HomeMy WebLinkAbout352 VICTORIA ST - Building Permits,
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CITY OF COSTA MESA
BI/ILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
Job Address: 352 VICTORIA ST
Suite:
Viciniry:
Parcel Nunmber: 41907134
Applicant: LARRY WILLIAMS
Address:
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owner: MCFARLAND, EDWARD V TR
Address .119"BOUQUET CANYON DR
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�� BALM DESERT, CA �. - �
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Cont�cto � ALL COAST ROOFING
� �Address: 02107 WACLACE AV
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� . , � -'�i WSTAMESACA
Zoning:
Phone:, 714�44-1116 � .
ZiP _
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NUMBER
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77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 08/7 7 /1999
�ssued: 08/11/1999
ISSUED BY: J
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Phonei ' � ' � . . � - ` -
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Zip: 92211 ' � � � � . •
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Phone:_
+ �Zip:�,� 92627: License: 598440 -
Arch : . � � / : - ... � � Eng:
Address: - , +' , � - � , Addre;a:_ , �
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� Zip: � �/.`� � ��� License: "
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Phone:
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License:
j �'� � SCOPE OF PERMIT
� T/OFF SHEATH AND REROOF 2600SF RESIDENCE W/COMP SHINGLES.-SMOKE DETECTORS REQ PER 97UBC.
FEE SUMMARY - _
.
� Plan Check: � $0.00 a,, �� , Calc Valuation: F ga,�oo.00
� Permit .�,. $125.25 . _ ' Glaim Valuation: $5;�00.00
�� SMIP Res: � � $0.57 �"� i �
� SMIP Com: $0.00 � � �
Other. $0.00 _- _ - " �
Inspection: $0.00 - - - , '
�� �� �. � �'.�.; ' ., � ' . .
:� , TotaL•" $125.82 '
' �� � ` ' .
' � � PLANNING & ZONING ,
`, ;� ,�;a_, ,.v
,= � - ,
SETBACKS�. � � , � �
MAIN STRUCTURE -Front 0- 0. � Rear -� 0_ 0 Left : 0- 0'` Right 0- 0 '
��
ACCESSORY �Front 0-6 ��Rear 0-0 Left 0-0 Right 0-0
PARKING Existin :� -0� Re uired: 0 Pr000sed: 0 ,
NOTES:
. , y. � � .
NOTICE: The work authorized by ihis permil shail comply with all applicabla handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 7241-92)
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 7 BO days. .
INSPECTIONS: In order for the work authorized under this permit to be consitlered legal, such work must comply with all applicable codes, and all
requlred Inapectlona and final approvel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLAFiATION:
I hereby aftirm under penalry ot perjury one of iha tollowing daclaretions:
❑. I have antl will malntein e cartlBcate of consant to self-Insure Por workers' compensation, es providetl for by section 3700 of ihe Labor Cotle, for �he pertormance of ihe
work tor which this permit is issued.
❑ I have antl will main in w rkers' c pensati n insurance, es required by section 3700 of the Labor Code, for Ne pedortnance of the work tor which this pertnit is issued.
M workers' co sali Ins ce carrier nd oli numher are: / C��, �7
Cerrier:y i � � 1� P � ` Policy Number: �J�"� �� / "" �
(This section n�e n b�campl etl i/ e permif is va/uetl et one hundred dollars ($100) or /ess.)
❑ I certify ihat in ihe pe ormance of Ihe work f w i h this permit is issuetl, I shall not employ any person in any manner so es to become subject to Ihe workers'
compensation laws of lifomia, and agre t t sl ould become suhject to the workers' compensation provisions of Section 3700%f ihe Labor Code, I shall fonhwith
comply with these prov' ons. ���yyy
�� ApplicantSiqnaWre: Date: J� �� I� /
c�
WARNING FAILURE TO SECURE WORK CAMPENSATION COVERAOE IS UNL4WFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PEN LTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSANODOLL4RE($100,000),INADDI NTOTHECOSTOFCAMPENSATION,DAMAGESASPROVIOEDFORINSECTION3]O60FTHEL4BORCADE,IMEREST,ANDATTORNEY'SFEES.
�
LICENSED CON7RACTORS DECLARA710N:
I hereby aHirm that I am
force and eHect. Lic. # _
Contreaor's SignaWre:
CONSTRUCTION LENDING AGENCY:
Chapter 9(co mencing with SecY 7000) of Division 3 of the Business and P�ote�ss�lons Cotle, and my license is in fu�
Class N (L T
/ Date: �� / .�i _
❑ I here6y affirm Ihet ihere is a constmction lending agency tor the padormance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender's Atltlress:
Signature:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aNirm ihat under penalry of perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, eusiness and Professions
Coda: Any ciry or county which requires a permit to construct, alier, improve, demolish, or repair eny strucNre, pnor to its issuance, also requires Ihe applican� tor such permit
to file a signed statement ihat he or she is licensed pursuant to Ihe provisions of the Contractors License Law (Ghap[er 9(commencing wlih Sedion 7000) ot Division 3 of the
Business and Professions Cotla) or that he or she is exempt Iherefrom antl the basis for Ihe allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects tha applicant ta e civil penalry of not more than five hundred dollars ($500)J:
❑ I, as owner of the properry, or my employees with wages as their sole compensation, WILL DO THE WORK, and lhe slructure is not intended or oNered for sale (Sec.
7044, Business antl Protessions Code: The Contractors License Law does not appty to en owner of propetly who builds or improves thereon, and who does such work
himself or herself or through his or her own employees, provitled that such improvements are not intended or offered tor sale. If, �owever, ihe building or improvement is
sold within one year of comptetion, ihe owner-builder will have the burden of proving ihat he or she ditl not builtl or improve tor purpose of sale.).
❑ I, as owner oF the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Professions
Code: The contrectors License Lew does not apply to en owner of propeny who builds or improves thereon, and who comrects tor such prqect with a contrector(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 drivef5liCen58. ❑ Yes ❑ No Dnvefs Liten50 No. Expires:
Veritication of Ownership by (rype of document, i.e. � property tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity ihat no excavation five (5) or more taet in depth into which a person Is requlretl to descend, will be matle in connection with work authorized 6y this
permit, antl that no Duiltling stmcture, scallolding, falsework, or tlemolition or dismentling thereof, will be more than thirty-si: (38) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califomia Atlministretive Cotle).
❑ As ownerbuilder, I will not employ anyone to do work which would require a permit from �he Division of Industrial Safery, as no�ed above, unless such person has e
permit to do such work from the division.
Signawre: Date:
Division of Intlusinal Safery Pertnit Number:
CERTFICA7E OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I certity under penalty of perjury thet I have read ihis application and state that the iniormation given is
correct. I agree to comply with all stete laws and ciry ortlinances relating to builtling constmction, antl authorize representatives oi ihe City of Costa Mesa to enter upon Ihe
above-descri6ed property for inspection purposes. I agree not to occupy or allow occupancy of eny building euthorized by ihis permil until /inel inspection.
CODE t. INSPECTIONTYPE ,
1616 Fixetl Syslem Finel Fire Prevention
1266
200
201
202
203
Pool Spa Finel
Final Re-Roof
Final Block/Reteining Well
Final Factory Fire Place
Final Sign
204 Final Demolition
24a6d6
Owner(s)
ApPlican�
QBjf, IMITIRLS
3 �'y �
LOOEt INSGECTIONTYPE
206 Finel Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Plenning Approvel
222 Final Site
250 Final Builtling/Occupancy
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ADOFESSOFBNIqNG:
OWNERs IUME IF pqNN:
�UOflE43:
�vvi. �uuNa wonFss:
urcxrt[cr on �vn:
UICILOA EN0:4i1DOflE55:
' VICTORIA ST
IC AIGHT OF WAY
OF COSTA MESA
cor+rn�crarsxu�: THOMPSON & THOMPSON COMM
camecTorcs xuuxu 3 2 3 8 CLAY S T
uxT: a�CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: E 074874
PERMIT NO: E 074874 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
uc.ra:
urrt:
, (714)362-3066
�ooxess: N.B. CA uc.ra.: 550936
92663 uNr:
LICENSED COMFRCTOflS DEC WR�TION: I Mre�y ellvm uMx perely d perjury ilw I em liceivatl uMar pmAa4m d Clupsr a
(mrvne�eq wilh Senian ]OW) d�� 3 d �ha Bueiroe� aM PMesa'vm WEs. eM mY � s� IuA laee vM elletl.
cmuc.No.:064236 �uc.cuss: C-7 ��uc.No�.: 550936 EXP: 02/96
Daie: I/ J � � � % .) Conlratlm\ / ��\�i—`���f
OWNEN BUILDEH OECIAflRT10N� I haeEy elfi�m uMx pmiely d pmj�ry ihm I em ezemq liam �M Canreaon lioema lew la Iha
blbwip rmvm (5etlion lW 1.5 &nrosa aM Pruleaviona Cade: Airy cN a counry which �puirea e parmil lo amauun. Mp. impo+e.
.femalah, or ropei e'ry avucture, p� a �� saerKe, ebo requirea IM apd�� �a �h permn io Rle e aqmd eletemenl IMt M a eM
ia licemeE punueni io iM provinime d Ihe ConVadws Licenee Lew �Chapbr 9(wmme�iq v.'nh $eqion �OpO) d ONuion J d Iha
Businau enA Profeuons Coda� or Ihd M a ahe ia uemq Ihaeham aM the beau Iw IM ellepeE atemqion. qny videtion of Setlion
)03t.5 by eny epplicent Iw e parm� eubpde IM epplicanl lo e avil perely ol ml mara Ihan ive hurMreE dollen �5500�).
❑ I,avovrtwrdlheprope�yormYempbYeeawilhwepeaeathxsolammpeneaiion,xillao�hawwk.enAtMei�uctunaMinlenEeE
w ollared la eele (Saction ]OH. Buamv ud Prdeaeiwu Coda: Tha Conireppe lirorua lewdoea mt epplyto an ovmerd propeM
wln buiie a inpivwe Ilweea�. eld Mw Aoee �uM wA h'unsetl «Mne� or Nraqh ho or her own emplqeee. provided ihm weh
'mpo.ampM ue rM imdWeJ a Were! la veb. tl. Mwmar. tha builG'p a inprawnau b soltl wi1hN ane Y� d oompletion, Ne
owiwr-0�iHs will have �M W� d pwiip M or ahe did m� buik or impow la �M WNo+a d aeb).
� I. m orrtrr d �M papeny. em ud�aly mntreq�q wGh GmreeE ewurectp� to oonmue tM peojed (�� �. ��+a W
Vrolauime Code: The ConlrPdon l"senae law doee nd MdY b en oxiw d G'W�Y who buildv o imPa'p �hxson end who
C011VBCb �p tIN11 �BC1i M1� 8 fp112CIX(0) �KG11fBd p11RY0N 1011M �rOI1�fYJpl U(fM! �d'I/�.
� I em axamp uMer Seciion: B. 8 P.G., la �hb reexn:
Deb: Ownec
1 Jo hereby cerlity ihel I em ewere d erd undeMend tM raquiremenm d CelAomu Heel�h aM Se/aty COEe Seuiona 25505, 2553�, eM
255J1, vM thm I a eny Mure buiMi�q aowpeni will / wJl rol (drcb me) need to comply wYh eaid qe�e mdm and iM rpuiremsnie M
apermillaconewciionamotlifiWionM1anlM�i e�iy erupamamDiqrid.ReeideniidwWrudionepplcetbrouanump/mm�heee
a�,..
Dete: Apqcem:
WORKER'S CONPENS�TION DECUA�TON: I Mntry elfiim unEer pruby d pa�ury ans d Ne Idbxinp OWve�uro:
❑ IhevseMWmeintenawnl�Wedoauenito�eMimwebrv.vrksn'oompammion.uP�edfabySwim])ODdiMleba
Coda.lv iM peAmrerce d�� ta wlich Inb peimil b esued.
C7 I Mw aM xil meinten woM�s' mnDmW un inwrerce. m rpuired by Sspion ])W M the lebor CoCe.lor �M parlormuroe d �M
7r wpk �or whiM thia pe1mil is ip� My wakere mm amion imurenca uMer eM pdiry number ere:
ce,,;,,: S�ATE FUND EXPIRES
va�N�mw: — 01 /O1 /96
(Thie »nian nsee na 6e romplered / tM psmif ia lw wro h�Mmd Edbrs /St001 w ba.)
❑ I mniy Net in Ne peRameews d tM wM /a whch �hia pmnil b ixued, I du0 nol empiry e�ry penm in ury men�wr eo af to
become wbjed to iM xorkP�e' �DMW� b+�+ d Celtlomu. vN apne Ne� E I ahouN bmm�e aEpd io tM r.oMn'
compenwon paiaom W SW ion 3]00 d tM labor Lods. I e�h�ell lon—�wnh oompy xiN No» proviaau.
Dme: � D ' Z1 " 6� AGWcaru: dl eS--��
Wam/np: F�Ilun b�eeun woikri rorrpwustlon eonrap� l� unbwlW, �ntl �NII wU/w.M in wmplqx ro MMnI paMltlN pM
c/vll Arw� up ro m� M1�nCisp tlquaantl0vlYr� (lIOq0001, b�/tlon h M� cqsf ol rompxuatbn, G�m�p�� u povltlW bi In
SwOon J)O6 0l M� LMor CaM, /���++E ��S �ttomql Iw.
CONSTpUCIION LENDINO AOENCY: I AereW aHrm uMer peialry ol perN�Y �� �� � e mnsirudion bMirp epenry lor tM
perlormerwe ol ih� v.ork for wM1idi ihe prmi n eeueE (Seuon ]09), C'v. C�.
LENDEq'S NAME.
LENDEN'S 10DNE`+}�
I cMity �I� I Mve reeE I�u epplr.at� e�d wme ihm Ne above iMame�ion a corrse. I pree to mnyy wilh M my eM aounry adiiurws
uM elets lexi nWip Io WJdiq cc��u�� �d Mreh' eulhor¢e rapeeentNi�m d thu c1y W anter upon tM ebws-manlianed popeM
la inepeabn purpoen.
TOM THOMPSON
Pnni Neme
�a--� � 0�,:10-2�- 4S
siq ura w �«i.y.�unoo��om.m«
(5t51-aB.WP) WhYe-BuiWnpdSalely:OreerFla;CenW-Appfunt:Rnk-Revanw;Gddenro0.baeseor
JOB DESCRIPTION : RELOCATE ARIAL POWER SUPPLY TO UNDERGRND SQ FT:
CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /
COMMENTS; PROSECT IN FRONT OF 352 VICTQRIA ST POR CONTINENTAL CABLEVISIQN
� *rtx�*x�*�r�*****�r*�**x�+t�r*��*********�r*******+t*�r�+t+�*x�*x�+tx+��r�*�r********�r**����*�r�x x�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARRING REQ: PROV: PARCEL: 00000000 ZNE: REF NO:
PLANNING NOTES>
%
1E 1E i8 iE 1i 1F if 1f� 1E 1E 1k!! 1E 1E 1! iE 1E 1E �E iE iE 1F 1E 1F 1E 1f� �k iE i! 1k 1E 1E 1E 1k 1k �F 1E �k fF 1E 1f 7f �f' if 1E 1k �E 1E1E 1f 1F if 1E iE 1E iE 1E iE if 1f 1klE iE 1(�'lE if f4 iF 1F iE IE iE iE 1E 3E 1FlE iE iE
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 * � DATE:
BOILDING APPROVED HY ; ' DATE:
ATION ISSUED BY
LEGALIZATION:N F E E' S U M M A R Y
HLDG PMT PLUMBING� ELECTRIC MECHANIC
PERMIT 40.50
50x
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 40.50 15.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED: 55
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
55.50
DATE: �� Z�7 °l
�iFififi(�1Eil�E1E1f1i1E fEiE
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
55.50 55.50 ,00
.50 OVER/SHORT: .00
SMIP/TOT GRADING PLAN—CHECK
1f �E i!� 1f 1E if 7ElE IE �E 9E fE 1E iE If if 1E 1k if i! 141! iE 1E 1E iE 1E 1E 1f 1E iP 1F iF IElElE 1E iE 1E 1E IE 1f 1f if iE iE If 1E 1E 1E IE if ik 1E il� iE it fE 1f'IE'lE i("�E 1E 1F iE ft 1E If IE 1E IE 1E iE fElE'lE 1E iE
I N D I V I D U A L F E E H 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 1 SERVICES HELOW 600 V& BELOW 201 AMP 18.50 18,50
ELE 1 SUH—PANEL 11.00 11.00
ELE 1 MISC CONDUIT NOT LISTED REQ PERMIT 11.00 11.00
END OF FEES
C� 1J1'J�_ ' �• `�IJ � Cr cr.
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CONSTRUCTION AND PLANNING P�'' - 8i SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date fn:pector
i. Temporery Eiectrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcement
� 3., Electrical Condair Widity-Undrgrnd. 54. Forms
'�4:' Electrical Cond `�+rfi �ntlrgrnd. 55. Electrical Bonding
5� Steel Reinforcement 56. Rough Plumbing & Pressure Test
��'-'� Electriwl UFER Grnd. 57. APPROVAL TO COVER-GUNITE
.�: .r�
y1�� Footings ��� " 58. Electrical Condutt,Undrgrnd. �
C, 8. Foundation • ✓ 59. Gas Pipe, � Urt�drgrnd., Test
_,
-"�� Water Pipe�UndFgmd. � 60. Backwash Lines, P-Trap, C U�drgrnd.
'10. Structural FIooFSystem 61. APPROVALTODECK
17. Property Sewer�Line& Hous�.Connection 62. Backwash & Receptor-Final
I
12. Sewer Cap g . � 63. Heater & Vent-Final
73. Roof Dreins 64. Plumbing SYstem � Fina�
14. Rough Ptumbing. ;� 65. Electrical-Final
75. Rough Elec[ricai�Co'tluit - 66. Solar SYstem-Final
16. Rough ElectrickViri�9 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FQ,A PLASTERING
18. Rough Electrical'T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rou h Heatin� & Ai� Condrtioning . �,y , , Fjf�E DEPT. REQUIREMENT ,�,�„�
20.33ouFPi Fa�tto�y Fii�lace y-.�. � � a"., ' �, Q.*'� APPRAV�I�S��' Permit #__..�
21..Ductr, in5trscture,i � •• •• - � ; � h ^X " 70.`Under'�i�outid F�dro
m <-i; t � rti 'l+ � t.
22. ➢ucti V�htil�in� : '� �� E n � v� 71. Produc�h?iping O�Gas 430i1
23. �as Ripe�ough & Test Tn r t�� u+ �y C� •�- 72, Underground F'IUsh '�
24. �FiooT=Framingf' �� �-'F" "� R'� m � t' 73�j Undergriid. Storage Tank � Gas ❑�il
25. Roof, Sh�thing {� 1 1 J V� `,' _ r�� 7$�; Overhead Hydro, _,
�'� �
"�26. Y•Bai Ceiling (StrG2�Ura1) & PRSrlocoat x` ; " 75: Dry Chemicaf .;j * ' j,j_,'
. .. . � _.
' 27. •Frame ar� Flashing> t c' � ccr 76. Dry StandpipeF '- �._ �
e - � - - -
lT' 1 ✓, y� G [".. _' '}. 7. .. `.. y . . , . : m
28. Lathing �Siding �.� _�, _, � r � 77.5 FIXED�l'STEM FINA,L�, �,j- �
�� 29. Insulatiwr sx J �' •• ' � • � FIRE PREV. FI,fyAL '- � r„
30. Drywall tJailing n;, ._ y` � � � �,j3,�AL'f�,�EP"T�REi2U1SEN{f,NT
` 31. Plaster Brown'Coat r-. , � x a '3. FINAL ClVSPECT70N �� _
. _ . _� ._ . � �
' 32. �lectrical-`�Potilizr Ith����Ffnal ��� - � 8R� FOOD CERTIFICATE rSSPJEQ, ,-
33. Fin�EleCtric-. - = R� � ���� � ._ � . Notes: -.=7 -it^ -. - G � � ;T:
�
- 34. �Final}iea"�ing'& Air�Eonffitioni�g - �' � ` .. .r ^.=' � . -- : '
r :. �-. �, r < � '. � � , .� �„ •
35. iFinai Gas PipeSes`�� _ - - .+ r - • .� - a� -
�
- 36. Hooitror fanoPY '� � "" _ k C� ' � C = 3� � '^ "
i . aLT' .a ro -i 7��' . m
^ - �� - ' . .
. 37. �EJna.Fac�ory PirgPEece - � �-� '- � ' 7: •� �'��'
s
38. Finat�"�'lutnbing "�` V �' - `� w . '' ` - r�' r.
X
, � ��7� c-, � � �.
39. Watei SerSice�FinaT,,. .- , t. r I y �' w�� � v�
_ , ._.
740. GasServire-Final:.�� ^ C�'"T ��" � T ' c� E'
- �' ncnL Y �.',. � c
', 47. Solar pomescic-Fi�i"�� `- r, �: �` ' - , # - -
42. Backflow-'Preventer ° � * I "� - - ' � -
- ..;• y. r .r u � .r� - . ' .'
G t.> �. � - _ _
43. Backflow irrigatiop Y �� '' ,� . r •
�4'4. Landsca�5e irr'igatiori SYstem'1 "�� x� �� -' '� r. t. . -. -: .� + , o :
rr� f + A •^ �t; n ' ` _
..i N '
45. $pund Atfenaation. .- „E. : ` `� • _ -' - _ .� ..
46. Handicap�Regulatians � � • '
y r Tm i
.47. F�INAL STRUCTUR� & BUItDING � .
, �
'1 t
48. FINHLPLANNING`� "- ; �� ;. .� r; ~ s
49. Electric Release to Edison ' �' � � ' , . ' � . _. .,
.. . ' � r .
50. Gas Release to Southem California-Gas Co ' �+' � � `+ ' • " . � • '
< - k :,i U C O
57. CER-T.IFICATE OF OCCUPANCY ' - � -' '-
No. Date
City of Costa Mesa
Building Safefy Deparfinent
P. O. Box 317
�osta Mesa, Californiv
CERTIFICATE OF OCCUPANCY
�--_.
N° 237? , C
� �.3
The Building located at_ '$�v.k"'i.pY'Z� �ii'b5,*@}�
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group ii��.T Occupancy.
Use of Building 6[hilt AT�flA'�!c�1f ui�?l ��.Of'� �Sla ! +
.,...... .u_ ..... . .. . �1
Legal Description � ��'"���--�
,'{ � (Sea revorse side for Metm ond Bound�)
i
Building Permit No. Z� Electrical Permif No.�,Q� Plumbing Permif No.��
Floor Load Signs have been installed as Room Capacity Signs have been instaled as .
required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. .
17050. CERTIFICATE OF OCCUPANCY. (a) No aportment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certifica}e of occuponcy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occ�pancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3J Ownership . '
If Group H Occupancy, number of aparimenis and/or guest rooms as required under Sec. 17050.1 (d), Colifornio
Administrative Code, Title 8, Chapter 9, Arficle 8.
Number of aparimenis 6 and/or guest rooms
ISSUED TO: Building Official
�a � bY �c��� ./�. ��2
Date � �a`� �w �
This Certificate of Occupancy SHALL BE posted in a conspicuous place on fhe premises and SHALL NOT 8E removed
except by the Building Official of the City oF Cosfa Mesa under Sec. 306 (e) U.B.C. Fwn, svaa--ira—n.e3—s-s P
:�
g4$� )
COSTA.MESA BUILDING-SAFETY DEPARTMENT
p, O. BOX 917 C08TA M88A. CALIRORNIA
For Appl7canf fo Fill In Complefely
TYPE OR PRINT
ADDRE53 - J`� I V i C�
GOSTA MESA, CAllFORNIA
� TEL.
� Z NO.
TEL.
a
I�Z -X �� Z•1 I NOW ON LOTB.
3 BLDG. 'i-L1 `[1 �. C`C� �.... t� �
PN6TNlBTM CD �' ftEAR YARD �w'
RD I LEPT �c�i � �% " I RIGHT � �^O ��
i
DESCRIPTION OF WORK
eui�oiNc
9IZE
EXTERIOR WALL
WORK TO BE PBRPORMED
1 ' h 1 - r � ���
I HgR88Y �CKNOWLeDOH THAT I NAV6 READ iHIB A'PLIGTION
ANO BTAT6 THAT THB ABOVE IB tAHHCGT A!ID AORR[ TO GON•
PLY WITiI wLL aiY OPDINANCEe AN� 8TAT8 LAWq Re0U1.ATH0
BUIlDINO �NBTRYCTON. ;�
81GNATUHL' OF � ��` _ w l,l�
PERMfTTEF
AUTHORIZED AGENT
FEE RECEIVED
.8@1d 1 � 198) 6 t.1/�-
n AE2��� �MIT
c��r
��i�' r BUILDING
,it' � ' For Otfice Use Only
R6CEIPi NO. PERMIT NO.
;�f'6 s
RHCEIyCO,BY I DATH N8C81V6D I DATe 189Ue
PIRE
�aow�
0 I /�If'�/'l I�L
�� � .9 �llin� -C
COSTA MES/1. CALIFORNIA
nPe � our
\ / ' . DATE ,�
ZONING ��
�Ino. ov � u88 Op NeW
PUNB �.,'BUILDINO
� /�l s 9 � 7-fZ
//S— (9� �—�
YAfiDB EVEB
APPROVED
(C[MHR YN6 YT.I
r
TH6 AMOUM BHOWN UNDBR VALUAiION IB FOR TX6
PUPPOB¢ OP ¢BTADLIBXINO A PHftMIT FEE ONLY.
.UATION � rIi
J"
PERMIT FEE b
�n n�i Od _. ... _..___ _ 39 a5
a
x
O
6
JOB ADDRESS j52 W. V
ULNERAL CONTRACTOR O
AP No.115-1IZ-iLt LOT
INSP�CTIONS
DATE '.�}Q.�ji � -�
BUILDING PERMIT NO.
' vAL�� S 681Q�6.00
TRACT I'IRE ZONE DGSCRIPTION OP WORK
�Signature� DATF.� GROUY H TYPE �1 7.ONE
SUBCONTRACTOR
I
OWNER LINGLE, DON H.
JOB ADDRFSS 352-356 vi
GENERALCONTRACTOR Own
AP. No. 115-192-3�1 LOT
INSPECTIONS
DATE
TtiACT FIAE ZONE DESCRIPTION OF WORK Dam�
DATE I GROUP I TYPE V ZONE
----I SUBCONTRACTOR � _ PERMITSISSU
P-�
OCCUPANCY
Form 410—SM-11-59 5-B P 1��
se� �YBn
1�a kv'v
��_ iQ:�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. CAILIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
BUILDING
ADDRESS ��-�� VICCC�i�q TRISa^_'�
C05TA MESA. CALIFORNIA .
OWNER �/011 „' M�H�G-lF � �T A
MAIL � C
ADDRESS ��V �I�C't-Oli\F\ � ILGQ{�
ARCHITECT ��
ADDRESS �
c�rr ` -
BTATE L TEL.
L1C. ND. NO.
SIZE NO. OF BLDG6.'
OF LOT I�� K�CJ �� NOw ox �oi
� 88T8ACK LINE RROM
DESGRIPTION OF WORK
Co
� U6E OF BUILDINO AND WORK TO BE
i
Fk'° KkCEIVtU
� � Fl�i�'I�C� oFPr.
CITY OF COSTA ME�►
APPLICATION FOR�PERM17
BUILDING
For Offiee Use Only
. RECEIPT NO. 1 �EqMll
� O !
R¢CB�EU,BY I D�_�EIVEG I OATE11
t�` ry�V
IILDI G �.���.r� l/��"�(�
�DRESS C.�
COSTA MESA. CALIFORNIA
FIRE
ZONING
ZONE,n I NO. OP _� UB8 OF N¢W �
/` - Z PLAN6 �-BUIIDINO
LEOAL . � /J �7 ��/ � . J �
DEBGRIPT�ON �1 R
A. P. NO. �/J — I!�L. —� Y
YARDS EVES
APPROVEO ALLOWED
(CENTCR LIN¢ BTJL
G
J
I H6ftEBY ACKNOW�D06 TXAT 1 HAVE READ TMIB APPLICATION THE AMOUNT eHOWN IIN�ER VALUATION IB FOR TH!
AND BTATE THAT TH8 ABOVE i6 COPR¢CT AND AGREH TO COM- pUPPOBE OP EBTABLI9HIN6 • PERMIT FEE ONLY.
PLV WITN .�LL CIT" O CEB AND HTATE LAWB RE�ULATING
BuitDlNa coNBiRJ oN. • VALUATION O'
SIGNATURE OF l PERMIT FEE $�. �
PERMI7TE 1 V...6
$ I � 1 • PLAN CHECK $
AUTHORIZED AGENT ` —
TOTAL FEE
' � � 24F "�
�' ,GC&B'A MESA BUILDINCrSAFEfY DEPARTAAENT
, V. C. BOX 17D0 COSTA MESA, CALIiORNIA 92620
io► Appllmrtl ro F!!1 In CompbMly
TYPE OR PRINT �
ADOR6YII %. �
COSTA MESA, CALIFORNIA
OFL T %S
USe OP
EXI6YIN0 BLDO.
66TBACR LINR PqOM
%� �f�' � S—O I ho. ar e�.co�.
DESCRIPTION OF WORK
u
� H[RG�Y �CRNOWL[CO[ T1AT.1 NAV6 p�AD iNl�
I�ND 6T�T6 TNAT TM[ ABOV[ 18 CORR[CY ANO AG
]LY W�TX ALL CITY ORDIHANGW A�1D RATt lAMll
euitciMoeonerrturno��'�[,� „ - /
BI6NATUR�! OF 4///�� 7 � ' , � , ,
PBRMI7T66�J J �L�{ ����� �l
AUTHORIZ6D AO�N7
� � --
. �'r" � �F �;�� � �i ��ES�
OCT �.5 1965
L
e�c[i'r No.
11
�/ xo.o► � u�aornaw�, .� �
Y. �uw eui�o�xo
�. no. � — / — J
'H: NOlAV60VERNAN08NALLE81.l88THAN
'TO6IDleRHAPP.L
E8
.OWED fU.B.C.NlQUIRHM[NTI
YARDtMPROVED YARDBAPPROV6D
MAIN BUILDINQ ACCHB80RY BUILDINO
tOM C/L fT R � <�-`/ `.
INT 1T.
.n. �w vr.
VAR.# _ � DATB
AT�ROV[D' 6 S- f �
Y :.r DATF -(O
HOLD FOR SPECIA . REqUl:Fli�t;TS m
�-�-� --� � �'
� 7 �. �. �
�}Xt AMOUM tNOWN VND611 VALU�TON 18 POR Ti8 �
NRP06[ OI i6fAOL10HINO A PCRMIT Pi8 ONLY. �
VALUATION � ]�7 qp 7
PERMIT FEB $ 'L /C � �
g;L�Z� 3$'� ^'S w
� � � TOTAL FEE ' �' (