HomeMy WebLinkAbout447 BAY ST - Building PermitstJ�y
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(714) 754-5273 • Farz (714) 754-4856
Job Address: 447 W BAY ST
Suite No
Vicinity:
Parcel Nunmber: 41919103
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
ELECTRICAL PERMIT
Applicant: TOM BURTON ' ' ' � �
Address: 17673 BEECH ST ,, � -
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FOUNTAIN VALLEY, CA ,
i:�i�.':. �. �„ . "
��j��; ` V A .-'.� _
owner: -� `,JAUSSAUD; LOUIS�A TR - '
Addres�;`109VIAENSUENO-:�_ '.
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/� y�� �`SAN CLEMENTE, CA
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1 '1" , �, �-. �� j/
% �CoM�actor�-. TOM BURTON ELECTRICAL
- '
Phone: 714-435-9124 -
Zip: 92708 ,
Phone:
Zip: 92672
, ti
, , Addressr 17673 BEECH ST , - .
' � � . � � Phone: 714-435-9124
, � , �rFOUNTAIN VALCEY, CA � .. , Zip: 92708 �
� . � , . License( 484782 .
, f� , '
i� � ;.' >'
t ��` . ' - � 8COPE OF PERMIT
� � - � CHANGE OUT OF METER SOCKET. , . ,
,� _ . . . , . _ ,. ,
i� ' •
� ` -� � . Quantity _ '
�'ISSUEFEE $22.00 � -�
r'�Temp service test '+ � $0.00 �
\ � Res. a/c package �,� " $0.00
New Res�(9-2 units) �- - $0.00 � - 0
New Res�(3+units)', ' , $0.00 0 .
Pool/�Spa �� � �� ' 50.00 0 �"
Lighting Fixts�� - " � 50.00 ,.., �0
Recept Outlets _ - � -_ .50.00 0 �
Switches,(,, '���50.00 0 . t,
NonRes�Apph ' ,50.00 � � 0 "};�-
Res Appl '� � � SO.OQ � .- Oi'• ` � '
Service to 200a �� $2725 � 7 �' ,
Service to 1000a-, ; ' -'-' $0.00 , ` 0 -
Service over 1000a, �. �, $0.00 0 - �
Molors to 1hp � :-�� -$0.00 0 ` . ,
Motors to 10hp � � �A $0.00 . , - � 0 _
Motors to SOhp \` � ` ; � $0.00 � 0
Motors to 100hp �� 50.00 0' '
Motors over 100hp 50.00 0
Communication drops $0.00 �. 0
Sub panel to 200a 50.00 0
Pole Light Pkg $0.00 0
Sign Circuits $0.00 0
Temp Pwr Pole $0.00 0
Intermed Pole $0.00 0
FEE SUMMARY :
PERMIT NUMBER
77 FAIR ORIVE, COSTA MESA, CA 92626
status: ISSUED
Applied: 07/08/1999
Issued: 07/08/1999
ISSUED BY:
_ � �. . Quantity ,
- Temp Dist System ) Lighting $0.00 0 �
- Busway /100'ft ; � $0.00 0 � �
Standing Section $0.00 0 ��
Misc Electrical Eguipment $0.00 0 �.
Trensformers up to 1 kva/kw $0.00 , 0-
� ' ................up to 10 kva/kw � $0.00 0 .
� ..:_............up to 50 kva/kw $0.00 ' 0
' .................up to 100 kva/kw $0.00 ,�- 0
..................over 100 kva/kw „� . $0.00 � 0 �
Low Vollage Equipment . �' $0.00 � 0
Low Voll Wiring System / Ckt' -,� $0.00 0 �
Misc. Conduit � � $0.00 0
Misc,Conductor �, $0.00 0
Circus ( gen or ride) $0.00 ,, 0 �
Circus (mech ride or lights) $0.00 0� �
� Christmas Trea Stand � _ $0.00" = 0 ,
Fireworks Stand - $0.00 � .- 0'
Other Electrical Fee $0.00� - �
Investigation Fee � $0.00
Plan Check Fee $0.00
Reinspectian Fee $0.00
TOTAL CALCULATED FEES E49.25
COMMENTS / SPECIAL CONDITIONS
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, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a penod 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
requlred Inapectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION:
I hereby aflirtn untler penalry oi per�ury one of ihe following declarations: _ .
❑ I have entl wlll meintain a canificate of consent to self-Insure for workers' compensation, es providetl tor by sectlon 3700 of ihe Labor Code, for the pertormance ot the
work for which this permit is issued. . ,
� I have and will maintain workers' compensatlon insurence, as required by sedion 3700 oi ihe labor Code, for ihe pertortnance of Ihe work tor which Ihis pertnit is issued.
\(Ay workers' compensa�ion Insurance carrier and policy number are:
Cerner: Policy Number.
(This section need nof be crompletetl i/ the permit is veluetl e! one hundred dollars ($100J or less.)
❑ I certity ihat in iha pertori nce of the work for whic this permit is issuetl, I s�all not employ any person in eny manner so es to become subject lo tha workers'
com tion laws of Cal' ' end�f I s uld me subject to ihe workers' compensation provisions of Section 3700 of ihe Labor Code, I shail fonhwith
I with s (y
AOPlican� Signa�ure: a� ,% —�' Z/ 9
WARNING:FAIIURETOSECUFE ORKERS'WMPEN ATIONCqVERAGEISUNIAWFULANDSMALL5UBIECT LO OCRIMINALPENALTIESAN�CIVILFINESUPTOONEHUNDRED
TMOUSAND DOLLARE (5100,000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 37060F THE LABOR CADE, INTEREST, AND FTTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION: �
I hereb � tn2 'h�cansetl u�(tler provisions of Chapter 9(commencing with Section 7000) of Divi � 3.�f �e�u�(ness and Professions Code, and my license is in full
e and eflact. �ic. a\ �Ll �F8 Y� 8�--, C�ass n � c'/O
Coniractors SignaWrg. / � � - Date� _ 7 — $— `)%
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirm that there is a constmction lentling agency for ihe pedormance of the work for which this permit Is Issued. (Sec. 3097, Civil Code).
Lentler's Name:
Signeture: _
OWNER-BUILDER DECLARATONS:
Lenders Address:
Date:
I hereby aflirtn that under penalty ot Derjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which requires e permit to constmct, alter, improve, tlemolish, or repair any stmcNre, pnor to its issuance, also requires Ihe applicent for such permit
lo tile a signed stetement ihat he or she is licensed pursuent to tha provisions oi the Contractors License Law (Chapter 9(commencing with Sectlon 7000) of Divlslon 3 of Ihe
Business antl Professions Code) or ihet he or she is exempt therefrom antl the basis for ihe allegetl exemption. Any violation of Section 7031.5 by any epplicent for a permit
subjecis lhe applicant to e civil penally of not more ihen tive hundred dollars ($500).):
❑ I, as owner of the property, or my employees with weges es their sole compensation, WILL DO TME WORK, entl the structure is not intentled or oHeretl tor sale (Sac.
7044, Business and Professions Code: The Contractors License Law tloes not apply to an owner of property who builds or improves thereon, and who does such work
himself or hersalf or through his or her own employees, provitletl that such improvements ere not intendatl or oHered tor sale. If, however, the builtling or improvement is
sold within one yeer of campletian, the owner-builder will have iha burden of proving ihat he or she did not build or improva for purpose of sale.).
❑ I, as owner oi the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consirucl the project (Sec. 7044, Business and Protessions
Code: The contrectors License Law does not apply to en owner of properry who builtls or improves t�ereon, and who conirects tor such project with e contractor(s)
license pursuant to the Contrectors License WwsJ.
❑ I am exempt under sec. Business antl Protessions Cotle for this reason:
Signature: Date:
Owner ID vedfietl 6y tlriver's licensa. ❑ Ves ❑ No Driver's License No.
Verification of Ownership by (type of document, i.e. - property tex bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Expires:
❑ I hereby certiy t�ai no axcavetion tive (5) or more taet in depih into which a person is required to descend, will be mede in connectlon with work euthotlzed by ihis
permit, and Ihe� no builtling stmcture, scaffoltling, talsework, or tlemolition or dismantling thereof, will be more than ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Celifornia AdministreNve Code).
❑ As owner-builder, I wlll not employ anyone to do work which woultl require a parmit irom Ihe Division of Industrial Safety, as noted ebova, unless such person has a
permit to da such work from ihe division.
Signature: Date:
Division ot Industrial Safery Permit Number:
CERTIFICATE OF COMPLIANCE AND AU7HORIZATION OF ENfHY: I certity under penalty of perjury ihat I have raad Ihis epplication entl state �hal the information given is
correct. I a9ree ro comply all stele laws antl city ordinances relating to building construction, end authonze represenlatives of ihe City of Costa Mese to enter upon the
ebove-descnbed property f r i sDection pumoses. I agree not to occupy or allow occupancy of any building authorizetl by this permit until Ilnal inspection.
CODE t. INSPECTIONTYVE
1616 Fi:ed System Final Fire Prevention
1266
200
201
202
203
204
244fid6
Pool Spe Final
Final Re-Roof
Final BIocWRetaining Wall
Final Fectory Fire Place
Final Sign
Final Demolition
�d7E nnrtu�s
j � �
CODEt INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbinq
210 Final Electrical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
ly5l?
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City of Costa Meu
Development Services Department
Building Safety Division
P. O. Boz 1200
Costa Mesa, California
CERTIFICATE OF OCCUPANCY No. �6}lr6O�J
The Building located at 4A7 WE,ST AHX STRF�EP
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group li-7 ��a—a Occupancy.
Use of Buildi
Legal Description llti-7(,l—lti
(See reverse side for Metes and Bounds)
euilding Permit No �E-13'l'27 Electrical Permit No.BPFr12227 Plumbing Permit No. BPE-13i2i
Mechanical Permit No. Number of apartments and/or guest rooms
iSSUED T0: BuildingOfficial V' G/1/pu� ����
LOU JHLTSSA[1D by .��,: Z� %'� �/�. r
447 W. BAY ST., COSTA rg'.SA. CA. � �--
oate 9��0/s�4
This Certificate of Occupancy SHALL BE posted in a conspicuous place on�the piemises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. �
CMF 1015-46 rev. I/83 White � Owner; Canary - Numerical File; Pink - Bldg. Permit File
_
,
• ._ �,,
�- .
BUILDING 3AFI:TY D1 LTMENT N� 1609 `
P. O. Boz No. 317
Costa Mesa, California
nate--�G � :/ - .� Z-.
CITY OF COSTA MESA
CERTIFICATE OF OCCUPANCY
Building Permit No � F o/ Electrical Permit No
Use M Building— r�l �LC.�I. .�.( r:-/�J -�� .�.. i�
Th'e building located
Permit No
IR$8� DCSCiSpilOn �
(See reverse s�de for Metes and Bounds)
has been utspected and found to comply with the provisions of all City of Costa Mesa Ordin-
ances applicable thereto for a Group �' --�/ Occupancy.
ISSU TO: i •
City Buila�' g Official
%� �2 . e%�''LL-v[.t--r_ / � � /�
(Owner of Building) BI -- L`a - v; .!� 1.-� •'."�-7-s.�.
CC: p Original�Owner ❑ lst copy—Gas Co. Q'Znd copy—Edison Co. ❑ 3rd copy—File
Form 206 S-8 P 1M i-BU
COSTR MESA, . r ~
iUGTION PERMITa. �
��i
Applicant to flll In all spaces axcepl t�ose within heavy bortler Iines anE sign all approprlata Oeclarotlons.
Project Address "'� '✓/ /
Applicant's Maili/ng,,Address ,
Owner's Neme L�� �/�vfJrl�v oti^^^5�� 'v
Addreu �' Lv�YS/' e, • •
Arch/Eng. License No.
Address /�-�����
Contractor's Nam one[�,[• i �
Address Imeiling) �y �-p
City License No. �ca�
LICENSED CONTRACTOR OECLARATION
t lieieby affirm tnat I am Ilcensetl unCer provislonz o7 C�arter 9(tommancing
with,�sectlon 7000) of Dlvizion.3 of the BuSiness anG Prolesilons o e antl
my� Ilcense Is i 114 Q�� Xecj� � �� `
LJcanse Class �� Llceni
late^ SlgnaWre
NORKERS' COMPENSATION D C T ON / �
I hereby affirm that I hava a<ertif e o/ tonsent to selt-Insu or a certificate
ofoWorkars' Compensation Insurance, or a certltietl copy tnereof (Sectlon
3800, Lab. C.)
Pollcy No. Company
�Certilletl COOY �s �BreDy /Um15�eU. �
Certifletl coDY �5/iletl wlth the city BUIItlIng�Dlvislon.
DSte Ap0liwnt
EXEMPTION FROM WORKERS' COMPENSATION UECLARATION
(ThI55ection neatl not ba tomD�atatl If tha permit Ii for ona huntlretl (y300) or
IB55). '
1 tertify that in the OerfOrmante o( the k for whl<h thl ry t is ssuetl 1
5hall n em oy p arson in any nner so as to D u0 cl to tRa
WOrk �O LdwS Ot Cdllf I.
Dale Ignatura
NOTICE: If,iafter n kinq this tleclara on, you shoultl becoma ub�act to tha•
Workers' CompBnution provlSlons o/ the Lnbor Cotle, you u5t fOrthwlth
comply with suc� provislons or tnis Oermit shall ba tleemetl ravakeE.
CONSTRUCTION�LENDING AGENCY
I hareby affirm that there is a construction lantling aqency for t�e per}orman<e
of [he work for wnith tNs Dermit i5 Isiuetl (Sattlon 3097 Civ. C.)
L.entler's Nama l.1�t�, C
l.entler's Atltlress V
OWNER BUIIDER DECLARATION
I�hereCy a}flrm that I am exempt /rom tho Contractor'S Litanse Law tor Ine
lollowing reason (Section 7031.5 Businais antl Protesslonal Cotln: Anv citv or
0 o any appueanc �or •a oermit suo�acts Ne apD���ant to a clvil
ty o not mora than five nuntlrotl tlollars (ES00�.
as owner o/ the Oroperty or my employees wit� wages,as lheir sole
ensatlon wlll Co the work, antl l�e itructure I5 not intentletl or offaretl
3to (Sac�lon 7044, Buslness antl.Protesslonal Cotla: Tne.Contraclor's
50 Ldw tloe5 not apply to an OwnOf Of a plOpef[y w110 bulltli O! ImploVBs
�n, anC who Coei such work nlmsalf/harself or throuph hli or har own
>yees, provitlatl thnt sucn ImOrovoments are not IntentleG or oHeroa for
I, however, tho Dulltling or ImOrovement I5 soltl withln one year o/ com-
n, t�e ownar wlll have the burtlen of provinq he/s�e tlid nat build or Im•
for the Durpose of Sala).
as owner of the properry, am oxUuilvely ton[rattinq wlth IlcanseE Con-
irs tb tonstruct tne orolact (Saction 7044. Buzlness antl Professlens Cotle:
Itls or Improves Inarean, antl
:tor(s) Ilcensa Dursuant to tne
I am axempt untler Sectlon—
G. for Ihis
above
Pe�(�� 132z�
TYPE OF CONSTRUCTION
❑ CONVERSION ❑ I
ALTERATION W REPAIR
TVPE OF PERMIT GRAOiNG LJ FOUNDanOrv LJ S7RUCru
❑ TENANT 'ECECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ 9THER ' '� _�
PROJECT DESCRIPTION 5� F %�C� + oCCUaA c3
CONSTRUCT�4N TVVF_� - V,A,11_IATIQN 4 7�y�'^Y'
ZONE GRADINGCU.YDS. ACRES.
Remark�:
Har Sink
Beckflow Preventer
Backflow Irrigation
Bathtuhs
Clarifiers
Dishwasher
D�inking Fountains
Floor OrainS
FloorSinks �
Gas Service Outlets
Interceptors
Kitchen Sink
Lavataries '
P-Trap
Roof Drains "
Reinspaetion Fee $25
Boiler "
Duct - Under Ground
Duct-Structural !
uct-Ventileting �
Exheust System ❑ Multiple ❑
Firepl/Fect Blt. ICBO #
Heating System & Ducting
❑0.100,000 BTU 0100,000BT
Si9nature d� Dat� pemspection Fee
+ Drivers' x or 55 �
CMF 0865•46 rev. 12/83 Whito • Builtlin9: ��ary • Appllwnt; Plnk - Accounting; Goltlenrotl - AsSessor
Showers
�—
Service Sink �
Sewer Cap
Sewer Connection
$olar Collectors
Solar Pipin9
Solar Tank
Swimming Po01 w/Spa
VYater Heater
Water Service
laue Fee
Hood or Type 1 O
Canopy Type I I ❑
Refrigeration System
OP100,OOOBTU �100,000
System Repair/Alteration
Inue Fee
FEES
A.P. 5W I — o�C7 I
S Mnin Building:
E
T Front
B Rear
A
C Rieht
g Left
Ping. Ref. qW
Parking Req./Provided
UseofBuilding: ^
Planning Notes: � n,y
Automatic Washer.
Construction Pole;
Cooking Unit
Dishwasher
Dryers OGas ❑E
F.A,U.
� 058� 5/ t U/^i.i
'' 0582
Zone
Park.Fees $
ELECTRICAL =
Transformer ❑ 15-501<l
' ❑50+KW
Mecer �up ro 100 amps
Mecer �over 100amps'
Device Boxes
Outlets
Switches
Garbage Disposal
Generator �0.5 KW �5-15 KW
$ 3
Reinspection Fee
FEES
� PUBLIC SERVICES EC
' Zoning APProved BY�
Building Approved By �
APPliedti00 IStuBd BY_
S 3
�
Sub Panel �
MomrsO47 HP�1Y.-8
Inc.Solar �9-15 HP �1E75+
Microwave
Pole Light
Range
Sign
Stending Sections �
Trash Compaclor
laue Fee
= 3.4? Tt.
FEES
$ 3
O
N
I
N
G
R
E
�
U
I
R
E
SU Y OF FEES D`�
BUILDING PERMIT $ SMIP $
PLAN CHECK $ • 'Z PERMIT � �
PLUMBING $ C% OO ISSUANCE $
PLAN CHECK 25% $ �.Sn � ENERGV P.C. �$
ELECTRICAL $ 6�7�C�OGRADING $ '
PCAN CHECK 50% $ Z,CO � MICROFILM 5
MECHANICAL $ TOTAL FEE $ �
PLAN CHECK 25% $ � - � C� %j �Z
��. �COMSTRUCTION AR1D PL NG ti � �.. . P� _ & SPA � - �
� � �APPROVAIS Permit # �� �� - �nspector qPPROVALS . Permi{# Date Inspector
1.,T�mporary Electrical Service or Pole 52: Pool & Equipment Location
,-2� Soil Pipe-Undrgrnd. f,3�y � .53. Steel ReinfoFcement � �
�� 3. Electrical Conduit Utility-Undrgrnd. 54. Forms
-4. E)ectrical Conduit-Undrgrnd. 55. Electrical Bonding .
�5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd. ' 57. APPROVALTO COVER�GUNITE -
r 7. Footings - 58. Electrical Conduit-Undrgrnd. -
8. Foundation � S. �' S 3 c� S 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 & VenbFinal .
13. Roof Drains � 64. Plumbing SYstem - Final
. 14. Rough Plumbing /J/ � � f' 65. Electrical-Final � �
15. Rough Electrical-Conduit 66. Solar System-Final� �
16. Rough Electric Wiring 67. Fencing & Access Approval � ---
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
18. Rough Elec[rical-T 6ar Ceiling 69. POOL/SPA SYSTEMS FINAL ,
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �, _ '
20. Rough Factory Fireplace APPROVALS Permit # - �
21. Ducts, in Structure 70. Underground Hydro �
22. Duas,-Ventilating �+ 71. Product Piping � Gas ❑ Oil �
� 23. Gas Pi'pe-Rough & Tesf � 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil -
�� 25. Roof Sheaching 74. Overhead Hydro �
26.� T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � �
27. Frame'and Flashing J 6 � L� 76.' Dry Standpipe � -
28. Lathing & Siding , 77. FIXED SYSTEM FINAL .
i
29. Insulacion 78. FIRE PREV. FINAL � �
30. Drywall Nailing t.� v y� HEALTH DEPT. REQUIREMENT
31. Plaster�Brown Coat � 79. FINAL INSPECTION
32. Electrical.Power Meter-Final 80.�FOOD CERTIFICATE ISSUED '
33. Final Electric � � Notes: 8 p � -
34. Final Heating & Air Conditioning IL ���9 ��!� L._� G C
35. Final Gas Pipe-Test � ` • � . _
36. Hood or Canopy � � . • � . � - -
37. Final Factory Fireplace ' .
38. Final Plumbing �j'`�/�z( �-GO . . . . ' . . - � .
39. Water Service�Final . ; � ' ' .
�
40. Gas Service-Final '
41. Solar pomesticFinal ' . - - y .
42. Backflow Preventer � ' ,
43. Backflow Irrigation � . ',
44. Landscape Irrigation System � ' �
45. Sound Aitenuation , �
46. Handicap Regulations �
47. FINAL STRUCTURE & BUILDING q�iy/�y �1S � � --
48. Speciat Requirements Completed � .
� 49. Electric Release to �dison _, ° � , '
'=��0. Gas Release to Southern California Gas Co ��, -'�• • �
. 1" CERTIFICATE OF OCCUPANCY � • ' �
�. _ .
Date 9 g4- 1�.�'.U� ��.c r i.
- i,
_. � : � ; i
lJ� .� •
�� ;, �, 17401
COSTA MESA BUI4DING-SAFETY DEPARTMENT
P. O. BOX 917 CO9TA MEBA. CALIRORNIA
For Applieanf fo Fill In Complefely
� TYFE OR PR4NT
cirr �DSfY
A' TEGT
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MESA. CAV.dFORNIA
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LIC.TNO. J�' � 3 TNO. L�$�/
6IZE ) fI I No, oF ¢
OF LOT ( {S � NOW.aN
USE OF C
EXIBTING BLDG. � O /::-
84TB�CN LINE FROM � '
ceNTeR OP BTR[BT �O REAR YAR[
SIDE YARD ILEFT � IRIGHT �
DESCRIPTION OF WORK
exrea�oR wp{y
GOVERING `�Pi �
UHE OF BUILDING AND
I HHREBY AGKNOWLHOGE TMAT 1 XAV6
AND BTRTE THAT THE ABDVC IB GOPRF
e�v w�rx ett ein o wv+�e wxe i
BUILpiNO CONBTRU ON �,
81GNATURE OF ��.��
AUTHORIZED AGENT
e�,�
PORMED
FEE R�CE�I-VEQ`: `
JUIi � 2 �2
FINANCE DEP1. U f
CI7'( Q�PLI�SATIOhis OR PERMIT
BUILDING
For Office Use Only
REC8IPT NO. PERMIT
/7
n�ehce� o er � OAiE'RECEIVEp /� o_�Se-e
! _ ' _ �i �/
COSTA MESA.
FIRE
ZONING
ZON¢/'� �I NO. OF% ��+ U6E OP NEW
� PLANB �" IBUILDING
uaw� ..L�^J (1j Ti�-f7 f
oeaewivr�nu.! flC IY JC !n.
� YARDS
APPROVED
// . (C6NTlR UN6 9T.)
7'�D
/
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a
-- 1
TH18 APPLIWTION TX! AMOUNT BXOWN UNDER VALUATION IB POR THe
D AGREE TO CON• pURP09E �OP ¢eTABLI8HIN6 q PEpMIT FEE- ONLY.
Nwe naouunxc �
� VALUATION
y� � ' �O PERMIT FEE $ 9�• ��
i-
$�O/ %�O PIAN CHECK $ a��
� . . A� '_
: 2���2
s ;,�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. 901[ 91'J C08TA MH9A. CALIPORNIl1
For Applicanf fo Ftll In Completely
TYPE OR PRINT
■ MAIL
MESA, CALIFORNIA
i�
.�
'Y�ii/.c.Y�_ Fi:
LIC.TNO. / Z�L D D � NO. //TCi
SIZE I xo.
OF LOT NO\
USE OF
EXISTING BLDO.
9ETBACK LINt PHOM �"
CENTBR OP BTPEBT fie/�@ �
�'
61D8YARD LEPT ' RIOHT
' DESCRIPTION OF WORK
•��.
YJ 2 S�S-
`�
D
DINO NO.OF ��
� ROOM9 8TOR1H8
:RIOR WALL �ROOP -
4RING I COVERINO
OF BUILDING AND WORK TO BH PERFORM6D
I HEREBY ACKNOWLEO08 TXAT 1 NAVB pEAD TX�B APPLIGTtON
♦NO BTwTE THAT TX6 ABOVe 18 COHRER AND AGRHfi TO COM-
PLY WiTH �LL C�TY OHDINANCU I�ND T[ LAWB P[OIILATINO
BIIILDINO CONBTqUCT10N.
SIGNATURE OR
PERMI7TE
/�4� '
AUTHORIZEDAyvNT ,
rtt r�tctivtu
y�pR 2 4 1964
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Ofilca Usa Only
R[C[IPT NO. P[RMIT NO.
ZONING
NO.OI U980PNEW,1 " /�//,
Z PIANe � pU�LDINa rl/,./�,�ylt
/T • ••K--�
���,�'' 4t 3z T,.� � 9
�a. //s— z6� — 2�
�. NO EAVH OVERHANO SHALL BE LESS THAN
YARDSAPPROVED
MAIN BUILDINa
;OM GL STREET )
�NT R 4
VAR.#
YARD9APPROVED
AGGESSORV BUILOINa
DATE
THH 11M0l/IR BNOWN UNOBP VALUATION IBIfOH TM8
PURPOSH OP HBTABL�9NIN0 A PERMIT PE8 ONLY.
LUATION I � ^ �
n
0
. � � o o lo
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Compl�ely — Use Ink Only
BUILDING �i �/� /� ���
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O W N E R—(�j�\
MAIL
ADDRESS
CITY
CANSiRUCT10N
LENDER
BRANCN
ADDRESS
ARCHITEC7
TEI.
NO.
TE L.
ADDRES�Z�/G� Y//1 �i�SO
CIT��'u�[//r /(/if O��L NOL�/
STAT� � CITV
LIC. NO�� G IIC. NO.
SI2E NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF ' �/�__}, �y �r{
EXISTING BLDG. /UAV �i�i��G'�
Separa[e permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFOflMED
PAIL J***� 7
�EP 16-75��,,00 718 � 5�.00
FORSTRUCTURALPERMIT
BUILDING
AD�RESS
TRACT
FI
ROV
. E � NO.OF
v�.anis
VAflDS APPROVED
VAR. qW
C.U.P.q
BET
J
a
VALUE
5
GROUP
DATE �
USE OF NEW
BUILDING
VARDSAPPqOVED
ACCESSOPV BUILDING
MAIN &
I heraby eck�owlatlpe thet I have raetl Shis appliceNon entl stnte �^
�
that tha abo�e informetion Is correct end aprea to comply with m
all laws repulatinp builtlinp consttuction, antl i shall not amploy
i
any perwn In vlolaiion of the workman's compensetion laws of m
the State of Celifor�ia.
w
1 haraby cartify that I em properly Iicansetl as a coniraccor under SQ. FT. N
the State of California B�siness entl Professions Coda, Division 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR m
Cheptar 9, ahd thet such Ilcanses ara in full force antl effact, or I THE PURP�E OF ESTABL45HING A PERMIT FEE ONLY: �
am ezempi ffom the provisions of the Sta2 Callfornia Bvsiness a
VALVATION PERMIT FEE E
antl Protessio�s Cotla, Division 3, Chaptar . .. / m
�v— m
" � PLAN CHECK $ o
Signature of �/ O ,L�{.// LL
Permittea � � $/ �� � V TAX 5 �
U
Authorized A9ent . TOTAL PAI D $ ^Z
PN0.1E4�T ROORESS: Q 4�] W BAY ST
owhen�sx�Me: STEPHEN JAUSSAUD
aoonesa: SAME
uxiT:
548-2288
�NCH/EN61NEEfl: IIFO.NO.:
�O�flE38: UNIT:
�r�pMiTTEE: TODAYS SIGNS AND SERVICE (714)722-8951
�uoe[ss: 124 W BROOKSHIRE
ORANGE CA 92665
UCENSED LOMIWCTOfl OEClAMT10N: I IcereEy amrm Wt I am OcenSeE wWer prmtscns ol Gupter 9(mmme�np wiN SecUon
70W) oi ONision 3 ot tAe Businass anU Prolessions CoCa, anA my Ikenu is in iWl tarce and ellect.
cmuc.:0$Q489 sunuc 534276 ��usq: G45__ �
Data: � 7� i �� SpmWrt: v�^
WOflKEB3' COMPENSNTION OECLAMTION: 1 nereq allirm ttut I lava a ceNficate of conum to self-insure or a ceNOwte of Wahers'
Compenutron Imurance, or a ttnilieE capy fAereoi (Section 380U, LaE. C�.
�cr xo.: Ezr. w�:
JMPIINY:
L] CeNlietl wpY ��reEy tumLsheU. ❑ Certifie0 copy is filM wiN Ne dry Buildinp Oivislon.
Dale:
Moircam:
o[w�uTrox: (Rissxum�eenmxca�ete0nmeu�.'sraonemnaree(f�001«�essl./
o� whklllhit pefMl'6 iuue0. I Slull nOt empl0y anY Pe�n m anY �ner 50 az ta EKame/
�ai Calitomia. \ � . �
Date: �71 1 1 I V 1 Sipnawm: 'd"'\ "�'' \
NOTICE� If, alter malJnp ihis OeGaretion, you 51wu10 hecome suEle« �a ��a Workars' ComOensatlon D�ahsions oi t�e Lahar
CoEe, you must tarlAwitA camDN �t� 5uc� D�smm or tAu perrrvt slwtl Ce EeemM revokeE.
CONSTPULiION LENOING AGENCY: I here6y affum WI Ihem is a mncVuctian IeMinp apenty tor Ne peAormance ol tAe woM lor
w�ich this ce�mlt is issuetl (Section 3W7, Civ. C).
lFNOFR: '
�OOXESB:
OWNEH BIIILOEH OECUM710N: I �ere0y atfirm tAat I am exem0� �ram I�a Contraqors' State Lice�xe Law tor IM lollowinp reason
(Section 7031.5 Business an0 Professim�l CoCa: My dry ol counry whiU repuires a permit ta cansWn, alter, Improve. Oemolish, or
f¢pdif dny SlNtlufO, pf�Of l0 Ib ISSYLnCB, dI50 ftQulf85 I�8 3p011td11i IOf SOt� Dtf1111i IO (110 i SIQOBE SI3I8111E0� Ihd� hN5�8 IS liClnSBd
pursuant to iM provislons ot iM Cmtanors' State Lkense Law (pupttr 9(cammeMinp wiN Section 7000) oi qvision 3 0l tAe Business
an0 PrOfesslon5 Cotle) or tAal MISAe Is BxemD< <�erelrom �nU tlro hazis for NB allepeE ex¢mD���� �Y ���� oi Sectlan 7031.5 6y
any applicam tor a Dermlt su�jects l�e aDV���nt to a cMl penalry of not mom Itun Me �unOred Oollars (5500).
I, as ownar ol IM pmperty ar rtr/ employm wlt� vn0a az Neir sola comDen5a0on. wlll Ea the wark, antl t�e
stnrcNra is not IntenOeE or otlere0lm sale (Seclron 70b1. BuUness uiE Pmfessianal CaCe: Tne Contractors' Stata Licenu Law
Oaes not apDN �o an ovmer ol a pmperty wM bWMs or improves Nereon, anE wM Oon wU vrork Nmutl/�ersell w NroupA
• Ais ar Aer own employees. 0«4� ��� suc0 impmvements am irot IntenEeO or ottereE lor ule. II, Aowever IM DuilEinO or
�mDravement is sd0 wlWn aw ymr ol ampetion, Ne mmer will luve Ne EurOen ot proWnp IWsta diG not �uW or Improva
lor IM Ourpose ai sale�.
I. az ovmer al t�e properry, am exdusNeN conuactlnp wiN Ikense0 conUactors to construq tha project (Sectwn 7060. Business
❑ aiM Protesslas CaGe: The Cmtrxlors' Sbte Lkmse law Ean not apply ro an axner oi D��ty���ds ar impraves tlnraon
'�. ana wlio mnvazts Iw wU D�ola� �aU a convattorls) �� W� a����' State Liceme Law�. 1 am av.are
�' ttut Drool al tAeir Wohsr's Compens.lim insunnce snoNO Oe DrwiOeE �o ma.
� I am eKemO� un0ei SecUon: B. 8 P. C.
lor 1A6 reasan:
Oate: P�ner.
I Eo MreEq uNry Wt I am aware ol anE uMerstaM Ite repWremen6 0l CalifoMa HWN aM Salery CaEe Sectio� 25505, 25533. anO
25$3C dM 1�1110fL1y fI1Wf8 GuIIElI10 ���Wnt WIM'AIlnO�(CIftlO d18�11EEUiU CORlply WIVISdb SfdIB WU6 Nd tll! �lpuifpllllflbl0f d
permit lor mnsWclion or moEitication Imm Na r�a Manapement Uistricf. NesEeniul canstruction appGcatiom are exemp� Irom
I�ese D�a�sb�s.
Date: App�nnt:
I here�y cenity that I luve rea0 tAa appliwtim aM stata ttut Ne a0ove mlormatbn is cortM. I a0�� ro camqy witA aA dty aM munry
ordinancesandsuteuwsrelaWOmEWOi^0 vuctbnanEMred/wtlw�represe�rtativesoltltisdryrourteruponMeaDovo-mentl�M
pmpeM lor ins0ectbn Ouryoses. � � . /
Pate: SiOwNre:
oriver's �icense ar Soda� Sewdry
1891-GB Wnila—Builtlirp; GreBn—CoOe Enbreemem; Cannry—Applkan�; Pink—Ravenue; Ooltlenrotl—Asseamr
CITY OF COSTA MESA — SIGN PEAMIT PERM NO:�.SB 047153
PERMIT NO; SB 047153 PLAN CHECK NO: 03831-90 S GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR SIG PURPOSE: OTH
JOB DESCRIPTION : 12.SSF NONLUMINATED SIGN SQ FT:
CLAIM VALUE: 1,600.00 CALC—VALUE: 1,600.00 GROUP OCC: B-2 /
COMMENTS:
�r�e�rx*�e�r�r*�rx�r*�e*x�r�e�rx�r*xx*x*�r�r�r��e�e�e*�rx*x**�r*�r*�e�r�r**�e***x�r+��**�rx�**x*�**r���*****
S I G N Z N F O R M A T I O N
DISTRICT: 3 TYPE: GROUND ILLUMINATION; NON CATEGORY: NEW
DIMENSIONS: 3FT 07IN X 4FT 09IN AREA: 12.SOSQFT LETTER HT: 10"
STREET FRONTAGE 1: 80.00 STREET 1: W BAY ST
STREET FRONTAGE 2: 0.00 STREET 2:
PARCEL; 41919103 ZONE; C1 LOCATZON > FRONT: X REAR:
HUSINESS NAME: COAST TRANSMISSION > LEFT: RIGHT:
O T H E R T O T A L S G R 0 U N D S I G N
THIS ACTIVITY . 12.SOSQFT OVERALL HEIGHT: lOFT lOIN
THIS SITE . 12.SOSQFT GROUND CLEARANCE: 6FT OIN
ITEMS OF INFO ;.3 PLANTER AREA: 40„OOSQFT
ITEMS FOR ACTIVZTY: 3 BLDG SET BACK: 30FT���
COPY VERBIAGE : COAST TRANSMISSION ESTABLISHED 1957
PLANNING NOTES; �
it iE 1E 1E it it 1f it it it it it it it k 3f if if if if ik iF iE %it iE if if iE if it it 3k 3f k it 3t if if i6 iE ft �If� it 1k it ik i! iE ik if ik if if ik if it it it iF iF it it iF iF it iE iF it iE it it it iE iF it if it iE
D E V E L O P M E N T S E R V I E S R E Q U I R E M E N T S
ZONING APPROVED BY �iQAN� DATE; 17�I'��'
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED HY: DATE: ���
ikifiEkitltlFififik�fikifitMikkMikitif3Fii'iF�iF�iF3ii�iFiF'iFiFiE 3F'iFfFiFiFitltkiEifik�filiEif itiE
LEGALZ2ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN ,SMIP/RES GRADING
PERMIT 37.00
PLAN 24,05
ISSUE FEE
BUILDING—DIV—> PERMIT
TOTALS----> 50.00
ISSUE PLAN—CHECK
0.00 24.05
12.50
SMIP/NON—RES
.50
TOTAL PAID DUE
74.05 74,05 .00
REVENOE DIVISION TOTALS--> COLLECTED: 74.05 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN—CHECK
37.00 12,50 .50 24.05
ik M if if 7f ik 1f iE if if ik if if iE k ik ik 1E it 1E M �t it if if it if i! f! k if iE it k 1E it if if if if if if it iE if ik it N it it it ik if if k M 1t it 1F ik k ft k iE if ik k iF iF �t ft 3E M M if iF iF iE iE
I N D I V I D U A L F E E H 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
NO FEES WERE SELECTED FOR THIS PERMIT
01 00059�7E-00059E81 T u T 74.05
DqTE: O5lO1/9D iIME: 12:04
CONSTRUCTIP"' e D PLANNING ' '- & SPA
APPROVAL Permit � Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical Service�or Pole 52. Pool & Equipmen[ Location
2. Soil PiOe-Undrgrnd- - 53. Steel Reinforcement '
3: Electrical Conduit Utility-Undrgmd. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement ' S6. Rough Plumbing & Pressure Test
'� 6. Electrical UFER Gmd. - 57. APPROVAL TO COVER�GUNITE
7. Footinqs �-�� W 58. Electrical Conduit-Undrgrnd.
B. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe•Undrgrnd. 60. Backwash Lines, P•Trap, O Undrgrnd.
10. Structural Floor System 67. APPROVAL TO DECK
11. Property Sewer Line�& House Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains ., 64. Plumbing System � Final
14. Rough Plumbing 65. Electrical-Fina� -
15. Rough Electrical�Conduit 66. Solar SYstem•Final
16. Rough Electric Wiring 67. Fencing & Access ApP�oval
17. Rough Wiring $ign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar�Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning , _ FIRE DEPT. REQUIREMENT
20.-Rough Factory Fireplace:; ��,- . . y , APPROVALS Permit #
21'Dutts,in�Structure' - � ' ,_ - �� ` 70��UndergroundHydro
22. Ducts,Ventilating,+ �� � . r � ji.�-ProductPipingOGas ❑Oil
23. Gas Pipe�Rough & Test . - � ., - � �` ; .�72: :Underground Flush �
24.�Roof Framing - ' . � _� 73. �Undergrnd.StorayeTank �Gas ❑Oil
25. Roof Sheathing �_ 7q, .Overhead�Hydro � .
26."T�Bar Ceiling (Structural) & MonocOat . � �. 75rDry Chemical �� • .
27. Frame and Flashing _ . � � 76. -Dry Standpipe � ' �
28. Lathing & Slding ` � ' ` '� 77. FIXED SYSTEM �FINAL. •
29. Insulation • �• . 76. FIRE PREV. FINAL ' � �-
30. Drywall Nailing �" , ' •- ' HEALTH DEPT. REQUIREMENT '
31. Plaster Brown Coat - � � - 79. FINAL INSPECTION - �
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED ,
33. Final Electric . . ' Notes: -, • -
34. Final Heating�& Air Conditioning � . .
:-35. Final Gas Pipe•Test^ . �� �� -
36. Hood or Canopy ; . ". ' ^- .. _ .
37. Final Factory Fireplate - " "" - _
38.-Final Plumbing - . ',"_• • �_': l � . . - " - .
39.�WaterService-Final� '_ � . • - - � _. . �. _ , � -
� 40. Gas Service-Final ' - . - ' � , .
41. Solar pomestic-Final ; . ,y � � - � _
42. Backflow Preventer. � - , , . • .
43. Backflow Irrigation � �� -1, � . ' � �
44. Landscape Iriigation Syscem �� " � ,� � .. - ` -- �
45. Sound Attenuation _ „ � . �� � - �; �
_46. Handicap Regulations � � ' ' . � � � . � _ �
4 . FINALSTRUCTURE&BUILDING ; �-Zf-yp ��,�Ir ^� •
48: FINAL PLANNING ' i � ' ' �
.49. Electric Release to Edison
50. Gas Release to Southem California Gas Co . -
51. CERTIFICATE OF OCCUPANCY '
No. Date