HomeMy WebLinkAbout764 18TH ST - Building PermitsCity of Cosfa Mesa
Bu�lding Safety DepaRmenf
P. O. Box 317
Costo Mesa, Califomio
CERTIFICATE OF OCCUPAMCY N� z'%�Q C
The Building located at ���' �� s�T�3t
has been inspected and found to comply with�the provisions of all City of Costa Mesa Ordinances applicable thereto
fov a Gro�p $ g J Occupancy. �
Use of B�ilding �i� �� g�� �a
Legal Description �'�'�
(See raverse �ida for Metes and Boundil
B�ilding Permit No. �� Electrical Permii No. �� plumbing Permit No. �3
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. e. C. . required under Sec. 3301 (1) U. B. C. �
17050. CERTiFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodg7ng house 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 chonge in:
1) Occupancy classificafion of a building or portion fhereof
2) The number of apartments or guest rooms
3) Ownership -
If Group H Occupancy, number of apartments and/or guesT rooms as required �nder Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
N�mber of apartmenis � and/or guest rooms
ISSUED TO: Building Off'cial
� ���� �o. bY ����,P� �� P���
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This Certificafe of Occupancy SHALL BE posted in a conspicuous plaee 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� svaa.—ir.�—ii_es_s.s r
Aoo�icant to fill in all soacez eviceot t�ose within �eavv Eertiv lines antl Siqn all aooroDNate Eeclantlons.
R IT NO. TRACT NO. LOT NO. UNIT NO.
I ciTv oF. cosTq nnesa C NSTRUC�JON PERMIT �� 9� A.P.;1� _ Zone
' Project Address ���y��i y �! C �• � _ _
TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR S Main Building: ACCeisory Building:
Appf,a c.e Mailin Address - E Z
I/ R � NHJI�GNG ��v v�y � CONVERSION ❑ �EMOLISN ❑ OTHER ' B Front N
G�ner'i.Name Phone DESCRIPTION OF WORK/USE OF BLDG. Rear �
Address _��%� /�• � ����M S/LF � GIf.A.dC_5 /+
ArCh/Eng. LiC2n5¢ NO. TVPE OF PERMIT GRADING FOUNDATION STRVCTURAL � K Ri9ht ' N
G
Addre55 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAI , S' Lef[ R
Contrecto� s Nam ho�e ❑�o7HER Ping. Ref. 5fi Parking Req./Provided � E
PRQIECT DESCRIPTION 5Q. F7. oCCUParvCv �
Address Imailing) ��• �_ Planning Notes: M
CONSTRUCTIONTVPE�/��� VALVATION$�%hn� T
CityLiCEnSeNo. 20NE GRAD�NGCU.VDS. ACRES S.
L ENSED CONTRACTOR DECLARATION
I he nm tnat 1 am licensetl untler provisions of Ghar mmencing Remarks: �' J G
with section LDlvislon 3 af U� A.+ci rofezslons Cotle, antl C
my Iicense is in / li 1 t�_ �� ' � �� ELECTRICAL FEES
U CI � UG
Da Siqnature , PLUMBING FEES Automatic Washar Transformer ❑ 15�50 KW
wORKERS'COMPENSATIONDECLARATION - ConStfuC[iOnPoleSub. �SO+KW
I �GrCby a111rT that I have a corUficate ol consent t0 5llf-IOSura o� a Certlfitate 88! Siftk $hOWC�s
oi Workeri' Compenidtlon Iniu�ance, Or d certl�letl mpy �he�¢Of (SBCUOn i�AOking UOi[ Meter Oup to t00amps
�A00, Lab. C.) BackflowPreventer ServiceSink
:y No. Company Backflow Irrigation Sewer Cep Dishwasher Meter �over 100 amps
.:crtltiea copy Is nereby furnlshed. � Dryers ❑Gas �Electric Sub Panel . j.
�J Cor[ifiatl copy i5 !II¢tl wltn the clty Builtling Dlvision. BathtUbS $ewer COnn2ttian
Oate Aoaiicanc - Fan Momrs OP1 HP OiX � 8
EXEMPTION FROM WORKERS' COMVENSATION DECLARATION Clarifi¢rs $olaf Collectors
(This section neetl no[ be complotetl i/ tha per It 15 (or one hundretl (E300) or . F.A.U. Inc. ar �9�15 HP � 16-15+
less�. DiShwasher Solar Piping
I cettity Ihat In Ine pe�formdnce a� lne w < or w' is permq Is issuetl, I. Fixtures ittO�Ydvf
shall not employ any Derson in any ma so ertR'SO�jett to the Drinkin9 Fountains Solar Tank �
workers• omoy nsa�lo� Laws o/ Caiiror i Device Boxes Pole Li ht ,��
Da[e �_r—y_�� Si9nature FlOor Drains Swimming Pool w/Spa � 9
NOTICE: If, atEer making this Getlaration, you shaultl beco e suoject to the Outlats Ran e
Workers' Compensation provisions of Ihe Labor Cotle, you must forNwith Floor Sinks . Urinel � 9
comply wil� SUCh p�oviiians o� tnls plrmit Shall be tleemetl �evoketl. `$WItCh85
CONSTRUCTION LENDING AGENCV GaiService OUt1et5 WacerCloset •— S�9O
I hereby aflirm Ihal lhete Is a construc[ion Ilntling dgency tor tne Oe�to�mance ' Garba 'e Di � osal
of the work tor which this permlt Is Issuetl (Section 309] Clv. C.) �nterceptors ter Heater 9 � � Standin95ection5
Lentler's Name
Lentler's Aatlress Kitchen Sink Water Service Generator �65 KW �5-15 KW Tresh Compactor
OWNER BUILDER DECI.ARATION .
I hereby al/irm lhat I am exempt from Me Contractor's License Law for [he Wvamries Auta-Waih
tollowing reazon (Section 7031.5 Business antl Prote55ional Cotle: Any city or _ l
Caunty whlcn requires a permit [o construct, alter, improve, tllmolisn or reOalr P—Tfap LaUndry TfeyS �� ` '1
any S(ructure, pNo� lo its issuance, a15o requir¢z Me applican[ fo� such perTit � � � ,
to tile a si9netl statemenl Ihat he/she is Ikensetl pursuant to the pmvizions of Roaf Drains '
tne Contractor's License Law (Chapter 9(commenting with Section 7000) of
DivislOn 3 ot th¢ BuSin¢55 antl PfofGzsions Cotle) or that h¢/she is exempt • RBinSpBtfiOfl F88. $1rJ 15f119 F8B $ 3
iherefrom antl Ihe baiis tor Ihe allegetl exemption. Any violation of Section
7031.5 by any applicant for a permit subjecls lne applicant to a civil
p- 'ty ot not more than tive nuntlretl tloiiars (E500). DEVELOPMENT SERVICES RE�UIREMENTS:
as owner o( tha property or my emDloyees witn wages as their sole Reinzpeetion Fee $15 laue Fea a 3 Zoning Approvetl By �ate
� ,ensalion, will tlo lha work, antl tbe structure is not Intentletl or otteretl .
for wle (Section 7044, eusiness antl Profezsional Cotle: The Contractor's MECHANICAL FEES Building Approved�8y OatB���
License taw Coes not apply [o an owner of a properly who builtls or Improves ��� ��� � �y a �gq
thereon, antl who tlOeT Suth wOlk hlTself/Ilenel( 01 through hi5 or hef own ApplilHti0I1'ISSUBd By �� DBt�� JSi9.J �±�_
employaes, provitletl [bat suth improvements are not intentletl or otteretl (or Bailer HoOd Or Type I ❑ -
sale. It, however, the builtling or improvemenl is soltl witnin one year of tom- CEnopy Type II ❑ � � _ SUMMARV OF FEES
plcUon, t�e owner will have the burtlen of proving he/she tlltl not bui10 or im- Dutt - Unde� Ground ' --�
prove for tne Durpose ot saie). ' BUIL'DING PERMIT $ 3 9• �v SMIP $ • S
❑ 1, az owner of the Oroperty, am exclusively tonbactlng wleh Iicensetl con- Duct -Struttural Retrigeration Sys[em P�AN CHECK • $ �PERMIT
��acto�5�0 COnitrUct [ha ptoject (Section 7044, BUSiness antl P�ote55i0n5 COtle: � �
The Contractor's Litenze Law doez not apply to an owner ot vrooerty who Duct - Ventilating ❑0.100,000 BTU ❑700,000 BTU PLUMBING $ �SSUANCE $
bulltls of ImprOVM IhOreon. anG who contfdttt �Or Such Otoi0tt5 wl(h a ron- .
tracto (sl Lcense pursuane m ene Convactors License Law), i am aware that ' PLAN CHECK 25% $ ENERGY P.C. $
ro o! tneir Worker's Com an tion ins rance shoultl ba Exhaust5ystem ❑ Multipie ❑ System Repair/Aiteretion GRADING $
p p provioea m me. ELECTRICAL $
i am exempt untlor 5ection 6 a. C. ror Ns reason Firepl/Fact. Blt. ICBO �k Fire Dampers p�,qN CHECK 50% $ MICROFILM $ O
Date. � � owner HeatingSystem&Ducting Registers '� MECHANICAI $ TOTALFEE $ 3`• S�
1 hereby ccrtiry t have reatl this applicaLon and st that tha above ❑6100,000 BTU �100,OOOBT PLAN CHECK 25%
in7ormation is tar ct I agree com0ly wlth all city antl county ortlinantes $
\antl Sidt� laws f at g �a b 1g COnitru<tlOn, dntl heleby duthorize reple-
'6entaUvos ol Is Ily r upon the aDove-mentionetl properry for � '
InSDettion pur o 5. �
Slgnaturo Date• � 5 � �
Drivors' License or 55 �f Reinzpection Fee 515 laue Fee $ 3 AC��UNr :: 31��4�•10U2
n� nn�e nn. -
0865•a6, rev. 5/BB Wbito - Bulltlin9: Canary - ApPllcant; Pink - Accounting; Goltlenrotl - Assessor �, OJIIiJ�89 OI CK�TEtrR V u ��Sfl
v_ , . . . . .
�
CONS�iUCTION AND PLANNING y� �OL & S�4 , � ,
APP,�OVALS Permit# � ..ate Inspector p�PpROVALS Perm.. . Date Inspector
�
t. Tal�porary Electrical Service or Pole �, � 52. Pool & Equipment Location :+
�
2. Soil Pipe-Undrgrnd. ' !' 53. Steel Reinforcement � " .
3° Elec[�ic�l Contluit Utility-Undrgrnd. • 54. Forms t• �
r
4: Electiical Contluit-Undrgrnd. - 55. Electrical Bonding � � �
5..Stee1'Rejnforcement � 56. Rough Plumbing & Pressure Test ^
6� Electiical UF�R Grnd.
57. APPROVAL TO COVER-GUNITE �j '
7,.'Foo[ings -- • i! 58. Electrical Conduit-Undrgrnd. G-.�' �r �
$. Foundation , � '� 59. Gas Pipe, O Undrgrnd., Test � � �t
9�. Water Pipe-Undrgrnd. ;� �� 60. Backwash Lines, P-Trap, � Undrgrnd. ��,'
10:'Struccural Flovr System rt ' 61. APPROVAL TO DECK '�
>.
71. Property Sewer Line & House Connection � � 62. Backwash & Receptor-Final �
12 . SeweS Cap , 63. Heater & Vent-Final
13:yRoof Dreins � 64. Plumbing System - Final .
14. Rough Plumbing 65. Electrical-Final •�
i
15. Rough Electrical-Conduit 66. Solar System-Final
`� 6. Rough Electric Wiring 67. Fencing & Access Approval
t•
.1J•. Rough Wiring Sign 68. APPROVED FOR PLASTERING
1'S'. Rough Electriql-T Bar Ceiling �� 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditionin,g FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � �� APPROVALS Permit #
21. Ducts, in Structure ', 70. Underground Hydro
22. Ducts, Ventilating a : ��� 71. Product Piping OGas ❑Oil .
23. Gas Pipe-Rough & Test ' 72. Und'erground Flush '
24. Roof Framing � � �� , 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing ;� �: 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27.�Frame and Flashing ,,- 76. Dry Standpipe
28. Lathing &'Siding t'' 77. FIXED SYSTEM FINAL
. i
29. Insulation , 78. FIRE PREV. FINAL
30. Drywall Nailing .� �: � HEAITH DEPT. REQUIREMENT
31. Plaster Brown Coat � � 79. FINAL INSPECTION
32. Electricai Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: _3�_
34. Final Heating & Air Conditioning _3
35. Final Gas Pipe-Test
36. Hood or Canopy
1� r W �.
37. Final Factory Fireplace Wp.�� M L
38. Final Plumbing ' � L� a r_
39. Water Service-Final � �
40. Gas Service-Final '
41. Solar pomestic-Final , i,
42. Backflow Preventer � ��'
43. Backflow Irrigation '� ,
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed �
49. Electric Rdiease t�lEdison :
50. Gas Release to $outhern California Gas Co � �!�
51. CERTIFICATE OF OCCUPANCY , ,
No. Date ! - �'�
�,
'" �� 31501
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING ��� w IS�
ADDFESS
OWNER TiP1'.L_ �.nY��i �CtF�ra-� �.. .
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CITY
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TEL.
NO.
BRANCH �K[p
ADDRESS �c{y�pf� UP�G�
ARCHITECT 1� � TEL.
CONTRACTOR �eC�. `���-�.��(„�ph Ln ,
ADDRESS �6bQ `$bc.oc�k. „�"
TEL.
CITV � M NO. I'DSeS
LIC. NO. ��3p'� LICVNO. ,�7 O
512E ��x�Q INO.OFBIOGS. 1
OF l0T NOW ON LOT /
VSE OF
EXISfINGBLDG. Y/oh�
SIZE OF NO. OF
NEWBLDG.SOXCo� qOOMS IZ STOFIES Z
EXTERIOR WALLc'�. ROOF
COVERING �`'��� COVERING ��1���{>
USE OF BUILDING AND WORK TO BE PERFORMED
I hereby ecknowledga that I hove reetl this applicotion and stete
that the above intormetion is correct antl agree to comply with
all laws regulating builtling constr�ction, antl 1 shall not employ
any person in violation of the workman's compensatian laws of
the State of Calitornie.
I hereby ce�Nfy that I em properly licensetl as a conbactor untler
[he State of Cel7tornie Business antl Professions Cotle, Oivisicn 3,
Chapter 9, entl that such licenses ere in tull forca end effect, ar I
am esempt trom Me provisions ot the State of Celitornia Business
entl Professlons Cotle, Division 3, Chapter 9.
$Ignatura ol� �9� Q� J L� ��
Permittee \ _ _ � 7
Authorized ABent
,
MAR 12-70PnIoOO 335# �**20�.0�
cnsc I
APPLICATION FOR BUILDING PERMIT
PECEI D D E RECEIVED DATE ISSUED
- --� 3-/a-�d
A.P. NO. II ��� PERMIT NO.
oa�-
ADI R'E S �G GUa � �/�!
�
TRACT`�/� LOT (p BLOCK
V
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ED
(7, \/o�,
VAIUE
20 NO.OF USE OF �
� PLANS� BUILDING
VARDSAPPROVED YARD'.
MAIN BUILDING ACCE55
(FROM C/ �STREET� ��
!/
S
/�
DI5TANCE BET. BET. MAIN
MAIN BLDGS. ACCESS.BL
VAR.# DATE
C.U.P.� APPROVED
�
�
/y- m
3 � �SQ. FT. VO� O
THE AMOUNTSNOWN UNOER VALUATION IS FOR '
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: Q
VALUATION y�
PERMIT FEE 5 I �
/' / �
S /p� �7D � PLP.N CHECK S (C / �a � E
i ��/'DO LL
TOTAL FEE $
_. 741885
� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
/
For Applican[ [o Fill in Completely — Use Ink Only
f BUILDING ` �-� � � �
ADDRESS "�
OWNER /.� w ��{�CAi��.
ADDRESS 1'� �•�ea��'� �� K ��1
\- TEL.
CITV �1LLLl�1QC fl� �� NO.ln�i�•uIl
BFANCH
ADDRES',
TEL.
ADDFE55
BUIIDING
ADDRESS
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ROVE
+ "al°00173�'**�*30.50
�.PR ?_9-76�,:,�.
FORSTRUCTURALPERMIT
�. 1 n" / �.
VALUE
ADDRESS
TEL. Z NO.OF USE OF NEW
GTV NO.
�3 PLANDA� BUILDING
F STATE CITV YARDSAPPROVED VARDSAPPROVE�
� LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
{,y SIZE NO.OF BLDGS (FROM C/L STREET)
0+ OF LOT NOW ON LOT RONT FT. FT.
� USE OF
EXISTING BLDG. P 1 i �� P-� PL� 7 FT
y
FSeparate,permits are required for �. sioe FT.
electric, plumbing and heating work.
� REAR FT. FT.
F. SE OF ILDING AND WORK O 8E PERFO ED DISTANCE BET. BET. MAIN &
Q� K� MAIN BLDGS. ACCESS. BLOGS.
; VAR.qW DATE
a C.U.P. gW MPROVED
� APPROVEDf % \ � Zg 'Tl1
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0 I hereby acknowletlpa that I have reatl thls epplieetion entl stete
y� thet the above Informetian Is corract entl agree to com0ly with
a ell lews repuletinp np concttuction, entl 1 shall not employ
z eny permn In vl etion Of the workmen'a compenaetion lews of
� tha Steta ot Cel ornie. '
3 I h¢reby certif ihat em prope�ly Ileensetl as a eontractor untler SQ. FT.
Sha SUta of Iltor e Buzinesa and Proteuiona Cotla, Divlslon 3, THE AMOUNT SHOWN UNDER VALUATION IS FC
Chepter 9, an t such Ileenses are In full force and ettxt, or I THE PURPO6E OF ESTABLISHING A PERMR FEE ONL'
em exempt f the provlsions Stata ot Cellfornie Businass VALVATION PERMIT FEE E
entl Profess s Cotle, Divislon 3 Ch r 9. /J �/ �
Sipnatvra o /'//� �.,..�/ �v AN CHECK E
Permlttee $ �/ _ TAX E L
Authorized Agent TOTAL PAID E �5
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