HomeMy WebLinkAbout650 17TH ST - Building Permits�
Pfl0.1ELTRODPESS: 6SO W 17"PH ST
owxcn•sxunE: NOOECKER FAMILY TRUST
nooeess: 15054 OXNARD ST
VAN NUYS 91411
uxrt: C
pNCH/ENGINEEfl: VAN FOSSEN ARCHITECTS sec.xo.: C12675
noneess: 3300 IRVIIJE AV UNIT: z8O
NB CA 92660
PENMITTEE: R E FIEGE COMPANY (310)494-212"1
nooeess: 3393 E 19TH ST
LONG BEACH CA 90806
UCENSED CONTNRCTOP OECIAMTION: I �ereEy allirm Iha� I am IicenseC unAer D�aWsions ol Ctupter 9(commencinp wit� Section
7000� ol Orvision 3 oi tAe Business arq Pmlessions Codo, antl my lir,�nse is in full lorce anE ellect. ,
ciTruc.:0 �6C ._ "T�.:478801 , c}nss: ��
Oate; SignaWre: ��
WURNENS'C MPENS�RONOFCLARAitON: IlreretlYaliirmNailnareacenifkateofconsmtrosNb'msureoracenilkaleo7Worker5'
Compepsyppn��}!� 4 i w0�( ereol ISection 3800, LaO.
PoLICVNO.:+�^�+����—V� E%P.DRTE: S�O1/93
cornrnxr: GOLDEN EAG,-LME
� Cenifie0 copy is ereGy lumisnetl. L9 Cenilied topy is 0 with tAe cit BuilO' Oivision. •
Date: / � � �7� Appliwnt: Y- `� �`��
ElIEh1P�lUN iPOM WOpIIEqS' COMPENSR710N OECWM710N: Rhis secnon neM rot Oe campkteC ii iM pemt b Iw me AuMreC (5700) or @ss).
I ttryify t�ai in 1he peAormairce ol IAe work for wluc� t�i5 Dermil is issued, I stwll mt empWy arry persan in any manner w as to 6ecome
I SuUletl IO I�e Workers' Comp¢nsali0n laws a� Calitomia.
Datp: SiAnaWre:
NOTILE: II. aiter making t�is Aeclaration, yau s�oNd 6ecome su�ject to I�e WaMers' Compenution provisions oi ihe Labor
� CaEO. you musl forlAwilh comD�Y �t� suc� piovisions or Ihis Dermii SAall �e AeemeE rewkeU.
CONSTB�CTION LENDING �GENCV: I her¢Gy allifm ��ai Ihere iS a ton5�ruclion IenAing apenty �of ��e pedolmante 0� lhe work �or
w�it� Ihis Oermi� i5 i55ul0 �SeCiion 3097. Civ. C�.
lfNOER:
I p00flE$S:
OWNEB BUItDEB OECUN�TION: I here0y allirm Ihat I am oxempt Imm ine Comranari State License law lor Ino follawinp reason
(SecliOn 7031.5 Busine55 aM Pmlesvonat COAe: My cily ol county w�qh r¢puires a perllut lo WRStru�t, atler, imptove, tlemolisR or
repair any slmclure. vrior to its issuance. also reQuires ine aDPlicanl for sucn oermit to Ii1e a sipneU sptement 1tu1 he/sne is Ilcense0
pursuam lo ��e pmvisions ot tne Contracmrs' Slaie License law (C�apier g(commencinq vri�A Section 7000) al 0ivision 3 ol Ihe Business
and PmIe55ian5 Catle� or ihdt hE/She is exempt IAerelrom and t�e 6asis lar t�e alleqed e�empiion. Any violation al Seclion 70.3t.5 by
any aDV��cam lor a permit su0jttts ihe applicant to a civll penally of not more ttun Irve �undred OOPars (5500�.
I. as Owner ol t�e pmperiy or rtty em loyees with wdges as t�eir sde Campehution, wiA da ihe work, anU t�e
� svucmre u na �ntenoee a oneree �a sate I�enion 70d4. Buvness an0 Prulessional Coee: 7�e Contractors' Sute License Law
Oces mt apph/ to an ovmer of a D�oveny wlio puilas or impmv¢s rtierean, ana wlw Oces w[li wnM nim5e0/AeBe1t or ihmuAh
�i5 or Icer oWn employees. OrwWeE ttwl suth imprOvemenis are not in�enOW or otter¢E IOr Sale. II, tqwever ��e DuilAinA or
, imD�wemem is mIE vntMn one year af camDletioq �he owner will have I�e OurEen ol provirig hNshe Ob (rot 6uiltl ar imprme
for ine puryvse of 5dle�.
I, as owner ol the pmDetly, am ezclu9vely conlracting with licensed contractars to cansiNct the Dmject (Section 70Ed, Business
❑ and Profesvms Coee: Tne Contractms' State Licerrse Law dces not apWy ro an owrrer at praperty wlro MnMs ar improves tMreon
antl who contracis for suc� prqects vntA a cantractoqs� license Oursuant �o the Contractors' State Lkense Law�. 1 am aware
I�at Draot ol I�ei� Wotlmr's Compen5diion insurance shoNG be D«4� �o rtk.
Q I am e+empt unUer Sectian: B. 8 P. C.
tor 1hi5 reason:
Oa�e: Owner:
I Go �ertby cenily Ihat I am aware ol an0 unGerstantl t�e requirements ol Calilomia Hoallh an0 Salery Coae Seclions 25505, 25533, anA
25534 antl ��ai I or any imure �uiitling acupant wiil/wiil not (circle one) neetl �o comDry wit� uiA state wdes anU Ihe repuimmenis br a
permil lor con5imclion m moailitalion Imm I�e Air ualiiy Managemeni Disinct. RevCential comiruction apDlicatbns are exemD� ��om
mese cmvivms.
Oaie: MV��wm:
I heteGy Rttl�y IIWI I tuve � WO t�6 apOfiwtion an0 5t2�C Ihai I�e a�ove inlormation is fOrr¢ci. I aqrte la compry xiill all Ciiy anG counly
ortlinancaaMstatelavrsrelatvptoEatlGingcwrsvuctimanOhere�y oraerew���� ot�to¢nterupanthea0ove�memioneE
O�Opetly lorin5pet�ion OurpoS . j �
i / ��
�ate: Signature:
ori.er's ucense o� so��ai se��mv •:
16aFd6 W�ite—Buibirg; Green—CoEe Enlorcemenl: Canary—Applicant; Pink—Revenue: GdOenraE—As5e550r
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B OS9Ubtl
PERMIT NO; B 059068 PLAN CHECR NO: 04475-91 L GOVT; N SUPP; R!
CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE; NEW
JOH DESCRIPTION : NEW AUTO SERVICE SHELL BLDG SQ FT: 12,465
CLAIM VALUE; 486,135.U0 CALC—VALUE: 273,232.80 GROUP OCC; B-1 /B-2
COMMENTS: NEW AUTO SERVICE SHELL BLDG
x�*�r�r*�r**��r�t�t�t*��r**�r**x��r*�r�r*�r�r�r*��r�*�+�+��r*�*x�r���e*�r*��r�*�r*�t*+�***��t+�x***�+�**��x*x�
Z O N I h1 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 ---------
FRNT; 238 F7' IN REAR; 6 FT IN FRNT; FT IN REAR: FT IN
LEFT; FT 6 IN RGHT; 12 FT ZN LcFT; FT IN RGHT; FT TN
PARKING REQ• 78 PROV; 100 PARCEL; 42428114 ZNE; MG REF NO; PA-91-43
PLANNING Ni�TES> 12,465 SQ FT, IND. BLDG. AS PART OF 3 UNIT IND, PROJ.
> PA-91-437RA-91—OS (P F B )
***�t**+t**��r***��r*�t�t+r+r�t�*���*�e*x*�r�**�r*�r*£�*****�r*x-*�r��x�*+��r+r�r*��r**+��*���e�t****r***
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 � DAT$; ��c�,L
BUILDING APPROVED HY : DATE; q
APPLICATION ISSUED BY: DATE; l( �
ikiElEiElkil�itlFkiElElFiFiEiEi6jfkiFiEiEfE ifiEiEiElFiElEiFiEit t+� 3(�
1f iF If 1f iF 1E * if k 1E Ik if iE if iE iE IF 1f IF !k iF ff ik �E IE ik iE k if iE 1E iE 1f if 3f iE 1E iE 3f iflf iF # if ��E ff # lf lf #�FlE �f #� if if if if 1f if if iE iE �E iE if iE �E iE �Af if 1f �P 1f i61E if iE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 1,298.50 ,� „
SMIP/NON-RcS"
PLAN 811.53 $7.; 3g ;�
ZSSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID'•� DUE
TOTALS----> 1305,88 0,00 811,53 2717,41 2117,41': •• ,00
REVENUE DIVISION TOTALS--> COLLECTED; 1305.88 OVER/SHORT::;� 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIkE SMIP/TOT GRADZNG P1.AN—CHECK
1248,50 57,38 ,,; -i;;
if iE ik it iE aE 1E iE k if i63f if if if iE iE iF iE ib iE if� ik if IF iF iF ik iF ik iE iE iE af if if k If if iF iF iE k iEiF 3E iE iE iP k k 1E if if !E if iF 3F iE if it iE iE iF iF if 3E if * i'r R �F iE if if iEit M�it
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T Z O N UNIT COST TqTAL COST
J
SFC 12465 IND—SHELL TYPE V—N —AV6R 21,92 273,232,80
END OF FEES
EXPIRED
fncamplete Inspections
Liet! — $Ig --
�'rez�H�-��/
��/�y/93
�,__ . . . . ,
CONSTRUCTION AND PLANNING POOL �4 SPA
APPROVALS Permit # Date Inspector qppROVALS Permit � Date Inspector
1. Temporary Electrical $ervice or Pole 52. Pooi & Equipment Location
2. Soil Pipe�Undrgrntl. 53. Steel Reinforcement
3. Elec[rical Conduit Utility-Undrgrnd. 54. Forms
4. Electricai Conduit•Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test
6. Electncal UFER Grnd. 57. APPROVAL Tp COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe•Undrgrnd. , 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System - 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �
12. Sewer Cap 63. Heater & Vent•final
13. Roof Drains 64. Plumbing System - Finaf
74. Rough Plumbing � 65. Electrica6Final
15. Rough ElectriCal�Conduit 66. Solar System�Final
16. Rough ElectriC W��ing 67. Fencing & Access ApUroval
17. Rou9h Wiring Sign . 68. APPROVED FOR PLASTERING
18. Rough Electrital•T Bar Ceilinq 69. POOL/SPA SYSTEMS FINAL
19. fiough Heating & Air Conditio�ing FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. DuCts, in StruGture 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas OOiI
23. Gas Pipe•Rough & Test 72. Underground Flush ;y
24. Roof Framing - 73. Undergrnd.StorageTank OGas OOiI _
25. Roof Sheathing 74. Overhead Hydro , �
26. T•8ar Ceiling (Struciurall & Monocoat 75. Dry Chemicat -
27. Frame and Flashing 76. Dry Standpipe -
28. Lathing & Siding �� 77. FIXED SYSTEM FINAL '
i �
29. Insulation � � ; 78, f�RE PREV. FiNAL "
� � � HEALTH DEPT. REQUIREMENT �
30. Drywall Nailing - � �
� 31. Plaster Brown Coat � � 79. FINAL INSPECTION
32. Electrical Power MeterFinal � I 80. FOOD CERTIFICATE ISSUED
33. Finai Electric . � � Notes:
34. Final Heating & Air Conditioning � �-�
35. Final Gas Pipe�Test i � �
36. Hood o� Canopy . , i
i ,
37. Final Factory Fireplace �
i
38. Final Plumbing � ; .
39. Water Service-Final i ' '
40. Gas Service•Final ; i
41, Solar pomestia•Finat '
42. Backflow Preventer 1 �
43. Backflow Irrigation
44. landscape Irripation System
45. Sound Attenuation
46. Handicap Fegulations E X P( R E-�
e-InSi�t�
. 47. FINAL STRUCTURE & BUILDING . �
48. FINAI PLANNING �'� � �
! �
49. Electric Release to Edison � '
50. Gas Release to Southern California Gas Co � � +
51. CERTIFICATE OF OCCUPANCY '
No. Date '
yl
Pfl0.1ECT qDDNE55: ( JO W 17TH $T
OWNEN'S NRME: NOOECKER FAMILY TRUST
aooxess: 15054 OXNARD ST
VAN NUYS 91411
uxrt:
AfltM/ENGINEEfl: VAN FOSSEN ARCHI'PECTS xec.xo.: C12675
ADDHESS: 3300 IRVINE AV uxir: Zgp
PEflMITTEE: RBE FIEGE COMPANY CA 9266310)494-2127
nooxess: 3393 E 19TH ST
LONG HEACH CA 90806
LICENSED CONiPACTON OECIAflRTION: I hereGy a�firm Ihat I am licensed wEer pwvi5ions ol ChaD�er 9 �commencing with Sec�ion
7000� ol Oivision 3 of the Business and Pmlessians CoOe. an0 my licen s in iNl force an0 efle �
nTv uc.: 0 6 9 �rnTe uc.: 4 7 8 8 01 _ c s: B�
Oate: / � I� SipnaWre:
WOPREflS' COMPENSRTION OELIABATION: I her¢by a��irm Ihai I �ave a terli�iCaie 01 mn5¢ni l0 5e14in5ui or a cenificaie af workers'
Campensation i e coo � ereot I���ian 3800, Lab.
raucv No.: ��� ��`� �—�� E%P. ORTE: 1 I O S I 9 3
can+rnxr: GOLDEN EAGLE _
� �y n.
Cerli�ieJ copy is her¢by � mi5hed. L'T C¢rtified Copy i5/ileE vnih� e cM1y BUilOin on. .� � 2 �
Ua�e: / � Appliwni: �� /
E%EMPIION OM WOflKEBS' COMPENSRTION OECUIIATION: (il�is 5eciion neM not Ue comple�N il �lie permi� a �a one AunOreA (5100) w kss�.
I c¢tli�y t�al in ihe Dedormante o� t�e work lor whic� �his permil is i55ue0, I shall no� emDloy any p¢rsOn in any mannef sa as �0 6ecome
SUGjeci lo I�e Workers' Compen5aiion Laws af Cali�amia.
Oate: SiAnama:
NOTICE: II, aller making Ihis Ueclaration, you shoWU 6ecome sublect to I�e Workers' ComDensalion provisions o� the Labor
Catle. you musi fonhwith compN vnth suc� Omvisions ar tNs permi� shall he OeemeO revoketl.
CONSTBUCTION LENDING AGENCY: I here�y allirm Ihal Ihere is a con5iruclion lenaing aAency for the Detiormance ol �he work �or
whic� ��is permi�is issued (Seciian 3097. Civ. C).
lENOEfl:
AODHESS:
UWNEB 9UIL�Efl DECLABRTION: I here�y aifirm Ihat I am exempl imm ihe Contractors' State License Law /or the following reason
(Section 703t.5 Business ana Pmtessionat CoOe: Any ciry ol coumy which reQuires a permit to constmct, alter, improve, tlemolish, or
repair any s�mc�ure.prior lo ils issuance. also requires ihe applicani tor such Dermi� �o lile a signe0 staiemen� ihai he/she is licensetl
purSuanl Io Ih¢ pwvision5 0� Ihe Coniractors' State License Law (Chapter 9(comm¢ncing wilh Section 7000) oi Oivision 3 of lhe Business
antl Pmiessions Cotle) or that �e/s�e is exempi ��erelrom and t�e �asis lor the alleqe0 e�emption. Any violation ot Section 7031.5 Dy
any aD0licanl lor a permi� SublecLs the aD0litan� lo a civil penaliy al nol more �han live �untlreE dollars (E500).
I, as owner ol t�e pmDerty or my employees with waqes as Iheir sole compensation, will Ao Ihe work, an0 t�e
❑ svucture is not intenEeE or oflere0lor ule (Section 70aa. Business an0 Prolessional CoOe: Ttre Convapors' State License Law
tloes nol a00�Y to an owner ol a pmpeny w�o builOs or impmves thereon, an0 w�a tloes suc� work Irimseif/herself or ihmuAh
his ar her own emvioyees. D�oviAeO ihat sutn imomvemenis are not intentletl or oifereA far Shce. If, however the builEing ar
impmvement is saltl withm one year oi completion, t�e owner will �ave ihe UurUen of pmvinB he/s�e Uitl not bui10 or impmve
"' tor tne o�roose ot salel.
I, as owner af t�e D�oDerty. am exclusivel9 comractinA with Iicense0 conVactors to consimct c�0 pmlect (Sec�ion 70E4, Business
❑ anE Profestims COAe� The Cantraztors' State Lkense Law aces nol aDPN a��er of prope�fy wAo Emlds or imD�� �hemon
anA w�o comracis for such Drojecis wit0 a contractor(5) license Dursuant Io I�e Coniractors' State license Law�. I am aware
ihat prool of lheir Worker's Compensation insurance should Le proviUeO to me.
� I am ezemp� untler Setlion: e. 8 P. C.
forlhis reason:
Oare: Owner.
I Oo hereby cenity tnat 1 am aware o1 and untlerstan0 the requirements of Calilomia Health anA Salery CoOe Sections 25505, 25533, and
2553a an0 Iha� I or any INure building occupani will/vnll noi (circle ane) nee0 io comDN ��h saiG Slate cotle5 and IAe repuiremen�s lar a
permit lor constmclion or motlilication imm Ihe Au Ouatiry ManagOmenl Distric�. flesidential constmc�ion applications are exemOt imm
�nese pmvisions.
Daie: Applicant:
Iher¢by terlilyi�al I have rea0�hi5 appiication antl Sla�e�hai Ihe aUov ormalionis eorrect.laAree to comD�Y'�+�lh allci�y an0 couniy
ordinancesantlstatelawsrela�ing�obuildingcansimclionantlhereby oriiereD�e5enlairve5 Ihijjs��''�� Ieruponthea�oDe-men�ionetl
praperlY �or �e� ion� r� ¢�. ���
/ �
Dale: SignaWre:
. ,
oriver's �icense or socia� security x:
1641�a6 Whne—Builtlin0: Green—Cotle Enlorcemenl'. Cenary—Apolicant: Pink—Rovenuo: Goltlenrotl—As<es�nr
�
CITY OF COS'PA MESA — HUILDING PERMIT PERM NO; GRA 7 Ub/
PERMIT NO; GRA 059067 PLAN CHECK NO; 044'16-91 L �ZSVV�N SLiYI�: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: GRA PURPOSE: t�IEW
JOB DESCkIPTION ; NEW AUTO SERVICE SHELL BLDG SQ FT;
CLAIM VALUE: 10,000,00 CALC—VALUE: GROUP OCC; B-1 /B-2
COMMENTS; GRADING FOR 2 SHELL BLDGS
�*�*�r�r��***�r�r**xxx��r�r��**��****�*�r****�r*�*x•*x*�*+r**x�*��**+���*x**��r*�r**�*****x**�ex*
Z O N I N G R E Q U I R E M E N T 5
ssTBAcxs
------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT ZN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV; PARCEL: 42428114 ZNE: REF NO;
PLANNING N(3T'ES>
7
if iF 3E �k if� �lE 1E ih ih j4 if iE iE 3E iE iF iE 1E iE iE if 1E �IE iE 1E iF iE iE 1E iE iE 3F if� if ik iE iF if iE iE IE 1f� iE iE iE fE iE IE iF iF K� iF iF it iE iE 1F 1E i4 iF if # iE iE k i(� iE IE iF iF 1E iF iE IE 3E IE i( iF iE
D E V E L O P M E N T S E R V I C E S A E Q U I R E M E N T S
20NING APPROVED BY DATE;
BUILDING APPROVED HY ; DATE;
APPLICATION ISSUED BY; �� � DATE• �
ikik�lkifi6iEkikllfEif3FiFdfif�EiflEikititiEiF�iF3fiFiF3FiriFiF'iFiFiFiF 3FiF iF x�F3Fitf�F'�FTr��i'tiEiF*;Y�iF�]E9Fif3ti! tr r r iFif
iE 3E �E itlE 3f fk iF �f iE 1F iF If �f K� iE if if �E iE iF �E iE 3F �F �E �F iE �E �E iE �E iE if i! iE if i41E IEiE iF iE if iF jF iE iE iF if 3E �E if iE iE 3F 1kiE iE iE if iE if if if j(� iF iE if iE 1E jF iE if iF it iF �FlE
LEGALIZATION;N F E E S U M M A R Y STRUCTDRAL SEGN,ENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT Y 126.00
PLAN SMIP°/NON—RES �0,00
ISSQE FEE �_�'i - 3.U0
HUII,DING—DIV—> YERMIT ISSUE PLAN—CHECI( TOTAI. ,PAID DUE
TOTALS— --> 126.00 3,00 30,00 159.00 ��l59';00 ,00
.� �
REVENUE DIVISION TOTALS--> COLI.ECTED: 129,00 OVER/SHORT; 00
BLDG PMT PLUMBING ELEC1'RIC MECHANIC FIRE SMIP/'POT-- GRAD'ING PLAN—CHECK
z _129.00
fl� it �l(� if 4! iE if �IF iE �Ik iE iE �)FiF lE iE )f iE �IE fF ik�k 3f �1E i4 fF #it ik �lE if jF�k �1(-�1E 9E iEit �%if �7! iE 1t IE i! dE 3E�lf if iE iFiE if �%iE �X-1E�}'rdE1E��.iiiE
I N D I V I D U A L F E E H R E A K ll O W=N
i
TYPE QTY D E 5 C R I P T I O N UNIT COS'T
3k i(� �k dEiEi(--1F �1F iE if if �E
TOTAL COST
NO FEES WERE SELECTED FOR THIS PERMIT �
EXPIRED �l� _ ���
I te Ins �ro-cea�'`�
,� 3 ��._ � ��/�6/9�
-: �,
l�i�rr.:� _' .- . _ ..
CONSTRUCTION AND PLANNING POOL a SPA
'� APPROVALS Permit # � Date Inspector AppROVALS Permit # Date Inspector
� 1. Temporary Electrical Service or Pole ' � 52. Pool & Equipment Location
��2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ,
3.. Electrical Conduit Utility•Undrgrnd. � 54. Forms
4. Electrical Conduit•Undrgrnd. _ �� 55. ElectriCal Bonding
5. Steel Reinforcement - 56. Ro�gh Plumbi�g & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
� 8. Foundation - 59. Gas Pipe, d Undrgrnd., Test
9. Water Pipe-Undrgrnd. . � 60. Backwash Lines, P�Trap, O' Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Finaf
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbinq SYstem - Final �
14. Rough Plumbing 65. Electrical�Final
15. Rough Electrical�Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access App�oval
77. Rough Wiring Sign 68. APPROVED FOfl PLASTERING
18. Rough Electrical�T Bar Cei�ing - 69. POOLlSPA SYSTEMS FtfVAL
19. flough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough FactotY Fireplace � APPROVALS Permit # �
21. Ducts, in Str�cture - 70. Underground Hydro �
22. Dutts, Ventilating � 77. Prpduct Piping OGas ❑Oil
23. Gas Pipe�Rough & Test , 72. Underground Flush
24. RoofFraming - ' �3. Undergrnd.StorageTankOGas ❑Oil
25. Roof Sheathing ' 74. Overhead Hydro
26. T�Bar Ceiling (Structurap & Monocoat 75. Dry Chemical
27. Freme and Flashing 76. Dry Standpipe ��
28. Lathing & Sid�ng � � 77. FIXED SYSTEM FINAL �
29. Insulation ' � 78. FIRE PFEV. FINAL �'� -
i
30. Drywall Nailing � � ; HEALTH DEPT. REQUIREMEN7 „- .rt
31. Plasrer Brown Coat � ' 79. FINAL INSPECT�ON , _- U
' �:
32. Electrical Power Meter�Final � j 80. FOOD CERTIFICATE ISSUED ��. K
33. final Electric � � � Notes: . �
�
34. Final Heating & Air Conditioning � ' I
35. Final Gas Pipe�Tes[ � ' � �
� '
36. Hood or CanOpY (
37. Final Factory Fireplace � '
�
38. Final Plumbing � �
39. Waeer Service-Pinal � 1 � .
40. Gas Service�Pinal ,
41. Solar pomest�cFinal � , �
42. Backflow Pre�enter � I � " � '
43. Backflow Irrigation
E-X-P-1-R E D
44. Landscape Irlipation SYstem , te �p5�� '
�_
45. Sound Atrenuation � � . � �
46. Handicap Regulations ��� i �
47. FINAL STRUCTURE & BUILDING • . •
48. FINAL PLANNING �
49. Electric Release ta �Edison - '
/
50. Gas Release to Southem Califomia Gas Co � ; !
51. CERTIFICA7E OF OCCUPANCY
No. Date
�I
�
�
ppl'fJECTA00�s: 650 W 17TH ST
OWNEX'$ NRME: NOECKER FAMILY TRUST
nooxess: 15054 OXNARD ST
VAN NIIYS 91411
uNiT: p
213•-873-2166
PRCNIERGINEER: VAN FOWSSEN ARCHITECTS ������� C12675
aooness: 3300 IRVINE AV UNIT: 280
PEflMITTEE: RBE FIEGE COMPANY CA 9266310)494-2127
nooness: 3393 E 19TH ST •
LONG BEACH CA 90806
IICENSEU CONTPACTOP OECLAPATION: I her¢by allirm �hai I am licensetl untler pmvisions 0� Chapter 9(commencing wilh Seciion
]0�1 of oivision 3 of ine Business and Pmlessions Catle. ana license is in fullforce and ellect.
�irr uc.: 6 9(�.8 , srare uc.: q 78 8 0 c
C�1y ��� � �
D3�e: �..._(_L— SignaNre: y
WOBIIEBS' COMPENSRTION DECLANFTION: I berehy allirm t�at I have a cenilicate ol consent to selbinsure or a cenilicate ol WOAers'
COmDensa�ionl�� i e copx tQereo� (Seclion 3000. Lab.
POLICY NO.: "� ^�� ���� �— V+ exe. onre: �1 / O 1/ 9 3
carnrnxr: GOLDEN EAGLE ,
� Cendietl copy is/hereby Iumi5he0. � C¢ni(ied copy i5 fi e�ilh Ihe cily B'Eing,GivRfOn.
D9te: � � r '�'� ApPlicanl: Y� '��
E%EMPTION FpOM WOflKEflS' COMPENSATION OECIANRTION: (This sectian neeG not �e complelM if 0e permit is for oire �uMretl (5100) or kss�.
I 4enily ihat in Ihe oedormance of the work �or wnicn Ihis oermit is issue0, I shall not employ any person In any manner so as to 6ecome
SUbjett to Ihe WOrkers' Compen5alion Laws ol Calibmia.
OA�e: Siqnature:
NO710E: II, aiter making iAis declaration, you shoul0 6ecome su6leci b the Workers' CamDensation provisions of Ihe �aDor
CoOe. you musl fon�wit� comply wiih such provisions ar ihis permit shall be Ceemetl revoketl.
CONSTflIILTION LENDING AGENCY: I herehy a��irm Ihai Ihere is a consimc�ion lentlinp agenCy lor Ihe petlormance of �he work br
�ich Ihis perrttil is i=SueU (Setiian 31197, Civ. L1.
lFNOEN:
aooaess:
pWNEB BUILOEP OECUflRTION: I here0y aflirm ��at I am exempi 1wm t�e Contractors' State License law ror ihe follovnng reason
ISection 703L5 Business antl Pro�essional Coae: Any nry of county wNc� requirts a Dermit to consiruci, alter, impmve, Demolish, ar
reDair any slructu�e. D�ior to its issuance, also requTes the apD�icant lor such permil to file a signe0 statement Nat Ile/she is Iicense0
pprsuant to ��e provisions ol ��e Contractors' Staie License Law (Chapter 91�ommencinA �th Section 7000) of Division 3 0l the Business
antl Pmlessions Coee) or ihal he/s�e is exempi ��erefrom and tM1e basis �or Ihe alleBetl exemp�ion. Any violaiion ol Sec�ion 7031.5 Gy
arlY applicanl lor a permit subjecis Ue aOPlitdnl to a ciWl penai�y al not mort thdn liv¢ huntlBO tlollars (ASW).
I, as owner ol the Dmpeny or my emDloyees with wages as tAeir sole compensation, will Aa tne work, antl Ihe
Q stmcwre is not inten0e0 a� aHerea for sale (Section 7044, Business an0 Pml¢ssional Cotle: The Coniractors' Stale License Law
tloes not apply lo an owner oi a pmpetly who builas or impmves �hereon, and who Ooes such work �imselll�erseli or �hmuph
�is or �er own employees. O�ovideU t�ai suc� impwvemen�s are no�in[enEetl or offere0 lor Sale.lf, bowever Ne Ouilainp or
' improvement is soltl vnlhin one year of complelion, Ihe owner Will �ave the burden ol pmving �e/She tlid not huilU ar impmve
for tne purpose ol sale�.
I, as owner of t�e Dmpeny, am e�clusively ConlraCtinB wi�h litensed ConVaC�orS io ConSlNc� lhe DroleC� (Seclion 7044, Business
a anA Pmlessions Code: TM1e Coniraclars' Siate License law Ooes not apDN �o an owner oi pmDerty who 6m1d5 or imOroves Iherean
antl who [OnVatis �or 5uth pmleti5 wilA a conVaciaf�s)litense pur5uanilo Ihe fAntraCiofs' Slaie Lit¢nse Law).1 anl aware
tnat prool ol ineir worker's Campew�ion insurance shoul0 be O�o�eed �o me.
p I am exempt untler Section: B, 8 P. C.
Ior Ihis reason:
DB�e: v+mer.
I do hereby cendy Inat I am aware ai ana un0erslantl ihe reduiremems ol California Healih an0 Satery fqtle Sections 25505, 25533, an0
25534 and t�al I or any fulure UuildinA occuDant will/will nol (cucle one) need to comDlY wii� saitl state cotles and t�e requiremenis lor a
pprmi� br conslmclion or modificalion imm ihe Air Oualny Managemen� OislricL Fesitlential cons�mction apDliw�ions are exempt tmm
Ihese omvisions.
Da�e: ADVlicani:
I nereGy cetlily inal � �ave reae ihis apvlication ane slale ihal ine above information is correcl I agree to comON wilh all ciry an0 county
ortlinancesan0sialelawsrelatmplobuiltlingconsimctionanU�erebydtlthoriterepresent rvesolUi���SGGG ,,,irytoenteruponlheabove-mentionetl
prOperlY lo� in5p¢Ciio ,pu�pose� /��� � /�
.� �' �r
Da�e: � Signaiure: �
omers �icense a� sociai sewniy x:
�gqLa6 Wnne—Builtlina: Gree�—Codo Enlorcement; Canarv—AoolicanC Pink—Revenue: GOltlenroE—Assessar
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: B OS9069 YLAN CHECK NO; 04473-91 L
CONSTRUCTTON TYPE: V—N PERMIT TYPE; STR
JOB DESCRIPTION ; AUTO SERVICE BLDG SHELL ONLY
PERM NO; B U5 Oby
GOVT: N SUPP: N
PURPOSE: NEW
SQ FT; 12,502
CLAIM VALUE: 487,578.00 CALC—VALUE: 274,043,84 GROUP UCC: B-1 /B-2
COMMENTS; NEW AUTO SERVICE SHELL HLDG
�r*��*�r*�r��x*�r�****��*�r**�r�x�***���r*�**�-*� �**��****�r**��r�**�r**�r*��****�*����***#*
2 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 BUILDING ---------- --------- ACCESSORY BUILDING ---------
FANT: 16 F7' IN REAk: 100 FT IN FRNT; FT IN REAR; FT IN
LEFT; 187 FT IN RGHT; 45 FT IN LEFT: FT IN RGHT: FT IjJ
PAR?<ING REQ• 78 PROV; 100 PARCEL; 42428114 ZNE: MG REF NO: PA9193
PLANNING NZ5'tES> 12502 SQ FT, IND, BLDG. AS PART OF 3 UNIT COMPLEX,
> RA-91-05% PA-91-43 (F',H,P)
!E iE k ik fElE 1F Jf iFlblE it iElf k!E!E iF iF i! # iFif iE if 1E If iF iF iE iElk iF jE fF �E iE 1F �E it if if iFlE iE if� fE-}E lf iE iE if j!!E lE 3F 1E �E 1E iF iElE iE fk iE iE ik je iE iF if iE iE if if iF iEai� �f
D E V E L O P M E N T S E R V, JI�- �C E S R E� U I R E M E N T S
ZONING APPROVED HY �)V� DATE: ��
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY; i�'C���/ r
fEiFiEikfEi(�iflEiEiEiEififiEifikiElfiE3EfEiE7Ff"F3FiFiFif3F�FiF3FTF7FiF3F3FiF�F�3F3F�t3F (�'if3F3FiF3FifiEiflFiEiEikiEiEiE R `i . 1E1E
!t ib k �E iE�M� fk it � iE �E 1FiE if 3f �f 1FiEiF iF iF if if iF 1E if 1f iE iF iElf 1E iE iE iE iF k iE iF if if If IE if iE iE if iE )E i6 iE )k fF iF If 3't M 14 3h iE if iF iPlElf if IF if 3F if if 32 i't ib 1E IE if 1E 1f
LEGALIZATION:N F E E S U M M A R Y STRUC�IIRAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP'LRES GRADZNG
PERMZT 1,252,00 ..
SMIF/NON—RES
PLAN 813.80 �;''S'7'.55
ISSUE FEE .•
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL �T ��AID DUE
TOTALS----> 1309,55 0.00 813.80 2123.35 2.133�35 ,00
, ,� �
REVENUE DIVISION TOTALS--> COLLECT'ED: 1304,55 OVERlSHORT•, QO
HLDG PN'P PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT 'GRAD�'NG PLAN—CHECK
SZS2,OO S%,SS �� 'Ii
,� �� 1
iF 1E iE 3E it iE if� iF 1E iF iflF 1E ikiE iF i(� iF if dF fk iE iF iF �k iE iE if if iE iE iF i! if iE iE 1! 3f iE iE iE iklE ff 3E iE iE iE if �F IE �E iF If iF * iE iE 1E iF-1F iE #�rt ih 1P IF If it iE 3Elf 1E 1F iE iF k iE jF
I N D I V I D U A L F E E B R E A K D O W 1�, ?j
TYPE QTY D E S C R I P T I O N UNIT COST �� TOTAL COST
SFC 12502 IND—SHELL TYPE V—t1 —AVER 21,92 � 274,043,84
END OF FEES
EXPIRED
Incornplete inspectwns
t�E! - __._ S�$
'�1 �. �.. _. ..
JF+T�'c ;, '
7 �"'
V �/i6 / P3
_-
Y I
CONSTRUCTION AND PIANNING t . POOL+& SPA
� APPROVALS Permit # Oate Inspector qppROVALS Permit # Date Inspecto.
� 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � 53. Steel-Reinforcement -
3. Electricai Conduit Utility-Undrgrnd. 54. Forms
4. Electrical ConduibUndrgrnd. ._ 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAI TO COVER-GUNITE
7. Footings 58. Electrical Conduit•Undrgrnd.
8. Foundation , � 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P�Trap, O Undrgmd.
70. Structural Floor SYstem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Finai
12. Sewer Cap � 63. Heater & Vent•Final
13. Roof Drains 64. Plumbing System � Final
14. Rough Plumbin9 65. Electrical�Final
15. Rough Electrical•Conduit 66. Solar System-Final
76. Fough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING
78. Rough Electrical�T Bar Ceiting 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Pactory Pireplace � APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. DuMs, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test � 72, Underground Ffush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil '
�
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structura�) &�Monocoat 75. Dry Chemical � �
27. Frome and Flashing _ 76. Dry Standpipe '� '
28. Lathing & Sidin9 77. FIXED SYSTEM FINAL `T '� '
�
29. Insulation j 78. FIRE PREV. FINAL ^„� 0.•
30. Drywall Naiting I I HEALTH DEPT. REQUIREMENT -; i
31. Plaster Brown Coat � 79. FINAL INSPECTION -3
32, Electrical Power MeterFinal I � I S0. FOOD CERTIPICATE ISSUED
33. Final Electric ' � � Notes: �`
34. Final Heating & Air Conditioning j
35. Final Gas Pipe-Test ' �_
36. Hood or Canopy �
37. Final Factory Flreplace i � � 1 ,
38. Final Plumbing , �
39. Water Service•Final � �
�
40. Gas Service-Final -
41. Solai DomesiicFinal
42. Backflow Preventer � ; � �
43. Backflow Irrigation
44. �andscape Irripation System x-P���� E �
45. Sound Attenuation �`��t���=q �
46. Handicap Regulations � "'8 L,a�e
47. FINAL STRUCTURE & BUILDING i
48. FINA�PLANNING � I ��
49. Elearic Release co Edison ,+
50. Gas Felease to Southern California Gas Co I � } �
51. CERTIFICATE OF OCCUPANCY
No. Date