HomeMy WebLinkAbout3413 DEEDEE DR - Building Permits� E. rfli��Lt, s associnTes, in�c.
- ....ILY PIELD ENGIiJEL'RING REPORT
YROJEC"f NAME �;'�Yi/Lh.t ���5 `NQa� -J-�L.. W. 0. ��5�
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TP 4CT vt6 Yrr+ LOCATION �03 ��q �d'1 P:f.'f DAY' � l)61�e . DATE ��.� f% g
FTSLD EftGIC:EF,R �Ay1 L__ HOURS c� REPORT NO�: PAGE 1 of I
GP.ADIIdG CONTP.ACiOR JOB SUYERINT�N�T�� /% // i/ „
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SIID4;AFTZEll KF.SUT.TS OF FIEI.11 DGNSITY TGSTS
uepth or
S. E. Medall & Associates, Inc.
Moisture
Content
Dry �b. RelaEive
Dens:ity� ���Maximum Compaction Soil
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- E. TtEDALL 6 ASSOCIATES, INC.
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�.�ILY FIELD ENGIIIEERING REPORT
PROJECT NAME �}i l�n�i l 1 0 A 4.l /.L� �� n W. 0. '1��J `/`
TP,ACT , Y ' LOCATION l�' � I LC Jl q De1Y � 1�: ,1_ DATE �/'„I� Si
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FIELD Ef:GIP:EF.R i'.'t�. HOUFS � REPORT N0. i PAGE 1 of I
G� ADING CONTP.ACTOR JOS SUPERINTENDENT �y'„ /�-,/�,.�y'
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EQUIPMEnT �
WORK DESCRIPTION: (fdls, cuts,�overex's, removals, keys, conferences. etc.) , �
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SUMMARIZED RESUI,TS OF
Moisture
uepth or Content
ation Elevation %
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DENSITY TESTS
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sity Ma�cimum CompacEion Soil
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llAILY I�ISLD ENGINEERING REPORT
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PROJECT NAME �S I�A�,\Q�.�1..1_ V�1`:aX J W. 0. IJ (
+� TILACT ��ClJ � v LOCATZON L:Anara, Y�l�AA�a� DAF � QM DATE V I(2.I `% R
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F7GLD E�GIP:EER �� �_� HOURS �� Cl RGPORT N0. PAGE 1 Of J
G�.ADING CONTP.ACiOR JOS SUPERINTENDENT
EnttIPMLNT
WORK DESCRIPTION: (fills, wts, ov�rex's, removals, keys, conferences, etc.) _
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.LSUI,TS OF FIELll DENSITY TES75 � Z N
Moisture Dry �y. Relative
Content Density Maximum Cvmpaction Soil
% ncf Density y, Tvoe
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S. E. Medall & Associates, lnc. .,
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llAILY FIGLD F'NCIIdEERING REPORT
PROJF.CT NAME �fcL�f�� ( � �\�o�_ 1 ' �� � �'14-��
, —
T'P4CT LOCATION � � , � , f — �, �� ; DAY ��., � DATE�7 - �1-- j �
FTGLD Ei:GI�:F.F,R �- �, ; , _ ,�,,, � ( HOURS ��� Y.EPORT N0. , PAGE 1 of , �
G?AllING CONT[:ACiOR JOP� SliYERINTENDEIvT �/1Gr.._. /.f.�lG�.t"
EnpIP�t�NT . � �
WORK DESCRIPTION: (fills, cuts, overex's, removals, keys, conferences, etc.) � -� � � - - � -- . _ . . ..
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SUPL*tARIZL�D RF.SUi,TS OF FIELD DliNSITY Ti3STS
hloisture Dry �b. Relative
uepCh or Content Dens:ity Maximum Compaction
at:ior. F.levc�Yi-on % cf: Density `/,
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Customer Receipt No. Z} ' y�
CITY OF COSTA MESA
PLANNING DEPARTMENT
TRACT SIGNS
SECURITY DEPOSIT AND. R/GHT OF ENTR Y
s�l�3 a,e�olf V,�. �a� -c�.c1 �s �
/b rE'i�s �Gl{s��'
LOCATION �'r�1�� q�% BUSINESS NAME �
(Site o�Temporary Sign) . _ ' � .
APPLICANT Q �.. ���-1,e� W,a f/
�"T
ADDRESS t�� �9� ��
CITY��/46� ' j���' �h , STATE �N ZIP— �%�i��
In accordance with the City of Costa Mesa Sign Ordinance (74-25), Section VIII 2-A, the following agreement
is established. �
The sign permit number of the subject Tract Sign(s) is �� q� �' , is subject to the following
conditions, and shall be valid for a period of one (]) year, or.until all units liave been sold or leased.
As a condition of approval of the Tract Sign permit the following is required; either
L^I a cash deposit $ 2�0� 00
❑ a savings and loan certificate $
❑ other security
and the undersigned authorizes the City, or•its agents the right of entry upon the property to assure the
prompt removal of the sign(s), upon expiration�of the permit. �
Peimite���,(i �
Planning Department
Date
Prope
CMF 00048-26 White - Builtling; Canary - Planning; Plnk - Customer
. ,._ . _ _ _ . __.,._ . __
, `
- E. rte��LL s nssocinTes, I��C.
..�ILY FIELD ENGI[dErRING REPORT '
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PROJECT NAME i.7�iC_i'�i: : WOG1 Zl.l^ . W. 0. �-I_'7 .�
TRACT `�IFS'{��s Y LOCATIONC,.-_�`w IY1P`>Q DAY �Y� DATE ��%-z'1',t�/'�
FIELD E\GIC:EER ��'L. HOURS ✓ RGPORT N0. PAGE 1 of �
G� ADING CUNTP.AC'i0R ---� JOP� SUPERINTENDE�T K...� IZ I., . K P�'F
EnItIPMGNT `"— ,
WORK DESCRIPTION: (fills, cuts,�overex's, removals, keys, conferences, etc.)
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SUI�4dAK72Ell RESULTS OF FIELD D�NSITY TESTS
Moisture Dry �b, —Re3a[ive
Test uepth or Content . Dens:ity ;.�Ma�cimum GompactYon Soil
i'o. Location El.evati.on % cf Density % Tv e
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r,irY-6F COSTA MESA 'CONSTRUCTION PERMIT
ProjectAiidress a�' ��-� 'DE2 � �
i �
ApplicanYsMailingAddress � ' '
Owner's nlame� EvN ��� ' M �S � IP `� � PhoneSSlo9��LZ
Address ���5 ��p�'f`Z' �l'+-., C.eil2.�"�CS'i �
Arch/Eng. � License No. ' '
j
� Address ' ' - 5aN� •
Contracror's Name �w�'-��n�'CTQ � � MZ Phone `/ ��
Address (mailing) 24 ��� � t'�'�. Newno:-� '�3 `iiC.�
City License No. � 6�q�� � � '
LICENSEp CONTRACTOR DECLAftATION �
I hereby aftirm that I am licensed untleri provisions of Charter 9(commencing
with section ]000) bf DlvisiOn 3 of the Busine55'antl �Profeszions Cotle, antl
my license, is in.full force antl effect! . � �� �.,� ^^ �
License Class �� t_ic nse No. !�
Date_�=�7�n'_ Signatu�e , ��
WORKERS'COMPENSATION DECLARATION . �
�ereby affirm4hat�l have a certificate of mnsent to self-insure or a certiticate
Workers' Compensation Insuranoe, or a certifietl cooY thereof (Section
.,800, Lab. C.) '
Policy No. - Gompany
eCertifietl copy is hereby furnishetl. ; ' . -
CertiFletl copy is (iletl with the city Builtling DiviSion.
Date� Applicant �
EXEMPTION FROM WORKERS' COMPENSATION OEGLARATION
(This Section neetl not be completetl it the permit is tor one huntl�etl ($300) o�
less). I '
I certify that in the'performance of the work�tor which this Oe�m�t is issuetl, I
shall not employ any person in any manner'so as to become subject to the
' Workers` Cort�pe n Laws ot Cali ' •
Date `{"�s�-�� Si9natur¢ �-�� '
i_ ,NOTICE: If,pfte� making this.tleclata[ion, you sM1oultl beco sub�rry�
Workers' Compensation provisions�of-the Labor Cotle, youVnust forthwith
tomply with such provisions or this permit Shall be tleemetl revoketl.
CONSTRUCTION LENDING.AGENCV ' ' '
1 hereby affirm that there is a mnstructlon lentling agency for the performance
of the work tor ;which thi5 permit is issuetl -(Section 3097 Civ. CJ
tPnaer's Name
LenticrR Atltlress � �
OWNER BUILDER �ECIARATiON ' ' -
�B
OOlicant to flll in all spaces except those wilhin heavy borOer lines antl si9n all approDriale Ceclatations.
PERMIT NO. ' �T A T NO. ' LOT NU. ' UNIT NU. � '
33Z37; �l�vYo : /3 .
TYPE OFCONSTRUCTION ' NEW ADD ALTERATION REPAIR' '� '
i � �
�❑.CONVERSION ❑ DEMOLISH 0 OTHER q p#
I DESCRIPOTIO/N OF WORK E OF BLDG. �+� � 1 O c��Zs W'\�'1 , i g Main euiiding:
. O-Y �'�h E .
TVPE OF PERMIT � GRADiNG FOUNpATION TRUCTURAL � , T F,ront
'❑ TENANT I O ELECTRICAL' � PLUMBING 0' MECHANICAL - 6 Rear � '
� O OTHER � �R ' • %� •
C Right
PROJECT DESCRIPTION SQ. FT. � � ' OCCUPANCY ' ' �
,CONSTRUCTIONTVPE � VALUATION-•$[�7ZC% �� g Left
� ZOfJE � GRADING CU. VDS. ACRES Ping. Ref. # �
i
Remarkr. ��(� �, `� l.j., �. CMV( �. �� ��. �+ ( G .��� ' Planning Notes: �
I hereby atfirm that I�am exempt �rom the Coniractor's License Law for the
following reason (Sectlon 703L5 Business antl Protessional Cotle: Any city or
county whictt requires�a permit to ron5truct,�al[er, improve, tlemolish or repalr
any structure, prior to its issuance, also'requlres the applicant for zuch�permit
lo tile a signetl statement that he/sne is Iicens¢tl pursuani to the provisionsbt
(he Contractor's LicenSe.Law (Chapter 9(commencing witM1 $ection ]000) of
�,=.ivision 3.of. the Business.antl Profe55ions. Cotle) o� tha[ he/she is exempt _
�;:;Erefrom antl the �asis for the allegetl�exemption. Any violation of Section
���•J31'.6-by any applicant for a permit subjects the applicdnt to a dvil
penalty-of�not more than five hunOretl tlollars ($500). ; �
�J I, ai owner of the property or my employees with wages as their sole
compensation,�will Oo�the work, antl the sVucture is not intentletl or ofteretl
for Sale (SeCtion ]044, Business antl PrOfesSional Cotle: TM1e Cont�a[tor's
License 12w tloes not apply t0 an owner of a�p�op¢rty who builtls Ot imp�oves
tnereon; antl who tloes such work nimselt/herself or thrau9h his or her own
employees, provitletl that such improv¢ments are not intentletl or offeretl tOr
sale It-however the builtling' or improvemenl is soltl wlLM1in one yedr o( com-
Sink ' '
cflow Preventer' - � �
iflow Irrigation, �' • '
rtub5' '
ifiers � .
Diinking Fountains
Floor Drains .
Floor Sinks i
Gas Service -
Interceptors �
Kitchen Sink
Lavatories '
P—Trap - �
Roof Drains �
ReinspeMion Fee
Boiler
PLUMBING ; ' ' ' i
� $hOwers '
Service Sink � '
Sewer Cap • ' , •
. Sewer Connec[ion • '
Solar Collectors . ' �
Solar Piping ' �
Solar Tank
-Swimming Pool w/Spa ,
Outlets Water Closet ;
Water Heater
Water Service
� � Auto-Wash
• laundry�Trays
$15 Issue
'.pletiOn,�tM1e owner wilLhave the bu�tlen:ot proving he/She tlitl not build or im- � DuCt- Unde� Ci�Ou�d �
��ov! to� the purpo5e of sale).� ' - '
I, as owner of'Ihe.property, am exclusively cont�acting with IicEnsetl con- DuCt-St�uctuldl � � ,
tractors t6 construct tne projeCt (Section 7044, Business antl'PrOfessions Cotla:
Tbe,ConlractoYs' License Law does not apply ro,an,owneqof property�who ' Duct- Ventilating ' ' �
' builds or improves'thereon,-antl who contracts for such projects with a con- � �
tractor(5) �ucense pursuant m the ConVactor's License law). 1=am aware:thaL- . Exhaust $y5t¢m'.� , MUltiple ❑
: proof o( their Worker'siCompehsation insuran^e�shoultl-be proyitletl to me:
• � l�,l am ezempt untler Section � B. &-P. C.,for this reason - Firepl/Pact. Blt. ICBO # �
' Date �' '. owner ' ' - �- . Heating System & Ducting ; l
I hereby certify that�P have reatl tnis application Snti state that the a0ove� �� ❑0100,OOOBTU �100,OOOBT
'� mformation �s correct. �I a9ree to.comply wIM al1 city antl�county ortlinances �
antl 5[ate laws �elating'to builtling con5truction, antl.he�eby autho�lze rep�e-� - - _ -
.. zentatives oh this cit to enter upon the'above-mentionetl� property� for �_ � ..
' . inSPection;Pu - � - . � �I i' � �f ' �
Si9nature
i Orivers"License or'S5 � ��
CMF0865-46,rev.1'0/84 White�-�Building;
' Date � ' 3 � _
— - painspec[ion Fee $15:
Applicanh Pink -�Accounting; Goltlenrotl - Assessor
I - FEES
'+ . Automatic'Washer
' : Construction3oleSub..
� ' Cooking Unit
- Dishwasher ` ' '
', Oryers .OGas, ❑Elect
Fan
t F.A:U.' . • . .
Fixtures j
Device Boxes
. I $ 3
Hood or :Typel ❑ � _ ' �
Canopy Type I I ❑ ' ,
Refrigeration System � �
❑0-7 0,000 BT.U-'� 100,000 BTU �
stem Repair/Alteratiod I
Fire Dampers � . � �
Registers' ' - - � -
; �'' � Issue Fee . . $�3��
N
9449 ' 4/27/B�J '
. �
� f 2n
� 68; I 5 � TL
� �S'Y.5' ' � IO� = O
� �Q �. . , U. N
-� - • G � N
. , 5' ' R
' . Parking:Req./Provided ' E
Q
O%� .C.. M
� � T
' S
ECECTRICAL _ '
Transformer ❑ 15-50 KW
,� 50+KW
Meter ❑up to 100 amps
Meter ❑over.l00amps ;
vuue�s
Switches __ . .
Garbage Disposal
Generator �65 KW �5-15 KW
Fee
� I Zoning Approved By_
_ iBuilding Approved By
Motors OO-1 HP �1'/: - 8
_In�r �9-75 HP �i6-75+
icrowave
Pole Cight � �"—
Range
Sign , ^
Standing Sections �
Trash Compactor
FEES
P
$15 �. I luue Fee � ��$ 3 �
'-EQUIREMENy6;,�y� �� . , `, � 9
.��, W/!l�:�'' Date �� O
� - � SUMM RV OF FEES — • � - .-
BUILDINGPERMIT� $_ �V "SMIP , $ �j�
, PLANCHECK ' $� � f'6S pERMIT�. � - ' � -
PLUMBI,NG - $; ISSUANCE. $ �
PLAN`CHECK 25%, $. � � ENERGYP.C.� $ -
" ELECTRICAL $. ' GRADING. � $ - -
. PLANrCHECK 50% $_. .,MICROFILM' $ � 'p ' -�
' MECHANICAL� � $ � TOTAL FEE $ � � a � ��
. . PLAN CHECK 25%. �$ . - � � �
CONSTRUCTION AND PLANNING POOL & SPA
AFPROVALS 'Permit # - Date Inspector pppROVALS Permit # Date Inspector
1. �Temporary Electrical Service or Pole 52. Pool & Equipment Location
2.c�Soil Pipe-Undrgrnd. � ' • 53. Steel Reinforcement -�
3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms - �
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' ,
5. Steel Reinforcemerit ;� � 56. Rough Plumbing & Pressure Tes[
6. Electrical UFER Grnd �: • ' 57. APPROVAL TO COVER-GUNITE "�
� 7. Footings ..; � ,i '58. ElectricalConduit-Undrgmd. � � �
8. Foundation '.� ''_;�• ' r -59: Gas Pipe, � Undrgmd., Test
., _
9. Water Pipe-Undrgrndi ',' . 60. Backwash �ines, P-Trap, O Undrgrnd.
10. Structural Floor Sy'stem �"� � 61. APPROVAL TO DECK ' �
11. Property Sewer Line & Flouse Connection 62. Backwash & Receptor-Final '
12. Sewer Cap 63. Heater & Vent-Final .
73.. 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 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. REQUIREIVIENT ��
20. Rough Factory Fireplace � �• - � .. . , APPROVALS Permit # _
• 21.- Ducts, in Structure � f."�.� ' 70. Underground Hydro �"
. 22. Ducts, Ventilating � � 71. Product Piping O Gas ❑ Oil ' �
/
23. Gas Pipe-Rough & Test �� ,� 72. Underground Flush ;
24. Roof F.raming : � ' ,. 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing. � � _ � � . . 7q, Overhead Hydro �
26. T-Bar Ceiling (Siructural) & Monocoat 75. Dry Chemical •
r
27.� Frame and F,lashing � � 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. E�ectrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED - ,. . �,;
33. Final Electric � Notes: . � .�
' 34. Final Heating & Air Conditioning I a'� K`v yl� ' �
35. Final Gas Pipe-Test - � '
� 36. Hood or Canopy ,
37.�Final�Factor.y Fireplace _ � �
38. Final Plumbing � . '
39.•Water Service-Final �
40. Gas Service-Final � � - - . � '�
,.
��
41. Solar �Domestic-Final
`1
42. Backflow Preventer �
�I
43. Backflowlrrigation - ' �
44. La�dscape Irrigation System '
45. Sound Attenuation -
46. Handicap Regulations- . _
47. FINALSTRUCTURE&BUILDING �� � � � ' � � �
48. Special Requirements Completed '
49. Electric Release to Edison _ . -
50. Gas Release-to Southern California Gas Co ' �
.)
51. CERTIFICATE OF OCCUPANCY . ' r
No. Date c`
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� A�PR�U�a
ity of Costa Mesa Building Dept.
BY -�� CATE �� 1 q �'S
NO CHANGES WiTF1�DUT °R�,l�S(ROVAL Of DFPT.
���23�
THE� ISS ANCE OR GRANTING OF P, FERh11T OR APo�O�'A: OF
PLANS AND SPECIfICATIONS SHALI NOT BE CONSTRUfD TO dE A
PERMfT fOR. OR AN APPROVAL OF, ANY VIOLATION OF ANY OF
MING TO GIVE
A THORIIY TO V�OLATE OR�CANCEL TNF PROVIS S OF iH�S �
C DE SHALI BE VAIID EXCEFT IN SU FA'n AS THE W PK CR US�:
HICH 1T AUT /ORIZ 5 6 IAWFUI. �
THE ISSUA CE OF A PrMli BASED UPON PL NS AND
ECIfICATIOPS SHAII NOT�fiEVENT TH BUILDIN OFfICIAt
DM THEREAI TER REQUIRIN !NE CORRE TION GF 2ROR5 IN
ID PlANS ND $PECfFIy�.iii)NS OR FHO;N F'�'ENTING
ILDING OPE ATICNS 6EINs �NRkI"cD O THEREUN ER WryEN
VIOLATION F TH6 CGDE OR OF ANY O HER ORDI lANCE OF
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T Y PICAL 6�� CONCRETE
Cement Coping Ootional --
Channel Block With 1-3/8�
Horizontal Top of all
Fences
For Fenees 5' or less
Vert. Bars 3/8"� at 4' -0" O.C.
For Fences Higher Than 5'
Ven. Bars 3/8"� at 32" O.C.
Fill Cells Solid With Grout
W here Steel Occurs
Reinforcing Steel Shall
Conform to Sec.A-75-39
A.S.T.M.
A�I Steel to be Lapped
24" or to Code
NATURALGRADE
7W0 3I8"� BARS ��
CONTINUOUSTOP I
& BOTTOM ' _���
.HORIZ.STEEL MUST BE TIED IN
PLACE qT TIME OF 7RENCH
INSPECTION.
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1+—WIDTH
p' SEE CHG
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BLOCK
FENCE
FOOTING REQUIREMENTS CHART �
GENERAL- NOTES
MORTAR: p�e Parf Plastic CemenT, and
T�ree Parts Snnd
GROUT; One Port Cement T�ree and
One Holf Parts �and
COPING: One f�art CemeM, Three
Parts Sand
CONCRETE: Well Mixed 1:2-I/2:3-I/2
Max. of 7-I/2 Gol;ons of
YVatar Per Sack of Cement
GROUT MAV BE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLS AND AREAS OF HORIZONTAL REIN-
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR OEBHIS, ETC.
H OP E4RTNTCOTH
i/3 iHE HEiG7H OF FENCE
�OW BOTTOM OF FOGTING.
SCALE: I/2�� = I�
WIDT,H . . . --. . . . . . . '. 14° 14" . . . . . . . . . . . 12'�. : - . . 12° �
. ' _. .... _ . . .
THICKNESS . . . . . . . . . . ...10". . . . . . . . . . . .10" . . . . . . . . . . . 9 °. . . . . . . . . . . 8 ,�
;- DEP7H OP EARTHTOOTH . . .� 24" . . . . 20'� . . . . . . . . . . . 16°. . . . . 12"
� SPACING OF EARTHTOOTH. ., 12 , 14' . . . . . 16'. . . . . . . . . . 16'
. . . • OWNERS NAME: EvIJ�C �"��C���__ _ ._ _ _ _ _ _
City of Costa Mesa, ��alifornia F£RMIT�DNUMBER �11 �ee �eC= _ _ _ _ _ _ _ `
Building Department $IGNA?URE _ _ _ _ _ _ _ _ _ _ _ _ _
. . � . _. . _. _ . i�EVISEA Nov. B2
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Building Si[e Address
Name of Lesue _
Q ConVactoc�
F ['�
Q Address �ZL
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CITY OF COSTA MESA
SIGN PERMIT
Planning & Building Safety Departments
LocaHon
3y�3 ,����f�
Phane
Tag No.
Type of Sign
� ❑ Electric f�'Non-electric
Phone
/� ^n � [_ � / I � State License No.
/ U/./Tr Tl �ii% City License No.
—C�ty /�—a+���FJor-C� Z�p—'�T—
�C / �W Phone �y 1 ? � 7 I � �
Address �V� �[ �� �. � CitY /Ij�� Zip 7 �`�L/��
❑
❑
❑
❑
❑
❑
�
Ground
Wall
Roof '
Pxojecting
Constmction
Convenience
Supex Graphic
�I ❑ Planned Signing
W C.U.P. No.
a
Descriptions
❑ Canopy
� A[traction Boazd �
❑ AdvertisingS[aWary
❑ Othet
�Tract Sign (Security & Right of Entry Agreemen[)
Special Even[ (Reques[ form submit[ed)
❑ Change of Copy (arnortlzation)
Rogcams
❑ Shopping Centec/Integrated dev.
p By Owner/or ❑ by City
(Date lettec sent
All applications must be Plled out by the Applicant, all footing, tiaming, elechicai and final
� � Valuation
lllumination
� Nomilluminated
❑ Di�ecUy lighted
❑ Indirectly lighted
❑ Variance
) ❑ Minox V;viance
sliall be called. (714) 556-5273
Signature of Permittee �t,� P�lanning fee
� � �/�r� �B.u.�ildin�g1te�e'
AuthorizedAgent 1. A .�/� _ p J'�_
Totai Fee
Received by
Date
Date Approved
$
ilJ.Q�/�t
Dare (Approvat subject to the condition of Ord. 74-25 Sec. Ill 3.d)�
CMF 0068-26 Whita - Buil01n9: Grean - Custome�; Canary - Planning; Pink • Finante; GolGenrotl - AzsessOr
8752 4/06/7B 85�5� TL
�Office Use Only � `
, . Pcoperty' . , .
�'/z—o'7/�oz � � Rj �
. d.P. No. � Zoning � _
' y � �8
Sign Dist:� � � Da[e� Rece3ved: .
� Received by: � %�/.E`� � . J'g/L'' . .
:. Stceet;�iont:�e: �. . � - � �
� Front: � ft. - - Street:
' Right: ft � . Street: "
� � � LzCt: " � ' ft. Street: -
�' Reaz: � �t � � fL . Sueet:
Building set back,fcom centei line of,shaet ft. -�.
�, Master Plan Highways ulGmate rigl�t-i�f-way . ' ft.� � .
c.fi � ,
� � . .. 'Sign Cowtion . ,
. .. ._ � .: . . . . . . . 'a ,"i
�.~. Fiont --. � . ��i.:�. - . . �Riglit Left . � .,
' '. , ',;. Between piopeity�dine &, uttimate right-af-wey � � . . " -
a.e:� ' . . . , '. �. .,'Ground Signs ' . � ' - ., � � . .
`- �0 7.ff. &�TS sq f[ /ot ` �� Table 2 � Plantec Area= �. � �,
.. - ;A _ , � - .. � -
�,� ,� -�i. ;t . Sign , , . - �' ,
�.AreaofS�gn �B- ft . .��in�x ' �=� ft.=in.= - �V ��Q�� � ��
,. , Q sq. Ct. SoL. N:od..
� ' yGroutid Cleazance � � A' n/ % �
, . .'Y-�--r.:..
. �'' OVBr'alI hEtghY . .. �� . � - .
�-'' Lettei heighY :.�_ - ' .. , ; ��..
« , �� ra
."'. Items�of InformaHon� �� ' � ' �
� � Totai sq fL of all S�gnage �,` .., ` , � . . . " . ,. . .
`., ,, .; t ,, � _ � . , . �
� �. .� ' ' Amottizarion .. � '
�'� Subject to dmoi�zat�on � _ � yes � � , no ❑ ��
2, x c .r7.' . .. , - , ., s�
., "d::�r__.:__ .._._ � � .. . � . . . � . . •
4 E '
Insp B Pe B
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OWNER
JOB AC
GNS
W ATER
ROIIGH
Ll1MBING
HR. �IHE [] HOUSE CON.
ING SYSTEM
MISCELLANEOUS
ROUGH NEPTING ANO nIR CON�ITIONING
TEMPOli>RY SEPviCE OR POLE
❑NDERGROUND � POWEF �
AOUGN WIRING
TRE4CME5 �J FORMS STEEL RE
FLOOR S�STEM
BONO BEAM G STEEL FEINFORCE [
SHEATNING
FRAME ANO FLASNING
LATMING — IN �� OUT �
PI 'R. BROWN COfT
HG
i. VENT., REFRIG. ANO A.C., F
+'G. FiNAL nN0 Ga5 TEST �
C, FI
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SUeCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING �
ADDRESS
� . � - � 7 r /A , /Y
� ��+
�/� TE
CITY // . ' NC
BFANCH
ADDRESS
ARCHITECT
ADDFESS
CONTRACTOR
ADDRESS
CITV
STATE
LIC. NO.
SI2E
OF LOT
�/ zIN�4C�/ N O�. L ,%�'
% /�
TEL.
NO.
CITV
LIC. NO.
INO.OF BLDGS.
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
OF BUIIDING AND WORK TO BE PERFORMED
I hereby acknowletlBe that I have �ead this application antl stata
that the above Info�mation is correct antl agrea to comply with
ell laws reguletin8 builtlin8 �onrtruction, and I shall not employ
any person in violatlon of the workman's compensation laws of
tha Stata of Californle.
I hereby cenify that 1 am properly Iicensatl as a contractor under
the SWte of California Business and Profeuions Code, Divislon 3,
Cnapter 9, d that such Itcenses are in full force and effect, or I
em exemD< f m the provisions of the State of California Business
and Profession Coda, Divisio , C r 9.
Signature of
Permlttae
Autharizetl ABent
4159��H/27/79 60.50 TL�
APPLICATION FOR STRUCTURAL PERMIT
A.P. N
FIRE
I�L�]
TRACT I LOT /Y' I BLOCK
9
NE �NO.OF � USE OF NEW REsT
R—LD P�� BUILDING /.�DOItt.
VARDSAPPROVED - VAROSAPPROVED
MAIN BUIL�ING ACCESSORV BUILDING
FT
VAR. #`
C.U.P.�
BEf. MAIN &
N
n
m
i
m
SQ. FT. a
THE AMOUNTSHOWN UNDER VALUATION IS FOR m
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
VALUATION PERMITFEE $ OD `�
J�
m
� PLAN CHECK S � �Z� "�
�j 0
$ � O�`� TAX $ ^i� LL
C/ -.y
TOTALPAID $ G
OWNER �
JOB ADDR
GENERAL
}].[
1. CTIC
SOIL
cns
WATER
PROP. SwR. LINE �J HOUSE CON.
SPRINNLING SYSTEM
MISCELLANEOUS
0.0UGN NEATING ANO AIR CONDITI�
TEMPOAAFY SEA�ICE OR POLE
UNOERGROUN� ❑ POWER G
ROUGH WIRING
FLOOR SYSTE1n
BONO BEAM I � STEEL REINFOPCE �J
SHEATHING
FRAME nN0 FLASMING
LATHING — IN �—I OUT �
Pl "'ER. BROWN COAT
'JR4L, FINAL
M. d, VENT.. REFRIG. r1N� A.C., FINAL
PLUMBING. FINAL ANO GAS TEST �J
EIECTFIC, FINAI
flllll f11Nf. FINGL
DATE
SUBCONTRACTOR
:Rrnir no. 47656
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to FID in Completely — Use Ink Only
BUIIDING �j /
ADDRESS � • p � {� �T
OWNER I
MAIL /� /1
GI']fIRFSS��� S/ � �L9 � .1 r • .
GTV
BRANCH
ADDRESS
ARCHITECT
CONTRACTOR
ADDRESS
CITV
STATE
l�C. NO.
SIZE
OF LOT
TEL.
NO.
CITV
LIC. NO.
INO. O LF B�OCS
NOW ON LOT
� Separate perrtti[s are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERPORMED
I hareby acknowletlga that I have read Shis appllcailon and state
that ihe above info�mation is correci antl agree to comply with
ell laws rapulating builtling construction, antl I shall not amploy
eny person In violatlon of Me workman's compensation laws of
the State ot Californla.
I hereby ceRify thet I am properly Iicensetl as a eonttactor untler
the State of California Business antl Professions Cotle, Division 3,
Chapter 9 and Mat such Iicenses are In tull forca antl effect, or I
am exempt ro the provlsions of the State of Callfornia Business
end Professions tle, Division 3, Chapter 9.
Sfgnature of
Permittee
Authorizetl Agent
,,;
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4@e�i 37'13/79 _23_.�0 T��
�r���t:�• - � - — � _..
APPLICAT[ON FOR STRUCTURAL PER119IT
Y Z,�a7o_ I PERMITNO.
A.P. NO. � �9 .
BUILDING .j�//] (1Q¢ ��� 7�'
ADDRESS7 1 J V d✓
OWNER
FIRE
i�.-LD '
PLANS �
VARDSAPPROVED
VAR. �
C.U.P.�
A�P�PR�VE� e
VALUE a"
$
GROUP
�
OATE �
I NEW ELL( �
IL NG ,�
VARDS APPROVED
ACCESSOPV BUILDING
�` ,
� � O
� � .
1 FT.
� FT.
3ET. MAIN &
iCCESS BLDGS.
)ATE
iPPROVED
IATF 3 /13 � L �
�
n
m
�
m
SQ. FT, a
THE AMOUNT SHOWN UNDER VALUATION IS FOR m
THE PURPOSE OF ESTABLISHING A PEqMIT FEE ONLV: e
VALUATION PERMITFEE $ S�OD u+
m
oO PLAN CHECK E 1O
%� 0
$ V/ TAX $ r � LL
�
V
TOTALPAID $� �
R PROPERTIES WEST DATE
.AOUGN PlUM81NG
PROP. SWR. LINE ❑ HOl15E
SPfiINKLING SVSiEM
MISCELLRNEOUS
NOUGM HEnTING �NO MR CON
TEMPORnRY SERVICE OR POL
UNOEA�ROUNO �� POWER
ROUGM WIPING
TRENCNES FOAMS
FLOOR SVSTEM
BONO BEAM n STEEL RE
SHERTNING
FRAME RNO FLRSNING
LATHING — IN � OUT �
PLr15TER, BROWN CONT
ST UR�L. FIN1L
HE J. VENT., NEFRIG. PN
PWMBING. FINNL �ND GRS T
OITIONING
STEEL REINF
R.C.
SUBGONTRACTOR