HomeMy WebLinkAbout1790 NEWPORT BLVD - Building PermitsApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT
Project Address y79i2 1V_P_�:., Ir 04-f d v C, .✓I.
Applicant's Mailing Address �-n_ e'
Owner's Name(io//-�� b e2 C' 'P1hone
Address
Arch/Eng. License No.
Address
Contractor's Name OSST_ *-Q uJB Phone 5'52 -
Address (mailing)
'57-Address(mailing) 2-60 IC:.
Cityl License No. 0.;' 7 `�
LICENSED CONTRACTOR DECLARATION
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect. 2
License Cla s C` Li se No.
Date_a' %6. 5-1 Signature
WORKERS' COMPENSATION DECLARATION
' ^ereby affirm that I have a certificate of consent to self -insure or a certificate
Workers' Compensation Insurance, or a:certified copy. thereof (Section
,0, Lab. C.) / po9 t IJ C
Pali No. oG d 6 S I - VCompany - STA7"� `O�. /J ,
Cer tilled copy is hereby furnished. �Wd�r
Ce rtiti.Rdpy 11filed'witth the city llW 9 Dil on.
Date }}11 I/ 'K6 %i
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not be completed f the permit is for one hundred ($100) or
less).
I certify that in the performance of the work for which this permit is issued, I
Shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of California.
Date Signature
NOTICE: If, after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with Such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY -
I hereby affirm that there is a Construction lending agency for the performance
of the work for which this permit is Issued (Section 3097 Civ. C.)
Lender's Name
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that Lam exempt from the Contractor's License Law for the
following. reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit t0 construct, alter, Improve, demolish or repair
any structure, prior to its issuance, also requires the applicant for Such permit
to file a signed statement that he/she is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9(commencing with Section 7000) of
raivision 3 of the Business and Professions Cotle) or that he/she is exempt
'efrom and the basis for the alleged exemption. Any violation of Section
1.5 by any applicant for a permit subjects the applicant to a civil
.41ty of not more than five hundred dollars ($500).
Li I, as owner of the property or my employees with wages as their Sole
compensation, will do the work, and the structure is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's
License Law does not apply to an owner of a property who builds or Improves
thereon, and who does such work himself/herself or through his or her awn
emplordy,provided that such improvements are not intended or offered for
'a"'
11, no,weverI the building or improvement Is sold within one year of com-
pletion, the owner will have the burden of proving he/she did not build or im.
prove f0 r.the purpose of sale).
❑ I, hi owner of the property, am exclusively contracting with licensed Con.
U
tractors construct the project Section 7044, Business and Professions Code:
The Contractor's License Law (Section
not apply to an owner of property who
builds or Improves thereon, and woo contracts for such projects wlIh a con.
tractors) license pursuanl•l0 the Contractor's License Law). I am aware that
Proof o their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Section B. & P. C. for this reason
Date - Owner
I hereby certify that I have read this application and state that the above
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter up o the above-mentioned property for
Inspection Purpnsy5.
Signature �J.. �—! Date /
Drivers' License or SS :
Reinspection Fee 1 $15
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Bit. ICBO #
Heating System & Ducting
❑ 0-100,000 BTU ❑ 100,000 BTi
Reinspection Fee 1 $15
CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
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Issue Fee
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�'-•f-""
VIVII IVU,
.
TYPE OF CONSTRUCTION Ll NEW LJ ADD LJ ALTERATION ErRtPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DEf CRIPTION OF WORK/USEOF BLD ii�l�'� C'� c r k
DSIP'I�)2�.a�O ,�$A,��(� [j(p
A.P. #
- Zone
S
Main Building:
Accessory Building:
TYPE OFPERMIT GRADING ING LJ FOUNDATION STRUCTURAL
❑ TENANT 13ELECTRICAL ❑ PLUMBING O MECHANICAL
,t
f .OTHER
T
Front
Hood or Type l ❑
B
A
Rear
DEVELOPMENT SERVICES REQUIREMENTS:
PROJECT DESCRIPTION SD. FT. !�f)O OCCUPANCY
CONSTRUCTION TYPE VALUATION $ _(D OO,
ZONE GRADING CU.YDS. ACRES
C
Right
S
Le
Ping. Ref. #
Parking Req /Provided
Remarks:
Planning Notes: C ,'
Building Approved By
Application Issued By
Date
Date
Refrigeration System
PLUMBING FEES
00-100,000 BTU ❑100,000 BTU
'
Bar Sink
Showers
OOFF FEES
- ELECTRICAL FEES
Backflow Preventer
Service Sink
Automatic Washer
Construction Pole Sub. I
Transformer ❑ 15-50 KW
1 ❑50+KW'
Backflow Irrigation Sewer Cap
Bathtubs
Sewer Connection
h�
Cooking Unit
Meter Cup to 100 amps,
Clarifiers -
Solar Collectors
Fire Dampers -
Dishwasher
Meter Cover 100 amps
Dishwasher
Solar Piping
ISSUANCE
ENERGY P.C.
'GRADING
MICROFILM
Dryers ❑Gas ❑Electric
Sub Panel
Drinking'Fountains -
Solar Tank I
Fan-
Motors ❑0-1 NP ❑1 S - 8 -
Floor Drains
Swimming Pool w/Spa
F.A.U. -
Inc.Solar 1:19-15 HP 016-15+
Floor Sinks
Urinal -
,$
Fixtures
Microwave
Gas Service Outlets
Water Closet
$ 3
Device Boxes
Pole Light
Interceptors
Water Heater
Outlets
Range
Kitchen Sink
Water Service
Switches -
Sign
Lavatories
Auto -Wash
Garbage Disposal
Standing Sections
P—Trap
Laundry Trays
Generator 00'5 KW 05-15 KW
Trash Compactor
Roof Drains,
1
Reinspection Fee 1 $15
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Bit. ICBO #
Heating System & Ducting
❑ 0-100,000 BTU ❑ 100,000 BTi
Reinspection Fee 1 $15
CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
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Issue Fee
$ 3
Reinspection Fee
$15
Issue Fee
$ 3
�ANICAL FEES
Hood or Type l ❑
DEVELOPMENT SERVICES REQUIREMENTS:
!!�
Canopy Type I I El'Zoning
Approved By
C -t
Date Ili—
'
Building Approved By
Application Issued By
Date
Date
Refrigeration System
00-100,000 BTU ❑100,000 BTU
SUM/ry1,Ak
OOFF FEES
BUILDING PERMIT
PLAN CHECK
-
$ _�
$
SMIP
PERMIT
$
h�
System Repair/Alteration
Fire Dampers -
PLUMBING
- PLAN CHECK 25%
ELECTRICAL I
PLAN CHECK 50%
$
$'
$
$
ISSUANCE
ENERGY P.C.
'GRADING
MICROFILM
$
$
$
$
Registers
MECHANICAL
$
TOTAL FEE
,$
Issue Fee
$ 3
PLAN CHECK 25%
$
Y
—
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
POOL & SPA.
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.
54. Forms
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
8. Foundation
59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P-Trap, 0 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. Rough Electrical-Conduit
66. Solar System-Final
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping 0Gas 0Oil
23. Gas Pipe-Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank 0 Gas 0Oil
25. Roof Sheathing
74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat
75. Dry Chemical
27. Frame and Flashing
76. Dry Standpipe
28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE 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 Domestic-Final
42. Backflow Preventer
'
43. ,Backflow Irrigation
44. Landscape Irrigation System
.
45: Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
-
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern C.fornia Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
APPROVED
(Subj. to ord. 75-25 Sec. III 3-C)
CITY OF CCSTA MESA
PLANNING DEPARTMVIT
(Subj. to Bida• Dept. Rog.)
By.(✓......:..--- Date/.1
Director of Planning
EXEMPT FRUA J � J,. 77/�/ �
PEQQ r_MiATS OF CEQa
ow k
M�
FF
TC
COSTA MESA Es
PLANNING DEPT. I -'/T(/C+r o.CCCE�NS!SS°gnYr IY![F'"
SUBJECT TO BLDG. DEPT. RE0. d G^,. �\
SUPARAT Pp .T�9°,s�%TfFITto 7, v '':r, R2�Ir",'<t
C , rp r� .RC �, J.• . °fi
Igy/�)� ....__DATL /!> -�o� �fry%/;�+QROk4ZOp r _ tilyS°FBF .�,--• S. R-
DIRECTOR OF PLANNING ,6 E I 5 , qr
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R JP N,
9F/UG, t/t nI' '! RFPU�OCTTT� ry£'S': h °^ t cCur r TO ' ')• I 3` R �l
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10
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- Q� �. �^r � `� Thio eE/� .FTCn r f'z i'. ' i G�•. � .. V
f . �Qi ry '�..�``/���I �C/�,i Irl' .�L. , � " \� °/( Or, Ov T� °J,; �"f IC/.
ST�T!hP - '•3c , STS >rFa '. EH -1;;v,12
IZo 1�1
PPR E ,�
o Costa ME a Building Dept
' THESE PIANS M T BE ON UC AT �1Lt�'I
MA E NO CHP 4 ES WITHOUT VRIOR APPROVAL SrD�
OF EPT.
E ISSUANCE OR GRANTING F n °rRM1T OR APPROVAL
OF ^ ^US A;;D SP, 'IFICATH NS SHALL NOT b, °O1'`,1
TO ti °ERMIT FO... '.r APPCOYAL OF, ANY VIOLATION �--
OF ANY aG.�na Ur rola LUU[. NU PCRMIT P
.,U ING TO GIVF a��*"^^'^' ,„Mout UR CANCEL THE
r°uvulUNS OF THIS CODE SHALL BE VALID, EXCEPT IN SO
FAR AS THE WORK LR11Mn k"'A"TH^ORIZFS IS
THE ISSUANCE OF A PERMIT BP' -D UIIPON PLANS AND
SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL
FROM THEREAFTER REQUIRING THE CORRECTION -If ERRORS
IN SAID PLANS AND SPECIFICATIONS OR FRTJA PREVENTING
BUILDING OPERATIONS BEING CARRIED ON T FPS �N^� 'iiEN•
IN VIOLATION OFI '” '-..c Un Uh A(/Y
OF THE OTH�iI$(I�xCE
APPROVED
CRY OF COSTA MESA
PLANNING DEPT.
SuLlea To-U0G*.BEPI+'NEE
gy
OIR[CToR Of pANNIN_�
:: z:
01
5 Fr
FS r�
(v3 b%
7 INC
Srr„J
,a !&CG cerrz�s
STRUCTURAL AM
SEPARATE PERMITS ARE REQUIRED
FOR F1 E T0,N& PLUMBING,
ANG, VENTILATING AND
yea REFRIGERATION WORK
pzmV!q #_l.I—%(
THL » If'" " •' •I ACCOMPANY
ALL IiJS,-=CJIU;J REQUESTS
FSCdS ARE TO
BE Ei,7-0 ✓. INE
STi,TE OF L ylA 0.1,SION OF
INDGSTI iL SWL 7 n: 'GTciLcnc/
rtoTAL of 3
H-O� 4�4 Q.e? 69-
o Id4il'011-7
23021
COSTAMESA' BMILDING-SAFETY DEPARTMENT
• P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BU ILOING
ADDRESS
COSTA MESA. CALIFORNIA
' ARCHITECT__ �.L. —
STATE^ _ TEL. .
NO. OF BLDGS.
E SETBACK LINE FROM
DESCRIPTION OF WORK ■
BUILDING / �/ - Q NO. OF
SIZE C' E e ROOM9 S
EXTERIOR WAL ROOF %?o Il
COVERING O S COVERING
USE OF BUILDING ANQ-W.ORK TO BE PERFORN
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 1E CORRECT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. /n/ A
PSIG ERNA MITTEF OP ��� y �G�,` / T
AUTHORIZED AGENT LLL J
FEE RECEIVED
gip 2 9 1964 \
11�IITTFyyIN��AFFNCrrEEn CCTTD��EPMlTS�.���`"�
APP[ICA90 a PERfitIT
BUILDING
For Office Use Only
RECEIPT NO
RED$CCaY I ; T//`'rEI jy
;
BUILDINO
ADDRESS 7
FIRE
ZONE TY GROUP
APPROVED
BY DATE W
ZONING
ZONE NO.OF USEOFNBW
L PLANS /Y eU ILDIND/^�
LEGAL I — 1 14-1N 7
1. NO. / 1 /- v7)- s- >
'E: NO SAVE OVERHANG SHALL BE LESS THAN
TO SIDE B REAR P. L.
'ES
.OWED _
(U. B. C. REQUIREMENT
YARDS APPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
IOM C/L STREET i
DISTANCE BET. BET. MAIN Q
MAIN BLDGS. ACCESS. BLDGS.
VAR.# DATE
C.U.P.# APPROVED
APPROVED A /I i/ iY
SO. FT.
THE AMOUNT SHOWN UNDER VALUATION IB FOR THE F
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
VALUATION CZpi m
PERMIT FEE $
O
s 3ov 1 _
4
JOB ADDRESS 1790 Newport Blvd. BUILDING PERMIT NO. 39401
A' 'la. 117-094-2R LOT TRACT FIRE ZONE VALUES 150.00
II cCTIONS
Si ..taro I Date
TYPE it GROUP
F-rl.
ZONE C.-2
Sol
SUBCONTRACTOR
MIT
GAS
Date
NumberI Signature
WATER
Plumbin
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER ❑
ROUGH WIRING
Heatina and Vent.
TRENCHES 0 FORMS U STEEL REINF.
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
LATHING — IN D OUT
PLASTER, BROWN COAT
S_' TUBAL. FINAL
HL AG, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
BUILDING. FINAL
39401
COSTA MESA BUILDING -SAFETY DEPAR
P.O. BOX 1200 COSTA MESA, CALIFORNIA
For Applicant to Fill in Completely
BUILDING ,7
AnnRFss �'[40 de.,,t t RL✓at'
OWNER
1 /'' TEL./
CITY c \ D Gl NO.
CONSTRUCTION
LENDER r
BRANCH
ADDRESS
ARCHITECT TEL.
OR ENGINEER
ADDRESS
CONTRACTOR
CITY
STATE
LIC. NO.
SIZE
OF LOT
USE OF
EXISTING
C t 0-714F7--
5`,00 529:= *****J.50
TION FOR BUILDING PERMIT
DATE RECEIVED DAHTE ISSUI
_ /if..
i -
FIRE
ZONE
APPROVED
VALUE
TEL.
NO.OF
USE OF NEWNO.
L. SID F
Z
PLANS.ZUILDING
ROOF
CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO.
MAIN BUILDING
tFRONT
ACCESSORY BUILDING
NO. OF BLDGS.OM
C/L STREET)
BET. MAIN &
NOW ON LOT
FT. I
1 G FT.
E OF NO. OF
V
BLDG. ROOMS STORIES
L. SID F
FT.
WALL
ROOF
ERING t a✓
COVERING
REAR FT.
FT.
rEXTERIOR
OF BUILDING AND W K TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
rh Q1Cta.�% GNO�t
MAIN BLDG$.
ACCESS. BLOCS.
$O. FT.
VAR.+
DATE
nt O
C.V.P. 916
APPROVED
'I i2 -i0 -%
1 hereby acknowledge that I have read this application and state
'
that the above Information Is correct and agree to comply with
1
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
y ¢ der
$O. FT.
O
THE AMOUNT SHOWN UNDER VALUATION IS FOR
I
zona o a, 3,
j b-;w6eh&, h r I
e s
THE PURPOSE OF ESTABLISHING A PERMIT FEE OwNnLY:"
pt
VALUATION
�tiy
/�^^/ttt
Signature of
�L�
(/V
/
PERMIT FEE $
H
O
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�
� O
Permlttep /A .�eL,
$ /3 ✓
PLAN CHECK $
E
Authorized Agent
u.
TOTAL FEE $
OWNER DATE
-BEVlU� lOEi R T1F'VTN� WTT T TAM,_ F. _ ITT 3-19-79
JOB ADDRESS 1700 Newnnrt Boulevard- _ BUILDING PERMIT NO. 47689
SUBCONTRACTOR "111' 1» u
cns n.... u.._�_. u___...._
ING AND AIR CONDITIONI
SERVICE OR POLE
inn and Vent
TRENCHES Lj FORMS Lj STEEL REINF.
FLOOR SYSTEM
BOND BEAM Lj STEEL REINFORCE I1
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT
PI 'R. BROWN COAT
fn ...A4 7it, P�9
S- oiyas
Q
F
Q
Q
SIGN PERMIT
CITY OF COSTA MESA
Planning & Building Safety Departments
P. O. Box 1200
Costa Mesa, CA 92626 (714) 754-5245
Tag No,
CfrNaPy Cl 61,1,9 16/79
Type of Sign ; a.140LJ i�i W/}�'-�f� � 3/ ..
CrLc✓��) to 9ro�r5�
❑ Electric iK Non -electric
Received by Date Date Approved
Cc.rLChu
Signature (Bldg. Staff) Signature (Planning Staff)
Date (Approval subject to the condition of Ord. 74-25 Sec. III 3.d)
CMF 0068-32 White - Building; Green - Customer; Canary - Planning; Pink - Finance; Goldenrod - Assessor
:22.95 'TL
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Location
Zoning +rft4l
1776
�644W-7—
AFI—AJ 0,r -r4 �4`S�
Building Site Address
StreeYfrontage p
0 Right
Phone
7t
Name of Lessee `r045L &C—VIN
i Ltd/LLrAre
����y—�_
�p7
Phone (0'/Z —G3%d
fd„ty 3a <SLgnxLocahon• �_ •. •
o Front
v de
Bt1w4jproper y'line & ulttmate"rtghto f'wlip
State License No.
Contractor
L /
SFiG7
City License No.
Address GZ 03 _/�/�%'�iU6f'
Overall height `FA' a - "SM.&Y,121 01N -
City (%-OJrA
Zip Q-6 '.'2-7
Legal Owner of Sign
to :n a e� �t �Amortuation e xy1
Phone
Address.70..7 '� tT%✓iS4
City 2t0_r7W GlErkf
Zip 93-/0.2-7
Descriptions
Illumination
❑ Ground
Canopy ❑
Non -illuminated
wall
❑
Attraction Board
❑ Roof
❑
Advertising Statuary
❑ Projecting
❑
Other ❑
Directly lighted
❑ Construction
❑
Tract Sign (Security & Right of Entry Agreement)
ZOW
❑ Convenience
❑
Special Event (Request form submitted)
❑ Super Graphic
❑
Change of Copy(amortization) ❑
Indirectly lighted
..dd
'T
WJ3r
Programs
❑ Planned Signing
❑
Shopping Center/Integrated dev, ❑
Variance
C.U.P. No.
❑
By Owner/or ❑ by City
(Date letter sent ) ❑
Minor Variance
All applications must be filled out by the all footing, framing, electrical and final Inspections shall be called.
(714) 754-5273
Signature of Permittee
�,
JApplicant,
c
Valuation:
' Planning fee
�/7 • y
g
g �Bd ee
r O
✓'
Authorized AgentPlan
C ed e^�
eee���� Total Fee
$
Received by Date Date Approved
Cc.rLChu
Signature (Bldg. Staff) Signature (Planning Staff)
Date (Approval subject to the condition of Ord. 74-25 Sec. III 3.d)
CMF 0068-32 White - Building; Green - Customer; Canary - Planning; Pink - Finance; Goldenrod - Assessor
:22.95 'TL
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Property..
Zoning +rft4l
Sign Dist. Date('Reserved
Y'-
wT
StreeYfrontage p
0 Right
,x f.2$ v ,- at r{fbStreet:_ rc.3 ,x..
Rea�ry'
r r r''+ '�' -�• A
g g` a
bark center
Building set from yCt.
hne of street ; v -
t
" �'
• _ ft.
MasterPlan Highwayt t''g�ht of�wa$y,
r`s 5
k v'x
fd„ty 3a <SLgnxLocahon• �_ •. •
o Front
v de
Bt1w4jproper y'line & ulttmate"rtghto f'wlip
"rv. s+i _ w "Ground Srgns- r,,' rs'
^w
2
❑ 7 it. & lmsq •f�r� ❑ Table Planter Area
Area qG Sign_ft in x fi,
�, *rN^yx ,. �. r xi.Au-�Si6�.J°C�si�39• �i � = 2 9�1'
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Overall height `FA' a - "SM.&Y,121 01N -
'Letter height'Y'.', N2rm
'Items of Information r� tai Sq 1.1 Isignage
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JOB ADDRESS 1790 Newport Blvd. BUILDING PERMIT NO. �9 02
_A" '117-093-29 LOT
II -'CTIONS
SOIL
GAS
WATER
ROUGH PLUMBING
PROP. SWR. LINE HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS _
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
ROUGH WIRING
TRENCHES FORMS 17 STEEL REMF. Q
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE F-1
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
S_' 'URAL, FINAL
HL. AG, VENT.. REFRIG. AND A.C., FINAL
Lou
T
SUBCONTRACTOR
'I S -LS 100 ",
STAT:./
rnx
CITY OF COSTA MESA
SIGN PERMIT
Planning & Building Safety Departments
Tag No
Type of Sign/:✓7�EL) /_ r,,,,9.
❑ Electric Non -electric
Received by Date. Date Approved
Signature (Bldg. Staf Signature (Planning taff)
Date (Approval subject to the condition of Ord. 7425 Sec. 111 34
CMF 0068-26 White - Bullding; Green - Customer; Canary - Planning; Pink - Finance; Goldenrod - Assessors
7p, 110-%tPA".cp r`�J S .
Ir „.00 53��r'��� *17.50
Pis°OG 530tr .; t,t1]
'. -Office Use'Only
Location
.
Building Site Address 11720 Mr
p c, , T
R Lod, CoS 1 a Vke sar a l it- 9 2-" *7
Phone Cn `12-6 3 ro d�
l (
Name of Lessee ' f'I-r J��'T�(0.
v.dQ �'S
��t�f �..y;car ��o�( .De
Phone- e�42-6368'
:-"" ...: ;"",,
Street frontage:`
•.��
-74
Front: /lam ft. Street: //lair's
State License No.
Contractor
l-
Left: ft:-- Street:
City License No.
Address
City
Zip
``
I he �o
\
( VlA,l� S Jy. aen VCS ���
rOC4-1 fid'
Legal Owner of Sign �Tk�ati��3
j
+-cS�-r d--
Phone
Address Ir(�O Kew�y,.i Q(�r/
Between property line & ultimate right-of-way
City I.oSIa W�2r�
Zip
"
❑ 7 ft. & 15 sq. ft./or ❑. Table 2 Planter Area=
Descriptions
Illumination
❑ Ground
❑
Canopy I
Non -illuminated
Wall <% /-7CNED Z7 -,f
❑
Attraction Board
-Letter height
❑ Roof
❑
Advertising Statuary
Total sq. ft. of all Signage
❑ Projecting
❑
Other ❑
Directly lighted
❑ Construction
❑
Tract Sign (Security & Right of Entry Agreement)
. .'�Offsce Use Only
❑ Convenience
❑
Special Event (Request form submitted)
PxB
❑ Super Graphic
❑
Change of Copy(amortization) ❑
Indirectlylighted
Programs
❑ Planned Signing
❑
Shopping Center/Integrated dev. ❑
Variance
C.U.P. No.
❑
By Owner/or ❑ by City
(Date letter sent ) ❑
Minor Variance
All applications most be tilled out by the Applicant, all footing, framing, electrical and final Inspections shall be caged. (714) 556.5273
t/ 1 ,, t�
�
Valuation:
j� Planning fee_
Signature of Permittee r V l �r Y -.n Lo
Si g
t to
$ `Building
%i6i71 fee
Authorized Agent
�V Plan Check fee
Total Fee
$
Received by Date. Date Approved
Signature (Bldg. Staf Signature (Planning taff)
Date (Approval subject to the condition of Ord. 7425 Sec. 111 34
CMF 0068-26 White - Bullding; Green - Customer; Canary - Planning; Pink - Finance; Goldenrod - Assessors
7p, 110-%tPA".cp r`�J S .
Ir „.00 53��r'��� *17.50
Pis°OG 530tr .; t,t1]
'. -Office Use'Only
'Propeity:"
.
A.P. No. / /7 -09-3-,27 Zoning G"
Sign Dist. ' "% D -h Received /.2
-/O^i/ W
Received by:
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Street frontage:`
•.��
-74
Front: /lam ft. Street: //lair's
Right: ft. Street:
Left: ft:-- Street:
Rear: ft. Street:
Building set back from center line.of street
ft.
Master Plan Highways ultimate right-of-way,"
ft.
Sign Location
j
Front v "Right Left
Between property line & ultimate right-of-way
" '' Ground Signs
"
❑ 7 ft. & 15 sq. ft./or ❑. Table 2 Planter Area=
Sign'=;.
Area of Si gn� lf�Ct in x ft. _in.=�
sq. ft.
' Ground Clearance
Overall height
-Letter height
ems of Information "
Total sq. ft. of all Signage
Amortization
Subject to Amortization: "yes ❑•;
no
,Expiration Date
. .'�Offsce Use Only
InspB
PxB
Px No.
Fln.
PxA
Px No.
t
D