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SEAR- RP 6fi-‘)rI APPROVED
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OWNER ERNEST ANBURGEY DATE 12-13-79
JOB ADDRESS 106 Rochester Street BUILDING PERMIT NO. 49355
Gr"SRAL CONTRACTOR Owner/Builder DESCRIPTIONoIWORK Nan Elect Wall—&—Cony Slyly
A. J. 117-093-30 LOT TRACT FIRE ZONE VALUES 150.00
INSPECTIONS Signature Dote TYPE GROUP ZONE
SOIL
SUBCONTRACTOR PERMITS ISSUJD
GAS
Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE I.] HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS •
ROUGH HEATING AND AIR CONDITIONING .
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES IJ FORMS ❑ STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM [1 STEEL REINFORCE in
SHEATHING FILE '_ /
FRAME ANO FLASHING DATESY1-4
LATHING - IN El OUT n
•
P :R BROWN COAT
Si. _�TURAL, FINAL Elertric
HEATING, VENT., REFRIG. AND A,C., FINAL
PLUMBING. FINAL AND GAS TEST n
ELECTRIC. FINAL
BUILDING. FINAL
( /a<s SIGN PERMIT Tag No.
�7 CITV OF COSTA MESA
S _ 0142
1
Planning & Building Safety Departments LuffLL (/�j cos+✓Er/EN�6�7�
& 3 0 Type of Sign
P. O. Box 1200
Costa Mesa, CA 92626 (714) 754-5245 0 Electric g{ Non-electric
Location ,
/ !! /!n _/ / vxttriotisia-ageak:,,,....r, kry t ',Property
Building Site Address / t9 4 ALJ�y PJ/� £ -, -e yt- r Phone ���X! m�/�3 a sem 4 ' }g.t 4 A.•• • ,'.
CIjHaNh�E/f a . ) a` k &r "x w` •
'xasS n Dist. •' u `'��}} Date Received < ` / V� '�
Name of Lessee L=am/V PS T� f�l�lC'«� lL�i Lr91L9��JPhone 4" >•{�}` r
State License No. !fit Receiyed�!b`}.. 1 ' fI2 r z
Contractor • �-- f City License No, 0;' 14.
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St eet Noll u t i t A- ii4 y ,�.
f1.1 •. Frio ti'`„ +..,•• t ,.^_ N.Z`�
d Address City Zip - _ _ — �' .x� Right: * '" -- ft .,,,,-
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• Legal Owner of Sign •,El fr.- Phone
t+BuildingSetIt 1 1$rDQi i 333 - - all,
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>, Address City Zip si ->
` Nast P Hsgh-, ^-,l_ to nght-of way " { -
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a �r;eh ,vi Location ,,' , •'Ir
O Descriptions Illumination Frons
P S< ;r1.."aRtghrt• �,,{e'� r�+o Left.4.•-•:51.-4,7-..f ,�
Oy. �')J �m ' v 1 w r � � '.-1.- -=4.-."''
O. ❑ Ground saint A- #491,41410� f 0 Canopy w Non-illuminated ' �."re Beiweenrpr�operty linems&ultimate ngh of wa` -•,3+ .
Ill
�, Wall .W ft 8- 0 Attraction Board 1 GroundJStgns '; f. ?t �.; F
grw9,99 4.1140 Y. !fr alt '"t sq It tor♦ '� TIC
0 Roof f �J 0 Advertising Statuary s, xu
SiO ❑ grit:4 15rsq ft•/ori + ❑ .Table,2 �• 1-{Planter Area= - eK,1yj
Lt]
0 Projecting 0 Other 0 Directly lighted • 'y. t"f`,�} u° r"` " . .e +: w
0 Construction 0 Tract Sign(Security&Right of EntryAgreement)
t"nY•'"'" Stn A `
gSlts,J-!9 /at" cc�„L ,tsis� S;p t .3 r �"
F„ 0 Convenience 0 Special Event(Request form submitted) Area:of Sign ft. m.x ft :a• m <m
7'X` L'. - ft 1t '
W 0 Super Graphic 0 Change of Copy(amortization) 0 Indirectly lighted x t
L>~ Oround Cleazince '+ - M t a vc.;'
Programs Overall height s ,'
Letter height /yam . +• "-Ike;
Ell
Items of Information / Total Sq.Ft.°fall Signage MC ' s1,,
0 Planned Signing 0 Shopping Center/Integrated dev. 0 Variance - !!G9 �N-1441 +
Copy verbage '9% Q COML� ✓ el:. #.
CC C.U.P.No, ❑ By Owner/or 0 by City fl a.� Sr
- #-'s'°' ' G9R9hL X✓gae/,�.G" -.F:
per„ (Date letter sent ) 0 Minor Variance munization -
Subject to Amortization: yes 0 no .
d All applications must be r out by pplicant,all footing,framing,electrical and final Inspections shall be called. (714)754-5273 Expiration Date r
Valuation: )7.00
Signature of Pe /rel nZ Planning fee ! Office Use Only : '"yEr
�' V � � S _Building fee J• d insp.B Px A Px No, f m.., Px A Pz No C
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Authorized Agent I w /n. S�O D u
Total Fee S 4oc _
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Received by �,I -.L.!". Date �,�,LI /7/ Date Approved //1 2 q 1�I6_" - -w-
Signature(:Idg.Staf Signature(Planning Staff) Y - xs,
1— 3-7� vs
Date_ / (Approval subject to the condition of Ord.74-25 Sec.III 34)
CMF 0068-32 white - Building; Green • Customer; Canary - Planning; Pink - Finance; Goldenrod - Assessor
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVED BY PERMIT
For Applicant to Fill inCompletely — Use Ink Only
BUILDING /0 / /{a��k A.P.NO.
ADDRESS C7 111
BUILDING
OWNER OR /-GGAAJA ADDRESS
,D�'�
TENANT /J(S j5(�I UNIT OR
MAI LINGSPACE NO.
/<6
ADDRESS ��uaSr�4
�v' TR.NO. LOT BLK.
TEL. VIS/
CITV �,�".T M s NO. / T / NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEL. USE $
OR ENGINEER NO.
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS
TEL.
CITY NO.
FSTATE CITY APPROVED SETBACKS
LIC.NO. LIC. NO.
SIZE NO.OF BLOC (FROM C/L STREET)
0. OF LOT .NOW ON LOT FRONT FT.
Q USE OF
en EXISTING BLDG. R.SIDF FT.
ril
F Separate permits are required for L.SIDE FT.
electric,plumbing and heating work.
D REAR FT.
(W., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION _
Ci
//r � l 3 DATE
.J vO/J'i OC.//a/�c.L'� Tn1sQare.%/ AAPPROVED
Q
APPROVED
} CRY DATE
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to
0 I hereby acknowledge that I have read this application and state n
$4 that the above information is correct and agree to comply with
0. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of m
S the State of California. m
I hereby certify that I am properly licensed as a contractor under SQ. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business VALUATIONe
and Professions C Division 3,Chapter . PERMIT FEE $ N
rn
Signature of, //./ ^^ PLAN CHECK $ o
Permittee +I .�/Yf l/7s� 1 /Ik $ TAX $ f
Authorized Agent Date I rA� l TOTAL PAID $
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