HomeMy WebLinkAbout1960 HARBOR BLVD - Building Permits •
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,411144 CITY OF COSTA MESA
N 4 BUILDING DIVISION
F t.„I ,) DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER
� �
PERMIT E04-00298
(714)754-5273` a�• Fax(714)7544856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT
Job Address: 1960 HARBOR BL Status: ISSUED
Suite No Applied: 03/25/2004
Vicinity: Issued: 03/25/2004
Parcel Nunmber: 41920304 •
t
Applicant: SPEAR, JOYCE ISSUED BY:
Address: 4509 ALGER ST
Phone: (818)242-4255
LOS ANGELES,CA Zip: 90039
Owner: THAYER, WILBUR B TR%TOYOTA MOTOR SALES U S A .. '4, . ;fr
Address INC%IKE PROPERTIES i I •
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•� •
COSTA MESA,CA Phone: a I a. A Er t
►
P 0 BOX 11270 Zip: 92627-1270 "
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I
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Contractor: BK SIGNS
Address: 4509 ALGER ST
Phone: (818)242-4255
LOS ANGELES, CA Zip: 90039
License: 746856
•
SCOPE OF PERMIT
REF:SB03-000122;98 SQ. FT. ILLUMINATED PYLON SIGN"TOYOTA"17 FT IN HEIGHT.SIGN
IS REPLACING EXISTING TOYOTA USED CAR SIGN 19 FT HIGH,45 SQ.FT.IN AREA.SIGN
LOCATED IN EXISTING LANDSCAPE PLANTER AND WILL NOT ENCROACH INTO PUBLIC
RIGHT-OF-WAY.
ELECT. FOR 1 SIGN CIRCUIT.
FEE SUMMARY
Quantity Quantity
ISSUE FEE $23.50 . . • Temp Dist System/Lighting $0.00 0
Temp service test $0.00Busway/100 ft $0.00 0
Res.a/c package $0.00 Standing Section $0.00 0
New Res(1-2 units) $0.00 - _0 Misc Electrical Equipment -- $0.00 0
New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0
Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0
Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0
Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0
Switches $0.00 0 over 100 kva/kw . $0.00 0
Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0
Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0
Service to 200a $0.00 0 Misc.Conduit $0.00 0
Service to 1000a $0.00 0- Misc.Conductor $0.00 0
Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0
Motors to 1hp $0.00 - 0 Circus(mech ride or lights) $0.00 0
Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0
Motors to 50hp $0.00 0 Fireworks Stand $0.00 0
Motors to 100hp $0.00 0 Other Electrical Fee $0.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord.No.92-28,§1, 12-21-92) •
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work Is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626 ,
2448-48(8/00)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION: •
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued,
EI 1'have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My coo r�orgpensat surance carrier and policy number are: /7i Cf��
Carrier: 7Vd�rff'`1L7� d Policy Number: ,J
(This sec ion need not be completed i/the permit Is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person In any manner so as to become subject to the workers'
compensation law Ilfomia,and agre that II I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with then provisi ,{f /�/
Applicant Signature: �i Data: l r/ 6/41
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(SI W,WO),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
h
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under pro ' ion 4 aster 9(commencing with Section 7000)of Division 3 of the Busine sslons Code,and my license is in full
force and effect.Lic.N _ - r i - S Class# ,{
Contractors Signature: -,' , Date: 45/y
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Leffders Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:tAny ciffbr c6Lnty which requires...a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a sighed statement thahhe or she ensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Buskiess and Professions Code)or Lhat hoe,she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjectsthe applic ntjo a civil penaltyof not more than five hundred dollars($500).):
❑ I,as owner of the prowrty,orrmy etloyees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Profes3-2 ns Cede:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work
himself or herself or thrbughllissppr he4own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year,of completlol,te owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). '
❑ I.as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License aw does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)lest high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has e
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I
I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
__ __ _._ ._ _..subec
5 Does hr will the CoasttcAir or present or emen building itct occupant require for the work which district the or of this application aLPi Nnit for such construction or modification
from the South Air Quality Management District or from any other air pollution control or agency? Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Ouelity Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I omply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-d cribed pro for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
CSignatureafOwner(s) c � _`e
And/Or uthoriized Applicant Da e
cODE, ilispr',TON TYPE PATE it ibL5 CODE( INSPECTIONTYPg PATE ILLS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing )+_
• 200 Final Re-Roof 210 Final Electrical Z 114 K73 444-412 M2 /7 ,
201 Final Block/Retaining Wall 212 Final Fire Prevention _ /7
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
F - CITY OF COSTA MESA
i ► Qe BUILDING DIVISION
r ,I
8 DEVELOPMENT SERVICES DEPARTMENT P RMIT NUMBER
4.. 1p PERMIT
a.mw` % J I`LL
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSI QFd ?2626
SIGN PERMIT
Job Address: 1960 HARBOR BL Status: ISSUED
Suite: Applied: 12/16/2003
Vicinity: Issued: 03/25/2004
Parcel Nunmber: 41920304 Zoning: ISSUED BY:
Applicant: JOYCE
Address:
Phone: 562-494-0430
Zip:
r.
Owner: THAYER, WILBUR B TR%TOYOTA MOTOR SALES U S A ' j I I A� ` y
Address INC%IKE PROPERTIES , .�, /1 ; . r •
COSTA MESA,CA Phone: • $ y �/� r
P O BOX 11270 Zip: 92627-1270
Contractor: Atottl7 RCSKIF
Address: -.F.FrsetcheRterCrE(- o5MNYt-} (Vk� r
^ ehlin e: 003--90.2,9S]S33 (in 9-1-6
4(156,
/1 ,
" O) {Lr, .N Zip: Feat VV0
License: 495£0 .-�41 4„9,� p
Arch/Eng: AMID KASKIF
Address: 775 OAKRIDGE HWY
•
Phone: 865-342-8333
KNOXVILLE,TN Zip: 37931
License: 43520
SCOPE OF PERMIT
98 SQ.FT.ILLUMINATED PYLON SIGN"TOYOTA”17 FT IN HEIGHT.
SIGN IS REPLACING EXISTING TOYOTA USED CAR SIGN 19 FT HIGH,45 SQ. FT.IN AREA.SIGN
• LOCATED IN EXISTING LANDSCAPE PLANTER AND WILL NOT ENCROACH INTO PUBLIC RIGHT-OF-WAY.
FEE SUMMARY
Plan Check: $117.81 Calc Valuation: $10,000.00
r $0.00
Permit: $181.25 Claimed Valuation: $10,000.00
SMIP Corn: $2.10
Other: $0.00
$0.00
Inspection: $0.00
$0.00
$0.00
Total: $301.16 -
PLANNING &ZONING
NOTES:
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void If work Is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell
required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result In the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5628 `�\
2446-48(WOO)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O I h and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of e
rk for which this permit is IssuedI have and will Stain workers' pensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued.
/ .
/My workers' nation I nce carder and policy number are:
l
`Cartier. a //Polity Number:/7i5 7 54-0._ 3
(This section need not be completed if the permit Is valued at one hundred dollars($100)or less.) V
❑ I certify that in the performance of the work for which this permit is Issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation law • allfomie,and agree that III should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
Appcomply with the ns. n� - ( ,(
licant Signature: IAC `ESy 1 �D to�V`J,%4
WARNING:FAILURE TO SEC •E W RxeRS'COMPENSATION COVERAGE IS UNLAWFUL AND SWILL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION: J
I heretiyifirm that I am licensed eri rgyisio self Chapter 9(com'encing with Section 7000)of Division 3 of the Business an r.f_ .'ons Code,and my license is in full
fore and effect.Lic.e rZ 6.y Y lass R4 "
C
Contractor's Signature: /I /�. I
Class
�/.a S/6 L/
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lenders Address:
Signature: '( Date:
i
OWNER-BUIL&R DICL4RATIONS:
I hereby affirm that undei penalty of Derjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any,city&county which requires a pernit.to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
fettle a signed statement Ylat he Cr tie Is Iicensedpursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Qpde)Or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects tele applicant to a civil wily of not more than five hundred dollars($500).):
O I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Prafesslon 'Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through histr her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). '
❑ I.as owner of the propertyAm EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,lalsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every r,
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure). _ — ___
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No r
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greeter than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the California.Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require far the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
--
6 Will any part of the facility to be constructed under this permit be within 1000 feat from the outer boundaries of a school? 0 Yes 0 No
(If"yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
_.fro..._..th __ ._._...__� _ _ ..._..h is the__._. _..._
7 application,If a permit haveam the South Coast rAlres Qualityci ed Management CaliforniaHealtheaor other et pollution control district been or agency is required for the work which is the Subject of this
all of the tlisolpsures prescribed by Calltoa and Safety Code Section 42303 made? ❑Yes 0 No
8 (If'yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials end Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property
yffor
riinspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until finalinainspection.
Signatu Ol Legal Owner(s) /�
5/bTe
( •
- And/Or Authonzed Applicant Date
I CODE I INSPECTIONTYPE QM MALS PODF( INSPECTION TYPE QAff, SLS
1616 Fixed System Final Fire Prevention 206 Final Mechanical , ,
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 4/47- `-‘230t1 2t/7 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
:r0 // ? -i q 7
ADORESSOBMLm : 1960 HARBOR BL - LIME CITY OF COSTA MESA - BUILDING PERMIT
amEWSNN*EIFIQWAT THAYER WILBUR B TR • PERM NO: B 087667
aDREss %TOYOT7A MOTOR SALES U S A •
�__INC PERMIT NO: B .087667 PLAN CHECK NO: N GOVT: N SUPP: N
' :SMZTHtARTIN L 19001 S WESTERN AVE #A107
AWL.MARINO ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: DEM
ARCHITECT ORENOmEER: uc.NO.: JOB DESCRIPTION : DEMOLISH EXISTING SALES & SHOWROOM BLDG SQ FT:
ARCM.OR ENG.'S ADDRESS: UMT:
CLAIM VALUE: 5, 000 . 00 CALL-VALUE: 1 , 000 . 00 GROUP OCC : B /M
caNTRACTWsIWIE TODA CONSTRUCTION OF CALI ( 714 ) 220-3141
cmm*cronwc 5816 CORPORATE AV COMMENTS: FOR FUTURE SALES& SHOWROOM BLDG.
ADDRESS:CYPRESS CA uc.No.: 427375 ****Er**+t***********************************• *N**+F********** +r****************+e*
90630 um: 160 ZONING RE REMENTS
LICENSED CONTRACTORS DECLARATION:I hereby Slim .. perdly of pe ry that I em 1 provisionsd "
.•under Chapter a S ' ACK S
(ammmeping with : tion 7000)d Division 3 o the Business. •Professions Code.. •my li-•t is in full force end elect
CRY LIC.NO.:0 5:'33 uc.cuss:b LIC.NO.: 37 . EXP: 05/98 MAIN BUILDING - - ACCESSORY BUILDING
— FRNT: FT IN REAR: FT T: FT IN REAR: FT IN
Dale: T Contractor- -41A• dig LEFT: FT IN RGHT: FT I ' LEFT: FT IN RGHT: FT IN
• NER BUILDE: DECORATION:I hereby affirm under peneLy of per 4 I am • frothe Contractors License Law for the
rdbwisg reason( •ion 7031.5 Busies and Professions Code:Any city county wliida .•uhesm some to construct,alter.ippon, PARKING REQ: PROV: PAR L : 41920304 ZNE: REF NO:
mole.or repair any structure.prior to as issuance.also require the applicant for sniff.. it to file a signed statement that he or she r';
tensed pursuant to the provisions of the Contractors License Law)Chapter 9(•• m .'ng with Section 7000)of Division 3 of the PLANNING NOTES>
euanesa and Professions Code)or that he or she is exempt thereham end the bass I. -alleged exemption.My violation of Section >
7031.5byany applicant for a pend subiedsthe aPpftsnl to a civil penalty ofnd meet : fee hundred dogma M500j). ************************************* ******************************!{fr*********
❑ I.as caner of the property or my employee eh wages as their sole compensation,will do the work.and the structure is not intended D E V E L O P M E N T •S E R V ICES E S R E U I R E M E N T S •
or Stared ler sole(Section 7044.Business end Professions Code:The Contractors License Law does not apply to en beer of popery Q
who bolds or i proves thereon,endwho does such work Nmeef or horse!or through hi or her own employees,provided that such /1
improvements are not Intended or offered Ice sale-It.however,the hoeing of improvement is sold elfin one yew of wmpalion,te ZONING APPROVED BY DATE: '✓
owner-builder will have the burden dnot o
proving he or she did dd or improve f«the purpose of sale). - .
❑ I,es owner d the popery.am exduvively contratng with licensed contraclon to conerud the project(Section 7044.Badness end
Professions Code:The Contractors License Law does not apply to en owner of progeTE:
ny who buibe or improves thereon and who BUILDING APPROVED BY DA '•
contracts ler such prgeda with a mntrado.$)licensed pursuant to the Contractors License Law).
❑ Iamexempunder Section: B.AP.C..f«this reason: APPLICATION ISSUED BY: C DATE:
******************************************************************* A **
oma: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL GMENT:Y
I do hereby candy that I am aware of and understand the requirements of Calfoma Health end Safety Code Sections 25505,25533.and
25534,end the 1 or any hture building occupant will/el not(circle one)need to comply with said mate codes and the requirements for
a permit for construction or modification horn the Aa DuaMY Management Died-Residential constnwtbnappimliore an exemptlnmthese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 34 . 75
Date • Applicant: PLAN SMIP/NONN-RES
. 50
WORKER'S COMPENSATION DECLARATION:I hereby altars under penalty of perjury one of the following declarers: ISSUE FEE
❑ Ihave and wilmaintain acertificate dconsent toself-insure for woke compensation,asprovdedfor bySection 3700oftheLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.i«Nperformanced dmework l«wNonth permeaasuea. TOTALS----> 35 . 25 0 . 00 0 . 00 35 . 25 35 . 25 . 00
-0 I have and el meimair wrk«e'compensation insurance,as required by Section 3703 of the Labor Code,for the Perform ®a^ of toe
1 ' work for which this pent S issued.My workers'compensation insurance Crier and policy number are:
Cartier TOKIO MARINE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 35 . 25 OVER/SHORT: . 00 •
Poley Number. "(-1 et 04 /01 /99 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(7/m section need ndhe completed the conk is for menu ••.. ..... • Odloresa.) 34 . 75 . . 50
❑ I catty Mal in ped. . . of the work for which - permit issued. : not. ploy any pesos a any manner en as to
become subject 0the . compensation lee • Caltom end ag - the should become sublet to the waken' ****dE****dE*****dF***dE*****.****dE*if***********iE*iE*dF********************************
• Sedp n 3700 d the Lab«Applicant
w onhwh •• ply j� mase ppisiom. INDIVIDUAL F E E BREAKDOWN
.. ,
Falun •ecu wodseconwaM loncoverage; !oil,and she a fast enemployertegeaa papulas and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
cm.mea deb hundred thousand dollen($104000).n Monro the cane • euatbry damages as provided for In
Section Laborcoda lnesatand aloma'a ass NO FEES WERE SELECTED FOR THIS PERMIT
CONSTRUCTION LENDING AGENCY:I hereby see under penalty of penury that . is a construction lending agency for the
peronmance of the work tor which this permit is issued(Section 3097.CN.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I candy that I have read this application and tale that the above information is cored.l agree to comply with all city and county ordinances
and a 10&Wdmg.. .., .'• and hereby authorize representatives of this city to enter upon the ebove.mmtioned property '
«ina.. papwa. El ..VI i S LYON 04-09-1996/03:27 PH/935.25
Print Name d �/ RCPTU:01-2022207
�� .e. Dte: 7 GJ 0 PERMIT :087667
�'�nal•.e. OwmdApen r PPficPnUGo iii
(5151da.WP) Whh.'%Mine&RAINY;Omen-Fla Canary-Applwt:Pink-Revenue;Goldenrod-Assessor
•
,CONSTRUCTION AND PLANNING 7 POC SPA
APPROVALS Permit#-.�- Date Inspector APPROVALS Permit #. } Date Inspector
I. •porary Electrical Service or Pole 52, Pool & Equipment Location''
r
2. )i1 Pipe-Undrgrnd. 53. Steel Reinforcement-
3. Electrical Conduit Utility-Undrgrpd. 54. Forms 1
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' l , •
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 'i
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd, 60. Backwash Lines, P-Trap,..O Undrgrnd.
10. Structural Floor System - 61. APPROVAL TO DECK
11. Property Sewer Line & House Congection 62. Backwash & Receptor-Final -
12. Sewer Cap - 63. Heater & Vent-Final - '
13. Roof Drains 64. Plumbing System -Final
14. Rough Plumbing 65. Electrical-Final -
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts,in Structure • 70. Underground Hydro
:.y 22. Ducts, Ventilating 71. Product Piping OGas OOil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0Oil
25. Roof Sheathing 74. Overhead Hydro,
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL •
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing .HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
. 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric y Notes:
34. Final Heating& Air Con
35. Final Gas Pipe;Test
36. Hood or Canopy - r •
■
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final r •
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
.43. Backflow Irrigation
44. Landscape Irrigation System -
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING .4t, g.
48. FINAL PLANNING 7 •
1
49. Electric Release to Edison
;�_
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No Date
ADDRESS OF L0114: 1960 HARBOR BL MMT: CITY OF COSTA MESA - BUILDING PERMIT — OD7" v
ONNERSNAMEtFIIMOwN: THAYER, WILBUR B TR . PERM NO: P 087668
ASS: %TOYOTA MOTOR SALES U S A •
INC PERMIT NO: P 087668 • PLAN CHECK NO: N GOVT: N SUPP: N
:SMITH, MARTIN L 19001 S WESTERN AVE #A107
APPL.SWUNG ADDRESS: CONSTRUCTION TYPE; PERMIT TYPE: PLU PURPOSE: OTH
•.
ARCHITECT OR ENm1EFR: UC ND: JOB DESCRIPTION : DEMOLISH EXISTING SALES & SHOWROOM BLDG SQ FT:
ARCH.OR E1403ADDRESS: WIT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: B /M
mmuqmsrimmTODA CONSSTRUCTION OF CALI (714 ) 220-3141
ectanaorrsUAA 5816 CORPORATE AV COMMENTS : SEWER CAP REF:B-87667 . •
ADDRESS: CYPRESS CA uC.No.: 427375 *************** *********Rr******TES+r*j ****** **********x*Rr*RE******+r**********y1*
90630 wiT: 160 Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I, xI•eneed under provisions of Chapter 9 SETBACK S •
(commenting with lion 7... d Division a of the Business end:-• ..'• a •...and my f� .,bin full lame and effect
crrYUC.No.:0 583 LIC.CLASS: B UC.NO.: 737' EXP : 05/98 MAIN BUILDING ACCESSORY BUILDING
meq/ p. . ,) FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT . IN
Date: / 7 / a contractor LEFT: FT IN RGHT: FT IN LEFT: FT - IN RGHT: FT IN
OW :' BUILD a'' DECLA'ATOM:I hereby affirm under penally of pe/hat I em a , pr from the Contractors License Law for the ' •
f.. ' .reason ..fon7. t.5 Basilan end professions Code:Any city or corny •'• requires permit to construct,eller.improve. PARKING REQ' PROV: CEL: 41920304 ZNE: REF NO:
C a l'ioens• ed pmsrant to theeer tours prior date Contractors Liissuance.also enssee Law(Chapter 9(o l.endn°twithfile
h Section signed0o)d statement
ion She rri the she
PLANNING NOTES>
Business and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My vidmbn 01 Sada. >
7031.5 by any applicant for **ed.apermil ned.the applicant to a civil penalty of red more than the hundred dollan($500j). **************************** ***** *****************************************
El owner allhe property with wages 133 sole ampensetion,wdo the wok and the is nes vendee D E V E L O P M E N T S V I C E S R E U I R E M E N T S
or offered for sale(Section 7044.Business and Pr tessime Code:The Contractors License Lewdest not apply loan timer of progeny Q
who brads Cf i ven prothereon.and d ate does suchwork Wesel,r hersel or through he or her own employeesprovided that such '
impwemera are nal Waded a dared far sat 1,howeaa the busing a mprwemw o add wbhtn me Y."amalatbn.the ZONING APPROVED BY : DATE:
owner-builder tell have the burden of proving he or she did nal build Or improve for the Or a
the pose le).
❑ Praof�s Code:The Cpropertyaared contracting nmol apply to owner a propertywconnect dho"oceanl bulls o improvesthereon and who BUILDING APPROVED BY : - DATE:
=tads her nth pmjeda with a mareeol(s)licensed prasuem to the Commas Lienee Law).
❑ I am exempt under Section: B.AP.C..for this reason: APPLICATION ISSUED BY: DATE:
**********************************fid************ ************* *-
Dale: Owner: LEGALIZATION: N F E E SUMMAR STRUCTURAL SE ME T :N
I do hereby certify that I am aware of and udrstand the requirements of Caromia Health end Safety Code Sections 25505,25533.and
25534.and that I or any future building ooapanl wll/AI not(dab one)need to comply with said elan codes end the reedremenls for
aperi for construction or modification from Air- y anane/ems*DSfd.ResiMmbl mwnabnappkalba are exempt thea BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 8 . 75
Date: Applcard: • 25% SMIP/NON-RES
•
ISSS U
WORKER'S COMPENSATION DECLARATION:I hereby lawn under penalty of MINT one of the following dedralba: IS
13I have end ell maintain acenHKate of consent to see-insure for workers'compensation,as provided for by Seam 3700 of the LaborUE FEE 22 , 00
Cndwfrthe padomencedthe work frwhich this parltblesued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
X❑ Ihave end wltalm wnsi
mainkacompenationinsrance. requiedbySedr
ion3700ofthetabCede,frtheperfrmaceofthe TOTALS ---> 8 . 75 22 . 00 0 . 00 30 . 75 30 . 75 . 00
work for which this peril b issued.My workers'compensation insurance errs and policy number are:
TOKIO M1�ARRINE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 30 . 75 OVER/SHORT: . 00
Policy rNumber: WC'1107796 04 /01 /99 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
•^ , phis section need not be completed I the Fermi is for one hundred dollars MOO]or less.) / 30 . 75
o I certify that in pedorrnance of the work for wfi"rh Nb.. -. not R. any person M any manner ens to
become to wlms'mryonsation tarn a .• and .t-.: Nati« . . barena"eel 1"1"wabn' *******************************************************************************
prom sedbn 3700 or the Lahr cnd..I ateg ieM ,pry ' prrdalm., I N D I V I. D U A L F E E B R E A K D O W N
ea qyj
D / /E I Applicant: may..�
W Asp:Fag n cawvkers•pprraraq/tlon coveragela lar OR NN
I./ecy««ployer to criminal prWtles end TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
Rrrn
ire
hundred thousand dpdlaM/Syt1AOroA Al .. ..n b the cat I compensation,dregs a provided for In
Section eros /Ifln Labor Cods,Intent,and amameyL Ha. PLU 1 SEWER CAP / DEMOLITION EACH 8 . 75 8 . 75
CONSTRUCDON LENDING AGENCY:I hereby affirm under Penally of perjury I . there is a conelnaion lending agency for the END OF FEES
Performance of the work for which this permit is issued(Sedbn 3097,Cir.C).
LENDER'S NAME:
LENDER'S ADDRESS:
•
I certify Met I have read this application end stale that the above information is coned,I agree to comply with at thy and county ordinances
and ante lawn rslatbg to boa")moat .'•-6d hereby rabrrse representatives of the city to enter upon the above-mentioned progeny
ctaarraZaZin
VID LYON
nn Name ! 04-09-1998/03:29 PA/$38.75
— 4 /9%b T:087668
l Dae: / O PEkMIT:087668
gnalur.d. gam/ ..... • r.d.
(5151.415.WP) While-Build: •&Safely;Green-Rle:Caney-Applicant:Pink-Revenue:Goldenrod-Assessor
grei
FOS SPA
CONSTRUCTION AND PLANNING - -1- t
APPROVALS Permit # 7 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 - - r,
4: Electrical Conduit-Undrgrnd. 55. Electrical Bonding • _ -
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • J" j
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE ',_:
7. Footings 58. Electrical Conduit-Undrgrnd. •
8. Foundation - 59. Gas Pipe', 0 Undrgrnd.,-Test
9. Water Pipe-Undrgrnd. 4 60. Backwash Li'nes,,P-Trap, 0 Undrgrnd. r
' 10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line& House Connection 62. Backwash & Receptor:Final .
12, Sewer Cap . - 5.. 9 98 (an/ . 63. Heater & Vent-Final 1 '
13. Roof Drains • U 64. Plumbing System - Final
14. Rough Plumbing - 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final - •
16. Rough Electric Wiring 67. Fencing& Access Approval ,
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling - - •• . ' 69. POOL/SPA SYSTEMS-FINAL
19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT . -
20. Rough Factory Fireplace - APPROVALS Permit #
21. Ducts,in Structure • 70. Underground Hydro .
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
r-
j 23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof'Framing 73. Undergrnd.StorageTank O Gas 008
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar•Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing - 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation, 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 'j 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric r. Notes:
34. Final Heating & Air Conditioning
r
35. Final Gas Pipe-Test •
36. Hood or Canopy ,
37. Final Factory Fireplace - '
38. Final Plumbing -
• 39. Water Service-Final tq-!Jr•V
40. Gas Service-Final • ..
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation • .
" 44. Landscape Irrigation System
-A
'_.- 45. Sound Attenuation
rv- ,
46. Handicap Regulations '
47. FINAL STRUCTURE & BUILDING
/I.
48. FINAL PLANNING • �
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co --'r-:, •
' 51. CERTIFICATE OF OCCUPANCY ,. ? •
' No. Date