HomeMy WebLinkAbout2861 EL RIO CIR - Building PermitsH: - LAWM�IST-E�R & CO., .l��.
7940 MAIN STREET — STANTON, CALIFORNIA 66CMS_028E-002
828-8040
Field Data on Test Specimens Core Concrete Gunite Grout/Mortar
Project Melvin Chrisli�=wi�poel Permit No.
Project
�ocafion 2861 El Rio Circle Cgy�g f4esg� Cgy�,f, _
Coniractor Architeci
_ Anthon Nools ______
Location in Siruct�re 9nrd Beem Engineer 5��� _
Date Moulded 3/21/66 No of Specimens � _
Slump _ Specimens Marked � 2 3
Specified Sirength at 28 days Z000 p,S.l. Mix Designation r
- — -- 1-- 4��—
Age to be tested � days ZB days days days
READY MIX PLANT Jab Mix AGGREGATE SOURCE B•
__ ____ . 10E------
Weather Condition Clear � 1 Yd. Yd. Batch
Cement Monolith Type Cement, Ibs. �� ___
Admix None Sand 42 tans
Specimens made by L, Butler r4
-- —,O —�� -- --
Data by Cherlse Cemp r3 rC� �
C /��.
Delivered by ,'.`2 lyJqR �'+'C� �
C/( '�'9—]�-,—
Date Delivered q/�� � _ y�IC,._. �0- B
REMARKS:
Lab. No.
Date of lesi
Specimen Dimensions
Area
Ultimate Load
Lbs. per sq. in.
H/D Corrected
752
7 Day Test
�/za
6.05 X 12
29.75 _
_ 62�000
2.157
Water, Gals.
FOR LABORATORY USE ONLY
753 754
Day Test Day Tesi
PJo further test required
�.I�cQP�.<ti � �'_��c.�.t �.c.E. 4s2o�
D�p�
Test
AOGlicant �o fill in all z0aces except t�ose within neavY borEer
� �'- -� -- — PER�KiNQ. . ., � TRACT NO. , L
CITV OF COSTA MESA CONSTRUCTION PERMIT — -
' 26b\ � 1 ''R\p
� Proiret Address
�'A pliGlnt's Mailing Address n
O�ner's Name �. Phone ��
Adt�ress -�1` � ,
)
Arch/Eng. License No.
Address �' '
Contra'cto!'S �I L � �`�Q Pho
Addresslmailing) �Z,Z �1�`�M1 n �Y��R
City License No. � �
L�CENSEO CONTf3FGTOft DEC 1 N
I heieby affirm that I am licensetl untler provisions of Charter 9(mmmencing
with section �000) o! Di/ly 3 the B 55 antl Protessions Cotle, antl
my license is in full force/ nd e C�`���
Licen C `� e �� ���x�
Date Signature
. WORKE 5'CO PENSATION DECLARATION
� hereby affirm that 1 have a certificate ot consent to self-i ure or a certiticate
Workers' Compensation Insu�ance, or a certlf' copY the xof (Sect on
i00, Lab�yQy�c�� [�•
Policy No.lyd�•`����pany
Certifie copy i5 hereby fumishetl. /`.�'�
rtN` ie c i wrth the city B�IAi iv�ep�.y�
ate `� APPlicant • V � � �
EXEMPT�ON FRO WORKERS' COMPENSATION DECLAR ON
(Thissection neetl not be completetl if the permit i5 tor one hu � ($300) o�
less) '
1 certify that in the pevfo�mance ot the wo�k to� which this pe�mit is Issuetl, I
sM1all not�employ any person in any manner so as to become subject to the
Workers' Compensation Laws ot Cali(ornia.
Date $ignature
'NOTICE: Ii; after makin9 this tleclaratlon, you snoultl become subject to the
Worker5' Compenzation provisions ot tne Labo� Cotle, you must forthwith
Lompty with such p�ovisions or this pe�mit shall be tleemetl revoked.
[ONSTRUCTION LEND�NG AGENCV
t hereby af(irm that tM1ere is a ronstrucfion lentling agency for the performance
ot [he work tor which this permit is issuetl (Section 3097 Civ. Q)
�entler's Name �
Lentler's Atltlress
OWNER�BUILDEH DECIARATION
I hereby af�irm that I am exempt from the Cont�actor'S License Law for the
followinq reason (Section ]031.5 Business antl Professional Cotle: Any city or
County wM1iGh requires a permit [o construct, alter, improve, tlemolish or repair
any slructure, prior to it5 issuance, also requires the applicant for such pe�mit
� to tile a signetl statement that he/she is licensetl pursudnt to Ihe provisions ot
� the�Contractor's L.icense Law (Chapter.9 (mmmencing with Section ]000) of
.,,,7)vision 3 of the Business antl Professions Cotle) o� ihat he/she is exempi
�„�refrom antl tM1e basis fo� the all¢getl exemOtion. Any violation of Section
N:31.5 by any applicant tor a pe�mit subjects Me appliGant to a civil
�-''nalty of not more than live nuntlretl tlollars ($500). .
�'���,I, as owner of the prooerty or my employees with wa9es as their sole
compensation, will tlo the work, antl the structure is not intentletl or offeretl
for 5ale (Section 7044, Business ane Pro(essional COtle: The Contractor's
License Law tloes not apply to an owner of a property who builtls or improves
thereOn, antl'who�tloes such work himself/he�self or through his or her own
employees, 0/ovitletl that such imp�ovements are not intentletl o� offe�etl tor
sale. It, however, [he builtling o� im0�ovement I5 soltl within one year of com-
pletion, the owner will have the burtlen ot proving he/she tlitl nat builtl o� im-
prOve for the purpo5e of sale). '
❑ I, as owner of the prOperty, am exclu5ively cont�acting with IicenSetl Con-
tractors to construct the project (Section 7044, Business antl Protessions Coae:
The Contractor's License Law tloes not appty to an owner ot property who
builtls or improves tnereon, antl who cantracts for such projects with a wn-
tractor(s) iicense pursuant to tne Contractor's �icense Law). I am aware mat
proof of their Worker'S CompenSaUon insurance shoultl be provitletl to me.
❑ I am exempi untler Section B. & P. C. for this reason
Date
antl state laws lati
sentatives of ,tn
Inspec[ion purposes.
Signature
Drivers' License or 55 �
owner
a
sign all avProvriate eeclarations.
UNIT NO.
TVPE OF CONSTRUCTION • LJ NEW U ADD LJ ALTERATION IJ REPAIR
❑ CONVERSION ❑ OEMOLISH 0 OTm�[�o'� - - A p # -
3D RIP IONOFWOR S F L ^�^",'• '
��„� ��/� �� {+��p �,��� � . E Main Building: ,
TVPE O�RMIT �❑'GRADING FO NDATION LJ STRUCTU�, {�(i T Front
❑ TENANT ❑ ELECTRICAL ❑,PWMBING �❑ MECHANICAL � A Rea�
❑ OTHER - � - C Rlyht
PROJECT DESCRIPTION 5[�. FT. oCCUaAN K
CONSTRUCTIONTVPE VALVATION$��__ $ Left '
ZONE GRADINGGU.VDS. ACRES PIng.Ref.#
Remarks: , Planning Notes:
Sink
cflow Preventer
;, :,�,;.,.:.:.:. . �
oun't2ins���� -
is_ _
Floor Sinks
Gas Service
I nterceprors
Kitchen Sink
P—Trap
Roof Drains
Reinspec[ion Fee
Outlets
$15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ MW[iple �
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
00.100,000 BTU O 100,000 B�
'Rein'spection Fee I $15
CMF 0865-46, rev. 10/84 Wnite - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
PLUMBING
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collecmrs
Solar Piping � '
Solar Tank
Swimming Pool w/Spa �
Urinal
Water Closet �
Water Heater
Water Service �
A uto-W ash
Issue Fee
Hood or Typel ❑ �
Canopy Type I I ❑ '
Refrigeration System �
❑o-ioo,000aTu ❑�oo,000eru
System Repair/Alteration
Fire Dampers �
Registers . - � _
Issue Fee
FEES
0534 j2/01/87 ,
Zane
Accessory Building:
�
Parking ReqJProvided
ELECTRICAL .
' Automatic Washer
Construction PoleSub.
` -.Cooking Unit
•Dishwasher -
� Dryers ❑Gas ❑Electric
Fan
F.A. U.
Fixiures
Device Boxes
Outlets
Swi[ches �'
Garbage Disposal �
Generator DO-5 KW �5-15 KW
$ 3
$ 3
Transformer ❑ 15-50 KW
❑ SO+KW-
Meter ❑up to 100 amps, �
Meter ❑over100amps
Sub Panel
Momrs �0�1 HP �1 %� 8 �
Inc.Solar �9-15 HP �16-75+
Microwave �
Pole Light '
Range
Si9n
Standing Sections
Trash Compactor
I Reinspection Fee I$15 I I Issue Fee
DEVELOPMEN75ERVICESREQUIREMENTS:
2oning Approved By
Building Approved By
AppliptiOn lisued By .
BUILDING PERMIT $
PLAN CHECK $
PLUMBING $
PLAN CHECK ' 25% $
ELECTRICAL $
.PLAN CHECK 50%. $
MECHANICAL $
PLAN CHECK 25% $
35.50 T�
Z
O
N
I
N
G
R
E
Q
T
S
FEES
$:3
SMIP $ _��
PERMIT
ISSUANCE $
ENERGV P.C. $
GRADING $� �
MICROFILM $ �
TOTAL FEE_ $ 3�. �d
CONSTRUCTION AND PLANNING � � POOL & SPA �� '
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
�,-r
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. ElectricalUFER�Grnd. 57. APPROVALTOCOVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation ,,;� � � 59. Gas Pipe, O Undrgmd., Test
9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
71. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains � 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final .
15. Rough Electrical�Conduit . 66. Solar System-Final .
16. Rough Electric Wiring - � 67. Fencing & Access Ap{iroval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING '
18. Rough Electrical-T Bar Ceiling • ' 69. POOUSPA SYSTEMS.FINAL � �'
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ��
�J . � I �
20. Rough Factory Fireplace ' APPROVALS Permit # �
21. Ducts, in Structure 70. Underground Hydro •
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil '
23. Gas Pipe-Rough & Test 72. Underground Flush , �
24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil
25.. Roof Sheathing 74. Overhead Hydro - � �
.26. T-Bar Ceiling (Structural) & Monocoat 75: Dry Chemical �- �
27. Frameand Flashin � � ��
9 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL I�
��
29. Insulation 78. FIRE PREV. FINAL •--- �
e
30. Drywall Nailing HEALTH DEPT. REQUIREMENT � "�
31. Plaster Brown Coat 79. FINAL INSPECTION n,,
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � 'r
.,n
33. Final E�ectric ' Notes: ' �'%y.,
34. Final Heating & Air Conilitioning �` (,� ; l
35. Final Gas Pipe-Test _ � � ,1
- . t
36rHood or Canopy t � ,
� i
� 37. �Final Factory Fireplace. ' � ,� . -
.• 38! Final Plumbing . � ' � -
.39. WaterService-Final -'��' �• • - � �
.�
40. Gas Service-Final . � •�. � '
�
� 41. Solar pomestic-Final r � � ` � " • _•
� r ...
�42.BackflowPreventer ' �- ,,, � � '!
.� . . �
43. Backflow Irrigation - _ '� � : �-- � �
t _f
� _ .
44. L�andscape Irrigation System • ^-r . •
45� Sound Attenuation �� ' r, � � � - � •
46. Handicap Regulations � ` ; � � - �. �
� r
47. FINALSTRUCTURE&BUILDING (( �,� � B� '' r` ' �� ' t'• �
48.� Special Requirements Completed . �w � ' '_
49. Electric Release to Edison -. , . '
50. Gas Release to Southern California Gas Co � . � ) r
51. CERTIFICATE OF OCCUPANCY - � � �
� , � ��A � �
No. Date �
- : •� '
� •
. .. . , ,
�
��
4
Aovlicant to fill in all spaces except ihose witnin heavy bortler Iines antl sign ali approDriate aeclarations.
CITY OF COSTA� M�E�SA� C�'ON,�${T RU �dfION PERMIT ' PER^^�T�9�o :. _/� � TFACT NO. ,LOT NO.; UNI7 NU., �
Project Addr¢55 �a� �_J— �1 "�
Applicant's Mailing Address ' ���.-� ^�
Owner's Name � Phone�J���"
Add�'ess
Arch/Eng. License No.
Address �7
Contractor's Nam Phone � D
Addresslmailing) � '1 � � '� �r
City License No. ���y'
LICENSED CONTRACTOR DECLARATION
I hereby affirm tnat 1 am licensetl untler provisions oi Charter 9(mmme ' g
with section ]000) of Division 3 of the Business and Pro1
my license is in f}� II fo ntl effect.
Licen `�� �*s
Date IDI� � $ignature�li
WORKERS' COMPENS ON DEGLARATION
� hereby affirm ave a c ' ate of mnsent to self-insure or a certificate
' Workers' m ensatio ur , or a certlfietl mpy t ereof (Section
,ao. �b �, i�C-S 13 7�
Policy No. Company - _
�Certifietl copy nishetl. , �
erti ' cop ' f'letl wrth the city B n vli (�1�
Date APPlicant� �. ��� 9 • ���•'��A �
EXEMPTIO� N F�OM WO �0.KER5' COMPENSATION DECLARATION �
(Thissection neetl mt be completetl,it the permit i5 for one huntlretl ($100) or
less).
I certify that in the Per(ormance of Ihe wo�k for which this pe�mit i5 i55uetl, I
shall not employ any pe�son in any manner So as to betome subject to tM1e
Workers' Compensation Laws oi California.
�ate Si9nature
NOTICE: It, after making'this tleclaration, you sM1oultl become subject to the
Workers' Compen5ati0n provisions of the Labor Cotle, you must forthwith
comply wilh suth p�ovisions o� this permit Shall be tleemetl �evoketl.
CONSTRUCTION LENOING AGENCV
I hereby atfirm tha[ th¢re is a construction lentlin9 aqency tor the perfo�mance
of [he work for wM1icM1 this permit is issuetl (Section 309] Civ. C:)
Lentler's Name .
Lentler's'Atl0�e55
OWNER BUILpER �ECLARATION
I hereby affirm that I am exempt irom the ConVactor's License Law for the
following reason (Section ]o31.5 Business antl Protessional Cotle: Any city or
county which �equire5 a permit to construct, alter, Improve, tlemolish or repair
any structure, prior to its issuance, also requi�es the applicant for such permit
to file a signetl statement that he/she is licensetl pursuant to tM1e provisions of
tne Con[ractor's License Law (Chapter 9(mmmencing with Section 7000) of
"Division 3 of'the BuSiness'antl Profe55ion5 Cotle) or that he/she is ezempt
xrefrom antl the basis for the allegetl exemption. Any violation of Section
31:5 by any applicant for a permit subjects the applicant to a civil
.ialty of not mo�e lhan five huntl�etl tlollars ($500�.
� I, as owner oi the property or my empioyees with wages as their sole
compensation, will tlo fhe work, antl the s[ructure is not intentletl or offeretl
lOY Sd1E ($ECIIOII %OAQ� BUSII1255 dfll� Professional COtlE: 7h2 Contractor's
LicenSe I�w tloes not apply to an owner Of a property who builtls or improves
thereon, antl who Goes such work himself/herseli or through his or ner own
em0�oyees, provitletl [ha[ such improvements are not intentletl or offered for
sdle. If, however,'the bulltling o� improvement is soltl within one year of com-
�pl¢tion, the owne� will have the burtlen of proving he/she tlitl not builtl or im-
prove for the purpose of sale). <
'� ❑ I, as owner ot Ihe property, am ezclusively contracting with licensetl con-
'�. Vactorsto wnstruct the D/oject (Section 7044, Business antl Professions Cotle:
The Contractor's License Law tloes not apply [o an ownet of Oroper[y who
builtls or improves the�eon, antl who mntracts for such projects witb a con-
� traclor(s) ucense pursuant to [M1e' Con[ractor's License Law). I am aware that
proot of thei� Worker's Compensation insurance shoultl be provitletl to me.
❑ 1 am exempt untler Section B. & P. C. for this reason
Date ' owner
I hereby certify tha[ I have rea
intormation is correcL 1 agree to
antl State laws relating to builtli�
Sentafives of this cily to enter
Signature \ .f�l 1 K �'_���,J
orivers' ��icense or 55 �
- Accountin9; Goltlenrotl - Assessor
Showers .
Service Sink.
Sewer Cap .
Sewer Connection
Solar Collecrors -
Solar Piping
Solar Tank
Swimming Pool wlSpa
Urinal
Water Closet
Water Heater �
Water Service
AUto-Wash
� . J :,:
Hood or Typel ❑
Canopy Typell ❑
Refrigeration System
❑o-ioo,000sru ❑ioo,000
System Repair/Alteration
Fire Dampers -
Registers
Issue Fee,
FEES
$ 3
$ 3
Automatic Washer
Construction Pole Sub.
Cooking Uni[
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U. ' .
Fixtures
Device Boxes
Outlets
Switches
Gar6age Disposal
Generator DO-5 KW 05-�
0136 II/23/B7
, . ,- � ,
.� 2one
Accessory, Building:
�
�
Parking Req./P�ovided '
t
�ie��n '� .
���
� : - .
ELECTRICAL � , _'
Transformer ❑'15-50 KW
, ❑ 50+KW
. Meter ❑up to 100 amps .
Meter ❑over100amps
Su6 Panel
Motors � 0� 7 H P � 1 X:8
Inc.Solar �9-15 HP �16-15+
Microwave
Pole Light '
(iange .
Standing Sections
5 KW Trash Compactor
DEVELOPMENTSERVICESREQUIREMENTS:
2oning Approved By
Building Approved By
Application Issued By_
BUILDING PERMIT $
PLAN CHECK S
PLUMBING $
PLAN CHECK 25%� $
ELECTRICAL $
PLAN CHECK 50% $
MECHANICAL $
P6AN CHECK 25% $
���
34e50 TL
Z
O
N
1
N
G
R
E
Q
M
• T
S
FEES
.. $
�vp
V P
=S �SMIP $
PERMIT � - , '
ISSUANCE $ ,
ENERGV P.C. $ �
GRADING $ � '
MICROFILM $ �
TOTAL FEE $ �
CONSTRUCTIONAND;PLANNING� POOL&.SPA , -
AP.PROVALS 'PermiY# -�Date Inspector qppROVALS Permit# '�Date - Inspector
�..
1c'Temporary ElectrlcalService or'Pole � . 52. Pool & Equipment Location � , � '
2. Soil Pipe-Undrgrnd. � � �� 53. Steel Reinforcement ,. � �
3. Electrical Conduit Utility-Undrgrnd., � �54. Forms ' "'"'
4. Electrical Conduit-Undrgmd. � 55. Electrical Bonding . � �' -
5. Steel Reinforcement � � 56. Rough'Plumbing & Pressure,Test �
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-G`UNITE
7. Footings � � 58. Electrical Conduit-Undrgrrjd..� �
.�
8. Foundation ' - �.�'"� . � � 59. Gas Pipe, O .Undrgrnd., Test� ` .
9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, dyi�lndrgrnd.
10. Structural Floor System : 67. 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. Pough�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. POOUSPA SYSTEM$ FINQL �:
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREIVIENT '
20. Rough Factory Fireplace � APPROVALS - PermiC# `'�
21. Ducts, in Structure '
70. Underground Hydro ;�
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil f �
23. Gas Pipe-Rough & Test , 72. Underground Flush �
24. Roof Framin `
9 . 73. Undergrnd. Storage Tank O�Gas ❑ Oil .
25. Roof Sheathing 74, Overhead Hydro � � .��
26. T-Bar Ceiling (Structural) & Monocoat' 75. Dry Chemical .. ' .
27. Frame and Flashing � • 76. Dry Standpipe . •
28. Lathing & Siding -- 77. FIXED SYSTEM FINAL , '
29. Insulation , _ 78. FIRE PREV. FINAL "
30. Drywall Nailing ' - HEALTH DEPT. REQUIREMENT - ,!(i� '
31. Plaster Brown Coat 79. FINAL INSPECTION ' '. .,i� �
32. Electrical Power Meter-Final 80. FOOD CERTI.FICATE ISSUED �%�
�..i . �
- ��
33. Final Electric � � Notes: � � -
� r :
34. Final Heating & Air Conditioning . - f!
,
35. Final Gas Pipe-Test
36. Hood or Canopy �
37. Final Factory Fireplace ' • •
38. Final Plumbing , - , � '
39. Water Service-Final ' - ' � . �
;,40. GasService-Final `� � �
t
i 41. Solar pomesticFinal � -�
42. Backflow Preventer - � '
-43. Backflow Irrigation .
44. Landscape Irrigation System � � � • ' � ,, �
�45. Sound Attenuation � �� �
�46. Handicap Regulations . • ' "� ' . ,
r:
47. FINAL STRUCTURE & BUILDING � . � � � � � '
48. Special Requiiements Completed , � �',;'� • ' . - ,
49 � Electric Release to Edison ' •- � - �
50. Gas Release to Southem Califomia Gas Co � � �� �� - `„
,
51. CERTIFICATEOFOCCUPANCY � . ;-. .' _ - � �
No. Date _ - - - - - '
\`•�-- �':L�,., ..
� CITY OF COSTA MES l���,L�-
� Building Safety Department /4� ,{Y j
Application for permiT for the fabrication and erecTion / l�'�
of awnings, advertising signs or devices. ��
163�0
LOCATION i
Building Site Address
28� j �L RIo C� cL �
Name of Leasee /VlRfcn �QA��2fl '7�'l/1� phone NE �n A'�i� ��
Contractor �RpT� rS/�r-/V �D. StaTe License No.
address �"1-� I Z �. � E�ty ��i�/1/%'11 ,�/1/�? Phone -�l %7G�7
ArchitecT or i
�gineer State License No. '
address
Phone
DESCRIPTION
Description of awning, advertising sign, or device:
Awnings canvas � metal � Width: �ft. "'� in.
Lengih: �ft. in.
Ground Sign � Projection Sign � Roof Sign � Wall Sign � Metal Letter Sign �
Banner � Canvas Sign � Gas Tube Electric Sign (Sub-section 1.44, Ordinance 313) �
Combination Sign � Special Device (other) � Explain:
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 ofher signs at site. Minimum size sheets must be 18"
by 24" and non-erasable.
If within the 10-foot area of front property line, owner is to sign written agreement with the City.
'�_,;.;�f Sign — Thickness ft. in. Height_�fL —in. Length—�LL_ff. �— in:
�i'";:�.
�v2ight Ibs. Height above grade�_ft. '�� in. ProjecTion ft. in.
The undersigned hereby agrees to fabricate and erect awning or advertising structure within the infent and
meaning and in sTricT accordance with the provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of
the CiTy of CosTa Mesa), and all amendments thereto.
ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING AND ELECTRICAL IN-
SPECTIONS SHALL BE CALLED. �
Signat�re of The amount shown under ValuaTion is for the ur ose of
Permitee ��-<< \� establishing a permit fee only. P P
Avthorized Agent ��=� Q S�� �O , VALUATION Permit Fee $ ��
' � ��/ $ � Plan Check $ �q
Recd. by - Dote�� �� t Total Fee $ '�` ��
Form 214--1M-11-GP-.4-8 P
FEE RECEIVED
� FEB 8 1982 -
� FINANCE DEPT.
CITY OF COSTA MESA
FOR OFFICE USE ONLY
� FEB 1 4 1962 �� y�,'
Dafe Issued Permif No.
Fire Zone e Group .
Approved by Daie
ZONING �
Use of Bldgs.� � I
A. P.
Bldg. Site
Legal Owner `7��- �-a= � = =� -
Yards Approved. � �f
Large Sign in excess of S sq. ft. SeTb/ac�k, from c nter line
of streeT to froni properTy line �ft. �ih�
From property line to edge of sign -3 ft. �� in.
Side Yard Setbacks: �
Left Side �ft. �n�6
Right Side �ft. ��i+(1
Building Line SeTback from �� �
center line of street �ft•���
Area of Sign 0 � _ft. in.
Heighi abave Grade �ft. in.
Projection ft. ' p in.
Awning Size—Width - ft. in.
Lengfh ft. in.
Awning Height above Grade ft. in.
Projection ft. in.
Gu� �-� g
Location and size /' �/ n
approved by �U' <` �/-Q���n��"�c�2�
�are J —.3 l � Y
<7
r
t�
41
C'
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.1; ° � i s��4
COST.4 MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
For Applican PE �Fill In Cort�plefel�
0
BUILDING � .r� — ���-O 3 T0�
ADDRESS /7CT �O � �L.p - OC
COSTA MESA. CALIFORNIA
■ AP' �'TECf . / TEL.
■ 87'ATE TEL.
I OF LOT �� Q � n{ �_NO. OF BLDce.
I7�'TNOW ON LOT
��°� ���t G'' c,C��Mamn.✓E �✓�
B6TBACK LINE FROM j7� �'�-�._�i
DESCRIPTIOP! OF WORK
NO. OF
WALL
i� � � - � - u
�iu _',. I- '� I d��
c(. �S' l -O�
1 HERGBY ACKNOWLEOpE THAT 1 XA E R6AD H18 MPLIGTION
AND BiAiE TXAT TH6 ABOVE I6 COqRECi ANO AGREE TO COM-
PLY WITN ALL CITY ORDINANCEB AND 6fAT6 LAW6 REOULATINO
BUILDIN6 CONBTRUGTION.
SIGNATURE OF Q
PERMITTE�,�/
AUTHOR� D AGENT �
F�E R��EIVED
EEB 1 �62
FINANCE OEPT, �.tu-
CITY OF GOSTA MESA
APPLICATION FOR PERMIT
BUILDING
For O#iee Use Only
RECEIPT NO. I A��
JJ
BY I D� R8G=1VFpA I. DA� IBBI{E �
/ V � /
. . / / . �-
COSTA MESA. CALIFORNIA
FIRE
ZONING
zonE NO.OF ueE OF New B�o�/�W�
R—�' I PIANB � BUILDINO
�o„�.--•--.�� l e..�,_�T� y tiaY
EVES
(CCMCR LANC eTJ
—O
-v
r- --
�/f --� -
UJ --- —
/�� —
THE AMOUNT 6HOWN UNOER VALUATION 16 FOR TXE
PUPPOBE OP EBTABl19HINp q PERMIT FEE ONLY.
VALIlAT10N /y
� ��D � PERMIT FEE $ / D
� PLAN CHECK $ J �
35940
'" COSTA MESA BUI�DING-SAFETY DEPARTMENT
� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fi!l in Completely
BUIIDING
ADDRESS � ) I � Y I
OWNEF
MAIL
Z ADDfiESS
W W TEL.
d U CITV Sf NO. 7
ZZ
Q CONSTRUCTION
O � LENOER
d m �
J � BRANCH O .
J �
� ADDRESS
AflCHITECT TEL.Q.� 3'
� OR ENGINEER F U{� N. L
U
Q
wQ ADDRESS.� g. � �j_
p_ W
J Q CONTflACTOR �
m Z
J Q ADDRESS ,j � Z
� w . . T E L. 3� �—
Z � CITV �y NO. �
w � STATE ' CITV
� Q �I0. NO. ' LIQ NO. �
� � SIZE NO.OF BLDGS.
� OF LOT NOW ON LOT
USE OF
EXISfING BLDG.
I� SIZE OF NO. OF
Z NEWBLOG. FOOMS STORIES t
U EXTEfiIOR WALL � ROOF -
, COVEFING COVERING
� USE Of BUILDING AND WpqK TO BE PEFFORMED
I �I I
A.P.NO. (`��"'
BUILDING
ADDRESS� Af.
TRACT ��
ER
FIRE
aatu
JU1-6-73cnse.00 774'� *�***6.50
FOR BUILDING PERMIT
�TE ECEIVED DA IS UFJ
✓
2�0, P R� Np"
�11
,/ � V 1
ry LOT � BLOCK
ZONE NO.OF
PLANS
VAFOS APPROVED
DISTANCE BET
MAIN BLIX6S.
VAR.#
i
VALUE
USE OF NEW f'H'"J(
BUILDING CO'L
VARDSAPPROVED
BET. MAIN &
ACC65.BLD
DATE
O _ C.U.P. �{'+ iarrn�vtu
F t APPROVED �
y
z , � �
�
UI hereby acknowl¢tlee that I have read ffiis appliwtion antl state
= that the above information is correct antl agree io comply wi[h
� all lawz reg�lating builtlin9 construction, and I shall not employ . �
any person in violation of the workman's compensation laws of
y t�e State of Calitornia. . ��C m
b
z1 hereby certity thaS I am properly licensetl as a contractor under � Q• FT.' ' O
the State of Calitornia Bug{ness antl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR '�
Chapter 9, antl thet such licenses are ln full torce antl effect, or I THE PURPOSE OF ESTABLISHING A PERMI FEE ONLV: m
am eaempi from il,e prov{sions ot the State ot Calitornia Business ¢
� antl Professions Cncie, Division.3, Chapter 9. VALUATION � �
PERMIT FEE $ ]
Sienature of �
Permittee o���,a $ 5 3 O PLAN CHECK E
. � .., o-� o
AuNorized ABent �� LL
TOTAL FEE $
/ .
� 19589 -
�COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 C06TA MEBA, CALIFORNIA
For Applicanf �o Fill In Comp►e►ely /
. -TYPE OR PR1NT
BUILDINO�p
ADDRE55 L(J C_L�
COSTA MESA, CALIFORNIA
LIG.TNO. �ZOGk Y � t_ NO. ��
1_�
OF LOT � C � C ' I rvo�
USE OF
EXISTIN6 BLD6.
SETBACK LINE FROM �' -
CENTER OP 6TRE6T REAR
SIDEYARDI LEFT - I R16HT
DESCRIPTION OF WORK
� ALT6RATION ADD
REPAIR OVINO- OEM
BUIL�ING .h� , ROOMS
SIZE V
EXTERIOR WALL I ROOF
'COVERING COVERINO.
USE OF BUILDING AND WORK TO BE PERFOR
f r
��� -�EE RECEIVED
�'i ��j�"/�%' � fI�IYNC� �E��T.
�� i F� APPLICABUILDI�c Q��TA MESA
�ffice Use Only
C
P[CC�PT NO. I PEFMIT NO�
BUILDINB
ADORESS
FIRE
L80AL
ZONIN6
NO. O� U86 OR NI
PLANB �_ pYILOINO
'�� 'J iO d'—�
OV ERHANG SHALL BE LE98 THAN
YARDSAPPROVED
�MAIN BUILOIN6
VAR. �C
BET
YARDSAPPROVED
ACCESSORY BUILDING
BET. MAIN B
AGCESS. BLDG9.
DATE 1�
1PPROVE� V �
1 HEREBY ACKNOWLEOpg }HAT � XAVe qE�O TXIB APPLICATION -THE AMOUNT eNOWN UN�ER VALUAT�ON �6 FOR TXE
AN� eTATE THAT TH8 ABOVH IH COqRECT ANO AOREE TO COM. PURP09H OP 6BTABLI6HINti A PERMIT FEE ONLY.
PLY WITH ALL GTY OR�INANCHG AND BTATB LAWB AiOIILATIHQ
BUILD�NO CON6TFIICTION. . ' VALUATION �—
SIGNATURE O —�' � �� PERMIT FEE_ $� Z_
PERMITTE � DO
� . $ � BO� �� PLAN CHECK $
AUTHORIZED AGENT C.q0.'�P.L• � G(bN CQ . ' ' TOTAL FEE �'� ��
� ; � 2�000
�, .
'G'aSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 81] � C08TA MCBA� CALIFORNIA
For Applican► fo Fill In Completaly
TYpE OR��PRINT
� REI59 2861 E1 Rio Cixcle
COSTA MESA, CALIFORNIA .
JNER Mesa Del Mar Development Co.
FEE RECEIVED
N�V 1 5 1969
FINANCE DEPT.
APPI ICATfdNO�a�O�� ESA
BUILDINf3
for Oliica Use On1y
IR6CEIPT NO. P qpI IT NO.
>�
er
ZO�R'7� � NO.OR
� j PLANe
L26AL _
NOTE: NOEAVEOVER
��4220 80' TO SIDE @ REAR F
EAVES
no. oR e�oas. ALLOWED
NOW ON LAT
YARD3 APPROVED
. MAIN BUILDIN6
6ETBACK LINE FFOM '
CENTER OF BTREBT SO � REAR YARD S �
t
81DE YARO LEFT 11 � I RIGHT (� �
DESCRIPTION OF WORK
BUILOIN6
sizE 505c5
EXTERIOR Yi(6OLLd
COVERING W
U9E OF BUILDINO
PLAN 112-B
1 HEqEBY ACKNOWLEDO@ TH�T � HNVB qEAO TXIB App���AT10N
ANO 6TATE THAT THE AgOVE 19 CORRECT AND AGREE TO COM•
PLY WITH ALL CITY ORD�NANCH9 AND BTATB LAWB R80yLATINO .
euao�rvo corveTpuci�ory. .
PeRmiiTeF oF MESA DEL MAR DEVELOPMENT C
AUTHORIZEOAGENT`J��{/", �///(��„�; O,. //L
//
VAR. SC
��JG
oee"i� �eS�ga
�
YSE OF
tALL BE LESS TNAN
U. B. C. REQUIREMENT.
YARDSAPPROVED
ACCESSORY BUILDING
OATE
�J^ 6
�, o b so. �. .�' S�10 "� ^
TXe AMOUNT BHOWN NDER VALUATION IB FON THE F
PIIRPOSE OP EBTABLI8HIN0 • pERMIT PEE ONLY. �
_UATION � i/ m
PERMIT FEE T n
16 � 925 . �� PLAN CHECK $ �� o
LL
TOTALFEE $ �/
` r:_ ��9J2
� �OSTA MESA BUILDING.SAPET! DEPARTMENT '
P.O. BOX 31] CO$Tp MEBA� CALIFORNIA
Foc Applicanf fo Fill In Completely
TYPE OR PRINT `
BUILDIN6 �6 � LNw`N
ADDRE55 ��
COSTA MESA, CALtFORN1A
OWNER GC. �
,ARCHITECT
/ �GINEI
��
� ,6ETBACK LINE FHOM
' I' RI6HT . . .
OP WORK
1 BUILOING . ' ' NO.OF
SIZE ROOMS ST
EXTERIOR WALL I ROOF .
Ftt KECEIVED
APfl 3 :1984
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDINCi
For Office Use Only
er
FIRE
' . ZONING )��.�
� NO.OP U6@ORN
PLANB � I BU�LOINO
�L I'_ � '. _' /
CRIP�ION
�o .-7-Q� y� Y
'E: NO EAV E OVERHAN6 SNALL BE LESS TH ,
TO 61 DE @ REAR P. L
Eg ,
.OWED �U.B.C.REQUIREMENT
YARDSAPPROVED YARDSAPPROV6D�
MAIN BUILDIN6 ACCESSORY BUILDING
tOMG/LHTREET) ,
)NT FT FT.
nne F'r. �/ Fr.
�oa Fr. � ! rT.
_ _ r� ._
VAR. SC
DATE
� / I
L /
/ '
N
� 80. �. 0
I HEREBY ACKNOWLEUOE THAT � H�VE PP.�D TXIB APPLICATION TXE AMOIINT BHOWN UNOEP VALU�TION 18 FOft TH8 �
ANO 6T/TE THAT iHE FBOVE IB CORHECT AND AOREE TO COM. PUNP09E OP EBTABL�9HINO A PERMIT FEE ONLY. 0
PLY WITN'ALL CITY OHD�NANCHB AND BTATH LAWB qEOUTATING ypLUAT10N m
BUILOIN6 CONBTRUCT�Oq . ' H
� PERMIT FEE $ j
SIGNATUREOF� / , fs'. � 6_ m
PERMITfE C�
� S' j �'!7D'� cxec ._5 (� �
0
AUTHORIZED AGENT !, �`
TOTAL FEE � �i �V
_ ,�;:; 2�2-r2
,�bSTA MESA BUILDING-SAFEfY DEPARTMENT
P. O. BOX 91] COSTA ME9A. CALIFORNIA
For Applicant !o Fill In Completely �
TYPE OR PRINT
BUIL�IN� 2861 �+ . R�IO BR �
ADDRES9
� COSTA MESA, CALIFORNIA
,,..,..�e tv1�LVIN CHI�ISLIR
`cai� $r�
�g 7 1966
' ' PPLICATION FOR PERMR �i
�� �_�
For_.OiKc '
P8C81PT NO, pEqM� NO.
� �7
RBGeIV,BD BY �T8 P8Ci1/ D� OATE 1=8�ED �
=' 7 �
�
CITY ^ NO. ' -- �
ARCHITECT TEL.SP322i BYPROVEO DATE �Z �
Oa�NGiNEER N .
.5S 5871 FIR�STONE BLVll. ZONING ^
ZO � NO: OI � }I U8[ OR NEW
� I I PLANB v�" lUILOINO. ''
CONTRAGTOR T �
5f371 FIR�STONE ALVB• LEOAL �,;C�- �2.p `
' ADOREB$ . DE8C0.1IlION /
CITY . SII GATL' ' " ' A. P. NO. I"T I �,/�!!J '� O/
STATE 190179 TE�. SP 3 2 210 90° TO SIDE Q REAR p, LN6 SHALL BE LE59 THAN
LIC. NO. NO. -
SIZE v EAVE6
OF LOT Sllf . I xo. op BLoae. ALLOWED �U. B. C. REQUIREMENTI
NOW ON LOT
USEOF .SWZII )OO� �YARDSAPPROVED YARDSAPPROVED
1 MAIN BUILOIN6 ACCESSORYBUILDING
EXISTING BLDG. - .
(FROM C/L STREET �
eerawcrc une vnoM 16' " 19 � FRONT I�/ FT. FT.
CENTER OF BTREEf - . REAR YARD
S
SIDEYARDI LEFT I R16HT � � R.SIDH / FT. ��
DESCRIPTION OF WORK �.sioe•Ll'�r-r. Fr. ___ __
� USEOFBUILOINB
�1 XENEBT �CKNO`//J,
ANO eTATE THM�TI
PLY WRH /�YC cITY
� AUTHORIZED
REAR ` / F7.
DISTANCE BET. BET. I
MAIN BLp65. ACCE
VAR.# OATE
TO BE
�
�
v n
SG. FT. n
I 1 XAVB READ THIe PLICATION THE AMOUNT SXOWN UNDHfl VALU�TION IB FOR TX6 F
IH COpRECT AN OFE TO COM- PURPOSE OF EHTABLIBMINO • PERMIT FEE ONLY. 0
68 ANC BiAT We R UL�TIN yqLUAT1ON � /� � m
� PERMITFEE S j
280U:ou —, F
$ s
0
4
� TOTAL FEE $