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Home My WebLink About1028 EL CAMINO DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 P 1 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ELECTRICAL PERMIT, Job Address: 1028 EL CAMINO DR Suite No Vicinity: Parcel Nunmber: 14166511 Applicant: MUELLER, VIRGINIA Address: 419 30TH ST Phone: 949-650-4654 NEWPORT BEACH, CA Zip: 92663-3711 Owner: ",'LEEPEf2, GEORGE - Address'- 41930THST - Phone: NEWPORT BEACH, CA Zip: 92663-3711 Contractor: Address: .. J ...» - Phone: Zip: License: PERMIT NUMBER-, E00-00088 1. 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: SCOPE OF PERMIT REINSTALL ELEC. METER IN THE BACK OF THE BUILDING TO THE RIGHT OF GARAGES. Status: ISSUED Quantity - ISSUE FEE - $23.50 - Temp service test $0.00 0 - Res. a/c package $0.00 0 New Res (1-2 units) $0.00 0 New Res (3+units) $0.00 0 Pool / Spa $0.00 0 Lighting Fixts $2.20 2 Recept Outlets $0.00 0 Switches $0.00 0 Non Res Appl $0.00 0 Res Appl ._ $0.00 0 Service to 200a $30.50 1 Service to 1000a $0.00 0 Service over 1000a $0.00 0 Motors to 1 hp $0.00 0 Motors to 10hp $0.00 0 Motors to 50hp $0.00 0 Motors to 100hp $0.00 0 Motors over 1 00h $0.00 - 0 Communication drops $0.00 0 Sub panel to 200a $0.00 0 Pole Light Pkg $0.00 0 Sign Circuits $0.00 0 Status: ISSUED Applied: 02/04/2000 Issued: 02/04/2000 FEE_ SUMMARY Quantity - - Temp Dist System / Lighting $0.00 0 - Busway /100 ft. $0.00 0 Standing Section $0.00 0 Misc Electrical Equipment $0.00 0 - Transformers up to 1 kva/kw $0.00 0 ................ up to 10 kva/kw $0.00 0 - .................up to 50 kva/kw $0.00 0 ._..... up to 100 kva/kw $0.00 0 ..................over 100 kva/kw $0.00 0 Low Voltage Equipment $0.00 0 Low Volt Wiring System / Ckt $0.00 0 Misc. Conduit $0.00 0 Misc. Conductor $0.00 0 Circus ( gen or ride) $0.00 0 Circus (mech ride or lights) $0.00 0 Christmas Tree Stand $0.00 0 Fireworks Stand $0.00 0 Other Electrical Fee . $0.00 - Investigation Fee - $0.00 Plan Check Fee $0.00 - Reinspection Fee $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 DEC 'RArIONS it WOR'KERS' CSMPENSATION DECLARATION: 1 hereby affirm under penalty of perjury one of the following declarations: '❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ . I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carder: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with these provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CAVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($ID0,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS 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. Lic. # Class # Contractor's Signature: Date: 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. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions 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 or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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).): 1, 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 (Sec. Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to Construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property wh improves thereon, and who contracts for such project with a contractor(s) license pursuant the tractors License Laws.). — ❑ I am Business and ions a for this reason: atu e: -00 Owner rified by driver' license.Yes No rivers Licens o. fres: �, Verification of Ownership by (type of document, i.e. - property tax bill or de DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 It a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8 (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Si at a Of Owner ate And/or on d Applican Date CODE #, INSPECTION TYPE DATE INET IAL CODE# INSPECTION TYPE QAAIE IN IAL 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing I� 200 Final Re-Roof 210 Final Electrical % ' _00 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2446<6 r' DECLARATION OF )THORITY 3ldg. Permit # , FOR AGENTS OF PROPERTY OWNER This Permit # TO APPLY FOR PERMITS Street Address AP Number 1. 1 (we), declare that I am the Owner of Title of the above referenced real property, and that I (we) hereby authorize: V!66-1,t2z,q- 6150 Name Telephone No. ��— to obtain permits in my behalf, as owner/builder, for at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I (we) shall im- mediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per- son, company or corporation. 4. 1 agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. 1 declare under the penalty of perjury that the foregoing is ttrnru--e,,nnand correct. Executed this day of "^' 19 , at "M�California. o2- NOTE: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attorney to secure this permit in any behalf. 02]9-46 (Rev. 2/91) ADDRESSOFStADIN9: 1025 EL CAMINO DR °Niv CITY OF COSTA MESA — BUILDING PERMIT OWNERSNAMENMmx' DABIR VAZIRI, MOHAMMAD ADDRESS: . R E ZA 66 BALBOA COVES PERMIT NO: B 084570 PLAN CHECK NO: N NEWPORT BEACH,CA 926637147511234 APPL. WIUW ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR ARORDEOTORENGINEER: NO, JOB DESCRIPTION INSTALLATION OF GARAGE DOORS ON EXISTG ARCH. OR ENG.'S ADDRESS: UNIT: CON111ACTORS MAM CONf11ACTOWSMMUNG ADDRESS: UC Ill UNIT: LICENSED CONTRACTORS DECI.ARATION: I hereby affirm under penalty of perjury that I am loanead under provisions of Chapter 9 fbommencing with Section 1000) of Division 3 of the Business and Professions Code, and my [banes is in lull force and Nim. CRY LIC. NO.: DC. CLASS: LIC. NO.: EXP . Dole. Comratl«: OWNER BUILDER DECLARATION: I hereby affirm urdar penalty d perjury that I am exempt from the Corernal Up. Lew f« tha olfowng reason (Smion 70315 Business and pmlassions Code: Any city or bounty which require a permit to construct, after, improve, damdish, or repair any struclure, prior to its Issuance. also requires the applinant for such permit to file a signed statement NN be «she e is liceed pursuant to the provisions d the Contrmon m License Lew [Chapter 9 (oomendrq with Sedion 1090) d d Division 3 the Business and Prdeamans Cbdal «thin M «she is exempt Ihwehom and IM basis lar the allotted exemption. Any violation of Section 7031.5 by any applicant for a permit subpds the applicanl to a civil penalty of not more then fixe hundred dollen [55001). ❑ I, as oaner of the progeny or my employees with wages as their able compensation, will do the work, and the structure is m intended or offered for sale (Smibn 7044, Business rest Professions Code: The Contreclors License Law doe rat apply to an ownerof property who builds «improves lhereon, and who does.m work himse f or hmelt or duouph his «[her own employees. provided that each improvemma are not intended or offered for sale, ff, however, the buil,irhp or 4nlrowrrhem is sold within one year of compbtion, tle .y, o.mabmlder aill have the ode of provirp he or she did not build or improve f« the purpoee of seta). ❑ I. as caner of the properl am exdusivey mntedkq with Iimnsad contractors to bbnshad the prbjed (Seton 7044. Business and Professions Code: The carries. L'cense Lew dose not apply fo an owner d property who battle or inryroves thenen and who \\ car Boni for wdr prg(m�9 with a comm tons) Ioeead pursuant to the Comraosme LLidames law). Door: r:l am exempt �i5iV / under n: B.OBaPrCr. for this I do hereby cental than I em aware of and understand IM requirements s) need to c mply and Salify code es and t e heitu 25533. and! 25531, and Net or any future oitlirN o«upenl will / will a (drab ons) need to comply with said acre melee erM the regdrameb M apermbl«mnstacUm«modifirndionhomlMAk ue�ly ene9ement Diane. Reaidpublconprmon appimioe me exemgfrom theses proveima. Data: Appliraht� WORKER'S COMPENSATION DECLARATION: I hereby affirm under peehy of perjury, ane of dons following dadermiorw: ❑ 1 have end all merman a ceneicme d mmmnt to weft-insum M waken' mmpsnsmibn, m provided I« by Seim 3700 d the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 hew end wilt meimvh werlers' mmensmion insuranro, a equ"ved by Smicn 3]00 d 1st Labor Code. for the pall r. of the work for amich the permit is issued. My worker' mmpensmion ineu. order and policy number era: Calver: Policy Number: (This session need now M mmpbwed a de perm, as for ma handed dialers f$1W1 for fore.) x❑ I Wily Nat in the pedormeroe 0 the work for vhoh this permit is iurad, I .hall rad employ any parson in say, manner so as to become supped to the waken' mmpensetion lows of California, and aeras that i 1 shoutl became subject to IM w«la s' c«npens/scan provisions d Section 37M d IM Labor Oode, I shall loriffn thhcamppy with Mose provisions. Date: 917/9 Applicant: (!/a•, -a. S e'e- Wasil Failure M sacuro stutters' mllffraeadbn covaraDa Is unlawful, end shalt/ sobject sit amployer to cdrdrW pa w Maa and c/d/ fines W to one, hnndrad Mousarrd doflam (3100,00(7), M addldon W Me coat of conpsmatbn, damages as povMW for In S.H. 3106 of the labor Coda, Interest, and adomsra fee . CONSTRUCTION LENDING AGENCY: I hereby afAm under penalty of perjury Ihd them b a mrhatMibn bndirp atterwy for Ne performeme of the work /or whits this perms c cooed (Seton 3097, Ca. C). LENDER'S NAME: LENDER'S ADDRESS: I candy that I haw reed Nis appl'w-atian and ride that IM above information is corm. I agile to campy wkh all dry and mumy ordnance and arms los mbrntt to Wilding bonstrudion and hereby mhorixa mpreenlmNe of this dryto enter upon the above-nrerNlonM propend for inspection purposes. MOHAMMAD DABIR VAZIRI 112 HRgrmn I�ntrm« Date: (515146 WP) Whits -Building 8 Safety; Oren -File; Camery-AppScanl; Pink-Raanue Ooldanrod-Aaeeam PERM NO: b 0845"li GOVT: N SUPP: N PURPOSE: ALT SQ FT: 1,300 CLAIM VALUE: 1,300.00 CALL -VALUE: 1 1,300,00 GROUP GCC; U-1 / COMMENTS: RESIDENTIAL CARPORT CONVERSION TO GARAGES iE iE iE iE iE tiE iP it ie iE iE iE iE x iE iE iE iF if iE iE iE fi x dE � * dE iE ii ri ri iE ri is 3i df iE dE iE tiE iE iE iE iE iE iE dE iE iE iF iE * * x if iE dE iE iE it )r it iF iiiP ie dE �i r.:c iF iF if if is i2;f Z O N I N G R E Q U I R E M E N T S S E T B A C K S I ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ; PROV: PARCEL: 14166511 ZNE: REF NO: PLANNING NOTES> > it iE iE iF dE iE iE iE � sE iF jc dE iE iE iE iF is iE ie iE iE iE if ie iE dE iF iE it iE 4 iE dE ie ie iE iE is id iE ie iE iE i� iE ri iE iE iE iE iE it iE 3E iF iE 9E iF iE iE ri iE dF iE eF # iE-k iE �>r r, x ie yE iE dE fE iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY A DATE: BUILDING APPROVED BY DATE: AFPLICATION ISSUED BY,DATE: A3E dEiE vEis iE iE%3F Tcx7i icx xit%x xxx xxlFiF%xxxxirx xxxxx x%xxxlE iE 3E sE jr 3r�iE iE iEx 7dER LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SE•GMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 43,00 50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 43,50 0,00 0.00 43,50 43,50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 43,50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 43.00 50 iE tE dE iE iE it R jus it iE iE iE x iE df x iE n iE fi iE iE iE if iE fi rt iE iE iE iE iE iE iE iE iE it r. iE iE iE iE iE x 3E iE iE iE iE iE iE iE jE iE iE iE iE x R it if ie iE iE if ri iE iF )E iE iE iF it it iE ><fie iE iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 1300 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 1,300.00 END OF FEES VO8 �8�9��orV TISEP 0 5 1997 CITY OF COSTA MESA CONSTRUCTION AND PLANNING ' APPROVALS Permit .# Date Inspector -' P, . & SPA APPROVALS Permit # .. Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location" 2. Soil Pipe-Undrgrnd. -53`. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd. e- 54. Forms 4. Electrical Conduit-Undrgrnd. - 55, Electrical Bonding - 5. Steel Reinforcement - - 56. Rough Plumbing & Pressure Test -' 6. Electrical LIFER 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 t •" - 62: Backwash & Receptor -Final - 12. Se'r'er Cap 63. Heater & Vent -Final 7 13. Roof Drains - , 64. Plumbing System - Final - 14. Rough Plumbing - 65. Electrical -Final 15. Rough Electrical -Conduit 66, Solar System -Final 16. Rough Electric Wiring -'- - .67. Fencing `& Access Approval - 17. Rough Wiring Sign ;68. APPROVED. FOR PLASTERING 18. Rough Electrical -T Bar Ceiling i- -69: POOL/SPA SYSTEMS FINAL - -1'9: 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 GGas 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24, Roof Framing 73. Undergrnd. Storage Tank GGas 00il 25. Roof Sheathing 74• Overhead Hydro 26. T -Oar 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 r 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 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer ru��r 43. Backflow Irrigation -- 44. Landscape Irrigation System f! -- a' 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING I 48. FINAL PLANNING 49, Electric Release to Edison 50. Gas Release to Southern California Gas Go 51'. CERTIFICATE OF OCCUPANCY No. Date nUILDINC-SAFETY DEPARTMENT EO ;'d1] COSTA MESA. CALIFORNIA AppLcant to Fill In Completely n TYPE OR PRINT 0 ADDRESS 1011-I**&- E1 Camino Drive COSTA MESA, CALIFORNIA ADDRESS 1598 Monrovia Avenue CITY Newport Beach No1646-3958 ARCHITECTN G N ER Ray ].evanas NpL§73-7010 ADDRESS 3432 Via Oporto, N.B. CONTRACTOR Don boll Go., Inc. ADDRESS'- 1398 Monrovia Avenue CITY Newport Beach, Calif. 221764 TELLII.TNO. No. 646-3958 SIZE OF LOT 2.48 acres FA nO. o 09. NOW 0-.-t—OT -0- USE OF EXISTING BLDG. SETBACK LINE FROM CENTER OF STREET REAR YARD SIDE YARDI LEFT I RIGHT DESCRIPTION OF WORK BUILD{/'1�iNO. OF SIZE S[s AT}200M3 I 9TOR EXTER ROOF COVERIINGWALL St UCCDI COVERING %Food USE OF BUILDING AND WORK TO BE PERM JRMEO N dghborhood Shopping Cent IX cLn f 11 � i, , 4 1 HEREBY ACKNOWLEDGE THAT I HAVE RV O THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM PLY WITH ALL CITY ORDWANCEB AND STAT% LAWS REOULATIN BUILDING CONSTRUCTION./ PERMIITTEF OF AUTHORIZED AGENT RECEIVED i4Y 4 1965 '}ANCE DEPT. I/. I Y OF COSTA MESA APPLICATION FOR PERMIT (� BUILDING For Office Use Only RECEIPT NO. P MIT NO. RECBI 1& BY DATE RECEIVED V OAT.IBBU/ 4 r.-ik:. [EAVES EGAL F1-01 �0 CfiYY"K•i ESCRIPTION . P. NO. AQ OTE: NO EAVE OVERHANG SHALL BE LESS THAN 0" TO SIDE 8 REAR P. L- LLOWED (U. B. C. REQUIREMENT) YARDSAPPROVED I YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING 'DISTANCE BET. BET. MAIN e MAIN BLDGS. ACCESS. BLDGS. VAR.# DATE o/n/ V^� DATE ljam-••Q. FT.T FA SHOWN UNDER VALUATION IB FOR THEF ESITABLISHING A PERMIT FEE ONLY. O PERMITFEE $�✓PLANCHCI / C LL TOTAI FFF G i -7 Vit i Vi' t.VSiH Ivill Building Safety Department .pplication for permit for the fabrication and erection of classified signs. Building Site Address Name of Leasee Contra Location Address `L-' 1 'City Ar,hifect or { eer Address City Description: [_J Tract Sign ❑ Appurtenant and Incidental Advertising Sign �' Off-site Advertising Copy Sign Tag No. , 1:J / G // y ir L ; ( t .`f LI Type of Sign -' • �j✓} NOV 4 �'Eie`c. El Non -Elea / �•p/ F!NaAI(,E UEN!. CITY OF GOSfA MESS: FOR OFFICE USE ONLY y Date Issued �� Permit NoZ3'fx Phone State License No. -> Phone to License No. Phone Roof Sign Gas Tube, Elec. Sign f Sec. 1.37, 1.44 Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on plan sheets proposed location of sign and locations of all other signs at site. Minimum size sheets SHALL be 18" x 24" and non -erasable. If between property line and established setback line, owner is to sign written agreement with the City. Signature of Property Owner Date f The jersigned hereby agrees to fabricate and erect the advertising structure within the intent and meaning and in strict accordance with the provisions of Ordinance 63-13, Ordinance 344, the Electrical Ordinance of the City of Costa Mesa, and all amendments thereto. ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING, ELECTRICA4 AND FINAL INSPECTIONS SHALL --,BE CALLED. Signature of Permittee Authorized ecd. by iRM BU.30-1M.7/e3 Fire Zone Type Group �— // Approved by�` Date PLANNING DE TMEENT Zone / A. P. No. L Bldg.Site Address,/,,.' / '(/�` 3 3 Legal Owner_ L1, <f Address I JI ) % City/ 04 Area of Sign: ft, in. X ft. in. _ .4;� Required Bldg. Setback to Center line of Street Location of Sign Behind Bldg. Setback Line Between Property Line and Bldg. Setback Line Front I/ -� Feet Right Feet is Left ` Feet Projection f}- Feet Ground Clearance Feet The amount shown under Valuation is for the purpose of C. U. P. C. Date Approved estob{l shing a permit fee only -; Clearance Chap. VIII, Art. 5. Sect on 8504 (b) VALUATION C � Permit Fee $ Signature (Planning ($ ff) / Plan Check$—,/ --.5C Date S` Toto{ Fee Signature (Dept. of Public Work/s) Date: City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY N° 2316 C P. O. Box 317 Costa Mesa, California The Building located at ttT11 - IM RL c4mlO lk"iye has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group 17"2 Occupancy. Use of Building :2' iffi4L CO®9nS181 AltlAin Legal Description 1Aa'JM.A) (See reverse side for Metes and Bounds) Building Permit No. 92069 Electrical Permit No. 221ft Plumbing Permit No. $3587 Floor Load Signs have been installed as Room Capacity Signs have been instated as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. _ 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Me 81 Chapter 9, Article 8. ' Number of apartments and/or guest rooms ISSUED TO: Building Off i Y b I� iii .i�% Te . Date mei' 209 1965 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Casta Mesa under Sec. 306 (e) U.B.C. Paan Bt34--1X-114z—S.B P �� • . 1900 .,:COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 917 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING )✓ amin ve ADDRESS 6i. COSTA MESA, CALIFORNIA . v(NEER Walters & 30n ryEL-OR 3-670 DDRESS 436 Heliotrope. Corona del Mar ADDRESS —� S v Enr 72 / X93 / _ NO OF BLDOS. O USE OF EXISTING BLDG. SETBACK LINE FROM CENTER OF STREET Q / 11 REAR YAR S / SIDE YARD I LEFT 5' I RIGHT hO / DESCRIPTION OF WORK FIRE' Ff E8CE�� MAO 8 Inen For Office Use Only RECEIPT NO.PERNI_4h2 E R17 ZD I MHKT1'114 ISSUED ZONING NO. OF (^`�/ UBE PLANS z BW[ YARDSAPPROVED MAIN BUILDING SHALL BE LESS THAN (U. B. C.REQUIREMENT'. YARDS APPROVED ACCESSORY BUILDING [REPAIR _� ALTERATION ADDITION REAR I' FT. FT. DISTANCE BET. BET. MAIN d MOVING EMOLISH MAIN BLD S. ACCESS.BLDGS.VAR.# DATE ILDING 4 / / NO. OFE44 X ROOMS 28 STORIES 2 C.U.P.# APPROVED ERIORWALIT3tUCCOROOF Shingle 'AYPROV DATVERING COVERING USE OF BUILDING AND WORKTO BE PERFORMED I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IG CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STA3B wg R ULATINO BUILDING CONSTRUCTION. � 0 AUTHORIZED THE AMOUNT SHOWN UNDER VALUATION I8 FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION / c� d PERMIT FEE $L ✓9"� 410 PLAN CHECK S' 6;; City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY N° 1975 5 C P. O. Box 317 Costa Meso, California The Building located at 1CM Rn• rnMd tO Dril7e, Mitis A, Br C, M -d. D has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group 'T — Occupancy. Use of Building faurp3.Px reeic7.mtee "ith Attaeb"d ¢§2TTgn Legal Description ieat 52, t.Pra t 3= (See reverse side for Mates and Bounds) Building Permit No. 2.9w4 Electrical Permit No. 19661 Plumbing Permit No. 38093 Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments— 4 and/or guest rooms ISSUED TO: Building Off' ate✓ Di11T»<LTt-BTtamnell lhterprlSes b C Y — Date AAril 30, 19a This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U 0 17. Form BU34-1M-11-e"�B P