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Home My WebLink About1041 EL CAMINO DR - Building PermitsP.9DJECT AIDDNESS: 1041 EL CAMINO DR UNIT: OWNER'S NAME: CAPITAL FINNANCIAL CONSUL ADDRESS: 30448 RANCHO V I EJO ROAD SUITE # 175 SAN JUAN CAPISTRANO 92675 714) 248-8800 ARCM/ENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: BURSTEN GROUP CORPORATION (714)258-9696 ADDRESS: 15012 RED HILL AV H TUSTIN CA 92680 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. cITrLIc.: 058139 STATE LIC.: 571508 CLASS: C-45 te: Signature: WOBP $' 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). POLICYNO.: 0720944-93 E%P.OATE: 01`/30/95 COMPANY: STATE FUND I Certified copy is hereby furnished Qi Certified copy is filed with the city Building Division /Dahe 4 Applicant: E, 7(Ebt 10N FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). '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 WorkersCompensation Laws of California. Date Signature: NOTICE: If, alter making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must to lhwith 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 Cade) 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 (5500). 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 Cade: The Contractors' State 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. 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). I. as owner of the property, am exclusively 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 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 Nat proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section'. 0, 8 P. C. for this reason: Date. Owner: I do hereby certify that I am aware of and understand the requirements of Calilornia Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality 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 her Inspection purposes. Signature: License or Social Security x: 1641 46 White—Building: Green—Code Enforcement; Canary—Applicant: Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 066655 PERMIT NO: E 066655 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V-5 PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION ; INSTALL ILLUMINATED WALL SIGN SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS: INSTALL TWO ILLUMINATED FRONT WALL SIGNS 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 ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RIGHT; FT IN PARKING REQ: PROV: PARCEL: 14167117 ZNE: REF NO: PLANNING NOTES> 7F 1ElfklF iF iF 1E**JE 1E 1E fE 1E IElF*1E R iF if BE iE lE fE fE *1E iE 1E lE iE JE iE iEfE 1E iE 1E IE iE 1f iF 1O**ifM**lFfh 1E*fE1l•iE 1O iE iE iE iE if if iF***iE**fE iE iE iE lEit 1F 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 DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY:DATE: lEiE*1E JElE aE 1F 1FfF iE 1F*%iF iE lE iE iEfE 1E iE iE ik *4E 1E lE 1f4K1E iF 1E * iE 1E lE fE 7F iE 1E dE iE iE if of fF 1F iE lE iE 4F lF aE lE iE lE iE iF iE fE iE 1E iE 1E iE iE iE iE lE * eE lE iE lF jE 1E lF iE ik fE 1E iE iE iE iE it JE iE iE * iE iF iE M!e iE K iE aE if lE if iE fE if iE le 1E iE 1e LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 15,00 50% SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 15.00 15.00 0,00 30.00 30.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.00 BE lE 1E 1E 4 * IE 1E lE lE 1E 1E 1f 1F IIF lE 1E * 1f !E fE iE 1f !E fE lE lE ff * * JE 1E * * 1F 1f if iE iE iE if iF * * * 1E iF iE ik iE iE it 1E iE iE 1E 1E it 1E 1E iE 1E iE * iE 1N * * iE 1t if !! iE iF iE it iE 1E 1E 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 ELE 1 SIGN/ OUTLINE LIGHT SYS ON 1 BR CIRC END OF FEES EXPIRED onC. In mplete InSP tl oat r,' 1 i8 I UNIT COST 15.00 TOTAL COST 15.00 01 00158292-00158292 Tt T 30.00 DATE: 04/04/94 TIME: 09:53 POC SPA CONSTRUCTION AND PLANNING Date li+spector APPROVALS Permit # Date Inspector APPROVALS Permit # 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd.-i :, r: 53. Steel Reinforcement " fleciri�al Conduit-Ut i l ity-Undrgrnd'."' 54. Forms �! 4.rEdectrical ConduiL-Dodrgrnd. -'� 55. Electrical Bonding T 5' -$fb6{jReinforcemTnt `` 56. Rough Plumbing & Pressure Test A F!ectpcal OF E'R Gmd. J 57. APPROVAL TO COVER-GUNITE _-Fodtirt9s - - 58. Electrical Conduit-Undrgrnd. :r j8;Lougdation 59. Gas Pipe, ❑ Undrgrnd„ Test ` 9: -Water Pipe-Undf'grnd. 60. Backwash Lines, P -Trap, ❑Undrgrnd..' , 10, :Structural Floor System _' 61. APPROVAL TO DECK 114.Pro6erty Sewer: -Line & House Connection 62. Backwash & Receptor -Final 12? Sewer Cap t 63. Heater & Vent -Final 13. Roof Drains J 64. Plumbing System - Final 14. Rough Plumbing -' 65. Electrical -Final 15. Rough Electric'! -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign' 68. APPROVED FOR PLASTERING 18. Rough Electricai'-T Bar Ceiling 69, POOL/SPA SYSTEMS FINAL 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT UZ tAPP RONAL'S •"Permit# '" ^• 20.�9ough Factory Fireplace I xot Z' ;r< 21.;i�'Ucf,S.'rn-5trUturn; I .... .y= y_- `90. Uaderg,,i,�j;Hydro t _� 22.D,Vtilating+Y. - ':fit. Product fpingG''G'is U;OiI w 23.'Gas_Pipe;Ro6gh&'•%est _ 4 4 ,- .72. Undergrou�ndFIS6_j _. 24.-.Ro0f. Framing-`; � j til.. •rte =' �73.?Undergrnd2Stor6g'erTank Gas •O Ott F tGt 25. Roof Shesthin9 '' �: '_i -74.:Overhead Hydroma r �• ,i 26. -.T-Bar Ceiling (Straciural) & Monocoat 75 Chemical J 'f -• �' '= - r•' .RrY D 27.^Frame a d Flashigg'k J y M 76. Dry Standpipe o,. F�`.: ;28. `Lathing & Siding•' <:I; x f _ •- •• 77. ---FIXED SYSTEM NAL'- -29. Insulati n - r~ j I 7$FFIRE PREY. FINA.L r Drywall (Vailino a , t' HEALTH:DEPT=R"EQUfREMENT X31. Plaster Brown Co'{ .�.. r { -79.`-FINAL INSPSCTION� ;- t7 c --'32.-Electrlcalp'owerh9eter;FinalI i' - SO.mFOODCERTIFICATE, ISSUED El 7 Notes:., t33.'Eina t: ! :. , J '34. FinaTHeating_& Ax,Cond tioni'ng- 2 , _- 35.-Final•Gas Pipe%Te'st' - I •- -'"• '" ` t" .0 .36.'Hoodd or,6anopY _ _, -r •7 - i I jtiC. •-��• - 37. -Final Factory Firepface' ,38. Final,Plumbing { r c - T 39. Wates Service"Fina l •_ -- j Y � �_ :7% `T •r --� t40. Gas Service -Final .41. Solar Domestic -Final =: i I •• _ ':^ '-' s' X42. Backflow Preventer', 43. Backflow Irrigation .r 44. Landscape Irrigation Systemz, j �j; 45. Sound Attenuation r+ r = a •t A6.+Handica P,Regulations l 47. EINXL STRUCTURE & BUILDING {• to _ I r �,/ '. r' i f-• PLANNING: n_U, 48., :n ,[NAL - 49. Llectrjc Release to Edison { 2 t I I i. P: •.l 50. Gas Release to Southern Califoc tia.Gas Co 51. CERTIFICATEOFOCCUPANCY p�•.+ � r c No. Date PROJECT ADDRESS: 1041 EL CAMINO DR UNIT: OWNER'S NAME: CAPITAL FINNANCIAL CONSUL 'ADDRESS: 30448 RANCHO VIEJO ROAD SUITE # 175 SAN JUAN CAPISTRANO 92675 ARCH/ENGINEER: 7 1 4) 248-8800 • REG.NO.: ADDRESS: UNIT: PERNIITTEE: BURSTEN GROUP CORPORATION (714)258-9696 ADDRESS: 15012 RED HILL AV H TUSTIN CA 92680 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. cCIT 058139 sTATEuc.:571508 cuss: C-45 ate: Signature: KERSCOMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self insure or a certificate of Workers' Compensation Insuranceor a certified copy thereof (Section 3800. Lab. Q. POLICYNO.: 0720944-93 Ex P. DATE: 01/30/95 COMPANY: STATE FUND 7 Carlifietl copy is hereby furnished. Certified copyis 1 the 'Il Building Division. Applicant: ION AOM WORKERS' COMPENSATION DECLARATION: (This section need rib co d is for one hundred (SIOD) or less). I 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. Date: Signature'. NOTICE: It. 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 issuancealso requires the applicant for such permit to file a signed statement that helshe 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 71731.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (4500). 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 Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herselt 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 of sale). one year of completion. the owner will have the burden of proving he/she did not build or improve iro I, as owner of the properly, am exclusively 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 who builds or improves thereon and who contracts lot 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: 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 building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from these provisions. Date: Applicant I hereby certify that t 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 apmorize represenglives of this city to enter upon the above-mentioned Signature: License or Social Security x� 164146 White—Beildmg. Green—Code Enforcement, Canary—Appllcanl: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — SIGN PERMIT PERM NO: SB 06665 PERMIT NO: SB 066654 PLAN CHECK NO: 01179-94 L GOVT: N SUPP: N CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR SIG PURPOSE: OTH JOB DESCRIPTION : INSTALL ILLUMINATED WALL SIGN SQ FT: CLAIM VALUE: 1,200.00 CALL—VALUE: 1,200.00 GROUP OCC: B-2 / COMMENTS: INSTALL TWO ILLUMINATED FRONT WALL SIGNS ik it * iE iE * iE tE if iE iE it if iE it k iE+f iE iE it iP ifi it ie it ie it * it * it it iE iE ie it if it i6 it it it i6 7E it iE iE iP iE it it it i1. ik i6 iE it iE it 1E * * * * * iE ii * iE it i6 i6 iE iE iE iE i6 if S I G N I N F O R M A TrI O N DISTRICT: 3 TYPE; WALL ILLUMINATION; INT CATEGORY; NEW DIMENSIONS: 2FT ODIN X 18FT ODIN AREA: 45.00SQFT LETTER HT: 14 STREET FRONTAGE 1: 395,00 STREET 1: EL CAMINO DR STREET FRONTAGE 2: 338,00 STREET 2: CORONADO PARCEL: 14167117 ZONE: C1 LOCATION > FRONT: X REAR: BUSINESS NAME: MAYTAG EQUIP. LAUNDRY > LEFT: RIGHT: O T H E R T O T A L S G R O U N D S I G N THIS ACTIVITY 45.00SQFT OVERALL HEIGHT: OFT ITHIS SITE 45.00SQFT GROUND CLEARANCE: OFT OIN ITEMS OF INFO c 5 PLANTER AREA: O.00SQFT ITEMS FOR ACTIVITY: 5 BLDG SET BACK: 20FT COPY VERBIAGE : (PARKING LOT) MAYTAG EQUIPPED LAUNDRY — CHANNEL LTRS — 21 SF (TOWARDS EL CAMINO)LAVANDERIA — CABINET — 24 SF PLANNING NOTES; iE iF M if * iF iF iE iP iE iE iE * iE iE iF * iE iE iF iF iF iE iE if iF iF iE iE if iE iF iE iE if ♦E * * iE iE 4 * ii i! iE 1E iF * iE iE iF iF if * iE iE ie iE iE iE i6 i6 iE iE it it iE iE iE ie iP * iE * ie ie iF ifi 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 �jj SA DATE; BUILDING APPROVED BY : 04-1 DATE: �APPLICATION EirISSUED iEBY: i6iE*iFDATriEtitir�� LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/RES GRADING PERMIT 29.00 45.00 SMIP/NON—RES PLAN 18.85 ,50 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 74.50 0.00 18.85 93.35 93.35 .00 REVENUE DIVISION TOTALS--> COLLECTED: 93.35 OVER/SHORT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN—CHECK 29.00 45.00 .50 18.85 iE iE iE iE iE 1E 1E iF iF 1E iE 1E iE iE iE iE if if it ie if 1E iE iE iE iE iE iE iE 1E iP it iE 7E iE * iE iE tE r * iE i6 iE it k 1E iF iE it it iF iE i6 iP iE * if iE iE iE iE iE iE it iE it * iE ie if i6 iE iE it it iE if 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 NO FEES WERE SELECTED FOR THIS PERMIT EXPIRED L com tete Inspect:o e qIn 01 00158288-00158291 TOT 93.35 Sig — DATE: 04/04/94 TIME: 09:52 Jath " POO, SPA ' CONSTRUCTION AND PLANNING : . ' APPROVALS Permit # Date Inspector APPROVALS Permit >k Date Inspector e I, Temporary Electrical Service or Pole - 52. Pool & Equipment Location c:} 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3;-Flectriical Conduit_Utility-Undrgrnd " 54. Forms ._.,4Alectrtcal Condu t;F1n_drgrnd. � = 55. Electrical Bonding 15:!'SfeeReinforcemg}jt '-'" 56. Rough Plumbing & Pressure Test of x 6. 'Hectaiial UFE(3jGrnd, 57. APPROVAL TO COVER-GUNITE ` .'7' Focti,7s 58, Electrical Conduit-Undrgrnd. 7.8(„F.oun3dation 't •' 59. Gas Pipe, C Undrgrnd., Test ` '9.rVL'atei Pipe-U.ndi'"gmd. 60. Backwash Lines, P -Trap. C Undrgrnd. 10:.,Struciurai 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 v _ 64. Plumbing System -Final 14. Rough Plumbing: - 65. Electrica6Finai 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 Electrica'-T Bar Ceiling 69, POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT _ 7, <: - 'T' ..'r 'APPROVALS r•. Permit=#' T �' t._ Fi 20. -_Rough Factory rgplace-trCE-E- Y"= X i-�r;C O rr 'x T.4 -�!r nt,l I. Cil 21. buct;, in trustur� li 2,i?-• r, •_ •'la a,. ? „y- 00.,-Undergrou dl-f'y1:vi� , .-rS c:ti:ztG:inSO 0;3 ._m 22, 'Ducts, Ventilaiing��% (�-+� �P.:�/` �Gtn^ - -` 1.`�od-uct Piping ''3A -d ''Oil" 1•rir. 23. Gas Pflpe`Rou�h &'Test '•sc; x--, .l q r :o .t -� •�l , �•G = Underground Fl !:?i-' .-- ,.; 9 ,K ,..., <72. 24. Root..Framing. Sa: 1 I Ts m^.L, > :. V? n73._LtndergrNd.Storage ?ank E -gas' COil -- _ 25. Roof'Sheathingr. •- n -74.'-O,Ve7heaLl, H;vdro _ 26. T -Bar, Ceiling {StructuralVi. Monocoet- 'r z - -75. f?Jiy Che`nlical ^ _ � 27.'FrarLteand Flashirig y�; Fe°J n- J, s pt S�:C�7o.•-ICYStan 28.`Lath!ing Siding"';S,�o,`•:r�~ '.,•v=,: -. ••I •77. •fIXEDTYSTEM FINAL'`- K Y ;29. Insulatidn ` 1 t'•^ mn�+146 Y 1 - ='l f11RE PREV. FINALI _ -7„ of ,-::r ,,,, r �: , 78. -t - p ;n •30. Drywall Nailing _ t b: .-HEALTHaEPT.•REQUIREMENT ri 131. Plaster BipwnGoat:: I 79. FINAL h'VSPECTKSN._, ` y, 32. rElactncal:Power Meter Final x N { 80. FOOD OERTIFICATE ISSbJED f33. tfina{"Electric' „ = y Notes, L or 34. Ail Conditioning,'.;" ;FinaTHedting'& 35. iFinahGas Pipe=Teft'x. :- Vi is H 1 i u: 1• CI X i- 36.'Hoo':or 'Canopy _ `� •. 37. Pinal"Factory F46019ce, `:------- �; 38. FinaI,.PlUmbin ^� itCTI SIM, �--- ••. ------ 39. Water.Service-Final:x E- M: - D '+ ' I �/ o,` -C x• C ,Gas _ -'•'"=,l 40. Service-Fial "' •�' - -.,;n^!n 41. Solar'0omestic-Final ' D - 7i: `N> S Ir 3 • 42. Backflow Preventer ; = rO `: et' ' F n _ I •-.•�• •% _ -` r_ 43. Backflow Irrigation + •�trn=, C S� �. .c ~o :�-r-'o O /--•'+ r?I\•C�4 44. Landscape irrigation Sys Lem 45. Sound Attenuation S rr t1sk-d" -lir I+ t� I- i � ct ^.¢it P"dations "I'`* ^�:.�. 46. HandicaRe 9V. o -3 •-I n •- •• ••� 1t .. . ... _ , 47. FINAL STRUCTURE & BUILDING v * ' i c i. r .•. 48. FINAL PLANNING rt7.1 49. Electric Release to Edisorn 50. Gas Release to Southern California Gas Co ''; •- I `' ' '` ` 51. CERTIFICATE OF OCCUPANCY ,4 j p No. Date OJECT ADDRESS: UNIT: OWNER'S NAME: 1041 EL CAMINO DR ADDRESS: PRIDE LAUNDRY SYSTEMS 13061 SATICOY ST N HOLLYWOOD,_ CA 31605- ARCHIENGINEER: LYMAN ENNIS REG.NO.: C1��4 ADDRESS: 30 N RAYMOND °N PERMITTEE. PASADENA CA 91103 ADDREss: R 6 B MECHANICAL CONT. (805)268-0866 33338 AGUA DULCE RD 112 AGUA DULCE CA 91350 LICENSED CONTRACTOR DECLARATION: I hereby affirm Oat I am license e9 visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my tic is in toll to a and effect. CITY LIC.: T)) � uc.: 3 3 4 81 4 Date: /6 ��— 7 STATE Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a can, ate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab C) POLICY NO.: 1274885-93 EXP. DATE: 12/28/93 COMPANY: STATE FUND ❑ Certified copy is hereby furnished. ER Certified copy is file QWW,1yy0JJJLLLth the city Building Division. p Date: A Z.G — —J� Applicant: EXEMPTION FROM section need COMPENSATION DECLARATION: (This seneed not be completed if the permit is for one hundred ($100) or less). I cal ly 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 WorkersCompensation Laws of California. Date. Signature: NOTICE: It 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'tleemed 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 3D97, 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 (Creating (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 sole 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 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. 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 exclusively contracting with licensed contractors to construct the project (Section 7044, Business Eland Professions Code: 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. S P. C. for lois reason: 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 building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date. Applicant I hereby certify that I have read this application and slate that the a infor ion is correct I agree to comply with all city and county ordinances and state laws relating to building construction and her b mere rep esentalives of this city to enter upon the above-mentioned property for inspection purposes. Date! D—?C Signature: 11-17— Driver's License Or Social Security n: 1641-46 White—Building: Green—Code Enforcement; Canary—Applicant; Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 064646 PERMIT NO: P 064646 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE; PERMIT TYPE: PLU PURPOSE: NEW JOB DESCRIPTION CONVERT 1488SF STORE INTO COIN—OPLAUNDR SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS: "MAYTAG COIN LAUNDRY" STORE T.I., REF:B-64643 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 ------------ 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: 14167117 ZNE: REF NO: PLANNING NOTES> 258 SMIP/NON—RES } r'� ISSUE FEE 20.00 ############################################################################### BUILDING—DIV—> PERMIT ISSUE PLAN -CHECK 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 DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: ################################################################### ########### LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 293.00 258 SMIP/NON—RES PLAN r'� ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN -CHECK - TOTAL, PAID DUE TOTALS ---- > 293.00 20,00 0.00 313.00 .00 _313.00 REVENUE DIVISION TOTALS--> COLLECTED : 313.00 TER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC F P/TOT GRADING PLAN—CHECK 313.00 I N D I V I D U A V"' 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 PLU 27 LAUNDRY TUB OR WASHER — 7.00 189.00 PLU 1 WASH BASIN (SET) 7.00 7,00 PLU 1 WATER CLOSET (TOILET) 7.00 7.00 PLU 1 WATER HEATER AND/OR.VENT 7.00 7.00 PLU 1 WATER SERVICE I 7.00 7.00 PLU 1 GAS PIPING SYS OF; 1 TO 4 OUTLETS 5.00 5.00 PLU 7 GAS PIPING SYS 5+ '.OUTL—PER'OUTLET 1,00 7,00 PLU 1 GAS SERVICE 7.00 7,00 PLU 5 FLOOR DRAINS 7.00 35.00 PLU 1 SEWER, CONNECTION TO BUILDING EACH 15.00 15.00 PLU 1 SINKS, FLOOR 01 0014�'00 M_00149576 T1JT 7.030:.013 OATS: :0/26/93 'CI%E 1:.01 CONSTRUCTION AND PLANNING APPROVALS Permit # Dat1=1 Inspector POOL & SPA APPROVALS Permit # ' Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. j_j,¢G)c_/,!'� L 53. Steel Reinforcement f 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. Fpotings 58, Electrical Conduit-Undrgrnd. 8. FGundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Wt*.gr rnd. ndr Pi e -U R 9 '�' 7 G � . h✓ I 60. Backwash Lines, P -Trap, C' Undrgrnd. , 10. Structural Floor System �' 61. APPROVAL TO DECK 11.. Pnnperty Sewer Line & House Connection `-j 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 15. Rough Electrical -Conduit 66. Solar System -Final 16, Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68, APPROVED FO,R PLASTERING 18. Rough ElectricabT 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 ❑ Gas 000 23. Gas Pipe -Rough & Test - 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑Gas 00il 25, Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling IStructurall & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. 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 34. Final Heating & Air Conditioning Notes: 35. Final Gas Pipe -Test 36. Hood or Canopy ,C,•- �`2 L 1-114 !•L �lltlrj'yw WI/ 1 1 ✓ ''' 37. Final Factory Fireplace I O�Lr IVd T«� 38. Final Plumbing 39, Water Service -Final 40. Gas Service -Final _Z-�a. ,7 El"Az 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47, FINAL STRUCTURE & BUILDING 46. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Go ". . 51. CERTIFICATE OF OCCUPANCY No. Date 0 I DJECfADDRESS: 1041 EL CAMINO DR UNIT: OWNERS NAME: PRIDE LAUNDRY SYSTEMS ADDRESS: 13061 SATICOY ST N HOLLYWOOD, CA 91605 ARCHIENGINEER: LYMAN ENN I S REG.NO.: ADDRESS: C 1 °N9 � 30 N RAYMOND PASADENA CA 91103 PERMITTEE: R & B MECHANICAL CONT. (805)268-0866 ADDRESS: 33338 AGUA DULCE RD 112 AGUA DULCE CA 91350 LICENSED CONTRACTOR DECLARATION: I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my then full farce and effect. CITY LIC.: STATE LIC: 3 3 4 814 CLASS Dater b — d1 K 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 cerofied copy thereof (Section 3800. Lab. C). POLICY NO.: 1274885-93 EXP. DATE: 12/28/93 COMPANY: STATE FUND ❑ Certified copy is hereby furnished. Certified copy is filed a city Builpigp Date: )0—Y.G- �3 Applicant �i EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($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. Date: Signature: NOTICE: It. after making This declaration, you should become subject to the WorkersCompensation 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 amyloyees with wages as their sole compensation, will do the work, and the El structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State 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. 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). I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business El and Professions Code: The Contractors' State License Law does not apply t0 an owner of property who 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: B. 8 P. C. for this reason: Date: owner I do hereby cerufy 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 building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and slate that the ve information is cp reel. I agree to comply with all city and county ordinances and state laws relating to building construction an re by au jmi Oerepresentalit sol this city enter upon the above-mentioned property Lor inspection purposes, Date: �.b ' G1> — —J \l Signature Drivers License or Social Security a: 164146 Wfits— Building: Green—Code Enforcement; Canary—Applicant Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064643 PERMIT NO: B 064643 PLAN CHECK NO: 02963-93 L GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT, JOB DESCRIPTION CONVERT 1488SF STORE INTO COIN—OPLAUNDR SQ FT: 1,488 CLAIM VALUE: 17,000.00 CALC—VALUE: 11,040.96 GROUP OCC: B-2 / COMMENTS: "MAYTAG COIN LAUNDRY" STORE T.I. 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 ------------ 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 RIGHT: FT IN PARKING RE&Q PROV; PARCEL: 14167117 ZNE: C1 REF NO: PLANNING NbTES> CONVERT AN EXISTING COMMERCIAL BUILDING TO A COIN—OPERATED > LAUNDROMAT-.. D E V E L O P M E •N' T S E RR V I C E S R E Q U I R E M E N. ,T' ZONING APPROVED BY (J C DATE: BUILDING APPROVED BY : DATE APPLICATION ISSUED BY:DATE: k kk k kk kk k k k kk kk k k k k k kk k k k k k k k Fk kk k k kk k k k k k k k k k kk k k k kifik k k k k kk k kiB.k k k kk k k k k k k kkkkkkkkkkkkkif±f#'if jE iE lE k iE iE if iE iF if it r,. iF it if iE iSif iE ih 9f iE it if il-if lk iE ick if if it iE±E of iE aE k if iE iE iE riEfE iF it-iFifiEifiFilitiEltfFiajr- 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 135,00 SMIP/NON—RES PLAN 87,75 2,32 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 137,32 0,00 87,75 225,07 225.07 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 137,32 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC /TOT GRADING PLAN—CHECK 135,00 2.32 k kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk 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 SFC 1488 STO—INT, ALTER TYPE V—N —AVER 7,42 11,040,96 END OF FEES 01 0014?574-00144675 TjIDT 137.32 OATC': 10/26/93 TME: 15:01 CONSTRUCTION AND PLANNING APPROVALS Permit # DateInspector POOL.. SPR 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. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . . S. 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, C Undrgrnd, 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash &Receptor -Fina! 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing 65. Etectrical-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. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71, Product Piping CI Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26- T -Bar Ceiling (Structural) & Monocoat - 27. Frame and Flashing ZI�S��tf !!!! TTTT 75. Dry Chemical 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 30. Drywall Nailing �l 7 78. FIRE PREY. FINAL 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 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING J 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cc - 51. CERTIFICATE OF OCCUPANCY No. Date N PROJECT ADDRESS: 1041 EL CAMINO DR UNIT: OWNER'S NAME: PRIDE LAUNDRY SYSTEMS ADDRESS: 13061 SATICOY ST N HOLLYWOOD, CA 91605 ARCM/ENGINEER: LYMAN ENN I S REG.NO.: C 1 113 4 ADDRESS: 30 N RAYMOND DNI . PERMITTEE: PASADENA CA 91103 ADDRESS: R & B MECHANICAL CONT, (805)268-0866 33338 AGUA DULCE RD 112 AGUA DULCE CA 913 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under pro s doter ommencing with Section 7000) of Dimsion 3 of the Business and Professions Code. and my license is in full rce an ffect. CITY LIC.: 3�)I 2 STATE 1 3 34 814 cuss: Date: %C:^ 2G - 9LS Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a cenificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C). POLICYND.: 1274885-93 EXP.DATE: 12/28/93 COMPANY: STATE FUND ❑ Ce mhud Copyyi�W isherebyfurnished. [ Certified copy Erg th u' ding Division. Date: ) 0 — — 4 3 Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). I cenify 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 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 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 issuancealso requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Coon) 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 sole 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 owner of a property who builds or improves thereon, and who does such work himsell/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 housing did not build or improve for the purpose of sale). I, as owner of the proper am exclusivelyy contracting with licensed contractors to construct the project (Section 7044. Business ❑ antl Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts lot such projects with a contracfm(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. ❑ 1 am exempt under Section: B. 8 P. C. for this reason: Date'. Owner: I do hereby cenify that I am aware of and understand the requirements of California Health and 25534 and that I or any future building occupant will/will not (circle one) need to comply with s permit for construction or modification from the Air Duabty Management District. Residential c these provisions. Safety Code Sections 25505, 25533, and oto state codes and the requirements for a onstruction applications are exempt from Dale: Applicant: I hereby certify that I have read this application and state that the above' formatio 's correct. I agree to comply with all city and county ordinances and slate laws relating to building construction and hereb i7e repress talives of this city to enter upon the above-mentioned property for inspection purposes. r� Dale/ 0 ''i — S3 Signature: Driver's License or Social Security a: 1641 46 Whne—Building: Green—Code Enforcement. Canary—Applicant; Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 064645 PERMIT NO: M 064645 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: NEW JOB DESCRIPTION ; CONVERT 1488SF STORE INTO COIN—OPLAUNDR SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS: "MAY•TAG COIN LAUNDRY" STORE T.I., REF:B-64643 *aLaE�E��E*aF*�*ar�FaE1Elf1f�E***�FaF*3titataeaa�F�Far*4F�� 4ra�araF�E*aL4E�r**+a�E�*****aA***4F�*4F��-*�*+�*****ar***�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 ------------ 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 RE • PROV: PARCEL: 14167117 ZNE: REF NO: PLANNING N TES> 76.00 15.00 0.00 91.00 91,00 .00 REVENUE DIVISION TOTALS--> COLLECTED:/ 91,001 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC RI$P/TOT GRADING PLAN—CHECK, 91,00 1E if * iE ie it !! iE iE 1e iE iE if iE iF iE:e 4E if iF iE is iE iE iE ie e(-4 * * iE ik ie iE if ie iE 1E 4E jE 1E 9f iE e(- ae ff iE iE iE ie jE iF 1F fE 1(- 3f 1E 1f %iF 1F iE iE 1F ie iA if iE iF if is iF ac jF ai iE K iF iE iE jE iE RE iE iF iF 1F IE iF if if iF if ac 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 BUILDING APPROVED BY : DATE: DATE: APPLICATION ISSUED BY: DATE: %J LEGALIZATIl F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE' SMIP/RES GRADING PERMIT 76,00 ✓, 25% SMIP/NON—RES PLAN i ISSUE FEE 15.00 BUILDING—DIV—'> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 76.00 15.00 0.00 91.00 91,00 .00 REVENUE DIVISION TOTALS--> COLLECTED:/ 91,001 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC RI$P/TOT GRADING PLAN—CHECK, 91,00 1E if * iE ie it !! iE iE 1e iE iE if iE iF 1f * if if * iE it ie ff iE 9e if fE iE iF 3F k of M is Re ie if jE if fE ie ie ie 1E �e 1f 1E ie iE fE if iE iF fE #F iE iE ie iE iE iF ff if if of if iE iF iF ik iE+E if jf ft 1f if 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 MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4.50 4,50 MEC 1 INST/REL AIR HANDL UNIT 0-10000 CFM 6,50 6.50 MEC 10 VENTILATION SYS NOT UNDER PERMIT,EA. 6.50 65,00 END. -)OF FEES 01 00149673-00149673 Till 91.170 LATE: 1101/26/93 TIME: 14:59 CONSTRUCTION AND PLANNING APPROVALS Permit Date Inspector POO, _ SPA APPHOVALS 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. 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, D Undrgrnd., Test 9" Water Pipe-Undrgrnd. 60. Backwash Lines, P Trap, ❑ 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 74. Rough Plumbing -��L1-�"/- f, 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 SYSTEb1S 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 ❑ Gas CI Oil 23. Gas Pipe -Rough & Test .; 72. Underground Flush 24, Root Framing 73. Undergrnd. Storage Tank G Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hvdro 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 1 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final, Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 5'2 Notes: _.7 •; -�- "� - -`%' 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 43. Backflow Irrigation 44. Landscape Irrigation System i 45. Sound Attenuation i 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51- CERTIFICATE OF OCCUPANCY No. Date W PROJECT ADDRESS: 1041 EL CAM I NO DR UNIT: OWNER'S NAME: PRIDE LAUNDRY SYSTEMS ADDRESS: 13061 SATICOY ST N HOLLYWOOD, CA 91605 ARCH/ENGINEER: LYMAN ENN I S REG.NO.: C 1� 7 4 ADDRESS: 30 N RAYMOND NIT: PASADENA CA 91103 PERMITTEE: MATSUMOTO ELECTRIC (213)321-8196 ADDRESS: 1319 W 169TH PL GARDENA CA 90247 LICENSED CONTRACTOR DECLARATION: I hereby affirm that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full force and effect. CITY uc.: 0 3 701 3 STATE tic .: 26550 ury L � Date: -- 16 — 9 4 Big nature S��ii, WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a candidate of consent to self -insure or a certificate of Workers' Compensation Insurance. of a certified copy thereof (Section 3800. Lab. Q. POLICY NO.: WC 2 2 4 4 296 EXP. DATE: 10 / 15 / 9 4 COMPANY: PACIFIC NATIONA I Certified copy is hereby furnished. ER Combat copy is filed with the city Building Division. ';'L Date. - —/ 6 — q � Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This arched need not be completed it the permit is for one hundred 151001 or less). I 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 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 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 In 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 sole compensation, will do the work, and the Elstructure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State 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 net 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 proper am exclusive)y 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 who builds or improves thereon and who contracts for such projects with a concentrate) 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: Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and S 25534 and that I or any future building occupant will/will not (circle one) need to comply with said permit for construction or modification from the Air Quality Management District. Residential co these provisions. afety Code Sections 25505, 25533, and state codes and the requirements for a nstruetion applications are exempt from Dare' Applicant: I hereby carry that I have read this application and stare 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. Dare: Z—(G —� Signatures—� Drivers Lmemse or Social Security x.: t(i White—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goltlenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 06609. PERMIT NO: E 066097 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ALT JOB DESCRIPTION : CONVERT 1488SF STORE INTO COIN—OPLAUNDR SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC: B-2 / COMMENTS: "MAYTAG COIN LAUNDRY" STORE T.I„ RE:#B6'4643 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 ------------ 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: 14167117 ZNE: REF NO: PLANNING Ni TOTAL PAID DUE TOTALS ---- > 126.85 15,00 0.00 > ,00 _ TOTALS--> COLLECTED: 141.85 OVER/SHORT: *aF 4F iF*ie�-iH ie iF iF**eL ie ie iHx aL aE*4F 4�*BF of tE tF iH+eBE?4 iE iE•iA*aF aF iE-iF+FiF**iF ie*it+t+E±tfF**it**eF**aAiE iF x-*aF aF iH at iF iF TF Br****** D E V E L O P M E N T S E=R -V I r. C E S R E Q U I R E M E N T S ZONING APPROVED BY 1 ST 20 '� ,75 DATE: BUILDING APPROVED BY NON—RES APPLIANCE NOT OVER 1,0 DATE: 3,00 6.00 ELE 2 SUB—PANEL APPLICATION ISSUED BY: =s'— 22.00 DATE: '1f iE aF B( -ie ie iE iE iE lE 4f iF fF iF iEfE aE 1E*if BE*�;Fii iF3F iF iF Tf iE�€iFTfiFif3FiF3FiF"iFiF'i�if3F3F3f;FiF HP iF 7F if 3F 3F TAT{af if iE 3f aE TE eF ie iE aE pE iE iE ie iE iF iF * * RE 7F iE 1E iE iE iE of iE ie ie iE if iE ie iE 1E iE iE 9F eE RF 1E 1E iE iE if eE ie eE if if 9E iE fF jE ie If iE iF iF * iE lE iE ie if 9H iH of 9E iF iF Bf- 4 BE 1E ef-* 1E lE iF iE iE 1E ie aE e4 aF iE if ie LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 126.85 E A K D O W N 50.3 SMIP/NON—RES D E S C R I P T I O N PLAN UNIT COST TOTAL COST ISSUE FEE 15.00 FIXTURES, LIGHTING 1 ST 20 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 126.85 15,00 0.00 141.85 141.85 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 141.85 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 3.60 141.85 2 RECEPT/SWITCH i(- fF iF iF iE iE iE iF 1E iE at if 1f * RE ie ie iE 1R iE iF fE 1E iE iE # if 1F ie� iE iE iF 9e eE aE'IH iH aE 4F iE iE 4f- iF 1H iF iF if iE iE 9E iE 1E iF 1F �E iE ie fE iE iF RE 1e iF if !Fie 1F of ff iF iE * k 1E iE ie ie if ff I N D I IT 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 ELE 5 FIXTURES, LIGHTING 1 ST 20 EA, .75 3,75 ELE 20 RECEPT/OUTLET 1 ST 20 EA. ,75 15.00 ELE 8 RECEPT/OUTLET ADDITIONAL EA, 45 3.60 ELE 2 RECEPT/SWITCH 1 ST 20 EA, ,75 1,50 ELE 2 NON—RES APPLIANCE NOT OVER 1,0 HP 3,00 6.00 ELE 2 SUB—PANEL 11.00 22.00 ELE 6 MOTOR/POWR APPARATUS 1,1 — 10.0 HP 7.50 45.00 ELE 1 MOTOR/POWR APPARATUS 50,1 —100.0 HP 30.00 30,00 END OF FEES 131 00155581-00155581 TOT 141.85 DATE: 02/17/94 TIME: 15:30 — CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POO '.PA APPROVALS Permit 3k I Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 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 Gmd. 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 Uncirgrnd. ! 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 16. Rough Electric Wiring � 66. Solar System -Final 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYST ENIS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permits 20. Rough Factory Fireplace 21, Ducts, in Structure 70, Underground Hy&L 22. Ducts, Ventilating 71. Product Piping 0 Gus 0 Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25- Roof Sheathing 74. Overhead Hydro I 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe v 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 33. Final Electric T- �y 80, FOOD CERTIFICATE ISSUED 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 n+; 43. Backflow Irrigation 44-. Landscape Irrigation System - 45. Sound Attenuation M 46. Handicap Regulationsi; 47. FINAL STRUCTURE & 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: 1041 EL CAM I NO DR UNIT: OWNER'S NAME: RON EARL 7 , ADDRESS: DEEP INC. 1903 N. DURFEE S, EL MONTE CA . 213 686-1606 ARCHIENGINEER: REG.NO.: ADDRESS: 1 UNIT: PERMITTEE: STUART R. CARNES ELE. (714)622-3911 ADDRESS:_ 1475 S-. SAN ANTONIO POMONA - CA 91766 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 uIQ:,053010 STATE LIC.: 542922 cLss.' ' 0 Date: a- — �/ Signature' �j� WORKERS' COMPENSATION DECLARATION: I hereby affirm Ihal have a certificate of consent to self -insure or a certificate of Workers' Compensation Insuranceor a replied copy thereof (Section 3800. Lab C). POLICY NO.: EXP. DATE: COMPANY: ❑ Cropped copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date: l Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). I certify that In the performance of the vark for which this permit is issued I shall no ploy any person In any manner so as to become subject to the Workers' Compensation Laws of California. Date Z —51 'Signature. QpA-r-.--- — NOTICE: If, after making this declaration, you should become sul5hect to the WorkersCompensation provisions of the Labor Cade, 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 at the work for which this permit is issued (Section 3097. Cls, 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 helshels licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt4herefrom 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 (8500). 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 Contractors' State 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 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). I, as owner of the property, am exclusively 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 who builds or improves thereon .and who contracts for such projects with a contractons) 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. & P. C. for this reason: Date: Owner: I do hereby comfy that I am aware of and understand the requirements of California Health a 25534 and that I or any future building occupant wdl/wlll not (circle one) need to comply with permit for construction or modification from the Air Quality Management District. Residential these provisions. an Safety Code Sections 25505, 25533, and said state codes and the requirements for a construction applications are exempt from 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 property sr inspector purposes building construction and hereb horize regret s city to enter upon the above mentioned progeny for d stately s relating t Date: �— 2— —47,1 Signature: Driver's License or -Social Security a: 164146 White—Budding. Green—Code Enforcement. Canary—Applicant Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: r PERMIT NO: E 051900 PLAN CHECK NO: N, r CONSTRUCTION'TYPE: PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION REPLACE MAIN SERVICE i SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 COMMENTS: REPLACE MAIN SERVICE !E*�FiE lE if iE*iE *iE iEN *BE IE if BE *iE iE;EiF if *1E*iF iERE****jE•iE iE 3f iE iFjEiE iE•*Df'iE*9E**iF**iF*9t if*aE 9FiEiF*iE if iF iE �E_*_iF iE 9E 1E 1f iHiF iF *�lf Z O N I N G S E T B A C K S A E Q U I R E M E N:T S ` ------------ 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:; 00000000 ZNE: REF NO': PLANNING N TES> > if±PititjFitiEitiFiE•iERE*itiFiEiFaFiFBt�EAFitiEiE*iEBe**iE*,itieiEiEitiE*iFiFatiF**jEifitieiEit9EiF3tit*iEiE*itieiE•iF**r**iEiEiEiE*ir**!liFjE* 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 DATE: BUILDING APPROVED ,BYI : DATE: APPLICATION ISSUED BY: DATE: ihif if Rf*iF Rh iF i(•iF 9f iF iF iE iE 1E *3F if iE RF iE ik 1F iF 9E iE iF iE iF iF �N if iF iE iE * * 9EiF IF 3f iE BtiE iE iE iE * iE it iE• * * iF iE * it it IPit it it iF iEiE RERE iE iF iE iF %iE.RFiE 3E at REif 9E * iE• iF aE iF iE 3F iF k BE * it ie IE iE iF * * * iE iE �F if 3f it BE iF •lE 3f' iE 30 aE LEGALIZATION:N F,,E,E S U M M A R Y' STRUCTURAL-SEGMENT:N 1 'BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP./RES GRADING PERMIT- 18 50 SOY SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS-- --> 18.50 15.00'_ 0,00 33,50 33,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 33,50 OVER/SHORT;00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.50 HE IF iF iE ii**iE 9EiEiEiE 9t ie iF*DE itis 3t*ic at lF BE iE iE iE Rt BF 1E iE 9f Rf if in 9E iN iE 9Eil•9E*i(•RE*iE•iEiP Bt*iE 49E*TE iFiE 3E**iE*aE *ia iF iFjf *�E 9E jE iFie BE*BF* I N D I V I D U A L F E E B'R E A K D•0 W N TYPE QTY D E S C R I'P T I O N UNIT COST TOTAL 'COST ELE 1' SERVICES BELOW,600 V 6 BELOW 201 AMP, 18,80 18,50 END OF FEES O1' 0086418—"7,2&418 TM0 ; 56 D4T'E: 05ib2,17i TIOIL: 10a47 CONSTRUCTION AND PLANNING - POU,_ & SPA } APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. -'Temporary Electrical Seryice'cir Pole 52. Pool & Equipment Location 2_ Soil Pipe-Undrgrnd. a 53. Steel Reinforcement ' ctricalConduii-Utility-Undrgrnd. 54. Forms -+1:4. Electrical Conduit-Undrgrnd. �c 55. Electrical Bonding 11" `�.�Steel• Reinforcement 56. Rough Plumbing &Pressure Test _i 6. Electrical UFER'Grnd. 57. APPROVAL TO COVER-GUNITE ! �_• 7. Poofings �! 58. Electrical Conduit-Undrgrnd. ' tr. ... 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test a, 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. • _ '2. 5vuctu�al Floor. � 61. APPROVAL TO DECK 1 11. Property S�r_ Line & House:Connection - '+ 62. Backwash & Receptor -Final 12. _Sewer ap � 63. Heater & Vent -Final 13. Roof Drains_ !•- 64. Plumbing System - Final 14. Rough Plumbirfg `U 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. REQUIREMENT - _ Perinit+ 20!.Roigh Factory Fireplace tr:; : ;'APPRDVA'LS::-, W 'S. I :!:+r xa;; 'i .S O"= " <tiHF-- t i 7: t Hi-' 211..,Ducts,L Striuctt�e. .... '��• - _ •.70. Hgtlro � - I ;l)ndergioun� 22. Ducts,Ven4ilatings :�S iC-'? =71. Produci, Piping O',Gas OOiI _ 23;,Gas.Pipp_� Rough & -_ ,J,z„+,72. " ]^'- x =x Underground Flush ,Test e < ;; , 24nRoafF.ramin.•g ;ar it-`.- - *> O T 73PUnderr6il.StoraqTank`OGas ❑Oil 25. Roof Sheathin �" 4 -t1 g:�.: •, ' t`% n1 ti* x• X 7 v r+t-• m 74�Overhead Hydrin, �. d, V x G :ux :r g 26uT-Bar Ceiling (Sfructural) &,Monocoat x J ---'J .., . _ tnx: x. 75T Dry Chemical ^ 27," Frame and Flashing t n ` " 76� Dr Stan �t i e 5.. :v S y .ti c' p.P JJ :r Lathing-& Siding; h :28: :: 3¢ y 2 x::; 77.7 FIXED SYSTEMJFINAL 1' 29. Insulation :Yr R''1i" 78 FIRE PREV. FINAL v :o S30. Drywall Nailing tet! - r iHEALTH!DEPT. REQUIREMENT tL _ L•, ., �. 31. Plaster'Erown Coat-' .r i . i "_ 78" FINAL INSPECTION, t o T :_l 32rElectrical Polder Meter -Final �� 4 O:..FOOD CERTIFJYCAT£ ISSUED - 33? Firal Electric v t tr• Ndes' �_ ",r s. I Q 0-7.g i 34•.- Final Heating &Air Conditioning •tt ' - i -3571Fioal Gas Piffe-Test' tO �f f r -. C) ac, trS x'IV O _ ,J 36. Hood or Canopy ;•• o x. ; : ! 'i x - - o _ Y n -37Firia l Factory Fireplace_ i St" ` C9 i 1=":' ,� �` 3w y x�- �38. Final Plumbing p " X39. Water Service -Final 1140. Gas Service -Final ,.1 ,.•rt:, t, I r ;1W voJ 4 -41. Solar Domestic -Finals ^- •• :+_ Cs � I M ? 6"� '- 'r `. -'42r Backflow Preventei A3. Backflow Irrigation tz3:`- 'a :r: -• i:i-, x.Q w - yt"`r 544. Landsca a Irii ation S ste P 9 Y R7][giw - �r t.° k' +' sJ ri U, :1 a .7 _ N N_ .]:.^ :R s_45'JSound I+.-::- :+' a. s: ;- _Attenuation u� ':1 •:S.e , is •� `t... 546-C•Handic5•p Regulations f47:;FINAL STRUCTURE & BUILDING ^48.JFINALPLANNING Release toEdison i :,49'+Electric 50._Gas.Release to Southern California Gas Co .s. 51.•CERTIFICATE OF OCCUPANCYNo Date PROJECT ADDRESS: UNIT: OWNER'S NAME: 1041 EL CAMINO DR ADDRESS: CAPITAL FINANCIAL CONSULT 30448 RANCHO VIEJO RD#210 SAN JUAN CAPISTRANO CA 92675 ARCHIENGINEER: (714)248-8800 REG.NO.: ADDRESS: UNIT: PERMITTEE: GRANITEX CONSTRUCTION CO. (714)851-0822 ADDRESS: 4500 CAMPUS DR 215 NEWPORT BEACHget_ 660 LICENSED CONTRACTOR DECLARATION: I hereby affirm thaof Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and 'fact. CITY uc.:STATE LIC. 524608 gate Signature'. WOflNER COMPE ATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure or a certificate of Workers' LV tion Insurance. or a certified copy thereof (Section 3800. Lab. Q. POLICY NO.; 1263 379-92 ExP.DAT 8/01/93 COMPANY STATE FUND Certified t y is hereby furnished. ❑ Certtlietl copy is eo Ili the try But in ivi on. Do / Applicant: EKEMPTIO ROM WOR ERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred (5100) or less). I certify th 1 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 WorkersCompensation Laws of California. Date: Signature: NOTICE: It 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 lot 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 helshe 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 compensztion, 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. 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' Stale 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. 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 building occupant willlwill not (circle one) need to comply with said state codes and the requirementsfor a permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from these provisions. Date. Applicant: hereby certify that I have read this application and stale Thal the a information is correct agree to comply with all city and county ordinances and state laws relating to building construction and h y Chorus representatives of is city to enter upon the above-mentioned property I , s ectian urposes. � Signature: Driver's icense or Social Security u: 164146 Whne—Building: Green— ode Enforcement. Canary—Applicant. Pink—Revenue; oldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 060626 PERMIT NO: E 060626 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE; 5—N PERMIT TYPE: ELE PURPOSE: REP JOB DESCRIPTION REPLACE 12 LIGHT FIXTURES SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS: REPAIR WORK ONLY1 NO ALTERATIONS FROM ORIGINAL FLOOR PLAN! **kkkkkkk��kkkkkkkkkkkkk*kkkk*kk**kkkkkk*��kkkkkkkk�**kkkkkkk*k*k�kkkk�kkk***mak Z O N I N G R E Q U I R E 41,E N T S S E T B A C K S ------------ 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 RIGHT: FT IN PARKING REQ• PROV: PARCEL: 14167107 ZNE: REF NO: PLANNING N TES> > kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk�lkkkkkkkkkkkkkkkkkk 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 DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: -93 k kkkkkkkkkkkkkkkkkkkkk kkkkkkkkkk kk kiflt ikif iF Mif if kif MBFMMkiI•kiflk lF ilik klf iE lFk lk iF kat if if if if Bf if lE Rf 3k BF li if lE it iE if kil•if if iFif RtiE aFik if if lF if iF if BF klf iE lF if it if *$E9F LEGALIZATION:N F E E S U M Mi I R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 9,00 50% SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 9.00 15,00 0,00 24.00 24,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 24.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 24,00 k kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk 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 ELE 12 FIXTURES, LIGHTING 1 ST 20 EA, ,75 9,00 END OF FEES EXPIRED )rtcom bt®I pections L7s1e 01 Qr13112.` Jif Z1.:°. DIaTE: 0:'_; 43 T'.1,£: _' Y I CONSTRUCTION ANDFLANNING [Inspector POOL &SPA _ Date Inspector' APPROVALS Permit # Date APPROVALS Permit # . 1. Temporary. Electrical Service or Pole_ - 52. Pool & Equipment Location ' 2._SoiI.PjDe-UndrsmdS. = i 53. Steel Reinforcement c, 9:=£ftsctrical Condtlilggf lity-Undrgrnd 54. Forms '"Elar"129at Condbtf�Jj�tdrgrnd. -= ` :- 55. Electrical Bonding r-•�5.8cs'eURrinforce.er)t^ - 56. Rough Plumbing & Pressure Test ctrK,2I UFEft 6rrn)4d. " - 57. APPROVAL TO COVER GUNITE 4 �r-,.'rL., 58. Electrical Conduit-Undrgrnd. C�, ' ndation 'j•`�' -- r 59. -Gas Pipe, ❑ Undrgrnd., Test 9a.xNeter Pipe-Un cgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. i ipi.ftructural FloaJr�SYstem "" L 61. APPROVAL TO DECK _troperty Sewer-Lina& House Conrigction i 62. Backwash & Receptor-Final 12+zSe� wer Cap- 63. Heater & Vent-Final 13. Roof Drains ,.., 64. Plumbing System - Final 14. Rough Plumbing v 65. Electrical-Final 15. Rough Electrica'YConduit _ 66. Solar System-Final - 16. Rough Electric.Wiring 67. Fencing & Access Approval t 17. Rough Wiring Sim 68. APPROVED FOR PLASTERING LA 18. Rough Electrical;T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19, Rouoh Hearin & Air Conditioning FIFE DEPT. REQL.UIREMENT C-9 - _ jAPPRtVglf'S: 20 `zRoqhacto�F`geplace r ;',`•. :c,5 21.`_Ducts, in=Straturb - i ••• •• ^, -� 1=' -"` '� -70. U_ndergrourid, Hyr7ro "• 22.SOu8Fs, V4ntitating, . ProductPiPirpg ❑Gas 0-Oil , 7. M 4 X71. 23. -Gav-Pipe-Rough &'Fest 'is ` Cr. C S C - Undergro,u5d Fluystf- - • ; _ ,-72, 24:'Roof Framing' r•x - x 73. L`1 Gas ❑ di! > [> X. ,.'a .lndergrnt'StoragesTank 25. RooFSheathing 74,70verhead Hydro .n 26!7T-Bar Ceiling ulurali &-S1tirw g (Str 75 Chemical e a 1. 1coat .y-0ry _ r 27.:. ratnear.' Flashi=ng,; y 76. Dry Stanylu ? .A LatrT*.tng=fSrSidingr,t °r_',Z- 'F"I ? 77rFlXEDSY$TEM'F-INAL, z• r _ t, _29. Insulation t� .�_ ••-•• `' "' 78:'FiRE PREY. FINAL. - _[ 30. Drywall_NailingX01 F{ EALTH-.DEPTXR'EQCJIREMENT '.31. Plaster Brown'Co27i :079. FINAL IN9R.ECTION- ,132.3lectricSl,Poner Meldir4mal: ' * :: ;� -"80.-_T-00D CERTIFIGt�YE .� v 33.=Finei Electric, -,,-= r .. �: - Notes: - - •=34r fi4? H45ting & A 'Co6ditioning- y_-- .35.;-Final Gas. Pip&'-Test. s-" .; ! j� X ,y , ,.....1,� J 1_-� tr36. Hoyt orJCanopy'tix -D i,- T -37.:Einal.Factory Fira;tlece,r. 'r- ro 't: •- I „+:ti +: ^ >l 8. Final Plumbing ? " t A• Ij l� ? ! I !t q. (• Y F S- Y -'39. Water Service-Final; 4 c r *40. Gas Service-FinaC_ r,r S - ! i i• '41. Solar Domestic-Fi�l - it s;-- - 42. Backflow Pre_venter, n• - 5 = T 43. Backflow irr,�atie�•vSS -s n } _44. Landscape IY3lgation System,'^f. x r- C '45.iSound Atteiatia ` ,• i t v r' '46. •Handicap Regulations C x K x r 47.=FINALSTRUCTUCiE&BUItDiNG I - 48'fINALPLANNING, *•"- ( A t _r ; 49 Release to Edison ;' ' M '.t - .`:Elearic IF , R50.-Gas Release to Southern California Gas CA - ( ! r•"' - 'r51. CERTIFICATE OFrOCCUPANCY - ^G No. Date PROJECT ADDRESS: 1041 EL CAM I NO DR UNIT: OWNERS NAME: CAPITAL FINANCIALCONSULT ADDRESS:30448 RANCHO VIEJO RD#210 SAN JUAN CAPISTRANO CA 92675 ARCHIENGINEER: (714)248-8800 REG.NO.: ADDRESS: UNIT: PERMITTEE: GRANITEX CONSTRUCTION CO, (714)851-0822 ADDRESS: 4500 CAMPUS DR 215 NEWPORT BEACH CA 92660 LICENSED CONTRACTOR DECLARATION: I hereby affirm that t a Icon d under provi - as of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and he I 'n full for and effect. CITY LICSTATELIC.624608 S ./// Date: Signature: WORKS ati CO MP ante. or DECLARATION: hereby affirm that have a certificate of consent to selhinsure ora certificate of Workers' Compensation Insurance. ora certified copy thereof (Section 3800, Lab Ch POLICY No.:1263379-92 EXP.DAT'08/01/93 COMPANr:STATE FUND Certified copy is hereby furnished. El Certified copy bled Ifh th city told' g on. t -Dater Applicant: /is EXEMPT14 FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). I cerpty 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 to the Workers' Compensation 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 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. Gov. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that) am exempt from the Contractors' State License Law for the fallowing 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 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' State 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 ownemployees. provided that such improvements are not intended or uttered 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 exclusively 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 who builds or improves thereon and who contracts for such projects with a contractorls) 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: Date- Owner: I do hereby certify that I am aware of and understand the requirements of California Health a 25534 and that I or any future building occupant will/will not (circle one) need to comply with permit for construction or modification from the Air Quality Management District. Residential these provisions. an Safety Code Sections 25505, 25533 and said state codes and the requirements for a construction applications are exempt from Date: Applicant: I hereby certify that I have read this application and state that the awe in rmater is correctl agree to comply with all city and county ordinances and state laws relating to building construction and here auth ze represen 'ves of this c to enter upon the above mentioned property for election urposes. r'/ z Date. Signature: Dnver's cense or ocial ecuray r: 164146 While—Build ing. Green—Code Enforcement: Canary—Applicant; Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT FT IN REAR; FT IN PERM NO: B 060625 PERMIT NO: B 060625 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE: REP JOB DESCRIPTION ; REPAIR DAMAGED SHEET ROCK SQ FT: 3,500 CLAIM VALUE: 3,500,00 CALL—VALUE; 3,500.00 GROUP OCC; B-2 / COMMENTS: REPAIR WORK ONLY! NO ALTERATIONS FROM ORIGINAL FLOOR PLAN! Bak*****iEiE*it Bt iPiPk �E BE kiP*iE RE**If*IE*itRPiPiE REiE BtiEitiEit***it BP***kBERP iPBeiESPRr******k *iE IF RP;P it *1E Jt BE**iE Je iE iF iH Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RIGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL; 14167107 ZNE: REF NO: PLANNING NOTES> RE iE it k iF Rf IERF Bt Bf BF Bt Rf �F if BE iF 1F if BE if ik lF IE Bf iP BFiE iE it iP 1F 1P iP iE Bf BE BF** *!k 1f 1E Bf BF iFiPM 1f BF if iE Bf �ERr �E �P+L RL+P �r * * �r �P �r RP�r �E sr � x * Rr SP sr * � 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 DATE; BUILDING APPROVED BY DATE: 'f3 APPLICATIONISSUED APPLICATION ISSUED BY; > ` DATE: a 3 *B 1f* ***IF REiF RF Bf*iH kiF iF**if lf'iE1k1kM****it**MiE kRt 9F BF it iP**kiF*iFkkkRF iF RP Rf REiEiEk MiE BEit Bt iE*IFiF iE iL iH Rt iPif ifi!!f *BPikiE iE***iP iE******iF iE iE* LEGALIZATION:N F E EI S U M•M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63,00 SMIP/NON4—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 63.74 0.00 0.00 63.74 63,74 .00 REVENUE DIVISION TOTALS--> COLLECTED; 63,74 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 63-00 .74 ik***kiEBkfFRPRF*iPRFBE*BF***iFiFiFiFRFlFilREREiERERtBEiEBEiE9FiERPiEiF*iE*iFiEiF*ifiEiFiEikiEiEBkiF1F*BF IEBEif**iPiERFRkiEiHkiP9EikiFiFBEBt* 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 SFC 3500 ALTER BY„VALUE COMMERCIAL NOZONE 1,00 3,500,00 END OF FEES Ir . . S1.}p11�8dSU1 \ I d 3 H I d X 3 L)NTE; 0j.. S /L T -.. F. 1, u� CONSTRUCTION AND PLANNING POUL & SPA ' APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service. or Pole !U - 52. Pool & Equipment Location " 2, Soil-PlBe-Undrgrnd.,, . n' _ 53. Steel Reinforcement 0 3. Electrical CondiG-1;I3iility-Urid'rgrnde r 54. Forms ' ScLri;01 Contiujt_-I ndrgrnd. S 55. Electrical Bonding Reinforcaoetit _ •• 56. Rough Plumbing & Pressure Test -' I 5.• E ctnial UFE'RE-r6d. `' 57. APPROVAL TO COVER-GUNITE TgTS .;,;'-�y o 56. Electrical Conduit.Undrgrnd. Cl&i-Foundation -.,fix ! 59. Gas Pipe, 0 Undrgrnd., Test r"• .;, S.Vater Pipe-Undrgrnd.' 60. Backwash Lines, P -Trap, n Undrgrnd. 10,:$tructural Floo System s 61. APPROVAL TO DECK 7C' Property Sewer .,Lin y& HonSe Connection - 62. Backwash &Receptor -Final h�c$ewer Cap •r.: - J 63. Heater &Vent -Final 73, Roof Drains'T 64. Plumbing System - Final 14. Rough Plumbing -• 65. Electrical -Final ' 15. Rough Electrical -Conduit 66, Solar System -Fina: - 16. Rough ElectricWiring 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING rA ._ • 18. Rough Electrical -T Bar Ceiling 69, POOL/SPA SYSTEMS FINAL 19. Rough Heating &Air Conditioning FIRE DEPT, REQUIREMENT _ -APPROVALS:„l',Pei$it # 20.iRo h F`cto ,r P place 1 �;.rr' SC r y � LT - 21. -Ducts, irrStrEcturet, i • •• - .r y ri * :r ^70. UPtderg,=oan�f HY;Iro A r i ^"* r x 22. s, Vl ntilati C ' _ S L r ProductPpin.g C7Ges doiI -Du �.. � I Ca u 6 tJ 571. ._.. 23. •Gae-Pips-Rough &Test i r,•-', ,_ '; :• a .. .. :-72. Underground Flts0� c x 24?Roo5f framing r,* f' ' "- ` 1' L� - '` ,` 73� UndergrnP�. Stony' -Tank D Gas 0 ffl 25. Roof SI ;gathing 74^O'verhead •Hydro:• ._ 26.' -135r Ceiling (StcitCtural) &`Mnocoat 75�F'iy Chemical s 27, `Frame a d Flashi .. R .$i# ':fit=. _ r ^_' ' , , ? tt. -• " •' �r 76. Dry Stanit�ioe ' 28. LathingtS"rtin...-'" 77-iFIXE0S2''•TEM'ZINA'" '29. Insulation - i* ` a J _ : x 79F FIRE PREV. FINKL -' K YO30. Drywalr-Mr ailing " [r°�i _ ALT1 JE.EDEP%REQDIR2MENT _. t . X31. Plaster L7otgn Cat '� i ;- / - it r79,'FINA L 16y FECr1ON _ - •'r32:+.Electrit�.1 Pokver;�lEter,Ffnal� 'f -J �;'�_ ='80;r FOOD r33.4Fin21 Electri6 r t •r ( t Nates: ., 34:'Firf51 Hi. ttin,¢& FGt CondltioninT. 35.rfinal Gas Pi R2-Tesi'' to -.t r36. Hood or_Canopy"J* :_ ,I- -;37 'Final Factory -38. Final Plumbing ZA _(U----- `-39. Water Service:Fir,^�s'I�,?- ,40. Gas Service-Final,x Tr �- ;,,,; j�tr• '.� �:o -- 41. Solar Dome -'c. Q{ri 42. `backflow Preventer, 43. Backflow Ir`gatiory, 'cs5 < ` ^"'_• '�' •- �i a :r44. Landscape Irrigation SYstern. .- '45. rSound Pttepuatrt 246JHandica`PRe6ulagons •� j *x J •J; S �» 5 ^y'-� 47:Flt STRUCTU�E & BUfLDING Al_ 48;_FIk• l_PLANNING_ r .- :~ I�- n. =49.7Ele�tric Release to Edison z50.�,GasjRelease to Southern California Gas Co - ^f /l rV 51. CERTIFICATE OROCCUPANCY a > ? r r No. Date PROJECT ADDRESS: 1041 EL CAM I NO DR UNIT: OWNER'S NAME: CAPITAL FINANCIAL CONSULT ,,ADDRESS: 30448 RANCHO VIEJO RD#210 SAN JUAN CAPISTRANO CA 92675 ARCH/ENGINEER: (714)248-8800 REG.NO.: ADDRESS: UNIT: PERMITTEE: GRANITEX CONSTRUCTION CO. (714)851-0822 ADDRESS: 4500 CAMPUS DR 215 NEWPORT BEACH CA 92660 LICENSED CONTRACTOR DECLARATION: I hereby affirmthat I a ens o under provisions of Chapter 9 (commencing with Section 7000) of Bryson 3 of the Business and Professions Cotle. and lice is lull force an effect. CITY LIC.: STATE UC.:624608 CUA S. uaM: /� Signature', WORKERj COMP NSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a complicate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800, Lab, C). POLIcrND.:1263379-92 EXP. DATE: /01/93 COMPANY: STATE FUND Codified c py is hereby furnished. ❑ Conrad ropy is fil wi the uilto Di Sion. -Tale' o is Applicant: EXEMPTID FROM dDRAI COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred (4700) or less). I 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. Date: Signature: NOTICE: If, after making this declaration, you should become subject to the Wall 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 constructionlending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C) 1 ,/ ,gLENDER01/ ADDRESS: �,�� Z1 A ,yrnl 615 OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' Stale License Law for the fallowing 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 ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business andProfessionals 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 (SSW). I. as owner of the property, or my em levees 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 Contractors' State License Law does not apply to an owner of a properly who bolds 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 sola 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). I, as owner of the property, am exclusivel9 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 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. ❑ 1 am exempt under Section: 8, 8 P. C. for this reason: Date: Owner: I do hereby cendy 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 building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality 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 a e formation is correct. gree to comply with all city and county ordinances and state laws relating to building construction and here au rite re nlatives of Is city to enter upon the above mentioned property fir, in pection rposes. Date: Signature Dover's cense ar ocial Security 1641-46 White —Building: Green—Code Enforcement; Canary—Applicant Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 060627 PERMIT NO; P 060627 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE; 5—N PERMIT TYPE: PLU PURPOSE: REP JOB DESCRIPTION REPLACE ONE (1) WATER CLOSET (TOILET) SQ FT; CLAIM VALUE: CALL -VALUE; GROUP OCC; B-2 / COMMENTS: REPAIR WORK ONLY! NO ALTERATIONS FROM ORIGINAL FLOOR PLAN! �r**BE 9eiFBEiEBE9r9fiFREkBEBEMitiEiE*9EiEBEitMkiEiFBEiEMkREikitiEBkiFiEiE�EiE;EiEiE*BEiHBE�EitaH��E�EiEitiE�riHBE*iE*iE*iEBeiPat��iEBr**aEit Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ 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; 14167107 ZNE; REF NO: PLANNING N TES> 7.00 7.00 END OF FEES > iF9EiEiEiFNFBF**84iF*iEit***k**Mif*kiE*iEiEk**iE■NEiFiEifiEiEit**iE**iEHk1Ek*iEiEiEiEiPitiEiEiEiEiEiE*iEiEiEiEkiE***BEiEBEBE*It 1E D E V$ 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 T DATE; BUILDING APPROVED BY :\ /1 DATE; APPLICATION ISSUED BY; V ` M iE BF iE•Nf **it*****iEiE iE iE NEiE BF iFiE fiF kkiF lFif****iE*kit iE iE it*BEiE***9EiEiPiEiE *ik iEitiP *lE LEGALIZATION:N F E E S U M M BLDG PMT PLUMBINNGG ELECTRIC MECHANIC PERMIT DATE: iF"�E1FiF if iE RE iEiHit �E k iE iE* BF �E iE iE iE �E RE * iE it it * it BE iE iE iE at iE 3E it Bt Bt iE BE STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING 53 �,� SMIP/NON—RES PLAN ISSUE FEE 20,00 i3 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID TOTALS ---- > 7.00 20.00 ? 0.00 27.00 27.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 27.00 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 27.00 if iFlH iF iF if iF lk ik*kiF 1F IE iE if kRkiE*if***BE***iEiE**iE it if*iE****BPiE BFBtk*iFBt*kBE***it BE kiFiF iE iP it-itiE Bt iE 9E** r*1t1FiE *BE it* I N D I V I D U A li 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 PLU 1 WATER CLOSET (TOILET) 7.00 7.00 END OF FEES /F 4I�• L n sir— POC . SPA `J- CONSTRUCTION AND PLANNING SDate - T APPROVALS Permit # Inspector APPROVALS Permit # qDatelrispector 1. Temporary Electrical Servlc mor Pole..-,: , �.. 52. Pool & Equipment Location _ 1 2. So+Ppe-Undrgrnd,� 53. Steel Reinforcement j - t " 3'..Etactrical Con[i�ix_Uiility•Undrgrnd, 4, Forms 5 "4.cEtecl iii Condtt�'134,9drgrnd. 55, Electrical Bonding ' =- 5.�-S=eejtE�inforceai+_1 56. Rough Plumbing & Pressure Test „6.• ctriyal LIFE,- ;$F?�d. -' 57. APPROVAL TO COVER-GUNITE •�.I �c a, t `Footings J `� 58. Electrical Conduh-Undrgmd. C 8. -Foundation L 11� 59. Gas Pipe, O Undrgrnd., Test na J'. j4er Pipe-Undjgrnd. %;%, 60.. Backwash Lines, P-Trap, ❑ Undrgrnd. ! 1ff.r5tructural FloSystem - - - -f 61. APPROVAL TO DECK 1T.�''roperty Sewer_Liner& Hdt[ise'Connection, 62. Backwash & Receptor-Final 1;7- _Sewer Cap'`. ;i; - 63. Heater & Vent-Final 13. Roof Drains r,L c•, 64. Plumbing System - Final - 14. Rough Plumbi ` 65. Electrical-Final 15, Rough Electricei•Conduit 66, Solar System-Final 16. Rough ElectricS'Jiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Cei[ng 69, POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning T FIRE DEPT. REQUIREMENT - :?WPR' ermit 20 _rRor'h Fect `y Firtlace `,tr:r ': `%;.:,,; ; 21. -Duci-s, in7Structure ''70. Undergffi;ini Hy5ro fi 22..Duct's, 'nn'tir k r-`< - S�' 71. Productrt l-Gi)s E• OiI, rJ CJ s rp-piPg ,3s 23.�Gas-PiP_ oU9h & Tes[ ;^g w q -J 2. tJnderg,o`vhd Flustti '< ' 24. Roo`i Framing''rt � ',73:=Undergrnc3 Stor�giE r`ank.'y7Gas ❑Oi� _ 25. Roof Sheathing .r -•: .,� ;> n:s --. •7q^Overhead Hydro--) - 26 T-ga} Ceiling (Structural) &�Pditcoat a, S}; 'r ^ x 75'X Dry CherUucalJ. _ - C 27„•Frame alZi Flash% iy' ,-1;::o: - ? z fi 76. Dry Stanc�spe = Zr 28. Laifiing$ Siding '7 ^ '- x 77.1 FIXED SYd> EAG, LAIAI* _+ ),sN '29. Insulatipn S CK 787FIRE PREY. FINAL > U j `30. Drywall Nailing -' 1 �� HFL(aLTFrbEPT REQUIREMENT _ ��3i. Plaster ovgn Coag S t<•tr �,.:• r79. FINAL 11VSfl_ECT17N v32.^Electricat•Po erfAeteFFinal' -"803`FOODCERTIFkCPrEIS16 :D,_ „ J I f- J ,33.,'P in' Electric. r- Z ± Y I i ��r .. q° Z f 3 l`Go OAA (4-omE- N tes: - UIQ i HeSg:& Air,Conditidrifiiw C 334,. Fin3tin I -�-b Y X (-..r •�_ C t*' • r' 'ri r? ,s Pipe-Teri, I 35.:=Final Gd ,:1a r tl -36. Hood or-CanopyXa M � 37 ;Final Factory Fi("Ppiacer-J---- v38. Final Plumbing 5- .rd' l{ `J �Giix ••vim'// '.' 5 r_:r n- '39. Water Serbice-Finale ,: ! `� < 1 I. c , I ,:40. Gas Sen7ice-Fina PJ t=: <C v'D' f �:_,_ .� r41 . Solar Dairlestic.F'-" <` `D5 I - 42. Backflow Preventers- 43. Backflow Irrlgatio'n' ;44. Landscape irrigairon Systemcrv.: ,r.: C x[: - 'd ..• _ �-45t:Sound Atteauatin-i _t ,F- ,�46 Han_dicap Regulations K .[ e o S v 47`FINALSTRUCTU�E&BU1IDING 48fFINALPLANNING ,u ,C49.-Electric Release to Edison j kk .r i7 ' rc50 GastRelease to Southern California Gas Cc 1 )1! 751. CERTIFICATE OF=OCCUPANCY No. Date t PROJECT ADDRESS: 1041 . EL CAMINO DR I w UNIT:' OWNER'S NAME: BASO DEV., �.. ADDRESS: 2100 N. BRODWAY, S. A. ARCHIENGINEER:' REG.NO.: ' ADDRESS: - UNIT: .- PERMITTEE: BASC DEV r• ADDRESS: 2100. N. BROADWAY' SANTA- ANA CA 90000 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. C). r POLICY NO.: EXP. DATE: ' COMPANY: 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 if the permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is sued, I shall not employ any erson in any manner so as to become subject to the Workers' Compensation Laws o alifomia. Jry[5l Date: U - Signature:/' v✓ �' g ... I/ NOTICE: 6, afferrmaking this declaration, you should become subject to the Workers' Compensation provisions of the Labor Corte, you must forthwith comply with such provisions or this permit shall be deemed revoked.' r 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 70315 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars.($500). 1, as owner of the property or my em Joyous with wages as, their sale: compensation; will do the work, and the ID structure is not intended or offered for sale (Section 7094, Business and Professional Code: The Contractors' State 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 i for the purpose of sale). 1, as owner of the property, am exclusively 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 who builds or improves thereon antl 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: B7 A P. C. ' for this reaasian9:7 /�/' Date: 1U / / -:7/ v 10wnec •rel I do hereby cent that I am aware of and undeistand the requirements of California Health and Safety Code Sections 25505, 25533, and omply ; 25534 and that I or any future building occupant will/will not (circle one) need to cwith said state tortes and the requirements for a.: permit for construction or modification from the Air Quality Management District. Residential construction applications are exempLfrom 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 relafing to building construction and hereby authorize re esentatives of this city to order upon the abov nxenfion% property, for on purya es. I ins eclif Date: -2 J, Signature: •E/�i�^��' Driver's Lice se or Social ecunty N: 1841.46 White—Buildinq; Green—Code Enforcement; Canary—Applicant; Pink—Revenue; Goldenrod—Assessor CITY OF COSTAMESA— BUILDING PERMIT PERM :P' 044707. N. i .PERMIT NO: P 044701 PLAN CHECK NO:. a N GOVT -N SUPPS+N CONSTRUCTION TYPE.: PERMIT TYPE: PLU` PURPOSE: AI:T JOB DESCRIPT=ION RELOCATE_ GAS PIPE SQ FT: CLAIM.VALUE-- 'CALL—VALUE: GROUP OCC: / COMMENTS. 'Z O N I`N G R E'Q'U I -R E'M E N T S' S E T B A CI K S — r -------= —'— MAIN DUILDING----------- --- ACCESSORY .BUILDING -- .FRNT: F;T IN, REAR: FT IN FRNT: FT IN REAR: _FT IN LEFT: FT SN RGHT: 'FT IN• LEFT: FT IN RGHT FT IN PARKING REQUIRED;:, PARKING PROVIDED: PARCEL: 00000000 ZONE: PLANNING NOTES> j > D E V E .L O P M E N T S E R V' Z'•C E S R E Q U I.•R E M E N T S 1 ZONING: APPROVED. BY ,i r DATE: BUILDING APPROVED BY DATEt.. APPLICATION ISSUED'BY: -• (DATE: 0'—IZ LEGALIZATION:N'., F E E S`U M' M A R Y' STRUCTURAL' SEGMENT:N BLDG PMT PLUMBING1t .ELECTRIC MECHANIC ;FIRE. SMIP/RES GRADING - PERMIT 2.00' i '258 SMIP/NON—RHS. PLAN _ISSUE FEE 3'.00 i• BUILD;ING--DIV-> PERMIT.: ISSUE PLAN—CHECK TOTAI, PAID DUE TOTALS — -->, 2.0.0 r. r3.00. 0.00. 5.00 5.00 i, 3.00 !REVENUE DIV-IS,ION TOTALS--> COLLECTED: 5.00. OVER/SHORT:' .00 . BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE 'SMIP/TOT GRADING PLAN—CHECK 5.00 I N D' I I D U A L F E E: B R E A,K D O W N' /TYPE QTY tD E STC R ,I.P T I.0 N j UNIT'COST1 TOTAL COST PLU 1 GAS SERVICE• 2.00 2.00 END OF 'FEES NTE: iun7,°Y T1iiFg :41:3J t CONSTRUCTION AND�PLANNING_ POC SPA • Date APPROVALS Permit # - .Inspector - APPROVALS - Permit Date Inspector, - 1, Temporary Electrical Service or',Pole •� - 52 ... Pool & Equipment Location 2, Soil Pipe-Undrgrnd. .` 53. Steel Reinforcement c r3.` Electrical Conduit Utility-Undrgrnd. ., 54.Forms - j ;• - , r4. Electrical Conduit-Undrgrnd. - - 55. Electrical Bonding •"1'5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test j.:` - �; 6.' Electrical UFER Grnd.> - 57.' APPROVAL TO COVER-GUNITE t. - J 7. Footings 58. Electrical Conduit-Undrgrnd. ' - 8:'Foundation _ 59. .Gas Pipe, O Undrgrnd., Test - 9: Water Pipe-Undrgrnd. - 60.. Backwash Lines; P -Trap, O Undrgrnd. ,- 10.,Structural Floor System -" 61. APPROVAL TO.DEC,K 11. Property Sewer Line& House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. 'Heater &Vent -Final 13. Roof Drains -, • u - 64. Plumbing System -Final i 14. Rough Plumbing _ 65.'Electrical-Final i It 15. Rough Electrical-Conduit= 66. Solar System -Final rl 16. Rough Electric Wiring - = - 67. Fencing & Access Approval �J 17. Rough Wiring Sign 68. APPROV ED.FOR PLAST.ERINGr - 18. Rough Electrical -T Bar Ceiling' 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioning ,,. � _ ��FIRE DEPT. REQ UIREMENT, .. ;� -APPROVALS i - Permit # 20i 'Rough Factory Fireplace _ 21. Ducts, in'Structure£ _ .k '70. Underground Hydro 22,- Ducts, Ventilating _ 71. Product -Piping O Gas ❑ Oil 23Gas-Pipe-Rough & Test ,.•_ = ":72. Underground Flush 24. Roof Framing ..,.. - - -:. :73ryUndergrnd.Storage Tank,OGas ❑Oil 25. Roof Sheathing - 747'Overhead Hydro- . _ 26T -Bar Ceiling (Structural) & Monocoat ^-' • 75,Dry Chemical _ 27? Frame and Flashing " r 76. Dry Standpipe LathingF& Siding. FIXED SYSTEM FINAL - 29. Insulation 7e� FIRE PREV. FINAL 30. Drywall Nailing _. •� 'g - - HEALTH DEPT;. REQUIREMENT -31. Plaster Blown Coax r ' "79. FINAL INSPECTION _ 32. .Electrical Power Meter -Final - ';. _: X80 -FOOD CERTIFICATE ISSUED -C33.'Final Electric Notes: Final Heating & Aif Conditionih`g - 35 Final Gas Pipe -Test 1.1 Z 60,.:- ,36. Hood or Canopy -37.-Final Factory Fireplace ' - • _ - E 38. Final Plumbing 39. Water Service -Final- , ='40. Gas Service -Final' - `•t' - - - "_41. Solar Domestic -Final .:--;.... 42. Backflow Preventer' �•' ' r '' 43. Backflow Irrigation: 44. Landscape Irrigation System_, -45. Sound -Attenuation ; - •._� - ;: K - .. - -. 46.• Handicap Regulations - z .47: FINAL STRUCTURE & BUILDING; - 48: -FINAL PLANNING 49: Electric Release to Edison --50: Gas Release to Southern California Gas Go f 51. CERTIFICATE OF OCCUPANCY No. Date - CITY OF COSTA MESA Tag No. % o- 6 `23246 Building Safety Department Type of Sign � C Elec. ❑ Non-Elec. pplication for permit for the fabrication and erection of classified signs. [� r// Location nn Building Site AddressNN'/0 / /{//�/ L L e-cW& /N �/ Name of Leasee J-/ 1^ /;/�7- / <1 L �'7 % Phone t! // No. Contractor �j ,/j %��r State LicenLs/e No. Address J/ o / /'-" r, ts—r0 L-' City 2- � Phone �/ - �?X�K a Architect or _ F --ieer _ _ �— State License No. Address Phone Description: ❑ Tract Sign Roof Sign ❑ Appurtenant and Incidental Advertising Sign ❑ Gas Tube, Elec. Sign ❑ Off-site Advertising Copy Sign 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 Ti. indersigned 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, ELECTRICAL AND FINAL INSPECTIONS SHALL BE CALLED. Signature of�� Permittee Authorized Agent Recd. by FORM BU -30 -IM -7/63 Date FEE RECEIVE) NOV 25 1964 FINANCE DEPT, CITY OF COSTA MESA FOR OFFICE USE ONLY Date Issued ( .Permit No 3 2 Fire Zone- " Group Approved by PLANNING DEPARTMENT Zone _c__4 A. P. No. Bldg.Site Address i/ _ _ (L7N6ilM� Legal Owner Address City_ ' Area of Sign: ft, in. X ft. in. Required Bldg. Setback to Center line of Street - Location of Sign: Behind Bldg. Setback Line [ Between Property Line and Bldg. Setback Line ❑ Front Right P-ITFeet Left Feet Projection Feet Ground Clearance Feet The amount shown under Valuation is for the purpose of C. U. P. C. Date Approved establishing a permit fee only Clearance Chap. VIII, Art. ection 8$04 (b) VALUATION Permit Fee $ '3 — / Signature (Pla n S aff) Plan Check$ Total Fee $3— Signature (Dept. of Public Works) Date: f' 1V City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY N? 2100 C P. O. Box 317 Costa Mesa, California The Building located at 11*1 EM CMAIM ��.1 +i has been inspected and found ,to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group �. Occupancy.. Use of Building— Legal Description A., P. (3m t!(9 Ybt) lot 2d Jaz • (See reverse side for Metes and Bounds) Building Permit No. Electrical Permit No. 92W Plumbing Permit No.—43M- 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— and/or guest ISSUED TO: Building Official by Data �� Aetnbr 270 1cA 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.B.C. Foran ]3u34—mt-11-63—ss F FEE MAY 4 1964 A MESA BUILDING -SAFETY DEPARTMENTFINANCE WEPT. O. BOX S1T COSTA MESA. CALIFORNIACITY OF COSTA MESA or Applicant to Fill In Completely 7FWNER APPLICATION FOR PERMIT TYPE OR PRINT -. BUILDINGFor Office Use Only SUILDING L�-COSTA MESA, CALIFORNIARKCEIV [Y D [C IVED 1 ' BUILDING MAIL p ADDRE 3 S O CN+�LCI[�/ ADDRESS FIRE �' 1 f� / W //C �i ZONE TYPE GROUP CITY / NO. APPROVED. ARCHITECT TEL BY DATE OF'INFER O. O V /� AL I//' Q INC .e Com' I E .,� NO. O USEOF D //'///USED CONTRACT R IY (�P(C ";✓%C LEGAL `LOT �i�— ADDRESS S / /i4C)vlR/—- DESCRIPTION �J &C -Q CITY %[!J( L"& A. P. NO. yQ STATEit TO SIDE & REARRRP. LNG SHALL BE LE88 THAN (AI N-5531SO- SIZE •/ 1 Q M� NO, OF GLOSS. O /FIS EAVES ALLOWED (U. B. C. REQUIREMENT) OF LOT 6 V NOW ON LOT YARDSAPPROVED YARDS APPROVED USE OF �� MAIN BUILDING ACCESSORY BUILDING EXE TING SLOG. (FROM C/L STREET 6ET-ACK LINE FROM ' (� ,l r G F NT L'F 1•. CENTER OF STREET REAR YARD - YARD I LEFT 7353 /'%— R. SID 1J'- 1 FT. 61DE RIGHT 22 DESCRIPTION OF WORK L. SIDE J FT. FT. F /` ALTERATION ADDITION —� LREPAIR REARdO-f FT. FT. DISTANCE BET. BET. MAIN 3 MOVING DEMOLISH MAIN SLOGS. ACCESS. SLOGS. ' ( LI VAR..$ DATE BUILDING O.OF , SIZE ROOMS STORIES C.U.P.# APPR VED EXTERIOR WALLS' ROOF I 6 PRO' +V 6 COVERING (/ COVERING D .4&C DATE - USE OF BUI DING AND WORK TO BE PERFORMED ' c t�u x/,- m f' 6Q. FT:' i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE S AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O) PLY WITH ALL CITY O INANCEE'AND STATE LAWS REGULATING VAL ION "? ' BUILDING CONHTRU _ m N —_ PERMIT FEESIGNATURJ PERMITTEE OP n� G V $9�PLAN CHECK Sa AUTHORIZED AGENT � E TOTAL FEE i��