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Home My WebLink About117 BROADWAY - Building Permits 47/571,flazocie,7 , J4 I. November 20, 1967 • Mr. Philmer Dllerbroek 320 West Coast Highway Newport Beach, California Dear Sir: On October 18, 1967, I call you regarding two signs which were located at 117 B way within the City of Costa Mesa. A a result of is telephone call, one sign has bee removed. A recent check of th property, however, revealed that the seco d , sign is st 1 standing. You are, a eby advised that this pole sign must also be remove Yours very truly, • FRANK J. HRUZA Assistant Director of Building Safety FJH:dh • • RECEIPT FOR CERTIFIED MAIL-20$ SENT TO POSTMARK .v! • Philmer Ellerbe _ek OR DATE W STREET AND NO, CV 320 West Coast Hwy. M CITY AND STATE N Newport Beach If you want a return receipt,check which It you want re- CO tot shows ❑ shows to whom, I stricted della- to whom when.and address er❑y. check ck here and when where delivered delivered 30!Iea Fy-1 FEES ADDITIONAL TO 20t FEE POD Form 3800 CAUTION—NOT FOR (See other side: lune 1962 INTERNATIONAL MAIL I. Stick postage stamps to your article to pay: 20d certified mail fee Restricted delivery fee-50 (optional) First-class or airmail postage Special-delivery fee(optional) Either return receipt fee-10C or 35P(optional) 2. If yon want this receipt potiamiked.stick the'gummed stay on the left portion of the address side of the article,leaoint£5.reap!atfaehrd,and present the article at a post office service window or hand it to your rural carrier.. 3. If you do not want this receipt postmarked,stick the gummed stub on the left portion of the address side of the article,detach and retain the receipt,and mail the article. 4, if you want a return receipt,write the ccrtified mail numbs end your name and address on a return receipt card,Form 3811.and attach it to the bark of the ankle means of the gums-'ends. Endorse front of article RETURN RECEIPT REQUESTED., 5. If you want the article delivered only to the address rause it.on the Ernst DELIVER TO ADDRESSEE ONLY. Place the same endorser a line 2 of the rigs=receipt card. 4 Save this receipt and present it if you snake inquiry. rs-assn-a *c?ostsn-0-essue POST OFFICE DEPARTMENT PENALTY FOR PRIVATE USE TO AVOID • OFFICIAL au)INI33• ',••`%. PAYMENT OP POSTAGI,3300 Kc.1/4•.• L. 1 V ice. • I P[POSTMARK NG OF QORfICE T •ILDING SPv NTNn '2 S'hUv .I u 967 ,. INSTR UC�n other Fill, in Litems le..IM below-and complete instructions on other$$UtLt�r-i((oppl¢ablo..f i Rumm ed) - ends,attach and BURN Re y to back E article. Print on RETURN front of article RETURN RECEIPT REQUESTED. TO r JJ '^ REGISTERRD NO. NASAE OF SENDER eity Ol costa Mesa - Building Safety Department CERTIFIED NO. STREET AND NO.OR P.O. BOX E 652328 P. 0. 'Box 1200 2 INSURED NO. CITY,STATE,AND ZIP CODE Costa Mesa, California a. css—IL—TIsae-L—r INSTRUCTIONS TO DELIVERING EMPLOYEE ❑ Deliver ONLY to n Show address where addressee I delivered (Additional charges required for these services) RECEIPT Received the numbered article described on other side. SIGNATURGOR NAME OF ADDRESSEE(mull always be filled in) \\ 4 SIGNATURE OF ADDRESSEE'S AGENT,IF AN1 DATE DELIV RED SHOW WHERE DELIVERED(only if requested) Cs5—l6-715ne-s—r GPO Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. •CITY OE COSTA MESA ��ONnSTRUCTIO E,1R IyT, 1 PE�R�sj{IT NO. �// �t TRACT NO. LOT NO. UNIT NO. ..Project Address //7 04b40 W.C7y CSS ice,,,,ez t - !i ,/ " ,(J . I J•.7 I i- Applicant's Maili(r1/q Address 30 ,O ettafrli c TYPE OF CONSTRUCTION LI NEW U ADD U ALTERATION Li REPAIR Litho I I inti 1oC ata. r'•' AZ ¢ ,ik 9,94(gCQ .&?oq one ❑ CONVERSION ❑ DEMOLISH CI OTHER�z��G ALTERATION", A.P.#yes--4S/ —!(a Zone`o� Owner's N,�attm // 4(g/free ,,/ DESCRIPTION OF WORK/USE OF BLDG. Address/ '� -4,24/S!/),c -7�/S /in✓ S Main Building: Accessory Building: � tZ Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING LJ FOUNDATION ❑ STRUCTURAL E Front attY7-i-,a Aa&-A,L s42teg = O Address ❑ TENANT ❑ ELECTRICAL ❑r PLUMBING ❑^MECHANICAL B Rear 41-6,/f�1.(�"• 4- (dam N �fy��e/«y £yds //�J�1-�7q/ ❑ OTHER �6f/3/?ic 44•••••-..".-..r,t Contractor's Name _�//_ �/ Phona�7/ 7 / C Right N Address I lin )- -3a /+O/'eGYr//� �j[Y1il •••77/z PROJECT DESCRIPTION SQ. FT. OCCUPANCY -. K G g •�� CONSTRUCTION TYPE VALUATION$ 7'7 4Q $ Left City License No. V ZONE GRADING CU.YDS. ACRESE LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided I hereby affirm that I am licensed under provisions of Charter 99 Remarks:9 (commencing P ('�Oa�jyf�/[Q�fi( / / O �� Q�� with section 7000) of Division 3 of the Business and Professions Code, and `-v r s� �� Planning NotesM�s my license is in full ce.afftl effect. _3 Ufa _/-c fie? t2 >• , T • Ucense Class L—C� / icense N•i /�`� ! '^ s Date/.ZZ Signature /�•r - PLUMBING FEES •A TORKERS'COMPENSATION DECLA Bar Sink Showers ELECTRICAL FEES lereby affirm that I have a certificate sent to set sure or a certificate A Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink . 3800, La Automatic Washer Transformer ❑ 15-50 KW PolicyNrF/ra 233 Ge OCompany—^9'. /C1&D Backflow Irrigation - 0 50+ KW g Sewer Cap Construction Pole Sub. ❑ Certified copy is hereby furnished. ertifie copy Is I ith the city B ' • n• . _ Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date V� l rJ Applicant -sae trait--- EXEMPTIONFROM WORKERS'CO car TION DEC Cr ION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if • mit is for one undred (S100) or ' less). Dishwasher Solar Piping Dryers OGas ❑Electric Sub Panel 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 Drinking Fountains Solar Tank Fan Motors 00-1 HP 01'4-B Workers: Compensation Laws of California. Date Signature Floor Drains Swimming Pool vv/SpaF.A.U. Inc.Solar ❑9-15 HP 016-15+ NOTICE: II,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) interceptors Water Heater 'Outlets Range Lender's Name Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal ;Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator 00-5 KW 05-15 KW any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's 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 • enalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered ' Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES 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 Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler sale. If, however, the building or improvement is sold within one year of com- CanopyType II D Zoning Approved By ita- - r Date i I-1 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground yp ` �1��j� rove for the purpose of sale). Building Approved By Date LII,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Data P-19-",S tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY r FEES builds or Improves thereon, and who contracts for such projects with a con- _ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple D System Repair/Alteration BUILDING PERMIT _- 4 /'.eltii . . SMIP [� stl�Aproof o then Worker's Compensation insurance should be provided to me. - Ii oPLAN CHECK I_ P. •MIT❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers111S $PLUMBING i� 1Date Owner Heating System& Ducting Registers PLAN CHECIS/�7�;y $ ' r O 'Ntrt P.C. $ I hereby a I have read application and state that the above ❑0100,000 BTU 0100,000 BTL ELECTRIC �V $ 11 • G $ s information is com• . I agree to com• y with all city and county ordinances 1 and state laws relfit. 9 to buildin• . struction, and hereby authorize repre- PLAN CHECK 50% V \ ICROFILM $ sentatives of • ty to ent• upon the abve-mentioned property for inspection p Jr LU /�/6 - MECHANICAL TOTAL FEE $ Signature .` .e Date Drivers' LI dose SS# �' Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POt..,;&SPA 'APPROVALS Permit# Date Inspector 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 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical OF ER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 1:1 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 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 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 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 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 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 • . . i 42. Backflow Preventer 43. Backflow Irrigation 44. .Landscape Irrigation System • • 45. Sound Attenuation / 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 4-2-31C 115. 48. Special Requirements Completed x-11/ 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY \ No._ _ Date / --'-- -"------`•.-.......-4 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - G&Lj9 7/ 15/96 2e o IL CITY OF COSTA MESA CONSTRUCTION PERMIT PEQR.,MIT NO. /� TRACT NO. LOT NO. UNIT NO. - Project Address ( t , ` aAe. - • U '��50i Applicant's Mailing Address • =rl TYPE OF CONSTRUCTION NEW U ADD U ALTERATION U REPAIR Owner's Name Mt t{l'P�L ❑ CONVERSION' ❑ DEMOLISH El OTHER ,• A.P.elk L,{}- '.� i G - I Zone Ca ` «�'r b� K"Ph0^° DESCRIPTION OF WORK/USE OF BLDG. rilC -Cte Q�s'/4� ` —�_/ .A'I srY)�1G1-1 S Main Building: Accessory Building: Arch/Eng. S1\- �i4 Lam, I's' • • TYPE OF PERMIT 0 GRADING U_FOUNDATION U STRUCTURAL E Front Z0 y ' License No:` T •C. Address S2-1 eA.J..r 1 b,V[/L', y N6- 0 TENANT 0 ELECTRICAL 0 PLUMBING ❑ MECHANIICC �� BA Rear -(' �Q)2 N I • Contractor's Nam' •- c�--. /g/ '! C- of l 0 OTHER - —v 1 1 1 A T� N ''��'�1I _ - •hone J��2 ' - I C Right Tta"ej LI'- Address(mailing) P'A7 ?/I'(f}-t/v - ' fl( ,_ .....:::,:_,/,a2-2- �' PROJECT DESCRIPTION SQ. FT. • OCCUPANCY K Left G �� CONST RUCTION TYPE VALUATIONS S R City License No, _ - 0�1��7 - 4 - ZONE GRADING CU.YDS. ACRES Ping. Ref.# _4 , e4_ ('7 Parking Req./Provided E LICENSED CONTRACTOR DECLARATION S ' - `` 0 I hereby affirm that I am licensed under provisions of Charter 91commencing Remarks Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and w 103-�� L� T ND my license is in full f.rCe and effect. Q PAL it Fen Cp T.^7 A 1 RCnUT.Dp.rirWrc $ Lice. • 'lass • _ al cense N^4OrvQI� �• t 03 Date II l�� Signature ine2rr - PLUMBING FEES 1 `VOR ER COMPENSATION DECLARATION ' ' Bar Sink Showers ELECTRICAL FEES ereby affirm that I have a certificate of consent o self-Insu t Ora certificate .1) workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Automatic Washer Transformer ❑ 15-5sKW 3800:Lab. C.) n �,�,B - ❑ 50+KW ( Policy No. PM\ Company 14on, Backflow Irrigation `Construction Pole Sub. • A Certified copy is hereby fu (Shed. Certifleci co y Is filed with the city Buildi Division. Bathtubs Cooking Unit Meter Dup to 100 amps Date 'J ( Applicant pJt['''� EXEMPTION FROM WORKERS'COMPENSpy1 1ECLARATION Clarifiers Dishwasher Meter Dover 100 amps (This section need not be Completed if the permit Is for one hundred ($100) or less). • Dishwasher Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work for which this permit is issued, I Motors❑61 HP ❑1'h, B shall not employ any person in any manner so as to become subject to the Drinking Fountains Fan Workers' Compensation Laws of California. • . Date Signature Floor Drains Swimming Pool vv/Spa F.A.U. Inc.Solar ❑9.15 HP 016.15+ 'NOTICE: If,after making this declaration, you should become subject to the - Microwave Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - - Fixtures '--- comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY - Gas Service Outlets' .Water Closet • Device Boxes Pole Light 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.) Interceptors Water Heater - Outlets Lender's Name • Range Lender's Address Kitchen Sink .Water Service ' Switches OWNER BUILDER DECLARATION Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactor 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 Roof Drains the Contractor's License Law (Chapter 9 (commencing with Section 7000) of vision 3 of the Business and Professions Code) or that he/she is exempt arefrom and the basis for the alleged exemption. Any violation of Section f31.5 by any applicant for a permit subjects the applicant to a civil • ' penalty of not more than five hundred dollars($500). 3 ❑ 1, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ - compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's ' MECHANICAL FEES ' 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 DEVELOPMENT SERVICES REQUIR ENTS: / employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ / sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By yyr / e C /1✓+'!.� nate /2 - 16. pletion. the owner will have the burden of proving he/she did not build or im- Duct- Under Grountl Building Approved By )�s Date LicPArove for the purpose of sale). f A5 v I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat: r/ tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑O-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- - Z�7 tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT - $ SMIP $ -b� proof of their Worker's Compensation insurance should be provided to me. PLAN CHECKPERMIT 0 I am exempt under Section B.8, P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers ISSUANCE $ ' PLUMBING $ • Date Owner Heating System& Ducting Registers PLAN CHECK 25% IN ♦ ENERGY P . $ I hereby certify that I have read this application and state that-the above 06100.000 BTU 0100.000 BTI-- te I' a R• al • information Is Correct. I agree to comply with all city and county ordinances ELECTRICAL I. • / J and state laws relatin• to building construction,and hereby authorize repre- 1 i ••dff I s sentatives of this � to e7t•r upon the above-mentioned property for PLAN CHECK 50% $ ' r inspection purposes. MECHANICAL $ 11� � Q ,�/ T• •NF / Z-SG Signature 4 �-. . , Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' License or S - _ _ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor i • CONSTRUCTION AND PLANNING _ POO, SPA Date Inspector` s ' ' .Date Inspector • APPROVALS Permit# • APPROVALS Permit# 1. Tenporary Electrical Service or Pole • 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd.- . . 53. Steel,Reinforcement . . 3. Electrical Conduit Utility-Undfgrnd. . • 54. Forms . 4. Electrical Conduit-Undrgrnd. I r ' . 55.'Electrical_Bonding ' 5. Steel Reinforcement .. ' - ' 56. Rough•Plumbing & Pressure Test .. - - r • . 6. Electrical UFER-Grnd: s _ _ : 57:•APPROVALTOCOVER-GUNITE 1'7. Footings; '- - , i.,<<. ; [ 58': ,Electrical Conduit-Undrgrnd. B. Foundation 12 ' .; 59.:Gas Pipe, 0 Undrgrnd., Test • 9. Water Pipe-Undrgrnd. H ' ` 60i Backwash Lines, P-Trap, 0 Undrgrnd. �,_,10. Structural Floor System _ • : 61. .APPROVAL TO DECK . .0, ;•(1. Property Sewer Line;& House Connection - t ';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 -- ---- - - - - - - - -- -- --r- 66. Solar-System-Final • ._16- Rough Electric Wiring ',. 151 1 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 20. Rough Factory Fireplace - a , I APPROVALS - Permit# 21. Ducts, in Structure • r , , , • 70. Underground Hydro • 22..Ducts, Ventilating 71. Product Piping 0Gas ❑Oil -.`� • . 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 75. Dry Cherr ical - _ 27,•Frame and Flashing SfI 76:-Dry Standpipe 28, Lathing&Siding �1)a/gf gad77. 'FIXED SYSTEM FINAL. 29, Insulation Y '78. FIRE PREY. FINAL . • 30. Drywall Nailing , HEALTH DEPT.REQUIREMENT 31. Plaster Brown Coat /d/�ks {�79. FINAL INSPECTION• �! 32. Electrical Power Meter-Final ( I 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' Notes: , 34. Final Heating & Air Conditioning • • 35. Final Gas Pipe-Test' . I 36. Hood or Canopy . . 37. Final Factory Fireplace • i , 38. Final Plumbing. ; ' - ' ' • ' 39. Water Service-Final' 40. Gas Service-Final 41. Solar Domestic-Final 4- 42. Backfl'ow Preventer 43. Backf low Irrigation; , - . I . ' , ' . , 44. Landscape Irrigation System ,. 45. Sound ,Attenuation ' 46. Handicap Regulations • : ' . - 47. FINAL STRUCTURE & BUILDING ' ,/2/g' el 4 48. Special Requirements Completed - . i. 49. Electric Release to Edison l ., • - - - 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY . . , • \ No .. Date - ' ` _ . • • . - ', . CITY OF COSTA MESA Tag No. /?5. 3 • 28070 Building Safety Department Type of Sign 6d/19/11rh2/9C-6C -I Y JAN 16-68PA1D00 564 0*' ***2.00 J Elec. �'I Non-Elec. CNSA Application for permit for the fabrication and erection of classified signs. / FOR OFFICE USE ONLY Location / _ . // -/� ermit Nom OZv Date Issued v (o Building Site Address N7 6fl61O67t/ft-i / / Name of Leasee P///L/y/E2t rf&C gils/CR_ Phone �'`f,6 ` °-5:25. Fire Zone Type j Group 1 Contractor GSM State License No. 52-‘'," Approved by Date / PLANNING DEPARTMENT Address /// 847 cban/LCity 0J/A2 /0-.0 Phone � � Q / Architect or / Zone `� P. No- / - /(�-3'-/� Engineer / State License No. / 11 7 • s - -' Bldg.Site Address [� & Address City Phone / Legal Owner �HtLMG'I-/71- �-1.y,F—� 1( HDescription: Tract Sign Roof Sign Address .2 X -9 4 a ""--" r — Appurtenant and Incidental Advertising Sign I I Gas Tube, Elec. Sign Q.,(a. �VP^1- Off-site Advertising Copy Sign Sec. 1.37, 1.44 City v Area of Sign: --in. X . ft. —in. _ 32-1F1 Required Bldg. Setback to Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on plan Center line of Street sheets proposed location of sign and locations of all other signs at site. Minimum size sheets SHALL be 18" x 24" and non-erasable. Location of Sign: Behind Bldg. Setback Line If between property line and established setback line, owner is to sign ri tte agreement with the City. / Between Property Line and �V` 3/4-CA / P Y Signature of Property Owner //yL///EGL o[JGl20/l1iEiti fit�1 ./.f pate / /-� �e Bldg. Setback Line ) Front' �- Feet ,,.-- i �4.____ The undersigned hereby agrees to fabricate and erect the advertising structure within the intent and meaning and ° t in strict accordance with the provisions of Ordinance 63-13, Ordinance 344, the Electrical Right Feet Ordinance of the City 6 „ / of Costa Mesa, and all amendments thereto. Left / Feet 7-'— ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING, ELECTRICAL Projection 0 Feet AND FINAL INSPECTIONS SHALL BE CALLED. Ground Clearance Feet ' i ' _ i r 6 Signature of -.JP/Pi-n/111 f'-�"l'62.?f/�- ApprovedDate Permittee r9`f / The amount shown under Valuation is for the purpose of Clearance Cha.. VIII, Art. 5, Section 8504 (b) �j,�u� (�i/ establishing a permit fee only , Authorized Agent 241. VALUATION Permit Fee $ os , L Signature (Planning Sta f) /$ D Plan Check$ Signature (Dept. of Public Works) Recd. by Date / �('G� _ FORM BU-3a Total Fee $ Date: �— /Q - G DATE OWNER PHTTMER ELLERBROEK 1-16-68 28070 'JOB ADDRESS 117 Broadway BUILDING PE oGEN FRAL CONTRACTOR City Sign Company DESCRIPTION of WORK :Non-Elec. Pole Sign • 317-103-14 LOT TRACT FIRE ZONE VALUE $ 50.00 INSPECTIONS Signature Date GROUP .T TYPE lV ZONE P SOIL PERMITS ISSHED GAS SUBCONTRACTOR Date I Number I Signature W ATER Plumbing ROUGH PLUMBING PROP. SWR. LINE fl HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 ROUGH WIRING Heating and Vent. TRENCHES fl FORMS ❑ STEEL REINF. FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PI -ER, BROWN COAT S_ (URAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n �f rr BUILDING, FINAL / . f7// BUILDING, FINAL (.r�i��j. a ,/ bg