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Home My WebLink About543 VICTORIA ST - Building Permits (8)_T��.. Aoplicant to fill in all spaces axcept those within hnavy Coreer Iinas an0 slgn al1 aoPropriate tleclarations. ��'�"'� (.��' � '�� 4(' '� - ('T! t� CITY OF COSTA ME A CONSTRUCTION.PERMbT PER(�MIT NO. / TRACT NO. pLOT NO. UNIT NU. /H � , ProjectAddress� •S�� fVIC.CD'{2•l��l ��J�%A�.T {�'` �V�Z.�lO� 3�S 1 O�� C� N�J��`JL/ �•:-1 � ZO�O ��JSi�1��S Gi 2•De.'�1 �'�'� TV.PE OF CONSTRUCTION NEW ADD ALTERATION REPqIR �L, u F/ � �,J Applicnni'sMailingAddress "' �^Q CONVERSION ❑ DEMOUSH ❑ OTHER Owner's'Name �+�c iii,-'-'>A2lS�y •/ rphone ��s-� �DESCRIPTION OP WORK/USE OF BLDG. A'P' � �� 2��'1'I..- O��- "� 2ane RZ Address G�M� � S Main Building: , _ ./rtcessoryBuilding: Arch/Eng. ��St1'�ti �«�t ��LiCenSe NOd� TVP.E OF PERMIT GRADING FOVNOATION STRUCTURAL T Front � I� -�'p �',Q, p Addres5 �'�' �•� �� r+� /� f�it41 NL-E RZ��S� �� TENANT ❑'ELECTRICAL ❑ PLVMB�NG ❑ MECHANICAL B Reaf „5 � N a� 11a-�/� XG�JISC'T_ Phone 47-(0 �-00 q �� OTHER - . �1 � Convacwr's Name �Cl ti� _, C Right � Q N ME PROJECTDESCPIPTION SQ..FT. ( OCCUPANCY « K G Addresslmailinq) �•tl" _ �CONSTRUCTIONTVPE VALUATIONS��.— S Left Sz/ R City Litense No. �{ l�"� s� � , j�ZONE � GRADING CU. YOS. ACRES LICENSED CONTRACTOR DECLAFATION ` � � � Plny. RC1.'/� p�� "( � 4� Pe�kiOg RCq./PrOvidEd '3 y Q E ' I T . ° Q I hereby aHirm [ha� 1 am IlcenSetl untllr proviSlon501 Charte� 9(coTmencing Remarks: � 2� _ S7 q Planning Notes: 3- ��(� with sectlon 7000) ot Divlzion 3 of the Businezs antl Protosslons-Cotle', antl. M my Iicense is In lull force antl n/fecL /� � �O}QQ,. -(,�yc} �� ^ T License Class � LI ns Noe ti(��Z� - S Date 'z-� EH�— Signawre ""t� =�� PLUMBING FEES - . - � �+ �UlI�CI�L'.lYiJ WORKERS'COMPENSATIONDECLARATION � °` " B'arSink ShOw¢f5 I hereby aHirm tnat I have a certitiwte of consent to selt�-insure or a certifiwte ELECTRICAL FEE$ of Workers' Compansation Insurance, or a certi/ietl cooY.:tnereof (Section' , gackflow Preventer $ervice Sink 3800, tzn, c.) , . Auromatic Washer Transformer � 15�50 KW � S �-r4�� Ft/NC�. � � ' ❑ SO+KW Policy No. Company _ Backflow Irrigation Sewer Cap Construction Pole Suh. �Gertifietl copy is hereby fumisM1etl. ;' Certitletl cop is filea witn the clty B Itlin fD�v_isi�,�p7 �� '� r Bathtubs Sewer Connection Cooking Unit Me[er �up to 100 amps � �ate�'-�-�oR APPlican T��.�.�� '� �1� EXEMPTION FROM WORKERS' COMPENSATION��Lna ION- � ir- �, + qarifiers Solar Collectors Dishwasher Merer �aver 100 amps ` (This section neetl not be complete0 H the permit is for one huntlretl,(El'00) or � IMS). • 1' ; � Dishmrasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel 1 ce�tlty thdt in Ihe pe�formance O7 tlte wo�k for whiCh'this perm�bls ISSuetl I. snall not employ any person in any manner so as to.become,zubject to't�e Drinking Fountains SolarTank Fan Momrs �0.1 HP �1'/:-8 �Workers' Compensa[ion Laws of Call/ornia. r^.��,. �. � _ Date Si9nature Floor Dreins Swimming Pool w/Spa F.A,U. Inc. Solar 09-75 HP �16-15+ -'NOTICE: If, after making this tleclaratlon, you shoultl'.become subject lo Ihe Wo�kels' CompenSdtion provi51on5 0l the Ldbor Cotla, y0u must toflbwl[h FIOOISinkS Ufi081 Fi%LUf¢5 . comply with such provl510ns or tltls permit Sball b¢ tleemetl ruvokatl. MiCroWavC CONSTRUCTION LENDING AGENCV GasSefviCe Outlels .� WaterC1o52t DeviCeBo%es I hereby afflrT that the�e Is a Wnsttuctlon lentling a9onty fOr [ha performance - � Pole Light of tne work tor whith thls Permlt is issuatl (Section 309� Civ. C.) Interce tors 'O�� '�� '� Lentler's Nama P G'. '/': :" Water Heater Outlats Ronge,- "'Lentler's'AUtlross' - Kitchen Sink ~ 'w� "' ' , _ Water Service 'Switches ,Sign OWNER BUI��EH DECLARATION �� . �� . , :y. • I horeby altirm that,l am ezampt irom the Contractor's LI<ense Law lor [he LavatO�ies .YK / ��.. Auto�Wesh Garba e Dis osal lollowing reason"�SecHon 7031.5 Buslness antl Profosslonal Cotlu: Any city or - 9 P Standing Sections munty whicn requlros a�permic to construtt, altar, improvo, aemolish or repalr p-Trap Laundry Treys Generator �0-5 KW �5-75 KW any st�ucturq prlor.to Its IssuanG¢, also �aqWriz Iho appli<ant lo� SUCh pmmlt �•"' T�25h COrt1p3Ct0� lo tlle a sl9ned�5tdtCmeni lbal hn/sho I5 IlcenSeU pwSudnt to lhe prOvlsions ol ROOf D�3in5 ' �i� �� the ConlractoYs Llcense Law (Chaptor 9(commandng with Setlion 7000) of Division'3 0/ lhe BUSiness antl Vrotes5ion5 Cotle) or thal he/she is oxampl thereirom and lhe basis tor the allagatl oxomptlon. Any vlolallon oi Seclion ' ' 7031.5 Oy any applicant tor a permil subjects tha appllcaM to a civil enalty ot not more lhan livo huntlretl tlollars �5500�. $ 3 > � I, ds ownBr ol th0 PlopOrty or my employee5 wilh wage5 aT lhei! SOIB ReiflSpBt[ion Fe8 $15 ISSuB FBO compensalion, will tlo the work, antl the strutture Is not intentlea or oHeretl Reinspection Fae $15 Issue Fea $ 3 ior sala (Saclinn ]044, Buzinesz ana Prolozsional Cotle: Tno Contractor'z MECHANICAL FEE$ LicCnse Law tloez not apply lo dn owner o� a Properry wbo bvllEs or imp�oves Ihereon, anE who tloes sucn work nlmsclf/hersali or throu9h nis or hnr own go��er Hood or T e I ❑ DEVELOPMENT SERVICES RE�UIREMENTS: �y/�� //�I employces, provitlatl that suCh improvemGnts a�o n01 Intentletl or oHo�etl for �P 2oning Approved By '� '' ` Date / sale. II, however, tne bulltling or fmprovament I5 sola wllhin onc year o/ com- Canopy Type I I ❑ plation, the ownar will have the burUon ol proving he/she tlIG not builtl or im- Duct - Und¢r Ground Building Approved By Date prove ior l�e Ourpose ot Shcej. C. � I, as owner ol the oroperty, am oxclusiveiy contractlng wltn licenzotl con- Duct � StrucWral Refrigeretion Syslem Appliption Issued By Dat � tractors 18 construct tne project (Section 7044, Business antl Pro(essions Cotle: TM10 Convattor's Licenze �aw �loes not apoiY to an owner o1 property who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARV OWF FEES bWltls or Improves thereon, antl who contracts br sucn projects witn a coo- tractor�s) ucense pursuanl to the Contractor's Litonse law). I am aware tnat Eahaust System ❑ Multiple ❑ System Repair/Altera�ion BUILDING PERMIT $ ' �Q��]— SMIP $ �-ii , � ptool o( tnen Worker's Compensatian insurance zhoultl be provltletl to me. PLAN CHECK $ �� p, �f' PERMIT � �] I am exempt untler Section B. 6 P. C �or this reazon Firepl/Fact. BIt ICBO # Fire Dampers ' PLUMBING $ ISSUANCE $ �Date 'Owner HeatingSystem&Ducting Regisrers ENERGYP.C. S PLAN CHECK 25% $ � d1 hereby certliy tnat i have read this application antl state tnat the above ❑0-100,0006TU �t00,0008T ELECTRICAL $ GRADING 5 mformatian iz correct. I a9ree to como�Y with all clty antl county orAinances antl state laws r ting to uil n9 constructlon an0 hereby autnorize repre- MICROFILM S sentatives of t cit t e r upon the a ve-mentlonetl property for PLAN CHECK 50% $ insoectlon our e %�) �O MECHANICAL S TOTAL FEE $ ��ZS &' � Signature �a[e C] �+-� � �Y! r - -' POOL&SPA i 'CbNSTRUr,TiO4�AND PLANNING I r� '�1_ Date Inspector ' , Date Inspector ' APPROVALS �� PermiI.# APPROVALS Permit# , 1}`Temporary Electri�aL �rvice or Pole 52. Pool & Equipment Location � � 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement � � 3. Electrical Conduit U[ilitV-Undrgrnd. 54. Forms � 4. Electrical Conduit•Undrgmd. 55. Electrical Bonding � 5. Sceel Reinforcement '" • 56. Rough Piumbing & Pressure Test 6. Electrical UFER G�nd ' y (t� ` 57. APPROVAL TO COVER-GUNITE 7. Footings . ` �° 58. Electrical Condui[-Undrgmd. .i 8. Founda[ior�A' �_. " .i 59. Gas Pipe, O Undrgmd., Tett . . 9. Water Pipe-Uniirgrnd. '�-- • -60. Backwash Lines, P-Trap, O Undrgmd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connec[ion 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final � 13. Roof Drains 64. Plumbing System - Final' �14. Rough�Plumbing � 65. Electrical-Final 75. Rough Electriral-Conduit 66. Solar SVstem-Final . 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rou9h Wiring Sign � 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •� 19. Rough Heating & Air Conditioniny FIRE DEPT. REQUIREMENT •�. 20. Rough Factory Fireplace APPROVALS Permit # � 21. Ducts, in Structure 70. Underground Hydro ' 22. Ducts, Ventilating 71. ProductPipingOGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush ' � ,24. Roo( Framing 73. Undergrnd. S[orage Tank O Gas ❑ Oil � 25. Roof Sheathing ,5 3j 0� 74. Overhead Hydro 26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemicai , 27. Frame and Flashing Z�1 � 76. Dry Standpipe . i�. 28. Lathing & Siding 77. FIXED SYSTEM FINAL ' ' 29. Insulation � 78. FIRE PREV. FINAL � � 30. Drywall Nailing ' "7 �� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79: FINAL INSPECTION „ �' 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE �SSUED 33. Final Electric NoteS: HOLD FOR SPEClAL RE UIREMENTS . � 34. Final Heating & Air Conditioning 8$ L�� , � e�� 35. Final Gas Pipe-Test �- � ` 36. Hood or Canopy y js�� /L,� g %�.R;,,� z�.,�/, i 37. Final Factory Fireplace io � sc� (�j �� (,U �f.}P 3$. Final Plumbing ��& O/< •� ��Sv�� / u/- !T � 39. Water Service-Final � � 40. Gas Service-Final � /� � i 41. Solar pomestio-Final � . � - � � � ' �� 42. Backflow Preventer ' 43. Backflow Irrigation � 44. Landscape Irrigation Sys[em • � 45. Sound Attenuation � � 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING �� ' � ' i 48. Special Requirements Completed 3�_ �� ' , � 49. Electrie Release�to Edison � � 50. Gas Release to Southern Califomia Gas Co ' , �� 51. CERTIFICATE OF OCCUPANCY , � - � � No. - Date . . � `�. � , . /� Ciry ot Costa Mesa Development Services Department Building Safety Division P. O. Box 1200 Costa M@�, California �. r 1 CERTIFICATE OF OCCUPANCY No. Cl1G��4 The Building located at -'S� �s': -=`.1 Si-L'=EC. U;lits G. H, J, ii, . N: 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 Legat Description i: �a � =.,1 521-0�1-J7 (See reverse side for Meces and Bounds) G:i2065 Electrical Permit No. E 3233B Plumbin Permit No?��'��, �'�tj �'� Building Permit No g Mechanical Permit No. h? 32? 59. ;! 3<� �Oi3 Number of apartments � and/or guest rooms _ __. F;�✓. Perm�[ P1;;. :3838 iSSUED T0: Building Official Wi1 L i.am �i. H�,�arr 'F ;�e.. -=c;e:;: Inc. ;:i :G '�.:..!n�s� ^encar Dr. $150 by ' � ✓.n_, ::A Date JanUarylO, 19u�i �lhis Certificete of Occupancy SHALL BE poste[I 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 3015-4fi rev. I/83 White-Owner, Canary - Numerical File: Pink - Bldg. Permit File ;� ' � 1 � _�,;,:4,,;�„r .. , .. . _AOP��ant to (III in all zpaces except those within heavy bortler lines ana sign a11 approo��ate tleclarations. ��CITY OF, COSTA�MEaSA CONSTRUCTIONaPERMIT {;-#. � PE �T NO. .TRACT NO. LOT NO. , UNIT NU. t 1 �j'3Z O�c 3`15 QOR I� /�1�� P�4 ~ Project AdAress �'��''3 � I�C�RI (�l �.i . �Pj"G.(i[s � !.�L S! '. .tZ030 6'✓S D — S G 2 2. 'FI o _ � G7ypE OF CONSTRUCTION NEW ADD ALTERATION REPAIR � AdPlicant's Mailing'Address � l'++- — C' Owner's Name &.�'i-�Etaal�—s'I�P�•� =� '�='Phone�3gpj� f � Address }�Nl� � � Arch/Eng. � � ' License No. ''f „ , Address ��-+{ � _ Contractor'sNam �^�� ,��"'+��T Phone� —3�"? : Address (maiiingl 9�*� � " -� Ciry License No. �� s� , , , LICENSED CONTRACTOR DECLARATION I hereby ai�irm ihat I am licensetl untler provisions oi Charter 9(commencln9 �' witn section 7000) of Divislon 3 oi the Business antl Pro(essions Cotle, an0'j my Ilcense is in lull force antl effect. ' License Class icense !o. � y �.7_T Date� � 59 t 'f" "� WORKERS'COMPENSATIONDE ARATIO �� ' '� hereby atflrm tnat I have a certificate of consent to selt-Insure or aYertliicate �f Wo�kers' Compensation Insu�ance, Or a certl�ietl copy tbere0f,(Section, 3800, Lab. C.) Policy No. Company ��-�"'�� ° �Ccrllfietl copy is hereby furnishetl. . f, CertNletl c y1is filetl with the city B i g IG sion. D a',. � � �ale 7�� p APPlicant yl�� EXEMPTION FROM WORKERS' COM ENSATION 6E RAT' 'L�r� (Thisseclion naed not be Completetl If fhe perTlt I5 tor one huntlretl ($300) ory ^ iess). ;...o . � ., .. I certiry that in the performanre of the work Por which Ihis perm�t:is issued, I° Shall not employ any pC�ion in any manner So as to bocome subject to the'=� Workers' Compensatlon Laws of Calitornia. �= ', Da[e Signature � NOTICE: If, after making this tleclaration, you shoultl become subject to the Workers' Componsation provisions of the Labor Cotle, you must forthwith comply wlth ,such Provisions o� thi5 p¢rmlt Shall be tleemetl revoketl. CONSTRUCTION'�LEIJDING AGENCV I 1 hereby af�irm lbal tltere ii a con5truclion lentlin9 agency to� the pertormanCe I of the work .lor whiGh [hi5 permit i5 i55u0tl (Section 3097 Civ. C.) Il.entler's Name ' -"L'entlePS Atltlr¢is� � y��'=' ' OWNER BUILDEN OECLARATION 1 hereby aftirm.tha[-I,am exempt from the Contractor'S License Law for the followin9 reason'(Section 7031.5 Business antl Professional Cotle: Hny ciry or counly which �equi�eSa Oermlt to con5trucl, al[er, improva, tlemoli5h o� repai anv sfructute. oNOr.to its i55uance, al5o requlres the applicant for SucM1 Dermit Oivision 3 oi' Ihe Busines5 antl Pwtessions c;oae7 or mai ne/sne is exempi � .he�e/rom antl tbe basis tor the allegetl exemptiOn. AnY violation o/ Section � �1031.5 by-.any applicant tor a permR subjec(s the appli<ant to a civil . perld�ty�o/ nobmore than five huntlretl tlolla�s (E500). ❑ I, as owne� oi the OrOperty o� my employees with wa9e5 as their sole compensalion, wlll tlo the work. antl tM1e strucWre is not Intontletl or offeretl for sale (Section 7044, BUsiness antl Prot¢Ssional Cotle: The Contractor's LiconSe Iaw tloes nol app1Y to an owner of a property who builtls Or improves the�eon, antl wM10 does such wotk M1imselt/he�581t or tnrough hi5 0� her own employee5, ptovitletl that such improvements are not intondetl o� offeretl fot '. Sale. 1/, however, lhe builtling or improvement is soltl wilhin one year ot com- ' pletlon, the owner will have the burtlen o( proving he/shc Oia not bulltl or im- prove for [he purpose of zale). ❑ I; as owner ot the Droperty, am exclusively contracting with licensetl con- VdCI0I510 COfISIlIILI IM1C pfOjCCt ($2CtlOf1 JOGG�.Bl1510C51 dOG Plpi¢SSIOOS COd¢: The ConVactOr's License Law tloes nol appty t0 an own¢r ot Oroperty who butlas or improves tnereon, antl who contracts tor such projects with a mn- crattor(z� ucense pursuanl to the Contractor's License Law). I am aware that prool o their Worker's Compensation Insurance shoula,be provitletl.to me. ❑ I am axempt untler Sectian B. & P. C. �or this reason Date 1 her¢by certiry lhat�l iniormation-�s con ct. I antl Stale laws ro mg 1 sentativez of t 'Gty ins0eclion purp es Signature ' Drivers' Lice e or 55 � Owner _ have reatl tnis to the above ionedf p�roperty tor DateCt — �4:g � � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ __ q,p,q� 4 DESCRIPTION OF WO(iK/USE OF BLDG. 'S Main Buildi TVPE OF PERMIT GRADING � FOUNDATION STRUCTURAL .T Front � TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANIGAL .A Ree! " ❑ OTHER PROJECT DESCRIPTION SQ.'FT. OCCCIPANCv C Right K Left �CON5T0.UCTION TVPE �%�� VALUATION $�_�p� rn1� S ZONE_ GRADINGCU.VDS. ACRES _ p�ng.�Ref.# Remarks: ,�1 � � �(p � �% 7 Planning Notes: ,. '�'OiZ_.. . . PLUMBING FEES Backtlow Preventer � Backflowlrrigation . Bathtubs Clarifiers Dishwasher . Drinking Fountains Floor Dreins Floor Sinks Gas Service a-• Outlets _j Interceptors , f" � % �' Kitchen Sink Lavarories �� '�� t . AJ-'�.,.�. P—TreP ��` ,�?r Roof Drains �',.. '� ��i� Reinspection Fee $15 Duct � Under Ground Duct - Structurel Duct � Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System-& Ducting ❑0.100,000 BT,U 0100,000 Reinspection Fee � $1b Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank � Swimming Pool w/Spa Urinal Water Service 6 Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration System ❑o-ioo,000eTu ❑�ao,000 System Repair/Alteretion . Pire Dampers Registers � laue" Fee $ 3 $ 3 ��' ig: �`I.J�� e/ Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Ol1LICL5 �- Switches Garbage Disposal Generator �0-5 KW �5-7' Fee DEVELOPMENT SERVICES REI Zoning Approved By "� Building Approved By Anoliration Issued Bv 6 il f':�' 4� � +n ii j. i. ! j �� ^=;if', � �.� _' I2one AGCCSSOfy BUIIdif1J: � Parking Req./Provided ELECTRICAL . _ Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100amps Sub Panel Motors OO-1 HP O1 %- 8 Int.Solar �9-15 HP �16-15+ Microwave Pole Light Range Stand ing Sections Trash Compacmr 5 � � Issue Fee SUMMARY� FEES BUILDING PEPMIT $ 19$� SMIP PLAN CHECK S � L� 4 PERMIT PLUMBING $ ISSUANCE PLAN CHECK 25% $ ENERGY P.0 ELECTRICAL y GRADING PLAN CHECK 50% $ MICROFILM MECHANICAL $ TOTALFEE PLAN CHECK 25% $ . Z Z 0 N I N G fl E Q M T S FEES $.3 [e � � � t�I � $ � 122 $ $ S $ �` -'L _� .:,.. ,., �CONSTRUCTI i�l AND PL�RNNING� �. POOL & SPA � I RPPROVALS •Date Inspector qppROVALS Permit# Date Inspeccor � !Permit�# ' .� � -�. 7�Temporary Electri .Fa�FService orPole � 52. Pool & Equipment Location �� 2. Soii Pipe-Undrgrnd. �� ` ' � 53. Steel Reinforcement� . .� � , 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � ° � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � � 5. Steel iieinforcement � - 56. Rough Plumbing & Ressure�Test 6. Electrical UFER Grn'd! �� 57. APPROVAL TO COVER-GUNITE � � •� � = i 7. Footings � � �= _----'��.,- • � �8. Elec[rical Conduit Undrgrnd. � � 8. Foundation�� ...��` ',,, ��' "' � 59. Gas Pipe, O�Undrgmd., Test . �•. ' 9. WaterPipe-Undr`g�nd:�� ;�� 60. Backwash�Lines,P-Trap.�OUndrgrnd. � � ^ 70. Structural Floor Sy3tem sC,o6 8' (j./t� 61. APPROVAL TO DECK ; � . . 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final , . '' '. 12. Sewer Cap 63. Heater & Vent-Final � ' ' � �13. Roof Drains 64. Plumbing System - Final 14: RougHPlumbing � " � �� 65. Elec[rical-Final � �15. Rough Electrical-Conduit � _ - 66. Solar System-Final . . �16. Rou9h Electric Wiring = �� 67. Fencing & Access Apprtival � 17. �Rough Wiring Sign 68. APPROVED FOR PLASTERING �� + 18. Rough Elect�ical-T BarCeiling 69. POOL/SPA SYSTEMS FINAL � � 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '�- �-' ' 20. Rough Factory Fireplace � � APPROVALS Permit # � ' 21. Ducts, in Structure '� . 70. Underground HYdro ' � 22. Ducts, Ventilating ' "71. Product Piping OGas ❑Oil � �� 23. Gas Pipe-Rough & Test . 72. Underground Flush ' 24. Roof Framing' � �. 73. Undergrnd.StorageTank OGas OOiI � i;� , 25. Roof Sheathing �� B� 74..Overhead Hydro F- � 26. T-Bar Ceiling (Svucturall & Monocoat , 75. Dry Chemical � - �, �� ;�. .. ' . .... .... . . . . 27. Frame and Flashing 7� � �� 76. Dry Standpipe y "� 28. Lathing & Siding LZ � ��- 77. FIXED SYSTEM FINAL `� �� ! 29. Insulation 78. FIRE PREV. FINAL . 30. Drywall Nailing g d-- HEALTH DEPT. REQUIREMENT 31. Plastec Brown Coat 8 �� 79. FINAL INSPECTION � �, � �' ✓. 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED i:� ' y, �33. Final� Electric � � Notes: �OLD FOR SPECIAL IZEQUIREG�CNTS �' ,':� i 34. Final Heating & Air Conditioning �,�5 �� G�q �, �,.�g G.: N• ,•'�-"� { � -- 35. Final Gas Pipe�Test 7 � 0 �� „/�.G�9- � •��. �i 1 36. Hood or�Canopy % )" O K (� 0 `i✓'jV c./�Fi� 1�.- �, � �� , � f 37. Final Factory Fireplace � �� ' � � � � 38. Fina� Plumbing ' - /5 ' ' . 39'. Water Service-Final � � , .; � �' 40. Gas Service-Final d. �� `- � �' ` i 41. Solar pomesticFinal � ; � : . � , 42. Backflow Preven[er � � ' ' 1 43. Backflow Irrigation'- ' � � � i � 44. Landscape Icrigation System � . ; ' � � �� ' _ ��. � t��45. Sound. Atterivation - . '� - ' � � � � 'f 46. Han[licap Regulations � r � � � 1 , � r. 47. F.INAL STRUCTURE & BUILDING � l � , ; ' ' ` � �, i i, h ' j �48; Special Requirements Completed . ,� � •Z�_ � � � ' ti � � 49. Elecfric Release to �Edison � � r,• (i � 50. Gas Release to Southem California Gas Co �� _ . • '� o'� 51. CERTIFICATE:OF OCCUPANCY ' � � ' � l - � � �- � _ �.� } �yp No. � � . . .Date ' . _ . . _..��d Ciry of Costa Mesa Development Services Department B�ildin9 Safety Division P. O. Box 1200 Costa Mesa, California 4 CERTIFICATE OF OCCUPANCY No. (�Qi ��-42 The Quilding located a2 ;4° Vi ctor� a StrPet B�mldin4 �r3, Onits N, O, P, Q has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto tor a Group "� Occupancy. Use of Building a�dctments Legal Description 422-0�1-G7 (See reverse side for Metes and Bounds) Building Permit No 3 320b7 Electrical Permit NoE sz�39 Plumbing Permit No. �3[1f34. P3[82I Mechaniral Permit No. i�t 34309 � M 32360 Number of apartments a and/or guest rooms ISSUEDTO: BuildingOfficial �illiam T :�oaar3 S' ] 'Jn� .o.�-.• ;ri 9:�5. I1C. ��'i' .jt4S:i10S3 CBi1t�C Cr. #160 bY - T�vin•= r'A - Date Januav 10, 1989 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building pfficial of the City of Costa Mesa under Sec. 307 Ie) U.B.C. CMF 3015-46 rev. 1/83 White - Owner: Canary - Numerical File: Pink - Bidg. Permit File OF. COSTAI . . AVO��ant to fill in all spaces except tnose within heavy bortle� lines anE sign all appropriate tleclarations. ,y PE IT NO. � TRACT NO. LOT NO. ; UNIT N0. '�'�..' i �3Z0% _ 3`iS Q�R I� /��Di P�4 Owner's Name �—��:�4��-jJ�phone.l(�(y�3g�j Address t�'��L �- Arch/Eng. � � LicenseNo. •r'' ' Addren �-1�3�3J �� Contractor'sName �c"�7 }-'^� 'l� �('9r.l�i PhoneY�-3' j t Address (maiGngl y�� ' � City License No. 4 Z'C�� , LICENSED CONTRACTOR DECLARATION �•^� I bereby aHirm tnat 1 am lirensetl untler provisions of Charte� 9(commencinq ~ with section 1000) of Divi;ion 3 of th¢ Business antl Professions Cotl¢, antl'I my license is in lull force antl effect. '' License Class icense o. � Date Signature WORKERS' COMPENSATI4N DE A0.ATI0 ' '. hereby affl�m �hat I have a certiticate o( consent to self-Insu�e or�a•Ce�tlficate if Workers' Campensation Insurance, or a certlfietl coOY tnereof.(Sectiom 3800, Lab. C.) —n� ' Polity No. Conlpany S��-��v�J �Certifietl copy i5 hereby Fumisbetl. n �/ �. � .Certifietl c ycis (iletl with the city Bylytli q i va�D r,�w„ � Date 7 � � p !{pplicant� ��—� e —��' p� EXEMPTION FROM WORKERS' COMY'ENSATION DENLARAT�ION"' ' � (7h155ection neetl not be [ory�pletetl If the pe�mi[ i5 for one huntltetl ($300) or, ' less . :} � I certity that in tne perforrpance oi tne work for wnicn this perrri�t�s issuetl, I' shall not employ any person in any manner so as to become subject to the��^ Workers' Compensation LaWs of Calitornia. qi. , Date Signature ' NOTICE: If, a(ter making tqis tleclaration, you shoultl become subject ro tne Workers' Compensation D�Ovisions of tM1e Ldbo� Code, you m�it �orthwitM1 comply with .such provisibns o� this pe�mit shall be tleer�etl revoketl. CONSTRUCTION'�LEtVDING AGENCY I hereGy aftirm that there is y construction IenCing agency for [he per�ormance of the work .(or which this permit is issuetl (Section 3097 Civ. CJ Lentler'z Name -""" - i s., o, rone.d��.. : . . . _.... . . OWNER BUIL N I hereby atfirm.that I,am exempt from the Contractor's Li<ense Law (or the following reason'(�Section ]031.5 Buslness antl Professlonal CotlC: Any city or county which requires`a permit to construtl, alter, improve, tlemolish.or repair any structure, prior-to its iSsuance, also requires the applicant for such permit to fiie a signetl statement that he/sne is licensetl pursuant to tne provisions of dhe Contractor'i.Cicense LaW (Chapter 9(commencing with $ecti0n 7000) ot Oivision 3 Df the Busine55 antl Protessioni Cotl¢) o� that he/ihe i5 exempt iherefrom antl [he basis to� the allegetl ex¢mption. Any violation of Section .�]031.5 by�any applicant tor a permit subjects the applicanl to a civil penatty�of not more than (iye huntlretl tlollars (5500). ❑ I, ai owner of the omp¢rty or my empioyees with wages as their sole compensation, will tlo'the Work, antl ihe structure is not intentled or otferetl for sale '(Section 7044, B�siness antl Proiessianal Cotle: The ConVactor's License Law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloes SUGh work himself/M1e�self o� through hls or he� own employees, provitlatl that sUch improvements arc not intentlotl or offcretl for - Sale. I(, nowever, Ihe builtli�g or improvement is soltl within on2 yea� of com- pletion, the ownet wlll have the bu�tlen ot proving he/zhe tlltl nOt builtl or im- �prove for[he purpose oisale). ❑ I; as owner ot (he prop@rty, am excluiively mnttacting with IicenSetl con- tractors to tonstruct the pr4ject (Section ]044, Business antl Protessions Cotle: The Contractor's License La�y tloes-nol apO�Y lo an owner o/ property wbo builtls or improves Ihereon, antl who contracts Por such proiects witn a con- tractor(s) iicense pursuant to the Contractor's License Law). I am aware that proof.ot tnetr Worker's Compensation Insurance shoultl_be proviaetlAo me. ❑ I am exempt untler Section B. & P. C. for this reason Oate I hereby certify that�l information �is corr cL I antl state laws r¢ ing sentatives of t city inspection Ourp es Signature � Drivers' Lice se or 55 � Owner _ haye read tnis a9�ee ta compl to builtling cons ta eyt[er�upon tate that the above i county ortlinances !by au{horize repre- ionetl� p/roperty fo� Dat¢L_i— r�:� �YPE OFCDNSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER_ . —. q,p,# � J DESCRIPTION OF WORK/USE OF BLDG. ;g Main Building: TVPE OF PERMIT GRADING � �E O FOUNDATION STRUCTURAL � ,T Front � TENHNT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL �_A Reaf � " ❑ OTHER ' ,C Right PROJECT DESCRIPTION SQ.�FT. oCCuaarvCv CONSTRUCTIONTVPE �%�� VALUATION$ �L.=-�rtT11_0 S l.eft ZONE GRAOING CU. VDS. ACRES . p�ng.�Ref. # Remarks: ,� �� 2Co �� Q Planning Notes: Preventer irriqation Jrinking Fountains Floor Drains Floor Sinks Gas Service .+ . I ntercepmrs Kitchen Sink � Lavatories - P—Trap Roof Drains� �:�. ReinspaMion Fee Showers - . Service Sink Sewer Cap Sewer Connection $0�3f COIIECLOfS Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal �-;,, Water Service Auto=Wash ��., .� Caundcy-Trays $15 Issue Fee Duct-UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/fact. Blt. ICBO # Heating Sysrem �& Ducting � 00-100,000 BT.0 O 100,000 BTi � I Reinspection Fee I $75 Hoodor Typel ❑ Canopy Type I I � Fefrigeration Sys[em ' - ❑o-ioo,000sTu ❑ioo,000al System Repair/Alteration Fire Dampers Registers � �ssue"Fee FEES $ 3 a-o� 3'7•5� � % e S / 9' / �i � f 3 k Automatic Washer Construction Pale Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Bozes O utlets Switches " -' Garbage Disposal Generamr �0-5 KW 05- ,lii; �.. °' :i j'?' -<,. : � .; , F: j..:� .{ •,��^��n . � � _' I Zone Accessory Building: � / Parking Req./Provided ELECTRICAL . Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 700 amps Meter ❑over 100amps Sub Panel Motars �0-7 HP �i %- 8 Inc.Solar �9-75 HP 016-15+ Microwave Pole Light � Reinspection Fee �;�$75 F.EES �DEVELOPMENT SERVICES HEQi Zonin9 APProved BY � � ` Building Approved By � Appliration luued By $ 3 Sign Stand ing Sections Trash Compacmr Issue Fee a FEES $.3 Z O N I N G F E Q M T S SUMMARY� FEES ' BUILDINGPERMIT $ �q SMIP $ �1�2 PLAN CHECK $ �2 } 4 PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL �$ GRADING $ PLAN CHECK 50% $ MICROFILM $ �q l � .MECHANICAL $ TOTALFEE $ _�� PLAN CHECK 25% $ �., � CONSTRUCTION AND PL�FINNING. - POOL & SPA � . � �APPROVALS �tPermi4# '� �Date Inspector APpROVALS Permit# Date� • Inspector ' •r. �-„ 1:"�Temporary Electric°'��Service orPole 52. Pool & Equipment Location � , 2. SoilPipe-Undrgrnd�4' ' , 53. Steel Reinforcemenr, , I ; � 3. Electrical Conduit Utility-Undrgrnd. � 54. Forms � •� ! 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � - 5. Steel�Reiiiforcement ._ �, � �56. Rough Plumbing & Pressure�Test � 6. Electrical UFER Grnd! � . 57. APPROVAL TO COVER-GUNITE - � �\� \ ". � 7. Footin s �•�� = .r----'.� • � � 9 ._ �58. Electrical Conduit-Undrgr.nd. � S. FoundationL� �-� �� .,. -" �� 59. Gas Pipe, O -Undrgrnd., Test . 9. Water Pipe-Undr`gmdt��' �� 60. Backwash�Lines;�P-Trap,�O Undrgrnd. � � � 10. Svucwral Floor Sy"stem s�q6 � g �,�t/ 61. APPROVAL TO DECK '; - . . 11. Property Sewer Line & Housz Connection 62. Backwash & Receptor-Final , _! �: 72. Sewer Cap 63. Heater & VenDFinal �, � � - �13. Roof Drains 64. Plumbing System - Final � 14: Rough Plumbing � " �� 65. Electrical-Final � �15: Rough Electrical-Condoit _ - 66. Solar SYstem-Flnal � � . �16. Rough Electric Wiring = � � � 67. Fencing & Access Apprdval � � � �17. Rough Wiring�Sign - 68. APPROVED FOR PLASTERING i� � '�"' v 18. Rough Elect�ical-T BarCeiling 69. POOL/SPA SYSTEMS FINAL � � � 19. Rough Heating & Air Conditionirig FIRE DEPT. REQUIREMENT "- -�-� ' 20. Rough Factory Fireplace �' APPROVALS Permit # ` ' 21. Ducts, in Structure 'F � 70. Underground Hyifro ' -� � 22. Ducts, Ventilating. ' � 77. Product Piping � Gas ❑ Oil ' !� 23. Gas Pipe-Rough &.Test _ 72. Underground Flush ' �24. Roof Framing ' � �-� 73. Undergrnd. Storage Tank O Gas ❑ Oil � �; 25. Roof Sheathing ��' � � ��'i B� 74.� Overhead Hydro �-� � 26. T-Bar Ceiling (Structural) & Monocoat _ .75. Dry Chemical � � �� ; e. r• 27. Frame and Flashing 7� � �j �J 76. Dry Standpipe y � � � 28. Lathing & Siding Z-t � ��- 77. FIXED SYSTEM FINAL `� •� ! 29. Insulation 78. FIRE PREV. FINAL . 30. Drywall Nailing $ d- HEAITH DEPT. REQUIREMENT 31. PlastecBrown Coat 8 �� 79. FINAL INSPECTION � �, � �� d' :32. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED � �:� ' -r, ��33. Finaf Electric � Notes: HOLD FOR SPEC�AL I�EQUIREPv'�L.�iS' �� .�;�� i A 34. Final Heating &�Air Conditioning G� t, �.(,.,.-g G-: N• �•�'� � ' ' -- � %5 �� i._� 35. Final Gas Pipe-Test � , � _p ��j �JpC/B- - � � :� ' � �. t 36. Hood or Canopy . '� 7$ j- a K (� p `„�j� ��}.E- � Q(¢-- 4 �7. Final Factbry Fireplace . - �' � � � - � 38. Final Plumbing � ' ' /� � � �39: Water Service-Final , ;:' �'40. GasService-Final .d� �� " � � `.'! I € i 41. SolarpomestioFinal � : �� . � �} , 42. Backflow PreJenter ' � _ � � � � .. _ e 43. Backflow Irrigation �_� ' � �� 4,4. Landscape Irrigation System � � I'� � ��' i �-� r F , . . � . . . . � - � . . ��.. ��45. Sound_Atterivation - - ' " �� 46. Handicap Regulations � � � ' � �� , 47. �FINAL STRUCTURE & BUILDING - l � � � ` ' ! �. %� j :48.- Special Requirements Completed . � .., �,� '�L(� �' � � -� � �� 49: Elecfric Release to��Edison � � � r„- ii � 50. Gas Release to�Southem Califomia Gas Co � . . � ' � ' ' y =� � 51. CERTIFICATE:OF OCCUPANCY , ' - ` No. � � ... : . .Date ' .. �_ . . -r,�� City of Costa Megy Development Services Depanment Building Safety Diviqion P. O. Box 7200 Costa Mesa, California CERTIFICATE OF OCCUPANCY No. OCc ��fZ The Building located at 54"i `!i ��oria StrPet. 8hmldin4 $3, Un.its �� 0, P, Q 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 �1PaCL":nc�nt9 Legal Description 422-0"c1-07 (See reverse side for Meres and Boundsl Building Permit No 3 32C67 Electrical Permit NoE y2=39 Plumbing Permit No. �'321Fi4, P32t32 Mechanical Permit No. hl 34309 � iA 32.360 Number of apartments 4 and/or guest rooms ISSUED T0: L'�3 i:nh.orR':rtc25. T:1C. �t;7'a 3uginess Center Dt. $160 , ,-,�; �,�. r�, BuildingOfficial �illian T. 3o+rard by _ Dace ,7anuav 10, 1989 This Bertificate of Occupancy SHALL BE ported in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of thp CitV of Corta Mesa under Sec. 307 (e) U.B.C. � CMF 1o15-a6 rev. 1/83 White -Owner, Canary - Numerical File; Pink - Bld9. Permit File