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Home My WebLink About3107 MACE AVE - Building Permits • • i. , � 9 • Mp q • CITY OF COSTA MESA ,4a >,, BUILDING DIVISION I., `�` ' ' DEVELOPMENT SERVICES DEPARTMENT t• �" ,� PERMIT PERMIT NUMBER P99-00045 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT (n1 � Job Address: 3107 MACE AV Status: ISSUED f 'vQ' Suite No Applied: 01/27/1999 Issued: 01/27/1999 Vicinity: Parcel Nunmber: 13956408 Applicant: GLOVER, LORIE Address: Phone: Zip: Owner CARR, DARREN M Address %LARSON,MAX B FOUNTAIN VALLEY,CA Phone: 16528 SILK TREE ST Zip: 92708 • Contractor: COAST PLUMBING & HEATING Address: 2737 S.CRODDY SUITED Phone: 714 241-1414 SANTA ANA CA Zip: 92704 License: 529127 Arch/Eng: Address: Phone: Zip: License: SCOPE OF PERMIT CHANGE OUT WATER HEATER. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $22.00 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Conned(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 - 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $11.00 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop ' $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $33.00 COMMENTS I SPECIAL CONDITIONS ti � o iI� a 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 • DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O 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. B 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'compen tion Insurance carrier and policy number are: v Carrier: ! r )It' — Policy Number Al Q )(DP O P 6 07 (This section need not be completed if the ennif Is valued at one hundred dollars($100)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,end agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. '�7'_7�^ Applicant Signature: Cy--> Date: /' r) / 7 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDmON TO THE(MST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECRON 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.Lic.a Class e Contractor's Signature: _ -- Date: 7 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).): ❑ 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(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not Intended or offered for sale.If,however,the building or Improvement Is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). O 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 driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.•property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth Into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm 2,Art 2,Sec. 341.Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous Material? 0 Yes 0 No (Section 25505 of the California Health end Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature end pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of Compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Govemment Code requires that the requested information be fumished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 es ❑No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: _ Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. �< Ifu4, stn-j/ , ignat ' :gal Owner(s) r , Date AndlOr Authorized Applicant Date COQEt INSPECTION TYPE • r' QA¢ I5lAL5 COQFJ INSPFCTION TYPF DAM i nai9 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing '1't^j 5-Oh 1 200 Final Re-Roof 210 Final Electrical 201 Final 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 Building/Occupancy 2446.46 �0�4� CITY OF COSTA MESA ,- -411_:.�I� BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT . ni PERMIT PERMIT NUMBER 898-01315 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT • Job Address: 3107 MACE AV Status: ISSUED Suite: Applied: 07/22/1998 Vicinity: Issued: 07/22/1998 Parcel Nunmber: 13956408 Zoning: R3 R3 Applicant: JACK GOODGAME Address: Phone: - ' ' . . t,. Zip: Owner: CARR,-DARKEN M-- / Address %LARSON,MAX B- '- - FOUNTAIN VgLLEY CA! ! � - - - Phone:-,,,, V-_� Iv : �� ',16528 -SILK TREE ST " -------- Zip:_ 92708 ` '/ N `, � Ai' vice -- Contractor SIERRA'ROOFING Address: 16631 kettler In-7 ,- ' /,V/ I� .,',74,!,.` 7 •• A, .. 7 / i/ Phone ,714-847-1773 r t./ / C:/huntingtonbeach,ca Zip i 92647 k/ /� 2 License 511172 �,7� u% I - . _ 'Arch�Eng /// - i + %Address /f;� _ !'-e 1. :1 r 1. r -Il fN <" ;Phone - . \- /. �� ,i �:L - Zip: ' License: -. . \\ , , , . ' / SCOPE OF PERMIT , ' .T • it/off and reroof 4400sf fou lex w/built-u -, -Cr..n;. . , \- rp P '\ .., FEE SUMMARY /,/ Plan Check: . i :•$0.00 ,t __x ' ;'! Calc Valuation: $6,681.00 Permit: ' $124.75 - - _- - Claim Valuation: $6,681.00 'SMTP Res: ',. $0.67 �� SMIP,Com: $0.00 L "‘' Other:.'. \'‘$0.00 �'L__ Inspection/ �‘•$0.00 . �..; , N Total: ,$12542-, ., / \\ `', ' _ " -PLANNING 8 ZONING. . , . . , SETBACKS' i .� N • _ MAIN STRUCTURE Front 7'0 0 / Rear 0-0 - • Left - 0-0 Right 0-0 ACCESSORY Front„, 6=0 , Rear '0-0 Left 0-0 Right 0-0 PARKINGExisting: 0; . - Required: 0 , ,\ Proposed: 0' NOTES: , ,. 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 DECLARATIONS � I C) WORKERS'COMPENSATION DECLARATION: re 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 worke�rss''corn ensa,tsi n Insurance carrier and policy number are: Cartier: s�-/12 f UNA Policy Number. /6976S ce (This section need not be completed if the permit is valued at one hundred dollars($100)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,and agree that I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwitrr--r comply with th a rovision �J�, ,, p �1 Applicant Signature: t 41--nt / Date: 2 ..../2" / O2 ✓ WARMNG:FAILURE SECURE WORKERS'COMPENSA COVERAGE IS UNLAWFUL AND SHALL UBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FiNES UP TO ONE HUNDRED THOUSAND DOLLAR ($100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am tic:r ed u erovisions of Chapter 9(commencing with Se °n 7000)of Division 3 of the Business nd Prr eslons Code,and my license is in full force and effect.Llc.# ///� ry.0 / ` Class* r(.'J `qj Contractors Signature:: �ej !-- , .e-------- Date: — _- _ , IMMEMOIMMESAMIMM CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) 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 0 No Drivers 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,faisework,or demolition or dismantling thereof,will be more than thirty-six(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? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. • 4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? 0 Yes ❑No (Section 65850.2 of the Califomla Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If ryes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 if a permit from the South Coast Alr Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have at of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No 6 (If"ye?,attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. lig •%Gr '� rLegal Owner(e) Date -rn7—. � Pi'A •r Authorized Applicaantt Date / gam E I6SPFrTInN TYPF DATE MALI Lg=Fa INSPEfIONTYPE DAM 1121:MAL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final ��qll�) 208 Final Plumbing 200 Final Re-Roof 8/598 �Y,/tP� 210 Final Electrical 201 Final Block/Retaining Wall ( 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2446-46 29614 ID JAN -6-69E7,70 "ID 124* ***715•C`` COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA nen . i For Applicant to Fill In Completef� APPLICATION FOR PERMIT c TYPE OR PRINT —[J BUILDING > For Office Use Only A BUILDING {{��{{�� • ADDRESS 41(17 1/I Qet Pn na_- ^^P Rp,Ir Nop. COSTA_M;2,- ,0 LIFO y "� / A} • p�/{/ IF / DATE ISO ED Illir• OWNER M_�I � ///�. - .i • .., �' MAIL � 'I^^ D t // I ADDRESS. BUILDING I ) li (Ivo A-D ADDRESS 1{!.� {f li Pa r' 1 T� TEL. 7/,,j73 FIREONE TYPE GROUP • as 11, , CITY Fu 11/(4i NO. o /EL. ) V I/. ENGINEER \(O6 el F 1-4,01 fit NO. SJ1'7�.Ob3 BY DATE DATE ADDRESS • ). I bk/ ff• 14/ I ZONING ZONE NO.OF List Kw NEW 4 plex w PLANS SUILDIN car att. • .r. CONTRACT° if ' .. C. r 'Fara , •- LESAL ' ADDRESS 14 41, }0 [d g + ECALDESCRIPTION • •I CITY (� rU II e/4,I '1 Bryn/ G A.P.NO. none NOSTAB .^/J 10.26�� NO. " /I Y y3 GOT TO SIDE a REAR E: NO RAVE OVERHANG SHALL BE LESS THAN LIC.NO VES SIZE 1 \. J/( I NO.OF BLESS. ALLOWED (U.B.C.REQUIREMENT) • OF LOT J .. now ON 4oTr-.t 't. YARDS APPROVED YARDS APPROVED °: USE OF MAIN BUILDING ACCESSORY BUILDING :F EXISTING BLDG. '`✓Ln'1'L-ems, (FROM C/LSTREET) SETBACK LINE FROM c-3 FRONT S"3FT.�J ` G b FT. CENTER OF STREET SIDE YARD I LIFT /�//� REAR YARD f//L//� /'/I RIGHT C R.SIDE la FT. FT. DESCRIPTION OF WORK ` L.SIDE ,f Fr. rr. _ t� . _w rcRwrt N ADDITI•N REAR /d FT. FT. DISTANCE BET. BET.MAIN a �` REPAIR MOVT NO DEMOLISH -. MAIN BLD - ACCESS.BLDGS. a BUILDING/[p/ h NO.OF ,{r� �1/ VAR.# �� DATE • SIZE '/4 60 ROOMS / V/) STORMS{[ Y C.U.P.# s'l APPROVED • EXTERIOR WA�v j„�•, I ROO 11141 �ry/Jb APPROV i"""L•/'� COVERS N6 COVE IRS' /✓ BY DATE/0.---/-1--C: • USE OF BUILDING AND WORK TO BE PERFORMED M is 01 0,7S- X (cls , , . ; N t01 -.7' ...2• el gt /rz -zed , SQ.FT. 1 'RIMY AC./01NLEDOM THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j ND STATE AT THE ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. JR. _ PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING VALUATION DN j� ', SIGNATURE OF / /) PERMIT FEE t7/�I''7�L� '` . /, 931 /� PLAN CHECK S 7 . / aG AUTHORIZED - /5 a5 .. e,.. -.o• e,:: TOTAL FEE 'y ' City of Costa Mesa Building Safety DepartmentCERTIFICATE OF OCCUPANCY N? 2606 C P. O. Box 317 Costa Mesa, California The Building located at 31Cti Owe Avenue, AAD has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group II di 3 Occupancy. Use of Building 4 Unit Aat.IAiilsfrlg with attached garages and laundry Legal Description uct'eOIJ1, tat-9 (See reverse side for Metes and Bounds) Building Permit No. 29614 Electrical Permit No. 29737 Plumbing Permit No. 5351 Floor Load Signs have been installed as Room Capacity Signs have been instated as required 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 occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments 4 and/or guest rooms ISSUED TO: Building Official �� fiat /OMR ROME by 612(12,412--4 ✓i• Date Jtil,y 7, 1969 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. 306 (e) U.B.C. Farm 81334-1M-11-63—S-B P