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Home My WebLink About335 FISCHER AVE - Building Permits�. . _ . . . � > . . . _ . . . . . . . . . , . . t . y. , . . . .. _. . CI'_ l- OF COSTA MF A � J �Development Services, Division of Building and Safeh� �� CERTIFICATE OF O`CCUPANCY :.� �� - This cerHficate is issued pu�suant to the ieqmiemen'ts of the Umform Building.Code, Section 308 adopted by the City of Costa Mesa certifies that at the time of its issuance the building structure herein below described was inspected and approved foroccupancy as follows: ;�, .. BuildingAddress 335. FiBch�ez Ave.: Bldg PerrtiitNumber B07-00379 Yti � . ..$� . I � . a .. 4 . Use Manufacturer•• • �,_( I�.r6�80 s.�f.) �,, �;,�' ;�Ji ' � : f.o fI lr . ..� }?: �, Group B�F1 Type,ofConstruction �-N FireZone XXX„XxXX.. UseZone MP .� OwnerofBuilding John G� Mack` - .�� TenanP7G �PLASTICS GROUP, LLC Address 335 Fischer Ade.,?.Costa Mes�i;SCA 92626.� � � �L �=r�� -�=� � T".. =- ' 'BY � � BUILDING OFFICIAL-KlldTlll Q. NgUy2ri, _C B �5- , "' Date 0 g,' REQUIRED TO BE POSTED IN A CONSPICUOUS PLACE - . � -_�; �6037 _ . �� y ` COSTA NIESA BUI��VG-SAPETY DEPARTMENT . P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � For Applicant ro Fi!l in Completety BUILDING � ADDRESS I ' i OWNER v MAIL /G'7 � ADDRESS L. aU -/ TEL. Si Z CITV ,J O. �� Z Q CONSTRUCTION 1 O N IENDER / am J � BRANCH J � m J ADDFESS J m ARCHITECT � p TEL. � Ofl ENGINEER K � � U � W � ADDRESS . E L• % a W E oF E' � J O CONT3ACTOR m Z J ¢ ADDRESS w W TEL. Z~ � CITV r NO. ' � STATE i �j�o _ CITY y� �' LIC. NO. `rJ LIC. NO. 7 � S12E NO.OF BLOGS. OF LOT k{ NOW ON LOT USE OF EXI5TING BLOG. � SIZE OF NO. OF Z NEW BLDG. :�OOMS STORIES U EMERIOR WALL ROOF COVERING COVERING J USE OF BUILDING ANP �'�'ORK TO BE PERFORMED a a p F � A - F H Z � Vt heraby acknowledBe tl�at I heve reatl this application entl state �/' CC � uA��E. � that Me ebove information is carrect and epree io comply with �� all laws reBulatinp builtl{�0 canstruction, antl I shall not omploy / � any petson In viOlation ot the workman's compansation lawc at 1�0i y tha Stata of Calitornie. T� � ZI hereby tertify that I arn properly licensetl as e contracior undar SQ. FT. o the Stata of Calitornla Bustness and Professians Cotle, Divlsicn 3, THE AMOUNT SHOWN UNpER VALUATION IS FOR � Chapter 9, antl that such licenses are In full force and effeei, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m am ezempt from the prv��sions of tha Stete ot Calitornia Business . ¢ VAlUAT10N entl Professions Code, Di+�sion 3, Chapter 9. N PERMIT FEE $ � SiB^ature ot /,'/ m Permlttee � $ �/ T7'� PLAN CHECK $ /� ' �� E / / / LL Authorizea Agent (�/' TOTAL FEE $ � TM -- `�"'' _=_i PAIU {:ir�} ._, 31 _73cr;�.-.OQ � 686 � 19�.45 APPLICATION FOR BUILDING PERMIT C 1 E BV DATE RECEIVED D E ISS ED L - - -a�' �3 '.NO. �/�O _OS PE 1. O�./.. / LDING � DRESS ��S �/��' {� � \ fl � TRACT /� LOT�- BLOCK �,�_ ISr �N E F �� VALU$ A�j1 Ta f!S� �E F�� NE . VPE GFOUP /� iRO�{£ DA� ~ '/� � o er s e� �N€. NO.OF SE OF NEW f 7/1/� / PLAfS BUILDING � VARDSAPPROVED VARDSAPPROVED MAIN BUILDING ACCESSOFV eUILDING DISTANCE BET MAIN BLOGS. VAR. # C.U.P.qW APPROVED BET. MAIN & ACCFSS. BLd DATE r . , - ? ' ��7 / � � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely 2 . W� (Wj Z Za ON am J � J � Q W d] J J m Q U� Za W ¢ aW wZ J Q m Z J � W � _ zF w� N � �O F z Q U J a a a 0 H N Z O f- U � SL" H N Z eui�ow ADDRflS: OWNER� MAIL ADDRES: CITV CONSTF V LENDER BRANCH ADORES' ARCHI7E ADDRE55 �( CONTRACTOR ADORESS a CITV STATE LIC. NO. SIZE OF l0T USE OF EXISTING BLDG. SIZE OF �J, � USE OF BUILD NO. OF ROOM' ii00F . . _ , �+�!r ?_�-73cMs�OO 1314 0*** 358.5Q TION FOR BUILDING PERMIT V6 . v 6'4i' � pPpyq��T o C, A.P. NO. Z. _ S .�/V BUILDING i�s �' E AUE ADDRESS J TEL. TRACT Iy�S �OT IZ BIOCK NO. -� � W A D A D MF O� I _LSN OWNER S �A VALUE n' J T E L. (yy'- E • $�+D 0� i NO. 72Y(c q �� e r i A �:.RE �1 � /..e� III ..�..�... G-2. NO. (SS.S-dk CITV LIC. NO. INO.OF l8�OG5. NOW ON �OT ��— PERFO I hereby acknowledBO ihat I heve reatl this aDP��cetion antl itate that the above intormacion is correct antl agrea ta comply wIM all laws �eBuleting building cOnshuction, antl I sha�l not employ any person in violation of the workmen's compensetion laws of Ma State of California. I hereby certify thnt I am properly licansed as a contrector untler iha State ot Celifornie Business antl Profassions Code, Divisicn 3, Chep[er 9, antl thei s�ch licenxs ara in full torce entl effect, or 1 em exem0i from tt:e provisions ot the SCata Califor Ie Basinau antl Profassions Cnoe, ivision 3, Chapter . Sipnatura ot `erm(ttee �LC� '\`harizetl A nt / `� � INO.OF USE OF NEW �� PIAKS 2 9UILDING ��1)tiC'f1 RDS APPROVED YAFDS APPROVED DISTANCE BET. BET, MAIN MAIN BIDCS. ACCE�i. BL VAR.�W DATE C.U.P.� APPqOVED THE AMOUNTSHOWN UNDEP VALUATI THE PURP�E OF ESTABLISHING A PERMIT VALVATION '% PERMIT FEE $ l� 8 2�� 7� PLAN CHECK $' 'y -ro .�� t"a m b 0 m ¢ m N i m `o u PA1uOO 661+" ***u66.70 �29�7 SF.P 19-�3cttsr � � COSTA IVIESA BUILDING-SAFETY DEPARTMENT . P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 PP I TION FOR BUILDING PERMIT For Applicant to Fill in Complete/y RE EI D E CEIVED D TE �I%SSUED AD�flESS IJ (,. C c / � OWNER OL%7CN YYGST E � I A.P. NO. Z�'Da /�� M MAIL /� AD R'E 5 SUf � Z ADDRESS .D. /JO .M aU CITV 1K � E No`.�833-3 TRACT LOT BLOCK ZZ Q CONSTRUCTION W �+ ON LENDER am J 7 BRANCH ', —� N OWNER � / m J ADORESS �VALUE /��J Jm ARCHITECT � TEL. S _ S (/v!� a OR ENGINEER N . U N �j FIRE � � W Q ADDRESS �� LO�AJ�Q /J�Q�. ZONE T PE GROUP �' W /J APPROVED w Z CONTRACTOR C �;p /��. BV DATE �� J Q m Z /� J� ADDRESS PD. �'SO W W TEL. Z�NE NO.OF USE OF NEW Z= CITV � NO.g /• P�'� BUILDING H 0 STATE CITV �'AROSAPPFOVED VAROSAPPROVED N 2 LIC. NO. � 2 � IIC. NO. MAIN BUILDING ACCESSORV BVILDING �� SIZE NO.OFBLIX'.S. (FROMGLSTREET) OF LOT NOW ON LOT qONT FT. FT. USE OF EXISTING BLOG. � SIZE OF NO. OF Z NEWBLOG. ROOMS STORIES L.SIDE T. FT. U EXTEFIOR WALL ROOF COVEFING COVERING REAF FT FT. J USE OF BUILDING AND WORK TO BE PERFOR EP DISTANCE BET. BET. MAIN & a E O � � � l Li MAIN BLDGS. ACCE4. BLDGS. a Q VAR.# DATE O C.U.P.� APPROVED ' � �Ro p (n — Z O VI hereby acknowladBa tha[ I have reatl this applicotion antl stete - � [hat the ebove informetion is corract antl a0ree ro comply wlt� � all lews reguleting builtlin8 �onstruc[ion, and I shall not employ F any person In violaUon of the workman's companseNon lews of m � the Stace o( California � ? I hareby certity that I am properly licensed as a contractor untler � SQ. FT. O Ma State ot California Business and Protessions Cotle, Divisicn 3, THE AMOVNT SHOWN VNDER VALUATION IS FOR � Chapter 9, and thet such licensas are I 11 force e tl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT F NLV: m am ezempt from tFe provisions of th S ta ol Cal ornie Businass ¢ antl Profazsions Cooe, ivision 3, C er 9. VALUATION ,y� � m W PERMIT FEE $ � � SiB�atura of /p// ,('� �/q � m Parmltte S ✓`� O(/ PLAN CHECK $ / / E !!/(E' a Autharizetl Agent LL TOTAL FEE $ , 7520 , • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicani to Fil! in Completely BUILOING • s SCNc � AODRESS OWNEfl MAIL Z ADDRESS W W E L. a U CITV NO. Z Q CONSTRUCTION O � LENDEfl am J � BRANCH J � m J ADDRESS m ARCHITECT TEL. '� N OR ENGINEER U Q W K ADDRESS aW J O CONTRACTOR "� m Z / J � ADDRESS TEL. Z F CITY ^J .n NO. 2• 4' w O STATE CITV y{r LIC. NO. - I IIC. NO. 7 � SIZE NO.OF BLDGS. OF LOT NOW ON LOT USE OF E%ISTING BLDG. ��nv —s-�s�„�°00 305� �** 116.97 APPLICATION FOR BUILDING PERMIT RECEIVEH BV OATE AECENE� nnr� �ce��i BUILDING ADDRESS ER APPROVEO / lO.OF USE OF fy LANS BUILDING . VARDSAPPROVED VARDS F SIZE OF NO. OF Z NEWBLDG. ROOMS STOA�ES L SIDE Fl a EMERIOR WALL ROOF �! COVERING COVERING REAF Fi J USE OF BVILDING AND WORK TO BE PERFORMED OISTANCE BET. a MAIN BLDGS. a • Q //� P _ ) VAR.vW � O �(/LC� 'V C.U.P. � � ' APPROVED H z � UI horeby ecknowladpe t�at I hava reetl this eppOcatio� antl z2em � thet [�e a0ovo Intormatlon i� corract ontl aprBe t0 camply with � all lows re8uleting buildinp consttuetion, nnd I shell no2 amploy r any person In violation oi tha workman's compensatlon lew� of y t�o State of Colitomie. ZI heraby cerU(y t�at I am proparly Iicanxtl esa contractor untler SQ. F thu Slate of Califarnia Businoss ontl Profasaions Coda, Diviaicn 3, THE AMOUNT Chapter 9, and ihet such licenws ere in tull torca antl effect, or I THE PUFPOSE O am exempt from ttie provisions of tha Stnto of Callfornia B�siness VALU9TDNO O and Protassions Cotie, Dlvi9u� 3, Chapter 9. �/ Sipnamra of — Permittee $ � Auffiorizatl AOant � O FT & 0.4TE APPROVED i T� 0 VALUATION IS FOR � A PERMR FEE ONLV: Q � m E $ � �p m K S �S � E rj}X — LL S .. . . �81�.9. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING�j r ADDRESS „7�J OWNER � I� Q �, ADDRESS��J �� CITY �'L✓�rG ODNSTRVCTION LENDER BRANCH ? ADORESS ApCHITECT ADORESS CONTRACTOR ADDRESS 2� CITV (� $TATE LIC.NO. �� SIZE OF LOT U �- � � GY TEL. NO. �.3.T- I TEL. �,'w l 7`k�F o}a Rd: TEL. s ro 5'3�-!- CITV 11Q NO. .�� INO.OF BLDGS. NOW ON LOT SIZE OF NO.OF NEW BLOG. ROOM$ STOf EMEflIOR WALL ROOF COVERING COVE(iING USE OF BUILOING AND WORK TO BE PERFORMED Lnu�� c�..- e I horeby ecknowlatlpa tha[ I hava ruatl [hls aPPlicatlon antl state [hat th0 abova Intormation is corrac� ontl utltea to comply wi[h all lews repulatinp builtlinB �onzvuction, end I shall not employ any person in vlolotlon oi t�o workmon'a tomponsation laws of t�a Smm of CalHomia. I hereby cartify [hat I om proDerly Iiconsed os a contracior untler t�a Statn of Celifornie Business ontl Professio�s Cotle, Oivtsicn 3, Chapter 9, antl the� sueh licensas nre in full force entl et}ect, or I am ezempt frOm Uia provislOns Ot [ha Stnte of Calltornia Buslnass entl Protessions Coae, Dlvislon 3, Chapmr 9. SIB^ature of � / � �JCw � Permlttea �L O� Authorized Agen[ 3 � �" 0�5-74�� 'OO -ta�:� ��-� �:39.50 2 s. APPLICATION FOR BUILDING PERMIT REC�pFJV/E�qBV D=�RECE�V� DATEISSVED L� / 7 � si J�'. 7� BUILDING ADORESS TRACT FIFE ZONE APPfiOVED Z.. .INO.OF IUSEOFNEW �-�N�`Ph♦ % PLANS BUILDING SQ 'IJ APPROVED VARDSAPPROVED VAR. � C.U.P. # MPROVED � THE AMOUNTSH THE PURPO6E OF F VALVATION � � 5 �-�'�%�_ � FT. BET. MAIN & ACCESS. BL DATE APPROVED 3— ' i STATE i � � TAK 1' � n 0 UNOER VALUATION IS FOR j LISHING A PERMIT FEE ONLY: m ¢ m RMIT FEE S < <" � ^ � m 4N CHECK S / � �"� E � � � `o LL TAL FEE S . �.',-. ,� , , 4.2037 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING •��S �' Si-i� F 2. .L1V'L."' A�DFESS . OWNER K�I�c�K�� S- MAIL � . _ " ' _ _ TEI. CITV NO. CONSTRUCTION ` , LENDER 1�()�I� BRANCH '�� ADDRESS �-- ADDRESS CONTRACTOR �: L , � � QN �� (�fG ADDRESS ��' " jJ - E v� TEL. '�, CITV NO. F STATE CITY � LIC. NO. 3 I ��Gj LIC. NO. {r� SIZE NO.OF BLDGS. �. OF LOT NOW ON LOT N EXISTING BLDG. � y� /.t� y FSeparate permits are required for � eledric, plumbing and heating work. (.w.i USE OF BUILDING AND WORK TO BE PERFORMED QQ 4. -' iG r . vJett �a"� Q ;. 2c _ 2 �'i`�oNs � � w � 1 horeby acknowlatlBe thet I have feetl thls epplication antl stero 0 � that the ebova Informatlon Is correct end aBree io comply with a ell laws reBuleUng bulltlinB �onrtruction, anC I ihell not employ �Z eny peraon In vloloNon of the workmen's compansation laws of ythe Stata ot CalHornle. 3 I hareby certify that I am properly Ilcensetl as a coniracior untle� the Stnta of Callfornle Buainesa antl Protasalone Cotle, Dlvlsion 3, Chapte� 9, antl thot auch Ilcensas ara In tull for entl atfect, ar I em ezempt from tha provlaiona of the Smta oi Ilfornlo Business and 7rofeasione Cotlo . alon 3, Chap� 9. Si9�atura of /i� Parmittae ��C N Authorizatl ABant PA1� 'L1v 75-76�.—,�-0075�� 153.2C APPLICATION FOR STRUCI'URAL PERMIT RECEIVED BV DATE RECEIVED nerc �ccuvr A.P. NOyaL��CiL BUIIDING ADDRESS�' 3 � TRACT W A OwNER � , FIRE 20NE T APPROVED gy = 2 N NO.OF PLAN$ � VARDS APPROV ED MAIN BUILDING (FROM C/L STREET) FR(lNT FT 1 VAR. qW THE AMO THE PURPi VALUATION $ ao� c LOT � yl BLOCK DATE � APPROVED DATE APVROVED v � m i m m N VN UNDER VALUATION IS FOF m 'ABLISHING A PERMIT FEE ONLV: � PERMIT FEE S � � d N m PLAN CHECK E ' '^ 0 TAX 5 , LL � U TOTALPAID E S•3 : . � 4223� ,•,-• . . , ' COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only ADDRE55 _�3�1 �\�'.Vl16_R_ `"��T • F C � a Q ti hS F G W F Q � � Q � i' � x � a O iY. 0. z .9.' 3 OWNER �LG MAIL ADDRESS �7 CITV , r CONSTRUCTION LENDER BRANCH ADDRESS ARCHITECT OR ENGINEER ADDFE55 CONTRACTOF TEL. NO. SEL. ADDRE55 T TEL Q13 CITV L./A �{AgR/\ CRs NO.:o�I•I S7ATE CISV LIC. NO. � 2 5 LIC. NO� SIZE NO.OF BLOGS. OF LOT NOW ON LOT USE OF EXISTING BLDG. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED I hereby ecknowletlBe t�et I �avo reatl thh epP��cntlon antl �tnte (het the abova Information Ia co�rect entl aqrao to complY w��h oll laws repuletlnB b�ildin8 concttuction, ond I shall not employ ony porson in vlolati0� of Ma workman'a eompen�etion lawc of tne SUta of CeliforniE. 1 hareby certify thet I em properlV Iicansetl ea a conTreeior untlar the Stote af Celifornla Busineas an0 Prafasalons Catle, Dlvielon 3, C�epter 9, antl thet sueh Ileenms oro In full fo�ce antl affaet, or I am axempc from Me provisions of the State ot Collfornia Businoss ond ProfBasions COAe, Divislon 3, Chapter 9. SIB�eture of � � (\�) Permittee ��y�� A�thorizetl Apent �'�t —7-7cPa��OD 37fc� *+�:::53.3C . c�: APPLICATION FOR STRUC'I'URAL PERMIT ECELVEO BY DATE BECEIVFD nnrc �ccncr BUI�DING ADDRESS PIRE # ED APPAOVED BET. MAIN & THE AMOUNT SHOWN UNDEH VALUATION IS FOR THE PVRP06E OF ESTABLSNING A PERMIT FEE ONLV: VALUATION pERM1T FEE E PLAN CHECK S I� $� /�p 00 5 „1,�rJ OC±• TAX E TOTALPAID E N n m` i d N 7 m n a v� m m 0 LL F U . . 2 • • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILOING 335 FISCNER de. ADDRESS OWNER � �JACUZ`� MAIL SqME Z ADDRE55 W W a U Ci7v F— Z Z Q CONSTPUCTION O N LENDER am � � BRANCH J � m J ADDRESS m ARCHITECT J � OR EN INEER U Q W � ADDflESS J O CONTPACTOp A�yO FI m� ADDRESS 19523 5. Z � �,TY COMPTON W � STATB Ii�O�oA y � LIC. NO. I �I^ � � SIZE OF LOT VAIG � ***� !UI 23-7Gcns�.002739 40.1� APPLICATION fOR BUILDING PERMIT LPOOL A.P. NO. �U BUILDING ADDFESS � � � NO`�JI��Z�`r TRACT W A OWNER TEL. NO. FIRE ZONE TVP iC�TII��I APPROVED I LL i No` b31-21on ��T� po'1387 LIG. NO. INO. OF BL�DGS NOW ON LOT NE NO.OF � PIANS VARDS APPROVED MAIN BUILDING iOM C/L STREET) Q � I��/i�i3`�%i PL•'.:IJ'� F SIZE OF NO. OF Z NEW B4�G. ROOMS STORIES L. DE FT. FT. U EMER�aR WALL ROOF . COVEP�NG COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMEO DISTANCE BET. 8i oa MAIN BLOGS. ACCESS, B INSYALL FI E SPRKS IIJ 4 ��RPqe PPPROVED y A1 T SPRA �OOT4�S �Ro�Eo Z 0 UI hcrebY acknowlotlBa [hat I have �eatl Ihis ap0��ation antl stote � t�nt tho above information Is correct end a0�oa ca comply with � all law4 repulntinq builtling consnu[tion, antl I shall not amploy F, any pe�son in vlolaHon of the workmen's com0anaation laws of y Ma Stem of Celifornia. (T.TAv • ? I �erebY �ertify Not I am prop¢rly licen¢¢tl as a contractor untlar S0. FT. J� � 4\ I\ the Sta1e of Celitornla Businezs antl Protessions Cotla, Dlvisicn 3, THE AMpUNT SHOWN UNDER VALUATION Chapte� 9, antl thac sve� licanses ere in full force entl etfxt, or I THE PURG06E OF ESTABLSHING A PERMIT FEE am exompt from H:e ovislons ot the State ( Calitornia Businazs VALUATION �%�. � antl Prtlfasslo �n i vis on 3�C1 ept� r 9 � PERMIT FEE $ Slpnaturo of %� �Q I G.r Parmlttee $ L'589 PI,AN CHECK $ J G AUUorixe0 ABant ' I TOTALFEE $ �O• m 0 i ¢ '� 1' ¢�015. �.407� COSTA MESA BUILDING•SAFETY DEPARTMENT P.0.80X1200 COSTAMESA,CALIFORNIA92626 For Applicant to Fill in Completely — Use Ink Only BUILDING �1�15 �`JCH�\1 ADDRESS t7 �� OWNEP ��vZZ, F��FJ�ptK�77 AODRESS �3 J �1 SC.�« GITV��)\�' � \�� NpL CAN ION LENOER BqANCH ADORESS CONTRACTOR\ V�/I ADDRESS `�Z`J CITY NQ�� No`.6��1 P0.[U �AY 7_6-77�x<n001312* ***�46.70 APPLICATION FOR STRUCTURAL PERMIT ECE DATEAECEIVED nnzv�cm�cn AOIORE S� J � ��,5 TRAC f� LOl W A O P OWNEF ✓NC VZ.T,,,. � s .�-Dt+R Rou�O — FIRE � ZONE TVPE APPROVED � ZON�� , F STATE CITV �'ARDS APPRC LIC. NO. � D LIC. NO. MAIN BUILDI � SIZE NO.OF BLDGS. (FROM C/L STREI � OF LOT NOW ON LOT RONT � a USE OF / .�.. EXISfING BLDG. OO i • H � FSeparate permits are required for � sio v� � electric, plumbing and hea[ing work. aEAR a�F- � USE OF eUILOING AND WOFK TO BE PERFORMED F DISTANCE BEf. QMAIN BLOGS. a , �� OO �j� VAR.9W C.U.P. g�b �., v�. �� \ •� h \ �T�' I� APPROVE`LW/l � .� a W � I horaby acknowladpe that I heva read <his npplleeNon antl ¢tnte LL� that the above inform¢tlon Is correcc antl a0rea to comply wlth �" nil lowa rag�laUnp bulltling eonnruetion, anG I shall not amplay z any porson in vlolatlon of Ma workman's companmtion laws af � tha Stata ot Calliornle, 3 I hereby cerilty that I em properly Iicensetl es e eonttacior under SQ. F Me Stata of Calitornla Busineu enE Profeuionf Cotla, Divialon 3, THE AMOUNT Chapter 9, antl that such licenses are in full forca and effect, or I THE PUFiPOSE ( am exemp tha provisions ot the Steie of Californla Buelnesa VALUATION antl P�otei msC e, Dlvision h r 9. Slpnaiure of 3 % � � Parmlttaa 5 Authorized Agant �PERMIT NO. C/r�2 /4c.! DATE DATE APPROVED n u 1 � > Q 'R O , ED �) n m i e m tv VN UNDER VALUATION IS FOR m 'ABLISHING A PERMR FEE LY; � PERMIT FEE S � N n PLANCHECK E �zO O TAX E � 5o LL f U TOTALPAID 5 � O � . ��362 : COSTA MESA BUILDING-SAFETY DEPARTMEN P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING �.. �/ y) ADORESS �..r/L`/G� G OWNER � MAIL ADDRESS TEL. CITV NO. BHANCH ADDRESS ^R �MITEC�� /� TEL. = e 1 Ai�IJ]f9 N Si0 G nin 4114 I/II/78 99,84 TL AP LI ATION FOR STRUCTURAL PERMIT RE IV D/ DATE RECEIVED DATE ISSVED i / `-7 / P NQ A.P. NO Z / � 7 �` BVILDING � ADDRES SC � TRACT LOT BLOCK ADDRESS �� I /v• �N�diLB�✓O � ZONE T PE � GHOUP ' � �E/� 9� L�.�BIi�� APPROVEO / I ., CONTRACTOR I/YI% BY � DATE � S�i�- M r W AODRESS a ,3 w. .9N•JNFin� Ci1�. TEL. ZON NO.OF USE OF NE � cirv � /�//�/l No.9%J=o,�i r eui�oinic F STATE CITY YARDS APPROV ED YARDS APPAO LIC. NO. 3� s LIC. NO. MAIN BUILDING ACCESSORV BUILDIN � SIZE � � NO.OF BLOCS. IFROM C/L STR ET) d OF l0T NOW ON LOT FT. a USE OF. � E%ISTNG BLOC F H FSeparate permits are required for L SID T. FT. 0 electric, plumbing and heating work. REAR FT. FT. �.W. USE,OF BUILO�NG AND WORK TO 0E PEflFOFMED DISTANCE BET. BET. MAIN & QMAIN BLDGS. ACC6S BLDGS. a L �/0 ' � I�(� C URP, sp 'I %�'JSG �aoveo �2-2 7� � � � APPROV ' J/ �� i' w FlOLD FL'��t SPECI4L REQJ G 0 I har�by eeknow�adYe t�et I hava reatl this application entl srata �, Mnt tha ebave ��forma2ion la correct and eprea ta eamply with d ell laws repuletlnB bulldinp conrtruction, ontl 1 s�ell not employ Z eny Derwn in violetion of Me workmen'� companmtlon lawa of � Ma Steto of Cel�fomie. ' 3 I nerobv cartity tnet � am properly Ileansetl es e contractor untle� � � S�. FT. t�e Smro of Cal�fornia Bu�inast and Proteuions Cotla, Dlvlsion 3, HE AMOUNT SHOWN UNDER VALVATIOI Chaptar 9, enE thet such Ilcanses ere In tull force end etfxt, or I THE FURPO6E OF ESTABLISHINO A PERMfT FE am axampt from tha visionc of the State of Ca n Businesa entl ProfesslOn! Cotl , ivision 3 �apto ` VALUATION PERMIT FEE E �� PLAN CNECK S ^ Sipnemro of n� �' Parmlttea $ / l TAX E �� AuMOrizetl �t TOTA4 PAIO s y� � m i m m N IS FOR m ONLY: � i �� N i�v m "' 0 LL � U Q . . �"CQ STA MESA BUI. NG-SAFETY DEPARTMENT ,' � � 'P.O.BOX1200 COSTAMESA,CALIFORNIA92626 For Applicant to Fill in Comple[ely — Use Ink Only �DIDRE55• �J•�,c �, ��i�F K� r� �E. � MAI LI NG ADD R E55 BRANCH ADDRE55 ARCNITECT Ofl ENGINEER �ADDRESS— CONT/ RACTOR ADDRESS I� � � �On � �� (� Q �c��" T `r15y . NO. TEL. 9611 6%04/79 �. 139.82 TL�` APPLIi._, ilOI�;FOR'STRUCTURAL PERINIT" - ' "' RECEIVEOB�' PERMIT ATp 4g157 ,� A.P. NO. �t��'�O D I �—OS l BUILDING � � � v ADDFE55 UNIT OR SPACE NO. -R.NO �� LOT I � NEW ADD ALTER REI USE APPROVED ✓ING DEMOLI I t2L�Nft UE , S O�UP — / � -� ` TEI. CITY C � NO.� ' 6 Ei F STATE C� p� p� CITV F�PPROVEDSETBACKS i LIC. NO. QC O L � p UC. NO. 0 0. (FROM C/L STREET) SIZE NO.OF BLOGS � � a OF LOT NOW ON LOT ONT FT � a USE OF p/� „�„ EXISTING BLOG. U � (!' � F Separate permi[s are required for L SIDE F�-�p � electric, plumbing and heating work. REAR (�" F USE OF BUILDING AND WORK TO BE PERFORMED P�qNNING AC ON a q DATE a ' ,(i� �,� E I�� APPROVED � I lh� D�[b'w �2fJ0 ' E�i .°�Ro � a L"10C C `' -� IT i c m � I horuCy ecknowletlpe thot I hnva reatl this applicatlon entl rtata � p(� that t�e ebova Informetion If eorroci antl aBree to comply with 0. ell Iawa reBuleUnB bulltlinp con6tructlon, enC I shall not employ i ,'� any perton in vlolation of tha workman's companaatiOn laws O1 ° � the State of Californie. � S�. FT. m 3 I �oraby certify that I am propnrly ticensetl ea a contreetor untler � 7 tha State of Calitornia Busineca and Professiona Cotle, Divtslon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapier 9, entl thet such licenses are In full force and effect, or I THE PVRPOSE OF ESTABLISHING A PERMIT LV� � am azampt from ihe provislons of the Stata af Cali4ornia Busineu VALUATION q antl Professions tl ivision 3, Chap � 9. PERMIT FEE E ✓' � m L� PLAN CHECK E O o Sipnatura o � �i yyy''yyy Permlttae • .6 �nLt�-�+ �l. I • / �� TAX E LL or f � � V Authorizetl Apant Date / TOTA� PAID E�':� �_� F F4 {i] L Q y y S F G v� F a 0 :� a > } .d a w o. 0 �i LL Z W 'j. 3 �., C05TA MESA BUf, NG-SAFETY DEPARTMENT f,0. BOX 1200 COSTA MESA, CALIFORNIA 92626 For AppGcant to Fill in Completely — Use Ink Only ADIDRE55 33S�scN,�e H�G OWNEROR jA- Zi TENANT VyVy MAIIING 33SF ADDRE55 CITV 1��5Ti� M BRANCH ADDRESS w1l�clvbo(. r�� Q �1{ sOC, K BL.VD. CITV /�►ryR��'�M NOLQ7S STATE 33 44S CITV LIC. NP. LIC. NO. , SI2E NO.OF BLOGS. OF LOT NOW ON LOT EXISTiNG BL�G. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORM MT� CiYn1oOY 3o X /30 I herebY ecknowledBe thet I hava reatl this application antl stete t�at the abova intormatlon is correct antl eprea to comply with ell iews �epulatinp builtlinp construction, antl I sf+all not employ any palso� �� olatlon of Mo workman's compensation lews Of Me Siete of Californla. I herabY cartify that I em ptoperly Iicansetl as a contractor under Me Ste�e of Californla Busineu entl Profeulons Cotle, Division 3, Chaptaf 9, enC that suth IicBnsas e�e in full torce antl affact, or I am exempt from th rovlsions ot the Staia of California Busineu anE P�tl+esslonf C tle, lai�hep{a� 9. 1 / V1 1 SlBnatureot I /innA11�. 1/l Permlttee V �V" "�' or � �, 'Z � i.. $ a Authorizetl Agent Date 1947 2/25/80 15v00 TL APPLI�.. �70N FOR STRUCNRAL PERMIT A.P. NO. BUILOING ADDRE55 UNIT OR SPACE NO. LOT NEW � ADD IALTER IREPAIR A� OWNERJAL{{LZI��Q�� .�NG USESTOR..�{Z S��F� VALUEs'�Oa APPROVED PLANNING ACTION APPROVED c � 'e m SQ. FT. � J THE AMOUNTSHOWN UNDER VALUAT�ON IS FOR m THE PURP06E OF E57ABLISHING A PERMIT FEE ONLV: � VALUATION PERMIT FEE y f , a N m PLAN CHECK E �" 0 � LL s TAX E � U TOTALPAID E �. lYl F � W G. a y N y" F ��2959 3/10/80 30.20 TL� •. COS7A MESA BUI:��IGSAFETY DEPARTMENT APP fON FOR STRUC7'URAL PERM►T .' P.O: BOX 1200 CO A MESA, CALIFORNIA 92626 REC IV �' PERMIT N� 49778 For qpp��cant to Fill in Completely — Use Ink Only �/' BUILDING �� /x�� /�� /` A.P. NO. 7— �aSVJ--' J' ADDRE$5 r�V �. OWNER OR — ADORE55 ��S r—(,fC��-� L}l�c�, TENAN7 J��N22� Irut�iR�Poo�6,�T,a .savC. r UNIT OR ADDRE$5 3�SrISC�i�iL �1I�C. SPACENO. TR.NO. LOT BLK. TEL. �7 CITY �jOS� A Nc�A N0.7s4'�7�,,,) CONSTRUCTION NEW ADD AITER REPAIR MOVING DEMOLISH LENDER BRANCH �%:G�'1LZ1 W�4{Rl. oJl BA'Tw' =!�C., OwNER ADDRESS / � �y ALUE ARCMITECT �Ta��ti' S•�L • TEL..7�a..6') U E ��"'�+ `Si� /� OR ENGINEER ;� � � �L ADDRE$S�G� �'"•"`o'� `�C"'�,• �"��, 20NE TYPE ROUP / � ScTL✓�vc' Q�L�AB�[.'/"� LNJ. Si{«7-H APPROVED CONTRqCTOR � BV DATE z s3 q war �.� Fi�•y,d. ADDRESS CITV �7'N�N-�/M NO�.��V 'O6Q/ STATE CITV APPR VEDSETBACKS LIC. NO, LIC. NO. SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT ONT FT. USE OF E%ISTING BLDG. Separate permits are required for L SIDE FT electric, plumbing and heating work. REAR FT. usMT� ILDINC/G Q N W'i0 K TO BE PE F00RMED�O� PLqNNING ACTION /�. { iL� SP� � N KCGYL E PPPROVE APPROVED I �ereby acknowlatlBa t�et I havo rantl thia eppllcetion entl rtete � thoi thg ebove Informetion It correct antl apree to comply with all laws reguleting builtlln0 conrtructlon, antl I shall not employ i ony person in violatlon of the workman's campanantion laws of : tha Stata of Califomla. m I haraby certify that I am properly Iicenmtl es a conttactor untler S�. FT. �'+ J ihe Stata of Calltornie Businaea antl Profossions Cotle, Dlvision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, antl t�at such licenaes are In f II forea anC etiact, or I THE PUFiPOSE OF ESTABLISHING A PERMR FEE ONLV: � em axampt trom t pr visions of the5t e of Celitornia Business VALUATION PERMIT FEE S� .� q antl Professions C da, DI isio 3, Cho /� � N � p�( �� PLAN CHECK 5 / O O SIO�etuta of � % ! 1 v Permittee $ I V TAX E �'� f Authorii¢tl Agent Date 3'/O '�� I TOTAL PAID b �� U �� ,� ��' •�'� COSTA MESA BUI� JGSAFETY DEPARTMENT �'!� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUIIDING/� � ADDRESS�J � - OWNER OR TENANT C � ' ` QO MAILING � � ` /� ADDRE55 /� �— � � TEL.� CITY NO. �j BRANCH ADDRESS CONTRACTOR S ADDRESS `�r/ ' ---- - - -- - -=�� APPL0. .(ON F,OR STRb �TURAL PERMIT 59o_GC TL A.P. NO. ` BUILDING A�ORE55 UNIT OR SPACE NO. �/ LOT / � CO NEW ADD ALTER REPAIR APPR G - ' TEI. �C�' 6 CIT — NO. F STA CITV I�� APPROVEDSETBACKS � IIC. NO. LIC. NO. � 512E NO.OFBLDGS. (FROMC/LSTREET) 0. OF lOT NOW ON LOT RONT FT. a USE OF � � EXISTING BLDG. y FSeparate permits are required for �. si p. � electric, plumbing and heating work. REAR r. (.�. VSE OF BUIIDING ANP W�AK TO BE PERFORMED P� ACTION a c = .�.Gw✓� a DATE a APPROVE � D r .a � � QI heraby acknowletlga thet I have reatl thls epplicatlon and state a that the abova Intormaiion is correct end apree to comply wlih a all laws regulatinp build�ng consiruction, entl I shall not employ z any parson In violetion of 2he workmen's compensation lews of � the Stata of Californie. 3 1 hereby certify that I am ProOerly IlcansaC es a contreetor untler SQ. FT. the State ot Calitornia Business antl Professions Code, Divislon 3, THE AMOUNTSHOWN UNDER VALUATION Chapter 9, entl Met sucn licenses ere in tull forca antl etfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE am exemDt trom tha prO��sions of the Siat ot California Businau VALVATION antl Profassio otle, Di�ision 3, Chep er . PERMIT FEE E Signature of P�N CMECK y � Permitte /� o G ,s� 1. �� $ /�� TOTAL PAID E� // Authorized ABent Date � BLK. n 'v m J 0 �' �,� , �0366 4/07/81 126.45 Tl COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT o n nnv »nn rnern � rn� icno�un n - "_' __"- '__' '__'"""'__"" "'_'" _..."'"' __' _ REC BV PERMIT N�� 515 r 9 For Applicant to Fill in Completely — Use Ink Only ADORE55 7� ISG/7CJ� A.P•NO. 2 �C� �D OWNER OR � p ADDRE55 J 3S /�%tX.�.2(� TENANT T/�GUJ�]�� (NI'I'JIL�./-OOL S�TN MAILING �" UNIT OR AODRE55 �' S� I�/-fLIM'US �� SPACE NO. A c TR.NO./ LOT BLK. CITV �e�• NOL%ST'I�O C..V /� CONSiRUCT70N NEW ADO ALTER REPAIR MOVING DEMOLISH LENDER N �V}S BRANGH � � � OWNER ADDRESS A VALUE ARCHITECT TEL. VSE La.O�I� �� E`sQ�� OR ENGINEER N �'1- �. . � �lCQ.d`��10.`J1��ry Vr,T i ZONE TVPE � GROUP A�DRESS APPROVED ♦L � �� CONTRACT BY DATE T ADDRESS /�3 / �l �-�'�' ��A ��T� �✓n �7n, No.`99S oc � STATE CIT� (� APPROVEDSETBACKS IIC. NO. _ 3 � LIC: NO.��s436 SI2E NO.OF BLDGS. IFROM C/LSTREET) OF l0T NOW ON LOT NT FT. / USE OF EXI5TING BLDG. M/3'I{/(% Separate permits are required for L SID FT electric, plumbing and heating work. REAR FT. USE OF BUILDING N WOFi TO 8E PERF RMED P�ANNING ACTION MA�N✓'�' �i i�L'lZ�i-A4S 'i/�i� UL�S- �°YLIOIQ AL i /�-D S ,80v � /� DATE APPROVED � GLMIT�-in1 DUST. �ROVED � I horeby ecknowletlpe thet I have reatl thif npplleetion antl stete , - thet the ebova Information Ia corract antl eproa to comply wlih ell laws reB�InUnp builtlinB �onrtrucNon, antl 1 eholl not amploy any oarcon in violatlon of the workmen's compensallon lews of t�e Staie ot Celifomle. I hereCy canify thet I m proparly I E es a eontrector unGar SQ. FT. the State of CalHornie 8� Profasslons Cotle, Divifion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, entl that zuc ense in full force entl eftact, or I THE PURPOSE OF ESTABLSHING A PERMR FEE ONLV: am ezempi trom M rOvisions of [he Stata Of Californla Business VALUATION a� and Protessions /C�otle, Dlvlsion 3, Cheptar 9. PERMIT FEE E SIB�atura of /�y�. ��/J��J PLAN CHECK 5 O Permlttea �'� H'Y�� 5 /S �� TAX b `� Q or A �� .—g/ Authorizetl Aqent Data T TOTAL PAID Sl26 •� S C i m m N J m N m n f u CITY OF COSTA MESA BlIILDING DIVIS/ON 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754•5273 • Fax (714) 754-4856 • w�vw.ci.costa-mesa.ca.us � FOR INSPECTIONS CALL: (714) 754-5626 � PERMIT NUMBERYM07-00399 PERMIT TYPE MECH STATUS: ISSUED DATE ISSUED: 06/2812007 - '-`""��=` ` `-- ISSUED BY: RMD ,T. r"� -.{ i : ;. ; �..�i::,. JOB ADDRESS: 335 FISCHER�AV CM �� . �� Suite%Unit �� , - � Vicinity: " ._ - ' SQ. FT: 0 - �` , ..,, , a i ., �,r,''�/ , s.� i c, , ��,' �_: �j.� - .;iif' r �-e SCOPE OF WORK: MECHANICAL PERMIT�FOR A 1,680 SF INTERIOR T.I. FOR "JG�PLASTICS GROUP, LLC." REF#: B07-00379. WORK TO INCLUDE: 1 REFRIGSYST>�100 K BTU AND 1 AIR HANDLER < 10000 CFM��'?�.Y "� .. ,%.r�'a � , `b!�:�.,. , i� . , . - _ � �.,.r . .. �q � , . �! -r ' � ...1' - 9 . . . OWNER: MACK. JOHN G � � � . � • , . � - Address � �-, 335 FISCHER AVE UniC: � � PHONE: �� :; �' ' � - City/State/Zip: "-COSTA MESA, CA� �� " APPLICANT: TAKATA, �CRAIG �� `� � , . Address: 1392 INDUSTRAL DR �� UnikCA PHONE: 949-274-1990'�. � � �.� Ciry/State/zZip: TUSTIN _� I ; � , , � . . .;; . __ .,.� , �:;-_ . .,�. CONTRACTOR: CLEAN ROOMS WEST INC � ' � ' • . _ _ -� License No. 650702 . ` ' Address: 13921NDUSTRAC'DRUnit CA - . � � ` �"�� PHONE: 714�=256-7700 '�� City/State: TUSTIN� ; - ' ZipCode 92780';, � -- CELL: �� ' .-� � �'_::, y�: . . . ,f' - _ ' - _. _�. -._ . , - -� . .. _- % .. � � ' . -. -.._ ' - . n' MECHANICAL PERMIT FEE'SUMMARY - �> MECHITEMFEE: � �� ,��'� 4��_ $52.35 �=,. PLAN CHECK FEE: - ,.-_.$0 00 �,x.'�� - INVESTIGATION FEE: - �� 1 � �-..SO 00 �' �. �} - �r � r7�7 REINSPECTION FEE: , '- /rr;, $0 OOR=.,. ; _ ' � '� __ ' ;� �. '� . � . : ' �� ., TOTAL FEES: $52.35 — �J� _ „ : ;: .�,'` ;, ,r , ,� ., � * . . .,.. ._ � " ,y.; " . - - � ' NOTICE: The work authorized by this permit shall wmply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1. 12-21•92) , EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all requtred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. L� INSPELTIONTYPE D� IN�1L1R�j �QQ[j INSVEC710NTYPE ' . 01T INIIIIALS 1618 Fiaed System Final Fire Prevention � 206 ' Final Mechanical � a•, _ o� � 1266 Pool Spa Final 200 Final Re-Roof 201 ' Final 81ock/Retaining Wall 202 Final Factory Fire Place � 203 Final Sign 204 ��FinalDemolilion 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/OccuDancy WORKERS' COMPENSATION DECLARATION: . I hereby aHirm under penalty of perjury one of the io.,..aing declarations: ❑ I have and will maintain a certificate of wnsent to self-Insure for viorkers' compensation, as provided tor by seclion 3700 of Ihe Labor Code, for the p�Qf(�ofmance O( lhe WOfk fOr Which��hi5 perrtlit is i55ued. - {�' I have antl will mainlain workers' cwnpensation insu2nce, as required by sectbn 3700 0l lhe Labor Code, for lhe pertormance of the vmrk fw which this pertnit is issue0. My workers' compensation Insurance carrier antl policy numDer are: �.carrie �. �/L6/N�A- S'�.EETS' (ilvs sMon need nof Oe mndotatl /tM perm4 is rd�uM et ane nuM�etl dYars (Et001 a less J Ptilicy�Plumber: �SDS/.(IPDDD 9S/(o� ❑ I certily that in the performance o( lhe work (or which this permit is issuetl, I shall not employ any person in any manner so as to become subject to Ihe workers' compensation laws of Califomia, antl agree thal il 1 should become subjecl to Ihe vrorkers' r� pensation provisions of Section 3700 of the Labor . 1 shall fortt 't r�ply with these provision ,r. _ � ze o� Ao � s.spn wrc]-_ oar ,e. r WARNING: fAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAFtS ($100,000�, IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm thal I am licensetl under provisions of Chapier 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code. antl my license is in full force antl effecl. /� I:ic�� ' �� ' Z class # � � «r`3 ZB �' �Coy�ad s'Sipn lure t �---�_ /_----- �._.."'c� CONSTRIICTION LENDING AGENCY: ❑ I hereDy affirtn that Ihere is a constructbn lending agency for the peAormance of Ihe v.ork (a wfiich N�s permit is issueC. (Sec. 3097. Civil Code). Lender's Name: Lender's Address: � 'y /f SipnaWre - _ , � �ate OWNER-BUILDER DECLARATIONS: ':• I hereby affirm Ihat under penalty of perjury t�at I am EXEMP7 FROM TME CONTRAGTORS LICENSE LAW for lha follovring reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit ro consirucl, alter, improve, Oemolish, or repair any structure. prior to its issuance, also requires the appliwM for such pertnil to file a signed statement that he or sha is licensed pursuant to the plOvisions of the CAntractors License Law (Chapter 9(commencing with Section 7000) ol Division 3 o( the Business and Pmlessions Code) or that he or she is exempt therefrom and ihe basis for the alleged exemption. Any violalion of Section 7031.5 Dy any applicant for a pertnit subjects tha applicaN to a civil penaly of not more than five hundred dollars (5500�.): ❑ I, as ovmer ol the property, or my employees with wages as their sole compensation. WILL DO THE WORK, and t�e struclure is not intended or oHered for sale (Sec. 7044, Business antl Professions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who dces such work himself or hersell or through �is or her own employees, provided that such improvements are not intendetl or offered �for sale. If, however, lhe building or improvemenl is sold within one year of completion, the owner-builtler will have l�e burden of proving lhal he or she ditl not build or improve for purpose ol sa�e.). � ❑ I, as ovmer of Ihe proDeny. am EXCLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to consWct the project (Sec. 7044. Business and Protessions Code: The contraclors License Law dces not apply to an rnmer of property who builds or improves thereon, antl who contracts for such project with a cmlracta(s) license pursuant to the Cont2c[ors License Laws.). ❑ I am ezempt untler sec. Business and Professions Coda for this reason: �tl51�48(3/0]) Owner ID verified by driw nse. ❑ Ves ❑ No � Driver's License No. Expires: Verifwtion bf Ovmership by (rype of document, i.e. - property tax hill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: . � ❑ I hereby cert'Ay that no exwvation frve (5) a more feet m deplh into wfiich a person is required to descend, v.ill be made in cannection with woAc authorizetl by this pertnit, and chat no building structure, scaffdairg, falsevqrk, or demdition or dismanUing thereol, will be more than thirty-su (36) teet high. (Chap. 3.2. Grp 2. Fvt 2. Sec. 341. Ttle 8, Califomia Atlministrative Code�. ❑ As owner-builder. I will not employ anyone lo Ao work which would require a permit from lhe Division ol Industrial Safery, as noted aDove, unless such person has a permit to Co such vrork from the division. Appliranl's SignoWre Division o1 Induslnal Salety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicanl or pre5ent or (uture builEing ottupanl need �o fle and certify a Business Plan lor emergency response to release or threateneE release of a hazardous material7 ❑ Yes ❑ No (Saction 25505 0( the Califomia Health antl Safery Code requires, wilh some exceptions, lhat a Business Plan be filed wilh the CosU Mesa Fire Department by every business which has at any one lime tluring a repoAed year a quantiry of �azartlous materials equal to or greater l�an a vreight o( 500 pountls, or a volume ol 55 gallons, or 200 cuDic feet ot compressed gas at stanAartl tempereture and pressure). 2. Does or win the applicant or present or future building xcupant neetl to fle a registration fortn lor acutely hazardous malerials? ❑ Yes ❑ No (Section 25533 0l the California Health and Safety Code, wiN some exceplions, requires regis[ration with the Costa Mesa Fire DepaRment by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater Nan a weight ot 500 pountls, or a volume of 55 gallons, or 200 cuhic feet of compressed gas at stantlard temperaNre and pressure). 3. Does or will the applicant or present or future buil0ing occupant need to prepare an RMPP (Risk Management and Prevention Program for aculely hazardous matanals)7 ❑ Yes ❑ No (Section 25534 of the Califomia Healt� antl Safery Code provides that the Costa Mesa Fire Department may require the prepa2lion, certification ana filing with the Fire Departmenl of an RMPP by businesses v+hich are required to register aculely hazartlous materials with Ihe Fire Department. 4. I( an RMPP is presently required, has Seclion 25534 of the Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will I�e applicant or present or future builtling occupant require (or the vrork which is lhe subject ot this application a pertnit for such wnslruction or motlifwtion from the Swth Coasl Air Ouality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the Califomia Govemmem Code requires that the requested in(wmation be fumishetl on applicatbns fa ron-rasitlential buibirg pertnits). 6. Will any part of t�e lacili�y �o be constructed under this permil be within t000 teet from the outer boundaries of a school7 � Ves ❑ No (II'yes'. the laciliry must meel the requiremeN of Sections 25534 anC 42303 of lhe California Health and Safery Cotle). 7. If a permit from Ihe South Coasl Air Qualiry Management District or other air pollution control tlisMct or agency is required for the work whic� is the subjecl of this application, have all of the disclosures prescribed by Califomia Health and Safery Code Section 42303 been made7 ❑ Ves ❑ No, 8. (If'yes', attach cenifcate of compliance from the appropriala air pollution control oKcar). CERTIFICATE OF COMPLIANCE: I certify that untler penalty of peryury the information given above is correct. I agree to comply with all slate lavrs and ciry ordinances regarding Hazartlous Materials and Emissions. SipnaWre 0.�te CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury ihat I have read Ihis appliwtion and state that the information given is correct. I agree to comply with all SWte laws and ciry ordinances relating to building construclion, antl authorize representatives ot the Cily o( Costa Mesa to enter upon ihe above�descnbed property for inspection purposes. I agree not to occupy or allow occupancy ot any building authonzed by [his permit until final inspection. . ��g/naWreolleg er� / ��ep / -_� f9 G(/ AnN r.Au,aizeE'AOW�wnt.�...� ?..y,.. . � �—",:�-•T�.,... / CITY OF COSTA MESA ' BUILDING DIVISION 77 FAIR DRIVE. COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wv�nv.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: P07-00517 PERMIT TYPE PLUM STATUS! - �� ISSUED' ' ' • � DATE ISSUED: 09I1012007 - ISSUED BY: SOK JOB ADDRESS: 335 FISCHER AV CM � 'Suite/Unit: ', '. , Vicinity: � � ' , - SCOPE OF WORK: 1,680 SF INTERIOR T:I. FOR "JG PLASTICS GROUP, LLC." REF.: 807,00379. PLUMBING INCLUDES: REPLACE 3 WASH BASINS, 3 URINALS, 1�WASTE AND VENTAND 5 WATER CLOSETS. � , l��-eo 3 �9 OWNER: MACK, JOHN G - ." �- Address: PHONE: , City/State2ip: APPLICANT: CHRIS WIGGAN ' Address: PHONE: 714-282-5700 � � ' City/State/zZip: CONTRACTOR: AMERICAN CONTRACTORS � � , � Address: 404 WEST BLUERIDGE AVE • • PHONE: 714-282-5700 _ � City/State: ORANGE, CA ZipCode:.- 92865-'4204.- ._ PLUMBING PERMIT FEE SUMMARY. PLAN CHECK FEE: PERMIT FEE: $141.10 TOTAL FEES: $141.10 $0.00 `: _ � 335 FISCHER AVE COSTA MESA, CA 404 WEST BLUERIDGE AVE : ORANGE,CA ' License No. 309863 -. � CELL: . . - . � NOTICE: The vrork authonzed by this permit shall comply with all appliwble handiwp access requirements under Califomia sfatutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obfained. Failure to obtain inspections and final approval will result in the expi2tion of this permit. cODE/, ixsveenoNrrve o� IN1111R15 cooe� IN$PEClIONTYPE o� wTm� 1616 Fixed System Final Fire Prevention pOB Final Mechanical 1266 Pool Spa Final 208 Final Plumbing ��' I 9' O� �_ 200 Final Re-Roof 210 Final Electrical 201 Final BIOCk/Retaining Wall p12 Final Fire Prevention 202 Final Fatlory Fira Place 220 Final Planning Appmval 203 Final Sign 222 Final Site 204. Final Dertwlition �� 250 Final BuildinyOccupancy � . WORKERS' COMPENSATION DECLARA710N: . I hereby affirm untler penalty of perjury one of Ihe (ollowing declarations; ❑ I have and will maintain a certificate of wnseN lo sel4lnsure (or worBers' compensation, as provided for by section 3700 of the Labor Code, (or the peAortnance of lhe work for which this pertnit is issued. �i,n❑w I'pave and will maintain wnrkers' canpensatbn insu2nce, as required by IAYs`ecl'ad 3700 of lhe Labor Code, for Ihe peAortnance of the �rork fw which this permit i5 issued. My worker5' compensation Insurance tarrier and policy number are: y -}+�� Gairie,r"1S��VEV'Sr�'�1e�tIVANC2 .SQY�1lre c (Thu sMion nMtl nOt Gp mmpktlH I the permC a valuetl af one nunded Nllars (f f 001 d less ) �olicylNumbec ��0�02/�v99��e� ❑ I certify that in I�e peAormance of the work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to the workers' Gompensation lav5 of Calilornia, antl agree that il I should become subject to the workers' compensalion provisions of Section 3700 0l the Labp qde, sh II lo hvrith comply vrith these provisions. � - (0 ��' _VPJwRs ' re___ Date !—� WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 7HOUSAND DOLLARS ($100,000), IN ADDITION TO iHE COST OF CAMPENSATION, DAMAGES AS PROVI�ED FOR IN SECTION 37W OF THE LABOR CA�E, IMEREST. AND AT�ORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn Ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) ol Division 3 of the Business antl Professions Code, and m license.is in full force and eRecl. "'Lic_#_ — O Giasstk. i%3�v - — ' [% � �l�;.' nUaclor's ' rey�_ O•,te CONSTRUCTION LENDING AGENCY: ❑ I hereby affum �hat there is � a- consWction lending agency fw �he pertormance of the work fa v,hic� tttis pertnit is issued. (Sec. 3097. Civil Code). lender's Name: Lender's Atldress: �� Sgrialure .O� Da�e OWNER-BUIIDERDECLARATIONS: � I hereby atfirm Ihal un0er Oenalty of perjury thal I am El(EMPT FROM THE CONTRACTORS LICENSE LAW (or lhe lol,owing reason (Sec. 7031.5, Business antl Pmfessions Cotle: Any ciry or counry which requires a permit lo construct, alter, improve, tlemolish, or repair any structure, prior lo its issuance, also requires Ihe applicant lor such pertnit to file a signed slatement thal he or she is licensetl pursuant to the provisions o( the Contractors License Law (Chapter 9(commencing wilh Section 7000) of Division 3 0( the Business and Professions Cotle) or that he or she is exempt therelrom and the basis for the alleged exemption. Any violation ot Section 7037.5 by any applicanl for a pertnit subjecis the applicant to a civil penalry ol not more than five hunCred dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, antl Ihe struclure is not intendetl or oflered for sale (Sec. 7044. Business and Protessions Code: The Contrectors License Law Cces not apply to an ovmer of properry who builds or improves thereon, and who dces such H+ork himself or herself or through his or her ovm employees, provided that such impmvements are not intentletl or offered for sale. If, however, the building or improvemenl is sold within one year of completion, the owner-builtler vnll have the burden of proving that he or she tlid not build or improve for purpose o( sale.). ❑ I, as owner of Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professbns Code: The contractors License Law dces not apply to an owner of propeny who builtls a improves thereon, and who contracts for such project with a contracta(s) fcense pursuant ro the Contractors License Laws.). ❑ I am exempt under sec. - Business and Professions Code lor this reason: 305]i8 (YO)) Owner ID verifed by drive. ,nse. ❑ Yes ❑ No Dnver'sLicense No. Eapires: Verification of Ownership by (type of tlocument, i.e. - property tax bill or tleedj: DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: : ❑ I hereby certAy that no excavation frve (5) or mwe feet in depth into wfiich a person is required to descend, will be made in connection with v.ark autlqrized by this pertnit, antl Ihat no 6uilding structure, scaffdtling, (alsework, or demolition or dismantling thereof, will be more than thirtysa (36) feet high. (Chap. 3.2, Grp 2, M 2, Sec. 341, Title B, Califomia Administrative Code�. ❑ As owner-builder, I vnll not employ any0ne to do work which v.oultl require a permit from the Division of Intlustrial Safery, as noted above, unless such person has a permit to do such vrork from Ihe tlivision. A07�iwn1's Signalure Daie Division o( Intlustnal Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicanl or present or future building occupant need to fle and certify a Business Plan lor emergency response to release or threatened release of a hazardous material7 ❑ Ves ❑ No (Section 25505 of Ihe Calilornia Health and Sa(ety Code requires, with some exceptions. that a Business Plan be riea with the CosW Mesa Fire DepaAment by every business which has at any one time during a reportetl year a quantity of hazartlous materials equal ro or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standartl IemperaWre antl pressure�. 2. Does or will me applicant or present or fulure building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Seclion 25533 of the Califomia Health antl Safely Code, with some ezceptions. requires regisVation with the Cosla Mesa Fire Department by each business which at any one time has on hantl a quantity of acutely hazartlous materials equal to or greater than a weight of 500 pounCs, or a volume of 55 gallons, or 200 cubic teet of compressed gas at sUntlard temperature antl pressure�. 3. Dces or will Ihe appliwn� or present or (uNre building occupant need to prepare an RMPP (Risk Management and Prevention Program for awtely hazardous materials)7 ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Code provides Ihat the Cos[a Mesa Fire Department may require Ihe preparation, certification and fling with the Fire Depariment of an RMPP by businesses whic� are required to register acutely hazardous matenals with the Fire Deparlment. 4. I( an RMPP is presenlly requiretl, has Section 25534 of the Califomia Health and Safety Code been (ully complied with? ❑ Yes ❑ No 5. Does or wiu the appliwnt or present or fuWre buildinq occupant require for me work which is the subject of this applica�ion a pertnit for such wnsWCGon or modification from Ihe South Coast Air Quality Management District or fmm any other air pollution control tlistricl or agency? ❑ Yes ❑ No (Section 65850.2 of the Califomia Govemment Code requires that the requested infortnation be fumishetl on aDPlications fa rarrresidenl'al DuiWing pertnits). 6. will any part of Ihe (acility lo be consWcted untler tllis permit be within 1000 feet from the ouler boundaries ol a school? ❑ Yes ❑ No (II'yes", the facility must meet the requirement ol Seclions 25534 and 42303 of the Calilomia Health and Sa(ery Code). 7. If a permit (rom the SoWh Coast Air OUaliry Management DiSIriG[ Or olher air pollution control tlislrict or agency is requiretl for the work which is the subject ol this application, have all of the disclosures prescnbed by Calitomia Health and Safety Cotle Section 42303 been made? ❑ Ves ❑ No 8. Qf yes". attach certificate of compliance (mm the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that untler penalry of perjury the information given above is correct. I a9ree to comply with all state laws and ciry ordinances regartling Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: 1 certity under penalry of pe�ury that I have read this application and slate that the intormation given is correcL I agree to comply vnth all state laws and ciry ordinances relating to builtling constmclion, antl authorize representatives of the City of Costa Mesa to enter upon the above-descnbed pmperty for inspection purposes. I agree nol to occupy or allow occupancy ot any building authorizetl by this permit until final inspection. � •Sig Wreo(L alOwqer(5� Da�e !o a rrolAuthOn' COIi` onl � /:Lv' t2 �\� y � 6,�.�:� • CITY OF COSTA MESA � . BYILDING DIVISION i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754•5273 • Fax (714) 75a-4856 • www ci. sta-me a. u t °.�� • FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER. E07-00638 PERMIT TYPE ELEC STATUS: ISSUED � . _ DATE ISSUED: 0612812007 - , ' ISSUED BY: RMD = .; � , �• - � � . .� .. ^:2 a JOB ADDRESS: 335 FISCHER:AV=CM- .�, `• ' c� Suite/Unif:`��, ` . ,:�,-... � -- - . - . , Vicinity: ; � .' � � . � . , ' . . . (r: " :�-1 i � • . _ . - - SCOPE OF WORK: ELECTRICAL"PERMIT �F.OR A�f,680 SF INTERIOR T.I. FOR "JG PI:ASTICS GROUP,"LLC" REF#: 807-00379. WORK TO INCLUDE: 28 LIGHT FIXTS, 24 OUTLETS, 2 SWITCHES, 2 SERVICES TO 1000A, 1 MOTOR T0:10HP'AND 2 TR,4NSFORMERS UP TO 100 KVA. . .fS•- t: � ' , L�:, � . . . �, !._ . , �- - OWNER: MACK, JOHN G� �� - Address: 33�5 FISCHER AVE �Unit: PHONE: " ' � � _ � � �, City/State/Zip:. COSTA MESA, CA � �. � , : �..' ' ' - . - APPLICANT: TAKATA, CRAIG �"' � �' ��. Address: 13921NDUSTRAL�DR UnitCA PHONE: 949-274-7990 . ' CitylSlate/zZip: TUSTIN � CONTRACTOR: CLEAN ROOMS WEST INC ` `._ " __ . �. , _ �. - License No. 650702 � Address: 1392 INDUS7RAL DRUnit CA -. , PHONE: 714-258-7700 City/State: TUSTIN'� .. , , � ZipCode: 92780 � _ ... ?; . CELL: � - ` . .. -_. - _ _ . . - _ . . . _� ELECTRICAL PERMIT FEES . Electrical Plan Check Fee: , `. $0.00 , , Electrical Permit Fee: $264.56 , -' Reinspection Fee :;�; � $0.00 TOTAL FEES $264.56 _ a NO710E: The vrork authorizeq by this permit shall comply with all applicable handicap access requirements under Califomia statules and related regulations. (Ord. No. 92-28, § 1, 12-21-92) , EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicabie codes, and all requiretl Inspaetions and flnal approval must be oblained. Failure to obtain inspeclions and final approval will result in the expira6on of this permit. CpDE1. INSPEGilONT9E �j� INTfMLS CODE/ �NSPECTIONTYPE Q,�j� INiRULS 1818 Fixed SyStem Final Fire Preyention � 208 Final Mechaniwl � 1268 Pool Spa Final " 208 Final Plumbing �� 200 � Final Re-Roof " 210 Final Electncal 201 Final BIOCWReWining Wall , 212 Final Fira Prevention 202 Final Factory Fire Place 220 Final Planning Approval �� 203 Final Sign 222 Final Site � 204 ' final Demolition 250 Final BuilOing/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby a(firm untler penally of perjury one o! the fo��vwing decla2lions[ ' � ❑ I have antl will maintain a certifcate o( consent to self-Insure for workers' compensation, as D�ovided for by saclion 3700 of the Labor Code, for the peAo� ance o( the work tor which this permit is issuetl. [-r I have arM vrill ma'uriain v.orkers' compensation insurance, as required by seclion 3700 0l the Labor Code, (a the peAortnance ol the work fa which tltis pertnit is issuetl. My workers' compensalion Insurance carrier and policy number are: . /��/M/� s ;Gine� �i C/�E"�/ (rhssecnunneea Decanpetedlllnpnnid'uvaNaOalonelrurMieEJalars(5100/a-kss) Polic��.N�mber. ��SW�� 5�� ❑ I certily thal in the perfortnance of the work for which Ihis permit is issuetl, I shall not employ any person in any manner so as to become subject to Ihe vrorkers' compensalion laws of California, and agree that if I should become subject b lhe workers' com{�n5ation provisions of Section 3700 of lhe Labor Co , shall forthwi� I�with these pmvisio S. Ls7 � � 6� �W S�gnaWr� ��---+ / WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS UECLARATION: I hereDy affirm that I am licensed untler provisions ol Chapter 9(commencing with Section 7000) of Division 3 ot the Business antl Professions Code, and my license is in tull (orce and eNect. �ic: tt� O D Ciass s= �' �'� .� 6 z&� a� Coo tto,s5ignature Date — �"' CONSTRUCTION LENDING AGENCY: ❑ I hereby affum tnat t�ere is a consWctbn lentling agency for the peAormance of the v.ork fa vfiich this pertnil is issuedi (Sec. 3097, Civil Code). . •rI Lender s Name: Lender's Atltlress: $ignalure OWNER-BUILDER DECLARATIONS: �/ I herehy affrtn thal under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe' following reason (Sec. 7037.5. Business and Professions Code: Any city or county which reduires a permit to construct, alter, improve, demolish, oj repair any struclure, prior to its issuance. also requires me applicant for such Oermit to fle a signed statement Ihal he or 5he i5 litensed puf5vant to the provi5ion5 of the COnlractors License Law (Chapter 9(commencing with Section 7000) of Division 3 Of Ihe Business and Pmiessions Code) or lhat he or ShB is exempt lheretrom and me basis for the alleged exemption. Any violation of Section 7037.5 by any applicant for a pertnit subjects the applicant to a civil penalry of not more than five hundred dollars ($500).): � I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the 5lructure is not intendetl or oHered lor sale (Sec. 7044, Business and Professions Code: The Contreciors License Law tices not apply to an owner of property who builds or improves lhereon, antl who dces such work himself or hersel( or through his or her ovm employees, provided that such improvements are not intended or offered for sale. I�, �owever, the building or improvement is sold within one year ot completion, the owner-builder will �ave the burden al proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to conshuct Ihe project (Sac. 7044, Business antl Professbns Catle: The cont2ctas License law dces not apply to an a.mer of propeAy who builds or improves thereon, and who contracts tor such projecl with a contractor(s) license pureuant tothe Contractors License Laws.). ❑ I am exempt under sec. Bu5ine55 and Pro(e5sions COde fof this rea50n: Ownar ID venfied by dm� nse. ❑ Yes ❑ No Driver s License N0. Expires: Verificalion of Ownership by (type ol document, i.e. - property tax bill or tleetl�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: � I he2by certify that no exwvation frve (5) a more feet in depth into which a person is required to descend, will be made in connecl'an with work aulhonzed by tNs permit, and Ihat no builtling struclure. staRddirg, false.wrk, v demolitbn or dismantling Ihereof, v.ill be more than thirty-s& (36) feet high. (Chap. 3.2, Grp 2, M 2. Sec. 341. Ttle 8, Califomia Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit Irom the Division of Indus[rial SafBty, as noled above, unless such person has a permillo do such work trom the Civision. Appl¢anfs SignaWre �ate Division of Induslrial Safety Permit Number: HAZAROOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will the applicant or preseN or future huiltling occupant neetl ro file and certify a Business Plan lor emergency response to release or threalened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safery CoAe requires, wilh some exceptions, that a Business Plan be filed with the Costa Mesa Fire Depanment by every business vfiich has at any one time during a reported year a quantity of �azardous materials equal to or greater ihan a vreighl of 500 pounds, or a volume ol 55 gallons, or 200 cubic feet ol compresseA gas at standard temperature and pressure). 2. Does or will the applicant or presenf or (uture builtling occupant neetl lo fle a registration form for acutely �azardous materials� ❑ Yes ❑ No (Section 25533 of the Califomia Health antl Safety CoCa, wilh some exceptions, requires registration with the Costa Mesa Fira Department by each business which at any one time has on hanC a quantity of aculely hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperaWre and pressura�. 3. Does or will Ihe applicant or present or future building occupant need to prepare an RMPP (Risk Management and Preventlon Program tor acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Sa(ely Code proviCes that the Costa Mesa Fire Department may require the preparatlon, certificalion and filing with Ihe Fire Department of an RMPP by businesses which are requirad to register acutely hazardous materiais with Ne Fire Departmenl. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safety Code 6een fully complied wilh? ❑ Ves ❑ No 5. Does or will Ihe applicant or present or Iuture building occupant require for Ihe work which is lhe subject o( lhis application a pertnit for such conSWction or motlifcation (rom me South Coast Air Ouality Management District or from any other air polWtion control tlistricl or agency? ❑ Yes ❑ No (Sectbn 65850.2 of the Califomia Govemment Code requires ihat Ihe requestetl infortnation ba fumishetl on applications fa ran-resitlential builtling permits). 6. Will any part o( lhe (aciliiy to be constructetl under this permil be within 7000 feet from the outer boundanes of a school? ❑ Yes ❑ No (If'yes", the facilily must meet the requirement of Sectlon5 25534 and 42303 of the Califomia Heal[h and Safety Code). 7. If a permit fmm the South Coast Air Qualiry Management Disinct or other air pollution control dislnct or agency is requiretl for the work which is the subject of this application, have all of the disUosures prescribed by Cali(omia Health and Safety Code Seclion 42303 been made? ❑ Yes ❑ No. 8. pf'yes", attach certificate of wmpliance from the appropriate air polWtion control oKcer�. . CERTIFICA7E OF COMPLIANCE: I certify that untler penalry of peryury I�e information given above is cortecL I agree to comply with all state laws and city ortlinances regarding Hazardous Materials and Emissions. o��e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify untler penalty ol perjury that I have read this application and stale Ihat the information given is correcL I agree to comply with all state laws and city ordinances relaling to builtling construction, and authorize representatives of the Ciry of Costa Mesa to enter upon the above-described property lor inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspec[ion. ure o! Lepal te Signature Date . . � � � 3051461310)) 0.Mla Ayl IXixlC Ppp fdnl Ddl / � ,��'�. CITY OF COSTA MESA � BI/ILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 • p14) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us � � FOR INSPECTIONS CALL: (714) 754-5626 FO%-OOZH% ` FIRE SUPRESSION PERMIT Jobnddress: 335 FISCHERAV � Suile: . -� � �- . Vicinity: JG PLASTICS - � �- Parcel Nunmber: 42708105 ;. � `., _ '-Zoning: ; �, . ApplicanC BARBARA`AUSTIN . ; Address: 79 DAILY,DR ; � � STE 245 _�� .' � �- , � Phone: CAMARILLO, CA � Zip: • _. . . • - • . _ . . , �, . .� � :�. � '� �-'+�. 714-717-0289 , 93010 , . Owner: MACK, JOHN G ; � Address 335FISCHERAVE� -.. . , - - ' " Phone: � COSTA MESA, CA ' Zip: 92626 . ..,, Contracror. SPRINKMATIC A CORPORATION � � Address: 79DAILY:DR �t • � - . � STE 245 � - Phone: 805-640-9676. CAMARILLO; CA ' - Zip: 93010 . " � 0 Slatus: ISSUED Applied: 10/082007 Issued: 10242007 '. _ �•i.,'� . . .. Ucense: 6901Z1 - � . � � SCOPE OF PERMIT INSTALL 36.OVERHEAD SPRWKLERS FOR "JG PLASTICS". � REF.:807-00379 � � � _ �'. � � � FEE SUMMARY . Plan Check: $63.21 . , Calc Valuation: 53,2ao.00 Permit $97.25 Claimed Valuation: 53,zao.00 Other: $0.00 Total: $160.46 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, § 1, 72-27-92) EXPIRATION: PERMIT EXPIRES 180 DAVS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. --�-- INSPECTIONS: In order (or the work authorized under this permit to be wnsidered legal, such work must comply with all applicable codes, and all required Inspections and Tinal approval must be obtained. Failure to obtain inspections and final approval will result in lhe expiration of this permit. CODE/. INSPECTIONTYPE In IN7IlULS COOE/ INSPELTIONTYPE L1j� IN 1L 1878 Pixed System Final Fire Prevention 206 Pinal Mechanical . 1288 Pool Spa Final 208 Final Plumbing � 200 Final RaRoof 270 Final Electncal (,J 201 Final BIocWRetaining Wall 272 Final Fire Prevention �%'f"�� ( 202 Final Factory Fire Place 220 Final Planning Approval ' 203 Final Sign 222 Final Site 204 Final,Demoliiion �% ' 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATIO� 1 hereby a�rtn under penalty ot perjury one of the following tlecfarations: ❑ I have and will mainUin a certificate of consent to self-Insure for wqrkers' wmpensation, as provitleC for by section 3700 0( the Labor Code. for the peRormance of ihe work for which this pertnit is issued. have and will maintain Norkers' compensatbn insu2nce, as requiretl by ection 3700 of the Labor Code, (n Ihe performance of the work for wfiich ihis pertnit is issueC. My workers' campensation Insurance carrier antl poiicy numberare: • � Owner ID verifie0 by Ori�e. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (rype of document, i.e. - property Wx bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) or more feet in AepN into which a person is required to descentl, will be made in connectbn with work authorized by IhiS pertnit, and that no building structure. sc�(dding, fal5ework, a demolition Cartier. �IyQ/(L a � � e t�� -L �� or dismantling thereof, vrill be more Ihan thitly-six (36) (eel high. �Chap. 3.2, Gry �n�s eaeroroecm�pe�eeime��weea� n��a.bx11 2 p.rt Z Sec. 341. Tine 8. Calitomia Atlministrative Codel. PolicyNumber: `J � � {��[� �� 23d� ( ❑ I certify lha[ in the peRormance of ihe work for which lhis permit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation lax5 0l Califomia, and agree that if I should become subject to the vrorkers' compensation provisions of Seclion 3700 0( Ihe L or Code, I shall rthwilh comply with these provisions. a /O — Appti�ofs SiB^��ure Date WARNING: FAILURE TO SECURE WORKERS'.ZOMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706�OF.T,�1E LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(wmmencing with Section 7000) of Oivision 3 of the�Business and Professions Code, and my license is in full force antl eflecl. Lic. # O Class # C / 1 / � �" Gonlraclor's Signalum ale CONSTRUCTION LENDING AGENCY: ❑ 1 hereby aH'um that there is a conswctbn lentling agency fw lhe pertortnance of the v.ork fa vfiich this pertnit is issued (Sea 3097. Civil Code). Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalry of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for me following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to consWct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires Ihe applicant for such permit to file a signetl slatemen� that he or she is IicenseC pursuant to the pmvisions ot the Contractors Licensa Law (Chapter 9(cammencing with Section 7000) of Division 3 ot the Business and Professions Code) or that he or she is exempt therefrom and lhe basis tor the allegeC eaemption. Any violation of Section 7031.5 by any applitan[ for a pertni� suGjecls lhe applicanl to a civil penalty o( nol more lhan five hundred dollars ($500).): ❑ I, as ovmer of the propeny, or my employees vnth vrages as their sole compensation, WILL DO THE WORK, and the structure is not intended or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property vfio builds or improves thereon, and who does such work himself or hersel( or Ihrough his or her own employees, proviCed t�at such improvements are not intended or o%ered for sale. If, however. t�e DuilCing or improvement is soltl vrithin one year of completion, lhe owner-builder vrill hava the burden of proving tha[ he or she tlid not build or improve for purpose of sale.). ❑ I, as ovmer of,the property, am EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct the projec[ (Sec. 7044, Business and Professions Code: The cantractors License Law dces not appy to an ovmer of property who builtls or improves lhereon, and wfio wntracts fw such projecl vrich a cmtractw(s) license pursuant to ihe Cont2ctors License LavS.). ❑ I am exempt under sec. Business and Professions Code for this reason: SiO�awre . Date �OS)-68(3/0]) � As ovmer-builder, I vrill not employ anyone to do work which would require a permil from the Division of Intlustrial Safety, as noted above, unless such person has a permit to do such work (rom the division. Applicenfs Signnlure Division ot Industnal Safety Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will the applicant or present or future building accupant neetl to file antl certify a Business Plan lor emergency response to release or t�reatened release of a hazardous matenal? ❑ Ves ❑ No (Seclion 25505 of the Califomia Heallh antl Safety Code requires, wiU some exceptions, that a Business Plan be filed with the CosW Mesa Fire Department by every business which has at any one time during a reported year a quantily of hazarCous materials equal lo or greater than a weight of 500 pounds, or a volume of 55 qallons, or 200 cubic feel o( compressetl qas at standard temperature and pressure�. 2. Dces or vnll the applicant or present or fuWre building occupant neeA to file a registration fortn fo� acutely hazartlous matenalsl ❑ Yes ❑ No (Section 25533 of the California Health and Safery Code, with some exceptions, raquires registration with the Costa Mesa Fire Department by each business v+hich at any one time has on hand a quantity ot awtely hazar0ous materials equal to or greater than a weighl of 500 pountls, or a volume of 55 qallons, or 200 cubic feet of compressed gas al stantlard temperature and pressure). 3. Does or will the applicant or present or future builtling occupant need to prepare an RMPP (Risk Management and Prevention Program (or acutely hazardous materials)7 ❑ Yes ❑ No (Seclion 25534 of the Califomia Health and Safery Code provides that t�e Costa Mesa Fire Departmen[ may require the preparation, ceNfiwtlon and fling with the Fire Department of an RMPP by businesses which are required to regisler acutely hazardous materials vrith the Fire Department. 4. If an RMPP is presently required, has Section 25534 of Ihe Califomia Health and Salely Code been (ully complieC with? ❑ Yes ❑ No 5. Dces or will lhe applicant or present or fuNre building occupant require for the work which is the subject of this application a pertnil tor such construction o� motlification Irom ihe Sout� Coast Air �uality Management District or Irom any olher air pollution control dislrict or agency? ❑ Yes ❑ No (Section 65850.2 of the Califomia Govemment Code requires that Ihe requestetl in(ormation be fumished on applications for non-residenlial builCing permits). 6. Will any part of Ihe facility to be consWcletl untler lhis permil be within 1000 feel Irom the outer boundaries of a school7 ❑ Yes ❑ No (If yes", me facility must meet the requirement of Sections 25534 and 42303 of the California Healih and Safely Code�. 7. If a permit from Ihe South Coast Air �uality Management Dis[rict or other air polNtiOn control districl or agency is required for the vrork which is the subjecl of this applicalion, have all of the disclosures prescribed by Califomia Health antl Salety Code Section 42303 been made7 ❑ Yes ❑ No 8. Qf'yes", attach certificate of compliance trom ihe appropriate air pollution control oKcer). CERTIFICA7E OF COMPLIANCE: I certify that under penalty of peryury the informalion given above is cortect. I agree to comply with all state laws antl city orEinances regarding Hazardous Materials and Emissions. Sigwlure Ddte CERTIFICATE OF COMPLIANCE AND AUTHORIZ/1TION OF ENTRY: I certify under penalty of peryury that I have read fhis application and slate lhat the infortnation given is correcL I agree to comply vnth all state lav.s anC ciry ordinances relating ro building construction, antl authorize representaGves of the City of Costa Mesa to enter upon the above4escribetl property !or inspection purposes. I agree not to occupy or allow occupancy of any building aulhonzed by IhiS permit until final inspection. �$ n re o al O� (s) Date � /�, Ia o � M orAUl�orrzeGApplimnl D ' a! JobAddress: 335 FISCHERAV Suite: Vicinity: Primary Occ: B/Fi Parcel Number: 42708105 Applicant: TAKATA, CRAIG Address: 1392 INDUSTRIAL DRIVE TUSTIN, CA Owner. MACK, JOHN G � Address 335 FISCHER AVE � . � , COSTA MESA, CA • Contractor. . CLEAN ROOMS WEST INC Address: --13921NDUSTRAL DR -� ' CA ' � TUSTIN' , � � - � Zip: 92780 ; . . , Type of Construction: V-N Zoning: � m Phone: 949-274-1990 , . Zip: , 92780 . � � . Phone: � , - � , - Zip: " 92626 � .-- _' .. _ . � i ^ ;G . Phone: 714-258-7700 License: 650702 Status: ISSUED Applied: 03/28/2007 Issued: O6/28/2007 ieci ien nv. Arch : JAMES GOODMAN ARCHITECTURE Eng: WILLIAM CORREIA Address: 37732 RANCHO VIEJO ROAD , � Address: 16912 BOLSA CHICA RD - � � STE E � Phone: 949-493-0740� ,�� - 101 Phone: 714-540-5582 SAN JUAN CAPISTRANO, CA . � ^ ^ ' . H.B., CA. - ' . . Zip: 92675 . , -License: ��. � '� ' 92649 �'License: 2132 - � � � � " - - � SCOPE OF PERMIT - � . �- 1,680 SF INTERIOR T.I. FOR "JGPLASTICS GROUP, LLC." WORK INCLUDES: INSTALLATION OF 14' HIGH MODULAR WALLS, AND NEW CEILING TO CREATE A CLEAN ROOM WITH A GOWN ROOM IN AN (E) WAREHOUSE AREA, BRING 4(E) BATHROOMS UP TO ACCESSIBI�IN COMPLIAN INSTALLATION OF`A ROOFTOP A/C UNIT, ELECTRICAL, MECHANICAL AND PLUMIBING WORK. ALSO INCLUDES ACCESSIBLE PARKING UPGRi NO CLEAN ROOM EQUIPMENT UNDERJTHIS SUBMITTAL. ; ' ' , v ^ � " � � ° I,._ (, � . . .. r - � � THE DECKING REFERENCED ON P,AGE�S-2 IS THE CEILING FOR THE "CLEAN�ROOM"-NOT TO BE USED AS FLOOR AREA. (4/18/07 HT) Plan Check: ' $1,082.74 Permit: $1,665.75 SMIP Res:', $0.00 SMIP Com: $46.20 Other:, ' ' $0.00 Inspection: % \�'$0.00 � �� . Total: ' $2;794.69 : �� ` �. � �-•- -.�FEESUMMARY., --- -.-- - ' - -- - � .� . /r ;'� . .�;a: > _ . ::, - . - ' - .�r � . . . - .' _ . � � t z `: � � � I SETBACKS - �F� r� � � � � � MAINSTRUCTURE FroM 0�0 -?, `Rear:. 0-0 � ��-A � ; , ACCESSORY �Front. -0-�0� '� Rear 0-0- �. PARKING Existind \; 0. ` Reauired:. 0 - ' Calc Valuation: � gzzo,000.00 J Claim Valuation: ; Szzo,000.00 � :ANNING.& ZONING , � � �� . . ' �Lek� -� 0-0 . - : RigM� '.0-0. � . . . ". � � � , - ' LeR �- 0-0 , RigM,. �0-0, ; . i , . `� Proposed:�-'0' -;'�; - �. . . " i - ,�� -_. � i_ . ., . i- . � 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 suspend� ar bandoned tor 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 Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2dd8-681d�) WORKERS'COMPENSAnONOECLARArON: I hereby efrirm under penalry of p�ryury one of ihe following tleclarations: ❑ I have antl will main�ain a cerliticate of consent to self-Insure for workers' wmpensation, es provided tor by section 3700 of the Lehor Cotle, for ihe peAortnance oi ihe rk for which this Dermit Is issued. I have and vnll maintain workers' compensaGon insurance, as required by seMion 3700 of the Lebor Code, tor the pertormance of Ihe work for which this pertnit is issued. My workers' mrGe,nsation Insuren ce�r7rier and policy number ere: �{^ /,. Certiei:�� LNz��/� ��(/�%Zl �Falky.Number. (/��W��%i%�l��_ (This section need not be completed il Me Oermi( is velued ef one hundieOOollers ($100) or less.) ❑ I certiy ihet in the perfortnah ot the work for which � iS�permit is issued, I shall not employ eny person in any menner so as to become sublect to Ihe workers' compensation laws of Cay�, antl agree Ih 'f I o I(1 become sub�ect to ihe workers' compensation provision�Sect7�00 o�bor Cotle, I shell forthwlth comply with t�ese pro '� !,� Appliwm SigneWre:r . Date: � WqRNp I 0: FNLURE TO5 WORKERS' OMPENSATP N�VEMOE IS UNIAWFUL AND SH�1LL SUBJECT AN EMPLO� CRI PE ES M1D CIVIL FlNES UP TOONE HUNDRED 7HOUSAND DOLLARE (5100,000), IN ApDITION TO THE COST OF COMPENSATION, DAAKGES AS PROVIDED FOR IN SECTION 37080F TME LA90F CWE, IMEREST, AND ATTORNEI"S FE�S. LICENSED CONTRACTORS OECLARATON: I hereby aRirm that I am licen;ed�in�der.pmvisions of Che�r 9(commancing with Section 7000) of Division 3 of CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that ihere is a consiruction lending egency for the performance oi the work for which this pertnit is issued. (Sec. 3097, Civil Code). Lendefs Neme: � �—+ . .. _ Lentler's Address: Signetura: _ Date: license Is In full OWNER-BUILDER DECLARA71bNS: I hereby eHirtn ihat untler penalry of.pgrjury that I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Buslness entl Protesslons Code: Any ary or counry which requiies a parmit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires Ihe applicant for such permit to file e signed statement lhat he or she Is Iicensetl pursuant to �he provlslans at t�e Contrectors License Law (Chapter 9(commencing with Sactlan 7000) of Division 3 of t�e Business and Professions Code) or that he or she is ezempt thereirom end the basis for ihe alleged exemption. Any violation of Section 7031.5 Dy eny applicant for a pertnN sub�ects the applicant to a civil penalry of not mare than five hundretl tlollers ($500).): ❑ I, es owner oi ihe properry, or my empbyees with weges es thelr sole compensation, WILL DO TI1E WORK, and ihe siructure is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Lew does not appry to en owner ot pmperry who builds or improves Ihereon, anC who tloes such work himsetl or herseli or ihrough his or her own employaes, provided Ihat such improvements are not intended or oHered for sale. If, howaver, Ihe builtling or ImDrovement is sold within one year of completion, the owner-builder will heve ihe burden ol proving that he or she did not builtl or improva tor purpose ot sale.). ' ❑ I, es owner ot lhe property, am E%CLUSIVELY CONTRACTING WITM LICENSED CONTAACTORS to conslruct the project (Sec. 7044, Business antl Protessions Code: 7Te contractors License Lew does not appy ro an owner of propeny who huiltls or improves ihereon, antl who coniracts for such proJect with a comrector(s) license pursuant to iha Con�rectors Licensa Laws.). ❑ I am eaempt undar sec. Business and Professions Cotle for this reason: SigneNre: �are: Owner ID venfied by driveYs license. ❑ Yes ❑ No Driver's License No. Expires: Verificetion o1 Ownership by (type of document, i.e. - property lex blll or tleetl): DIVISION OF INDUS7HIAL SAFETy pERM1T CER7IFICATION: ❑ I hereby certify ihet no axcavation five (5) or mora feet in depih Into which a person Is required to descend, will be matle In connection wlth work euthorized by ihis permit, end tha� no building siructure, scaflolding, falsework, or demolition or dismantling Ihereoi, will he more ihen ihirty-six (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tltle B, Calitornie Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom the Division of Industriel Safety, es notetl ebove, unless such person hes e permit to tlo such work irorri the division. Signature: Date: Division of Industrial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE qN� AUiHORIZA710N OF ENTRV: I certily under penalry of perjury that I have read this application and state thet ihe Iniormation given is correct I egree to comply with ell state laws and city ordinances releting to bullding consiruction, and authonze representatives of Ihe Ciry ot Costa Mesa to enter upon �he ebove-descnbed praperry for inspection puryases. I agrgE,not to occupy or allow occupency of any building authorized by this permit until fnel inspection. COOE �. INSPECTIONTYPE 1616 Fizetl Sysiem Final Fire prevention 1266 200 201 202 203 Pool Spa Final Final Re-Roof Final BIocWRetaining Well Final Fectory Fire Place Final Sign 204 Final Demolltion �g � COOEt INSPECTIONTVPE 206 Final Mechanical 20B Final Plumbing 210 Final ElecMcal 212 Finel Fire Preven[ion 220 FinalPlanning Approval 222 FInalSite 250 Final Building/Occupency �q:11�1i1111/.\[+1 � �oa��a��^+�: 335 FISCHER AV OIMERSNAYEIFRlOWtI JpHN MACK �o�u 2519 LEHIGH ST C.M. 92626 714) 751-4266 MR.WJIPlG d00NE55: AXCXRECTOREN�NffIi: WCII OF EN4'S iNOflE55: uc. xo.: UNT: UNf: coNm�aarsrun NEWPORT—MESA PLUMBING ( 714 ) 650-6372 CdRR�CTOR4 MAItRlG P, O. B OX 16 8 6 �ss: NEWPORT BEACH CA ucno.: 618254 92663 urar: LICENSED COHfRACTONS DECLRRATION: I hereby allvm �� pa�elv d peejury Nei 1 am IcameA uMer pvnaiana d Cheqw 0 (mmmmeng Milh Section )000) ol Orvision � d Ihe Businea e�d Pmlesaiwu Code. enE mY lirema e in lull lorce eM eHep. cmuc.No.: pq�gZZ uc.cuss: C-36 uc.No.: 618254 EXP: OS/96 ome: Zl Z I-5 � c�vee« '��-c�� OWNEP BUILDER OECIARATION: I Miaby elfirm under perWY d perlwy ihet I em e�amq tmn ihe Conlretlws lironea law la tM Idbwig raemn (`�� )�1.5 &nvlms eM Rdessbns COEe: �nY ciY a caunry xfiM rtpuima e permn to meroWp. Mm, impow. �;`n,�nd'sh, m repei airy ebuclure, prior io as's+uerce, aba repui�as IM epplirem la wch Po�� lo fib e eqmE etetemeM thm M a eM renaed W��I to Ihe panaona d Ihe Comraqwa License lew ICheqer 91�mena�p vril� Setlion )OW) d Oweion 3 d �ha �;::�.'�9iness aM Prdanuns Cada) a thet ha or Ma o axemq thnaM1an eM iM besu lor ihe albped ezemqion. MY vialetion d Sedion �'S031.5 by erry epplimM ta e parmil wUjxb IM epplicaM to e M'll parelty d ml mae Ihen IHe huMreE ddWa �S.AO��. � 1. m oxner o/iM popMYa my empb�eea wt� wepea av �M1e� ede compensetion. vrill do IM work. erd iM swcNee e ml inteMeE a oRered Iw aeb 1�� J�. Buarresv eM PMeavonaCotle: The Contrmwa l.icenaa Lew doee ml epply loen owmrd popeM wla buiM a vnprovm IMreon. aM Wa doas auch v.ork FmseX a henal a Nraph he a hm own ampb+wa. provided Ihet euch 'mprovemmis me nd inlendeE a aHemU la aab. II. Mwe�'ar. tM WiNiip p'vnpovemeM b edd wilhin maY� d comde�ion. tln owmrbuJder will heve the buNm tl qainp he or aM did �d buib ar imprare 1« tM W�e d aeb�. � I. m owner d IM V�WaM, em eadinirdY wnired'nY xil� IimiaeE canbactwe �o wnatrud �he V�I� (Seaion ]OM. Buairma ud Protassiana Coda: The CanVedae Licmae law doee rw1 Apply to en owrer d popa�y who puilda a impovea thaiaon ud who mmeana lor aitli prqees wilh e mnlreGor(s) IcenseE punuent to tha CpNretlore Liwroa lew�. ❑ I ue t M S c�ion: B. 8 P.4, la �hn Oma:'�;�� Oxner.�: I do hareby cenAy thel I em ewere d enE uMenbM IM requiremew d Gelfwnu Heellh enE Selmy Code Seqiau 25505, 255�3, eM 2551a, enE Net I IX eny MYn WlWlrq ooapeni xill / WiI nat (p�cb me) neeA 10 canply wiM1 eeid eW B cadm eM IM ropulmnMb Ia apertnXlormnstruCionamoJifralionhomlheAi e�ly enepemem0imna.ReaideMielmnet�ucloneppiutbnaeroezempllmmtMas a�s�. Dda: AvW� WONKEX'4 COMFENSATION DECLAPATION: I Mreby dfirm undm penelly M pe�jury wp d �hs Idbwirp EeWreliona: � I heva enE wil meinlen a cerlMceta d mneenl �o eeMinwre la waikre' cpnpsnWian, n provideE Iw by Swbn 3)00 d �hs lebor c�. �« im wa��, d u.e ��a.mm� w. w�n a a.�ee. � I hew enE wil meinlen xnrkere' compenxlion inaureno. N reVuired by Sapion 3]00 d ihs laEor Cade, tor tM pMormanm d IM wwk fa which Ihia pamin h iseueJ. My wnMen campenaetbn imurence rarner end poliry num Wr ers: c�a: Polky Numbar .�m son;o,�,�d �m m�Wa�.d r rM w�a;., ro, o,�. n�,�e eai� Isiaal w�,..1 � I cenAy thm in Ne pe�lamanca d tM wak la whkh thia Pmmil is ieauetl. I ehtll nd ampby eny penon in eny menner eo m to becoma eubjad to Ihe warkere' canpenamion levn A Celilomie, eM ep�ae the� il I ahouM become wbjetl to tM xnM1en' campansetbn ywisona M Setlbn 3]00 d iM LeEor Code, I ehdl fonhwilh camp�y xilh I�vona. oda: Z—Z 1^ f l noW��. � � W�minp: F�llun ro��eun woh.n' �omp�nutlon rowrq� l� unl�wNl, �ne �N/I �ub/�et an �mployx ee eMMrrlp�neMw �ntl c/N/ flns1 up ro ons Fwdred tMuund do/Mn (SfOq0001, M bd/tlon ro N� cwt ol rompewtron, Eamepu e� povlCetl ror In Sxtlon 3106 0/ tl,� Le6or COM, lnfasst, and affomsy'� ISM CONSTflUCT10N LENDINO AOENCY: I Mreby efflm unEer Pe�dN d perlury ihm Ihma ia e wnnruaion MMi�p epa�wy lor Na parlormaMe d Ihe xnM M whitl� iho perml ie oaued (Sadion �'/. C'v. C�. LENDEH'S NRME: , LENOEX'S ADDHE54: I ceMiy Ihet I heva reeE I�is epplice�ian end etele �het Iha ebove i��e�ion b cnmq. I ep'ee to comON �� dl tlly enE counly oMinenue end eime lewa relei'vp io bu'ildiip conmrudian eM MreEy euthorke �epreeenlativee M thie aiy to enter upon Ihs abwe-meniioned D�paM for inspad'an purpoeee. DAVE BLACK \��q\ Pnnt e /�1—h�O Deta� Z�� SpneWm xner/Rpan Fpp6cenUConlreda (5151-<E.WP) While-BuilEinp 8 Selety; Oreeo-Fla; Cenery-Applicenf, Pink-Nevenue; OolEenrod-fuewor PERMIT NQS; P CONSTRUCI`IQjJ Ty JOH DESCRIPTION CLAIM VALUE: OF COSTA MESA — BUILDING PERMIT 076510 PLAN CHECK NO: 'PERMIT TY • PLU ; INSTALL BACKFLOW DEVICE CALC N COMMENTS: "J6G PLASTICS" / t�6�L1TG PERMIT REFERENCE ****x *�*x**�r�*�*��*�r*********��+�**x�**��r��*+�**�***** Z O N I N G R E Q U I R E M E N T S E T B A C K S �r ------------ MAIN HUILDING ---------- --------- AC FRNT: FT IN REAR; FT IN FRNT: FT LEFT: FT IN RGHT: FT IN LEFT: FT PERM NO: P 07651 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: F-2 / iflEifiE iEiEfEfEiE1EiElFifiEfElEfElE�E ORY H ING --------- IN ; FT IN GHT: FT IN PARKING REQ• PROV: . PARCEL: 42708105 ZNE: REF NO: PLANNING NdTES> �J � \ i iE 1E 1E 1E if iE 1f k 1k iE iF iE 18 if iE 1E iE IE 1E iE 1E iE iE if 1F fE iF 1E IE 1E 1E 1E 161E iE iE iE 1E iE 1E iF iE if 1E 1E iE iF,1E�iE 9E if 1E iflE 1E!(� if iE if`IE 1f 1E iflf iE if iE 1E 1F 1E if 1E If 1t iE ff iE �F 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 HY /�� DATE: BUILDING APPROVED BY e - ,�i��,�J DATE: a APPLICATION ISSUED BY: �/ �' DATE: � 2�� /G 1f iFlE IE iE 1E 1E iE if 1E iE iE M 1f 1E 1E 1E 1E 1E 1E 1E 1f �E 1E IE if� 1E fE iE iE iE 1E��{F IE 1E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7,00 PLAN 25R (,� SMIP/NON—RES ISSUE FEE 20.00 ;i BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DIIE TOTALS----> 7,00 20.00 0.00 27.00 27,00 .00 ir REVENUE DIVISION TOTALS--> COLliECTED: 27.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 27.00 �r*at�*�*at***�r*itit***�it��it�itat�***atririt*.it*��*�r*�**iEit�at�at*+t�r*��*itiE��r�af*ifie*ifiE�***at** 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 I O�N UNIT COST TOTAL COST PLU 1 HACKFLOW PREVENTER 7,00 7,00 �END OF FEES �=1J�� J E, _ - - ,Oy�:; _;.�'r -,�t pc.lc"i ''i' ;•-,-� -._. ,_. ., �� ' _' . .a:.L. 'J=.. CONSTRUCTION AND PIANNWG � - POO, .PA APPROVALS Permit # Date I�spector qppROVAIS Permit # Date � Inspector 1. Temporary EleGtrical Service or Pole • 52. Pooi & Equipment Location��. . '� . 2. Soii Pipe-Undrgrnd. ''. , -� 53. Steel Reinforcement ' � � 3l EfectricaV Conduit Utility-Undrgmd. � `:� 54. Forms '., �-4- Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' -"� �+ .,-5. Steel Reinforceme�t - 56. Rough Plumbing & Prefsure Test � "6= Electrical UPER:Gmd. 57. APPROVALTO COVER�GUNITE ' / - r ' 7"'Footings �,� �.= � � 58. Electricai Conduit-Undrgmd. 8- Foundation _ " �� 59. Gas Pipe, O Undrgrnd., Test � ' 9. Water Pipe�Und�grnd. �, =; t �-� 60, Backwash Lines, RTrap, O Untlrgrnd. � 10. Structural Floo� System � . 67. APPROVAL TO DECK . 17. Property Sewer L-ine & House Connection 62. Backwash & Receptor�Final � 72. Sewer Cap ��%r 63. Heater & Vent-Final ��'� 13. Roof Drains � 64. Plumbing System - Final ' Gi 14. Rough Pl�mbin} � ' " 65. Electrical-Final � 15. Rough Electric26Conduit " " � 66. Solar System-Final . r 76. Rough Elec[ric W��irig 67. Fencing & Access Approval -- 77. Rough Wiring S�gn 68. APPROVED FOR PLASTERING '� �, 18. Rough Electrica�,T Bar Ceiling 69. POOVSPA SYSTEMS FINAL 19. Rough Heating & AihConditioning � � �. , e FIRE QEPT.`REQUIREMENT � 20. Rough Factory Fiieptace ' �•r � � x ._ -_,` - APPROVA�S�"F Peimit# � _' 21. Ducts, in'Structure; � • - �" - ' `? ; 70.'Underground I�;;dro ' m � • �- 22. Ducts,Ventilat(ng..F , ' . ��; ri ;.77, Product•�pingP�6as OOiI 23. Gas Pipe-Rough & Test t*; _ � : 4 _ C,; '�� - 72, Underground Fi6sh � 24. Roof-Frainin � ' ' . = ` 9 -� r ; , r. '• 73� Undergmd. Storage Tank.O Gas ❑ Oii 25. Roof Sheathing � � ' m � � 74:� Overhead Hydr'p�,. r 26. T-Bar Ceiling (5tructural) & f�lonocoai .` - ' ,,, 75. Dry Chemicai _ �• ¢ 27. Fiame and Flashing, �. �;.;,; 'r � . 76. Dry Standpipe ;. --- '- ` �- - 28. La2hing &-Siding ' � ; ' ^ y,_ ' � ` � "� 77�;; FIXED SYSTEf41� FTNAL - -. � � 29. Insulatiom � r S^ �� , A. 7g= FIRE PREV. FIN,9L �. - ' 30. Drywall Nailing - x. �� ' ��tEALTH"'DEPT. REQUIREMENT ^ 37. Plaster Brown•Coat � � r 79. fINAL INSAECTtON ' ' �. � ' 32. Electrical,_,Power Meter��Final ' �. `� .K' � 80:: FOOD CERTIFICATE IS$4JED_ �� •33. FinabElecfric^^ � -> ;-; _ �' _ � � � Notes: �� ,/ ,Q ,/� ` GV; � � '`34. =inal`�Heating & Ai,`rzGonditioning `- h; r , ;` � , � -- HS � _ L 35. Final Gas Pipe':Tesf � � .� . � �.- � �� `7:-` i� . � r� 36. Hood�or CanoPY _ - ` ' .�- .1 R i . � M '. _ r`: ' : " �Cr . 7- A 't 'CG K F 37. Einai.factory Pireplace ; _ � � �,� � * .. - 38. Finai Plumbin t'' ` `� ' � 9 .n._ � t 39. �Vater Service-Fina)� „ ,-, . " . _ . � __' � ti �.,40. Gas Service-Final `+"' � ' � �� - - � ' Ar � ' � =-41. Solar pomestic•Final ` ' ` � _ , . - '�''*: . _ : r' �: :T � 42. Backflow Preve�ter s ` .�: ' ' � � - r. -� - 43. Backflow Irriga2ion . . ' .^ J r „� . .. .:C. ^J 44. Landscape Irrigation Systam ': �F � � -'' '� � r�. - ' 1. - r.' e.Y' -- r.¢; a � , - .. 45. Sound Attenuatior��` . � t � .. " .- � � , . :- �r " �- `' , ' _ � A6. Handicap�Regulations '"� - _ +' : - �- _ �` � 47. FINAL STRUCTURE & Bt'1ILDING ' ! "� � , - � � 48. FINAL PLANNING . !' - • • ; Y °' � 49. Electiic Release to Edison " � ,:� � , S 50. Gas Release to Southem California�Gas Co • '" •�' " - -- -' * ,. . - - 51. CERTIFICATE OF OCCUPANCY • � - � No Date J PN6IECTROOflESS: 33S FISCHER AV owxexsxame: KIM, ELWOOD H aoosess:601 LIDO PARK DR NEWPORT BEACH,CA (714)835-8572 ANCNIENGINEEfl: �OONESS: UNIT: 92660 PEG.NO.: UNR: PENMITTEE: THE HAKER COMPANY ( 714 ) 835-8572 aooxess: 1202 HUNTEA SANTA ANA CA 92705 UCENSEO CONTHACTOB OECUIflAiION: I here�y affirm ihal I am Iicensed untler pmvisions o� C�ap�er 9 �commencing with Section � 7000� ol �ivision 3 of Ihe 6usine55 antl Professions Cotle. antl my license is in lull lorce and eflect. ciTr u�c�./:0 7 9 srnre uc.:554962 ss: C-19�,Q 9a1e:.1= � � Signature: ✓ ��'�_/ �� WOBREN$' OMPENSRTIONOECIABATION: IhereEya��ir 3IIh2V¢3C¢tlllltdlC01L0115C0IIU5Eli-IOSUfCOfdtCRilltd�C0lWOfkCR' Compensation Ipyyanr{ pr p�srli�i� yopy }�e,reol �Se n ssoo. �ao.�l.� � O 1/ 9 3 POLICY NO.: W�• � 1 1 J 1 4 J L 4 E%P. DATE: cornraxr: CNA INS CO ❑ Cerlilie0 copY is hereDy fumishe0. � Certilietl c is liletl A I�e ciry Buii ng DiviSion. . �J ` n `� � ( Iale: v / � ` ApplicanL l E%EMPTION POM W08NEB5' LOMPENSRTION DECLAM :(TAis section nee0 not be complete0 il t�e permil is lor o� huMreO (5100) or less). I[eriify Ihal in Ihe Dedormance of the work far whic �is permil is issue0, I s�all no� emplay any perwn in any manner so as �o become 5u01e�� o Ihe Workers' Compensalbn Laws of Calitomia. Oale: Signature: NO7ICE:I1, aner making ihis tleclaration, you'shoultl hecome sueject to ine WorkerS' fAmpenSation pmn5ions oiihe LaEor Cotle. you mus� IOrtMviih COmpty wit� Such provi5ion5 ar INS permii shall he Oeemed revoke0. LONSTBUCTION 1EN01NG RGENCY: I hereby anirm Ihat ihere is a cOnsiruction IeMing apenry IOr IA¢ pEdormante a� th¢ vrork �or which Ihis permil is i55uetl (Seclion 3097. Civ. C). LENOEF: ROOflESS: OWNEB BUILOEB OECIABRTION: I hereEy anirm Ilwi I am ¢xAmpi �rOm Ihe fqnlractOrs Slaie Lice�rse Law �or I�e tollowinp reason (Section 7Q31.5 Business anA Pmlessional CoOer Any city of county wnich requiros a permii �o consiNct, atter, improVe, tlemolish, or repair any simcture, prior lo ils issuance. also repuires the applicani �or such p¢rmit Io lil¢ a SiAneA 5ta1¢mem Nai he/she i5lirense0 pursuanlloi�e pmvisions afl�e Con�rac�oK Slate License law�C�apl¢r9l�ammencinp with Seciion 7000�otDivision 3 ofihe Business antl Pmlessions Cotlq or �hat �e/she is erempt t�ereimm ana the 6asis lor ihe allepeA eKemO�ion. Any violatian ol Sectian 7037.5 by any applicam br a permit suhleca the applicant to a civil Denalty of not more Ihan five hunAreA Dallars (5500). I, as owner oi �he pmperty or my employees with waAes as their sole compensation, will Ao tAe work, and the ❑ StmcWre is nat intenEeE ar otleretl �or sale (Section 70d4, Busine5s and Pr01es5ional Code: The Coniractors' State License Law does not appiy lo an owner of a propehy who �uiltls orimproves ��er¢on, antl who tloes suc� work himsell/hersell or lhrough his or her own employees, pmvitled Ihat suc� improuemenls are no� in�endetl or oflere0 tor sale. Ii, however �he OuilOing or improvement is soltl wit�in one year of comple�ion, �he owner will have ��e burden o� pmvinp he/she ditl no� bui10 or improve br Ihe puroose ol salel. I, as owner of t�e D�oOe�y, am excWsively conlractinp with licensetl coniraclors to consiruct [he Dmjec[ (Section 70ad, Business ❑ anU Pmfessions Code: The Coniractors State License Law Aoes nal aOPH �o an ovmer ol DmpeM •ha 6mlds or impmvu Ihereon anE wtio coniracis for suc� pmle��s with a contracmqs) licenu Oursuam to ihe Comracmrs' State License Law�. I am aware �hat pmof oi I�eir�Worker'S Compensa�i0n in5uranu SM1ould be pmvideA l0 me. � I am exempt untler Setlion: B. 8 P. C. lor I�is reason: Daie: P+mer. I eo nereEy cenify Illdt I am awdrt of anA understanA Ihe reQuiRments ol Californa Healtn an0 $afery CoAe $ettions 25505. 25533, aM 2559G ana��atlor anyluture builCing occupaniwill/will na��cir[le one) neeaio compty wilh uia 5laie caE¢5 andi�0 reQuiremen�s�ora pe�mil br con5imclion or motlilica�ion �mm Ihe Air Ouatiry Managemeni �isirict. flesiGen�ial conSiruction ap0liwtions are ¢xemp� from �he52 pfON5bf15. Date: AO�licant:. I �ereby cerlily I�al I have reatl I�6 appiitalion and S�ale orGina�¢5 anG SlalelaxSreWti`g10 GuilOing constmction: pmperty lar inSP clion p Paseu� s. / � �'� %�l � � Dale: �_ t— SignaWre: � � Driver's Licanse or Social Securiiy x� is cprrec�. I aAree m compty vnt� all ciry anG caunry 'IIjQVe501ih6 tity�o¢n�erupOn��¢a00ve�m¢n�i0n¢0 /� 16CL06 Wbile—Buildm0: Green—Coee EnlorcamenL Canary—Aoolicanl; Pink—Revenuo: GOIQonroE—Aisexsor NO: F �— Y OF COSTA MESA — BUZLDING PERMIT PERM NO; F 0 060324 PLAN CHECK NO: 04601-92 L GOVT; , MIT PE: FIR PURPOSE; OTH JOB DESCRIPTION ; BACKFLOW RETROFIT SQ FT; CLAIM VALUE: , — ALUE: GROUP OCC: / COMMENTS; THE "AIABORNE EXPRESS" *� �r�+��r*�*�r�r��r��r�rr��******�r*� **�*x �rx x ��rx��r+��**+rx ***�r*�*�r***�r*�+��*�**�r�*��r+r*+�**** Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---- FRNT: FT IN REAR: FT LEFT; FT IN RGHT; FT PARKING REQ• PROV: PLANNING Ni)1'ES> � D E V E L O P M E N T ZONING APPROVED BY , BUILDING APPROVED BY : APPLICATION ISSUED BY 1k 1F 1f if ih k 1f if if ikk 1F ik ik ik k!k iF ik iF k if k iFlt 1f 1fltlk 1t 1F kik 1t iF k ik it iFik iF k LEGALIZATION:N BLDG PMT — ACCESSORY BUILDING — — IN FRNT; FT IN REAR: FT IN IN LEFT; _ FT IN RGHT: FT IN PARCEL S E R V I OS 2NE: REF NO: �if iF k 1FiEitiF iF iF iF ikiF iF ik if IElf iE ik i! ik Ik i4 iF 1f it �klf R E Q U I R E M E N T S DATE: F E E S U M M A R Y PLUMBING ELECTRIC MECHANIC PERMIT PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 63,00 0.00 40.95 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMHING ELECTRIC MECHANIC DATE: I�);rll�l �� iF if if 1k k!f iflElF 1F �F�E iE �F iF �E if IF k if ik �f iEiFif iE �F iF � STRUCTURAL SEGMENT;N FIRE SMIP/RES GRADING 63�SY 40.95 TOTAL 103_95 SMIP/NON—RES 103A9D D00 FIRE3�SMIP%TOT/sGRADING PLAN—C�HECK 63.00 �E IflFikiFif if if ik ikiElE �E 1E k!f 1E IE 1f If ltiklElF iElE 1f 1E �kiFiFit it 3f if 1k iflf it Ikik MM iF iF ik iE if M �f 1k dkiF iFiEiE itiE iE if iF ik if iE if iF if iE 1EiFik 1E 1f if iE iE if iEiE 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 I O N UNIT COST TOTAL COST FIR 63 FIAE EQIIIP FEE (FROM BLDG VAL TABLE) 1.00 63.00 END OF FEES �� f CONSTRUCTION ANDPLANNING - POOL� A APPROVALS Permit.# � Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or'Pola. - 52. Pool & Equipment Location 2. $oil Pipe-Undr,qrnd. 53. Steel Reinforcement . ;3• �lectrical Conduit�Utility-Undrgmd,. � 54. Formt � 4. Elgctrjyal Con�(KUndrgrnd. ' 55. Electrical Bonding . ;,��Steel Reinforcerriens '`�,� - 56. Rough Plumbing & Pressure Test �'•0!��IectticalUFEP'Grnd. � '1 57. APPROVALTOCOVER•GUNITE � � `� 7.Footi(igs � .. .� 58. Electrical Conduit-Undrgmd. � LL � rt 8!�.:kdundation �i 59. Gas Pipe, � Undrgrnd., Test � � . 9. Water Pipe�Un�rgrnd. , 60. Backwash Lines, P�Trap, O Undrgrnd. 70. Structural Floor System 61. APPROVAL TO DECK 1 t. �operty Sewer Line & House Confi2ction � � 62. Backwash & Receptor-Final 12. $e{ver CaP - . � _ 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System � Final 74. Rough Plumbing ' " 65. Electrical-Final � 15. Rough Electrieai-Conduit 66. Sotar System-Final 16. Rough Electric Wiring 67. Fencing & Access Apfiroval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Ro�gh Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 7 �'�' G �-.' _' F-• � F [� 20,�Ftoygh �ctoiY F6ieplace ! ,��" ?.? � i ? ��, a , PPR�SVA�1S� �'�Per�it #�T � � . . . i �..> . . > _. . . 21 ��Ducts, iySt{gcture�. i•• .. ,-� S S �+-� ��i� 770. UndergwLhQ Hyttro � 22,Pu�is.�f�ntit�tirign ! ('dS �: S S, �' a • r1 �7;Cii i a �K 1 CJ .!: �'J C. i� H1� d. f,71. ProducYPr.Pi�g s Q`.Oil 23�Ga��'ipe-,Ro�Tgh ��est � �ezj.� �� -� Q � ,-~iy � y7Z. Underground FldstD r � f� (,V�) �-36 Y 24DRoo( Fiaming �: � C�� _� ? > Q ?' .y"' } �73'�Undergrn�'.Stor$gC':Tank�Gas OOi1 25. Ro S�eathin � ' ` • -" ' �' v - ' ?l� 9: - �•; � . , : ,;pc < � 74 �Overhead Hydro� � 26`.T-Bar Ceiling (Structural) &�Morrocoat * r Y - ._T,�� r 75 "Dry Cherr��cal '�� = ' `- 27"Frame and F�ash'r� - " s' ." �' '- `� � ". = ;: ] . . _ r,. � i.c.: � T r.zu x. 76. Dry Stan�,�jpe r� ��28.�Lathing� Siding *r �� "�S.y S t' � ••^ � 77� FIXED SY�TENYFINAL'!� J T �29. Insulation � `" - • • '? " . _ '� " � '� _ • . ,i t � a . 78yFIRE PREV. FINAj_ . > � - i�Z 3D/{z, �.{jy,, v ., .. F30\DrywallNailing .7'r. � .. � �¢ _: - �HEALTH�DEPT: REQUIREMENT �31. Plaster �io�n Coat; .- � '� �- '* � r7g`•FINAL If�SP�CTIbN K " � r .0 F32trElectrieal PowercMete?•Fina6 . - !• � r80.T1F000 CERTIFI.OA�1'E ISSUED ^ n r ' � ' „ I !' '4 (Tl ( : :: � � tT ']' : " '� �33;`.firror,l Electri�, r. - a. x: �� N4�5� - '-7:' f, C J' � 'j34; FirLl Heating`& AicCopditionjpg, t: �' - x a � Ci r . _ 'U � � � ,� '35-_Fidai Gas Pip'�-TesP ' `j� ` �' �' ' � ' - � •x'" - ,.v 1 .l - - • :7r ;36 �Hood_or Canopy . � - _ � _ Ir .i x . ;',� � .. ' �_37:%Final Factory Firep,lace � '� � - . , �''' .� ,- � � � � �.. �~- -38::Fina1 Plum6ing > � ...�.1 � � - :.rr >. r . - - �� :.39 _Water Service�Final� ' f( i '= x ' r� - -� �` -� ' I . , F • -� ��40.�GasService-Final � , 'x r_ ;.a' . �-_ � ,,., Z41. Solar pomesticFinal r' • %� " -� > ';LL' � X : \ Y'�J Q ' � 42. �Backflow PreventeF 'a " ' �` `` `' � v - � �; �� r 43. Batkflow Irrigation' - � ` q ' "'''+ � � = •' � x` . - - at Y .J ' S \� -�44. �andscape I��ripation System � - � , - . -,, • v � :,� „ _ �"45._Sound Attenuation - - ' ' '� =-G - �• �r, '� a: L c- : f .• ..X ,Y, J / / " � �'46: �Handicap Regulations = .� : _ �� ,� - , , �47.;FIN�AL STRUCTURE & BUIIDING z� �' �= � �^° c� - � .t � 4 . { t 48:�FINALPLANNING � � " .: r - .. �49.,�Electric Release to :Edison � �* > c s. ' " � c , _ c T�50. Gas-Release to Souihem California Gas Co � I . i�' a - ;� .� ~ ' • ;,51.�CERTIFICATEOF.00CUPAN�Y .' , ,,; - ,j v�� - . No. Date �oonEssaea�m«t y.77 t 15�.tintc pMER91UYEIFIQANTk SOHN MACK �oox�ss 2519 LEHIGH ST 714) 75164266 �vx. �uina wo�ss: YMNIfECT OP ENNf�lHP: E YRX.OH FNd'S �UONE53: ca+m�craasru� CONfPItTORYYAIIDIO 100NE4Y 11G!!0: IlG ND.: u�: ICITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: IH 073177 PLAN CHECK NO: N UNf: uxr: LICENSED COMRACTORS DECLAFATION: 1 MroEy Nim under pnaly d pmjury Ntl I em licenasd uMa po�iebis tl Gheqr 9 (canmaMnO rM� Sectbn )0001 al DNbbn � d Ne Bu4mv ud PMe�aiau CaEe. eM mY linrua o in tull brta uM alletl. cm uc. No.: uc. cuss: uc. No.: EX P: Dme: Comratlm OWNEfl BUI�OEP DECIAX�TION: I Mnby eMum uMs pene�y d psjury Ihet I em wmq hom tAe Coniraaon Liowa ler la Me Idbxiq �emon (�� ]W I.5 Buairon end Rolew'v�s Coda: Mry c1Y a aouMy wlndi iequina e pamY to mm4ucl. etlx.'unprme. ew s Eamd'm�, m ropai eny sVucluro. p'v w e� uwence. eleo n�uine �M epplicent la wch pemM �o fib a eymd stebmenl Mel ha a che o Iberaatl purwen� lo iM pwiviom d tM Conireaore liceme lew �GAeqa B(cammendnp wkh Sedian ]000) G Oi+wion 3 af �he Bueinev ord Rdaeeiona COEe� or IhN he a dw ia azemq Iherehom ud IM been la the elkped exempion. My v"dmon d Sedion J031.5 by eny epplicenl /or a parm� abptle Ihe epplicen� �o a tiril pinalry d ml mon Ihen Me huMrtC Edlen �SSOOU. � I, ae owner d Iha pmpa�y w my empbyeee wIh wepee m Ihai eale compeneelian, will do the work, eM Ne Nruclure e ml inteMed w aHeeed la eele (Secibn ]04<. Bueinea and ProleesiomCode: The CoMreGon lioenu lew dwe ria eppytoen ownerd popeMy wM butlCe a mprovee thereon, uM who Eoea euch woA HmeeX or hanN w throuph hi a her own empbyees• pwided ihet euch improvemeNa are rot ImeMd a dlmaE la eela. tl, however, IM bulNirq «inpio.ammt ia edd xiihin aw yw d wmpbtbn, tM ownerbuilder vAll heve tM EurEen d qv+iip he w eha d'd ml build w imqow for iM puryme d eeb�. � I. m owner d IM poMM, em utlwivaly ooMnd'n0 xY� licaiuetl conuec�ore m conmua Na p9w (Seaon IDIt. Bwirma erM PMaaeions Goda: TM Comraum l'r.anx Lew Eom nal eppl� lo en owner tl popeny w1a builds a impavr tl�aeon W who canvecu lu wMi W9�e witl+ e mureaMe) I' wnuani w ihe Caurap«s Licame Lewl. �i�,�p .,�7�{q .ar.c..m,ma�:OWNER—BUZLDER � / /1//2. P..._.. � —� _ i/ • q S'_ c.nM u,e� i em ewv. w.�e um.�.w�d ma ba��.m. a c.vomu wenn ene sarorv coe. s«yia,. zssos. zssa. ene thm I or e�ry Muro Wiki�p oocupaM will / wYl ml (dreb an) rieeE lo canply wYh eeiA mma oodr aM �M reQuiremann b ov.: acpsw: wonKen�s couvas�naw oEcunmox: i n..er.�, ww, o.�.nya �.y oo. u m. rom.a� ew.��e: � 1 hew md wil me'vven eanRrste d miwil to wtlimua br xaken' camprvuion. n prwidad la b� Sr.om S100 d Ne labor wde. �rc �n. o«�mrorc. a m..ax �>.Aicn tk. w�G o Inu.a. ❑ I M�a md wl me'vven xorlw�' mmD�ion'vmaanu. n npwrM M Swim �1W d tln labar ('.ods. la iM DN�m d tha wak la WM1id� tive ps^^n o'w+usA. �i' waken' mmW�+mion'vwevice umw and PaKY mvnber aro: c.m.,: � POGry Numbr: (�his ssttion rieeE � 6e canNatM l tM Vs^�k o br wro h�rrdnC 0dkn /31P01 n Im.J � I oenry Um in Ihe peAamancs d tM work tar whicA tho pamd b'vweE. I MeA na1 empb/ my psean m ury mww eo n �o becaro wM� io IM v.wMen' oompenWion i.w. a c�rno�.. �e m� u� u i.nwa n«�b .aye �o me �on�.• canD��ian pwuva W Seeion ]!00 tl iM labor COM. I Ne0loMwuh oomGN � d� P�. ome: �op�: WunlnG: i�Bun ro wcun rvvrtui ro^i�tlon eovwaq la un4+Tu( mtl aMl WlMct m wT�M�'ro MmIroICs�WHs1 eiM cMl nnu W ro ar� nintlrWlho�au�a eahn (sl W oPOA M walmn ro M erof o/ cmprwdon d^YW u ipvlMA ror In S�ctlon J]06 0l Ih� L�6or Co6. IirtwL Nd �tfomq'� I�p. CONSTIIUCf10N LENDINO AOENCY: I heraby tlfirtn imEer peroRy d perjury tlw tlan u e(ma�uqion bMinp eponry lor Ihe perlormerce d tM Mwk M whiM ihe pwmi u'swsd (Ssqion 308%. CH. C). LENDEP'S NI1ME: LENDER'S AODRESS: I coniN tMt I heve roeE i�e epplicvian anA pma Ihtl ihe abwe iMartution b mrta. l eqne to comply �rith all ay erd cauMy adinenroa anE e�als lews ieletM W Wildvq canatruc4on eM MrWY eWqica rap�ewntetiw� d �his dlYb aqm Won �M ebwe-menliawtl paperly ��'°"tl�°�"�JOHN MACK � om<: 7—// • %S � (S15tJs.WP) Whne�dl(q 8 Sdaiy; Oree�rFb; Cenery-AppFrani; Pink-Ravenue; Gddenro�bemwr CONSTRUCTION JOB DESCRIPTI CLAIM VALUE: PERMTT TYPE: : FOR A CERTIFICATE OF OCCUPANCY CALC—VALUE: COMMENTS: AS PER CITY INSPECTOR APPROVAL if * iE iE fE iE ik 3f if 1E iE iE iE Ik iE iElf �E iElf 1E 1k 1E 1E 1E 1f iE fE if if if M ik if iF iE �)E 1E jE iE 1E iE �F iE if iE if Z O N I N G R E Q U I� S E T H A C K ------------ MAIN BUILDING ---------- ------` FRNT: FT IN REAR: FT IN FRNT: LEFT: FT IN RGHT: FT IN LEFT: � PARKING REQ: PROV: PARCEL: 4270810 PLANNING NOTES> i ik 1E ik dE ff iE iE fE iE 1E iE aE fE 1ElE �E iE iE 1k it 1E fE fElE IE iE 1ElE iF iE 7E 1E if iE iE if iF if iE If if iF 3E 3E 1E iE ib if D E V E L O P M E N T S E R V I C E S PERM NO: IB 073177 GOVT: N SUPP: Y �'l�L•LI�bY��iYll:i SQ FT: GROUP OCC: H-2 / RSF �ElE 1E IE iE IE �ElElE if �E !F iF 1F fE iE fE IE iE 3E jE iE �E fE fE fE E N T S -- AG RY BUILDING --------- IN REAR: FT IN T IN RGHT: FT IN 5 ZNE: REF NO: Ir ' iffF�t '1EifiEiPiEiEiEiEiEiEiFlE�EiE1EiEi6iElfifiFififiFlbiFiE R (a U I R E M E N T S ZONING APPROVED BY DATE; BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: (l� � iElE1E9E3ElEif�iEiE�EjflEfEiEiEiE1E1E1E1E9E1E 1kiElEiEiE�FihiEiEik� �i�iF, LEGALIZATION:N F E E S U M M A R Y STRUCTUR'AL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 30.00 , SMIP/NON—RES PLAN ISSUE FEE - BUILDING—DIV—> PERMIT ISSUE PLP:N—CHECK TOTAL TOTALS----> 30.00 0.00 - ,0.00 30.00 PAID DUE 30.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECK 30.00 � **+�+r*+�it*+�*iE+t�ie*xitx+r�**it*+�+�*it*�t�r*x*�iF+�xieit**at****at*******�rx�it*�**ititieitiE**it��it�*itat�* 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 INS 1 BUILDZNG RE—INSPECTION FEE 30.00 30.00 END OF FEES -�Dtl�'i..; t:�:3E �'t��:ET_� ` �' �'- "1 JG:£533?-UGi8::N3D F�'s-s :�!.0:: oaTe: oi. �v�: Ttr[: i•.:i2 9i�.4C+aG':q4-.4�Ii1.;4i.8. 3:Ci3 �o_n� CONS7RUCTION AND PLANNWG �, PC, .-& SPA _ APPRpVALS Permit # Date Inspector AppROVALS Permit # Date Inspector t. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe•Undrgrnd. ' 53. Steel Reinforcement 3. Electriwl Conduit UtilitY�Undrgrnd. � � 54. Forms ' � 4. Electrical ConduibUndrgrnd. 55. Electricai Bonding 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Etectricai Conduit-Undrgmd. � 8, Foundation 59. Gas Pipe, C Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash �ines, P�Trap, O Und:gmd. 70. Structural Fioor Syscem 61. APPROVAL TO DECK 11. Property Sewer Line & House ConnBction 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing SYstem - Pinai 74. Rough Piumbing 65. Electrical-Final ' 75. Rough Electrical�Conduit 66. Solar SVstem-Finai 76. Rough Electric 4Viring 67. Fencing & Access ApProvai 17. Rough Wiring Sign 66. APPROVED FOR PIASTERING ' i 18. Rough Electrica6T Bar Ceiling 69. POOL(SPA SYSTEMS FINAI. � 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts,Ventilating 71. ProductPipingOG.s ❑Oil 2�. Gas Pipe-Rou9h & Test 72. Under9round Flush 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structurali & MonocPat 75. Dry Chemical 27. Frame and Flashi�g �� 78. 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 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CE TIFICATE ISSUED 33. Final Electric Notes: �7 �Z �� /Qr ��1 � 34. Final Heating & Air Conditioning � ,/f_ ---__`�___-/`� f-GYl.�1 i � 35. Final Gas Pipe-Test 36. Hood or Canopy - 37. Fina� Factory Fireplace 38. Final Plumbing � � 39. Water Service�Final �� '� � 40. Gas Service-Final J/ . ,. 41. Solar pomesticFlnal '� �' 42. Backflow Preven.er �r� � 43. Backflow Irrigation � 44. Landscape Irrigation System , 45. Sound Attenua[ion 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING jJ� , 48. FINAL PLANNING 49. Electric flelease to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY NO Date Applicant t fl ��^ ��• spaees except thosa within heavy borEer Iinas anE si9� all appropriata Eeelantions. CiTY OF COS7A MESA CONSTRUCTION PERMIT . Project Address S - ApplicanYsMailingAddress /Sol / VcSTA T• O i9R� Qwner's P:eme ✓n R• �� '� PhoneSy�+ Address �'y� ��C1��-m'�-5 coST9 �ncsi9 Arch/Eng. License No. � Address Contractor's nlama C-/�/- 7� /2 0 0_ � �/ s phone 9 83 'yy,�S Addreu (mailing) �S'� � ��S'T� $ r ONt'?R�O �A• ��%L Ciry License No. �U��/Tis � LICENSED CONTRACTOR DECLARATION 1 hereby affirm tM1at I am licensetl untler provislons of Chartcr 9(commencing with section ]000) of Dlvlslon 3 ot the BuSin¢si dntl PrOf¢SSlons Cotle, anU my license is in i t ce antl effect. � ucen�c)ass4 �� / �/cgnserv .'y�/%S Date /2 1�{ co�a� .a�—� C/ WORKERS' COMPENSATION DECLARATION I hereby attirm tnat I have a certiticate of consent to sel/-insure or a tertHiGate (y' oi Workers' Compensalion Insurance, or a cerUfletl topy t�er� '800, Lab. C.) � � No. [s 30 JOd '�K Com anY L �� Gertifietl <ovY �s hereby /urnishetl. � Certi 'etl c o is tiiea witn cne citr I Ing ' sio . � Date Applicant EXEMP ION FR M WORKERS' COMPE SATION DECLARATION (T�is section neetl not be completetl ii the permit is for one huntlretl (E300) or less). . I tertity that in [he perl0rmance ot the wo�k fo� wM1lch t�is perm�l is i55ue0 I s�all not employ any person in any manner so as to become zubject to t�e Workers' Compensation Laws of Calltornia. Da[e Si9nature NOTICE: If, after making this tleclaratlon, you shoultl become sub�ect to the Workers' Compensation provision5 of lhe Labor Cotle, you must torthwith comply with such provisions or this permit shali be tleemetl revoketl. CONSTRUCTION LENDING AGENCY I hereby a/firm [hat there is a con5truttion lentlin9 agen<y tor the performance ot th¢ work for which thi5 pEfmit i5 i55u¢tl (SCCtiOn 3097 Civ. CJ Lenaer's Name �¢ntler's Atltlresz OWNERBUILDER DECLARATION � I he�eby attirm lhat I dm ezem0� from the Gont�actor'S Lic¢nse Law to� th0 foiiowina reason f5ection 7031.5 Business antl Pro(e55ional Cotle: Any <ity or the Divizfon 3 oi tne 6usiness ana vro*esswns coae� or cnac ne/sne is exempc therefrom antl the basis for lhe alleged exemp[ion. Any violation of Sectlon �,rz�31.5 by any applicanl for a permit subjecls Ihe applicant to a civil :_-5yalty of not more than five huntlretl tlollars (f500�. '-- as owner of Ihe property or my employeez with wages as their sole ��npen5ation, will tlo Ihe work, antl Ihe structure Is not intentletl or�otferetl for sale (Section �046, Business anE Protessional Cotle: The Cmtractor's License law tloes not apply to an owner ot a property who builtls or improves thereon, antl who tloei SUGh work him5elf/herself or throu9h his or her own employees, p�oviAetl that such improv<ments a�e nol intentletl or off¢retl fo� sale. It, nowever, Ihe bulltling or improvement is sola within one year oi com- plefion, [�e owner will havc tha burtlen oi proving he/she tl10 no[ builtl or IT- prove for the purpose ot sale). ❑ I, as owner oi the properry, am ezclusively contractin9 wit� Iicensetl con- Iracto�s to conitruct the Droject (Section 7044, Busine55 antl Profe551on5 Cotle: 7he Con[ractor's License Ldw doe5 nOt aOPly to dn owner ot prOpelty wh0 builtls or imoroves tnereon. antl who conVacts for such oroiects wlth a[on- tractor(s1 I�cense pursuanc to [ne ConVactor'S License Law). I am aware that proof ol Iheir Worker'S COmpensatlon insu�ance ShOultl be prOvitlltl to me. ❑ I am exempt unaer Section B. & P. C. for this reason Date owner _ I'hereby certity that I nave reatl this Information is correct. 1 a9ree to comp antl State IawS elating to buil m9 <on sentatives of bis cit to �er upoi inspectia p es. Signature Drivers' Lic ns or 55 � !�� ' � repre- v tor z iJ OF J ADD L�'iALTERATION L� REPAIR OTHER T��PE OF PERMIT IJ GRADING L'J FOUNDATION L75TRUCTV RAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION S�.FT. � a d D pCCUaA�j�yCv_ ^ CONSTRVCTIONTYPE �r VALUATION$ao,d.�+' ZONE GRADING CU. VDS. ACRES_ Remarks: �' � a�� , Ber Sink Backflow Preventer Backflow Irrigation Drinking Fountains Floor Dreins Floor Sinks uas Service Outlets Interceptor5 Kitchen Sink Lavatories P—Trap Roof Drains Reinspec[ion Fee $15 Boiler Duct - Under Ground Duct - S[ructural Duct - Ventilating Exhaust System ❑ Multi FirepUFact. BIL ICBO �k Heating System & Ducting ❑6100,000 BTU O f 00,C Rainspection Fee � $15 0865-46, rev. 5/88 White - Builtling; Canary - Appllcant; P nk - Accounting; Goltlenrotl - Asse55or Showers Service Sink SewerCap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Water Closet Weter Heater Water Service Auto�Wash Laundry Tra'ys laue Fee Hoodor Typel ❑ Canopy Type I I ❑ Ref ' ration SVstem 0.100,000 BTU ❑ 100,000 System Repair/Alteration Fire Dampers Registers Iswe Fee $ 3 FEES $ 3 A.P. qY+ S Main Building: E T Front B Rear A C Right gLeft Ping. Rei. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwa5her lectric Fan F.A.U. Fiztures Device Boxes Outle[s Switches Garbage Dispoul Generator 065 Kw Zone Parking Req./Provided ELECTRICAL Tiansformer � 15-50KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors �0.1 HP O1 :S - 8 Inc.Solar �9-15 HP �16-15+ Microwave e Light Sign � "Standing Sections � 5-75 KW Trash Compacmr : �' �'� >.; � Reinspection Fee !$15 � � luue Fee DEVELOPMENT SERVICES REQUIREMENTS: ZoninB APProved By Building Approved BN�L, ,,. � FEES $ 3 N I N G R E Q M T S. SUMMICRIL�F FEE�� - � b��// BUILDING PERMIT $ ?yq�� ldo vr $MIP ;�1 s��I� PLAN CHECK $ PERMIT � PLUMBING $ ISSUANCE $.�, F PLANCHECK 25% $ • �ENERGY�P.C. $ ELECTRICAL $ GRADING� $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ �i.qr PLAN CHECK 25% $ Oi 0002470b-tiD024707 TiiT � 1/ �Q,� DATE: 01/20/E9 iI11E: OZ:2fS / :95.5� . t . . •t • ^ •• • . \ •� ' � ' CONSPRUCTION AND PLANNING POOL & \ " APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector 1. Tem{�orary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. ��; �� 53. Steel Reinforcement .. - 3�.'Electrical Conduit Utility-Undrgmd. " 54. Forms • d�;Electrical Conduit-Undrgrnd. �' S5. Electrical Bonding �. 5. Steel Reinforcement ,�y ., 56. Rough Plumbing & Pressure Test ` � 6" Electrical UFER Grnd:,>� .' 57. APPROVAL TO COVER�GUNITE � � ' 7CuFootings � � - -' 58. Electrical Conduit-Undrgmd. � S�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 D�ains � . , • . 64. Plumbing System - Final ` 14. Rough Plumbing.� - �� 65. Electrical-Final 15. Rough Elettrical-Conduit 66. Solar System-Final 16 Rough Ele�tric Wiring 67. Fencing & Access Approval 77: Rough Wiring Sign 68. APPROVED FOR PLASTERING .- ,� 18: Rough Ejectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL }9. Rough,Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough'FactoryFireplace � APPROVALS Permit# � 21. Ducts, in�Structure . 70. Underground Hydro � 22. Ducts, V.entilating 71. Product Piping O Gas ❑ Oil 23. Gas PiRe�Rough & Test 72. Underground Flush 24. Roof Framing ^ 73. Undergrnd.StorageTank �Gas ❑Oil �, 25. Roof Sheathing .-. . 74. Overhead Hydro 26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical 27. Frame�and Flashing � 76. Dry S[andpipe 28. Lathirig:&;Siding ` � - 77. FIXED SYSTEM FINAL 29. Insulation � `'�' 78. FIRE PREV. FINAL 30. Drywall Nailing �� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � f� Jt/ \ 79. fINAL INSPECTION 32. Electrical Power Meter-Final �� 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Conditioning // �` �� / - 35. Final Gas Pipe-Test 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing . 39. Water Service-Final , 40. Gas Service-Final ` ' 41. Solar pomestic-Final h ,. I • ':� 42. Backflow Preventer � t � , � - � 43. Backflow Irrigation ' i . ' 44. .Landscape Irrigation System '� •r 45. Sound Attenuation X P I �.� � ' 46. Handicap Regulations CO 9 , 47. FINALSTRUCTURE&BUILDING S� 48. Special Requirements Completed 49. Electrie Release to Edison �� .} . . 50. Gas Release to Southern California Gas Co ''� � ' 51. CERTIFICATEOFOCCUPANCY . " ;; � �_ � No. Date � ' , �.. n- h moFtsa�miawo: 335 FISCHER A�� ow�xsxu'eiva�wm: MACK, JOHN � � � �ooxcu: 1 OSTA MESA, CA 92626 �va�. wuuxa �oox�u � ANCXRECTOXENfRlFFA: WMH ON FNR'S /iDDPE55: COMP�CTpf9 W11�: CONfFACTOfiSYN1IIq /i00NE44: � uxr: 714-751-4266 uc. ra: UNT: uc xo_ UNT: LICEN9E0 COHfNACTOfl3 DECLAfl�TION; I MnEy Mim uMx p�ndy d pojury Net I em IicvmaE uMn provhbu W CMpIp 9 (cammendnp xilh Secibn ]000) d D'rvbion ] W Ms Buu'wa vd PMn�bm CoEs. uk mY Iqsrroe b in lull lpp vM etlap. cm uc, xo.: uc. euss: uc. No.: E X P: Oma: CaNeCar. OWNEP BUILDEN DECL►R�TON: I Mreby dfim� andar pe�uly d qrjuly iNl I un aasmq hom IM Comream Lkws Lew la IM IaOor.+V raoon (Saabn lai�.5 &a:w� eM Pmtman COEe: MY uY a caunb whiCi nGwae e pamu �o mnwa. Mv. Impro.a. dsmd'eh. p ropei eiry cVuctine. prior b La'v�uuce, ebo rpwrsa �M epplironl la ach pmm! Io fib s aq�wd �W snsX Ihtl M a�M u 4anasd Wrnum to the Vwuioru d IM CaMretlas lin�ue law ICheqa B(mmm�ntiq wEh Satlon ]000) d Di+ubn 3 W Ilr 'uenw ard Rab�aiom CaEe� a ihtl he a ahs is uemq iherdmm enE IM bew fa Iha alleped usmqian. My viaW bn d Setlion A1.5 by eny eppGranl loe e perma euEjeGe iM epplieem io a tiW penally d nol maa ttun tiaa huedrod dd4n �5500��. �] I, ea oxnar d IM prope�y w my empbyaee xfh wepae m �Mi eob compemqcn, r,ill do IM wak, eM IM at�ucNn e �wl intenCeE ar ofleeed la seb (Setlim )OM. Budnea uM PMeaeona Cade: The Conlmdae lioenaa lewdaae na eppytoen owrw W popery who Wide or inpoves tlroreon. W wh0 doea t�ch xpk limsetl a hena� a NraqA he a hm ovm mm0�.0�� Ihel wrJi �a��n �e oa �ma,eee a ai..a r«.w. n. no..e.,.. me w�umu � mw�«a 4.da .nnm o�e rw a�daoa u» ow�w�wad« �;u n.� ma w�d.o a wa+ro ne a.ne ee �a wud «�mww. ia in. wm�• a.de1. ❑ �. m o.n« a tne awem. em ..dwrvar ��.a:n .ilh ticwrseC canu.na, �n aruo-ua �n. wd=a �swu, )a.. a�.'vis..ne aw.,,� coa: rne com�a+ �.,,. i... eos, �a wn�r m.o owo« a wwenr .no wua. «�ww� �n.w� .�d .ro mnbecu la wtli peqaee tih e mNreeor(e) firorceE ent m tM Com�aeas lie Lewl. � I�(/'-^�^�( uMa[�r��'�o B. 8 P. ., b Nw n Dme: L CJ � L V � I do Mreby unEy thn I em ewere W ud uMermbM ��v w. d c.uo"�r H.,nn,�w smay coe. s�oo. uws, zssaa �e ]SSN, eM �I+el 1 a eny Mure buildiip om�pani will wil n arcb aw) neeE io canply w�h veid mpa codr eM iM ipuiromenb br apamn/ameam�etbnamoCifimibnhomiM�i IY amem0iprvf.Rmkenlideondiutlioneppireliauen�mmplromtMe Dele: ApqieM: wonKen•s corvv+s�non oecua�nox: i n«eev m�, w� o.�n� d�,�e a m. r000.;'y aea.�mo�.: ❑ i nme.ne w mevuen. cenem. a m�veni io.en;mw. m. wvxa: eo�w�wo,. m wwwa i« M swion aroo a m. ien« Code. la �M perircmance d Ihe rak Ip Mich inq ppm4 o'vsued. ❑ � ne.e d,a xi� meiNai, noika.• canw�mo� inwrerce..s r.a�e M swion a)ao a u,. t..eor coe.. �« �ne w��. d �n. wak lor wAiUi Nia pemiu e inued. MY ��+' �M�� imurv�ce fartbr W pdiry mimber are: c�: Pdiry Number: his sMion naed not 6e camplerod i tM pemiAia b one huMm� tlollen (Sf001 a' � 1 �] I ronh �� in Ne pMormenca d tM wak br whch thia paimil is iveuetl, I ehell iwl amplvy ury penm in any menner eo n to becoma eubHa m tM xoikere' comv�ae�ion kv.s a celilomie. ud eCres iMt G I ehouk become wEjed lo iM xaNa's• canpertvmian pwisum d Sedion 9]00 d Iha Lebor Cada. I JWI /onhwil� oomp�y wiJ� IMee pwieiom. ome: �ca�: W�mlrp: F�llun ro ucuro workeri nrnpwu�tlon eovenp� l� unl�vNl, �iW ilull ub/�el �n wryloyw ro crlMiul p�n�Mq �M c/NI Iliw� �q ro om hurtlretl fMuvM CdYn (SfOqGWf, M�tltllXen b M� co�l o/ rompw�fbn, Eam�pu u proNEW br In Sectlm J�06 0l Ms laEor Co6, Intru4 �nJ �ttumey'� Isn. CONSTFUCTION LENDINQ RGENCY: I MreEy elfirm uMer penely W prp�ry IM1et �Mn ia e mrMrud'wn bMi�p eper�cy br the �no��. a ma wo�x ro, .n� inn ro�i „ e.�,aa (saaa� aos�. c�. q. LENDEP'S NRNE: LENDEN'S ADUHE44: � canly inm � nere.eea inm eaW�� ana une �nm ine ebove m�omwlo� f. carea. � eoiae io comoN wi�n el� cny ene mumy oNirenme uM ete�e 4x+ielelvq lo Wikvp consVud'an end Mreby eWMrae repreasnlelives ol lhia ay lo enler upon Ihe eEwe�menloneE popatty �«i�s�aioo�roo�s. JOHN BERNER /l .�. I I ✓ d6.WP) Whno-BuiWiip 6 Selery:Oreen-Fle; Cenery-Rppli�nnl; Pink-Revenua; Ciddenrod-Maeaaor CITY OF COSTA MESA - BUILDING PERMIT PERMIT N: E 074146 PLAN CHECK N�-95 A CONSTRUCTIO ' : 1-SPRINKLER PERMIT T ELE JOB DESCRIPTIOPJ : REMODEL EXISTING MANUF CTURING � CLAIM VALUE: CALC-VALUE: „ PERM NO: E 074146 GOVT: N SUPP: N PURPOSE: OTH S Q F� : GROUP OCC: B-2 / COMMENTS: J G PLASTICS , RE:#M74145 iElEiEiFiliE1E1E1E�EiE1EiE1EfElfiEiflElEiFifiEiE�1E�EiEfEiEiE1EfE9Edk3EiE�EfEiEif9f�EfE 1E�EiE1E1E1E1E1EiE1EiEiEiElElEiE3EiEk 1EIEifiEifiE1f3E1E1fiElEiEif Z O N I N G R E Q U I E M E N T S S E T B A C S ------------ MAIN BUILDING ---------- ---- --- ACCESSORY BUIL ING --------- FRNT: FT IN REAR: FT ZN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT ZN RGHT: FT ZN PARKING REQ• PROV: PARCEL: 42708105 ZNE: REF NO: PLANNING NCiTES> i iEif7PikiElEif�E1EiElEiEklEiEiFlfiElEiEfElE�E3E�E9EaEiEaEkififiEiFiEiEiE1EiF�ElEififiEiEififiEifiE9E�EfE3EiEiE1EiElEiEiEfE3E iEiE�E1EfElElEfEiEiFlflEiEiEiE 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 HY p'ATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: �� DATE: cl� IEiElE3EiEiEdEiE3EiE3f�E*ifiE3EiEd4iFiE3E3EiFiFiFiF�F7F3F3FiFiF�Fi�iF�Fif �F� iF7F�F3F3F�f7i�FiFiEiEiE�E3f3FiEfFiEiE iElE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMIP/RES GRADING PERMIT 443,50 SOS SMIP/NON-RES PLAN 55.44 ISSUE FEE 15.00 HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 443.50 15.00 55,44 513.94 513.94 .00 REVENUE DIVISION TOTALS--> COLLECTED: 458.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 458.50 iE 1E ik if if if iE if jf 3f !f !E 1E 1f 1f 1F if iF 1E jE iF iE fE 9f iE 1E jf iF iE iF iE 1E iE iElE df jF iElf if jF �f �E iE ik iE iE iE if iE 3E iE if iE iF 1F if !E iE if iE iE iE iE iE iE fE 1E 1E 9E 1E 1E iE 9E iE �E iE 1E if 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 I O N ONIT COST TOTAL COST ELE 20 FIXTURES, LIGHTZNG 1 ST 20 EA. .75 15.00 ELE 50 FIXTURES, LIGHTING ADDITIONAL EA. .45 22.50 ELE 20 RECEPT/OUTLET 1 ST 20 EA. .75 15.00 ELE 80 RECEPT/OUTLET ADDITIONAL EA. .45 36,00 ELE 4 RECEPT/SWITCH 1 ST 20 EA. .75 3.00 ELE 1 SERVICES OVER 600 V OR OVER 1000 AMP 75.U0 75.00 ELE 5 SUH-PANEL 11.00 55.00 ELE 10 MOTOR/POWR APPARATUS 0.0 - 1.0 HP 3.00 J0.00 ELE 5 MOTOR/POWR APPARATUS 1.1 - 10.0 HP 7.50 3'7,50 ELE 5 MOTOR/POWR APPARATUS 10,1 - 50.0 HP I5.00 75.00 ELE 3 MISC APPARATUS NOT LISTED REQ PERMIT ni p1_b.p.o-Q-,��jg9gE1 'd'o�T33.0,0,;. Jr� cArE: C4;t?5,'a_'� 7i!'Ea 13:%5 � � I, �CONSTRUCTION AND PLANNING � , POOL L > � ' � taPPROVALS Permit# Date Inspector qPPROVALS Permit# Date Inspector • 1. Temporary Electrical Serv"�ce or Pofe � 52. Pool & Equipment Location 2. Soil Pipe•Undrgrnd. 53. Steet Reinforcement 3. Electrical Conduit Utiiity•Undrgrnd. 54. Forms r 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding � 5. Steet Reinforcement 56. Rough Plumbing & Pressure Test ' 6. Electrical UFEP Grnd. 57. APPROVAL TO COVER-GUNITE -� 7. Footings 58. Electrical Conduit-Undrgrnd. 8. foundation � 59. Gas Pipe, O Undrgmd., Test � 9. Water Pipe�Undrgmd. - 60. Backwash Lines, P•Trap, O Undrgmd. 10. Structural Fioor Svstem 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63, Heater & VenbFinal 73. Roof Drains 64. Plumbing SYstem • Final 14. Rough Plumbing 65. Electricai-Final � 75. Rough Electrical�Conduit - 66. Solar System�Final ' 16. Rough Electric Wiring 67. Fencing & Access Approval � 17. Rough Wiring S�9n 68. APPROVED FOR PLASTERING- " - 18. Rough Electrica��T Bar Ceifing 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMEfVT 20. Rough Factory Fireplace � APPROVALS Permit # � 21. Ducts, in Structure • � 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping �Gas OOiI 23. Gas Pipe•Rough & Test . 72, Underground Flush ' :24. Roof Freming 73. Undergrnd.StorageTank OGas ❑Oil 25. Roo'F Sheathing 74, Overhead Hydro 26. T•Bar Ceiling tStructural) & Monocoat 75. Ory Chemical 27. Frame and Ftashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL i vs.�..�...�.a.�u.�_� - - ��CHLI'n'O'CYT'KCIIIITry'CIOtCiV'1 37. Plaster Brown Goat 79. FINAL INSPECTION 32. Electriwl Powe� Meter�Final ;J. "OOD CERTIFICATE ISSUED � �) 33. Final Electric ��.7-/ `,�tes:`/^�// 9��Q _ l/7'_-- ��C�^ // �6 l �f .el�.utvi�� L.Cr,.Ge�� 34. Final Heating & Air Conditioning � �-z y-�6 � � �6 �-�� d��,y 35: Final Gas Pipe-Test �fLo�(�� /J hLvfP 36. Hood or CanopY 37, Final Factory Fireplace /( 38. Final Plumbing � � ��\ Pe/' / �•�� 39. � ter Service•P�nal - - •, i 40. uas Service-iinal 41. Solar porrjkstirfinal 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System . ' 45. Sound Attenvation � . � 46. Handicap Regulations 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 (-I iFssa�em�axc: 335 FI5CHER AV ' • ixuieirro+avx: MACK, � JOHN � • �noness: 1 �USTA MESA, CA 92626 �rv�. xuuxo,won[ss: �� AfMHIfECT ON FliiNffN: ACII OB FNG'S AOORE55: eowm�ctarse�: CONIfl1CTOR5YYLN0 AUDRESS uNr: 714-751-4266 uc.ra: UNT: uc. ra.: uNr: uc�seo eorrtneeTons oecup�noN: i ne„er ,n.m ��e„ p,�wy d�,ry w� i.�, iK,o.e �m„ po„.�, d cnep« a (mmmemrip xilh Seclion ]000) d Oivision 3 d t�e Bueirwee aM Prdeeeiona Cade, erd my 4cenm e in lull lorce enE eMee. cm uc. No.: uc. cuss: uc. No.: E}CP : Dae: Conlreda: OWNEfl BUILDEN DECL�P�TION: I hxeby ��m uMer pene�y W perNry Ihei l em e�emq Imn iM CoMrapm Licama Lew lor ihe �Idbxip reefon (Setlion )a3t.5 Bueiime eM FMeasbna Code: My c1y w counly wfiitli requiroe a parme to mrown, ellm, impove. damd'nh, or ropei eny eUucture, pior b na uwerce, ebo rpuirea IM epplira4la euc� pertnA to fYs a eqmE NalameN tlai M p�M o IicenaeE W�� o Ihe povisbm d IM Conlredore Limnae lew �CAeper 9(cammendrp wil� Sedion ]OW) d Oi�rebn � ot tb Bwinesa erd Prdweiar v Cadel a ihm he a ehe e aKemq therehwn enE iM bem la Ne elbped uamqion. Nry vbW ion W SerJion )031.5 by eny appliranl for e permA eubpde tha epd�� a e civil penelry of nq mon Ihen Irve huMreE EdWe �5500��. � I, ea oMner d IM pope�y a my empbyaee x'vh wepea n IMk eole mmpenae�ion. will Eo IM woM, enE i�e nruciura u noi inteMod a oMerad lor mk (`��im ]OM. Budmn eM PrdeseianCode: The Com�mon lioenae lew doee M epplytoen ownerd popsRy who WIEs a inpiwee Ihereon. eM xfio daee euch v.vrk Hmee11 or hene� w ihrwph he a her own empbyeee, povkW �het wch improvemmta ue nd iMentleE a dlaed In eab. M. however.IM Witlinp a'vnpememwit is wM vrilhin aroY+a a�P��. the �owrrerbuiMx will heve iha burden d pravi�p M or ehe EN � build a improw Iw iM W�e ol eda�. I, m ownar d ihe popeM, em udusrveN mmrediq xnh licenesd conlrecton to conarua tha prqeq (3adian )Oat, Bus'uwe eM Proleaiana Gode: Ths ConUedws L'eanaa lew do� m� eppF� to en ohru d propa�ry who builde a impewo �M�om aM wM mnirecte la euch prqeda wnh e canlredoKe) IkenaeE eM to Iha Canlrapas Li R e Lew). � I em e�yp�nq uMe; Sy�ion� B. 8.C., lo � n re 1_.Q U�C Dme: � 7� ( �-+ I tlo heraEy ceniry IM1eI I em ewero d eM uMeniend � rey emenn d Cdywnie Haellh eM SffiMy Cotle Satlbna 45505, 2533], end 255J0, e�M iMt I ar eny fulure Wikirq aoeupenl wiil / il �tlrck wr) nseE lo eompry wYh sek neu mdm eed the mQuinmenle Im erormillormnnrudionarmodRcetionhwniMR'v nv e�eoement0ie�nd.ReideniidconnrvpbnaooY'fstioruene�emdlromlhma De�e: ROdcem: WOFKER'S COMPEN9�TION DECLAP�TION: I IwreGy elfirm uMer penelry W pe�jury me d the bllowi�p dedereiaie: � I hero eM MI meinten a unEicme d mneem to e�llinwn la r.orken'rompanaaibn. e� yovided la by Soqion �100 W Ihe Labor Cade, la iha peAormence d iha xvrk lor which thie permn ie Ivued, � I M1me and vriA maimem woMe�e campnmtun inaurenca, m reQuiratl by &eeim 3)00 d the lebm Cotle, br iM p�lormeMa N iM wak la whiM ihie permM1 ie ia�ueE. My worken' cpnpeneelion insurvica uriim eM pdiq numEer ere: Cemer: Pdcy NumCer: �n�:,«�� e �a ee �d.�ee r rne w�a � ro� o� n�oeroe dda„lsiool w b.o.� ❑ I mrliY Ne� in the pMmvrce d �M work la xfikh Ihn peemn ie ueued. 1 ehell ral mmplq erry penon in eiry menner eo m io becoma eubl� lo IM wvMare' canpeneelion le�w M CdAwnle, enE epres tIW H I Moutl become wbjea to tM xwMsii cwnpanaetion prm�isione d Seeion 3)00 d ihe lebor CoEe. I ehell lonhwnh oanvN �h thwe v�ione. Dme: Applcem: Weminp: Fall�n ro��cun woiRsri compxuetlon rovorep� l� �nl�wNl, end �MII �u6J�ct en employ�r ro cr/Miu/ pxuMu enG clvll nn�a up ro om hwdM rhounM Goll�n lJtaqoOol, �n Miltlon ro M. cwr or rompwu�tron, J�mep� u prorltNtl ror In SxHon �106 o1(hs Lebor CoOs, lnfwesl, erW ertomey'� /w�. CONSTflUCT10N LENDINO AOENCY: I hanby Wim untler penelry ol parjury thei iMn ia e wnetNpion bMinp epency br the peAamsnoe d Ihe xmk Ip wfiitli Ihu peimi n eweE (Seaion 30B], CM. C�. LENOEP'SNMIE: � LENDEN'S ADDFE59; I cerliy iMl I hew reeC �his epplke�ion eM etele �hei iha ebove inlwmelion i� corteq. I epree to mmON �h NI rny enE mumy adinenrns uM eiete lehe reW ip to buJd'vq conwunion e�d hereEy eulhares ropaummivee d ihie cty to anmr upon Ihe ebwe.mentioneE popeM ��°'°"��°�°�`DO99 JOHN �ERNER � Deie: � l:!_�� 515t<8 WP) Wtule-BLikmp 8 SdetY: ��-Fb: Cenery-Applrant: Rnk-ib�en�e: OoWmrob-baeasx CZTY OF COSTA MESA - BUILDING PERMIT PERMIT NO: M 074145 PLAN CHECK NO: 02998-95 A CONSTRUCTION TYPE: I-SPRINKLER PERMIT TYPE: MEC JOH DESCRIPTION : REMODEL EXISTING MANUFACTURING CLAIM VALUE: CALC-VALUE; PERM NO: M 07414° � GOVT: �1 SUE'P: P! PIA'tPOSE: OTH SQ FT: GROOP OCC: B-2 / COMMENTS: MECHANICAL FOR MANUFACTURING FACILITY iE iE iE 1E iF iE 1E if iF iE iE 3E iE IE �E iF aE iE 1F 3E iE 3F �E iE k iE 1E if 3E IE iF if fE �E �E 1F iE IE iE �f 1E 3f iE 1E iE iE iE iF 1E iE 1E iE iE 1E IE jE IE K 1E iE jE 3f IE IF iE 1E 1E iE iF iF 3k 1ElE 1E iE iE 3f if 1f 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 BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL; 42708105 ZNE: REF NO: PLANNING NOTES> i � IE iE �E iE iE fE * iE 1E iElElE if #!f jf iE iE iE 1E iElE if iE !E fE iE IE iE �E fE �F iE �E iE iE �E 1(� iE 1E 3E 1E iE iE �f !E iE 1f iE iE iE dE iE iE 3E IE 1E if 1E 3E fE iF iE 1E if 9F i(� iE iE aE iE �E 1E iE IE �E 9f iE 3E D E V E L O P M E N T S E R L I C E S R E Q U I R E M E N T.S ZONING APPROVED BY ✓ DATE: BUILDING APPROVED BY : /�f ! DATE: / / /� � APPLICATION ISSUED BY: C,,�,� �T itiEitiEiFiEaEifi[-klfkiEiEiFiEiFiEiFiEiEiF3F'iFTFiFTFTf�Fib7F'iFiFiF7f3F\.?F7Fi iFiF� ;FiFiF r3FTFTF�F�%'iF�iF7FiE1Eit�EDiAEiTt�iE�% � iFiEi� LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMHING ELECTRLC� MECHANIC�� FIRE� � S,�t'TP% ER 9 GRADING PERMIT • ., `; 11.00 .• '�V, i _r %25t •,� � � �SM�P./,NON-RES PLAN � • .: � :'6,9 ; " `� .• ISSUE FEE < ' • ii^ `� 1:� . 00 � ^ � ! ^/ '�' RUILDING-DIV-> PERMIT ISSUE PLAN �CHECK, �' TOTAL'� '�,'� "PASD� DOE TOTALS---> 11.00 15.00 -0.69 „��:26 69� '„ 2$.69 .00 REVENUE DIVISION TOTALS--> COLLECTEDd �� 26.00i OVER/SHORT:: "' .00 HLDG PMT PLUMHING ELECTRIC MECHANIC �� FIREi!SI�IP/TOT 7GRAD,ING PLAN-CHECK n '26�:00 - - �,� : i - /.'. � 1 /� � - � .• *��x�x�+r��***��+t*��**�**�x*�**+��*x�**��+r*��*�*jE��r*��**�*.**a�*i%rtx��,**�-�x****�*rt�� I N D I V I D U A L F E E rB ,R � A� K�Dj�O W:�1, �% '"� TYPE QTY D E S C R I P T I O N. • � �, ^ _ � UNI1� CO,ST'1 �� TOTAL COST MEC 1 REFRIGERATION SYSTEM >"iQ0 Ft BTULH.^ ; 1;1.Q�0 �� 11.00 END OF ;FEES ; ",� ) ^ 'n -. , .. l / /^ , I ' � 'J � /��/� �� i �. .� � . � ..v � � . q , �i I I �.� i ( _ . � r ; ;n �.1�7� . � � v� ; �1 �niaaeco e��e•4�•r•, "�::- _:.o.. � � i i � � •� 66TE: Qc��i:�:o3 'i!:E; - - �� . • % . i ., J J I �CONSTRUCTION AND PLANNING - � tAPPROVALS Permit# Date Inspector t. Temporary Electrical Service or Pole 2. Soil Pipe�Undrgrnd. 3. Electrical Conduit Utility-Undrgrnd. 4. Electrical Conduit-Undrgrnd. 5. Steel Reinforcement 6. Electriwl UFER Grnd. 7. Footings 8. Foundation 9. Water Pipe�Undrgrnd. 10. Structural Floor SYstem 11 . Property Sewer Line & House Connection 72. Sewer Cap 13. Roof Drains 14. Rough Plumbing 75. Rough Electrical-Conduic 76. Rough Electric Wiring 17. Rough Wiring Sign 78. liough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Dutts, Ventilating . 23. Gas Pipe•Rough & Test 24. floof Framing 25. Roof Sheathing , 26. T-Bar Ceiling (Structura1) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 37. Plaster Brown Coat 32. Electricai Power Mecer-Final 33. Final Electric 34. Fi�al Heating & Air Conditioning 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water $ervice-Final 40. Gas Service-Final 41. Solar pomestic•final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation SYstem 45. Sound Attenuation 46. Handicap Regulations 47. r1td�.L STRUCTUflE & BUILDING 48. FINAL P�ANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Date POO�L & SPA APPROVALS Permit #_ 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bondiny 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER�GUNITE 58: Electrical Conduit�Undrg�nd. 59. Ga5 P�pe,.C� Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK � 62. Backwash & Receptor•Final - � 63. Heater & Vent-Final • ;. � 64. Plumbing System -�Final 65. Electrical-Final 0 66. Solar SYstem�Final 87. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEA9SFINAL FIRE DEPT. REQUIREMENT APPflOVALS Permit # 70. Underground Hydro 77. Product Pi'ping O Gas ❑ Oil 72. Underground Flush ' 73. Underqrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 76. FIRE PREV. FINAL � HEALTH DEPT. REQUIREMENT 79. FINAL �NSPECTION 80. FOOD CERTIFICATE ISSUED Noies:tr a . _ ��r' 7 ..� i Date � Inspector 0 �oonEss a emtwxo: > > � OYMERSN�IIEIFRAYIN: MACK� AOMiE%: 1 :OSTA MESA, CA 92626 �vv�. Muurw �ooxrss: , urcxrtecTow�+¢n: �, urcx. on eno.�s �oo�ss: ER AV ux1: 714-751-4266 uc xo.: UNT: CONfiiKi0R4 N�NE cwm�croas wuunc �noxess: uc w_ UNi: LICENSED COHfNRCTOPS UECLAHATION: I Mreby Nim under parety d perjury Ihet I am licrensd uMer prwieime d Chepter B (comme�iq xnh Section )000) d Oim'ai J d Ne Busiwa vM Proleamorm Cade. W mY Gcens b in lull lace and eHep. cm uc. No.: uc. cuss: uc. No.: EXP : Deie: Caweea: OWNEP BUILDEfi DEClAP1T10N: 1 heieby elfirm uMer penely d perjury Rai I am uemq Irom �M Comrmon liroma lew la IM idbv.iq im (Setlion 1W 1.5 &siwsa eM Prdeseioeu Coda: AnY W a wuM' Mfiidi mVarm a V�G to eambwY. Mx.'vnMo.a. damoloh, or rapev any sVudura, prior io as cauarica. eko req�iras �M epplirani Iw evch permn to fib e w0�� siaiemam Me� he m eha q licaved pursuenl to iM pwisims d Ne Comrmua Liomae lew ICheqm 9(comme�avp wuh Setlion ]00p) W pi+'nion J d Ihe �Iusiiwa and Prdasaions Cadal w thet he a she c ssemq Iherelmm eM �M buc lor the elbped azemqion. My violmion IN Sed'an iO3t.5 by enY ePd� lor a permG wRpds the eppli�ara �o a oN peneXy d nol mae �Mn �rva �uMred tldbn �SSW�. ❑ 1��.�ameaare�v«mve�oM�=•,�nwa�a,me:.dewmw�.�;oeou�ewax.d,eNew�awebnamieneee or MeraE Iw ule (Seewn ]Oad. Buvreu eM Pmlessbro Coda: Tha Convaqon Lieeeue Lew daes rwt epplyto en ownerd OrW eM W�q bll�! M�Ilqp!=��MIBOII. dl� MD dClO 6W:1 NIXY.IICII!!d IX fIMG� IX �IIWj�I �1B M �M! OWII IXIIpOyMl. �!'� �� MMH impovementa era na inieMed n dtueE lor sab. tl, howewr, �he Wikiiq or'vnpwwneni ia sotl wnAin one yeer d mmpbiion, the �ow�w�wuaa �n na� ma w�a,� d w�ro ns «.ne de �a wad a Mwow i�. iti wwva a.d,l. L a. � a me aw�r. am s.�A�Nr ��.aro ..an 4mmae canaecw. m camo-w mme wq� (seen, �ou. ewvm. ene PMassione COJe: The Canlredan Lr.enes law doea ml eppFy �o en owner W popeM �o Wilde ar impovm iMraon eM who mnirecb In wd� pope� wuh a mmrma(s) fceiueE punuem to tM Com'mws liorue law�. 1 under o: P.C.. br Nu °� �� /<<<. ��/s�-9S— I do Mreby eenity Nel I em ewere d eM u�deeaieM Ma iepweinsm d CeOomie VIeNh end Sefery Code SWbm 255p5. 255J�, and 2551a, anE ilw I«eery Mun dnkirp ooaipenl will / wil rw� �aeb me) rieeE to eanply wYh sek ume oodm eM tM repuiromeme la ape�mntamml�wlionamodifKelionhwn�M�i�t anepemeni0inrin.R�deniilcpmiueuneppfutiprovaezemqiromtlroea proWsbns. Dele: Apd�ceM: WOFKEP'S COYPENSATdI DECLAX�TION: I herMy dNm wWv penMy tl parpvy ms tl Ne Idbrriiq ddumiom: � I hero eM xi1 meinlan a wNfrate d waml to utl�euwe lor xwken' emWmWbn, m pwlded /a by 5oqion J)OO d ihe Lebar coee. ia in. rono�,�K. a m..ax i�.ro�n w. o«+�e m m.�,ea.. ❑ � new ene vn� meiM.:,..d4s.� wmw�.mid, irow.n.. m,.w=ed M swian e�ao d m. �m« coe.. �« ins ronormene. d in. wwk Iw whidi ihia pertnn u �aued. MY worFen' compenaetion imurence ramar vd pdiry number va: Certier aarr r�ea mr:.enion �ena �a a candetd � rn. o�/ n m. wi. nnnmw ed4ra Riaol w Iw.) � I cen!/ tIW ' M pMormuKe d IM wak la whch Ih' pe�mE b muad. I aMll ml empby ury pr�on in anY mennx w m to � uEj w iM xakera' wm ion b cefdmie. vM ep�g. a 1�hwk Eem�ne wM� to IM xo1lcsn' pms ��f aaian d iM Code, I�M1ell IaN.rllfi wM iMm �� om<: � �f� CY'G nod�cem: " ��.�>7 emlip: F�Ilun A wcun wohwry'ronpwwtlon rovxp� b'nl�vNl. md�NO sWpct en wriplonr ro cNMrW p�mltlu mJ clvll fliros up ro ww �undiM tlnuunAOO/Nn (f1pp,G0pA M WOltlun ro tlr� cwt ol ro�vxwfloM1 Mm�p� u provMW br In Sxtlon 9108 0l M� I.e4or Cob. lrrtwu4 ��mey'a /wi CONSTFUCTION LENdNO �CENCY: 1 hwaby etFrtn uMer pamtly d per'�uy �het thra u e mnsirud'qn Irdi�q par y tar tha paAamence ol IM xwk Iw which Ihe pemii o veued (Swion �O9). G'v. CI. LENpEH'4 NAME: LENDEN'S AOOPE59: I cMM Ihel 1 hew reed No eVdicelion eM tlele IM1et Iha ebow vdametion e cortetl. I eBns io camdY w'nh e0 tltY end oourMy adinaricea end ele�e lexs reletiq b WiWvp eonaVuruon ad Aereby eNhorce eepreaenle�ivee d Ihu vlyto enlv upon Ihe ebove-meMoneG popeM �«��'°etl�P��D°'°' JOHN MACK Dme: � /� / `-+ vmuo-a,uanv a smar: cre.mFb: c•�.�rnvv��c w�k-a�o�: couao�n.�,« CITY OF COSTA MESA — BUILDTNG PERMIT PERMIT NO: E 073879 PLAN CHECK NO: N CONSTRUCTION TYPE: I—SPRINKLER PERMIT TYPE: ELE JOB DESCRIPTION : TEMPORARY POWER FOR TENANT IMPROVEMENT CLAIM VALUE: CALC—VALUE: PERM NO: E 0'73879 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: B-2 / COMMENTS: TEMPORARY POWER FOR INTERIOR T,I. *+f+r�-+t*x�etx�itat*****�-�x�***ititx��*�x�***itx��t*x�***�r**��******�-itfr��r****fr*x�**at**at*�t*+��+��r*�� 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 --------- FRNT: FT IN REAR: FT ZN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42708105 ZNE; REF NO: PLANNING N<STES> i if IE iE 1E iE �F iE 9F iE �1E iE dE iE IE iE iE iE iE tE K iE iE iE if 3E if iE iF iE 1f �E iF if �F'IE iE iF iE 1E iE iE iE aE iF iE �E iE'1E 1E 1E iF 1E iE 1f iE iF 1E iE if iFlF if iE iF iF iF if iE if iE iE iE 1E iE iF�E jF jF iE 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 c ZONING APPROVED BY ni DATE: BUILGING APPROVED BY : !- T� DATE: // / s:� ra 1��.-i v I��P i��YiLx.7 3'1 LEGALIZATION:N F� E'' E 5 U M M A R Y DATE ��*� SEGMENT:N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG PERMIT 15.00 SOt SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 15.00 15,00 0.00 30.00 30.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.00 iE iE fE if 1F 1F 1F �f af i(� 1E 3E 1E iE 1E IE 1E aE iE 1E 1E iE iE iE if IE ik iE fE 1ElE i! iE ik fE iF iE iE iE IE iE ik iE iE iE iE 1E ik iE iE IE iE 1k iE iE IE iE iE iE iE IE iE �F iE �E 1E �f If 1E IE aE iE �E �E IE 1E iE 3E �E 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 I O N UNIT COST TOTAL COST ELE 1 TEMP WORKWITH END OF FEES EA. 15.00 � 15.00 � 1�y L.....,nJ r� �'.� � :i '��. 0�`�:..� AUG 18 �°�5 ` ` ��TY. OF COSTA MFSA K � CONSTRUCTION AND PLANNWG � , � POOL PA � APPROVALS Permit # � Date Inspector qppROVALS 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. Steei Reinforcemeni 56. Rough Plumbing & Pressure Test '6. E�ectrical UPER Gmd. 57. APPROVAL TQ COVEfl-GUMTE 7. Footings 58. Electrical Conduit�Undrgrnd. 8, Foundation 59. Gas Pipe, � Undrgmd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, � Undrg�nd. 10. Svuctural Floor SYstem 61. APPROVAL TO DECK � 71. Property 5ewer Line & House Connection 62. Backwash & RecePtor-Final ' ' 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Dreins 64. Plumbing SYstem • Final 14. Rough Plumbing , . 65. Electrical�Finai 75, Rough Electrical�Conduit 66. Soiar SYstem-Firal ' 16. Rough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Si9^ 68. APPROVED FOR PLASTERING 18. Rough Elecirip6T Bar Ceiling - 69. POOUSPA SYSTEMS FINAL - 19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT � 20. �Rough Pactory FiFepiace - . � . �. ' APPROVALS Permit # 21. Dutts, in Structure ��• ' 70. �Underground Hydro � 22.Oucts,Ventilating ' 77. ProductPiping�UGas d0il 23. Gas Pipe-Rough & Test _ . 72. Underground Flush 24. Roof Praming - ' � 73. Undesgrnd. Storage Tank � Gas ❑ Oil 25. ftoof Sheathing , 7Q, Overhead HYdro 26. T•8ar Ceiling (Structural) & MQnOcoat � 75. Dry Chemical � - 27. Prarpeand Ftashing -. � 76. Dry StanUpipe 28. Lathing & Siding , � � " ', 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL ' 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �• • � � 9. FINAL INSPEC710N e /// --- 32. Electrical Power MererFinal ,(y� �_ r 0. FO00 CERTIPICATE ISSUED 33. final E{ectric „ , . l��yJ � rNotes: - _^ � � 34. Final Heating & Air Conditioning • ' . = 35. Final Gas PiP2 Test � � . ' � � �' � 36. Hood or �anopy �- . � ' 37. Fina� FacTory Fireplace - � , ' � 38. Pinal Plumbing • . - _. " ' � 39. 4Vater Se'rvice-Final . ' ' _ � ' ' - 40. Gas Service-Final � � �� __ � - � � 41. Solar pon�estioFina! " • � ' - 42. Backfbw Prevencer - 43. Backflow Irrigation � ' , 44. Landscape Iriigation System' � ! • _ '� _ . _�� 45. Sound Attenuation; �� . � � ;��J"'tt . .._ 46. Handicap Regulations � • C . � 47. FINAL S7RUCTURE & BUILDING . �' �- r= 48. FINAL PI.ANNING � . ��: 49. Electric Release to Edison 50. Gas Release to Southem California Gas Co ,� f 57. CERTIFfCATE OF OCCUPANCY � No. Date OF COSTA ME§A � iTRUCTION PERMIT Address ,')ner's;Name No. AVallcant to 1111 In all sDacas exce0t �hose within nlavY bo�tle� Ilnas anA fi9n all approDriate Oeclantlons. ^ ��..�� - rn nnt ��/� 1!1T f�lll CI !1 . Adress(mailin9l '' ' �ry �tc>nse No. � '•�►1%�G�� .ICENSE� CONTHACTOR OECL0.RATION ' ��ereby atfirm ihdt I am Iicensetl untler provisions Of Charler 9(tommencin9 - Ath.sectlon 7000) of Division 3 of the Business antl Profesilons COCe, antl ny Iicensa is fn full forte antl,affect. Q jcense �C�la�ss � ' Li ens No.'� :L,��7 �ate'��i. -. ; 519 t '��A� N KERS'COMPENSATION DECLARATION C'�,yy affirm that I have a certiticata ot conunt to seNinsure or a certiflWte i. �.y;:}rkers' COmpensatlon InSu�ance,.'ot d ce�tHietl-copy'tha/eOt (Section �' :, �b. � pS 3-7�/o7YS � _�✓ •�Go11cY No. GomPanY��.'�'-�n�_.T //cnwiiTv � ,�Certified copy is hereby furnishetl. ,�ertifle0 copy is tiletl wlth [Ire city Bulltling Division. � � 'bate � Appticant : EXEMVTION FROM WORKERS' COMPENSATION DECLARqT10N� -- - �I (Tniz sectlon neetl noi tie completeC i� ihe permit Is for one huntl�etl (5300) or � less) i ^� I cartiry.that tn the performan<e ot tbe work far which MIs permit 7s issuetl 1 shall noc employ an� per5on in any manner so 5 to become subject to t�e , '� Workers' omyQpsa on Laws`ol Galit9 la. �/, � '- Date, �iy-.�� Si9natwc ,('�-��%i�� +�z �� . f NOTICE: It,'after making Lhis tlaclaration, You snoultl tiecome sub7ect to the Workers': Compensa4on provizlons of •tne UDor COAe, you must forthwitn' comp�y �witb such . provisions or �tbis Oermit • shall bo Geematl remketl; CONSTRVCTION LENDWG AGENC`� ' - 1 horeby aHirm tbat tM1ere 7z a construction IenGing agenry for the performan<e of the 'work tor. whi<h • thli permit is Is5ue0 (SoCtiomT3097 Civ. C.) lantler's Name IxnAor's Ndtlress ' � OWNER 84)ILDER DEGIAqAT10N � � 1 herebv aHirm thzt I am exem0� from the Conlractor'S Llcens0 Ww for the a oermit to n`+�;;L6 oy.;any appucanc ior a permr[ suo�ecis [na aDo��<ant m a ow� �'ialty of not TOre than five huntlr¢tl t1011drs �5500). � .. � 1, as ownar of the pro0erty or-my omployees with wagas as thatr solo compensation, will Oo the work, antl [ne structure Is not intentletl o� offerotl tor Salo' ($ection 7044, Businezs antl Gro(essional Catle:' The Contractor•s License Llw tloes not apply to an awner of a property who bWltls or Impro�et tncraon; antl who tloes sucn work himselt/horiel( or through his or her own amploy ees, provftletl that suc� fmprovemen[s are not tntendetl or oHeretl.for sale. H, how�veq tna bWitling or Improvement I5 soltl wit�tn one year,ot com- pleHon, the owner w111 hava tna ourtlen of provinq ne/sne altl not Dulltl or Im- �rove for ibe purpose of sale). 1, ds owner ot the property, am excluslvaly contracting with Iicensatl con- tldclOrS t0 constfutt the D�ojeCt ($BCtlo� ]044, BuSin¢55 antl PfofBSsiOnS COtlO: Tha Contractor'S L�cense Law dOes nOt dPP1Y �o Ln owner�ol prOPerly who [Jv y v , fl - 7YPEOfCONSTRUCTION ntEW AOD� AITfRATiON -REPAIR ❑ CONVERS�ON Q DEMOLISH ❑ T ER � DESCRIP�IONOF N�ORIt� — � m� , �, � �s1-,� � � ,,�. , � TYPEO�T GRAOING FOUNDATIO STRUCTVRAI ''❑ TENANT ❑ ELEC7RICAL O, PLUMB�NG ❑ MECHANICAL ❑ 9THER PROJECT DESCRIPTION S�.FT. OCCUPANCV- a�.� CONSTRVCTIONTV7E VALUATION$ aty�� 20NE � GRADINGCU.YDS. .ACHES Ramarks: ' ' - �� ' _ , ,_ � . , 3ar Sink 3ackflow Preventer ' 3atkflow Irr:9ation � 3athtubs • � �larifiers JishWasFer'� ' _�" ' � - - Drinking Fountains . Floor O�ainr Floor Sinks ' ' Gas Sarvice Outlets Interceprors � Kitchen Sink - • ' ' Lavatories � �" . P-Trap ' Roof �Orains � � ReinspeMion Fae - $25 Boiler . ' � Duct - Under Giound Duct-Structura� - builtls or Improves therean, antl Who contracts for zuch Drojects wlth a<on- Exh2ust System ❑ Multiple ❑ ba[ror(5) II[BnSe pur5Uan1 to tbe ConVd[tOfS LiCense Ww). � ❑�I�am exempt untler Sectlon . B. & P, C. tar this reason Fi�¢pl/Fact. Blt. ICBO # oate owner � Heating System & Ductirtg 1 berCby certiFy [bdt t have red0 thit appl{catlo0 aqtl sfate that the abOve Oo-ioo,000sru �ioo,000e'ri inlormation Is corrett. I agree to comG1Y "with all city antl county orCinances antl'state laws relatin9 to builCin9 constructlon, antl hereby authorize re�re- , sentatives of • this dty� to enter upoo the aCove-mentionatl .property for � , (nspett(on p o5es. � ' 5�ynature oate�� Reinspection Fee $25 �rivers' License or.55 # ` CMF 0865-46 �ev. 7/83 White -BultOing: Canary -Apptiwnt; Pink • Accounting; GolOenrotl -'Assesso� ' Showers ' Service Sink Sewer Cap Sewer Cannection Soiar Collectors Solar Piping " Solar Tank Swimming Pool w Urinal Water Closet '. Water Heater Water Service Issue Foa f � A.P. 9W � — — Q � `� S Main Building: � E T �Front � ' � ARear � � RieM "� S Left � Ping. Ret. # , . Parking Req.lProvided ' — Use of 8uiltling: ;�-' Plannin9 Notes: Q,��,.�M n � � Automatii Washer , � Construction Pole Sub. , � - � Cdokin9 Unit �" � � " Dishwazher � 'Dryers �Gas' �Elettri� Fen ' � F.A.U. � � Fixtures , . Device Boxes � � Ouclets , Switches� . " Garbage Disposal . - - , Gencrator �0.5 KW 05� Moodor Type� ❑ C&nopy � Type �I ❑ Refrigeration System . � ❑a�oo.000eTu O�oo,000sT System Repeir�Alteration Issue Fee , as FEES ri'3L% i r� � s��i_' '.. zo�e „? Accessory Building: = �_ i �� • - �� Park,Fees 5 � ELECTRICAL , • ' �Transformer ❑ 15-50KW , ❑ 50+KW . - ' .Mecer Oup'[ot00amps; � , Meter pover 700amps Sub Panel Motors �61 HP �' Inc.SoWr �9�75 HP Miaouvave � Pole Light ' I I Standing Sections • 5 KW Trash Compactor � I Reinspection'Foo I$25 I Issue Fae PUBLIC SERVICES REQUIREMENTS: Zoning Approvetl By AaVliwtion APProved By i ApPlitetion IuuBd By A 15+ S3 O N I N, G R E � U I R � E M E N T �SUMMARY OF FEES � - BUILD7NGPERMIT $ � .3H�� gnqlp g .O�SO PLANCHECK ' $ 1.SS•01 pERM1T . - PLUMB�NG $ � �SSUANCE $ , PLAN'CHECK • $ ENERGY P.C. $ �ELECTRICAL $ GRADING 5 PLAN�CHECK g MICROFILM S MECHANICAL $ _ TOTAIFEE $ '�� S 3 PLAN CHECK $ � ._ ' . ' . ' _ _ ' . ' , CONSTRUCTION AND PLANNING POO� 'PA ��APPROVALS .Permit#"BIOO�F�1 Date Inspector qppROVALS Permit# Date Inspector , 1. Tempora�Y 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-Undr9md. 55. Electrical Bonding . 5. Steel fieinforcement • ' 56. Rough Plumbing & Pressure Test 6• Efectrical UFER Grnd. 57. APPROVAL TO COVER-GUNlTE 7. Footings 56. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, � Undrgrnd. 10. Structural Ffoor, Sysiem � 61. APPROVAL TO DECK i t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12., Sewer Cap . 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing SYstem - Final 1A. Rough Plumbing 65. Electrical-Final ' 15. Rough Elec[rical-Conduit 66. Solar�System-Final -�16. Rough Electric Wiring 67. Fencing & Access Approval � 17. Rough Wiring Slgn , 68. APPROVED FOR PL'ASTERING 18. Rough Electrica�-T Bar Ceiting ' 69. POOUSPA SYSTEMS FINAL 19: Rough Heating & Air Conditio�i�g FIRE DEPT. REQUIREMENT 20: Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24, Roof Framing 73. Undergrnd�.StorageTank �Gas ❑Oil 25. Roof`•Sheathing 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28, Lathing &'Siding 77. FIXED SYSTEM FIPJAL 29. Insulation � • 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. EfectricaV Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning ' 35. Final Gas Pipe-Test , , 36. Hood or Canopy ' • � / 37. Final Factory Fireplace . , 38. Final Plumbing . 39. Water Service-Final - . ' 40. Gas Service-Final - / 41. Solar pomestic-Final � ' . 42. Backtlow Preventer 43. Backflow Irrigation , 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handirap Regulations � , , 47. FINAL STRUCTURE & BUILDING • / /�/� � 48. Special Requirements Completed 49. Electrie Release to Edison � • - 5�. Gas Release m Southem Califomia Gas Co � '. - 57. CERTIFICATE OF OCCUPANCY • No. Date ' '