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
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P6RMITTH�
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- AUTNORIZ[DA68Nt .QJyK_ _�
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�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: