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Home My WebLink About310 17TH ST - Building Permits City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 003375 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 11n vna+ 174-11 c'-r77* has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto fora Group ❑'1 Occupancy. Use of Building m�1- -n"4- n•,��-,•fir-.' - Legal Description .1 c—nll—nc • • (See reverse side for Metes and Bounds) B 49788 EM 50969 Building permit No Electrical Permit No. E 49920 Plumbing Permit No. P AQRi7Q Mechanical Permit No. FM'f?QFQ, MSr1Rti7, McngCNIimberofapartments and/or guest rooms Fire Prevention Permit No. F 51037 ISSUED TO: — Building Official mons• t1'f ea RA r.= 'gob Davi q 310 E. 17th Street by �i 1 • Cngta N1Pga • OA Qfl2 Date March 28 , 1991 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;C -Numerical File;Pink S Bldg.Permit File • 1 • TE ' . ARY • City of Costa Mesa Development Services Department ��ppp rrr� 03,323 Building Safety Division wq•plikrs A T E3%jy jq2 U P A N C Y No. • P.O. Box 1200 "` 1` Costa Mesa,California The Building located at Qin Geo+- 111-h 4t.ar,t has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R2 Occupancy. J'G •1( __, �,,,5 Use of Building Take-Out Restaurant C 11 Legal Description (See reverse side for Metes and Bounds) 1111, Building Permit No R 497R8 Electrical Permit No. Plumbing Permit No. Mechanical Permit No. Number of apartments and/or guest rooms • • ISSUED TO: Building Official /Tony C'De Baca • • by • - Date February 14,1991 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 lel U.B.C. CMF 1015-46 rev. 1/83, White-Owner;Ce---v-Numerical File;Pink-Bldg.Permit File • 1! • City of Costa Mesa • Building Safety Department CERTIFICATE O F OCCUPANCY NO 2325 C P. 0. Box 317 Costa Mesa, California ^\ The Building located at 310 Dant 17th Street has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group P-2 Occupancy. Use of Building Take Out Restaurant Legal Description 117-211-.2 & 27 (See reverse side for Metes and Bounds) Building Permit No. 214524 Electrical Permit No. 25017 Plumbing Permit No. 46024 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/or guest rooms ISSUED TO: Building Official Dna B- AYM, JR. by Date .Tem>azy 6, 1966 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 13U34-1M-11-c3__s_B P PROJECT ADDRESS: 310 E- 17TH ST , UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: F 05103', OWNER'S NAME: E Z OUT BURGER . AD9R0s: 310E 17TH ST PERMIT NO: F 051037 ' PLAN CHECK NO: 00046-91 S GOVT: N SUPP: N • COSTA MESA CA 92627 CONSTRUCTION TYPE: PERMIT TYPE: FIR PURPOSE: OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL "ANSUL" FIRE SUPPRESSION SYSTEM SQ FT: ADDRESS: UNIT: CLAIM VALUE: 800. 00 CALL—VALUE: GROUP OCC: B-2 / PERMITTEE: CHRISTOPHERSON FIRE ( 714 ) 591-0438 ADDRESS: 13141 6TH COMMENTS: RE: B49788 PRIMARY BLDG, PERMIT. CHINO C ' ' 1710 *Ec�P+c**sr*rE+E*+E****�e****�E�r�Ersr**�P+r*r+P*+r ************yE**+esr**sr**+r+r****+e***+r*+E******** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I a • nsed und. provisio s of Chapter ' commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and lice •e i- in II force. d effect. SETBACKS CITY LIC 052081 STATE uc.:4 378 c 5$ --- �ate:pl '� 'C/ Signature: _ �� V �' MAIN BUILDING ACCESSORY BUILDING BAKERS'COMPENSATION DECLARATION: I hereby affirm that l h.eaten.+le of consent to sell-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN. dmpensation}��}�L'y,{' '�y DECLARATION: merere hereby affirm ah LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN 1 POLICY NO.: •"-•`�""` �g`v EXP.D. e: U9 ft 91 ^OMPANr: TRANSAMERICA PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: I Certified copy is hereby furnished. OS Certified c.• '. e•w . th. ity Division. PLANNING NZUSTES> /5 'S / Applicant: IL a / t, i ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section eed not• completed if the permit is tor one hundred(3100)or less). DEVELOPMENT SERVICES REQUIREMENTS I cemfy that in the performance of the work for which this permit is issue I shall it employ any person in any manner so as to become suoject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE:• , Date: Signature:uBUILDING APPROVED BY : • /IS DATE: NOTICE:U.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• �� 1 S DATE: 7FNiG� which this permit is issued(Section 3097.Civ.C). ********************** ' ' ' ' ' '_" ********** LENDER: **************************** ***************it ******************************** ADDRESS: LEGALIZATION:N E E S U M M • R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following mason BLDG PMT PLUMBING ELECTRIC MECHAN F IRE SM I P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demol¢h,or PERMIT 21 , 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 65% 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 13 . 65 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ny applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars(5500). 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 ' - 1—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S————> - 21 . 00 0.00 13. 6 5 34 . 65 3 4 • 6 5 .0 0 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——> COL . CTED: 21 .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 BLDG PMT PLUMBING ELECTRIC M HANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). 21 . 00 I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business U and Prwho contra tsdta ch Coojects rs'withStatenotLkenseLawdoes sutoo howner of property La ).Iaaware ************************************ ****************************************** and who contracts forsuchTprojects with a contractor(s)LicensLwlicensepursuantaly to the erContractors'Stateh License improves dram that proof of their Workers Compensation insurance should be provided tome. INDIVIDUAL F E E BREAKDOWN Et I am exempt under Section: B.8 P.C. for this reason: . TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST • Date: Owner. FIR 21 FIRE EQUIP FEE (FROM B DG VAL TABLE) 1 .00 21 .00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END JF FEES 25534 and that I or any Iulure building occupant wit/will not(circfe 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. Dale: Applicant: _ _ • • I hereby certify that have read this application and state that the abov•' ovation wrr•cl. agree to comply v7im all city and county ordinances and state laws relating to budding construction a h reb a • re . tativ-sof this city to enter upon the above.meniloned 01 DDOE0735-00080735 TOT j,O, property for inspection purposes. 11 Date:G. r DATE: 02/15/91 TInE: 13:59 / 4. Signal ....3 D1 CD080734-68080734 T0-1- 10.00 `/ Driver's License or Social Security.: DPTE: 02/15/91 TIRE: 13:59 164146 White—Building:Green—Code Enforcement:Canarv—Aoplicant:Pink—Revenue:Goldenrod—Assessor r Oil CONSTRUCTION AND PLANN.._..4 /C ^oq APPROVALS Permit# ate Inspector APPROVALS Per. ,¢ Daie' !n$pector 1. Temporary Electrical Service or Polg. 52. Pool & Equipment Location 1 2. Soil Pipe•Undrgrnd. = -C 53. Steel Reinforcement ,.-c- r "T.V! 3•LElectrical Condaii lftility•indrgrndry..r 54. Forms a 4. El@ctricat Conduit-Undrgrnd. :‘,:tri 55. Electrical Bonding ' '5: ieef Reinforcement .P'Ci~ 56. Rough Plumbing & Pressure Test ' ap, - ,- 11.... ectrical UF 611 Grnd. w 57. APPROVAL TO COVER-GUNITE rt.; a-T7-Footings 58. Electrical Conduit-Undrgrnd. r "U 8 Foundation J ' 59. Gas Pipe, 0 Undrgrnd., Test • J -9. Water Pipe-Undgrnd. 60. Backwash Lines,P-Trap• ❑ Undrgrnd. 10. Structural Floor System or 61. APPROVAL TO DECK 11. Property Sewer Line.& House Connection ection 62. Backwash & Receptor-Final 12. Sewer Cap cu 63. Heater& Vent-Final 13. Roof Drains % 64. Plumbing System - Final 14. Rough Plumbing ~ 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough ElectrieWiring 67. Fencing & Access Approval 17. Rough WiringJgn 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POO USPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20i'.Ro"ugh Factory Fireplace Cm 'Z ') i.0 0%1. 4. TAPPROVAUS3OPerinit# '' r' 1:: '?, tr •rc . .:. i S t'' t.' 7.: .i w 0-.., a 7 'T. C% - 5-- > n .7 l'G 21.'_'Oticfs,in Stiuctuie,` t-'r "'� -="' - i '� � r, �' .T i i•;S s J' .7 :-;1• ,70. l�Jndergcoun� Hydro = s C- 22. 22. Ducts, Ventilating•. :^ F r S 'S'', 'r r71. Product P�pSng L3tas OOid 23-Gas Pipe'Ro h&'Test i of * it i-ir Fa: -. mi i O -s• tz1S • !r, C O't. 'Y -72. Underground Rum; ;:, CS r. 24.'-Roof Framing tr.'. ••F '' > O Fr:' 't .. 1-73bUndergrnd•.Stolag Tank'OGas 0 Oil 25. Roof Sheathing ' E t_ In to O J It 5 0 v '-,t- • mr •, a C r py , a. 742;Overhead Hydro) x 26; -Bar Ceiling (StLictural( &!Monocoat i -, a ..... 4. 1 75TDry Chemical$b i = T' z- Ilsel 27(7-Frame and Flasliing tr T iU »' ' 7CDr '� T. --, - .Ju;re r J 1• lb y: Y Stan life '`• x S tC--`• 28. Lathing-& .-.. ..N t ,.• ^;Z1: t;; 4, S •• •• :r a 777 FIXED S-Y rEfy INALTT v 29. Insulation o• -,r O S •' •• I Fin I T, 78FFIRE PR EV. FI{JAL ; 7 �Ty chi -30. Drywall F^ ~ ^ a I I"Nailing x ii ;HEALTH:DEPT. REQUIREMENT brick •c• T 31. Plaster Brown Coat; S t P"77' .F I I. ,. 'n.FINAL INSR' CTION '- 7 T ',Yr" -��32.-Electrics{ Power ' x ! a "- jletet-Finale (;J 1 r * 80:r•F•s-c,CERTIFICINTE ISSUED _ 533:-CFin`al Electric n t`% - f i. x `%No?es: -3X. '' 1. c if; "34.Fin HEatio'& AI c tr -• 'r r e 4. 4Conditionytg; lir ; ��, .. tr. ^. S D 35Final Gas Piiie-Test to t . • •.17 . n C MS z ' .!-. _♦ 's .. .. H I � s C`'AI t' :Jr _ ir.36.Hoed er-CanopY . . i tr' 7 0 (1 A fr. x c z ,4 t .rF o.r •_37=Final Faitory Fireplace I Sit:' 0 :!' '.:1 i 1 j k*a . " n 7 2iT ..38.-:Final Plumbing * u! •• •• 0 y_ io 4 •. . I . `. x 7•39.M/Vater Service-Final' 0 :i I r • 1// ..I'-TIO m .1 z •.. * •7: I -t :• „ 0 ,� [: - • � I ^ a. / rw ♦ :, o, 1140.iGasService-Final .} „ ,�,,,.r - S ' Irl ? t „�-a, •1 • 1r 4.41_5-Solar Domestic-Finals '1. .• b ! r .t F' ;gee 4 ri rr 'n , r,y I ' r :1•,4 4- '-7L r la :7: 1-42r:Backflow Preventei I- fU •s 0 I ``r :r r.- w J, [U • I Ira u; •2 - 9: 43. Backflow IrfE.gation- ' :SS - 'r Y o -cC x.-• - 1 '• • [k tr r .. ,: / - ;? • .a T. V - 4 S U `44. Landscape Irrigation System,;_,1rCsd x . tr• _ W c: co v a^ + FJ 0 •-45JSound Attenuation i,mE. a T :- - �o • • + _., Ci ,1,•y 'r• _ .y .. .• r m ;El ^+• t - C N7 T46.-Handicap Regulations . S. 4 m .. • ••• ' 1-Tc % J • '•• r. ., S ter, , 47.!..-FINAL STRUCTURE & BUILDING _y to CJ S 48'._FINALPLAYJNING tot a. •C' : •. _ 49:i.Eleeiric Release to�Edison i ; iz -- i .. •= ,. r a I r •. 's .. 50. Gas Release to Southern California Gas Co *, iv� ' o x 51. CERTIFICATE OFOCCUPANCY ; = s t:, - h O No Date PROJECT ADDRESS: 310 E 17TH ST UNIT' CITY OF COSTA MESA - BUILDING PERMIT PERM NO: EM 05096E OWNER'S NAME: BOB DAVIS • ADDRESS: 7014 LLAMA ST, CARLSBAD PERMIT NO: EM 050969 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: V-N ' PERMIT TYPE: ELE MEC PURPOSE: OTH ARCH/ENGINEER: 619-931-5791 REG.NO.: ' ADDNEER: TOM HARRISC53 rr% JOB DESCRIPTION : 754SF TAKE-OUT -RESTAURANT IN-N-OUT BURG SQ FT: 136 E 9TH ST UPLAND CA 91786 CLAIM VALUE: CALC-VALUE: GROUP OCC: B-2 / PERMITTEE: L6B REFRIGERATION ( 818 ) 915-2999 ADDRESS: 1006 E EDNA PL A COMMENTS: RE: B49788 PRIMARY BLDG, PERMIT, COVINA CA 91724 *�F+E**x**+E�E�E*4*********+ESE*********+r�E* ****4*****+E****************x ***x********* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITYLIC.: 052368q e:'_Y_Y_IA ax STATE LIC.:540288 LASS: C- R %ice: .Z- 11- G-/ . SignaturMAIN BUILDING ACCESSORY BUILDING 'r YORKERS'COMPENSATION DECLARATION: Ihereby alfirm that Ihave acertificate aloons .ttoself-insure oracertificate ofWorkers' FRNT: FT IN REAR: FT IN FRNT:. FT IN REAR: FT IN ,ompensation Insurance,or a certified copy thereof(Section 3804 Lab.C). LEFT: FT I'N RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY:al PARKING REQ• PROV: PARCEL: 42501105 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city 8uiltling Division. PLANNING NOTES> Date: Applicant: *********************************iF'E*****iE************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V E L O P M -E N T $ Ei R • V I C E S REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ\/dny pe in any manner so as to become ' subject to the Workers'Compensation Laws of Catilorn't. ZONING APPROVED BY DATE: Date: .2-—I I`-Q/ Signature: ! r �"' x-✓��.. • DATE: Date: NOTICE:If.atter making this declaration,you should become subject to the Workers' pensation provisions of the Labor BUILDING APPROVED BY __este , DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed yoked. �L/ CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: 1 /�� DATE- which this permit is issued(Section 3097,Civ,C). J�i� a �Li Lass-.•. - . . . DATE• - LENDER: ************************** ************* **:********* ' **************Jc********* ADDRESS: LEGALIZATION:N F E E . S U M A R Y 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 PLUMB I ELECTRIC M - •NIC FIRE SMI 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 . , 9 , 0 0 27,00 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed - , pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business w L S% 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 . .y applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 4 ,50 4 , 50 ' • I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the ' BUILDING-DIV.> PERMIT ISSUt PLAN-CHECK TOTAL PAID DUE r ..,.) structure is not intended or offered for sate(Section 7044)Business and Professional Code: The Contractors'State License Law TOTALS----> " 36 . 00 9 . 00 0 . 00 45 . 00 45 . 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 C r L ECTED : '45 . 00 OVER/SHORT; 00 for me purpose of sale), BLDG PMT PLUMBING ELECTRIC 'ECHANIC 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 • 13 . 50 3 1 . 5 0 • ❑ 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. I N D I V I D U A L F E E BREAKDOWN ❑ I am exempt under Section: • B.8 P.C. , mrthis reason: TYPE QTY • , DESCRIPTIO UNIT COST TOTAL COST Date: OwnerELE 3 MOTOR/POWR APPARATUS 0,0 - 1 0 HP ' 3 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and NEC 3 I NST/REL BOIL/COMPR 0,0 - 3 . 0 0 HP 9 . 00 2 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 a7 . O O permit for construction or modification from the Air Duality 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 toply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city er upon the above-mentioned • • property for inspection purposes. ✓/�///�///�/] , 01 00080367-00080363 TOT ,IF.CC ' Date:/. If— 7l— Signature: 7 / -/ /. DATE: 02/11/41 TIME: 11:30j Driver's License or Social Security a: V/ 5641-46 White-Building;Green-Code Enforcement:Canary-Applicant:Pink-Revenue,Goldenrod-Assessor . ' • . CONSTRUCTION AND PLAN'aiING SOL & 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.,Footings58. Electrical Conduit-Undrgrnd. 1 ' 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines,P-Trap, O Undrgrnd. -C) 9. Water Pipe-Undrgrnd. 10. Structural Floor System < 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final A 12. Sewer Cap J _ 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 iC 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 r 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS •Permit 4 - 21. Ducts, in Structure : 70. Underground Hydro 22. Ducts, Ventilating - - : s 71. Product Piping 0 Gas 0 bil 23. Gas Pipe-Rough & Test • • • - . • 72. Underground Flush 24. Roof Framing r ' - •• • , , : 73. Undergrnd.Storage Tank fGas 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 1 -. _ I ••l •-, '1: ' 77. FIXED SYSTEM,FINAL' I , - 29. Insulation . l 78. FIRE PREV. FINAL • 30. Drywall Nailing I ;-7•.' HEALTH DEPT:REQUIREMENT 31. Plaster Brown Coat,,' ; t 1 5 ii , .79. Fl INSPECTION . 32. Electrical Power Meter-Final r ( ! j1• : 80.. FOOD C ICATE ISSUED , 33. Final Electric e y ! ^'� 4,-.49-a__' 34. Final•Heatin & Air Conditionin / r 35. Final Gas Pipe:-Test' •, I L/( ,',, : ' '. :1 . . • ' 36. Hood or Canopy 1 . ..'i.l`i �� 37. Final Factory Fireplace I ��i• !,l /' 1 . • 38. Final Plumbing - 1 ' fil 0 • 39. Water Service-Final I p 'SI' i ' • 40. Gas Service-Final - I 41. Solar Domestic-Final I'': 42. Backflow-Preventer' ' I , I: • 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 I ;i; s • . 50. Gas Release to Southern California Gas Oa i i 1/1, - - 51. CERTIFICATE OF OCCUPANCY No. Date . . a.. PROJECTAODRESS: 310 E 17TH ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 0.1921 OWNER'S NAME: BOB DAVIS ADDRESS: 7014 LLAMA ST, CARLSBAD PERMIT NO: E 049920 PLAN CHECK NO: N (,OV' : N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: NEW 619-931-5791 ARCH/ENGINEER: TOM HARRIS REG.NO.: C5163 JOB DESCRIPTION : 754SF TAKE-OUT RESTAURANT "IN-N-OUT BURG SQ FT: ADDRESS: 136 E 9TH ST UNIT: UPLAND CA 91786 CLAIM VALUE: CALC-VALUE: GROUP OCC: B-2 / PERMITTEE: PLAUCHE ELECTRIC ( 714 ) 364-6819 ADDRESS; L286 15 AGUNAVNIGUELADERA CA 92677 COMMENTS. REF B49788 *******S ********FE*lE****FE******************** *Bt***********iF******* ****aF*iE* 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.: 049055 STATE LIC.:357492j�C-SO Date:-%i�1fl- Signature:t 440411.5 FRNT: MAIN BUILDING ACCESSORY BUILDING FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate 01consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Ilttnc6 7 2914E copy thereof(Section 3800.Lab.a 1 /01 /91 . POLICY NO.:Iola EXP.DATE: COMPANY: STATE FUND PARKING REO PROV: PARCEL: 425011 ZNE: REF N : PLANNING NOTES> Certified copy is hereby furnished. L,}(7 Certified copy is tiled with the city Building Division. > i1 / AH 5-411,_±._ Dater �5'�D Applicant:�P DEVELOPMENTE N T SERV ES REQUIRE ENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the perms is for one hundred 0100)or less). I eerily 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 ZONING APPROVED BY DATE: subject to the Workers'Compensation Laws of California. Date: - Signature: BUILDING APPROVED BY : S_ 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. ��'na CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B t•;��_ DATE: // 3`7-7� which this permit is issued(Section 3097.Civ.C). ********************** . la:2". - - • - ** NN***k*'** ** k*7 *.** *********************** ***********fie** ******ik3EdfiFiF)f1fiE*3F#*****iEiE*****if****3F* ADDRESS: • LEGALIZATION:N F E E S U MARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law tar the following reason BLDG PMT PLUM: NG ELECTRI' MECH ' k . - • F IRE 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 204 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 10 ' SMIP/NON-RES pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 71)00)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 ISSUE FEE 00 any applicant tui a permit subjects the applicant to a civil penalty of not more than Live hundred dollars($500). BUILDING-DIV-> PERMIT IS 'LAN-CHECK TOTAL PAID DUE I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the' 'TOTALS----> 204 . 40 15 . 10 0 . 00 219 . 40 219 . 40 . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law 111 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• 219 , 40 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 BLDG PMT PLUMBING ELECTR r MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK for the purpose of sale)' 219 • 4 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 applyto an owner ofpropeny who builds or improves thereon **,**,*N,***,******,*,***,****.*,****,****, ******.**************************9E*****iF**if ik**1f and who contracts tot 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. INDIVIDU L F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: ELE 20 FIXTURES, LIGHTING 1 ST 20 EA. . 75 15 . 00 I do hereby certify that I am aware 01 and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 7 FIXTURES, LIGHTING ADDITIONAL EA. . 45 3. 15 25534 and that l or any future building occupant wilt/will not(circle one)need to comply with said state codes and the requirements for a ELE 20 RECEPT/OUTLET 1 ST 20 EA. . 75 15. 00 permit for construction or modification Nom the Air uxbty Management District.Residential construction applications are exempt from ELE 5 RECEPT/OUTLET ADDITIONAL EA. . 45 2 . 25 these previsions. ELE 8 RECEPT/SWITCH 1 ST 20 EA. .75 6 . 00 Date: Applicant: ELE 2 NON-RES APPLIANCE NOT OVER 1 . 0 HP 3 . 00 6 , 00 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 ELE 1 SERVICES BELOW 600 V & 201- 1000 AMP 37. 50 37. 50 ordinances and state laws relating to building construction and hereby authnriae representatives of this dry to enter upon the above-mentioned ELE 2 -SUB-PANEL 11 .00 22. 00 property for inspection purposes. ELE 6 MOTOR/POWR APPARATUS 0 . 0 - 1 . 0 HP 3 . 00 18 . 00 �1.t3-f1.0 VC-)112041A-4.11/4: ELE 4 MOTOR/POWR APPARATUS 1 . 1 - 10 . 0 HP 7. 50 30 . 00 r Date: Signature: ELE 3 SIGN/ OUTLINE LIGHT SYS ON 1 BR CIRC 15 OA 45. 00- Driver's License or Social security C: Aopticanc Pink-Revenue:Goldenrod-Assessor _ I POCONSTRUCTION AND PLANNING P ' SPA • t Date Inspector Date Inspector APPROVALS Permit# •--... APPROVALS Permit # 1. Temporary Electrical Service-or Pole -. - 52. Pool & Equipment Location •_, 2. Soil Pipe-Undrgrnd.: _ = 53. Steel Reinforcement -3:Electrical Cdnduit_Utility-Undrgrnd. ` Pt' 54. Forms , 4. Electrical'Coriduit-Undrgrnd.i'/15r_j, t.I I{J1V ge d 55. Electrical Bonding 5. Steel Reinforcement - ! 71 N' 56. Rough Plumbing & Pressure Test r' 6.•Electrical OF ERGind. n 57. APPROVAL TO COVER-GUNITE r 7'.12Footings ` 58. Electrical Conduit-Undrgrnd. 8. Foundation ':e ` t `• 59. Gas Pipe, 0 Undrgrnd., Test \-\. 9. Water Pipe-Undrg-rnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. _ .t 10. Structural Floor System . _ '{ 61. APPROVAL TO DECK 4--•v 11.,Property Sewer Line & HduserConnection - 62. Backwash & Receptor-Final r 12. Sewer Cap t '' 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 - . - . - - - - L - •r :•. r 2W Rough Factory Fireplace • 'x •' • i C - _-4 APPROVAL'S= Permit# - 21? Ducts,in Structure - •x •• :70. Underground Hydro • 22. Ducts, Ventilating'1, I r _ 4 .i ,!. •''71• Product Piping 0 Gas 0Oil 23. Gas Pipe-Rough 80-est r Ir tr, •i r ?72. Underground Flush -• Jf 24r.Roof Framing - . I • •O-' ••'r.. . : C. .. -i• ::73`�Undergrri'd.Stofage.Tanks0 Gas 0 Oil •"" " 25. Roof Sheathing ,, ,•. ' • • _ • " ,. • 7 • Overhead Hydro' 26• T-Bar Ceiling (Structural) & Monocoat ' Ly-t' +' 757 Dry Chemical I , I-' L' •".rt 'n' ;,..>.!'t • .. r-. , 111:C11., .1." 1 rt. ., 27: Frame and Flashing ., ,.., ,ti.; , 76. Dry Standpipe ."•,; y • , ,•'• 28. Lathing & Siding - Cf -.1 ' • u I ' 777" FIXED SYSTEMSFINAL 'c!..• •1-.1 4,11-1.: , t' ''= . .i in _ 29. Insulation - '' - . I I :' 1. . 78. FIRE PREY. FINAL _ . - ,?;: 30. Drywall:Nailing 'i ! . •-, ,HEALTHIDEPT..REQUIREMENT '-i • ! • I I i,• fr i i-•- . 31. Plaster'Brown Coal' : , .• .i I I !• t ; i. 79.'FINAL I 1 _ CTION ., CC. •i ,_� • r-,=•'�' 32: Electrical Power Meter:Final t • • i ( illi '• 80. FOOD C RTIFI_CA ENS=UED -• - _ 33_ Final Electric zAO{ I ►f 1 ill"! ,±S. ,y 7` . . 'i• jxt/�6U�� 34: Final Heating & Air Conditioning - i 4 • I: l . 4t <- : ,{ 35; Final Ga_s Pipe-Test -•' r _ i Ii+ j, I` i,•O-j/ '•�' _.•' - ~- - -- c '� I -36. Hood or Canopy a = _ - ' r- II {;(_ - r / Tc. - - • _ • E _ 37.- Final Factory Fireplace_ I „It • / c .c .. A -•38. Final Plumbing U • I I .) {k _ - r' .�. :'39. Water Service-Final , ' I. I I: - 40. Gas Service-Final r - I I. I i ' 41. Solar Domestic-Finals - I I l --r• j. 42>Backflow Preventer I Ix - 3 •• _ .- 43. Backflow Irrigation .. .. I - _ - ... 44. Landscape Irrigation System , - _ _ _ _ - i •_ - -.- . . 45. Sound Attenuation '1 - '' ' 46...Handicap Regulations ,-, u • • • 47. FINAL STRUCTURE & BUILDING _-I. i- 48. FINAL PLANNING to i ' 49. Electric Release to Edison I I - I I 50. Gas-Release to Southern California Gas Co - . • - 51. CERTIFICATE OF OCCUPANCY -F t , ,-, in `- :r' [ • - No. Date PROJECT ADDRESS: 310 E 17TH ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 05080: OWNER'S NAME: BOB DAVIS ADDRESS: 7014 LLAMA ST, CARLSBAD PERMIT NO: M 050803 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: OTH 619-931-5791 ARCNfENGINEER: TOM HARRIS REG.NO.: C5163 JOB DESCRIPTION : 754SF TAKE-OUT RESTAURANT "IN-N-OUT BURG SQ FT: ADDRESS: 136 E 9TH ST UNIT: UPLAND CA 91786 CLAIM VALUE: • CALC-VALUE; GROUP OCC: B-2 / PERMIREE: MON ICO ( 714 ) 355-7833 ADDRESS: 10926 BEECH AVENUE COMMENTS: RE: B49788 PRIMARY BLDG. PERMIT. FONTANA CA 92335 *>FkEkr******>E****� ****�EELxx*********4***** -,EFP+Ixif*NZEe*x******** **xx* x>i* *x-xx**** LICENSED CONTRACTOR DECLARATION: I hereby affirm that)am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY uc.: 007713 STATE LIC.:31793 DL : C�t. Date:_/- D 8-9-1 Signature:_ _ atiaa MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: (hereby affirm at I have acenilicate of consent to sell-insure oracenilicate of Workers' FRNT: FT IN REAR; FT IN FRNT•: FT IN REAR: FT IN ,mpensalion Insurance.or a cerbfied copy hereof(Setllol 38 .Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT INLICrNo.: 445055 EPoATE: 04 /27/91 DMPANY: STATE FUND PARKING REQ• PROV: PARCEL: 42501105 ZNE: REF NO: Certified copy is hereby furnished. ® Certified copy is file he city B in n. PLANNING NVTES> Q/ , 'te: �� fig- /f Applicant: *******If***********************************IE******JE**************le********1(***1E EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: IT.is section need not he completed if the permit is for one hlmdred(5100)or less). DEVELOPMENT S E R V ICES REQUIREMENTS I certify that in the penormance of the work for which this per I 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 DATE: Date: Signature: BUILDING APPROVED BY NOTICE:If.after making this ply with you should become subject to the Workers'Compensation provisions of the Labor / DATE: Code,you must IonAvnlh campy 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• s...„.-..._ii ....se DATE• /��j/_�p�'� which this permit is issued(Section 3097,Civ.C). ********************** ' - - - Rei RTiiFw **lE******* �i:i(-*i(-i.-!F** ** LENDER: ********************* **** . ' .se•******* *.ff*d„ •*IL^ ********************ff***if***IE* ADDRESS: LEGALIZATZON:N F E £ SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: Ihereby Vim that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PL TMB ING 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 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% IP/NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 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 five hundred dollars(s . ISSUE FEE 15 . 00 as owner of the progeny or my employees with wages as their sate compensation, will do the work. and la BUILDING-DIV-> PERMIT ISSUF A-LAN-CHECK TOTAL PAID DUE IDI, structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 13 . 00 . I 0 . 00 28 . 00 28 . 00 . 00 does nal apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through ' Ms 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 wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 28 . 00 OVER/SHORT; ,00 for the purpose ofate). BLDG PMT PLUMBING ELE "RIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I.as owner at the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 28 . 00 U and Professions Code: The Contractors'State License Law does not apply to an owner 01 property who builds or improves thereon and whocontracts for such projects with a contractor(s)license pursuant tome Contractors'State License Law).I am aware **-***************************. *******************i(*le*********IP***.%**{(.**.*.F{.*kE.h.3pa{.*. that proof of their Worker's Compensation insurance should be provided to me. IND I V ID IAL FEE BREAKDOWN U I am exempt under Section: B.8 P.C. for this reason: TYPE QTY D E S C R I P 1 I O N UNIT COST TOTAL COST Date: Owner: MEC 2 INST HOOD W/DUC'.S FED BY MEC EXHAUST 6 . 50 13 . 00 I do hereby unity that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES 25534 and that I or any future building occupant will/M11 not(circle one)need to compy with aid state codes and the requirements for a permit for construction or modification Irom the Air Duality Management District.Residential construction applications are exempt tram these provisions. IDate:erApplicant: I Hereby es a that ave read this application and state(hal the above information is correct.I agree toto campy with all city and county Call" ordinances and state laws relating to building construction and hereby a •dee repress .rives of this hely to enter upon the above-mentioned (// property for inssppectiioonn purposes. Date:J� /! Signature: e/i. *DUP01 0 J'6•C O l9 E CA QS RE E g .r• 3 JO Driver's License or Social Security 0: DATE: 01/22/91 TIME: I5:13 1641.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor a _. -._ - • CONSTRUCTION AND PLANNIN FA APPROVALS Permit # Data 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, ❑ 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 APPROVALS ' Permit# 21. Ducts, in Structure 70. Underground.Hydro 22. Ducts, Ventilating ' 71. Product Piping O Gas ❑Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing ' 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing - • 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing - 76. Dry Standpipe 28. Lathing& Siding • 7. FIXED SYSTEM FINAL 29. Insulation II 78. REV. FINAL y 30. Drywall Nailing 1' ,TH DEPT. REQUIREMENT 31. Plaster Brown Coat 4/-)I +[ 79. FINAL INS CT10lz 32. Electrical Power Meter-Final • i ') 80. FOOD CE r IFICATE ISSUED 33. Final Electric 4� Notes: 34. Final Heating & Air Conditioning tsi/o//dr 35. Final Gas Pipe-Test �"•�"tt ((// ` `�irr' 36. Hood or Canopy' . 37. Final Factory Fireplace I - d 38. Final Plumbing . 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer I i 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 i/, 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No Date PROJECT ADDRESS: 310 E 17TH ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO; M 050862 OWNER'S NAME: BOB DAVIS ",""s: 7014 LLAMA ST, CARLSBAD PERMIT NO: M 050862 PLAN CHECK NO: N . GOVT: N SUPP: N • CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: NEW 619-931-5791 ARCH/ENGINEER: REC.NO.: n TOM HARRIS C5.�43 JOB DESCRIPTION : 754SF TAKE-OUT RESTAURANT IN-N-OUT BURG • SQ FT: ADDRESS: 136 E 9TH ST UPLAND CA 91786 CLAIM VALUE: CALC-VALUE: • GROUP OCC: B-2 / PERMITTEeARRINGTON HEATING 6 AIR (714 ) 625-2237 ADDRESS: 141 S . . EASTEND AVE COMMENTS; REFERENCE BUILDING PERMIT #B49788 POMONA CA 91766 **************it•******** *x•*********afar******ail**************AE***** EAE***AEAru******* LICENSED CONTRACTOR DECLARATION: I hereby atfirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: 052272 STATE LIC.:58696 CLASS: C-20 • -Date: 1 - 3 i" k‘ Signature'_ _ _ MAIN BUILDING ACCESSORY 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; FT IN REAR: FT' IN ompensation Insurance.or a certified copythereof(Section 3800.Lab.C). LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT, IN omv o.: LBWCS00051088 EXP.DATE: 10/29/91 • • coMPANY: NATIONAL PARKING REQ: PROV: PARCEL : 42501105 ZNE; • REF NO: 0 Certified copy is hereby furnished. ® Certified copy is filed with the city Building Divisi n. PLANNING NOTES> k .. ` ---j k` -1 C Applicant: L019,-4-- **************ir***ir******ir***********iE****ir*****************lr****************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(SIM or less). D E V E L O P M .E N T SERVICES 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 , - DATE: Date: Signature: NOTICE:II.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. p CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPL ICATION ISSUED BY•*********************4 -- • ' •41 4, ii.- 3DATE• � /-9 whim this permit is issued(Section 3097.Civ.CI. ********************* -cast *********** ********** 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 Lawlor the following reason BLDG PMT PLUMB IN' ELECTRIC MECH • • 50 FIRE SMIP/RES GRADING PERMIT (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,or 7, 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% SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 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(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 ISSU PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'Slate License Law TOTALS----> 15. 50 1 5 . 0 0 . 00 30. 50 30 . 50 . 0 0 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through his on her own employees, provided that such improvements are not intended or offered for sale.IL however the building or UE DIVISION TOTALS--> improvement ofsa sold one year of completion,the owner will have the burden of proving he/she did not build or improve REVENBLDG PMT PLUMBING ELECTRI MECHANIC FIREID• 50 SMIP/TOT/S formepurposeGRADING PLAN-CHECK I. •as owner of the property,am exclusivelyy contracting with licensed contractors to construct the project(Section 7044,Business 30 . 50 ❑ and Processions Cede: 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 conlractor(s)license pursuant to the Contractors'State License Law).l am aware ********************************* ****************************.*******.*..Jr*..)F.*.*.**.** that proof of their Worker's Compensation insurance shout('be provided to me. INDIVIDUA ,F E E BR E A K D 'O W N • ❑ I am exempt under Section: R.8 P.C. for this reason: TYPE QTY D E S C R I P T I • N UNIT COST TOTAL COST Bale: Owner: • MEC 2 VENTILATION FAN CONN TO SINGLE DUCT '4 . 50 • 9 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and MEC 1 INST/REL AIR HANDL UNIT 0-10000 CFM 6. 50 6 . 50 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 tram 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 at chi.city to enter upon the above-mentioned Date:property rot inspection purposes. n T\ (\ 01 00079/61 1 �•�C)..lA, �.l� DATE. 9'00079625 ..TOT 30.50 DIF' TIME: ✓// Date: ' �i ``�� Signature:� � 41/91 S0:v4 -- .n_.—:..awwa.wa car Seeuritv.M:— -7-----•-: CONSTRUCTION AND PLANNIN 111‘01. .... .,9A ' APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector • !.,Temporary Electrical Service or Pole 52. Pbol & 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 1 . - 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 I 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 ElectricafT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT ' 20. Rough Factory Fireplace ' . - • "APPROVALS • '' Permit # - • 21.. Ducts, in.Str'ucture , + •• 70. Underground Hydro 22. Ducts, Ventilating : - • , - •:71. Product Piping 0Gas 0 Oil 23. Gas;Pipe-Rough &Test - ., - ._ . � 72. Undergrdund Flush , 24. Roof Framing- . '• r - - ' 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 •. , - ••r• , 77. ' FIXED SySTEWF!NALt ' • 29. Insulation - , ., ' .• I I, - 78. FIRE PREV. FINAL - , 30. Drywall Nailing - + 1 '- I j HEALTH DEPT!REQUIREMENT 31. Plaster Brown Coat; ' , , I , ;Je. PUP INSPECTION - 1 - 32.•,Electrics!,Power Meter-Final t E "+ + 80. FOOD �Rr'T�T'Y_F& TE ISSUED i. . . i 1 t a �.- , , 33. Final Electric • ; ,. 1 ,' x 'Notes: ,� • t >- , , 34., Final Heating& Air,Conditioning •-, 0.44- M _ 35. Final Gas,Pipe,Test. II,- • �, ; ' 36. Hood or Canopy „ MN Fes! • ' I , r _ - 37. Final Factory Fireplace f I ,• i 38. Final Plumbing - 4- I I - , 39. Water Service-Final I I. /•• , , r r 40. Gas Service-Final I I I . 1 41. Solar Domestic-Final • • ' I I I� • / ': i ' 42. Backflow Preventers I I I. 1 ' 43 Backflow'Irrigation` 44. Landscape Irrigation System , , 45. Sound Attenuation - � � '+ 46. Handicap Regulations ' ' 47. FINAL STRUCTURE & BUILDING i • , 48. FINAL PLANNINGI I I 49. Eledtric Release to Edison I I I ; 50. Gas Release to Southern California Gas Co , I I. •• . \ •51. CERTIFICATE OF OCCUPANCY - - • . No._ Date PROJECT ADDRESS: 310 E 17TH ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 049875 OWNER'S NAME: BOB DAVIS i ADDRESS: 7014 LLAMA ST, CARLSBAD PERMIT NO: P 049879 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE; NEW 619-931-5791 ARCHIENGINEER: TOM HARRIS REG.NO.: C5163 JOB DESCRIPTION : 754SF TAKE—OUT RESTAURANT "IN—N—OUT BURG SQ FT; ADDRESS: 136 E 9TH ST UNIT: i UPLAND CA 91786 CLAIM VALUE: CALC—VALUE; GROUP OCC: 8-2 / PERMITTEE: BUTLAND RUSSELL PLUMBING ( 714 ) 455-0460 ADDRESS: 21492 ALMONDWOOD COMMENTS. REFER TO #849788 •' EL TORO CA 92630 *********x**********sF*EFSH***EF;r**;H*tt;t****tt+r**;F*********;Her** ¢sH;t*ityE;e***yF******;r*** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am used under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)al Division 3 of the Business and Professions Code.and m nse is in lull force and effect / CJ E T B A C K S CITY LIC.: 051802 STATE Lt 348135 cuss: C Date: a — 9 —70 ` Signature: _ __ � tMAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: thereby allirm that lhave acenilicate of consent to sell-insure oracenificaie of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: ilpCOMPANY: PARKING REQ• PROV: PARCEL: 42501105 ZNE: REF NO: ElCertified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> , • Date' Applicant' DEVELOPMENT S E R V -I C E S REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (this see .r ,eed not be completed it the plinit is '-hundred($100)or less., I cenify that in the performance of the work for which this permit i• .ed.I shall not employ any•• on y manner so as to be i subject tothe Workers'"Compensation Laws California. 1 ZONING APPROVED BY - DATE: 4/1/_— ! Date:_ p --9D Signature: BUILDING APPROVED BY : n NOTICE:N.atter making this declaration.you should become subject to the Workers'Compensation.provisians of the LaborDATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. •, v Ell CONSTRUCTION LENDING AGENCY: I hereby allirm that there is a construction lending agency for the penarmance of the work for APPLICATION ISSUED BY: '! S 1 .( DATE: which this permit is issued(Section 3097,Civ.Cl. V. , : 'I ********************** • ********** ** LENDER: Ir *************************** ************************************************** ADDRESS: LEGALIZATION:N F E E S U M M ' ' Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby allirm that I am exempt from theContractors'State License Law for the following reason BLDG PMT PLUMB INe ELECTRIC CHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city al county which requires a permit to construct,alter,improve,demolish,or PERMIT • 51 ,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 2 SMIP/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.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty ot not more than five hundred dollars($500). ISSUE FEE 3.00 I. as owner of Inc Dmpeny ar my employees with wages as their sole compensation, win do Inc work, and the BUILDING—DIV—> PERMIT ISSU PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended oro0eredtor sale(Section 7044.Business and Professional Cede: The Contractors'State License Law TOTALS----> 51 , 3 , 00 0 , 00 54 , 0 54 , 00 , 00 does not apply to an owner of a properly who bulds or improves thereon,and who does such work himsellmerself or through his or her own employees.brovided that such improvements are not intended or offered for sale. It. however the building or REVENUE DIVISION TOTALS--> Ci LI,ECTED• 54 , 00 OVER/SHOR1'• 00 mi.111' improvement is sold within one year of completion,the owner win have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC ECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). • I,as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 . 00 ❑ and Professions Code: The Contractors'State License Law does t apply to owner tictorsy who builds or improves t and who contracts fr such projects with a e neaidoese pursuant to the Contractors'Slate LicenseLaw). Iam aware ********************************** ******************************************** that proof of their Worker's Compensation insurance should be provided to me. IND I VIDUA L F E E BR EAKDOWN o I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: PLU 1 DISHWASHER 2 . 00 2, 00 I do hereby certify that I am aware ot and understand the requirements of Catfarnia Health and Safety Code Sections 25505,25533,and PLU 1 SINK, KITCHEN 2 . 00 2 , 00 25534 and that I or any future building occupant willAvid not(drde one)need to comply with said state codes and the requirements for a PLU 2 WASH BASIN 2 . 00 4 . 00 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from PLU 1 WATER CLOSET (TOILET) 2 . 00 2 , 00 mese provisions. PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 . 00 • Date: Applicant:_ - PLU 1 WATER SERVICE 2, 00 2 . 00 hereby certify that have read this application and state th _Thy information is correct eared/amply with all city and coun y PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2, 00 ordinances and state laws relating to building onstruction P tereby authorize r .resent " i•4�o enterwore abr l PLU 1 GAS SERVICE 2 . 00 2. 00 property tor inspection purposes. PLU 1 BACKFLOW IRRIGATION 2 ,.00 2. 00 PLU 1 BACKFLOW PREVENTER 01 0002;:0'0-00073978 TOT 2 , 00:.00 Date:_�1� Sign PI,U 5 FLOOR DRAINS DATE: 21.4)0'90 TIRE: 15:18 10 , 00 Driver's License of Social Security.: - 1641-46 White—Building:Green—Cede Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor Mr 11. • CONSTRUCTION AND PLANNING POOL&SPA - "' Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit # 1. Temporary Electrical Servide or Pole • 52.'Pool & Equipment Location 2. Soil Pipe-Undrgrnd. e frit S53. Steel Reinforcement • ,•3.`:Electrical Condiiit Utility-rUnargrnd. .. 54. Forms f, -4. Electeical'Coriddit-Undrgrnd[, 55. Electrical Bonding '% ' :5. Steel Re nforc mens 56. Rough Plumbing & Pressure Test - -, • ' ._•`6{'Electi•ical.UFER.Grnd. -1. 57. APPROVAL TO COVER-GUNITE • L r- '''' 7fFootings ;L 58. Electrical Conduit-Undrgrnd. f.1/••' , , / 8. Foundation `•'^ i, + j/ 59. Gas Pipe, 0 Undrgrnd., Test / •� n 9,z Water Pipe-Undygrnd. :/ :fp/ 60. Backwash Lines,P-Trap, 0 Undrgrnd. .., 1Structural Floor.System t - 0:. 61. APPROVAL TO DECK 11:_Property Sec r�Line & House'Connection (f''q/v„ /` 0.0" 62. Backwash & Receptor Final "r 12. Sewer Cap �? n• •`, e Y, (��///7L/ 63. Heater & Vent-Final /�, • 13. Roof Drains- - '� f/�r 9p t 64. Plumbing System - Final , 14. Rough Plumbing '• % 4,13•44-.4S[s65. Electrical•Final . '},/ 15. Rough Electrical-Conduit �� 66. Solar System-Final 21; 16. Rough Electric Wiring '.7 %r 67. Fencing & Access Approval 17. Rough Wiring Sign J. i 68. APPROVED FOR PLASTERING �, 18. Rough ElectricTl-T Bar Ceiling :2'. 69. POOL/SPA SYSTEMS FINAL r 19. Rough Heating & Air Contlitioning ' FIRE DEPT. REQUIREMENT _ _ _ _. - - • • r r„ _ 202:Rough Factory Fireplace ! 'z: ^ t'- • C a a rAPPROVALS LL=Permit # ' -- _ �' cc - r - - .•..e - y 21..Ducts, in•Struicture. S r- - x 70. Underground Hydro - 22. Ducts, Ventilating i • _1-1.7 '' crpS `"::i j• 71• Produci:•PI❑❑ing O'Gas QOii 23.LGas Pi e-Royi h&•i est ! { ' r '. ' ! us . `. - • P , 9 -r�- �. t:, l' < :� . 72. Underground Flush. r ' 24.;Roof Framing .. :r- ' r-E• ••I- : ;> C •~}. I 73PUndergrnd.Stor'ageTank.'OGas 0Oil "'-- 25. Roof Sheathin r� • - 9 n7, >. ♦ • `� Z.T. ,,; Y '74,?,Overhead Hydro_, 26T-Bar Ceiling (Structural) &:.Monocoat ' 17 rl<- 'I 757Dry Chemical - t " - -' - ' .:::r!l'.." • wt- 27`-Frame and Flashing `rtr. r } - 76'.•Dry Standipe r _ , , ;:• rrr = 28' Lathing& Siding-.;,' !i / t ' " ^••r I 77F FIXED SYSTEM FINAL! _ x-29. Insulation s+ `' s n r I I I: ,, 78;FIRE PREV. FINAL ,> .x ;;i -t.: ,24.,./.'• , i•30. DrywalUNailing I' • i--• •i H •" EALTbtDEPT. REQUIREMENTI•__ t'i 'S -31. Plaster Brown Coat' t. NAL`INSPECTION ` ` _ ' 1�y 32-Electrical Power Meter:Final ` •• r: I I I. . :80.:FO C�ERtIFICATE ISSUED - - c 1 .. 33:iFin21 Ellectrii. ,. t r I ,fry I- ; r'Noies: `_ '"_IT .;,� r- r'u r _. ';34: Final Heating& AikConditioning I i 1'. :, .j 35:_Final Gas Pipe-Test'• r.,D ,; i�y��9^j/I i '' s y36. Hood o3Canopy . • .r.,-; ,-- . - /r /„ Fr' =c - - i - - C 37Final Factory Fireplace- . r - - .. f , _38. Final Plumbing rj�ji�/ ��7�y i S N , •-39. Water Service-Final.. I t^-oes 7,+ ,e,, 7`r '' r •„:- 1 tc -' s k • •r,40. Gas Sart/ice-Final :. :Ca- a •. I I • '. ;A. oa h . -.41. Solar Domestic-Final. •• 0 l I �- • ' _ : t -42: Backflow Prevente : '.: • I I I' ^ c_ - •- - 43. Backflow Irrigation r ' - z:c ; , , ; , • s.1 . ;.,44. Landscape Irrigation System. , - . - r r. ,,; . - . c:` -ao mac 45:Sound Attenuation r ' F r-; r - 'a al t ' 246..Handicap Regulations 3 '47:-FINAL STRUCTURE & BUILDING 2, `'• • ' 4. 48:_FINALPLANNING I 1.!‘ r. I I r ? -49. Electric Release to.Edison • I T : s. • 1 ,r '50. Gas,Release to Southern California Gas Co - o _ .^,-.,. :. l • ti , 0- :51. CERTIFICATE OF,OCCUPANCY .y r r. i; ,;}`, -.: .i i-- -:.:"__ ooC,C•c,C. No. Date • PROJECT ADDRESS: 310 E 17TH ST UNIT: CITY Or J COSTA MESA - BUILDING PERMIT PERM NO: 8 049ISt OWNER'S NAME: BOB DAVISlb ADDRESS: 7014 LLAMA ST, CARLSBAD PERMIT NO: B 049788 PLAN CHECK NO: 05517-90 L GOV1 : N SUP': N S CONSTRUCTION TYPE: V-N PERMIT TYPE: STR • PURPOSE: NEW • 619-93RI791 ARCH/ENGINEER: TOM HARRRIS REG.No.: C5163 JOB DESCRIPTION : 754SF TAKE-OUT RESTAURANT "IN-N-OUT BURG SQ FT: 754 ADDRESS: 136 E 9TH ST UNIT: UPLAND CA 91786 CLAIM VALUE: 30,000 . 00 CALC-VALUE: 44, 410. 60 GROUP OCC: B-2 / PERMITTEE: B & B CONTRACTORS ( 714 ) 627-3651 ADDRESS: 13752 SEMINOLE COMMENTS: X CHINO CA 91210 *****************gyp****+t; *****%Pif**yr*******:r+r*it******** .1 pE*x+p+E�6+pyp+eyp+eyE+r****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under it,'dons of Chapter 9(commencing with Section Z U 1F 4 O N I N G R E Q U I R E M E -••��:- .Q 70001 of Division 3 of the Business and Professions Code.and my license is in d effect. / SETBACKS $FQ(l�r �,lp cmTYuc.: 040613 STATE LIC,:436418 c s �i��ee �" 'Q� signature:— _ MAIN BUILDING M ACCESSORY BUILDING —cote;-1-7 FRNT: " T ,SIN REAR: a IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION15yLa, DECLARATION: I hereby affirm that I have a certificate of consent to self.insure or a certificate of Workers' LEFT:.----34a. ,IN HT: (/' T TWN, LEFT: FT IN RGHT: FT - IN Compensation WA.pDcL§airpn'ed copy thereof(Section 3800.Lab.64 /01 /91 / / � \ - �.! 4ICY NO.: WE. 7 7G EXP.DATE: V ( 'V MPANrRELIANCE INS PARIFING-"R 7 PROV: 9PARCEL: 42501105 INE: C1 REF NO: PA9047 Certifiedcopyisherebyfurnished. U Certifiedcopyis tiltsvitn the cit Gaming mw" . PLANNING NOTES> NEW 754 SF DRIVE-THRU FAST FOOD RESTAURANT = - 9/� • > : — DEVELOPMENT SERVICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed i1 the permit is for one hundred(5100)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 /• ' I I 0.790 subject to the Workers'Compensation Laws of California. ZONING APPROVED BY : W f�/�n! DATE: Date: Signature: 1 : 144 (r4.., 77III,_-763i)' NOTICE:If.after making this dectaration,you should become subject.?the Workers'Compensation provisions of the Labor BUILDING LD ZNG APPROVED B Y I , }T DATE: Code.you must forthwith comply with such provisions or INS permit shall be deemed revoked. APPLICATION ISSUED BY• _ I CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for _ - - DATE: I [ *********************i6 — ************** ** ** which lhi5 permit is issued(Section 3097.Civ.CI ***************************** t1 �' . ***************************************** LENDER: ADDRESS: LEGALIZATION:N F SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING 'CTRIC MECHANIC RE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,atter,improve,demolish,or PERMIT 382 .00 repair any structure,prior to its issuance.also requites the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON-RES - pursuant to the provisions of the Contracton'State License Law(Chapter 9(commencing with Section 700010f Division 3 of the Business PLAN 248 . 30 6 . 66 and Ptotession5 Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 byi , • any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(6500). ISSUE FEE BUILDING-DIV-> PERMIT ISSUE P . ,- HECK TOTAL PAID DUE I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 388 . 66 0 . 00 • 248 . 30 636. 96 636 . 96 . 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.If,however the building or REVENUE DIVISION TOTALS--> COLL > TED• 388 . 66 OVER/SHORT• 00 144 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MEC. •NIC FIRE SMIP/TOT GRADING PLAN-CHECK for the purpose of sale). 382 . 00 6. 66 I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business and Processions Code: The Contractors' License Law does notappty to an owner elprepertywlwbuddsorimprovesthereon ************************************* ***************,*,*********************,**** 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. INDIVIDUAL E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: owner: SFC 754 RES-TYPE V-N -AVER 58. 90 44, 410. 60 • I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant willwill 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. • Date: Applicant: • I hereby certify that I have read this application and state that the above information is et. agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize represw atives of th city to enter upon the above-mentioned property for inspection purposes. -r--Se. _ _ 3757 TOT DATE: 11/07/4DDI TILE: 13;08 :'-a'•a: //12 -�e0 Signature:_ - _ Driver's License or Social Security 4: 1641-46 White-Bmldmg;Green-Code Enforcement:Canary-Applicant Pink-Revenue:Goldenrod-Assessor 1 mio ...___..= 11111 l CONSTRUCTION AND PLANNING1. POO Date Inspector Date Ins `ctor APPROVALS Permit# �.- p APPROVALS Permit # 1. Tt\}porary Electrical Service'or Pole,.. 52. Pool & Equipment Location ni Soil Pipe-Undrgrnd. ' IF•' -= 53. Steel Reinforcement 1 • ,,,, `.JElectr_cat'Coriduit.Utility:UndigrnR i 54. Forms , -'4. ElectricaTCon'duit:i ndrgrnd. (-its; 55. Electrical Bonding iI �''•-S..Steel'RSn'force'r•nent S.,• 11I/0/37-49-{v 56. Rough Plumbing & Pressure Test c 6:�`Electtical UFEi rnd. 57. APPROVAL TO COVER-GUNITE a, g 7 tFootinbs ., ;.0 - 58. Electrical Conduit-Undrgrnd. f , Jr _ ,.. .. cc . • LI 8. Foundation �•dr' 59. Gas Pipe, O Undrgrnd., Test it 9.""Water Pipe-Unei.grnd. '' r! .. 7 60. Backwash Lines, P-Trap, 0 Undrgrnd, 10;Structural Floor System - .. 61. APPROVAL TO DECK 11 cProperty Sewer Line& House Connection `, • 62. Backwash & Receptor-Final " \ , 12. Sewer Cap ,,n., a . /. c., 11 63. Heater & Vent-Final it 13. Roof Drains_ I 64. Plumbing System Final 14. Rough Plumbing 0 } 65. Electrical-Final 1 15. Rough Electrical-Conduit I i i 66. Solar System-Final ' ( 16. Rough Electric Wiring -_ I 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 C C'r+m- > N 20 rsRough Eactory Fireplace • t .4 7 D _-a a LrAPPROVALS:::Permit# Y r •r cr -[ n. . .;,-,z. , c rr z.r. . . - 5'a %. tt: ...Si i-i(-. t 7. �, l: '- .'F X:F.: a - 7 _1. r ,� S:: -'4� Sr: ,I] 21,,,Ducts, L,Strructure"'; .. .. S s a ref .r. -00. Underground Hydro z 22,. Doers, Ventilating-4 ?"--7:"--, • _ 'S C71, ProducrPi ing 06as OOil 23?Gas_Pi '�Ro h&Nest r _ •. 7 ' - , i `.r-°- Jr :a P = ug a� rS + .r, . .r 0r -, - 72. Underground Flus .,,;_ s - '✓ 24rRoof Framing r•a - -• a > ''' » -.73PUndergrrid.Storagg,Taan100Gas 0 Oil • 25. Roof Sheathin y t" _ 0 r' ' •7, B a; �.� x .Vi r. "74rO,verhead�Hydroj•�� 'y 26.4T Bar Ceiling (Structural) SnJvlonocoat-. ..• , !qa 757' , y Chemical 7,' x - tr. 27-.-‘Frame and Flashingm ' ' a C S :, N � 60- _.aar.• '' ' ' . Sr :, 7Ei:i ry Standpbe :�;,1 28. Lathing:& Siding ,. c. -1vm•, .' �Q` ^(^�- 77:7 FIXED SYSTEM FINAL j >I '•29. InsulatiEn ' = •' ''N , . ;,..,11: 76-1-' FIRE PREV. FINAL :. -. Pr IT. t . �4, •ct. Drywal1Nailing _ t d ( r HEALTH:DEPT. REQUIREMENT - � ` _ 31. PlasterB'rovCax ' il • , I79�•FINAL INSPECTICN ; ` _ , i •, . i `_.32rElectrieel Power Mete•L-Final ` • a c0. - 1 ii .rFOOD CERTIFICATE ISSUED ,331Fir l Electric ? t 7-• ' ' " JI l: 1 .Pi "Notes: r ;:f�` m LL' ♦ t t a ..to. I ::,1344, rr n r. 1 1-1 .:lr. # t%•: tilt, . r .Final Heatir-& Ai[ Conditioning - y !� y !t.- �= S 35AFinal Gal Pipe-Test .0 -.LI:. I t r fi S 5.� �36'•Hood o`rCanoPY x �_ i !r-_ atm. F r .f1 it. .r • •� • ; t' 7� -•37^Final Factory Fireplacez, ' Sr nits. ? to , I - ; 1/ t5 _36:,Final Plumbing �, rJ ti� H I . i. x S f r. r s i 39. Water Service-Final r-- + I I j t7 x s ` < , -c I rn , rr ,y t.. a . r .:: r. it r40-,"Gas Service-Final " =ru ' U • : ' TI L t Jr r •41•1-1` s y e 1 •.. bon: • (U •. ' ___ 1•41,.-Solar Domestic-Fir -,, p > Cs ;n, 42:78ackflow Preventers "' �'` ' ' A ,"'r '' ��' _ 43. Backflow Irrigation, XtSU i--0 - T - . n• . .r 44. Landsce Irrigatign•SYstem ap .., 0 0 -, i•45;Sound Attenuation `-1 -J.,-.4 !`> 1-+ I , r =- ' • •' - ._ ._ .. . n -/t ^, .. . I• a, t _:46. Handicap Regulations-1 - '• " . ' ' r` °' . ... ` ••47.-FINAL STRUCTURE.&,BDfLDING / - 1 -t L.,' rt a 48'' t�J 4824F -R fdiQttJt Vrj�'fp Q t I ��GG}}%%tt� �d R.: O. -49�Electric Release to.Eddiisdh,,-',- ►�IJC I :i. = .1 :/ I _•: ; : :i( r. _ i t)50._Gas Release to Southern ealifornia Gas Cv " 1, .- IJ r" " •' ..r. 51. CERTIFICATE OF, OCCUPANCY • C. 'o .,: No. Date - • PROJECT ADDRESS: 310 E 17TH ST UNIT: CITY OF COSTA MESA — BUILDING- PERMIT PERM NO; r1 U ,U4U1 OWNER'S NAME: BOB DAVIS AooRESS: 7014 LAMA ST PERMIT NO: B 050401 PLAN CHECK NO: 07261-90 S (,0Vi : N SUPP: N CARLSBAD CA 92009 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH 619-931-5791 ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : STD TRASH ENCLOSURE SQ FT: 81 ADDRESS: i UNIT: CLAIM VALUE: 2,000 . 00 CALC—VALUE: 1 , 620 . 00 GROUP OCC: 8-2 / PERMITTEE: 13752 SSEMINOLEORS ( 714) 627-3651 COMMENTS: REF 849788 ADDRESS: CHINO CA 91210 *>E*s6****tljt**HESE***>E***********>E*********>ESE**+a*>ETcgE***+F*>E**>E>ETL** *>E**>E>E**>E**>F>F+Fae>E* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS • r 70001 of Division the usiness and Professions Code.and my license is in full force and effect. SETBACKS • g CITY LIC.:04V$L)b1 -) STATELIC.:4J6418 ams: 13 oZ ropy 2d MAIN BUILDING ACCESSORY BUILDING Date: ` Signature:_ _ _ _ FRNT: FT IN REAR: FT IN FRNT: 96 FT IN REAR: 3 FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have to of consent to -insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT 6 IN' compensation ro:2975rt�.redCOPYthereol(Section3800,La /01 /91 POLICY Na:RELIANCE INS EXP.DATE: PARKING REQ: PROV: PARCEL: 42501105 ZNE: Cl REF NO: PA9047 COMPANY: Cyy PLANNING NOTES> TRASH ENCLOSURE AT REAR OF DRIVE—THRU FAST FOOD RESTAURANT 0 Certified copy is Hereby furnished. C7 Certified copy is filed with the city Sunda). 'vision. , > SITE. Date: ... `, *******************N************************************************** M. ***** 1— (p 0 Applicant: Az �� 3EIf a DEVELOPMENT SERVICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not re completed if the per a me u r •r 00)or less). I certify that in the performance of the work for which this permit is issued,I shall not employ any person manner so as to become ZONING APPROVED BY • subject to the Workers'Compensation Laws of California. • • DATE: Date: Signature: BUILDING APPROVED BY NOTICE:IL after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor — DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED BY: -_-.7======.7440,t_ I �yQ >� CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for , DATE' /�/ ./ V **********************. .�; r:•—_�_e-••'3.3- ._.__._TrA.'. . . . ***************** '*3F'3F which This permit is issued(Section 3097,Civ.C). ****************************** ** LENDER: ****** ************************************* ADDRESS: LEGALIZATION:N F E E S . .. Y STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Slate License Law for the following reason BLDG PMT PLUMB I. • - 111 -C MECHANIC FIRE SMI 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 3 9 . 0 0 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 SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of Business PLAN 25 . 35 - and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5001. BUILDING—DIV—> PERMIT ISS !LAN—CHECK • PAID DUE I. as owner of the property or my employees with wages as their sole compensation, wig do the work, and the TOTALS----> 39 . 50 0 . 0 25. 35 . 4 . 85 64 . 85 r . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'Slate License Law does not apply to an owner of a properly 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--> 'OL 64 . 85 OVER/SHORT• . 00. • k improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC ANIC FIRE SMTP/TOT GRADING PLAN—CHECK • mr the purpose of sale). 39 . 00 . 50 2 5 . 3 5 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 anowner ofproperty who builds or improves thereon *..**„.*.*.*.*x.*.*,*,*.*,*.*.**,*,*,*,**,**JF****** . *************,***********************.******!**** and who confronts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware , that proof of their Workers Compensation insurance should be provided to me. I N D I V I D U • L F E E BREAKDOWN ❑ I am exempt under Section: B.A P.C. for this reason; TYPE QTY DESCRIPTIGN UNIT COST TOTAL COST Date: Owner: SFR 81 RES—TRASH ENCLOSUR / FT. 20 . 00 1 , 620 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and D OF FEES 25534 and that I or any future building occupant witUwill 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. Date: Applicant: I hereby certify that I hove 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 ter upon the above mentioned 01 00076762-00076764 TO T 64.85 property for inspection p�ur(po_s_esp. • DAT£ 12/24/90 TinE: 11:39 , ----- ••----- •• Date:_iw,._Ory� 1—E//7_ Signature:._ _ Driver's License or Social Security n.: 1641 46 White—Building:Green—Code Erjorcement Canary—Applicant:Pink—Revenue: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 t..) 2. Soil Pipe-Undrgrnd. - e' ' , �/ 53. Steel Reinforcement -.a •3. Electrical Conduit Utility-Undtgrnd.•., 54. Forms 4. Electrical Conduit-Undrgrndf. --• 55. Electrical Bonding �' 1 1 _ 5-. Steel Reinforcement 56. Rough Plumbing & Pressure Test - f 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE - a 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation .. 1 59. Gas Pipe, 0 Undrgrnd.,Test • }r 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. cr 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House-Connection j' 62. Backwash & Receptor-Final t 12. Sewer Cap ,) C. -'Ire 63. Heater & Vent-Final r ;. 13. Roof Drains ., i 1 64. Plumbing System - Final -. _ 1 14. Rough Plumbing "[ } 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring l 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 j •I • „. Y - - - • ' APPROVALS ' - Perinit# • �• - 21. Ducts, in Structure' - " • - - y 170. Underground Hydro 22. Ducts,Ventilating- • - . 71. Product Piping 0 Gas 0 Oil 23. GasPipe-Rough &..Test _ y •- 72. Underground Flush.. 24. Roof Framing ' - 73.: Undergrnd.Storage Tank_0 Gas 0 Oil - 25. Roof Sheathing - - 7q; Overhead Hydro - 26. T-Bar Ceiling (Structural) &:Monocoat _ - • - - 75. Dry Chemical - 27. Frame and Flastiing _ .t. • _ 76. 'Dry-Standpipe ' : 28. Lathing& Siding - 77. FIXED SYSTEM,FINAL 29. Insulation 1, 78. FIRE PREV. FINAL 30. Drywall-Nailing - • I j : E - HEALTH DEPT. REQUIREMENT . 31. Plaster Brown Coat _ i ••' ; ,. , . INSPECTION 32. Electrical Power Meter-Final r • j 1, I 80. FOO DCER - E ISSUED 33: Final Electric :- "' ; �' tes: - 34. Final Heating& Air Conditioning . + - , 35. Final Gas Pipe-Test _ .a. i- ' 4 ' 36. Hood or Canopy , - ' t. ' t • - >i 37. Final Factory Fireplace - - ' . "I's, - 9 38:-Final Plumbing It. , 'r . 1- , t •• L .39. Water Service-Final t } I ' '' : -.1/4 40. Gas Service-Final ' _ - 1 I 41: Solar Domestic-Final - _ I 1; i .- ' 42. Backflow Preventei '" - - I 1d . - , . 43. Backflow Irrigation - - t - . - , • ' • 44. Landscape Irrigation System ' 45. Sound Attenuation ' ' - 46. Handicap Regulations '`` " - 47. FINAL STRUCTURE & BUILDING Z.G,.t/y'/ 48. FINAL PLANNING ,II" rr )` --49. Electric Release to Edison . I ' /'- .- , 50. Gas Release to Southern California Gas Co - II.',-,1:' : . - 51. CERTIFICATE OF OCCUPANCY '- - . No. Date PROJECT ADDRESS: 310 E 17TH ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PEM NO: B U7U45, OWNER'S NAME: BOB DAVIS ADDRESS: 7014 LLAMA ST PERMIT NO: B 050452 PLAN CHECK NO: 00024-91 S GOVT: N SuPP: N • CARLSBAD CA CONSTRUCTION TYPE: V-1 PERMIT TYPE: STR PURPOSE: OTH 619 931-5791 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : CITY STD BLOCK WALL SQ FT: 22 ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: 440 , 00 GROUP OCC: M-1 / PERMITTEE: B & B CONTRACTORS ( 714 ) 627-3651 ADDRESS: 13752 SEMINOLE COMMENTS: REF B50401 - CHINO CA 91210 *+r•>EaEgL***4**SE**gF**>EgE+F*KgE*SE>F>E>E*>E** *********sr***gE>F*sr********>E>EgL**t****kE*x*r****** 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 of ct. SETBACKS CITY LIC.: 040613 TATE LIC.: 436418 CLASS: B Date: 1 `3` Signature' MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: (hereby affirm lhatlhave acertific• onsent to self-insure Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'CCompensatioOM{ a ed copy Ireofyaflir(Section hatIhae LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: ba029 EXP.DATE: u 4 /01 /91 'COmpANY: RELIANCE INS,-yyPARKING REG PROV: PARCEL: 00000000 ZNE; Cl REF NO: 2 Certified copy is hereby furnished. l9 Certified copy is til with the city Buildint Di ion. PLANNING NOTES> 22 LF OF 6 FT HIGH BLOCK SCREENING WALL FOR A RESTAURANT > UNDER CONSTRUCTION. Dale: I J —/ Applicant • w EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need n. repleted it the permit hundred(6100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N T S I certify that in the performance of the work for which this permit is issued,I shall�•s1 mploy any person in . to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY �u�^�/e DATE: Date: 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 Ionhwith comply with such provisions or this permit shall be deemed revoked. �/ CONSTRUCTION LENDING AGENCY: I hereby affirm that mere is a construction lending agency for the performance of the work for APPLICATION ISSUED B �_5araW'aw • DATE• (' COQ * which this permit is issued(Section 3097,Civ.Cl. *****34193434*3i-*3434**FE 96** •ax-_•--- ; •a••=y •,.• • • - . - ***.**.*.**4*a• ** LENDER: BOB DAVIS - *************************** iiiiik3434*1996* - *******19*3434*)4*34*************3434***3434* ADDRESS: 7014 LLAMA ST LEGALIZATION:N F E E S • R Y STRUCTURAL SEGMENT:Y CARLSBAD . OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUM NG IR 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 15 . 0050 repair any structure, prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/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 9 . 75 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 live hundred dollars(S500). 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 IS UE PLAN—CHECK TOTAL `PAID DUE ❑ structure is not intended or offered for sate(Section 7044.Business and Processional Code: The Contractors'State License Law TOTALS----> 15 . 50 0 0 0 9 . 7 2 5 , 2 5 5 , 5 . 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.It,however the building or REVENUE DIVISION TOTALS--> COL - - 9 • 25, 25 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 r BLDG PMT PLUMBING ELECT' ' CHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). I.as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 15. 00 . 5 0 9 7 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 *49*34***********91***********34 34 M.* ******34********************************y.****N.** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDU • L F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPT 0 N UNIT COST TOTAL COST C- Date: Owner SFR 22 RES—CONCRETE BLOC WALL / FT. 20 . 00 4-40 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and 'ND OF FEES 25534 and that I or any luture 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 Oistrict.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 at city and county ordinances and state laws relating to building construction and hereby authorize representahis citxenter upon the above-mentioned 01 00.077235-00077237 to-r 25,25 property Apr inspection lpurposes. 4'�o3ADa TME: 11;`1 .j.=.3 ". I Date: � I Signature: , Driver's License or Social Security x: 164146 While—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING L POL.- & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector ` 1. Temporary Electrical Service-,6r Pole . 52. Pool & Equipment Location .v 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Untlrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 4 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. ' 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test • 2 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. er 10. Structural Floor System y r 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection � • ...1 62. Backwash & Receptor-Final - 12. Sewer Cap - '• 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final i 14. Rough Plumbing ^i - r I 65. Electrical-Final '1- - r 15. Rough Electrical-Conduir �l ` / 66. Solar System-Final 1 16. Rough Electric Wiring 1�- 67. Fencing &Access Approval 17. Rough Wiring Sign I, 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 1 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace • APPROVALS . Permit 4 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 - 4 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro- 26. T-Bar Ceiling (Structural) & Monocoat I ' - 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 • - , 1 , 79. -INAL Iiv�r. ,T�ION 32. Electrical Power Meter-Final - I I ' ;. 80. FOOD CERTIFIC SUED . / y 33. Final Electric r ' 6 N tes: 34. Final Heating & Air Conditionirig 35: Final Gas Pipe-Test ; / ' / : 4 ' 36. Hood or Canopy - ;?� r O d 37. Final Factory Fireplace ; ` i '•r '- ' f - 38. Final Plumbing - I • .- t - • 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 4 sin, at • 48. FINAL PLANNING h . 49. Electric Release to Edison • , 50. Gas Release to Southern California Gas Co i 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 310 E 17TH ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 0494 /7 OWNER'S NAME: BOB DAVIS ADDRESS: 7014. LIAMA AT, CARLSBAD PERMIT NO: B 049477 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STA PURPOSE: DEM 619 -931-5791 ARCH/ENGINEER: REG.NO.: . JOB DESCRIPTION : DEMO COMMERCIAL BUILDING SQ FT: ADDRESS: UNIT: CLAIM VALUE: 1 , 000 . 00 CALC-VALUE: 1 , 000 . 00 GROUP OCC : B-2 / PERMITTEE: B & B CONTRACTORS ( 714 ) 627-3651 ADDRESS: 13752 SEMINOLE COMMENTS: X CHINO CA 91210 ****************************r+kik************x>t****+ESE*****>t*****************+F**** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)0l Division 3 of the Business and Professions Code.and my licenses in col for and effect. SETBACKS CITY LIc.:O 4 0 1.3 STATE ic.4 6 418 &B Signature:_ ce/` — _ MAIN BUILDING ACCESSORY BUILDING Date: �b MfT — — FRNT: FT IN REAR: FT IN FANT: FT IN REAR: FT IN Y 'vrrrRKERS' OMPEN ION DECLARATION: Ihereby affirm that have of consent to self-i pracenificate of or ors' LEFT: FT IN RGHT: - FT IN LEFT: FT IN RGHT: FT IN xmpensationtpStipcCq.gr. ljfied copy thereof(Section 3800.Lab,L�/01 /91 DLICYND.:ns- RELIANCE INS EXP. PARKING REQ: PROV: PARCEL : 00000000 ZNE: REF NO: CDMPANY: It/Certified NOTES> ❑ Certified copy is hereb furnished. 1.•J Certified copy is filed with P icy Buildin Iv min. > Date:_ O 1' �I / *************************************************** *****************11 ********** Appacanl. / DEVELOPMENT SERVICES R. E Q U I R E M E N _T S EXEMPT( FROM RKERS'COMPENSATION DECLARATION: (Ras section need rot be completed if the permit a one hundred(51001 . I certify that in the performance of the work for which this permit is issued.I shall not employ any person' any manner so as to become • ZONING APPROVED BY DATE subject to the Workers'Compensation Laws of Castornia. Date: Signature: BUILDING APPROVED BY - DATE: NOTICE:If,alter 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: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: a 1�----j- .) which this permit is issued(Section 3097,Civ.C). ********************** * �fl ..Vrs_- _ . **************�J ** *44* LENDER: ******************************* . . " ***************************************** ADDRESS: LEGALIZATION:N F\ E SUMMARY - STRUCTURAL SEGMENT:Y • OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the fotowing reason BLDG PMT PLUMBING ELEu TRIC MECHANIC F 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 25 . 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)4IP/NON-RES pursuant to the provisions of the Contractors'Slate license Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN . 50 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 'ray applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). BUILDING-DIV-> PERMIT ISSUE PL ' - ECK TOTAL PAID DUE I, as owner of the properly or my employees with wages as their sole compensation,'will do the work, and the TOTALS----> 25 . 50 0 . 00 0 . 00 25 . 50 25 . 50 . 00 ,,' ,1J 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.If,however the building or. REVENUE DIVISION TOTALS--> COLL EC ED • 25 . 50 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 ELECTRIC MECH IC FIRE SMI P/TOT GRADING PLAN-CHECK for the purpose of salo). 25 . 00 . 50 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 desnot apply to an owner ofpropeny who builds or improves thereon ,***,***********,x,****************,******* ,*********,***,**************,***,*.****,***,*** 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. INDIVIDUAL • E E BREAKDOWN o I am exempt under Section: B.6 P.C. fpr this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Dale: Owner: NO FEES WERE SELECTED FOR THIS PERMIT I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and 25534 and that I or any future building occupant wit/wit not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from theAir Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby tentlly that I have read this application and slate that the above information is correct.f agree to comply with all city and county ordinances and slate laws relating to building construction and hereby autmrize re resentativees oaf this ci M ,er upon the above menti ted property for inspertion pumas,... I\/ ` Date:1� r�/F Signature:_ Driver's sense or BBA666tial Security x: 01 00072059-00072050 TOT 25.50 164r'46 White—Bwlmng:Green—Code EnlorcemenL Canary—Applicant:Pink—Revenu .Goldenrod—Assessor DATE: 10/15/90 1111E: 12:23 if CONSTRUCTION AND PLANNII... :OL & SPA . APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector e 1 ./ . 1. Temporary Electrical Service dr/Poles 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd., Sc " ' 53. Steel Reinforcement - .3. Electrical Conduit-Utility-Undrgrnd. ... 54. Forms '4. Electrical Condtiit.Uhdrgrnd? 55. Electrical Bonding '' 75-Steel Reinforcement 56. Rough Plumbing & Pressure Test ,. 6.3ElectricalUFER,Grnd. • 57. APPROVAL TO COVER-GUNITE ' 7. Footings :: 58. Electrical Conduit-Undrgrnd. • 8. Foundation A 59. Gas Pipe, ID Undrgrnd.,Test /4, 9.,Water Pipe-Undrgrnd. %i I 60. Backwash Lines, P-Trap, 0 Undrgrnd. '7 10:'Structural Floor System '/. • . � 61. APPROVAL TO DECK 11.•Property Sewer Lirie& House•Conriection 62. Backwash & Receptor-Final /..• 12. Sewer Cap .a, - c' j- 63. Heater & Vent-Final 13. Roof Drains _ '4 �f 64. Plumbing System - Final , ,e i 14. Rough Plumbing ' / 65. Electrical-Final _ • r 15. Rough Electrical-Conduit 66. Solar System-Final 1 16. Rough Electric:Wiring '1 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 a 20':Rough Factory Fireplace r':M S �- tt,x_ ' '17 :APPR_OVALSQi �Pe mit# t :" 21.+Ducts, in Stcuctu`re i� t nA t' •-'70. Underground Hydro 22. Ducis, Ventilating '--es ; , ) i a. ` c71. Product.Piping EYE Il.Oil 23::•Gas.Pipe:Rough&Test 'it_ r ,1 -y t 4 .72. Underground Flush -: 24"Roof Framing ' t a -: 73'.'Undergrnd.Storage'Tank'D Gas 0 Oil a.25. Roof Sh-eathing a. v i_ 'u f. .' 747JOverheadvHydro) 26. T-Bar Ceiling (Strueturall &'Monocoat A `-I m t '1 t " '- A _ * ->, • 1.1. r 75.,.....Dry Chemical �,.� 27:,Frame and Flashing'. -r a I. i 1: ' ' i i. g :,.. -. . !. 76. Dry Standpipe I'd '' 28. Lathing Siding f ra 1-1 E t^ 't' s: •" i ' 77• ' FIXED SYSTE FINALr ': . 1 v i.S•t-. ,l .1: i Li' 1 1-1 r n 1 29. Insulation 5 •• x. 11• .' 76:: FIRE PREV. FINAL ' 30. DrywallNailing y` - : r~ i Ira 'HEALTH-DEPT.'REQUIREMENT 7,31. Plaster Brown Coati i t' " * I • A:.'79.•FINAL INSPECTION :f I • '32. Electrical Power Meter-Final' ` fit: " '780?FOOD CERTIFICATE ISSUED ...1-r t .1 c' t• t' i:•: ,, • 33.:Final Electric i r., , •t i I i !' tide, -17; ai 'n ' 34. Final Heating& Air Conditioning: _ r I i* z o' :at,: ::-? r to i' J i ' .t `� ' , I 35c"Firial Gas Pipe-Test!,' L '21' ? 1 - i ( 11y4 i " r , • •Hood or,Canopy i r 1 '.' r t ^ 1 I IiV i .: • , 'i 7 F •1 1 f. • 11101 -7 # t . , •'• , ri . a36. ' ,37'..,Final Factory Fireplace 1, 1,'F." f '' I A. C 38. Final Plumbing 'I -Io • ,/y/if t. ' 39. Water Service"-Final _. : 1 ' e t .ta _x tf A H k N : + ,,40. Gas Service-Final t ':11 t* 4 171 ;i + // :41. Solar Domesiic-Final r '- i ft y . ,•4 I:n- 1;: I .Ti 42:•Backflow Preventer. ' i 't f' ud' ,i_ . i. L' r: . • . , . . , n ern . t , 443. Backflow Irrigation ' =' , n• • f d `- • ' - •44. Landscape Irrigation System' ^ . I - • -'t ' : i- :I: 7. 4 ' 45. Sound Attenuation t' i ' „i ;,;; ' r • 1, 46'. :Handicap Regulations i - . . I 47.•FINAL STRP/CTURE & BUILDING it/t 6 p)'I:i a t'I •". 1, ' , 71. 48. FINAL PLANNING I: i I 1 I ., I. 49. Electric Release to'Edison . ` ' ' 50:-Gas Release to Southern California Gas Co • . • • 51. CERTIFICATE OF OCCUPANCY ' ' t1 No Date PROJECT ADDRESS: 310 E 17TH ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: GRA 0494 /8 OWNER'S NAME: BOB DAVIS ADDRESS: 7014 LIAMA AT, CARLSBAD PERMIT NO: GRA 049478 PLAN CHECK NO: 06232-90 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: GRA PURPOSE: NEW 619-931-5791 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : SITE WORK FOR E-Z TAKE OUT BURGERS SQ FT: ADDRESS: UNIT: CLAIM VALUE: 1 , 000 . 00 CALL-VALUE: GROUP OCC: B-2 / PERMITTEE: B & B CONTRACTORS ( 714 ) 627-3651 ADDRESS: 13752 SEMINOLE COMMENTS : REFER TO P.C.#5517-90L CHINO CA 91210 +E***+E******�F*******�r�F�H�r*****************kE*****kE****************x•*********k ***** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapt r 9(commencing with Section ZONING REQUIREMENTS 7000)01 Division 3 of the Business and Professions Code,and my tic se is in lull force and effec • SETBACKS car uc.:04 6 STATE LIC.: 36418 CLAS • Date: �-r 6Signmme Cei _ MAIN BUILDING I ACCESSORY BUILDING (FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ,WORKERS OMPE ATION DECLARATION: f hereby affirm that I have a certificate of consent en-insure or a certihcate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Tompensationdos pgr,@,qr1 perlJied copy thereof(Section 3800.Lab L)4 /O 1 / COMPAD.:RELIANCE INS EXP.DATE: PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: comraNv: /trifled PLANNING NOTES> ❑ Certified co y is here 'furnished. CJ Ce died copy is filed the city Buil g Division. C > Date_ — DEVELOPMENT SERVICES REQUIREMENTS EXEMPT' FROM r KERS'COMPENSATION DECLARATION: (This section need not be completed if the per I - or one hundred(5100)or I ss). I certify hat in the performance of the work for which this permit is issued,I shall not employ any pe. in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: • Date: Signature: BUILDING APPROVED BY : DATE: NOTICE:II.alter 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. APPLICATION ISSUED BY: , SrLDATE: l tel? CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for Sr cQ.--t which this permit is issued(Section 3097,Civ.C). ********************** ,_— ********** ** ****** LENDER: ****************************** ***************************************** ADDRESS: LEGALIZATION:N F E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt Irom the Contractors'State License Law for the following reason BLDG PMT ' PLUMBING E ECTRIC MECHANIC ' FIRE .SMI 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 . 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 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3 . 00 I. as owner of Inc property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE P AN-C. - TOTAL PAID DUE 1 J structure is not intended or offered or sate(Section 7044,Business and Professiotal Code: The Contractors'State License Law TOTALS----> 15 . 00 3 . 00 . 00 18 .00 18 . 00 . 00 ,, does not apply to an owner of a properly 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. CTED• 18 . 00 OVER/SHORT: 00 improvement oiesols le). one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MEG ANIC FIRE SMIP/TOT GRADING PLAN-CHECK for the purpose of sale). I.as owner of the property,am exclusively contracting nth licensed contractors to construct the project(Section 7044,Business 18 . 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 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: _ NO FEES WERE SELEL TED FOR THIS PERMIT • I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 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. Date: Applicant: I hereby certify Nat 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 con 'ruction and hereby oath.ri . epresentatives•I this city to enter .on the above-mentioned property for inspec on pure ses. Date:_/0 _M_ t/_ gnature:_ 6 .IO1 00072051-00072051 TOT 18.00 Driver's ense or cial Security x.: DATE: 10/15/90 TINE: 12:28 1641-46 White—Building':Green—Code Enforcement Canary—Applicant:Pink—Revenue' ldenrad—Assessor IIP l CONSTRUCTION AND PLANNIN iJL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector i ,..-' i .: 1. Temporary Electrical Serviae,or•Pole 52. Pool &-Equipment Location - 2. Soil Pipe-Undrgrnd., •,..,..- r j% 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. 'ElectricalUFER;Grnd. 57. APPROVAL TO COVER-GUNITE• ' 7.-'Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation - 4," 59. Gas Pipe, 0 Undrgrnd.,Test i./ yi 9.:Water Pipe-Undrgrnd. F.i} ,. ,' 60. Backwash Lines, P-Trap, 0 Undrgrnd. •,J 10. Structural Floor System • ' •• 61. APPROVAL TO DECK • 11.rProperty Sewer Line& HouseConnection .- 62. Backwash & Receptor-Final 12. Sewer Cap - c " e _ 63. Heater & Vent-Final ..' 13. Roof Drains •'• "• -.yr 64. Plumbing System - Final/ �. 14. Rough Plumbing - %' , T„ 65. Electrical-Final 7 15. Rough Electrical-Conduit • t 66. Solar System-Final ' ' 16. Rough Electric Wiring \ 67. Fencing & Access Approval 17. Rough Wiring Sign ‘I 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling • - 69. POOL/SPA SYSTEMS FINAL �. 19. Rough Heating & Air Conditioning _ H, i 4 ,FIRE DEPT. REQUIREMENT J !. 20.'.Rough Factory Fireplace ..c ' •o .4 r . .' ,°.'.`t r "APPROVALS DFPerinit # " ' 21: Ducts, in'Strdcture! .. •• 4� '-" �, x 170 . Underground Hydro ro -1 22. Ducis, Ventilating' 1 , = Kra ^ n• . 1 r K r, r..i. 1: t71. Prod ucrOiping Das :Oil 23.•Gas Pipe-Rough& Test i-r t ,_; K i. I' ."72. Underground Fldsli' • 4. 24`_Roof Framing _ , •,1 • a ..,.r i 73.:Undergrnd.StoragTank:ID Gas OOiI 25. Roof Sheathing . - - • ^. o1 � � - 74.•Overhead Hydro:•r 26.'T-Ba'r Ceiling (StiuCtural) &'Mdnocoat ; tr li t`,-0 '' 75 Dry Chemical E .� 27.•Frame and Flashing, =,.. 1 + `- -'_• .0 w _. .. 76. Dry Standpipe F„u1 x 28. Lathing & 'C it 'r 9i, Siding"„ ;; ':� �, 1. •, N- �. 77:" FIXED $YSTEM:F,INAL. . 29. Insulation •- J •• •' : 78,FIRE PREV. FINAL ' > - : 30. DrywalfsNailing 4 • �i ; PROJECT ADDRESS: 310 E 17TH ST UNIT: ` �ITY OF COSTA MESA — BUILDING PERMIT PERM NO: BE 050481 OWNER'S NAME: E-7 OUT BURGERS , ADDREss: 310 E 17TH ST PERMIT NO: BE 050481 : PLAN CHECK NO: N, GOVT: N SUPP: N COSTA MESA • CA 92627 CONSTRUCTION TYPE: PtRMIT TYPE: ELE STR PURPOSE: 0TH • ARCH/ENGINEER:ADDRESS: REG.NO.: UNIT: TOB DESCRIPTION : INSTALL 6 PARKING LOT LIGHT STANDARDS SQ FT: 1 , 800 CLAIM VALUE: 1 , 800 . 00 CALC—VALUE: 1 , 800 , 00 GROUP OCC: B-2 / PERMITTEE: B L B CONTRACTORS ( 714 ) 627-3651 ADDREss: 13752 SEMINOLE COMMENTS- RE: B49788 PRIMARY BLDG, PERMIT, CHINO CA 91210 I +t#####x#iE###r.#######******###**##*### ####*######*#y ##########**###* #####*# } LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section c ZONING R E Q U I R E M E N TS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect SETBACKS CITY LIC.: 040613 STATE uc.: 436418B Dale:4• 17.2....-1/0" Signature: _ .. - MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a cert. le of consent to set'nsur .r a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Inrance or a centred copy thereof(Section 3800,Lab.Q. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN '.3.-.' su 'TYRO.: WCO29752 EXP.DATE: 04 /01 /91 ' RPANY: RELIANCE INS PARKING REO- PROV: PARCEL : 42501105 ZNE; Cl REF NO: Certified copy is hereby furnished. CX Certified copy is fired with the city Building Division. PLANNING NOTES> 6 LIGHT POSTS TO BE PLACED IN THE PARKING LOT, FIXTURES TO > BE ORIENTED AWAY FROM THE RESIDENCES TO THE NORTH, Date:_./_2:_.. --7,7 Applicant: • _..��LK -: **#Y.### #3i###*#######*#*#*******#*###if#***#*if,##**#*#tF######*#iE##### *aE#*#**#### EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section nee completed if the pe t one humr r(5100)or less). DEVELOPMENT S E• R V ICES R E Q U I R E M E N- T S I certify that in the performance of the work for which this permit is issued.15 a I not employ any perso an manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY _• DATE: Date: signature: BUILDING APPROVED BY : DATE: ' NOTICE:II.alter making(his declaration,you should become 5ublect to the Workers'Compensation provisions of the Labor ! i 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 B Y: sr". DATE; /fJy._ which this permit is issued(Section 3097.Civ.C). • ******************#*** " . .. . ' . " 5, . "+"- .*********# 7;'+:.3c#.v. • LENDER: ***********************************.*** * `�*F `,-*****************************#* ADDRESS: LEGALIZATION:N F E • S T . r A R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason _ BLDG PMT PLUMBING L.TRIC 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 41 . 00 • A 4 50 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 50% SM I P/NON—RES pursuant to the provisions of the Contractors'Slate 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 - • 50 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 properly or my em loyees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE .AN—C- - A TOTAL PAID DUE t structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--- > 4 6 , 00 15 . 00 , 00 61 , 00 6 1 , 00 , 00 does not apply to an owner of a properly 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.U,however the building or REVENUE DIVISION TOTALS--> CULL 'CTED • 61 :..00 OVER/SHORT: 00 im rovement is sold within one of completion.the owner will have the burden of proving he/she did not build or improve foramepurpose ofsate). yearBLDG PMT PLUMBING ELECTRIC MEC '•NIC FIRE SM.IP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 41 . 00 19 . 50 0 ❑ 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 '*****'******************************* ********************#*********RF********** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL E E BREAKDOWN ❑ I am exempt under Section: B.S.P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner SFC 1800 ALTER BY VALUE COMMERCIAL NO7.ONE 1 , 00 1, 800 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and ELE 6 POLE/PLATFORM MOUNT LIGHT F I XT. EA. . 75 4 . 50 25534 and that I or any future building occupant wil0will 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 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 authorbe representEe.GoIdenr _Asse " •i - f his cit ter upon the above-mentioned v property foi inspection purposes. Date: :_7— g 7� /� signature: 01 00077435-001177437 11 01 61.61.' • Driver's License or Social Security#: 553559849DATE: D1/07/91 TIME: 07:56 1641.46 Whrte—Building:Greon—Godo Enforcement:Canary—Applicant:Pinkssor a CONSTRUCTION AND PLANNINC P iSPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole .` ' 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. • i53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 1• 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. s.. ? 60. Backwash Lines,P-Trap,0 Undrgrnd. , 10. Structural Floor System '/ I • 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 \ 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 0Oil 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 ill. T-Bar Ceiling (Structural) & Monocoat ' • • 75. Dry Chemical " 27. Frame and Flashing 76. Dry Standpipe 4;8. Lathing& Siding • . •• - 77. FIXED SYSTEM FINAL 29. Insulation . 78. FIRE PREY. FINAL 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat .; 79. FINAL INSPECTION 32. Electrical Power Meter-Final - j- • i+ FOOD CERTIFICATE ISSUED 1 • - / i 4 ;I,�'sp --e 33. Final Electric yid �.,•;;� 34. Final Heating & Air.Conditioning , .2 ,9 , ' 35..Final Gas Pipe-Test _ r ,,,f j! --b�'a - 36. Hood or Canopy :/ '7r t - 37. Final Factory Fireplace - it ,y it 38. Final Plumbing ii !! 39. Water Service-Final . Ii/ 40. Gas Service-Final jr 41. Solar Domestic-Final dP - 42. Backflow Preventer • - - 43. Backflow Irrigation 44. Landscape Irrigation System • , 45. Sound Attenuation 46. Handicap Regulations .pe ' -_ 47. FINAL STRUCTURE & BUILDING yt_09, • 48. FINAL PLANNING il , , 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 7 51. CERTIFICATE OF OCCUPANCY No Date )i,PROJECT ADDRESS: 310 E 17TH ST.. UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 05093f 11\i OWNER'S NAME: BOB DAVIS ,,,;. 'a!REss: 7014 LLAMA ST, CARLSBAD PERMIT NO: E 050937 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: V-N PERMIT TYPE:' ELE PURPOSE: OTH 619-931-5791 REG.NO.: C5163 JOB DESCRIPTION TEMPORARY "WORK WITH" PERMIT SQ FT: ARCNIENGINEER: TOM HARRIS . ADDRESS: 136 E 9TH ST UNIT: UPLAND CA 91786 CLAIM VALUE: CALL-VALUE: GROUP OCC: B-2 / PERMITTEE: B 6 B CONTRACTORS ( 714 )627-3651 agDREss: 13752HSEMINOLE *******+Sr**********88*+PER* +Yr**FLED*4******** �E****sESE****�P*�P*****x**�E*�P*>E�E*x*** ** CHINO CA 91210 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. SE TB ACK S CITY LIC.: 040613 STATE LIC.:436418 r CLASS: B . oa^e:�—�(, signature:_ — _ FRNTMAIN BUILDING ACCESSORY BUILDING ; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cert ica Itoselhinsur ate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN ampensationy2syta t d copy thereof(Section 38W,Lab. . POLICY NO.: W`V EXP.DATE: 1/91 COMPANY: RELIANCE INS PARKING REQ• PROV: PARCEL : 42501105 ZNE: REF NO: ,,yy PLANNING N TES> ❑ Certified copy is hereby furnished, L'S Certified copy is tiled with the city Build g Division, > Ddre:_oZ '-4. -7/ Applicant: A. �• DEVEL OPMEN T S -E R V ICES R EQUIP E M E N TS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Ibis section n-t%r completed it y:i'rmit or one a r . r.r or less), , I certify that in the performance of the work for which this permit is issued.I she not employ anyyi erson in.y manner so as to ie i - subiect to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: Signature: BUILDING APPROVED BY NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor �A ' DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION / q CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: e : .v/1 / s/rma., DATE. - p which this permit is issued(Section 3097,Civ.C). **********'*'*********'*'* • • •,_iGr' 1'tea.-•-. . . . . . . *'*"*'*'*'x'****' - • . - ** *************************************** N ^ ******************************* ADDRESS: LEGALIZATION:N F E M A R Y - STRUCTURAL - SEGMENT:N OWNER BUILDER DECLARATION: I hereby al firm that l am exempt from the Contractors'Slate License Law for the following reason BLDG PMT PLUMBING ELEA _RIC 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 .1 00 0 repair any structure.prior to its issuance,also requires the applicant for such permit to rte a signed statement that he/she is licensed 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 ' -d Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 4 ,-0 1 applicant lor a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). BUILDING-DIV-> PERMIT ISSUE PLAN - ' TOTAL PAID DUE I, as owner i enc property or my employees(Sionwith wapes as theirPrsole lCde:compensation,TContractors' do the work, and the TOTALS----> 15. 00 4 . 50 0 . 00 19 . 50 19 . 50 . 00 ❑ structure notLs intended or offered Ipr sale(Section 7044.i Bpsmess and on.andi who The Cohimself State License Law does not applywto ownerof a espropertythat who buildsor nts are not nand who does such work ,himself/herself or through his or her own employees,provided such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECT.' 19 . 50 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 . BLDG PMT PLUMBING ELECTRIC MECHA C 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 19 50 ❑ and Professions Code: TheContractors'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. - INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. far this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date Owner. ELE 1 TEMP WORKWITH EA. 15 . 00 �- 15. 00 Ida hereby certily that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and END OF 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 AirAlr Ouahty Management District.Residential construction applications are exempt from .V// these provisions. • Date: Applicant: I hereby certily 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 representat ves f this city to enter upon the above-mentioned property Ipr inspection purposes. Darr._'�— �� signature: 01 00080147-00080107 TOT 19.50 Driver's License or Social Security n: DATE: 02/47/91 TM: 16:21 --_,`=641.46 White-Building:Green-Code Enforcement:Canary—Applicant;Pink—Revenue:cemented i`saor (QNSTRUCTION AND PLANK... • ` VOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector *Temporary Electrical Service or Pole 52. Pool & Equipment Location t 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement l? - 3. Electrical Conduit Utility-Undrgrnd. . 54. Forms r i 4. Electrical Conduit-Undrgrnd. r 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 1 61. APPROVAL TO DECK r ) 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# '' 21. Ducts,in Structure . .. . _ '70. Underground Hydro 22. Ducts, Ventilating ' -' I 71. Product Piping O,Gas 0 Oil 23.•Gas Pipe-Rough 81 Test - , 72. Underground Flush .• 24.iRoof Framing .t - • • .73. Undergrnd.Storage'Tank'0 Gas 0 Oil - 25. Roof Sheathing ! : . ' 74..Overhead Hydro 1 t 26. T-Bar Ceiling (Structural) & Monocoat • 75. Dry Chemical ! • • 4 1 27. Frame and Flashing76. Dry Standpipe - 28. Lathing& Siding •• I •t • 77.' FIXED SYSTEM FINAL •• 29. Insulation - - I I I• . 78. FIRE PREV. FINAL • 30. Drywall Nailing . I �.,;,t• • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - I I79. FINAL INSPECTION, L I i. 32. :Electrical Power Meter-Final ��//�� pp� - 80. FOOD CERTIFICATE ISSUED 33.-Final Electric 2/yy/�� At+ e - 1 34: ,Final Heating& Air Conditioning I 7t 'r ' ' In 35. Final Gas Pipe-Test I- _ I �I; Ilya .�V • • ' ' _ • ,_36:-Hood or,Canopy . - 24' t - - :' /1WA{7; i; ' ; `-:37c'Final Factory Fireplace •• - .. I 'g4-' / • :.38•Final Plumbing t I " I ea ` (+ "`39. Water Service-Final i 'u _ I I '�I ,• tt / r [t V 40. Gas Service-Final . - 1 I \i� . - • 141. Solar Domestic-Final_; ti ••• �J I I Is - r3 - ' , . "42. Backflow Preventers 3 I r; I Ai 43. Backflow Irrigation - ' • 44. Landscape Irrigation System - , - 45. Sound Attenuation - , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING I I • ` , 48. FINAL PLANNING ,i I 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co . ) I >PI. 51. CERTIFICATE OF OCCUPANCY , No Date PROJECT ADDRESS: UNIT: OWNERS NAME: 310 E 17TH ST CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 049717 ADDRESS: BOB DAVIS 310 E '17TH ST PERMIT NO: E 049717 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA CA 92627 CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH ARCH/ENGINEER: ( 619 )931-5791 ADDRESS: REO.NO.: UNIT: JOB DESCRIPTION : TEMPORARY POWER POLE FOR CONSTRUCTION SQ FT: PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / ADDRESS: B & B CONTRACTORS ( 714 ) 627-3651 (1'y3�77T5�7(2a SEMINOLE COMMENTS: PLANS IN "CHECK" AT TIME OF ISSUANCE. IfOEL'TART CA..91210 ********************** ERF**RF+r�F+E+E�F�r�F** FSE*SERF***********sF�F****� ***�E�F*****�F********* LICENSED CONTRACTO A IDN: 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 elect. CITY LIC.: 04061 LIC.: CLASS: B Date:_ S E T B A C K S 04061P436418/.r?e3{- � signature:_ _ — MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a c lib rte of consent to set• or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereol(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN °OLICY ND.: WC 0243752 EXP.DATE: 04/01 /91 'COMPANY: RELIANCE IVS PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: ❑ Certified copy is hereby furnished. 'L-}g� Certified copy is 61 with the city Building : '•ion. ' PLANNING NOTES> -.- Date:_4_0- Date:-4_0- 3/- / c _ Applicant: *******************************aF*fFiElfiF****************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section n competed d the permit is ndred(5100)or less). DEVELOPMENT - S.,'E R V I C E S REQUIREMENTS I certify that in the performance of the work for which this permit is issued.I shall not employ any person in. 'ter so as to become - subject to the Workers'Compensation Laws of California. ZONING APPROVED BY - DATE: Date: Signature: • . • NOTICE:II.alter 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 penormance of the work for A/ which this permit is issued(Section 3097,Civ.C). APPLICATION ISSUED BY• ,► _�� /�� .�.. DATE: / 3f ********************** . . u' . ********** ot * LENDER: *************************************** ** *********************************** ADDRESS: LEGALIZATION:N F E E S U MARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'Stale License Law for the following reason BLDG PMT PLUMBING ELECT 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 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 50% SM I 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 PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). 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 SSUE PLAN—C CK TOTAL PAID DUE 7 structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 15. 00 . 00 . 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.If,however the building or ' improvement is sold within one year o1 completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> LECTED: 30.00 OVER/SHORT: 00 tor the purposeol sale). BLDG PMT PLUMBING EL C 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 3 . 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'Stale License law).l am aware **,*,**,****.********.**.*.*.******** *.*.****.*.**.*.**.*****.****.*.*.*.******.*.*.*.****.*,*-***.*,**,**.*,N, that proof of their Worker's Compensation insurance should be provided to me. ❑ lam exempt under Section: B.6 P.C. IND I V ID AL FEE BREAKDOWN for this reason: TYPE QTY DESCRIP ION UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505.25533.and ELE 1 TEMP SERV PWR P E W/OUTLETS EA• 15. 00 15.00 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 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 representat .,of this city to enter upon the above-mentioned property for inspection purposes. , • Date: i e7-'31-! o Signature: ` =� � 01 00073232-00073252 TOT ;u.00 a dill 10/31/90 TINE: 13:58 Driver's license or Social Security 4: 1641-46 White-Budding:Green-Code Enforcement:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor .r-2 �: CONSTRUCTION ANC/PLANNING - i & SPA APPROVALS Permit# Date Inspector APPROVALS Permit#_ Date Inspector 1. Temporary Electrical Servide of Pole,, ; 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd._ 11L'_ - • 53. Steel Reinforcement 37•tectncal Conduit-rt lity•UndrgrndP'`,,(. 54. Forms _4zElectriial Conduit_Undrgrnd. „i;:! ' , 55. Electrical Bonding , '4t ... . rr5r'StgyhReinforcement IyT 56. Rough Plumbing & Pressure Test• I.°. UFEF1tr�nd. LJ 57. APPROVAL TO COVER-GUNITE i7. Footings +;C 58. Electrical Conduit-Undrgrnd. - :`8. Foundation O ' - 59. Gas Pipe, O Undrgrnd., Test CU 9. Water Pipe-UndC rnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System , , • .- � I 61. APPROVAL TO DECK 11. Property Sewer Line-& House Connection I 62. Backwash & Receptor-Final ,r 12. Sewer Cap ! t 1 a 63. Heater & Vent-Final 13. Roof Drains - t, "' 1 64. Plumbing System - Final • 14. Rough Plumbing; C ��` 65. Electrical-Final 15. Rough ElectricatConduit '.. i i I �`) 66. Solar System-Final 16. Rough Electric Wiring I 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 t 1 20. ,Rough Factory Fi(eplace x1.17 d=_ n C Ill.. + 'APPROVALS'i'Permit# a- ,.• • 1'� •. yr S•S , r-" P ••• •`.•T 1 r ttAl ' 111 17 21. 'Ducts; in,Structure• . .. ' ' .. !-.1,; � _ -2' ' 5 '' 1l , _1• , as --, :.a 70. Underground.Hydro b 22. Duds', Ventilating-x I '� r ` > Cc t _71. Product,Piping O'Gas OOil 23. tas fipe`Rough&Test i RIS ri = •t :a i '•j2, Underground Flush V 24. tRoof;Framing-' f9 - .'- Y. L• r _Y ,:. .1 j13.�Undergrnd.StorageZank O Gas ❑OW • 25. Roof-Sheithin .. >7, `•" IT' r O l'J'r ' " ' ' 9 :,.r. G r y , , > yy , `74.:overhead Hydro.` r 26. .T-BaryCeiling (Structural) & Monocoat C n ; • 75 .Dry Chemical • _ + I .1 C 27.tFrame and Flashing: ox. '' _ ILLI to, , 76.-Dry Standpipe -,6; ,r 7: •28. Lathing &-Sidingj:t L. -v •• --* v 77. -FIXED SYSTEMPINALt + l 29. Insulation T'• .. .. ', y. a` 78..FIRE P EV. FINAL r30. Drywall Nailing i. '� x . r I ,-� LTH E PT�REQU IREME NT •31. Plaster Brown.Coat'�.' _ : rt•Ir - • I • ir e 79.•FINA� INSPE c. - '^ ir it X 1. 32. ElectricatPo er Metey-Final i r r 90. FOOQ CERTIFIO TEIISSUED�1 rI 33.;FinalElec^trick oto i1,1 //' - tNotes1 / s v 11 34. tFinal-Heating& A(t Conditio iings n I Y • T.; -- :1 • I ^ » 35. -Final Gas1Pipe+Tesit r rxW "- .y :4; l/S<, c r7 ;r -r t36. Tiood4or anopy Cj: r 1 1' _ 0 >: C: -1• •/I • >: CO -• 41;4' .37.IFinal Factory Fireplace'r ' S.to 0 7 in i' -.,4' z - + v.r -1t-: •. CZI -. .• C . al !-1 i -, ', •+, • -38. Final Plumbing .,; 1 a c 1 . to '39. WaterlSeivice-Final > • I o a I Llt ' ' n -,tri a IC '40. Gas Service-Final y,,.• s ; . I I Co � - r 41. Solar Domestic-Final S - - •• . C. i i jt. • :- -1 1 1 e . ,r •-i o • "' f42. Backflow-Preventer i-' .,t r I 1 ft y ^t_ t 43. Backflow Irrigation. •• SSS °_ - - , 1 J �v _ • t Iv i44. Landscape Iriiigrt.atior(Systemb, .h . to C Li. -• +U .: tG + - - r - - :45. -Sound Attenuations ri- T i L- . v r 'I - ''r - -• U. In ../ • .. • M ,an ' is ,- _ •. - I .!J .46.fHandicap,Re ulations t m - t x 9 ., c t t . is: _ . 47. :F,INA•L STRUCTURE & BUI.LDING -- I » 1 ci 1,, r!• , . .1 , •J• t 48. crINAL PLANNING; i L- lr - 7 ., t I c49. Electric Release to Edison 1 i ( , :: c1; - - .50.•.Gas Release to Soutlern California Gas Co ; 1 I 'Pi�; , 1- of j • p • :51. CERTIFICATE OF OCCUPANCY' , .. ., HE r No. Date 36234 s PAIL) COSTA MESA BUILDING-SAFETY DEPARTMENT 'LP 16-73-E..7,700 557 > ****1050 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS BUILDING V f /4.9 rH �J,7'/" 3/‘ -73 ADDRESS n PER311315,10; OWNER e"le !- r&,q/ jiffs- - A.P.NO. U4 /{/ MAIL 2/0 /9//f ADDRESSBUILDING ✓'Ia A /7-+.( `- Z Al ADDRESS J W Wq TEL. TRACT I LOT BLOCK 0-(3 CITY C0.S� �rjr NO. I- Z Z 4 CONSTRUCTION NEW I ADD ALTER I REPAIR I MOVING DEMOI ISH -I- LENDER C- m X7 J BRANCH ,s(,/ /y/—� (/ . J t . OWNER toe-. Teti /( 4 ' ADDRESS t VALUE J ARCHITECT TEL. USE �.�y tom!( n �f Sl�h $ `. OR ENGINEER NO. / J U Q FIRE W K ADDRESS ••NE TYPE GROUP h w AP• -OVED J Z CONTRACTOR A?/50R rigk Ro7XC7a" BY DATE mZa y J ADDRESS‘ f/p.l!(/ -%o, s/ LLI W TEL./r�iI/�/� ZONE NO.OF USE OF NEW Z F CITY�,i4&r ,�etAta NO. Tp yp-'/� � BUILDING YARDS APPROVED ci)LU K LIC. NO. 2,-/a 9* LIC. NO.214/1/ YARDSMAINBUILDIN.D ACCESSORY BUILDING D SIZE NO.OF BLOCS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF /J EXISTING BLDG. /(ES�Ae.„eAN r R.SIDF FT. FT. I- SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL ROOF COVERING COVERING REAR FT. T. ...I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& /Pt fl nln9/l ffl �h r!PE - 53-5.17p4 _ MAIN BLOCS. ACCESS BLOCS. VAR.# • DATE O C.U.P.# . APPROVED I— APPROVED CO _BY DATE S(`1``P•�F O I hereby acknowledge that I have read this application and sate ,A�1 D that the above Information is correct and agree to comply with AAA �..y( cc all laws regulating building construction, and I shall not employ '(W' I- any person in violation of the workman's compensation laws of _ CO the State of California. � ZI hereby certify that I am properly licensed as a contractor under SQ. FT. 0 the State of California Business and Professions Code, Divisicn 3. THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: Q• am exempt from the provisions of the State of California Business ''n and Professions Code, Division 3,Chapter 9. VALUATION /0 to PERMIT FEE $ N 3 Signature Of ` nn /// et/ -✓� Permittee /re✓"' //Gi r4'�s' L $ // d PLAN CHECK $ E Authorized Agent / I D e2 LL TOTAL FEE $ t ) -- — — — TCOSTA MESA BUILDING—SAFETY DEPARTMENTrFg ?7-7u— t FAlb 'I P. O. BOX 1200 •cnsr0Oi09f3 .;*****5-C Costa Mesa, California . PLUMBING ��PERMIT APPLICATION TRACT NO. RECD. BYI :P� �'P • CONTRACTOR ars- OMR/IC .42ine r•/aq' LOT NO. DATE ISSUED Address YV . BUILDING USE 4:2-47- 7,/ 306 Al. ,�ds7/feir/ Bida7• 7` � City ,gNA,.c c/A7 Tel. No.sy3 777C BUIRelss jig, E. /7'Z'eS/y Class. C'-3 G COSTA MESA. CALIFORNIA State License No.a 7090'/ NEAREST O CROSS Sr.NEAREST , /vrJ J4 Mi,r w City License No. ,./ I— ��"�T OWNER Cele-fled al A < NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL ,,!r , \�' v Mater Closet(Toilet) ADDRESS J Bath Tub CITY . irk ��,. ' TEL. NO. • Shower I hereby acknowledge that I have read this application Lavatory(Wash Basin) r and state..tlint the'.above is correct and agree to comply J / Kitchen Sink —6-13 with. all:_Cityy Ordinances and State Laws regulating LY Laundry Tub or Tray plumbing., w Service Sink C• I certify that I possess the above valid state of Cali- 0- fornia classification or I am the legal owner of the resi- p Floor Sink -r- I - :dential property de vibe above. Dishy ashen I .!.. IAU!y E 7 -,S� Signature o/ Dishwasher P¢(miLL¢ Z jDrinking Fountain IP f•LLI = =Urinal w)' I S ; ECT10 RECORD Garbage Disposal -"Aka‘,L..,' Automatic Washing'\IacIi. L. it! ie a c "?.--e --7,. - Water Softener H H. AI ; / 2 Water tleumi.@`Vnf • �"��- �- WReceptor• i (-..� �—z—� �...� — ,.. a_ Swim Pool Filter System /4 .5',3--/t—7(t tC 0 Gas System . . . Outlets / 11.rawn Sprinklers I Install ation or Alteration ` Water Piping APPROVALS Back Flow Preventer _ VI Prop. Sewer (t. INSPECTOR DATE _ }rouse Sewer Connection U/G Soil. l. Cesspool, Septic TankU/G Water Services—Water 0 Gas 0 I Miscellaneous Rough Plumbing Sprinkler System _ Gas Property Sewer Pool Receptor . Filter System Pool Heater Miscellaneous issuing Permit 2 00 I Final Gas TOTAL FEE l �j-0-0I Plumbing Final Utility Co. Notified AWZ`/- 7y I A�' FORM BU-24 BLDG. PERJMIT NO. /v`/ • 1 35637 • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely R EVE BV DATE RECEIVED n I DATEESSSy/-tED ._ BUILDING-ADDRESS 3I O E. I 7 L\T � 11 _� V 1 • ' ((,��1T�---- �1_ �r �sI I -' R NO. -z OWNERC � IC k- er I Tct\ar�lc.nrd A.P.NO. II I-I['•+I_=.�7`�3 n_. 1 MAIL . BUILDING 7"t-_ ADDRESS I D () 1.1:E ADDRESS 1 - �,sS��, W W TEL TRACT OSpLOT" 7 BLOCK 0-U CITY-1-0s-k n NO.( Z7%-nn 1-Z CONSTR ION QI �`� NEW ADD ALTER REPAIR MOVING DEMOI ISH OLENDER cn ` j _ID BRANCH \` OWNE��\(-. 7 F�t \ ---V-I\„�` 1'L`\IDKcI J N ADDRESS {t,�yF� I VALUE OI' ARCHITECT L TEL 13� (� USEC'� �(VCGeMT $ ��CO^ J Q OR ENGINEER a�Q iv Och% Pr NO. ��1 o ^�.{_. C r/ W cr ADDRESS I21X>1(") _�I• J ZONE I TYPE GROUP 1 - `-- JO 1 r� M� P APPROVED LU CONTRACTOR S\c1nTlC� t�l(thr„F t`- CQ ) �'C BY DATE CO Z 1 �q (� wcc ADDRESS-7G}... IV• rTfy) Ixpty\--1-104. (mets°'; W ZONE NO.OF USE OF NEW Z F CITY = C A• •a NO. .4216-1.2.,.. �� PLANS a BUILDING A-Y a Aff/ paS W-O STATE CITY YARDS APPROVED YARDS APPROVED rn CC LIC.NO. •�7�f�Ct oaq LIC.NO. 14a1 MAIN BUILDING ACCESSORY BUILDING D O (FROM C/L STREET) SIZENO.OF BLDG&. OF LOT 107 i Cr )( icy-)USE OF1I NOW ON LOT I FRONT T. / FT. EXISTING BLDG. OPS*Qo\ rtc\- R.SIDE / /f T. r SIZE OF NO.OF 1 Z NEW BLDG. ROOMS , L.SIDE T.P STORIES ' C r Q EXTERIOR WAILL., (� ROOF (y1/}1}ryI �1 f�,l U COVERING u}-)(1((r COVERING I/IC`W t REAR T FT. • USE OF BUILDING ANDAWORK TO BE PERFORMED, DISTANCE BET. BET.MAIN& LT c-\ rt 2 I rt er nI{Qcn4 k()(LQ MAIN BLDGS. ACCESS.BLDGS. 4 tt 1 111��` I� VAR.+ DATE o 'Y(1 -QX1 S-ri �C \rt, 111\& i IN Tr -- C.U.P.ala a APPROVED I-N NV%rly\ C}V ¶W X) r-Qnkur`r1�- _BY ROVED/ELI) DATE /O/�//��- Z / 0 STATE UI hereby acknowledge that I have read this application and state 0 that the above information is correct and agree to comply with cc all laws regulating building construction, and I shall not employ s I- any person in violation of the workman's compensation laws of T. CO the State of California. to to ZI hereby certify that I am properly licensed as a contractor under SO. FT. O the State of California Business end 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:' CC am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3,Chapt: • C-- n PERMIT FEE $ Signature • !J-'E) 1g Perms ss /'��_ +�t $ two PLAN CHECK $ Z 9 0 / - sl.`1 Authorized Agent ✓ LL ` ` TOTAL FEE $ L-35.-.65DEC -5-77• PAro00 169 ;+:--**59.00 L-35.-.65--/-/7 fiS.. • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 PP IC$TION FOR BUILDING PERMIT For Applicant to Fill in Completely R / ED v DATE RECEIVED 1 / / [/ DATE ISSUED �] BUILDINGDDRE �./ O E I7 c /` •� ' 2.-b-� `. ADDRESS /'.V , �� q OWNER / gL/r r..• /C'1e( -��0"n aa+/^^s-P. NO. P T MAIL BUILDING o / 7 7`4. Z ADDRESS ADDRESS (t// G I� W W TEL. 0.0 CITY NO. TRACT I LOT BLOCK I- Z Z Z CONSTRUCTION NEW ADD LTE REPAIR MOVING DEMOLISH F LENDER Oto -e."--.".....am J r BRANCH ��pQ �y ��, - N OWNER ice. ..... GIS, f Gr-M te-ry� e ' ADDRESS ` 1L- UE -. C ARCHITECT TEL. USE - t met $ OR ENGINEER NO. Z Q FIRE W < ADDRESS ZONE LItIIGROUP f' a w �I �s W Z APPROVED �'/ -' /�J/ J O CONTRACTOR BYZDAT / !/C mZ J cc ADDRESS W W TEL. ZONE NO.OF USE O NEW O= CITY NO. PLANS BUILDING Z 1.... ID O STATE CITY YARDS APPROVED YARDS APPROVED to¢ LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING 7 0 SIZE I NO.OF SLOGS. (FROM C/L STREET) OF LOT I NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R SIQE FT. FT, I- SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. (3EXTERIOR WALL 1 ROOF _ COVERING COVERING PEAR FT. FT. - t USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& /jf MAIN BLDGS. ACCESS.BLOCS. AR.* DATE O AL1I1 fJ�(2- Cick%-jt\RQ .U.P,.$ APPROVED I- APPROVED CO _BY DATE O 1 __ - __ - - . C~.1 I hereby acknowledge that I have read this application and state /I/ td *4-1./ D that the above information is correct and agree to comply with r cc all laws regulating building construction, and I shall not employ I- any person in violation of the workman's compensation laws of C0 the State of California. e) ? 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 licenses are In full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e CC am exempt from the provisions of the State of California Business VALUATION �/ .40=e--co and Professions Code, Division 3,Chapter 9. PERMIT FEE $t 5/ N ( D Signature of za Permittee $ �� PLAN CHECK $ ----- E �p Authorized Agent u TOTAL FEE $ • s'',, 25534 ___—_�+ - --- 'COSTA MESA BUILDING-SAFETY DEPARTMENT CI �� c s1A M€sA P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 ��ppDD 11 qq For Applicant to Fill In Completely APPR&TiON1F' PE TYPE OR PRINT BUILDING te, Only ADDRESS BUILDING .. I O 1'+ I ! ` / • e.. �4 COSTA MESA. CALIFORNIA 5 RLC[ R LIVED TEI SUED OWNER V Itt GAC C Ile C/— / MAoasss/ 3 to r • , -� T S (/ / ADDDLRESS 3 I C1` C± l 7 S % CITY ( 65r0- m e`t 14701....442.71W2 o(i'r2--5 ZONE TYPe ROUP �� APPROVED (/��/�f qj NO NEER NO.TEL- BY is 6... / j t..ce DATE ( /�6 ADDRESS crud V I�ZONING 30 HOOF YSE OP NEWS e (// nn �j l // PLANE -�', BUILDING ,C CONTRACTOR `L9A,/iV1�Y D, NO G ADDRESS /3 3YYYJ3 E•/A1y7 ?r 5 7 wcnlmoN �"�t✓ 6�/6 r yt 6 �/ CITY [ B5 %at / l e5A- A.P.NO. I I / �Z 1"l — 32—Z L STATE '90S-2- I NQ 64 y — ty2,� HOT TO SIDE B REAR P.L. SHALL BE LESS THAN LIC.NO. EAVES SIZE I NO.OF ELDG$. ALLOWED ,I U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING p/ ACCESSORY BUILDING EXISTING BLDG. A FROM CA-STREET) SETBACK LINE FROM FRONT PT. / FT. CENTER OF STREET REAR YARD SIDE YARDI LEFT I RIGHT R.SIDE ,// /Sty Fr. DESCRIPTION OP WORK L.SDEti PT.; FT. N � ALTERATIONI ADDITION . REAR PT. PT. DISTANCE BET. BET.MAIN S MAIN SLOGS. ACCESS.BLDGS. REPAIR 7...;-MOVING DEMOLISH BUILDING NO.OF VAR.* DATE SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL ROOF APPROV�I DATE [L-/ G Y COVERING I COVERING BY 1 A`�ln/.nn� / USE OF BU I LDI NSI AND WORK WORK TO/BE PERFORMED 04 Keket . 1P tIJ 6 R4st? Q SQ.FT. ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION 1E FOR THE j AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COIF. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. fij PLY WITH ALL CITY 0 NANO AN TTR (}�fffLLL�LAWS REGULATING VALUATION BUILDING C 1,71 ' 07 00 III PERMIT FEE $ SIGNATURE OP c PERMITTER /J � AUTHORIZED AGENT $ / DD 0 . PLAN CHECK S O� "::w• l.,-.,I' _.t`;'a5;: '. -. 'o'."r-.'a.p::'.:q..l:: TOTAL FEE $ 6 28946I PAID *�** 49.50 "COSTA MESA BUILDING-SAFETY DEPARTMENT AUG -5-686a00 275* P.O. BOX 1200 - COSTA MESA, CALIFORNIA 52020 - For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING 3i �'/ ? T" 51— For Office Use Only ADDRESS RECEIPT NO. Aar-g�D G • COSTA MESA, CALIFORNIA (d- Sys R[C[IV Y -RECEIVED r ISSUED OWNER-•Jfb'� Sys • OY L.../..-641r /�ST�/.i/O.1J MAIL i/ (i / / � ADDBUIRHIBGFIRE NG 3/6 /7 'S ADDRESS Lr' a (/0/ 40 CIT /�G�&+G.SEL ZONE TYPE V,/ GROUP FcR. Ai1Gj�Jn/I 5 IJ ��/// �J (J / (/ 'CHITECT TCL APPROVED yc / DATE Q -s-1,!/ ENGINEER TGq A, shcO^II4ND. 5389 47 ?\ ADDRESS 9,4 E Ka7e� add. ZONING �/� ZONE HOOF USE Or N[YW- � ,,�// /r/•� Q G PUN[ 02, BuaDINO�� CONTRACTOR7I e,reLAJ /4C�6 wir c0 ,,�/ •$-� �/ / ADDRESS 7 3 /_AA,•,, / T^# J %•. DUCRI ON /./.IJ--G. 'G//Y 7,�T,JR• 6 /p ` CITY ( 05 rG- /'[ .54-/ `alit 1•• A F.NO. �I / - r �F�� ?�-3 ,z N NOW ON ion_ NOTE: NO CAVE OVERHANG SHALL BE LESS THAN LIC.N S7GS -. TEL. NO, SO'TO SIDE&REAR P.L PATEO. 7 SIZE (®O k 181 1 / I NO.OP SLDGS. AA VES OIZLALLOWED (U.B.C.REQUIREMENTI F YARDS APPROVED YARDS APPROVED USE OFR¢c�'ra.c, a/✓T MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) SETBACK LINE FROM CENTER OP STREET REAR YARD 5" FRONT FT.., 2 PT. SIDE YARD I LIFT I RIGHTR.SIDE PT. v PT. DESCRIPTION OF WORK L.SIDE Fr. //� PT. _ N ALTERATION / 1 ADDITION REAR PT. [/ FT. 1J[' DISTANCE SET. BET.MAIN& MAIN BLDOS. ACCESS.BLDGS. REPAIR - MOVING _ DEMOLISH BUILDING OO NO.OFMS C".. VAR.# DATE I/GILL,��f,"/ / /� STORIES I _ C.U.P.# APPROVED j COVERING EXTERIOR "r•7)re /Q•I COVERING(/I��•.JI 405 E PRpV • I twig DATE ROOF - �'-`� USS(OF BUILDING Apr)WORK TO BE PERFORMED (FF�{{(l / R'.S'FSECTI 1L % [ Eh FN• IST7 4. Ke/hDOG do Ke5TavtaAlr � c on b! ..-?5°.....fr '7 ,tee'—,-3-1.---c-.<.: SQ.FT. I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. R1 PLY WITH ALL CITY ORDINANCES MID STATE LAWS REGULATING VALUATION �.Q BUILDING CONSTRUCTION. �` PERMIT FEE 5 J 3 q SIGNATURE OF G PERM ITTEB hTOTALFEE //s F / PEAPLAN CHECK S (O/�W ,/9"� ' 4 g/f�- • 1-^ `. 24594 :'-CIT.Y_O LWS�A MESA %, COSTA MESA BUILDING-SAFETY DEPARTMENT AUG 6 1965 P.O.BOX 31T COSTA MESA,CALIFORNIA For Applicant to Fill In Completely - C ,-.:IN 4PERM TYPE OR PRINT w_ In I.•I° BUILDING 3/c /7TZ!! For Office Use Only ADDRESS .tudy RECEIPT NO. PgpMlrSg COSTA MESA. CALIFORNIA a 2♦V�` G ^^-'�� -J (/ /7 RECII4 Y OAT RIC IVSD D41 ISSUED OWNER 0 O N 0. / / /f E. f/)S / S IDS y�1 (.\ �ry BUILDING ) �1tJ1'il MAIL /� /_ FJ ,/ ADDRESS / O E.__.7 1 7 ADDRESS b V u ,/�V/ I��JC f"� CITY /G;.[)��-I 44„.._ele Ve3R�� ZONE TYPEFIRE - GROr �� T S (T/ (/! APPROVED �j( ARCHITECT / g/ X TEL. _ BY Its to DATE O NGINEER ��^ A NO. ♦ �`�- 11 `/ X �/ �/ �y T NING AI...AESS q/ T (1 /ft Liz, // ilY ZONE KO.OF USE OF NEW / V PLANS BUILDIN• • I CONTRACTOR 9 IA 7 NE DESCRIPT10Niy C f}/ �t) / S ADDRESS CITY A.P.NO. // 7 - 2 r/ —3z -- Z ? STATE TEL. 90T T: NO EAVE O SIDE @ REARRP.LNG SHALL BE LESS THAN LIC.NO. NO. EAVES SIZE I NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT) OF LOT / 0 0 )1 t /2 NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF "� MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. /tp )v r _ (FROM C�/L STREET) •� ?? ^ la )P €SETBACK LINE FROM FRONT j)FT. J' FT. CENTER OF STREET REAR YARD ��--yy�� SIDE YARD LEFT I RIGHT R.SIDE wPT. FT. DESCRIPTION OF WORK - L.SIDE Aet FT. FT. y _' Y ALTERATION _ ADDITION REAR SFT. FT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLDG9. ACCESS.BLDGe. BUILDING NO.OF VAR.# DATE ' SIZE 36 � ROOMS 'STORIES I C.U.P.# APPROVED EXTERIOR WALLROOF APPROVED C/7� -- COVERING I COVERING C 11 ) _ BY at DATE USE OF UI •ING AND WO-K TO BE PERFORMED Hap FO• S•EGA! RE II UIREMENTS /.�2C :. 5).rYK,1 / _ Cd i 794 SO.FT. I HEREBY ACKNOWLEDGE THAT I HAVE REAb TH15 APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR.THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 0 PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATI O VALUATIONp BUILDING CONST (Al') Q N SIGNATUR OF PERMITTED I /// L //- PERMIT FEE I 7 Al �C, /, p� al D T S1 7 �L.I� PLAN CHECK $ O E / f ♦ 0 AUTHORIZED AGENT ' C6 ♦�v°Cr TOTAL FEE $ (�'�