Undergrnd. Storage Tank� � Gas .� Oil� ,. '� 25. �Roof Sheathing • � � � , "' .. � i ' ' � � '74,. Overhead Hydro _ � . 26. T-Bar Ceiling (Structuraq.& Monocoat- � � � ' , � : .75.� Dr.y Chemical � . ,� � � ' � w:27. Frame and Flashing - . � � ,; � ; � ' ' � _� i ' 76. Dry Standpipe • � . 28. Lething & Siding •., � �,; ' � � I �� 1 � 77.' FIXED SYSTEM FINAC j � � . , 29. Insulation `� • •: � � ' � ( � � 78J FI�RE PREV. FINAL � -30. Drywall Nailing , � . � ' � � ' ' ' i i No,tes:� ' � . � ' • � -i . - � �-� - . - -� -- .. 31. Plaster Brown Coat I j � � � ' . . 32. Electrical Power Meter�Final" � � � ! � I � � � , � j r I i 33..Finai Electric � � , , I � � j �� ; � � � ' ' . . 34. Final Heating &�Ain Conditioning ; ' � ; ' ' � � � ' 35. Final Gas Pipe-Test� � � ; � - '. - �' ' ,�. - I � ! � � _ . . _ - . 36. Hood or Canopy �' �. � � � r � ' ` ' , - ' , : ` -' . . - . �-� - 1 - i - i . . 37. Pinal Factory FirePlace � y : � �� « � �.' � � ' � '; � i' � � � � : 38. Final Plumbing � � � - , � . � � j ' , � j � . � r� .:. •,,: �. . � . . � I i 1 = �' ,-, , ; - 39. Wetor Service-Finnl. 1 _ . . . . . 40. Gas Service-Final � � � , I '� � ' ' . ' i ' • " i � � 41. Solar pomesticFinal 1 � ' � ` � � � � t- -'- -r - - - - -- - ---� -- 42. Backflow Preventer: i i `" � � . - � ' ' ' � ' . ' ' . � - � 'i- - � - +- -- - - � 43. Backflo`wJriigation � � . "� : , , ' � ; � �_ - ' � ' � ' � � • - � �z � I': _ � �- � .i � . 44. Landscape Irrigation:System � . � = ., i = � • � ' ' . � - - - � � � , , -• , 45. Sound ; Attenuation ' i �' � � � � • . � - � • . 46. Handicap�Regulations '� � � i -- � � , ' � . � ' � - - 47. FINAL STRUCTURE & BUILDING ` ', � � i � . � ! , 48. Special Requirements Completed, ' i , �� ' ! I � . � � � � � ; � - . � , 49. Electric Release to Ediion! � ' � � � � ,. � _ , . _i_ �_ � • ' ' � � � � i - - i-�'-T- - � 50. Gas Release to Southern Califomia Gas Co � , i i � , � 51. CERTIFICATE OF OCCUPANCY ' _' _ � . __ _ _ No. Date � � - - - -� ---- --- --... __ _ .- - �--- _ -- ` ,rsr -rmtt sTtt�e�r, �03 �\ � '� TR,�/c62 P�I2K � I13275 - 7-18-6i :� . � `, � . q�..,:� _c:•a/_ ec, . hail c ;�:C::3...::D � l 1j276 - �7_18-61 :_'.rc.c :;,r �:;i.•._��:. cP�;^��_;.... l'J -• � i13277 - 7-18-6i 'at..:_.__�_,., _ ,.:�;,.:�-� c:_:c�t.t.:�i �. l � ;.L;, c;.:tc3Li,._n wn ,o : =:r �� ...-(i , �14822 - 1-24-62 ....:�1: ��- -. res �� o=fi=ev+``��,955• '14823 - 1-24-62 - ;>-.;ec/tr.c.•:r 8,750. �14824 - 1-25-62 -'--- „ .._ 1,'c00. f3o732 - 1-25-� �"-; 'i:C (aater _ sece^) !15650 - i-24-6z ;:_�.� :,,a .:�j �_... ::c '15173 - 12-19-61 �:_ _:,;... _ 200. I15ki5 - 10-25-61 :' .::r,'__...: _ 0,840. 115418 - 2-2-62 se.tc-cct-=_ �c^1 4�200. I33u9 - 1-25-62 c_.>,. :ic (��r: :;�r.) �36340 - 8-i4-6z =� ��. ::c (..;.s.? k9 o86 - 4-22-64 ?�.�;;. ex �:t.,.; �k4279 - 10-14-64 Pz,.;. :ie i'.t.�.'; �k�8T3 - 8'6-� .._a�. S!r (�ei.. :00%-ui�) _�07 - 4-2- 'ri,.;. ?:c �:r. ;1 2633 - 6-12-64 c:c. i_'�;='`e`') A3o85 - 12-2-64 ?1'�C. i;C (:d.:;nS:cr.es) i24933 - 8-18-65 �__. ;:c :t=:='.::oc;:.:p � ;c_�>r) 62052 - L1-28-72 Plig. ^iC (:i.H.) 65�9.- 2-15-74 n1tia.:t,c. (',r.-.; 41548 - S-L1-76 Carpor[ Avning '1�038. 7�'-D - 12c�7c76 P7�^. ctc (,r_poC.exch) ,��106- Awninq for Tmiler 700. �� 8-339-7/28/81 Fbxt^h.Patio Awninq 6 . � . Patio F}icl. 3,000. , 5f645-� la�d9_$? �tlio l'.bJtY �ll�u.ro � � _ M6401 `�J��Place - '----- i------ "' Q- E 727 g Unit(1) _ — � �� Q ��.,�/ #47 t a��S COS�C�'=_ B-22504�� ;.($1,700.00] T } _ B-22503 -',...Pe-roof � s �l�0/6 4 .--- i e d OWNER RIST� A_ - JOB ADDRE55 903 West 17th Street Space 75 GENERAL CONTRACTOR S�n+a Ana Tan+ R Awn_Cn_� AP No. LOT TRACT F ECTIONS Si nature Date s�.� GAS WRTEA HOUGM PLUMBING PROP. $WR. LINE ❑ HOUSE CON. SPRINKLING SYSTEM MISCELL�NEOUS ROUGN XEATING RND 11P CONDITIONING TEMPOHARV SERVICE OR POLE UNDERGHOUND � POWER � ROUGH WIRING TRENCHES FORMS STEEL PEINF. FLOOR SYSTEM BOND BE�M STEEL REINFORCE $MEAiHING FRAME AND FLASHING � LATHING — IN OUT PLASTER, 9ROwN COnT S��UCTUR�L. FINRL ING. VENT., 0.EFRIG. AND A.C., FINAL PWMBING. FINAL ANO GRS TEST ELECTRIC, FINAL BUILOING, FINRL DATE SUBCONTRACTOR JOB ADDRESS Gas TDTlR! .. U DATE ] ure DATE GROUP TYPE / c,T SUBCONTRACTOR OF V OWNER KOLL, K. W. � DATE q_�� JOB ADDRESS 903 w, l�th Street BUILDING PERMIT NO. 151'j GENERAL CONTRACTOA Cart.Pr Si gn Cn. VALUE S 2p(1 00 AP No.11b-2li0-11 & 1�T TRACT FIIi� ZONE D�SCRIPTION OF WORKm___ __ __ __ INGPEC'I'IONS Signature DATE GROUP TYPE 7.ONE ` PERMI G� SUBCONTRACTOR ns,r;FT OCCUPANCY 0 ''OWNER KOLL. I JOB ADDRESS � GENERAL CONTRACTOR P AP No. 116-21i0-11 & LOT I*"'PECTIONS -1 i F 1_ TRACT � Signature FIRE ZONE DATP GROUPF-Q nnTE 7-18-61 BUILDING PERMIT NO VALUE $ pO.9�,00 DESCRIPTION OF WORK I-.TYP� V ZONE SUBCONTRACTOR 0 3uilding, Final � �'�� OCCUPANCY Ii _ 2 -L � OWNER GENERAL CONTRACTOR AP No.116-2ft0-11 & LOT IP"'PECTIONS -1 1`RACT (Laundry) tion, Inc. FIRE ZONP DA7T GROUP DATE 7-1if-61 BUILDING PEAMIT NO. VALUE S S�%50.00 DESCRIPTION OF WORK U' _� TYPE tr 7.ONE SUCiCONTRACTOR —'-"• /_� ._..in.a llVl+✓ CVR JrG\.L1Y RLVUIRLMGIY 1 J trl % � OWNER ((p�j, : JOB ADDRES: , GENERAL CO; AP No.11b-2Li I'""'nECTIONS F,. coat LOT (Shower & pool equip.) TRACT FIRE 20NE �Signature� DA1'E� GROUP DATE PERMIT NO. VALUE $ lqbl lll'sSCRIPTION OF TYPE n SUBCONTRACTOR — 7�61 {�OaU Q4wr � nvaW aLa� Jra.�.+r�� u.�vuv..�nr��.. _ pl tr: � OWNER ��r JOHN T.��_pLAYPORT ESTATES DATE 12-2-CO JOB ADDRESS � • • EUILDING PERMIT NO. - INSPECTIONS 1 rern�md Si OCCUPANCY Form 210-5M-11-59 5-B P E10CL84 VALUE $1�7�7•' THACT FIRE ZONE DESCRIPTION OF WORK DATE I GROUP TYPE ---I SUBCONTRACTOR I� PERMIT OWNER. ��, JOi�N T. PLAYPORT ESTATES DATE 12-2-60 JOB ADDRESS � BUILDING PER114IT NO. � GENERAL CONTRACTOR O • e eC e VALUE S � AP. No. �-b-� ' OT TkiACT FIAE ZONE DESCRIPTION OF WORK• rS:QtF3. C. a, IM�PECTIONS I DATE I GR(17iP TVP . 2nNF. I'81 .. SUBCON7RACTOR OCCUPANCY Form 410—SM-11•59 5-B P HOLD FOR SPECIA�L REQUIREMEN"!'S " 13z7S JOHN � PLAYPORT ESTATES GENERAL CONTRACTOR THACT FIAE ZONE � DATE I GROi]P Z' SUBCONTRACTOR OCCUPANCY DATE 12-2-60 BUILDING PERMIT N0. ' VALUE $ � • Form 410—SM-11-5fl 5-B P 13z�6 HOLD FOR SPECIAL RFCI[IIRFneFta�rc OWNER KOLL� K_�W. JOB ADDR�SS _qp3 W�15 GEN�RAL CONTRACTOR N AP No. 116-2�0-11-LOT I 'ECTIONS & -18 So�l OCCUPANCY :na�a aiie . tM _ TRACT � � Signature FIRE ZONE DA7`E � GROOP DATE q_�_�� BUILDING PERMIT NO. D�SCRIPTION OF WORK TYPE ZONE SUBCONTRACTOR �'} CITY OF COSTA MESA . � BUILpING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT � �--� PERMIT NUMBER E98-00815 (714) 754-5273 • Fax (714) 754-4856 _ 77-FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 903 W 17TH ST Suite No Vicinity: Parcel Nunmber: 42438107 npp�iwnt: DUNCAN, JIM Address: Owner: Address �. 1( '� % � 4� � ��' � �` �, i , �"�-, i /,�N ELECTRICAL PERMIT � � �'"�Phone�� 949-850-7042- �� P' � � � i L % � , /� � ��'"� � � ` /. i q.,� �1 �. � _ . , . /,� � � _A Status: ISSUED Appiled: 08/03I1998 Issued: 08/03/1998 i �, / - _ , YPORT MOBILE VILLAGE _ - .: �- -"-�-^�. �.� 4 � � � � \; �� INA.DE6_MAR CA� �� Phone � �� , , �� ' j �� °BBTIDE�RDi-ti� Zip: 92625 \��;��✓� % � ��,, �/i / . ; �. �, j ., _ �j \,\\\ j' �/ �\.\',\�.. /� / �� / //� .A�V•/ 1��. � � ;�/' � . :,�,, i, . ��`:� Y / „� Phone � ' . ..... \'��\ � � :. ';�� \ : . Zip I � •I� � I , . � r . ` �`�', , -' �� X �.r � ..�' ��a < P a \ \ . f License � - , �-.� 1� ��t 4 �� -� ,� ; /'%��'tu� 1- . ,.. . =.,^m"� �::e _.. ' ...r� .� �. � L � � � �;� n� ;��-r� %- �'� ' �. SCOPE OF PERMIT � � . � i.�' �V ��INST�NEW POOI�LIGHT, TIME CLOCK AND GFCI PER 116049.1.- -� �� ,�, . � � �� /' /s-- __'_" ' '__ _ _ " � � , "__-'_ _ - ��: �� .f Jf"' fia �l"=_ ",�:,�1�;� . _- '.� � y ` �� , ; � FEE-SUMMARY � : :. • � 'n ' , , � ��! '��- ��i ' �Quantlty 11 QuanGty'' ISSUE FEE � *'�,•� $22.00 � r� f �;.{;^`; _�_� �y-Temp,Dist'System/.Lighting� $0.00 0 � � 1, a � , �� Jemp service tesb \ r� : $0.00 «—_ .. . _ = � = - -Busway /100�ft t, - -- - $0.00 0 - . - Res. a/ipackage�,�(n,� $0.00 -'-'— -�"- -- -� � Standing Section ' $0.00 0' � � � �� New�Res (1-2�unils) �, �'?�` $0.00 �i 0 Misc Elediical'Equipment $1625 ,f = � � '�' " New�Res�(3+units) \��\\;,, $0.00 �,, 0 Transfoimers�uptol kva/kw' $0.00 i0 - � � ��- Pool (Spa `\ �\��... $0.00 � 0 up to 10 kva/kw $0 00 � 0 +�� Ligh4ng Fizts (�� '�� { $1.00 1 -up to 50 kva/kw $0 00 i 0 � � ; � �i , Recept Outlets \��-' � �� `� $1.W � 1 � , up to 100 kva/kw $0 00�:' 0 � Switches'\\�` \ i �� $0.00 � 0 � ^ '! � � :- over 100 kva/kw $0 00 = ' 0 �- � � � NonResAppl� , �$0.00 � 0 r;,, ��o�` 4owVoltage_Eqwpment $000�% 0 � ResAppl \�� =�; �$0.00 � 0 �,. �' �Low,VoltWiringSystemlCkt ,-.$0.00 0 ' � � � Service to 200a ,�� , $0:00 � - � 0 � ` �� ' Misc. Conduif . - - -$0.00 0 � - Service to 1000a �A, /�j$0.00�\ � _0 i , �- .� MisciCondudor- - $0.00-, , 0 � ' Service over 7000a�� <i $0.00� �` -0 - � � , �� ' Ci{cus ( gen�or nde) - $0.00✓ , 0 �� Motore to ihp � � �� C� $0.00� �0 _-`\, � � �� -i ��"Cirous`(mech�ride-or hghts) �� '$0.00 � `' 0= � � � Motors to 10hp � �,�A �$0:00 �i �� 0� �� -�� -��-. ; _ � CBnstrriasTree Stand` � �$0.00' �i0 � Motors to 50hp � $0 00 � �, .0 .. � - Fireworks Stand � � $0 00 ; , 0� Motors to 100hp � $0.00 �� 1r � 0-, �� Other ElectncabFee � � $0 00"'�,' � Motorsover100hp ��$0.00� .�;0 �,' � � �.-`� - � � � � -� � � � -`%� Communication drops $0.00 �`�.µ., 0�� . ,' f � ' ' - �, inve'sfigation Fee : ' ;' $0.00 Sub panel to 200a $0.00��. �- �``�0- -- � .��,Plan Check Fee . . � $0.00 Pole Ligh[ Pkg $0.00 -�,0 -, � �, . , , Reinspection Fee - � $0.00 Sign Circuils � � $0.00 0 �� . � .. - ' - Temp Pwr Pole ' $0.00 0 - TOTAL CALCULATED FEES 54025 Intertned Pole $0.00 0 COMMENTS / SPECIAL CONDITIONS EXP�RED Dax� 9 a / EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. - INSPECTIONS: in order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetlona end final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: . - I hareby eifirtn under penalry of perjury one af the followinq tlecleratians: ❑ I heve entl will meintain e certNicete at consent to seN-Insure for workers' compansatian, es O�ovided for by section 3700 of the Lebor Cotle, tor the peAortnence of the work for which �his pertnit is Issuetl. ❑ I hava entl will maintein workers' compensetion insurence, as required by saction 3700 of the Lebor Cade, for ihe perfortnance of the work for which this pertnit is issued. My workers' compensation Insurence cartier end policy number ere: Cerder: (ThIs �cG'ortneed not 6e completetl i/ Ihe permit is valued af ane orless.) Policy Number: ,0 I certify ihat in [he orm �ice oT�t ie work for which this permit is issued, I shall not employ eny person in eny manner so as to become subjact to Ihe workers' wmpensetlon laws f alifo�nla, end gree that if I shoultl become subJect to ihe workars' compensetlon provisions of Sedion 3700 of iha Lebor Cotle, I shell fotlhwith with ihese rovi ions � � — �� Applicent SI ture: � Date: : FAILURE TO SEC E ORK RS' COMPENSATION COVERAGE IS UNLAWFUL ANO SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED TFqUSANDDOLLARE($700, ), NADDITIIXJTOTHECOSTOFCOlAPENSATIIXJ,DAMAGESASPfiOVIDEDFORINSECTION3]OBOFTHELABORCODE,INrEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby etfirm ihet I am torcagpde8ect Lic. #_ 9(commencing with Section 7000) of Dlvlsion 3 of the Business entl Profe , ions Coda, and my licensa is In tull Cless # Date: � `�_ CONSTNUCTION LENDING dGENCY: ❑ I hereby affirtn that there Is a construction lending agency for the partortnance ot Ihe work for which ihis permit is issuetl. (Sec. 3097, Civil Code). Lenders Name: Signature: _ OWNER•BUILDER DECLAPA710NS: Lenders Address: oate: I hereby ettirtn ihat under panelty of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business end Professlons Code: Any ciry or counry which requlres a pertnit to consiruct, elter, Improve, damolish, or repair eny structure, prior to iGs issuance, elso requires Ihe applicant far such permit ro(Ile e signed stetement ihat he or she is Ilcensetl Dursuant ro the pmvislons of the Contractors License Lew (Chapter 9(commencing with Section 7000) of Dlvision 3 of the Business and Pmfessions Cotle) or thet he or she is exempt Iheretrom and ihe basis for the elleged exemption. Any violatlon of Section 7031.5 6y any applicant for e permit subJects the eppliwnt ro a civil penelty of not more than five hundretl Aollars ($500).): ❑ I, as owner ot the properry, or my employees with weges es thelr sole compensation, WILL DO 7HE WORK, end ihe siructure is not intentletl or ottered for sale (Sec. 7044, Business and ProFessions Code: Tha Coniractors License Lew does not apply to an owner of property who builds or impmvas thereon, antl who does such work �Imself ar herself or through his or her own employees, provitletl that such Improvements ere not intended or oHeretl for sale. It, however, the building or improvement is sold vnihin one year of completlon, the owner-builder wlll have ihe Durden of proving ihat he or she did not builtl or improve for purpose of sale.). ❑ I, es owner of Ihe property, am E%CLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business antl Professions Code: The coniractors License Lew doas not epply to an owner of property who 6uilds or Improves Ihereon, end who conirects for such prqect with e contractor(s) Ilcense pursuant �o the Contraclors License Laws.). ❑ I em exempt under sec. Signature: Owner ID verified by drivefs license. ❑ Ves ❑ No Business and Professions Code for this reason: Verlfication of Ownership by (type ot tlocument, i.e. - properry tex bill or tleetl): DIVISION OP INDUSTRIAL SAFETY PERMR CERTIFICATION: Dnvefs License No. Date: Expires: ❑ I hereby certiy that no excavatlon tiva (5) or more feet in tlepth into which a person is required to descend, will be made in connadion with work authorized by this permit, end t�at no building structure, scaHolding, talsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tltle 8, Celifomia Adminlstretive Code). ❑ As owner-builder, I will not employ enyone ta da work whlch would require a pertnit irom ihe Dlvlsion of Indusirial Sefety, es noted above, unless such person has e permit �o da such work from ihe division. Signeture: Date: Division of Industnal Safety Permit Number: CERTIFlCATE OF COMPLJANCE NJD AUTMORIZATON OF ENTRY: I certity under penalty of perjury ihat I have read ihis epplication end s�ete tha� lhe intormation given is correc�. I egree to comply with all stete laws and ciry ordinances releting to builtling construction, end euthorize representatives of the City of Costa Mesa to enter upon ihe ebove_descnbed property tor inspection puryoses. I egree no� to occupy,or.allow occupancy�otany,building authonzed by this permit until final inspection. COOE �. INSPECTIONTYPE 1816 Fi:etl System Finel Fire Prevention 1288 Pool Spa Final 200 Finel R�Roof 201 Finel Blxk/Reteining Wall 202 Finel Fectory Fire Place 203 Final Sign 204 Finel Demolition 2448de UAg U1�1965 y�. q � e7 �Hte ,r,.,� >r� i6; Date yppE� u�sveenoxrrre 206 Finel Mechanical 200 Finel Plumbing 210 Finel Eledrical 212 Finel Fire Prevention 220 Final Plenning Approval 222 250 Final Site Finel Builtling/Occupancy QAff Itii�lW o� AOP��ant to flll In all spaeas ezeeD� lhosa wit�ln heavy bortler Iinas a�C slgn all apprOp�iate tleelarations. ciT'�bF COSTA MESA CONSTRUCTION PERMIT ProjectAddress �2�1 �f% %%� Y Applicanl's Mailing Address Owner'sName � hone�yy%�5�� Address I�.Z7 p-��'t 4 aa-,�ee %%:6�� %�n� Arch/Eng. � - — Licenu No. � Addreu � Convactor's Nam q g .�i an Address�m �I' 1 OCG� L�i%��Y� Qui_ �� atYu�e��rvo. _a.21)9a2'/ . = LICENSED CONTRACTOR DECLARATION �� i' I I he�eby affi�m lba[ I am II<¢nsetl urytlet provi5ion5 ot Charter 9(coinm0ncin9 wfth sect(on 7000) of Dtvision 3 0( the Busfness antl Professionz Cotle, �nd my Iicense is in full i rce n efiect. ' • Licens CI s � Licen o. �2' oate � �y - 519 t � �0�% . WORKERS' COMPENSATION DECLARATION I bereby affirm that 1 hava a cerUtica{e of mnsent to self-insure or a certlflcafe +Worke�s' CompenSallon InSuranCa, or a ceitifietl COpy Ihereot (Sectlon 70, Lab. C. �r ✓� �_ olicy No. �0�� Company�6T � Ce�t!Ietl coPY IS f e=tlb'�'APPhcana��} di�Diiision,_ '� �t �/ ��fril��,�., � EXEMPTION FROM WOHKERS' CbMPENSATION DE ARATION (Thissection neetl not be tompletetl �f the perm(t is for one huntlretl (E100� or less). � 1 certity [hat in Me pe�Pormance oi the work fo� wM1ich th15 perm�t I5 Issuetl, I shall not employ any porson In any manner so as to become subject to the Workers' COmpenwtlon l.aws of GaUfomia. Date Si9nature �NOTICE: It, atter making this tleclaration, you shoultl become zubject to the Work¢rs' Compensalion prOvisions O( the Labor Cotle, y0u must forthwitb mmply with such provisions or this permlt shali be tleemetl revokea. CONSTRUCTION LENDING AG�NCY 1 hereby affirm [ha[ there Is a cons[n��t�on lentlin9 a9ency tor the per/ormance of [he work for wnich this Pehmit is issuetl (Section 3097 Clv. C.) Lentler's Name LenOer's AdO�ess OWNER BUILOEN �ECLARATION I hereby atflriT Ihat I am exempt f�om fhe Contrdttor'S LlcenS¢ l.aw for the �� following reason (Section 7031.5 Business antl Professional Cotle: Any city or � county which �aqui�es a pe�mlt to COnst�uct, alte�, improve, demoli5h o� �epair any struc[ure, prior lo its issuance, also requires the applicant for such p¢rmit to file a signetl slat¢ment thdt he/she is IicenSetl pu�suan[ to the provisions of the Contractor's License l.aw (Chapter 9(commencing with Section 7000) of OiviSion 3 of lh¢ Bu51n855 anG Prolessions Cotle) or that be/she I5 exempt `=refrom and tne basis for the allegetl exem0tion..Any vlola[ion of Sectlon 11.5 Dy any applicanl for a bermit subjec[s the applicant to a civll ,alty of not more than five huntlr¢tl tlollars (5500). .J 1, as owner of the proporty or my emploYees with wages as their sole compensa[ion, wlll tlo the work, a�d the structure is not intentletl or ofteretl for sal¢ (Section 7044, Bu5ine55 dntl Profe55ional CotlG: The COntractor's LiGense Law tlo¢s not dPPIY t0 an o�vner of a property who bui105 or improvei theteon, and who tloes suCh wo�k hlmselt/he�selt or thrOu9h M1Is or he� own employees, provitletl tha[ such improvements are not IntenOatl or offeretl for sdle. It, howev¢r, the bulltling or irhprovement Is soltl within one year Of com- pletlon, the Owner will hav¢ Ihe bUrtlen Of p�oving he/she tl10 not builtl or im- �1�ovB for the purpOse ot Sale). LI I, as owner oi the property, aT exclusivery cont�actinq with li<lnsetl co0- VactO/5 to <onstruGt tne pro�ect ($ection 7064, Bu5ine55 antl ProteSzlons Cotle: The COnt�act0/'s Lit¢nse Law tlo@s no[ apply t0 an owner ot property who Duilds or imoroves lhereon, antl who contracts for'such projects witn a con-, tractor(51 license pursuant to the Contractor's License Law). I am aware that proof o( (heir Worker'S Compensdtion insurance shoultl be provitletl to ma. ❑ 1 am exempt untler 5¢ctiOn 8. & P. O. (or thi5 reason TYPE OFCONSTRUCTION U NEW LIADD LJ ALTERATION fJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OT R �SCRIPTION OF WORK/USE OF BLDG. �� ' TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL ❑ TENANT ❑/ �ELECpTRICA�L ❑ PLUMBING ❑ MECHANICAL ❑-�OTHER I�Q� F-P�/ /� PRQIECT DESCRIPTION 5�. FT._ ��T � OCCUaANCY ' CONSTRUCTIONTVPE VALUATION$� ZONE GRADINGCU.VDS. ACR 0 Remarks: / �� ,]� —� Bar Sink ' Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks GasService Outlets In[erceptors Kitchen Sink � Lavatories , P-Trap - � Roof Drains � Reinspection Fee $15 Boiler Duct- Under Ground Duct-Struc[ural` ' Duc[ - Ventilating Exhaust Systein ❑ Multiple ❑ Firepl/FacL Blt. IC80 # Date Owner Heating $ystem & Ducting I her¢by certity that I have'reaG thls appliwtlon'antl state tbat t�e above� ❑0.1�,ODOBTU 01�,OOOBT information is corract. I agree lo cpmo�Y with all city antl county artlinances antl state laws relatlng to bullCmg construction, antl hereby authorize repre- s¢ntatives 01 1n15 City �to /¢�nler� U�pon the above-mentionetl property for inspectlon pur osez-'�� " � � Dnvars• �i�nse or 55 � Reinspeetion Fee $15 AF 0865-46, rev. 30/B4 Whita - Builtling: Canary - Applicant; Pink - Accountin9� Goltlenrotl - AsiesSor . �„ Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Hea[er Water Service Auto-Wash Laundry Trays FE laue Fee . � $ 3 Hood or Typel ❑ , Canopy Type II ❑ Refrigeration SVs[em ❑0.100,OOOBTU ❑100,000 System Repair/Alteration � Fire Dampers Registers Iswe Fee � $ 3 A.P. iW S Main Building: E T Front A Rear C Right g left Ping. Ref. # Planning Notes: eass iiz�ie6 2one Acceuory Building: � � Parking Req./Provided ' fLECTRICAL . Automatic Washer Construction Pole Cooking Uni[ Dryers LJGas LJElectric ' Fan F.A.U. Fixtures Oevice Boxes Outlets Swi[ches Garbage Dispoul Generator �65 KW �5-15 KW `Transformer �'15-50KW ❑ 50+.KW Meter ❑up to 700 amps Meter ❑over 100 am"ps Sub Panel Motors�0.7 HP O7'r5-8 Inc.Solar �9-15 HP �1E75+ Microwave Pole Li9ht Range Sign ; Standing Sections Tresh CompactOr � Reinspection.Fee . �$15 � .� luue Fee DEVELOPMENT SERVICES RE�UIREMENTS: Zonin9 APProved BY ' Building Approved 8y i�GDI1C8t10�1 ISSUBd BV � � � � SUM RV OF FEES BUILDING PERMIT $ SMIP PLAN CHECK ` S. D PERMIT ' $ PLUMBING � $ ISSUANCE PLAN CHECK 25% $' � ENERGY P.C. ELECTRICAL $ GRADING PLANCHECK 50% $ � MICROFILM MECHANICAI $ TOTALFEE PLAN CHECK 25% $ •ie.o:c T� 2 O N 1 N G R E a M T S FEES $ 3 C�NSTRUC710N AND PLANNING ` POOL 'PA . ' � _ `C .,, ` APPROVALS Permit# Date Inspector AppROVALS Pennrt# � � Date ' Inspector '1. Temporary Electrical Service or Pole 52. Pool & Equipment Location � ��2. Soil Pipe-Undrgrnd. �- .'i 53. Steel Reinforcement � 3. Electrical Conduit'Utility-Undrgrnd. � 54. Forms � '� �4. Electrical Conduit�-Undrgrnd. � 55. Electrical Bonding � , . 5� Steel Reinforcement. �� ' � . 56. Rough Plumbing & Pressure Test- .� ,`,�6.,.Electrical U�ER Grnd.^ / 57. APPROVAL TO COVER-GUNITE - � .., 7. Footings � � % 58. Electrical ConduirUndrgrnd. � � 6!Foundation -� � ' 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, O� Undrgmd. 10. Structural Flaor System ' �j `� 61. APPROVAL TO DECK 1.1. Property.Sewer Cine & House Connection � � 62. Backwash & Receptor-Final � 12. Sewer'Cap � ` ` - . . � � 63. �Heater & Vent-Final 13. Aoof•Drains ' . �� - 64. Plumbing System - Final _ _ 14. Rough Plumbing":' .; � � � 65. Electrical-Final 15. Rough Electrical-Coriduit 66. Solar System-Final . 16. Rough Electric Wiring - 67. Fencing & Access Approval _ 17 Rough Wiring Sign .• � , 68. APPROVED FOR PLASTERING 18. RoughElectrical-T,BarCeiling � 69. POOL/SPASYSTEMSFINAL 19. Rougli_Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20: yRough FactorY �ireplace � APPROVALS Permit # _ . 21. Ducts, in StrUc[ure 70. Underground Hydro � �22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil . �. 23. Gas Pipe-Rou9h"& Test . -• 72. Underground Flush - - � - 24..Roof Framinp � � _ 73. Undergrnd.StorageTank OGas ❑Oil �� 25.'Roof Sheathing � � � 74. Overhead Hydro ' � 26.'T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. �Frame and F�ashing . �76. Dry Standpipe ' , 28. �Lathing & Siciing � 77. FIXED SYSTEM FINAL 29. Insulation '• 78. FIRE PREV. FINAL � 30. Drywall Nailin9 HEALTH DEPT. REQUIREMENT � , 31. Plaster Brown Coat - � ' 79. FINAL INSPECTION 32. Electriral Power Meter-Final - 80. FOOD CERTIFICATE ISSUED � 33. Final Elearic Notes: • � 34. Final Heating & Air Conditioning � � 35. Final Gas,Pipe-Test � � � � . � � 36. Hood or CanoPY ' � � �� - � . ; ' . � , . 37. Final Factory Fireplace ' � - � 38. Final Plumbing , i � � � ' � � � � � 39. Water Service�Pinal - ,_ ' 40. Gas Service-Final � � ' i . � 41. Solar pomesticFinal . � - , , , 42. Backflow.Preventer, , � . ' ; � � ' 43. Backflow Irrigation' ' � ' . � 44. Landscape Irrigation Sys[em , � , �, 45. Sound Attenuation . � , � • 46. Handicap Regulations � . _ , - � 47. FINALSTRUCTURE&BUILDING . 2 `(7 � , , ' _ 48. Special Requirements Completed� � � � ; , 49. Electric Release to Edison ' _ � . _ _ � . 50. Gas Release to Southern California Gas Co , - ' � '� 51. CERTIFICATEOF'OCCUPANCY . No. Date - • . � . . ' . , � c ' i � � PXOJECPAO�flESS: CJ O 3 W 1 7 TA S1' OWNEN'SNPME: BOND, RUTH nooness: SAME PflCNIENGINEEH: AOOflESS: REG.NO.: UNIT: UNIT: . PEBMITTEE: Dw PAIN�, f 714 ) 545-5542 aooeess: I701 E EUINGER AV J3 sAT�A ANA CA 92705 • LICENSEO CONTHACTOB OECUINRTION: I hereby ai�irm I�a� I am IicenSeA un0er provision5 ol Chap�er 9(commencing wiN Seclion 7W0) ol �rvision 3 0l Ne Business and Pmiessons Code, antl mV license is in lull inrce and eifect. cirruc.:O5U472 sT^TEuc.:587036 cuss:C'l0 p � — 6— Signature: ��_ WOHNE S' COMPENSATION oECIAXRTION: I hereby atfirm Inat I have a cenificate ol con5ent to sell-insure or a cehilicate of Workers' Compensation Insurance. or a cerUhed coDY ��ereo� (Sec�ion 3800, lab. C�. voucrxo.:WP62811-9U-04 EIIP.ORTE: Ol�OlI9Z COMPaNY: PAC COMP r] Cenilietl covY is hereby leumishea. � Cenilie0 ca is ' 0 w' the ciry BuilOing Division. � ' � � �� ( � PpplicanC E%EMPTION FflOM WOflREflS' LOMPENSRTION OECIAflATION: Qhis Seciion nee0 nol0e COm01el¢U ii �h¢ permit i5 for One �unGrea (5100� or less�. I ceNly t�al in I�e petlormance ol t�e work �or which Ihis Dermi� is a5ue0, I shall noi emD�oy any person in any manner so as to hecome sublecl to ��e Workers' Compensa�ion Laws oi Cablomia. , Oate: Signawre: NOTICE: II� ailer making t�is Oeclaration, you s�ould �ecome sublect Io Ihe Workers' Campensation prOvisions o� �he La�or CoOe. you mu5i IOMwi�h tOmply wit� Suth pmvision5 or Nis permii S�ail be EeemeO revoked. CONSTXOCTION LENOING AGENCY: I here�y afiirm t�at Ihere is a constmction lentling agency lor �he pertormance ol the work lor wnich I�is oermn is issuetl (Seaion 3097. Civ. C). LENDEfl: aooness: OWNEB BUILDEH DECU1Hp710N: I nereby alfirm �hat I am exemp� iwm the Coniractors' State License Law for ihe tollowinp reason (Seclion 7031.5 Business and Pmlessional CoOe: Nny ciiy ol coun�y which requires a permil lo con5imci, aller, im0�ove, demolish, or reDair any slmclure. priar to i1s issuance. also repuires the applicant lor such De�mit to lile a signe0 stalement that helsne is licensetl pursuam w ��e pmvisions o� Ihe Comracmrs' Sta�e License Law (Chap�er 9(commencinA wiih Sec�ion 7000) ol �ivisian 3 0l Ihe Business anG Pmlesvons Cotle� ar Ihal he/she is eKempi therefrom antl Ihe �asis lor Ihe allegeG exemp�ion. Nny violation oi Section 7031.5 Oy any ap0�icanl br a permit sub�is the applican� �a a civil Denalty oi not more ihan live �untlretl Eollars (5500�. I. as awner of Ihe O�operiy Or my empInye¢5 vn�� waAes as I�¢ir Sole tampensa�ion, vnll tlo lh¢ work. antl Ihe ❑ simaure is no� imendetl oi o��ereU lor sale (Semion 70a4. Business ana Pro�essional Cotle: i�e Camractors' Staie License Law aoes not aoVty to an owner oi a pmpeny wM Luilas or improves tnereon, and wno Aoes sucn work nimself/herseli or thmupA his or ner own empioyees. o�oviaeA Ihat such imD�ovemenis are not inientletl or o�feretl for Sale. If, however the builainp ar impmvemenl is Sola vnthin one year of completion. I�e owner vnll have I�e Ourden o� O�oving he/she did nai builtl or improve lor Ihe DurO�se ot sale�. I. as owner of t�e pwperty, am exclusively conirac�ing wilh Iicense0 coniractor5lo constNtt I�e pmjecl (Section 7fMd, Busineu ❑ antl Pmlessions Cotle: The Comracmrs' State License Law tloes noi apDly to an owner of proOeM who �utlas or improves iAereon an0 vi�a conlratls for such prolects wilh a conlraciaqs) Iicen3¢ pursuan� lo t�e Contrac�a�s' Sta�e L¢ense �aw�. I am aware Ihal pmol o� their Worker'S Campensalion insurance shoultl be pmvided lo me. � I am erempl unaer Seciion: B. 8 P, C, lor Ihis reason: '�ate.L � , Owner. I tln hereby cenily iha� I am aware oi antl untlerslantl �he reQuiremenls ol Calilomia Healih an0 Salety Code Sectmns 255�5. 25533, antl 25594 ane I�at I or any fWwe �uiltling accupanl will/will no� (circle one) neetl lo complY wi�h 5ai0 s�ate codes and I�e requiremenls for a pennit lor conslmciion ar motlrticaiion Irom the Air Ouality Management �istrict. Fesitlential conSUuc�ion applica�ions are exempl Imm IAese piovl5ion5. � . . Oale: QDOlicani: I �ereby cetlily �nat I have rea� �his applicalion ane S�ale IM1aI Ihe a�ove inlormalion is correcl. I agree Io comply wilh all city and counry ordinances antl s�ate lavrs relating to buileing consimction antl �ere0y amhorixe representaiives ol ihis city to emer upon t�e above-mentione0 propeity foi ins esJion purposes. /�� -p�� J � �� Signalure: JC Orive�'s License or Social Seaniy »: �6aba6 W�ne—BuilOing; Green—CoDe Entorcemenl: Canary—ApO�icanl Pink—Revenue: Goltlenroa—Assessor /O-e?-9/ �`P�c . � : �� t__ �' CTTY F COSTA MESA —�UILDING PERMI'P YERM NO; M 0591�5• ^ PERMIT NO: M 054125 PI.AN CHECK NO; N GOVT; N SUPP: N �ONSTRUCTION 'PYPE: PERMIT TYPE: MEC PURROSE; OTH JOB DESCRIPTION : REPLACE 60,000 'BTi] FURNACE S(j FT: CLAIM VALUE: - CALC—VALUE: GROUP OCC: B-2 J CUMMENTS; * ` �t�t*+��tir*�tx��r�t**r*�r*�rx *�c�*�t�t�t*�t�x�r�*+t�tx�x�*x*�*ux�r+t**�**�t��*��r��*x•�ru*�tkM�'�,*�rr �t�r�rx* Z O N I N G R E Q U I R E M E N T 5 z ,' s E T B A c x s ° � a -------- --- MA�N BUILDiNG ---------- ---�------ ACt;ESSORY HUILDING --------- FRNT: FT rIN REAR: FT IN FRNT: FT IN REAR: FT IA LEFT; FT 'IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING RE(� PROV; FARCEL: 000 � E; REF NO: PLANNING Nf3TES> ) � �_�'/n� #��•7e R�. if•iFiFififi43f3FiFlEiFiEi(�i(�#k�lf3F3FiEklFifY.�ifMif iEif� �YM��(�j �tiE MiE1FfE3E#iFiE%�if3Eif3FIF#Eii�If3fifiE)Fif3z�iPK•if� D E V E U P M E N �(� ��2 t E S R Q U I R E M E N T S \J 20NING APPROVED;bY , 1l DATE: ' BUILDING APPRO APPLICATSON IS iF �f IF IE if lf if� M��E it 3F aF Ik iE if iF iF iE fF if iE iF KiE M iF # if� LEGALZ7.ATION:N D -BY : ED BY • �. � � 1f3FiFjF)EiE'i�'i�Sl'�� . IiiFiFlCiFiF3b#*iflF?Yi�' k1Eif�iFlFiF3E3F �. . '.` h $ S ..,•.. DATE: � DATE• 9� . �lEki4i(•it#F3Fic�;EiF s�RiF'fFi��iEK� 1tkiF#a N•+Fi6iEiE•iFi1�iFN��E3f•3"riFiF3Fi(�ieiFifiFiE3Eif•if1E STRUCTURAL SEGMENT:N HLDGjPMT PLUMBING .C: MECHANIC FIAE SMIP/RE5 GRADSNG PERMIT R 9'1St SMIP/NON—RES PLAN � ' ISSUE FEE ?; 15.00__�� BUILDING—D'IV—> � PERMiT ISSt7E PLAN—CHECR �- PAID DUE TOTALS----> 9.00 15,00 0.00 24,'d0 24.OU ,00 REVENUE DIVIS.IO TOTALS--> COLLECTED: 29:40 OVER/SHORT: 00 BLDG PMT LUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRAUING PLAN—CHECR Z�i . 00 a if iF 1F iE iF if� if j(- iF iF 3F iE iF �1F 3f f 1F �f if �7f If i6 i4 iE iF iFif 1E ih if �lt�k iF 1(.iF 3k iFiF iF 7E IF±f 3f 3f 3F If if fF if IE �F I'r K� K� if ib N� iF N�Y IF 141f if 3E 3F jc ?F iF 3E iP iF iF#F i� 3E if if !h �Z N D S V Z D U.A L F E E' B R E A K D U N N ._ TYPE QTY D E 5 C R 7 P T I O N UNIT COST TOTAL COST MEC 'Q' "� 1 N INST F77RCa3�IR/GRAVENDROF�FEESa K BTU 9.00 , 9.00 A 9 - . 4' O1 00098l50—�0098150 T O T 24.00 �ATE: 09/26/91 TIt!E: 10:06 PNOJECTFDUHESS�. 9Q3 W 17Tx ST OWNEB'S NAME: BOND, , RUTH AOOHESS: �r�E AflCHIENGINEEH: AOOflESS: flEG.NO.: uxiT: UNIT: PEflMITTEE: nW PAYNF: ( 714 ) 545-5542 RDDNESS: S%OL E EDZNGER AV J3 SANTA ANA CA 92705 LICENSEO CONTNACTOfl OECU1flRTI0N: I here0y af�irm lha� I am licensetl unaer pmvisions ol Chapter 9(cdmmencing with Section 7000� o� Divkion 3 0� ihe Business and Pmlessions Coae. antl my license is in �ull lo¢e an0 etl¢ct. ciTruc.: 050472 sT^TEuc.:587036 cu�ss: C20 pi�¢� / r Signalure' "� WOBKE S' COMPENSATION OECNBFTION: I hereby at�irm thal I have a ceniticale o� consenl to selbinsure or a cenihca�e of Worker5' Compensa�ion Insurance. or a cenified copy I�ereof (Section 3800, La�. C�. eoucrNo.: WP62811-90-04 E%P.UATE: OZIOZI9Z COMPANY: PAC COMP ❑ Cenitietl copy is hereby �umishetl. � Ceni�ietl co0 -5 f tl wi � �� e ci�y Builtling Oivision. 1-- Da ' '� Applicani: E%EMPTION FP M WOBHEBS' COMPENSPTION OECLAflFTION: Qhis sec�ion need noi �e comple�ed ii �he permi� is br one huntlretl ($100) or less) I cehi�Y Ihai in �he petlormante ol �he woB �or which Ihis permi� is issued, I shall no� empl0y any per5on in any manner so as �o betOme subleq to I�e Workers' Compensalion Laws ol Galilomia. Dale: SignaWre: NOTICF.I�. after making Ihis declaration. you 5houlA become sub�ec�to Ihe WorkerY Campen5aiion pmvisions o� Ihe Labor Gotle. you musl lorthwi�� comOty wiih such pmvisions or lhls permii shall be tleemetl revokeG. CONSiFUCTION LENOING RCENCY: I hereby aifirm ihat there is a consimction lenaing agency for tne pedormance of ihe vrork 1or which Ihis permit is issued �Semion 3097. Gv. C�. LENOEN: AOOflESS: OWNEB BUILOEfl OECUIHRTION: I herehy aHirm ihai I am exempi imm �he Coniracbrs' Siale License Law lor lhe following reason (Sec�ion 7031.5 Business an0 Pmiessional Cotle: Any ci�y oi counry which requires a De�mit b constmc[, alter, imD�ove, aemolish, or repair any slmCiure, Drior IO i�s i55uanCe, also requires �he aCPlicani fOf SUth permit �o lile a 5ignetl S�a�emen� Ihat he/She is licensed pursuant to the pmvisions ol ihe Coniractors' State License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Pmlessions CoOe� or �hat �e/she i5 exempl (herefmm and the hasis for the all¢ged exem0�ion Fny violation o� Sec�ian 7031.5 by any applicani for a p¢rmil su�leC15 IAe ap0litanf lo a civil penal�y Of not mOre Ihan �ive hunEreO Oollars ($500). I, as owner of Ihe pmDeny or my emDloyees wi[h wages as their sole compensalion, will tlo Ihe work, and Ihe ❑ slmclure is not imentletl or ot�ered for sale (Sec�ian 70d4, Business antl Pm�essional Cotle', The Conirac�ors' S�a�e License Law tloes noi apply �o an owner o� a pmDerty who builds anmpmves ihereon, antl who does such work himself/herself ar through his or her own employees. pmvide0 Ihat such impmvemen�s are no� intentletl or o��e�ed lo� sale. Ii, however the 6uiltling or impmvemenl is sold within one year of comple�ion, �he owner will have the burden ol pmvinA he/she tlitl not builtl or impmve �or �he purpose of sale). I. as owner of ihe Dropehy. am eeclusivety contracting with.licensed contractors to consimct I�e pwjec� (Section 7044, Business ❑ and Pmfe55ion5 CoOe: T�e Comractors' Siare License Law tloes no� appty to an owner of Dmpetly who bwltls or imPmves Ihereon antl w�o conVacis for such pmjec�s with a conlracior�s)license pursuant�o Ihe Coniraclors' Sla�e,license law�. I am aware thal proof o� ��eir Worker's Compensalion insurance shoul0 be pmviUetl �o me. � 1 am e�emp� uneer Section: B. 8 P. C. �or I�is reason: oa�e: owner: I tlo hereby tetlify Iha� I am aware ai an0 un0¢rs�antl �he r¢quirements ol Califomia Heallh an0 $aiely Cotle Seclions 25505, 25533, an0 25534 antl ��a� I or any IWure builtling occupani witl/will not (circle one� neetl �o compry wi�� 5aid Slaie cotles an0 �he requirements �or a permii for cons�mclion or mo0i�ica�ion Imm Ine Fir Oualiry Management �isVict. Fesidential cons�mciion applica�ions are exempt /rom I�ese pmvisians. Dale: QOPhcanL I �ere�y certity I�a� I �ave reatl t�is apDlication and sta�e Iha� �he above inbrma�ion is correct. I agree Io compty wilh all city antl counry ortlinances antl sla�e laws rela�ing Io Ouilding consimc�ion and here�y aNhorize represen�a�rves ol this city to enter upon Ihe ahove-mentionetl pmpany �ar ins 'an purpa[ses. � ll �_ Signature: � odvers �icense a� somai secudty ; Pmk—Revenue: Goltlenrotl—Assessor CITY OF COSTA MESA — BUZLDING PERMIT PERMIT NO: M OS4125 PLAN CHEC3C NO; N CONSTRUCTION TYPE: PEftMIT TYPE; MEC JOB DE5CRIPTION : REPLACE 60,000 BTU FURNACE CLAIM VALUE: CALC—VALUE: PERM NO: M 054125 GOVT: N SUPP: N PURPOSE: OTH SQ FT; GROUP OCC: B-2 / COMMENTS: � *+t*�*��+��r*�r�**�t*******�t****��t*�t�r***�t�r*+��*��***�t+�*�r�t*�t*�c�****�r***�**�� r*��r*u��t*+t��t Z O N I�`1� GS ERTEBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ • PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING Ni77'ES> � 1F �F �E iE IE �E 3E if 3f if 1E 3F jf� 3F iE iF If IF IF 3F IE iF iE iF iF if iE iF 3! iE iE 3f 3k �f �f iF If iE iE iF 343E iE lF 3E IF 3E M iF if �E �E iP �E IE �f iE if 3F iE iF iflF iF jE �IP iF iE iF �f 3f k i! le lF iF # 3f iF D E V E L U 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 , HUILDING APPROVED bY APPLZCATIOt3 ISSUED BY: iF if 1E if if �FlE if iE ik iF iE ik k iF iF IF 3E 3E iF if iE 1fiF*iFififif3flfifiF�fiF�fiFiE1F3F3FiEiFifiEiEifiEiEiFiFiFiFiEiFiEiFififiEjf jEiFiEiE LEGALZZATION:N F E E S U M M A R C. BLDG PMT PLUMBING ELECTR.IC'`' MECHANIC PERMIT y ,:j � , 9,00 �-� 253 DATE; DATE: DATE• * �e � � �r+� �r x � *��s3��r �r iF iE �if it if if 1f if iF iF iE # 3F jE iF lE 3F iE 1E 3E 3f #F iF iE iE if if if iE fE � Y STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING SMIP/NON—RES PL'AN ' ? � ISSUE FEE ` 15.00 BUILDING—DIV—> . PERMZT ISSUE P,L•A�—CHECR TOTAL PAID D"JE TOTALS----> 9,00 15.00 - 0.00 24,00 29.00 ,UU . :� REVENUE DIVISION TO'tALS--> COliliECTED:;'.: 24.00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC M�CHANIC;� FIRE SMIP/TUT GRADING PLAN—CHECK `: 2,4 . 00 ` '� � . iF�E iE If IP iF iE if K if 1E if ik iE iE 3F iE� 3E if 3f iE 3F if iE if iE if iF if 3f jk iE iB iE 3F iFiE iF 3E�3E 3E�3E iE 3E 16 iFiE if iE iE �f N N� iF if iF iP 3E �E iEif aF iE 3E iF 3F iF 3f iEjE 3f 3E 3f )f IF iE fE If I N D I V I D U A li � F EE; E $ R E A K D O W N r TYPE QTY D E 5 C R I P T I�O N" UNIT COST TOTAL COST MEC i INST FORC—AIR/GRAVSFURN�'<''100 IC BTU 9,00 9,00 .END,. OF 'F�ES � � • . ,� F' ' i, ? � rr: � � � . .'! / . +r," '.. _�l � '�� .,,' �`. 01 OD79�a i0-'�1i7�IF��5C� `P'a^�,+ �.- .''t�:�!• DATE: �9/:bi4i T:�E'c: trs76 i �� CONSTRUCTION AND� PLANNING % POOL & SPA � � ! Date Inspector Date insp ctor APPROVALS Permit # � APPROVALS Permit # g i. Temporary Electrical Service�4r Pole ; ir . 52. Pool & Equipment Location � '� 2. Soil Pipe-Undrgmd. • � �_, li� 53. Steel Reinforcement � , 3:`�lectrical Condu'it Utility-Undrgrnd. - ' 54. Forms � .'4: Electrical Conduit-Undrgrnd. � �� ' � 55. Electrical Bonding ,y� �� 8. Steel ReinforcemEnI� '�� 56. Rough Plumbing & Pressure Test � � .6. ElectricalUFER�Gmd. ... 57. APPROVALTOCOVER�GUNITE = 7. Footings � 58. Eiectrical Conduit-Undrgrnd. 8. Foundation ` 59. Gas Pipe, � Undrgrnd., Test -� !.j 9. Water Pipe�Undrgmd. '�� v� ' 60. Backwash Lines, P-Trap, O Undrgrnd. l� � ., r . 10. Structural Floor System '1-,��.� I 67. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap � 63. Hea[er & Vent-Final 13. Roof Drains 64. Plumbing SYstem - Final 74. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final � 16. Rough Electric Wiring � 67. Fencing & Access Appioval 17. Rough Wiring Sign 68. APPROVED'FOR PLASTERING 18. Rough Elecir±cal�T Bar Ceiling 69. POOLISPA SYSTEMS FINAL 19. Rough Heating & Air Conditioninq ' FIRE DEPT. REQUIREMENT ' 20. Rough Factory Fireplace � ' - � _ . _ � AppROVALS -Permit # . 21."Ducts,in�Structur;e. . . � . 70. Underground:Hydro 22. Ducts, Venti7ating - • � �71, product Piping OGas ❑Oil 23. ;Gas �Pipe-Rough & Test , �,' . „ _ � 72. Underground Flush= • - 24.�Roo1 Framing . • � > _ ' '73.'Unde�grnd".StorayeTank OGas ❑Oil 25. Roaf Sheathing ' . `' - ' 7q,'Overhead HYdro 26. T-Bar Ceiling (Structureq & Monocoat • . 75. Dry Chemical . 27. Frame and Flashing� ��,3 F �;�, . 76: Dry Stand`pipe �' i : � 28. Lathing & Siding -. . a� �' �. � � 77.. FIXED SYSTEM• W NAL � �29. Insulation , . � . � � � 78.,FIRE PREV. FINAL �30. Drywall Nailing �� - � I' - HEALTH�DEPT. REQUIRE�MENT l.o ... _ . 31. Plaster Brown.Coat . � ,.. � I , �' ' ,79. FINAL IN5PECTION : - ' i 32. �Electrical.Power Meter'Pinal � � . � I ' , :80. �FOOD CERTIFICATE ISSUED 33.�Final Electric, ` ,, y '� ' �� Notes:/d'('9/ GqnL�iL, P,C4.M71%� Tf}9�GM'`� �34. Finaf Heating��& Air.Conditioning �� . .'��.^,.�� 4 aQ� �0.� ��p�. �� N�� 35.'Fina� Gas Pipe-Test' �" � . �� ' �� ' � -�0-��1-_I.`�� _T��_T� �- :36. Hood or:CanoPY , , . Y ' (�/�1 � . -�� - p, ��r - � � � . - �'X�-l/JOJ�s !QG /st-EH'�t.rN.fy�.�� 37. �Fina'I Factory Fireplace.� ' � ' . 1 IJ �� ' ` • ` .. � . . ,�� . 38. Finai'Plumbing , � ,-. � ;� :. � � � "�39. Water Service-Final�` - � ' � % � - � '� � �Y • ,40. Gas Service-Final � .. , , „ " , „ � 1 . ; � . . �41. Solar pomesticFinal �' - � j '!' � � . _� 42.'Backflow Pre�enter�, � r� � ' � � " 43. Backflow Irr�yation` ` � � � ,- -, .lj ` y i44. La�dscape lrrigatio� System S -� . , - - . l, , ,. ' . '� . ' � �45..Sound Attenuation` �' �� • � � , ,1_'�; , � . . � 46. ,Handicap Regulations - `� ^ � 4 ",� ', - . 47.�FINAL STRI'1CTURE & BUtLDING • `'� �. • '� _ c n � �•- ' 48.��FIN'AL PLANNING, . �� •� � 5� �, � . � � � :49:_Electric Release to Edison . � ' �'' - r � . � , . � ��SO.,Gas�ReleasetoSoufhernCaliforniaGasCo - � � %�, ' , . - � • . 51. CERTIFICA7E OF OCCUPANCY � , . No. Date _ . . .�. r BUp.DING SAFETY DE^ R'PMENT N� }1554 � P. O. Boa No. 317 Costa Mesa, California � Date� — .�, —. Er a� CITY OF COSTA MESA � CERTIFICATE OF OCCUPANCY Building Permit No/ U� �� E/lectrical Permit N�o/ Plum�+bing Permit No Use of Buildino ! ��_�(if ��1 ' �: ��f � a : �i:Y�Z.-a-rK"d. Th'e buitding located a* . � �t) � �_� �.�P !� % r��i � !��a a ,J'� i. — � � Legal Descriptio* � (See reverse side for Mctes and Bounds) Las been inspected and found to comply with the provisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group �^�-� %- Occupancy. ISSUED TO: �y�y g��g Official � ;7/ .: a.� - : �> �..p.0 .� r � � (Owner of Building) B7 ��,T.... ,� ' !�r'�.? .= ."c,wt� CC: ❑ Original—Owner Ist co —Gas Co. ❑ 2nd co � ❑ py py—Edison Co. ❑ 3rd copy�FYle Form 208 SB P IM 1-60 V -1,� Aoolicant to flll in a11 soaces exceo< <�osa wilnin heavy CorEer linas ana sign all appropriate tleclantions. CI� COSTA MESA CONSTRUCTION PERMIT Projecl Addre55 � W � �7� �T Applicant's Mailing Addreu � - �� Owner's Name �1 Addreu S�j � �7•}-h s"(�Tone ArchlEng. License No. Addreu Contracto 's I��I • • 1' �^P�-{ � Address�mailingl 5�� l� HI%"'• �• Ciry Licensc No. � �CJ�� LICENSEp CONTRACT00. DECLARATION I hereby allirm chal I am Iicensetl untlor provisionz ot Charter 9(commancing w{th sectio/n� 7000) 01 Divislon 3 01 tne Business antl Profassions Com, antl LlcelnsenClSui II fo arla rjlpcj. ic se � � — CJ�i� 1� Date_rJ.l�( Slgnature WORKERS' C MPENSATION DECLARATI I hereDy aitirm lltat I hdve a certiflwte Of con5ent to selt-Insure Or d CartHlcate f Workers' CompenwNon Insurance,�or a certifletl copy thereof (Sa<tlon 300, Lab. C. /�y�'1 Policy No. � Company �v �� n""•[ifle0 copy IS h¢reby f��m�;�>h�� i. �1��{�}+� �EMPTION FROM WORKE'RY�lCIOfPEN5AT10N DECLARATION' (Thls section neetl not be compl¢[etl if the permit is for one huntlretl (E100) or lessl. 1 certity that In the perlorman<o ol ihe work for which thls perm�t Is issuetl I shall not employ any perzon In any manner so az to becoma zub�ect to t{�e WOrkers' CompenSaUOn Laws of Cali(Omia. Date Signature �NOTICE: II, atter making lhls tleclaration, you shoultl become suDject to lhe Wo�kcr5' Comp¢n5alion prONSions of tne LabOr Cotle, you musl forthwith comD�Y �+�th suc� provtsions or this permit s�all be tleemea rovoketl. CONSTRVLTION LENDING AGENCV- ' ' 1 nereEy alfirm that thero Is a conslrucl(on lentlin9 agenty tor the performante of lne wOrk for whlch lnii Dcrmil ,Is issuatl �(SettiOn 3097 Civ. C.) l.antler'S Name . . LenCer's AOErest , OWNER BUILOEN OECLARATIOfi I hereby atflrm that I dm ezampl Vom the Contractor's LIC¢n5o Law 1or the tollowing reason (Settion 7031.5 Buslness antl Professional Cotle: Any cily or county which reqWres a permit to con�truct, alter, improve, tlemolizh or repair any stru<ture, pdor to its issuance, also reqWres.the applicant tor suth permil ' ', [o t0e a signatl statement that he/she Is Ilt¢nsetl pursuant to lbe prOvisions of Itne Contractor's License Law (Chapter 9_(commencing with SecHon 7000) of Division 3 of tbe Businezs antl ProfeSvons Cotle) or that he/she ii exempt 'herefrom anB the basis for the allegeU exemptlon. Any violation of Sectlon )31.5 by any ap0licant tor a Pe�mlt Subjects the applicant [O a clvil enalty oi noI more Ihan five huntlratl tlollars (E500�. ❑ I, az owner ot tne property,or my�employees with wa9es as their sole compensalion, will ao the work, antl tne slructura Is not Intentletl or offeretl ior sale ($ection 7044, Business antl Professional Cotle: The Contratlor's h'ereon, dntl whOntloeB such w0/k hlm5elf/ber ePf OYthnoughllhis o�'her�own employoes, prOvltletl thal Such ImprOVCments are not InteOtletl or oHoretl 10f 5ale. II, howevBr, t�e bulltling or improvement is soltl within one year af com- � pl¢lion, [he own¢r wiu huw tne burtl¢n of provin9 he/she tlitl not builtl Or Im• p/OVB fo� Otc purpoSn ol5alej. ' ❑ 1, as owner of thn property, am exclu5ivaly conVactln9 wltM1 Ilcensotl eon- Vaclor5 to conStruct lho OrOjOC[ ($ecllon 7044, BuSin¢55 antl PrOfe551on5 COtlB: The Contrac�or's LlcCnse Law tloes not app1Y to an owner of prop¢rty who builtls or improves theraon, antl who contracts tor zucn projectz wlth a con- tracior(s 11<ense pursuant�to the �Conlractor's License Law). I am awaro t�at prOot o� Ineir WOrke�'s CompenSaUon insurance shOultl bB provltled to ma. ❑ I am axempt unOor 5¢ttlon B. & P. C. for this reason Date - Owner 1 hereby cerUty that 1 hava rea� information is conect. I agree lo antl state laws ralatin9 lo builtlir sentatives ot th" tlty to t r InsPection purPa Signature Drivers' License or 55 � � 1 this applicalion antl state that the above comply with all <ity an0 county ortlinances g construction, antl hereby auNorize re re- np n - Applicant: Pink - Accounting; Goltlenrotl - Assessor PLUMBING Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Weter ClOtel Water Heater � Water Service � Auto-Wash i��..A.vTrave ' � Issue Fee Hood or Type I LJ Canopy Type I I ❑ , 0 RefrigerationSystem ' Oaioo,000eru Oioo,000 System Repair/Alteration Fire Damperz Registers Iszue Fee n 5 3 $ 3 Automatic Washer Construction Pole Cookin9 Unit Dishwasher � Dryers �Gas ❑ Fan F.A.U. Fixtures Device Boxes Outlets $witches Garbage Dispoul Sub. lectric 8627 7/01/86 � Zone Attessory Building: � Parking Req.IProvided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel Motors �0-1 HP �1'h-8 Inc.Solar �9-15 HP �76-15+ Microwdve Pole Light Range Genereror �0�5 KW 05-15 KW ; Standing Section: Trash Compacmr ' � Reinspection Fee �$15 � � Issue Fee DEVELOPMENT SERVICES REQUIREMENTS:� Zoning Approved By Building Approvad By � Application laued By 5.00 Tl� Z O N I N G R E � M T S FEES � , SUMMARV OF FEES � BUILDING PERMIT $ SMIP $ ' PLAN CHECK $ PERMIT ' � PLUMBING $ � ��UANCE ' $ PLAN CHECK 25%' $ ENERGY P.C. .$ ELECTRICAL $ GRADING $ PLAN CHECK 50%�$ MICROFILM $ MECHANICAL �$ TOTALFEE $ ��s '� PLAN CHECK Z5% $ ' ; ' CdNSTRUCTION ANDPLANNING � POOL. A W�PPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector Temporary Electrical Service or Pole. -� 52. Pool & Equipment Location 2. Soil Pipe-Undr�md. .� : 53. Steel Reinforcement . 3. Electrical Conduit Utility�Undrgrnd. 54. Forms 4. Electrical Condui[-Undrgrnd. � 55. Electrical Bonding _ 5. Steel Reinforcement ' ' 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - . 58. Electrical Conduit-Undrgrnd. 8. Foundation . 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System , 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Finat 12. Sewer Cap , 63. Heater & Vent-Final 13. Roof Drains . '� 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical•Conduit 66. Solar System-Fina� 16. Rough Electric Wiring 67. Fencing & Access Approvaf � 77. �Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # . 21. DuCts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test , 72. Underground Flush 2Q. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74, Overhead Hydro' 76. T-Bar Ceiling (Structural�,& Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL � 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED // 33. Final Elecvic Notes: �_ _ �i ` I 34. Final Heating & Air Conditioning I,r� i 35. Final Gas Pipe•Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing j'i� 39. Wa[er Service-Final `�-`� �� 'Tt 40. Gas Service-Final � h 41. Solar pomesticFinal � � . , 42. Backflow Preventer � � 43'. 8ackflow Irrigation r,,,� "� � 44�r Landscape Irrigation System �� 45- Sound Attenuation a jc,� , � 46: Handicap Regulations �� 47:' FINALSTRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 503Gas Release to Southern California GasCo 57� CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all iDaces exceo< t�oze wit�in heavY Dortler Iines and sign all appropriate tleclarations. �y oF'C`�oSTA �� 3�O,'N1STR��TION P RMIT PER N�� _ 1 TRACT NO. LOT NO. UNIT NU. . Projsct Address _�f l �t� AppliCant's Mailin Address � TVPE OF CONSTRUCTION �,NEW • ADD ALTERATION ' REPAIR � ,,/ ❑ CONVERSION' ❑ DEMOLISH ❑ OT�Hf� � A p � Owner's Na'm/e ��`/, � Phones[7y�O�d DESCRIPTION OF WOFK/USE OF BLOG. L'S�� - ��-+'�^-� Address .(1�7 u��'� �� ' ' S MainBuild E Arch/Eng. - . LicenseNo. TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL T F�ant Address ' ' ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL � B Rear Conqactor'sNam $' Phone��L�7y� �'OTHER ^ ' � � - A . �G v � �� OCCUPANCV K 9 / �— PROJEC7 DESCRIPTION SO. F.� �0 C Ri ht Address (meiling) -- , �v��y- , CONSTRUCTIONTYPE VALUATION$��D� g L2F[ Ciry Litense No. - ZpNE � GRADING CU. VOS. ACRES LICENSED CONTRACTOR OECIARATION Ping. Ref. # 1 he�eby aHirm that I am licensetl nPtler p�ovislons ot Chart¢� 9(comrnenc{n9 Remarks: �p 9�_, �yf�/ �,� ',� _� f �°�oM °�� Alanning Notez wi[h sectlon ]000) of Olvislon 3 of the Business antl Professions Cotle, antl � my Iicense'is in tull for e antl�ftect. LJCCI� L SS �-� �`�r� J CQO58, O. � Date� �� Signature � y WORKERS' COMPENSATION DEC�RATION `ereby�atfirm that I have a cerUfica�e ot consent to self-insure or a certi(icate Workers' Compensalion 'Inwrance, or a'cortifietl copy thereof (Section J0, Lab. C.� / �/.� /�� Polity No. �QL 31�7 Company �✓� '-'«'�r'" Certifietl copy Is hereby fumished. CerNfi �op�j is filetl with the.ciCY Bu m9 Divisi�i D te� ��y' •�C APPlitant��'dGL�//�� E%EMPTION FROM WORKERS' COMPENSATION DE ARHTION - (Thi55ec[ion need not be COmpint¢tl if the permi[ is for One huntlr¢tl (5100) or less). I certify that in the perfOrmance Ot [ne work fo� w�lch Mis pCrm�t isASSu¢Q I� zhall not employ any person in any manner so as to Decome subjett to the Workers' Compensation Laws of Cal�fornia. ; , �ate Si9nature � � �NOTICE: It, atter making lhis tlecla�atlon, you shoultl becoma subject to the Workers' ComOensalion Drovi5ion5 of [h¢ Labor Cotl¢, y0u mu5t fOrthwith compry �with zuch Orovisions or this Oermit snall �e tleemetl revoketl. � CONSTRUCTION LENDING AGENCV - ' '� 1 nerety attirm that there Is a conStN«�on Ientling a9enty to� the per(o�mdnce I of the work for whiCh IhiS pelmi[ i5 i55u¢tl (Settion 3097 Civ. C.) '�, Lentler's Name � - � �� LenGer'i AdOrest , OWNER BUILOEH �ECLARATION � • I hereby aftirm tha[ I am exempt f�om the Con[ractor's License Law lor the ' following reason (Section 7031.5 Business and Protessional Cotle: �Any city or county wnich requires a permit [o conslruct, alter, improve, �emolish or re0alr , any st�uc[ure, p�lor lo i[T issuance, also requirez the applicant for Suth pe�mit �o fi�le a signea statement tnat�he/sne is IicenseQpursuant fo lhe provisions of o....... .,,.�� i trP�cn i a.� rcnanter 9 fcommencina with Section ]000I ot � ref�om antl tbe ba5iz fOr Ihe all¢9etl ¢z2mption. Any vloldtlOn Ol Sectlon i1.5 by any applicant for a Oermit sub7ects the applicant to a civll nalty of not more than five huntl�ed tlollari ($SOOj. � . .� I, as' owner of the property oY my employees wlth wages as [neir sole tom0en5ation, will Oo th¢ wo�k, antl the sVuclure i5 not inten0etl o� otteretl tor Sale (Section ]044, Business tntl Profesiional Cotle: The Contrac[or'z �icense Law tloe5 not apO�Y to dn o�+'��er ot a property who bullCs or Improvos � ihereon, antl� wnq tloe5 Such wo�k'.himself/he�self or.thrOugh M1is o� he� own employees, p�ovitletl that such Irtiplovemenl5 ar¢ nOt Intentlatl or offeretl 10t sale. If, however, Ihe builtlin9 or imP�ov¢men[ I5 soltl wl(hin on¢ year of com- Oletioq [he owne� will M1ave [he buftl¢n of O�oving hC/She Eitl not builtl or Im- p�ov< for the purpOse o1 sale). , � ❑ 1, as owner of the pro0er[y, am exclusively cont�acting with lic¢nsed con- t�actor5 to tons[ruct th¢ Praject ($eClion 7044, Busin¢55 antl PrOfe55ion5 Cotle: The ConVactor's License l.aw does no[ appry to an ownerof property who builtls or improves thereon, antl wno mntracls tor such projects witn a con- i tra<[or(51 Ilcense pursuant�to the CQntractor'S License Law). I am aware lhat proof of lheir Worke�'s Comp¢nsa<�on insu�ance should pe provitletl to,me. ❑ I,am exempt untler Section , 8. & P. C for this reason Date Ownen_ I h¢reby certity Ihat I have reatl 4��5 appliw[ion antl stato that the above inlormation is wrrect. 1 a9ree to comply with all clty antl counry ordinances antl state laws relating �to builtlin9 constructlon, antl hereby authorize re0re- sentativ¢5 of �[his city to ente� UPon the abOve-mentioned property tor inspection pur ses. , / ��Fcn` Signature �/�rfclNx-K � � � 3ar Sink 3ackflow Preventer . 3ackflow Irrigation 3athtubs � . . Clarifiers - - • - � Dishwasher ' ' Drinking Fountains Floor Drains' � � . Floor Sinks Gas Service Outlets Inrerceptors � Kitchen Sink Lavatories . P-Trap fioot Drains' Reinspeclion Fea I $15 Boiler = Duct - Under Ground Duct � Struciural Duct-Ventilating � ExhaustSystem ❑ Multiple�. Firepl/Fact. Blt. ICBO # Heating System & Duciing ❑ w oo,000 aTu O i oo,000 eri i Reinspeaion Fee ' � $15 CMF 0865-46, �ev. 10/04 White - Bulltling; Canary - APPlicant Pink - Accountin9: Golaenrotl - Assessor � Servite Sink Sewer Cap Sewer Connection Solar Collettars Solar Pipin9 Solar Tank Swimminy Pool w, Urinal W2[C! CIOSCt � Water Heater � Water Service • Auto-Wasli Laundry Trays Isue Fee _ � � $ 3 IANICAL FEE Hoodar Typel ❑ � Canopy Type I I ❑ � Refrigeretion System �_ ❑0-100,OOOBTU ❑100,OOOBT System Repair/Alteration � Fire Dampers Reyisters � � Issue Fae I $ 3 Auromatic Washer ConSlruction Pole Sub. . Cooking Unit '� Dishwasher �- Dryers ❑Gas' �Electri Fan ' F.A.U. ; Fixtures Device Boxes . - Outlets � � • $witches Garbage Disposal . Generamr O65 KW O5 �'�' �, r�...� Zone �.+c�u Accessory Building: � Z - O , N 1 N G R Parking Req.IProvided ' E Q M T � ELECTRICAL . , Transformer ❑ 15-50 KW ❑ SO+KW . .e � Meter ❑up to 100 amps Meter pover 100 amps . � � � Su6Panel .t,• � Motors�0.1 HP�1%�-6 ' +Inc.Solar'�9-15 HP �1G75+ � nn:,....,.,�.,e ' . FEES Pole Light ' Range Sign � ; Standing Sections , 75 KW Trash Compactor ' i i 1 Reinspeetion Fee �$15 � � Issue Fee I $ 3' DEVELOPMENT SERVICES REQUIREMENTS: ' 2oning APProved BY Date Building Approved 6y • _Date Appliratian Issued By %, � % Date %'.�, _ � �SUM ARV OF FEES � BUILDING PERMIT�`g � SMIP $ � �SL�' PLAN CHECK $ ` 5 PERMIT . , � ' PLUMBING ' • $ ' ISSUANCE $ _ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL � ,$ � GRADING '$ PLAN CHECK 50°� $ � MICROFILM $ - �r�7�� MECHANICAL ' $ TOTALFEE i $ _�„y� PI.AN CHECK 25% $ ' ' /�, �(J � �� P ` .ONSTRUCTION AND PLANNING � POOL PA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector J. Temporary Electrical Service or Pole . 52. Pool & Equipment Location ! 2. Soil Pipe-Undrgrnd. � , 53. St=a.l Reinforcement � 3. Electrical Conduit Utility�Undrgrnd. � 54. F�rms 41 Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement �' 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System " . 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ' ' 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 74. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit . 66. Solar System-Final 16. Rough Electric Wiring � 67. Fencing & Access Approval - 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 1$. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # '._ 21. Ducts, in Structure ' 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing � 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing )4. Overhead Hydro 26. T-Bar Ceiling (Structuralj & Monocoat 75. Dry Chemical 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing & Siding ' 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final . 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final ' 41. Solar pomestic-Final . � . ' 42. Backflow Preventer � 43. Backflow Irrigation ' � • , j 4?. Landscape Irrigation System � 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING �b �� 48. Special Requirements Completed � 49. Electric Release to Edison ' • • 50..Gas Release to Southern California Gas Co � � � 51. CERTIFICATEOFOCCUPANCY , , , No. Date � � , ��2 FEE RECE11�� !�' ��> >�� atI � COSTR MESA BUILDING-SAFETY DEPARTMENT �jNANCE DEPT.V�}�U6�C'l' �q� P. O. BOX 9f7 COBTA MESA. CALIPORNU JY Of COSTA MESA L��Va� ForApplicani +o Fill In Complefely APPLICATION; FOR.PERMiT TYP� OR PRINT BUILDING BUILOING Q' � ADORE88 - . COSTA-MESA;CALIFORNIA � . ,� �� ,'F,Or�OfflG@_US@ OAIy � • � . � , R!ClIPi NO., P6R}IIT NO. OWNER ' . . . . . . . . � ... . MAIL" '(� `'^� M[ VQC 9Y �� UA � 6CrC�IVe owT IBBU [ AOORES6� t_�.'i � ' I .�-'/i� ��'_� (� . TEL � - CITY �' 1� " "'NO. 'L�' AD� e18bJ... _. . ••. _ . . Mctl1.TECfFv.I I�RK•�P/1�• �2t14 r�uo� -- .. • COSTA MESA.: CALIF.ORNIA :�• LIG. NO. ' SIZE .�l EXTERIOR COVHRIN6 U$� OF BI D�' Re.� .. . J FROM DESCRIPTION OF � \ Oti� I ROOF •t�C r d COVHRII AND WORK TO 88 �:' �l��ii1�.. NO. O� 1 XERBBY ACKNOWLHOOB THAT 1 HAVB pHAD THIB A'PLIGTION AND 9TAT8 TXAT TX6 A90VR �8 COftfl6CT Atm AOR88 TO COM- PLY WITH ALL CIiY OIiDIN CE8 AND BT�Tg Wp pHOULATNO BUILDINO CO \GTeIOH (a'! �� /.� SIGNATURE OF �� PERMITTEG 1/.�lUGd/ v A _ AUTNORIZED AGENT :o ` (INO.f ''I P�.0 YARDB APPROVED (C6NT[R YN6 8TJ THH $ �%n %✓r� I U88 OP eulLOln I� �! EVES cHecK � � w �, 7 � � � ,i a � � f P R T �EE oNLV (Y � J. 0 N � A �G-- z �D� 4 t { .1 )1 �i i' � .i''*� �# i -i . .. : � w.r . . . { ,., . .: i 1 .,.� :.e :��,�!* "�::.� � •;•: • ;�:' t - , ' , . . . . , � � .! \..L .n�:'•'Iti%h r ' . �i;'i','>.. it�;:�•Iv �'.�`� 1'7 .. -.. ' � . OOIlf�l'f.lOTLS�: � � ' ' ' ' ' . " . ,(1) All the previous stipulations�as follows (q) Dedication � , to the City of Costa Mesa of 30'�Yor street purposes along the southerly praperty line of the Trailer Court; (b) , `= _, that ingress and egress to the Trailer Park be_subject to the approdal oY the TraYPic Commission (c)' That'the Trailer Park , be contained witha permanent�type:wall under the,Director•of " Planning; (d) 'All the'requirements of the,Dept. oi Bldg. ' Saiety. '. " .: . . ;%, -.(2) Dedication to the`City of Costa Mesa°o£ the spandrel at �•• ..•- Southwest corner of,W. 17tfi'St. and Monrovia Ave., � ' ,(3) Installation of residential sidewalks by the applicant, - at his expense, and, concrete. driveWa.y approa.c jes' �as per ' " , plot plan dated 11-12-60 under direction of the City Engineer. �. . . , I � . � J ) � . . ' � � � _ � . . . . . . ' I, ' ' . .. . � .. ' � . . . . . . . ; .. � � � . . � ` - �M1 ._ . ; . . . � ' g��23 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. CALIPORNIA For Applicanf to Ffll In Complefely TYPE OR PRINT ' BUILDING `' ( 1 ADDRE68 U/ , COSTA MESA. CALIFORNIA ✓ '86iBACK LINB FROM 7 A O eexrue ev sm¢er .7 y- F �R�C _ �� I��° � �� . � r �� a � FINANCE DEPT� �� CITY OF COSTA MESA � APPLICATION FOR PERMIT � sun�iN� � / For Offlee Use Only R[CeIPT NO. P6RMIT NO. , a�� o.�'�'°�/ I �"`;�°%, �' TEL•� � BUILDING NO. L /1ODRESB TEL. NO. PIRE ZONE G APPROVED BY / I"� � L[OAL D88OfIR10� NO. 01 BLDOB. DESCRIPTION OF WORK BUILDING NO. OF BIZE Z O ROOMB STORIEB EXTERIOR WAL ROOF COVBRING COVHRING � �� U6E OF BUILDI G AND WOR TO BH PERPOR ED / i . n. ) 1 HEP6BY ACKNOWLEDQH THAT 1 MAV6 R6A0 TH18 APPYWTION AN� 9TAT8 TXAT TXG ABWe IB GORR6R AND AORH6 M COM- PLY WITN ALL CITY OPOINANG89 O 8TAT�8 /LA�'j R60/}lu TNO 81GNATURE OF%i.'�/_ l�� ) !/._ / U �AUTHORIZED AGENT � COSTA MESA. CALIFORNIA No. On �L.11N9 YARDS APPROVED (C8M6R YN6 6T.1 IING Iuae or xew BUILDINO / • Y�a "( EVEB � V�R. No.—U-�-�-APPRUVL•U .�1'_;=� � TH8 AMOUM BXOWN'UNOBR VALUATION 1! YOR TH8 PUflP08E OP HeTABlJ8HIN0 A PeRMIT I86 ONLY. VALIIATlON 'J /y � PERMIT PEE $ �'^ ^ OyJ 756 � / S ' PLAN CHECK $ TOTAL FE6 7 �� z w � {17 a � � � a v � � � w �d O � � � - � �.�� FEE 1R��I�I�D(�,6r� �� COSTA MESA BUILDINGSAFETY DEPARTMENT�JUL7 961 P. O. BOX 917 C08TA M68A, CALIPOiW1A � FINANCE DEPt. Fo� Applieanf fo Fill In Completely �� p�� FpR PERMIT rrPE OR PRlr,r" BUILDING BUILDING �� AODRE88 COSTA MESA. CALIFORNIA Fo� Offlce Use Only l • 1 i. . MBGe�PT NO. P6RMIT.NO. 1 MAIL l !Y 6 R'C[I/ H� I DATH 7.� CASTA MESA. CALIFORNIA PIRE ZONE G APPROVHD BY i .8 =?�n � / I NO.OP rune 8RE , No. oP BLDOO. OF LOT �G ✓ � NOW aN Loi U8E OR � EXISTING BLDG. BHiBACN LINt FROM C,eNTep pp sTxaeT ^. � REAR YAR 31DE YARD I I.EFT �;� I RIGHT �� J DESCRIPTION OF WORK .,, � X �� .. _�e._..... � �� ......_..... � NO. OF `% ROOMB � EXTERIOR WAL 1 uL COVBRING /- U�E OP BUIL�ING AND 1 H[HBGY ACKNOWL8D08 TXAT I XAV6 R6AD Ti�B ARLIC RND BiATe THAT TH8 ABOVe IB COpREG� AND AONB6 TO PLY WITH ALL CITY OfiDINANCHB AHD BTATH LAW6 R60UL BUIID�NO COHBTItUCT10N. /� / /I 81GNATURE OF I%b 1II :/ ��^C iu /LN/ � AUTFIORIZED AGENT �eermw uxs eT.� �/ y^ Y GROUP. /� / / U 1 DATE �ING Iuse on New em�nixo �(,4 d-�O�o �ry� �a-//�/?Z'- EVHS ALLOWED J r�,� /fL�.�^ �T. IL 'IN. T. IN. � PERM �/ � CC y $ / PLAN FLH'ONLY �� / � — . 9 54�:�� COSTA MESA BUILDINGSAFETY DEPARTMENT P. O. BO% 917 COBTA M68A. CALIFORNIA For Applieanf to Fill In Complefely YYPE OR PRINT COSTA MESA. CALIFORNIA OWNER \� . I L� ADORE63 J �L G 1(Ji 1� TEL. CITY Ji�J � NO. ARCHITECf TEL. OP 'i1NEER NO. ADLnE68 CONTRACTOR L�G L G ^SQ Y✓ 2 ADDRE&8 Z, N ^ 1VN � c�rv iJ v rv'�`� w f 7 n ti V R r+\ t 1-� � eTATE � B6TB�CK LINB FROM 5� No:!/i7't000 � X (o J � I .�inw�nxe�nae. DESCRIPTION OF WORK F��RECEIV�D SEP 7 196� /�JFINANCE DEPT. APPLICATIDt�f �ItQ�I�E$A BUILDING For Office Use Only • A NHC8IPT NO. P�I�LT NO� . COSTA MESA. CALIFORNIA 9, ZON[� �/ I NO. OP �{-V8E OP NEW (� � �LANB v I euuo�nc fi y� �a"'- .LD T IO Q�(' d/ O IO �� cescrtivrioH e o u.. l�� —Z'f0 —// f-L LINI BT.) .'\ _ �� 2 0 � � V iN. w �l 4 IN. (/I YN. 1 IN. REPAIR I IIMOVING I IIDEMOLI6H I ByPROVED ��-'��•- pATE ��•<� �/ ��'�.l�t.�: L- BUILDING NO. OF 81Z8 ROOMS STORIES Q FROM EXTERIOR WALL IROOF � d __ _ • � / � /� COVHRING COVERING �iw �-�iLp��a� USE OF�BUILDINGg ND WORK TO BE PERFORMED �I VDX ' ISLocIC ,nc.l. l.() , 1�73 S� 30' " k -� �, „ -� 30� � ., o�X � •• ,� b J �bli� .v� tinR�r (2 GG 1 N8H8T' ACKNOWL8D06 THAT 1 X�VB pBAO TXIB A�PLIGTION THg AMOUM BNOWN UNDER VALUATION 18 POR TH! •Np 9TAT6 TMAT TH8 ABOVH IB CORA6R A!ID A61iH6 TO COY- pUW096 OP BBTABLIeNINp A v6RMIT FE6 ONLY. PLY WITX ALL CITY O��NANCHB AND BTATB LAWB ItH6ULATNO BUILDINO CONBTRUl,TION. VALUATION 4 SIGNATl1R8 OP � PERMII' FEE $ /�l �' PERMITTE $ / � I�/`1 � G �z� �� PLAN CHECK $ % � AUTHORIZBD A6ENT �r e _�'� � �� G C c� . � _ , � � j �5��.€3 t�STA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA M�A. CALIRORNIA Fo� Applieanf fo Fili In Complefely TYPE OR PRINT ' � BUILDING 1%th - T` "' p SW COZ'Il ADDREBS � COSTA MESA. CALIFORNIA owwea K.l^l. 011 MAIL 1'7th & Monrovia SW'Corne, ADDRE65 CITY ri�Sti$ Mesa NEO. AORCHI�TE' EERGeO C. Thomson Noh58578 .r�, no�ss 1526��Z Canada B7,vd. CONTRAGTOR SWaIl POOZS AooREsS 13336 Ventura Blvd. �iTM G��a�e Glendale BTATE � T��. ch58578 LIC. NO. NO. SIZE 10�9 & 1�1��5��'NO.OP�LD6e. OF LOT NOw-ON LAT. U6E OF H�jne EXISTING BLDG. 66TBACR LINB PROM - DESCRIPTION OF WORK � BUILDING '�O X 5o NO. OK SIZE ROOMS S70RIEE �EXTERIOR WALL IROOF �- AND 1 HEREBY ACKNOWLBOGE TNAT 1 HAVE READ TH19 APPLIGTION AND BTATE THAT THE ABOVE I8 COR�CT ANO A 68 M COM• PLY WITH ALL Citt ORDINANCEB AND 9TATE RB3UUTN0 BUILDINO CONBTRU/Gyey�' � � .� - 81GNATURE OF / // il ..._ _ � i � AUTHORIZED FEE RECEIVED sEv y,b � sEr � ,�,,,i FINANCE DEPT. ��iIBQ+I�[�Q�j�RMIT BUILDING For Office Use Only HECEIPT NO. PERM�T NO. /t'� i .P R6LEIVEO BY D RECEIV p pATE 186UGD �Inti � %—� � ��%- 6/ ;oREs� 1'7th & Monrovia SW Co nei � COSTA MESA, CALIFORNIA FIRE �" ' ✓C I ZONE TYPE GROU Tw�"'" �v APPROV D/ ��/y /� /�+ BY /T DATE / ' ( � /il � � ZONING ZONE /� NO. OF UBE OP NE vLANB BU�LOING LEWL /OO �- CEBCPIPTIO � A.P.NO.1/�-�yb- ll�+-l�Tl YARD6 EVES APPROVED ALLOWED (CBNTlR LINC 8TJ q "�rV �QC � iRONT ' / V FT.� IN. R. SIDE J� FT.�/��' IN. L.SIDE �/ FT.T � IN. REAR SFT.� L(c.t.C�-� APPROVED {� BY ' W � DATE "T'— � � / /(..�U J � / I tiOLb Fd12 S7L`�?AL REp:JI:EMENTS TXE AMOUM 9HOWN UNDER VALUATION I6 POR THE PUfiPOB6 OP EBTABLI6XIN6 A PERMIT FEE ONLY. VqLUAT10N O , PERMIT FEE $ ��. �� C� S' � �oO'' PLAN CHECK $ 7� � �� E O LL ;.l,;m"' �L32'75 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MHBA. CALIPOfiNIA For Appiicpnt to Fill in Compieiely . .t, r.TYPE OR PRINT : ' ADDRE'S6 03 k%+ �`�.7N. 57QEE _ � COSTA MESA CALIFORNIA • . �M.A,�o«� iSh�,-90 �Sc_.�iLd `��LiAJ I nRCHirec`r' � Ii1�E5'TEa.sJ _ � � a7 eIZE r Ho. o� e�oae. oF �or�o'�°.e) �y. boo. 02 How ox inr O $BTBACN LINB FROM � �I cexrew ov srneer 6j'� REAR YARD S3 r � ' � SIOE YMD I LEFf 4�`� � RIGHT S¢�% _ DESCRIPTION OF WORK �BZI..�ING�O'S• p, ROOMB �� STORIE6 PXTERIOR WALL �8• I ROOF �OHj'O� (LOC � COVHRING STUCGO COVERING U6E OF BUIL�ING AND WORK TO BE PERFORMED NaGE¢, us 5 � G E4i�q�.l 4l. 1 H6REBY AGKNOWL6DG6 TN�T I XAV6 qe�c rx�e A/►YGTION AND BTATH THAT TX8 ABOVB 19 LOPHBGT AND AORE6 TO COM- PLY WITX ALL CITY IN CHB AND 9TAie— W8 p[OULATNO BUILDINO CONB � �� 81GNATURE OF AUTHORIZED ilDllt�.11STR.dT/OAl 'SOILDfw1G� FE. RECEIVED ��;;�;,�v 141960 • ��APPUCATION��'PCOS�PMESA .. . . . . sui�� •� • � , � For �Office .Use Only PEC[VT NO. nlRMIT NO. _ nccayj@p er . -, � / ij7a �C�v� � I �� vc=� � - y._ BUILDING ADDRE88 � . ' COSTA MESA. CALIFORNIA FIRE {� U'� ""�v� 3- ZONE YYPE �� GROUP APPROVED ZONING z – I NO. OP I uee ov n ruxe ��/ eui�o�Ha L80AL L(j ��O U C r D88CPIR�ON I f- A. P. NO. �f �_�� / VARDS EVES APPROVED ALLOWE[ (CIINTHR LIN[ OTJ _ ,� � V !.� + .... :i F'�i�i l/ I �? �� : • ' yi . . , �. Viii�. I�C . . ip' a _— / TX6 AMOUM 6XOWN UNDlR VALU�TION IB fOR TH! PUIVO68 OP EBT�BLIBHING • PHRMIT R86 ONLY. VALUATION PERMIT PEE $ �� b � S �� 7S PIAN CF{EGK $ � /p `� � TOTAL FHE ✓ ^" 5� i, Z C �LL , � � I � w a � Q U a � a � ` Q� Q 11 _ � . i �. . ' . . �, �hJ "�(., . . . . . � . - / � . . " �`y' ` � '\ � � � •` �, �(1) Dedication to the City oY Costa. Mesa oY 30' Yor street' .;' purposes along the southerly property line of the Treiler Court (2) That ingress and egress to the Trailer Park be subject to the . approval oY the TraYfic Ca�ission (3� That the Trailer Park be contained xith a permanent type '. ,__ wa,1.1 under the.direct3on oY the Director of Planning (4) All the requirements of the Department oY Building $atety ;, � , . „ ' " . . � , i . � -,` - - , . . . X ; ti1 . , � . ' ` �'-��. , . . 1 � u^r�L�Ty •a�o4. . ,�-w�� 132'7F � RkCEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT �- NOV 141960 P. o. BOX s„ �o�„ M��FORNIA FINANCE DEPT. For Applieanf +o Fill In Compiefely APPLICATION FOR ��MP� COSTA MESA TYPE OR PRINT . BUILDING�, � A�DRESS g03y `G{EST��i'lSA�.•SY . � � - : , , t ) COSTA MESA CALIPORNIA FOI' Office Use � Only �pL A 7iT. E.STA . _! _' . . . .. . _ _ nece�vi_ xo. veritnrt no� OWNER t' S .� MAIL RlCH ED OY G NH V§� O{�T{ IBeUCD ADDftE55 �DZ% 1�Ri$GiLL i�AFIE..^ ' I �� `� I ��c a-Gd . . c TEL: ' .. . . .. . .. , � QTY i.1E � .� BEscq. . •,No. _ 4i49 pD0 E'S6 ` AORaCNITE EER �ST �2U Drt°pT�u6 No �:b=2 COSTA MESA. CALIFORNIA ADDn�55 y�� 1J0. I�E `�LV D. ZONE ` � TYPE �/` GROUP )�/ J��Q-Y 8 �ch c+�i�P CONTRACTOR APPROVED BY DATE ADDRESS ZONING LY V � Z H I NO. OF I UBE OP NE � GITY ' � Pll�NB � BUILD�NO �) STATE TEL. ' 1 N LIC. NO. NO. eBCnlrTlon � 0 �/ Q %i T BIZE NO. OP GIDf3l. n / '/ OFLOT 63a�a1�x io00�0 � NowoHLOT CJ � A. P. NO. �/ "� ( I USE OF YARDS EVES �%� EXISTING BLDG. O APPROVED ALLOWED BBTBACR LIN6 FROM /+ (- (uNT[R LIN6 BT4 ' �NTeq pp 9iq�T �� SS REAR YARD Z� Z- - FRONT FT. 61DE YARD I LEFT 2 72' } I RIGHT �O �J �� `� R. SIDE FT. L � IN. DESCRIPTION OF WORK �— .a- A PROV,D I y` w REPAIrt I IIMOVING I IIDEMOLI6H I B �� ` �� .� ;'l� p � _ � � �1 1 .�DAT6 BUILOING {� � NO. OF u'7 SIZE I 81 ROOMS � STORIES �i °,� � !r`{� j; ,i i �J� � �, I � EXTERIOR WALL F�=� I ROOF CoM'DD C Y. i`\ I� ;, 1' �� p t1 � S �� I r�l COVERING GG COVERING N d�y b0 tl a USE OF BUILDING AND WORK TO BE PERFORMED � T14, '3C.D6 ,.,� a , s - � / - J 1..4U F ciu 1 EL LG I.. / p u I — � a I HEPHBY ACKNOWL8D66 THAT 1 HAVH MGD TIIB AY�LIGTION TM8 AMOUM BXOWN UNOBN VhLUAT10N IB POH TH6 � AND BTATE THAT TH8 ABOV6 IB CAPRHCT ANO AOR88 TO COM- pUFP08B OP 89TABLIBHINO A P¢qMIT FEE ONLY, � PLY WITX ALL CITY OPOINANCEB ANO 9�ATE LAWB RLOUL�TINO O au��.o�No coxerxu o. VALUATION � v � � 81GNATURB OF ��O� PERMIT FEE S a� PERMITE / o $ � PLAN CHECK $ / � " 0 AUTNORIZED AGENT �J Q rc � TOTAL FEE J 4 7 - . , _ _ - .�_� • - , �,. � . � , . (1) Dedication to the City oP Costa Mesa oY 30' Por street purposes slong the Southerly property line'oP the Trailer Court.�� (2j That ingress siid egress to the Trailer Park be-subject to • the approval of the Tra-Pfic Co�ission � - (3) That the Trailer Park be contained,with a permanent type of waLl under the direction of the.Director of Planning ,(4) All the requirements oP,the Department oY Building Safety. . , � , . . . ,. . _ . ''�� , . .. . ' , _.. � . , . . _ . � _ �. � .. , - , ,.-,i.,. ' - �. '. , . � . �,,: , . - :` - . � - . ' �. . . . � . � : � .�� - _ � . . . � . . .� . _ ... _ . . ✓' �— � �Paol. iSTi�.�T4 �L�Ge r.>-.�'� ' �L3`�'/'ii '�' L- RECEIVED COSTA MESA BUILDING-SAFETY. DEPARTMENT P. O. BOX 9f7 COBTA M68A. CALIPORNIA �� ({�96U _ ., , �, ;��- - NOV 1 For Applieanf: fo Ffll ln Comple#ely_. : ✓;APPLIGATION � FOR CE DEPT. TYPE OR PRINT � • �I� COSTA MESA BUILDING�' � �y BUILDING ,� ADDRESS, ,...�903 .W, i7TH' ��s'firtEE - . _ � ... . . ... . � .�, COSTA MESA. CALIFORNIA ' : , � � ,; ' • �; � FOI' Offite.•Use Only j3,�.77 'j�IAV.Pa¢-7 �STb7E ' rsece�rr No. .r �r No. OWNER ►! C I„/� JC_ • � i� MAIL '�2% ��f .... ,. �.•• ncccyd�p ev `I o� n�u ec) J' o�Tj �6a�eo6o A�DRE55 Su��4 � 'l•'l.u6r• �;` � : • 4�� . lPf� d- CITY. F�EW E1iC'� NEdM�'b �� 9. BUILDING �ADDREBS•�: ARCHITEGT ��\�g-�QN 'j,hye�`A(i Te� COSTA MESA. CALIFORNIA OR" .INEEFF' NO}M�'IpzOG g¢ o. u w wT tti FIRE ADD�.�SS ^ ZONE TYPE GROUP � � '_"_'"—__ ..-__ ..� _ o �' _ " _.� .� APPROVED ADDRE65 ZONIN6 V�Lv NC I NO. OF I uee ov N[W Q�7y �UNC BUILDING 6TATE TEL. �� ✓ ,C U G � LIC. NO. NO. oHeCRI'Tio OF LOT �tr30.�� a00 i p ) No, 01 etoo�. Z I NOW oN LOT � A. P. NO. �� '�' 4' L � I USE OF � YARD6 EVES EXISTING BLDG u0 APPROVED ALLOWEO 86TBACK LINe FROM I / IC8NT8R YN6 BT.1 CHN�eR OF BTREeT IG+S REAR YAR� T%O � FRONT O FT. IN. 61DE VARD I LEFT %� 0� I RIGHT � 90 � R, SIDE FT: IN. C DESCRIPTION OF WORK c 1.61DE FT. IN. - NEW LTERATION I IIADDITION I !EAR FT. I IN. : REPAIn I IIMOVING I IIDEMOLI6H I SYPR�E p r p }�� _ � 1 TH t � BUIL�ING b o� NO. �F � L k � 3�" Vi !La �� 81ZE 3 p I ROOM6 STORI B L� E%THRIOR WALLFL. I e.o1v.po, �'Yf I.� �iZ i '.� f t Zj � `7 � ROOF � COVERING LGO WVERING G:C� r� �(: �:� � h:+ � USE OF BUILDING AND WORK TO BE PERPORMED �� S ' ' oQ DOL , i �001, 1 S � ' ..�`. 1 U vt��. Nob-7-�n�P�ov�D .. �S -I� a i HEPEBY ACKNOWLEDOB TXAT 1 HAV6 RBAD TH18 APPUGTION TX8 AMOUM BHOWN UNDlR VALUATION I6 POR THE � AND BTATe TMAT TN6 ABOVE IB COqAEGT AND AORHB M GOM. pURP098 OP 86TM1BL16HIN0 A PePMIT YE8 ONLY. (i PLY WITH ALL CITY 1 CH6 rND 8T/�T6 LAWB IIBOULATNO W em�iNo coHs VALUATION � . SIGNATURH O ' L,. c, C� PERMIT FEE $ � w n PERMITfE � /OJ J� a � � ' . PLAN CHECK $ "% �� AUTHORI D AGENT �'a .� p � � TOTAL F6H 4 . � . '-�--�� (1) Dedication to the City of Costa Mesa� of 30' Yor street � , purposes along the southerly property line of the Tra3ler Court. _ (2) That in�ess and egrees to the•Trailer Park be subject to'the approval oY the Traffic Co�.i.ssion ��"(3) That the.Trailer Park be contained with a permanent type ' . wa11 under the direction of the Director oP Planning. (4) All the requirements of the Department oY Building Sa:Pety. . . ... -- -,-�+ , _ . . . . .� y. .,.... •. - .` ,