HomeMy WebLinkAbout1721 FULLERTON AVE - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
P MIT NO. TRACT NO. LOT NO, UNIT NO.
MESA CONSTRUCTION PERMITy 304 A.P.#, Zone
7 I FV f-I� r/LTbLJ STZo than es r I S Maim Building: Accessory Building:
s Mailing Address d I a. . 17�^nl `( 1't Iv TYPE OF CONSTRU TION U NEW CI ADD U ALTERATION '❑ REPAIR - E ` Z AF
�Q�•f jZ , �(', ,' '' �p... 04 6' L3 CI CONVERSION-II�DEMOLISH CI OTHER T Front O
..run,.. a Name , p � Phyoyne DESCRIPTION OF WORK/USE OF BLDG. B Rear - N
Addles 9`1 9.4 W• i 7 "1't r• W 51-)q fh;SA, cit._ _ rI-�� A - I
Arch/Eng, License No. • TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ' 0 STRUCTURAL I C Right G
Address ' ' • ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL - i $ • Left 4 - •
,^ Li BOTHERR
Contractor's Name 07 f Phone Ping. Ref.4 Parking Req./Provided E
L - PROJECT DESCRIPTION SQ. FT. OC. PANCY 0
Address(mailing) D v rJ �, Planning Notes: • - M
. CONSTRUCTION TYPE VALUATIO $ 1 T
City License No. ZONE GRADING CU.Y• . ACRES '$
LICENSED CONTRACTOR DECLARATION - - -
I-hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: '
•
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in full force and effect. ELECTRICAL FEES •
License Class License No.
Date Signature PLUMBING FEES • Automatic Washer Transformer 0 15-50 KW
WORKERS'COMPENSATION DECLARATION .
Bar Sink Showers Construction Pole Sub.
0 50+ KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate
'orkers' Compensation Insurance, of a certified copy thereof (SectionBackflow Preventer - Service Sink Cooking Unit Meter pup to 100 amps -
, Lab. CJ
r,..,c No. CompanyDishwasher Meter Dover 100 ams '
Ay Backflow Irrigation Sewer Cap — p
Certified copy is hereby thehetl. Dryers ❑Gas ❑Electric Sub Panel
Certified copy is filed with the city Building Division, Bathtubs Sewer Connection
Date ApplicantFan Motors❑0.1 HP ❑1:6-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARA ION Clarifiers Solar Collectors _
(This section need not be completed if the permit is for one hund"-0($100) or Dishwasher F.A.U. Inc.Solar 09-15 HP,❑16.15+
less). Solar Piping
I certify that in the performance of the wor fo , h' h , is p t s issued, I
shall not employ any person in an /e c• Ib.-ct to the Drinking Fountains - Solar Tank Fixtures Microwave
Workers: Corype on Laws of Ca I y I Device Boxes
Date U-- j" d b Signature! ' �mi� Floor Drains Swimming Pool w/Spa Pole Light
NOTICE: If,after making this declaration, you should becom *lb ect t• the Outlets
Workers' Compensation provisions of the Labor Code, yo mus. fort ith Floor Sinks Urinal - Range
comply with such provisions or this permit shall be •eeme• revoked. .
CONSTRUCTION LENDING AGENCY Water Closet Switches Sign
I Gas Service Outlets 9
hereby affirmk that there is a erion lending (Section
fo the •7rfCiv. C.e
of the work for which this permit is issued (Section 31•7 C.) Garbage Disposal Standing Sections
Lender's Name - Interceptors Water Heater • , . .
Lender's Address • Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor.'s License,Law for the Lavatories, Auto-Wash,
following reason (Section 7031.5 Business and Professional Code: Any city or •.
county which requires a permit to construct,alter,improve,demolish or repair P-Trap _ . Laundry Trays -
any structure, prior to its issuance, also requires the applicant for such permit r
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains I
the Contractor's License Law (Chapter 9(commencing with Section 7000) of - • - - I
Division 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee $15 Issue Fee $ 3
'rom and the basis for the alleged exemption. Any violation of Section • - --
i by any applicant for a permit subjects the applicant to a civil
,y of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS:
L as owner of the property or my employees with wages as their sole Reinspection Fee ! $15 Issue Fee $ 3
compensation, will do the work, and the structure isnot intended or-offered Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date'
License Law does not apply to an owner of a property who builds or improves - • / p )
thereon, andwhodoes such work himself/herself or through his or her own Application Issued By Date liI yf.Y
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. It, however,the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES
pletlon, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground
Ate for the purpose of sale). - BUILDING PERMIT $ as-.oO SMTP $ - ro
, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System
tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU ISSUANCE $
builds or improves thereon. and who contracts for such nroiects with a ••n- PLUMBING $
tractor(s) license pursuant to tne Contractor's License Law). I am aware'•. Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provide• t• m•. •
❑ I am exempt under Section � /rat,
� 'r.�or tn' r Firepl/Fact.Blt. ICBO# Fire Dampers
ELECTRICAL $ GRADING $
/ ,� l� PLAN CHECK 50% $ MICROFILM $
l Date/! owner /.Lr. �.: , Heating System&Ducting Registers MECHANICAL $ TOTAL FEE $ 2s ti
I hereby certify that I have read this appl.-: ion and state that tl ••ve • ❑o-100,000 BTU 0100,000 BTU
Information Is corre t. Ie to comply all city antl county o ces - PLAN CHECK 25% $
and state I. • -la ,•= g con uc ,and herebyauthor Pre-
sentatives it• it it • 7�,•. •bove-mentioed pro" - N.
inspection
Signature ,+ � r Date H- ��—
Drivers' Li ense or SS 4 �` Reinspection Fee $15 Issue Fee $ 3 0;_Of111g7_TO-OM.1 or,..
0865-46,rev.5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor - i'- -
mo
RUCTION AND PLANNING - POOL P CPA
VRLS Permit# Date Inspector APPROVALS Pe. -c# Date Inspector
IIF
Electrical Service or Pole • 52. Pool & Equipment Location ,
il,PiperUndrgrnd. - i 53. Steel Reinforcement - ;._
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' . -"
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding r
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, 0 Undrgrnd.,Test ,}:'; L a
c-
•9. Water Pipe-Undrgrnd. ,' - 60. Backwash Lines, P-Trap, 0 Undrgrnd. I s
' I
10. Structural Floor System __ - 61. APPROVAL TO DECK - - .
11. Property Sewer Line & House Connection .- -62. Backwash & Receptor-Final : t: ' ,
12. Sewer Cape. .-63:'Heater & Vent-Final - '
13..Roof,Drains , 64. Plumbing System - Final ,��
Y -.^
14. Rough Plumbing 65. Electrical-Final - .
15. Rough Electrical-Conduit 66. Solar System-Final , - -
•
1,T: Rough Electric Wiring 67. Fencing & Access Approval - - -
17.•Rough Wiring Sign 68. APPROVED FOR PLASTERING
18-f Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •
19.- Rough Heating &Air Conditioning FIRE DEPT. REQUIREMENT
26'.-Rough Factory Fireplace APPROVALS Permit.#
21. Duts, in Structure • 70. Underground Hydro
- 1 .
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush ' •
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
•
25. Roof Sheathing 74. Overhead Hydro
•
26. T-Bar Ceiling (Structurail & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL I
29. Insulation ' 78. FIRE PREV. FINAL I
30. Drywall Nailing j- HEALTH DEPT. REQUIREMENT ,
31. Plaster Brown Coat ,, - 79. FINAL INSPECTION - -
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED i
33. Final Electric Notes: J
34. Final Heating& Air Conditioning
•
35. Final Gas Pipe-Test -
36. Hood or Canopy - i
•
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final ,
42. Backf low Preventer ...i..
n
43. Backflow Irrigation
44. .Landscape Irrigation System .
45. Sound Attenuation ,
-
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING /n S/O.J di-
48. Special Requirements Completed / 7' -
49. Electric Release to Edison r r • I
. v
50. Gas Release to Southern California Gas Co I k.
51. CERTIFICATE OF OCCUPANCY • =�, :1
No. Date .r
I
. Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
•
Pp
IT NO. TRACT NO.' LOT NO. UNIT NO.
CITY OF COSTA MESA CONS/TRU TION PERMIT a�l A.P.# Zone
Project Address ��01 [/P �i'•1 - U REPAIR S Main Building: Accessory Building: `
/ a TOF CONSTRUCTION ❑ NEW LJ ADD L1 ALTERATION E Z
Applicant's Mailin• 'd.ress S.� 4 r
�IF ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front / O
Owner's Name- - ! -� v All h - Phone 1 g r ..Y N
DESCRIPTION OF WORK/USE OF BLDG. Rear / /
Address - C ' f _ �f. • A I
Arch/Eng. License No. ' TYPE OF PERMIT ❑ GRADING 1:1 FOUNDATION ❑ STRUCTURAL - C Right / .! N
• Address 111 TENANT El ELECTRICAL ❑ PLUMBING ❑ MECHANICAL I S • Left G
_ R
Contractoir's Name :=1 :J' 14/ 0 Phone ❑ OTHER Ping. Ref.# . Parking Req./Provided E
/ n PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q
Address(mailing) ,Le�A([ ( ' Qt fwQ I�� Planning Notes: M
��7T ` 1/ f _t CONSTRUCTION TYPE VALUATION $ T
City License No. ` ZONE ; G DING CU.YDS. ' ACRES S
LICENSED CONTRACTOR DECLARATION ' '
I hereby affirm that'I am licensed under provisions of Charter 9'(comm¢nd ng Remarks: ����;' .— '_ _ _ -
with section 7000) of Division 3 of the Business and Professio Code,and --""----
my license is in full f. ce . ffect. / //. • �■ ELECTRICAL FEES
—
License Class • cen •
I Dat •e ;1.i. .v- Signature - ��i ��, PLUMBING FEES Automatic Washer Transformer 0 15-50 KW
1,0 WORK -$'COMP NSATION DECLA- •TIONDOp$LIUCtIOn Poe Sub. ❑ 50+ KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers
'� Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter Dup to 100 amps -
• Backflow Preventer Service Sink - -
I )0, Lab. C. p� ^ / /' _ ___ _ _
"..() .-olicy No. f 3 a 957 Company �X✓t$wN\ ji&S C.0 Dishwasher fr."; Meter Dover 100 amps
itt Backflow Irrigation Sewer Cap
Certified copy is hereby furnished. --CDryers ❑Gas ❑Electric Sub Panel
Cert)))"f tl co is f ed with the city B�us�y,y�,i�n�9vn,-.Islen',.,�//, Bathtubs Sewer Connection 530 ■
Date e{•^' Applicant PENS 1 �i,h Fan Motors 00-1 HP ❑1%-8
EXEMP ION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors '%
(This section need not be completed If the permit Is for one hundred ($100) F.A.U.
or Inc.Solar 09-15 HP 016-15+
less). 4 r Dishwasher Solar Piping
I certify that in the performance of the work for which this permit is issued, I Fixtures % Microwave
shall not employ any person in any manner so as to become subject to te Drinking Fountains Solar Tank A/.
Workers' Compensation Laws of California. „/
Date
Date Signatures n Floor Drains Swimming Pool w/Spa Device Boxes
'./..) Pole Light
NOTICE: If,after Making this declaration,you should become'subject to the /�
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range -
comply with such provisions or this permit shall be' deemed revoked.
CONSTRUCTION LENDING AGENCY 'Gas Service Outlets Water Closet . - Switches Sign
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.) - Garbage Disposal Standing Sections
Lender's Name _ _ Interceptors Water Heater
Lender's Address Kitchen Sink P' Water Service / .. /�' Generator 00-5 KW 0515 KW . Trash Compactor ■
• OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories . Auto-Wash ` i' .•.
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap - Laundry Trays n
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 Roof Drains •
t --.-
the
^
the Contractor's License Law(Chapter 9 (commencing with Section 7000)of -
D)vision 3 of the Business and Professions Code) or that he/she is exempt Jr. , Reinspection Fee ! $15 Issue Fee $ 3
.,'-gefrom and the basis for the alleged exemption. Any violation of Section .
^, '4`;'1.5 by any applicant for a permit subjects the applicant to a civil '
alty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
•J I, as owner of the property or my employees with wages as their sole Reins• pection.Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure isnot intended or-offered .�Z//oning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES/ I A luildidg Approved By Date
License law does not apply to an owner of a property who builds or improves s
thereon, and who does such work himself/herself or through his or her own • x. Applieetion Issued By Dat
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ ,(
sale. If,'however, the building or improvement is sold within one year of com- . Canopy Type II 0 f• et ft, SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground ,
•
prove,for the purpose of sale). - ,BUILDING PERMIT $ SMIP $
El I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System /' n PLAN CHECK $ PERMIT
tractors to construct the project (Section 7044,Business and Professions Code: t •" {'ll
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU ‘� PLUMBING • $ (V ISSUANCE $_ --
builds or Improves thereon.and who contracts for such oro iects with a"Con ENF oma•-'--
tractor(s` license pursuant to tne contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ " System Repair/Alteration - 01 PLAN CHECK 25% $ -
proof of their Worker's compensation insurance should be provided to me: �' ELECTRICAL
❑ I am'exempt under Section B.& P.C.for this reason , Firepl/Fact.8lt. ICBG dk Fire Dampers
PLAN CHFr•---
Date Owner , Heating System& Ducting Registers C_ �
I'hereby certify that I have read t is apps' ion and state that'the-above 00-100,000'87U 0100,000BT - y
Information is correct. I a e tor all city and county ordinances
and state laws relatin t uil tion, and hereby authorize repre- ■ • ,
sentatives of this c' a he above-mentioned property�'(f]or ' ---
Inspection purpos i O-/
Signature • At bate o-'
Drivers' Licen•
se r SS � � Reinspection.F^------
•
�
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Acer•^-'-
CONSTRUCTION AND PLANNING _ • • POOL PA- '
- Date Inspector Date Inspector
j
I APPROVALS Permit# APPROVALS Permit#
1:Temporary Electrical Service or Po 52. Pool &.Equipment Location
2. Soil Pipe-Undrgrnd. n� '•, 53. Steel Reinforcement -
3"Elecfrical Conduit.Ufility-Undrgrnd. ' 54. Forms '
4tElecfrical Conduit-Undigrnd. '-.1 - - 55. Electrical Bonding
i
5. Steel'Relnforcementi t - , - 56. Rough Plumbing & Pressure Test • •-.
6.7Elect it cal UFERtGrnd. . . 57. APPROVAL TO COVER-GUNITE '
7'._Footings r-,,. - �/ LI' 58. Electrical Conduit-Undrgrnd. -
8 Foundation '7:6." j~ I� - 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undr&rndt ., It - 60. Backwash Lines,P-Trap, 0 Undrgrnd. .
10. Structufai Floor System /; �.._ 61. APPROVAL TO DECK
'11. Property.Sewer Line1"& Id S^
----�-• -47�/�1 62. Backwash& Receptor-Final
12. Sewer Cap 63. Heater& Vent-Final
•
.
13. Roof.Drains ; v!r. „- 64. Plumbing System - Final
. /
14. Rough Plumbing.3.---' . 65. Electrical-Final
15. Rough Electrical-Conduit - - 66. Solar System-Final .
„It-Rough Electric Wiring - 67. Fencing & Access Approval
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING
8:
1 ., Rough Electrical-T Bar Ceiling 69ci. . POOL/SPA SYSTEMS-FINAL -I
19; Rough Heating & Air ConaitiSning FIRE DEPT. REQUIREMENT
cr
2>✓ Rough Factory Fireplace "Ilei APPROVALS Permit# r
21. Ducts,in Structure . r1 70. Underground Hydro 1
22. Ducts, Ventilating I 1 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test I'Ji t I -• '72. Underground Flush
24. Roof Framing IV 73. Undergrnd.Storage Tank D Gas 0 Oil '
25. Roof Sheathing ?.iri - 74. Overhead Hydro • . j
JI i
26. T-Bar Ceiling (Structural) B iMonocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe I
28. Lathing & Siding 77. FIXED SYSTEM FINAL ' '
29. Insulation 78. FIRE PREV. FINAL I
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: q-_, -4_ yy S.4.-.,A ti/f::. ` 442
34. Final Heating& Air Conditioning • I
_ _�< , ,t
. ,2 oar 41,sn -1.40.402.,
35. Final Gas Pipe-Test.. - ¢ J l I
�+' ‘,...eta�wt
36. Hood or Canopy . I
37. Final Factory Fireplace i
1
38. Final Plumbing '
39. Water.Service-Final ri`-' r S
J<I'� r
40. Gas Service-Final 1
I
41. Solar Domestic-Final • I
42. Backflow Preventer - I
43. Backflow Irrigation I
44. Landscape Irrigation System
45. Sound Attenuation '
46. Handicap Regulations • . I
47. FINAL STRUCTURE & BUILDING - l
48. Special Requirements Completed - '
49. Electric Release to Edison _ . f
5ot Gas-Release to Southern California Gas Co , , I
r.
51. CERTIFICATE OF OCCUPANCY I
Nd. ..y ,Date "
r
4ang _.0i--u-lot--1 N>b,1lS
e &Il o ,
1,4s _
I 'AL APPR�✓ALV ONLY
` ' Mese Benda g pe 1 d SEPARATE PER
''��-----__YY 3
HEATING,
Cn _MiT, ARE REQUIRED
allill.1111111
j . PLUMBING,
THESE PLANS MUST BE ON OB7Ei{7 ALL TI°_s HEATING, NT/LATIN
MAKE NO CHANGES WITHOUT PRIOR APPROV L _ G AND
A ���®4�,T pF p REF ERATION464,2-V-$•
W[OORR-KC /�
[y W LJV ,I SVANCE DRGRANTING OF PERMIT OR APPROV L
Per /�T�4..
CITY Of COSTA MESA / / v
I PLANNING DEPT. ��f qR $. `°'7 '%TIONS SHALL NOT BE CONSTRUE c THIS
Of ANY Ii FOR, OR AN APPROVAL OF, AN}' VIOLATIO f
SUBJECT TO BLDG. DEPT. REG'
OF THE PROVISIONS OF THIS CODE. NO PERMIT PR! AL ��?ECTLrr{z•F
SUMINC s GIVE AUTHORITY TO VIOLATE OR CANCEL iH L •T�II`�
�� ,,�p �� � _��� PROVISIONS OF THIS CODE SHALL BE VALID EXCEPT IN Si I _ :r1;1--.91
I �BY V7..11.•L�.-! \p'�'T - FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL I _WE
(oNDIRECTOR OF pLANNIN6 FDR BUl y . . p _THE ISSUANCE OF A PERMIT BASED UPON PLP.NS ANBE EMPt.,, `ESi1
SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL I Ni DU Io OF Cr'LIFQ?. pLTH T THE
FROM THEREAFTER RErW: N. rur _. _. Rlp( NI/i DIVISION OF
•ir. a n .. ��+ tit reenAc ADI Innis. �•AFETY 6F PAM
v� _ { ME I OR
_. ILATION OK o N • , NEB _ —
u! NTS.
. - WHEN - . .. _
CODE OR OF - - ""
__ .._.:9FTHE..CITY 07HEH ORDINFNrE
' i
%!, n Nvt� '
.LEV�TIOtJ �- "
NO C-A1-1
li
•1
460MMON 9•
o
, . o _
...... „\---E,
. .
• . _„,,,. 02,,,.., .1—• el. --
iic
fS'I f011 ) ...
.V
INF
*JIB 9 51410�15
I.7Z1 _-. IJL .KT0N •1
.ts: MR- 4MRS. 1 p h1N pY . .s�dN I -� I�'= II-of I =z-8o
/' / SIGN PERMIT Tag No.
`T CITY OF COSTA MESA �1'/ n9428 I /03/80 7.74 IL
Planning & Building Safety Departments Type of Sign (., Ve in 1 PA'LC.c. _
_
P. O. Box 7200
Costa Mesa, CA 92626 (714) 754-5245 ❑ ElectricNon-electric
/ '`// /n,�/Location ,(/ IX-i7
y� g/ms' s-�� + �j! �J Office Use Only
/71 F _f/ /idle m 695 WEY IX-i L5' ,4 / ��� ' Property
Building Site Address Phone A.P.No. j D Zoning C-
Name of Lessee /180(0 41/1/1/47 naf f/g, / Sign Disc P.
Date Received: -� ' 3 ` (�
}}} Phone-e------ State License No. _ Received by: S.
.' Al Y Y
Contractor .�`. ifi---__. City License No. - Street frontage: j r/ I
/ Front: -(p4 ft. Street: �Lt[I L.f/ l . .
fl Address •
City • Zip Right: ft. Street:
[�1� A • '/ `� Left: ft. Street:
l't•
Legal Owner of Sign_ T t m IL R A • r a m. t Phone k TL9 -0 ) J Rear: ft. Street:
_ Address r2_O 0 1iis- l i f City F..)-2) Zip Building set back from center line of street o ft.
Master Plan Highways ultimate right-of-way ft.
ILI t// Sign Location •
Be Descriptions Illumination Front Right Left
a °
2 ❑ Ground ❑ Canopy XNon-illuminated Between property line&ultimate right-of-way
W 0 Wall 0 Attraction Board Ground Signs
0 Roof 0 Advertising Statuary
0 7 ft.& 15 sq.ft./or 0 Table 2 Planter Area= •
❑ Projecting ❑ Other 0 Directly lighted
r) 14
❑/Constuction 0 Tract Sign(Security&Right of Entry Agreement) a Q� Sign C�
(.• �29� Convenience 0 Special Event(Request form submitted) Area of Sign_ft. in.x_ft. ] in.= c:;2 '
W 0 Super Graphic
0 Change of Copy(amortization) 0 Indirectly lighted 2 / sq.ft.
W Ground Clearance ��II
44 Programs Overall height 7
Letter height 'I
•
❑ Planned Signing 0 Shopping Center/Integrated dev. 0 Variance Items of Information -- To dal S�q.Pt.of all Signage ' o�7
SW hopping Fi
C.U.P.No. 0 By Owner/or 0 by City Copy verbage � rt�'P AY e'(. 1 T
di
Om (Date letter sent ) 0 Minor Variance Amortization ,
li Subject to Amortization: yes 0 ncy..
All applications must be filled
jout
�b�y the Applicant,all f ting,framing,electrical and final Inspections shall be called. (714)754-5273 Expiration Date
/CiLr"`�-i-r�-2/ /.e2iC.�li"� Valuation:
Planning fee Office Use Only •
)(..,
Signature of Permittee $//nnom� Buildingfee o:'•?��1 •
D Insp.B PxB Px No. Fm,a Px A Px No.
Authorized Agent C W Plan Check fee s U
a
Total Fee $ 7 .7 a
k t
p 3 v.67
e
Received by Date ��Q Date Approved r ` n v .
CaJk I I
r •
Signature(Bldg.Staff) Signature(P1 moll Staff) • Y
k Date J (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
•
.,!_
0997 8/IL/79 8.50 T sle
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATIOSOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVED BY PERMIT NO " 48632
For Applicant to
Fill in Completely —Use Ink Only N
ADILDING DRESS / I� n -UL /Ex, row ji ' A.P. NO. I 1. -7 11 1— 05 a
TOWNEFI ENANT
/a' JY,),R ARAN/. ADDRESS //a/ nil f/�azvi&v.,.
UNIT OR
/ JJl
MAILING
ADDRESS 2Da Toff/ . SPACE NO. -
r/� f,/ +1" 3 3
CITY /64/ "'err— iii /•J" NOL /�/. TNEW�1 ADD ALTER REPAIR MOVING DEMOLISH
"'err—
CONSTRUCTION /,/q�/
BRANCH VV hhll {�/[/[moi
OWNER gAi N /
el
ADDRESS /
OR
ARCHITECT
/�®Nf'. NO. USE /Q�'H �, ,e/ ALU E$
�QC,
ADDRESS 1�� " / r /�/ /j ZONE ITYP� rROUP 7T
CONTRACTOR tv/ )04 S//, (�(�/./'/2 APPROVED DATE
ADDRESS/ //q7( O,'f4/Nf C` 1Ue ^
CITY co(1jj4 ////'�J? NOL.6Y!-x..67
CITY
gd LIC.NO. 3 J C/ 3e� LIC.NO. )) APPROVED SETBACKS
(FROM
[al SIZE
C. OFLOT�O h/�(n/iv. IgNOWONLO� _FRONT C/L STREET)
<4 USE OF
'N EXISTING BLDG. EMI? SA/LV�{f R SIDE FT.
FSeparate permits are required for L.SIDE FT.
electric,plumbing and heating work: _
iREAR FT.
ce. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
41 . --refig„r1 ��sVe� I DATE •
APPROVED
APPROVED
} RN/ DATE
..1
a
w
0 I hereby acknowledge that I have read this application and state
CL that the above information is correct and agree to comply with
CS all laws regulating building construction, end I shall not employ i
Z any person in violation of the workman's compensation laws of a
5 the State of California. .:
SQ. FT. N
I hereby certify that I am properly licensed as a contractor under N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9,and that such licenses are in full force and • e or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the Stat of Calif• . . ; iness a
and Professions od , D' ' ion hapter VALUATION PERMIT FEE $��`mO
Signature o / �d PLAN CHECK $ �—
ry
0
Permittee // / $ ////�/ TAX $
ori / � V I' (!-✓- "0 u
Authorized Agent Date �— TOTAL PAID $ 0 .7 V
OWNER AMIR H. ARAMI / PARVIN & HAIR FASHION • DATE 010380
JOB ADDRESS 1721 Fullerton BUILDING PERMIT NO. 49457
GENERAL CONTRACTOR OWNER/BUILDER DESCRIPTION of WORK Non Elect (.onv. Sign
AP No. 117-111-50 LOT TRACT FIRE ZONE VALUE $ 100.00
I ECTIONS Signature Date TYPE GROUP ZONE CL
SUBCONTRACTOR PERMITS ISSUED
GAS Date I Number I Signature
WATER Plumbing -
ROUGH PLUMBING
PROP. SWR. LINE GI HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE _ _
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES O FORMS ❑ STEEL REINF. ❑
FLOOR SYSTEM t-�
BONO BEAM n STEEL REINFORCE n FILE
SHEATHING
FRAME AND FLASHING❑ ❑ _ -_ DATE/.`.J' /
LATHING - IN OUT �a�(`-�p�<
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
I' VG. VENT., REFRIG. AND A.C., FINAL
F LING, FINAL AND GAS TEST fl
ELECTRIC, FINAL
BUILDING, FINAL '
SPECIAL REQUIREMENTS
OWNER AMIR ARANI DATE 8-14-79
JOB ADDRESS 1721 Fullerton Ave BUILDING PERMIT NO. 48632
n- ORAL CONTRACTOR Wm Dennis Sinclair DESCRIPTION of WORK Trash Encl
1� LOT S5 TRACT Ills FIRE ZONE VALUES 800.00
L._. ECJJ77 NS1 k1 Signature Dote TYPE GROUP ZONE
,SOILSUBCONTRACTOR PERMITS ISSI4ED
GAS - Dote I Number ' Signature
WATER- Plumbing
ROUGH PLUMBING -
PROP, SWR. LINE I,I,^1 HOUSE CON. D
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND El POWER ❑
ROUGH WIRING • Heating and Vent.
TRENCHES FORMS j STE'E/L,JREINF. r ,.
FLOOR SYSTEM t � fAJz7 7y lc 9.-2-9i
BOND BEAM 1 1 STEEL REINFORCE f�
SHEATHING
FRAME AND FLASHING
I LATHING - IN Ell OUT ri
P' ER, BROWN COAT
;URAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL /� {.�
BUILDING, FINAL $ Q..1&- 7Q