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HomeMy WebLinkAbout3117 JEFFERSON AVE - Building Permits� J.L qpplicant to tiil In all spaces exceot tnose wltnln neavy oorGer Iines ana slgn all aooropriata aeclarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. ' TRACT NO. LOT NO. UNIT �. , � �6448 _3117 J�FFERSON �" ; �11�s� 'J�' . . �,,,;_ 6/25/85 , 15.50 TL Project Address. ' . , • , Applicani'sMailingAddress ?g90 VIA�MARTENS, ANAHEIM92806 TVPEOFCONSTRUCTION� NEW ADD ALTERATION-' REPAIR�� � �' ` ' � CONRAD 7ETRAULT 546-8667 � � �� co��eRs�oN ❑ DEMOLISH ❑ OTHER : � . q,p, q(b '_ � _ � , . • , ' , _ Zooe j � Owner's Name Phone y�p R- nddress' 31d7 JEFFERSON. COSTA.MESA CA 92626 `�o�6B'f�i4f�,p�v�'°k�du�F1'��GTDN�EXf�� RESIUEtVc�— S MainBuilding:; -� , � � AccessoryBuilding:' _ - Arch/Eng. � -� � License NO. - �� TVPE O.F PERMIT. � GRADING ' FOUNDATION STRUCTV RAL , - � T Front � � ' I = - ' � � � �p Addte55 � � ,- ' •j - ' n � � � '. ❑ TENANT �❑ ELECTRICAL .❑ PCUMBING � MECHANICAL � : B RC9f� T � . - � � ' �' N ^ � �' AIR MANAGEMENT I , � ' 632—J590 � ❑'oTHEa''=� - ' _ ! ` , ' � A ' � Contractorys Nama ��Phone PROJECT DESCRIPTION 5Q. FT. ' oCCUPANcv � C Right ! � . . � - N 2890'VIA MARTENS, ANAHEIM`CA 92806 ' K � " c AdAress (mailingl � � � � � � • _ • _ ' r '- - � � - • i - CONSTRUCTIONTVGE � 'VAWATION§ S Left, � , �' . City License No. � 029640 � ' ZONE ' - � - � GRADING CU. VDS. - FCRES � � - R LICENSED CONTRACTOR DECLARATION • , 71ny. R¢f. # � Parking Req.lProJided. E�' L hCreby attirm Ihxt f am lic¢nsgd untler prOviSions o/ Chartt� 9(commencing � Remarks: �=� � . � � � Planning Notes: ' . ' � • - M with sectlon 7000) ot Division 3 of the Business antl Prote55ions Cotle, antl � � • ' . � my Iicense is in full forte ana ellect. � � �.. . ' • , - � -�n F 439296 � ; i � � : 1 � � , � . , S , 17cenze C y � Licenze . i - � oate •6 �`F SignaWrg � "'7 - � � � i � I , � ! : PLUMBING' - ' , . � FEES � . � � ' � . . � WORKERS' COMPENSATION DECLA ATI N ; , = � � � ' ' � ( � � ' ' ' , 1 r BarSink � SAowers � , ELECTRICAL �FEES lereby a/firm tnat I have a cerq(��ate ot mnsent to self-Insure or a certifi te � � � � � e -Workers'-Compensation Iniur6nce,�or-a-certifietl.coOY thereoL(Sectfon� _ - ' _ {�_' - _�J__ , _� _ � __ _ - - �oo, �ao. C ! � "� Backflow'Preventer-�� -ServiceSink� �-•t . , Automatic�Washer" , r' Transtormer-0-15-50�KW-� �-r -- �2430035-3 � INA ; � ! � � � p sa+Kw � Policy No. ' � - Comoany � - Backflow Irrigation � Sewer Cap � f � � Constructior Pol ' � 8 C¢rtitietl copy ii �ereby tumishetl. � � � ' ` e Sub. �" � , Certjti tl4opy is tiletl witn tne ciry B_ ' in ivisi � � Bathtutis ; i � � • Sewer Connection � � � ('qoking Unit , • � Meter �up to 100 amp5 ' i Date h� /HS_APPIiGant . � ' • . . ,, . . . . . . _EXEMPTIONFROMWORKER$'COM EN ATION.DECLARATION __�_, ' CIO�i(i¢f5 � ' � $012�C011¢Ct0�5 � ; Di5hwd5h¢� M2l¢� ❑Ov¢�.1002mp5. , � (This sectlon neetl nobbe complo�etl it the Oermit is for one huntlretl (5100) �or . - � , less). � � , , � Dishwasher ' � � Solar Piping; , . � Dryers ❑Gas� �Electric Sub Punel . � I certHy�tnat �in the oertormanCp of the work for which Ihis perm�t is izsuetl, I � � � � ' shall' not employ any person in any manner so az to becoma subject to the � � Drinking FOuntai0s � , Solar Tank � � Fanl � � ' � f ' Motors �0-1 HP �1 h- $ % Workers' Compensa[iontl�ws ot California.' • i . • ' � � ' Datn � � � Si9nature ' � - � � � Floor D,rains, � � + Swimming Pool w/Spa � � F.A.U. � � � ' InaSolar 09�15 HP �i6-15+ � NOTICE: If, alter maklo9 thls tleclaration, You s�oultl becomo subject to tha � ' . , . Warkers' Compensation provi5inns o1 tne- Labor Cotle; you must fortbwith '- Floor Sinks �- � - �- � Urinal ' - � � - - - Fixtures �- � - � - - - - : Microwave •- � �- - .- - comply ,WiM such provisions�o� thi5.p¢rmit.shall De�Ueemetl revoke0. � ' ' _ _ ' CONSTRUCTION LENDING •AGENCV , + � � � _ G22SEfVICC _OUtICLS Wacer Closet � � � � � _ _ Device Boxes , • ' 1 hereby atfirm that there iz a consVuctlon Ientlin9 agency forlhe performance i Pole Light � o� tha .work ,for w�icn tnis permit is issuetl: �Section_ 3097 Clv. CJ - � . � � � , , , L.onaer's Name - - Inierceptors ,WaterHeater ' Outlels Range . � . l.onaer's Aadresi � ' � ' ' ^ � � ' ' � Kitclien Sink : _. Watei Service � ' - � Switches: g{y� � ' ' OWNER BUILOER DECLARA710N��� ' ' ' . _ , � _ 1 hOr<by af(IrT Ihat I am Oxemp� from [�e ContrdElO�'s Ucenio Law for,the � LevetO�iCS � � - - � . Gd�b2g2 Di5p0531 � ' S[anding Sections /ollowing reason (Section 7031,5 Business antl Professional Cotlu: AnY tity or � - � COunry which requires a pe�mi� t0 COnsl�utt, alter, improv0, Oemolish Or revair . p-Trap � - � ' _ � ❑ . •any structuro, prior to its issuap�o, also requires the applicant ior such parmit - � . � Generator 0�5 KW �5-15 KW Trash Compactor � to lilo a Slgnetl 5[atement lhaFhe/ihc is Iicensetl pursuant lo th0 provi5ion5 01 ' ROOi D�BinS ' ' '' � ' ' - ' � (ha ContraCtOr's Litense Law (Chapler 9 (commenGng with Suc/tlon ]000),ot � � � � � ' �'^!crairom'dn0 tihe basiiseto�al t alrle9etl'Uxe P�oon. AnY viOlation of Secllon ' � , � •.• " . • � • - ' , . ti � . � � ;V,�i31.5 .by any applicant tor a permit subjetts tha aOP���ant to a civil , �� �enally of nol mOre Inan fivn hUntlretl tlollar5 (E500�. , � � . . . �J I, as owner ot tne property. or_ my employees with wayes as their sole � Reinspection"Fea $15 Isue Fae � g 3 Compon5ation, will tlo lho work, antl lh� structule IS nOt InlUntlotl Or oflefetl ' ReinS ectiOn Fe8 for sale (Section.]044, Businpss antl Pro�essional Cotle: The ConVactor's ,' � MECHANICAL FEES P 515 Ittue Fee �§ 3 Llcenw l.aw tloes not app1Y to �n owner 01 a property wl�o DUI1tl5 or Imp�ovet , tnoreon, antl' who aoes Tuch work hlmself/bersell or tnrougn nls or her own Boilor ' Hood or T e I � - DEVELOPMENT SERVICES REQUIREMENTS: � • empl0y ea5, provitletl Ihal such improvements are nOt Intentletl Or oHe�etl for � t - YP , ' salo. Il,.however, the bulltlin9 Gr ImProvament is soltl wlthin ono year of com- ' ' CanOpy Type II ❑ ' Zoning Approved By Date � pletion,��he owne� will have th0 bu�tlen Ot Proving he/She tlid not builtl or, im- � Duct'- Under Ground � � • 0uilding Approved 6y Date �rove lor thc pur0o5e ot Salo). ; � ' � , ' /' � I, as,owner oi the proverry, am exclusively contractin9 with Iicensetl con- � ' Duct - Structural �' � Re(rigeration System Application Issued By ' � Date__SQ� frattOrstO conSVuc[ tM1e Pro�ecl (section �Oaa, eusiness and aroiess�ons coae: � �t H. P. _ �- Thu Comractor's License lJiw does mt apoly.to an owner ol property who' uct � Ventilating 0.100,000 BTU ❑100,000 BTU � , � SUMMARV OF FEES - builtls or improves fM1ereon, antl who contracts br such projocts with a con- - ' "- � i .� � tractor(s1 license pursuant to the Contractor4 License Law). I am aware that , � . • BUILDING PERMIT $ $MIP $' Exhaust System ❑ Multiple ❑ System Repair�Alteration praOf o( their Worker's Compenzatlon insuran<e shoultl ba orovitleC to me. PLAN CHECK $ PERMIT �.I am exempt unaer SetNon ; B. 6 P. C�or tnis reason Firepl/Fact. Blt. ICBO # ' ' ' , p�UMBING ' S �SSUANCE $� Date � Owner � . Heating System & Ducting ��, ' pLqN CHECK 25% S ENERGY P.C. $ i nereby certity ttiat I have reae thls appiication anC state tnat the above 1 �0.100,000 BTU �100.0008T ' - - - ELECTRICAL §, GRADING S IniormaUon is correct I agree to,<o y with all dty ana tounty orAlnances , antl state laws relatin9 to builqing tructioq antl hereby autnoriza repre- PLAN CHECK 50% § MICROFILM ' S santdtives of, tnis at to ¢¢r p the above-mentiOn¢0 i r pe ty for . � Inspection our se 'i /� 7�/ � ��,/ � � ' 1S.SO TOTAL FEE $ Signature ���++-+ li Da[e 7 , . � MECHANICAL ' $ �� $BA.'$� o' s' Lic Reinspection Fee $15 , Isua Fee $ 3 sy P.LAN CHECK ' Z5%' $ � � 15. 50 CMF OB65-46, /ev. 4/84 Wnit@ . gulltlin9; Canary - Applicanh Pink - ACCounting; Goltlenrotl 'Assessot - � ' ��� �' CONST,RUCTION AND PLANNING � - - • � ' ' �- POO'�, ;PA - . - � � ' � - " - � � Date Inspector ' - '- � � � Date Inspector � ., APPROVALS- . Permit #�� - � APPROVALS _- �Permit # . _ ' -1. Temporary Electrical Ser.vice or,Pole � _ � , . �52. Pool'& Equipment Location � � - ` �„ - S1 �2. Soil Pipe-Undrgrnd. ` � ' . � - . 53. Steel Reinforcement , � � ' 3. Elecvical �Conduit U[ility-Undrgrnd. � � 54. Forms, . ' � ' . � �4: Electrical Conduit-Undrgrnd: . - " _ _ 55. Electrical Bonding � �- �� � t5. Steel Reintorcement - � � � � � - 56. Rough Plumbing & Pressure Test ' - � =6. Llectrical UFER•Grnd. � - � � 57. APPROVAL TO COVER�GUNITE ' � - - � 7f Footings , � . - 58. Electrical Conduit-Undrgrnd: � F8. Foundation� . •- � 59. Gas Pipe, O Undrgrnd., Test - "9. Water Pipe-Undrgmd. . ' 60. Backwash Lines, P-Trap,�O Undrgrnd. ' '10. Structural FloorSystem . - ' � . . . �61. APPROVAL.TO�DECK , _ � . �y _ 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. Ruugh Plumbing ��- ^ � ' '65. Electrical-Final . - � - - � ' -75:`Ruugh Electrical�Conduit - - � -� - . - ' -66: Solar SVstem-Finaf . - - � - - - -� -- - , ��16. Rough Electric Wiring . � � ,- = - �67. Fencing & Access Approval � � -- - - - . 17. Rough Wiring Sign�". _� , ' _ . � ' 68. APPROVED FOR PLASTERING � E � " 18. �Rough Electrical:T�Bar Ceiling ; � � � - . , ' - 69.' POOL/SPA SYSTEMS FINAL . ' . � �� 19. Rough Heating &'Air Conditioning . . . � FIRE DEPT. REQUIREMENT ' : " .� 20. �Fough Factory Fireplace �' ' : . AFPROVALS � Pe�mit # : ' i 21. 'Ducts, in Structure � ^ � ' 70. Underground Hydro � � � "- � ' 22. Ducts, Ventilating ' ' . � , 71. Product Piping � Gas ❑ Oil x 23. Gas Pipe-Rough & Test � � �72� Underground Flush� " • � � �� • 24. Roof Framing _ ' �� � i 73. Undergrnd. Storage Tank O Gas ❑ Oil - 25. �Roof Sheathing � , ' � -, j � ' - �� �74. Overhead Hydro � � - � .� y 26. T-�Bar,Ceiling (Structurall & Monocoat ' - �75. Dry �Chemical � . , ," � � � 27..Frameand Flashing � � � J6. Dry Standpipe - � � � 26.. Lathing & Siding :. � , ' 77. FIXED SYSTEM FINAL � � � 29. Inudation �- " , ' ' � � � �78. FIRE PREV. FINAL ' � .30.~iD"rywallWailing '� , � � � , � � • HEALTH DEPT. REQUIREMENT ° ��31. Plaster Brown Coat. ' � j � i � � • 79. FINAL I�NSPECTION � � � �� � " , � � 32.iElectrical Power MeterFinal - ' ' 80.'� FOOD CERTIFICATE ISSUED � 33. Final Electric ' ' ` ' ' �Notes: 3-3i-�6 LE('%'Gqiy� Z:SS L•� ' 34. Final Heating & Air Conditioning ' , Z-Cr.$YCQ17(,F.L$SP'E�L �A UMG i�.E.D � 35. Final Gas��Pipe=Test' � � � ' , � - � � '- � L 36. Hood or'Canopy ' � , � I ,, F. , `1 � { . ' 37. Final Fectory Fireplace ' � � . ` �� 38. Final Plumbing ! � ( ; . - � ' . . � I . � . .- ; ' , - . 39. Water�Service-Final , ' ' ' . � ' . , �� .. � � , i � 40. Gas Service;Final � .' � ' y ' ' ' t . ' 41. Solar pomestic-Final c i � ' . , �._ , ' ' - � - . 42. Backflow Preventer • � . . �; -�.y, - ` � � ' ��� , . • � _i '43. Backflow.lrrigafion �. " � � . ' ' � - � � 44. .tandscape Irrigation System • ' 45. Sound Attenuation 1 ' , , � 46. Handicap Regulations � " � . � ' _ � � � ' � �- � 47. F,INALSTRUCTURE&�BUILDING � � � - � � ; � � � � 48. Special Requirements Completed ' � I � � � � � ' � � � . � i 49. Electric Release to Edison - , �-- -- -- • _ ,' � -� - , � � . �U i � 50. Gas Release to Southern California Gas Co � ! ' ' � . . �� � .r 51. CERTIF.ICATEAF OCCUPANCY ' ' i� r No. �� - Date ' � � i � i' �� _i. �, Applicant to fill in all spaces exeeDt ihose witltln �eavY bortler Ilnes antl sign all appropriate tleclarations. , . oF'COST,4 nnESA `CONSTRUCTION PERMIT � PER"^i O. � SRACT NO. I LOT NO. UNIT N6: 1 I � 2�60 �9%08/86 ; 34.50 �;TL Project Addreis � ♦ �F S �/. ' - �a � � ' , � r , ( ' � ! � • � �� ' A � c �S�O� //__C�R� R 19M/ ' TYPE OF CONSTRUCTION , rvEW %�DD ALTERATION REPAIR, - � ppliciir,�'S Mailina AAdrea �w�� ��� � , _ CCi✓R �_�F�TR.4GL�-7- phone�L_T_Q=_�4d% '❑ COyVERSION ❑ DEMOLISH ❑ OTHER - - q,p,� _ ,� _ _ � ;�, _ _• •, ,Zone � i Owner's NEme /-� /} '�DESCRIPTION OF WORK/USE OF BLOG��m ��✓� K/l70U7C � - � � - Address �f � /�'TY�f-�!?Sn^� �/f�F �A� /NSr ( �� rC��n�:u� e� �-�q�c i� �O/ti.G S Main Building: , � 'Accessory Building:; � � Arch/Eng. � �' ' l.icenu No. TYPE�.OF�PERMI�oING u FOUNOA710N LJ STquCTURAL � - T Front' � � ' ' . ; ; p �Q TENANT'❑ EIECTRICAL �❑ PLUMBING ❑, MECHANICAL , B - ' - � � � N Address � ' ' - r��� � �p � � � , , A Rear • , ; ' Contractor'SNam � �N 00 � Phone y.rc_p.�(�` ❑�OTHER ��� . � ' 4�-� /9 . . ' " " _ ' ' ._ � ." _ . .' ' ' " _ _�_ _ 9 —��R� PR0.IECT DESCRIPTION SQ. F7. ,��60 �'/' � C Right -� ,� -N� Addreulmailinl/..S�D� t�ff ov' R• �.C�l�1�.v:s�Z ��, I. ��- OCCUPANCV_/Q�t� K � , , c , y 3 S ..__ . , ZON E � � ' Vi1LUATION�B � �� � ' g �eft . = i . - � 1 1 R �� � 9TRUCTION TVP Cit License Nb. F GRADING CU. VDS. ACRES- � LICENSED CONTRACTOR DE ARATION � + � P,Ing. R¢f. # i • � ' :P2/king�Req./P�Ovid¢d ' � � E I hereby aftirm tha[�wam li<ensetl untle� provi51on5 ot Charter 9(comm¢ncing Remarks: ��_j . �-�� � � j � �`' . j Planning Notes: � ' , j �{ M wilh �section ]000) bfi Division 3 of IM1e Budine55 antl Professlons Code, antl " - ' mY Iicense is in�full fOice an effecT. . �� ' � �i ��;�.r �. . - � . : I ' . . 1. - , � � . . < � ' �- � � c � T • $ , , C _'3 � t • ���,�q�y o � � ' � - , Licen C1ass ` , � Date.�(-'�-FrL . Signature - . ' (/C.L%C.-�� : d , .r- ',-. � . - t , 'PLUMBING � . • � �FEES � ' • - � ' . . -, �i ; .. �, �WORKERS'COMPENSATION DECLARATION ; ' .�� �.^ ' I ! � � � ' � ELECTRICAL , ' ' PEES "�e�eby affirm thatd•hdve a certiticate ot consent to self-Inm�e or a Certificate , Bd� S�Ok - '� � ShOWC�S" _ f:; i `� � Workers' Compensation Insurance, or a certltioa copy�thereot (Settio�� ,j BackflowPreventer ServiteSink '� ' '' Jo, Lab, cJ � � Auromatic Washer� ��' Trans(ormer ;� 15-50 KW - ' Policy No?f�S �aY- ��b Company�TQTC / `�w� '� � BackflOwlrrigation SewerCa - • ' , � i +�,50+�KW� ., ' �Certi(iatl copy I5 hereDy tumishetl. . � ��� - P ConSLrUCUOn POIe$Ub. ' ; cer ietl copy� sf ued wim the city i d4nq�ivis�op'/.7�� � Bathtubs� 'Sewer Conriection , '�kmg UniY � t , Meter �np to 100'amps Date�� �`rm �y � `qP0licant �y _ //iY �� _ . . - . . � _ E%EMGTION FROM�WORKERS' COMPENSATION DECLARATION � Cldiili¢�5 - � ' $pld/ COIICCLOR � � ; Di5hv25h¢i , � � Mft¢�� QOv2�'10� dTpS ; (Thi55ection neetl noi be completetl if the permit IS for one huntlratl (5300) or �" � � . -. . ' ' ' � ' ' , ' IC55). � ' ' y-' � Dishwasher ` Solar Piping � � - � - . Dryers ❑Gas ❑Elect�ic� �� ' . Sub'Panel � - ' � " I cCrtlly Ihat in ihe p¢rformance of [h¢ work fOr Which'this Oerm!t is issueQ � � � - , . - - - � snall not employ any' person in any manner so as to become subject to the n Drinking Founlains ' Solar Tank � _ _ Fan • ' , � , Workers' Compensation L'aws of California. � .. . . i - - . ' . � i _ ,Momrs O4L HP O1'fi,- B� � Date � - ' Si9nature • � � � � ' [: %� Floor �r2in5' � ' � � - ' Swimming Pool w/Spa . V' F.A.U. ' - �i ' � ' h -NOTICE: If,after making this;tleclaration,�you shoultl-become subject to�tM1e� - � _ .. . _ . _ � __ �. � _ '_ Inc.Solar_�9-15 HP 016�15+ _ _ � WOrkers' Compensation provisions Of Ihe LabOr COtle, y0u mu5t Poithwith FI00� SinkS � � � ,'Urinal . ' � ' Fixtuies ' � f compry with such.;piovisians or this. j Microwave •j . i ' �- pe�mlt Shall D2 tleem¢tl revoketl. - �� . � . f , . . . � � CONSTRUCTION�LENDING'AGENCV � � - GasService ' 'Outlets � �WaterCloset ' , i � � ' � - . 1, I nereby affirm iha[ [here is a construction lentling agency tor ihe perfarmance , � Device Boxes � ' � ! Pole Light . � � � - '( of the work for twpich this permit' is issued; (Section, 309� Civ. C.)�-� ' Interce tors � � � � � ' � ' ;� p . Water Heater � l.enam's Name � � i i '� f � i Outlets � , � Range ' � - entler's AOdress � �' -�� -��- - -� ' - '� �--� = - -� --�'�- -' ^- - �� KitchemSink� '-- - � - �� -, Water Service -- � � - - - - �- .- - - - L , "- . � ' . . " i - Switches -""` Sign - �" �" OWNER 9UILOER:�ECLARATION ' � ' - � ' � � � I hereby aifirm that, I'.arim exempt irom�tne ContYactor.'s Llcense Law for the Lavatories � . • { Auto-Wash � 1 � f Garba9e Disposal ' 1 Standin9 Sections � � j followin9 reason.(Sectibn ]031.5 Buslness antl Professional Cotle: Any ciry or county which requires.a permlt to construct, alter. �mprove, tlemolisn or repair �', p-Trap � � . Laundr Tra s ' ' � any st�uctur¢, priOr to its issuance, a150 reqWres Ne apD���ant (o� such permit ' � � Y Y � G ❑�-5 KW ❑ 1 K, ' � to fiie a Slgnetl statement that he/she Is licensetl pur5uant to the provisions of � � � ' 1 - . ' , ihe Contractor's Licen4e law (Cnav�er 9(commencing with SecHon 7000) of Roof Drains � •1ivi5ion 3 of the Business an0"Pro(es5iOn5"COtlB) Or [hat he/She I5 exempt- ' � •refrom antl lhe basis for the allegetl exemptlon. Any violation of 5¢ction , 1 ' ' • � 31.5 by any applican[ for a permit subjecls [he applicant to a civil ' i - nalty ot not more than five huntlretl tlollaR (550�). . ' � � . � 0 I; as owner of th¢ oroverty or myemployees witn wa9es as their sole Reinspedion•Pee $15 ��_ i ' Isue Feei . � 3 . t com0ensation,�will tlo the work, antl tne struttura Is not inlentletl orotferetl ' br sale (Section �044, eusiness antl Professional Cotle: �Tho Confractor's -�� ; MECHANICAL' .FEE'. � LicenSC Law tloes nol apply [O an owne� of d prOporty who builtls or Improves � �'� lhereon,� antl who tloes such wotk himself/he�SeH or [brou9h his o� he� own • . ' -� , , j emD�oyees, provitlea that such improvements are nut intendea or ofter¢tl tor ' Boiler '- . Hood or Type I ❑' , � sdl¢.,II; how¢ve�,-t�e builtling or improvement IS Soltl within one y¢ar of com- - - CdnOpy Type II ❑ - , pletlon,-the owner will'have the burtlenbt provin9 he/she ditl not builtl or im- Duct - Under Ground � _. .. � prova tor the pu�pose ot sale).- � � . - � ' . ` ❑� I, as owneYof..tne.property, am exclusively ctlntractin9 with licensetl con- � Duct -Structuial Refrigeration System, . lractors to construct the project (Section 7044, Business antl Protessions Cotle: � � � �� The Contractor's'license Law tlOes-nol apply t0 �n owner.oi.property:who - Duct- Ventilating � O0.1GO,OOOBTU ❑i00,��OBTU �� . � Duiltls or improves thereon, and who`mnt�acts tD/ such p�ojects with a.con- . �, tracmr(s ncense pursuant to the ConVactor's LiGense Law). I am aware �that= Exhaust System ❑:Multiple 0: System Repair/Alteration proof o� their Worker'S �Compen5ation insuranca,shoultl �be provitletl to me: '' . � L7�1'am,exempt untler Sectiorc , B. 3 P. C. for tnis reason- Firepl/Fact: BItrIC80 # ' Fire Dampers �� ' . � � . ' Date� owner� ' Heating System & Ducting • - � Registers� - . . � I hereby certity that I, hade reatl thls applicatioh antl state that .fhe above ❑0�100,000 BTU �100,0008T - : � InPormation is wrrecL.l agree to'comply with all Uty antl county ortlinances � ' �antl state laws,relating to builtling construction, antl:hereby authorize repre-. �- sentatives,o/ tnis city to �enter � on the'abo�e-mentlonetl-_oroperty �for. • - , � ' - 1' - , _ • ' . � � Inspection p�y� q�� qsJ�� Si9nature v � Date�' - . . � - � ' ' ; � . " . - Reinspection Fee � $75 Issue Fee j -$'3 . Drivers' Licen9e oi 55 �� � � i CMF OB65-46, rev. 10/04 White - Builtling; Canary • APPlicanq Pink - A<couniing; Goldenrotl - AssesSor enerator 5� 5 W Trash Compactor � � � � t � ' � � Rainspection Fea � • $15� ' luue Fee . _ � $ 3 � 'DEVELOPMENTSEfiVICESREQUIREMENTS: ; � �' _ Zoning Approved By � � Data 8uildin9 APProved By � Date� �Appli�ation Issued By , � � � � � Date '/'! O/ 6 � ' •.SUM�j ��7N,, O/p��F EES . � � l � ' - j BU�ILDING PERMIT• $ ��,SMIP , . � $ . �S`� �� - PLAN_CHECK - � $-, � � • PERMIT.. � , - . � � , PLUMBING - � $ � � ' ��UANCE $ � , �� ` PLAN CHECK ' 25% $° � ''ENERGV,P?C!. $_ ' "` �+ ELECTRICAL . - $' ' - ' � : GRADING �. $ ' � �=� - � ,'MICROFILM � $ �± ��' � PLAN.CHECK ,'50%� $; � ' • - , , �,. ' MECHANICAL , $ , '- ' J � 'SOTAL FEE . $ � ���_ �� PLAN CHECK 25% $- � • � CONSTRUCTION�AND�PLANNING � ' � �• � ' � POOL&SPA�.. ,-, . „ ; ' - Date � ' ' I�nspector ' " -' � � ' � ' ` � "";' '" � Date' I nspecto �= � APPROVALS �Permit'�' � APPROVALS Permit # , , �i. � t� Temporary Electrical Service or' Pole � ' ! 52. Pool & Equipment`Location � + � � 2. Soil Pipe-Undrgrnd. , � � � 53. Steel Reinforcemenf_ � � � � 3. Electrical Conduit Utility-Undrgrnd. � , 54. �Formr . � � � , 4., Electrical Conduit�Undrgmd. � ' 55. Electrical Bonding � � �, � � ' � t' i s 5. Steel Reinforcemenf . � , , � ' � 56. ,Rough Plumbing & PressureiTest ' . � �., R, 6. Electrical UFER Grnd. � � � . � , 57. 'APPROVAL TO COVER�GUNITE ', � , r, �� 7. Footings� '- �t . � � , . � 58. Electrical Conduit-Undrgrnd. - i � � 8. Foundation • � � ' , 59. �Gas Pipe, O Undrgrnd., Test . � � ,� , � , 9. Water Pipe-Undrgmd. ' _ , �, .. _, .60. Backwash Lines, P-Trap, O Undrgrnd. � ; 10. Structural Floor System . � i 61. APPROVAL TO�DECK ' 11. Property Sewer Line & House Connection •� � " 62. Backwash'& Receptor-Final• � � � 12. Sewer Cap ' ' ' , . � � � 63. Heater & Vent-Final � ' � � �13: Roof Drains � �� � � :'� i � � � 64. Plumbing System - Final � � � - , �14. Rough Plumbing � � • � � � 65. Electrical-Final � � � . � ' � 75. Rough Elecvical-Conduit ' �. 66. Solar.SYstem-Final ; �- - 16. Rough Elec[ric 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 Cpndicioning � FIRE DEPT. REQUIREMENT �� .r ;�y - 20. Rouc�h Factory Fireplace � , � � APPROVALS . Permit # I � �l � � i�, �. , x , a' � 21: Ducts, in Structure � ' ' � � � �� r'� - ' . . , 70. Underground Hydro � i1� �� , . 22. Ducts, Ventilating' � , , 71. Product Piping OGas ❑Oil .''l � ' 23. Gas Pipe-Rough & Test � . , �72. Underground Flush r � , ' , ' 1! �! � �24. Roof Framing ', - � • 73. Undergrnd.StorageTank OGas ❑Oil ° . - = �! � ` 25. Roof Sheathing , , ' 74.' Overhead Hydro '� � - -� � _ - ' � •�' : 26. T-Bar Ceiling (Structural�',& Monocoat � ' . � ' ]5. Dry Chemical - ' � � c � `y; � -'27.- Frame and Flashing � ' - " " , ' 76. Dry Standpipe - ��, �r . I �`� �- � , .,n ' ' �-y= ' 28. Lathing & Sidi�g � 77. FIXED SYSTEM FINAL� ' �� � - 29:. Insulation � � ' ' 78. FIRE PREV. FINAL '� � ; ' • - 30. Drywall Nailing � t ' ' ' � ' , � HEALTH DEPT. FiEQUIREMENT ` ' � 31. Plaster Brown Coat _ 79. FINAL INSPECTION � . ' � � 32. Electrical Power MeterFinal � '80. FOOD CERTIFICATE ISSUED � ' �.� 33. Final Electric� , . . { . Notes: 7 �� �8: " � �34. Final Heating & Air Conditioning � . . � � + : +'.� 35. Final Gas Pipe-Test � �� � , � , � , 9 �,,, � - . �N" 36. Hood or Canopy , � ✓ 37� Final Factory Fireplace . - , - , r �.. �. � � �y n'+�- 3S. Final'Plumbing - ,. • �� , �� �'y{ - n! C � 39. Water Service-Final �' - f� : �;, S ' - '' °, � 40. Gas�Service-Final� , � : ' - . . ;� = �/�- . i . >i � :i. 41. Solar pomesticFinal � . • �� %", ' -� ,r±, � � {�42. Backflow Preventer � � • . . . ' . `� . `' , %'` ;'• .• }. �;. ��'' - � i r.. � / �..; R,43..Backflow Irrigation _ - ' . ' : - ' - _ � � ' / . 4': ,;,�Y� � . �� �44. Landscape Irrigation SYstem � - � ' � � � � � " ( � - y� '� � , �'' . .Y �� '� : ;i+�. `. ^45. � Sound Attenuation . ' , � • , . � - � '� � i .:, �� ` � �.5;`: ' .i'.n .. � �'46. Handicap Regulations - .� "'" -- �� -. _ � �� 3, � • � = ' 47. FINAL STRUCTURE & BUILDING Z � � 03 ', aJ�'� 1, '�yJ' V 48PSpecial Requirements Completed , �'�' . l) i" ',�;. " � �, 49:, Electric Release to Edison � , '�-;� � ,� , j' � +� 50. Gas �Release to Southern Califomia Gas Co • , � " - `, , . � � . , � '51.�CERTIFICATE OF OCCUPANCY ; - ' �. • - ' � •, No. ' ' Date ._ . . ' .. r � � - � � . . . . . . . .. . _ . . . .. ... _ ..- - - � -- - � �- ' 1 PflOJELT AOOflE55: 311 % JEFFERSON AV. `=vwxessName: TETRAULT CONRAD W aooeess: 3117, JEF�'ERSON AVE ` i,; 'COSTA MESA,CA i `� 714 546-8667 ' yAPCMIENGINEEB: ' • AOOflE55: , - uxir: JR " 92626: '. � flEG.NO.: � ' UNIT: � PEflMITTEE:' CONRAD TETRAULT . � . ( 714 ) 546-8667� noosess: 3117 JEFE'ER50N AV � ; COSTA MESA CA 92626 LICENSEO CONTNACtOB UELIABRTION: I ticre�y atiiem t�at I am ticensetl untler Omvisians ol Chap�er 9(commencing with Section 7000� ol �ivision 3 0l �he Business and Pmlessions Cotle. ana my license is in lull brce and ellecl. � � CITY LIC.:� , • �STATE LIL.: CLA55: � ' - /�aie: Signamre: � wOB1IEBS' COMPENSATION DEClANl1TI0N: I nere�y allirm inat I have a cenificate ot consem m sel4insure or a cenifiwte of Workers' Comoenulion Inswance, or a cetldie0.ropy tnereoL�Section 3800. LaD. q. � POLICY NO.: . � E%P. DRTE: , COMPANY: ❑ Cenifiea copy is nere0y fumishee. ❑ Cenifie0 coOY is filea with IAe ciry BuilOing Oivision. , . . ' � : ' . " ' ' ' Dale: � �Ap01ic2nt9 EXEMPTIONFNOMWOHKEflS'COMPENSATIONOECUflFTIbN[ (T�iss¢tlionnee0nolbetOmple�e0i�t�epermitiSloronehunAreA(Si00�or1e55). I[erlily Ihal in ihe pedormance ol l�e wOrk IOr wAich I�is permil is isSueA„I shall na� employ any person in any manner so as �o �ecome 5ubj¢CI lo Ihe Workers' GOmpenSaliomLawS at Cab�ornia. Da�e: � ' ' - " `�SignaWre: � �NOTICE: II, atter making iNs aeclaratian, you snoultl'befAme su�ie�� �o Ine wodet5' ComDensation D��'i9ons ol ihe Labor Cotle, you mu9 tonnvnth comv�y �insucn O�ovisions or iNs Oermii snall Oe tleemed revoked. ' CONSTNUCTION LENOING AGENCY: I AereGy aflirm Ihil ther¢ is a rAnSimclion lentling agenry Por IAe peAormance al ��e vmB for w�ic� Ihis oermi� is i=suetl �Section 3097:�Gv. C�. ' . LENOEB: � ' ' � ' ' aoosess: � . � � � ', :� . . �, • OWNEB BWLOEH OECLABPTION: , I hereby ailirm iAat I am exempt imm ihe Conlractors' Siate License Law for ihe_following reason (Section 7031.5 Business antl Ptoless�onal CoOe: Any city ol county which repuires 5 permit to constNct, aller, improve, Oemolisn, ar , repairany 51mtlUre. prior �o.ii5 issuante. aiso reQuires Ihe applicanl IOr SutA permil Io lile a signea Slalemenl Ihai �e/she is licen5ed � pursuant lo I�e Omvisions o� IAe Comracmrs' State License Law �Chaplei 9 �commencinA wiih Section 7000) ol Oivision 3 of the Business' j ane Pmfessians Code� or I�at �eR�e i5 eKempl I�erelwm anE I�e �asis for I�e allepeE exemption. Any violalion af Section 7031.5 by any aoV�icant for a permit suGle��s ihe aD0litant la a civil Oenally�of not more ihan five hunAretl Oollars (5500�. I. as -owner o1 t�e pmpetly ot my employees wit� waAes as iheir SOIe comDensa�ion' will Eo ihe wark; and t�e �❑ simcmre is not intentlee ar oileied lar sale (Section 70aa. Business and Prolessional CoOe: The Coniractors' State License Law tloes nal apply co an owner bl a propeny who builtls or impmves thereon, antl who eoes sucll wark himsell/herself or ihmugh' his or her own employees, providetl ihat sui� impmvemems are noi intentle0 or otfered for sale. If, Aowever the builtling or � improvemen� is so10 wiihin one year ol compleiioq �he owner will have Ihe hurden,of pmving helshe tlitl no� hui10 or impwve for �he purpose o� sale). -� , '� ; - , � � '. ' : � I, as owner OI Ihe properly, am exCluSively tonlraciing wilh IiCenSCO cOnlraclors �o Cons�mC� Ihe pwleci �Sedion 7044, Busine55 antl Pm�essions Cotle: The ConVac�ors' S�a�e License Law Does nol apply to an owner ol pmperty w�o builAs or impmves Ihereon and who contract5 for such prolacls wi�h a conVactof�s�license pursuant lo ��e Conlraciors' Slate Lic¢nse Law�.l am aware thal pmof ol �Aeir Worker'S Compensa�ion insurance S�oWa.be pmvi0e0 lo me. . � � i am e�emo� uneer Section: � � � B. 8 P. C. • , lor Ihis reason:�/ � /f � Oale: ��� /�. ��9� Ownec ��� l�Glt[i ��A'!��� I tlo he�e�y ceni�y Iha� I am aware ol an0 untlerstantl I�e requiremenis o� CallurilfbHealt� and Salety COUe Sec�ions 25505, 25533, antl ' 25534 dntl that I or any IUWre Ouilding occupanl willlwill not (circle one� neetl to comply wilA sai0 state cotles and ihe requiremenls for a' permil for conslNction or motlification Imm ihe Air �uali�y Managemenl Disirict. Residen�ial conSVuclion apPlica�ions are exempt Irom � Ihese provisions. ' � ' ' �ate: - ApplicanP. � ' I hereDy certily ihat I have read Ihis aDOlication an0 siale Ihal ihe a�ove inlormation is rorrect. I agree to comply wilh all ciry anA county o70inances and slalelawsrelalingto Gmldmq consimclion and �ereby aW�orizerepresenta�ives allhis '�o enier upont�e above�mentionetl propeiiy lor inspeUion purposes. � oa�e: _ f � / - /��/ Signamre: D6�ers license ar Sociai Securiiy ro: � � 16aL46 Whpe-0uiltling; Green—Coda EnlorcemenL Canary—Applicanl; Pink—Revenue: Goltlenrotl—Assessor '��� � CITY OF COSTA MESA - BUILDING PERMIT , PERM NO: B OS _ . ; � f.- PERMIT NO: � B� 050897 . PLAN .CHECK NO: 00475-91 ;S ' GO T:, N S P: '� ! i i � . . , � . � r � . . . . . CONSTRUCTION TYPEc ;.V,—N' � P_ERMIT �T,YPE: STR ,. : ; ' , - PURPOSfi: OTH JOB DESCRIPTION �: 6';BLOCK�WALL 73 LINER FEET � SQ FT:.� � 73" CLAIM VALUE: 2,500.00 CALC—VALUE:: --1;460.00� GROUP OCC:�R-3 /��.. COMMENTS: SMOKE DETECTOR RE�OIRED � � � " • �r*x,*��+rx*�t�r***��r��r***�r�r�x�** ��c�rx*�*****�r*�r�r*�'**�r�r�x��ic�r*�*���*�rx���******�*�*��* -, ,. Z�O N I N GS ER.TEBQAOCIKRSE M E, N T S �' � �. ------------ MAIN HUILDING -----=--'-- ! ---------. ACCESSORY BUILDING�--------- FRNT: FT �IN REAR: FT ' IN FRNT: f'T IN REAR: -, 'FT IN°, LEFT: FT IN RGHT: • FT IN LEFT,: FT IN RGHT: FT ZN PARKING REO• ' PROV: PARCEL:� 14165230'ZNE: R1 , REF NO: PLANNING NiSTES> 73 LF PLOCK WALL ALONG REAR AND�SIUE.PROP, ' . " .... � . . ..'_. 1. _ .. . _ .. ._ '" if iE if iE �E iE iE iE if iF iE iE if iE �ElE �E iE iE iE if iE if if ik iF if if iE iE k iE if iE if iE iF if if iE iE % 7f iE IE if �E iE ff iE ik iE if iE iF k if 1E iE iF iE if if iE iE iE if !E i6 iE iE iF iF if iE iE iE iE iE : D E V'E L O P'M,E N T S'E R V I C E S � R E Q U I R E'M E N�;T S' � I . , , i i , �, . , 20NING APPROVED BY •' • ' DATE: � • � . � . . . . � . . ' . _ . r . . . . BUILDING APPROVHD BY : � '�� ' ' DATE: �^�� APPLICATION ISSUED BY: — DATE: '� F�� iEiEiEfE�EiEiE�lFiFiElFifiEifiEifiEiFihiE.iFiF iF'iF'�F'�£ififit.iFiEiFiEfEiFiF7F'iF7Fi iEiE iFiflflffEiEiEiEiflElEiEifiEiEiEifiElflEifiElkiEiEiflF�iEiFif�tifiEiEfFiEiE1ElFifiEiEiE iEiEifiEiFlE�fifiFiEififlfifififiFfEfEiEIFiEif�lEiEiFiElE3EiEifififiF 'LEGALIZATiON;N —.; '�'F E''E itS'U M M A R Y� ' S.TRUCTURAL'SEGMENT;Y" • , i ' �BLDG PMT PLOMBING ELECTRIC MECHANIC , FIRE ; SMSP./RES' GRADING PEAMIT � ' 35'.00" r ' "� ' ' • 50 ' � , ' � ', ' , , � � SMIP/NON—RE$ =PLAN .. , , �22.75' , 'ISSUE'FEE' �' �� ; ' HUILDING—DIV—> • PERMIT ISSUE PLAN-CHECK TOTAL' PA�ID i DUE TOTALS----> • 35.50 �.0.00 � 22.75- ; 58.25' S8,�25 , .00 ' 1'- � . ' I . 1 REVENUE DIVZSION TOTALS-->, ' COLLECTED: ' S8.25 OVER/SHORT: .00� ' BLDG PMT PLUMBING ELEGTRIC MECHANIC FIRE SMIP'/TOT� GRADING PLAN—OHECK ' 35:.00 � , . , :, I ,^ :' � • .50 { � � � 22.75 � �' � ' ' ' � � � � � � � iE1EiE1E1EiE�Fif1E1ElEififlfiEi!lEiFiFiEiE�E'iF3fiflE�EiE�FiEiEiEiFlEiEiE�iE�ElkiEiEfEiE1EiElEIFiF)fiEiE)EiEfEif�ElEffiFiEiFifiEiElE3Eifif)f�iE1F3EiEiE�iflEif�E '. � ,: � + I N D I V I D U A L' :, F B E � B R E A K D O W N � , /t ; TYPE QTY D�E S Q R Z'P T"I O�N' , UNZT COST TOTAL COST SFR� 73� RES—CONCRETE BLOCR WALL � /;FT'. � 20,i00 1,460.00 , ' � 4 � ENDgOF FEES , . . , ' � �r � , . . � . , rr.� //i''' , t � - ��,`,3: . I ' I O1 ROQ758EE-0007SE90 TG 7i' DATE: �2/OS/91 T?ItE: 15=21 i :� �' 58.25, � -\� CONS�'aRUCTION AND PLANNING • , '. ' • POOL & SPA � � ' . APPROVALS Permit#' �� � Date �� Inspeitor pppROVAIS Permit# Date �Inspector `' �1. �Telnporary 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 , : 2-y--Q� ( w�� 56. Rough Piumbing & Pressure Test 6:� Electriwl UFER Grnd. ' _�- � 57. APPROVAL TO CQVER�GUNITE , ` ��7: Footings , �, - � � z_ 5'-.Q/ �p C.� � 58. Electrical Conduit�Undrgmd. � ;''�8. Foundation �<`� � 59. Gas Pipe, O Undrgrnd., Test �, ' 9. � Water Pip¢-Undrgrnd. 60. Backwash Lines, P�Trep, O Undrgrnd. .� n.:. � 10. Structural Floor Svstem � 67. APPROVAL TO DECK ' 11. Property 5ewer 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 AnProval � 17. Rough Wiring Sign � � 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling , , 69. POOUSPA SYSTEMS FINAL 19'. Rough Heating'& Air Conditioning ' ' ' ' ' 'FIRE DEPT. REnUIREMENT� ' � ' � '� _ �r c^�,". - * 20.� Rough Factory Fireplace i "'^� '", � �'�x � ��qppROVALS�= C�Permit # �^ .' ..¢� ir 21 � Dutts, in.5tiucture; � �.;�„ , � ; � � :;� , ���' � � j 70. Underground Hydro � � � 22. Ducts, Ventilatingv � � � _ �:��' �i ���77, product�Piping OGas ❑Oil 23`;Gas Pipe�Rough & Test � � «,� ; � �� � �; � y�7z, Underground Flusti�. . i� .�,� .., - 24�.,�Roof Framing � �•�• •• � L� � �+ ' :73. Undergrnd.Storage'Tank'OGas ❑Oil • 25. Roof Sheathing _? � _ „ � � , � ' , � ' ` 7q;,Over,head�Hydro �� �� � t 26:..T�Bar Ceiling (Str�ciural) & Monocoat. .. ' �='+ 75. Dry Chemical � " _ � � � 27.�Frameand Flathirg . •� . ' '� 76.�Dry�Standpipe ' � � � ' , . . ; _ � �28: � Lathing & Siding , r : ; 7 f •.: c� +: F •• ^� �••4 �: 77;' FIXED SYSTEM.FINAL+� "29. Insulation `'" ' ' � � �� 7" ; ' I � I; , 78.� FIRE PREV. FINAL � � �80. Drywall Nailing i' � �� . +�� � li, � HEALTHbEPT.�REQUIREMENT �� 31. Plaster Brown Co'aP' _, _ y; I � � 79 'FINAL INSFECTION '' �� �' �. �32:�Electrical Power Meter-Final �. ` � �� + � � `� x .;80..,FOOD CERTIFICATE ISSUED � � t� . 33.�Final Electric Y ,_� � r ' `� `� I � ( � � "' Notes: ��" , � �. , � ' � - - � ��-: - � .��-. �j, i , . ''34. ,Final HeaUn & Aii Conditionin " � . 9 .. 9: ' � Y e��Z..iv C'�(` ��4p ° .� m�\ � ��35 *�Final Gas Pipe�Test� _ -. ' ' + � �- , ' '. � � -' :,z , � �J �; � . � , � �' , � Cd � ' 36. HOod or CanoPY ,('. . I I i.t,'.I` . ..� � n. �ri�' i . ' '37�:-Final Factory Firepiace "-�i_ �' � '-�� j; � � ; ,�38.;Final Plumbing � ,. .. .. . - I � �� . � . .. • II ��39.�Nlater Service-Final� � ^��-� i� i� .> � � � � � ' � `_ 40. Gas Service�Final f � ,. .,, _ _ � I I �; ` � , ' � 41-��Solar pomesticFinal3 i� - .. � � I. � v. � � _ . 7: 1. � '42:"Backflow Preventer, ' . `! �"��� .: � I f',` . '� � . i i , , . 43. Backflow Irrigation � � _ _ " • � � ' ' �- � 44. Landscape Iriipation System r'-' "' , , n� - ��� � , '. i � � ' " • � � 45.� Sound Attenuation � - ' . > ' ' ' . Y ;46:'Handicap Regulations � i � � ' � . � ."� - � � ��� ' - �47. FINALS7RUCTURE&BUILDING ,2-1C Qli,y� . y�,� - � -�.. .. 48: FINAL PLANNING • ". ; � I ,�: i , " ` , 49.-�Electric Release to;Edison ' f ��;�j: ; �.: � . 7 ��50. Gas Release to Southem California Gas Co ;; I I � �, � � � .. • . - - , , ' / 51. CERTIFICATEOF,OCCUPANCY ; + i ' ; . . , , . No. Date .. ..........._...,.. .,,...�.,� .,"., State ol v"L'� ��%�� � l On ihis ihe ��ay ol i�T� r`` ✓� 19 �( belore me. -' // �". ,L� ,r._. 1SS. �'�(�� l\QVItiLr-�U - •----..._..------� it Countyol `�/v /'T'� � CAROI RO EM RO .� m.^.. NotrnY Wb�c-CaqtaNO ORANGECOUMY ARy CommlatOn F�trm February 8.1994 the unde�signed uoiary Public, personaliy appeared '� �l �-�T'(�J 1 V 1 /T� /'� .� ❑ personally known lo me , t�roved to me on Ihe basis ol satislactory evidence the persar7(s) whose name(� ��� suUscribed to the i within insWmeN, and acknowledged Ihat S�� executed it. WITNESS rafy hand and oHicial seal_ AITENTION NOTARY: Allhwg� Ihe mlortnalion requesled bebw is OPTIONAL, iFye�a q¢v¢pl IraWWe/nl �e�it chmenl o� tks rtdic�le lo arwlher document. THIS CERTIFlCATE Tille or Type of Document '�! �� J W�� �rG�c�< <s- �' hAUST BE ATTACHED Number of Pages � Da of Document � � yl , TO TFIE DOCUMENT eA 7 �, �� ET�� U L� �DESCRIBED AT RIGHT: Signer(s) Olher Than Named Above — -� �,00., � $TATE OF CALIFORNIA COUNTY OF D(�0. 2� OFFICIAL SEAL DANE M JOHNSON s� m � NOTNRY PU6LIC - CF�LIFORNIA OR�.WGE WUNN �hty wmm. exP�'es N0V 3, 19921) _..�.1 ACNNOWlEOGMENi—G¢neral—WMcol�s Porm P]3CA—Hev. 5�92 �01982WOLCOTTS.WG (D�rte[ps58�1� } S. On this � day of , in the year 7g�, betore me, Ihe undersigned, a Notary Public in nd for said State, personally appeare0 , pefsonally known to me (or proved to me on the basis of satisfactory evidence) to be the person_ whose name_ %S subscribed to ihe within insVument, antl acknowledged ro me ihat _he_ executed it. WITNESS my hand an �e eal. � � ��/�� ./%%� ,r �C-�-'�7—t--� Notary Public in and for said State. � I r ` PARTY NALL AGREEMENT .,�. h�T.r �:%nI'IO�l; .,.-.. r� ���i,li�� 't� �s ncn�rr. �ae ana �,t�rea tnco tnis ,3C� '—� aaY of �Tfl-,�V / 99/ ,��+a net� C o.v.P/� D U/. T E" T/'�r L.1L T . hereinafter referred to as 'LAt� OFdSR', and VIiPGIF /1'JAE' kh'/if %. c hereinafter referced to as 'ADJAC@7f PROPPRI7 OYdg'R'. it is hereby agreed that a party vaYl vi'il be oonsttvcted on the property line bet�een .�//� ��ti�co�N ►v�y . in the City of Costa !lesa, Caa�ty of Orange, State of California, as per oap reconded in Book ,?age of Miscellarx�o�s !laps, in,the office of the Coiu�ty Recorder of said Camty. Rtie party vall ahall be �*�++; tted to enczoa� O ii/ Tf/F fiYOYE/P TY L/il/E IId wI�SS i�tEOP. the parties have entered into this 71gre�ent the day and year first above vritten. • n • . rr - ,r/� �. r.� _ _�- i°� � _/' ���iU. T�/3 1T . �3// 7 TcFf�l�'S9ti A-yF . cosT�•9 ihe.s•�, �/�. 9�Ga.G - � � «. • •.� • s•� • . �o-• � � � ��- ri ure ��z�� F m � � �� ���r- r3ame � or Printea lS�s-� s,��,d,� �'s�a-oo�� sd; �o �d-.:.:_ J°zei r e.,-e.i 92 � o p �� � � ,� 8754 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Applieant fo Fill In Completely � � ' YYPE OR PRINT � BUI�DING ADDRESS � 7 e �/L4�/% Avenu COSTA MESA. CALIFORNIA ' I MAIL 81ZE OF LOT U6E OF EXIBTING BLDG 6CTBACK LIN6 PROM OF. �� NO. OF EXTERIOR WALL COVERING 4SE�OP BUILWN TEL. ��,� RECE�IV'�D �,/ f E B 1'e 1963 � F?NAidCE "DEPT. APPLICATIONYFOR BERIv11T��SA BUILDING I For Office Use Only; � RECEIPT NO. I PE M j�0�� HEGEIV6� Y I DFiE fiECEIVED I OwTE I6/EO �.ri V FEBI S 1969 rc� 1 5 �c: ILDING DRESS COSTA MESA. CALIFORNIA .E_ � .....� I� .-....��., �Y` . Y Y'- �4Ol4L APPROVED . ' . BV OATE a�on Dn.1.ve ZONfNG � ZONE NO.OF USE OF NEWSin' /=dm�� �L ���%�.Q. R�' I PUNB � I OUILDING � q� Ar Yt-6894o p�6CPIPTION �t �-s %� y� a s INO. OP B1D68. NOW ON LOT . p, p, NO. ' VARD6 � EVES APPROVED ALLOWED �17T�f/I (CENTBR LINE BTJ REAR YARDL T� FRONT -�� FT. � IN. I ' IGHT S R. SIDE s FT. �- IN. WORK L. SIDE S FT. — �N. IIA�DITION I REAR Z/ FT. � � �N. IIDEMOLISH I BVPROYE AMN1 DATE Z`! 7'-� — — /9 °—�2�.��` i HEAEBY AGKNOWLEp08 THAT 1 HAVE READ THIB MPLIGTION iH! AMOUM SHOWN UNDER VALU� AND BTATE THAT TH6 ABOVB I8 COPRER ANO AGREE TO COM- pUftP09E OR, EBT�BLIBHIN6 A ve PLY WITH ALL CIT' ROINANCEH AND 8T E UW8 OU TIN6 BUILOINO CONB ON. � VALUATION 61GNATURE O PERMIT FEE PERMITTE / . - ' . S �i� ! �/[�i PLAN CHEQ AUTHORIZEDAGE �( �/d7 TOTAL FEE 17.�0 - - 38� ° fl � IB FOR THE iMIT FEE ONLY. S �� 6'O � 0