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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 ' #iE#9t Pe W3E M##X.-Y, X If . X) --*4i#( W##. IEXX3X WIF##X.###X##M#X 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: �V I BUILDING APPROVED BY _ _ DAIFE:�_� APPLICATION ISSUED BY: DATE: IF W###iP####1F kiE #?f'�'iF'Y-###IF n' .'t 3r'-£�ti' .3F 3F iiWiF Ir ff�Y!ETi�%.IIi�;tn�r, lr 3F 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 $