HomeMy WebLinkAbout448 17TH ST - Building Permits�
~ '� 29078
' � � COSTA MESA Bll1LDING-SAFETY DEPARTMEM
' p.0. BOX 1200 � C08TA MESA� CALIFORNIA YZlE!
s�-5-68-�;5;00 12a �***"*6.00
�� �'� �'785'�
COSTA MESA BUILDING DEPARTMENT
P. o. BOX 31]
COSTA MESA. CALIFORNIA
��[� a��C�6�9�D
�c-�- o-S&
�f�N�
i�$: a� �v� r..:�
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING � � BUILDING .
ADDRE55 / h
OSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
. RECEIPT NO. ,ypE�IT NO.
OWNER � lJ
MAIL RECENED BY �ATE FECEIVED,(� DATE ISSVE�
ADDRE55 J �j �� —S V
TEL. BUILDING
QTY NO. ADDRE55
ARCHITECT uc. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE
AOORE55 ZONE
� `" CITY LIC. /� O I� �ONE NVOq'OF TYPE �/ GFOUP
CONTRACTOR 1 �jpva . NO. G 1� V
TEL. APPROVED
ADDRE55 BV � DATE
LEGAL LOT CORRECTIONS
oEscaipnoN NO. BLOCK TR T�
A.P. NO. � � � p�.�� }�
SRE '1 NO.OF BLDGS. � � [ �
OF LOT �JO �^� NOw Orv LOT E-: �� ✓
E%ISTOING BLDG. V�a, �'�� CITY OP STA ��AE:�A
SETB/�CK LINE FROM ��� � •
CENTEN OF STREET REAR YARD SUB.IECT TO DG. DEPT. REG.
SIDE YARD RIGHT LEFT
DESCRIPTION OF WORK gy DAT
NEW ALTERATION ADDITION
REPAIR MOVING DEMOLISH �
BUILO � NO.OF
512E � � ROOMS STORIES /
EXTERIOR WALL � ROOF
COVERING COVAERING ' �
USEOFNEW ��.n _//D w
BUILOING �V «q Q.ry(
I HEREBY ACKNOWLE�GE THAT I M/VE RE/D THIS RPPIICwTiON tND
STFTE TMAT TME ABOVE IS CORRECT FND RGPEE TO COMPLY WITH qLL .
CITV ORDINANCES AND ST TE LAWS REGVL4TING 6UILpING CONSTRVP
riorv. n VALUATION
� ��
SIGNATURE OF C' _� _ � R/V` PERMIT FEE $
PERMITTEE � ����
1// /1// �(/ PLAN CHECK S
. � � � . .�
nurnoa¢Eo nceNr TOTAL FEE S �� ve.i
�`_
� 96�(i
.:.ry ,
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. GALIFORNIA
fOR APPL/CANT TO f/L[ /N COMP[ETE[Y
TYPE OR PRINT
BUILDING !� �
ADDRESS l
� COSTA MESA. CALIFORNIA
� MAIL
LEGAL . ILOT �
DEBCHIPTION NO.
A.P. NO. -
OF LOT :� xa,
USE OF ,
EXISTING BLDG.
8ETBACK LINE FPOM
DESCRIPTION OF WORK
y �:.� �i��,�:.0 d d�1
r�, .,.3�,-�
FIN NCE DEPT.
APPLICATION FORaPERMITMESA
BUILDING
fOR Off/CE USE ONLY
� RECEIPT NO. I PERMI�G /
G!O
IVEO BY I. DATE RELENED I DATE I88UEU .%
COSTA MESA. CALIFORNIA
� FIRE /
ZONE E GRDUP !
APPRO � � 4d � •
BY ATE
ZONING
IONE^ /� NO.OF /� USE OF NE
/• � L PLANS _( BUILDINfi _ �
LINE
Ro°o 5 STORIES CiTY OF CCSTA MESA
RooF YLFnn uc,
GOVEeirvG g, FC( TO P DG. 1°F L REG.
iK TO BE PERFOR ED 1 �
. . � / i /1
6Y,
� J
I HERHBY ACI(NOWLEDGE TNAT � HAVE NEAD THIS APPLICATION THE AMOUNT BXOWN UN R VALl1ATION I8 FOR THE
•ND STATE THAT THE ABOVE 18 OFFECT ANO AGftEE TO COM-
PLY WITH ALL CITY OROIN AND STRTE LAWS ftEGULATING PUPPOSE OF ESTABLI6HING A PERNIT FEE ONLY.
Bl11LDIN0 CON6TRUCTION //�� VALUATION �.
SIGNATURE OF �'� -� � PERMIT FEE S ,� �. _
PERMITTEE ` V ��V�� `^' /
$ /�/ ,` �/_`\ PLAN CHECK S /9. �
V � CJ
AUTHORIZED AGENT '-
TOTAL FEE $ � -'
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us // rt�in univc, �.w i r� nicon, �.n a�o��
Job nddress: 448 E 17TH ST
Suite:
Vicinity:
ParcelNunmber: 11732129
npp�icant: MOLHO, RANDY
Address: 25862 HOLLY AVE
ESCONDIDO, CA
Owner. �MOLHO, MORRIS M TR
Address � 2320 CLIFF DR �
NEWpORT BEACH, CA
Contractor: QWNER-BUILDER
Address: �.
Arch / Eng :
Address:
SIGN PERMIT
Zoning:
ISSUED BY:
Phone: _p60)741-5516
Zip: 92026
Phone:
Zip: 92663
Phone:
Zip:
License: 0
Status: ISSUED
Applied: 09/07/2000
Issued: 09/07/2000
Phone:
Zip:
� License: � �
� ,' � ' . ' SCOPE OF PERMIT ` � � � ,
INSTALL NEW 3' X 4' SIGN CAN TO THE TOP PORTION OF THE EXISTING FREES7ANDlNG SlGN �
FOR" FLOWERS BY MORRI". qLSO, REPIACE 1 PLEX FACE ON SIGN, AND REMOVE EXISTING' �
FLOWER PORTION FROM SAME. , ,
Plan Cfieck: $54.11
$0.00
Permit: $83.25
SMIP Com: $0.50
Other. ' $0.00
$0.00
inspection: $0.00
$0.00 '
i $0.00
� �
Total: � _ $137.86 '
NOTES:
� --- � �' FEE SUMMARY
Calc Valuation: ; 52,200.00
Claimed Valuation: � g2,20o.00
� � �� �
;:,.. . , , :
' � �`
� ; � �
PLANNING & ZONING ,
� .
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92�28, § t, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void iF work is not commenced within 180 days, or ii work is suspended or abandoned
for a period of 180 days. � �
INSPECTIONS: In order for the work authorized untler this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapecliona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-d6(BI00)
WORKERS'COMPENSAnON �ECLARAnON:
I hereby attirm unOer penalry of perjury one of ihe lollowing tledaratlons:
❑ I have and will maintain e certiticete of consent to sell-Insure for workers' compensatlon, es provided for by section 3700 of ihe Labor Code, for the pertormance of the
work lar which I�is permit is IssueA.
❑ I have and will meintain workers' compensation insurence, es reQuirad by section 3700 ot the La6or Code, Por ihe pertormance of the work for which this permit is issuetl.
My warkers' wmpensatlon Insurance cartier and policy number ere:
Carrier: Policy Number:
(This section neetl nof be comD/efed i! the permit is veluetl at one hundred dollars ($100) or /ess.J
.❑ I certiTy t�at in the perfortnance of ihe work for whlch Ihis pertnit is iuued, 1 shall not employ eny person in any manner so as to become subject to the workers'
compensetlon laws of Califomle, entl egree t�et tl I should become sub�ect to the workers' compensatlon provislons of Section 3700 ot the Lebar Cotle, I shall fonhwlth
comply with these provisions.
Applicant SigneWre: Date:
WFFNING FAILURE TO SECURE WORKERS' COMPENSFTIdJ COVERAGE IS UNLAW FUL Ml� SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO ONE NUNDRED
T110USAND DOIIARE (f100,000�, IN ADORION TO TNE CQST OF COMPENS4TION, DAM4GE5 AS PROVIDED WR IN SECTION 3]OBOF THE L480R ODDE, INTEPEST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm ihat I em licansed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business end Professions Code, end my license Is in full
force end eflect. Lic. k Class N
ContracroYs Signeture: Date:
CONSTiiUCTION LENDING AGENCV:
❑ I hereby aHirm ihat Ihere is a construction landing agency for Ihe pedormance ot ihe work for which Ihis pertnil is issued. (Sec. 3097, Civil Code).
Lendefs Neme: ' Lentlefs Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn Ihat under penelty of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions
Coda: Any ciry or counry whic� requires e pertnit to construct, alter, improve, tlemolish, or repeir eny structure, pnor to its issuance, elso requires the epplicant for such permil
to file a signed stetemem that �a or she Is Iicensed pursuent to ihe pravislons oi ihe Coniredors License Law (Chapter 9(cammencing with Sedlon 7000) at Division 3 of the
Business and Professions Code)�or Ihet he or sha is exempt therefrom end tha hasis for Ihe elleged exemption. Any violation of Section 7031.5 Dy any epplicant far e pertnit
subjects the epplicant to e civil penelty of not more than five hundred dollars ($500).):
❑ I, as owner ol t�e properry, or my employees withwages as their sole wmpensation, WILL DO THE WORK, antl t�e siructura is not intendetl or ofleretl for sele (Sec.
7044, Business flnd Professions Cotle: The Contrectors License Lew does not apply lo an owner of property who builds or improves ihereon, and who does such work
himsetl o� herself or Ihraugh his or �er own employees, pravided that such improvemenls are nat intended ar oMered for ule. If, hawever, the builtling or improvement Is
�old within one year of completion, ihe owner-bullder will heve ihe bwden of proving ��at he or she did nol build or improve for purpose ot sale.).
� I, as owner oi Ihe properry, am E%CWSIV2LV CONTRACTNG WITH LICENSED CONTHACTORS to construd the pmject (Sec. 7044, Business and Professions
Code: The contractors License Law Aoes not epply to en owner of properry who builtls ar improves ihereon, and who cantracts for such pmject with e contrector(sj
license pursuant e ntr tors License Lews.).
❑ lam
Signeture:
Owner ID
Business end Pmfessions Code for this reason:
licensa. / 0��5 ❑ No Driver's License No.
Verificefion of Ownership by (type of documeni, i.e. - properry tam bill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
Date:
Expires:
❑ I here6y certify that no excavetion tive (5) or more feet in depth into which a person is requiretl to descend, wlll be made in connection with woAc euthorizetl by t�is
pertnit, and that no building sWcture, scaHolding, felsework, or demolition or dismantling Ihereof, will be more than thirty-six (36) tcet high. (Chep. 3.2, Gry 2, Art 2, Sec.
341, Ttle B, Callfornia Atlminisiretive Cotle).
❑ As owner-builder, I will not employ anyone to do work which would require a permit irom Ihe Division ot Indusinal Sefary, as notetl above, unless suc� pereon has e
pertnit to do such work hom Ihe division.
Signature: Date:
Division of IndusMal Satety Pertnit Numbar.
CERTI OF COMPLI E AND AUiHOR¢ATON OF ENTRV: I cenity under penalry oi perjury that I have read this epplication and state that tha infortnation given is
corr . I epree to compty wi all stete laws and dry ordinances relating lo builtling construction, and authodze representatives of Ihe Ciry ot Coste Mese to enter upon ihe
eb e-descnbed pro r inspec on pu s. I agree not to occupy or ellow occupancy ot eny building au�horized by Ihis permit until final inspectian.
�� ��.� 9-7-a�
anaWre LeoalOwnertsl Dete
AnNOr Authorized Applicant
COOE 1. INSPELTIONTYPE
1616 Pizetl System Final Fire Prevention
1266
200
201
Pool Spa Finel
Final Ra-Roof
Final BIocWRetaining Wall
Final Fectory Fira Place
Finel Sign
Final DemoliUon
PAIF II�E6i
COOEI R{SPECfIONTYiE
206 Final Mechanical
20B Final PlumDing
210 Final Electncal
212 Finel Flre Prevention
220 Final Plenning Approval
222 Final Site
250 Finel Builtling/Occupency
•- • i - - . � . • �
(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us � �� rnin ur+ivt, c�� i v. meaN, �N azozo
ELECTRICAL PERMIT
�ob Address: 448 E 17TH ST
Suite No
Vicinity: OFFICE AREA
Parcel Nunmber: 11732129
Applican�: MOLHO, RANDY
Address: 2320 CLIFF DR
NEWPORTBEACH,CA
Owner. % MOLHO, MORRIS�M TR
Address , 2320 CLIFFDR
NEWPORTBEACH,CA
Contractor: OWN ER-B U I LDER
Address:
Phone: 760-741-5516
2ip: 92663
Phone:
Zip: 92663
Phone:
Zip:
License: 0
� SCOPE OP PERMIT i - .
5 ELECTRICAL OUTLETS FOR "FLOWERS BY MORRI" -� �
ISSUE FEE $23.50
Temp service test $0.00
Res. alc package $0.00
New Res (7-2,units) $0.00
New Res (3+units) $0.00
Pool I Spa � $0.00
Lightin9 Fixts � $0.00
Recept Outlets - $5.50
Switches $0.00
Non Res Appl � `, , , $0.00 �
Res Appl , $0.00
Service ro 200a : i/, $0.00
Service to 1000a ` _- $0:00'-
Service over 1000a�� � � $0.00 .
Motors to 1 hp � $0.00 �
Motors to 10hp $0.00
Motors to SOhp , $0.00
Motors to 100hp $0.00 �
Motors over 100hp $0.00 .
Communication drops $0.00
Sub panel to 200a $0.00
Pole Light Pkg $0.00
Sign Circuits $0.00
Temp Pwr Pole $0.00
Intermed Pole $0.00
Quantity
0
0
0
0
5
0
�p
O
�,0-_
0
0
0
0
0
0
0
0
0
0
0
0
Stams: I SSU E D
Applied: 10/25/2000
Issued: 70/25/2000
ISSUED BY:
FEE SUMMARY ,
- - � - � � Quantity �
- �Temp Dist System I Lighting $0.00 0-
Busway /100 ft $0.00 0 , , ,
Standing Section . ' $0.00 0 �, ' -
Misc Electrical Equipment $0.00 0 � .
Transformers up to 1 kvalkw $0.00 ,� 0 ,
�-� . � .:..............up to 10 kva/kw $0.00 � p: � . .
� � ............:..'up to 50 kvalkw $0.00 � .. .0 -�
................�.up l0 100 kva/kw 80.00 ,.. . � ;
................:.over 100 kva/kw:.-- - $0.00/" 0 ' . � �, � /
� Low Voltage EquipmenU �� � - $0:00 0 ' "
- Low Voll Wiring System / Ckt „=30.00 � �0, ' �
� Misc. Conduit $0.00�� ��/0, �"! �'�
� . Misa Conductor - ; $0.00,�'� < 0 -' ' �
Cirws ( gen or ride) - 50.00 �-� 0� �
Cirws (mech ride or lights) �, $0.00" , ��0 � .
Christmas Tree Stand ' ' '� �$0.00. � "0�
Fireworks Stand . 50.00 . �0
Other Electrical Fee - � $0.00- �
Investigation Fee , � - �� $Q00
-, , Plan Check Fee � 50.00
Reinspection Fee� $0.00
TOTAL CALCULATED FEES 529.00
COMMENTS I SPECIAL CONDITIONS
NOTICE: The work authorizetl by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § t, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a peiiod of 180 days. �
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and finel epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (7/4) 754-5626
204&48(N00)
WORKERS' COMPENSA710N DECLARA710N:
1 hereby attirtn under penalty of perjury one o1 tha following declarations:
❑ I have and wlll malntain a certilicate at consent to self-Insure for workers' campensetion, as providetl for by section 3700 of ihe Lebor Code, for the pertortnence of the
work tor which Ihis pertnit is issued.
❑ I have flM wlll maintain workers' compensaGon insurance, as required by section 3700 oi Ne LaOor Code, for Ne perfo�mance oi Ihe work tor which this pertnit is iswad.
My workers' compensation Insuranca carrier and poliq number are:
Cerner: Policy Number:
(Thls section need not be comp/eted i/ fhe permit is velueC af one hundred dollars ($100) or less.)
❑ I certity thet in the perfortnance ol the wark for which this pertnit is issued, I shell not employ eny person in eny manner so as to become subject to the workers'
compensetlon lews ot Califomia, enE egree Ihat if I shoultl 6ecwne subject to t�e woAcers' compensetlon provisions of Section 3700 of [he Lebor Cotle, I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING: FAILURE TO SECURE WORKER$' CAMPENSATION COVEMGE IS UNLAWFUL ANO SMALL SUBJECT AN EMPLOVER TO CFIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
T}IOUSAND Dd1AHE (5100,000�, IN ADDITION TO THE COST OF COMPENSATIqJ, DAMAGES AS PROVIDED FOR IN $ECTIpJ 3106 OF THE UBOR CADE, IMEREST, AND ATTORNEI"S FEES.
UCENSEDCONTRACTORSDECLARATION:
, I hereby attirm ihat I am licensetl under provisions ol C�apter 9(commencing with Section 7000) ot DlNsion 3 0l tha Business and Professims Cotla, and my license is in full
' lorce antl eHect. Lic. M Class N
Contrecrors Signature: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirtn Ihet there is a construcllon lentling egency for Ihe DeAortnance of Ihe work for which this permit is is5ued. (Sec. 3097, Civil Code).
Lendefs Name: Lenders AUtlress:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby aflirm ihet under penalty of perjury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Profeulons
Code: My dry or counry which requires e permit to construa, elter, impmve, demolish, or repair any structure, prior to its luuance, also requires the applicant for such pertntl
to tile a si9netl statemem that he or she Is Iicensed pursuaM ta Ihe provisions ol the Conirectors License Lew (Chapter 9(commenGng with Sectlon 7000) ot Divisian 3 oi Ihe
Busine ntl Professlons Code) or thet �e ar she is exempt therefrom anA the besis for Ihe alleged axemption. Any violetian of Section 7031.5 by eny applicant for e pertnit
sub' Is the epplican� lo a civil penalty of not more'ihan five �undred dollers ($500).):
I, as owner ot ihe property, or my amployees with wages es their sole compensation, WILL DO T1E WORK, and Ihe structure is not intentletl or oNered for sale (Sec.
7044, Business and Professions CoGe: The Coniractors License Law does not apply to an owner of properry who builds or improves Ihereon, antl w�o does such work
himself ar herseN or through his or �er own employees, provitletl Ihat such improvemencs are not Intentled or oHered lor sale. If, hawever, the building or improvement is
sold within one year of completion, �he CWner-builder will heve the burtlen of proving ihat ha or she tlitl not build or improve for purpose ol sale.).
❑ I, as owner ot the properry, am E%CWSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to construct the project (Sec. 70aa, Business end Professions
Code: The comrectors License Lew tloes not appty to an owner of property who Duilds or improves thereon, and who contracts lor such project wlth e coniractar(s)
license pursu ontrectors License Laws.).
.�
❑ I am eae t sec. 8usineu end Protessions Code for this reason:
Signature: r✓� Date: �O'�+f G�
Owner ID veriti river's license. ❑ Yes ❑ No Drlvefs License No. Expires:
Vedficetion of Ownership by (type af wument, i.e. - property tex bill or deed): __
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICATION:
❑ I hereby ce�ify ihat no excavation tive (5) or more feet in depih into which e person Is required to descen4 will De matle in connection wiih work euthorized Dy this
pertnit, entl Ihat no building structure, scaflolding, talsework, or demolition or dismantling thereol, will be more ihan lhirty-six (36) feet �ig�. (Chap. 32, Grp 2, Atl 2, Sec.
341, Title B, CelHomie Atlminisire�iva Code).
❑ As owner-buildar, I will not employ anyone to do work whic� would require e pertnit from the Division of Indusiria� Sefery, as noted aDove, unless such person hes e
permii �o tlo such work trom �he tlivision.
Signature: Date:
Division of Industrial Selery Permit Number:
CERTIFlCATE OF COMPILWCE IWD AllTHORPATION OF ENfTiY: I cenity under penalry of perjury ihat I have read this epDlication and state that the infortnation given is
correct I e com with ell stete laws end ciry oNinences relating to building wnstruction, antl euthonze representatives ol the Ciry of Caste Mese to enter upon the
ebove-g� cyn � eriy for inspection p ryoses. I egrea not to occupy or allow occupancy ot eny building authorized by this permit until Pinal inspectlon.
( �'_T�v� /�..�� (D � f-ov
Signa! re OI Legal Owner(s) . Date
C
AndOr Authorized Applicant Date
GO�E I, INSPECTIONTYPE PA7F
7616 Fi:etl System Final Fire Preventlon
1266
200
201
202
203
204
Pad Spe Finel
Finel R8-Root
Final BIocWRetaining Well
Final Fectory Fire Place
Final Sign
Final Demolition
�$ �QQ�( INSPEC110NTYPE PA¢.
206 Finel Mec�anical
Finel Plumbing
210 Finel ElecMcal "'�'�
_ _ 12 Final Fire Prevention
220 Finel Planning Approval
222 Final Site
250 Final Builtling/Occupency
IIi�dL$
(��a) 75a-52�3 • Fex (��4) 754-aB56 • www.ci.costa-mesa.ca.us 77 FAIF DRIVE, GOS IA MtSA, l:A tlYti26
ELECTRICAL PERMIT
Job Address: 44$ E 17TH ST
Suite No
Vicinity: POLE SIGN
Parcel Nunmber:
AppliwnC
Address:
Owner:
Address
ContraQor.
Address:
ISSUE FEE
Temp service test
Res. alc package
New Res (7-2 units)
New Res (3+units)
Pool I Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to t000a
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motors to SOhp
Motors to 700hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
11732129
MOLHO,RANDY
25862 HOLLY AVE
ESCONDIDO, CA
MOLHO, MORRIS M TR
2320 CLIFF DR
NEWPORT BEACH, CA
OWNER-BUILDER
Phone: (760)741-5516
Zip: 92026
Phone:
Zip: 92663
Phone:
Zip:
License: 0
Status: ISSUED
Applied: 09/07/2000
Issued: 09/072000
ISSUED 8Y:
SCOPE OF PERMIT
ELECTRICAL PERMIT TO INSTALL 1 SIGN CIRCUIT FOR NEW SIGN CABINET FOR "FLOWERS BY
MORRI". � � - •
REF: SB00-00710
523.50
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$24.60
$0.00
$0.00
Quantity
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
FEE SUMMARY
Temp Dist System / Lighting
Busway /700 ft .
Standing Settion
Misc Electrical Equipment
Trans(ormers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Valtage Equipment
Low Volt Wiring System / Ckt
Misa Conduit �
Misc. Conductor
Circus ( gen or ride)
Circus (mech ritle or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Chetk Fee
Reinspection Fee
�uantity
50.00 0 '
50.00 0
$0.00 0
50.00 0
50.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
so.00 0
$0.00 0
50.00 0
so.00 0
$0.00 0
so:oo
S0.0o
$0.00
$0.00
TOTAL CALCULATED FEES E48.10
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
(or a period of 180 days. •
INSPECTIONS: In order for the work authorized under ihis permit to be considerad legal, such work must comply with all applicable codes, and all
required Inapectione and flnal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545826
26a&98 (flN0)
WORKERS'COMPENSATONDECLARAnON:
I hereby eHirtn under penalry of perjury one of Ihe following tlecleretlons:
❑ I have end will melntein a certificate of Consent to setl-Insure lor workers' mmpensation, es provideC lor by sectlon 3700 of t�e Lebor Cotle, tor ihe Oertortnence of Ihe
work lor whlch Ihis pertnit Is issued.
❑ 1 heve e�M wIA melntein wakers' camper��on Insurance, es requireA �y secUon 3700 ot the Lebor Cade, for the peAortnence ol Ne work for which Wg pertnit Is Issuea.
My workers' compensatlon Insurance cerrler entl policy num0er ere:
Certier. Policy Num6er:
(7h/5 secUon neetl naf De covnpleted i/ the pennit /s ve/ued ef ine hurMred ddlers (5100) or less.)
❑ I cBrUty lhet In the pBAormence O1 �he work lor whiCh �his pertnil U i55ued, I 5�811 not employ eny person in eny menner so es to became subjeq Io ihe workere'
compensatlan laws ot Calitamle, entl egree that it I should become sub�ect ro tha worken' campensatlon pmvisions ot SecUon 3700 ot the Lehor Cotle, I shell forthwith
tompty wlUi �hese provisions.
Appllcani Slgneiure: Date:
WARNINO: FNLURE TO SECURE WORKERS' COf.Ip�.I3AT�pN CpVEqqOE IS UNLNWFU� Ml� SWLLL SUBIECT AN EMPLOVER TO CPoMINPL PENALTIES rW0 CML FlNES UP TO ONE MUNORED
THOW^AND OOLLARE R��.�)� �N FDDfiION TOIHE WST OF COMPENS4TIp1, UAAIFGES AS PfpVIDED FOR IN SECfIIXJ 3]Ofi OF THE l/ BOR CODE, IMFAEST, M1D ATTORNEVS FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby aRlrtn that I em Iicensetl untler provigions of Chaptar 9(commencing wit� Section 7000) of Divlslon 3 ot the Business antl Profassions Cotle, and my license Is In tull
torce anA ettect. Lic. q Clau M
Contractots SlgneWre: Dete:
CONSTRUC710N LENDING AGENCY:
0 I �ereby eHirm thet there is a consW cUon lentling eponcy for I�e pedormance ot the work br w�ich this permil is Issuetl. (Sec. 3097, Civil Cade).
Lentlers Neme: Lentlefs Adtlress:
Slgnature:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby atfirtn Uel untler penelry oi perJury ihet I em E%EMPT FROM 7HE CON7RACTORS LICENSE LAW for Ihe lallowlrig reason (Sec. 7037.5, BuSiness antl Professions
Cotle: Any dry or counry whic� requires a permit to wrotruct, elter, impmve, tlemdish, or repeir any sWclure, prior ro im Issuence, elso requires Ne applicant tor suc� permil
to file e signed statement ��et he or s�e is IlcerEed pursuant to ihe provlsions oi Ne Contreccors License Lew (Chepter 9(commendng with Sectlon 7000) ot DMsion 3 of Ihe
Business entl Prole55ions Cotle) or that �e or sha is axempt therelrom end Ihe Easis tor Ne alleged ezemption. Any violation of SecUon 7031.5 Ey any epplicent for e pertnit
subjects the appliwnt m a cMl'penalry ot not more then live hundreC dollars (E500).):
❑ I, es owner of Ihe properry. or my emp�pyeas w(th wages es Iheir sofe compensat(on, WfLL 00 7YfE WOFK, entl I�e swcmre Is no1 imended or ottered for sela (Sec.
7044, Business and Professions Code: The Contractors License Lew does not apply to an owner ol property who builds or improves ihereon, and who does such work
himself or hersetl or Ihroug� his or her pwn employees, provi0etl that such improvements are not Intended or oXered tor sale. If, however, the building or improvement Is
�°Id within one year oi completion, tl�e owner-builtler will heve the burden of proving ihat he or she did not build or improve for purpose of sale.).
�' I, es owner oi Iha proparry, am EXCLU5NELY CON7RACTNG WITH LICENSED CONTRACTORS to constmct the project (Sec. 70a4, Business and Pmfesslons
Code: The contractors License Ww tlo45 not epply to en awner af properry wha builds or Improves Ihereon, end who conirecis lor such project wlth e contrector(s)
licensa pursuant to th rs License Lews.).
❑ I em e:empt u r sec. Business end Pmfessions Code for t�is reeson:
Signature: � . ��L-- Date: 9—�^� �
Owner ID verilletl by mefs ilcense. ❑ Y ❑ No Drivefs License No. E�cpires:,�/.�L_ ?Oo/
vedticetlan ol Ownersnip by (type ol dxument, i.e. - property teu btll ar aeetl):
DIVISION OF INDUSTRIAL SAFE7Y PERMf7 CERTIFICATION:
❑ 1 hereby cenily thet rw excevaUon five (5) or more tee� in depth Into which a person is requiretl ta descend, wlll be maAe In conneclion vrith work euthotlzetl by thls
permit, and that no builtling siructure, sraNalding, telsework, or Cemdition or dismantlirg thereoi, will De more Ihan Uirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Celifomla Atlministretive Cptle).
❑ As owner-builder, I will not emplay enyona to do work which would require a permit Irom the Division ol Intlusinel Sefery, es nated ebove, unless such person hes e
permil to do such work from the division.
Signature: Date:
Division of Industrial Sefery Permit Number:
CER71FlCAlE OF COMP CE AND AUfFiOR¢ATON OF EHTAY: I certity untler penalry ot perjury that I have read t�Ls epplicetion and state Uet the inlormetlon glven is
conect. I egregt comply with II steie laws entl clty ordlnances releting to Duiltling constructlon, and euthodze reD�esente6ves of ihe Ciry oi Coste Mese lo enter upon the
ebove-des 6ed pro inspection rpose I egree not to occupy or allow occupenq ot eny building euthorized by this permit until tinel inspectlon.
� ��-�� 9- �--��
Signe re Oi egal Owner(s) Date
And/OrAuthon2ad ApPllcenl
COOE �. MSPEC710NTriE
7618 Fued System Final Fire Preven�ion
1266 Pod Spa Final
200 Finel RaRoof
207 Finel BIxk/Retaining Well
202 final Factory Fire Place
203 Final Sign
204 Flnal Domolition
�g �
Date
COOE I INSPECTION TYPE
208 Flnal Mechenical
1� u�i71�:1
20B Final Plumbing _
70. FlnelElectdcal �� �� 1 a
212 Flnel Fire Preventian
220 Finel Planning Apprwal
222 Finel Site
250 Finel Building�Occupency
(714) 754-5273 • Fax (714) 754-4856 • www.c�.costa-mesa.�l�pLDING PERMIT
Job Address: 448 E 18TH ST
Suite:
vciniry: GARAGE ROOF
PrimaryOcc: U7
Parcel Number: 11733231
npplicant: WIDOLF, JAMES
Address: 448 E 18TH ST
COSTA MESA, CA
Owner: GAYDON, MOLLIE RUTH TR
Address 448 E 18TH ST "-
COSTA MESq, CA �
, � ,
Contractor: , OWNER BUILDER �
Address:i � . � ' - - -
i
ZiP
; Arch :
Address:
Zip:
Type of Construdion: V-N
Zoning:
Phone:
. License: ' � ."
Phone: 949-645-7969
Zip: 92627
77 FAIR DfiIVE, GOSTA MESA, GA 92626
IS UED BY:
Status: ISSUED
Applied: 11212006
Issued: 11212006
- � `�,
�
Phone: 949�45-7969 � �
2ip: 9262Z � �� ` �_ �\
- � r- ����. _ n - \
4 � ,!�
\
� �,r = IF�' � � ;�! /�
Phone �\�„ �LJ � �� � �,� 'L . —�
��. , � ,
�.
License: 000000 " � , �
I �
Eng:
Address:
✓ �,
�
hone:
� License: . � �
SCOPE OF PERMIT '
GARAGE REROOF ONLY. WORK TO INCLUDE: TEAR OFF (E) REOOF MATERIALS, INSTALL 1 30# FELT O A 4:12 ROOF PITCH AND REROOF
W/40 YEAR COAAP SHINGLES ON DETACHED GARAGE ONLY, APPROX 490SF. REPAIR AND REPLACE SH THING AS NEEDED. `
� � , FEE SUMMARY � -, �
Plan Check: $0.00 . ' . . _ •�� Calc Valuation: yi,000.00
Permit: $38.75 , Claim Valuation: si.000.00
SMIP Res: 50.50
SMIP Com: $0.00
, Other: $0.00 �
Inspection: $0.00 �
Total: 539.25
�
. . .� - _ i',,�,_ �,:a �'
, -� �_ -�
�,
�,
� � , PLANNING 8 ZONING � �" �'� < �
SETBACKS � ' � . �
� r%
MAIN STRUCTURE Fmnt -0. 0 Rear. 0- 0 Left ,0. 0,-+��_ „:.Right _; 0 %" ' ,
�, ,
`
ACCESSORY Front -,0-0 ��� Rear 0•0 Left � 0-0 � Right"�=�.0-0,%,� -�
,
� ,� � - ' , - � .; . .�j� /:���.� � i
PARKING � �, Existina.- j 0-. � Reauired: 0 � - , Pr000sed: 0 - � --- �, � � -�
, . , � � � � . � --'�� /_\�,. ;' � / i
� �- _ _ _ �
. \ ` ' � � 1 \\ � � J
� � % �j
� ' . � . _ i /. -./
`�\\ � . \ .�. ` ' �_ ��/'��
` � - - '/ �
�. - .i �. � ��i///-' -_
!
NOTICE: The work aulhorized by ihis pertnit shall comply with all applicable handlcap access requirements under Calitomia statutes and related
regulatlons. (Ord. No. 92•28, § 1, 12•21•92)
EXPIRATION: This permit shall autorriaticalty expire end become void II work Is not commenced within 1B0 days, or il work is suspended or abandoned
for a period ol 180 days. . . .
INSPECTIONS: In order for the work authorized under this permlt to be considered legal, such work must comply with all applicable codes, and all
requlred Inapeetlone end tinel approval must be obtained. Failure to obtflin Inspections and final approval will result in the expiration of this permlt.
POR INSPECTIONS CALL: (714) 754-5626 "' " �
xanwn �aw�
WORKERS' COMPENSATION DECLARATION: � ' �
I hereby eflirm unCer penelry ot perjury one ol the tWlowlnp deGarations:
❑ I heve end will melntaln e cenificeta of wnsent to sell-Insure for workers' compensetlon, es proNded for Dy section 3700 of the Lebor Cotle, tor the perlortnence of Ihe
work lor which this pertrtit b IssueA.
❑ I have arM wlll meintain workers' compensetbn Inwrence. as raquiretl by section 3700 0l Ihe Labor Coda. for Ne peAormence ol Ne work for whiCi this pertNt is lSsueA.
My workera' compensetlon Insurence cartier and policy number are:
Cartier. Policy Number.
(Thls sectlon neetl not be completed i1 Me pertntr Is veluetl af one hundred dalars ($100) or IessJ
-�--'I'�tenity Ihet in the DeAormence ol tha work for which Ihis permit is ISsueQ I shall not employ flny person in eny manner so as to becoma su0lect ta Ihe workers'
�--compansalion lews of lifomla, end apree Ihel II I ahould become sub�ect to Ihe workors' compensetion provislons of Section 3700 of the Lebar Code, I s�all torthwit�
comply wlth Ihese pro s ns. (� �
� -II'-'.2:,( -OE
.Aavnce� igneiure: \ �-'�oeiei" .
WAf W INO: FAIWRE TO SECURE O0.KERS' COMPENSATION OpVEMGE IS U WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTES FND CNIL FlNES UP TOONE HUNDRED
�7HOUSN�D DOt1ARE R��.�J. w�T� TO TME O�Si OF COMPENS�TION, DAMhGES AS PROVIDED WR IN SEGTON 3%OB OF THE LABOR ODDE. INfEREST, FND ATTORNEY'$ FEE$,
LICENSED CONTRACTORS DECLARATON:
I hereby eHirm Ihat I em Ilcensed under proNslons ot C�apter 9(cammencing wlth Secilon 7000) of DlWsion 3 of ihe Business and Prolessions Cotle, antl my Ilcense is in full
tace entl eflect. Llc. a Class q
Contrectors Signeture: Daie:
CONSTRUCTION LENDING AGENCY:
❑ I hereby eflirtn ihat there is e consWCNon lendinp epenry lor Ihe peAormence ot the work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lender's Name: Lentler's Atldress:
Signeture: Date:
OWNER•BUILDER DECLARA710NS:
I hereby eNirtn that under penalry ol perjury that I em E%EMPT FROM THE CON7RACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business end Protesslons
CoOe: My Gry or county wNc� reqmres e pertnit to conswc�, alter, improve, demdish, or repair eny strucWre. pnor to Its issuance, elso requires Ne applicant tor such pertnil
to Ole e slgnetl stetemant thet ha or sha Is Iicensed pursuent ta Ihe provisions of Ihe Contractors License Lew (Chepter 9(cammencing wilh Section 7000) of Dlvision 3 ot ihe
Business and Professions Code) or Ihet he or she is ezempt iherefrom end the hasis lor tha ellegetl exempiion. Any Wolation of Sectlon 7IX11.5 by any eppliwnt }ar e pertnit
sub�ecis �he epplicant to e civil penalry c� not mora Ihan frve hundred dollars ($500).):
_��,„. I, es owner ot the property, or my employees wlih wages es their sole compensetion, WILL DO 7TIE WORK, entl t�e slructure is not Inlentled or oHeretl tor sa�e (Sec.
7044, Business and Protessions Code: The Coniractors Llcense Lew dces not apply to en owner ot property who builtls or Improves thereon, and who tloes such work
hlmseN or herself or through his or her own employees, providetl ihat such Improvements ere not intended or ottered lor sale. If, however, ihe building or improvement is
sold within one year of wmPlation, Ihe owneo-builder will have the burtlen of proving Ihat he or she did not build or improve for purpose of seleJ.
❑ I, as owner oi Iha properry, am EXCWSIVELY CONTRAC7ING WITN LICENSED CONTRACTORS to con5tmct the project (SaC. 7040, Business end Protessions
Cotle: The contractors License Lew Ooes noCepp y to en owner ot property who builds or Improves thereon, antl who contreas for suc� pro�ect with a coniractor(s)
license pursuant to the Contradors License Le .).
❑ I em axem ntler sec. usiness antl Professions Coda tor this reeson:
Signemre;: . `' � �-D"ete:�' �.�' �L � -D
Owner �o venfiee y erWers �icense. s ❑ No orive� se No. � EiRtlres: c/ -Qi 'oR'
�,r_ ,
vedlicetion oi Ownershiv by (�'Pe ot document, i.e. - properry teu bill or aeed): �
DIVISION OF INDUSTRIAL SAFETY PEHMR CER7IFICA710N:
❑ I hereby certity Ihat no excavatlo�'live (5) or more feet in tlepth into whlch e person Is requlretl to tlescen4 will be made In connectlon wRh work authodzed 6y �his
permit, entl t�at no building siructure, scettolding, falsewark, or demdition or tlismentling tharaoi, will be more than thirry-sl: (36) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, T111e 8, Celifomia AtlminlSlraWe Cotle).
❑ As owner-Duiltler, I will noI employ enyone to do work which would require e permlt trom the Divislon ol Industriel Salery, es noted ebove, unless such peraon hes e
permlt to do such work from the divislon.
SlgneWre: Date:
Dlvislon oi Indusirial Sefery Permit Number:
CERTIFlCA7E OF COMPLIANCE ANO AUTHOR¢ATION OF EHTRY: I certlty untler penelry ol perjury that I have read this epplication and state lhat Ne infortnation given Is
cortecL I gree to compty with flll stete lews end dry ordinances relallng to EuilAinp consiructlon, anC authodza representetives ol the City ot Coste Mesa to enter upon Ihe
ebove-d s nbed property top+qspectio� Durpo�ee not to oaupy or allow accupency ol eny building authorized by this permil until fnal inspection.
C � 1(-ZI - G'
� Signamr�OLLepal . _;eqs)'- Date
AnNOr Aut�odzotl Applicant Date
COOE �. INSVEttIONT'PE - Qejj Vi�ELS
1618 Fi:ed Sysiem Final Fire Preventbn
201
202
203
20E
Pool Spe Final
FInaIRaRoo1 ��� IZ ¢�— �..�-�"\
Finel BIocWRetalning Well
Flnel Factory Fire Place �
Finel Sign
Finel DemoliUon
400E� INSPECTIONTYPE
206 Finel Mechanlcal
20B Finel Plumbing
270 Finel Elecirlcal
212 Final Fire Preventlon
220 FinalPlanning�Approval
222 Final Site '
250 - FinaPBuiltling�Occupanry
P�IE 11�L5
�
pi4) �sa-5273 • Fax p7a) 75a-as55 • www.ci.costa-mesa.��s MBING PERMIT � FAIF �FIVE, GOSTA MtSA, GA 92fi26
Job Address: 448 E 1 STH ST
Sulte No
Vlcinity: ADDITION AND KITCHEN
Parcel Nunmber:
Appl(cant:
Address:
11733231
WIDOLF, BILL
Owner: GAYDON; MOLLIE�.RUTH TR
Address 448�E 18TH ST , '
� COSTA MESA, CA , � -
Contraewr: OW N ER-BU I LDER
Address: � '
ISSUED BY:
Phone: 949-645-7969
Zip:
Phone:
Zip: 92627 � .
�
�
Phone:
Zip:
�License: 000000
SCOPE OF PERMIT
____. _._.._ ...__..__._. _ PLUMBING PERMIT FOR369SF ADDITION, A 91SF REAR
298SF DECK AND AN INTERIOR REMODEL OF KITCHEN FOR A SINGLE STORY SFD.
Status: ISSUED
Applied: 12/12/2006
Issued: 12/13/2006
REF#:BO6-01958 �
WORK TO INCLUDE: 1 BATHTU6, 1 GAS (1-4 OUTLETS), 1 LAUNDRY TUBNJAHSER, 1 SHOWER, 1
KITCHEN SINK, 1 WASH BASIN, 1 WASTE AND VENT SYSTEM, t WATER CLOSET, 1 WATER
HEATERNENT AND 1 WATER REPIPE (INST OR REP).
ISSUE FEE
Backflow irrigation
BackFlow Preventer
Bathtub
Clarifier System
Connect pce,Soda,etc)
Dental Units
Dishwash�r
Drain, FIo6r' �. �
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank �' �
Gas Earthquake Valve �
Gas (1� outlets) ' ,
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
$23.50
$0.00
80.00
$9.80
$0.00
$0.00
$0.00
$0.00
$O.W �
$0.00
$0.00
$0.00 -
$0.00
$0.00
$6,15
$0.00
$0,00
$0,00
$0,00
$0,00
� ' FEE SUMMARY
CZTY AMT
Laundry Tub / Washer $9.80
0 Landswpe Irrigation $0.00'
0 � P-Trap � $0.00
1 Pressure Regulator $0.00
0 Process Piping (per 10 N) 50.00
0 Receptors , - $0.00
0 SepticTank 50.00
0 Sewe� Cap for Demo $0.00
0 i: :;..,-''SewerConnect $0.00
�0� SewerPrivateLine $0.00
0 Shower $9.80
0 - � Sink, bar $0.00
�.,0 ' �� Sink,wmmercial . � $0.00
� �0 � � - Sink, Floor . $0.00
'- 1' � Sink, kitchen � $9.80
� 0 ., Sink, service/mop � $0.00
. 0 � � Spa (private)�� $0.00
0 � �Spa (public) � $0.00
o - �
0 -
�
1
0
0
0
0
0
0
0
�p._', �. ,�:.
0
1
0
0 . '
0
1
0
0
0
!`l�YYCWTC/CDL!`IA1 !�l1�1�11T1l�UC
A
SumpPump
Swimming Pool'
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste antl Vent System
Water Closet (Toilet)
Water Heater I vent
Water Piping Qnst or Rep.)
Water Re-pipe
Water Service �
Water Softener
OTHER
VIOLATION �
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
39.80
$0.00
$9.80
$9.80
312.30
$9.80
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
$0.00
TOTAL CALCULATED FEES: 5120.35
�
0
0
0
0
0
0
1
0
1
1
1
1
0
0
0
NOTICE: The work authorized �by this permit shall comply with all applicable handicap accass requirements under California statutes and related
regulations, (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or it work is suspended w abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized untler ihis permit to be considered legal, such work must comply with all applicabla cotles, and all
requlred Inepectlone end finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of ihis permit.
FOR INSPECTIONS CALL: (714) 754-5646 �
zaaaae�voo)
WORKERS'COMVENSAnON DECLAqAnON: � -
I hereby eHlrtn under penalty o1 peryury one of the following declarations:
❑ I heve end wlll malnteln a certificate oi wnsent to self-Insure far workers' compensetion, as providetl for by section 3700 oi tha Lebor Cotle, for the pertormance of the
wark for which this pertnit Is Issued.
❑ I have entl will malntain workers' campensation Insurence, es requlretl by sectlon 3700 oi ihe Lebor Cotle, for the peAortnance of the work lor which this permit is Issued.
My workera' compensatlon Insurance carner end policy numbar ere:
Cerder: Policy Number.
(Thls section need not be cromp/eted i/ the peimitls va/ued et one hunOred dollers ($ f00) ar less.) �
�.Pcehily"thet in the pedormence ot the work tor which this permit Is issued, I shell not employ any peroon in eny manner so es to become subject lo ihe workers'
�wmperisetion lews at Califamla, enA egree thet if I should become sub�ect to Ihe workers' compensation provisions of Section 3700 ot the Lebor Cotle, I shell forthwflh
comply with these O�oNsions.
`` ` � /� ��J /�
pliceM'SlgnaNre: ��q:^" ' n
pRNINO: FAILURE TO SECURE WORNERS' COMPENSATION COVERAGE IS UNIAW FUL AND SHALL 5 ELT AIJ EMpLOYEP TO CRIMINAL PENALTES AND GVIL FlNES UP TOONE MUNDRED
TNOUS4ND DOLLARE (5100,000), IN ADqTION TO THE 00.ST OF COMPENSATION, DMMGES AS PRQI �ED FOR IN SEGTOH 3]O6 OF THE LABOR CODE, IMEREST, AND ATTIXiNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm ihat I em Ilcensed under proNsions oi C�apter 9(cnmmencing with Section 7000) of Division 3 of the Business antl Prolessions Code, and my licanse is in full
farce end eflect. Lic. p Cless N
Comrectors SlgneWre: Date:
CONSTRUCTION LENDING AOENCV: ��.
� I hereby eNirm Ihet ihere is e construction lending egency far the peAormence ot Ihe work for which this pertnit is issuetl. (Sec. 3097, Civll Code).
Lendels Neme: Lendels Address:
Signature: Date:
OWNER-BUILDER DECLARA710NS:
I hereby aXlrm Ihe� untler penelly of perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for iha following reeson (Sec. 7031.5, Business end Protessions
CoCe: My ciy or county which requires e permit to construcL elter, imOrove, demolish, or repeir eny siructure, pnor �o its issuance, elso requires iha applicant far such pertnit
to Ille e signed stetement Ihat he ar she is IlcenseA pursuant to the proNSions of Ihe Coniractors lJcense Lew (Chepter 9(commencing wlth Section 7000) of DINSIon 3 oi the
Business.arMiRrotesslons Code) or thet he or she is exempt therefmm entl the basis for ihe elleged exemption. Any violatlon oi Sectlon 7031.5 by eny epplicent tor e pertnit
aub�9 e'epD�icent to e civll penalty M not more ihen five hundred dollers ($500).):
I, as owner of Iha property, or my employaes wlih wages es their sole compensetlon, WILL DO THE WORK, and the structure is no� intentled or oXeretl 1or sale (Sec.
7044, Business end Professions Code: The Contractors tJcense Lew does not epplY lo en owner ot property who builds or improves thereon, and who tloes such work
himself or herself ar through his or her own employeas, provided Ihet such Improvemenis are not intendetl or ofFered lor sele. II, however, the building or improvement is
sold within one yeer of completioq the own -builder will heve tha burden of Droving Ihat he or she did not build or improve tor purpose ol sele.). �
❑ I, es owner ol thepmperty, am EXCLUSIV LV CONTRACTING WITH LICENSED COMRACTORS to canstruct the prol�� (Sec. 7044, Business entl Pmfeuions
Code: The conirAEtors License Law tloes ot aDPh to en owner ot pmpeny who builAs or Impmvas Ihareon, and who coNracts br such projact wl�h e contrecror(s)
licanse pursuant ta the Coniracrorg Lice e Lews.).
❑ J,am,exempl unQerse� iBusin�ss enrypro1fw91opCfGode tor this reason:
Owner ID vediied 6y driver's'license.� [] Ves ❑ No
Verlllcation oi Ownership Dy (rypa at document, i.a. - property tex bill
No.
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: -
❑ I hereby certily Ihet no axcavation live (5) or more feat in depth Into which e person is requlred to tlescend, will be meae in connection with work authorized by this
pertnit, end thet no building siructure, scaHolding, lalsework, or demolition or dismantling thereoi, will be more Ihan thirry-six (36) leet high. (Chap. 3.2, Grp 2, Atl 2, Sec.
341, Tltle 8, Califomle Administrative Code).
❑ As owner-builder, I will not employ enyone to do work whlch would require e permit from the Division ot Industnal Satery, es notetl ebove, unless such person has a
permit to tlo such work trom the division.
Sipnature: Date:
Divlslon of Intlustrial Satety Pertnit Number:
CERTIFlCATE OF COMPIJANCE AND AllIHORIZATON OF ENTRY: I cerlily under penalry of perjury that I have reatl Ihis applicetion end state that the information given is
correct. I egree to comply with all state laws end ciry ordinences relating to building consWction, antl authonze representelives ot the Ciry ol Costa Mesa ro enter upon the
ebove-described property for inspection purpases ree not to up or allow o cup�ency f a buildinq authorized by ihis permit until fnel ins ecllon.
�.��� ��"..���� ,�-��-o /_
Stgnature_OFLagel Owner(s�_... , �% 4Date �-�—,.5,., .
y: ..,r.Tt::.:G .!. "- - / __„`—�=i;�.S.:S +
cooe r. n+srecnoNrrve
1676 Fixed System Final Fire Prevention
1286 Pool Spe Finel
200 Finel fiaRool
201 Flnel Blxk/Retelning Wall .
202 Finel Fectory Fire Place
203 Final Sign �
204 Finel Demolillon
QAIE
�yj�$ �pp�� MSPECTIONTYPE Qeg �
/2J06 Final Mechenical �
%�2/08�) Final Plumbing —�1� �1 Z
270 Final Electrical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Building/OcCuDenCy
`
�Ir
\I
I �DDNFSSOFBNLpH�: q lj 8 E L 7TFI ST
OWNER4NAYEIfRAWN: ���OL�HO, MORRIS M TR
��+� "1.320 CLIFF DR
I�EWPORT BEACH,CA 92660
540-8547
i1PPL.IWIlNO AOONES&
ApCNRECT OP FN�lEE11:
IHCII.Ofl ENO.'S ADDFE55:
ca+rx�crars wu¢:
CONiPACTOR9 YNI➢IG
IOOflE4S:
urr:
uc.ao:
IIM:
114 NO.:
uxr:
110ENSED COHfNACTORS DECURITION: I Mmb/ Mim uMer penaly d pe�ury Net I em fcrosd uidx pm'vioro d Chepa 9
Immm«bnu wun s«fim �000l a oiw:M a a ma eua�.. e�e am'oeiav coea. ene mr uc«w u in nio �acs vd ww.
CRY L1C. NO.: LIQ C1A54: 11C. NO.:
OWNER BUILUEX DECIAP�TION: I hseb/ elfmi wMer pero�y d perjury �het 1 em eumq han tM CaMretlav lirome lew la tle
IoOow+q reeaon l5etlian )0315 Businaa eM Ralmiau Code: �M uY a mumY wt�iN ipu've� e V�i to m+bua. etler.'vnpw+.
Eemdeh, n repv erry emMae, prior lo ro'swarKa, aho repuvea tM applimnl la svch pame �o Ne e eyned eWement tlut M a sM
u kw�+ee w� �o �ns aa;mu d e. caxreenn lioeiue lew [c1aNx s(mmmmwiro wan seeon r000) w �ivv6im a a �he
Buz�row vd Pralmiwu COEeI a ihet M a eM b uemq Inaehwn and tM Cm ta tM eEepeA memqion. Mf'vdmion d Sed'v�
)03t.5 Ey eiry Wp�� ta a pemn umjad� IM appl'vnl to e tivl penelly d nol mae �hen lirve hurd�ad doYen �SSWu.
� I.noxiwrdtMpoDe�f'amYamNoMs�nihw+pa+oiMiWemmD�ion.w�EothewM.mdthsewcfu�aona'vaandeE
adlaadbrub(Saction]ou.BieiiwvmW PmlmumsCaM:TheCaareaonli�uslawdounde00Nbenoxmrdpw�Y
M'�U �IIH, f R�IIpIPM IIIMYYI. Yld Mf0 40l� eM�1 Md%fC11Y�i IX �MItJ IX �IIWi� �1G p �1MQY11 M11CU1<0. Ma *4 ��Itl WJ' 1
impovemaua ms nal inladM a dlaeE la We. tl. however. iM buiki�p ar inpwemmt w�dd wilhm me yeer d mmpMion. Ne
Y own«aub« .a ne.e me mvem a w�a ne «.ne md �a buad «�w� �« me aupme a emel.
� �. ea oweN. a �ne ww«n. � e=eui+w ���.e�ro .Yn �icwea canbxYae �o oonmw me w9� (seaon 1ou. aninm. ena
Prdevaw COEe: Ths Cuuemm Liun» leM dou na1 eGdY b enyYm ���.eeeLLL�yy��000pppMY v.ho buld� rc vnpwo tlwean end who
canoecu lor wd� p4�� wYh e mumaM�) IkemeO Wnuw Te �lioriw lew).
� I am uanpy0kar �:� B. 8 P.C.. '� m �
S r
o�: �
I do Iwatr/ ce�ily Ihtl I em ewere d aM �vdanleM ihe �ey�erem Celfortus HeeEh end Setl'va 25505. 2iS9J. enE
255�1. eM tlu� I u eny Mura dikvq om�em vnll / wil nal (drde one) nsed b canWV w!A seid mta uM iM �W��Wa Em
erormnlaoonelr�ciionamodificetionhantMAi ue�y erepemen�0inrid.PeeiEeM�mMrud'oneGV�iwnmaexemqlmmiheee
pwisiau.
Dva: Mdicua:
WORKEH'S COMPENSATION DECLIH�TON: I Mraby elfimi uMx perWly d px'ryry aro d tM Idbwirq MNumiom:
� in...ww�me:,.unrw.am�mnm..n:�uu.ror.�axa:mmpnwion.ewa+a.araMs.m�moa�,.�ena
COM.Ia IM prlormence d tM MorF la wlich Nie paimil e ieeued.
� �nm.enax��meim.n..mlun•oomv��^^�*^•�w...,�ap�wadWs.ein,arooamet..nvcoae.a.tl,.oNa�au»
� wwk la wAiN iM1u pemin b ias�ed. My warkeis canpenamian inwrence renbr erM pa4cy numEer ere:
c�«:
Pdiry Numba:
�nr, ..a�., �eee �a e. �o,�dx� r rn. u�� e ro. o�. n�erea eon� Isroo
.Q I cMh Nn in iM P�ormencs d �he wak br which iM M�� ���ued. I ehell Wq enY De� in airy manror ao m lo
becoqmne ywYpojnea io IM xorkere' mro�+m� b� a C . en0 i I�lauld Exa » aibjed lo IM woM1 n'
com ✓ /p�n/ � W Seaion 9"!on a the l�bor CoG. IWI ton i� omvM xnh Nwe o' ona.
Dme: A��
Wem/np: F�Ilun ro��cun worten' mmperuetlon rovor�pl Is unlewNl, endshtll udjsf wlpl ro cNMiul pxWtlp eM
c/vll flMi up to om hworeJ flwuNnd JNNr� (SfOqPWA �+�Itlon ro tln cwf ol ro wis�UOM1 dem�peu u proHtletl br In
S�ctlon 9]O6 0/ IM leDoi Co�s. Infx�st, ane ettomry's Ha.
CONSTHUCTION LENDINO AOENCY: I hereW elf�m uMu pmieXy d per'puy ihtl Ihse e a mw�ueion Wdi�q q�ency W Ihe
o,nwm�e d me wM ro, .nw� me v�� n ewoa (swon sos�. cH. cl.
IENDER'S NAME
�ENUEfl'S �DDFE54:
I cenih �hm I hme iaW i�o eGNration eM qme �het Ne eEwe iMormmion u corna. I e0ree �o mnON wGh eA elY aM mimly ord'menoes
vM elWe lex+relalinp lo builEinp conpruqion end hmeby auUwrze repreeentalives oi lhia dry �o en�er upon the abova�memionetl pmperry
�«��'pe°�° •'" R iDY MOCHO
—� nni N
�,,: � /-19
sq�ew,q¢n o�,�en�we�vnao�ucw,��na,
(St51de.WP) While-Build'np85elary:OreaMFle:Cenery-RppYram;Fnk-Rerenue;0okenro�Asxssar
PERMIT NO: SB 082691
CONSTRUCTION T`1PE: V-N
CITY GF CUSTP. t-0ESA - SIGA! PBRh1IT
PLAN CHECK NO: 01761-97 L
PERMIT TYPE: STR SIG
PERM NO: S;� OfS�641
GOVT: t•1 SUPP: IJ
PURPOSE: OTI�
JOH DESCRIPTIUN :)4.45 SQ FT WALL SIGN EXTERNALLY ILLUM SC�, FT:
CLAIM VALUE: 9,150.00 CALC-VALUE: 1,150.00 GROUP OCC: B /
COtdMENT5: "FLGWERS BY MORRI" AND "FLOWERS"
iE �IE 1E * 1f iE iE iE iF 7E 1f i( if 1E iE # iE !F # if �)E �E iF iE iE iE iE if iF iE iF 1F if �)f 1k 1E if iE if 1F 1E iE iE iE If if �E 1E If �E iE IE iF iE iE �1t 1k if 1f 1E iF iE iFlE jF iF df iF 1E i(' 1E iE iE iE 1f iE iE iE #
S I G N I N F O R M A T 2 O N
DISTRICT: 1 TYPE: 2 ABOVE ROOF SIGNS ILLUMINATION; EX.T CATEGORY: NEW
DIMENSIONS; 26FT OOIN X 18FT OOIN AREA: 49.00SOFT LETTER HT: 78
STREET FRON7'I�GE 7: 50.00 STREET 1: 6000
STAEET FRONTAGE 2; 0.00 STREET 2;
PARCEL: 12'732129 ZONE: C1. LOCATION > FRONT: X REAR; �
BUSINESS NAME: FLOWERS BY MORRI > LEFT: RIGHT:
O T H E R T' O T A L S G R O U N D S I G N�
THIS ACTIVITY . 2.00SQFT OVERALL HEZGHT: OFT� OIrI
THIS SITE . 2.00SQFT GROUND CLEARP_NCE: OFT�,-OIN
ITEMS OF INFO : 2 PLANTER AREA: 0,'OOSQFT
ITEMS FOR ACTIVITY: 2 BLDG SET BACK: SFT
COPY VERBIAGE ; FLOWERS BY MORRI (34 SF)
FLOWERS(15 SF) .
PLANNING NOTES:
!E if iE if iE iE iF I' if i, 3E 1E iE iE iE �E IE iE iE iElE iE iE if if if 1F fElE iE iE 9E �E fE 3E 1f 1E 1f ik if if iE 1E if if ii-i!!k iE if ik'M' if IE iE iE if'lE if If-�('!E if'lE')f'/F if if 1f ff iE'if if Yr if iE if iE iF
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T S
ZONING APPROVED BY :� cCpLIMPBE�-L- nATs: � 5-/-97
BUILDING APPROVED BY : �J� DATE; �-� –97_
APPLICATION ISSUED BY: 1/�p�7 DATE: ���
iEiEfEjE�E�E1E3f1f3fif1f�flEiElElf1F7k3!'!!lk3F3F�iF3FiF�F�F3FiiFiF3Fif'3fiF3'liFiF�F3F�fiFififiFifiFi�F3F3F3FiE�iF'1Fif!!-1E�)tlk1F1t3EiE t t �lE#
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGIdENT:Y
BLDG PMT PLUMBING ELF�TRIC MECHANIC SIGN SMIP/RES GF.ADING
PERMIT 40,25
PLAN 26,16 SMIP/NON�-RES
ISSUE FEE
BUILDING-DIV-> PERMIT ISSU PLAN-CHECK TOTAL PAID DUE
TOTALS----> 40.75 O.00 26.16 66,91 Gh,9] ,00
REVENUE DIVZSZON T�TALS--> CILLECTED: 66.91 OVER/SHuRT� 00
BLDG PMT PLUMBING ELECTRIC MECIiANIC SIGN SMIP/TOT GRADING PLAN-CHECK
40,25 ,50 26.16
iE 3f if IE �E �E IE if 3E �E �E �f 9E 9E 3f iE ff IE 1f if 1f ff If ff if jE iE 16 if� iE df k IE IE iE iE �E !E if' iE 1E iE jE iE 3f fE 1f iE ff iF �E �1F �f if ff 1F 1E iE 1Elf df 1E iE �E ff !E if ib # jE 1E �F iE eF iF 1E ik iF 1f
I N D I V I D U A L F E E B R E A K D 0 W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
NO FEES WERE SELECTED FOR THIS PERMIT '�
L �ti�
Y y t
�� �Y 1
N1A 0 1997' �
GLTiY Of. CO$TA"M��
�� CONSTRUCTION AND PLANNING _ P0� _ d SPA I_
; APPROVALS Permit # Date Inspettor APPROVALS Permit # Date Inspector
'�1. Temporory Electriral Service or Pole 52. Pool & E4uipment Location �
�'
2. Soil Pipe•Undrgrnd. � � � 53. S[eel Reinforcement _ .' ��
3. Electrical Conduit Ut�lity-Undrgrnd. . 54. Forms " '
4. Electrical Conduit�Undrgrnd. �^ 55. Electrical Bonding .�', ;
5. Steel Reinforcement - ' . 56. Rough Piumbing & Pressure Test '
6. Electricai UFER Grnd. � ` ' 57. APPROVAL TO COVER�GUNITE �
7. Footings _ 58. EVecxrical Conduit-Undrgrnd. . � ' �
8. Foundation � � 59. Gas Pipe, O Undrgrnd., Test
i
9. Water Pipe-Undrgrnd. � 60. Backwash l.ines, P�Trop, O Undrgmd.
10. Structural Ploor System " . , i 61. APPROVAL TO DECK �`'�
77. Property Sewer Line & House CAnnection �� �62. Backwash & Receptor�Final ;'
12. Sewer Cap . � ' 63. Heater & VenrFinal .' '�
73. Roof Drains ' ;' ' 64. Plumbing System • Final '�
/
14. Rough Plumbing _ �- ,65. Electricat-Final � �� 4
75. Ro�gh Electrical�Conduit ' 66. Solar SVstem-Final �;
16. Rough Electric Wiring ��� 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVE� FOR PLASTERING '
18. Rough Electrical�T Bar Ceiling . 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Condi[ioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Dutts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas O Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storaye Tank O Gas ❑ Oil
25. Roof Sheathing. � � 74. Overhead Hydro
26. T•Bar Ceiling (Structural) & Monocoai 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Laihing & Siding 77, FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAI
30. Drvwali Nailing HEALTH DEPT. RE�UIREMENT
31. Plaster 8rown Coat 79. FINAL IP�P CTION
32. Elecirical Power Meter-Final 80. FOOD CERTIFI�A1'NSSUED
33. Final Electric Notes: �� !"
iN
34. Final Heat(ng & Air Conditioning
35. Finai Gas Pipe�Test
36. Hood or Canopy
37. Final FactorY Fireplace
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final
47. Solar pomestic•Final
42. Backflow Preventer
43. Backflo�v Irrigation
44. Landscape Irriqation System _,;y
45. Sound Attenuation � 'i" ��
4R n, ndicap Regulations
47. �.NAL STRUCTURE & BUILDIfr� �� Gj� �- i •
�r
48. FINAL PLANNING � "'
49. Elec[ric Release to Edison "
50. Gas Release to Southern Calitornia Gas Ca •' 'T
51. CERTIFICATEOFOCCUPANCY "-
No. Date R _`�
�-
�uonrss a ea�mu: 4 4 S E 17'1 H S T
pYlHER91LYEIFRAN1k MOLHG, MORRIS M TR
�� 2320 CLIFF DR
NEWPORT BEACH,CA 92660
548-8547
�wi.. �uiwc wox�ss:
IusxmxTon�ffn:
ANCIL OP F11Q'S ADDNES9:
coNmm�crarsxu�
caam�croasYuiwo
monEsa
urn:
uc no:
uNr:
uc no:
uxr:
LICENSED COMR�GfOX4 DECL�PATION: I MiWy dlim uMx qroly d pa�jury OW I em fcwued uridw po�Mbu d CMqm Y
(oonuna�anp wvh Section ]OpO) d Diveian 3 d Ne Bueinav uq Prvlmaom Code, ud my fmm u m hA Iwce mN e11M.
cm uc. No.: uc. cuss: uc. No.: E X P:
Dme: CaMraaor.
OWNEfl BUILOEX OEC4RATON: I Mnby dfiem uder penNy d qrjry tIW I em ammp han Ne Cauerlan Lim�na lew la �Ir
Idyr.iq iaefm (Sopion 10313 Bisiwn rA Pmfstriont Cads: Am �Y d odvaY Mid� �apind e i�mi to matrW. eElr. mVm+.
bmafe�, a rapei mry nnctva. pria u b eavice, eho repuirte tM epplirmi! la ac� pemN lo Rls a qwC auwnsG IM M a�M
e i�n.e w�� m ms aow�. d m. com�.a«. ua�.e �w [cn.aa� s 1�,�,0 .en s.a� �000) a a.eoo a a iro
B�e�e vd PrWewbn Codel a Ntl M a Ne e memW iherdean ud tM baa la tM �AeWe axrnqiort MY ridtlian d Sedion
)O�t.S by eiry appFsm t« e pxmG nbjeaa ihe acd'cam �o e tivtl pwtly al m mus ihm fxa MvWad doWs �5.5WD.
� I.mowrordtMO�W�Yamymqlv�wwihrape^ntAs�demmW�+�.WIEotM�akendiMWumuacnn'vuaNW
a d'a.a e�.a� csea:� ra.. e� w v��. coas: n»caa�.ea. u�. i.. aa. � mar �o.� �.a pw.nr
who wlm a inw� �n.eon..�a.ro me..ucn xak lim.erc «nn.er «Y+dph ne a n« o.m «+wmA. wwided ina.urJ,
impowneaa ere m irverdsd a dlseE lor aeb. tl.lwwawr. iM dutli!q a inP��aV e wtl wilhm wrYw d comWmion. Na
V o.�,wa��lfer w:e new u» n.den a ww��u ne « ene eia �a wue «�no�+�« ur wco.s a wel.
� I. n o�wrr d �M D�WNY. am uduiM' mNratl^Y xnh 4oxuW mnuraa� b rnubud iM V�9� (3Wion ]OM. &nmm� uM
Pmtsedun Gade: TM CaqMon licaw lew dow m� eWN b en rM W10� w i�www �Iraan �nd wM
cawxv b wrl� Pol�� wvh e ma�enM�l4cemeE O�uw Capraew� Lew�.
� I em exanP uEr Sxtim: B. 6 V.C.. ' iaman: �.
o.,.: S—r-97 �.,: +
n
i m n«.M �M um i.m..w a w �.�d.�+ww u» m��w. a cwa,:. ��.wn coa. s.a�. nws. zss.v..�w
P55J1. erq Ne I n M' Mun Wld'v�0 � xiG / wp na (drtY ana) roM b candY wll ' aa� oodu r�C tM npwwnab br
eD�etnmmvwionamoEdimliantrvntM�i u�j'RivxPmsaOiurie.Ruit�aWamu�utlionWD�IwnmaaemqlmmlM��
a�..
Dw: �VWbw:
WONKER'S COYPENSATON DECLAPATION: I MraEy Nlvm uMx pmully d pvjuy ans d IM bEowbq Aetive�'vu:
� I he�e aM N meiYe� �caNkms d mm�t to wMr�n tor wMan' mnp�iuYcn. a prwidM la by 9arbm 3]00 W tM leEa
coes. i« �ne W�amvca d me .ak �« w1:cn �ke vemm u ivuee.
❑ �n....na.am.:a.nnw+�oomv�unmwre�m.n�.w�Msaa3looam.�.eacoa..a.�n.pslvmenoea�n.
waM fn w1wi� Nu G�e u mueE. M' waYen' oomMnmtion'unurenu mn4r ud D�Y �mbr ero:
Cemx:
P� ��
(Thi »Cfon rednat W m�lxd l Ns P�i e b ar hundrsd dd/en IfiMl n Mn.)
� i mn+r mei m ms c.�umen�a a me wat ro...ncn inu o�a u� w. i aw .�cM an od+u� m enr memer n o io
eecame v�bjea w u» .�a+�.n� mnpaium:n lew. d �.ne r a �.hawa n.w . vLjed �o �n. won.n•
m�p/suetbn pvO+i+'v�ef d SMian �00 d tM Lebor Code. mnDN xiN 4uw OA � m.
De�e: .i���/ / ACq�:
W�m4p: F�9u� b pc� �OhM'romvw�astlon rovxp� Is unlnvN( �MalWl W!/Kt w+roiorr ro wawv�u nro
dvu nnn up ro an. nuww �rou,w awrn (siatamA a��n m m. cou or m non a.�.w u provaw ror in
SKtlm ]m6 0I1M L�Dor Wb. INwL rd Immry % Iwa
� CONSTIIIICfION LEHqNO AOENCY: I hreby affi�m uMm pmetly d psjsy ihn �Iwn u e aonq�uGian 4M'vq epmwy lor IM
p,namd,u a m..un a. w:a u�e o�� m�a cs.ao� aow. ca. q.
LENDEN'9 NAYE
LENOER'S MOHESS:
1 ceMY �!m I haw ned tlw Wp�m rM am ihtl ths eEws'udamuion 4 canW. I epw Io oomVN w'v� N mY eM mNY ad'mm�oe�
end etme lawa nlm:q m bwbiq � W Mrah' aWwrsa �wevaNmnm d Nu aY b wtlm w� iM Wow�menibnsU poosy
�a���.
�<Ar���Y raoctto
a,. �i-97
(5151-al.WP) NT'ae�-BwNnO d Se1My: GmerFb: GuwY-AGGkeM: Rnk�law�uw:•• ••— _• •�
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: E 08269
PERMIT NO: E 082G92 '�LRN CHECK NO: 1J GOVT: N SUPP: N
CONSTROCTION TYPE: V—N PERMIT TYPE: ELE PURPGSE: OTH
J06 DESCRIPTION : 34.A5 SQ FT WALL SIGN EXTERNALLY ILLUM SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: B /
COMMENTS: "FLOWERS BY MORRI" AND "FLOWERS" / REF B-82691
***�***x**ie�t�riF+�*���*�et�***x�**�x*it**��tat�t***x�ie�r*���*+r�*x�*�it*ie**x*at**u�iE*iE�*�*�*�
Z O N I N G� R E Q U I R E M E N T S
S,E T B A C K S
------------ MAIN HUILDING ------,--- --------- ACCESSORY BUILDING --------
['RNT: FT IN REAR: FT i IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT � IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 11732129 ZNE: REF NO:
PLANNING NOTES>
i
if if iE k iE 1f iE iElE iE iF fE iE �E iE iE IF fE iF f(� 1f 1E 1f !f 1k iF fE jf iE fE if 1f ik iF k 1F �E �E 3E fE iE 9E 1E �k iE 1E ff if 1E 1E iE iElE if iF iE!!� 1E fE IE iE iE jE fF iE 3E �E if if 1E !k 1E iF iE iE �k 3E fE �E
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE;
BOILDING APPROVED BY ; ' DATE;
APPLICATION ISSUED HY: �� DATE: 5—�—�
*��**�*�����,�*�**��*�,« �����*��:���-�� ,�*
LEGALIZATION:N F E E' S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMB NG T". CTRIC MECHANIC FIRE StdIP/RES GRADING
PERMIT 22.00
508 SMIP/NON—RES
PLAN
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT IS. E PLAN—CHECK TOTAL PAID DUE
TOTALS----> 22.00 22. 0 0.00 44.00 44,00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 44,00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTR.. MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
49.0
iE k!E ih iE iE 1E K� k!! 1E iE ff !E 1E fE If 1E 1f 1f if �E fE ff ff iE �F if iE fE 3f iElElflE 3E 1E 3E if iF 1f 1f iE if fE fE 1F 1E iF jf IE iE if if iF iE iF �f if if 1E iE fF k if 1E fF �t 1E �f �)F iE it iE �E fFlt iE iF
I N D I V I D U A-T. F E E B R E A K D O W N
TYPE QTY D E S C R Z P T Z O N UNIT COST TOTAL COST
ELE � SIGN/ OUTLINE LIGHT SYS ON 1 BR CIRC 22.00
END OF FEES
22.00
. ���
�1bY O 1 i937 �
�
CITY OF GOS7;', :1��,.
CONSTRUCTION ANO PLANNING _ PO� � SPA
AAPROVALS Permit �,-` � Date Inspector pppROVALS Permit � Date tnspector
t. Temporary Electriwl Service or Pole • 52. Pool & Equipment Lacatiorv � �
2. Soil Pipe•Undrgrnd. 53. Ste�l Reinforcement �, •
3. Electrical Cqnduit Utility-Undrgrnd. ' S4. Forms � - �
4. Electrical Conduit�Undrgrnd. � . 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test .
6. Etectrital UFER Grnd. 57. APPROVAL TO COVER-GUNITE �
7. Footings 58. Electrical Conduii-Undrgrnd. '
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. ; 60. Backwash �ines, P-Trap, �.Undrgrnd.
70. Structural Floor Svstem 61. APPROVAL TO DECK
i t. Property Sewer Line & House Connection 62. Backwash & Recepior-Fjnal ,�
�
72. Sewer Cap , 63. Heater & Vent�Final ��
13. Root Drains �' 64. Plumbing System - Final �� •
14. Rough Plumbing , �� 65. Electrical-Fi�al �, '
15. Rou9h Electrica6Conduit �� 6R �olar SYstem-Finaf �� �
16. Rough Electric Wiring G��.G)"f � �, Fencing & Access Approval
� '� '6
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING .�
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas OOiI
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Stora9eTank dGas OOif
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Sta�dpipe
28. Lathing & Sidin9 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FiNAL
30. Drywall Naiiing 'p � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. �'INAL�NSP,E,CTION ' �
'� lectrical Power Meter-Final 80! FOO�CERTIFIC�Ci,E ISSUED
� J
"t3. � inal Electric + ' �_� � ' Flotes: �-/�-p � �e�¢ 6J_S;=OG55_�c���
34. Final� Heating & Air Contlitianing
��� ��
35. Final Gas Pipe•Test '
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Piumbing .
39. Water Service�Final
40. Gas Service-Final
41. Solar pomestic•Final
42. Backilow Preventer
43. Backfiow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FiNAL STRUCTURE & BUILDING •
48. FINAL PIANNiNG �
49. Electric Reiease to Edison �
•�
50. Gas Release to Southern California Gas Cn -�
51. CERTIFICATE OF OCCUPANCY
No. Date `
�
�oonFssaeaima: 446 E 17TH ST �
avxexaruYe�c�u�wn+: MOLHO, MORRIS M TR
wa�s: 2320 CLIFF DR
�� NEWPORT BEACH,CA 92660
� �vr�. �uiwo �ooxEsx
mrt:
I wairccrone+m+�x JERRY TUCKER 6 ASSOC ucr+a 52187
urcwonuxi.•s�ss: 540 NEWPORT BL mn:
N.B. CA 92628
c«rm�crars Y�K•
CQtR11CTOR8 Y41➢10
4pppEgA UG W:
uMr:
4CEN4E0 COMR�CTOPS DECLAN�TON: 1 Meaby eflkm uMx perely W pa�ury Ntl I em Yem�eE �der prM�brm d Cheqa Y
(oommadiq xn� 6scfvi 10001 d OiWion J d Ur Butlrm W PMmdan Code. end my Wenr b in hA bca end aMw.
cm uc. No.: uc. cuss: uc. No.: E X P;
Dms: Conireclor:
OWNER BUILDEF OECLAN�TON: I Mnby d(rm uMer pnelly d psrjwy �IW I un uqnp hom IM CaX�tlon Liorue Law lor Ihs
Idbwiq iamon (SW ian 1W tS Bwi+u� W PMeaeiom Cada: /�m' �Y a mWY wTtli niuhw e V�i m mutrW. etler.'vnVon.
demofsA. n rW� e^Y ehutive. p'ur b b eeuuioe. ebo ieVui�ee IM aPV�im41a tuch VMti lo fiM � dpnM tWana� tlW M p�ha
u liosmed qrtwiem to tM pro.itlm� d tlr Comreaare Limnae Lew �Cluqa 9(mnma�q v.nh Sad'on 1000) d OM'vion 3 d th
ew�m w ntlwion, cod.l «tlWw Ir «.ro m umma �nerNmn ena �n. eem �n u. aMped memau�. Mn vo�alin, a seeun
roais M�r evv�+�«. wm+�d.a+ w rod�a �o. wa w�.M d m ma. uvn r.. i.od�.a aooen �ssaop.
� �.oe.o.am.o�r«mr«�wM...wn.�..�me:.a.wmw..:m..aeou..ioix..,eu..avLv.emvxawe
aallwaE br We (barLm ]Ou.B�wn md Pm1ma'veCOJa:TM Can�etlmlimm� lardou nal �p!/loen artrr W papMy
wb ddN a inpv.aa IMmt mtl Mn doee suN xqk limsetl a hsnM Or tlru� he a Iw mm an9�TM�. Pwded Ihel wch
im0�+�en va nd'vavded a a0aad la eeb. tl. howwm. �M bu51mY a inP��ara u mYl wElim arY�r d camV�un. tlr
p.�ry al P�'�9 M n ehe Eit nol WeIC a'vnpwa ta N� p�vpo�a d rMl.
p i. a u» aw.n..m mm�.nro .an �:.e.a oow.�m+m oo�w a. wa.a (s.a� rou. a.+w...m
aem� Code: TM m licsus lew tloss na ewN m en owr a P�Y wM WBL a �Pa'a Nrson rd Mn
cmVaN tor xiN e mNnd e) fcamW punuml lo IM CaMredw� L'vwa lew�.
i.m ,ada . . a v.c.. w me �.�,:
m.: - �.: 9�//�9G
i eo � i.m..,.�. uw.+,�e ub �.ow�em. a cw�. w.en w se+r coe. sw�. nws. usa�..�a
255]I. enA Utl I a�M' Mun o¢�Cem xiA / wil nm (arcb one) neeA to oomW M� uid Ms codm mM �M n0uremWe la
•prmutdmntMionn trm�ilrAi u i�y wpa�w�tDimip.Rdd�euWmmMuneppiealiwnenwmqtmm�Mu
Dm.: �vvi�:
WOXKER'4 COYVENS�ildl DECWIATION: I hereby etArm wWr psWiy d pa�uy an� W iM b0or.4q dderelbr:
� IMneMwllme'nilenace�lF�admsntlovaMamunlorwaMen'mnpanWbn.nprwkadfab/S�dbn]]OOd�MLebar
CaM.la �M pMamvice d tlr wak ta wlich �his prmn u Wusd.
❑ �n.v.w.um.:v,n.�alw.�mmo��^^��.m�w�.dwsww�a�aowm.lebacoa..m.m.w�e.dm.
WA�I �IX M111f�11�1Y pMIM M�IMd. MY Mtt�f!!t� COTVOIItBIW1191Wf811C� U111R YIQ G�Y IWIIIbOf Y!:
c.m.
wc�y m�,�n«:
�rni,.«riw� n.w nor w cmW«ee e w c«me e ro. � n�„w�.e eaw. rsiml o. wn.l
� I MiY QW m Iha G�mm�o d Ihe wark br wfich ihis V� e imusd. I kW nd an9M M' Da� bn M' manMr m m to
bemim v�Ejw to IM xorYse' mnpenWion �ew+ d CeNmue, eM yn� QW � I Nwdd Eaomr aEpa w tM wwFen'
mmpsuetbn pwis'nu d Setlian 3)00 d �M leba Coda. I tlxA IaNwN mnpy � Now p�w�n.
Dna: �PWK+^��
wunNG: HBu� m wcu� rortr�• m�rpro�tlen cm'wM b �nWN( W�IWI utl/M m.nW^Y�'ro cNNreIG�w �n0
dHl IIIw W ro aw M�M MowW lWlu� (ff W OOOA N atllfbn b M cml o/ conpr�utbM1 Wm�yp n G+oNb! br In
s«nw� aros er m. i.ew ceen i�+,t.ne.m�', r«,.
ew+srnucnoH �v+w'w �a�ev: � n«.M �� o„�r d v�rrv �nn m.. b e�m�,a� ww�o w�v a. n.
qrbmenw d �M wM b xluth Nu M�^Y e ewed (SeGion �OB'!. Civ. CI.
LENOER'9 NAYE
LENDEN'9 AUONE39:
IeenEyt1u11Ae�aptl M'v�p6�p� eMeWsthaNeeboveiMarmelbn�eanaq.Ipn�l000mplyxltAeOayeMmuntYaNiewioe�
my Np� VMry�p�q b WtlE�q cryfmupion W hxely eNhor¢e �apmmimivx d IIN dry m wtlr upon IM ebv.a�mavMd popMy
Dma: ���� ��
(St51i6.WP) WAer8uldM 6 SdM �reen-Fle: CenM'�GG�: RM-Re�wv�: Gatlemo6�Anamr
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 079450 PLAN CHECK NO: 03716-96 S
CONSTRUCTION TYPE: PERMIT TYPE: STR
PERM NO; B�; 0'79450
GOVT � N` SUPP: N
PURPOSE: ALT
JOB DESCRIPTION : EXISTING FACADE REMODEL SQ FT: 1,500
CLAIM VALUE: 1,500.00 CALC-VALUE: 1,500.00 GAOUP OCC: H /
COMMENTS: SIGN FACADE REMODEL FOR "MORRI FLOWERS"
1k iE iE ik 1k 1k ik iE 1E if if k IF M 1k k 7f iE k iF 1E 1f 1E 1E 1f if 1k 1k k 1k iE it ik iF 1E iE 1k iE iE 1E if if 1E iE fE fE 1E 1E 1E iE iE if 1f fE iE M IF 1E iE 1F 1F fE IE fE 1E 1E 1E if if 1E if 1E fE iFlF ik iE it 1E
Z O N I N G R E(� U I R E M E N T S
S E T H A C K S �
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: r FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: � FT IN
PARKING REQ: PROV: PARCEL: 11732129 ZNE: C1 REF NO:y
PLANNING NOTES> REHUILD FACADE (NO SIGN INCLUDED),
i t� "
iF!! 1E iE iE 1f iE 1E iF iElF if iE 1F 1E if 1F 1E fE iflf iElE 1E 1E k 1E iE iklE 1f 1F 1F 1F ik iE iE iE iE iE it iElf iE iE iE iE iE iE 1E iE 1! 1F fE 1E iE 1E iE iE 1E 1E if iE 1f iE ik iE iE if.ik iE IE IE iE 3E it �E if if
D E V E L O"�P M E N T S E R V I C E S R E Q U I R E M E N:T S
ZONING APPAOVED HY�' • TS� DATE: �•����.�L
i
HUILDING APPROVED BY : DATE:
APPLICATION ISSUED.-HY
��*��«*�*����,���������
LEGALIZATION;N
HLDG PMT
PERMIT 48.50
F�I S U M M A R Y
�LECTRIC MECHANIC
PLAN 31.53
ISSUE FEE
BUILDING-DIV-> PERMIT IS E
TOTALS----> 49.00 0.
REVENUE DIVISION TOTALS-->
BLDG PMT PLUMBING ELECTRI
48.50
TYPE
SFC
31.53
u:
IC
s: ��1%(�(1 C �t-b
STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
SMIP/NON-RES
.50
TOTAL PAID DUE
80.53 80.53 .00
80.53 OVER/SAOAT; .00
FIRE SMIP/TOT GRADING PLAN-CHECK
.50 31.53
iE IE IE 1E iE if iE 11 iE iF iF iF fE if iE iE if� fE iE * iF iF ih 1! iF K iFRlf iE IE iE iE if ik iF iF 1f iF if if iE k IE 1E fE 1E �F iE iF IF k iF 1F iE iE 1E 1F fi iF 1f iE iE ff� iE 1E iE 1E 1E iE 1E
I N D I V I D U A L F E E B R E A K D O W N
QTY D E S C R I P T I O N UNIT COST TOTAL COST
1500 ALTER HY VALUE COMMERCIAL NOZONE 1.00 1,500.00
END OF FEES
01 00214749-00214751 T OT
;; DATE: 09/I1/9S TInE: 15:01
��
30.53
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
,1
1.�porary Electrical Service or Pole � �',52. Pool & Equipment Location r
2. Soil Pipe•Undrgrnd. � 53. Steel Reinfarcement �
-� 3. ElectricaF Conduit Utility-Undrgmd. � � 54. Forms �
4.'Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Stee� Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVALTO COVEfl•GUNITE
7. ��Footings 58. Electrical Conduit-Undrgrnd. �
B. Foundation 59. Gas Pipe, � Undrgrnd., Test �
� 9. Water Pipe•Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Struttural Floor Svstem � 67. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap � . 63. Heater & Vent�Final
13. Root Drains 64. Plumbing SYscem • Finai
14. Rough Plumbing _ 65. Electrical�Final
15. Rough Electrical�Conduit 66. Solar System•Final �
76. Rou9h Electric Wiring 67. Fe�cing & Access ApProval
17. Rough Wiring Sign � 66. APPROVED FOR� PLASTERING �
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace • - APPROVALS . Permit �h �
27. Ducts, in Struceure _� 70. Untlerground Hydro �
22. Ducts,Ventilating , - 71. Produc[Pipinq�OGas �Oil
23. Gas Pipe=Fiough & Tesc . 72. Underground Flush
24.�Roof Framing _ 73. Undergrnd.StorageTank OGas �Oil
25. Roof Sheathing � . - � - 74. Overhead Hydro �
26. T�Bar Ceiling (Structural) & Monocoai . • 75. Dry Chemical ,
27.� Frame and Flashing r�-3..Gi6 �� �, Dry Standpipe �
28. Lathing & Siding ,- - . . 77. FIXED SYSTEM FINAL
29. Insuiation • � • i8. FIRE PREV. FINAL
30. Drywall Nailing � � �� �. HEALTH DEPT. RE�UIREMENT
31. Plasrer Brown Coat � � 79. FINAL tNSPECTION '_ � �
32. Electriwt Power Meter•Final 80. FOOD CL� T�FICATE ISSUED
�
33. Final Eleciric ' ' ' IVotes: � � . .
34. Final Heating & Air Conditioning. � = �,i � - -
35. Final Gas Pipe•Test _ .
36. Hood or Canopy . . . . - � • �
37. Finat Pac2ory Firepiace . - "�
38. Final Pfumbing �' � �
39. Water Service-Final � - . "
40. Gas Service-finai . . .
41. Solar pomestic-Final • �
42. Backflow Preventer' ' . .
43. Backflow Irtigation ' ' �
44. Landscape Irr.iqation System � -
� 45. Sound Attenuation � � - ' ' � .
4�. :'3ndicap Regulations ` i � � �' � - . . `
�-
47 INAL STRUCTURE & BUILG;�.^ � IQ_ � .
e. FINAL PLANNING _ - - _
49. Elecirie Release to Edison � _ - � ,
50. Gas Release to Southero California Gas Ca , -. .
51. CERTIFICATE OF OCCUPANCV - ,
No Date
.�
Applieant to flll In all spa<es witnin
CITY OF COSTA MESA '. Peamir rv,4.pl,
CONSTRUCTIONPERMIT E�JaCJ
� Project Address
Owner Phone - -
Address � ��
� Arch/Eng. - License No.
Address
(�, .'Con[racror , liAay r _' r.. Phone,j3`/_�}'j
1
�
I
o/ Charter 9
boraer Iines antl si9� all aoV�opriata Oeclarattons. �
TRqCT NO. LOT NO. BLOG. NO.
TYPE OF CONSTRUCTION
❑ NEW ❑ ADD 'O ALTERATION
� REPAIR ❑ CONVERSION ❑DEMOLISH
❑ 07HER
DESCRIPTION OF WORK
TVPE OF PERMIT' �
O GRADING '❑"FOUNDATION ❑ STRUC
❑ TENANT �ELECTRICAL OPl_UMBING ❑�
❑ O7HER
PROJECT DESCRIPTION '� . _ _ . �
SQ. FT. '•
WORKERS' COMPEN$ATION 6E�LARATION - - OCCUPANGY �_CONSTRUCTION TVPE _
I hereby aHirm that I have a certificate of consont to 5eM-insure.or a VAlUAT10N ZONE
,corUfiwte of WorkerT Compeniatlon Insurance, or a<ertifletl popy
�tbereof (Sect 38 0 , �,). �, y-�S. i/ . 6/. ^ GRADING CU. YDS. _ ACRES —
PoOryNo. 'ComPanY �- �:.o ri•� -
❑ Certltiee <oPy I5 hereby furNShetl. _ __ _ ' _ REMqRKS: - _
❑ CerUfletl <opy Is filgd with tha Nly Builtling DlviSion. ,
'EXEMPTION FROM WORKERS' COMPENSATION DECL'ARATION ' ' " " -- ' -
(Thiz section oeetl not be completetl it the permit 15 (or one huntlretl - . . ___ _
�E3001 or less). . - - - � '
' carNfy that in the pBrformance of the work for which this permit Is
Azzuetl, I shall nol emp�oy any Oarson in any manner so as to bdcome PLUMBING � �--�� ,PLAN'CHECK " "
sub�ect to the Workerz' Compensaqon Laws of.Californla. �
� �� ' BATHTUBS ' � SHOWERS � �
'DdtG $i9natU�a
,NOTICE: If attar making this tleclaration, you shoultl be<ome sub�ect TOILETS-� �-� � ��•�URINALS' '"
to the Workers' Compenzation provi5ions of tbc Labor COUe, you mutt �VATORIES DOVBL'E LAVS '
forthwith camply wit� such provisloni or this permit shall be tleemetl
rovoketl. . " �
CONSTRUCTION LENDING AGENCV ' KIT. SINKS' '-- -- �ISHWAS RS
I nereby alNrm tnat tAera is a constr�ctlon lantling agency for the per SERVICE SINKS � ,<SU -'
formante of tne work lor w�ich Ihis parmit is i5suetl (Snction 3097
C��� C•�� � - � � �- � ' � -' FLOOR SINI(5 - OR DRAINS'�
Lehtler'S Name
L.entler'S AtlOras - � � DRINKING FOUNTAIN - � ' '
OWNER BUILDER D@CLARATION - - - �IIVTERCEPTORS RI RS
I hereby aHirm that I am axempt fwm the ConVactor'S Llcense Law tor
ihe following reason (xction 7031�.5 Business-antl�Protessions Cotle: SWIMMING POOL- - PT
Any tltY or county �yhich requires a Oermi[ [o ConsVuct, altnq
Improve, tlemollsn or �epairany strutture; prior to9t51ssuance,-alto re• yyATER SERVICE �- ALT TION '
qWres th¢ apFli�nt fOr su[h parmit to file a SiqnCtl ita[em¢nt thai he
is Iicensed�pursuant ta �pe provislonsof�the'ContractorS�Littnse Law GASSERVICE - - OVTLE
(Chap[er 9(commenUng with Sectlon 7000) of Division 3 of the
Buzinest antl R'ofess�ons Catle) or that ne is exempt therefram antl lhe WqTER HEATERS BTV OUT T ''
basis for the altegetl @xemptlOn. FnY violation of 5ection �031.5 by
any appilcant for a p�rmit subjetts the applicant lo a� civil �panally SEVJER CONNECTIONS ' �
of nOt more than tiv¢ huntlretl tlollar5 (5500). �
❑ I,�as owner �of the pro0erty,-or my employees with wages as their ' SOLAR TANK -'-' COLLECTORS '`
sole.com�enzatlon, will tlo,[he work, antl the structure is no[ intentlep_
or offeretl for sale. (Sfctlon 7044, Business 5ntl R'ofezsions COEe: The SOLAR PIPING SVS.- - - ,�
�Contractor's Llcense �aw tloes not,apply to an owner ot a property _ .
who builtls or improv¢5 thereon, antl who tloes such work himzelf or ISSVE FEE -d
throu9n his own amployees, provitletl tna[ such improvemen[s are not -
IntenUetl or ofleretl for sale. If, howeveq tbe buil0ing or improvement MECHANICAL PLAN CHECK
is Soltl wilhin one yeah O/ COmplellon, Ihe owner will M1ave tM1e burtlen -
ol Oroving he tlitl �ot builtl or imp�ove tor [he purpo5e oi sale).- HEATING $VSTEM 0-100,000 BTU
�� 1, a5 Owner-Of the �prOperty, am-exGlusively -Conl�actin9� �wilh qND DVCTING" ' ' ' � ' ' " -
Iicaniotl conVactors tb construct the project (Section ]044, Businass 100,000�+BTU
antl P/o1M5ions-Cotl¢:-The ConVatlor's LIc0n5o�l.aW�A005�not apPly to
an owner of O�operty who builtls or Improves thereon, antl who con- REFRIGERATION 0-100,000 BTU
tracts�irom such projects wilh a�contractor(s) Iicusnetl �pwsuant to� 5�'STEM' - --
tne Contractor's Ucense Law). � ]00,000+BTV
❑'1 arri exemOt uneer 5¢�({pn - ' B: 6�P. C. lor tbis BOILERS BTU
reason SVSTEM REPAIR, ALTERATION
Date Owner
�I hereby certify [hat I have reatl [his application ana state that the abovo EXHAVST SVSTEM MULTIPLE
informalion is mrrect. I a comply with all tlty antl counly
o�Elnanc¢5 antl Stal aws � atln9 const�uctlon, antl he�eby authONxO
ro resentdti s o h�s"' t t ente upon tho' bov¢ men[Ionetl
propertY f " cUo Y ses.� "_ �- �=/7 4L
Signature � FrSC-y� - - ate-�
Driveri' License or 55 � � � � �SSV E FEE - - -
CMF 0865-46 White-Builtlin9: ��ary-Applicant; Pink-Accountin9: GOICenrotl-Azsessor
5932 5/17/82
ZONING REGU
A.P. �f "' ' .
ZONE � � PLNTGp.
SETBAC PRi
TURAL- - I❑ VARD
ED
MECHANIC ��IGHT
REAR VARD (TO P/l)
PKG.SPACE REQ. �
STREET WIDTH -
' ZONING APPROVED BV
SPECIALCONOITIONS: '
�
�
�
PARK
-ELECTRICAL PLAN CHECK
SO.FT- SO_FT.
GENERATOR 0-1 KW_ 1-lO KW _
TRANSFORMER �
APPUANCE 10-50 KW_50'+�KW _
MOTORS � � - 0-1 HP_3=10"HP _
'(lNC. SOLAR) 30-50 HP 50 a.NP -_
FIXTURES " OVTL'ETS 'SWITCHES
GAS'TUBE SIGNS ' - -
IPOLE LIGHTS ' - ' -'
!. 13.00 Tl�
� ..
_
LINE
JED" • "
°EE,b, �
)ATE -
- . � .
.," " '%
_ __ i
;
' „ '
' MAIN " ' SUB '
' -' _ _' _ AMP '-
' ' a
' -- APPGCATION APPROVED BY - - - - DATE � --
• SUMMARV OF FEES . .
�BUILpING - - � -
_ �PERMIT . §.. , _ '. SMIP � E`" " '
PLAN CHECK E '7ERM1T '
- ISSUANCE $ '
'P�UMBING S ' , GRADING S "�
' , PLAN CHECK E _' , � �
ELECTRICAL S� - ' s
' • - MICROFILM S �
' -' PLANCHECIC"S" ' -
� - ' TOTAL FEE'E
, MECHHNICAL S - ' - -
' � ' LESS AD-' � ��
, ' PLAN CHECK' E - VANGE PC S-'
` . � .
- , FINALFEE b '� ~
i
. . . 1 I \ . 1 Y •
CONSTRUCTION AND PLANNING � POOL & SPA • . -
APPROVALS Permit #�" Daa.: Inspector qppROVALS Permit # Date InspeMor��
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � � -•••
Soi ipe-Undrgrn 44. Steel Reinforcement - --
3. . Electrical Conduit Utility-Undrgrn 45. Forms � �
4. Electrical Conduit-Undrgrn . 46. Electrical Bondin � -
. tee em orce 47. Raugh �Plum6in & Pressure Test �-
. 6. Electrical UFER Gm � - 48. � APPROVAL TO COVER-GUNITE - � - ' - - - - -
7. Footings 49. Electrical Conduit-Undr rn '� �
.8. -Foundation.. ' ' � 50. Gas Pipe, ❑ Undr rn, Test � � • ' �
9. Water Pipe-Undrgrn � ' 51 . Backwash Lines P-Tra �' ndr �" -' '� - �-
10. Structural Floor System 52. APPROVAL TO DECK '"- `"" -''"- '
� 11. Property Sewer Line & House Connection '� 53. Backwash & Rece m�-Finah � � �
'2. Street Sewer Connection. � � ' � - - - 54, �Heater & Vent-Final� ' ' �
,i. Rough Plumbing � - - � " ` ' � ' " ' '
14. Rough ElectricConduit - - � ' - � � �56. Electrical-Final •� � •
15. Rough Electric-Wiring � � - ' � - � 57. Solar System-Final ' ' -
76. Rough Heating &�Air Conditioning - - - - •� encing & Access Approval
17. Ducts in Structure APPROVED FOR PLASTERING
18. Ducts, Ventilating - � ' . . . _ . _ _ _
19. Gas Pipe-Rough & Test � • • - - _ � 60. _.POOUSPA SYSTEMS FINAL , „ ' �
20: Roof-Framing � - - " ' � � ` ��
- 21. Roof Sheathin� - - - - ` - - ' �
22. Frame and Flashin _ NOTES: . ' -
' 23. Insulation - - � � � �'"^"'
24. Lathing & Siding ' ' ' � - - - - - -- - � �
� 25. Drywall Nailing � - ' � � � � - �
26. Plaster Brown Coat "
2 Electrical Power MeterFinal - � � �
28. Fina�.Electric � � �L �
�Final Heating & Air Conditioning � � � �
d0. Final Gas Pipe-Test � � •
31. Final Plum6ing
32.�� Water Service-Final � � .,. � ' ' ' -
33. Gas Service-Final ` � ` � � �
34. Solar pomesticFinal " • � '
35. Landsca e S rinklin S stem � '
36. Sound Attenuation - ' � • �
37. Handicap Regulations �' ' - � ' •
38. FINALSTRUCTURE&BUILDING - � ' '
39. Special Requirements Comp�eted � � -
40. Electric Release to Edison � ' ' � � �
41. Gas Release to Southern California Ga's Co. ' • �
; 42. CERTIFICATE OF OCCUPANCY
No Date
--- --� ApD�i�ant to flll in all so��es within heavy bortler lines ana slgn all approDriate tleclaration
-� C T` OF COSTA MESA : P��T fy0. �/� ' TRACT NO. "LOT NO. . BL�G. NO.
� .CON�TRUCTION PERMIT 3�� i ' '
rro�ect �+o ess y�-f-� �. , C w �yr/ • Li// L�pE OF CONSTRUCTION �
� OWne� ' ' PhOne j`,3p� NEW ❑ ADD ❑ ALTERATION
' AdtlrCss - - - � - , �7 �L� � REPAIR ❑ CONVERSION ❑.DEMOLISH
� Arch/Eng. � - -- � ticense No. �❑'oTHER
Addf255"' ' • - . ._ _ _ DESCRIPTION OF WORK
- Contractor - - - - Phone TVPE OF PERMIT - " " - " ' -
AddreSt ""' - "'- ' - - ' " � -�'- _ . . ",. -_ ",' ❑.GRADING' ❑ FOUNDATION- ❑STRUCTURAL -
LICENSED CONTRACTOR�DECLARATION._ ' ` ' � ' ❑ TENANT � ELECTRICAL• QPLUMBING-OMECHANICi
�1 heroby aitirm th�t I am Iitensetl untler pwvisions ot Charler 9�(com= � � " �� ,� �.• _, ,
mencln9•'with sectlorr 7000)-o(,O���slon-3-oi-the BuSiness-'antl ❑.Ol`HER' -'
�Ro(esslons Cotle, and my Ilcense Iz in full force ana effect.. �PROJECTDESCRIPTION' �
�Lt<enze CI'azs �' Ucertse No. - "' � ' - ' " - "
�Date -. . ' - "519natu�e + .. . _ _ � -SQ _FT. ^ . . . . ' _ _ _
WORKERS'�COMPENSATION-DECLARATION. - �. . . 10CCVPANCV_COfJSTRUCTION TVPE _ _
I hereby affirm that I have a certlficale o( conunt to self-insure.or a VALUAT�ION �' ZONE
'certlfifata�of Workers'�Compen5alioP InSuranCe, Or d CertIBeO'-Copy _ _ _ _.� . _. , _
'thereot (Section 3800, Lab. C.). { ,' GRAOING:CWYDS. ACRES
`PoIItY No. '{ '< <.ComPaOY' ' " " " . - _. _ _' "' _t _"'.. � . .. " '_'" _' . "'
❑ Certltietl COpy is.her¢Dy.furnishetl. - � - _ � ! REMqRKSi " I'_. _ . _ . _ _
;O ccrtinetl copy �s �t�iea w�m tne Nry ew�uing oiWs�on. � - - -' t-- - -
EXEMPTION FROM WORKERS"COMPENSATION"DECCARATION ' ' - - -- ----� -
�(ThiS 5ection neetl not be.tompletetl it the permit,is (or one huntlretl _ _- _ ,
�(5700� or less). , ' . � - - - '��' "` ' ' '
�1 car[ fy that m the performance of the work for which this permit Is
issuotl, I shall not emPloy any person'�n any marinar sa as [o'become � PLUMBING �-�, ,PLAN CHECK' '' --
sub�ect to.the.Worker5 CompenSdtiOn LawS,Of Califomia,: __ _ _ _ ' ' " ' ' '
�Date Si9nature ' BATHTUBS � � �� SHOWERS '- - � _
NOTICE: If atter making this tleclara�bn, you shoultl become subjech •TOILETS -� � .��URINALS -
�to tltG Wo�ke�s' Compen5ation provl5ion5 ot Ihe l.abo� COtl¢, you muzt - � �
�torthwith compty with suGh prOviSiOns Or thi5 permit Shall be tleemetl �VATORIES DOVBIE'LAV$ �-'
'.revOk¢tl. . • '. - - - - ' �. _
�CONSTRUCTION LENDING AGENC�' KIT. SINKS - - --'DISHWASHE - - -
';1 hereby alfirm Ihat there is a constrVction lentling agenty (or the per- SERV ICE SINKS ,' 7� ��� " -"- -
tormancebf the work for which thi4 permit is issuetl (Sectlon 309]
�Civ. C.1: ' "- ' ' - "' "' ' --"`"' ' - "FLOOR SINKS� """ - OR DRAINS - �
Lentler•5 Name
�Lentler'S Atltlress - bRINKING'FOUNTAINS" ' ' ' ' � --
OWNER BUILDE0. DECLARATION" ' - " - ' ' " ' IIVTERCEPTORS� CLA 5 �
I h@r¢by affirm lhat I aT ezempt frOT �h8 COntractor'S LicenSe Ldw for
t�e'following-reason� (Section �031.5'Busines5-antl �Professlons-Cotle: �SWIMMING POOG - -'P TRA -
qu�res ttie apFlicant tor suCh p¢rmit I
is'lltensetl'pursuant to the provisions
(Chdpt¢r 9 (commencing with Secl
Business antl-PrWessions Cotle)�or th�
ba9s for [he allegetl exemption. An�
any appllcant for a��permit subjects
ot not mO�e�than tiv¢ huntlr¢tl t1011a
❑� I, as owner o( thC prop¢rty, or n
Sole compenSdtlOn,_wlp.tlo the work,
or offeretl for sale. (Section 7044, Bi
Contractor.'s. License, Law tloes not t
who builtls or improves thereon, an�
thrOugh.his own emplOye¢s,.p�ovitlec
If1ICOdEtl.Of O((QlCd (OI SdIC. �1. IIOWE
is so ,wilhin one year of completior
of roving he tlitl not builtl or irt
1; as owner-of l�e- property,���
Iicensed cont�a<[ors l0 consirutt [he
antl-Protessions Cotle:-The Contracto
an ownet ot prOperty who builtls or
tracts^from such-projects with a �cc
the Contractor's License L.aw).
�-1 am exempt'untlei Section_
ieason- - - - - -
Date Owner_
�rwr co•rts issuance, aiso re- � �yyqTER SERV ICE '"
a signGtl StdtBment Ihat he
�Contractor'sL-icense�Law "GASSERVICE �
)00) of Dlvislon 3 of [he
: exempt theretrom antl the • yyqTER'HEATERS'"
lion of Sectlon ]031.5 by
p� �icant•to�a civil penalty -SEWER CONNECTIONS"
oloyees with wages as their 'SOCAR'TANK' ""' '
ie strucWre is not Intentletl
���
���
���
��
S71:T.��
antl Professlons Code: The SOLAR PIPING SVS. ���1 � -- �'-
to an Own¢r of a proper[y
tloes such work hlmself or ' ISSUE FEE � �;� � --
Such imp�ovements are not
i! bulltling Or imp�ovemenl MECHANICAL PLAN CHECK
owner will �ave [he burtl¢n �
toi the purpose o( sale)'. HEATING SVSTEM 0-300,000 BTU_
;clusively-contractin9-with -ANDDUCTING '- ��-- �
ict (Section 7044, Business 100,000 + BTU _
:ense Law tloes-nol�apply to�
�ves thereon, antl who con- REFRIGERATION 0-100,000 BTU_
:or(s)-Ilcesnotl pursuant to SYSTEM - � 100,000+gTU_
- 'B: & P: C. for lbis BOILERS BTU
SVSTEMREPAIR,ALTERATION .
I �ave reatl this appli<ation antl state lhat the above EXHAUST SVSTEM MULTIPLE
ect. I agree Yo compty'with all tily antl county -
laws relating to construction, antl hereby authorize !�
this city to ent6r'upon th¢ above' mentioneA-" ,
cuon pozes. , _ . 3/
Driver ' License o � � - ' ISSUE FEE -�- - - - -
CMF 0865-46 Wnite-Builtlin9: Canary-Appliwnt; Pink-Accounting; Goltlenrod-Assessor
5839 5/13/82 . '8.00 T��
` .
A.P. if _ . ' , ' _ . �
ZONE -� � .;PLNTGp. gRUEFL. �' '- �
SETBACK T. PROPE�RTYNLINE �
GL$
IDE VARD - - � . -
gEF
t R�IGHTA " ". " ' ." _ ' ' _. _ : ' '
•REARVARD(TOP/L) �� - '
, PKG. SPi10E RE�. � PROWDED' ' - - �
STREET WIDTH' � � PARK FEE S �
ZONING APPROVED'BV' " - DATE - -
� . . . . i
�'SPEdALCONDITIONS` � - ' - '" `
'__ ""' ' ""' .. _. .. _ _. '\.l
r' -' - ' - --. . - ' ' - . ., _
r :t. � �ii .u}. "
�ELECTRICAC -' - P�nrv Cr+ECK - -�
" _ " ' " _ _ " 't
'SCJ. FT. . '. - .
�GENERATOR - 'p_1 KW_1-lO.KW""'' '
,TRANSFORMER • - (
APPL'IANCE-" 30-SOKW�50+KW - �-
'MOTORS - - 0-1 HP-_1-30 HP " --- -
QNC.SOLAR) _ 10-SOHPy- SO+�HP � . ._ _ �
.
�'FIXTURES -' OUTLETS --SWITCHES - -' -��
GAS TUBESIGNS - - -" � - � � �
_ - ' _ " "!
:POLE LIGHTS -' --" ' ' - - �
POLES -�-� METERE� SUB-� ' " -
�PAfVEL'S ' MAIN" • SUB" � - -- -
'SERVICE - -"' "-' AMP ' ' S -
Y' ' _ _' ' _ ' •,`y:tl.
. _ ,._. _ _ _ __ . . _ _ .-�.y,
� __' . .�_ .� . . - '_-
� ISSUE FEE" - - ' �' ' '- ' -• - - -- -
' APVLICATION APPROVED 6V ' -- - -- - DATE �- j
SUMMARY OF PEES.. - .
� BUILDING �- -- - - - - - ' � � -
PERMIT E � SMIP� . .§ _
PLAN CHECK S PERMIT� .
PIUMBING § � � " " " ��SSUANCE $
�C�GR�ADING' _S ��
PLANCHECK E � � ,+� '��
• ELECTRICAL � E � � I . S �
PLAN CHECK E'' - MICROFILM E ' �
' �T -TOTAL FEE S - � �•� �
� MECHANICqL'Sx'� -
�P�AN�CHECK- . � LE55 AD- 1 ' �' ,Y
S 'VANCEPC $_ '
' . :1•1..,�-.�. .�. .'��' 1
. .. FINAL FEE y � ,
, . . . _ .:l; .:.
CONSTRUCTION AND PLANNING ' - �' � " ' POOL & SPA � - - �-
APPROVALS Permit # E�� Date Inspector APPROVALS - Permit # • :.Date � Inspector
1. Temporary Electrical Service or Pole � 43. Pool & Equipment Location ' - - --- � •
2. Soil _ipe-Undrgm 44. Steel Reinforcement ' �- �
3. Electrical Conduit Utility-Undrgrn 45. Forms �- •
4. Electrical Conduit-Undrgrn. 46. Electrical Bonding -- ---� ---- -- -
. tee ein orce • 47. Rou h Plumbin & Pressure Test-= -� - ' �
6. _ Electrical UFER Grn � - � 48. �APPROVAL TO COVER-GUNITE- - - - � - �
7. Footings__ 49. Electricat Conduit-Undr rn ' �
--8. - Foundation 50.., Gas Pi e, ❑ Undr m, Test - � �
-9. WaterPipe-Undrgm _ ' ' 51. BackwashLines P-Tre -�❑ ndrrn� - '
10. Structural Floor System � 52. APPROVAL TO DECK - "'
11. .Property Sewer Line & Nouse Connection. . � 53. Backwash & Rece tor-Final
"' � Street.Sewer.Connection. ' � ' - -� 54.- Heater & Vent-Final
Rough Plumbing - '- -' � ' -^• - "
14. Rough ElectricConduit - -- � -- �56. Electrical-Final ' � • � � � -
� 15. Rough Electric-Wiring - - - - - 57. Solar System-Final� '� " � � � � � - ' � �
16.�- Rough Heating & Air Conditioning - • encing & Access Approval
77. - �Ducts, in�Structure � "' ' ' APPROVED FOR PLASTERING ` ` • � • •
18. Ducts, Ventilating - - � � - . . _ . _ _ _ _ _ ,
. 19. Gas Pipe-Rough & Test - � � 60. POOUSPA SYSTEMS FINAL � � . . �
20. -Roof Framing - - � - ' � � � �
27. Roof Sheathin "- � ' "�'"' -- - ' �� � � - � . � -
22. Frame and Plashing - _ ��NOTES: - ,
; 23. Insulation � - ,-�• /
24. lathing & Siding - -� �"" �^ � ' ' � � - - . ._
25. Drywall Nailing . _ � "'� - ' � . . "
26 -Plaster Brown Coat - - � � � � - �
7. Electrical Power MeterFinal �j$ '-' ' � � � ' :
Final.Electrio- • -- ' :,' - � � � • � � v.•� ' -
, - Final Heating & Air Conditioning - - ' - a - � � �� � �
' Final Gas Pipe-Test - ` � "� � �
37. Final Plumbing ' � ' �
32. � Water Service-Final � - � -
- 33. Gas Service-Pinal • � � � �� '
34. Solar pomestio-Final � � � � ' �
35. Landsca e S rinklin S stem � � � �
36. Sound Attenuation � � � � � � - � � .
37. Handicap Regulations ' ' - - � - � � � � �
38. FINALSTRUCTURE&BUILDING � - • �
Special Requirements Completed • ' � ' ' � '
40. Electric Release to Edison -/ � � - ' �
Gas Release to Southern California Gas Co.
' 42. CERTIFICATE OF OCCUPANCY
' No. Date � . _
J
Applicant lo fill in all spaces wlthin heavy Do�tler lines anG slgn all app�o0riate tlecla�ations. �
OF COSTA MESA PERMIT N • ' TRACT NO. L T N . BLDG: NO. - - - - -- - -- -.
CONSTREICTICiNPERMIT ��. P{�$ %,3 ' f �� . P : , ' °T965 9/F'7/H2 '237.97 TL
ProjectAddress C�- . TVPEOFCONSTRUCTION � p`J/ _ � y� �, ,;,,t, ;.�� �;,. •k �
Owner ' ' = 'Phon f/ ❑-NEW ` �ADD ❑ ALTERATION �/ - - � -,, -� � - � - _ - -
Addrea 7 - / ❑ REPAIR .❑ CONVERSION_�DEMOLISH. _ _ _ ,
' � 20NING REGULATIONS�� ,--
ArCh/Eng. LiCense NO. ' � �THER '�
m . . _ DESCRIPTION OF WORK � A.P• � � � . _. . ...". --'
� Addr25s � �3 ' / �,�1- ' � � - , -� ZONE � � � :�P,LNG. REF, ,�' : ' _ ' - � .
Contractor hone -�^ �. TpgU Lp
� - � �iP/s� �" "J� TVPE OF PERMIT,- � ' -9E7 ACK ` � PROPE�RTV LIIVE �
! � Addf255 ' 1 , 'f� - , �.y�p � �Q GRADING 'I�FOUNDATION ^ ��$TRUCTURAL � --. •51 VARD' -- - - -� -
'�LICENSED CONTRACTOR.DECLARATION . � O�TENANT �I ELECTRICAL �PLUMBING ❑MECHANIC . L5Ip E VA • — �
`.I hereby afiirm thct 1 am Iicensetl unUer provlsions ot Charter 9�com- . - RIGHT •' .
mencin9 with� section �000) of Division 3 of [h Businais and . Q pTHER
,Professlons Cotic, an m� Ilconse Is In I pqOJECT DE 1 TIO REAq VARD (TO P/L) � -- -' '
,Litense I e " PKG. SPACE REQ. PROVIDED -
'Date � Signalure E /� 54. FT: ' , � _ . ' ' _ ' ' ' _.
WORKERS'C•MPENSATION.DECLARATIO .. . _ .. �OCCUPANCY � V NSTRUf',JIONTVPE _ __ STREETWIOTH PA K-FEEB� ' �
�I hereby af(irm that I have a certificate o( consent to 5 f-Insura,or a. VALUATION ZONE ' ��QNING'APPROVED.BY" DATE
icertificate ol orkers'-Compensation Insur ce, or-a cej1 i(Ietl qP y . . . ,_ _
,theroot (Se � �flAO , .- � L �[_ � GRADING CV. VDS. ACRES � SPHCIAL CONDITIONS � _
PolitY�No. � � PanY .C.✓l�e✓��?1��.a��iWi =-- � -- - - -- - --- - - -- � - � -
'� Certifietl.COpy is h¢r¢by tUmlShCtl.. ._ _. . _. _ _ . REMARKS: t' ' '�' �� -
�CerUfletl COpy is filetl with th¢ city Builtling DivisiOn. . , ��j COII /q�* `'�
EXEMPTION-FROM WORKERS" COMPENSATION'DECLARATION ^ ' � - ' - - - ' ' �' - - - �°1��� 6i_ A \.iff4
(Thls sectlon neetl.not b¢ Completetl it,th0 p¢rmit i5 to� one hun0�etl - ~' , � _ � �� �- ' �
(E3001 or leu). . . . . . . . . " - " - -' ' - - ,
.I tert(fy that in the per(ormance ot the work !or which this perml{ Is . . . .
Issuetl, � shall not employ any parsan in any manner so as to become PLUMBING -" �• PLAN CHECK �- - 'ELECTRICAC-- --PWN CHECK' --" I
SubfeCt.tO thG WOfkGfs' Compen5ation_LdwS of_Cdlifolnia._ _ _ ' --
Date � Si9nature � BATHTUBS �-�� �SHOWERS - -' � - - " ' -
NOTICE: If after making [his tleUarafion, you should betoma sub)ect -�TOILETS � � r URINACS'- •-" -- -- GENERATOR- p.l KW-=� 1-30 KW "� ' -"I
to tha Workers' Compensation provisions of the Labor Cotlo, you must � - TRANSFORMER .
forthwlth"comply with such provislons or thls permit shall be tleemetl L.CVATORIES DOUBCE L'AVS � •- --qppL1ANCE' - 30-SO�KW=50+KW -- --
ICVOkGtl. _ � .; , � . ,_ ,
.. _
� �
' "'-" '-" ' 'KIT:SINKS ' -"" DISHWASHERS" ' -'-----�' MOTORS -- �
CONSTRUCTION LENDING AGENCV . -- - 0'1--HP'�1-lOHP '--- --- - - -
I h¢r¢by affirm that there'IS a constructlOn,l¢ntling ageOGy Por the per- SERVICE $INKS• >�'� �� SUMPS.' j' �� T4" -' - -� `,- -UN0. SOLAR)._ y050�HP_50 * HP �' '` . r'_
'formance of the work�for�whlch tM1ls:permit is issuetl (Se<tion.3097 � -� � � �. . �
._ " ' "' ' . ' " ' , . .. - . . .
'C10"�'�' ' ' � - � y - i ' �" -`: - '-FLOOR'SINKS�-' T FLOOR'DRAINS""'-^- - ' -"'iF�XTl1RE5 ' " OUTLE75 SWITCHES- - --'- ' - ��
L.enC¢r'S� Name
�� DRINKING FOUNTAINS' ' " - - ' - . - GAS TUBE SIGNS -• �,
Lentler'S Atltlress . �i -'-- -" --- -
OWNERBUILDER'DECLARATION� -� � ' S ' - �t� --- 'POLEIIC�HTS--
�INTERCEPTORS � � - CLARIFIERS " -- ' -' '- '�- - - -
I hereby affirm tbat I am exempt from the Contractor's Llcensa law tor - �
� the't011owinq reasom(Section ]W3.5-Business antl PrOfGStions Cotle:' '$WIMMiNGPOOL', '�', PTRAP' �' ' - -
Any city or coun[y whiGh,.rGquire5 a permit to cOnStruct;•al[er; � ��POLE$ - METERED SUB '- � �
Improve, tlemolistr or repair any structure, prior to its Issuance,-also re-� +WqTER SERVICE -' '�' ACTERATION'" '"' PANECS - MAIN - � SUB - -
qW�es the ap�.liwn[ for such pCrmit to filn a signetl ztatemen[ Iha[ he .. � 1
I5'licensetl•pursuanbto�tne•provislonroP[he�Contractor's�Llcense-Law GASSERVICE� � - 'OOTLETS� �- " -' ''SERVICE-- -- � - - - AMP - - - - �
(Chdpt¢r 9(commencing with Section ]000) ot Oivlsion 3 of the •-� _
Business antl PrWess�ons Cotle) or that he is exemphtherefrom antl lhe �yyqTER'HEATE0.5 " BTU'OVTPUT ' - - - �- - -- - - - - � -
basis for tM1c alleged exemptlon. Any violation of Sectlon 7031.5 by - �
any applicant ior a-permit subjecls-Ihe�apPlicant-to a civil penalty� � SEWERCONNECTIONS"^ ^•'^"' ��-- I i � ---- ---"- '''' ' _ i
bf not more than five M1untlretl tlollars (E500). -
.� ,0 I, as owrier o�-the�properry; or'"my employees with wages as"[helr SO�AR TANK" �� ' �COCIECTORS - -
sole.tompensation, will tlo the work, antl tha structure I5 not Intentletl -�
or otferetl for wle. (Sec[ion 7044, Business antl Protessions Cotle: Thc �SOLAR�PIPING SVS' ' " ' ' -� - ' f' ISSUE FEE- - - -- — - •^ � -� - -
Contractor'S License Law tloes not appry to an owner oi a property ' "'�
who builtls or improves thereon, antl who Eoes such work Nmseltbr ISSUE FEE --� �! -- -"'" - -- j%�PPLICATION�APPROYED BV� pJjTg. �� � L
.IhrOu9h his own employGeS, provltletl thdt such improvements are not
intenCetl or olleretl for sale. II, however, the builGing or'improvement MECHANICAL PLAN CHECK ' -- ^' '""
is zoltl wilbin one year of compleJion, the owner will have [he burtlen $UMMARV OF FEES '
Ot prOving he tli❑ no[ builtl or iinProve tor the-purpose ol sale). -- BVILDING --- .-- .- _� Q_ i
�0�1,-as-owner �ol-tM1e-p�operty, am ¢xclusively conVacting with, HEATINGSVSTEM Od00,000BTV �PERMIT b� SMiP 1�•�
❑censed contractors to wns[ruc[ the prolect Seciion 7044, Busine55 � AND'DVCTING _ - - - - - - �- ' _ _ _ _.I
( � '100,000+BTV rPLANCHECK E ��• � � • PERMIT -�
�antl� Profes5ion5 Cotle:-The Conlracror's Licansa Law tloes notappty fo ' _ ;ISSUANCE--.E . 1
an owner ol property who builtls or improvez thereon, antl who con- REFRIGERATION 0-100,000 BTV ' PLUMBING
lracts�irom�such projects-with a.coniractor(s)-Iicesne0 Pursuanl_to SVSTEM-. . :y- _ . . __ _ _ E _ GRADING� $'' ��' 4�'•� �
the Contraclor's License Law). , t, � �300,000 + gTU �_ _PLAN CHECK �E � � _'
❑ I"am exempt untler SetUon-" ' 'B. & P. C. forthis . - • - � � - - �� . � '
BOILERS �y` �� ABTU } � ELECTRIC'AL "y '��"'_� � E
> i.n� �
�reason � - � PLANCHECK -E-�^' � MICROFILM'E `�
SVSTEMREPAIR-,ALTERATION --j- 'w'1�
�Date Owner ' �� � � TOSAb FEE S -' � �
E%HAUSTSVSTEM MULTIPLE ( MECHANICAL S - �- e
'I htr¢by cerlify lhal I havE r¢atl IhiS applicafion antl state lnat Ihe above LESS�AD- �
inlormatlon is correcL I' agree'to tomply witn all Nty antl tounty PLHNCHECK� �E - - VANCEPC 5_ -' -
ortlinanc¢s antl slate laws relatlng f0 con5truction, antl �ereby authoriie ,. . .,
reDresentaUves of this city to enter �upon' the-'above mentionetl -� .
property to�ws , io urpo 5. 7
Signatur¢ Da[e�/�L FINAL FEE S a.3?. �r �
Drivers' Licensc or 55 �� � ISSUE FEE . _ _ . _ _ _
CMF 0865-46 Wnite-Builtling; Canary-Applicant; Pink-Actounting; Goltlenrotl-Assessor
CONSTRUCTION AND PLANNIN�G,� ��y� � POOL & SPA ' � - � � ' _ - a .y ' ,
APPROVALS Permit # "�� Date " I'nspector ppPROVALS Permit # � -: Datet Inspector ���
d
1. Temporary Electrical Service or Pole _ - 43. Pool�& Equipment Loration • - -- � - - - - ---� -
2. _Soil ipe-Undrgrn 44. SteelReinforcement � � - -- - - �-� �-;'- --'�
3. Electrical Conduit-UtilityrUndrgrn'-:`._ 1�. � . 45. Forms � - -- � - - � � � - �- -• �
. 4.. _ Electrical Conduit-Undrgrn � ' - : 46. �Electricai Bonding _ - - - -- - - - - ' - - - -
tee em orce �• • 47. Rough Plumbin & Pressure-Test- -- �--- •-
i _6. Electrical UFER Grn _ _,�`� - - � 48. APRROVALTO COVER-GUNITE - �-' - - _ - +'- -��-.�
7. Footings � 49. Electrical Conduit-Undr rn ' " �� '
8. _ Eoundation_ . ~ _.i_: 50. Gas Pipe, ❑ Undr m; Test � � � � •� -
,. 9.� Water.'Fipe-Undrgrn _ 51 . � Backwash Lines P-Tra� -' � ndr- rn' � - - ' ' ' -
10.. StructuraLFloorSystem, ' � - � 52. � APPROVAL7'O.DECK � " ` ' ` ' - '- " - - -
' -11. �Property Sewer Line &,House Connection :_ � _�. .53. Backwash & Rece tor-Final � • ' �� � �
: 12. � Street Sewer Connection - . ' ' � ��� -- � � 54. Heater & Vent-Final ' � ' �F� ` - � �-
3._ _Rough.Plumbing. '- � � " - - - - - � - - - - - - -' - � - - -- ' --- - •
.��
.�_ .__ . ___.....,-. __ . . .,
14. RoughElectric�Co�duit: j'�.i���:s'��'tt,��"` , . ---.' . � _._ ...56: Electrical-Final- � .� �. . -.. ' . .... ..
� 15. Rough Electric-Wiring - � - ' - D 1i- ' -- -57r SolarSystem-Final-`�,;'"' " ` ' "' ' �' ' ' ' �' �
"16. �Rough Heating & Air Conditioning- • - - - - - - - � encing & Access Approval � -
17. Ducts in Structure '� "" . F ' 9• APPROVED FOR PLASTERING " '
- - - - -. . _ . _ - � -•- - - ,' .
. 18. Ducts; Ventilating- �- ' -.- �-- - -��' .- ._ .. � - . � . ..
' 19. Gas Pipe-Rough &TesY � � � r - - r- � - -- =�•-- POOL/SPA SYSTEMS FINAL ' , � • '� �=�� •�
r -20.- Roof-Framing - - - - _ - - . r. : " . . . , , ' � , , .
Y
, 21. Roof Sheathin �"" ' - - -- --- ' - • � � •�� � � � � - ��' 1
�• y_
� 22, Frame and Flashin � -� � . - N- . .. _ NOTES: � ' . .��� p - • �1 ,'�a . _ - y�.�
� 23: Insulation- �. � .. ' . . `-• � � - ' - - � Q, " +Lp � ) •7yLe
24.� Lathing�&Siding - � � = -- �'a - . � •/. � �
25. - Drywall Nailing . - . _ - - �3' _ -� � � .' . . ' '�
- 26.- PlasterBrownCoat • � � - ' 'lyb�a- '/0�13� �--
27. Electrical Power MeterFinal � - �- - ' �_,./ ' ' � ' " � ' ' � - - . � �' � " -
. 28: Final Electric . - . _ . . . ._ L . �% - . . � . . , . . . . . . .. -
'�. Final Heating & Air Conditioning - � ' � - , . , .
.Q Final Gas Pipe-Test � - - - � - - � ' ' - - � �
31. .Final Plumbing - ' � •
, 32. �. Water Service-Final . � � � - - - - - � ' ' ' � '
� '33 � Gas Service-Final � � - - - � � � '' � '
� 34. Solar pomestic-Final � • ' '� • � �' �' �
35. - Landsca e S rinklin S stem : � ' ' ' ' ' ' - ' •
36. Sound Attenuation ' � - - - ' � ' � � � � � �
Handicap Regulations -- ' � � � ' � � � � - .
38. FINALSTRUCTURE&BUILDING � <, �
3 . Special Requirements Completed � � � " �
0. Electric Release to Edison � � - - � -
41. Gas Release�to Southern California Gas Co. - ' � - '
42. CERTIFICATEOFOCCUPANCY -
No Date _
, - /