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1878 Placentia Ave - Building Permits
CITY OF COSTA MESA tot BUILDING DIVISION ' F ; 4i'8. DEVELOPMENT SERVICES DEPARTMENT PE MIT NUMBER 4 d PERMIT 03-00457 y kpomrss, 714)754-5273 • Fax(714)754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 1878 PLACENTIA AV Status: ISSUED Suite No Applied: 06/05/2003 Vicinity: Issued: 06/06/2003 Parcel Nunmber: 42420118 Applicant: PRAUM, STEVE ISSUED BY: Address: 1049 MELROSE Phone: (714)231-7501 PLACENTIA,CA Zip: 92887 Owner: BUNNING,.TIMOTHY Address 1884 PLACENTIA AV Phone: 949.722.7191 COSTA MESA,CA Zip: 92627 Contractor: ORANGE ELECTRICAL CONTRACTORS Address: 1049 MELROSE Phone: (714)980-2300 PLACENTIA,CA Zip: 92887 License: 747129 SCOPE OF PERMIT CONVERT EXISTING OVERHEAD ELECTRICAL SERVICE TO UNDERGROUND FEED. FEE SUMMARY Quantity r Quantity ISSUE FEE 0.00 Temp Dist System/Lighting $0.00 0 Temp service test 0.00 Busway/100 ft 0.00 0 Res.a/c package 0.00 Standing Section 0.00 0 New Res(1-2 units) 0.00 0 Misc Electrical Equipment $18.20 1 New Res(31-units) 0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa 0.00 0 up to 10 kva/kw 0.00 0 Lighting Fixts 0.00 0 up to 50 kva/kw 0.00 0 Recept Outlets 0.00 0 1. up to 100 kva/kw $0.00 0 Switches 0.00 0 over 100 kva/kw $0.00 0 Non Res Appl• 0.00 0 Low Voltage Equipment 0.00 0 Res Appl 0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a 61.00 2 Misc.Conduit 0.00 0 Service to 1000a 0.00 0 Misc.Conductor 0.00 0 Service over 1000a 0.00 0 Circus(gen or ride) 0.00 0 Motors to ihp 0.00 0 Circus(mech ride or lights)0.00 0 Motors to 10hp 0.00 0 Christmas Tree Stand 0.00 0 Motors to 50hp 0.00 0 Fireworks Stand 0.00 0 Motors to 100hp 0.00 0 Other Electrical Fee 0.00 Motors over 100hp 0.00 , 0 Communication drops 0.00 0 - Investigation Fee 0.00 Sub panel to 200a 0.00 0 Plan Check Fee 0.00 Pole Light Pkg 0.00 0 Reinspection Fee 0.00 Sign Circuits 0.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92.28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or If work Is suspended or abandoned for a period of 180 days. • INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2448-49(8/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. Zr I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workscts'compensation$urance carrier and policy number are: Carrier: IZ A.V" T u).J,)Policy Number: 7 Zci- This section need not be completed if the permit is valued et one hundred dollars($100)or less.) I certify that in the perform ce of e 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 Calif m , agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provision . 6 C} ?Applicant Signature: Date: l -6 > WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOU.ARE(5100000).IN ADDRION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions Ch ter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.ii 741 ° Class# 1 0 Contractor's Signature: Date:6-Y- OZ 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.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or 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 or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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 solo compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feel high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes No Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? Yes 0N Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and tiling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes U No Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? Yes No If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? Yes 0 No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-describeQ, 1' prope for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. y n \1 Signature Of Legal Owner(s) Cl -O Date w' 11111TITT.J// 77111" And/Or Authorized Applicant Date CODE r II4SPECTION TYPE PATE IDES g0128 INSPECTIONTYPE PATE INTIMAS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing p 200 Final Re-Roof 210 Final Electrical 7,x/03 Wire-) 201 Final Block/Retaining Wall 212 Final Fire Prevention a 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy t ' 4`p !`9 ' CITY.OF COSTA MESA • BUILDING DIVISION F fo (.,, nit,Or I DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER t• lOta • PERMIT 4e° 3/4vino. B02-016914` 714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca. usDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1878 PLACENTIA AV BUILDING Status: ISSUED Suite:Applied: 10/15/2002 Vicinity: SIDE PROPERTY LINE Issued: 10/15/2002 Parcel Number: 42420118 Zoning: Applicant: BUNNING, TIMOTHY ISSUED BY: Address: 1884 PLACENTIA AV Phone: 949.722.7191 COSTA MESA,CA Zip: 92627 Owner BUNNING, TIMOTHY Address 1884 PLACENTIA AV Phone: 949.722.7191 COSTA MESA,CA Zip: 92627 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 Arch : Eng: Address: Address: Phone: Phone: Zip:License: License: SCOPE OF PERMIT CONSTRUCT A 90 LF,8'HIGH BLOCK WALL ON THE SOUTH PROPERTY LINE PER CITY STANDARDS..A 10'FRONT SETBACK WILL BE PROVIDED. FEE SUMMARY Plan Check: $63.21 Calc Valuation: 4,000.00 Permit: $97.25 Claim Valuation: 4,000.00 SMIP Res:0.00 SMIP Corn:0.84 Other:0.00 Inspection:0.00 Total: $161.30 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446.46(6/00) DECLARATIONS Ifl1 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Cartier: Policy Number: This section need not be complete)/ e• the permit is valued at one hundred dollars($100)or less.) 1-c@rtify that in the pert Alice 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 -Ifo?.,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr• i-o•r. AppfcantSignature:G Dat–0— l' 0 2_ 1WARNINOrFAILORE TO ECURE WORKERS'COM- NSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLVERTOCRIMINAL PENALTIES AND OWL FINES UP TO ONE HUNDRED THOUSAND COL ARE($100.000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS 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.Lic.# Class# Contractors Signature: Date: 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.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or 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 or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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 o1 the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) Tlicense,pursuant.to.the Contractors License Laws.). UFJii exempt under sec Business and Professions Code for this reason: V IgnatUre:,.: Date: ? /°' ,"DZ Ownery verified bydrivers license.Yes 0 No Driver's'License No. Expires:. Verification of Ownership by(type of docu nt,i.e.-property tax bill or deed): 1 DIVISION OF INDUSTRIAL SAFETY P MIT CERTIFICATION: I hereby certify that no excavation ve(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,es noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? Yes 0 No Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? Yes No Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of thisapplication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? L i Yes 0 No Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? Yes No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND;• ORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all ."e I. - and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for in ,>ct• rposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. 1ignature 0f'Legal 0wner(s) tjOate 7 And/Or Authorized Applicant Date cODE I INSPECTION TYPE Oa IMMO CODE1 INSPECTIONTYPE IMIF ILLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/RetainingRetaining Well 20-03 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy a-P013fg4Pisr 1 NOTE ADDITIONS, DELETIONS, OR CORRECTIONS SHALL BE APPROVED BY THE PLAANIIING DI•VIS(33 1--#541 8'MOW MO.. w,qu, 602 -010q/ HCw MiffZtPC ,nn irstrICCII 717 4:,..t. PE u 1 v. ED cmT\ Liv-:-N, ) , r1, 1EsA °U tot, v pr. Al. iig9 SUBJECT TO DLuL. EPT. REG. t sit DA1 E /15 'sz't C t, mowy / l A f I I.—.. s•; o ur? 112CJ NI . a J.l'oo/s °v+1dle ) r- ki f a 0 a t;Xt9i' Ma. 4r C ' u ovtc sfo ff, 9,%a T 1 - jatay , tX10 - 12• a. c :V O pro I \ - • . e New Gf}ve,G yE ZY fffEf1 31 74-..------) 0- Pf1eeW47 V's* ( VeWl1i 91C WM/NM/Zy' 4(7 rGtV/ 7-i3tot a4 ,.psi I 1 TYPICAL 8" CONCRETE BLOCK FENCE L GENERAL - NOTES Cement Coping Optional 0110Channelblockwithone5/8 0 Mortar: One Part Plastic Cement, 01110 Horizontal To of all Fences and Three PartsSandTop 1'// 2 2 2 I I2 Grout: One Part Cement,Three For Fences 8'high If and One Half Parts Sand VeAll Bars 5/8"0 atl6"O.C. i Coping: One Port Cement,andAllCellsSolidGraoutedd1ThreePartsSandxIS ReinforcingSteel Shall110 d oWell S I I Concrete: Max of 11/2 Gallons of 4 2 Conform to Sec.Al 539 A.S.W.a Water Per Sack of Cement All Steel to be Lapped 0 III24'or to Code IIs 2 2 I I Grout may be poured from the topof the fence. NATURAL GRADE ;II, c L c ] Cells and areas of horizontal r\ b r-.1 a •- .S reinforcement shall be clear, A 1II/, r ell clean and free of all mortar 1, — 73 r4g debris,etc. g Two 5/8"0 Bars I 4 Continuous Top I14- 4- B'o c MAx2 . 1 i i' a NOTE and Bottom Width V1 ' Hartz.Steel must be tied In placeSee Chart 7 W A A a wall In excess of 6 feet In height at time of trench Inspection Below 1 Z W 7q y require discretionary review and 1 A1- 8 c83 B approval process through the 1 tp 0 Plonning DMslon and are not 3 a U a R g • I automatically approved. Please j4 12 4t•I CO Cl. 2, I I its g consult with the Planning DMslon. T pia çitFOOTINGREQUIREMENTSCHS2? I 11 Cr- 1gWallHeight6'103Width61 " 1 8 U Thickness tit I: iiN221DepthofEarthtooth36" Spacing of EarthTooth 8' ill Diameter of Earthtooth 12" El . 26.?2cii4114-fs Al BUILDING DIVISION 2705-46 If 111111111r Mr Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. T T OT NO. UNIT NO. CIT F COSTA MESACONSTRUCTION jCONSTRUCTIQN PERMIT et Let-2a 1 554 10/07/55 152013 11 frdject Address /B /1+ fpp/ pNeely 7'Ave- 1 0—93` a Applicant's Mailing Address i8DI'I I IA AOC--- TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION 74,REPAIR T/ . 6 CONVERSION DEMOLISH OT-- R U•2 j Owner's Name !^ t "If /AOC-riff M IP-S Phone h3)•`1ZSR A.•l 1 s Zone G ' P7e Pi/geed/it-L=1. Il) DESCRIPTION OF WORK/USE OF BLDG. J aA Address S Main Building: Jt/CT-" Accessory Building: E Z Arch/Eng. N License No. TYPE OF PERMIT AA Ell GRADING ppIUI FOUNDATION STRUCTURAL T Front 0 Address El TENANT lL9 ELECTRICAL ipi PLUMBING P.MECHANICAL BRear N IDB-OTHER I Contractor's Name O l Phone C Right N Address(mailing) PROJECT DESCRIPTION 50. FT. OCCUPA Cv K Left G CONSTRUCTION TYPE VALUATION$ /0/ R City License No. ZONE G RADI NG CU.YDS. ACRES//_1 _ E LICENSED CONTRACTOR DECLARATION Ping. Ref.'/k Parking Req,/Provided 4_,. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: 0 With section 7e00) of Division 3 of the Business and Professions Code, and my license is in full force and effect. T License Class License No. S Date Signature PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar SinkShowers I hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES i Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 100, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap ' _ Construction Pole Sub. 0 50+KW BCertified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher - Meter Dover 100 amps This section need not be completed if the permit is for one hundred($100)or less). Dishwasher Solar Piping -Dryers Gas Electric Sub Panel I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subje to the Drinking Fountains 1Solar•Tank Fan Motors 0-1 HP 1 X-8 Workers' Com ansa o.Laws of Californ' Date _/Q- - 35 Signature etZbilAiL3t( Floor Drains Swimming PooFw/$pa F.A.U. Inc.Solar 9-15 HP 78-15+ NOTICE:It,after making this declar • n,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. b CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light of the work for which this permit_/' / f/`Gifssueri (Section 3097 Clv. C.) Lender's Name Water Heater a Outlets Range Lender's Address Kitchen Sink Water Service r Switches L'Pisciptiuc d9f1 OWNER BUILDER DECLARATION RI 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 Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P-Trap f Laundry Lre}r fA9J Generator 0-5 KW 05-15 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 Division 3 of the Business and Professions Code) or that he/she is exempt herefrom and the basis for the alleged exemption. Any violation of Section 731.5 by any applicant for a permit subjects the applicant to a civil natty of not more than five hundred dollars($500). 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee 3 compensation, will do the work,and the structure Is not Intended or offered Reinspection Fee 15 Issue Fee 3 for sale (Sectlgn 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 SERVIC•• R , (VjEJ/TS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within ono year of com-Canopy Type II 0 Zoning Approved By flats G pletion, the owner will have the burden of proving he/she did not build or Im- Duct' Under Ground Building Approved By - "fix Dat' 7 prove for the purpose of sale). I, as owner of the property,am exclusively contracting with licensed con- ST Duct-Structural Refrigeration System Application Issued By f Date 10 tractors to construct the project(Section 7044,Business and Professions Code: e The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100.000 BTU 100,000 BTU S ARV F FEES 76c7nbuildsorimprovesthereon,and who contracts for such projects with a con• Jtractor(s) license pursuant to the Contractor's License Law). I am aware that0 BUILDING PERMIT $f SMIP proof of their Worker's Compensation insurance should be provided to me. Exhaust System MultipleSystem Repaid Alteration PLAN CHECK a• .3PERMITa I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit.ICBG# Fire Dampers PLUMBING Q U ISSUANCE $ HeatingSystem&DuctingRegisters PLAN CHECK 25%Date Owner ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTU ELECTRICAL GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating totbuilding construction, andhereby authorize repre- 8 J I O\ PLAN CHECK 50% $ MICROFILM $ e and state this city enterupon the ,above-mentioned property for 1- Vf r•- 7I UJinspectionpurposes. ap1-• MECHANICAL TOTAL FEE $ / Signature ffn.2.C4I.e'C Date /Q-7-B1 Drivers' License or SS el, Reinspection Fee I $15 Issue Fee 3 PLAN CHECK 25% $ C 1 CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor J CONSTRUCTION AND PLANNING POOL °A 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 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, 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 1,q,'-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 ir gs/(.Liw' 73. Undergrnd.Storage Tank Gas 0 Oil 25. Roof Sheathing rt/. Srtied 74. Overhead Hydro 26. T-Bar•Ceiling (Structural) & Monocoat c•r 75. Dry Chemical 27. Frame and Flashing 11/ Ver eidozei 76. Dry Standpipe 28. Lathing & Siding 4/ y yad' 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. PlasterBrown 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 w 42. Backflow Preventer H 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING `/ 1/ V. I/ T 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date COUNTYGFORANGfi a plication for Building Permi_I" 116BUILDINGDEPT. 636 No.Broadway AND FOR A Permit No . ,. Santa Ana'California Certificate of We andOccupancyPhone:KI 2.6211P y Date- t j S-7 1. ,OWNER'S NAME._ ,e7:4 ..:.: ‘,/ ,/S PHONNR 9D/ J t 19 MAILING ADDRESS.... f 1 CITY 7.iii rec4 Name vc• - -42s //l_ Name Architect or Engineer) Contractor) Address Address City City State State Lic. No Phone Lic. No Phone PROPOSED USE• 7- C(tti t 12. ,JOB LOCATION./O 2 I'D House NJ!) V (Name of Street) Town or School District) NAME OF AND DIRECTION FROM NEAREST CROSS STREET 204212 0/ .0.yy., /0Lec- 7 3, LEGAL DESCRIPTION: Lot G' d 3 /1141 Tract Metes and Bounds Description-Use 7°`rse st ' of ff •r-m) j.7/6,7.24.... -. J 4. CORNER LOT ( ) INTERIOR LO•I ( ) THROUGH O"I' ( 1 SLOPE OF LOT (-G)'1 ' 5. SIZE OF BLDG.:.10 0.12..AREA- 2 49-49 SIZE OF LOT:_f_.3-5 tik AREA:..._ 6. HEIGHT OF BLDG • / C7 CEILING HEIGHT Y NO. OF STORIES l 7. NO. FAMILIES Size of 2.Bedroom• ./.67(/ e Size of Kitchen /0... 8. EXTERIOR WALL CONSTRUCTION- ^;/.. rl--o INTERIOR WALL COVERING ,;2'' - "`.".> r Frame, Stucco, Etc.). PlastenDrywall, Etc.) ROOFING COVERING 7!/ 9.• STATEW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH 5:cc--4-e---- - i 10. SETBACKS: Front Yard From Center Line of Street q0 Nearest Side Yard._._...( Rear Yard 3.0 Distance in Feet Between Bldgs. on Same Lot 1....S " Property Line) -- Property Line) 1 I. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. e 12. a) Footing: 'Width / ir Depth in Ground ffWidth of Wall b) Size 'of Studs• 2t4 r f Spacing CC Material of Floor eat.0.:i. c c) Size of„ Floor Joists• Spacing CC 7 d) Size of Rafters e- Frice ng CC 13. VALUATION OF PR, K: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal $ 14. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION W0 K.WILL,CO tFORM TO Aft LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFI 7AP 3LE I, ' 2, 0. L Signed // Plans Filed (Pd of)^ By• Authorized Agent) FOR DEPARTMENTAL USE ONLY FEES; CH G KING BY 4O GROUP APPLICATION..... .. , HEALTH Bldg. Permit - $... Plan Check • $$...../ ° O TYPE..._..: ZONING I- FIRE Total 7 DIST. c TAI PLANS AND MARSHAL Receipt No. • J5 MAP. SPEC' STATE Paid to SHEET NO `-5 CORRECTIONS ENGINEER Date - 0 —5z VERIFIED CAL PERX iSr N HUE COUNTYBUILDINGc,,. I.a„P_CTOR DATE /6 1 .5 J- i r. sono--o- eays EPUTY rW1/4 METES AND BOUNDS DESCRT" -ON: Y C4!.4 ..-_,_ ./.77,,-,, ._.moi V 1/c 1O 2,0 3,0 4,0 5.o 4 mu n.-- w.. LImot - ---- f ..... .. .. num an w. . ... 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C a::dC:aa:, ::--:a:aC:::::a::nI:C' aln::::IajIjaa S T 03890 _ Qp J( n B BE- Z2-1 Type of Sign WALL City of Costa Mesa Project Ad.-dress / 7f T LAC EN Tr/ kgElectric Non-electric SIGN PERMIT 9912 2/C5/©5 Applicant's Mailing Address l87 thio Description Programs Owner's Name fVQ S mt,$A 9CL PhoneSys 0 Canopy 0 Shopping Center/Integrated dev. Address P__C. ret—.Pi-et 0 Attraction Board 0 By Owner/or 0b City Archc 'rcic uNSf•e.d gif_Q ce- z_ Jy G2ee se No. 0 Advertising Statuary Date letter sent: Address 0 Other Office Use Only ecf b- •/ f 0 Tract Sign(Security& RightofContractor's Name231.C.Ke}QA .1 e/aPhone' I 0 Variance PropertyEntryAgreement Address(mailing) a? 0 (',.2 ace L.I}a/f_(s1pp 0 Planned Signing O09 O 0 Special Event (Request form submitted) A.P.No. y2U -901-18 Zoning City License No. 0 Change of Copy. (amortization) C.U.P.No l LICENSED CONTRACTOR DECLARATION 0 Ground Illumination Sign Dist. 8. Date Received o/aSi8b _ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Wall n with section 7000) of Division 3 of the Business and Professions Code, and Fgp I Non-Illuminated Received by l_.11t my license Is in full for and e f c LJ Roof Ig InteriorIllumination1c' Street frontage:License ) ss_ ir_ go icense No. 0 Projecting Exterior Illumination f Ft. Street:Date j' OMPE Signature , o Construction Front: Q pr1 Q 1RKERS'COMPENSATION DEC ARATION Convenience Right: Ft. Street: eby affirm that I have a certificate of consent to self-insure or a certificate Norkers' Compensation Insurance, or a certified copy thereof (Section 0 Super Graphic Left: Ft. Street: 3800, Lab. C.) Policy No. Company Srste FvN p Rear Ft. Street: Certified copy is hereby furnished. Certificopy is filed with the city ufp'ng Divis n. Building set back from ultimate right-of-way ft. Dae / ptl}$'-(/ g`_ Applicant ELECTRICAL FEES INSPECTION APPROVALS EXEMPTION FK OM WORKERS'COM EN ATION DECLARATION Fixtures Sign Date Sign Location This section need not be completed if t e permit is for one hundred ($100) or less). Front X RightLeftIcertifythatintheperformanceoftheworkforwhichthispermitisissued, I Device Boxes Underground Conduitg shall not employ any person in any manner so as to become Subject to the Workers' Compensation Laws of California. Outlets Date Signature Sign Description NOTICE:If,after making this declaration, you Should become subject to the Switches Sign Dimensions Area LetterHeightWorkers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. FoundationsCONSTRUCTIONLENDINGAGENCYSign Y 9[7rt]AIherebyaffirmthatthereisaconstructionlendingagencyfortheperformance1) x fO6 • sq.ft. of the work for which this permit is issued (Section 3097 Civ. C.) Standing Sections Lender's Name Lender's Address x Sq.ft. OWNER BUILDER DECLARATION Rough Wiring I hereby affirm that I am exempt from the Contractor's License Law for the 3) x sq.ft.following reason (Section 7031.5 Business and Professional Code: Any city or 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 Items of Information: (1) 1 2)3) Contractor's License Law(Chapter 9(commencing with Section 7000) of Framing3oftheBusinessandProfessionsCode) or that he/she is exempt efrom and the basis for the alleged exemption. Any violation of Section Total for Activity / 31.5 by any applicant for a permit subjects the applicant to a civil Issue Fee 3 LIepelty of not more than five hundred dollars($500). 1 n(/ I, as owner of the property or my employees with wages as their sole Copy Verhage ` fr1 s '(ti 'D f('e compensation, will do the work,and the structure is not intended or offered Valuation $ 1 O U for sale Section 7044, Business and Professional Code: The Contractor's e{ ' Final Electric 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 PlanningFeesale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- Building Permit prove for the purpose of sale). Ground Sign: Overall Height Planter Area I,as owner of the property,am exclusively contracting with licensed con- Plan Check G Final Planning tractors to construct the project (Section 7044,Business and Professions Code: Electrical GroundClearanceTheContractor's License Law doeswnottraapply to an owner je iswithproperty who I.J. J builds or improves thereon, and who contracts for such projects with aeon- Plan Check 50% r1Q!/'/ II 14--cd proofr( s) license pursuant to the Contractor's License Law). I am aware that of their Worker's Compensation insurance should be provided to me. SMTP Total Sq.Ft.of All Signage o lam exempt under Section B. 8 P.C.for this reason 0 tot Final Sign TOTA FEE l..o This activity Ipf6p / Total Site Gree'/ Date Owner s I rr_ et-Ty m I,CGT p/iIherebycertifythatIhavereadthisapplicationandstatethattheabove { E1f Tt W'S I O Notes:information is correct. I agree to comply with all city and county ordinances DEV LOPMENT SERVICES REQUIREMENTS:and state laws relating to building construction,and hereby authorize repre- inspectionsentatives of this city to enter upon the above-mentioned property for Planning nfirr 7r I 17/ J/inspection n• es.Approved By: nLC. Date Signature _ _ Application Issued By: Date 1 t, CMF 0068-30, rev. 7/84 White-Building: Green-Code Enforcement; Canary-Applicant; Pink-Revenue; Goldenrod-Assessor U Tin AppRovE s 1 City of Costa MesaBuildingLPor-- BY ( BATF C3 THESE PLANS MUST BE ON JOB AT TIMED stns I MAKE NO CHANGES WITHOUT P4 ORAPPROYA6thLove,: °" OFL_PT.LA)i^P3 gnue•5t/ 2Pec•.• 1 7LTHEISSUANCEORGRANTINGOFAPERMITORAPPROVALSTRUCTURALP7 ;"t1 i tit,I OF PLANS Af:O SPCCfECATIONS SHALL NDT DE CONSTRUED I,.IG.L ONL',/tic- OFP iY- I'' TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION n•,,`__.__._....,_.___._ 0IJ, 7 p - OF ANY OF THE. FROV7SI0^„ OF THIS CODE. NO PERMIT PRE. SF' •h'•}I t FF.'i?,;i c,: ! :c I r.0.;i iJp....- 5 ^ IrcH J SLUNG TO CI'VE AUTHORITY TO VIOLATE OR CANCEL THE FnFi ELEL R: .`'! ; I.';i%i.: u't lA= I:OVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN 30 F![ll'oly:r, 'a`F: iid„T;i'; n' '] F F.AS THE WORK OR USE WHICH ITAUTdORIZES IS LOU: R%F Alla%,;?,i ;,'i '2'0 ;COSTA I LESA y”7RAIrJ 110 "S THE ISSUANCE OF A PERMIT BASED UPON PLANS ANDiLyefiCATIOi:S SnALL NOT IREVEUT THE B'JILDINC OFFICIAL c=.$•h E:'"L" ; u.4.;;U _ 3 —22 5']' I THEREAFTER RL(`UIRING THE CORRECTION OFERRORSI 'I ID PLANS AND SPcCIFICATIONS OR FROM PREV°.NTIN^L' t Ig 11'-I•L'OPERATIONS BEING CARriILD0 THEREUNDER WREN THISNi!`;;Jri f-.- r1''r'' %_' Y I .i, eTIONOF THIS CODE OR OF ANY OTHER07R 1N9NC Id. CITY. Ll. lhJ, '4:Ii_.t i,._...__,i.;' FOR Oi!!EDIS S WHERE PcRSC;:3 [•LC TO SF EMPLOYED. 'V E SUGGEST II;J.T TD'S STAFF OF CAL:FORDO.. DIVISION OF INDUSTRIAL SAFETY BE CONSULTED FOR AC01110NAL REQUIREMENTS yyVn i e _•- _ WOOD N E_(LCv f:ce, -i AP o35£s0V FCilrl 1 Pao.^D to QUA fI PROVED I _ CITY OF COSTA MESA PLANNING DEPT, SUBJECT TO ALDO. DEPT, 1110. A FROpGEM BY_DATE_ y9DIRECTOROPPUNNING k 0. DiCkergion 714) 546-8150 SIGNS a GRAPHICS 2930 GRACE LANE BLGD. A COSTA MESA. CALIFORNIA 92626 APPROVED BY: DRAWNBYSCALE: f:.• DATE: REVISED Qu s ill `e.& n Po L/ I) e_ (S PytS T779- /ra& i Q-] R P1-rcie eN -717A l%os to // Sfl e/T DRAWING NUMBER 7 g