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Home My WebLink About929 CONGRESS ST - Building Permits..[TY OF CUSTA MES,� CALJFORNIA 92626 P.O. BOX 1200 FROM THE OFFICE OF TME DIRECTOR OF BUILDINO SAFETV Project Address �2 9 W1�,�'��E�v Project Name ��,�j��i� �t�/��Q�,J owners Name �1. J��ILe7E�'� O,�mers Address 9�9 �'��G'��,�-� O.mers Telephone SL�-�j -%�QL�- Perntit # S� ��f �, �YP� ��, City Use Only I�eL SI�I L FJEG�- as o,aner, c-_-�__�r, .�jent (strike out all except one) do hereby attest that eqg�loyment of any person, or persons, is not anticipated at the time of seeking the above-referenced permit. In the event that any person, or persons, are e�loyed under the prwisions of this pennit, I shall imnediately cause a valid Certificate of worlanens Co�ensation to be filed with the Costa Mesa &�ilding Division. I agree to defend at my cxvn mst, and to indemnify and hold harmless, the City, its officers, agents and/or eicg�loyees, fron and against, arry and all liability, damage, costs, l�ses, claims ar� expenses, haasoever caused, resulting directly or indirectly fran, or connected with the improvement under this pecmit. I further state that I have read and fully timderstard the implications and rr sponsibilities of the above statements, and will canply with all provisions of the Contractors State License Law found under the Business ard Professions Code, Division 3, Chapter 9�of the State of California. � �'�4 � 1 �S� 1�%3 � c,.4' Print Name %�� „��,�G--G��„ `--� Signature CMF 0777-46 � j d " 2 �. — �`"0. t�te APPLICATION FOR A BUILDING ' 'iMIT BUILDING PERMIT NO. Eiectrica� Go Tract � 7�. Block (7�� Lot �I Permlt No. �, 9 w q� Plumbing c A tlresz � �pyG. � s� •r `(JS/ � �'r Permit No. b . D � Cross ��/ C �� Mechanical a qr¢a Street Permit No. a m Owner � . � � � Type of ject: ❑ New ❑ Alter ❑ Atltlitio � Atltlress �� y/ G;�� % 1� �' s'T ❑ Repair ❑ Convert ❑ Demo ❑ Occupancy P ry A Sup. Dist./ CItY G J TJT �� Zip �1�. hones�� ! A.P. InSP. Area Archii[ect/ ZOne SPI. Pmt. No. Designer License No. Setbacks P/L Front C/L SL Stre [ idth AOtlress Vartli Lett Right Re r i CItY ZIP Phone ave ro�, e 9 Englneer License No. `C d/k ng $Paces ¢qu r¢ �ov B ove�¢ n ACCfE55 m Clty Zip Phone Struct No. of No. of Helght Storles Family Y LICENSED CONTRACTOR'S DECLARATION Park Fees ve - Fee = Requiretl No C.T. Recei m 1 he�eby affirm that I am licensetl untl¢r provisions ot Chapter 9 t (commoncing with Section 7000 oi Division 3 of tha Business antl Zoning Approvetl By: Date Professions Code, and my iicensa is in full force entl eftectl. ?„ �icense Clas License Number ? Date _Convoctar Mlsc. � Adtlress � Proposetl Use of Struclure �y City entl Zip �hone � CONSTRUCTION LENDING AGENCV � I hereby atfirm [ha[ Nare is a conrtruction lantling agency for the a partormence of the work for which this permit is issued (Sec. 309], O<c. Ty0 otle ' Civ, C.). Class Con . ear C Lentler's Name USE/OCCUPA CV SIZE SQ. FT. Lendei s Adtlress � OWNER-BUILDER DECLARATION .Y. I hereby atfirm that I em axempt trom tha Conhactor's License Law 1� � for the following reason: '� ��I, as owner of the property, or my employees with wa8es as 2heir 2. sole compensation, wili do the work, antl the structure is not �L„ intended or otfe.ed tor salo. � ❑ 1, as owner of the praperty, am exclusively contracting with 3' licensetl contractors to construc[ the Pro� w ❑ I am exempt untler Sec. 6 �or Shis re n 4' � N y Det�wner �/ •� E WORKERS' COMPENSATION DECLARATION Total Valuation I hereby affi�m thai I heve a certifiwta ot conzent to self-insure, ❑ NO ar a certificate of Workers' Compensation Insurance, or a certitied EnCloathment Pe�mit R2qWrEtl es C copy thereof. G�atliOg Pmt. G� tling � POlicy No. Company Requiretl ❑ Ves ❑ No Pm . No. �a ❑ Certified copy is hareby furnished. Rough Gratling v 6 ❑ Certifietl copy is filetl with Orange Co�EMA. qpprov¢d by: Date � a Date Applicent 3 CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSUFANCE 2 IThis section need not be completed it permit is for $100 or less). � I tertity that in :he performance of the work tor which this permit is � issuetl, 1 shall not employ any person in any manner so as to bec�me l subjoct to t�e orkers' Compensati n Laws ot ali ornia. ERMIT FEE$ Dat tl qpplicant ��L ��/L$EC� NOTICE T APPLICANT: If, after making this Certificate of St/uctural S Plan Check S Exemption, you shoultl become s�bject io the Workers' Compensation provivions ot tha Labor Cotla, you must forthwiih comply with such Electrical y S�ecial {�rovisions or this permi[ shall be tleemetl revoketl. Invest. I CERTIFY THAT I HAVE PEAD THIS APPLICATION AND STATE THAT THE A80VE INFORMATION IS CORRECT. I AGREE TO P�umbing S COMPLY WITH ALL COUNTV ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBV AUTH- Methani<al 5 ORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE� MENTIONED PROP RTV FOR INSPECTION PUR- Pre-Gratle PO �€S. r� �nspection $ �� Z9/�'� cre-Grade aerm�t Si ture of App icant o. Agent Da2a Rea No. a Issue $ CA�Pl- 3�iLBEc,� Print ApplicanYs/AgenYs Name All spaces within this hox must he completed to process - Pian Issuance Chetk BY: APProvetl: CMF Oj:iS-4ti (6U-2tl) �ev. 6/nO CITY OF COSTA MESA CALIFORNIA �2826 P.O. BOX 1200 FROM THE OFFICE OF TME DIRECTOR OF BUILDIN6 SAFETV Project Address ./'�� Cp �G yP S S Project Name Oaners Name OVmers Address -� �v / S(�� I bec!\ • Pennit #� ��'Pe - `z V City Ose Only R�mers Telephone � I G oY L, a� t� e as �� tra , Ager�t (strike out all except e) o hereby a test that elnployment of any person, or persons, is not anticipated at the time of seeking the above-referenced permit. In the event that any person, or persons, are e�loyed under the provisions of this pet�nit, I shall imrediately cause a valid Certificate of Worlanens Conq�ensation to be filed with the Costa Mesa Building Division. I agree to defend at my oNm mst, arrl to indemnify arcl hold harmless, the City, its officers, agents and/or e�loyees, frcm and against, arry and all liability, damage, costs, l�ses, claims and expenses, haascever caused, resulting directly or indirectly fran, or connected with the improvement under this permit. I further state that I have read and fully imderstarr] t sponsibilities of the above state�nents, and will crniply Contractors State License Iaw found under the Business Division 3, Chapter 9, of the State of California. 61re or �. r a y� Pr t N �� _ ��.� Sign tu CMF 0777-46 he implications and re- with all provisions of the arr] Professions Code, r-$-�i i�te AOG�icant to fill in all spaces except ihose wi�hin heavY DorEer lines antl si9n all app�opriate Eeclarations. CITY OF COSTA M p ON TRUCTI/O�N PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. � Project Addreu —�a�- G!� �� . � ApplicanYs Mailin Arydress N � TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAI R Owne�'s Name � �� — � CONV ERSION ❑ DEMOLISH ❑ OTHER A p # ' , ' Zone _ Phon DESCRIPTION OF WORK/USE OF BLDG. Address i�' ' S Main Building: � . Accessory Building: � E Z ArchlEng. License No. TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Front Q Address ' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICA� B Rear . � N � OTHER � Convactor"s Nam Phone � � . . C Fight - N Address (mailing) ' PROJECT DESCRIPTION 54. FT. oGCuaaNCv K G City license No. / CONSTRUCTION TVPE VA�UATION $ S Left ZONE GRA�ING CU. VDS. ACRES E LICENSED CONTRACTOR DECLARATION Ping. Ref. # � Parking Req.�Provided Q I hereby affirm tba[ I am licensetl untler provisions o! Char[er 9(commencing qemarkr. Planning Notes: M with section ]000) of Division 3 of the Business antl Professions Cotle, antl 7 my license is in full or�¢ ntl effect. . S Lice e CIaSs License Date ' — — Signature PLUMBING FEES WORKERS' COMPENSATION DECLARATION Bd� Sink ShOw¢�5 LECTRICAL FEES I hereby affirm that I qave a certi(icate of consenl to self-insu�e or a certificate o( Workers' Compensation Insu� nce, o� a certifietl copy the�eo( (Sectio - 3&00, �ab. cJ ^ � Backflow�Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW Policy No. d� Company �� BackFlowlrriqation Sewer Cap ConsVuction PoleSub. � 50+�KW Certifietl mpy is ha eby fumishetl. Ce f/�i-��etl c(�p tl with the city B' tli ' i' Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps �ate'✓—Lt � APPIi[ant EXEMPTION FROM WORKERS' COMPENSATION OECLARHTION Clarifiers SOId� C011ect0l5 Dishwasher Mete� ❑Ov2/ 100amps (Thissection need not be completetl it tbe permit is for one huntlretl ($100) or . iess). Dishwasher Solar Pipin9 Dryers ❑Gas ❑Electric Sub Panel I certify that in Ihe po�formance of ihe wo�k tor which this permR is Issuetl, 1 shall not employ any person in any manner so as to become subject to Ihe Drinking Fountains Solar Tank Fan Motors �0-1 HP 01'/a - 8 Worke�s' Compensation Laws o( Califo�nia. Date Signature Floor Drains ' Swimming Pool w/Spa F.A.U. Inc. Solar 09-15 HP 016-15+ NOTIGE: If, after maki�g [his tleclaration, you shoultl become subject to the — �Workers' CompensatiOn provi5ions of the Ldbor Cotle, you must forthwi[h FIOOfSinkS UIi0d1 Fixtules MictOwave compty wi[h such P�ovisions or this Oermit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV CigSS¢NiCE Outl¢tS Wa[C� CIOS2t D¢viC¢ BOx25 POI¢ Liyht 1 I hereby affirm that tM1ere is a mnst�uction lentling agency to� the perfo�mance oT the work for which thi5 permit i5 issuetl (Seclion 309] Civ. C.) Interceptors Water Heater OutIEfS Ran ¢ Lentler's Name 9 ' Lentler's Atltlress Kitchen Sink Water Service Switches OWNER BUILOEH DECLARATION Sign I hereby affirm that I am exempt f�om the Contractor's License Law for [he 'LdvdtO�ies AutO-WeSh Ga�bdJ2 Di5pO5dl Standing Sections � following reason (Section 7031.5 Business antl orofessional Cotle: Any city or � county whicn �equire, a permit m construct, alter, imp ve, tlemolizh or epair p; Trap . Laundry Trays Generator �0-5 KW �5-15 KW Trash Compactor any structure, prior tp its issuance, also requires Ihe ant fo� suc it - to file a signetl staterri¢nt that he/she is litensetl pWs to the provi of �ROOf D�di05 the Contracior's License Law (Chapter 9(commencing i Section 70 f Division 3 of the Business antl Professions Cotle) or that he/she is ezempt � � [herefrom antl Ihe basis for the alleged exemplion. Any violation of Section J03L5 by any appl��anl tor a permit subject5 the applicant lo a tivil pendlty o( mt mo�e than five huntlretl tlollars ($500). $ 3 ❑ I, as owner ot the property or my empioyees with wa9es as their sole Reinspection Fee $15 ISsue Fee compensation, will ao tne work, antl the svucture is not Intentletl or o(teretl Reinspection Fee $15 Issue Fee $ 3 tor sale (Section �044, Business antl Professional Cotle: The Contractor's MECHANICAL FEES License Law tloes not apply to an owner ot a property who builtls or improves thereon, antl who does such work himseli/herself or Ihrough his or her own DEVELOPMENT SERVIC�S REQUIREMENTS: ¢mploy¢¢5, Provltl¢tl iM1dt SUCh imo�o�emenis are OO[ II1L20d2tl O( Of(¢I¢tl fOI BOI�Qf Hood or Type I ❑ sale. H, however, [he builtling or improvement is soltl within one yea� of com- CdnOpy Typ2 II ❑ ZOning App�ov¢d By Dat2 pletion, tne owner will have the burtlen oi provinq he/she tlitl not builtl or im- Duct - Under Ground guilding Approved 6y • Dat� prove fo� tM1e purpose of Sale). ❑ I, as owner of Ihe property, am exclusively cont�acling with lic¢nsetl con- DUct -StNCtU�21 Refrigeration System ApplitdtlOn ISSued By �� Dat [racto�s to construct the project (Section 7044, Buziness antl Pro/ession5 Cotle: The ConVactor2 Lic�nse Law tloes not apply to an owner of pwperty who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF PEES � buiids or improves tqereon, antl who con[racts for such Drojecl5 with a con- bactor(s1 ucense pursuant to tne Contractor's �icense Law). I am aware that ExhaustS stem BUILDING PERMIT $ SMIP $ _ praof of thei� Wo�ket'S Compensation insurance zhoultl be provitletl to me. Y ❑ MW[iplE ❑ Syst¢m R2p2i�/Alt¢fdtiOn PLAN CHECK $ PERMIT ❑ 1 am exempt untler 5e��{on B. & P. C. for this reason FirepVFacL BIL ICBO # Fire Dampers p�UMBING $ ISSUANCE $ oate Owner Heating Sys�em & Ducting Registers PLAN CHECK 25% $ ENERGY P.C. S I hereby certiry that I have reatl this application anC state thal the above ❑0-100,OOOBTU �700,0006T ' $ GRADING $ intormation is correct, 1 a9ree to comply with all dty antl county ortlinances ELECTRICAL ' antl sta[e laws relating to bviltlmg con5truction, antl I ereby authoriie r¢Ore- ' MICROFILM $ sentatives of this ciry to enter u o t�e �ove-m nlioned pr_operq f / B1 � PLAN CHECK 50% $�_ � inspection p c. j� , , � �' ` Signature Data V \ MECHANICAL $ TOTAL FEE $ Drivers' License or 55 � Reinspection Fee $15 Issue Fee ..�3 PLAN CHECK 25% $ CMF 0865-46, rev. 30/84 White - Builtlin9: Canary - qpp�icant; Pink - Accounting; Goltlenrotl - Assessor u� ooaie�in-onoi6z�o TG� 2�.�{� 7)ATF7 10/fiSlP.R TTHC� f17!Tf1 CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector p�ppROVALS 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-Undrgmd. ' 8. Foundation � 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, -Trap, O Undrgrnd. 10. Structurai Floor SYstem 61. APPROVAL T CK 11. Property Sewer I.ine & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Fin I 13. Roof Drains 64. Plumbing Syste inal 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, Ventilatiny 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing � 73. Undergrnd. Storage Tank 0 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 . 31. Plaster Brown CoBt 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � 34. Final Heating & Air Conditioning a � 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 pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. 'Landscape Irrigation System 45. Sound Attenuati0n , 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILDING , 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY � No. Date PFOJECTA�OHESS: 9Z9 CONGRESS ST OWNEN'SNAME:SKILHECK LOLA nooRess:9Zy CONG{IESS ST COSTA MESA,CA 92627 RflCHIENGINEEfl: pDDflE55: HEG.NO.: uNir: UNIT: PEflMITTEE:WILLIAMS CONSTRUCTION CO, (714)631-8386 aooeess: z024 MONROVIA AV COSTA MESA CA 92627 LICENSEU CONTPpCTOF OECIAHATION: I herehy aflirm t�ai I am licensed untler pwvisions of Chapler 9(commencing wilA Seclion 700�) o� �rv�sion 3 oi Ihe Business antl Pmtessions Cotle. antl my license is in fulllorce an0 eVec�. ciTv u� ,/9 � STFTE UC.s 2 z G� 9 s�,.,�� ) cuss: B oa�e: _ � SignaWre: _%W � WOflNEflS�COMPEN5PTI0N OECLAPATION: I �ereby a��irm thal I �ave a ce�ificate of consen� ta selbin5ure or a certilicate of Workers' Compensation Insurance. or a cenifietl copY �hereo� (Sec�ion 3800. Lab. C�. POLICY NO.: EXP. OATE: COMPANY: ❑ Ceritlied copy is here6y Wrmshetl. ❑ Cetli�ied capy is liled wil� the ci�y Builaing Division. Dale: FppliCan�: IIEMPTION FHOM WOHREHS' COMPENSFTION OECIARRTION: (This sedion neea no� be cample�ea il �he permit is lor one huntlre0 (8100) or less�, � cetliiy Ihat in Ihe Oetlormance oi �he work for w�ich Ihis permi� is issueq I shall no� employ any person in any manner so as Io become su�le�� Io ihe Workers' Compensa�ion LawS of Cali�omia. �� f �ate'. � SignaNre: � "`� ' NOT CE: II, afler making ihis declara�ion, you shoultl become suble�� o Ne Workers' Compen5ation D�ovisions of Ihe LaOor Code. you must forthwith comply wi�� such pmvision5 or Ihis permit shall be deeme0 revoked. CONSTflUCTION LENOING AGENCY: I hereAy affirm Ihat ��ere is a constmciion lentlmg agenry for Ihe pedormance of lhe work lor which Ihis permn is issuetl (Sec�ion 3097. Civ. C�. LENOEfl: A�OflESS: OWNEH BUILOEF OELIAflATION: I Aereby affirm I�at I am exempt Imm ihe ConVactors' Sia�e License Law for ihe lollowing reason (Seclion 7031.5 Busmess antl Pmiessional Code: Nny ci�y ol caunry which reQuires a permit �o constmct, aller, imD�ove. Oemolish, or repair any Amc�ure. prior �o its issuance. also requires �he applicant lor such permii lo file a signetl statement �hat helshe is licensed pursuani �o Ihe pmvisions ol ��e GonVatlors' Sla�e License law (Chapter 9(commencing wiih Sectian 7000� oi Division 3 oi �Ae Business an0 Prolessions Coae� ar �hai helshe is exemp� I�ere�mm and the basis for �he allegea exemp�ion. Any viala�ion oi Seciion 7031.5 by any apPlicanl lar a permi� SUDIe��s �he applican� to a civil penalty ol not more than live hundred tlollars �5500). , as owner oi ihe pmpe�y or my employees wiih wages as t�eir sole compensa�ioq will tlo ��e woYrc, and Ihe ❑ stmc�ure is noi inlenaetl or olleretl for sale (Seclion 7044, 9usiness antl Pm�essional Code: IDe Con�ractors' S�ate License Law does not apply lo an owner of a pwperty who builds or impmves thereon, antl who tloes such work himsetl/�ersell or �Amugh his or her own employees, pmvided Ihat such impmvements are no� inlendetl or otlered for sale. Ii, however the builtling or improvemenl is sald wi�hin one year oi completian, Ihe owner will have the burtlen o� pmving he/she did not build or impmve for Ihe Durpose af sale�. I.as ownerolihe propetly.am exclusivery coniracting withlicensetl wntraciorsto con5imc��he proleci(Section 7044, Business 7 antl Pmlessions Coee: The ConVamors' Sia�e License Law does no� apply to an awner of Drope�y who builds or improves thereon antl who mnVacts �or such O�olects wi�h a contractor�s) license pursuant Io Ihe Contractors' Sla�e License Law). i am aware thai proa� al I�eir Worker's Compensa�ion insurance shoultl be pmvidetl �o me. � I am exem0� wder Senion: ' 8. 8 P. C. for ��is reason'. Daie' Owner - I tlo hereby cenily �hal I am aware ol antl unAers�and �he r¢quiremenis ot Calilomia Heatlh antl Sa�e�y Cotle Sections 25505, 25533, and 25534 ane Ihat I or any fuNre building occupanl will/wiil not (circle one) neetl lo camply with said state co0e5 anA the reQuirements �or a permit lor conslmclion or motlllicallon imm �he Air Ouahry Management Olsincl. Residen�ial consimciion applications are exempt �mm Iheee pmvi5ion5. Daie', Npplicanl: I hereby certilylha� I have reatl Ihis a0�licaiion ane 5�aie Na� Ihe a�oveiniormation is mrrecL Iagreeio comply wiih all city and county ortlinances anA sla�elawsrelaiingto buildinq conSlmciion anA hereby aulhonzerepresentalives oli�is cilylo en�erupon��e above�mentione0 pmpetly �or inspec��on purpo s. C �ale: � ^ $ignaiure: _%e��%Jy/f"'J C .` i�:. -��'K� Orivefs License ar Social Security a: �. 164��G6 Whne—Builtlinq; Green—Code�EnlorcemenL Canary—Applicam: Rnk—Revenue: GOltlenroE—Assessar CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; B 062936 PLAN CHECR NO; N CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR JOH DESCRIPTION ; T/O EXISTING COMPO 6 APPLY NEW COMPO CLAIM VALUE: 3,500.00 CALC—VALUE: 3,500,00 PERM NO; B 062436 GOVT; N SUPP: N PURPOSE; ALT SQ FT: 3,500 GROUP OCC: R-3 /M-1 COMMENTS; SMOKE DETECTORS RE�UIRED PER THE 1991 EDITION OF THE UBC, ��Oi �e*�+r**�r*��**�r*******�r**�r�r*** �rx�***�****sr*****�r�e***�r**�r��r*�r*x��r * �+��g�q � Z O N I N GS ERTEBQAUCIKRSE M E N T S ��C tJ� ,�EQUIRED ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDI G--------- FRNT: FT IN AEAR; FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL: 42242312 2NE: REF NO: PLANNING NOTES> �'7; _ M!k 1Fif if 1FiF k iF kiF �f if �k if if ih if iF �f if if 3f if iF iFlF iF M iF if if iFlf lkik k �f iFlf if �F�Elk�F 1kiF k If iF k if �t 3f M 1E�E �F �flf �f i! �F ikif iklf iF IE �l�F ik 1F itlF if ik iF iF D E V-fi^.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 APPROVEDf BY DATE; � � - BUILDING APPROVED BY ; DATE:�, ',APPLICATION ISSUED BY: DATE• � �— ' iFifiFiFiFlF1flfif�FiE�fiflk�F�flF�tif�F1E�F iffElFfl�F�kifltifiF �Fif iklEaliflElflflElFklEififikiEiElE1flk1kklEifklflf�klflf�fiFkiEiFiflFffiFiFlFiFiFiflFaF Mkifkk�F�tlkiflflFiEitiEiFiFkiEifiF�fjfkiFif�F3fif�Eifik�f LEGALIZATION;N F E E S U M M A R Y STRUCTURAL"SEGMENT;Y r BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES' GRADING PERMIT 63.00 ,50 SMIP/NON—RES PLAN �'� ISSUE FEE ' BUILDING—DIV—> PERMIT ISSUE PLAN—CHECIt TOTAL PAID DUE TOTALS----> 63,50 0,00 � 0.00 63.50 63,50 ,00 REVENUHLDGVPMT PLDMHING ELECTRIC�MECHANI� FIRE3�SMIP�/TOT/SGR�ING PLAN—CHECK 63.00 ,50 M 1FikM If 1f if �F iE if �f �f �k �F ff �F if ff if 1f iF k 1f iF!!!f 1k iF 3flf if k Kikik if 1!�! iF if 1F �! af �F�Eit if iFk iF �f k 1f �flf 1k k ih kiFiFiF 3f iF 1F iE if �k iF IFik 1ElE if iF ik iF 1! M I N D I V I D U A'L F E E B R E A R D O W N TYPE QTY D E S C R I P T I;O N UNIT COST TOTAL COST SFR 3500 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 3,500,00 END OF FEES ✓ J/� � � J a � � 1993 :.�..a CITY COSTA MESA 1 A CONSTRUCTION AND PLANNING � � APPROVALS Permit �`r Date inspecior 1. 7emporary Electrical Serv.ce or Pole �- litv•Undrgrnd. '`,�.`'`J;17.+Ctrica! Con�it`li'hdrgrr.d. .i iSti�� Reinforceu�ti7ta�, � G,�„�ctricai UFEk3 G�t�d `' . . � V. 7.�Fvptings ';_ �"„ t w a .8.`ioundation � 4 9. 4Vater Pipe-Undc�y�nd. 10. S�r,ucturai Floo[ Svstem 1 L F��perty Sewer•Lin�& Hdtrse Conr -,,. 72. Sewer Cap • �. �: 13. Fooi Drains _ - 14. Fough Plumbi� V � 15. Ro�gh Electrica�-Condu;t i6. Fough EtearicLViring 17. Rough Wiring �gn 18. Rough Electric�a-T Bar Ce�l�ng 19. Ro�h Neating & Air Conditioning � ,� � �� 21.-Ouhs, i ion POOL & S� APPROVALS Permit �F 52. Pool � Equ�pment Lora6on 53. Steei Reinforcement 54. Forms 55. Electrical Bonding 56. Rough P7umbing & Pressure Test 57. APPROVAL TO COVER�GtJMTE 58. Electrical Conduit-Undrgrntl. 59. Gas Pipe, � Undrgrnd , Test 60. Backwash Lines, P�Trap, � Uncirgrnd. 61. APPROVAI TO DECK 62. Backwash & ReceptcrFu�vl 63. Heater & Vent-Finai 64. Plumbing SYstem � finai 65. Electrica6Final 66. Solar System�Finui 67. Fencing & Access Approval 68. APPROVED FOfi PLASTERING 69. POOLISPA SYSTEh."S FIIVAL �,Fl�j� D�PT. E�EQUIREMENT , S;r ��¢ � j .-� iTr .c . PPR,�VA`-�J'`-�'eYnYit ,k'-'�-�°�.'-:r.- --�__,%<-� '_ . .. _ �l�-�7- - t = i•..• •.-ti :i �' �:. ��i � '70. dergYo�tl�Hps�rp K 22.._Du4:s, V'ent�t'atiRa;. � �Js h -: � � �S.'. s^i _> i C: � � S '-< x�71. Produce. ,r�ir.g C[-;- C�}u �IJiI `I : • . •. � : . � l� . 23. •6as:'ipe-Rough � �est t * � :r ..�1 ' •: ? _72. Undergro��i FIhS� � " - "•. �- Lcu^ - �c R � + 1 '� ,� / .. . ., `�:i i c-.- ..c- c � � rw = r ' s ti �,.? 24.rftoaf F�ming k _ t,_,, k,73.-Undergrnd.Stor2��i��k�,`'.Gas :�0�1 "' '�/ / _�/J - +--;-.e�- 25. Ro� ShEathing . ; .; '�r �f/� yay,/•� > 7qi�5verhead Nydre- _ '' ` " � 7 ! /L� . - 26:'7'�Bar Ceiling iSt}�Z�,�F.urall 8�'4�1ocoat * v `�' r Y Y 75zajY Chemica� _� "' � - 27.Fra- e acd Fr.l�shi � .� � . :-��'�-_��=r��-� �P �l� � x .. a� :: } 't r� = 76. Dry StanG{fipe � �� i: <. ' �L._ ?28. Latl+intj�B�S'}dincF}" =�= C� � = "I'K 77rFIXED�Y�1E1Ui;1NAL;,_ n `� -t.. . :.29. insulatii.m ^ �:_" S :•. • r'_ I - * � 78'�FIRE PREV. FItVA� '�> �- �' � 30 Dryvaall:'�aifmg �� , � y� '' R �_ F3�.JALTF�'JEP7';`, kEQUER��v1ENT �31. Plaster �o�Yn C�t<: y- i t* ^' ;� -� � 79 �FINAL IhLS€�CTI�r-x-t-T� ?s rs ` _ +1-. - T -;.-� --i_�-:'-t''� ��2.�Iactric2j Po4rer rA�;tei�F�nali r�' � x� Oi"-�OOD CERTIFfCATE IS�U,ED _/ � c i t' ;� � x - - r--�- `-s--�-- / �33�i�alElss:trrg. t -:J , � _.'�- _�::� -Noies: Sd�P"�t_ Q�)i FTOL� '34Y"'Fi�M'1 Hs3t�n�& ��.+r,..-C�oitditiOrwi� T '� � ..�^ Y, S 5 �� ._ 8 �; 'r c. � aS r � T^--' : � + iT ,35�inal Gas Pib�-Tesi� ` .. _ ;y;_, - ' q' , ,- . . '� g -� r `f3- -.n ^ -�6. Hoec or.rCanopV'-f.+c D i-�-, .�, r. t� ��^ r�k - i nc . .��_ - 5 � n :z =• � * x ^c c -: ;.: - T� j� v: X r ' �~ -T--:S'�- �7.`.Finai Factory Fi�epiace ; � _ _ ,. . .. ,� � - - .�-r--'- ' _ .. ,r : -_,�-. -'38.. Fir.af Pl�nbing - ' Y .< 1 � I � 't � T. �+p ''99. 41'atet Se{vice;Fiaal� ' � `'e . .^ I x ,^ rJ _ {�r.- � --- _ x � ;: . - � `. . -'ri--='7 tz10. Gas Serv�e-4naE-=� = S:'?' ; :. � r -.+:'_ „ ' -� a: � r Y. l # r J S '( `41. Solar D�ne��r.�ic-(��.tt�l•� ,n~ •• .. �" I ,; r . _ � �< z - { =-r- • -- � 42 ��ackflova Prevan�c�. x � ( -1= •' . - • � G - �, �_ _ -.: � , �r � �-_-- 43. Backflow Ir i atiqn` '��, s• ' :: �` ' ' � J � �" . C 9 r �; s: : < - 4 �� *44. Landsca0e Ici'iqaFtai� SYscemt^',C:. 1: �, cr '; J� � e :� .�• R N� - �•-,s u .,�, -� -n �r f ,= G �: , _ � � �� .� �'+15.�ound A�ite�:.f.vatip� ... °� .. � ;� �n �.�� x - _ -' I� x� x - ?'46� Hardicap�Regulations =�_ ��. S � c-' S � + • �� - ,47.-r`INAL STR�CTURE & BU�ZDING ! 6 a��,' `'� _ ' , .: ' I�48»:fIt�LPLANNIN6 -r R � � �}' _ � ^ + ' - �; � z �19.=Eleciric ftelr�3se to £dison ' � � (- ' ' - �' "L .. . .. . I'r w - i' _':_ J �� 0. S.�as�fielease4o Soutfiern Cali4ot+�ie Gas Co = � �� Y�� • �:' �' ^ n 57. CEf2TIFICA7EOF;OCCUPt�NCY x t: ��c% =x • E- `- Date Date � Inspector � c �� 'ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT - • 636 Nonh Broadwoy . . _ . � �' � � � � w � SANTp ANA, CALIFORNIA ' � PLOT PLAN Show location and distonces from property lineand betweenbuildings. � ._ �.._.-,..-., . . . u '_ r . .� t' "' _' ' - �,. .r.' .v. �_^ � �1 .'. ' . ifI^ .�_ rtV. . . . _' -' ' 9^.. -a•_7 _ . ' ' , . .� �� , ..-,: 7 1 .'... . _ � . . . -�_ -��-., r'^�-'l .. _�:'1 ' . •�-,'- .�_�.•yr. ".. �`F. .I<" > l . ' . . ' _t . �1 � � /� ��•l � r, �. . . � � ` . r ."_ _ .`41. r .,: . � � . _� :. .' ' .." `1.7f) _ _ _ � . . �._ -..i;.i.. . . _._. l,� � ' - �. . . • _. . � � � , ' ,. / .. - . _ 1 . ;` L ._ • `_\ � _ F F C W S Q y � '�' F .• 190�3 10/29/80 54.50 TL ... r`- - � � • - � . .. ' COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION`FOR STRUCTURAL PERMIT � P.0.80X1200 COSTAMESA,CALIFORNIA92626 REC I PERMIT For Applicant ro Fill in Completely — Use Ink Only N° � 5 0 9 i� BUILDING A.P. NO. � ADDRESS BU�L��NG �� , �OWNEROR ADORE55 Z TENANT UNIT OR MAILING SPACE NO. A�DRE55 _ " TR.N �� LOT � / BLK. TEL. � GTv [% q, NO. NEW ADD LTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER BPANCH OWNER SyLr L � ADDRESS VALUE � ARCHITECT TEL. USE E�� O OR ENGINEER �i' ADORESS ZONE TVPE � GROUP �'L APPROVED / CONTRACTOR BV DATE {O L � ADDRE55 TEL. CITV NO. STATE CITV APPROVEDSETBACKS LIC. NO. LIC. NO. SIZE NO.OF BIDGS. (FROM C L STR�) OF LOT NOW ON LOT flONT �iT. USE OF EXI5TING BLDG. Separate permits are required for L. SIDE electric, plumbing and heating work. REAR FT. USE OF BUILDING ANO WOfiK TO BE PERFORMED PLANNING ACTION DATE � APPROVED "�R P. ' O - 9-BO 1 hareby acknowledga thet I heva reatl this application and stata that Ne ebova Information is correct end epree to comply with ell laws regulatlnB builtling consvuc[ion, antl I chall not amploy _ eny person In violation of Me workmen's companmtion lews of tha State o( Celitornla. � I heroby certify ihai l em properly Ilcanfatl es e coniractor untlar SQ. FT. the State of Callfornia Busineas and Professions Cotle, �Ivlsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chnpter 9, nntl thet such licensas are In full force antl effect, or I TNE PURPOSE OF ESTABLISHING A PERMIT FEE ONLv: am exempt frOm [he D�ovlalons of tha $mta ot Celitornia Bu51neS5 VALVATION PERMITFEE S antl Proteaslons Cotle, Divlslon 3, Chapter 9. . �O SlBnatura of ) /%B. _ �y PLAN CHECK E QQ Permlttee ` ��/�� S-� �/ O TAX E D��b Authorizetl ABent Dato � 2 ( TOTAL PAID E Q 7 m e N m m 0 f V COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATIO�iFOR4STR�CTUKALPERM►T �O•( P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 �� RECEI ED B PERMIT For Applicant to Fill in Completely — Use Ink Only BUILDING � � � n A.P. NO. ADDRESS. (" BUILDING OWNER OR �) ADDRE55 � � TENANT� UNIT OR MAILING � SPACE NO. ADDRE55 , TR.NO. LOT BLK. TE . CITV NO� � %�1 NEW ADD LTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER BRANCH � �.L/ OWNER [.l� ADDRESS � VALUE ARCMITECT TEL. SE OR ENGINEER ADDRESS 20NE TVP GROUP APPROVEO CONTRACTOR BY DATE ADDRESS TEL. Jv CITV NO. STATE CITV APPROV SETBACKS LIC. NO. LIC. NO. SIZE NO.OF BLDGS. (FROM C/LSTREET) OF LOT NOW ON LOT RONT FT. USE OF EXISfING BLDG. Separate permits are required for L SIDE Fr. electric, plumbing and heating work. REAF FT. USE OF BUIIDING ANO WORK TO BE PEFFORMED PLqNNING ACTIOIV DATE APPROVED APPROVED I hareby acknowledBe that I �eve reatl this application antl rtate t�et t�e ebove InformeNon is corract antl agree to comply with all lews rapuleting builtlinB �onrtrucNon, and I shall not employ any perwn in vlolation of Me workman's compansatian laws of the Stata of Calitornia. I heraby cettity that I em proparly licensetl as a contractor under 54. FT. t�a State ot Calitornia Businass and Profeuions Cotle, Division 3, THE AMOUNT SHOWN VNDEfi VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect, or I TNE PURPOSE OF E5TABLISHING A PERMIT FEE ONLY: am exempt trOm the provlslons of the Stata of Calitornia 8usiness VALV ATION PERMIT FEE E entl Professions Cotle, Dlvislon 3, Chapter 9. �— SlpneturB Of /�(/J /�J� PLAN CHECK E Permlttae ��( � I/""L �. � 8 TAX E � Or � � AuMorized A9ent Date �' 1,, �� TOTAL PAI D S � 0 Tl�