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Home My WebLink About543 VICTORIA ST - Building Permits (10)% City of Costa Mesa Devebpment Services Department BuilAing Safety Division P.O.Box 1200 Costa Mesa, Califomia - CERTIFICATE OF OCCUPANCY No. OQ��7 The Building located at 5Q3 Vi ntari a Gtrar>Y. R��i lAi na 111 . ifni ta A.�R.f .I'1. R. R ' has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R1 Occupancy. Use of Buliding Aoartments � Legal Description L122-021-07 (See reverse side tor Metes and eounds) Building Permit No B 32065 Electrical Permit No�32514. E323?�iumbing Permit No. P 32182 Mechanical Permit No. M 3430i. M32358 � Number of apartments 6 and/or guest rooms ISSUED 70: A3A Enterpriaes, Inc. [vbe 8usiness Center Dr.r YbU Irv.ine, CA 92715 Building�fficia� William T, Howard r' by �1..-,�� /~ ' .l„'r �-- Date January 13, 1989 ' This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. � CMF 3015-46 rev. 1/83 White -�wner, Canary - Numerical File; Pink - Bldg. Permit File _ '"�..�. . .. . _ f�`,��.�+ncev� rcavY.uuruer .am ai I. a � ayyrov �a�e ua� .�a� o � CIT.Y OF; COSTAtMESA�. ��GO.NST.R�UCTI.ON, PERMI:T PERMIT NO. TPACT NO. LOT NO: UNIT NO'. ' -/'iW3'vic-ro2cA. si-. B�.ID�; l' 6'32u�S 3'�f5 F�oR II A, Project Address ZD�O r' � 1�1�5 2,,(E�6o TVPEOFCONSTRUCTION EW nDD ALTERATION REPHIR Applicant s Mailin9 Address , y�15� c S ct�2 r� `� �^��2,�, � t �p_y�ive qZ �y`,�,❑ CONVERSION ❑�OEMOLISH �_OT.HER Owner's Name �� .4S=-t—�Phone��coyf DESCRIPTION OF WORK/USE OF BLDG. Addrese �'%'� M"— � r~ t Arch/Eng. �_�N N'�iiT'� /t< '��-•-LicenSe No: � � TV.PE OF PERMIT GRADING FOUNDATION STRUCTURAL Addre55 �_•L? �✓ ICt\f�" LFk O/Ll'A%� � R%%% 3 } ❑eTENANT, ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL r Contractor'sName��=� �0+��{~Q Phone4,'�ti �9d>• ...0'o7HER - - Address (mailingl 5-0�M� ,y '"" ; PROJECT DESCRIPTION Sq. FT. OCCUa )�' _ tCONSTRUCTIONTVPE V�N VALUATION§ CityLicen52Na. �7�+�"�';%'+ 4- ." +�� ZONE GRADINGCU.VDS. A( LICENSEDCONTRACTOR�ECLARATIOf7 ' . p) J� �-- p' �f I hereby a(tirm that I am licensetl untler prOvi51on5 of Char[e� 9(commCncin9 ��Remarks: j`#�^1C� _ Q � with sectlon 7000) ot Dlvislon 3 of the Business antl Professlons'Cotle; antl • � my Ilcense is in full (orce and elloct. '( � r' . r License Clazs ' e se N. �Z'� ✓ '� G Date �— ��— Signature � � � I �7 PLUMBING WORKERS'COMPENSATIOND CLARAT� N _♦ J� �^ �+-'� B�2fSink � ShOw¢�5 • � I hereby atfirm that I have a cartllicate of consent ro self-insure or a,certi(icate � � oi Workers' Compensation Insurance, or d certifietl copy thareoP (Settlorl �/ ' 3800, �ab. C.) ,,.� Backflow Prevenrer .. � Service Sink Poiic No. Compa�Y ��c w�' �� Backflow ��i ation n Y � 9 i SewecCap }.� Certllietl copy is hereby fumishetl. '=^ " y �F Certlfietl co i filetl.wilh tne city B �� Divl n. ,.� / �� Bathiubs Sewet Connecti0n Date'�-1-�_APPlicant • .- �� ." EXEMPTION FROM WORKERS' CO EN�TIO� CLARATION � �-- Clafifiefs �� SOlar CollecLorS �(Thissectlon�neetl na[ be�completatl it the pOrmit is tor one�buntlretl (5100) orv � � less . ^�. ,.. . � Dishwasher : Solar Piping ,.('� 1 certlly that in the pertormance of [Ite work to� whlch (h15 pe�m�t i5 iszuetl,�l' � i�„� �, - W shall not employ any person� In any manne! so as [o DecOma 5ubjecEto�[he^ Dnnking FOUOtdipS '$OIdCTdnk \_ Workers' Compensation Laws of California. , �} `•�,, . �_,�_,._C,� _ ,_, ,.. . I Date SiqnaWro Floor Drains Swimming Pool w/Spa NOTICEE I(,—afterinaking this tlaclaratlon, you snoula'become subiect to the " _ Wofkers' Compensation ;provlsions ot tlle L3bo! Cod¢; you mu5[ forthwl[tl FIOOf Si0k5 � UliOdl'� compiy witn such provislons or this p6rmit snall be tlaemetl revoketl. - -- l CONSTRVCTION, LENOING AGENCV � f"� ; '� WateuCloset GasService � � Outlets . M I hereUy atflrm thatthere is a consVuctlon Ientlin9 agancy tor the perfarmance , � of the work for'which Ihis permit Is issuetl (SecHon 3097 Civ. C.) Int¢fCeptOfS r'"' �� ✓� �; Water Hedt¢r' Lentler's Name -�'�'� �"' ' Lentler's A'aaress;; - Kitchen Sink �.r ��, ' Water'Service OWNER BUILDER�dECLARATION I hereby affirm thaVl�.am'exempt from (h9 ContractoYs License Law for the Lavatories �;�n"�_`.lr:� � quto�Wash fopowing reasori:(Settion 7031.5 Business antl Professional Cotle: Hny city or "� county wbich requires,a�permit to�construc4: elter, improve, tlemolish�or repalr P—Trap �./-�� ,_,� �� Laundry Trays any struclure„prior [o•its }ssuance, also reOWres the applicant tor mch permit �--r [O lile a Signetlstalement IM1dt ha/She IS licPnsetl pursuant to the p^ov�slons of Roof Drains`C.�'�? �� T t �� Division 3 ohthe 8usiness antl Pro(eszions�Coae) or maL:ne/sne is�exempc therefrom antl tM1e� basi5 fOr Ihe alle9etl ezemptlon. Hny violation of SecHon 7031.5 by any appliCanl for a permit subject5 Iho applicant ro a civll penalty,o� noTmore than five huntlretl tlollars.($500). � ❑ I, as owner oP Ihe property or my einployees wlth wagas'as their sole Compensation; will�tlo'tlm wo�k, and the s�rUcturo Is not Intentled or otferetl fov�sale (SecUon 7044, Business antl Pro�essional Cotle: The�Contractor's License Law tloes not apPly to an owner of a property who bulltls or improves herself m throu h his ar her own tharaon, antl wM10 doe5 sucM1 wo�k M1imself/ 9 . employees, providetl that sucM1 ImprovemeFlts are not Intentletl ot offe�etl for `� SaIG: II; howeve�; the�-builtling or Imp�overr�ent I5 soltl wilhin One year of mm- �_,pletlon, tha:ownenwill have the burtlOn of O�oving he/she tlI� not builtl o� Im- prova for the purpose of sale�. — ❑.1, as owner of the�property, am axclusively conlractln9,wilh Ilcensetl con- l�aclo�Slo cOnst�uct Me'D�oject'(Sectlon ]044..Bu5lness antl Professions�Cotle: Tbe�Contractor's t.icense �aw tloes not apPly lo an owner oi Oroperry who builasioq improves thereon, antl who conUacts Por.sucn_proiects with a con- tractar(5 IiEense�putsuanblo the ConVactor'S'LiCense Law). I am'aware that proof -o� [hei� Wo�ker'S COmpensallon InSuranco shaultl bo Provitletl to me. ❑�I�am exempt untler�5ection � ' B. & P. C. for this reason Oate ' Owner � I lie�eby ce�tlfy,ihat I have reatl tbls.appllcation antl stat¢'Ihatihe above intormatlon is�correcL,l agree to comply with;all city antl countv ortlinances antl"itate� laws.r elating to uiltl'a g conslru«�o�, tl herGby authorize r¢O�e- . sentatives of his it t� ent t upon ehe ab ve-mentloned property lor inspection p ' �� Dale �� Reinspaction Pee �,� $15 Boiler Duct - Undzr Ground Duct - Strucmral Duct - Ventilating Exhaust$ystem ❑ Multiple❑ Firepl/FacLBIt.IC00# � Heating System & Ducting ' ❑aioo,00a sru �ioo.000ari �9gnature - : Drivers' Lic se ^- " p � � Reinspection Fee, � CMF OBfiS-46, rev. ]0/B4 White - 8uiltling: Canary � Applicant; Pink - Accounting; Goltlenrotl - Assessor Issue Fee Hood or Type I ❑ �Canopy Type II ❑ Refrigeration System ❑o-ioa,000eru ❑ioo,000er Sy3tem Repair/Alteration Registers f, ' i 1 __ :. �r" $15' � "�t "�' � / Issue Fee e FEa -, ;��s — A.P. $'+ _ "1 �..7v. �- ��n�'; .� S Main Building: TFron[ �0� ARear I I� 'f'b G� � C Right f Q� 'S Left ig � . — Ping. Ref. # �lL-�S7'-t�'J', . „ �-Planning Notes: � 3_ �� - l78'%"Q.L �iQ' WK.I,f � es - HOLD FOR SPECIAL REOIIIRF P.utomatic Washer , Construction Pole Subx Cooking Unit ' F.A.U. � . _� Fixtures Device Boxes Outle[s � � Switclies ' � . Garba9e Disposal � , Generaror DO-5 KW �5-: 1�/ _ t_ �.. Zone Building: � � Parking Req./Provided ELECTRICAL Trensformer ❑ 15-50 KW ❑ 50+ KW Merer �up m 100 amps Meter �o�er100amps Su6 Panel Motors�0-1 HP�ih-8 I nc So lar � 9-15 HP' Q 16-15+ Microwave Poie Light' Ranqe+� . .. 1 c,..: `_- .. .. . . J" , �. � . .� _ $ 3 � Reinspection Fee � FEES DEVELOPMENTSERVICES Zaning Approved By = ' Building Approved:By 1 — IiciY � A ion Issuad B PP Y-- � — $ 3 Issue Fee i � SU MARY p�F FEES - �1� � BUICDING PERMIT $, � � ' SMIP $ � z�n � ' � PLAN CHECK $ �`g� �.e � pERMIT � „ PLUMBING � $ ISSUANCE $ PLAN CHECK 25% $� � � ENERGY P.C. $. ELECTRICAL $ � GRADING 3 PLANCHECK 50% $' MICROFILM $� � � MECHANICAL S TOTA� FEE $ � �Z� � PLAN CHECK 25% $ � VSTRU(:Tldfy AND PLANN ING I POC SPA " �S Date Inspector I � � Date Inspecior � _.. ROVALS �Permit # APPROVALS Permit # 1_ Temporary Electrical Service or Pole � 52. Pool & Equipment Location .� 2. Soil Pipe�Undrgmd. � 53. Sieel Reinforcement - , 3. Electrical Conduit Utility-Undrgrnd. 54. Forms . � 4. Elecirical Conduit�Undrgmd. 55. Electrical Bonding . 5. Steel Reinforcemen� � 56. Rough Plumbing & Pressure Test 6� Electrical UFER Gmtl.. 2 f�� 57. APPROVAL TO COVER-GUNITE 7. Footings ' � � - 58. Electrical Conduit-Undrg�nd. 8. Foundation� � ' � 59. Gas Pipe, O Undrgrnd., Test� 9_ Water Pipe-Uniirgrnd. ._ 60. Backwash Lines, P-Trap,.0 Undrg'rnd. 10. Svuctural Floor System L 6 67. APPROVAL TO DECK 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final � 12. Sewer Cap 63. Heater & Vent-Final �� ' 13. qoof Drains 64. Plum6ing System - Final� . 14. Rough Plumbing 65. Electrical-Final , 15. Rough Elecvical-Conduit 66. Solar System�Final 16. Rough Electric Wiring 67. Fencing & Access Approval . , 17. Rough Wirinc7 Si�n 68. APPROVED FOR PLASTERING � � ;'. 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL •+�" � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT _' �`-'� 20. qough Factory Fireplace APPROVA�S Permit # _ ., 21. pucts, in Strucwre 70. Underground Hydro �� 22. hucts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. tioof Framing 73. Undergrnd. Storage Tank �Gas OOiI 25. Fioof Sheathing 3� 74. Overhead Hydro � 26. 7�Bar Ceilin9 (Structural) & Monocoat 75. Dry Chemical : 27. Frame and Flashing -� 1 !d8 p�- 76. Dry Standpipe ' . Z8� Lathing & Siding 'T �7 c� 77. FIXED SYSTEM FINAL ' 29. Insulation �'�8 � 78. FIRE PREV. FINAL , 30. brywall Nailing 7 6� �- HEALTH DEPT, REQUIREMENT 37. Plaster Brown Coat ��(7j Q 79. FINAL INSPECTION .. �� 32. Elecvical Power MeterFinal 80. FOOD CERTIFICATE ISSUED ' 33. Final Elecirir. Notes: co ' 34. Final Heatiny & Air Conditioning 2.� �� p�- � 1� L �. . C 35. Final Gas Pipe-Tesi R-�Bf' _ 1 36. Hood or CanopY a. 5 f!$ �(�AG�c-. �-z.o..-.S (vclV � 37. �inal Factory Fireplace � � �� `p ��,�- , ��- " � 38. Final Plumbing $' l 6 fc �T3 � �pf5 J � ,t�� ' � " 39. Water Service-Final . ' � �40. GasService�Final � ' / '� •� �� 41. Solar pomesticFinal ' 42: Backflow Preventer ' � , 43. Backflow Irrigation _ ' ' 44. LanAscape Irrigation Sysiem � , , . � 45. Sound Attenuation • , . � 46. Handicap Regulations , ' � � �47. FINALSTRUCTURE&BUILDING t � � . ' � . . . �> � h 48. Special Requirements Completed ,Z- -(,��,� ' ' ' . . � , � � � J o- 49. Electric Release to Edison �� - i 50. Gas Release to Southern California Gas Co c: � 51. CERTIFICATE OF OCCUPANCY � � ' .� � � No Date �=' _� City of Costa Mesa Development Services Depar[ment Builtling Safety DiviSion P.O.Box 7200 Costa Meu, Califomia CERTIFICATE OF OCCUPANCY No. GOL�4O The Building located at ��= �'' S�'-'-e= Uni �s , H, �.7, ri. , hi has been inspected and found to comply with the provisions of all CitY of Costa Mesa Ordinances applicable thereto for a Group '� Occupancy. Use of Buildi Legal Description T.J]i L.O�ili..G c.�?1—C)i:i—U% ISee reverse side for Metes and Bounds) k3 ��Ob6 Electrical PermitNo. E 32338 Piumbin Permit No?a�=%eG, P:�l:;�l Building Permit No �' g Mechanical Permit No. hi 32359, �! 34�08 Number of apartments E' ^i_. Pc��. P_nni.c ;�Jc. _:i833 tSSUED T0: � ^ BuildingOfficial � . - ,�-�::,._ i :,a:, In�. .. � :� . ...! c�e5. ,enter Dr. $160 by , !'_:l: ;�i and/or guest rooms W1�I11.dR1 1. HOddfJ Dace �Tanuaryi0, 1999 "ihis Gertificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-a6 rev. 3/83 White - Owner, Canary - Numerical File: Pink - Bldg. Permit File � _�� Applieant to ti11 in aIl soaces excev� lhose within heavy Doraer lines anE si9n all aOPropriate tleclarations. �� 1 ��" " `�� '�, CITV OF COSTA ME A CO,NSTRUC,nTIOctN P1E�RMIiT PE(R}M�^I�T NO. /- TR�?AC-JT N0. pLOT NO. UNIT NO. /H � PrajectAddress S��iVI��-I� V`�-+�7��+ ��V JZ��Y� J�7S 1�'� �� C�i H)J1h1L/ " r.;.� f TYPE OPCONSTRUCTION NEW ADD ALTERATION REPqIR �� u �� '�y 'to �o is�5 N'cS5 c� 2. 0¢. �i bo f�''� Applicani's Mailing Address �+-+-� � - i "� CONVERSION ❑ DEMOLISH ❑ OTHER --:�" Owner's'Name ��'� L�-' �a? l$�,!'�'/-'phone�(�C7� �DESCRIPTION OF WORK/USE OF eLDG. A P# �� 2_ O�� _ p� Z�ne R= Address 5�� ..'�. S Main Building: A'c`cessory-Building: .iOHN VWATc2< rNG � E � Z Arch/Eng. � � Litense No?' TYP.E OF PERMIT GRADIrvG FOUNDATION STRVC7URAL T Front � I -rp �',Q, p Address �"�� l � � r�NG'� aZ�[ � �� TENANT ❑'ELECTRICAL ❑ PLVMBING ❑ MECHANICAL B Rear � 5 � N .i I Contractor's Name �L�� `r �� --��'�'=S=T-- Phone 4'a-6-'3-On b OTHER � C Right � Q� N PROJECT DESCRIPTION SQ..FT. I oCCUPANCv � Address Imailing) �:(��_- � - � City LICenSe No. �] 4� � .- . CON STRUCTION TYPE_ VALUATION $��,� e'�\^ g Left 5`� �ZONE GRADIN6CU.YDS. ACRES R LICENSEDCONTRACTORDECLARAY�ON � .. PIng.RCf.'/k(](�-�'T-4S ParkingReq./Provided 3- yQ E 1 hereby aHirm lbal I am Ilcensetl untler provi51on5 of Chditcr 9(comm¢nCing Rem9rkz: � 2(p _ Q7 A Planning Notes: 3- p�r+ M witn settion ']000) of Dlvision 3 of the Business antl Professioni Cotle', anU . •�"' �� my Ilcense iz in iuu torte antl ellect. /� .' T License Clasz �i ns rvo. �`i� �F jZ� _�* � t S Date 2 -� ��'i— Signature � "�il PLUMBING FEES - - � � � �+ ��%1��'.li1lilYIJ WORKERS' COMPENSATION DECLAR.°.TION � ''- - '- ° I nereby affirm that I have a certiticate of consent to selt-insure or a certiticate Ber $ink Showers ELECTRICAL FEES Oi Workers' CompenSatiOn Insurance, O� a rertNietl cOpy;thereof (Sectlon' 3800, Lab. C.) � Backflow Preventer Service Sink Aumma[ic Washer Trensformer ❑ 15�50 KW � Policy No. Company S�'��- �UN-L1� ; r � gackflow Irri9ation Sewer Ca ❑ 50+ KW P Construction Pole Suh. ❑ Gertitied copy is hereby lurnishetl. ,Sf � Certifietl cop is flle0 wi[h the clty B ItlinsD'visi � �-� BdthtUbS S¢w¢f COnn¢CLiOn COOking Unit M¢t¢� ❑up ro 100 amps Date '�-�-�Q APPlican�T^'��- �� _ .�" I EXEMPTION FROM WORKERS' COMPENSATIO�ECLARAfiION- �� ;� � C�arifier5 Solar Collec[or5 Dishwasher Meter ❑over 100 amps ` (Thi55ettion neetl not be cOmplatetl if the Permit IS tor one�huntlretl (E100 or 1 less�. .� - 1 � � � Dishwasher Solar Pipin9 Dryers ❑Gas ❑Elec[ric Sub Panel � I certify tha� in lhe Per(ormance of ihe wo�k to� whlch'.this pe�mk-i5155uetl,�l shall not employ any person in any manner so as to.become,subjecYto'the Drinkin9 Fountains SolarTank fan Motors �0-1 HP �1'h-8 (� Workers' Compensation LawS of Califo�h�a� �' ".,�, ( � Date Signature � Floor Drains Swimming Pool w/Spa F.A.U. �NOTICE: If, after making tbis tlecia�ation, you ShDUltl;beCome subjeGt t0 tbe _ IOc. SOId� �9-15 HP �16-15+ Workers"Compensation provisions of tPe I�bor Cotic.�You must forthwith FloorSinks Ufinal � comply wilh such p�ovisiOns or this Pe�mit sM1all be tleemetl revoketl. PixtU�¢5 MiC�OwavC CONSTRUCTION LENDING AGENCV Gas$ervice �utlet5 ,� Wet¢/AIOS¢L Devic¢BOx25 I hereby aflirm lhat there is a const�uction lentling a9ency lor the perfOrmance POIe LigM of the wo�k for which thi5 permit is issuatl ($ection 309] Giv. C.) �nterceprors y r �•,- Water Heater �UtIClS � Lenaer•s Name - Range^.� b. .. "�entlers Adaress ` � - Kitchen Sink ' Water Service Switches ,Sign OWNER BUILDER CiELLARATION �� ,'� ._ . I nereby affirm that'I am exempt from �he ConVactor's License Law for the Lavatories � r�' Auto�Wash ' following reason (Section 7031.5 Busintss antl Professional Cotle: Any ciry or '�� "'�� - - Garbage Disposal Standing Sections county which requfres a`permit to wnsVuct, alter, improve, tlemolish or repalr P-Trap - Laundry Trays Generamr �0-5 KW 05-15 KW any sltucfure, prior.lo Its is5uance, also �equires tbe applicant to� such pe�mil -� T�35h CO�Op2ct0� to tile a signetl�stalement thdt he/She iz licensetl pulsuant to the plovision5 of q00( D�dipS tne Contratlor's License Law (Chapter 9(commencing wiih Section ]000) of ' � Dlvision'3 of the Bu5ine55 antl Profe55�ons Cotle) or lM1at ne�sne is exempt thcref�om antl the ba5i5 tor the allegetl?xemp[ion. Any violation o1 Section �031.5 Uy any applicant for a perm�� subjects tM1a appllcanl to a civil �enalty of not more lhan five huntlretl tlollars (5500). ,✓ I, as owner ot Ihe property or my employees with wages as Iheir sole Reinspection Fee $15 Issue Fee $ 3 Compensation, will tlo [he work, antl the structure i5 not inlentletl or oHeretl for sale (Section 7044, Business and Professional Cotle: Tne Contractor's MECHANICAL Reinspection Fee $15 '� ; Issue Fee $ 3 License Law tloes not apply to an owner of a property wno Duiltls or improves FEES � � thereon, ana wno tloes sucn work nimieli/herseH or mrou9h nis or her own DEVELOPMENT SERVICES RE�UIREMENTS: /� employces, provitletl that such improvert�ents are nol infentletl o� offeretl lor BOil2� HOotl O/ Typ¢ I ❑ �� 1 sale. II, however, [he Dulltling or improvement is soltl wlthin one year of <om� Canopy Type I I ❑ ZoninB APProved By �' •` Date � pletion, the owner wlll have the burtlen of proving h¢/She tlitl nol bulltl or im- DuLt - Und2� CiroUnd Buildi�g App�oved By Det¢ prOve tor the Ourpose ot sale). Q ❑ I, as owner oi the property, am exclusively contracting with Iicensetl con- Duct - Structural Refrig¢tation System Application Issuad By � Date � o fraCto�s to wnst�uct Ihe project (Section �044, Buslness antl Pro�essions Cotle: �--' The Convactor's Liconse Law tloes m� apply to an owner oi property who Ducl - Ventilating ❑O�100,000 6TU ❑700,000 BTU SUMMARVQOVF FEES '$ builtls or improves thereon, antl wbo cont�acts for Such projecls wi[h a con� ira<tor(zl ucense pursuanl ro the Gontrac[or•s License Law). I am aware that BUILDING PERMIT $ '( ��L SMIP $ ��i `--- � � proot of thev Worker's Compensation insurance shoultl be provitletl to me. Exhaust System ❑ Multiple ❑ System Repair/Alteration � PLANCHECK $ ��P�� g PERMIT ❑ I am exempt untler Sectlon B. & P. C. lor this reason pirepVFact. BIL ICBO # Fire Dampers ' ISSUANCE $ PLUMBING 5 � Date owner Heating System & Ducting Registers ENERGY P.C. $ / PLAN CHECK 25% $ ;�I hereby certify that I nave reatl this application antl state tnat the above ❑4100,000 BTU �100,OOOBT GRADING $ mformation is correcL I agree to complY w��h all city antl county ortlinances ELECTRICAL $ antl state laws r ting to uil jn9 �ons«uction antl hereby authorize repre- pL/aN CHECK 50% $ MICROFILM $ 5eniatives o1 try� ci� t e �t upon tbe a ve-Tentionetl property (o� inipecllon pu�p e Signatu.e Dace 7.�-t -�R MECHANICAL $ TOTAL FEE $ � 3ZC Drivers' Lice e or 55 � � Reinspection Fea $15 Issue Fee $ 3 PLAN CHECK 25% $ IY� ' 'CONSTRUCTIODI,ANDPLANNING � POOL&SPA t' • '�i- Date Inspecmr I , Date Inspector ' APPROVALS ��Permib# APPROVALS Permit# 1."Temporary ElEctrical. ervice or Pole 52. Pool & Equipment Location � ' 2. SOiI PipC-Undrgmd. , 53. Stzel Reinforcement � 3. Elec[rical Conduit Utili[y-Undrgrnd. 54. Forms �� 4. Electrical Conduit-U�drgrnd. 55. Electrical Bonding � 5. Steel Reinforcemen["' . 56. Rough Plumbiny & Pressure Test 6. Electrical UFER Gr d� ' y � � 57. APPROVAL TO COVER-GUNITE 7. Footinys ," �-� ',`' 58. Electrical Conduit-Undrgrnd. ; f� 8. Foundation� '�� ' �" .1 59. Gas Pipe, O Undrgmd., Test . � " , 9. Water Pipe-Undrgrncl. ��-�- � ��60. Backwash Lines, P-Trap, O Undrgmd. 10. Structurel Floor SYstem 61. APPROVAL TO DECK 11. Property $ewer 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 Elhctric Wiring 67. Fencing & Access ApproJal 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. Duc[s, in Struc[ure 70. Underground Hydro � 22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush � 24. Roof Framing 73. Undergrnd.SiorageTank OGas ❑Oil ` 25. Roof Sheathing 5 j� Q�% 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame antl Flashing Z�1 g� 76. Dry Standpipe .�. 28. Lathing & Siding 77. FIXED SYSTEM FINAL ' ' 29. Insulation �% 78. FIRE PREV. FINAL • � 30. Drywall Nailing ' "j � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 8 79. FINAL INSPECTION ,. ' 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: HOLD FOR $PECIAL RE UIREMEIVTS .� 34. Final Heating & Air Conditioning z 8� L�� f�� 35. Final Gas Pipe-Test �- � � 36. Hood or Canopy y fS�B" �/z..r e�a:....: �:;n�, 37. Final Factory Fireplace (o � � (� K � (,U �/�F' 3$. final Plwnbing � �& p�< �' � �� J/� � !{/S v L �'39. Water Service�Final f � 40. Gas Service-Final �� /� - 47. Solar pomestic-Final � � '' � ' � �� 42. Backflow Preventer ' 43. Backflow Irrigation � 44. Landscape Irrigation SYs[em • . 45. Sound Attenuation 46. Handicap Regulations � . 47. FINALS7RUCTURE&BUILDING �p7- � � ' ' ,v rv 48. Special Requirements Completed 3�_ �� ' � 49. Electric Release��to Edison � 50. Gas Release to Southern California Gas Co � •- �� 51. CERTIFICATE OF OCCUPANCY . � �-� � No. - Date . . `' � Clty of Costa Mesa Development Services Departmpnt (1 �' � 7 BuildingSafetyDivision CERTIFICATE OF OCCUPANCY No. JI.�E�-'�! P. O. Box 1200 Costa Meu, CatiPomia The Building located at -`'�= �'' �"' "'. � S�C2cC, Uni ts G. H. �.7, i:. L. hf has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group •�� Occupancy. Use of Building � �]i = Legal Description ��'1-0::1-07 ISee reuerse side for Metes and 8ounds) Building Permit No F� �2066 Electrical Permit No. E 3233A Plumbing Permit No?�=�GU, P��1:;� MechanicalPermitNo. M—'�2'S9, �! 34�OE3 Numberofapartments � and/orguestrooms __. P:ra. P=cmi,t tJa. =;i83S ISSUED TO: ^ BuildingOfficial Wi1? i.am _�- Howar7 �F ;r�:- -_;;e:, Ine. �., .':�,.I'�:;i;�e�� ^_enc2r Dr. $150 by .-i, :A Date Jaruaiyl0, 1939 �ihis Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rav. 1/83 White -Owner, Canary - Numerical File; Pink - Bldg. Permit File -,- �-,-. _ AOP�icant lo fill in all soaces exceol those within heavy boraer Iines antl sign all appropriate aeclaralians. ��-:"F :` �' ,� '�� j, CIT;Y OF COSTA MESA CONSTR UCTION. PERMI�T PERMIT NO. TRACT N0. LOT NO. UNIT NU. /h � . ProjettAddress S�-(3}VtC�af=r� : F.��:ACT �� 'U32ofoCp 3`IS Po�(� ! I G n�7,hf�i �:`.; ;' _.a ,�.: .� � ZO�D bJSWi.�$Gi2.OQ.3F�L�0 +�m' TYPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR �� Applicant's Mailing Address ��' �Q CONVERSION ❑ oEMOLISH ❑ OTHER A.P. # (.� ��- �7„�_ p.�f '"''� Zone Owner's�Name �� '�'?a2�S�, �,�'i �Phone_�.�.�RD _DESCRIPTION OF WORK/USE OF BLDG. Address 5'�°��_ � S Main Building: Accessory�Building: Arch/Eng. �T��1 �uATc.2.S � �NL License No.'` TVP.E OF PERMIT GaADwG FOUrvoA7iOta STRUCTURaL T Front � I� -jt� (',Q, O Addr255 �-u�' bL, (��141 �2�YNl�E RZ.�� ❑TENANT ❑�ELECTRICA� ❑PLUMBING ❑MECHANICAL A Rear �5� N '0 OTHER � Convactor's Nam��L�f��sY�� C-�"��LT- Phone 4�-fd-'3-On y _, � Right � Q� N 9 ��M ' PROJECTDESCRIPTION S�.,F7. � oCCUanrvCv Address (mailin 1 � r' CityLiCenSeNo. �� S�:- " . . �,CONSTRUCTIONTYPE VALUATION$��1^ S �Pf� S.Z� d. {�ZONE GRAOINGCU.vDS. ACRES PIn.Ref.# p I`� Parkin Re /Provided E LICENSED CONTRACTOR DECLARATION { � - 9 p�� 6�' T� 9 Q' 3 � Q Q I hereby aHirm [nat I am licensetl untler provisions of Charte� 9(wmmencing Rema�ks: # Z� _ S7 � Planning Notes: 3- p7�(� M wiS� Sec[ion ]000) ot Division 3 of the Business antl PrOte55ions Cotl¢, antl . T my IiC¢n5¢ ii in fUll fOrCe antl efleCL /� '� -.- License Class Li ns No.� `� (�' �Z, _�t S Daie Z-�-�€i— Signa[ure —.�� PLUM8ING FEES --- � r: � �U11�.11�C1YlJ WORKERS' COMPENSATION DECLARATION �,•� � ' I hereDy aifirm that I have a certiticate o/ consent to seli-insure or a certificate Bar Sink Showers ELECTRICAL FEES ot Workers' Compensation Insurance, or a certi/iea copy,:tnereof (Section� , gackflow Preven�er $ervite Sink ^ 3800, �ab, c.) „ Auromatic Washer Transformer ❑ 15-50 KW ,` Poliry no. company 5�'� � ��V � ' �: Backflow Irrigation Sewer Ca ❑ 50+ KW P Construction PoleSub. FY �Cer[i(ied copy is hereby fumishetl. �id Certifietl cop a filetl witn the city B Idin�D"visi �_. '� Baihtubs Sewer Connection Cooking Unit Meter Dup to 100 amps Date �-�-� Applican ��- � I EXEMPTION FROM WORKERS' CO�NSATION ECLAR ION- E � CId�Ifi2�5 . 5012� COII¢CLO�S Di5hwa5h¢� MBl¢� �ove� 100 amp5 (This section neetl nol be mmpleteE if t�e permit is tor one nuntlretl (5300) or � �iess). -- 1 . � Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certity ihat in the periormance o( the work for whlch'this perm�t-is Isiuetl, I. shall not employ any person in any manner so as to.become zubject to'the Drinking Fountains $olarTank Fan Motors �0.1 HP �i'h-8 (� Wo�kers' Compensation LawS of California. ;"' t,� �, _ � Date Si9nature �� Floor Drains Swimming Pool wlSpa F.A.U. Ina Solar 09�15 HP 016�15+ �NOTICE: If, afier making lhis tletlaratiorl, you shoultl`become subject [o lhe Worke(s'-ComPenSation provision5 of tM1e Ldbor COtle; y0u must /Orlhwith FIOOf SiOkS UfiOdl Fixtu!¢5 MiCfOwdvC comply with such provisions or this permlt 5M1a11 be tleemetl �evoketl. CONSTRUCTION �ENDING AGENCV Ga55ervice Outlets .- Wa[er.Closel DeviCeBOxes I heretiy allitm that thEre is a constru[tion lentling agency for ihe Per/ormance POIC Lighl of the wo�k tor which this permit is i55uetl (Section 3097 Civ. CJ �=� ' � y ' �,a. Lender•s Name Intercepcors �, '� Water Heater Outlets Range�. v= . ' Lenaer's Atltlress ' - Kitchen Sink � e Water Service $witches ._ ,Sign J OWNER BUIL�ER �ECLARATION ' '- � . - � . I hereby affirm that'I am exempt irom the ConVactor's License �aw for Ine Lavamries "`""' quto�Wash Garba e Dis osal Standin $ections tollowing reason'(Section 7031.5 Business antl Protessional Cotle: Any city or �'�-� '� 9 P 9' county wnioh requires a�permit to construct, alter, improve, tlemolisn or repair P-Trap �� - Laundry Trays Generator �0-5 KW �5-15 KW Trash Com actor any sVucture, prior.to 1[s is5uance, also requires the applicant to� such permi[ � - P to /ile a signetl�5latement that he/she is licensetl pursuanl to tile provi5ion5 Of R001 DfdipS "�I � the Contractor's License Law (Cbapter 9(commencing wltb Section ]000) of ' Division'3 of Ihe Business antl Professions Cotle) or that he/she is exempt therefram antl lhe basis (or the alleqetl exemption. Any violation of Section 7031.5 by any applicant for a permil sublecl5 the applicant to a civil penalty a( not more tM1an five huntlretl Eollars ($500). $ 3 > ❑ I, as owner of lhe property or my employees witM1 wages as their sole ReinSpection FBB $1$ Issu¢ Fee compensation, will tlo the work, antl the struc[ure is not intentletl or oHeretl Reinspection Pee $15 =? ; Issue Fee 5 3 for sale �Section ]044, Business and Professional Cotle: The Contracmr's MECHANICAL PEES � License Law tloes not apply [o an owner of a proPerty wlto builtls or iTproves thereon, anE wbo tloes such wnrk himself/M1eriell or througb nis or her own DEVELOPMENT SERVICES REQUIREMENTS: empioyees, provitletl tnat such improvements are not intentletl or otfered for Boiler Hood or Type I ❑ sale. If, bowever, the Duiltlin9 or Improvement is soltl wi[nin one year of com- Canopy Type II ❑ Zoning Approved By �_Date � plelion, the owner will have the bu�tlen oi proving he/she tlitl not bullA o� im- DuCt - UOd2� GroUnd Buildi�g ApproV¢d By DdtB p�ove tor tbe purpose of sale). n p. ❑ I, as owner of the property, am exclusively contracling with licensetl con- Duct - Structural Refrigeration System ApplifAtion Issued By J"� Dat o t�a<to�sto const�uct iM1e prolett ($e[tion ]044, Business antl Profe55ion5 Cotle: The Contractor's License Law tloes not apply to an owner oi property who Duct � Ventilating �0-100,000 BTU �100,000 BTU $UMMARY OF FEES l�O bulltls o� Improves the�eon, antl who contracts for such p�oje<lz wl[It a con- pq 0 tractor(s) ucense pursuant to the Convac[or's License �aw). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $_I._�_L�]= SMIP $ Zf-i � prool of their Worker's Compensation insuranoe zhoultl be provitletl lo me. (og ��1 - PLANCHECK 5 �-S_I___ PERMIT � I� I am exempt untler Section B. & P. G�or this reason Firepl/Fact. Blt. ICBO # Fire Dampers ' PLUMBING $ ISSUANCE $ � oate owner Heating System & Ducting Registers PLAN CHECK 25% $ ENERGV P.C. $ �I hereby certify that I nave reaa this application antl state tnat me above ❑0-100,0008TU �100,OOOBT ELECTRICAI $ GRADING $ mforma�ion is correcL I agree to comO�Y �+'itn all cily antl county ortlinantes and state laws r tin9 to ui�ng mnstructlon antl hereby autnorize repre- MICROFILM $ sentatives of t cit t e r upon tne a'7vo-mentionetl property 1or PLAN CHECK 50% $ inspection ourp e MECHANICAL $ TOTAL FEE $ ��ZS �' Signature / Date 7,�1—�R Drivers' Lice e or 55 9f � Reinspection Fee $75 Issue Fee $ 3 PLAN CHECK 25% $ Ir" " I POOL & SPA CI.INSTRUCTIOD6.AND PLANNING �APPROVALS j��Permit-# Date Inspecmr' AppROVALS Permit# Date Inspector �� 1''Temporary Elpctrical. ervice or Pole � 52. Pool & Equipment Location � � 2. Soil Pipe-Undrgrnd. � 53. Stzel Reinforcement . . � 3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms � 4. Electrical Conduit-UncJrgrnd. 55. Electrical Bonding ! 5. Sieel Reinforcementl." . 56. Rough Plumbing & Pressure Test 6� �lectrical UFER Gmd ' y � ` 57. APPROVAL TO COVER-GUNITE 7. Footings ;' (� ' Y' 58. Electrical Conduit-Undrgmd. 8. Foundation� �' �. '" 1 59. Gas Pipe, � Undrgmd., Test. . 9� Water Pipe-Untlrgmd. •-�- � ,��60. Backwash Lines, P-Trap, O Undrgrnd. 10. S[ructural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal 12. Sewer Cap 63. Heater & Vent-Final � 13. Roof Drains 64. Plum6iny System - Final' 74. Rough�Plum6irig � 65. Electrical�Fina� 15. Rough Electrical-Conduit 66. Solar System-Final i6. 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 pIRE DEPT. REQUIREMENT .�.. 20. Rouyh Factory Fireplace APPROVALS Permit # �' 27. Ducts, in Structure 7Q. Underground Hydro � 22. Ducts, Ventilating 77. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush �2d. Roof Framing 73. Undergmd. Storage Tank O Gas ❑ Oil ' 25. Roof Shea[hing $ 3f Q� 74. Overhead Hydro 26. T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical 27. Frame and Flashin9 L�1 � 76. Dry Standpipe z8. lathing & Siding 77. FIXED SYSTEM FINAL ' � ' 29. Insulation � 78. FIRE PREV. FINAL � � 30. Drywall Nailing ' "t �- HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coai e 79. FINAL INSPECTION .. • 32. �lectrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: HOLD FOR SPECIAL REQUIREINENTS .� 34. Final Heating & Air Conditioning v 8$ L�'� � � �� 35. Final Gas Pipe-Test �-- � � � �6. Hood or Canopy y fs�� L,{ 2%�-q:,,. s G:,N. 37. Final Factory Fireplace (o "� � (�K �, (,V �� 3 . Final Plumbing ] � < ,"� �- � � � U l ! --�.U� d �/f✓ � �� • 39. Water Service-Final r � 40. Gas Service-Final � /� • 41 . Solar pomesticFinal � • � ' ' 42. Backflow Preventer � 43. Backflow Irrigation � 44. Landscape Irripation System � 45. $ound Attenuation 46. Handicap Regulations � � 47. FINALSTRUCTURE&BUILDING - ' ' 48. Special Requirements Completed 30' ��1�- . 49. Electric Release4o Edison � � � 50. Gas Release to Southem Caiifomia Gas Co - � . �� 57. �ERTIFICATE OF OCCUPANCY � , - -; I No. - Date . . ` �