Loading...
HomeMy WebLinkAbout705 OHMS WAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber ApplicanC Address: 705 OHMS WY FORD'S AUTOMOTIVE SERVICE 42412119 ARAKELIAN, GEORGE 16818 OHMS WAY COSTA MESA, CA Owner. COOK, MICHELE Address %STEADFAST COMPANIES NEWPORTBEACH,CA 20411 SW BIRCH ST #200 Contrector. Address: ISSUE FEE Teinp service test Res. a/c package New Res (1-2 unils) New Res (3+units) Pool / Spa Lighting FixGs Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to 1 hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over t00hp Communication drops ELECTRICAL PERMIT NOOR EL�CTRICAL SERVICE 1�180HMSWAY � COSTA MESA, CA Phone: (949)631-8777 Zip: 92627 Phone: Zip: 92660-1797 Phone: (949)631-8777 Zip: 92627 License: 452774 ISSUED BY: Status: ISSUED Applied: 06/25/2004 Issued: O6/25/2004 SCOPE OF PERMIT CHANGE-OUT OF AN ELECTRICAL SERVICE�AND SUB�PANEL IN AN EXISTING BLDG FOR "FORD'S AUTOMOTIVE SERVICE." - - - 1 SERVICE TO 200A AND 1 SUB PANEL TO 200A � NO OTHER WORK AUTHORIZED WITH THIS PERMIT. $23.30 $O.QO $0.00 $0.00 $0.00 $0.00 $O.QO $0.00 $0.00 $0.00 $0.00 $30.50 $0.00 $O.QO $0.00 $0.00 $0.00 $0.00 $0.00 so.ao Quantiry Temp Dist System / Lighling Busway /100 k - Standing Section , � Misc Electrical Equipment ' Transformers up to 1 kva/kw ................up to t0.kva/kw . .................up l0 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit � Misc. Canductor , Circus ( gen or ride) . Ciras (mech ride or lights) � Chrislmas Tree Stand Fireworks Stand Other Electriral Fee � Investigation Fee Quantity $0.00 0 $0.00 0 ' $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 , $0.00 0 $0.00 , ' 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiiements under California statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 780 days. �NSPecTIONs: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetlons and (inal approval must be obtained. Failure to obtain inspections and tinal approval will result in ihe expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 246fi-4fi (6/00) WORKERS'COMPENSAnON DECLAqAnON: I hereby aXirm untler penalry oi perjury one of the following declarations: ❑ I have and will malntain a certificete oi consent to salf-Insure for workers' compensation, as providetl for by section 3700 of Ihe LeDor Code, for the pertormence of the wark tar which this permii is issuetl. � I have and will maintain workers' compensation Insurance, as required by section 3700 of the Lflbor Code, For the perfortnance of Ihe work for which this pertnit is Issued. My worke.nrs' compensailon 1 sus�g,nyce �ca�ier a tl policy number ere: (� l� c�^� Carner �\ YYl C�(�t/� Lr7/y I� fl� ��,f SI �Q�IJ<<. `VN� Policy Number �_SO, 1 J—� O �� (Thls sectian need nof be comp/efed /l the permif is velued ef one hundred dollers ($100) ar less.) ❑ I certify Ihat in the pertortnance of the work tor which this pertnit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatlon laws ol California, and agree ihat if I should become subject to ihe workers' compansation provisions of Section 3700 ot tha Labor Code, I shall torihwith comply with these provisions. � /^ ApPliwnt Signature: Date: (/J �� 5_ 0 4 WARNINO: FAILURE TO SECUR SQAaPEF�SAIION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES ANO CIVIL FlNES UP TOONE HUNDRED THOUSAN� OOILARE (E100.000). IN nODRION TO THE WST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SEGTION 3]OB OF THE LABOR COOE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm ihat I am licensed underf �ro,vision�s pf Chapter 9(commencing with Section 7000) of Division 3 ot t�e Business antl Professions Cotle, end my license is in full force entl ettecL Lic. N � f� 2. /%'"I qass # %� r� Comrectors Signature: Date: � � c^ v-� r CONSTRUCTION LENDING AGENCV: ❑ I hereby affirtn that there is a consiruction lendinq agency for the pertormance ot the work for which this Dermit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn ihat untler penalry of perjury that I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which requires e permit to consiruct, alter, improve, tlemolish, or repair eny structura, pnor to its issuance, also raquires Ihe applicant for such permit ro file a signed statement thet he or she Is Ilcensed pursuant to the provisions ot the Coniraciore License Lew (Chapter 9(commencing with Sectlon 7000) ot Division 3 ot the Business end Profeuions Coda) or thet he or she is exempt iherefrom and Ihe besis for the alleged e:emption. Any violation of Section 7031.5 by any applicant for a permit subjects the epPlicant to e civil penalty of not more than five hundred dollars ($500).): � I, as owner of Ihe properTy, or my employees wi�h wages as Ihelr sole compensation, WILL DO THE WORK, antl tha sWCNre is not intended or o%ered for sale (Sec. 7044, Business anC Pmfessions Code: The Contracbrs License Law does noi apPly to an owner of properry who builds or improves Ihereon, end who tloes such work himself or hersefl or ihrough hls or her own employees, provitletl that such improvements ere not intended or oHered for sale. II, however, Ihe building or Improvement is sold within one year ot completion, the owneo-builder will heve ihe 6urden oi proving that he or she did not builtl or impmve tor purpose of sale.). ❑ I, as owner ol ihe properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sac. 7044, Business antl Profeuions Code: The coNrectors License Law does not epply ro an owner ot property w�o bullds or Impmves ihereon, entl who con�racts for such pmjea with e contrector(s) license pursuam to the Coniractors License Lews.). ❑ I em exempt under sec. Busine55 and Professions Cotle tor �his raeson: Signature: Data: Owner ID varified by dnvers license. �Ves ❑ No Drivers License Na. Veniication of Ownership by (rype of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certiy that no excavation five (5) or more faet in depth into which a person is required to descend, will be mede in connection with work euthorizetl by this permit, and that no building siructure, swNolding, falsework, or demolition or dismantling thereot, will be more than Ihirty-six (36) feei high. (Chap. 32, Gry 2, ArI 2, Sec. 341, Ttle B, Calitomia Atlministretive Code). ❑ As owner-builder, I will not employ anyone to tlo work whic� woultl require a permit fmm ihe Division of Intlustnel Satery, as notetl abova, unless such person has e permit to tlo such work imm the division. Signature: Data: Division oi Industrial Salety Permit Numbec CERTIFlCATE OF COMPLJANCE AND AUTHORIZA710N OP EMAY: I certity untler penalty of perjury that I have reatl �his epplication and state that ihe intormation given is correct. I agree to comply with ell state laws end ciry ordinances relating ro building construction, antl authodze representatives of ihe City ot Costa Mesa to enter upon �he above-descnbed D�opeAy for inspection purposes. I agree not to occupy or allow occupancy of eny builtling authonzed by this permi� until final inspection. �ignature Of Legal Owner(s) ate ��-�- � !"�, __ �, � _ 0 `� —� And/Or Authorized Applicant Date CODEI, INSGECiIONTYPE 1fi16 Fizetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition peg I L COUE� INSVECTIONTYPE 206 Final Mechanical 20B Final Plumbinq 210 Final Eleciriwl 212 Final Fire Prevenlion 220 Final Planning Approval 222 Final Site 250 Final BuildinglOCCupanf �g �� r/ I �v�ir'l� ��Gi � 1 1 \ - NOOR ELECTRICAL ELERRICAL DESIGN - ELERRIUIL CONTRACTOR 6-25-04 RESIDENTIAL - COMMERCIAL - INDUSTRIAL This is to certify that Mr. George Arakelian can obtain the 2 permits for the following projects on my behalf: 1. ]oaquin Sahagun- Elec. permit 2. Ford's Automotive Service- change service from 100 to 200A. Thank You ; Abe Kl�ac;Y� Electrical 1GiH OHMS WAY, �OSTA �ViESA, CA 9z627 TELEPHONE 9QCJ�Gj1-S]�� Fnx gqg/63t-7oi6 $TATE �ICENSE �10-Q52]]Q City of Costa Mesa ��� n � Building Safety DeparlmenT C E R T I F I C A T E O F O C C U P A N C Y. N� Y P. O. Boa 3V Cosia Mesa, Coliforniq . `�} � 7he Building located at %O�? OhiR9 W8y has been inspected and found to compiy with the provisions of all City of Cosfa Mesa Ordinances applicable }hereto for a Group F_l� a•�T:�s'+_�.____A Occupancy. Use of BUilding l`ntr.�•+�rigl Riil�]in�_ Legal Description 116-291-0�1 (See revers¢ side for Meres ond Bou�ds) Building Permit No. '���_� �+— Electrical Permit No. 25�5 plumbing Permit No. 46$49 �loor Load $igns have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. . required under Set. 3301 (1) U. B. C. _ 17050. CERTIFICATE OF OCCUPANCY. (a) No apartmenf house, hotel, or lodging house shall be used or occ�pied until the owner or operaTor has been issued a valid certificate of occ�pancy by the enforcement agency. (b) A new certificate of occuponcy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartmenfs and/or guest rooms as required �nder Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Artide 8. Number of and/or guest IySUED TO: Building Official RTIITR7L�'R AT11) td4iTTF. _ b �� �" �/5���=CL:� Y Date— Narch 18; 19� 7his Certificate of Occupancy SHAIL BE posTed in a conspicuous place on The premises and SHALL NOT BE removed except by the Building Official of fhe City of Costa Mesa under Sec. 306 (e) U.B.C. aorm suaa—iM—u_�_s r ApPlicant to fill in all soaees exeeot those witnin neavy Eortler Iines ana sign all approvriate Eeclarations. �ITYiQF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. i Project Address }�S ��p ��� W �� � � ' � � � F Applic2nY5 M2iling Add1^�¢•55 p�� Cl �� t ��� TVPE OF CONSTRUCTION � -NEW ADD ALTERATION EPAIR !g �y�.��OQl� �E�� Phone � CONVERSION ❑ DEMOLISH ❑ OTHER n� p�%���� p�p �k . Owner's Name � DESCRIPTION OF WORK/USE OF BLDG. �b 2�P� � Address �/1h Ll�ib `jW NE�a�POP7' i1fAEAC1� � 5 Maineuildi Arch/Eng. License No. TVPE OF PERMIT ❑ GRnDING ❑ FOUNDA7iON �$TRUCTURAL T Front Addre55 ' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MEGHANICAL A Rear � Contractor'sName SRPDL�i3� .�oF phone qg�«� 0 orHEa O'� � � - n PROJECT DESCRIPTION SQ. FT. �� OGCUPANCY C Pight Address (mailing) r• 0• ���O /���p�� . q ,..��,,.., K City LiCense No. ik ��3 O`p 1 CONSTRUCTION TVPE VALUATION $__��jS,Z__ g Left � ZONE GRA�ING CV. VDS. ACRES p�ng. Ref. # LICENSED CONTRACTOR DECLARATION ' I hereby af(itm tM1at I am licensetl untler p�ovisions ot Cnarter 9(commencing qemarks: - Planning NOteS: with section )000) of Division 3 of the Business antl Professions Gotle, antl my license is in full torf.F �eifect. �Q �1'Q�y LIC¢f152 C d55 L" ��� 5 I� �` V•� Date ���I�i 0� <'onar .a �....I1.-11.._uxl6 WORKERS' COMPENSATION DECLARATION � `tereby affirm that I have a certificate of consent to selt-insure or a certificate Wo�ke�s' �C.�ompen5ation Insu�ance, o� a ce�titietl copy the�eof (Section ..800. Lab. I10Z' bL'�'FIc3 -0l� � gQ.��( ���1! �l� Policy No. Company �fL1}1etl C�o��py1' �is,(hlletlbwithrthehc�ty Byiltl g D ion. Date��.L��'r Applicant 1 -�•�, � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thisseclion nee0 not be completetl if the permit is for one huntlretl ($300) or less). I tertify that in tne perto�mance oi the wo�k to� which tbls pe�mi{ is issuetl, I shall not employ any pe�son in any manne So as o become subj¢ct to the Workers' Co pen5at' Laws ot Califo Date �Signature / NOTICE: 1, a te making this tleclaration, you shoul become subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwitM1 comply with such provisions or this pe�mit shall be tleemetl r¢voketl. CONSTRUCTION LENDING AGENCV 1 hereby aifirm that there is a wnztruction lentling agency for the performance of the work far which thi^p�ry�it i5 i55uetl (Section 309] Civ. Q) Lentler's Name � Lentler's Atltlress - OWNER BUILDEN DECLARATI I hereby afiirm that I am exempt trom the Contractor's License Law (or the following reason (Se<tion �031.5 BuSiness antl Professional Cotle: Any city or county whicM1 �equires a permit to construct, alter, improve, tlemoli5h ov re0al� any st�ucture, prior to its issuance, also requires the applitant for such pe�mit to tile a si9netl statement that he/she is IicenSetl pursuant to the provisions of ,,�he Contractot's License Law (Chapter 9(tommencing with Section �000) of 0.=?ivision 3 ot the Business antl Professions Cotle) or that he/she is exempt 1w-eretrom antl the basiz fo� the allegetl exemption. Any violation of Secfion -a!„`'J3L5 by any applicant for a permit subjects the applican[ to a civil `-'iienalty of not more than five huntlretl tlollars (g500). ❑ 1, as owner of the property o� my employees with wages as thei� Sole compensation, will tlo the work, antl the structure is not Intentletl or ofieretl for sale (Section 7044, Business antl Professional Cotle: The Contractor's License Law tloes not apply to an owner ot a properfy who builtls o� imp�ove5 thereon, antl who tloes such work himself/hersel! or throu9h his or her own employees, provitletl that such improvements are not intenAetl or otferetl tor sale. It. nowever', the builtlin9 or improvement is soltl within one year of com- pletion, the owner will have the burtlen of proving he/she tlitl not builtl or im- prove for the putpose of sale). ' ❑ 1, as owne� of the D/operty, am exclusively cbnt�acting with licen5etl con- Iracto�sto construct the project (Section ]044, Business antl Professions Cotle: Tbe ConlractoYs License Law tloes no[ appty to an owner of p�operty who builtls or imp�oves tM1ereon, antl who contracts tor such projectz with a con- trac[or(s) I¢ense pursuant to the Contractor'S Licenze Lawf. I am aware Ihat proof of their Worker's Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P, C. for this reason Date Owner I hereby certify that I have reatl this aoPlication antl state tnat tne above information.is correct. 1 agree to comply with all city antl county ortlinances antl state Iaws relating to builtling construction, antl hereby authorize repre- sentatives of this city ent upon �the above-mentionetl pro erty for Inspectlon puy'r,os Signature l •� n ' Slnk Preventet Drinking Fountains Floor Drains Floor Sinks Gas Service �11212t5 I ncerceptors Kitchen Sink ' Lavatories P—Trap Roof Drains Reinspection Fee � $15 Duct- Under Ground Duct - Strucmral Duct - Ventilating Exhaust System ❑ Multiple ❑ FirepUFact. BIL ICBO # Heating System & Ducting ❑0-100,000 BTU 0100,000BT Reinspection Fee � � $15 CMF 0865-46, rev. 30/84 WM1ite - Builtling; Canary - qpp�icant; Pink - Acmunting; Goltlenrotl - Asse55or Showers Service Sink Sewer Cap Sewer COnnection Solar Collectors Solar Piping Solar Tank Swimmin9 Pool w/Spa Urinal Water Closet' Water Heater Water Service - Auto-Wash Laundry Trays Issue Fee Hoodor Typel ❑ Canopy Typell ❑ Refrigeration System ❑o-ioo,000eru ❑ioo,000sr System Repair/Alteration Fire Dampers - � Registers laue Fee FEES $ 3 0 $ 3 Automatic Washer Comtruction Pole Sub. Caoking Unit Dishwasher Dryers ❑Gas ❑Elec' Fan F.A.U. Fixtures Device Boxes • 9513 II/13/87 I Zone Req./Provided ELECTRICAL ' . " Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up m 100 amps . Meter ❑over100amps Switches Garba9e Disposal Generamr �P5 KW �5-15 KW Sub Panel � � Momrs D O-1 HP � 1 h- 8 Inc. Solar 09-75 HP �16�15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor Fee _ �$75 � � Issue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By Building Approved By - SUMMARV OF FEES • eUILDING PERMIT $ ^ � -�`» SMIP PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE PLAN CHECK 25% $ ENERGV P.C. ELECTRICAL $ GRADING PLAN CHECK 50% $ MICROFILM MECHANICAL $ TOTALFEE PLAN CHECK 25% $ , 33,50 TL �J�y7 2 O N I N G R E Q M T S FEES $ 3 $ �.sv CONSTRUCTION AND PLANNING � � � - . . • . _ POOL &'SPA� " � • - ' � APPROVALS Permit# Date Inspector� � qppROVALS Permit# Date ' Inseector �. 1. -Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. � " � . ' ' � , 53. Steel Reinforcement ' , 3. Electrical Conduit Utility-Undrgmd. ' 54. Fo�ms �� � . � 4. Electrical Conduit-Undrgmd. � � 55. Electrical Bonding ' � . 5. Steel Reinforcement •-_� � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. � ' 57. APPROVAL TO COVER-GUNITE 7. Footings �. '� 58. Electrical Conduit=Undrgrnd. ' 8. Foundation 59.�Gas Pipe, O Undrgrnd., Test ' , 9. Water Pipe-Undrgmd. � " 60. Backwash Lines,�P-Trap, �'Undrgrnd. � 10. Structural Floor System 61. APPROVAL TO�DECK � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final . 14. Rough Plumbing - 65. Electrical-Final . • 15. RougKElectrical�Conduit 66. Solar System-Final ' - � 16. Rough Electric Wiring 67. Fencing & Access Approval � 17. Rough Wiring Sign . '' 68. APPROVED FOR PLASTERING � 18. Rough Electriral-T Bar Ceiling , � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT ,- 20. Rough Factory Fireplace . APPROVALS • Permit # 21. Ducts, in Structure 70. Underground Hydro � 22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil . 23. Gas Pipe-Rough,& Test 72, Underground Flush 24. Roof'Framing 73. Undergrnd. Storage Tank O 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 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 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 '1'- ' , . � 42. Backflow Preventer � f � � - � . r_ _ ' , 43. Backflow Irrigation � � `- �� ' ..44. Landscape Irrigation System � .- � ' „ ,. - _ � 45 �Sound Attenuation . 46. Handicap Regulations � � , 47.,FINALSTRUCTURE&BUILDING t� ��gs, ��.�•� , � - ' " � .� 48 Special Requiiements Completed � �� � .. _ � 49. Electric Release to Edison I � �". '" ' _' , 50: Gas Release to Southern California Gas Co �� • ' ► 51�. CERTIFICATE OF OCCUPANCY � - � I � �lo. Date - . , -;T•," � .-'"� � ' COSTA MESA BUILDING-SAFEfY DEPARTMENT P. O. BOX 7209 COSTA MESA, CALIFORNIA 92E2B For AppltmM /o Ffli In Complefaly TYPE OR�PRINT euao�no ADDRHBD ., COSTA MESA, CALIFORNIA o,.,we. Tr -r v� ��7 rn� � W'1� ,`�f �SoR 10 5� I'o.� k" V'� �.�e e�n e�v�� P-� 'ti re�. NO. 'ITBCT J• W � R'�a�U� T6L. ' �OINfiBR ��%(.Y�'1 Y �hC N0.64i. �90SZ ADDRHYB Zb � Z �E1U il �'V� G� I/�• �,�,,, W, Ro ber ►��n , e ADDR S` t'K �'�VC" . CITY ..��G. ✓�'� LIG.TNO. I i 2452 ;'-C�73- qC�o4 SIZE S�• ��I^ I No.oleLDao. a _ OF LOT i..•J _.NOW ON anT e eerewcK uxe raop � t�b R6AA YAR GENTBR OP 8iRB8T � 1 S1D Y R LEIR U p10lfT DESCRIPflOPo OF WORX Is� .� ,�.e.��..., I ..,......... BUILDINO size EXTERIOR COVERINQ usH o� pc 1 N6R6pY IICRNOWL6006 TXAT.1 XAY6 RQAD YMIO APPLIGTON wHo BTAT6 TNAT TH6 AOOYq,18 COqR6CT ANO AOpee YO COW PLY WITX ALL GITY ORDIN11NCf8 A�1D 9TAT6 (AMIO pQOYL1ITINO GUILDINO CONBTRYtTON. 816NATUR6 OP ' P6RMITTH� � - AUTNORIZ[DA68Nt .QJyK_ _� �itYO�' ��SF �E��� q �EC•28 1965 PLIC�IpN FOR PERMR R[C[�If NO. �� : / _/ � runa q/ I eYLLo�No �.NO. !/h ����"QF f6: NO PJ1VE OVERHANO SHALL �E L688 THAN ' TO SID6 Q REAR P. L 'E8 .OWED fV.B.G.RHCUIREM[NT1 YARD8MPROV[D YAHCHAPPROVHD MAIN BUILDINO ACG6880RY BUILDINO GIBTANC! BQT. BET. MAIN Q MAIN BLD68. ACCESB. BLI VAR.# DAT6 i . a � � � i �SO ea Pr. � TNi AMOUNT 6XOWH UNO[R V/�LUATION IB Foa TMe � lunPo86 O! 6fiAGLI8XiN0 A PPJiMIT FE3 ONLY. VALUATION �rjp � bC p PHRMIT FE6 � $ �l T q3 E 1, �OV � k 9q °° TOTXL PEE �: � C:. y�.•j �' • •• GENERAL CONTAACTOR 11�6`l�o[�YY[�AF`7 Forms Con. DESCRIPTION OF WORK Vni.UE $ 400.00 _ TYPE jj/ ZONE M-] _ SUBCONTRACTOR -- _ , 2� � ��rY �� ����, � �L�� COSTA MESA BUILDING-SAFEf7 DEPARTMEM P.O. BOX 1200 GOSTA MESA, CALIFORNIA 82628 . � FEg 10 1966. /� JOB ADDRESS 705 OhO1S W3y BUILDING PERMIT P GENERAL CONTRACTOR A%\ Neon & Pl&,StlC S1P_ri G'�1ESCRS�PTION OF WORK elec. facia FIBE'LONE VALUE Date I GROUP TYPE SUBCONTRACTOR „ CITY OF COSTA MESA Y L�773 Building Safety Deparfinenf � Application for permit for the fabrication and erection of tlassified signs. Location Tag No. I / Type of Sign � , �Elec. Non-Elec. Building $ite Address ��-'� n�l/t%��iY - Name of Leasee ��'i:1%�� /�C2%D�S iPhone Contrector A/� ��au� (��(esr�c S/�/l/ �� . $tate License No. ���� Address �.3�it�• �7%f% e�T City�,O.,S����'S� Phone � �`G ��t�Z� Arr�-�tect ar lineer State License No. Address ty Descripfion: � Tract $ign ❑ Appurtenant and Incideniql Advertising $ign � Off-site Advertising Copy Sign �Roof Sign ❑ Gas Tube, Elec. $ign Sec. 1.37, 1.44 Two copies of plans and specifications shtill be submitted with applicatian for permit for each sign. Plot on p�an sheets proposed location of sign and locations of all other signs at site. Minimum size sheets SHALL be 18” x 24" and non-erasable. � If�between property line and established setback line, owner is to sign written agreement with the City. $iqnature of Property Owner Date �I��e undersigned hereby agrees fo fabricate and erectihe advertising siructure within ihe intent and meaning and in sirict accardance with the provisions of Ordinance 63-13, Ordinance 344, ihe Electrical Ordinance of ihe CiTy of Costa Mesa, and all amendments thereto, ALL APPLICATIONS MUST BE FILLED QUT BY THE APPLICANT. ALL FOOTING, FRAMING, ELECTRICAL AND FINAL INSPECTIONS SHALL BE CALLED. $ignature of Permittee Authorized Recd. by Date �� IFORM BU-30-0M-�/E3 The amount shown under Valuation is for ihe purpose of establishing a permitfee only VALUATION Permit Fee $ —� Plan Check$ Total Fee $ � CIiY �� C;;� �'A �iESA JUN 8 1966 Q I : ���� Date Issued Permit No. Fire Zone Type riroup Approved by--1��� Date� U /v� PLANNING DEPARTMENT Zone � A. P. No. �. � a' `� BIdg.Site Address ��•� Legal Owner Address �� l0 � �_�(n/`� C i ty Nv"" Area of�5ign: ft, in. X ft. in. = lp � Required Bldg. Setback to Center line of $treet Location of Sign: � Behind ¢Idg. �Setback Line � Between Property Line and Bldg. Setback Line ❑ Front Feet Right Feet. � Left eeT Projection Feet Ground Clearance Feet C. U. P. C. Date Approved Clearance Chap. VIII, Art. 5. ction 8504 (b) $ignature (PI ig taff) ture (Dept. of Public Da te: