HomeMy WebLinkAbout111 19TH ST - Building PermitsADDRESS OF SIALDING: 111 E 19TH ST UNIT:
ONNERSNA w"""ORIENTAL RUGS/PIRNIAKAN
ADDREss 00111 E 19TH ST
COSTA MESA CA
2627 — (714) &50-0722
APR. MADNO ADDRESS:
ARCHTrECT OR BOXIEER: NC No:
IRCIL OR MI ADDRESS: UM
CD'^RARDR"er 'MOOREFIELD CONSTRUCTION (310)478-8295
COTIRACTORBMNIND 1950 SAWT ELLE BL
&DOR1 L•A• CA UC.ND: 397892
90025 um 295
LICENSED CONTRACTORS DECLARATION: I hereby affirm under Penalty or perjury that I am feat under prwiwn of Chapter S
(oommand, with Seaon )ODD) of D'rvuime 3 of IM B..L. and Prof ..i a Code. and or, Gone e u n 1dl rorca and afford.
CrrY UC. NO.: LIC. CLASS: B UC.No.: 397892 EXP:
Can: Conbadon �
OWNER LDER D IARATION: I herby affirm uMr Penalty of Perjay that I are emmpt tern IM Caaractor L ipane Law for the
t .Idbwiq reason (Section 7051.5 Bteirm aM Prgeasion Code: Arty city a oouray which rsptvn a peoph to dopa cl, ells. improve,
famofuh, or repair arty e,Yur_ prior w IIs ugwrroe, Also muirn the applicant for aitch Pana 10 fib a agoed sW ameM thel M or aM
a liceneed Wrsuent IA IM prmmione of the Conmaclore License Law (Chepler 9 (ommerYng ash Sedion ]000) of Dvteba 3 of the
B.. and prdemion Cordal or Ihat he or she u eaempf therehan acct IM basis la She Word..roplon. Aw videtion of Section
7031.5 by dry appkwl for a permit mblede the eppliraM to a dW penalty of not more than two hurled dollen RSOOD
❑ I, as owner of the property «my arepbyees mh ween n their sols axnpewgion. W do lts wwk, and the Am Yea a not inlendd
or offered for sorb (Sadfan IOM, DusiMn ad PMneions Cab: The Codectas Lured Lew does rot aPPY 10 owner of property
wM Wide a bnprwea tMraon. ed afar dons ouch work himself or Mreff or th ough M or Mr won ampbieae, provided that etch
'unprorrnraa ase nd lata ded or abed for Ade. D, hoaeror, the Wilding or bnprprorneM i. soW Whin ons Y.r of poporkA n, the
...Wibar W hero IM burden o1 proving M or she did M Wild or improv he the wrpwe of We).
❑ I. be oaaw of 170 property, em eaduevdy oonlydip with licensed ppnbadaa to edamnd the propel (Section 7070, Duaineaa aryl
Pmbmlooe Code: The Conbsom liana law don rY apply w an owwr a Property alto Wt1tls or brawn lheeon ertd alto
o0nub,e la pts prajeds 'yah a eorredoRs) Icenad pursuant to IM Cantatas Licata Lao,
❑ I Am sornpt oder Sedion: B. 8 P.C.. for this taavn:
..MN Natform
DatI 1 or cry M
IbNh and Safety Cab swbn
Apply weh said qts. oodm AM I
Ow.: Appli sero:
WORKER'S COMPENSATION DECLARATION: I hereby aNn ruder Penalty of parjry on of d e IDDowitg dec argcta:
❑ ihmaMaDmuMan.unpkateammuto aadivun era nakar'wmpembn,nPo led i«b 9W on 3MdtMleba
cos.. t« Dr pMomwga d Dere vela la wiidt Dm roamer b eamd.
end W maapain workers' wntperaatun "vaurnoe at rpumdd bbyy Section rXrOD d tM false Coda. Coda.lar IM pMormonce d IM
oak b tab b b used.
ebob parmMy workers' m
re's' ^Da rr�p.wn/ G—A rocky «unbar are:
Carrier.
1 Ppriy Number 7
(/1ds eactue need mf b. op"~ / the Perak h, b are haMAd dollars lslwj a ba-)
❑ I oeniy Drat b Ne pedormerga d 170 worlr for which this roamer u iegned, I gielt nd smpby arty Oreon'n arty marmer m n to
becvra subject to the waken' compgaatl0a owe of CaUbarie, and Alyea that i 1 qto' benne pulled to the e«ker'
oargeraatn rota bn tl edian 37M d IM lab«ode
C. I"forthwith pore* aatt dam provisions.
ME
` Data: Appltunl.��
r clyd, a uwa n�� �ort userof wase ($1OQMjunlden h aM aMl gd(apr en employer pa as parW°ff rw
S" Bnaa rat ro arta aWl Co moosanN ddlar (ilpQgbgf, M eh8don ro Me cwt of ronpenserbn danwgaa ore prvWad roc In
SaeNw 37[18 pl Ma LaMI Code, InMasf, end edomayi lam.
CONSTRUCTION LENDING AGENCY: I hereby aMrm uMer penalty of perjury that IMe he a oorwtudion leading agency W the
podormrw
of the work lar whits this perk is limed (Section 3897, Civ. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I Gerdy that I horo reed this elalcation and top. that the •lava iMamelwn u oorroa.I agree 1.m * with ao cry nd aaMy orditwtms
end sWa bn rWlbp to buddbp mer cion AM hereby pWorue mpreeema0vm of This dry w eater troop IM abpa mam'ated property
1amaPada pawms.MIKE KROUSE
I
Data:,/��[/%�_
Spnwra q OwiwlAgeM/AppfranpCOMrga
(stsl�.vvp) wM,8.10 nit A Salary. Green ; Carony-Appfpaa: Pfy t kana ata; mdwod-Aamma
-c>000(:�
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO, P 086419
PERMIT NO: P 086419 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : DEMOLISH COMMERCIAL BUILDING SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: B /
COMMENTS: DEMOLISH COMMERCIAL BUILDING, #B86418
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 42545314 ZNE: REF NO:
PLANNING N TES>
>
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY
BUILDING APPROVED BY
DATE:
DATE:
APPLICATION ISSUED BY: DATE: (�
df Math if dh dk 7k**if*k**dE irk yF****M **yt irk±fklh df•irk iE iFiFiE*
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
PERMIT BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
253 SMIP/NON—RES
PLAN
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 8.75 22.00 0.00 30.75 30.75 •00
REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
30.75
**dE dk iE*Mdf *irk*iE*1E yf yF*irk iE**k*�EiE*dE**iEMdf yF iE 1E**iE**k**kdF sit iFih irk irk 3E irk sit irk*irklE sit dE**kir ylt iE*dh sit dtkib*iE yt it yt iE*dN
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 SEWER CAP / DEMOLITION EACH 8.75 8.75
END OF FEES
�XP1�
01-01-1996/12:10 G:)/Sd0.7_
RCPTt1:G;-3.11770:.
ER P1ITs®86Ick IT
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
PQO..wSPA
APPROVALS ' Permit #
,
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd.
53. Steel Reinforcement
'3�1 Electrical Conduit_ Utility-Undrgrnp.
54. Forms
-
' �4: Electrical Conduit-Undrgrnd. 'r
55. Electrical Bonding
S. Steel Reinforcement
56. Rough Plumbing & Pressure Test
. _6.- Electrical LIFER Grnd.
57. APPROVAL TO COVER•GUNITE
".,7�Footings -
58. Electrical Conduit-Undrgrnd.
8. Foundation - -
59. Gas Pipe, ❑ Undrgrnd., Test
9. Water Pipe-Undrdrnd.
60. Backwash Lines, P -Trap, ❑ Updrgrnd.
40, Structural Floor System
61. APPROVAL TO DECK
i ti, Property Sewer Line'& House Connection62.
Backwash & ReceptorFinal
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 Electric VJiri nj J
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
Ft'R6 DEPT.;REQUIREMENT '
.' Pe?j»it-
a
20, Rough Faltorw Firepiace " `
_- y,APPRQVALS;
21. Ducts, in Structure
r
,
; 70. Underground Hydro
22- Ducts, Ventilating
K '- ?
,;:
71. Product Piping 9,as Q Oil _
23. Gas Pipe -Rough & -Test- , t'
7
T
72. Underground Flush t
24. Roof Framing
-,t
71 Undergrnd.StorqgeTanKOGas ❑Oil
25. Roof Sheathing {;i
74. Overhead Hydrq.: -
26. T -Bar Ceiling (Structural) & Mon6oat-
•,
75': 7 Dry Che --cal x
.='�
'
27. Frame and Flashing - -
r '
- --
76. Dry Stajopipe.I-_
28. Lathing & Siding `.. _ x 1 _
77 FIXED SYSTEM FINAL
29. Insulation
78: _FIRE P.REV. FINAL T
30. Drywall Nailing
_ - = HEALTH DEPT. REQUIREMENT
31. Plaster Biown Coat.'.
79, FINAL INSPECTrON
. 32. Electrical_ Power Meter -Final
+
•
80.- FOOD CERTIFICATE ISSUED
' 33. Final�Electric-, 1 -, '
_
i
Noles:
34. Final Heating & Air Conditioning '
^
-
•--,•t _
35. Final Gas -Pipe' -Test_ •'
•
.. '-
J 7
36. ijood-or Canopy
137. Final Factbry Fireplace_,''
- j
38. Final Plumbing
39. Water Service -Final
-40. Gas Service -Final
_
1
41. Solar Domestic -Final' :r
-
42. Backflow Preventer
43, Backflow Irrigation
$4. Landscape Irrigation, System = -
r^
45. Sound Attenuation Y •'
.1
t aT r
+ z:-
46. Handicap Regulations
46.
r �'
47. FINAL STRUCTURE & BUILDING
l
48. FINAL PLANNING'
. _j
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
,
51. CERTIFICATE OF OCCUPANCY
No. Date
Pi
ADDRESS CF mltL - 1 1 1 E 19TH ST UNIT:
WNERs NAMEIFKNOWI:ORIENTAL RUGS/PIRNIAKAN
ADOREw: 0 01 11 E 19TH ST
COSTA MESA CA
2627 — (714) t50-0722
APPL. MMIMI ADDRESS:
ARCHITECT OR ENGINEER: LIC NO:
UNT:
carimx7owsume.MOOREFIELD CONSTRUCTION (310)478-8295
caNmAcrarsNMlmD 1950 SAWTELLE BL
ADOREsf,L.A. CA mm, 397892
90025 uNT: 295
LICENSED CONTRACTORS DECLARATION: I hereby affam trade, pearly of paBory that I mol bomar d under Provo. of Chewer B
(mmmendrq vdrh Section 7000) d Dis'sion 3 d Me Bua'vme ern Prdmeiora Code, end mY Gcerw s b tea ban end aged.
CITY UC. No.: uc.cuss:B UC.No.: 397892 EXP:
Date: Cdwad«:
ye r�
OWNER B LDER CLARATION: 1 hereby anion under penalty of prawry that I em exempt 1. the Comred«a U.. law fcr the
+dlowaw reason (S I. 7031.5 BUdrem and Professions Code: Any coy or eoumy alma re0uiree a Penna to mremrcn, alter, impove.
smd'ah. «repair my floltlun, prior b ere are.. apo rmoirm the epMimM for mch perms to fit .. kned statement Ihd M or ahs
licmam purrs., Io IM provie one of the Contract. license law [Chapter a (cotanymc w with Section [COC) of Diveian 3 of to
Bminem and pretensions Codel or that he or she or axarept rherefe m and the bass for the dlagm exemption. Ary vkdatin Of Section
7031.5 by my applicant for a permit e,ubpds the applicant to a civil Penalty d not mon Than We hundred dollen [5500D.
❑ I, m owner of the pmpany or my ampbyeae with wapea ea Iei sola mmPematbn, will do the work. and the arudun er rel intended
or offered for sort (Section 7014. Bminm and Proleaebn.Coda: TM Contractors Liomm Lew does not appy to an bw of property
who beide or inproer s Ierean, end who does such mark limaall or Masell or through his or her own employees, provided that each
imlxovemede ere not "ended or dNnd for sab. U, bowaver, tad bdba,p «vnprovernae is and ailhin one yaer d e mpbtbn. Ie
o 4,oilder will eve, the boder of predn9 he or me did not bead or ihrn a for IM Wrq»e of role).
I. m. d the Property. am axdomety mommiry wah ticar d canbeclon b aeom,ra Me W.Not (Section lore. Stei,ms and
Pnberme, Code: The Coatrmm« Lkmm law dose not appy to an vane, of properly pea builds or MPrware, thereon and wtip
mdnacb far ed, Powder ash . d.medod") ficenmd tammd to the Commove License L..).
1 am ameopl under Sadiron: B. A P.C., for dons neon:
Dd.: Ovnler:
I do ereby c Mly the 1 are aware of and mdemand for, requinmanm of California [Leah and Safely Coda Sectio. 25505. 21533. and
2553x. and Md I «my sun buldinp omped will I wit not (circle.) need to c«npy with mid pate mdse and the nRWammb for
a pe,ma for aeramoden or modiomon from le Ar tramemee Chanel. Reeldwaiel mrstddronappltmtioasmexermlinureMara
proyielors.
Data: Applaant:
WORKER'S COMPENSATION DECLARATION: I hereby aNm under Pemhy d perjury orad the blbwtrw de Wwm.:
Code[ IM .I eve and wilt mainbe a cMaiute d mmm�t to seK-imm for woed. comPenwion, m Provided f« by Sedian 3700 d tad lab«
ram
veil maim woken•mmpreadi+n imurame.m, required by Section 3700 d the lab« Code. for IM P.1w. d IM
said f« andi Ihpd u arauad. MY .,kers' wmpatam ImyM1nn u^�i. laFpdwmber era
Carrier: :
Policy Number.
-'TMs secrent need nor be «vnplded i the Protege, W one hundred dolNn MIM[ «Nsaj
broonnn subject
ebjarde pedanmma d IM work M wfich the perms s Hared, I shell non ompby arty Perron te any mother yr m to
to on woakeras d ' n 3M o i a naveCaW«nb, cad apse that a sh«M became euM wokan
bjeel to the
c«npwelbn Dr 'aim o edion 37W d lIM lab« Cade. I rhea Imlhwilh mmpy�ash tlassi
wmakw: mea d settee —a— hoops ascan eoyarpa le nmlewM, and at dl m b1mr. antakhow d mrhind Penalty. and
cel Ouse rp b one, hundred thuuaend dollar, (s104000A in in"Man N M over of eompe,uetba derawlas m provldad for In
saml. 3706 Pel Me Labor Coda Idanut sold dbmay'a /sea
CONSTRUCTION LENDING AGENCY: I hereby affirm and« penally of perjury the than u a oornrutlion lendaw epency for Ma
W.. of the work for which, the panes ar armed (Section 3097. Civ. C),
LENDER'S NAME:
LENDER'S ADDRESS:
I candy lhel I eve read rhe application and stet, that the ebwa information is mn.el. I prep to c«npy arth alt only and county «dvuror
and state awe relelbN to WiM'eN constorame and ereby aWorde repraeantalivae of the dry to enter upon the ebpY9 menlilnd Property
for inspection purposes.
MIKE KROUSE
Print Name /
Dde:
S'emae d Aperr/AppFanbC«Mmf« �
(5151 d6.W P) While-Buldiq B Sdey; Gomm -Fib; Cemry-Appicam; Pink-Rwenus: 0o1dmndAsaesm,
CITY OF COSTA MESA — BUILDING PERI -1, 3
_. PERM NO: H6418
PERMIT NO: B 086418 PLAN CHECK NO: N GOVT; vp
P: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : DEMOLISH COMMERCIAL BUILDING SQ FT: 26,000
CLAIM VALUE: 26,000.00 CALC—VALUE: 26,000.00 GROUP OCC: B /
COMMENTS: DEMOLISH COMMERCIAL BUILDING
db it it at * iF iE yF dF * iF�t ** * aF iF * * it BL RF iF iE iF rt at at iF iF iF iF ii it iFap 1E iFiE iE jE dF ii it ab * iy ih * * iF+F it dF iFiF iE iF iF iF if if iE iE iE ib * RF iE 4F iF iF iF iE iE ih ib iF air
Z 0 N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ----------
COLLECTED:
---------
ACCESSORY BUILDING---------
FRNT: FT IN REAR:
FT IN
FRNT:
FT IN REAR: FT IN
LEFT: FT IN RGHT:
FT IN
LEFT:
FT IN RGHT: FT IN
PARKING REQ: PROV:
PARCEL:
42545314
ZNE: REF NO:
PLANNING NOTES>
D U A L F E E
B R E A K D O W N
>
D E S C R I
P T I O N
UNIT COST
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D E V E L O P M E N T
S E R V I
C E S R
E Q U I R E M E N TIS
ZONING APPROVED BY _
END OF FEES
DATE:
BUILDING APPROVED BY :
DATE:
APPLICATION ISSUED BY:
DATE:
*lir♦EdE*irk iFMiE**iE*iE if dEMdE dEMdF iEiFifiF'iFiE3FiFiF�ifiFiF�FiFiF�F3FiFifiF�FiFiF�Fif�£if'7f'if3fif3F3fiF
iE if iE lF irk iF iE lE lF iF
if if
LEGALIZATION:N
F E E S U
M M A R Y
STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING
ELECTRIC
MECHANIC
FIRE SMIP/RES GRADING
PERMIT 358.75
SMIP/NON—RES
PLAN 5.46
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 364.21 0.00 0.00 364.21 364.21 _00
REVENUE DIVISION TOTALS-->
COLLECTED:
364.21 OVER/SHORT:
.00
BLDG PMT
PLUMBING ELECTRIC MECHANIC
FIRE SMIP/TOT GRADING
PLAN—CHECK
358.75
5,46
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if dF iE dE irkdb*dE dF iF irk*iE****dF irk dt iFk*dF iF*iF 9EkiE iE di
I N D I V I
D U A L F E E
B R E A K D O W N
TYPE QTY
D E S C R I
P T I O N
UNIT COST
TOTAL COST
SFC 26000
DEMOLISH BY
VALUE COMMERCIAL
NOZONE 1,00
26,000.00
END OF FEES
01-;6-1998/12:09 Pn/$364.21
RC?A:01—CC1?fi51
PelCERN17:08G416
PO(._ SPA
-•
CONSTRUCTION AND PLANNING
-
-
APPROVALS Permit #
Date
Inspector
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location ,
2. Soil Pipe-Undrgrnd. _
53. Steel Reinforcement
3. Electrical Conduit.Utility-Uncirgrnd.
54. Forms -
-
-.4: Electrical Conduit=Undrgrnd.
55. Electrical Bonding
.K Steel Reinforcement
56. Rough Plumbing & Pressure Test
-'6:�IlectricalOFER: Grnd.
57. APPROVAL TO COVER-GUNITE
' a7: Footings -
58. Electrical Conduit-Undrgrnd,
Foundation -
59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe•Undrsrnd.
60. Backwash Lines, P -Trap, O Undrgrnd.
-10. Structural Floor System
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. Rough Plumbing'
65. Electrical -Final
15. Rough Electrical -Conduit ••
66. Solar System -Final
16, Rough Electric Wiring
67. Fencing & Access Approval
'
17. Rough Wiring Sign
68, APPROVED FOR PLASTERING
18. Rough Electricat-T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating &,Air Conditioning -• ,-
FIRE DE_PT-REQUI REMENT 'J
gPP.pOVAL$2 Permit #
20. Rough Factory FiEeplace =
+
�y
21. Ducts, ir:- trutture ;. _ -
- " ?
70. -Underground Hydro "
22. "Ducts, Ventildling
71. ProducYPiping O Gas ❑Oil
23. 6as.Pipe_l ough &-Test - • - -
,� x
'"
72, Underground Flush -
tz
24, Roof Framing
?
79, Underyrnd.StorayeTank ❑Gas ❑Oil
r
25..Roof. Sheathing
T
74. Overhead Hydra
26. T -Bar Ceiling (Struttturatl & Monocoat
75.' pry Cherpicat
27.' Frame and Flashing _
„'
76, Dry Standpipe g
28. Lathing &Siding" <
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREV. FINAL -
30. Drywall Nailing -
_ - HEALTH DEPT. REQUIREMENT
•j S
31. Plaster Brown Coat
a
79. FINAL INSPECTION t;
' 32. Electrical.Power Meter -Final
80. FOOD CERTIFICATE ISSUED -
_
r
r
. 33. Final: Electric. --
Notes: -
• 34. Finat_Heating & Air Conditioning
s
35. -Final Gas Pipt-Test " '
36. Hood or Canopy
r
- -
37. Final'Facfory Fireplace.
38. Final -Plumbing •. r --
+-
l 1•I
-
39. Water Service --Fina I'
40. Gas Service -Final -,
�
= -
41. Solar Domestic -Final
-
42. Backflow Preventer`
43. Backflow Irrigation'
x
A
r
-
44. Landscape Irrigation System -.t;, =
t'
-f t _.
.. _'+� ` -•
45. _Sound Attenuation ' •'
'
'"
-
.46. Handicap Regulatio 1s
47. FINAL STRUCTURE & BUILDING
48. FINAL P,L'•ANNING'-
49. Electiic Release to Edison
i
<
50. Oas'Reieise to Southern Californ4(3as Co
51. CERTIFICATE OF OCCUPANCY
No. Date
RE&V
City of Costa Mesa [/ V""' " `
Building Safety Department C E R T I F I C A T E O F O C C U
P. O. Box 317
Costa Mem, California
A N C Y N° 2266 C
The Building located at 333 Rest 19th street
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group 2 Occupancy.
Use of Building Au -a Gew Wash _
Legal Description
(See reverse side for Mates and Bounds)
Building Permit No. 7— 7 Electrical Permit No—23929r— Plumbing Permit No. 1111M
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
ISSUED TO:
Date
and/or guest rooms
Building
Official)
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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. Fong 13U a las—v-ea—s-s r
MESA BUILDING -SAFETY DEPARTMENT
' O. SOX9IT COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
J// F t -TYPE OR PRINT .
COSTA MESA, 9ALIFORNIA
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1 HEREBY ACKNOWLEDGE THAT 1 HAVE REAb THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES AND STAT[ S REGULATING
BUILDING CONSTRUCTI `
�-
SIGNATURE
,
PERMITTEP
AUTHORIZEDAGENT .-
-�� FEE- RECEIVED
DEC 22 1964
(�'7F1NANCE DEPT.
APPLICATItlh! A QLTW MESA
BUILDING
For Office Use Only
R[C[IPT NO.
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ALLOWED
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• COSTA MESA BUILDING -SAFETY DEPAF
P.O. BOX 1200 COSTA MESA, CALIFORNIP
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the State of California Business and Profession, Divisicn 3,
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THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLYam
exembt from the provisions of the State ofrnia BusinessVALUATIONand
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COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 (I
'40-1-71C„Sa00 005 v****9 .00
v APPLICATION FOR BUILDING PERMIT
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that the above information is correct and agree to comply with
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the State of California.
I hereby certify that I am properly licensed as a contractor under
O SO. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, DiAsicn 3,
Chapter 9, and that such licenses are In full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
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COSTA MESA BUILDING -SAFETY DEPARTMENT.
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For Applicant to Fill in Completely
BUILDING
ADDRESS
OWNER
MAIL
ADDRESS
CITY �)Mkw
CONSTRUCTION . 1�j"�
LENDER Fj
BRANCH
ADDRESS
ARCHITECT 'I—
TEL.
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APPLICATION FOR BUILDING PERMIT
1 hereby acknowledge that I have read this application and state
that the aboveinformation iscorrect and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Profess' ns Code, Division 3,
Chapter 9, and that such licenses in f force and effect, or I
am exempt from the provision f e S to of California Business
and Professions Cotle, Divis' hap r 9.
Signature of
Permittee
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1 hereby acknowledge that I have read this application and state
that the aboveinformation iscorrect and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Profess' ns Code, Division 3,
Chapter 9, and that such licenses in f force and effect, or I
am exempt from the provision f e S to of California Business
and Professions Cotle, Divis' hap r 9.
Signature of
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the State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Profess' ns Code, Division 3,
Chapter 9, and that such licenses in f force and effect, or I
am exempt from the provision f e S to of California Business
and Professions Cotle, Divis' hap r 9.
Signature of
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SQ. FT.
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THE AMOUNT SHOWN UNDER VALUATION IS FOR
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COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Pa IB * ****
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PP IC ION
FOR BUILDING PERMIT
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RICP gWfEj3ECE
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OWNER QA1 l'• pJL7
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the State of.California.
I hereby certify that I am properly licensed as a contractor under
SQ. FT.
THE AMOUNT SHOWN UNDER VALUA N -IS FOR
the State of California Business and Professions Code, Divisicn 3,
Chapter 9, and that such licenses are in full force and affect, or 1
THE PURPOSE OF ESTABLISHING
A PERMIT FE ONLY:
am exempt from the provisions of the State of California Business
VALUATION
and Professions Code, Division 3, Chapter 9.
Signature h
PERMIT FEE $
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$ 00�
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COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Comp
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BUILDING r %
OWNER
MAIL
CITY
BRANCH �—
ARCHITEI
OR ENGINE
ADDRESS
PAID
OCT 17-73�tls,00 723,} rt*** 5.50
APPLICATION FOR BUILDING PERMIT
�DA}'E �ECE VD
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LIC. NO.
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USE OF
EXISTING BLDG.
OF
NO. OF
FIRE
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APPROVED
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YARDS APPROVE
MAIN BUILDING
(FROM C/L STREET)
GIF
DATE
YARDS APPROVED
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USE OF BUILDING AND WORK TO BE PERFORMED DIST NCEBLOBET.
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,g2o`i7r/o R! C URP.+ APPROVED
_/7-73
I hereby acknowledge that 1 have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and 1 shall net employ
any person in violation of the workman's compensation laws of
the Stale of California.
so
1 hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licens¢s ar n full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: o
am exempt from the provisio 4-o a Stato of Co llfornla�uslnpss
U VALUATION �i to
and Professions Cnae, Divi ' tar 9. PERMIT FEE 5
Signature
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Authorized Agent
TOTAL FEE 5
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AUG 10 77PAID * *Q***
cMSA001205 5.50
COSTA MESA BUILDING -SAFETY DEPARTMENT
• F.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
RECEI
DATE RECEIVED
D TE1fSSU
UILDING
[ADDRESS
X10_
Le
��PERMIT
`
A.P. NO. �'BUILDING
NO.WNER
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CONTRACTOR
BY DATE
ADDRESS
NOL
ZO
NO. OF
PLANS
USE OF NEW
BUILDING
CITY
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
SIZE
NO. OF BLOGS.
(FROM C/L STREET)
OF LOT
NOW ON LOTFRONT
FT.
FT.
USE OF
f
EXISTING BLDG.
R. SIDE FT.
Separate permits are required for
L. S FT.
FT.
electric, plumbing and heating work.
REAR
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
MAIN BLDGS.
ACCESS. RLDW
S C7/ c(— N
VAR.*
C.U.P.46
DATE
APPROVED
I (—
APPROV
rs
�. ®� /07
DATE
I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
SQ. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of CalifgzaJA Business and Professions Code, Division 3,
Chapr-hat suc licenses are in full force and affect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am athe pr risions of the State of California Business
0
and Potla, DI Isl n Chapt
VALUATION
PERMIT FEE E �Q Q
SignaParml\
OO
$ -.300
PLAN CHECK E 1
TAX E f 15-0
Authorized Agent
TOTAL PAID E • SO