HomeMy WebLinkAbout1831 FULLERTON AVE - Building Permits.QD
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF 1^01. aMESACONSTRUCTION/ PERMIT PERAT NO. _ TRACT NO. LOT NO. UNIT NO.
Project Address 111 1Z / // /�" /C` 1 / /7 ✓C
Applicant's MailyingrAddress -3
Owner's Name ' T iJ Ph hrik-
Addressr��% � SfG ew
Arch/Eng. License No. '
Address
Contractor's Name ) Phone �%.3y-7a
Address lmal'nal/EY3 .�/n/CLD [/ ,��/Ati2i 2
City License No.
LICENSED CONTRACTOR DECLARATION
1 hereby -affirm that 1 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 fors nd eIf ct.
! /� la/ D -� Signature
t �icer�ae
Date
YORKERS' COMPENSATION DECLARATIO
hereby affirm that I have a certificate of consent to self -insure or a certificate
of Workers' Compensation Insurance, or a certifiecil-copy thereof (Section -
3800, Lab. CJ��
Policy No. G�� Company IX JAue7c s
Policy as
rtified copy is hereby furnished.
Cerftified cogqYY i filed with the city PPWWllding Divi ion,[
Date/O �O -.l'C APplicant�Sl�' / �. /EC n�
EXEMPTION FROM WORKERS' COMPENSATION EC
(This section need not be completed if the permit is for one hundred ($100) or
less). l ,
I certify that in the performance of the work for which this permit is issued I ,
shall nut employ any person in any manner so as to become subject to the
Workers' Compensationi Laws of California.'
Date Signature
NOTICE: If, after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Codeyou must forthwith
comply with such provisions or this -permit - shall be deemed revoked.
,
CONSTRUCTION LENDING.AGENCY .�1. I
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 I am 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 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/she is licensed pursuant to the provisions of .
.,he Contractor's License Law (Chapter 9 (commencing with Section 7000) of
't.,Avislon 3 of the Business and Professions Code) or that he/she is exempt
^- herefrom 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
Mnaity of not more than five hundred dollars ($500).
, 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
employees• provided that such improvements are not intended or onerea Tor
sale. If, however, the building or improvement is sold within one year of com-
pletion, the owner wilphave the burden of proving he/she did not build or im- I
rove for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed con-
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's - License_Law does not apply to an owner of property who _
builds or improves thereon, and who contracts for such projects with a con-
tractor(s) license pursuant to the Contra Cto is License Law). I am aware that
proof o their Worker's Compensation insurance should be Provided to me.,
❑ I 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 enterupo the above-mentioned'property for
inspection PAM es. n
Signature I.C�LI
TYPE OF CONSTRUCTION LJ NEW LJ ADD
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG. —
ALTERATION LJ REPAIR
TYPE OF PERMIT LJ GRADING FOUNDATION LI STRUCTURAL
❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL
❑ OTHER,
PROJECT DESCRIPTION SQ. FT. OCCUPANCY—
CONSTRUCTION TYPE EVALUATION $
ZONE GRADING CU. YDS. ACRES
Remarks:
Interceptors - .Water Heater j
Kitchen Sink - -Water Service
Lavatories
P -Trap
Roof Drains
Reinspection;Fee $15 Issue Fee
Duc.tI Under Ground
Duct- Structural '
Duct - Ventilating. '
Exhaust System ❑ Multiple ❑
Firepl/Fact. Bit. ICBO #
Heating System & Ducting
00100,000 BTU ❑ 100,000 BTI
Drivers' License - .
I I Reinspection Fee I $15
CMF 0865-46, rev. 4/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
Hood or Type ❑
Canopy Type 11 ❑
Refrigeration System
❑0-100,000 BTU Ell oo,000
System Repair/Alteration
Issue Fee
1967 11/09/84
A.P. # Zone
S Main Building: Accessory Building:
E
T Front
A Rear
C Right
8 Left
Ping. Ref. # Parking Req./Provided
Planning Notes: T
6.00 TL
Z
O
OT
N
G
R
E
O
M
T
S
. ELECTRICAL I I
FEES
Automatic Washer_.
Construction Pole'Sub.
Transformer 0-15-50 KW -
' 1:1 50+KW
-
Cooking Unit -'
Meter ❑up to 100 amps
Dishwasher _
Meter Dover 100 amps
Dryers ❑Gas ElEactric
SubPanel
Fan
Motors 1:10-1 HP ❑ 1'/a - 6
F.A.U.
Inc Solar 09.15 HP 016-15+
Fixtures- - -'
'Microwave
Device Boxes
Pale Light
0
Outlets
Range
Switches
Sign -
Garbage Disposal
Standing Sections -
Generator 00-5 KW 115-15
KW 1 Trash Compactor
$ 3
Reinspection Fee
$15 Issue Fee
$ 3
FEES
DEVELOPMENT SERVICES
Zoning Approved By
Building Approved ByDate
Application Issued By
REQUIREMENTS: '
Date '
Dat It
SUMMARY OF FEES
• BUILDING. PERMIT $ SMTP $
PLAN CHECK $ PERMIT
PLUMBING ,6.00 ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ 'MICROFILM $
MECHANICAL $TOTAL FEE $
PLAN CHECK 25% $
J R�
$ 3
CONSTRUCTION AND PLANNING
APPROVALS Permit # -
Date .
Inspector
PO. .;r SPA.
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. -
53. Steel Reinforcement -.
.r
3. Electrical Conduit Utility-Undrgrnd.
54. Forms -'
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
'
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
' 6. Electrical UFER Grnd.
57-- APPROVAL TO COVER-GUNITE
7. Footings -
-
58. Electrical Conduit-Undrgrnd.
8. Foundation
59. Gas Pipe, 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
-
r
-
16. Rough Electric Wiring
67. Fencing & Access Approval o•
--
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 0 Oil'
25. Roof Sheathing
,
74.Overhead Hydro _
26. T-Bar Ceiling (Structural) & Monocoat
75. Dry Chemical
27. Frame and Flashing
-
76. Dry Standpipe
28. Lathing & Siding
177. 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
dQ
'
39. Water Service-Final
-.
40. Gas Service-Final
41. Solar Domestic-Final
-
42. Backflow Preventer
43. Backflow,lrrigation44.
.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 California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
_
PROJECT ADDRESS: 1831 FIILLERTON AV UNIT:
OWNER'S NAME: P
ALVIN INKLVY
ADDRESS: 1831 FU:t,LER'tON AV
COSTA MESA
CA 926:.'7
ARCNIENGINEER: (714)548-3220 REG.NO.:
ADDRESS: UNIT:
PERMITTEE: ALVIN PINKLEY ('714)548-322 0
ADDRESS: 1,931 FULLERTON AV
COSTA MESA CA 92627
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect.
CITY LIC.: STATE LIC.: CLASS:
Date: ,Signature:
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers'
Compensation Insurance, or a certified copy thereof )Section 3800. Lab. Q.
POLICY NO.: EXP. DATE:
.OMPANY:
Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division.
Date: Applicant:
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred ($100) or less).
I candy that m 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 WorkersCompensation Laws of California.
Dale: 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:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code - Any city of 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/she is licensed
pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/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 of not more than five hundred dollars ($500).
I, as owner of the property or my employees with wages as their sale compensation, will do the work, and the
❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' Stale 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 own employees. provided that such improvements are not intended or offered for sale. It, however the building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
n a as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
Y.' and Professions Cotle', The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law),I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C. ^
for this reason
�is: /mo
Date: /^ 2-6 — I/ Ownery'�/l�+/1/
I do hereby certify that I am aware of and understand the requirements of 'Calif rmia ealth and Safety Codikoctiours 25505, 25533, and
25534 and that I or any future building occupant will/will not (circle ane) need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Ouality Management District. Residential construction applications are exempt from
these provisions.
Dale: Applicant:
I hereby certify that I have read this application and slate that the above information is correct. l agree to comply with all city and county
ordinances and stale laws relating to building consvuclion and hereby authorize representatives of this city to enter upon the above mentioned
property for inspection purposes. r��
Date: �[J Signa(L'�'�e�6c(�TI�KJ
Driver's License or Social Security p:
164146 While—Building: Green—Cade Enforcement: Canary—Applicant: Pmk—Revenue: Goldenrod—Assessor
CITY OF COSTA MESA-- 3LTT_LDTNG:PERMIT PERM NO: B 05182.4
PERMIT NO: B 05182.1 PLAN CHECK NO: 01434--91 S GOVT: N SUPP; N,
CONSTRUCTION TYPE: PERMIT ITYPE:,STR PURPOSE: ALT
JOB DESCRIPTION INSTALL TWO (2) AWNINGS S0 FT: 800
CLAIM VALUE: 800,00 CAL.C-VALUE: 800,06 GROUP OCC;.3-2 /
COMMENTS': "CHOICES HAIR G SKIN CARE"
K #. MY.#k:'k##'::k'r;xk1i•#k#'K.%.K..'Ac.K..k..1k#k:##is.)cKKK#%k#.k..k..x.}%#'k};%K'r.KiF##dE#.K:KK###3i-kk
r 'Z. 0 N I N G H•r E Q U I R E M E N 'I' S
s E
------------- MAIN BUILDING ----------- ----•----- ACCESSORY BUILDING ------- -
FP.NT: 18 FT IN REAR: FT m FRNT': FT IN REAR: FT IN -
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE{PARCEL: 42545123 ZNE: R2 REF NO;
PLANNING; NiC5'I'F.S> 28' DEEP AWNING TO BE 'ERECTED ON AN EXISTING COMMERCIAL BLDG
> PAINTED WALL SIGN PROCESSED ON SEPARATE PERMIT,
###%#)(##lE#K%%##iE iE###k K#K##%%#ii##%#9(4f#u##A•%#####N}cK.-k.y.##Y#%k##K%#KX-%#Jf Y9P%K#k#'#iix ki#;
D E V E L O P M E N T S E R V I C E S R'E 0 U I R E M E N c
ZONING APPROVED BY /� _ _ DATE:
BUILDING APPROVED BY :
DATE:
APPLICATION ISSUED BY: �'�. / DATE:
k :K # # Fk # # # !( #%'k # DErt.%# # # K%X.#
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT. 21,00_
$MIP/NON-RES
PLAN 13„65 •50
ISSUE FEE
BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DU-
TOTALS--'-->' 21.50 0,00 13,65 35,15 35.15 ,06
REVENUE DIVISION TOTALS--> COLLECTED: 35,15 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRICIMECHAN`1C FIRE SMIP/TOT GRADING PLAN -CHECK
21.00 • 50 13.65
##;•;b; is ir}#)rf?h'kYi##ii?E##P!4#Yx.k:.a;X'##k%k##iF'ur ie;fii!fk'#i:#N::i-##Y kkiF#3F 3F##iiky.#YE 14 �i:kiE : ae �..r.<#fe#k}x
I N D I V I D U A L F E E B R E A K D O W N
TYPE 0TY D E S C R I P T I O N UNIT COST TOTAL COST
SFC 800 AI,TER BY VALUE, COMMERCIAL NOZONE
END OF FRES
D
1,00 800,00
V
01 003858L'2-00085EE4 '('9�tr :5,15
0ATc: (14126191 TItE: 1101
S
CONSTRUCTION AND PLANNING
APPROVALS Permit 4#-
Date
Inspector
PL & SPA
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
•"ti
3. Electrical Conduit Utility-Undrgrnd.
_
54. Forms
Fes,
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test t
6. Electrical UFER 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.
i?
10. Structural Floor System
61. APPROVAL TO DECK
Kms.
11. Property Sewer Line & House Connection
62. Backwash & Receptor -Final
i
12. Sewer Cap
_
63. Heater & Vent -Final
13. Roof Drains
64. Plumbing System - Final
14. Rough Plumbing
65. Electrical -Final
f,
15. Rough Electrical -Conduit
66. Solar System -Final
r
16. Rough Electric Wiring
67. Fencing & Access Approval `?
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING' 1
18. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL If
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
- i
78. FIRE PREV, FINAL
30. Drywall Nailing
"'•
_
�`� ;'/
�,
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
,%
79. FINAL INSPECTION
32. Electrical Power Meter -Final
'1
80. FOOD CERTIFICATE ISSUED
33. Final Electric
j
Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
"l
i
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 Si BUILDING
48. FINAL PLANNING
'
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
%
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 1831
FULLERTON AV
OWNER'S NAME: ALVIN
PINKLEY
ADDRESS: 111 11
FULLERTON AV
COSTA
MESA, CA 92627
('714)
548•-3220
ARCH/ENGINEER:
STREET 1: BROADWAY
ADDRESS: t
STREET 2: FULLERTON AV
UNIT:
REG.NO.:
UNIT:
PERMITTEE: STEP;zANIE EISENBESS - (714)0"46-9634
ADDRESS:, 1831 FULLERTON AV
COSTA MESA CA 92627
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Omsion 3 of the Business and Professions Code, and my license is in full force and effect.
CITY LIC.: STATE LIC.: CLASS:
Date'. Signature: -
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure'or a certificate of Workers'
Compensation Insurance. or a certified copy thereof (Section 3800, Lab. C).
°OLICY,NO.: EXP. DATE:
GPANY:
Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division.
Date: Applicant:
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred ($100) or less),
I call 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 became
subject t0 the WorkersCompensation 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 mrlhwith 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:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors: Slate License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of 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/she is licensed
pursuant to the provisions of the Contractors' State License Law (Chapter 9(commencing with Section 701 of Division 3 of the Business
and Professions Code) or that the/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 of not more than five hundred dollars ($500).
I, as owner of the property or my employees with wages as their sale compensation, will do the work, and the
❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law
does not apply to an 01 of a property who builds or improves thereon, and who does such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
1, as owner of the property. am excluslvelp contracting with licensed contractors to construct the project (Section 7044, Business
❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property he builds or improves thereon
and who contracts for such projects with a contractor(s) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
I am exempt under Section: X B. 8 P. C.
to, this reason: PAINTED SIGN
Date. Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future budding occupant will/will not (circle one) need to comply with said state codes and the requirementsfpr a
permit for construction or modification from the Air Ouallty Management District, Residential construction applications are exempt from
these provisions. '
Date: Applicant:
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 representatives of this city to enter upon the above-mentioned
property for inspection purposes,
Date'. _i�!/_ -n%� !z/ Siprawr}�/ y
Bill s License pr Social Security a:
164146 White—Building; Green—Cotle Enforcement: Canary—AppllcanL Ylnk—HeVenUel Goldenrod—Assessor
CITY OF. COSTA MESA.— Sr CN PERMIT PERM NO: S 0 1667
PERMIT_NO: S 0,51,1661 PLAN CHECK NO: 01268-91'N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: SIG PURPOSE: OTH
JOB DESCRIPTION AWNING SIGN SQ FT;
CLAIM VALUE: 150,00 CALC—VALUE; GROUP OCC: /
COMMENTS: AWNING SIGN i
'
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IE aF#####W#N#X. 3( )E W K#4K##
'W WF dEW};X
X W
S I N I N F O
R M A T I O N
DISTRICT: 3 TYPE: AWNING
ILLUMINATION: NON CATEGORY: NEW
DIMENSIONS: IFT 09IN X 13FT' OOIN AREA:
13,25SUFT LETTER HT: 21
STREET FRONTAGE 1; 70,00 1
STREET 1: BROADWAY
STREET FRONTAGE 122,50
STREET 2: FULLERTON AV
PARCEL: 42545123 ZONE; R2 LOCATION >
FRONT: REAR:
BUSINESS NAME- CHOICES 0 HAIR BY. STEPH. .>
.LEFT: X RIGHT:
O T H E R T O T A L S
G R O U N D S, I G N
THIS ACTIVITY 1325SQFT
OVERALL HEIG13-.7; OFT 01N
THIS TTE 13:25SQFT
S
GROUND CLEARANCE: OFT OIN
ITEMS.OF INFO 1
PLANTER AREA: O,'OOSQFT
.ITEMS FOR ACTIVITY: 4
BLDG SET BACK: 20FT
COPY VERBIAGE ; CHOICES HAIR £, SKIN CARE
'
PLANNING' NOTE'S:
##Y}:W}:#3E 3f# iF#####'r. it?:1G#R#'##ii'K'#i:'##-V. iF ♦FX#3F#3E lF IF#k#X#'##3F#
Y.W.3F#3F 3G}.a'-a'N. }'. +1. aF!##W bE##i4X3F#}'.# k'Xi('
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 S
ZONING APPROVED BY
_ 'DATE:
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BUILDING APPROVED BY _ _
DAIFE:�_�
APPLICATION ISSUED BY:
DATE:
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LEGALIZATION:N E E S U M
M A R Y STRUCTURAL SEGMENT;N
:BLDG PMT PLUMBING E.LECTR:C MECHANIC
SIGN SMTP/RES GRADING
PERMIT
13.25
SMTP/NON—RES
PLAN
i_SSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN --CHECK
TOTAL' PAID DUE.
TOTA1.S-----> 13,25 0,00 0,00
.13,25 13,25 .00
REVENUE DIVISION TOTALS--> COLLECTED;
13,25 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC
SIGN SM.IF/TOT GRADING FLAN—CHzCK
13.25 '
INDIVIDUAL FEE BREAKDOWN
TYPE QTY D E S C R I P T I O N1 I UNIT COST TOTAL COS!
NO FEES WERE SELECTED FOR THIS PERMIT
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
PL , & SPA
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
t
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
LZ
3. Electrical Conduit Utility-Undrgrnd.
54. Forms
'
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
,
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
B. 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
h
11. Property Sewer Line & House Connection
62. Backwash & Receptor-Final
r
1 .
12. Sewer Cap
63. Heater & Vent-Final
13. Roof Drains
64. Plumbing System - Final
j �r
14. Rough Plumbing
65. Electrical-Final
15. Rough Electrical-Conduit
66. Solar System-Final
r;
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 O Gas 0 Oil
25. Roof Sheathing
74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat
75. Dry Chemical
27. Frame and Flashing
76. Dry Standpipe
28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREV. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION
32. Electrical Power Meter-Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
Notes. '
34. Final Heating & Air Conditioning
l` -
35. Final Gas Pipe-Test
l l`
36. Hood or Canopy
_f
37. Final Factory Fireplace
38. Final Plumbing
I
39. Water Service-Final
I
40. Gas Service-Final
I
41. Solar Domestic-Final
-
I
42. Backflow Preventer -
I
I
43. Backflow Irrigation
44. Landscape Irrigation System
- f
45. Sound Attenuation
I
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
'
I
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
19442
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA, CALIFORNIA
For Applicant to Fill. In Completely
TYPE OR PRINT
BUILDING P 07 / .t.� . r l- v.T. — .1
MAY 1 5 1963
r4ANCE DEPT.
APPLICATION FOR PEIRMITOF COSTA MESA
BUILDING
For Office Use Only
ADDRESS '! U J / ./ v vti A<- ♦. LI r
R[C[IPT NO.
_
MESA, CALIFORNIA
C !OWNER
&�TCOSTA
�*
ADDESS
MAIL
ADDRESS lifdl
FIRE
ZONE
TYPE -' GROUP
CITY NO. / Y�
APPROVED
BY
DATE tJ (O J
AR4.,t !]'ECT TEL.
ZONING
ygFi
ADDFiERS
ZONE -
I NO. OF
PLANS
USE OF N
BUILDIX 1
CONTRACTOR
LEGAL
DESCRIPTION
T / R
ADDRESS
A. P. NO.
CITY .Siff'R/'rC
NOTE: NO EAVE OVERHANG SHALL SE,LESS THAN
STATETSL.
SO• TO SIDE d REAR P. L. '
LIC. NO. N
EAVES
SIZE
I NO. OF SLOGS.
ALLOWED
(U. B. C. REQUIREMENT)
OF LOT
NOW ON LOT
YARDS APPROVED
YARDS APPROVED
USEOF/rC kl /Y PC
EXISTING BLDG. V /1EJ '
MAIN BUILDING
ACCESSORY BUILDING
(FROM C/L
STREET)/J
'SETBACK LINE FROM -
CENTER OF STREET REAR YARD
FRONT
Fr.
SIDE YARD LEFTI
RIGHT-
R. SIDE
FT.
FT.
L. SIDE
FT.
FT.
DESCRIPTION OF WORK
REAR
FT.
FT.
NEl
ALTERATIONJ��DITLION
DISTANCE BUT.
BET. MAIN d
REPAIR'
MOVING
MOIBH
MAIN BLDGS.
ACCESS. BLDGS.
VAR.#
C.U.P.
DATE
APPROVED
BUILDING NO,Op
SIZE ��'X y0 H ROOMS 8T RIUS
EXTERIOR WALL e4; OF ,
APPR D
.
COVERING C VERING
BY
ATE
U OF BUI DING WOR OBE PERFORMED
.
EQUI MEN'
Q. Fr.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE
OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTR ION
•`,. -
SIGNATURE0 /
ypLUATION
�
PERMIT FEE
CHECK
PERMITTEP 0,/T
$ JIPLAN
`�
. - -
AUTHORIZED AGENT
TOTAL FEE $