HomeMy WebLinkAbout976 VALENCIA ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 976 VALENCIA ST
Suite:
Vicinity: ROOF
Primary Occ: R
Parcel Number: 14166427
Applicant: DANIEL KIM
Address: 968 S. NEW HAMPSHIRE AVE. it6
LOS ANGELES, CA
Owner: JOHNSTON, DAVID
Address 3119COOLIDGEAVE
COSTA MESA, CA
Type of Constructian: V-N
Zoning:
Contractor: JEUN'S ROOFING & PAINTING INC
Address: 968 S. NEW HAMPSHIRE AVE. #6
LOS ANGELES, CA
Zip: 90670 �
Arch :
Address:
Phone: 213-210-1125
Zip: 90670
Phone:
Zip: 92626
Phone: 213-210-7125
License: 830895
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 04/12/2005
Issued: 04/12/2005
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 2 LAYERS OF 40# FELT, 30 YEAR COMPOSITION SHINGLES, AND REPAIR/REPLACE SHEATHING AS
NEEDED. 33 SQUARES FOR MULTI-FAMILY DWELLING. �
Plan Check: $0.00
Permit: $13925
SMIP Res: $0.62
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $139.87
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: o
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Lek 0- 0
Left 0- 0
Pro ased: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
ss,2oo.00
ss,zoo.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 9248, § 1, 12-21-92)
E%PIRATION: 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.
INSPEC710NS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
. required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
IFOR INSPECTIONS CALL: (714) 7545626
'aa5r61rvoo)
WORKERS'COMPENSAnON DECLARAnON:
I hereby aHirtn unaer penelty ot perjury one ot the following declaretlons:
❑ I heve end will meintain e cerlificeie of consent Io self-Insure for workers' compenselion, as provided lor by section 3700 of ihe Labor Code, for the peAormance ot ihe
work for which ihis permil is issued.
���..
,,..,I'�have and will meintain workers' compensation insurance, es requiretl by section 3700 oi the Labor Cotle, for ihe pedormance of the work for which this permit is issued.
- My workerg' compensetlon InsurePce carrier end policy numbar ere:
nof
Fdicy Number � � � 4T+� � '- 2-� �i
veluetl et ane huntlred dallers ($100) or less J �°� �"-"'` .
❑ I certify that in the pertormance ot lhe work for which Ihis permit is issuetl, I shell no� employ eny person in any manner so as to become subject ro Ihe workers'
compensation lews ot Celifomia, entl egree Ihet It I should become suh�ec� �o the workers' compansa�ion provisions of Sec�ion 3700 of the Labor Code, I shell forihwith
comply with these provi s. � (�
�DQljran45igneture:-..�,-_��.�^-�-F� �nn r,,,,.,Dete�. �� �i'Orj .
VJA(iNWG:FAILURE-TO SECURE WOFKEFS' COMPENSATION COVERAOE IS UNIAWFUL NNp SHALL SUBJECT AN EI�ELOYER 10 CRIMINAL PENALTIES AND CNIL FlNES UP TOONE HUNDRED
TFN)US/ ND DOLLARE (5100,000�. IN ADDITION TO THE COST OF COMPENSFTION, DAMFGES AS PROVIDED FOP IN SECtION 3106 OF THE L400P CODE, IR�EREST, AND ATTORNEV'S FEES.
LICEMSED CONTRACTORS DECLARATION:
afrirm ihat I am licensed
CONSTAUCTION LENDING AGENCY:
pmvisions of Chaptar 9(commencing with Seclion 7000) ol Dlvision 3 of ihe Business and Professions Code, and my Ilcense is in full
�'' Ciass A° G�.�i G�3i j5
-�-� 'Y - ___. Date: 4-IL-e�S
❑ I hereby affirtn that there is a construction lending agency br the padormance of tha work br which Ihis permit is issued. (Sec. 3097, Civil Cotla).
Lender'S Name: Lender's Address:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby aBirtn that under penelty ol perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW br ihe following reason (Sec. 7031.5, Business and Protessions
Code: Any ciry or county which requires e permit lo constmc�. eller, improve, tlemolish, or repair any s�mcture, prior to i�s issuance, also requires the applitant br such permit
to file a signed statement thet he or she is licensed pursuant to Ihe provisions of the CoNrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the
8usineu antl Professions Cotle) or Ihet ha or she is eaempt Ihereirom and ihe basis br Ihe allegetl exemption. Any violation of Section 7031.5 by any applicant tor a pertnit
su6jecis the applicant to e civil penelty of not more then five huntlreC tlollers ($500).�:
❑ I, as owner of t�e property, or my employees with weges es their sole compenselion, WILL DO THE WORK, antl the slmcWre i5 not intentlatl or ottered for sale (Sec.
7044, Busineu and Protessions Coda: The Contrectors Llcense Law tloes not apply lo an ownar of property who builtls or imOroves ihereon, and who Ooes such work
himself or hersell or Ihrough his or �er own employees, Orovided Ihet such improvemenis ere no� iniendetl or oflered for sale. It, however, Ihe builtling or improvement is
sold within one year ot completion, the owner-builder will heve ihe burden of proving that he or she did not build or improve lor Ourpose ot sale.).
❑ I, as owner ot the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct iha project (Sec. 7044, Business antl ProfeSsions
Coda: The croniractors License Lew does not apply ta en ownar ol propehy who builds or Improves Ihereon, and who conirac�s for such projact with a coniracbr(s)
license pursuant to t�e Contrectors Licanse Laws.).
❑ 1 am exemp� untler sec.
Signature:
Owner ID venfietl by tlnveis licen5e. ❑ Ves ❑ No
Businass and Pmfessions Cotle for Ihis reason:
Venficetion of Ownership by (rype of daument, i.e. - property lax bill ar deed):
Drivet's LicenSe No.
Date:
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION:
❑ I hereby certity ihat no excavation five (5) or more feet in depth into which a person is requireC to descend, will be matle in connection with work authonzed by ihis
pertnit, and ihat no builtling structure, scattoltling, talsework, or Aemolition or dismantling thereof, will be more ihan ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Califomia Atlminisiretive Code).
❑ As ownervbuiltler, I will not employ anyone to tlo work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
pertnii Io do such work �rom �he divi5ion.
Siqnature: Date:
Division ot Industnal Safery Pertni� Number:
CER7IFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I certify under penalty of perjury �hal I have read �his applica�ion end sta�e ihat the informa�ion given is
corred. I agree to comply with all state laws end ciry ordinances releting to builtling consimction, antl euthorize represenlatives of the Ciry of Costa Mesa to enter upon ihe
above�described proparty for inspection purposes. I agree not to occupy or ellow occupency ol eny builtling aulhorized by Ihis permit unlil finel inspection.
COOE �. INSPECTIONTYPE
1616 Fiaed System Final Fire Prevention
1266
200
201
202
203
Pool Spa Final
Final Re-Roof
Fina181ocWRetaining Well
Final Factory Fire Place
Final Sign
204 Final �emolition
O�TE
INTITIILS
--2(o-O� �lti�.l�
CODE 1 INSPECTION TYPE
206 Final Mechanical
20B Finel Plumhing
210 Flnal Elec�rical
212 Flnal Flre Prevention
220 Finel Planning Approval
222 Final Site
250 Finel Building/Occupancy
�� ��
0
ADP���ant to flll In all spaces wlthin heavy borOer Ilnas antl si9n all avP��vri��larations.
� CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NO.
CONfi�fBtiCfION PERMIT - �.5�
Project Address �� � TVPE OF CONSTRUCTION
Owner N N PhOn ❑ NEW ❑ A�D ❑ ALTERATION �
Address � REPAIR ❑ CONVERSION ❑DEMOLISH
Arth/Eng. LiCensa NO. ❑ OTHER
AddrE55 DESCRIPTION OF WORK
Contractor Phone TVPE OF PERMIT
Addfe55- ❑GRADIN -❑ FOUNDATION ❑STRVCTVRAL
LICENSED CONTRACTOR DECLARATION ❑ 7ENANT�ELECTRICAL ❑PIUMBING ❑MECHAI
I h¢reby aHi�m �hdt I am Ilcensetl untle� ptovlsiOrli oi Cha�tet 9(cOm-
mancing wit� seclion ]000) of Divislon 3 of t�a Business .antl ❑ pTHER
Rofasslons Cotle, antl my Ilcente is In tu❑ /orce antl effect. pROJECT DESCRIPTION -
�Icense Class � Llcense No. , .
Date � Si9nature SQ. FT.
WORKERS' COMPENSATION DECLARATION' • OCCUPANCV_CONSTRUCTION TVPE
I hereby atflrm that I have a certificate ot consent to self-Insure or a VAWATION ZONE
'IiticatE 01 Workers' Compensatlon InSurdnce, or a cartifleC copy .
eof (Soction 3800, Lab. C.). GRADING CV. VDS. ACRES
cy No. Company
�J Certlfietl coPy is hereby fumishetl. REMARKS: • .
❑ Certifietl cOpy is fileU with th¢ tity Builtling DiviSiOn. .
EXEMPTION FNOM WORKERS' COMPENSATION DECIARATION � �
(This 5C<tion n¢etl not be completetl if Iha pe�mi[ Is for one huntlr¢tl
(E100) or Iess).
I C¢rbty thal In Ibe pe�fo�mance t wo�k f Ch Is permit is
Issuetl, I sh I [ employ any pe so n any so s o become P�UMBING . ' PLAN CHECK '
zuDj¢Ct O o ¢ 'Compensati wSa� � �
Date ^ Si9nature BATHTUBS " SHOWERS
NOTIC : If fter mdking thi5 tleclaration, y ould betome subject TOILETS URINAl.S
to the orkers' Compensation provisions o/ Labor Cotle, you must
forlhwlth comply with zuch provisions or t' permi[ shall be tleemed LAVATORIES DOVBLE LAVS
revoketl.
CONSTRUCTION LENDING AGENCV KIT. SINKS DISHWASHERS'
I heraby aHirm tha[ th¢re Is a construcUon lentling agoncy tor the Per- SERVICE SINKS SUMPS '
formante of tho work lor which this permit is issuetl (Section 3097
Civ. C.). � � ' FLOOR SINKS " F�OOR DRAINS
LentlO�'s Ndma
Lantlur'S Adtlress � ORINKING FOUNTAINS � ' ' ' �
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS
I heroby allirm ihat I am exempt from ttt9 Contractor's License Law lor
th0 following reason (Section 7031.5 Busln¢is dntl Prote551on5 Cotle: SWIMMING POOI - PTRAP -
Any Uly Or COunly which reqWreS a permil to Consiruct, alter,
improvo, tlomalisn or repair any structura, prior to its issuance, also re- yyqTER SERVICE "ALTERATION'
qWrts the dppliWnt tor Suc� permit to 1lle a Signetl ilalem0nt Ihat h¢
is ticensetl pursuant to [he�provisians ol the ConVactor'S License Law GAS SERV ICE OUTLETS ' �'
"�apter 9(commencing with Sectton 7000) o/ Division 3 ot t�e
ness antl PrdMsions Gode) or that �e is exempt ther¢irom antl the y.�ATER HEATERS BTU OUTPUT �
. lor the allegetl exemption. Any vlolation o( Section ]031.5 by
applitant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS '• - ��
$�f not mare tnan five huntlretl tlollars (5500).
.hY 1, as ownCr ol tha property,� e5 d5 - SOLAR TANK ' COLLECTORS
Jp1Y-Bemgeextimi�wlll tlo th¢ w rk, antl the SVUGIure i5 not Intendetl
or olferud tor sale. (Sectlon 7044, Business antl RoleStionS Cotle: The- SOLAR PIPING SYS. - "
ContrattorY License Law tloes no[ appty to an owner ot a property
�w�o bWltlz or Impwve5 thereon, antl who Eoes such work hlmsel/br ISSUE FEE �
th�ough M1I5 Own CmplOy¢¢5, provitletl that Suth Improvement5 a�e not -
Intended or oflcrea for saio. �I, however, the Gulltlinq or Improvement MECHANICAL PLAN CHECK
is soltl within onc year of comoletion, tne owner wlll nave mc burdon
of proving hc tlitl not builtl or improvo for the purpo5e of sale�. HEATING SVSTEM Od00,000 BTV
❑ I, �as owner of lhe property, am-aztluiivoly conVacting with qryDDUCTING
liG¢nsetl COnlraCtorS lo construct the prOjeGt (Soctlon 7044, BuSin@55 100,000+BTU
antl Prolessions Cotle: The Contractor's Licnnzo Law tloes not apply to
an ownar of property who builtlz or Improves thereon, antl w�o mn- REFRIGERATION 0-100,000 BTU
tracts from such pro�ects with a<OntraCtor(s) Iitesnetl purivant to �SVSTEM .
the Contraclor's LI[ense Ldw). 100,000 � BTV
❑ 1 am Cxempt untl¢r S¢CUOn 8. 6 P. C: fo� this -
BOILERS BTV
reason
Date Owner SVSTEMREPAIR,ALTERATION '
I hereby certii that I have reatl thiz application antl ztate Ihat [he above EXHAUST SVSTEM MULTIPLE
Informali0 i conecL I ree to wmply wlth all Uty dntl county
ortlinance an tate la 5 atln t OnSIruCUon, antl he�eby aufho�Ize
rep�esent [lv� of [I� ' y ��a[¢r upon t�! abOve ,merytionetl
Slgnat ure .�f„L
Drlvers' Licen�
\ CMF 0865-46
Gli
�ate
� � ISSVEFEE
Canary-Applicznt: Pink-Accounting; Goleenroe-Assessor
N.P. iF
ZONE
'i�' �/'; /.�.
ING REGULATIONS
PLNG. REF. �
REAq VARD (TO G/L)
PKG. SPACE REQ.
STREET WIDTH
ZONING APPROVED BV
SGECIAL CONDITIONS:
ELEC7RICAL
PROVIDED
PARK FEE S
�
e
PLAN CHECK '
GENERATOR 0-1KW_1-lOKW
TRANSFORMER
APPLIANCE 10-50 KW_50 + KW
MOTORS 0�1 HP_1-30 HP
(INC. SOLAR) 70�50 HP 50 + HP
FIXTURES OUTLETS SWITCH
GASTUBE SIGNS � �
POLE LIGHTS � -
� _ PANELS
SERVICE
ISSUE FEE
APPIICATION-
MAIN - SVB
DATE
t�ul� ��.
SUMMARV OF FEES , � �
BUILDING � ' ' _
PERMIT S � SMIP� b, ,
PLANCHECK S PERMIT
. _ ISSUANCE $'
PIUMBING E .
_ C.RADING E �
PLAN CHECK E � -
ELECTRICAL 5' ' pQ - E '
PLAN CMECK § MICROFILM E '
MECHANICAL E ' ' TOTAL FEE E
PLAN CHECK E LE55 AD-
VANCEPC E'
FINALFEE b (J .OQ
r�
� CONSTRUCTION AND PLANNING • � POOL & SPA� '. � - ' , •'-.� �, �, ,
�' � t� Date Inspector ' � • Date .�_ Inspector
APPROVALS Permit # -L�L_L� � �APPROVALS Permit # - � �
1. Temporary Electrical Service or Po�e 43. Pool & Equipment Location '' � •
Soil ipe-Undrgrn 44. Steel Reinforcemerit ••• � ��
3. Electrical Conduit Utility-Undrgrn 45. Forms - - �
4. Electrical Conduit-Undrgrn .. - . 46. Electrical Bondin
. tee em orce. . 47. Rough Plumbin -& Pressure Test - '
6. Electrical UFER Grn 48. APP.ROVAL TO COVER-Gl1NITE
7. ootings 49. Electrical Conduit-Undr rn
8. �Foundation 50. Gas Pipe, ❑ Undr rn, Test '
9. Water pipe•Undrgrn 51. Bac wash ines P-Tra ndr rn
10. Structural Floor SYstem 52. APPROVAL TO DECK
11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final
12. Street Sewer Connection � 54. Heater & Vent-Final
13. Rough Plumbing �
14. Rough Electric-Conduit - 56. Electrical-Final
15. Rough Electric-Wiring 57. Solar System•Final
16. Rough Heating & Air Conditioning - • encing & Access Approval �
17. Ducts in Structure APPROVED FOR PLASTERING, ' ' � '
18. Ducts, Ventilating - ,
19. GasPipe-Rough&Test � 60. POOL/SPASYSTEMSFINAL . �
20. Roof Framing �
21. Roof Sheathin
22. Frame and Flashin NOTES:
23. Insulation -le _ �
24. Lathing & Siding - �
25. Drywall Nailing -
26. Plaster Brown Coat
27. Electrical Power Meter-Final
28." Final Electric - -
29. Final Heating & Air Conditioning -
30. Final Gas Pipe-Test
31. Final Plumbing - - � -- '"'��� ' "' "� •
. .. . _ ... .. ... _ _
- 32.-Water Service-Final - - �
33. Gas $ervice-Final
34. Solar pomestic-Final
35. Landsca e S rinklin S stem
36. Sound Attenuation ••
37. Handicap Regulations � � �
38. FINALSTRUCTURE&BUILDING
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CER7IFICATEOFOCCUPANCY
No Date '� "
�.
. 19853
���bSTA MESA BUILDING-SAFEfY DEPARTMENT
P.O. BOI 91] C09TA ME9A, CALIPORNIA
For Applicpn� fo Fill In Completely
rYPE OR PRINT
wooae�asal,ot 2 Tr�ct 5011 �
COSTA MESA, CALIFORNIA
nwraFrx HYCROFP TERRACE INC.
ler
TEL.
� � NO. OF 9LO00.
i X�� HOW orv WT
D�.
BRM �O� REARYARD lO�
LEFT /� I RI6HT �-2,
DESCRIPTION OF WORK
BUILOIN6 � � � NO.OP
SIZE X 73 ROOMB BTORIHB 2
EXTERIOR WALL � ROOP
COVERING }."�. n COVHRINO rock
USE OF BUILDING A1/D WORK TO BH PfiRPORMeD ..
I HBqEBY ACNNOWLBOe[ THAT 1 NAVH HGO THIB APPLICAT�ON
ANO BTRTB THAT THB A60VE IY CORRECT ANO AOqH6 TO COM•
PLY WITH ALL CITY ORbINANC68 AHO YTATt L11W� R[OYIATING
Bf11LO�N0 CONSTPURIOry,
SIGNATUREOF HYCROFT TERRACE, INC �
PERMITTE
AUTHORIZBO AGHNT�� • ,
FEE RECEIVED
JU N i 0 198�7 '
CITY'O��P��ew,arr
1
for Ofiice Use Only
11[C61If NO. �PI
0
'd�l i�ai�b3
r�Re
ZONING
NO.OP UB[OPNCW
�LwrvB _ BIIILOINO �
LQOAL
NOTE: NO EAVE OV ERHAfJO BHALL BE LE59 THAN
80' TO SIDE C REAR P. L.
EAVES
ALLOWED (U.B.C.REOUIREMENT',
YARDBAPPftOVED YARDSAPPROVED
MAIN BUILDING ACCESSORY BUILDIN6
( FftOM GL SfREfiTI
FRONT Ff.
o G��a ��R �
D16TANC6 BET
MAIN BLDGB.
VAR. SF
BET. MAIN d
ACCE59. BLI
OATE
•fX6 6MOUNT HHOWN ONOlH VALOATION I6 FOR TMH
rURP08H Or 88TAOLI6HIN0 • PEHMIT F6E ONLY.
VALUATION
PERMITFEE $ �O(
s /�/ ��� � _ O, :
G
E
L•
�
4
�
�
O
4
C
.]
C.
��
u
a
�
�
�
i
r=
� �
�'
OWNER �,LS. �
JOB ADDRESS 97(
GENERAL CONTRACT01
AP Na. i4i-664-26,
INSPECTIONS �
SOIL
Ga5
W ATEft
ROUGH PLUMBING
PROP. $WR. LINE � HOUSE
SPRINKLING SYSTEM
MISCELLAN60U5
ROUGH HEATING ANO AIR C01
TEMPORARV SERVICE OR POL
UN�ERGROUNO � POWER
ROUGH WIRING
TRENCHES FORMS �
FLOOR SVSTEM
BON� BEAM ❑ STEEL 0.E
$HEATHING
FRAME AND FLASHING
LATMING — IN � OUT [
PLASTER. BqOWN COAT
DATE
TRACT 5011 FIRE ZONE VALUES 350.00 . _
SUBCONTRACTOR
1T., REFRIG. AND A.C., FINAL I I II I I I —
INAL ANO GAS TEST rI
BWLOING_ FINAI
1
� �Q 4� DEC-4-68P=1000 306 v*****S.OL
COSTA MESA BUILDING-SAFETY DEPARTMENT [n5�
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEI ��Y D%T� FEC�E� Fr9 DATE ISS
BUILDING Ly �� q�� �) ��
ADDRESS (�
OWNER ' A.P. NO. �
� BUIIDING �J ./
MAIL � , � ADDRE55J��`� /
Z ADDRESS G
W W � TEL. / / TFACT U �
d U CITY w � NO. .J �y :�'
ZQ CONSiRUCTION W "4D
O N LENDER ,/
W
d m
J 7 BRANCH
J N OWNEF
m J ADDRESS D- v'p
m ARCHITECT TEL S �G�G*�� CIJ
J � OR ENGINEER
V Q FIRE
W Q ADDFESS 20NE T
d w /� APPflOVED
J O CONTRACTOF p f.� BV
m Z . /
J ¢ ADDRESS � ' . /r6s�. (di
W W ' ZO NO.OF
Z= TEL. /
� CITV p— � G� NO.J � 1s/ P�� C
w 0 STATE � CITV �ARDS APPROVED
j O LIC. NO. G t LIC. NO. MAIN BUILDING
512E NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT RONT FT.
USE OF
EXISTING BLDG.
� 512E OF NO.OF
Z NEWBLDG. ROOMS STOfiIES L.SIDE FT.
U EXTERIOR WALL ROOF
COVERING COVERING REAR FT.
J USE OF BUI�DING AND WORK TO BE PERFORMED DISTANCE BET.
aa MAIN BLDGS.
�'r
Q r � C. �'�/ � C.V.P.qW
0
~ / PFPROVED
�
Z
0
V1 hereby acknowlatlBa that I have reatl this application antl stote
� that the ebovo information i5 corract antl aprae to comply wlth
� all laws reguletinB builtllnB co�sttuctlon, antl 1 shall not employ
F any perwn In vlolatlon ot Ma workman's compansation laws ol
y tha Stata of Colifornio.
zI hereby cartify Net I am proPerly Iicansetl as e conttacior under S�. FT.
the Steta ot Calitornio Business antl Professlons Cotle, Divlsion 3, THE AMOUNT SHO�
Chapier 9, antl thei such licenses ere In tull torca antl attect, or I THE PURPpSE OF ES
em exempt from the provlsions of the Steie of California Business VALUA ION
and Professions Cotla, Division 3, Chapter 9.
Siqnatura of y/� �
Permittee / h—��'j� � 5�
/
AuMorized ABent
PE
/�' VAW$ J�Q �
�)
GROUP
OATE
USE OF NEW I �
BUILDING
VARDSAPPqOVED
O'F
BET. MAIN &
ACCE�, BLDG
DATE
APPROVED
QATE ��
JN VNDER VA�UATION I51
'ABLISHING A PERMIT FEE ON
PERMR FEE S �r
PLAN CHECK $ _�
TOTAI FEE S �
m
m
0
R �
¢
m
7
m
E
LL
City of Costa Mesa
Building Safety Departmenf
P. O. Box 3U
Costa Mem, Californio
CERTIFICATE OP OCCUPANCY N� IS64 C
Tfie Bui{ding focated at �`TS1P7t1`16 SLYC'cL� (1.jL
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group 8 8� J Occupancy.
Use of euilding FCUT$�R++� R�otBe�f`e vlth att¢rhFB grsrag�
Legal Description t.e�i � 2ki3L't ,�ji:u
(See roveraa tida far Mefe� ond Boundt)
9uilding Permit No.�� Elecirical Permit No. '2j�R_ Plumbing Permit No.��
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
req�ired under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. .
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occ�pied
until the owner or operator has been issued a valid certificate of occvpancy by the enforcement agency.
(b) A new certificate of occupancy shall be obfained whenever there is o change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occ�pancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d}, California
Adminisfrative Code, Title 8, Chapter 9, Article 8.
Number of apartments_L and/or guest rooms
ISSUED TO: euilding Official
HYCROl�l' Th'RRACE. IfIC. bY�j / �,�<%fif
Date pphriy�la, 1Q6?�
Thi, Certificate of Occupancy SHALL 8E posfed in a conspicuous place on The premises and SHALL NOT BE removed
except by the 8uilding Officiai of the Ciy of Costa Mesa under Sec. 306 ie) U.B.C. Fo.,� svsa--�M—�i-ea._s-s P