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HomeMy WebLinkAbout283 17TH ST - Building Permits City of Costa Mesa TEMPORARY — EXPIRES' DECEMBER 20, 1994 - Development Services Department CERTIFICATE OF OCCUPANCY No. Building Safety Division P.0.Box 1200 Costa Mesa,California .The Building located at 283 E. 17TH STREET !has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto 4o4 a Group B-2 Occupancy. Use of Building RETAIL STORE "17TH STREET BEAUTY CENTER" Legal Description 425-223-04 (See reverse side for Metes and Bounds) building Permit No B68770 Electrical Permit No. E68771 Plumbing Permit No.P68813,P68772 Mechanical Permit No. 2469089 Number of apartments - and/or guest rooms ISSUED TO: Building Official/TSNY C'DE BACA DHP PROPERTIES P.O. BOX 8411 by 710. 44C1 NEWPORT BEACH, CA 92658 Date /0/c/!e/ This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink -Bldg. Permit File CITY OF COSTA MESA 449 .50144, BUILDING DIVISION 4. i K4 p b 77 FAIR DRIVE.COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.costamesaca.0ov r P1 ,�..j.• •8 • f FOR INSPECTIONS CALL:(714)754-5626 PERMIT NUMBER: BC12-00142 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: COM_ALT DATE ISSUED: 04126/2012 ISSUED BY: RMD JOB ADDRESS: 283 B E 17TH ST CM Suite/Unit: B • APN: 42522304 - Zoning: , , . Vicinity: UNIT B - Primary OcC:, Const Type: V-B SO:' Valuation: $95,000.00 SCOPE OF WORK: 1,312 SF T.I. FOR"EUROPEAN WAX CENTER", UNIT B. WORK TO INCLUDE 6 WAX ROOMS, LOBBY, STORAGE, NEW WALLS, NEW CEILING, 8 ZONES HVAC DUCTS,40 LIGHTING FIXTURES, 21 RECEPTACLES, 18 SWITCHES, 1 SEWER CAP, 1 LAV SINK, 2 WASTE&VENT, 1 WATER CLOSET, 1 INSTA HOT WATER HEATER, OWNER: PERLMUTTER, DAN M Address: 36 MISSION BAY DR - Unit: Phone: - City/State/Zip: CORONA DEL MAR,CA APPLICANT: NGUYEN, DAT • - Address: Unit: Phone: 858-610-6900 - - City/State/zZip: CONTRACTOR: INNOVATIVE CONSTRUCTION - License No. 868057 Phone: (858)610-6900 Address: 9763 SASKATCHEWAN AVENUEUnit:• Cell: City/State: SAN DIEGO,CA ZipCode 92129 ARCHITECT: THOMAS BOUFFARD ARCHITECTS License No.C24633 PHONE:707-469-7739 ENGINEER: License No. PHONE: COMBINATION PERMIT FEE SUMMARY • Building Plan Check: ' ' $155.80 f Building Fees: $958.75 Electrical Fees: -- ;$102.63 ' ' Mechanical Fees: $133.10 Plumbing Fees: $82.30 SMIP Residential: $0.00 SMIP Commercial: $19.95 Bldg Std Admin Fund - $4.00 TOTAL FEES: $1_,456.53 - . **Refer to fee receipts for all fees paid for project - HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays: New Years Day, Memorial Day, Independence Day,Labor Day,Thanksgiving Day and Christmas Day NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28,§ 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. COPES INSPEC110NTYPE pAT IN11nAlj gm! IN$PEC11QN TYPE PAIS IN111UL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical ' M 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign _ 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers'compensation insurance,as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: s n 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier:_ or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp t C_lrrue,udrdn need not be cnnr preentne pemm u vatted 7 d'-aran�h[7undred dinars ltf0ol orrass.1 2,Art 2,Sec.341,Title 8,California Administrative Code). Poli� tier" , 'X/C ALA cf' um ❑ As owner-builder, I will not employ anyone to do work which would I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should• become subject to the worker 'compensation provisions of Section 3700 of Applicants Signature Date the Labor C e,1 shat comply with these provisions telid,- - //,P Division of Industrial Safety Permit Number: pliwnt's Si Data-, HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE O SECURE WORKERS'COMPENSATION—COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is innfull force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.Jt---- (CV . 7 -Class#- -.- �7 (Section 25533 of the California Health and Safely Code, with some t/" / exceptions, requires registration with the Costa Mesa Fire Department by ....._.. k4, , 9 each business which at any one time has on hand a quantity of acutely Gontrador Ign re Eos^'•— ate ((( hazardous materials equal to or greater than a weight of 500 pounds, or a �•� volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). O I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which thi94egn�t is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: ti;.•t.,,.- hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: , Costa Mesa Fire Department may require the preparation, certification and •?^-. filing with the Fire Department of an RMPP by businesses which are required 4.:•••••4.#4. to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: 9 Health and Safety Code been fully complied with? 0 Yes ❑ No I hereby affirm that under penalty of perjury that I am jEXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following hreason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county Mich requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair an structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors informatnion 5 be50.2 of the onCnliaorniic Govemment Code requires building thnt thee requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the furnished applications for non-residential permits). Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8 (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for • sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. 0 I, as owner of the LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree •1 to occupy or allow occupancy of any building authorized by this permi •final inspection. Signature of L al Date Signgture Date 4 1 3057.46(3/07) 1 And/or Authorized Applicant - __ 1 i2 CITY OF COSTA MESA 01114s - BUILDING DIVISION f ,��.. 1$ 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.costamesaca.aov ". FOR INSPECTIONS CALL:(714)754-5626 Siii„,entH 00 PERMIT NUMBER: BX12-00118 PERMIT TYPE B_MISC STATUS: ISSUED APN: 42522304 DATE ISSUED: 04/06/2012 Zoning: , ISSUED BY: MDM JOB ADDRESS: 283 B E 17TH ST CM Suite/Unit: B Vicinity: Primary Occ: T ._ Const Type :?1, SQ. FT: 0 - Valuation: ' $3,000.00 - SCOPE OF WORK: • - . INTERIOR DEMO, NON LOAD BEARING WALLS, REMOVE CEILING, LIGHTS AND HVAC DUCTS OWNER: PERLMUTTER, DAN MAddress:: 36 MISSION BAY DR - Unit City/State: CORONA DEL MAR, CA Zip Code: •92625 Phone: APPLICANT: DAN NGUYEN Address: Unit: City/State: Zip Code: Phone: 858-610-6900 CONTRACTOR: INNOVATIVE CONSTRUCTION License No. 868057 Address: 9763 SASKATCHEWAN AVENUE • Unit: City/State: SAN DIEGO, CA Zip Code: 92129 • - Phone - (858)610-6900 Cell: ARCHITECT: License No. Phone ENGINEER: License No. ' Phone FEE SUMMARY ` Building Plan Check: '-$54.11 ' Building Permit: $83.25 Electrical Permit: ' $0.00 SMIP Residential- - $0.00 SMIP Commercial $0.63 • . ' IF Bldg Std Admin Fund - $1.00 TOTAL FEES $138.99 HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 -PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm.Prohibited all hours-Sundays and the following Federal Holidays: New Years Day, Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. CODER INSPECTIONTYPE PALL Nis CODER INSPECTION TYPE PAIS INTITIAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing . 200 Final Re-Root 210 Final Electrical ;EN 1 raa 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site _ 204 Final Demolition 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. 0 Yes 0 No I here affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers'compensation insurance, as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding.falsework,or demolition Carrier: 62x1.1 or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm (Pt section need not be completed if permit valued at one hundreddollars(S100)orlet) 2,Art 2,Sec.341,Title 8,Califomia Administrative Code). Policy Number: WWI C-- 'i 7 ❑ As owner-builder. I will not employ anyone to do work which would O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued.I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should• become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor Code, I shall forthwith .mply with these provisions Division of Industrial Safety Permit Number: Applicant's Sig .lur Dat HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILUR TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No Lic.# 9968067 Class# (Section 25533 of the California Health and Safety Code, with some ` ,A /M t exceptions, requires registration with the Costa Mesa Fire Department by ��/ -=ch business which at any one time has on hand a quantity of acutely Contra .ate hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCT! (DING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the Califomia Health and Safety Code provides that the Lender's Address: lle"itts riat,.. Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required ' to register acutely hazardous materials with the Fire Department. Signature Date • 4. If an RMPP is presently required, has Section 25534 of the Califomia OWNER-BUILDER DECLARATIONS: ""``` Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that i�am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repairrlany structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such pe it to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested that he or she is licensed pursuant to the Olovisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes',the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): v of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation. WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for • sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and O I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. I Signa .aW1eg21"6a Date Slgndtura Date G I 3057A6(3le7) 4. AnNor Authorized 41peFGR1f' Date •4 CITY OF COSTA MESA r � . BUILDING DIVISION Y •i .. : DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F t his t _ PERMIT BOO-01954 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.oa.y��LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 283 E 17TH ST U Status: ISSUED Suite: Applied: 12/05/2000 Vicinity: Issued: 12/05/2000 Parcel Number: 42522304 Zoning: Applicant: ADAMS, ADRIAN ISSUED BY: • Address: Phone: Zip: Owner: PERLMUTTER, DAN M I , 1 I j A Address 36 MISSION BAY DRI 4.0 Phone: W� � ,•� CORONA DEL MAR,CA Zip: 92625 r,, Contractor: ROSS & BARROWS INC. Ir ' Address: 260 E.ALTON AVE Phone: (714)557-7440 SANTA ANA,CA Zip: 92707 Li : 327802 Arch : Eng: Address: Address: Phone: Phone: Zip: 'cursoll10..e License: SCOPE OF PERMIT PARTIAL TEAR OFF,RE-ROOF 630 O. FT.COVER WITH 3 PLY CAPSHEET ROOF MOPPED OVER EXISITNG RIGID INSULATION. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $12,051.00 Permit: $223.25 Claim Valuation: $12,051.00 SMIP Res: $0.00 SMIP Corn: $2.53 Other $0.00 Inspection: $0.00 Total: $225.78 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work Is suspended or abandoned fora 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 Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2448-48(600) DECLARATIONS . •WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ Ie and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the eIork for which this permit is issued. r have and will maintain workers' Non insuran•',as req ' ,•by section 3700 of the Labor Code,for the performance of the work for which ' permit is laqued. My workers'compensation Insur mer and�f y nu ,e-`e: Carrier: V Policy Number: (This section need not be completed if the permit is va I: at one hun. :+dollars($100)or less.) ❑ I certify that in the performance of the work for V h this permit is Issued,I shall not employ any person in any manner so as to become s tact to workers' compensation laws of California,and agree that f I��ttpp00uld become subject to the workers'compen ation provisions of Section 37 of the bor Cod ,I shall forthwith comply with these pr ' ns _ /7 , -AppllcanYSlgnature 2 -lig. Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSAmON COVERAGE IS UNLAWFUL AND S UBJECT AN EMPLOYER TO CRIMINAL PENA TIES CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS P IDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEYS FEES. ` LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed r ovisioi. ha.ter•(commencing with Section 7000)of Division 3 of the Business and Pr�essons a se Is in full force end effect.Lic.atu e Class 11 / /0O C -Conlracbr's Signature: - / - Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury mat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he'or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or thathe or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not-more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Cale:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). El I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. • Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feel high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). __ 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes 0 N (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application aaermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes D No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). __...__.._...___ _.. ewo._ 7 a a permit from the South Coast res Descry edManagement Heal or other airpollution ioncontrol district3 agency is required for the work which Is the subject of this application,have all of the disclosures prescribed by Californiala Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application end state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. // _ Sig/ Owner(s) / /�f�➢@te J/% I And/Or Authorized Applicant j J/(J(Daate you• INSPECTION TYPE PATE 114T1TIALS BODE( INSPECTION TYPE IMIE 1NM& 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Fool Spa Flnfl 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy CITY OF COSTA MESA• - BUILDING DIVISION > 1 .,,r. _ d • DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER %t 'rik w � PERMITgkostntin `/// J � SB05-00037 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 SIGN PERMIT Job Address: 283 E 17TH ST Status: ISSUED Suite: D Applied: 03/30/2005 Vicinity: Issued: 03/ 0 2 5 Parcel Nunmber: 42522304 Zoning: ISSUED BY: Applicant: JOEY ALIANO Address: 9025 BALBOA AV Phone: 858-369-1400 SAN DIEGO,CA' - Zip: 92123 , Owner.' PERLMUTTER, DAN M Address 36 MISSION BAY DR - Phone: CORONA DEL'MAR,CA Zip: 92625 "Contractor: ULTRA/SIGNS , Address: , 9025 BALBOA AV SUITE 150 ` Phone: 858-569-1400 _ SAN DIEGO,CA Zip: 92123 17 ,License: 799881" Arch/Eng: • Address: , Phone: Zip: License: SCOPE OF PERMIT •_ 54 SO FT INDIVIDUAL CHANNEL LETTER SIGN"17TH STREET BEAUTY SUPPLY SALON DAYSPA" SUITE D. -FEE SUMMARY Plan Check: $72.31 Calc Valuation: $4,200.00 $0.00 Permit: $111.25 - Claimed Valuation: $4,200.00 SMIP Corn: $0.88 Other: - $0.00 $0.00 Inspection: $0.00 ._ $0.00- $0.00 Total: , $184.44 PLANNING &ZONING NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-48(8100) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintaina certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the thispermit for which this is issued. yd /I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. —��-�M�workers'compensation Insu a nler and policy number ere: ( 9 ` .S`\4te A� 6105}ser: II o 9 g (This section need not be completed if the permit is valued et one hundred dollars($100)or less.) ----- I7 ❑ I certify that in the performance of Ihhhhe work for which this permit Is Issued,I shall not employ any person in any manner so as to become subject to the workers' compensationh laws rofo California,oa siRould become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall Idrthwlih comply with these provisions. J 3/� /� A pll0emSighaNie: , ,JIa: d W .'FAILURE TO SECURE WORKE COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPEO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED SAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby-aHirHhat't amillcensed.under revisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions ..e,and mylicense is in full �•'a enact tic'w -I _ .� — f ,De tee '{/7E4,5 c•. CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter.Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own emploves,provided that such Improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builarwill have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. 1 Business and Professions Code for this reason: Signature: "— _ Date: Owner ID verified by drivers license. 0 Yes',.❑No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-properly tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2.Art 2,Sec. 341,Title 8,California Administrative Cade}I ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above.unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons. or 200 cubic feet of compressed at standard temperature and pressure). ......._.._...__ gas 2__Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature end pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health end Saltily Code been fully complied with? 0 Yes 0 No ._nto ...._._ _ _ .__..coon... 5 Does or So the applicant or present ar future building occupant at require air the work which the subject age of this application ap Nnit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? yes D No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). — --------- ___ .__ ..._...._ _.........__...._ --------- _ 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 if a perr;T from the-To-LirCoast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes-,attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for Inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. /4sioc,aore OI Legal Ow_Aer(s) Date `IO/Oi Authorized.Applicant---f----w--.C- J Date'-5/3042 � V gODE 6 IBSPFCTION TYPE RATS INIDI6LE CODE( INSPECTION TYPE DAIS BEMIS 1616 Fixed System Final Fire Prevention 208 Final Mechanical 1288 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place KVA220 Final Planning Approval 203 Final Sign (0--S.-05— \ 222 Final Site 204 Final Demolition 250 Final Bullding/Occupancy ' n CITY OF COSTA MESA a '@ BUILDING DIVISION > :1 ',I& DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F' 'rrr;. v!4' PERMIT 4 4 4 ' E05-00260 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 283 E 17TH ST Status: ISSUED Suite No D Applied: 03/30/2005 Vicinity: Issued: 03/30/2005 Parcel Nunmber: 42522304 _ Applicant: JOEY ALIANO - - ISSUED BY: Address: 9025 BALBOA AV . SUITE 150 •" -: Phone: 858-569-1400, SAN DIEGO;CA';.- - Zip 92123 \' , Owner: PERLMUTTER, DAN-M - - Address' -36 MISSION BAY OR - Phone: - CORONA'DEL MAR,CA Zip: 92625 • Contractor: , ULTRA SIGNS i Address: '9025 BALBOA PM \ • " , - • . SUITE 150 , --Phone: 858-569-1400 -- SAN DIEGO,CA " - Zip: 92123 -" License:799881 - ,-r • ; SCOPE OF PERMIT • - -• • 54 SQ FT INDIVIDUAL CHANNEL LETTER SIGN"17TH STREET BEAUTY SUPPLY SALON DAYSPA' SUITE D.REF.:SB05=00037 ' ' • ELECTRICAL TO INCLUDE: 1 SIGN CIRCUIT ' FEE SUMMARY Quantity / Quantity ISSUE FEE $23.50 - Temp Dist System,/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft - - $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 ; New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 ' 0 • New Res(3+units) '$0.00 0 .:77. Transformers up to 1 kva/kw $0.00 , ,` '0 - ' Pool/Spa ,\\$0.00 0 " up to 10 kva/kw $0.00 0 , Lighting Fixts ' $0.00 0 - up to 50 kva/kw, , . $0.00.' 0 Recept Outlets. ' $0;00,, -, "' -0 '. , ' '" up to"100 kva/kw C'', $0.00 0( Switches ,'$0.00 0 over 100 kva/kw $0.00%.-' 0 Non Res Appl - 'Low Voltage Equipment - • $0.00 ' :0 / • Res Appl . ' $0.00-,,' ;�0' - ' ' ' Low Volt Wiring System/Ckt $0.00 0 / ' Service to 200a . "$0.00 2 0 ' Misc.Conduit - .$0.00 0 Service to 1000a - $0.00 0 _ Misc.Conductor -$0.00 " ,!0 Service over 10006- '10.00 0 ' - Circus(gen or ride)- ' ' ' 10.00 0' Motors to 1hp H- $0:00 0 / - - _.,Circus(mech ride or lights) $0.00- 0 Motors to 10hp -$0.00 0 Christmas Tree Stand : , -'$0.00" 0 Motors to 50hp $0.00..."---, - .0 „ _ .\.,Fireworks Stand ' ---,:•,/,-' ' $0.00 0 • Motors to 100hp $0.00 • 0 - Other Electrical FeeT. % $0.00 Motors over 100hp $0.00 -0 - Communication drops $0.00 0 "Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6o0) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and wilt maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the Pork for which this permit is Issued. • I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insu nce c}rder and policy number are: o Cartier: S- n 01 Policy Number. 1 71 1 03 n (This sect/on need not be completed if the permit is valued et one hundred dollars($100)or less.) ❑ I certify that in the performance f the work for which this permit is Issued,I shell not employ any person in any manner so as to become subject to the workers' compensation laws of Celifom' and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith Comply with these provisions C. //, //_ Applicant Signature: Date: 2/ So/ 5 WARNING:FAILURE TO SECURE W ERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN A DITION TO THE COST Of COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of ha er 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.4 -7 9 4,X Class if C-Lt 5 Contractor's Signature: ` Date: 3,0/B S • CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there i5 a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter.Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that ha or she Is licensed_purilant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is a mpt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not mf re tharrLifive hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation.WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself.gri.through his or her own employees,provided that such Improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one yearol completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVEIFY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not'apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. _ Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes; 0 No Driver's License No. Expires: Verification of Ownership by(type of document, Vie.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2.Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safely Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every • business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds.or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Calitomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons. or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No _ the-applicant pesen.t.Orfutueil - 5 Does he will the oastcAir Ma a emen building occupant any other for the work ntch districtIs the sor of this application aPPermit for such construction or modification from the South Coast Air Quality Management District or from other air pollution control or agency? U Yes I.J No (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). 6 Wilt any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPUANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with at state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property r inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owner(s) 3/'3 ODA; 5 An r Authorized-Ppplie47M- Date CODE. INSPECTInNTyPF DATE 1871I1AL5 SODS INSPECTION TYPE RAIL BMW 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing - , ' • 200 Final Re-Roof 210 Final Electrical (,. Q 5' U Am 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition _ 250 Final Building/Occupancy NUMBER MESP PER —_ - GIT"p Of COST slON T p083p I��*""DEP AF X05' g(�IiRNNE��PVIRGEs TMEN -/ DEVEL°P pBfIMIT gYAMESA,Gp92626 77 KAIA 0AIVE, a 1 IgsUED \ . . Status: 005 r PERMIT Q8t052E moovci.costa-mesa ?`t:9CrtR1CAL APIssud 0610512005 sd: 114)75q-4655 Paxl 1.5273 • H$T 283'E 17Y KOUT) TIMATE 20MINEWOR fob Address: r ,✓`- Suite N° UNIT 2 3 `; - r / 5 VIGtnICY�� ISSUED eY' 1 425223pk Paicel Nunmaer: bs c 3'DADRD 949-752 5200 11 Phone APPticant: 505C0'R 9268tl _. :;, i- 42 2R ^ Address'. OR AGH.GA : T 9k � , NESP gr �>„ � �� �� ,v.'4; MPAN . ,zw. , `s ner PEftLMUN9 OR PhontY92625 1 �,� r , ',, Ow MI5510.. . ZrP , Address _.- CORONA�EMAR GA. Ea GN gtGNNAKERS INO . '" "EA 52-5200 fR •, aitp\o B 9497 EIrD Phone.t 82660 0. 2. ConUaca 4250 5GO"R/; „ Zip 9 60326A " Address. License u UNff �' NEWPOfSEpGH,CA F, RK Ut IN Y= ,,„„$COP p POR,,,ct AT,H min 5.„,4%.,/,?,...°4/y' -r, z r� s , ''. NE LETTE SIGN CONSISTENT Fw t y,: a`5'; f'(.lNO1VIDU N ER-05-13 AND c -`- 22QAPPROgD.0 REF SS05 00- s ''r A Y '..rte auan o CN CIRCUIT Ee sum $0 p0.1-r s 1 S prsl SYstern`i U9htm9 $0 t10 iv:: - -4 4' it Quantity ^' Bus"'ay 1100 ion ,� b0 00.." 0 '' Bks 150 r '!° ;. _ ' 9tandElectrical sAMP p-to 1ken w sopa; p0 i SUE FLEE $ 00 . 0 ,. ransforms4 t r 5o kvatkr'r )..$0.00 p .` 00 " ;, Temp sera ge Q00 _ 0 - ..uP t0100 kualkw 4`UAUtj '$�'OQ:"':: 0 ars,^ Res.alc P units) ,,$0 00 0 over 100 ken 0.00 0 � 0 $ 0`4 New Res,P,..;-nits) a w,DD', ` _ 0 .Low V'''..r n9IP tem i Ckt $0.00 0�' SPa -,$000 0 LoW Vo11 -;, -$0. 0 0 • 90011 crxts :.$000 0 ° Misc CAndudn. „ . 0p0 RecRRt Q°11ets - ',, 00 -'M�sc Gondu�°nde) $0 0 0 1 SW6Gnes APP' $ '„0.4',"-, 0 r Gttcu (9e0°f Me of IxPubs) <$0.00,, $000 , 0<. Non R $ 0 w Grrcu 35 Tree Sta d v $0 D0,', s APPt "; .,..,:$0-0,0 0 ,. Ghhs in Stand r""r" Service t 2001 /.. :$0 00. 0 rt �FuaWo01ecttan,i- a p.00' to 1000 0 0 Otha , $ Service over 1000a 'M $0 p0 0 pee Bit, $p,00 Service 150 $p00 30 , ,, InvestigauonFee ;may ,$000 Motors 10 10hP 0 „ . M e:^r $09° 0 .;,3. b 144:,1318”s peaonfge,., &.:-,/,''''' -5 $4610 M Motor to pphp Motors to -� lorS �„�� � , ager 'PEE Motors to $0,0 I . LGut.AT50 over0000 $p00 -0 a TOTAL GA Motors tants pa Ps $p .0 gubRynel/020 $2A 6p '.rr-rrn�rc poleL�09V0 $p 00 0 rc �c.+err�r ~� Sign Girc fipple $OA0 r,•.sr.ae.r TemR Pole Intermed encs Todte.:::::::scesta:deutects: ' access requtrem Lcablahandicap allaPP days II comply with gncod'Mthsn 180 rcagla is utnorized by Os'permit st>a ri work is rat G°mm wmPM vdU+�exP ac+pn of Ih d °ms void work must It in th® Ths work a 2 26,g 1,12 2 expire an 1 such 1 will resu • Ord,No. adcaiH nntl to ba consider le and sinal; NO�tOP': 9 - lege, ro ragulationsOlN• '(Itts P®rmit shalt autom A� a this P?lura co obtain insPe Eyp1A of 160 d Ys. for a Pa In Mord �autt'o n ' SPEC trop tons ndiin:34:75:561:te.tristie(ibe"o-b-te: oI.enulted tnaR� .r�aLL: DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the `" work for which this permit is Issued. T I have and wl aintain wo ers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of thwo r wwwhhhich this pear it is Issued. r My workers' pAn�satlo surance carrier and policy number are: C /�-1y L9F. . pr � Policy Num r: 1 1 I �C (This section need not be completed permit is valued et one hundred dollars($100)or less.) ❑ I certify that in the performance f the work for whic his permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califoml , d ree that If I ould become subject to the workers'compensation provisions ofectlo 3700 of 1 e Labor Code,I shall forthwith comply with these provisions. 1` App cant Signa r e: ♦ Dante: w J 0 V WARN! G:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES AN CAVIL FINES UP TO ONE HUNDRED THOU-SAND DOLLARE($1 W,000),IN ADDRION TOMB MST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INT EST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed u r pro islons o C,•ter 9(commencing with action 7000)of Division 3 of the Busines nd P/olegsians Code,and my license Is In full force and effect.❑c.N. ¶ A I Class(); Lt �f f1'C /051 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECL4IRATIONS: I hereby affirm that under penalty of perjury that Iam EjEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)Or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own.etyployees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors Licensa;Laws.). ❑ I am exempt under sec. 1l Business and Professions Code for this reason: Signature: ;l Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be tiled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation;certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP Is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appernit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications tor non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Slgnaturere7iR'•. ,p s a And{OdA.rt . zedrAppPtanP- ate j0DE t INSPECI10N TYPE PSI& INTITIALS cOOE( INSPECTION TYPE PATE MALI • 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical _ ter-&-0.57- ‘ k 201 r(p-OS- 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy CITY OF COSTA MESA • 4Y''' ^� BUILDING DIVISION >:<< .,,• DEVELOPMENT SERVICES DEPARTMENT P IT NUMBER IN litqN �s PERMIT B05-00097 IL, (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.uIGN PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 283 E 17TH ST Status: ISSUED Suite: Applied: 08/05/2005 Vicinity: Issued: 08/05/2005 Parcel Nunmber: 42522304 Zoning: Applicant BEACH, DAVID . ._. - I / Address: Phone: 949-752-8200 ISSUED BY: ,' a Zip Owner: PERLMUTTER, DAN-M-, Address 36 MISSION BAY DR.,,,,' - Phone:- • CORONADEL MAR,CA w y..,.- Zip:_ 92625 - Contractor: _FREEDOM AND BEACH SIGNMAKERS INC - ' Address:, 4250 SCOTT DR a/-=". Phone: 949-752-8200 NEWPORT BEACH;CA Zip: 92660 - - • License: 803264 • - Arch/Eng. . - Address ' r I _ C'• .. Phone " - , _.r., .Zip:.- , • _:License: - . SCOPE OF PE ,. .:. RMIT 22.4SO.FT.INDIVIDUAL CHANNEL LETTER SIGN FOR"ULTIMATE 20 MINUTE WORKOUT"IN UNIT- - 'B.USEAPPROVED UNDER PA-05-13 AND SIGN CONSISTENT WITH PSP ZA-05-04. - i _ .FEE SUMMARY _ - , ti Plan Check ' ' $72.31 , 9 '- Calc Valuation $5,000.00 $0.00", :: . _nr Permit `, $111.25 Claimed Valuation r r,$5;000.00 , SMIPCom Other. $0.00�, , . $0.00 . Inspection: ,. -$0.00 - $0.00 - . , . -7 .,$0.00 - Total: $184.61,,. , J , A ,-PLANNING &ZONING - ,A - • E ," NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 244646(6100) DECLARATIONS , WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. I have and will maintain workers' pensation Insurance,as required by section 3700 of the Labor Code,for the performance pIt e work for which this permit I issued. Myworkers'comp anon Ins ce carver and policy number are: QI- ^ Caries ti PoI NOmbec )V( GIa `?This section need not be co plated If the p rr ' is valued et one hundred dollars($100)or less.) L. - a t ❑ I certify that in the performance of ww�(for which this milt is Issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, . gre-that if I shou become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. I O Appli S Ibte: " ihg. ? 0- „- WARNING:FAILURE TO SECURE WORKERS'COMPS ATION COVERA E IS UNLAWFUL MD SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES MID NIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that lam licensed flier prr�oW�on;of/C1pacter 9 commencing wit -ctlon 7000)of Division 3 of the Business . d .f-- Ions Code,and my I' 'nse Is in full force and effect.Tat vM ` (/J 1r'Classil - r. CDOVactgCSSignaN I p� cOate:-� ` EMO& CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLAJ ATIONS: - 2.7.,-.-",”E I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,ar my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professldhs Code:The Contraptors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement Is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or Improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Lawsi). ❑ I am exempt under sec. N Business and Professions Code for this reason: Signature: a Date: Owner ID verified by driver's license. 0 Yes ]No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3—Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous-materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apemit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No • (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this application,have all of the disclosures prescribed by Califomla Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection punoses.I agree not to upy or allow occupancy of any building authorized by this permit until final inspection. Signature •� errs bse r O i = .� AgdYOr- . • tri -A -n4: 1pa DS I I$ SOSPFCTON TYPE DYE RII AU LOOE E INSPECTION TYPE ` L1AIE MALI 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 -- Final Factory Fire Place220 Final Planning Approval 203 Final Sign lb-6 '-05- 222 Final Site 204 Final Demolition _ 250 Final Building/Occupancy A MF CITY OF COSTA MESA 4 a BUILDING DIVISION :l .., I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER • PERMIT �+ 5801-00029 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 SIGN PERMIT Job Address: 283 E 17TH ST Status: ISSUED . Suite: Applied: 04/02/2001 Vicinity: Issued: 04/02/2001 Parcel Nunmber: 42522304 Zoning: — ISSUED BY: � / !-�Applicant: FRED BEATT -% 'i -;i- / Address: : % . --;'.-,.\ /if//� % - ` 1 V Phone: 714-3731375 / / ir / N A \ ) - -Zip: J // i vim .\ t,-''!(7(- /i (7( V A. i - . . . //� ',A Owner: ,PERLMUTTER DAN-M�— ���� ` ,\_, Address i 536 MISSION BAY DR 2- > v ' \ /, /�H' ,/->,DL�j�' %� Phone: . N. \: ,\ CORONA EMAR,CA Zip: 92625 / ` V\ Contractor/--.BLAKE:SIGN COMPANY INC i.-. • ,`\1�\ Address 1166/1/4 1 OARD CI \ .7,-,1\ S,:: � `- //� / '7(5/ : Phone: '714-891-5682 2 .�A `� I I./ / � r STANTON,CAS ; Zip -_90680-3427 - yt t" NH / l '� r /1/22 `/License:: 506422 „A�, i 7 'Arch l Eng / ` Address: - �/ A ., ,_/ _ Phone: .� - - �.' , I, - - License: \ in Q. ,.lr i_ ..1/ SCOPE OF PERMIT- • C_ ._ IQ \ 0 1 REPLACE EXISTING CABINET SIGN WITH 15.6 S.F. INDIVIDUAL CHANNEL LETTERS ON BUILDING ' - - ; 1 I WALL FACING SANTA ANA: ' / [\' I , l c , `L3 1,A" — , --._ FEE SUMMARY/4j;,% 7 / 1 Plan-Check: A‘,, $45.01 ", " /,' Calc Valuation: 7‘2,000.00 /;/ �'• v-- $0.00 OPr�Ai ) Permit: $69.25 ___ Claimed Valuation $2,000:00 'SMTP COm ; $0.50 ��/ / �1,Other/. $0.00 „ i, 01) Inspection: $0:00 ):77-.;-e.-i...34_:,. ._ /ii $0.00 \ CI ?y Gro ,ic " Total: $114:76 / \� "` �_ � �� 0 '`w AJ --7' PLANNING B ZONING ) U" VW. NOTES: O _ i - :AC..1J lJ ,---< ---1 O • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-48(8'00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the — /work for which this permit Is issued. I� I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: �I Cartier, C C I'k ao Iris 41n0 t70 Policy 5o SOS' Number: D f (This section need not completed if the permit is valued at one hundred dollars($1 )or less.) o I certify that In the performance of the work for which this permit Ls Issued,I shall not employ any person In any manner so as to become subject to the workers' compensation laws of Ca • .,: • :gree that if I should become subject to the workers"compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr. stOns. Y Applicant Signature: ._. I_'r :v. Date: 04/0Z.�C90 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 3111111M AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed un 000revisions of Chapter 9(commencing with Section 2000)of Division 3 of the Business and Professions Code,and my license is In full force and efect. e (QC\-2 j Claes p tJ(o Contractors Signature: « �•� Date: 0311�O�QQ1 ✓' CONSTRUCTION LENDING AGENCY: 111 ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: • Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuan?to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sole.If,however,the building or improvement Is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY.CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I em exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than IhIrty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has e permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). _ _ 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes ❑No (Section 25533 of the California Health end Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No ...._ _.ti._ 5 Does hr willo the applicant or present or future building occupant at requirer for the work which the subject age of this application a gPermit for such construction air motlificoilon from the South Coast Air Quality Management District or from any other air pollution control district or agency? Vas ❑No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). —_.._....._._._ _ ..Y .._—_._..._._.._ ..__. . 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Cale). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATIONOF ENTRY:I certify under penally of perjury that I have read this application and state that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection, 'gnat re•f L:,- Owner(. Data ndlOr Aut orized Ap• cant Da goes I, INSPECTION TYPE PAIL' 9fImbLE ;ODE t INSPECTION TYPE PATE INTIMIAL@ 1618 Fixed System Final Fire Prevention 208 Final Mechanical 1288 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign - 222C Final Site - 204 Final Demolition 250 Final Building/Occupancy / CITY OF COSTA MESA 4 @@ BUILDING DIVISION >:�,.,,,, ; r $ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 40914•4ii • PERMIT . E01-00248 444•01;acto`44. (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 283 E 17TH ST Status: ISSUED Suite No Applied: 04/02/2001 Vicinity: Issued: 04/02/2001 Parcel Nunmber: 42522304 Applicant: FRED BEATTY -- ,- ISSUED BY: </� - - Address: °--------.7"-- 2- •S - Phone: / Zl - ' /' �V \ -\---Th ` �� Zip: ,�/ / , N / �� t \ N Owner: ,;PERLMUTTER DAN_M= ='vim - y - , Address /36 MISSION'BAY DR -�.,, /, / ,\\\\C:\\ / ;/ N A/N. 2 Phone: '�'` - N / 2 y\ / CORONA DEL=MAR,CA Zip: 92625 V / VA.\\)'jJ/ /� \ '°\ \ \- Contractor BLAKE/12771.' IGN COMPANY INC,-'•_, A�� `� Address: 11661-SEABOARD CI - • - �� �� � , / ' / /, ,-: .�� . �) A,� I ,',/., . / j A , Phone: 714-891-5682' \ n\ r i �- J . STANTON,CA / '/ Zip: 90680-3427 A' 7 , ' ' y License: 506422 \A - ,;;\ � , �. r ,,rv- ��i �i / 7 / , i' SCOPE OF PERMIT ; ) hi; ELECTRICAL FOR ILLUMINATED WALL SIGN, RE:SB01.00029. ..1'-A t-_)) A 1 : j Y V - - - f i, , / N r. I:‘ i Vii 1 ' - .`FEESUMMARY- --i - I- -- ) )wi :- \''.i Quantity � ' - Quantity (2�; , J /0 ISSUE,FEE V A V , $23.50 Temp Dist System/Lighting . $0.00 Of ' ($0.00 0$0.00 0/ /?? New Rest(1-2 units)v\ V $0.00 0 Misc Electrical,Equlpment $0.00 0 ( New Rea(3+units) ', \ „; $0.00 i 0 Transformers up to 1 kva/kw $0.00 /0/r / Pool/Spa vA \ / \\,,'$0.00 0 _• ,7-•t "r - up to 10 kva/kw $0.00 '270 Lighting F.iztsV 50;00 0 .'-up to50 kva/kw $0.00,4�/0 �� Recept Outlets J-i $0.00 0 • 1 . ` " up td-100 kva/kw $0 007, 0 -J 0 Switches VAV 'i $0.00 Vi,:-.),....-0.6{7,& ,�,, - " `over 100kva/kwy; - $0.00/ 0 /c 0 Non Res Appl i` $0.00�V 0 ,, ( LOvi Voltage Equipment x$0.00 -\0 O Res Appl �_ //$0.00 \-0 �� 1.- Low Volt Wiring System/Ckt3 $0.00. 0./ 0 Service to 200a A� v�$0,00 .0--.\, :-&? J9 �° Misi.Conduit`" ) $0001_ C/ 0/ Service to 1000a ($0.00 0 �, CMisc...Condudor� $0.00��\10 O Service over 10006 $0.00 O �L,dircus_(:gen.-Deride)-- C$0:00/ 0 Motors to 1hp 7- $0.00 /n 0---,,, -__` Circus(meoh•ride or lights) $0.00 - 0' Motors to 10hp "x$0.00 `-Z�0� ._ Christmas Tree Stand �c30.00%v0 Motors to 50hp $0:00---„,,. 0. \Jr::7 j(,^�,,r-c Fireworks Stand-3\\ \ $0.00?/0 Motors to 100hp $0:00 G��0'4 v i : , Other-Electrical-Fee, ...--;$6.160Motors over 100hp $0.00 0-_ '--J i 1 _ 1 l: c----- //J� Communication drops $0.09 -.0�= _ Investigation.Fee:2/� $0.00 • Sub panel to 200a $0.00 0� c-'c__. ,r;P-Ian.Check Fee`i $0.00 Pole Light Pkg $0.00 0 �-Reinspection Fee $0.00 Sign Circuits $24.60 1 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $48.10 Intermed Pole $0.00 0 - COMMENTS/SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration-of this permit. FOR INSPECTIONS CALL: (714)754-5626 2448-46(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: • ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Cir I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'compensation Insurance carrier and policy number are: `/ Carrier ST * (t4 e IPS. Can() ( Policy Number. ( 7 d r�+( rM b (This section need not be completed it the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Thula, d agree that if I should become subject to the workers'compensation provisions of Section 37 of the Labor Code,I shall forthwith comply with these visions. y� Applicant Signature: r a,O Date: AL VO 1 WARNING:FAILURE TO SECURE WORKERS'COMPEN TEN COV UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES D CIVIL FINES UP TO ONE HUNDRED / THOUSAND DOLLARS(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provi ions of Chapter 9(commencing with Section 7f1 Division 3 of the Business and Professions Code,and my license Is in#1.0./-- force and effect.Lic.ItClass it C Contractors Signature: Date: CS"- CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: e- I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct:alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of DMsion 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. - Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-properly tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,talsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 6,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: ___ _ Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). �.. ... __ne ..._r...___ 3 Does or will the applicant or present or future building occupant need to prepare en RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or wit the applicant or present or future building occupant require for the work which is the subject of this application aggermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LI Yes LJ No (Section 65850.2 of the Califomia Government Code requires that the requested Information be furnished on applications for non-residential building permits). .__..._.Wilanypart.____.....___— 0_—� heo — ._ ....._.. .__ 6 WIII any par of the facility to be constructed under this permit be within 11X10 feet from the outer boundaries of a school? ❑Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No 6 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the Information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION.OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,end authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Ai gal Owners) Date •nd/Or Au horiz:. ••pli : t D e �— COPE L INSPECTIONTYPE BALM' !MALI CODE I EISPECTION TYPE PAIL EMMA 1618 Fixed System Final Fire Prevention 206 Final Mechanical 1288 Pool Spa Final _ _ 208 Final Plumbing 1 n ' 200 Final Re-Roof 210 Final Electrical `124/o, � L 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place _ 220 Final Planning Approval • 203 Final Sign 222 Final Site 204 Final Demolition • 250 Final Building/Occupancy ADDRESS OF BUILDING 283 E 17TH ST tonA CITY OF COSTA MESA - BUILDING PERMIT ' avh-ksRAKEIFKJIEM': DMP PROPERTIES' PERM NO: P 07589E •DDREss 36 MISSION BAY CORONA DEL MAR CA • PERMIT NO: P 075898 PLAN CHECK NO: N GOVT: N SUPP: N APPL.MAILING ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH ARCHITECT ope NEER: UC.NI: JOB DESCRIPTION : WATER HEATER INSTALLATION SQ FT: ARCH.OR ENDS ADDRESS: UM: CLAIM VALUE: CALL-VALUE: GROUP OCC : B / CONTRACTORS NAM canR1ACTORS&IMMO COMMENTS: RETRO FIT FOR WATER HEATER PER OCCUPANCY INSPECTION ADDRESS: UC NO4 *****************************************************SE************************* DMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of chapter o SETBACKS (commencing with Section 7000)of Division 3 d the Business and Professions Code.and my license is n fug law and edea. CITY LIC.NO.: UC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dale: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally d perjury that 1 em exempt from the Codndaa License Lew fa the Iollowilo reason(Stake 7031S Buten and Professions Code:Ary city a count which requires aPetme to construct.Sr.improve. PARKING REQ: .\ (tPROV: PARCEL : 42522304 ZNE: REF NO: o demolish.or repany smxmue,prior to as issuance.also requires the apPEogsuch i ler ch pato See*Med statement that he Or she ensed pmasd ns d to the protothe Contractors License Law(Chapter 9(contain; Section 7000)d Division 3 of the PLANNING NOTES> v,y useless and pdesaias Code)or that he or she S exempt therefrom and the basis for the alleged exampon.My videtion of Section > /031.5by any appkan fore permit i/ledsthe applicant toe civil penalty of not more than fere hundred down($500)). **********************************************. ******************************** cil I.as owner d the poverty Ormyempbyees with wages as thea sole compensation.w9 do the work.and tMSWdure it not intended D E V E'" L O P M E N T S E R V I C E S 1 R E y�v U I R E M E N T S or offered la sale(Section 7044,Business and Prof seems Code:The Contractors License Law does lot apply to an owner of properly I' ya' who builds or improves thereon,and who does such work himself or henna a through his a her owwa n employ ,Provided that such improvements are not intended or oHwed for sale.If,however,the building or improvement la sold within one year d completion,the ZONING APPROVED BY ^ DATE: owner-builders/2 have the burden of proving he or she did not build or improve foe the purpose of Se). IDI,as owner of the properly,em exclusively contractile with licensed conooton to.• .the project Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of• •• ( who d. - • se thereon ewho BUILDING APPROVED BY : /-! DAT E contracts b such projects with a awtrara(s)licensed pursued to the Camctors ra - La Da Ion exempt B.B P.C..la thla ) APPLICATION ISSUED BY: 4*LX:0 DATE: [%� ********************** .24.45- **********iF**iE**iF ** DWe: ! Merit Ower: *\ (,j. LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N I do hereby o ' duet I swum d end understand the requi meat ice- Scaly Code Seabee 25505.25533,and 1 - 25534,ad IoranyMussbudigoaagemwig/wilnot(am.ar) .comply with Sd date code.and the requIrements for jBLDG PMT PLUMB NG E - MECHANIC FIRE SMIP/RES GRADING e petit tor corstna/on or modification from the Argue lyy�errpenwM DINT'S.Residential cau0nubn applications are exempt from these proseda. PERMIT 7 • • Dale: Applicant: 5R Or (n SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury err of Or PLAN 1 o00N pdsd ° a' ISSUE FEE 20H0 10 ✓ n• ID Iheve and sig maideneoutrage dconsent to espinanfor works:compensation.asprovided for by Section 3lDDdthe Labor BUILDING-DIV-> PERMIT I UE PLAT " K TOTAL PAID DUE Code.for the peeforrnance ci the work for which this permit is issued. TOTALS----> 7 . 00 21 01 0 . 00 27 , 00 27 . 00 . 00 o naive mid w1 maiman woolen'compensation insurance,as metered by Section 3700 d the tabor Code,for the padamatlw of IM work for which this poste I.issued.My waken'compensation insurance cerniem and policy number are: .:v Carder: REVENUE DIVISION TOTALS--> COLLECTED: 27 . 00 OVER/SHORT: . 00 Policy Number. BLDG PMT PLUMBING ELECT IC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK his section wed nor be completed I the semi is for one hundred dollars 1$100/a less) 27 . 00 C I I 0 I may that in the pelonnence of the work for which this vena is lined.I.. . not ... n eny manner 03"to becomess abject to the waken'a:etenaation laws d California.and .- ;., d I . . ..:.. ailed to the workers' ****************************** • *****10***************************************** `a ��1pDDp�p�p'xwexxxssmm//////eeee�������oonononononon...pro/yeas/"cit Code,I gnu f" • • INDIVID A I4 E E BREAKDOWN Dale: e /f0 Apo. - —A� ZI. L., Warning- dun to/Mcua wo(Mn'wrrponsetIon-. �--' • Namplqub - nal penalties and TYPE QTY D E S C R I P T I O)N I UNIT COST TOTAL COST doll 0 Iq to one hundred thousand dollars 0104000f,M addition to M coat of compensation,damages as provided for In I/. Section 3rosolthe Labor Coda Interest,end aro /ees.mev'ePLU 1 WATER HEATER AND/OR! VENT 7 , 00 7 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under peneky of paltry that there is a cormntdiw lending agency for the ENDO-OF FEES performance of the work for which this permit is issued(Section 3097,CN.CI. s, LENDER'S'S NAMS: '� LENDER'S dWS ADDRESS:io ) I certify that I have read this application and see That the above information is coned,I agree to ar/er upon e0 dry and county ordinances P and state lawn relating to building tamrudam ed hereby ISIS repnaenbtirea d this city to Wer upon the aoro-mantioned property -PIA" ar)Itt . la uayedm Prpeesa. \' SEI H •LL A , /a/i4' JAN 091996 7cI -1 twin ,� orDale:CC^^n, .fl. K -tl CITY OF COSTA MESA (5151-46.W P) White-Ouibig 8 Safety:Green-Fie:Canary-Applrent:Pink-Revenue;Goldenrod-Asset • CONSTRUCTION AND PLANNING POOL 'A • APPROVALS Permit{* Date Inspector APPROVALS 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7.,Footings 58. Electrical Conduit-Undrgrnd. ' -8'. Foundation 59. Gas Pipe, 0 Undrgrnd-,Test ;9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap , • 63. Heater& Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval • 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Perrnit# 21. Ducts,in Structure • • 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OQII 23. Gas Pipe-Rough&Test 72. Underground Flush ' , 24. Roof Framing 73. Undergrrid.Storage Tank O Gas O Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-bar Ceiling (Structural) & Monocoat 75.' D• ry Chemical - 27. Frame and Flashing _ • 76, Dry Standpipe • 28. Lathing&Siding - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL - 30. Drywall Nailing --... HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. NAL INSP k '�.' 32. Electrical Power Meter-Final 80; ;000 CER FICATE ISSt,..D 33. Final Electric NoAs: 2c-.._.74 can/tar s t e"I 34. Final Heating& Air Conditioning' Z Pa- nn ,D 35. Final Gas,Pi pe-Test , 36. Hood or Canopy - 37. Final factory Fireplace �•- 38. Final Plumbing 7-12-16 : - 39. Water Service-Final • 40. Gas Service-Final 41. Solar Domestic-Final . •- - 42. Backflow Preventer • - • 43. Backflow Irrigation (5 7-4'5 n 44. Landscape Irrigation System ' • . :1 • ' >-- 45. Sound Attenuation r122i :S' rr- 46. Handicap Regulations • s p; 47. FINAL STRUCTURE & BUILDING - ;333 48. FINAL PLANNINGTt ;v_ 49. Electric Release to Edison `` ' 50. Gas Release to Southern California Gas Co • - 51. CERTIFICATE OF OCCUPANCY • No. Date ADDRESS OF ButmND: 283 E 17TH ST °NT` A CITY OF COSTA MESA — BUILDING PERMIT ✓ OWNER'S NAPE ADDRESS: DMP PROPERTIES PERM NO: E 075640 36 MISSION BAY CORONA DEL MAR CA PERMIT NO: E 075640 PLAN CHECK NO: N GOVT: N SUPP: N APPL.MAIMS ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH J ARCHITECT OR ENGINEER: UC.NO.: ARCH.OR EMI ADDRESS: UHT: JOB DESCRIPTION ILLUMINATED CHANNEL WALL SIGN SQ FT: • ca+InACTDITBNAME: CLAIM VALUE: CALC—VALUE: GROUP OCC : B-2 / CONTRACTOR'STOWSRUW L.A. NEON & SIGN ( 213 ) 734-3361 2982 W PICO BL COMMENTS : BIKINI BARBER SHOP REF: SB : 75638 ADDRESS L.A. CA LIC 653806 ***tE** *trtE***************tEtr*tE** **xxx*** **tE**+Ex**+E+Eif*+E+E+rx*** •**********tEi ***** 90006 WET: 1 ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby allim under penalty d perjury that I est Seeded tat prodNme of Chapter 0 SETH ACK S (commencing with Section 7030)d Division 3 d the Dualnea and Professions Code,and my license bin full force end effect. IO.: 06 UC.C4S9: UC.N0:• � C-45 65380 EXP: 00/00 MAIN BUILDING ACCESSORY BUILDING Z / C0eatl0 / FRNTFT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN UILDERDECLARATION:I hrebyafmunderntydurythat1amamptIna pGommdonincenseLawlatheason(Section 7031.5 Business end Professions Code:Any city or county which requires a permit to construct.atter.Improve. demolish.a repair any structure:prior to Gaseuntra.Mao requires the(Chaper for suet.perng to flee signed 7000)of he or eh*e PARKING REpp• PROV: PARCEL: 42522304 ZNE: REF NO: ,licensed pursuant to the provisions d Contractor.License Lew(Chaplet 9(commencing with Sedan 7000)d Division 3 e the PLANNING NOTES> • :mimes and Professions f Code)or that he or she a exempt therefrom and the basis the alleged ion.AnY violation d Sector > ( /031.5 by any applicant/ora permit sobfsds the applicant to a dol penMy d not more than fee hundred dollars[MOD. ❑ Las owner of the fmpe'tyor my aployw wehwages atri sofa axnpetuatm,Wdo tet work.end the emm'ebt or intended **********************iE****************•****df*********************************** or peered foo sale(Section 701a,Business and Professions Code:The Contractors License Law does not apply loan Owner d property DEVELOPMENT SERVICES REQUIREMENTS who builds o in pares thereon.a d who does such wed himself or hooey or through tis or her own employees,prodded thin such improvements are ria intended or offered to sale.U.however,the balding or improvement bwithin onear d sold yecompletion,the owner-builder bonen oshedid 4 dor improve fothe aapaeda )." ZONING APPROVED BY DATE: ❑ I,as owner of the property.am exclusively contracting with licensed contractors to cordtud the project(Section 7044,Business and Professions Code:The Contractors License law does rid apply to a inner of property who bride or improves'hereon and who BUILDING APPROVED BY : y DATE: contracts For such projects with a matador(s)licensed pursuant to the Contractors License Law). p ❑ IamexemptunderSea : B.AP.C.,for tisreason: APPLICATION ISSUED BY: '1 �e - L. DATE: �Z'** l — ********************************** Done: oyer,. *1* * *************************** ** Idohomey certify Mat Iamawandammdetawdthe regdrernaadcdewdaHeath and Solel Code Sedidna505,25533.aro LEGALIZATION:N F E E'J S U M M A R Y STRUCTURAL SEGMENT:N 25534,and Nat I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for apermh for onsmnon o medlimion from the Kean/moment Dutrid.Residential cntrafionappimtkns we ex/mgfran Mesa BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 15 . 00 Date: Apprcen: 5 0 t SM I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby atom under mashy d weeny one of the following dedaralions: PLAN ❑ I have and wit maintaincertificate of consent to sehirare for workers'compensation,as provided for by Section 3700 d the Labor ISSUE FEE 15 . 00 Code.fotheoedematadtheweNlowhchthispennibissued. BUILDING—DIV—> PERMIT ' . PLAN—CHECK TOTAL PAID DUE ❑ I hem and WI maintaio workers'compensatbn insurance.es required by Section 3700 of'ha Labor Code,for the performance of the TOTALS----> 15 0 ' 5 . 00 0 . 00 30 . 00 30 . 00 . 00 work for which this permit is issued.My workers compemgon'vpurance carrier and poliy number are: Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 30 .00 OVER/SHORT: . 00 Policy Number: BLDG PMT PL 'MB ING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK t' axion need nes be completed I the penal is for one hundred doyen(5100)or lea] 30 . 00 /we I cooly ted in the performance d the worn to which Otis permshall coin is issued,I t employ any personany manner so as to ... sowed to the workers'compensation laws of Gardenia.end aggree the l I s"L. . become subject to the workers' .• venation prove d 37 7i Code.I shall forthwith comply with)r... proWiona. ******************* **** ************************************************* Cat /y�/ Gf � //„ I N e IDUAL F E E BREAKDOWN ( E Waming:F gun to urewortr.'corrpenMdonasverpela unlawM,and shad sub"la employer to criminal penalties and TYPE QTY D E . C R I P T I O N UNIT COST TOTAL COST Civil Ons Up to one hundred thousand dollars 010(4000A In addition to the rosy of compensation,damages as provided for In Sestlm]706 of the Labor Cob,Interest,and attorney's fes. ELE 1 SIGN/ 1UTLINE LIGHT SYS ON 1 BR CIRC 15 . 00 15 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penaby of perjury the there is a mnstrudin lending agency for the END OF FEES performance of the work for which this pemi a erred(Section 3097,Civ,C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and date that the above information is coned.I agree to comply with all dry and county ordinances t and state tows relating to buffing cmaudon and hereby authorize representatives of the sty to suer upon the above-motioned prened), for inspection purposes. _y SUNG IM / � _ / /f(y �,/w'immLanda Date: ��//�/7 J 01 001T627/2-.inl7r r'c TOT .CI] Signature yAped/A l / 1 I DATE: !2 Lir TULE: 11:'' (5151.4e,WP) While-Building&Safely;Green-Fie;Canary-Andean':Pink-Revenue:Goldenrod-Assessor J .- s i1 - \ -CONSTRUCTION AND PLANNING , POOL :A APPROVALS Permit# • Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe•Undrgrnd. ;� ' 53. Steel Reinforcement 3.%Electrical Conduit 11tility-Undrgrnd. 54. Forms 4,$lectrical Conduit-Undrgrnd. 55. Electrical Bonding - is'`� .5.0Steel Reinforcement- • 56. Rough Plumbing & Pressure Test - 6: Blectrical UFER'Gird. 57. APPROVAL TO COVER-GUNITE 1 t,7;,gootings 58. Electrical Conduit-Undrgrnd. u Ci`-.FOundation - o 59. Gas Pipe, 0 Undrgrnd.,Test 9. Wjter Pipe-Undrgrnd. c 60. Backwash Lines, P-Trap, 0 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 I 64. Plumbing System • Final . 1 14. Rough Plumbing;..' co 65. Electrical-Final - 15. Rough Electrical-Conduit 7 66. Solar System-Final 16. Rough ElectricWjrin¢ _ 67. Fencing & Access Approval 1 • 77. Rough Wiring Sign. 68. APPROVED FOR PLASTERING. - I, o 18. Rough Electrical-Tsar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning r U. FIRE DEPT. REQUIREMENT 20. Rough-Faejory-FirQpface `';.2 .`.5 * '.' t �,* nrAPPRQVAT§��CPermit# k r 21. Ducts,in Structure • _ a S ^ r r %70. Uridergf5und'Hy'Sfro 22. Ducts;l/erliilatiog '..',.41 -,•-,r „ O , •i ,71. Product Piping Ut3as DOil 23. dsP6.e-Rough& Test _ .7 t -1 * - • • 72, Underground Flush a 24. Roof Fi-am ng `"r r r ,,,:If ^73gUndergrnd.StoqVank 0 Gas ❑Oil r 1- i' in� t� lL.. t� 25. Roof Sheathing .:, v J r• r74,.Overhead H) IroC_ 26. T-Har Ceiling (Structutaf & Monpcdat i. - J� 75rDry Cher tical i_; 27. FrAmeand.Flashing,fk. 7� . r r "= 76. Dry Stand�ip �. 48. Lathing&'Siding 77 FIXED SYS EM�FINAL ,r M9. Insulation` I • le, 78;.:FIREPRE /FINAL - `30. Drywall Nailing •t y r 4 ' ALTI- EPTIREQUI8EMENT 31. Plaster Brown Coatx,e g t.. r79. 'FINA L I P_ECT10t • K ry ` '32. 2Fectrical EpwdpMgte -Final I 1 1 I 80 =ODD TIF!BATE SUED. , r ; I T 2 r L-017 . . e. _ .;33. Final FIQCIHC -, -•,;,; to f%% I0res:, -,.. 7Fr. r .- `� =: n34. Final Heating&Air Conditionin '_: - . it ' u Caw = - ..%C 135. Final Gas Pipe-Tpst�t 0.W •• * _ ry.> _� J.. •.36. HoC.od o. Canopy ,t` '- T.,-.1 a '. t^c _ - Zo a .. --37. Final rectory Fireplace -- _ v -x _ '-39. Final Plumbing it :sl -- - rmt t I. -39. Water'Service-Final > sr -" "` _ t: a - r +, O A,0. Gas Service-Final r, :r..-- L.-' .4.'; :0 e. , L. - 41. Solar Domestic-Final -- -. t _ - • C r .. 42. Backflow Preventer . -.i • r' 5•F- f J 43. Backflow Irrigation s. r, '`-+ ' c.: 'L• * 44. Landscapa'lrrigation System 'ttr: ; o - - '+ ' of 1. 45. Sound Attenuation ,=., ` ;, _ _. i 4b: Handicap Regulations/ ,= a a • i- CIO T n 47. FINAL STRUCTUREr& BUILDING .r -.. ,' :,• - r_ r. 48. FINAL PLANNING - - . ',yn r., r 'CI C.. n ., 49. Electric Release'to Edison a ° « .< 50. Gap Release to Southern California Gas Ce i ' 1 _I J • C 7 .• r t ` r0 51. CERTIFICATE OF OCCUPANCY + `' .. 'I"= r r' No. Date ADDRESS OF BUILDING: 283 E 17TH ST tiT: A CITY OF COSTA MESA — BUILDING PERMIT I a 0ER'NALIEIPIOCAWDMP PROPERTIES PERM NO: IB 075861 ADDRESS: 36 MISSION BAY CORONA DEL MAR CA PERMIT NO: IB 075861 PLAN CHECK NO: N GOVT: N SUPP : Y •Sent.MAIWIG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: OTH STR PURPOSE: OTH ARCNITECT OR ENGINEER: LIG.NO.: JOB DESCRIPTION : OCCUPANCY PERMIT SQ FT: ARCH OR ENG:S ADDRESS: UMT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B / CONTRACTORS NAME: CONTRACTORS MMUNG COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT ADDRESS: UG NO.: ******************************************************************************* upT: ZONING REQUIREMENTS I LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 SETBACKS / (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. Cm LIC.NO.: LIC.CLASS: LIC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING Date: Contractor LEFT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under peaty of perjury that I em exempt from the Contractors License Law for the following reason(Section 7031.5 Business and Professions Code:Any city o county which requires a permit to construct,arm.improve, PARKING REQ: PROV: PARCEL : 42522304 Z N E: REF NO: 4emoleo h,or repany structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she insed pursuant to the provebns of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> inesa and Professions Coded or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > .31.5 by any applicant for epermit subjects the applicant loacivil penally dnot more than fwe hundred dollars[S5031). ******************************************************************************* I,asowner of the propertyormyernPlnyees with wages as their sole compensation,will do the work,and the structure is not intended DEVELOPMENT V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S or offered for sale(Section 7044,Business and ProfessionsCode:TheContractors License Law does not apply loan Owner d property Q who bolds or improves thereon.and who does such work himself or hemel or through he or her own employees,provided That such improvements me not intended or offered for sale.If.however.the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE: owner'buider will have the burden d proving he or she did not build or improve for the purposed sale). ❑ I,es owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors license Law does not apply to an owner of property who bui or improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects with a contractor(s)licensed pursuant to the Contractors icense I ❑ lam exempt under B.AP.G.,for this roe : \ �1� APPLICATION ISSUED BY: DATE: S I els �. ******************* *************** ********* ********** * * ***** ******* Dees �/� ��� i� v i? �0LEGALIZATION:N F E E S U M M A R Y 7 -4 STRUCTURAL SEGMENT: Y Ido hereby certify that I am aware of and understand the requirements of Cello and Safely ••-Sections 25505,25533,and 25534,and that I or any future building occupant will/wit not(circle one)need to comply with said state codes and the requirements for a hornet for construction or modification from the Air uen3MMegemem District.Residential condmaon appicationsare exempt from these BLDG PMT PLUMBING ELECTRIC ', MECHANIC FIRE SMIP/RES GRADING provsions. PERMIT 30 . 00 Data: Applicant: -4 ` (2. SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following decimations: PLAN Z v ❑ Ihave and will maintain acettioateofconsent toset-insure tor workers'compensation.asprovidedfobySection 3700ofthe Labor ISSUE FEE • N 3 Code,for theperormanceoftheworkforwhichthispermtisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ I have end w l maintain workers compensation insurance,as required by Section 3700 d the labor Cole,for the performance d the TOTALS > 30 . 00 0 . 0 07.---0\ 00 30. 00 3 0 . 0 0 .0 0 wok fix which this permit is issued.My workers'compensation insurance carder and policy number we: Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 30 . 00 OVER/SHORT: . 00 Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK s section need not be competed 1 the pens)is for one hundred dollen($t00)or less.) 30 . 00 L] I certify that in the performance of is the work for which this permitissued.I shall not employ any person in any manner so as to become subject to the worker'compensation laws d California and agree that if I should become subject to the workers' ***********************************w**.K.************************.**********,******* compensation provisions d Section 3700 of the Labor Code.I shall forthwith comply with those provisions. IND I V I D U A Li.' -IF E E BREAKDOWN Date: Applicant: } - L• Warning:Failure to secure workers'comperaetlon coverage is unlawful,and shell subject an employer to criminal penalties and TYPE QTY D E S C R I P T I OS N ' ..i.. UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($100,000A In addition to the cost of congansef/on,denegsS as proy/ded lir In .F •FD. Section 3706 of the Labor Code,Interest,and attorney's fees. INS 1 BUILDING RE—INSPECTION FEE 30 . 00 30 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there e a construction lending agency for the END .:OK FEES permit is performance of the work for which this paissued(Section 3097,Cir.C). Ce LENDER'S NAME: \ 1-Nn _ LENDER'S ADDRESS: lr I certify that I have read this application and state that the above information is correct.I agree to comply with alt city and county ordinances f and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned propend D for inspection purposes. REGLL 1 ✓�Name ,' Date: DATE, Sig _gent/Applrant'Comrad« '� 01 00197?+ :_10277714 TO 9.DO z DATE: .,i/ ,,:ice, ;T:“7.: }.r;.ic (5151-46 WP) White-Building&Safety:Green-Rle;Canary-Appicanl:Pink-Revenue;Goldenrod-Assessor r a A -o-- a CONSTRUCT-ION AND PLANNING POOL 'A • APPROVALS Permit# Date Inspector APPROVALS 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 ' fi:_Electrical UFER Grnd. i 57. APPROVAL TO COVER-GUNITE - 7.,Footings 58. Electrical Conduit-Undrgrnd. 8.-Foundation • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap . 63. Heater& Vent-Final 13. Roof Drains : 64. Plumbing System - Final 14. Rough Plumbing - • 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING • 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • 20, Rough Factory;Fireplace -, . ` 1.4. `APPROVALS Permit# 21. Ducts, in Structure -' - -70. Underground Hydro 22. Ducts, Ventilating • ' - - ;71. Product Piping ❑Gas OOil 23. Gas Pipe-Rough & Testi ri 72. Underground Flush 24. Roof Framing - - . 73: Undergrnd.Storage,Tenk 0 Gas 0 Oil 25. Roof Sheathing - - - + 74,- Overhead Hydro 26. 7-Bar-Ceiling (Structural; & Monocoat _ 75: Dry Chemical 27. Frame and Flashing - - - - 76. Dry Standpipe ' 28. Lathing&Siding ' - .' -, ' 4. 77: FIXED SYSTEM FINAL. r7' , 29. Insulation r 78: FIRE PREV. FINAL 30. Drywall Nailing , , HEALTHDEPT. REQUIREMENT , i '31. Plaster Brown Coal- - .. 79. FINAL Ih4SEECTION • • - - ' 71 32. Electrical Power Meter-Final '80' FOOD CERTIFICATE ISSUED 33. Final'ElecinI,c Notes:�7��*� tNw 1� - w� c^ lass..: .'4 .34. Final Heating&Air Conditioning' - , !; 35. Final Gas Pipe-Test . . • t 1 • ibilr • !, 36. Hood or Canopy • • - _ ' i fri 37. Final Factory Fireplace . • 1 p 38. Final Plumbing _ 1 . - 39. Water Service-Final 40. Gas Service-Final r - - - 41. Solar Domestic-Final • " ' 42. Backflow Preventer -- 43. Backflow Irrigation i - - , • 44. Landscape Irrigation System . .. 45. Sound Attenuation - - - 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING - • 48. FINAL PLANNING - ' 49. Electric Release to Edison - , 50. Gas Release to Southern California Gas Co - -' 51. CERTIFICATE OF OCCUPANCY No. Date I - . . - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . CITY OF COSTA MESA CONSTRUCTION PERMIT PE T 7TRACT NO. LOT NO; UNIT NO. 283C E. 27th 7 9� Project Address U REPAIR - Applicant's Mailing Address Same as above TYPE OF CONSTRUCTION LI NEW LI ADD LJ ALTERATION • New Cleaners 650-8225 ❑ CONVERSION ❑ DEMOLISH 0 OTHER A.P.# I Zone . • ' Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG. Address 283C E. 17th S Main Building: Accessory Building: TYPE OF PERMITe-?-U GRADING U FOUNDATION ❑ STRUCTURAL E Front Z Arch/Eng. • • '-. - LicensepNo.;_ " T O i Address I - - ❑ TENANT ❑ ELECTRICAL*. ❑ PLUMBING ❑ MECHANICAL BA Rear N 1 Layton Water 953-6300 0 OTHER ' -:'i - • - Contractor's Name _ Phone„- C Right N 502 S. Lon St. Santa Ana Fp' a PROJECT DESCRIPTION SQ. FT. • OCCUPANCY K G Address(mailing) y CON ST RUCTION TYPE i VALUATION$ S Left City License No. 6155 ZONE GRADING CU.YDS. ACRESR LICENSED CONTRACTOR DECLARATION - Ping. Ref.# ('1 �,( Parking 3Req./Provided - E I hereby affirm that am Ilcensetl under previsions of Charter 9 (commencing Remarks: Planning Notes: RECEIVED MAR - M M tib with section 7000) of Division 3 of the Business and Professions Code, and ' - m license is in full force ,.. effect. I T ‘ -cen • lass •— License N. 0• e: / I - P'tAR - 91985 I Date - ETt` Sa • - ' PLUMBING . I FEES RECEIVED l� : ' ERS' COMPE ARATION Bar Sink Showers • ` I hereby affirm that I have a certificate of consent to self-insure or a certificate -_ • ELECTRICAL FEES +f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. WGis 907897 Company T,iFJa»'tiJ. Mutual Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW ■ ified copy is hereby .- •- fled c.py i ❑le• h the city : Iding • ision. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps e: a aq d Applicant ASS. 41 /s .L ' • E -TION FROM WO- ' - OMPENSATION DECLARATION Clarifiers SO r Collectors - Dishwasher Meter Clover 100 amps (This section need not be completed if the permit is for one hundred($100) or - less). Dishwasher Sol Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued,I + shall not employ any person in any manner so as to become subject to the Drinking Fountains Sola Tank Fan Motors❑Ql HP ❑1 K-8 Workers' Compensation Laws of California. ' - ._ — Date Signature Floor Drains Swimng Pool w/Spa F.A.U.NOTICE: If,after making this declaration, you should become subject to the - - - Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal I Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. 11.1111. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water CIO t Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance 9 of the work for which this permit is issued (Section 3097'Civ. C.) interceptors Water Heat Outlets ¢Rao Lender's Name - g Lender's Address Kitchen Sink - Water Servic Switches Sign • OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal • following reason (Section 7031.5 Business and Professional Code: Any city or - - 9 R Standing Sections • county which requires a permit to construct,alter,improve,demolish or repair P-Trap any structure, prior to Its Issuance, also requires the applicant for-such permit LaundryTra 5 y Generator 00-5 KW 05-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the•provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section.7000) ofl Water Soft ,r E 00 - ' Division 3 of the Business and Professions Code) or that he/she is exemptI • n;-herefrom and the basis for the alleged exemption. Any violation of Section 11.031.5 by any applicant for a permit subjects the applicant to a civil nalty of not more than five hundred dollars($500). '44)../ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 . Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or Improves - _ r thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for ` yPZoning Approved By Date sale. If, however, the building or improvement Is sold within one year of com- Canopy • Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date LJrove for the purpose of sale). I,as owner of the property, am exclusively contracting with licensed ton- Duct-Structural Refrigeration System Application Issued By - Oat tractors to construct the project (Section 7044,Business and Professions Code: ❑0.100,000 BTU ❑100,000 BTU The Contractor's License Law does not apply to an owner of property who Duct-Ventilating SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a Con- - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLUMBING $ 5.Du ISSUANCE $ o Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ • ENERGY P.C. $ I hereby.certify that have read this application and state that the above 00-100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $ , _ information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for - PLAN CHECK 50% $ MICROFILM $ nsp iection purposes. Date 0 /a/89�M MECHANICAL inspection - $ TOTAL FEE $ •r7.a atecon Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ - CMF 0865-46,rev. 10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor U1 UUU15LIU-UUU4b11U I Iy I ..IJJ DATE: 03/133/29 7TMr: tb:u CONSTRUCTION AND PLANNING POOL &SPA -Date Inspector Date Inspector APPROVAL? Permit# APPROVALS Permit# 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 st 6. Electrical'JFER Guild. 57. APPROVAL TO,COVER-GUNITE 7. Footings iV ti_ 58. Electrical Conduit-Uncrn(W 8. Foundation 59. Gas Pipe, 0 UndrgrnciriTest7g Lr 9. Water Pipe-Undrgrnd. - 60. Backwash Lines,P-Trapt0 tJtidrgrnd. 10. Structural Floor System . 61. APPROVALITODECJ '[U _11..Property Sewer.Line.&.House Connection __ I - . ; 62.-Backwash& ReceptoA#nallt 12. Sewer Cap 63. Heater & Vent-Final 13 , 13. Roof Drains 64. Plumbing System - Final )4. Rough Plumbing 65. Electrical-Final i ' 15. Rough Electrical-Conduit 66. Solar System-Final ' 16. Rough Electric Wiring 67. Fencing SE-Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning N FIRE DEPT. REQUIREMENT fir. • 20. Rough Factory Fireplace l�r APPROVALS Permit# 21. Ducts, in Structure fit 70. Underground Hydro 22. Ducts, Ventilatingr �� 71. P,�oductPiping OGas 0 Oil 23. Gas Pipe-Rough & Test `��a 4' 72.AUnderground.Flush 24. Roof Framing 1 k. P'44-.z.4. 73.(+y. Undergrnd.StorageTank 0 Gas 0 Oil 25. Roof'Sheathing' - - - '_ - . _ ---.;. -. -'' ;.'.,7,41.3 ,, vie^head Hydro '' - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT '�- 31. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: ' 34. Final Heating & Air Conditioning _I 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace i . 1_38. Final Plumbing- --..-5 - - . _ = .s.• 3A( grOst„ s ! . .. . _ 39. Water Service-Final ',,* ',P '1 i 40. Gas Service-Final 41. Solar Domestic-Final • 42. Backflow Preventer - - • 43. Backflow Irrigation • r 44. Landscape Irrigation System . 1 ' 1. 45. Sound Attenuation . • , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ... 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • - e 51. CERTIFICATE OF OCCUPANCY -, > • . No. - - Date _ _ ,, e. • 3 1, ( uµ7155 —3/61 /69 t. 78a50 TL a/ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate Declarations. OF COSTA MESA CONSTRUCTION PERMIT PERp4JT NO. ��� ,-,s' TRACT NO. LOT NO. UNIT :41' t ' Proieyr Address J C '-/7 /� S'T e'GSP,p-I7,Fs�2 ly/+MI OYDY 'I 1 - . Applicant's Mailing Address TYPE OF CONSTRUCTION L I NEW U ADD U ALTERATION ❑ REPAIR , ( !J� -❑ CONVERSION ❑ DEMOLISH ® OTHER ZA/.5 2-LL _it/E Le A p # Zone Owner's Name fro ea . t ,et Phone I P DESCRIPTION OF WORK/USE OF'BLDG. Address �/ ' pIa ' [D/./rp7/�/7L.1 /6,C2/4"+" I ES Main Building: Accessory Building: Z Arch/Eng._ License No. . TYPE OF PERMIT• ❑'GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front D Address — r� •pb/ '.❑ TENANT. ElELECTRICAL ElPLUMBING ❑ MECHANICAL B Rear N •'t Phine 3.0$' /s y J?9 by ❑ OTHER A - I Contractor's Nam - / ' I S-. ea fiS / PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(mailing) ✓�YV" ®�:ce-d PF /� /• akJ4.4' - - K G 47"7/744,-g,U0 'rCD.Ba ,.,CON ST RUCTION TYPE VALUATION$ S Left City License NO. lit g R t,ZONE GRADING CU.YDS. ACRES Ping.Ref.# Parking Req./Provided E LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ' mVeet„ n w i ice. �_7.-- -J&' Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code;and i v+^+•"�T� !lI�LL.{NV/KG4tiG[�-0-�� my license is in full force and effect. I -. T' ....%•••%3/4. License lass 4'"-�- -0-2-: 1...:/en N._9 ys S Date - Signature _ PL MBING FEES WOR ERS'COMPENSATION DECLARATION \\ - rt ' Bar Sink - Showers . I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ,� 300, Lab. CJ •�' Automatic Washer Transformer 0 15-50 KW Policy No.an-,9-4-5--V-S. Company '�1;i/2 "ZU� - . Backflow Irrigation Sewer Ca 0 50+ KW ® P Construction Pole Sub. Certified Copy is hereby furnished. ,,) • Cer(ljl d co Is filed with the city ' ding Dlv' orl� / Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date ..5 W E t Applicant ���/-`��( .� •- r • EXEMPTION FROM WORKERS'COMPENSATION DELLA RATIN' • Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or less). - y - Dishwasher Solar Piping • Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subjectto the Drinking Fountains Sola - Fan Motors 00-1 HP 01%-8 Workers' Compensation Laws of California. - — Date Signature / Floor Drains Imming Pool vv/SpaF,A,U. NOTICE:If,after making this declaration, you should become subject to the L -1 Inc.Solar ❑9-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave CONSTRUCTION LENDING AGENCY - • f/ Gas Service Outlets / ater t a� Device Boxes I hereby affirm that there is a construction lending agency for the performance r Pole Light of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Heater • Outlets Lender's Name Range Lender's Address Kitchen Sink Wa Service ' OWNER BUILDER DECLARATION • Switches Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto ash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or.repair t P-Trap Laundr Tra s any structure, prior to its issuance, also requires the applicant for such permit y Generator 00-5 KW 05-15 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains ' the Contractor's License Law(Chapter 9 (commencing with Section 7000)of • Division 3 Of the Business and Professions Code) or that he/she is exempt `erefrom and the basis for the alleged exemption. Any violation of Section )31.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not Intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Reinspection Fee I $15 Issue Fee • $ 3 License Law tloes not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own - DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for / Boiler Hood or Type I ❑ sale- If, however, the building or Improvement Is sold within one year of com- Canopy Type II 0 Zoning Approved By Date Melon, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground /�, `,>{/ Building Approved By Date prove for the purpose of sale). - ❑ I, as owner of the prope?ty,am exclusively contracting with licensed con- Duct-Structural Refrigeration SystemApplication Issued By Dat tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who / Duct- Ventilating ❑0.100,000 BTU ❑100,000 BTU /��/ builds or improves thereon,and who contracts for such projects with a con- O.�vv SUMMARY OF FEES - tractor(s) license pursuant to the Contractor's License Law). I am aware that / Exhaust System Multiple 0 System Repair/Alteration SO BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT IDI am exempt under Section— - B.& P.C.for this reason Firepl/Fact.Blt. ICBG* Fire Dampers PLUMBING $ 7 Q0 ISSUANCE $ Date Owner Heating System&Ducting Registers f PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU ❑100,000BT n SW �� ���� /Qf ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances G!� t s+ and state laws relating to building construction,and hereby authorize repre- sentatives of this city to e er upon the above-mentioned property for i COQ V«Vc� O no PLAN CHECK 50% $ j inspection piJ ses. y0 I Sl 7T� • Q' �I/� Signature 6/po / Date �` MECHANICAL $ 7 1•SV TOTAL FEE $ V r. V Drivers' License or SS - Reinspection Fee $15 Issue Fee t{ Ie $ $ PLAN CHECK 25% $ lJ CMF 0865.46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION ANDLANNING POOL&SPA 4P APPROVALS Permit'# Date Inspector APPROVALS Permit# Date Inspector, 1,-Temporary Electricak rvice 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 CFootings i �- ' 58. Electrical Conduit-Undrgrnd. 8:'Foundartion 59. Gas Pipe, O Undrgrnd.,Test 9. •Water Pipel'Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd._- 10. Structural Floor System 61. APPROVAL TO DECK 1 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!Fiough Wiring - ! 68. APPROVED FOR PLASTERING i 'Sign .117 r -18)iRoughElectricahTBar.Geiling - A , 1'69. POOL/SPA SYSTEMS F INA Li t 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT t-j• ii . 20. Rough Factory Fireplace APPROVALS Permit# v __21. Ducts, in Structure 70. Underground Hydro Y j 122. Duct's, Ventilating 71. Pract Piping 0 Gas 0 Oil • - 23. Gas;Pipe-Rough & Test 1/ 72. Underground Flush 24.'Roof Framing /• 73./Undergrnd.Storage Tank'D Gas 0 Oil B� 25.,`Roof.Sheathing �•� [ 7 74: Overhead Hydro ` 7 t 26. T-Bar Ceiling (Structural) & Monocoat 4'.. 75., Dry Chemical • G: 27.•-Frame and Flashing v t6- Dry Standpipe St- • 28. Lathing & Siding • 77. FIXED SYSTEM FINALt! - 29. Insulation 78. FIRE PREY. FINAL , t • C-'•. 30. Drywall Nailing HEALTH DEPT. REQUIREMENT li 31. Plaster:Brown Coat 79. FINAL INSPECTION ' '' ! 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ` 1 ` 33. Final Electric Notes: yr/, /rp ,//%ad 1��j,�Qi 4 2rf<lrs & 34. Final Heating -Air Conditioning f `7. zip/ 7--- d licoo4play Ti.0r - 7nr 'c 35. Final Gas Pipe-Test / %/�L ¢/et l/ / a n CdoY "9,120r 7Ainnrvf rsi.tne r6IH, 36. Hood or Canopy at 1 - 37. Final FesFerp•Firepface �re¢e� - #?�7%f4/ Z' Oil /eer/lY d-49 ed • :4:0471 ' ......"art z •. 38. Final Plumbing %,d�-,/fr Sr�39. Water Service-Final „'-'� 1 - - .c- 40. Gas Service-Final _ • - 41. Solar Domestic-Final ,1, 42. Backflow Preventer • 43. Backflow Irrigation • ''1 ' 44. Landscape Irrigation System 45. Sound Attenuation r• - 46. Handicap Regulations • 1 , - 47. FINAL STRUCTURE & BUILDING ', 48. Special Requirements Completed - - • 49. Electric Release to Edison • - 50. Gas Release to.Southern California Gas Co I , 51. CERTIFICATE OF OCCUPANCY No. Date r ' r \ • v, ti PROJECT ADDRESS: 283 E 17TH ST . UNIT: D CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06877C OWNER'S NAME: DHP PROPERTIES ADDRESS: P.O. BOX 8411 PERMIT NO: B 068770 PLAN CHECK NO: 03136-94 A ,/ GOVT: N SUPP : N NEWPORT BEACH CA 92658 CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: ALT ( 714 ) 752-1333 ARCN/ENGINEER: THOMAS PENDLEBURY ARCH REG.NO.: C-11097 JOB DESCRIPTION COMMERCIAL T. I . (BEAUTY SALON & SUPP ) SQ FT: 1 , 907 ADDRESS: 734 SKYLAND DR UNIT: SIERRA MADRE CA 91024 CLAIM VALUE: 10, 000 , 00 CALC—VALUE: 15, 465 , 7 GROUP OCC : 8-2 / • PERMITTEE: IVY PAINTING & CONSTRUCT. ( 714 ) 826-2660 •ADDRESS: 14713 CARMENITA RD COMMENTS : THE " 17TH ST BEAUTY_CENTER" NORWALK CA 90650 *yF�6ie*******ak****+r****yF*y6y ****yF*yryF*+ryF+e**********+Fy6**** ********+F*+FBF***********ac-+F eICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU I R EMEIN T S 7001 of Division 3 of the Business and Professions C..- ,.. . license is in full force and effect. SETBACK S CITY LI ' ST• LIC.: 51 5 ? ' -• : Date: Agf. Ii.." MAIN BUILDING ACCESSORY BUILDING WO •'S'COMPE .'TION. CLARATION: I h•. at l h�+"� ave�'nuicate. consent to self-insure or acenificaeo orkers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN C p•nsation Ins ante. or a certified copy • eof(Section 3600, C). LEFT ; FT IN RGHT: FT IN LEFT : FT IN RGHT: FT IN OLICY NO.: EXP.DATE: COMPANY: PARKING REQ• PROV; PARCEL : 42522304 ZNE• C2 REF NO: O Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> INTERIOR ALTERATIONS FOR A BEAUTY SALON, > 1 Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). D EVEL C/13 MENT SERVICES R EQU IR EMEN T S I certify that in the performance of the work for which this p• issued,I shall not•".oy any pe_.n in any ma er so as to become ,/ subject to the W. ers 0,ensatio. :ws of California. . ZONING APPROVED BY el;e- DATE: 912— I\ •• _ • 3 Date: Signature: i N. :N, . er m.king t declaration,you she .a subject to the -.hers'Com. sation provisions of the Labor BUILDING APPROVED BY : DATE; n you ust forthwith amply with such ..7-ons' or this permit shall .' deemed r' . •d. •2 (( 11 [' CONS •UCTION LENDING AGENCY: I hereby .firm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED>BY: W \(/ DATE; 1 Z —1 whit this permit is issued)Section 3097,Civ.C). ******************A*******.************* ***kkk*'.************************sF** -* *** LENDER: ************************************************************************** *** ADDRESS: LEGALIZATION:N FEE S U M..M A R Y S RUCTURAL SEGM T:Y • OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING EL TR ECHAN IC , .. FIRE SM 7 I NG (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 71 . 0 0 - repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed •• pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business It ON- and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 27 . 79 3 . 25 any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE P-LA —CHECK OT P DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 174 . 25 0 . 00 27 . 79 2 , 202 . 04 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through _ his or her own employees. provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLL EC• D • 74 . 25 OVER/S improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECH'A IC FIRE- SNIP/ ADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 1 71 . 0 0 • 5 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or Improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************** ****************************** that proof of their Worker's Compensation insurance should be provided to me. IND IV ID U A ,L , F B R--E A .K D O W N • ❑ I am exempt under Section: B.8.P.C. for this reason: TYPE QTY DESCR IP T N U• NIT COST TOTAL COST Dale'. owner: SFC 1907STO INT, ALTER TYPE V N —AVER 7 , 42 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and11 , 31 5 , 8 3 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a SFC 1 9 0 7 EQU—ALT COMM, AIR GOND —AVER , 6 9 1, 315 , 83 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END OF FEES these provisions. ' Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county . ordinances and state laws relating to building constructi. hereby authorize representatives of this city to enter upon the above-mentioned 01 00167214-00167215 T T 174.25 I ' DATE: 09/02/94 TIME: 11:24 . I property sp uon pu es // . '7 • Dale; Signature: / �!� ;••� , i Day s License curity 4: / •• 16 1-46 White—Builtling;Green—Code orcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTR'UCTIJN AND PLANNING' POOL PA APPROVALS Permit Date Inspector APPROVALS Permit # Date inspector' 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement a Electrical Conduit Utility-Undrgrnd. 4. . 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, 0 Undrgrnd.,Test 9, Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap,0 Undrgrnd, 10, Structural Floor System . 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection62. Backwash & Receptor-Final i 12. Sewer Cap 63. Heater & Vent-Final ' 13. Roof Drains r - 64, Plumbing System - Final 14. Rough Plumbing - - 65. Electrical-Final 15. Rough Electrical-Conduit ' 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18, Rough Electrical-T Bar Ceiling 69. 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 D Gas D Oil 23. Gas Pipe:Rough &'Test 72. Underground Flush • 24. Roof Framing • • 73. Undergrnd.Storage Tank D Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro - 26. T-Bar Ceiling (Structural) & Monocoat 1 75. Dry Chemical 27. Frame and Flashing 47-f-etc/ byte- 76. Dry Standpipe ' 28. Lathing& Siding 77. FIXED SYSTEM FINAL' 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing `r`JZ4(/� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final I - 80. FOOD CERTIFICATE ISSUED 33. Final Electric _ Not G�7 rt. �. __ • 34. Final Heating & Air Conditioning - ->- L,., r„�- _ e 64 35. Final Gas Pipe-Test 9 4-444"__ 36. Hood or Canopy ,gY- T 0,� c ilia _-- 37. Final Factory Fireplace 'A / StfAJ €-'' e'O!i{/'L Olt, _ 38. Final Plumbing - d 39. Water Service-Final 40. Gas Service-Final Pei-; ; (nue I 1D eve O 4 4 41. Solar Domestic-Final t, -•/. ++(' SI 42. Backflow Preventer (/ � - 43. Backflow Irrigation • . - 44. Landscape Irrigation System • 45. Sound Attenuation 46. Handicap Regulations - r 47. FINAL STRUCTURE& BUILD•�..0 - 4"-O.----- . 48. FINAL PLANNING - I 'i 49, Electric Release to Edison11 50. Gas Release to Southern California Gas Co . l 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 263 E 17TH ST %, ` UNIT: D CITY OF COSTA MESA - BUILDING PERMIT PERM P 068772 OWNER'S NAME: DHP PROPERTIE. '- �' `� ADDRESS: P50, BOX 8411 PERMIT NO; P 068772 PLAN CHECK NO: N GOVT: N SUPP: N NEWPORT BEACH CA 92658 CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE; ALT ( 714 ) 752-1333 ARCH/ENGINEER: THOMAS PENDLEBURY ARCH REG.NO.: C-11097 JOB DESCRIPTION ; COMMERCIAL T, I . (BEAUTY SALON 6 SUPPLY) SQ FT: ADDRESS: 734 SKYLAND DR IT: • SIERRA MADRE CA 91024 CLAIM VALUE: CALC-VALUE: GROUP OCC : B-2 / PERMITTEE: IVY PAINTING 6 CONSTRUCT. ( 714 ) 826-2660 ADDRESS: 14713 CARMENITA RD COMMENTS : THE " 17TH ST BEAUTY CENTER" , RE: #868770 NORWALK CA 90650 ***ic-+e*************x*e6* -******aE*ir********+t********************** *************** -LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON INC kR E Q U I R E M E N T S 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS CITY LIC.:�yy STATE LIC.: 5 It 57•', CLASS: B E • Date:—/� gnamre:_ . �/ /� MAIN BUILDING ACCESSORY BUILDING WORK- OMPENSAT0 ECLARATION: the .. .firm that l have a , icate of cons to sell-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN Compe sation Insurance. r a certified copy • -of(Section 3800,Lab. ). LEFT: FT IN RGHT; FT IN , LEFT; FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV; PARCEL ; 42522304 ZNE: REF NO: 0 Certified copy is hereby furnished. 0 Certified copy is filch with the city Building Division. PLANNING NOTES> > . C. Cate: • Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is lor one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS I cenify that in the performance of the work for which this permit is issued,I shall no 'r 'boy any person in an manner so as to become subject to the Wo' rs' pensatio aws of California.= i ZONING APPROVED BY • Q DATE: 4. Date: / Signature: _ ��. NO .Il.al e,making is declaration,you sr-.. . me subject tot •. orkers'C• pensation provisions of the Labor BUILDING APPROVED BY : + DATE: Code.you must.lonhwlth comply with such •°visions or this permit shall be deemed revoked. c� CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: - ♦_ - DATE: 1 9 ti 1 which this permit is issued(Section 3097,Civ.C). ********************** *******.{f-.x.* © ** LENDER: **********************. *** - *********************************************** ADDRESS: LEGALIZATION: N FEE S U M. M A;R Y L - - STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PL BING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 2 . 00 • . _ repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she Is licensed 2 5 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business _ • SMIP/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN . - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 2 0 -. I. as owner of the properly or my em loyees with wages as their sole compensation, will do the work. and the BUILDING-DIV-> PERMIT E PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 42 . 00 . 00 0 . 00 62 . 00 62 . 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTAL S--> COLLECTED : - ' ' 62 .00 OVER/SHORT: . 00 . for the purpose ol sale). BLDG PMT PLUMBING ELEC IC MECHANIC . FIRE SMIP/TOT GRADING PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 62 . 00 • ❑ and Professions Code. The Contractors'State License Law does not apply to an owner of property who builds or improves thereon - and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ****************************** *************if*********if*************if********** that proof of their Worker's Compensation insurance should be provided to me. IND IV IDUAL F E E B R E AK D OWN o I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCR IP T ION UNIT COST TOTAL COST Date.' Owner PLU 1 WATER CLOSET (TOILET) 7 . 00 • 7 . 00 I do hereby certify that lam aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and PLU 2 SINKS, COMMERCIAL OR INDUSTRIAL 7 . 00 14 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a PLU 1 SINKS, FLOOR 7 . 00 7 0 0 permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from these provisions. PLU 1 SINKS, SERVICE / MOP f • 7 . 00 7 . 00 PLU 1 URINALS, STALL • 7 , 00 7 . 00 Dale. Applicant END OF .FEES .l.' ' s' :^. . ,4 I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county . , I , , r ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspec' npur•oses. _ ''•3i '00167216-00167216 TOT 62.00 99 —�� ` , DATE: 09;02/94 72dE: 11:24 ,� Date: Si-----r-8—.--- _+� `� Driver's Lnse or Social Security A: 1841.46While-Building:Green-Code Enforcement;Canary-Applicant:Pink-Revenue;Goldenrod-Assessor 1 �1 CONSTRUCTION ANOJPLANNING POOL o.aPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1, Temporary Electrical Service or Pole ,/( 52. Pool & Equipment Location A 2. Soil Pipe-Undrgrnd. _/ G'IJj+- 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. G ice- 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE .7. Footings 58. Electrical Conduit•Undrgrnd. d. Foundation 59. Gas Pipe,0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap. 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 1.1. Property-Sewer Line & House Connection 62. Back:ash & Receptor-Final 112. Sewer Cap 63. Heater & Vent-Final $3. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit I 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 1/. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 'r3. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducat, in Structure 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping 9 Gas C1 Oil 23 Gas Pipe-Rough & Test • 72. Underground Flush 24. Roof'Framing- - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28, Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation - : RE PREY. FINAL 30. Drywall Nailing 'zALTH DEPT:REQUIREMENT 31. Plaster Brown Coat fr 79. FINAL I- SPECT 32. Electrical-Power Meter-Final / 80. FOOD 'ERTIFICATE ISSUED 33. Final Electric 1 Notes: "r` _ZO &P. B• 34. Final Heating& Air Conditioning a . o&at �1 � 35. Final Gas.Pipe-Test • earkp .6 142- r 36. Hood or Canopy . Q- 6 Gin-e-42cuo_�� 37. Final Factory Fireplace -y �'-cs-��{- s'r�Y' azlr-_ _ 1. 38. Final Plumbing , cn eez-, �d 39. Water Service-Final L --2-e?- 4E e? I�4AE i-ed. sc 40. Gas Service-Final GNd raA._ 415C 41. 41. Solar Domestic-Final /0-'E- .'t'- Lt kit) 42. Backflow Preventer 43. Backflow Irrigation , • � t• 44. Landscape Irrigation System 4Dt Sound Attenuation - • . 45. Handicap Regulations 47. FINAL STRUCTURE & BUILDING . . 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 283 E 17TH ST " "'` UNIT` D- ' • / CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 068812 OWNER'S NAME: DHP PROPERTIES { ADDRESS: p O BOX 8411 PERMITNO: P 068813 PLAN CHECK NO: N GOVT: N SUPP: Y NEWPORT BEACH CA 92658 CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: ALT ( 714 ) 752-1333 ARCH/ENGINEER: THOMAS PENDLEBURY ARCH REG.NO.: C-11097 JOB DESCRIPTION ; COMMERCIAL T. I . ( BEAUTY SALON & SUPPLY) SQ FT: ADDRESS: 734 SKYLAND DR UNIT: . SIERRA MADRE CA 91024 CLAIM VALUE: CALC—VALUE; GROUP OCC: B-2 / PERMITTEE: IVY PAINTING s CONSTRUCT. ( 714 ) 826-2660 - ADDRESS: 14713 CARMENITA RD COMMENTS: SUPPLEMENT TO P-68772 NORWALK CA 90650 **********�E*�Ekr+e�E*kr**********sP*******�rkP�P�r+E�t�PSP** �E*kE�Ekex*�Pif�6*�6***�E *�E�P***sk�E�r***�E*�E LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7 I Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS rTYLk.: STATELIC.: 5130 5 C : ' . XP : > MAIN 'BUILDING ACCESSORY BUILDING te'_ l4l � — ' FRNT: FT IN REAR: FT IN FRNT : FT IN REAR: FT IN XERS ION DECON: the r, lhaab.C).ificate• onsemt f- ureoratenificateofWorkers' LEFT: FT ( . ' IN RGHT; FT IN LEFT : FT IN RGHT: FT IN mpensali Insurance.orate flied Copy the /:'ction 3500,Lab.Cf. L x• OLICY NO.: EXP.GATE: COMPANY: PARKING REQ: PROV: PARCEL: 42522304 ZNE: REF NO: ' 0 ertiried copy is hereby furnished. 0 Certified copy is Med with the city Building Division. PLANNING NOTES> r. •.,uta . *********************************x********************************************* _ /ION FRRS'COMPENSATION DECLARATION: (This section need not be competed if the permit is for one hundred(5100)or less). D E V E L O P M E N T SERVICES REQUIREMENTS r WrE I c+-ify that in the p-normance of the work for which this permit is Issued.I shall.• ..•. any person in any manner so as to become I.- Ito the W ers' • pensation Laws of California. ZONING APPROVED BY ;// eDATE; Signeu O e you mu lonhwi9, •grirdelclaratknn.yrei shads.. hO / tlu u.eel to the orkers' .,dense ton provisions of the Labor BUILDING APPROVED BY : DATE: permit s . •e deem'' evoked. . ' 7 C CONSTR CTION LENDING AGENCY: I hereby of• that there is a construction lending agency for the-penormance of the work for APPLICATION ISSUED BY: a DATE: All 1 Lf which this permit is issued(Section 3097.Civ.C). **************************************** * **** ****************** *lir * UNDER: . . *********************************************************************** *** *** ADDRESS: LEGALIZATION: N F E E S. 0 M M A. R Y,' STRUCTURAL S GMENT; N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC, MECHANIC/ FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any City of county which requires a permit to construct,alter,improve,demolish,or PERMIT 12,00 , repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5 4 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 10,00 r - , I, as owner of Ire progeny or my em7loyees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTA PAID DUE ❑ structure is not intended or offered for sale(Section 7044,business and Professional Code: The Contractors'State License Law TOTALS—---> 12 . 00 10 . 00 . 0 . 00 2 2 . 0 22 . 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. IL however the building or REVENUE DIVISION TOTALS--> COLLECTED • 22 . 0 OVER/SHORT• 00 improvement is sold within one year of completion.the owner wit have the burden of proving he/she did not build or improve a for the purpose of sate). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK • I,as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 22 . 00 ❑ and Professions Code: Te Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Stale License Law).I am aware *************************************1P***************************************** that proof of their Worker's Compensation insurance sroind be provided to me. INDIVIDUAL FEE ' BREAKDOWN o I am exempt under Section: B.&P.C. fortis reason: TYPE QTY DESCRIPTION ' - UNIT COST TOTAL COST Date: Owner: PLU 1 WATER HEATER AND/OR VENT' ' 7 . 00 7 . 00 Ido hereby cenlly that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and PLU 1 GAS PIPING SYS OF 1 TO ,4 OUTLETS 5 . 00 5 . 00 25534 and that I or any future building occupant Will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit Ion construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant- , I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county A ordinances and state laws relating to building construction and h' 'in authorize representatives of this city to enter upon the above-mentioned - %''• 01 00147386-00157386 TOT 22.00 pr•. ty for inspection •urposes. DATE: 09/07/94 TIME: 14:12 I rate: - Signature: ' — —. \(\\) Ls is Li• ns or Social S-curdy 4. y 164146 White—Building:Green—Code E orcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor • -.4141 CONSTRUCTLON AND PLANNING - POOL & SPA APPROVALS Permit# Date Inspector APPROVALS 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, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 (I-g- L7 65. Electrical-Final • 15. Rough Electrical-Conduit L 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval .17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL "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 OGas 000 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof framing 73. Undergrnd.Storage Tank 0 Gas O Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat • 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical.Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test I-26 94- C flh rie As36. Hood or Canopy CL-29-cd- ,} �.{ 37. Final Factory Fireplace . • - 1 , 7 e I 38. Final Plumbing /0 .'4- J 4 r?: 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final I -' 42. Backf low Prevehter 43. Backflow Irrigation 44. Landscape Irrigation System . 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 283 E 17TH ST UNIT: D CITY OF COSTA MESA — BUILDING PERMIT PERM NO; M 069089 OWNER'S NAME: DHP PROPERTIES ADDRESS: P. O. BOX 8411 PERMIT NO; M 069089 PLAN CHECK NO: N GOVT; N SUPP: N NEWPORT BEACH CA 92658 CONSTRUCTION TYPE: V—N PERMIT TYPE; MEC PURPOSE: ALT ( 714 ) 752-1333 ARCH/ENWNEER: THOMAS PENDLEBURY ARCH REG.NO.: C—1 1 097 JOB DESCRIPTION : COMMERCIAL T. I . ( BEAUTY SALON 6 SUPPLY) SQ FT; ADDRESS: 734 SKYLAND DR UNIT: SIERRA MADRE CA 91024 CLAIM VALUE; CALC—VALUE: GROUP OCC : B-2 / PERMITTEE: K AND S AIR CONDITIONING ( 213 ) 691-9605 ADDRESS: 2830 VIA MARTENS COMMENTS : REF: B-68770 ANAHEIM CA 92806 *****+6eF+FBF*************aF***e6*e6******+6**eF**eL***er*if*********eF*+F***x***+F*TF*r*ar+F+F*** 4 LICENSED CONTRACTOR DECLARATION: I hereby aflirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.: 039542 STATEuc.:4B3431 cuss: C 20 EXP; 06/95 (....1 I0.S •9`1 Signature:_ _ VO—+L4) MAIN BUILDING ACCESSORY BUILDING ERS'COMPENSATION DECLARATION: I hereby affirm that have a certificate of consent to self•insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN ensation'Tote e,gravcsehredcopythereof(Section38 ,Lab.AL, ,n4 /95 LEFT: FT IN RGHT; FT IN LEFT ; FT IN RGHT; FT IN POLICY NO.: EXP.DATE: VI COMPANr: REPUBLIC IND , PARKING REQ; PROV; PARCEL: 42522304 ZNE: REF NO: 0 Certified copy is hereby famished. IA Certified copy Is fit with the city 9irtgpNisron. PLANNING NOTES> til._'��1 r"1i > r Date 10• $ • y' Applicant. *************************************et***************************************** / DEVELOPMENTT SERVICES R E U I R E M E N T S EMPTION FROM WORKERS'COMPENSATION DECLARATION: (This s ' need not be completed II the permit is for one hundred(1100)or less). Q I certify that in the performance of the work for which this permit is ed,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: Signature' NOTICE: after making this declaration. should become subject tothe Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; DATE: Code .you must forthwith comply with such provisions or this permit shall be deemed revoked. 't CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE; ,, which this permit is issued(Section3097.Civ.C). *'*'*'***'K"*'*'**'************tt************X*• . it *** *********************• .; -y �T** LENDER: **********4***********************************************************.:* ****** ADDRESS: LEGALIZATION: N F E E 'SUMMARY STRUCTURAL SEGMENT: N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT18 . 0 0 repair any structure.prior to its issuance,also requires the applicant for such perm)to file a signed statement that he/she Is licensed 25% SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business P LAN . and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation 01 Section 7031.5 by • any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars(S500), ISSUE FEE 15 . 00 my employees with ova as their sole compensatlon, will do the work, and the BUILDING—DIV—> PERI. ISSUE PLAN—CHICK TOTAL PAID DUE I, as owner of the property orwagesTOTALS----> 18 , ( 0 1 11, ^0 ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law . 0 . )0 33 , 00 3 3 , 0 0 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through ^ his or her own employees,provided that such improvements are not intended or offered for sale. II,however the building or REVENUE DIVISION TOTAL --> '{`O`: ' 'D : 33 . 00 OVER/SHORT: . 00 forfheepurpt¢wltivethin one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBIN ELE I•I. C M£L.HANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 33 :00 ❑ and Professions Code: The Contractors'State LicenseLaw does appry owner trcmcerlyah builds or improvesthereon and who contracts fr such projects with a contractor(s) idsepspant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. IND I V I D I' Lq,E m BREAKDOWN ❑ I r t is re exempt under Section: B.&P.C. • ti: w '' 9 for this reason: TYPE QTY D E S ( I N UNIT COST TOTAL COST Date: Owner: MEC 1 INST F( R— AIRiGRAV FURN <= 00 K BTU 9 , 00 9 . 00 I do hereby certify that lam aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 9 , 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF . FEES permit for construction or modification from the Air uality Management District,Residential construction applications are exempt from mese provisions. Date:_ _ _ Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and stale laws relating to building construction and hereby authorize representa'yes of this city to enter upon the above.mentioned property for inspection purposes. 01 00168315-00168815 T' ET 33.00 (ate.ate. (0.3• tE Signature: DATE: 10/03/94 TIME: 13:37 Dr' on s License or Social Security x: 164146 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL 'PA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service pr Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. .. 53. Steel Reinforcement '. 3. Electrical Conduit Utility-Undrgrnd. Z 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6, Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation I I 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - `' 60. Backwash Lines, P-Trap. ❑ Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House,Connection . 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final i . 13. Roof Drains .--: 64. Plumbing System • Final ,-r 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED 4 FINAL 29. Insulation 78. FIRE P INAL 30. Drywall Nailing ' HE LTH DEPT. RETIREMENT 31. Plaster Brown Coat 79. FINAL INSPI-CTION sacroes 32. Electrical Power Meter•Final 80. FOOD CERT ATE ISS14 33, Final ElectricNotes: 34. Final Heating & Air Conditioning {�Oa/11+ //, AFL s .. r( ` ♦wit/I_ 35. Final Gas Pipe-Test �• �� w. • 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backf low Preventer 43. Backf low Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY No. Date T ADDRESS: 283 E 17TH ST UNIT: D CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 068771 OWNER'S NAME: DHP PROPERTIES ADDRESS: P .O. BOX 8411 PERMIT NO; E 068771 PLAN CHECK NO: N GOVT; N SUPP : N NEWPORT BEACH CA 92658 CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE; ALT ( 714 ) 752-1333 ARCH/ENGINEER: THOMAS PENDLEBURY ARCH REG.NO.: C-3Nt097 JOB DESCRIPTION ; COMMERCIAL T. I . ( BEAUTY SALON & SUPPLY) SQ FT: ADDRESS: 734 SKYLAND DR SIERRA MADRE CA 91024 CLAIM VALUE: CALL—VALUE; GROUP OCC : B-2 / PERMITTEE: IVY PAINTING & CONSTRUCT. ( 714 ) 826-2660 ADDRESS: 14713 CARMENITA RD COMMENTS : THE "17TH ST BEAUTY CENTER" , RE: #B68770 NORWALK CA 90650 era6**********+r**+F*xaF*** *****er**+Fx**********+r** Fit*ar*aE*+6********* ***********x+F** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU I R EMENT S 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. SE T B ACK S ' CITY LIC.: • ATE LIC.: 51 3:r7 �a E; • ; etDate - Sig . MAIN BUILDING ACCESSORY BUILDING WO COMPEN ATPN DECLARATION: Ihere� d" Tve ace ' to of.,''osell-insure or a certificate ofworkers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN Comp: sationInsurance.oracenifiedcopyther•. tion 3800.Lab. . LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN POLICY NO.:COMPANY: EXP.OATE: PARKING REQ: PROV; PARCEL : 42522304 ZNE; REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is tiled with the city Building Division. PLANNING NOTES> > Date: Applicant: ` *********************************7f********************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need rot be completed if the penrit is for one hundred(5100)or less). DEVELOP MENT S E' R V ICES R EQUIREMENT S I certify(Fiat in the performance of the work for which t ' .' issued.I mploy any person man manner so as to become subject to the other Compensa"•n Laws of Californ.. ZONING APPROVED BY , DATE; Date: Sign.a�� e .VE:If .ter ma c r this declaration dar Hid become subj• ;• the workers' • mensation provisions of the Labor BUILDING APPROVED BY .• 4 DATE: ..e.you must forthwith comply with such provisions or It per ' that be deem:. revoked. (� CONSTRUCTION LENDING AGENCY: I hereby allirm that there is a construction lending agency for the performance'of.the work for APPLICATION ISSUED B Y: ' lC2—Mil DATE: 1, 12� 4 which this permit is issued(Section 3097.Civ.C). ************************************************ ******************** ****** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION;N F E• E, SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve.demolish.or PERMIT 1500 , repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0 pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 15 . 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 15 . 00 15 . 00 0 , 00 30 .00 30 . 00 , 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale. II,however the building or REVENUE DIVISION TOTALS--> COLLECTED • 30 , 00 OVER/SHORT: 00 improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve . for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK • I.as owner 01 the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 30 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware **************************************{e{e** (.**.*****•*.*..N.*.***.ie**.*.*****j(.*.******.***.**. that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E B R EAK D OWN o I am exempt under Section: B.d P.C. for this reason: TYPE QTY D E c' IPTIO N UNIT COST TOTAL COST Date: Owner: ELE 5 XTURE LIGHTING Age . 75 3 . 75 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 10 R CE 'IIIL ET 25534 antl that I or any future building occupant wilVvnll no((circle one)need to comply with said slate cedes and the requirements fora ELE 5 R T/S W I TC I^ ' 75 7 , 50 permit for construction or modification from the Air Ouahty Management District.Residential construction applications are exempt from V ` , 75 3 , 75 4 these provisions. I ES Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building constru authorize repres , is city to enter upon the above-mentioned 01 00167213-00167213 TOT 30.00 property for inspec ion pun•ses.o —4.0110110r / DATE: 09/D2/94 TIDE: 11:24 p Date: / ���Signaa ' . / — 4 7 Driver` L' ense or Social Sec uity•: 0 4.4 16 white—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor AUCTION AND PLANNING POOL _ SPA S Permit# Date Inspector APPROVALS Permit ,' _ Date Inspector 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-Undrgrrld. 55. Electrical Bonding ' 5. Steel Reinforcement. 56. Rough Plumbing & Pressure Test 6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE - 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9, Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 ,lar System-Final 16. Rough Electric Wiring /NO r • I encing & Access Approval 17, Rou h Wiringf 9 Si9n 168. APPROVED FOR PLASTERING 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 Structure70. Underground Hydro 22. Ducts, Ventilating • 71. Product Piping OGas ❑Oil ..D 23. Gas Pipe-Rough& Test _ 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas O Oil 25. Roof Sheathing 74. Overhead Hydro 26. 7-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing 76. Dry Standpipe ' - 28. Lathing & Siding • 77. FIXED SYSTEM FINAL 29. Insulation I 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMTN(n� 31. Plaster Brown Coat 79. FINAL INSPECTION illi 32. Electrical Power Meter-Final if3. FOOD CERTIFICATE ISSUED I 33. Final Electric "Wye "444. .Yn 1 rotes: 34. Final Heating& Air Conditioning • . //)) `rr 35. Final Gas Pipe-Test - !{ 36. Hood or Canopy . ' 37, Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final eitiA H 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING . 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ 41 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRA T{� LOT NO. UNIT NO. 6463 309 BBQ 310B5-715 X r r th C�sT,4 B 32 S l`i +Vu' {-t-ts Project Address G ` )7-- _ .�f L-J yr., $-f�I}- LLi r' t , Applicant's Mailing^Address- •Ssr C" / ciabg." TYPE OF CONSTRUCTION NEW LI ADD U ALTERATION LJ REPAIR //77,,,, ne / '`,� 0n/_ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# '15— .Zt — 64-4- Zone i Owner's Name/��� f1 t'- nerve it lly�,r-Pho37,58U p 7 w DESCRIPTION OF WORK/USE OF BLDG. _-Y Address Pc 81-/3( 541.' /�` 4`101 - IJtJ 1 KX�O.�O'O�f E Main Building: Accessory Building: Z Arch/Eng. L.t • • 10' •, License No. TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL T Front _ O ' Address t ' Si- a - ak it A• ' as G 'OJ U TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N ❑ OTHER ,A I Contractor's Name Phone - C Right N Address(mailing) PROJECT DESCRIPTION SQ. FT. OCCUPANCY Ifs CON ST RUCTION TYPE VALUATION$ 1tt S Left • R City License No. V ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION � Ping. Ref.# '/ / Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks:- fTrwtf fres , 2Q'f. uS Planning Notes: ' I?!c4KR Q�Y�Y O-, Q with section 7000) of Division 3 of the Business and Professions Code,and ^ �1�t�is�SSX"°° �) _4rV'O / (1� M my license is in full force and effect, ) /' I{. t 39 r 8Ss V�IAnov Q. 40 c...ka 0 4VCAd� T$ License Class License No. l It 1 CJ sJ Date Signature PLUMBING FEES • • WORKERS' COMPENSATION DECLARATION Bar Sink Showers I hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ;00, Lab. C.) Automatic Washer Transformer 0 15-50 KW r+olicy No. Company Backflow Irrigation Sewer Cap • Construction Pole Sub. 0 50+ KW ' 8Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel I certify that in the performance 01 the work for which this permit is issued, I , -shall not employ any person In any manner so as to becomer subject to the Drinking Fountains Solar Tank Fan - Motors❑0-1 HP 011/2-8 Workers' Compensation La of Calif or0sa. Date Ignature : 7 Floor Drains Swimming Pool w/Spa F.A.U. in NOTICE: If,after ma ing this declaration,you should become subject o the Inc.Sole; ❑g-15 HP ❑16-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Device Boxes Pole Li ht I hereby affirm that there is a construction lending agency for the performance 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water eat ' Lender's Name Range Lender's Address - • Kitchen Sink Water ivied - Switches OWNER BUILDER DECLARATION Sign I hereby affirm that 1 am exempt from the Contractor's License Law for the Lavatories Auto-W h Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry ays Generator ❑0-5 KW ❑5-15 KW any structure, prior to Its Issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000)of - Division 3 of the Business and Professions Code) or that he/she is exempt •"ierefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil salty of not more than five hundred dollars($500). s as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issu Fee $ 3 compensation, will do the work,and the structure is not intended or offered Fee $15 Issue Fee $ 3 Reinspection for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES p License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: T OOO employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 `/ A S / / �J sale. If, however, the building or improvement is sold within one year of com- Canopy Type II El �/Zoning Approved By Date ` D pletion,the owner will have the burden of proving he/she did not build or lin- Duct- Under Ground Building Approved By �, Date prove for the purpose of sale). yip \ 0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By C14 Date �ttey tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU a builds or Improves thereon, and who contracts for such projects with a con- SUMMARY`qOF FEES i tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 7'I V-- SMTP $ O Proof of their Worker's Compensation insurance should be provided to me. _ PLAN $ ) ` } PERMIT • 0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBINGN CHECK $ ISSUANCE $ Date - T: owner an,rat. Heating System& Ducting RegistersIlt. PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL , GRADING $ Information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for PLAN/ - PLAN CHECK 50% I JJ'' inspection purposes. ix �T MECHANICAL $ TOTAL FEE $ Signature —. �e - T Drivers' License or SS# - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING - POOL &SPA APPROVALS Permit# Date Inspector APPROVALS 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, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK . • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final • 14. Rough Plumbing , 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace It dp APPROVALS Permit# 21. Ducts, in Structure '' ; �� 70. Underground Hydro 22. Ducts, Ventilating � 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test , !t')1 �r 72. Underground Flush 24. Roof Framing Y`` 73. Undergrnd.Storage Tank ❑Gas ❑Oil 25. Roof Sheathing 'j' 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL • 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT:REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: • 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy • 37. Final Factory Fireplace , 38. Final Plumbing - ' 39. Water Service-Final • 40. Gas Service-Final . • 41. Solar Domestic-Final - 42. Backflow Preventer - I 43: Backflow Irrigation - - - 44. .Landscape Irrigation System ''- - . _45. Sound Attenuation • 46. Handicap Regulations - - 47. FINAL STRUCTURE & BUILDING �5� 9d • • 48. Special Requirements Completed / •'I 1- 49. Electric Release to Edison - t1 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ . . �• .. r Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. �lrars 1. ,. OF COSTA MESA CONSTRUCTION PERMIT 8 329 04 , /// 2S. ) •eC " 17 sr 4 Project Address ,t ) - Applicant's Mailing Address 7 9y 9 S#3V, 4 ' TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION H REPAIR t 1 Cc-Sant4S Phone Y7/-gy90 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ A.P.# MVR _Q etba Zone Owner's NameDESCRIPTION OF WORK/USE OF BLDG. Address 2$S ,sC ,/ / ST S Main Building: `_ AAggessory Buildi' Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATION H STRUCTURAL E Front ..._-.1 • ZO Address ` ❑ TENANT X ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N Ke* r3 t-+ 4jC Phon - 0 ❑ OTHER A I Contractor's Name L �y .� C Right N Address(mailing) 794/7 544v, A•y4 C'�✓VLo .4r PROJECT DESCRIPTION SQ. FT. �� � OCCUPANCY K Left - G C O N ST RUCTION TYPE VALUATIONS $ _ City License No. 25/Int 9 2a lisoy ZONE"' GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION ,�r ma�y)) Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: go Pia{NN A-Ise-t- lieu 424 f 116'J. Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and my license is in fulllJT ,fforc¢ d effect. �,�..,,��a,, "" - DLaense a C:.—/0 Ce.- i, 7-L� WHe-Y tri fwst•.t.t/t'LQ/l oF LLQG/ t4 FG S Date r Signature -a� • a PLUMBING FEES ' WORKERS'COMPENSATION DECLARATI i I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES f Workers' Compensation Insurance, or a certified copy thereof (Section — Back(OW Preventer Service Sink - 300, Lab. ) Automatic Washer Transformer 0 15-50 KW or / Po icy ••. ....�ta-� al" r - Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW V rtified opy is hereby furnished. - /� B' t" o.• ' 'ed with the city Bui dr Kir r Bathtubs Sewer Connection Cooking Unit Meter Cup to 100 amps Date Lfr•.• 'PP ican -cn .- EXEMPTION FROM WORKERS'COM'EN ATION DECLARATION Clarifie`fs Solar Collectors Dishwasher Meter [Dover 100 amps (This section need not be completed if the permit Is for one hundred ($100) or less). Dishwasher Solar Piping .. Dryers ❑Gas ❑Electric Sub Panel / // ca s I certify that in the performance of the work for which f it is i ed I shall not employ any person in an man so 'to the Drinking Fountains Solar Ta Fan Worker5'z f/gmytilsajiyn Laws of rn' tier: / Motors/804 HP Ch114-8 3 /�•t SQ Date ne�y 3Y( Sig e Floor Drains S ' ting Pool w/Spa F.A.U. NOTICE:If,after making this declare n, you should •ecome s eject to the - Inc.Solar crg-15 HP 016-15+ /S-" Workers' Compensation provisions o the Labor Code, you must forthwith Floor Sinks Urinal 1 comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance - g of the work for which this Perplit- iz J�uetl (Section 3097 Civ. C.) Interceptors Water Hea Outlets Range Lender's Name �/ ,f{a� - -Lender's Address - Kitchen Sink We rvice Switches • Sign - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories ut0-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator 00.5 KW❑5-15 KW Trash Compactor any structure, prior to its Issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt 'herefrom and the basis for the alleged exemption. Any violation of Section - 031.5 by any applicant for a permit subjects the applicant to a civil - . enalty of not more than five hundred dollars($500). ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 ic a 0 compensation, will do the work,and the structure is not Intended or offered - - Reinspection Fee $15 Issue Fee $-B- for. sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or Improves — thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: Hood or employees, provided that such improvements are not intended or offered for Boiler Type I 0 Zoning Approved By Date sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By / Date_ • prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct- Ventilating 00-100,000 BTU 0100,000 BTU .SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. _ - PLAN CHECK $ PERMIT ❑ I am exempt under Section d/ i(_ B. & P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date OwnereFI , Heating System & Ducting Registers PLAN CHECK 25% $ 11 ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT ELECTRICAL $ 7dAA•5V GRADING $ information Is correct. I agree • comply with all city and county ordinances and state laws fel. in9 • b • n• c• struction, and hereby authorize repro- PLAN CHECK 50% $ �' s MICROFILM $ sentatives of tel- ci n the above-mentioned�p/ro err"o inspection pur--.es. � •�'-• MECHANICAL $ TOTAL FEE $ lio• 2r Signature �ti Date Drivers' License Or SS � Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ _ t -^4s-46,rev.10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - CONSTRUCTION AND PLANNING.. pit POOL &SPA " Date Inspector Date Inspector APPROVALS Permit# P APPROVALS Permit# - - „ -. 1: Temporary Electrical Service or Pole • 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms a•"• 4. Electrical Conduit-Undrgrnd. 55!Electrical Bonding , 5. Steel Reinforcement t 9Plumbing ' 56. rough & Pressure Test � t'" 6. Electrical UFER Grnd. 571APPROVAL TO COVER-GUNITE I ,. 7. Footings 58. Electrical Conduit-Undrgrnd. I ,11 A. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test ' 9. Wa 'Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. tlei Inv-1 10. Structural Floor System 61. APPROVAL TO DECK . , 11. Property Sewer Line & House Connection _ 62. Backwash & Receptor-Final _ 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing &Access Approval 17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# I, ' 21. Ducts, in Structure 70. Underground Hydro J- • 22. Ducts, Ventilating 71. Product Piping 0 Gas C]Oil' 23. Gas Pipe-Rough & Test 7i 72..Underground Flush ,I - 24. Roof Framing / 73.•Undergrnd.StorageTank 0 Gas 0 Oil " t 25. Roof Sheathing . 74. Overhead Hydro af.- 26. T-Bar Ceiling (Structural) & Monocoat ,�,_„_ fi 4,,75. Dry Chemical - (1 - 27. Frame and Flashing '' ai Q. % 76. Dry Standpipe , ' 28. Lathing & Siding `aLL77. 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 • r , 33. Final Electric Jr-C-93 e Notes: y_Z ._se, %ihQi 34. Final Heating & Air Conditioning. ',• 35. Final Gas Pipe-Test - - • - L. 36. Hood or Canopy -' - a . ••• rr 'p v M1 37 P Final Factory Fireplace f +° c. r :4 I. / i1 3& .Final Plumbing - , •, 1)-/ �j '-7 r' (__ 7. -,. .4 39CWaterService-Final ;y / J', e, 40. Gas Service-Final " ?l4 2 - F co I r• 41. Solar Domestic-Final .�', r 1 /) l' .:/ .4 V lY .I 42. Backflow Preventer •• • T 43. Backflow Irrigation . . r I f": . IV: ; :'I?' ,� y N p .-9 - :44. Landscape System (.• / i 4,/, % i! ,� V jj��n la A •L •45!.Sgund Attenuation . l'• ,( r. t "� 7 46andicap Regulations - 1'.'( ' % - / %H r.. -r C - -f. .Y ,'4 r47./9INAL STRUCTURE & BUILDING + t' Y A - V' A • 4 ..Special Requirements Completed g. 1.4, (P1,1" .') - r!1/4) P. / 49. Electric Release to Edison ; H,,- NV o/. '114 / 50. Gas Release to Southern California Gas Co iC ''t: 4 •-'I 51. CERTIFICATE OF OCCUPANCY - No. Date riApplicantto fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT - PERMIT NO. TRACT NO. LOT NO. UNIT NO. '�YEso(Ec"tAddress ..j3 'pC L' E/,' /7 Cr /C�,• 1,7 ' 333SZ rJ C— 9540 5/04/n ' ppMailing j0p buck n ci gC• /• TYPE OF CONSTRUCTI N Li NEW (J ADD U ALTERATION Li REPAIR %Applicant's Address // la���F/ ❑ CONVERSIONEMDLISH 0 07'. R Owner's flame D/1.� E/CyaiNTzr Phone,)B -,"-fell?" ,I A.P.qW 'Zone 1�OESCRI•TIO. OF WORK/USE OFB Baiaii Address Y _, - • a OA 7.2.7 m fJ• ' S Main Building: Accessory Building: Arcti'Eng. License No. TYPE OF PERMIT GRADING r FOUNDATION .STRUCTURAL E Front ZO Address, Q L� ❑ T NANT 1❑ ELECTRICAL/TRIC4 PLUMBING ❑ MECHANICAL B Rear N ` Contractor's Noma, eum H. ��Phone 9-2— 60,r gTHER R II.TF L•• t z-X11 U vg_Z A Right - N fp1 jPROJECT DESCRIPTION SQ. FT. (/(r ` r-pC� dares((mailing) 3rz / C • E• /0 Si'.' CON STRUCTION TYPE t— - VA 10 $ S Left R City License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION �/� L /f Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: N 6-W Qv- .ij 4.�{"" f0.( wolf k . ;IN pro,/res t Q r Planning Notes: a- with section 7000) of Division 3 of the Business and Professions Code,and 1"l s K I T my license is in full torte and effect. P�'°" "q,p a.A 't/t! 1__a Cl•�I-� R rs O� s License Class License No. a l `J Date_ Signature PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL - FEES ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink i00, Lab. C.) Automatic Washer' Transformer 0 15.50 KW /Jolley No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW ACertified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that In the performance of the work for which this permit is issued I , shall not employ any person In any manner as to become subject t he Drinking Fountains Solar Tank Fan (�Rlors❑0.1 HP ❑1 yi-8 Workers' Cor9pen ti Laws of California. •1lif yq-� Date C/(� ha I Signature C{��^' I Floor Drains Swimming Pool w/Spa F.A.U. /� Datesc.— If f a Ing this nature declaration, ou Should become Subje t to the — inc.$olar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such (provisions or this permit shall be deemed revoked. Microwave • CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes - I hereby affirm that trier°is a construction lending agency for the performance Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name - 9 Lender's Address Kitchen Sink • Water Service Switches OWNER BUILDER DECLARATION Sign I hereby affirm that.ham exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal $landing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a,permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW ❑5.15 KW any structure, prior,to•its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she Is exempt 'herefrom and the basis for the alleged exomptfon. Any violation of Section )31,5 by any applicant for a permit subjects the applicant to a civil _ natty of not more than five hundred dollars($500). Li I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered - --- - - Reinspection Fee for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES p $15 Issue Fee $ 3 License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 sale. I), however, the building or Improvement Is sold within one year of cam- Canopy Type II ❑ Zoning Approved By Date - pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground provq for the purpose of sale). Building Approved eyDate N 0 I.aS owner of the property,am exclusively contracting with licensed con- Duct-Structural Refri ration System Application Issued By �4 � ' a t6'N-..--.4.4-1:-- Dab alb e tractors to construct the project (Section 7044,Business and Professions Code: _ The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 100,000 BTU ❑100,000 BTU SUMMARY OF FE& builds or Improves thereon, and who contracts for such projects with a con- L tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple Cl System Repair/Alteration �g BUILDING PERMIT $ IS O.co SMTP $ V Toy of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ I •L •..l•sC PERMIT IN'I am exempt under Section—, B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers J - PLUMBING S ISSUANCE $ Date `r ti Owner _ - - 410r Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby ce if t a I have read t•is application plication and state �a t'. ...ye ❑0-100,000 BTU 0100,000BTL ELECTRICAL $ GRADING $ Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and ereby authorize repre- sentatives of this city enter upon he ab ntIoned property tyor ,� Inspection purposes.city Date r re MECHANICAL $ TOTAL FEE $ '5 0. Signature ,✓ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' License or SS# CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND•PLANNING POOL& SPA n • Date Inspector Date Inspector APPROVALS ,Permit.#- • APPROVALS Permit# 1.tTemporary Eledtrical 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 car, & -!, 58. Electrical Conduit-Undrgrnd. 8. Foundation i j i .59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Uniirgrnd" • 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor Systeme 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric`Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign /) 68. APPROVED FOR PLASTERING • 18. Rough Electrical-T Bar Ceiling ! �� 69. POOL/SPA SYSTEMS FINAL II 19. Rough Heating & Air Conditioning A'! FIRE DEPT. 4 !I ,67 1 :.• • 4, {� .. 1 :, 20. Rough Factory Fireplace 7 ,;� APPROVALS Permit# _, - i -n, it- 21. Ducts, in Structure cak;�� 'J� f 70. Underground Hydro - '� 22. Ducts, Ventilating •"�_, # 71. Product Piping OGas 'mil, 0 t. • 23. Gas Pipe-Rough&Test 72. Underground Flush r- v Y I 24. Roof Framing 73. Undergrnd.Storage Tank'O Gas ❑Oil i 25. Roof Sheathing 74. Overhead Hydro "� 1, 1 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 1 1-. 31 27. Frame and Flashing - f 76. Dry Standpipe '° - � -1 . • / . 28. Lathing & Siding .� 77. FIXED SYSTEM FINAL .a 29. Insulation 78. FIRE PREV. FINAL y, • �t 1-.7 t _ 30. Drywall Nailing HEALTH DEPT REQUIREMENT •' . n . • 31. Plaster Brown Coat 79. FINAL INSPECTION r k �� -, 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED , • 33. Final Electric Notes: i >- ;f 34. Final Heating& Air Conditioning i • ,n 35. Final Gas Pipe-Test d ' 36. Hood or Canopy 37..Final Factory Fireplace • * 38. Final Plumbing • 39.Water Service-Final • 40. Gas Service-Final 1 41. Solar Domestic-Final - - , • 42. Backflow Preventer r 43. Backflow Irrigation • • 44. Landscape'Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. 'FINAL STRUCTURE & BUILDING s s a 48. Special Requirements Completed , 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co • • 51. CERTIFICATE OF OCCUPANCY , d No. Date _ _ .s: ''1, PROJECT ADDRESS: 283 E 17TH ST UNIT: D CITY OF COSTA MESA — BUILDING PERMIT PERM NO; lE Ub9 /91.- OWRER'sNAME: DMP PROPERTIES ADDRESS: SAME PERMIT NO: IE 069799 PLAN CHECK NO: N c,UVL: N SUPP; Y CONSTRUCTION TYPE: PERMIT TYPE: ELE OTH PURPOSE: OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REINSPECTION PERMIT SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALL—VALUE: GROUP OCC: B-2 / PERMITTEE: L .A. NEON & SIGN ( 213 ) 734-3361 ADDRESS: 2982 W PICO BL 1 COMMENTS: " 17 ST BEAUTY CENTER" LUMINATED WALL SIGN, RE; NSB69165 L .A. CA 90006 **************r****************a¢** ¢****ir•******•**************a¢***+F+e*+r•****+F***+¢* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON INC REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and elfect. SE TB ACK S CITY LIC.' TATE LIC.: 653806 cuss: 45 EXP : p/ MAIN BUILDING ACCESSORY BUILDING W gnamre: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN r RXERS'COMPENSATI DEC A N: I hereby affirm that I have a certif. te of cons t to selfinsure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance.or a certilie copy thereof(Section 3800.Lab.C). POLICY NO.: EXP.DATE: PARKING REQ: PROV: PARCEL: 42522304 ZNE: REF NO: COMPANY: PLANNING NOTES> rJ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. ******************************************************************************* Date: Applicant: DEVELOPMENT S—E. R V ICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permt is for one hundred(51W)or less). . I certify that in the performance of the work for which this permit is issued,I shag no employ any person in any manner so as to become ZONING APPROVED B Y t to pv�/y/kprs'Compen tion a alifomia. : DATE: fit • ignature: I NOTICE:II,atter m ng this yELa alien,you should become subject to th orkers' ompensation provisions of the Labor BUILDING APPROVED BY DATE Code.you must to m comply with such provisions or this permit shall be Oeeme revoked. APPLICATION ISSUED B Y : -h DATE: CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lendin agency for the performance of the work for • which this permit is issued(Section 3097,Civ.C). ********************** ., �� ********4* 44 *************************** . , ************************************************* LENDER: ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT s •MB I NG ELECTRIC MECHANIC FIRE SM I P/RES GRADING (Section 7031.5 Business and Professional Code: Any city 01 county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 Cot SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by I SS UE FEE any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). BUILDING—DIV—> P ERM I . UE PLAN—CHECK TOTAL PAID DUE I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 30 . 00 0 . 00 0 . 00 30 . 00 30 . 00 . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.II.however the building or REVENUE DIVISION TOTALS— COLLECTED: 30 . 00 OVER/SHORT: 00 improvement is sold within one year of completion.the owner wit have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). 30 . 00 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The Contractors State License Law does not apply to an owner of property who budds or improves thereon *************************** *************************************************** and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BR EAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCR IP T ION UNIT COST TOTAL COST Date: Owner: ELE 1 ELECTRICAL RE—INSPECTION FEE 30 . 00 30 . 00 I do hereby certify that 1 am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF F EES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. I her Applicant: I herebyany that I have read this application building and state that the above information is correct. agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize repre0jntatives of this city to enter upon the above.mentioned property for inspection purposes. L'/��, 61/ _ `f I4 01 TE1*DUPLICATE TOTS 30.00 Date: J� / lure: river's Licensehilor Socia minty,: OATE4 11/07/94 TIME: 14:20 1641.46 White—Building;Green—Code Enforcement:Canary—Applicant;Pi —Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL ,PA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipmentncation 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit•Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P•Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POO USPA 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 0 Gas ❑Oil 23. Gas Pipe-Rough& Test 72. Undergrourd Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural/ & Monocoat - 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing!& Siding - - 77. r , r SYSTEM FINAL 29. Insulation r., FIRE PRE '. 7 AL 30. Drywall Nailing ALTH °T. REQUIREMENT 31. Plaster Brown Coat 79. FINA INSPECTION 32. Electrical PowerMeter-Final (�ry 86. FO•rrCERTIFICATE ISSUED 33. Final Electric 42t (it* 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 Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation • • 46. Handicap Regulations 47. FINAL STRUCTURE& BUILDING 48. FINAL PLANNING 49. Electric Release to Edison ` 50. Gas Release to Southern California Gas Co I 51. CERTIFICATE OF OCCUPANCY • No. Date