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2800 BRISTOL ST - Building Permits
GRADING PERMIT Job Address: 2800 BRISTOL ST Status: EXPIRED Suite: k;vj Applied: 07/02/2001 Vicinity: Issued: Parcel Nunmber: 41818201 C1 CUBIC YARDS: 100 Applicant: WAHLER, RICK ISSUED BY: Address: 2125 SAN JOAQUIN HILLS RD Phone: (949) 760-8900 NEWPORT BEACH,'CA "' Zip: 92660 Owner: SOUTH COUNTY PROPERTIES Address: 2125 SAN JOAQUIN HILLS RD NEWPORT BEACH, CA Contractor: Address: Zip: Eng : Address: Phone: Zip: 92660 Phone: License: Phone: zip: License: DESCRIPTION OF WORK: GRADING FOR NEW 2 -STORY COMMERCIAL BUILDING FOR "TRIVEST'. REF: DR -01-09, B01-01018, B01-01019, FEE SUMMARY Plan Check: $22.00 Permit:. $37.00 Other: $0.00 Inspection: $0.00 Total: $22.00 PLANNING & ZONING NOTES: Calc Valuation: $0.00 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 (6100) 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. ❑ 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: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars ($100) or lass.) ❑ 1 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 workers' Compensation laws of California, and a t a f I should became subject to the workers' compensation provisions of Section 3700 of the tabor Code, I shall forthwith comply with those provisions. f Applicant Signature:�ii�� 1. Date: WARNINM FAILURE TO SECURE WORKERS' COMP NSA1nON ��+ �E�IS rAW D SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO COST OF ( p AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: C 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. Llc. 0 Class 0 Contractor's 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). Lender's 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).): ❑ 1, as owner of the property, 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 o1 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. ❑ 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-slx (36) 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, 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? ❑ Yes ❑ 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 o1 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? ❑ 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 seasr will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program far acutely hazardous materials)? (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 apartment 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? ❑ Yes ❑ 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 ermlt for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? [3 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 tyco.n.s.t.r�uct.ed— under this permit be within 1000 feet from the outer boundaries of a schod? ❑ Yes ❑ No (If 'yes". the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ........................................................................................................._..................................................................................................._.................................................,.................................... _.................. _......... ................ --...... 7 it 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 proscribed by California Health and Safety Code Section 42303 been made? ❑ Yes [I No ............................—.__._.._......... ........._ _..__..........._....._.. _............._....._._—._................._........._._.._.........._..............._........_......._._..._..._....._—.......—......_.......-- 8 (If yes", attach certific_.....—ate 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 taws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTtF1CATE 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-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection, Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE # INSPECTION TYPE 2M INTITIALg CODE ! INSPECTION TYPE DATE INTMAls 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 f=inal Block/Retaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final BulldinglOccupancy r - I� s` I PROJECT ADDRESS: 2800 BRISTOL S T UNIT: OWNER'S NAME: SEAN ZAHIRY AODR!Ss:10 CALLS AL BAROH RANO O SANTA MARE CA 'Ia (oV ARCHIENGINEER: (714)733-6291 REG.RO.: ADDRESS: UNIT: PERMITTEE:CONEJO VALLEY SIGNS (818)991-6198 ADDRESS: 31220 LA BAYA DR 102 WESTLAKE VILLAGE CA 91362 LICENSED CONTRACTOR DECLARATION: I hereby aflurn that 1 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 lorce and effect, CITY LIC.: STATE LtC.;4 9 9 7 4 6 LASS: C 5 x Date: J i _r'_'( 7> Signature �'� 5 WORKERS' COMPENSATION DECLARATION: I hereby firm ; I have a certificate of consent to seU•inSure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Se 3800, Lab, C). POUCYNO.:0736306--93 EXP, DATE: 03/01/94 COMPANY:STATE FUND ❑ Certified copy is hereby furnished. R] Certified copy is tiled with the cityilding Division. Date: Applies EXEMPTION FROM WORKERS' COMPENSATION DECLARAT N• his section need not be completed R the permt is for one hundred (3100) or less). 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 Workers' Compensation Laws of California. Date: Signature: NOTICE: II, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with Such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby aliirm that there is a construction Fending agency for the performance of the work for which this permit is issued (Section 3047• Civ. Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby alfirm;hat I am exempt Irom the Contractors' State License Law for the following reason (Section 7D31.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance, also requires the applicant lar such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 4 (commencing wish 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 viotation of Section 7031.5 by any applicant for a permit subjects the applicant to a Civil penalty at not more than live hundred dollars (5500). ❑ 1. as owner of the property or my employees with wages as their sole compensation. will do the work, and the structure is not intended or offered lot sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himselllhersell or through his or her own employees. provided that such improvements are not intended or offered far sale. H, however the building or improvement is said within one year of completion. the owner will have the burden of proving he/she did not build or improve for the purpose of sale). 1. as owner of the property, am exctusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' Stale License Law docs not apply to an owner at property who builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Lawl. I am aware that prool of their worker's Compensation insurance should be provided to me. ❑ 1 am exempt antler Section: B. & P. C. lot this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant wiluwill not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential ConS1ruCti0n applications are exempt Irum these provisions. Date: Applicant: J hereby certify that 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and stale laws relating to building construction and hereby authorize representatives of this City to enter upon the above-mentioned property lot inspection )I purposes, I Date: — 1 ` 3 Signature' Driver's Ucense or Social Security n 1641.46 White—Duildina: Pink --Revenue; Goldenrod—Assessor CITY OF COSTA MESA - SIGN PERMIT PERM NO; SBE 062857 PERMIT NO: SBE 062857 PLAN CHECK NO; 02380-93 S GOVT; N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE STR SIG PURPOSE; OTH JOB DESCRIPTION : TWO ILLUMINATED WALL SIGN SQ FT: CLAIM VALUE; 5,600,00 CALC-VALUE: 5,600,00 GROUP OCC: B-1 /B-2 COMMENTS: THE "SPEEDEE OIL CHANGE & TUNE-UP" SERVICE STATION S I G N I N F O R M A T I O N DISTRICT; 1 TYPE: WALL ILLUMINATION: INT CATEGORY: NEW DIMENSIONS: 2FT 06IN X 16FT OOIN AREA: 26,OOSQFT LETTER HT: 15 INCH STREET FRONTAGE 1; 373,00 STREET 1: BRISTOL STREET FRONTAGE 2• 0.00 STREET 2; PARCEL: 41818201 ZONE: C1 LOCATION > FRONT: X REAR: BUSINESS NAME: SPEEDEE OIL CHANGE > LEFT: RIGHT: O T H E R T O T A L S G R O U N D S I G N THIS ACTIVITY 26.00SQFT OVERALL HEIGHT: OFT OIN THIS SITE 373,OOSQFT GROUND CLEARANCE: OFT OIN ITEMS OF INFO 5 PLANTER AREA: O,OOSQFT ITEMS FOR ACTIVITY: 5 BLDG SET BACK: 20FT COPY VERBIAGE : SPEEDEE OIL CHANGE IS TUNE-UP PLANNING NOTES - i4 16 it 1E IE 1t 1E iE iE 14 iE �• 1E 1E j(• 141t 141E * iE 161E 1E 161E 1t 1t 1E 141E 1t 1E 141t 141E 141E 141E 14 iE 1t 141E 1616141E 16.14161E 1t 14 IE i4 IE If * i�F 14141E 1E iE 14 i4 iE iE 1E iE 1t iE * 14 � 1t D E V E 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 APPROVED BY G__ E7_ DATE; BUILDING APPROVED BY DATE, APPLICATION ISSUED BY;DATE; t * 1E 161E 1E * 14161E * 141E 1E iE 1E 141E it tt iE 141E 1E iE 16161616 it 1E !E tE 141E LEGALIZATION:N F E E S U MQ A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/RES GRADING PERMIT 81,00 30,00 26.00 501 SMIP/NON-RES PLAN 52,65 1.18 ISSUE FEE 15.00 BUILDING -DIV-> PERMIT ISSUE PLAN --CHECK TOTAL PAID DUE TOTALS-----> 138.18 15.00 52.65 205.83 205.83 .00 REVENUE DIVISION TOTALS--> COLLECTED: 205,83 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN -CHECK 81.00 45.00 26.00 1,18 52.65 1E iE 161E 141E i4 iE• iE 1E 161E 1t .� 3(• 141E 14.1414 161E It -16 iE 1614.161E 14 IE IF i4 I4 IE 141E iE IE 1E IE 1E IE 14IE -IE 141E IE iE •)E 1(• •IE 14 IE 141E IE 161(• 1E IE IE -14 iE IF iE iE 1(• IE 1(• 1E 1IIE .IE IE •)E IE IF I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 2 SIGN/ OUTLINE LIGHT SYS ON 1 BR CIRC D END OF FEES �XPlft� pete 3nsPectiOns rae�o - sig 15,00 30.00 01 00142179-00142183 TOT 205).83 DATE: 47/02/43 TIME: 07:48 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOH di SPA APPROVALS Permit # Date Inspector 1, Temporary �Iectrical 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, © Undrgrnd., Test 9. Water Pipe-t)ndrgrnd. 60. Backwash Lines, P -Trap, © 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 fig. POO USPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑ Gas © Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24• Roof Framing 73. Undergrnd. Storage Tank ©bas ©Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical *. 27. Frame and Flashing 76. Dry Standpipe _ t 28. Lathing & Siding 77. IFIXED SYSTEM FINAL 29. Insulation )8. -FIRE PREV. FINAL 30. Drywall Nailing j ! HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 9_ FINAL INSPECTION 32. Electrical Power Meter -Final 10* �,OOD CERTIFICATE ISSUED 33. Final Electric I fate§: 34. final Heating & Air Conditioning �- 35. Final Gas Pipe -Test 36. Flood or Canopy f 37. Final Factory Fireplace ) 38. Final Plumbing 39, Water Service -Final I 40. Gas Service -Final i I 41. Solar Domestic -Final i j 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations • t 47. FINAL STRUCTURE & BUILDING E J - 4B. FINAL PLANNING E 49. Electric Release to Edison e 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date I- -TO APPROVED City of Costa Mesa Building Dept. BY OATE7L-1913 THESE PLANS MUST BE PRIOR JCS ,AT ALL TWES MAKE ND CHANGES W!THOUT PRIOR APPROVAL OF DEPT. THE ISSUANCE OR GRANTiNG- Gi . ._, .. f..'vft BF -- PLANS AND VIECPFPCATIONS §f!VA;; N'07 BE CONSTRUED 70 EIE A PERMIT FOR, OR AN APi'RO',!, L D , ANY VICLAT30N OF ANY OF T1(E PROVISIONS OF THiSCOi.ic.' AUTHORITY TO VPOLr.'rE OR CAhC 'i_ Ti -.E P FCOStON'`: OF THIS CODE SHALL BE VAI -17, FX„I:P'T iii' 0 FAR AS THE WORT{ OR USE WHICH IT AU'THOR1ZES i ; L. WFLk, THE ISSUANCE OF A P FFI'M1 BAS _D UPON PLANS AND SPECIFICATIONS SSnLI 10T PREVENTT E $GILDING OFFICIAL FROM THEREAFTER CfECU;WNG THI COP, ECTION CF ERRORS IN SAID PLANS AND SPECiFICATIOi'S OF FROM PREVENTING BUILDING OPERATIONS BEWG CAR IIED C N THEREUNDER WHEN IN VK ATION OF THIS CODE OR 01 ANY JIL -P QW)INANC OE TIIE CfVY. C r - E ILIDPJIpUAL fJOW Fi,R 9F -r1 A.cmfLu, RA�yTc Lff-rl�-,,7. cath A,-, I Z rDJAWry opfiLxj AM24a/AL,E 6('we)' Lrrr6Ay ry ire s6r) m cuHfl. fnR mgm.Ti n '1`�-%OFSroRE.FFipFlT 3'1J.r� _ Poo J l5Q --; -d CJI , ECaMM ,, It'U U0 i 754-5626 OT X54-5627 ��`L7 S7 r i��°�g5s5 62 637 Permit ##• Sg �2�s THIS NUMBER MUST ACCOMPANY ALL INSPECTION REQUESTS M () SJsr L Car Souk?ac��ccsh _ 2-"T APPROVED C:RY OF COSTA MESA P// L��ANNING C-°T.F ♦ 4L 10 r '3' 011=OS OF PLAW11140 gun (� J PA -qt 37A was Ah "Off() oar■ P1A1't: 3 �9j .e vrs.o 2®cb I��I yrv+_. 5T - - --- -- - ' -- -�nP.I - II,I.P_fMIF,Inru3 �_.Et'rI�I� •1x.., ail { F (@c@DD • 1uDIVII�,p.l,. INTERJ.lF*L.4Y fu.Ur+b-!P•��7 4�aNuf.L L>;.s7F�5 w�ta Auvrl.Fc. Pl.�.yT>G . FAC.J✓9 G, N, 11mi'•1 CA('. GOL-OA5 ah rTP, cavorwre- grA4jcA-m>5 C>R {EidPJd�i ofow "Xur To VsjowRnS '5o MP. IWreP4JAhL- NECI4 ILLUMIHAfoW. G ! ELCaF%Q7e kVcAJG`�1•CT1Y� AD,,(I DUAL., 10fEEj�Y I x-1..11 M I w&ls-) CA4iog- LFIr7,;�5 ye►i,E 3/4's � -t�' • ofEFfbc- f KAx, • ,•�;- .'��� _ is - .. ,� � -. _ , zli IrALVMiQUM 42 201vt 511f-" McZ4, 12f-TUKW9 QfD.+✓ti:TF Z-�-3/4' TNMCAp 3: 30 HA -ISMIL OEAAj - LjIN06) 5-reXm-S sufrtIin (I- y4 't Ii]AMW k4x- ' I+ %z" sj2AC-P�t f5-)4'4 W. 1,00 "&6L& q - M �sTr� 4-cu5iwA5 Iv, kwmIuuM FLEX � 115 APPROVED City of Costa Mesa Buil( ing Dept. BY DATE 19 THESE PLANS MUST BE ON JCB AT LL TiMIES MAKE NO CHANGES WITHOUT PRIOR APP VAL OF DEPT. THF lsy:UANCE OR GRANTING OF A PC -PMI' OR APPROVAL ^' I Ahs ND ?PECIFICATIONS SHALL NOT BE C )NSTFV- - U t-1 APPRO'rAL Q'r, 1;iJY VIC ATION THE PROVISIONS OF Tl IIS CODE. ivi -' S7IAiT F AUTHORITY TO VIOLATE Oq CANC;-L THE Pr CODE SHALL RE VAI IE EXV-PT IN SO FAR AS HE WHICH ITAUTHORIZES !!: !_X?JFUL. ! THE ISSUANCE OF A Pr; Fi :SIT PIaSEi1 'i'CiJ 7L:.c SPECIFICATIONS S!IALl. NOT PREVENT' THE UILD:,1:3- ',Yf-!C: FROM T'HE$%EAF-T£F<Fl::,DUiRWC3 THE CORRECTONOF ERROP.c. SAID FLANS AND `.,'PECIFICATiONS OR F Oh! Pf3EVl lITI".S: BUILDING OPERATIONS P.Eit'JG CARRIED ON 11 EREUNDER YiHi—m IN VIOLATION OF THIS CODE OR OF ANY OTH R ORDINANCE OF Tiff CITY. SCAM 1+�i Z Ia CAM'M*4W i n1 wu'wn Ji4 r.1h0-2 00 Ig15TaI.. A51r. PR'NAME2800 BRISTOL S T ADDRESS- S T. : UNI OWNER'S NAME: SEAN ZAHIRY 10 CALLS AL BORAH RANCHO SANTA MARE CA ARCHIENGINEER: ( 714 ) 7 3 3— 6 2 9 1 REG.ND.: ADDRESS: UNIT: PERMITTEE: AODREss:CONEJO VALLEY SIGNS (818)991-6198 31220 LA BAYA DR 102 WFgT�,�KE VII L JGE CA 91 2 LICENSED CONTRACTOR DE LA A I N: I hereby a um t t I am licensed under provisions o pier 9 (commencing with Section 7000) of Division 3 at the Business and Professions Code. and my license is in full force and ellect, CITY LIG.: —] 1 STATE uc.:4 99 74 L /GcLAss-r _,, 5 _ Date: ., r � r � L� Signature: j�—'�rl_�.--� WORKERS' COMPENSATION DECLARATION: I hereby afli I have a certificate of consent to sell -insure or a certificate of Workers' Compensation Insurance. or a certified Copy thereof (Section 381x1, Lab. C), POLICY ND.: 0 7 3 6 3 0 6— 9 3 EXP. DATE: 03/01/94 COMPANY:STATE FUND ❑ Certified copy is hereby furnished. 1� Certified copy is filed th the city Bu' ding Division. �''] Y c Jate: 1 — r Applica 6'a- r lY EXEMPTION FROM WORKERS' COMPENSATION DECLARA ION: rs section need not be completed d the permtt is for one hundred (E10O) or fess). I certify that in the performance of the work for which is mit is issued, I shall not employ any person in any manner so as to become subject to the Workers- Compensation Laws of California, Date: Signature: NOTICE: If. alter making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance al the work for which this permit is issued (Section 3(197, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the fallowing reason (Section 7031.5 Business and Professional Code: Any city of 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 m the provisions of the Contractors' State 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 penalty of not more than live hundred dollars (5500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himselilherseif or through his or her own employees, provided that such improvements are not intended or offered lot safe, It, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve Ior the purpose of sale). t, as owner of the property, am exclusive )y contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts [or such projects with a contractor{s) license pursuant to the Contractors' State License Law). I am aware that prool of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. & P. C. tar this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements at CaNlornia Health and Safety Cade Sections 255D5, 25533, and 25534 and that t or any future building occupant willlwdl not {circle one) need to comply with said state codes and the requirements for a permit or construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction and hereby aut . e representatives of this city to enter upon the above-mentioned property for inspection purposes ` �— Dale: _ 53 Signature r Driver's License or Social Security 1641.46 White—Building: Green --Code Enforce enr Canary—Applicant: Pink—Revonue: Goldenrod—Assessor CITY OF COSTA MESA — SIGN PERMIT PERM NO: SB 062858 PERMIT NO; SB 062858 PLAN CHECK NO: 02381-93 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR SIG PURPOSE: OTH SOB DESCRIPTION : 3 NON—ILLUMINATED WALL SIGNS SQ FT: CLAIM VALUE: 1,000,00 CALL—VALUE: 1,000,00 GROUP OCC: B-1 /B-2 COMMENTS: FOR "SPEEDEE", ,'OIL CHANGE', ,'TUNE—UP', ,'SMOG & BRAKES' S I G N I N F O R M A T I O N DISTRICT: 1 TYPE: WALL ILLUMINATION: NON CATEGORY: NEW DIMENSIONS: 1FT 03IN X 19FT OOIN AREA: 23,755 FT LETTER HT: 15 INCH STREET FRONTAGE 1: 373,00 STREET 1: BRISTOL STREET FRONTAGE 2: 0,00 STREET 2: PARCEL: 41818201 ZONE: C1 LOCATION > FRONT: X REAR: BUSINESS NAME; SPEEDEE OIL CHANGE > LEFT: RIGHT: O T H E R T O T A L S G R O U N D S I G N THIS ACTIVITY 23.75SQFT OVERALL HEIGHT: "OFT OIN THIS SITE 373,OOS FT GROUND CLEARANCE: OFT OIN ITEMS OF INFO : 5 PLANTER AREA: O,OOSQFT ITEMS FOR ACTIVITY: 4 BLDG SET BACK; 20FT COPY VERBIAGE : OIL CHANGE TUNE—UP SMOG & BRAKES PLANNING NOTES: D E V E 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 APPROVED BY Ii F__ DATE: 7 BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: AE3 LEGALIZATION:N F E E S U M M R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMTP/RES GRADING PERMIT 25,00 23,75 PLAN 16,25 SMTP/NONO—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 49.25 0,00 16,25 65.50 65,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 65.50 OVER/SHORT•00 BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN—CHECK 25.00 23,75 .50 16.25 iE iE iE iE iE iE lE �F �F it- �- * * fF TE iE * � � * * * -iF iE it � if IE iE � � iF lk * it• i4 iF �E iE ie iE iE .� iE �E iF it iE * iF �F'1E TE � iE !f iE -lt iE iE i(.�. �F iF iF'1E iE -IF �E iF Th * TI9E i4�(- �K- # it I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT EXPIRED Incomplete IrSpecti0m 01 00142134-GO142187 TOT 65.50 DATE: 07/02/93 TIME: 07:49 CONSTRUCTION AND PLANNING APOROVALS Permit #- Date - Inspector _P_QPL PA APPROVALS rrmit # Date Inspector I 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 LIFER Grnd, 57. APPROVAL TO COV€R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Fina! 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64, Plumbing System - Final I 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. hough Electrical -T Bar Ceiling 69. POOUS€'A SYSTEMS FINAL 19, Rough Heating & Air Conditioning ? FIRE D€PT.,REQUIREMENT APPROVALS Permit # 20. Hough Factor -y Fireplace 21. Ducts, in Structure ' ; 70. underground Hydro 22, Ducts, Ventilating 71, Product Piping ❑ Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush - 24. 'Roof Framing 13. Undergrnd. Storage Tank ❑ 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 717. IXED SYSTEM FINAL 29. Insulation j 7,8. IRE PREV, FINAL 30. Drywall Nailing i HEALTH DEPT. REQUIREMENT i 31. Plaster Brown Coat FINAL INSPECTION 32. Electrical Power Meter -Final 8 FOOD CERTIFICATE ISSUED oxer: V, 33. Final Electric 34. Final Heating & Air Cdnditioning�� 35. Final Gas Pipe -Test. I 36. food or Canopy I 37. Final Factory Fireplace i 38. Final Plumbing; ' 39. Water Service -Final , i 40. Gas Service -Final 41. Solar Domestic -Final y I 42. Backflow Preventer I ! I 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations i I 47. FINAL STRUCTURE & BUILDING 48, FINAL PLANNING ; 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co j 51. CERTIFICATE OF OCCUPANCY No. Date \Vv 0 � RUCTION PERMIT Address Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO TRACT NO 1 nr tun I I—— . Owner's Name �E9e�r1J Address %b t 5. i! INIK6t ) . Sri �(7� lAA1S�INV w�,e Arch/Eng. License No. Address Contractor's Nam Phone S Address (mailing) r City License No. LICENSED CONTRACTOR -DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and ofessions Code, and my license is in full for nd effect. UcenVY4�� DateSignature WORMPENSATION DE R TI N 1 herethat I have a certificate of consent t se r e Workers' Compensation Insurance, pr a cert) opy t er Section 00, Lab. C.) rnlicy No.' Company 8 Certified -copy is hereby furnished. Certif led copy Is filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the ermit Is for one hundred ($100) or less). I certify thaYin the performance of th w r for wh chi permit is i ued l shall not a loy ny person 1n any a n so as come subjec o tyre Workers' a ' Laws of Calif r ia. Date Signature NOTICE: t , afte making this declarati n, you ould ecome subject o the Workers' omp nsati0n provisions of the Lab Code, you must forthwith comply w th SIC ch provisions or this perms shall be deemed revoked. 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 (Section 3097 Civ. C.) Lender's Name _ Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the 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 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 =.refrom and the basis for the alleged exemption. Any violation of Section ►a.5 .by any applicant for a permit subjects the applicant to a civil .salty of not more than five hundred dollars ($500). LJ I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or.offered for sale (Section 7044, Business and Professional Code: The Contractor's 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 sale. 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- rove for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed con- 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 builds or improves thereon. and who contracts for such oroiects with a can- tractor(s) license pursuanr to [ne Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner 1 hereby certify that I have read this application and state that the above information 11 cor ct. 1 agree t _ply with all city and county ordinances and state laws re ng to bui mg nstructlo , and hereby auth rize repre- senlatives of 1104 to a pon the ve-mentionetl pr pert for Inspection purpo Signature Drivers' License or SS �_ . tv I ,{o/ TYPE OF CONSTRUCTION NEW LJ ADD ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. ALTERATION LJ REPAIR TYPE OF PERMIT LJ GRADING L_) FOUNDATION LJ STRUCTURAL ❑ TENANT M ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ ,OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY CON STRUCTION TYPE VALUATION $ ZONE GRADING CU.YDS. ACRES Remarks: ai� Si k backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outiets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto -Wash Laundry Trays $15 Issue Fee MECHANICAL Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepi/Fact. Bit. ICBO =#= Heating System & Ducting ❑ 0. 100,000 BTU ❑ 100,000 ST Reinspection Fee ! $15 0865.46, rev. 5/88 Whit - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Hood or Type I ❑ Canopy Type 11 El Refrigeration System 00-100,000BTU ❑ 100,000 BT System Repair/Alteration Fire Dampers Registers Issue Fee k A.P. # I Zone S Main Building: Accessory Building: ELECTRICAL FEES E Automatic Washer Construction POIe Sub. Z T Front O ARear N C Right N SLeft G R Ping. Ref. # Parking Req./Provided E Planning Notes: fl M Motors El 1 HP ❑ 1 % - 8 T F.A.U. S. $ 3 01 00019452-00019452 TOT 222-59 DATE: 11/14/88 TInE: 16:37. ELECTRICAL FEES FEES Automatic Washer Construction POIe Sub. Transformer ❑ 15-50 KW El 50 + KW Cooking,Unit Meter Elup to 100 amps Dishwasher Meter El over 100 amps Dryers ❑Gas ❑Electric Sub Panel Fan Motors El 1 HP ❑ 1 % - 8 F.A.U. Inc. Solar 09-15 HP 1316-15+ Fixtures Microwave Device Boxes Pole Light Outlets Range Switches Sign Garbage Disposal Standing Sections Generator 00-5 KW ❑5-15 KW Trash Compactor Reinspection Fee $15 Issue Fee j S $ f DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By n / Oat $ 3 FEES BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY $ $ $ $ $ ococ•J $ $ $ OF FEES SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ V GRADING $ MICROFILM $ TOTAL FEE $ $ 3 01 00019452-00019452 TOT 222-59 DATE: 11/14/88 TInE: 16:37. INSTRUCTION AND PLANNING ROVALS Permit # Date Inspector POO) PA APPROVALS Permit # I Date Inspector. amponbry Electrical Service or Pole- /6 52. Pool & Equipment Location ; ;oil Aipe-Undrgrnd. "`" �'' 53. Steel Reinforcement s. rElectr,ical Conjuii Utility-Undrgrnd. 54. Forms - 4.'ElecVical Conduit-Undrgrnd. :j J a 55. Electrical Bonding I 5. ,Steel Reinforcemgnt... 56. Rough Plumbing &Pressure Test I - 6;',Electricdi UFER.Grnd. 57. APPROVAL TO COVER-GUNITE 7. --Footings- Iii ; rr t 58. Electrical Conduit-Undrgrnd. 8. Foundation ';3 . >. 59. Gas Pipe, © Undrgrnd., Test 9. Water Pipe Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10.'Structural Floor System j- ` ,� �/ 61. APPROVAL TO DECK 11.' Property,.Sewer Line;& House Connection .. - 62. Backwash & Receptor -Final 12. ,SewW Cap ' ' _ 1 ! - x 63. Heater & Vent -Final 13.• Podfb�ains ' - - '` ' ., 64. Plumbing System - Final 14.E Rough Plumbing y. 65. Electrical -Final 15. RoL j4 'Electrical -Conduit 66. Solar System Final i 16. Rough Electric Wiring *4 - 67, Fencing & Access Approval 1r1' Rough Wiring Sign 68. APPROVED FOR PLASTERING �1$r, Rough Electrical -T Bar Ceiling /%if 69. POOUSPA SYSTEMS FINAL Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑ Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73, Undergrnd. Storage Tank U 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 PREY. 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 r 37. Final Factory Fireplace ?� 38. Final Plumbing f :: i 39. Water Service -Final y 40. Gas Service -Final f 41, Solar Domestic -Final .. t 42. Backflow Preventer o j,.,l e. 43. Backflow Irrigation ` 44. ,Landscape Irrigation System- L 45. Sound Attenuation rJ' 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING i 3 48. Special Requirements Completed 491. Electric Release to Edison r 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date / J