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Home My WebLink About752 18TH ST - Building Permitst� �`*• CITY OF COSTA MESA � BUILD/NG DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Faz (714) 754-4856 • ww.v.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE APN: 42417209 Zoning: , PERMIT NUMBER: Y BX08-00134 B_MISC STATUS: ISSUED DATE ISSUED: 05101/2008 ISSUED BY: RMD � JOB ADDRESS: 752 W 18TH ST CM ' Suite/Unit: Vicinity: REAR OF HOUSE - , primary Occ: � � Const Type :?7 SQ. FT: 0 .� Valuation: 5300.00 ' . SCOPE OF WORK: o' ��', � � � DEMOLISH AN ATfACHED PATIO COVER (APP,ROX,168 SF) CONSTRUCTED WITFI OUT-PERMITS AT THE REAR OF HOUSE. REF#: CD-OB-0042 �;: ^ � ' :i" .� - - � ,:;�;-� b, � OWNER: CORNEJO, WILMER AND"MARIA LETICIA Address:: 752 W 18TH ST APT C Unit City/State: COSTA MESA; CA' � - Zip Code: 92627 �� Phone: 949•7220815 ' , � APPLICANT: CORNEJO', MARIA•. '„ , . Address: . Unit: Ciry/State: Zip Code;- ' Phone: 949-722-0815. ' ' � . �-� • _ CONTRACTOR: OWNER-BUILDER � LicenseNo. 000000', Address: Unik City/State: , ' Zip Code: - - ' - Phone . Cell: ARCHITECT: Phone ENGINEER: Phone c Building Plan Check: Building Permit: - Electrical PermiC SMIP Residential SMIP Commercial - TOTALFEES License No. License No. FEE SUMMARY $0.00 $23.50. $0.00 $0.00 - $0.00 $23.50 NOTICE: The vrork authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regutations. (Ord. No. 92-28. § 1. 12•21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 Rnal approval must be obtainetl. Failure lo oblain inspections and final approval vrtll result in the expi2tion of this permit. CODE/. INSPECTIONTYPE Qfyj� INTIlULS CODE/ INSPEC710NTYVE RT N R 1818 Fized $y52em Final Fire Prevencion 206 Final Mechaniwl 1268 Pool Spa Final . 208 Final Plumbing 200 Final Re-Roof 270 Final Electrical 201 Final8lock/Retaining Wall 212 Final Fire Prevention 202 Final Faclory Fire Place 220 Finai Planni� Approval 203 Final Sign / -. � � 222 Final Site 204 Final 48molition P/tl �p �3�6[��E� 2`.�0 Final Building/Octupancy /'f ERS' COMPENSATION DECLARATION:� I hereby aRirtn under penalty ot perjury one of the following declarations: ❑ I have and wiil maintain a certifcate o( wnsent to self•Insure for vrorkers' compensation, as provided for by section 3700 of the Labor Code, for the peRormance of the work for which lhis pertnit is issued. ❑ � have and will maintain workers' c«npensatbn insurance, as required by section 3700 of the Labor Cotle, fw the pertormance o( the wurk for which this permit is issued. My vrorkers' compensation Insurance carrier antl policy number are: Carrier. " (Th5 sMini neetlnd pa cpnpleled/Na pemY it vaNttl af ane nw0ied Nllars (f 100) a less.) Policy Number. �� I' certify that in lhe peAormance of the work lor which this pertnit is issued, I sha�l not employ any person in any manner so as to become subject to Ne workers' compensation laws of Califomia, and agree �hat if I should 6ecome subject lo the orkers' wmpensation provisions of Section 3700 ot the Lab , I sha ', comply with these provisions. r O� S—� p n a & Dale W ING: FAILURE TO SE E WORKERS' COMPENSATION COVERP.GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEI"S FEES. UCENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensed under provisions of Chapter 9(wmmencing wilh Section 7000) of Division 3 of lhe Business antl Professions Cotle, antl my license is in full lorce and eHect. Lic. # Class # Convador's Siy�aWre Da�e CONSTRUCTION LENDING AGENCY: ❑ I hereby a((mn that there is a wnstruction IerMing agency for the perfortnance of the work fv ufiich tltis pertnit is issueC. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: Daie OWNER•BUILDER DECLARATIONS: I hereby affirm that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or county which requires a permit to cansWct, alter, improve, demalish, or repair any struclure, prior to its issuance, also requires the appliwnt for such pertnit to file a signed slatement Nat �e or she is licensed pursuant to the provisions of the Contractors License Law (C�apter 9(wmmencing with Seclion 7000) of Division 3 of the Business and Professions Cotle) or that he or she is ezempt therefrom antl the basis for lhe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjecls the applicant to a civil penalty of nol more than five hundred dollars ($500).): `� I, as owner of the pmperty, a my employees with wages as their sole comoensation, WILL DO 7HE WORK, and ihe structure is not intendeA or oflere0 for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law Cces not apply to an ovmer of property wfio builds or improves thereon, and who dces such work himself or hersel( or through his or her ovm employees. provitled ihat such improvements are not intended or oftered for sale. If, however, the building or improvement is sold within one year of wmpletion, the ovmer-builder will have the burden of proving thal he or she ditl not build or improve for purpose of sale.). ❑ �. as owner of the properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct lhe project (Sec. 7044, Business and Professions Code: The coniractors License Law does.not apply lo an rnvner of property who DuiWs or improves thereon, and who contracis for such project vrith a contraclor(s) Gcense pursuant to lhe Contractors License Laxs.�. ❑ I am exempt under sec. Business and Professions Code for this reason: S-/--r�� 9 Wre oaie 3051<6 ]) •,t,`� t J Ovmer ID verifled by Criv� ,t s❑ No ! / Driver s License No Expires!� / r Verification of O�mership by (rype of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: . ❑ I hereby certAy thal no excavalion frve (5) or mwe (eet in tlepth into wfiich a person is required to descentl, will be made in conneclion with vrork aulhonzed by Ihis pertnit, and that no 6uilding sWcture, scaHdtling, falsework, or demolition or tlismamling thereof, will be mo2 than thirty-siz (36) feet high. (Chap. 3.2, Gry 2. Art 2. Sec. 341. Ttle 8, Califomia Administ2tive Cotle�. ❑ As ovmer-builder, I will not employ anyone lo do work which vrould require a permit from the Division of Industrial Satety, as notetl aDove, unless such person has a permit lo do such work Irom the division. Applionl's Signatum Da1e Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will tha applicant or present or future building occupant need to file anC cenify a Business Plan for emergency response to release or threalened release of a hazardous materialT ❑ Yes ❑ No (Seclion 25505 of the Califomia Health ana Safery Code requires, with some exceptions, Ihat a Business Plan De fileC with Ihe Costa Mesa Fire Department by every business which has at any one lime tluring a reportetl year a quantity of hazardous materials edual to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of wmpressed gas at slandard temperature and pressure). 2. Does or vnll the applicant ar present or future building occupant neetl to file a registration form for acutely hazartlous materials? ❑ Yes � No (Section 25533 of the Calitomia Health and Satety Cotle, wilh some exceptions, requires registration vrith lhe Costa Mesa Fire Department by each business which at any one time has on hand a quantity of aculely hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlartl temperature and pressure). 3. Does or will the applicant or presem or tuture building occupant need to prepare an RMPP (Risk Management antl Preven[ion Program for aculely hazardous materials�? ❑ Ves ❑ No (Section 25534 of the Califomia Health and Safety Cotle pmvides lhat the Costa Mesa Fire Departmen[ may require the prepara[ion, certifcation and filing with the Fire Department of an RMPP by businesses which are requiretl to regisler acutely hazardous materials with the Fire Department. 4. If an RMPP is presentty requiretl, has Section 25534 of the Califomia Health and Safety Code been fully complied wiN? ❑ Yes ❑ No 5. Dces or will the appliwnt or present or future building ocwpant require !or �he vrork which is ihe subject of this appiication a pertnit for such conslruclion or modification fmm the South Coasl Air Qualiry Management District or from any other air pollution wntrol district or agency? ❑ Yes ❑ No (Section 658502 of lhe Califomia Govemment Code requires ihat Ihe requested infortnation be fumished on applications lor rron-2siCential buildinq pertnils). 6. Will any part of the facility lo be constructed under this permit be wilhin 1000 leet from the outer bountlaries of a school? ❑ Ves ❑ No Qf'yes". lhe faciliry must meet the requiremeN of SecUons 25534 anC 42303 of lhe Califomia HeaIN and Salety Code). 7. If a pertnit from the South Coasl Air Ouality Management District or ather air pollution control disVict or agency is required for Ne work which is Ihe subject of this applicaUon, have all of the disUosures prescribed by Calilomia Nealt� and Safety Code Section 42303 been matle? ❑ Yes ❑ No 8. (If yes', attach certificate of wmpliance from the appropriate air pollution control officeq. ' CERTIFICATE OF COMPLIANCE: I certify that untler penalty of perjury Ihe information given above is wrtecL I agree to comply with all state laws and city ortlinances regartling Hazardous Materials an0 Emissions. , Dale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury thal I have read Ihis application and state lhat the information given is cortect. I agree to comply with all slate lavrs antl city ordinances relating to builtling wnstruction, and aulhorize represenUtives ot ihe Ciry ot Cosu Mesa to enter upon the above-0escnbed propeny for inspeclion purposes. I agre �t ty occupy or allow occupancy of any building�� aulhorizetl by is p iI u il i Tinspection. J`� y �— U aWreo1L IOwner Dale� ' MNwAulnonzeCACG�icam 6ate rxae ooxEss: �� 2 W 18 TH S T uxrt: ee•sxun¢: GEORGE FEISTER nooeess: 5917 VIA CARRIZO LAGUNA HILLS, CA. ; 92653 714/455-1769 RflCNIENGINEER: pE0.N0.: �ooeess: - uxrt: PEHMI7TEE: PRIMO ROOFING CO. ( 719 ) 891-4956 �ouxess: 17066 PALMDALE STREET HUNTINGTON HEACH CA 92647 IItENSED CONTMLT08 OECUIMTION: I hereGy amrm ttut I am ticenseE unEer provisions of Chapter 9(commendn0 �N SecGon 7000) ol Division 3 oi the Business antl Prolesspns Code. an0 my licenu is in tNl torce anE ellect. cmuc.:007639 �T�� 3311��,��`—/ 9 I �ate:�/l/�1 Sip�aNre �� 'BNEBS' CO PENSRTION OECIAlUT10N: I here6y attir hat e a ceNf ate of consant ro self-Insum or a certi/icate o1 Workers' .npensation Insuranca or a cenifleA capy thareoi (Sec' n 38�, ab. C�! � i roucr xo.: 6 6 2$ 2 3– 8 9 E%P. D�TE: O I I O S I 9 1 cornrnxr:STATE FUND ❑ CeNIieO coDY �s hereby fumis�etl. � C¢hilie0 mpy is tite0 wit� the chy ' inq Oivision. ' Dale: �� ppplicanC . E%FMFf10N fHOM W011KFA3' COMPFN&TION OEppp,�nON: ' ss� n rcN m e�mpeteE ii Iha pcml ia fa one hmOrtE (f100) a kss1. I certiry IMI in IAe peAormance ot Ne wark lar wbc� tNs rmit is�issueE. I 5Aa0 not empby anY Pe� �n any manner so as to bemme su�lect to tlre Workers' Compensatron Laws ol �tamia. Date: ' Slpnawm: NOTICE: II, after makinA ��is Oeclaration, y0u 5houlO 6ecome suEject to tAe Workers' Compansatlon praWsions of the Lahor CoUe, you must forihwith camDly wit� such pmNsians or Nis permit shall Ue EeemeO revokeA. CONSTPUCTION LENOING RGENCY: I �ereEy sryirm Ihat thera is a consimctlon lentlinp a0ency lor IAe pedormance of t�e xrork far whicA ihis permitis issuetl (Section 3097, Civ. C). IENDEfl: �ooa¢ss: OWNEB BUILllEP DECWU710N: I �ereEy aflirm ��u� I am exemD� hom the Convattors' Sute Uunse Law tar t�a foAowinp aasan (Sectbn 7631.5 Buaness anE Professional CoOe: q�y pry oi munry wlucA repuires a pemtit to canstruct, alter, improve. demdish, or reD�r airy slmcNre, prior ro Rs issuairce, alm repuires the applicant tor wch perMt m file a 5ipneE staroment that he/she k 4censeU pureuant lo Ne pmvisions ol l�e Contrapors Sla�e Licenm Law (Chapter 9(commendnp wit� Sectian 7000) ol @vision 3 oi Na Business .�M Pmlessions CoOe) or ihat �e/she is exemD� Iherelrom anE Ihe hasis far the allepeA ezem0��on. My Nolation af Section 7031.5 by �pDlicant for a Dermit subjects I�e ap0��can1 ro a civil penalry at noi more Ihan frve hundretl EWlars (5500�. . I, as owner af the Dmperty or my employees with wapes as Neir sole compensatlon, wlll Eo the work, antl the LJ simpureis notintentletl oroiferetl brsale(Sactlon 7044, Business anE ProtasslonalCode: T�e Coniroctars' State Licenu Law . Coes nat apply to an owner ol a Droperry who Oullds or impmves tnerean, antl who tloes weh wark MmSeltlAerseli ar throuph - �is or �er awn emDloyees, proviAed tAa� suc� improvaments am nat inten�ea or oifere0 tor sale. II, �owever the buil0ing ar ImD�ovement is sa10 wn�in one year ol CamD�etion, [he awner vnll Aave Ihe buMen ot pmanq hUs�e Uitl not EuiIE or imD�ove br the purD�se oi sale). I, as owner ol t�e proDeM. am exclusively ��p��p ��p IicenseG contacmrs to consvup I�e prol� (�tion 70/6, Buvness ❑ anA Prolcssions CaEe: The Convactors' b7ate license Law dces not appty ro an ovmer ot Drocerty � butlQS or Improves Nereon m0 who mniracts tor such D�olects ci� a canlraRor(s) license Dursuant lo tAe Convacrors' SWte Li�nsa Law�. I am awam Ihdi pfa01 01 �tleif Worker'S CAmp¢n52l� inwrante 5h0u10 Ce proviCed lo me.� � I am exemD� urMer Section: B. d P. C. lor t�is reazon: ' Date: Owner: I Go �ereEy certity tlwi I am awam al an0 unEers�antl I�a repuimmenis ol faIlloMa Meali� an0 Satery CoGe Secilortt 25505, 25533, anO 2553C an0 t�at I ar any luturo builGinp occupant MIW�iII not (cirde one) neetl ta wmpy with saitl stata coEes anE t�e re0uiremenis ior a permit lar constmcibn or motlification imm Ne ar �ualiry ManaOement Uistnd. Flesitlential construction aD0licatlans are exempt fram t�eu proNslons. � Date: Applicant: I here�y certiy I�ai I �ave reaC [Ais application aptl state tlut the aCove intormatlon is cortect. I a0�a ta comply vnth all dry anE wunry aNinances mA sute Wws relatln0 �o �uilAinp cons[ructlon anE 4 aultqrKe reD�e tetw 5 0l tNs cily to anter upon the above-mentloneE properry IorinsD��on Durposes. Date � SiO�atur . oriver's Limnse or �a� Secunry x: $ 16a1-a8 WMta--Buikinp: GrBBrCOEe Enlo�ement: Canery—Appliwnt: Pink—Revenue: OdCenrotl—Aveawr CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 047923 PERMIT NO: b 047923 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE:�ALT JOH DESCRIPTION ; REROOF/T-O,NEW 3-PLY HUILT-UP SQ FT: 3,924 CLAIM VALUE; 3,424.00 CALC-VALUE; 3,429.00 GROUP OCQ: R-1 /� COMMENTS; �r*x********�**��ri�****��**�rx*�x��r�r��**�******�*�x�**�*****x**+�x+�********�+�*�**x�* 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 HUZLDING ---------- FRNT: FT IN REAR: FT IN LEFT: FT IN,RGHT: FT IN --------- ACCESSORY HUILDING --- —=--- FRNT: FT ZN REAR: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ; PROV: PARCEL: 92417209 ZNE: REF NO: PLANNING NOTES> > if it iE if iF iE if iE iE?E iE iE iE �t ik it it iE it jf iF iE iE dE iE iF iE it iF if 1k if iF iF iE iF iE iE it iE iE iE ik if iE iF iF iF k ik iE 1E if iE iE iE iE it iE iE iE iE * it iF fE if if iE iE it iE iE if �k iF iF jE it 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 �C- ZONING AFPROVED BY DATE: BUILDING APPROVED HY : DATE: ^ APPLICATION ISSUED bY; DATE: /9�� r�**�r�*#*�r��r�r+��r�r��*** ��r*�*�x�r**T�'�� . . .d`x� 't if iF iE it if jE if 3E if iE iE iE if if if if if �! if ik iE i4 iE iE iE iE iE 1E iF iE ik if if iE it'.. iE it ff it iE iElE if i! iE'lE jE it it 1F if ik iE it iE iE iP iE if !f iE if iE if iF jF �k iE iF iE �E iE iE if it iF ik LEGALIZATION;N � � F E E' S U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMZP/.RES GRADING PERMZT 6].00 50 SMIP/NON-RES PLAN ISSUE FEE HUILDING-DIV-> FERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 63.50 0.00 0.00 63.50 63.50 .00 REVENUE DZVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK . 63.00 .SO if if !k iE ff �f if iE iE iE iE iE iE iE 1E ik iE iF iE iE 1E jE it iF jE f!!E it it it iE if �E iE je iE jt iE iE 1f iE iE it it it it if ib iE it iE ik it iF iE iE iE iE dE it iE it iElE iE it.iE it iE iF if iE iF iE iF iE 9F dt iE I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T T O N UNIT COST' TOTAL COST SFR 3429 REROOF HY VALUE RESIDENIAL NOZONE 1.00 3,424,00• END OF FEES \\ ``M , - O100C�64D3�-COOb408< 7'a��T' `�nTE: UG/2i/i0 TI%E: 1��10 b3.50 CONSTRUCTION AND PLANfv�,.� OOL & SPA APPROVALS Permit # � Date Inspector APPROVALS Permit # Date Inspector 1. Temporery Electrical Service or Pole - 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd, 54. Forms � 4. Eiectrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrital UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. footings . 58. Electrical Conduit-Undrgrnd. 8. Foundation . 59. Gas Pipe, � Undrgrnd., Test , 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Struaural Floor System . 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connaction 62. Backwash & Receptor-Final 12. Sewer Cap . 63. Heater & Vent-Final , 13. Roof Drains 64. Plumbing Sysrem - Final � 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical�Conduit 66. Sotar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access ApP�oval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough ElectricabT Bar Celling 69. POOUSPA SYSTEMS FINAL 19. Rough 4eating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Dutts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. floof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (S[ructural) & Monocoat . 75. Dry Chemical 27. Frameand Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78, fIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Eleciric Notes: 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-Test ' 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing , 39. Water Service�Final' � - . 40. Gas Service-Final ' 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING r/ �� 48. FINAL PLANNING �-• 49. Electric Release to Edison -• 50. Gas Release to $outhern California Gas Co �' 51. CERTIFICATE OF OCCUPANCY ' No: Date J City of Costa Mesa Building SafeTy Deparlment P. O. eoz 317 Cotla Mam, Colifornia CERTIFICATE OF OCCUPANCY N° 2670 C The Building located at Q� �Q� �th $Lre@%'i /�B►C has been inspected and found to comply with the provisio�s of all City of Costa Mesa Ordinances applicable thereto for a Group F 8�% Occ�pancy. Use of Building `tYi��ex ta8.'th etieche@_gg�a • _ Legal Description ' �6'"�'�"�� ' � � (See reverse �ida for Matea and Bound�) Building Permif No. ��33 Electrical Permit No. ��- pl�mbing Permit No. 7��^� Floor Load Signs have been installed as Room Capacity Signs have been instaled 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 ho�se shall be used or occ�pied until the owner or operator has been issued a valid certificate of occupanry 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 ihereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or gvest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments—�_ and/or guest rooms ISSUED TO: Building Offic�ial�/ Q�VII.�Y13 2SAGZ4 bY�o�j�'L� �. �r-/?J. jfC_ Date—� �� This Certificate of Occupancy SHALL BE posted in a conspieuous place on fhe premises and SHALL NOT BE removed excepf by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Fo�„ Bva�—�m—i�-ea—ss r `' ;�0933 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applican[ fo Fill in Co�letely �� 1 � !/ ADIDRESS �J^� �' 'C �� 1T enc ✓i ve u OWNER / MAIL �G pA/U�U /�Q�QS ADDRESS ,(7 L CITV /1/fL✓�O%'� .CiPaCH NOL(p��7I BRANCH ADDRESS ARCHITECT // ' TEL. [�� OR ENGINEER �.IOC� /IO4 /h NO CI �7u� ADDRESS O�E• OI R� Gl/��70/ , CONTFACTO � �j'�/D/7 L-1�.- ADDRESS �O�S //r� GOl'l:'� G� ��i%d�'f'��TJi� b�JG IVOL _ ��. CITV `__' STATE ��n� a �P CITV � f_% LIC. NO. 6 LIC. NOV"� SI2E /7` � v p � NO.OF BLIX'�S. OF LOT �� O � INOWONLOT� USE OF EXISTING BLDG. SIZE OF NO. OF NEWBLDG. ROOMS STOFIE: EXTERIOR WALL ROOF COVERING COVERING USE OF BUIIDING AND WORK TO BE PERFORMED I hareby acknowledpe that 1 have reatl Shis application and state that Me above information is correct and e0rae to camply with ell laws regulatin8 builtling cons2ruction, antl I shall not employ ony person in violatio� of She workman's compansation laws oi the State of Califarnie. I hereby certity that I om properly licensetl as e contractor under Me State of Californla Business and Profassions Cotle, Divisicn 3, Chapter 9, antl thet such licenses are in tull torca antl effect, or I am exempt from the provisions ot the State of Celltornia Business end ProfessiomCode, Division ], Chapter 9. Signature of Permittae Authorized Agent ,K ' aace SF.P?6-6��0 929� ***Z12� \ APPLICATION FOR BUILpING PERMIT \� RECEIVEDBY� D/�, RECFJVED DA7EISSUED A.P. NOvII ��' �OZ � O / I r BUILDING •7S"z /� �C lc/E�T ADOFiESS �-- ro�,.,. z9zH ,,,., 9 OWNER(/ Yf%� cc S FIRE 20NE T� APPROVED l BV ZONE� � P�� YAR�SAPPROVED MAIN 6UILDING (FROM C/L STREETI . R.SIDE �0 L. SIOE � REAR /✓ DISTANCE BET. APPROVEDt�� B V �Bd! PLoT �tH,✓ �IPPRov H- z— 6 D�.D FOR P.9RK /NG _ sc, THE AMO THE PURP( VALVATION gyss�� VALUE �, � �.`� 3 LL t ST — BLOCK � � � � s$r �y� �G�'!�/ � USE OF NEW �j �QGEx 9UILAING VARDSAPPROVED ACCESSORV BUILDING 4l /g7� ST BEf. MAIN & . ACCESS BLDGS. DATE APPROVED DATE o—z�-6 n 6 r B.S'oo,t'J UNDER VA LISHING A P TOTAL FEE � � m � O IS FOR � ONIV: m ¢ I'�m rv � �_ `m � .E _ / LL '� '� i q8G ^ COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COS7A MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUI�DING ��1 � /4 �/ nnnaccS ,C�L Z . W W a U Z ZF O �n am J7 J N Q W m U Q Z � aw W Z J Q m Z J � W W o= z� w� � � � z Q U J a 0 � N Z � F U � � F N Z OWNER `'L✓�O MAIL � ADDRESS J 2 CITV / ,�� BRANCH ADORESS ARCHITECT ADDRESS CONTRACTOR��1 ADORESS �00 � cirv �,n�,�.� !tj STATE � q LIC.NO. /L�9D/� SIZE OF LOT USE OF E%ISfING BL�'i 512E OF NO. Oi NEW BLDG. ROOM' EMERIOR W/�LL ROOF COVERING COVEf USE OF BUILDING AND WORK TO B TE L. No. ��/2-� TEL. No.3 y8 8Y CITY LIQ NO. NO. OF BLOGS NOW ON LOT � �ia,: zz-�o�M,L0o2z�s ��}�i:�5.00 APPLICATION FOR BUILDING PERMIT RECE,WED,6 DATR RECEIVED r�eTc iccw A.P. NO.// I BUIIDING ADDRESS 7 TRACT w. OWNER '� FIRE 20NE T APPROVED BV 20NE NO.OF --3 r�cNs � YAROS APPROVEO MAIN BUILDING (FROM GL STREET) VAR. aW C.U.P.q� VALUE 5 /D D � 2 ti •% l, `O USE OF NEW BET. MAIN & I hereby ack�owlatlBe that I have reeE this appllcation antl ftete thet the ebo�a (nformetion is correct antl a0�ee to comply wiih all lows repuletlnB Euiltling conrtrucNon, end I shell not employ any porson in violetion ot tha workmen'a eompenaatlon lewa of che Staro of Calitornla. I heroby certity thet I am properly Ilcenaetl aa e contractor under SQ. FT. the State of California eusiness entl Profaulona Cotle, Olvlsicn 3, THE AMOUNT SHOWN UNDER VALVATION IS Fi Chaprer 9, antl thet suc� licenaes ere In full force anG effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONL nm exempt from the provlzionf of Me Stete af ColHomla Businass VALUATION i� entl Proteasb�a Cotle, Div(sion 3, Chapter 9. .�./1 pERMIT FEE S `� Slpnature ot� �_ vs� ,, � /y��+ Q�.� (�%/`j� U " Parmittae "�"�' ��""�__ S`�� PLAN CHECK 5 Authorizatl ABoni TOTAL FEE $ � / � W O � ¢ N � m E `o LL ��`��_,j1 � G� COSTA MESA BUILDING SAFETY 'PARTMENT COMPLAIr�r INVESTIGATION P. o. sox izoo i hy..�' � COSTA MESA. CALIFORNIA ^7 Received bY �-- � �G�/ n",4 � 646-2411 Date: �0—p �' 7p c.y-�� C� � /��/��/�� /�J�,� �% ��j `f � y Made bY: / / //8CJ" .�`.i""!'L�/ (��LG�-' Address /��J /�GGf /��bli. No. ��/�� Againsr. Ditections: of Complainl [aken: Complete: Yes Address Compleinant Yes � By No Inmrviewed: No Data r�/� �/T FORM BU91-2M-6-B4—CP