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Home My WebLink About1763 ORANGE AVE - Building Permits t11 CITY OF COSTA MESA • F` :1, BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMB rcat PERMIT / ie B -00420 ✓/ (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1763 ORANGE AV Status: ISSUED Suite: Applied: 03/26/1999 Vicinity: WHOLE ROOF Issued: 03/26/1999 Parcel Nunmber: 42541509 Zoning: ..pp Applicant: ROBERTS, WALT ISSUED BY: c� Address: (( Phone: • Zip: Owner: BURKART, BETTY M Address 2017 YACHT RESOLUTE • Phone: NEPORT BEACH,CA Zip: 92660 Contractor: LEE ROOFING OF COSTA MESA Address: 01653 SUPERIOR AV Phone: 949-642-7222 COSTA MESA CA Zip: 92627 License: 349686 Arch : Eng: Address: Address: • Phone: Phone: Zip License: Zip: License: SCOPE OF PERMIT REROOF-T/O,NEW BUILT UP ROOF WITH 1 LAYER 25#FELT,2 LAYERS 11#PLY SHEET AND#4/5 GRIT. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,850.00 Permit: $74.75 Claim Valuation: $2,850.00 SMIP Res: $0.00 SMIP Com: $0.60 Other: $0.00 Inspection: $0.00 Total: $75.35 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections end final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 WORKERS' COMPENSATION DECLARATION: _ I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-Insure for workers' Compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensalion insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance Cartier and policy number are: Carder: Policy Number: (This sect/on need not be completed if the permit is valued atone hundred dollars ($100) or less.) ❑ 1 Certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and a rso that if I should become subject to the workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provls'll°ns. Applicant Signature: �.(1 • Date: 3- 26 — g WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR Ok1E, INTEREST, AND ATTORNEYS FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under rovislo sot Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full ff force and eect. Lic. If �� i Class If Contractors Signature: L, 0 Lp i Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a Construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or County which requires a permit to 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 or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Divislon 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty o1 not more then two hundred dollars (S500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. 11, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby Certify that no excavation five (5) or more feel in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Cade requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of Compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to fila a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant read to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully Complied with? ❑ Yes ❑ No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication aEEermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes l.J No (Section 65850.2 of the California Government Code requires that the requested information be fumished on applications for non-residential building permits). 6 WIII any part of the facility to be Constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (it 'yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Cade). 7 If a permit from the South Coast Air Quality Management District or other air pollution Control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8 (If "yes", attach Certificate of compliance from the appropriate air pollution Control officer). CERTIFICATE OF COMPLIANCE: I Certify that under penalty of perjury the information given above is Correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to Comply with 611 state laws and city ordinances relating to building Construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ZQ!l ure Of Legal Owner(s) Date An r Authorized Applicant Date CSF 0 INSPECTION TYPE p/yT INITTIAL CORES INSPECTION TYPE RATE INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 . Final Building/Occupancy 244646 City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY N° 1924 C P. O. Box 317 Cast. Mesa, California The Building located at i763 and 1765 Orange Avemie has been inspected and found to comply with the provisions of all City of Costa Meso Ordinances applicable thereto for a Group 1''2 1 Occupancy. Use of Building Profeealo„al blilding rmd Realdenee Legal Description A P.NO U7-1114-09 (See reverse side for Metes and Bounds) Building Permit No. 18601 Electrical Permit No. 213T3 Plumbing Permit No. 39250 Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy 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 apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article B. Number of apartments One and/or guest rooms ISSUED TO: Building %%Official Ibmwe G. Ifeatheote Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form Bv39-1M-11-63--�B Is �: F E I,IVED 18601 JAN 24 1963 COSIOA MESA BUILDING -SAFETY DEPARTMENT FINANCE DEPT: P. O. BOX 3I7 COSTA MESA. CALIFORNIA ITP OF COSTA MESA For Applicant fo Fill In Completely APPLICATION FOR PERMIT OR T��BUILDING BUILDING/ ADDRESS COSTA MESA. CALIFORNIA - For Office Use Only // _ OWNER U Cc- l G A -/CO /L RECEIPT NO. PERMIT NO. X617 / MAIL ��II�� ,(�D �G / A RECEI D BY I DA RHEIV D DATE IBEU D �/ �ii ADDRESS' yC./r p V GS/} EO. -I I SI -8118 BUILDING ( 0 7-,4 ADDRESS p Al .i EER�/DycR oTK C' D No:D"'.}-3 [ADDRESS COSTA MESA. CALIFORNIA � !r/7 I��A /Ad �wprer /_i-�AiC /� IRE ZONE f I 'TYPE k1 GROUP CONTRACTOR �* SSGYn PROVED . � YDATE :5X /1110 BY(// ZONING ADDRESS ZON NO. OF 7 I 2 I USE OF NEW P/Oi[r�/pyq CITY �' PLANS BUILDING i Relyd[nCC STATE — TEL. LIC. NO. O. LEGAL DESCRIPTION LO, Z3 �{ Jy� M OF LOT C- `� /% / 1� l `� I () NOW ON LOTNO. OF Sl/ A. P. NO. r7 USE OF EXISTING BLDG. C°01 YARDS EVES APPROVED ALLOWED SETBACK LINE FROM 1 1 / CENTER OF STREET I REAR YARDI (CENTER LINE ST.) � FRONT %/ Q FT. 9- G IN. I / I �- SIDE YARD LEFT RIGHT `( R. SIDE FT. IN. DESCRIPTION OF WORK 3s L. SIDE FT. IN. I ✓II I I N- ALTERATION ADDITION REAR �i FT. IN. REPAIR II MOVING I I DEMOLISH APPROVE 1 JA I AA DATE BUILDINGNO. OFn Z LOING? 7 S`� o� ROOMS STORIES (WALL(`%(CG. EXTERIOR `LJI ROOF i /� COVERING ii COVERING C /�� o F USE OF BUILDING AND WORK TO BE PER RMED /I eFErs/ p NAL L G 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 1E CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IB FOR THE PLY WITH ALLCITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OP, ESTABLISHING A PERMIT FEE ONLY. VALUATION �1 J 7 BUIOING CONSTR ION. .1 IGNATURE da PERMIT FEE S fit '\RMITTE PLAN CHECK S �3 'HORIZED AGENT/� FEE / ,.r1 • 1.92� o FEE RECEIVED • MAR 2 8 1963 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA,CALIFORNIA SA & Y1� For Applicant to Fill In Completely APPLICATI FOR P ME TYPE OR PRINT BUILDING DING For Office Use Only BUIL ADDRESS 190 Rochester Street • RECEIPT NO. PERMIT NO. , COSTA MESA, CALIFORNIA BY DATE RE I D ATE ISSUED OWNER Bruce G. Heathcote . RECEIVED 3/z-, 63 L5- ,49-‘ BUILDING ADDRESSMAIL ' P. 0. Box 746 ADDRESS TEL ZONE E GROUP ci CIT. Costa Mesa NOLi8-8118 ff' /d' 0 APPROVED ,, DATE / (. 3INEER Dorothy Read rTIOL.Or3 -3358 'ADDRESS 3404 IVia Lido,Newport Beach ZONING ZONEI NO.OR USB OF NEW Owner-Bldr. PANS BUILDING CONTRACTOR • LEGAL ADDRESS -- • DESCRIPTION CITY __ . . A.P.NO. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE __ TEL. __ SO" TO SIDE B REAR P.L. LIC.NO. NO. EAVES SIZE 601X1401 NO.OF BLDOS. 1 ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVE. USE OF Res. - MAIN BUILDING ACCE ORY '-UILD.NG EXISTING BLDG. (FROM C/L STREET/ CENTER OR STREETM 401 REAR YARD 411 FRONT FT. 1.104 q r / . SIDE YARD I LEFT 101 I RIGHT 51 R.SIDE FT. Y e u ./!p DESCRIPTION OF WORK L.SIDE/ I/ FT. X ALTERATION ADDITION DEAR FT. DISTANCE BET.. BET. MAIN& REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING ±315,1145- NO OF - VAR.* DATE SIZE 137Dn. -ROOMS( STGRIF,Q 2 C.U.P.# APPROVED EXTERIOR COVERINGStileAPStuccd COVERING Rock we DATE DATE USE OF BUILDING AND WORK TO BE PERFORMED ' Upstairs Fee, for above professional Bldg. Difference in fee pd.#18601 1375Up ' so.F. @ $10.00 Sq. Ft. o 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION • •THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS EGULATING VALUATION 'O BUILDING CONSTRUCTIO Diff. in F� ////�'y)t r {n For Diff infee PERMIT FEE $ 42.00 N PERMITTEE O h jI,e�L'L' e.C.'/` j'�'- G? {e'L1 ta- Permit 1601 S g Add $13,750. PLAN CHECK $ 21.00 s AUTHORIZED AGENTValuation. °' i1P,11B , a TOTAL FEE 5 63.00 26097 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92US For Applicant to Fill In Completely TYPE OR PRINT NO /'763 ORAAJC-cya- COSTA MESA, CALIFORNIA D.%3ov TA P t SA SIZE �( OF LOT 6 CJ (� / No. or/LOB/.' NOW ON Lor t1 USE OR USED , BLDG. CD c YRIACK LINE FROM CENTER OF /TREK ' ` D ✓� REAR YARD i SIDSYARCI LEFT 36-1 I RIGHT Ishk DESCRIPTION OF WORK IF NEW- ZONE TYP GRO/UP TSRATI N DATE /O`��L% BY DATE ADDITION REPAIR HO IN UBEOPNBW �`L- SM LIS BUILDING IK 3G18R RNO. or SIZE t� ooms001 TySTp�S�js/ EXTERIOR WALL . _ _ .I ROOF LL%Ar�_ _ nRUf ov I NQRERV ACKNOWLEDGE TWAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ADOVR 1/ CORRECT AND AGREE TO COM- PLY WITH ALL CITY ORDINANCE/ AN STAT[ LAW/ OULIITING BUILDING SIGNATURE OF A./,A L/1(//wy/.1/�idr,J-- AUTHORIZED AGENT AUG 30-66 001177* ****22.50 APPLICATION FOR PERMIT BUILDING For Office Use Only G 0I RECRIPT No. PERMIT NO. &0 RECE Y a RECEI D 3 D T I �.. BUILDING ADDRESS FIRE ZONE TYP GRO/UP DATE /O`��L% BY DATE ZONING - NO. OF UBEOPNBW �`L- O/j /' PUNB /YILDING L LEGAL ' ^ , / D/BCRI",cm L/T- W 0 Qy, 1 1 7+- / q — V / 6 n A. P. NO. • NOTE: NO SAVE OVERHANG SHALL BE LESS THAN 90' TO SIDE III REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT) YARDS APPROVED YARDS APPROVED .MAIN BUILDING ACCESSORY BUILDING (FROM C/L8I'RQET) nn FRONT �'FOFT. J(. Fr. R. SIDS 0 FT. FT. -4 S7 I.I. SI FT. FT. REAR w FT. ' FT. DISTANCE BET. BBT. MAIN e. MAIN BLDGIII, ACCESS. BLOOD. VAR.* DATE C.U.P. A APPROVED 30--6APPRCV o B7 1 DATE ! V r �o DO. PT. TNT. AMOUNT SHOWN UNqfiR VALUATION 18 FOR TNR PURPOSE OF ESTABLISHING A PERMIT FRECKLY. VALUATION J PERMIT FEE n�7 fL� Uv Vim% v v / TOTAL FEE G 0I DATE FIRE ZONE VALUE $ 250.00 `WiCTIONS` - Si nature Dote TYPE GROUP ZONEAP `SOIL -PEr SUBCONTRACTOR M 55 GAS: Date Humber Si nature WATER ^=1a Plumbing ROUGH PLUMBING'O'" `PROP. SWR. LINE HOUSE CON. ❑ {SPRINKLING SYSTEM - 1'MISCELLANEOUS ,ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ROUGH WIRING Heatina and Vent. TRENCHES 0 FORMS STEEL REINF. FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN OUT F 'ER, BROWN COAT .TURAL. FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL e 43410 S_ �_._ib6U CITY OF COSTA MESA SIGN PERMIT Planning & Building Safety Departments Tag No. Type of Sign 13Elect Non -electric jLocation ' /` Building Site Address 1 �P P—.4K'V 3- �. �� Phone � T' +�� 9��j�P f Name of Lessee3 s-� / CX A -,a= S >DE� %fLlU.SE' R��i e.i fq phone,,, // �C.�%G'-S S I ArAt it G" PH1'= S State License Ca Contractor City License No. F Address 26.30 450? -AGE -464A.A0 City eS7-.4 mGSA Zip/�%2Co�l�, Q Legal Owner of Sign R�. /< 2 -TS /1'��Z--'7 t'/ Phone Address `RCVS-�'l ' l / 7 I, . S?J 0PA4416 0S K �� City - -5714 Alts 4 Zip S e PIropon ^^ A.P.No./I� . Descriptions Illumination a Street frontage: Front: ft. Street: Right: - - ft. Street:' Left: ft. Street: i �. Ground 13 canopy � Non -illuminated Z ❑ Wall ❑ - Attraction Board .W C Roof ❑ Advertising Statuary S Projecting ❑ Other ❑ Directly lighted W ❑ Construction ❑ Tract Sign (Security & Right of Entry Agreement) F ❑ Convenience ❑ Special Event (Request form submitted) " U W ❑ Super Graphic ❑ Change of Copy (amortization) ❑ Indirectly lighted w a . . Programs r~ .. ❑ Planned Signing ❑ Shopping Center/Integrated der. ❑ Variance C.U.P. No. ❑ By Owner/or ❑ by City y(Date letter sent ) ❑ Minor Variance All applications must be filled out by the Applicant, all footing, framing, electrical and final Inspections shall be called. (714) 556.5273 Valuation: 'y�I Signature of PermitteePlann fee . e9d ing . ?��A $ y Building fee Authorized Agent G �' 1 � D Plan Chec f e J�--� " Total Fee $ / 7-t 7 (Jl Received by Date a a - Date Approved 7 �P�k(e,�i�ircr- Signature (Bldg. Staff) {^� t rpp[�p�T HOLD F(�t�Fat3 ICI LS KLIQUIRC1tl1GN 1 S Date (Approval subject to the conditioo-of Ord. 7445 Sec. III 3.d) CMF 0068-26 White - Building; Green - Customer; Canary - Planning; Pink - Finance; Goldenrod - Assessor FR -2-771"°00 0784+ *** *1 1.50 CHS' Office Use Only e PIropon ^^ A.P.No./I� Sign Dist. `Date.' Received: 02-.2-77 Received by: Street frontage: Front: ft. Street: Right: - - ft. Street:' Left: ft. Street: i Rear: '" ft. Street: - i Building set back from center line of street . - ft. = Master Plan Highways ultimate righ4of-way ft. / Sign Location FroO�4fte aoy Left ween p.apef-way Ground Signs ❑ 7 ft. _& 15 sq. ft./or ❑ Table 2 Planter Area= i Sign An I Area of Sign ft. in. xfL in. sq. ft. sq, Ground Clearance Overall height S l Letter height- " Items of Information " Total sq..ft. of all Signage Amortization Subject to Amortization: yes ❑ no� - Expiration Date Office Use Only - - Insp.B Px B Px No. Fm... Px A Px No. - D a t e y ER $URKABT'S OPEN HOUSE RFATTV DATE ADDRESS 1763 Orange Avenue BUIL[ VALUEE500.00 ,Ih vik"t CTIONS Si nature Date ITYPE GROUP ZONE AP SOIL XGAS SUBCONTRACTOR i PERMITS Date I Number Si nature F ( WATER Plumbing -ROUGH PLUMBING PROP. SWR. LINE Q "OUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER ❑ ROUGH WIRING Heatina and Vent. TRENCHES FORMSTEEL REINF. FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING - LATHING — IN OUT P' -ER, BROWN COAT TURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST Fl ELECTRIC, FINAL BUILDING, FINAL 434LL0yJ/9 • IJJ.iV Building Site Name of Lessee CITY OF COSTA MESA SIGN PERMIT Planning & Building Safety Departments Location ' n / 61 City Legal Owner of Sign Address City Descriptions ❑�Ground Office Use Only ❑ Canopy I a�yvall ❑ Attraction Board ❑ Roof ❑ Advertising Statuary ❑ Projecting ❑ Other ❑ Construction ❑ Tract Sign (Security & Right of Entry Agreement) ❑ Convenience ❑ Special Event (Request form submitted) ❑ Super Graphic ❑ Change of Copy (amortization) ❑ Planned Signing C.U.P. No. _ Programs ❑ Shopping Center/Integrated dev. ❑ By Owner/or ❑ by City (Date letter sent ) Tag No. Type of Sign ❑ Electric Phone6dz� — !— !pCO _(Phone \/(1 State License No. City License No. Zip Phone Zip Illumination `�/ I tion -illuminated ❑ Directly lighted ❑ Indirectlylighted ❑ Variance_ ❑ Minor Variance All applications must be Idled out by the Applicant, all footing, framing, electrical and final Inspections shall be caged. (714) 556-5273 �� / /� Valuation: /) S�OQ Signature of Permittee `iL-1�".`C/W �% f� Planning fee. O� / $ %Building fee Authorized Agent Received by Signature (Bldg. Staff) Date J Plan Check f �1 Total Fee $ �7 r Date - - Date Approved 2— 77 ((,,,,��^f'►!� nf� S((�i�]Jnnj(��aIng�WIACVEQUIREMENTS (Appfdv5hbbjeFtTo the condition of Ord. 74-25 Sec. III 3.d) CMF 0068-26 White - Building: Green - Customer; Canary - Planning; Pink - Finance; Goldenrod - Assessor Ffi: 11 'P'-277cy:–;n0 079a rtirtr 34.50 Non -electric Office Use Only /7 A.P.property No./ -,/7—&- Zoning ` Sign Dist -Date Received: e2 . Received by: Street frontage: - Front:_ ft. Street: Right: / ��i— ft Street Left: Ct. Street Rest: ft Street: Building set back from center line of street ft Master Plan Highways ultimate right-of-way ft. Sign location Front Right - Left Between property line & ultimate right-of-way Ground Signs { ❑ 7 ft & 15 sq. ft./or ❑ Table 2 Planter Area ` Sign Areaof f( Sign=Ct. ft. m.x --in.= sq. ft. ' Ground. Clearance Overall height Letter height "l,1-77,4 X— I Items of Information _ Total sq, ft of all Signage Amortization Subject to Amortization: yes ❑ no i .Expiration Date j Office Use Drily - Insp.B PX B Px No. Fina Px A - Px"No. I D a t e Y