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HomeMy WebLinkAbout295 17TH ST - Building Permits City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY N? 2661 C P. 0. Box 317 Costa Mesa, California The Building located at 295 R nth,Street has been inspected and found to cornply with the'provisions of all City of Costa Mesa Ordinances applicable thereto for a Group 8a° Occupancy. Use of Building SWAM Station aMM Pop Islands Legal Description 3.124 :,2 h1Z,_'. (See reverse side for Metes and Bounds) s Building Permit No. InDR Electrical Permit No. 30648 Plumbing Permit No. 56157 Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. _. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050:1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments and for guest rooms ISSUED TO: Building Official 7� Pry OIL CC Mtlfd= by /3-21201,1.40-2i //a. / e .. _ . ... Date 8 19TO '1���t',TDi/� : �� 1 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. 306 (e) U.B.C. Form Hv34-1M-11.63—$-B P City of Costa Mesa • Building Safety Department CERTIFICATE OF OCCUPANCY N? 2660 C P. 0. Box 317 Costa Mesa, California The Building located at 295 R. 13th Street has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a GroupV•1 dh V'.2 Occupancy. Use of Building Cetaaninisl i111Mng A, gtxo.Yiagi Legal Description 3174.92'23 a 26 (See reverse side for Metes and Bounds) 3110730685 de5t,� Building Permit No. Electrical Permit No. 5 Plumbing Permit No. Floor Load Signs have been installed as Room Capacity Signs have been instated as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shallbe used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: • 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments_ and/or guest rooms ISSUED TO: Building Official ✓l OIL COWAN by / d-eZirtA(1..� /J. Date Awls 2D 3.9'10 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. 306 (e) U.B.C. Form Bu34-1M—tt-s3_S.B p r �, 51g Ms CITY OF COSTA MESA • f4a1°_ BUILDING DIVISION PAF IIT NUMBER -'o. j ' DEVELOPMENT SERVICES DEPARTMENT PERMIT BOO-00407 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 295 E 17TH ST Status: ISSUED Suite: Applied: 03/29/2000 Vicinity: Issued: 03/29/2000 Parcel Number: 42522306 Zoning: Applicant: MARQUEZ,AL ISSUED BY: 01 L Address: PIER 0,BERTH D47 - ' . Phone: 562-432-1826 L.B.,CA , Zip: 90802-1096 Owner: SINGER, SANDY M TR • ' Address 6345 BALBOA BLVD#375 "% _ _ � - - - - Phone: - - > . ENCINO,CA \7.' - Zip: 91316 Contractor: FOSS ENVIRO:SERVICES Address: PIER 0;BERTH D47 Phone' 562-432-1826 . L.B:, CA ' Zip: \ 90802-1098 License: , 716581 • Arch : t^ - - Eng: Address: - �+ 'r Address: • - ' Phone: Phone: Zip: , License: License: . , SCOPE OF PERMIT, .. DEMOLISH EXIST GAS STATION BUILDING AND REMOVE EXIST.UNDERGROUND TANKS. NO IMPROVEMENTS IS PROPOSED AT THIS TIME. • • "-, , FEE SUMMARY • Plan Check: $0.00 - - Calc Valuation: $30,000.00 Permit: ' $442.25 ..-' Claim Valuation: $30,000.00 SMIP Res: $0.00 SMIP Com: $0.00 _ Other: • $0.00 Inspection: .$0.00 - . Total: • $44215 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 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 DECLARATIONS . WORKERS'COMPENSATION DECLARATION: $ a I hereby affirm under penalty of perjury one of the following declarations: 0 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 1 work for which this permit is issued. r51 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: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as t0 become subject to the workers' corhpensa' n laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 700 of the Labor Code,I shall forthwith se provisio elican%Si ure: Lary)— nom— Date: 3 ZQ'( x`3n WARNING:FAILURE TO SECURE WORKERS'COMPENSATIONLOVERA GE IS UNLAWFUL AND SHALL SUBJECT AN EM- ` R e RIMINAL PE ALTIES AMD CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S100,000),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: - eraby affirm that I am-lige ed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and -rotes ions Code,and my license is In full forcet andteffect. e + - �: Contractor's Signature: a `L Date: rirQt7-"a 4. 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 that 1 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 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 properly 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. 9 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,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? 9 Yes 0 No (Section 25533 of the Califomia 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? 9 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 a_aermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? DI Yes P 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? 9 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? 9 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. e Of Legal Owner(s) .40a. __ "3/7-9(/DateeV1 An •ut • ized Ap'Ic711 CODE 4 INSPECTION TYPE DATE INTITIAL$ _ coot I INSPECTION TYPE ---)pATE 1NTRIAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 206 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 z)-I kO' lac 250 Final Building/Occupancy 2446-4fi �b CITY OF COSTA MESA e 't BUILDING DIVISION r . PE IT NUMBER 1.1 �.��r. 1 DEVELOPMENT SERVICES DEPARTMENT Te. '�ti . PERMIT 00-00151 aenm°`. (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 295 E 17TH ST Status: ISSUED Suite No Applied: 03/29/2000 Issued: 03/29/2000 Vicinity: Parcel Nunmber: 42522306 ISSUED BY: 111 . Applicant: MARQUEZ,AL - Address: PIER D,BERTH D47 Phone: 562-432-1826 L.B.,CAZip: 90802-1098 Owner., • SINGER, SANDY M TR ' Address '6345 BALBOA BLVD#375 ' - - Phone: ENCINO,CA" Zip: 91316 Contractor FOSS ENVIRO. SERVICES. . . - Ifellige Address: PIER D,BERTH D47 . , j . , - , -Phone: 562-432-1826 ' LB.;CA '. Zip: 90802-1098 License: 716581 Arch/Eng: • " Address: . Phone: Zip: License:, ' d i SCOPE OF PERMIT i DEMOLISH EXIST GAS STATION BUILDING AND REMOVE EXIST. UNDERGROUND TANKS.NO IMPROVEMENTS IS PROPOSED AT THIS TIME. _ SEWER CAP. REF B00-00407. - . , FEE SUMMARY AMT QTY . • AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer - $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 .0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkfow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $9.80 1 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 Shower- $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink,bar $0.00 - 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial .$0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve 50.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00' 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $33.30 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 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'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: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify •-tin 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' corn.: -to laws of California,and agree that if I should become subject to the workers'compensation • ; •- of Section 37 of the bor Code,I shall forthwith com•y with ese provisi „Applcant Sig re:' Date: 3 24( 00 WAR i AILURE TO SECURE W 'COMPORKERS, IS UNLAWFUL AND SHALL SUBJECT AN E - • R TO - INAL PENALTIES AND VIL FINES UP TO ONE HUNDRED •'A USAND DOLLARE(6100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEY'S FEES. LICEN ACTORS DECLARATION: I eby a rm that I am lice ad under provisions of Chapter 9(commenting with Section 7000)of Dlvisiop •the Business • rote i•ns Code,and my license is In full rforce an effect.LIC.a 110 O I Class# • !v.Z / Contra ors Signature/ a a_ a. Date: .era'n \CONSTRU l LENDING AGENCY: L I ereby 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: 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 employees,provided that such improvements are not intended or offered for sale.It,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 drivers license. ❑'Yes 0 No Drivers License No. Expires: Verification of Ownership by(ype of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no ekcavation 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(38)feet high.(Chap.3.2,Grp 2,An 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? ❑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 Flre 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 ❑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 o1 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 Calitomia 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/Indication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? L1 Yes No (Section 65850.2 of the Calitomia Govemment 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? ❑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 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. � Signal eget to �And/Or Autho d pp ti VV CODE' INSPECTION TYPE RATE INTmAL$ CODE' INSPECTION TYPE RAff. g�1AL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical y� //�� 1266 Pool Spa Final 208 Final Plumbing 5�e-t J PA/v lbj 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 2446-46 PROJECT ADDRESS: 295 E 17TH ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 059486 OWNER'S NAME: MOBIL OIL CORPORATION ArOREs5: 3800 W, ALAMEDA #2000 PERMIT NO:-E 059486 PLAN CHECK NO: N GOVT; N SUPP: N BURBANK CA 91505 CONSTRUCTION TYPE: 2—N PERMIT TYPE: ELE PURPOSE; OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL ONE VAPOR EXTRACTION SYSTEM SQ FT; ADDRESS: UNIT: CLAIM VALUE: CALL—VALUE: GROUP OCC; B-1 /M-2 PERMITTEE: FREY ENVIRONMENTAL INC. ( 714 ) 723-1645 ADDRESS: 2817 LAFAYETTE AVE A COMMENTS: VAPOR EXTRACTION OPERATION NEWPORT BEACH CA 92663 ********#*****************##****#*************** ******x***** • **************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIRE ` E N T . 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACK S CITY uc.: STATE LIC.:643673 CLASS: �y _ Date: (of/$/9L Signature: CrC--_.. r/w�--[e(!/ MAIN BUILDING _LESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: 1. " IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT; FT IN LEFT: F. IN RGHT; FT IN POLICYN0.: 1200127-92 EXP.DATE: 06/01 /93 COMPANY: STATE FUND PARKING RE • PROV: PARCEL; 42522306 ZNE; REF NO; —1 Certified copy is hereby furnished. ® Certified copy is filed with[he city Building Division. PLANNING N TES> Date: /O`/j/99� Applicant: , #*#*******#*#***#**********#*****#**#*****###**#**####**#**#*#####**##*#####*#* EXEMPTIO FROM AKERS'COMPENSATIONDECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S E;,R VICES REQUIREMENTS 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 California. ZONING APPROVED BY . s.,/, DATE; Date: Signature: NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions 01 the Labor BUILDING APPROVED BY : • DATE: Code.you must NG with such provisions that this permit shall be ending deemed revoked. a e c CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; u DATE: a /3 which this permit is issued(Section 3097,Civ.C). *********************** **** kit it#4 **** ****************- - ** LENDER: ********************************t- **#****** ' ********************************* 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 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 21 , 5 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 5(1,1% 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($509). ISSUE FEE 15,00 I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—--—> 21 . 50 15 . 00 0. 00 36. 50 36 . 50 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale.If,however the building or —_ l ,00 forptheepurpose ofsold salel)hln one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE BLDG`TPMTON TOTALS PLUMB NG ELECTRICOMECHANDIC FIRE6 SMIPO/TOT/$GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 36 . 50 ❑ 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 ****#***#*###******#**#*****#****#*****#**#***##**********************#******** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18 , 50 18 . 50 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and ELE 1 MOTOR/POWR APPARATUS 0, 0 — 1 . 0 HP 3 , 00 3 , 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 Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county • ordinances and slate laws relating 10 building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: /"' ?A.....-444--.. Date: �O�/S/`9'7/ Signature: Lvv�.— 0l {r.7.- - _ Driver's License orSoccialSecurityx: I yr ' 1641-46 While—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor I • C}INSTRUCTION AND PLANNING POO( PA APPROVALS Permit# • Date Inspector APPROVALS Permit Date Inspector 1. r emporary•Electrical Service 'Pole 2 . 52. Pool & Equipment Location ;; - .J . -. 2. Soil Pipe-Undrgrnd. - - • 53. Steel Reinforcement 3. Electrical Conduit-Utility-Undrgrnd. • "1t 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. B. Foundation (-? 59. Gas Pipe, 0 Undrgrnd., Test ,' ' J 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 `' f7 63. Heater &Vent-Final „.. 13. Roof Drains ;_• 1:44! 64. Plumbing System - Final I1 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.StorageTank 0Gas 0Oil 25. Foof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe • 28. Lathing & Siding. I I 77. FIXED SYSTEM FINAL 29. Insulation I -1 78. FIRE PREV. FINAL 30. Drywall Nailing : 1 I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat t -� 79. FINAL INSPECTION 32. Electrical Power Meter-Final • I. .I.: 80. FOOD CERTIFICATE ISSUED 33. Final Electric +7 f Notes: 34. Final Heating & Air Conditioning I • i 35. Final Gas Pipe-Test 1 . .j 36. Hood or Canopy ' -I. I 37. Final Factory Fireplace I ( I _ 38. Final Plumbing 39. Water Service-F'v'a . i t 40. Gas Service-Fj7al 41. Solar DomN{ic-Final yl 42. Backflowf"reventer I I I 43. Backflovl Irrigation %/ u 44. Lands pe Irrigatio ystem 45. Sound tenuation ' 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING I I 48. FINAL PLANNING 1 49. Electric Release to Edison I I. ,4 50. Gas Release to Southern California Gas Co I I 51. CERTIFICATE OF OCCUPANCY No. Date PROJECTAIIARESS: 295 E 17TH ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO; P 059487 .. 'OWRER'SNAME: MOBIL OIL CORPORATION ADDRESS: 3800 W. ALAMEDA #2000 PERMIT NO: P 059487 PLAN CHECK NO: N GOVT: N SUPP: N BURBANK CA 91505 CONSTRUCTION TYPE: 2-N PERMIT TYPE: PLU . PURPOSE: OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL ONE VAPOR EXTRACTION SYSTEM S T. ADDRESS: UNIT: CLAIM VALUE: CALC-VALUE: UP OCC: B-1 /M-2 PERMITTEE: FREY ENVIRONMENTAL INC. ( 714 ) 723-1645 ADDRESS: 2817 LAFAYETTE AVE A COMMENTS: VAPOR EXTRACTION OPERATION NEWPORT BEACH CA 92663 **ae*********** ****-* ******>E************** ********* --x**********-**********x*** 6 LICENSED CONTRACTOR DECLARATION: I hereby affirm 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 lull force and effect. SETBACKS CITY LIC.: STATE UC.:643673 C : A — Date: /0//3 92 Signature: MAIN BUILDING ACh ESSOR WILDING WORKERS' MPENSATION DECLARATION: t hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT TN RGHT: FT IN pow/NI: 1200127-92 EXP.DATE: 06/01 /93 COMPANY; STATE FUND PARKING REQ: PROV: PARCEL: 42522306 ZNE: REF NO: T Certified copy is hereby furnished. 121 Certified copy is filed with the ci adding Division. PLANNING NOTES> Date: 16/5/7Z Applicant y **"******************************************** E:******** .******-x*************** EKEMPTIOOMRSERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). DEVELOPMENT SER V'1 C Ea.'. REQUIREMENTS 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 California. ZONING APPROVED BY G/. .1' DATE: Date: Signature: a� NOTICE:If,after making this declaration,you should become subject to the 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. 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 thus permit is issued(Section 3097.Civ.C). **************************spiel, **i�*3 ******if*********** `O®� )6 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: Any city 01 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 25% pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMI P/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 P LAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5O0). ISSUE FEE 20 . 00 I, as owner of the property or my employees with wages as their sole compensation, wit 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----> 12 , 00 20. 00 0 , 00 32 . 00 32 , 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 TOTALS--> COLLECTED: 32. 00 OVER/SHORT: 00 for me purpose of sale). BLDG PMT PLUMBING ELECTRIC 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 32. 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 ***************FE***-X•*******************************************.*.**.*..H..fE**.)(.*j(.*.{P**.)f that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section. B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5, 00 5 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 GAS SERVICE 7, 00 7. 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 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 construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: 16//3io /"Z Signature: rPJ1An U. 321.7'p-_ 'i 7!_ _ . . ... Drivers License/ or Social Security x: owc-.: •;r;'.� ::: M1. , 164146 White—Buildino:Green—Code Enforcement:Canarv—Aoolicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND.PLANNING ,. PO( SPA - rt APPROVAL$ Permit# Date Inspector e APPROVALS Permit # Date Inspector - . 1. Temporary Electrical Service or Pole = 52. Pool & Equipment Location - t . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undigrnd. 54. Forms ,I 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. - 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test ,, 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10. Structural Floor System t .- 61. APPROVAL TO DECK 11. Property Sewer Line & HouseConnectiori. ' 62. Backwash & Receptor-Final ' 12. Sewer Cap 63. Heater &Vent-Final ..- t 13. Roof Drains f S- 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 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 - � i 77. ,FIXED SYSTEM FINAL 29. Insulation I I 78. FIRE PREV. FINAL 30. Drywall Nailing • I I- HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �1 ! 79. FINAL INSPECTION 32. Electrical Power Meter-Final I i 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning l 35. Final Gas PiPe-Test - (�//Zl4i ? ' 36. Hood or Canopy ' r I I -I- • 37. Final Factory Fireplace - I I' • _ 1 _ 38. Final Plumbing - LifrZIQZCt 3 i - 39. Water Service-Final II 40. Gas Service-Final I I 41. Solar Domestic- mal I ii 42. Backflow Pre�nter ��-- 5.. I I, 43. Backflow Irrigation 4 I. /� 44. Landscapeirrigation System, 45. Sound Anuation • 46. Handicap gulations 47. FINAL STRUCTURE & BUILDING I � 48. FINAL PLANNING 49. Electric Release to Edison j ' • ! 50. Gas Release to Southern California Gas Co I I 51. CERTIFICATE OF OCCUPANCY , No. Date PROJECT ADDRESS: 295 E 17TH ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05482`_ OWNER'S NAME: MOBIL OIL C' ADDRESS: 295 E 17TH ST r PERMIT NO: E 054825 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA CA 92627 CONSTRUCTION TYPE; 2—N PERMIT TYPE: ELE PURPOSE: OTH (714 ) TEMPORARY JOB DESCRIPTION ; 'POWER(SUB FEED) SQ FT: ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: . CLAIM VALUE: CALC—VALUE: GROUP `^ ; B-1 / PERMITTEE: ALAN ELECTRIC CO. ( 714 ) 677--2642 ADDRESS: 23681 BALLESTROS RD COMMENTS: PUMP SYSTEM TO CLEAN CONTAMINATED SOIL MURRIETA CA 92562 ***>fab***************** *******Sc****x•** •*******TE*T*** • .,.:4c *4(*afpc-kn*THX*i6 a/-****qc*** LICENSED CONTRACTOR DECLARATION: I hereby affirm 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 LtC.: 034641 STATEuc.:399909 CLAss: C-10 ----' Date' �-(/=. Y� e signature: __ _ __ :MAIN BUILDING AC 'ESSORY_ BP LNG WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRN T: F T I N REAR: FT I N FRNT: FT I AR: FTIN Compensation insurance,or a certified copy thereof(Section 3800.Lab.CI. LEFT: FT IN RGHT: FT IN LEFT: FT .. •RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ' PROV: PARCEL: 00000000 7.NE: REF NO: Certified copy is hereby furnished. ❑ Certified copy is tiled with the city Building Division. PLANNING NOTES> > , *************-********************.*********************** -*-4(-1(44******************Date: Applicant • DEVELOPMENT S E. R V I C E S ' R E Q U I R E M E N T S EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). , I certify that in the performance of the work for which this permit is issued.I shyll not employ any person in any manner so as to become ZONING APPROVED BY subject to the Workers'Compensation Laws of California. ,•-,, DATE: Dale_ l/— l— ?/ signature: BUILDING APPROVED BY : DATE: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: int i DATE• i/—/ p/ i' which this permit is issued(Section 3097, Civ.C). ********************* t • - • •,. -av- : *�`t*7 £ t bF7FiF*'*' .1f****-***** *** si'**iitt** LENDER: iF****************.*****************,*******' ** ********************u-***.*********. ADDRESS: LEGALIZATION:N F E ,fw S U M„M A R Y STRUCTURAL SEGMENT:N 4: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING 'ELECTRKIC: MECHANIC ' FIRE SM I P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT :15' 0 _ I repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed S0$. • 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 rt. ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 1 .71:00' v, • BUILDING—DIV—> PERMIT ISSUE PLAN-C$ECK 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----> 15 . 00 15 . 00 I. '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 •�'. 7 his or her own employees,provided that such improvements are not intended or o0ered for sale. If, however the building or REVENUE DIVISION TOTALS--> - COLLECTED• -' 30. 00 OVER/SHORT; 00 improvement is sold within one year of completion,the owner will 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 • 30. 00 - /I r I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business ' ' ❑ and Professions Code: The Stateprojects with License Law does not apply loan owner of property who builds or improves thereon *************************************.*.*-****.4***,***************_*************.**** and who contracts for such projects with a Lice clogs)license pursuant to the ertractors'State License Law). I am aware -that proof of their Worker's Compensation insurance should be provided to me. IND I V ID UAL F EE- ; BREAKDOWN ❑ I am exempt under Section: B.8 P.C. , for reason: - TYPE QTY D E S C R I P T I. O 'N ” UNIT COST TOTAL COST Date: Owner: ELE 1 TEMP SERV PWR POLE W/OUTLETS EA. 15 . 00 15 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and END OE FEES 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 Quality Management District.Residential construction applications are exempt from these provisions. . 'f 4' Date: Applicant' ter/ 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 t,,/' t n ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned i i:_',, x . . _ _ . . property for mspeclion purposes. DI ilC1 ' _ - ''�'' 1_': - . Dale: ���, signature: J Drivers License or Social Security 4: • 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue',Goldenrod—Assessor r I CONSTRUCTION AND PLANNING - POC SPA APPROVALS Permit# . Date Inspector •APPROVALS Permit# Date Inspector • 1. Temporary Electrical Service% 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 1'„ Property Sewer Line & House'Connection - 62. Backwash & Receptor-Final 12. Sewer Cap ... 63. Heater & Vent-Final 13!Roof Drains64. Plumbing System - Final 14. Rough Plumbing • i 65. Electrical-Final 15. Rough Electrical-Conduit t - 66. Solar System-Final i 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 SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL I 30. Drywall Nailing - !1l HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 'i. 79. FINAL INSPECTION 32. Electrical Power Meter-Final ., P' . FOOD CERTIFICATE ISSUED 33. Final Electric /n• 34. Final Heating & P.ir Conditioning -�I ,. 'T 35. Final Gas Pipe-Test � nr 36. Hood or Canopy i cJcjr 37. Final Factory Fireplace 38. Final Plumbing - i 39. Water Service-Final 40. Gas Service-Final N ' 41. Solar 411111 42. Backflow Prevenrr i 43. Backflow Irrig ion 44. Landscape Ir ation System I 45. Sound Atte ation f • 46. Handicap Re ulations - 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 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 7267 10/ 13/83 283.07 CITY OF COSTA MESA -- — • PERMITNO. TRACT NO. LOT NO. • BLDG.NO.- - CONSTRUCTION PERMIT • ' 9O�G p . nr� Project Address Z •• S �. / 7 ' • TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION FA.REPAI R YL. Applicant's Mailing Address 1 /-fSOI, IKVINE R4,VD. TL.LSTinl ❑ CONVERSION ❑ DEMOLISH ❑ OTH R MITIENIS - A.P.q16 I Zona - 1 Owner's Name - Mt`RIL flit- �: Pho e'`�68i-5967 DESCLjIPTION OF WORK �- • } • IAccessoryBuilding: ¢)b i rank et. •• ez i S Main Building: ( 2 Address 6,f.1 -S. F Lo'.E'2 ST. . . - E 0 Tv OF PERMIT ■ GRADIN I♦ OUND-TION ■ STRUCTURAL T Front N Arch/Eng. ' • nor-:N<-'D' License No. CI TENANT ❑ ELECTRICAL El PLUMBING CI MECHANICAL - B Rear I 1 Address 1,-) INC. Guy.% ( ❑'OTHER A • N Contractor's Name ALTON en Mgr..Ct\, -P11one 730-la PROJECT DESCRIPTION SQ. FT. ' ' OCCUPANCY C Right r - G K • R Address(mailing) 115?1 IIQVINF' ALVb. . TE 4 TUSTIN C ON ST RUCTION TYPE VALUATION$ 2-S/6o Ll- __ $ Left - , - E a97b I ZONE GRADING CU.YDS. ACRES - Ping. Ref:# Park.Fees $ Q City License No. _ U LICENSED CONTRACTOR DECLARATION Remarks: •, - . Parking Req./Provided - • I • I hereby affirm that I am licensed under provisions of.Charter 9(commencing - R ' with section 7000) of Division 3 of the Busineis and Professions Code, and 4 Use Of Building: E my license is In full force and effect. ��� 6����� n� (�_ p . License Class • License/7.80_, • PLUMBING FEES Planning Notes: 'l ++ M E D ate 1O/!2/7 1 Signature - - i N Bar Sink Showers WORKERS' COMPENSATION DEC L ATION ' - - L T ereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink. S 'Workers' Compensation Insurance, or a certified copy thereof (Section - - .doo, Lab. CJ Backflow Irrigation Sewer Cap • ELE• CTRICAL • 'FEES Policy NO.WC lin—as69 Company IJNIGtiQ.b • 11 Certified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer ; Transformer D 15-50 KW • Certpied copy is filed with the city Bu`JfUng Division. 0 50+KW D ate 1D-11-•d1 Applicant 1o• s .. . -A Clarifiers Solar Collectors • Construction Pole Sub. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION . Dishwasher ' - Solar-Piping - -• '- Cooking Unit " ' -- Meter ❑up 10100 amps - • (This section need not be completed if the permit is for one hundred ($100) or . less). Drinkin Fountains I certify that in Ih¢ performance of the work for which this permit is issued, I 9 Solar Tank Dishwasher Meter Clover 100 amps • shall not employ any person in any manner so as to become subject to the Workers' Compensation'Laws of California. Floor Drains - Swimming Pool w/Spa. Dryers ❑Gas DElectric -Sub Panel Date Signature - NOTICE: hatter making this declaration,you should become subject to the Floor Sinks Urinal Fan ' Motors 00-1 HP 0i14-8 Workers' Compensation provisions of the Labor Code, you must forthwith . comply with such .provisions .or this permit shall be.deemed revoked. Gas Service 'Outlets Water Closet F.A.U. • Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY, - ' I hereby affirm that there is a construction lending agency for the performance Interceptors- Water Heater Fixtures ' Microwave of the work for whichthis permit .is issued (Section 3097 Civ. C.) _ - Lender's Name' IV ervP _ Kitchen Sink - - Water Service _ Device Boxes Pole Light • Lender's Address - _ Lavatories OWNER BUILDER DECLARATION • , - - r'. ) ' Outlets - Range - I hereby affirm that I am.exempt from the Cdntractor's License Law for the ' P-Tra ' following reason (Section 7031.5 Business and Professional Code: Any city or p / Switches ' Sign 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 - Roof Drains: • . . 1 ., Garbage.Disposal Standing Sections to file a signed statement that he/she It licensed pursuant to the provisions of ' the Contractor's License Law (Chapter 9(commencing with Section 7000) of - - - - 'slon 3 of the,Business and Professions Code) or that he/she is exempt - - - / Generator 00-5 KW 05-15 KW Trash Compactor • • tfrom and the basis for the alleged exemption. Any violation of Section I - . - 1.5 by any applicant for a permit subjects the applicant to a civil $.3 - panalty of not more than five hundred dollars($500). Reinspection Fee $25 Issue Fee ' I, as owner of the,property or'my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee $ 3 compensation, will do the work,and the structure Is not intended or offered - - , - FEES - for sale-(Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS: - - i i License Law does not apply to an owner of a property who'builds or improves ' Boiler Hood or Type I 0 - , thereon, and who does such work himself/herself or through his or her own - Zoning Approved By Date employees, provided that such improvements are not intended or offered for Canopy Type II ❑ ' 7, /0 /� rj� y Duct-Under Ground L1G sale. if, however, the building or improvement IssoId within one year of com- i.' Application Approved By Date platten, the owner sewill-have the burden of proving he/she did not build or Im- Duct-Structural Refrigeration System A licationissued B 1 Ljj/is, in Date /0-/?-re 3 0 rove for the purpose of sale). 9 Y PP Y ` I, as owner of the property, am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU lclztractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating •SUMMARY OF FEES ; The Contractor's License Law does net apply to an owner of property who BUILDING PERMIT . $ /70. adv SMTP $ • /' 7 builds or improves thereon,'antl who contracts for such projects with a con- Exhaust System ❑ Multiple ❑. System Repair/Alteration- r a tractor(s) license pursuant to,the Contractor's License Law). • / PLAN CHECK $ 1/0' PERMIT t ❑ I.am exempt under Section ) B.& P.C.for this reason Firepl/Fact.Bit. ICBO�# t ISSUANCE $ J Date Owner Heating System& Ducting - PLUMBING $ F • ENE RGV P.C. $ PLAN CHECK . $ I hereby certify that I have read this application arid state that the above ❑0.100,000 BTU 0100,000 BT 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- PLAN CHECK $ MICROFILM $ sentatives of'this' •:ty to enter upo he above-mentioned property for ' Q ,O� Inspection purpo /`--• - / / - MECHANICAL $ TOTAL FEE $ �'+ Signature A • Date LD z. 3 Drivers' License clearReinspection Fee $25 Iswe Fee $ 3 PLAN CHECK $ ` -CMF 0865.46 rev. 7/83: White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - - . . '- . . - . - _ - •' . CONSTRUCTION AND PLANNING POO 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 ' 'H 63. Heater & Vent-Final 13. Roof Drains 1_ 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15: Rough Electrical-Conduit 66. Solar System-Final ..1-6.1Rough 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 Obil 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 91' /fj,Y/�y/ j, 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FIN_ INSPECTION . 32. Electrical Power Meter-Final 80. F D CE IFICATE ISSUED 33. Final Electric ' No es: Ye rte 44r4414; 7;;;If'rI11 I7 34. Final Heating & Air Conditioning / o i,a y7',err- 35. Final Gas Pipe-Test • 36. Hood or Canopyirrderh C1497C149737. Final Fa ry Fireplace b >4!O 38. Final i ' g ,+ r r Tsrtit'r-ir 39. Water Slice-Final r/ �-izL - 40. Gas Ser ice-Final Y 41. Solar ©omestic-Final ' • ��rtf���t 42. Bac ow Preventer - L 43. Back low Irrigati t ' I44. Landscape Irriga on System • } 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 ' _ i - • 51. CERTIFICATE OF OCCUPANCY - - . INo. . Date a.' Id ' !r. 29282 OCT 24-68c PAID ****13.50 "'COSTA-MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92620 For Applicant to Fill in Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Office Use Only ADDDRESSG /C1 S• /7'aa 1 fn 4i4 M arAr RECEIPT NO. 95 p. y COSTA MESA. CALIFORNIA c!J- G 1' n �RREECEIVVRRD BY /-DATE RECEIVED DATE ISSUED OWNER I R'fL�]k1w)S //�%• . / -ZZ--& /,-2y-&K n BUILDING MAILDESS 1_\/�1 O # /4^ I5 STez-erFIRE ADDRESS CITY S 14�..\R ICN I'(' NO.TELS4i_o&ff ZONE ///H ...DATE GROUP �'/�,/y.! ARCHITECT TEL APPROVEDY ��� �/ DATE/0127 W nR ENGINEER NO. L/� ZONING GORES° ZONE I NO.OF USE OF NEv `j 11 ^,/ / /� PUNS A I HUILDIna CONTRACTOR Lr• f apo DAs , .nLE (Li_ S f"��„/y��J;"lam • .� DESCRIPTION • i. . • 7 / ✓!s/// ADDRESS1 �J CCi LT'1�1NL�K(-' �1 - �r A CITY ._ (�Gc11SA QFAC 4 A.P.NO. //7 /9a — Z°TATE c7���iC� TELNQ 4 C1 LI— .kg 3. _30”TO SIDE&REAR P.NOTE: NO EAVE L. ANO BNALL B8 L888 THAN LIC.NO (J L/ ,) ? EAVES SIZE • I NO.OF BLIMPS ALLOWED (U.B.C.REQUIREMENT) V\.. OF LOT NOW ON IAT . USE OP YARDS APPROVED YARDS APPROVED EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING • (FROM C/L STR[ ) - SETBACK LINE FROM FRONT PT CENTER OF STREET REAR YARD• - - '„ SIDE YARD I LEFT I RIGHT R.SIDE . . FT. •L4.1 DESCRIPTION OF WORK L.SIC BT. PT. W ALTERATIQN _ ADDITION I4. REAR FT. FT. DISTANCE BET. BET.MAIN e G rtEPAIR MOVING DBMQLISN MAIN BLDQS, ACCESS.SLOGS. n BUILDING f I NO.OF VAR.* DATE .1 SIZE • ROOMS 1 - •RI / C.U.P. APPROVED EXTERIOR WALL ' I,6GC A L ei • V COVERING Sf3CC m COVERING C H 1/ BY DATE �I✓' DATE AD 1V� US•EE,OF BU ILDI NS AND WORK TO BE PERFORMED �-I 0. T1s11. 4- Ca-, PS Ti-‘ (; n --3&ILD . n tt\QF LALL , I/.)jcAL-L I4-0o0t_ c • • (c FL'1.1 lUALt.. it DIi F BO.FT. o I HEREBY ACKNOWLE••E THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE j AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. ,SNL PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRUCTION (��) J([� W - PERMAITTEF OP �QM"� 7 V7~-•t'`/� PERMIT PEE $ �.DO /,1 M` $ 2000, bO PLAN CHECK $ '//'J w I•, AUTHORIZED AGENT TOTAL FEE $/ .•ti'n -•. •'a..... _._...,SSSS._ -. �r.- sg1�!//� 31107 •COSTA MESA BUILDING-SAFETY DEPARTMENT NOV 17-69chgpQO 663* ****75.00 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY,. DATE RECEIVED DATE ISSJED ADIDREScp95 b / 7 z // '1 I- ii-Or //-/ -6ytO Lei Ea.r' A.P.NO. 117-192-25 & 26 PERMIT NO. OWNER e Oil Company3//217 MAIL BUILDING ADDRESS 12354 Lakeland Road ADDRESS ,,...vf�S / 7 , wtu TEL. 946- Npttans. I Pe& 84 BLOCK 0.Z CITY Santa Fe Springs NO. '1111 — Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH -I- LENDER X am CR ` / J D BRANCH • ct w OWNERWEr11u 11 C pa71�/ ADDRESS �1 c i - , OR ENGINEERTW. C. Riggs Corp. NOL' 927-3444 USE $ U Q William Lhinger FIRE / Z< ADDRESS 8(1{11 F FL^Y'Enc , nD fey ZONE TVP GROUP/.17///////��� a. APPROVED72 // / J Z CONTRACTOR W. C. Riggs Corp. BY DATE CO ¢ ADDRESS 8041 E. Florence, Downey 1200 sq. b W iiir TEL ZONE NO.OFPLANS USE ON NEW Comm. ElC�g.rte 2 CI-S PLANS 2 BUILDING Z 1- CITY Downey No 927-3444 1110 STATE CITY YARDS APPROVED YARDS APPROVED N m LIC. NO. 259016 LIC.NO. MAIN BUILDING ACCESSORY BUILDING \ 70 (FROM C/L STREET) ��� - SIZE NO.OF BLDGS. J3 Y(-1t-�/^ OF LOT 110 X 19S INOW ON LOT 2 FRONT ®FT.Q� . FT. USE OF H2O EXISTING BLDG.f nmm {11 t', and Sery Sta. to R.SIDE FT, FT. I- SIZE OF NO.oFbe demolished Z \�, Z NEW BLDG. 'ILL ' so ROOMS 9 STORIES 1 L.SIDE FT. FT. VEXTERIOR WALL Stone aI3SOOF - _ COVERING Stucco COVERING REAR SFT, FT. —I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. /� BET. MAIN& • MAIN BLOCS. /�/-ACCESS. BLDGS. VAR. DATE p Commercial building w/ restrooms and C.U.P.#W ZE-69-69 APPROVED 8-4-69 V) storage an d_ trash area. ,,y. y L 61 'L9--,11 am //—1 2-49 7 z ,r NOL OR SP A REQUIREM"V?S Uhereby acknowledge that I have read this application and state �' V ,.� / D that the above information is correct and agree to comply with CCall laws regulating building construction, and I shall not employ . i_ any person in violation of the workman's compensation laws of I _ W the State of California. ///III - CO ' i. LP Z I hereby certify that I am properly licensed as a contractor under 0 SD. FT. o the State of California Business and Professions Code, Olvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses ere in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: cc am exempt from the provisions of the State of California Business VALUATION and Professions Code, Division 3,Chapter 9. m PERMIT FEE $ x.00 N Signature of (,`'�y y���. 7 J� to Permitt a-a4 fG�.. - \ .SL—._ $/2000 PLAN CHECK $ '�J.-0(� E �/ / ,S.00 Authorized Agent u. ` TOTAL FEE $ • 31 108 NOV 17-6P N54a1B00 664* ****'70.50 , [ COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ForApplicantto Fill in Completely APPLICATION FOR BUILDINGpPERMIT,/ / / / /�j�t RE VED /1-/,RECEIVEDDATE 6 / DATE I // ,SSUED 7 -Cy BUILDING lir/ ADDRESS ,'JOW ff‘fE PERMIT NO. OWNER ye Oil Company A.P.NO. 117-192-25 E 26 r3//OI MAIL BUILDING 4, 9'.S . / 7 , ADDRESS 12354 Lakeland Road ADDRESS W w TEL. Npt. H #�s. Por. a O CITY Santa Fe Springs NO. 946-4111 TR LOT 84 BLOCK z CONSTRUCTION NEW ADD ALTER REPAIR MOVING nEMnI tSH _ F- LENDER O in Ci. m X ix (2 -�-•-�� J BRANCH J N WONER werline 0i1 Company r w ADDRESS .�y✓s.w-v1 �,7yld-P.u.4A�c r ARCHITECT W. C. Biggs, Corp. TEL. S V $ U vi OR ENGINEER William Ehinger NO 927-3444 I FIRE _ n� Z Q ZONE TYPE GROW' • /` Liiz¢ ADDRESS 804]. E. Florence, Downey a. IL APPROVED J O CONTRACTOR W- (_`_ B'ggc Corp. BY Me DATE .• ! co :Iri ADDRESS 8041 E. Florence, Ser. Sta. \ LULU TEL. ZONE INO.OF USE OF NEW Attend. ZCITY Downey NO. 927-3444 Cl-S PLANS 2 BUILDING , .....i"-•W 0 STATE CITY YARDS APPROVED YARDS APPROVED `-' to CC LIC. NO. 259016 LIC. NO. �q MAIN BUILDING ACCESSORY BUILDINGp =O SIZE NO.OF BLDG$. p �/OY�q � e / �.y `1 OF LOT 110' x 125' (NOW ON LOT 2 � ONT aa-.F . ..FK. 0'ea/.\ 1 USE OF tact" �/ EXISTING BLDG. Comm. store and Serv. Sta. R.SIDE c2-5-FT, -2.S -, .Fl 1- SIZE OF Serv. Sta. NO.OF to be demolishe P/1-1 5L r ZNEW BLDG. ROOMS STORIES L.SIDE FT. F-. 5o PL. Z U EXTERIOR WALL I ROOF L / t ,_ COVERING COVERING REAR ,9-2-'FT n -N F . ,V�,ieJa,. -I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& MAIN BLOCS. ACCESS.BLDGS. - VA DATE O Service Station, pump islands and CURP.#7x_2n9_69 APPROVED 8-4-69 I-- co attendant's office. raY RW• f- 6� r DATF//—! 7----(0 9 z0 �� D FOR 6PE TAL REQUTr EMP.N7'c UI hereby acknowledge that I hove read this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F- any person in violation of the workman's compensation laws of fA the State of California. --2 7 jB 9z I hereby certify that I am properly licensed as a contractor under SO. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; e am exempt from the provisions of the State of California Business J m VALUATION '/t/+/7�� m and Professions Code, Division 3,Chapter 9. PERMIT FEE $ % n Signature of / r m Permittee`i�� �CBw.- 'S $ / ?co PLAN CHECK $ G.1zic V E 6 LL Authorized Agent ` TOTAL FEE $ IOj • PAIOnn 3 1109 ,QOV 17-690—goy 671 u*****5.00 17-690—goy COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC EIy�By, DATE RECEIVED BUILDING --a 9 x707 //_/�_GC/ DATE ISSUED BUILDING ADDRESS �, /'I7 �10c`� ///...--�.. S^" / 7�d�i r / _n PE R M`Tj 101 O(-1 OWNE -p-- �. A.P.NO.`I 7- l9a-,sf (,'�7 1, I�Y,(Q��v77 ADDRES�/ 7I ADBUIDRIEFfp f5 c9%/ -�J7 f MAIL �/ �/ ---�,,,, 0.0 CITY `L'�t7-v/20" // . -- -� NOL r y OT� BLOCK ZZ H CONSt1. r 1 C� a//f NEW ADD ALTER REPAIR MOVING DEMOLISH dD BRANCH St as .a-r, 2- -0 V. ���+ .�,/�l ,,�7--',', X <(n OWN R/7 J2�Z �. r w ADDRESS (/ VALUE ARCHITECT TEL. USE $ ZN OR ENGINEER NO, '// J _ a ' FIRE Y r— f Z ADDRESS �7 ZONE TYPE GROUP / \\n\ O. Z 't^n.v / _T �� rr APPROVED DATE \\\ `s/ J O CONTRACTOR t/ ^/T_� �f mcE ADDRESS/2-7 o5 f S ( �Ns//Iyl< p+ ^I W W //�� T L. ;ME ey NO.OF USE OF NEP( 1 ZFCITY ,1.,✓/�y� NO) fry'! CV (j1 `3 PLAN BUILOI s^�1. O STATE�'�,`" CITY YARDS APPROVE YARDS APPROVED ^� N Q LIC.NO. I5 - 4./.. LIC.NO. MAIN BUIL ACCESSORY BUILDING 7 O (FROM C/L ST EET) SIZE i N0. DS. OF LOT CNOW OF ONBLLOT FRONT FT. LE USE OF //``//'l n/� EXISTING BLDG. .Y J /I-4 R.SInF FT. I- SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE_ F . FT. UEXTERIOR WALL ROOF COVERING COVERING REAR T. FT. - J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& le MAIN BLOCS. ACCESS. BLDGS. ,t -C.U.P. AATE PPR Osla (�y��J r C.U.P.qlb APPROV/ED 9 Z V --il DATE O v UI hereby acknowledge that I have read this application and state D that the above Information is correct and agree to comply with all laws regulating building construction, and I shall not employ r any person in violation of the workman's compensation laws of V) the State of California. B Z I hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code. Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR • Chapter 9, and that such li s are in full for and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; EC am exempt from tho pr ns of the Sta alit or nla Business VALUATION end Professions Cod vision 3,Chap / IO C� PERMIT FEE $ S I COOD - Permitte Signatureof ,,,,,...//// $ j co -' ' PLAN CHECK $ E 0 Authorized Agent u TOTAL FEE $ 6'00 3 12 18 JAN -5-7QP[MA1D 5fOO 048* ****77,50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT ADDRESS RECE� j� DATE RES.6IVE� DA E ISSU D BUILDING SG �t i.'C /7 Lr / (/ ✓L 2 T Q 2 0 i(� / Q'��-7 �O A.P.NO. PER IT�1 OWNER�OWcQ1AIE (J/G T . _ . .. MAIL �J BUILDING ADDRESS I Z 3S el L4.etram.✓D to ADDRESS Z 9-f �• /7- -r� fry /�h ec O. CITY(1Vrn Fe -tpe/A/C5 NOG19�/j! TRACT LOT �I BLOCK Z Q CONSTRUCTION / N2ADD ALTER _REPAIR MOVING OFMOLISH I— LENDER I// a D BRANCH Q JN OWNERCeeneei4k QiLi ADDRESS VALUE ARCHITECT /�() //�• TEL. n• S $ OR ENGINEER W. C t tiJ1GcS l l , NO. yz7:3VYy ,fJ/ `(� W Q ADDRESS ..r�L/AfY7 /�/ •% ZONE TYPE/GROUP r/ _ st ., d Ly 'Q APPROVED `(� WZ CONTRACTORL,�J,(J S71 CC-3�.i 0[ BY DATE J Q m2 J lr ADDRESS BOt// 4 "CrLLL.eGdJCS% fI.NM w0= TEL. ' ZONE NO.OF A USE OF PLANS BUILDING NEW/It Z i- CIT. l �OIl9At 7 NOG27_3(O41,___CIS \ W Q STATE / CITY f YARDS APPROVED YARDS APPROVED •1 j cc LIC.NO. 23-990 /(o LIC. NO. MAIN BUILDING ACCESSORY BUILDING ll SIZE / INO.OF BLDGS. (FROM C/L STREET) OF LOT at, ✓1 '7S 7,J,NOW ON LOT 9 FRONT FT. FT. xv USE OF 11 z/� -�y`�-'-�J 1 EXISTING BLDG. �µ � 8/.�.r L SEPI . r�j^�(J R.SIDE FT. FT. h SIZE OFNO.OF I • Z NEW BLDG.-VX Sb ROOMS STORIES L.SIDE L./FT. FT. Q EXTERIOR WALL ROOF (L! V COVERING COVERING REAR FT. FT. ..J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& --��!! MAIN BLDGS. ACCESS. BLDGS. f t1vnEecienzmzv Fittet /�M✓ s C.U.P.+ �9-(, DATE � y_�y O EDF F APPROVED /- .j— 7 o p) .BY Weide DATF Z / 0 UI hereby acknowledge that I have read this application and state = that the above Information is correct and agree to comply with D all laws regulating building construction, and I shall not employ 1"' any person in violation of the workman's compensation laws of N the State of California. m I hereby certify that I am properly licensed as a contractor under SQ. FT. c the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR x• Chapter 9, and that such licenses are in full force and :fleet,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: • CC em exempt fro • +:"- • s ons o Stet;of Califo- la Business VALUATION and Professio ,e ision 3,Chap. r •. ca s� PERMIT FEE $ /S— et al Signature • -� m Permittee• Air_ /�r. / $/��" PLAN CHECK $ �� 0 E nn L 3 o Authorized Agent a N. TOTAL FEE $ CROZ d s • 22690 FER -2-71cRSAOO 066 Z.4****11.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT BUILDING .2_95—E...... 1 RECEI gV/ Ot RF,FE7/ DATE ISS 7/ ADDRESS I 1 r� S 1- /.//' C<y��// .y OWNER I"OWEgrcly� OI c. b, A.P.NO. //7-/ /� i-s PF I�NO. MAIL I }� BUILDING /� ^ -C" Z ADDRESS I Z 3ti, u.i /S-.4 LA)cIEL Asly R . -ADDRESS DD�/DD RR E)SS IS 7 �i• 0-Z CITY S-.g47A re .�.pn..vv NO.TE -VitTRACT, OT �� BLOCK Z C CONSTRUCTION _�G�� NEW ADD ALTER •REPAIR MOVING DFMOI ISH o. m-N LENDER — 'y�V') I/�/n n n ,� a J 7 BRANCH �/� OWNFi"IO--C.k. +-c.1/r`c CY�'t �r \� J n a iu ADDRESS VALUE Ant.HI I ELT f//'.' / TEL. USE $ OR ENGINEER !N. E/,/dJ 66,2.- NO. 8o Y-/ E cca c 42ll/z ZONE TYPE--Z—"GROUP / — Q W ADDRESS APPROVED it +� /� `` W Z CONTRACTORZ/)j? �/ GC: 09°. BY /754/ "L DATE -3- 7/ - CO / _ i.e7e Tic( J Q• ADDRESS g0 c{./ �YCnen.-t. ""II W W ZO E NO.OF USE OF NEW QCIT = TEL. TEL p E/_ S p�� �, BUILDING Z , CITY �O,•t/ NO. 977-5'788 •� /1 Q-`7 W0• STATE / CITY YARDS APPROVED YARDS APPROVED D O LIC. NO. 2 .9 (�/ , LIC.NO. MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SIZENO,OF BLDGS. n OF LOT I/ O X a/c- I NOW ON LOT FROM p FT. FT. \\\\\\11s11 USE OF / / /L Oaa EXISTING BLDG. I G•Qt' r'IAr/�// TAKt 0" R SIDF 1--------F-T. FT. I•" SIZE OF ✓NO.OF ZNEW BLDG. Z S'y Z.S ROOMS / STORIES / L.SIDE_ FT. FT. Z EXTERIOR WALL ROOF P 0 COVERING WALL, COVERING I4QKt I.REAR FT. FT. 'I. J USE OF BUILDING AND WORK TO BE PERFORMED �, y� DISTANCE BET. BET. MAIN& ` F A./.9-,./4- gyp //44. /N al Oh X-re7t OIV4 MAIN BLDGS. ACCESS. BLDGS. O rC.4? 1 / .4 l / kTt/p.t IST" VAR.M# AATE PPR A'/e /'S..,,ff.D� C 2E EXIST" C.U.P.qvW� I/ n APPROVED r try CA- - .Lo er0 L91tE -6071 �PYPRl1/�T . b�,������✓r D•7 - �--7/ k z H•LD •RtbI�CEI• .� 1 j Pdl • I— I hereby acknowledge that I have read this application and state Ur/ ` •r that the above information is correct and agree to comply with �1 'R<- G A CC all laws regulating building construction, and I shall not employ w0 ✓>s�ne'+t.L ���� ilk any person in violation of the workman's compensation laws of Gtl>_Q•Q -O lJt_Q/5ei.nd.a.._l Cil the State of California. 61-2? (A..)-0-at m to I hereby certify that I am properly licensed as a contractor under f�' .. _ /_ -,F' _ `T]' � the State of California Business and Professions Code, Division 3, �` 1- MOUNT SHO N UNDE VAC 10 FO • Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: l0 am exempt from the provisions Of the State of California Business VALUATION and Professions Code,Division 3,Chapter 9. ea PERMIT FEE $-••I I KAir Signature of L/` t ' $C3R/(ySrmIflee PLAN CHECK S� Authorized Agent TOTAL FEE $Cn