HomeMy WebLinkAbout873 17TH ST - Building Permits'vifi5^t 1lTH STRSEP, -'i'�
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OWNER g�gEKP & RIC[�IF1RD
JOB ADDRE55 873 W. 17t
GENERAL CONTRACTOR � pp
!' Ne. 424-101-06 LOT
'ECTIONS
SOIL
WS
W ATER
ROUGM PLUMBING
PROP. SWR. LINE � MOUSE CDN. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGM NEATING ANO �IR CONOITIONING
TEMPORRRY SERVICE OR POLE
UNOERGROUNO � POWER �
� ROU6H WIRING
Y TRENCHES FORMS STEEL PF
roFLOOR SYSTEM
h BONO BEAM n STEEL REINFORCE �
C SHEATXING
-�i FRAME AND FLASHING -
N LATMING - IN n OUT �
� PLASTEF, BROWN COAT
a5" 'TURAL, FINRL
h. NG'. VENT., REFRIG. AND 1.C., PI
DATE
TRACT FIRE ZONE VALUE
SI na�ura Dara TVPE (iROUI
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CITY OF COSTA MESA
� o "' , BUILD/NG D/VISION
F� . � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us
° � FOR INSPECTIONS CALL: (714) 754-5626
�"°"°'m� PERMIT NUMBER: BC10-00179
PERMIT TYPE: B_COMBO STATUS: ISSUED •
SubType: COM_ALT DATE ISSUED: 09/27/2010
ISSUED BY: RMD �
�.,�..,.�.�.��R,�---�
JOB ADDRESS:/8].$:VUi7�7TH-ST CM-��' -�
APN: 42410706 ,�
Vicinity: EXTERIOR
Const Type: V-B SQ. FT:
ZOriing: , , '
64
Suite/Unit:
Primary Occ:
Valuation: $15,200.00 •
SCOPE OF WORK: REMOVE EXISTING CANOPY AND INSTALL A NEW 64 SF ATTACHED CANOPY, FACADE TO INCLUDE NEW
STORE FRONT AND ADDITION OF NEW DECORATIVE SHEET METAL PANELS. ACCESSABILITY ACCESS UPGRADES FOR
SIGNAGE. 3 EXTERIOR LfGHTfNG FIXTS AND 5 SWITCH FOR "MAURER MARINE".
OWNER: MAURER, CRAIG WARREN TR
Phone:
APPLICANT: HOUGHTON, STEVE
Phone: 951-2323164
CONrRnc70R: STEVE HOUGHTON
Phone: 951-232-3184 �
Cell:
ARCHITECT:
ENGINEER:
COMBINATLON PERMIT FEE SUMMARY
Building Plan Check:
Buitding Fees:
Electrical Fees:
Mechanical Fees:
Plumbing Fees:
SMIP Residential: ; �
SMIP Commercial:
Bldg Std Admin Fund
TOTAL FEES:
Address: 881 W 17TH ST
City/State/Zip: COSTA MESA, CA �
Address:
City/State/zZip: �
- License No. 863463
Address: 4701 VALENCIAAVENUEUnit:
Ciry/State: YORBA LINDA, CA �
- License No.
License No.
$172 41
$265.25
$27.90
$0.00
$0.00
$0.00
$3.19
$1.00
$469.75
Unit:
Unit: :
ZipCode 92886
PHONE:
PHONE:
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279
Monday thru Fritlay -7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal holidays:
New Years Dav. Memorial Dav. Indeoendence Dav. Labor Dav. Thanksaivina Dav and Christmas Dav
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: �n order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspBctions and final approval musl be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit.
CODEI INSPECTIONTYPE � IN1fMLS COOE� INSPECTONTYPE DATE IN1tML5
1816 Fixed System Final Fire Prevention 206 Final Mechanical
2006 Fioall ReARoofl �0 Final Electbcal k L� 1�' 1� i✓1 � �
201 Final Blo�k�Re�aining Wall 212 Final Fire Prevention
202 Final FaG�ory Fire Place 220 Final Planning Approval
2tl3 Final Si9n 222 Final Site \/
204 Final Demolition 250 Final BuildinglOccupancy 7� �_ '�j � 1 �
M
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalry of perjury one of lhe following declarations:
❑ I have antl will maintain a ceAificate of consent ro self-Insure for vroBers'
compensation, as provided for by section 3700 of the Labor Code, for the
peAormance of the work for which this permi[ is issued.
❑ I have and will maintain v.orkers' compensation insurance, as requiretl by
section 3700 of the La6or Code, for the perfortnance of the vrork for which this
permi[ is issued. My workers' compensa�ion Insurance carrier and policy
number are: 1 1 /�
Cerner-� '�TCF / �G /�'V/lac�
�"'-(Ths sed.on need nd E¢ cpnpe�e0 d tlre pemrl s valuetl al we n�rMretl cbnars (5100� wless)
P.olity.NGmber. _ Q"y.---� �fi dOej �/,3 Zr
❑ I certify that in the perfortnance of the vrork for which this pertnit is
issued, I shall not employ any person in any manner so as to become subject
to Ihe workers' compensation laws of Califomia, and agree that if I should
become subject to the vrorkers' compensation provisions of Section 3700 of
the Labor Code,� rthwilh yomply with thesa provisions.
S ,/C �� 2
Appl�cenl nalure � oateti
��
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL 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, IMEREST, AND
ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affrm that I am licensed under pmvisions of Chapter 9(commencing
wilh Section 7000) of Division 3 of the Business ana Professions Code, antl
my license is in tu/ll force and effect.
L"�c_�iM«-. L � C�# a
/— ' =..C1.� r/
c Comraclor's Signalure Daie
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrtn thal there is a construction lentling agency for the
perfortnance of the xork for wfiich this permit is issued. (Sec. 3097. Civil Code).
Lender's Name:
Lender's Address:
Signalure
OW NER-BUILDER DECLARATIONS:
I hereby a(firm that under penalty of perjury that I am EXEMPT FROM THE
CON7RAC70RS LICENSE LAW for the following reason (Sec. 7037.5,
Business and Professions Code: Any city or couny which requires a permi[ to
construct, alter, improve, tlemolish, or repair any slrucNre. prior to its
issuance, also requires the appliwnt for such permit to fle a signed statement
lha[ he or she is licensed pursuant ro the provisions of the Contracrors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Pro/essions Code) or that he or she is exempt therefrom and
the basis lor the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjecis the applicant to a civil penalty of not more than
fve hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intentled or
offered for sale (Sec. 7044, Business antl Professions Cotle: The Contractors
License Law does not apply to an ovmer of property who builds or improves
thereon, and who does such work himself or herself or through his or her ovm
employees, provitled iha[ such impmvements are no[ intended or oHered (or
sale. If, however, the builaing or improvemenl is soltl within one year of
completion, the owner-builder will have the burden ot proving that he or she
tlitl not build or improve tor purpose of sale.).
❑ I, as owner of ihe property, am EXCLUSIVELV CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Pro�essions Code: The contractws License Law does not apply 10 an owner of
property who builtls or improves thereon, and who conlracts for such project with
a cont2ctor(s) license pursuant [o Ihe Cont2ctors License Laws.).
❑ I am exempt under sec.
Business and Pro(essions Code for this reason:
agnawre Da�e
305]-<fi(3/0])
Ovmer ID verifetl by driver� e. ❑ Yes ❑ No
Driver's License No. Expires:
Venfication of Ovmership by (type of tlocument, i.e. - pmperty tax Dill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certAy that no excavalion five (5) or more feet in depth into which a
person is requiretl to descend, will be matle in connectbn with v,�rk authonzetl
by this pertnit, and that no building strucNre, scaffdding, falsewurk, a tlemolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp
2, M 2, Sec. 347, Title 8, Califomia Atlminisl2Uve Code).
❑ As owner-builtler, I will not employ anyone ro do work which vrould
require a permit fmm the Division of Induslrial Safety, as noted above, unless
such person has a permit to do such vrork from ihe division.
Ap0licants Signalure Date
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or WWre building occupanl need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous matenal? ❑ Yes ❑ No
(Seclion 25505 of Ihe California Health and Safety Code requires, with some
exceptions, that a Business Plan be filetl with the Costa Mesa Fire
Depanment by every business which has at any one time during a reponed
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic fee[ ot compressetl qas
at standard temperature and pressure�.
2. Does or will the applicant or present or future building occupant need ro fle
a registration form tor acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Calitornia Health and Satety Code, with some
exceptions, requires regisiration with the Costa Mesa Fire Depatlment by
each business which at any one lime has on hand a quantily of acutely
hazardous materials equal to or greater Ihan a vreight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet ot compresseA gas at standartl
temperature antl pressure).
3. Does or will the applicanl or present or (uWre building occupant need to
prepare an RMPP (Risk Managemenl and Prevention Prog2m for acutely
hazartlous matenals)? ❑ Yes ❑ No
(Section 25534 of the California Health antl Safety Code pmvides that the
Costa Mesa Fire Department may require the preparetioq certifcation and
filing with ihe Fire Department of an RMPP by businesses which are requiretl
to register acutely hazardous materials with the Fire Department.
4. I( an RMPP is presently requiretl, has Section 25534 of the California
Health and Safery Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or fulure building occupant require !or
the work which is the subject of ihi5 application a pertni[ for such consiruction
or modifcation from ihe Soulh Coast Air �uality Management Dislnct or from
any other air pollution wn[rol district or agency? ❑ Yes ❑ No
(Section 658502 of the Califomia Govemment Code requires that tha requesled
in(ortnatbn be fumished on applications for non-residential building pertnits�.
6. Will any part of ihe facility to be constructed under this permil be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
Qf "yes", the facility must meel lhe requirement of Sec[ions 25534 and 42303
of [he California Health antl Safety Cotle).
7. It a permit from the South Coast Air �ualiy Management District or other
air pollution contml disMct or agency is required for the vrork which is the
subject of Ihis applica[ion, have all of lhe tlisclosures prescribed by California
Heallh antl Safety Code Seclion 42303 been made7 ❑ Yes ❑ No
8. (If yes", attach certifcate of compliance from the appmpnate air pollution
control oKcer).
CERTIFICATE OF COMPLIANCE: I certify that untler penalry ot perjury the
intormation given above is correcL I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
SqnaWre Oate
�
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penally of perjury that I have reatl this application an0 state that
the infortnation given is correcl I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives o(
the City of Costa Mesa to enter upon the aDove-descnbed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authonzed by lhis permi[ until final inspection.
Sigpd�' Vle o11.e dl Owne (s� ate
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OwNER ��TaN��D. & TAYLOR, i. DATE �'4'�1
JOB ADDRESS S• BUILDING PERMIT NO.
GENERAL CONTRACTOR• • ers VALUE g, .
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK o0 8gt�m
IN`-'�ECTIONS DATE I GROUP TYPE ZONE I
1 fgTOUIId Soil U.G. Watei PERMITS ISSUED
-_ ._ ---I SUBCONTRACTOR I
OCCUPANCY '.'
Form 210—SM-11-59 5-B P ���,�� � co w-P '//-7/-6l �c�aF{(�Lp FOR
JOB ADDRESS 873 w. 171
GENERAL CONTRACTOR 7
nP�-251-36 LOT
?ECTIONS
s. ..
Gas
1
OCCUPANCY
'ORM BU4 - 5M -
TRACT FIRE ZONE
� Signature � DATE GROUP J
nnTE 1i-26-62
BUILDING PERMIT NO.1 2
vnLUE � 375•00
D�SCRIPTION OF WORK P`it•Blk•W311
TYPE III ZONE M-1
SUBCON'PRACTOR
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OIRECTOR OF GLApiNIN6
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City of Costa�lesa Building
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iHESE PIANS MUST BE ON JOB .{7 ALL TIMES
MAKE NO CHANGES WITHOUT PRIOR APPROYAL
OF DEPT.
THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL
Of PLAtlS AND SYfCIfICAT10NS SHALL NOT BE CONSTRUED
TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOIAiION
UF ANY OF THE PROVlSIOhS OF lHIS COOE. NO PERMtT PRE
SUMING TO CIVE AUTHORI7Y TO V10LATE OR CANCEL THE
PROVISIONS OF THIS CODE SHALL @E VAUD, FXCEP7 IN SO
FAR AS TNE WOflK OR USE WHICN iT pUTHORIZES IS IAWFUL
THE ISSUANCE OF A PERMIT BASEO UPON PLANS AND,
SPECIfICAT10N5 SHALL NOT PRE4EClT THE BUfL�114S OFFlGAL '
t"na7 7HEREAPTfR RE�UIRING THE CORFEG710�+ '�F EItRDRS �,
IN cpl� PLAN$ ANO $PECIFICATIOi�S OR FROM FREVFNi1NG �
BUILDIIVG OPERATIONS BEING CARRIEO DN 7NEREl7W�IlfR M1HEN ,
LY�VIOIATICY Of T41$ CODE OP. OF ANY 07NEP, �iQtfVqN�Q ��
CF THE CITY. I
"'-------__
STRUCTURAL APPROVA' pN�Y
SEPARATE PERMI7S ARE REQUIRED
FQR ELECTRICAL, pLUMBINg,
HEATING, VENTILATING AND
REFRIGERAiION WQRK
Rermit # �
THIS NUMBER i?!!Sr ACCOMPQNY
A�L �NSPEC1t0;d REQUESTS
� FOR BWI.DIry�S yyH:.'e FEdSONS A
BE EMPtOYED, WE ;:J��ESi THAT T({E
STAiE OF CALIfC;Nfq DIVISION OF
�D�IONA� REp REMENTS,Su�rED FOR
—�-.�""-,--...�
'���.
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� Appllunt to flll In all sD�cas a:eept t�om wit�in �a�vy Cortler Iines anO slgn all apD/oDriate tleclaratlons. ���
CITY OF COSTA MESA Eq T O. TRACT NO. LOT NO. B . . • , � j�]E,'� ,}/U�/c :� . I;1,, ��`
CONS;RUCTION PERMIT ' yF ' 8 ' ' ' . . �
AppliCent's Meilin ddfBss . TVPE OF CONSTRUCTION' NEW ADD ALTERATION qEPAI R - - � •� . • ' �
Pro�ectAddrem � ❑ CONVERSION �❑ OEMOLISN ❑ OTHER � ' • . _ , � . � �
Owner's Name ' � L hone5�'_L72� DESCRIPTION OF WORK , , I G I
AddfMs ���^-�- , . TVpEOFPERMiT . �GRAOING FOUNDATION STRVCTURAL A.P.'N' 'ZONE - � '
ArChlEng. LiCCnSB NO. � � ❑ TENANT ❑ ELE6TRICAL PLUMBING ❑ MECHANICAL � - . _ . , :BUILDING
PLNG. REF, qW.
� Address� - -❑.�OTMER '��!)�:w �� ��/�iL.L � „TOBUI�DING • , - ,
GE V 1 f1EAR VApD (TO P/U .
� ContiactoriName' � ' � hone PROJECTDESCRIPTIO S�.,FT.;` � ' OCCUVANCV�.� LEFTS�DEVARD � ' RIGHTSIDEVARD • � •
� Addf253Ir^ ��� a� CONSTRUCTIONTYPE � � VALUATION$ �OO �- . .
, ' . . ZON� � � GRADINGCV.VDS. ACHF� PKG.SPACEREQ. � PROVIDED �
LiCBnae No:
UCENSED CONTRACTOR DECLAHATION � � Ramarks: , . �/ �. STREET WIDTH ' . � 'PARK FEE $ ' '
1 hereDy aHirm l�at i am Iicenseq untler provisions of Charter 9(<ommenUng . � . •-;
with 5action 7000) of Dlvlzion 3� ot t�e Businass anE Profeislons Cotle, antl ' � SPECIAL CONDITIONS: ' � I
my Iicanse Is In full force and eitett. ' . � � � � � � � . � - � '
' License cless Ucense No. � PLUMBING ' � � � � , • .
� Data ' � Signatura � BarSink ' SawerCap � � ' ELECTRICAL ' '
, WORKERS' COMPENSATION D�pWRATION ; . - - ,
`lereby atflrm that I.have a certlf��te oT CAnsent to.5elNnsure oca CBItIfIWte -. - .. _ _ %�utOmatit Weshef •Meter oVef 10� emps
1 � Workers' Compenzatlon Iniuqnca, or a certlilatl cooY tnereoi (Se<tion � B�kflow�Preventer--� — � SewerConnection �--- - - -
Construction Pole . Sub Panel
,e00, uD. C.) , . � � , 1 Backfiow Irrigation Solar Coilectors � �
Pollcy No. � ' � ComDany ' ' ' � ' � � � ��- � � • Cooking Unit � SubPole ' , ' '
BCertHietl cooY Is nereby fumishetl. . 1 i , ! Bathtubs � � Soler Piping � ; � � � ,
Certitietl copy IT tile0 with the �Ity Bulltling Dlvislan. i Dishwash2r 'Motofs �04 HP ❑ 1 X$
Data ' ' ADolicant � � � � Clarifiers � � SotarTenk • � . ' •
E%EMPTION FROM WONKERS' COMGENSATION DECLARATION Di5hwe5hef • � � Swimming Poal w/Spe ; � � Dryefs ❑Ga5 ❑Electri2 ��-�- InaS012r 0945 HP �16-15+
(Thissaction noetl not ba complatqtl it Ihe permll ii for one �untlratl (5300) or ' — , , �
� less).. • � � � � , . . . , i , I . Fan. , � �Microwave ' � : i '
'� I certiy that In the Oerformance pf �he wark for�whlch [hls perm�t Is Izsuetl 1 � Drinking Founteins , l Urinel , � � � t �
shall not employ any parson In any manner 5o as to betome 5ub)eCtto t{�e - - i - - � � ; � F.A.U. � I � ,POIB,Lighi �; .
Workers';Gompensntlon,�laws o1 �II/omia.' , , � ; � � Floor DiainS' � . Water GoseI t � �
� Date ` � SlgnatUre ' ' • . ' ' '
- - Fixtures � �
NOTICE: If; alter making this tleqamllon, you shoWA becoma subject�to tha �- � FI0o6Slnk5 �- � - '-- - -- Wetef�H2atef - 1--.j- - -- - - - __ _ _ �RengO _ 1 _ _
Workeri'. Compenetlon provisloryi of tha LnGor Cotle, you. must fOrt�wlth , � ' . . � , - � ; , DCvicf BoxCs ' � �
�� comO�Y w�i�� sucn D�ovlSiOnS � Or � this permlt ' Shall be Eeometl revoke0.. � G2S S¢rviCe � �Outlets � Watef SErvic2 � �'. ��` ' 5�9� • • . M ! '
CONSTRUCTION •LENDING ACENCV ' • ' ' ' ' ' � OuUe[5 � � ' � StendingSeCt1oI15,r,��V � � �
I nereby aiilrm that t�ere is.a con=tructlon lentlinq aqencY far the performanui � Intercept0�s , "� ' � � � �'
o! [he work for whlch�this Oormlt is,lisuetl �Saction 3097 Civ: C.) . ' . - �- �
� , . � � - ,` • _ - � .; , t ' Switches •. , Trash Compector��� ,. a
� Lentler's, Name Kitchen�$ink -
Lentler'r AtlGrass � �• � ' � ' � ' � � ' � . - � � � i . • Gartiage Disposal � � � ' � � � j ;.
OWNER BUILDER DECL�ARATION ' �' � � � .' ' J , � ' � i ��a<Ofies � ' • � � • • � 1
I hereby a/nrm that 1 am exemvt'.from tne Contractor's Licensa Law for tna -� , Generator OO-5 KW 05-15KW ' j�,� ,%w , • � � �
/allowin9 reason ($ectlon' 7031-.5 euslnass an0 Professional�Catle: Any cltY or ��� P-T[eP; � i i� - , •
'County whith roqNros a Defmittb construCi, alter ImDrOve, Eumolish orreDalr - � .. . . _ � , Trenzfalmef � 75-50 KW j,
, any StruCture, prior to ItSYzsuanCe, also requlrei t{�B�aOPlitant lor suth permiti � , ROOf DreinS � - '. i , � •
,to 111e a sl9�etl statement that he/sne Is IlttnuO pursuant to the Drovlsions of u , . - ❑5U+'KW , �qein5pettion Fe9 Sib j
lhe Contractor's�,Litanse LawyChaptar 9(commencinq with,Section 7000) of - ,. I - I Rein3pec[iOn Fee • $15 ' ' '
�%Ivlslon 3 ot the �Busineu' an0 pro(euions Cotle) oG tnat� no/she Is axempt - Showers � Meter ❑u t
`.1v�}'�)rofrom�antl the easis }or the alle9eE axemptlon. MY_violatlon'o/�5ectlon � �,� � � :_ . - p o 100emps 1 �pua Fee:��'�' i '�$ 3.
.�; 31:5 by.'aoy apP����� �or d' permit' SUDjects lhe'•aOP����t to a Gvll , � � � �. . , 3 - . .
Service Sink' . laue Fee S
Ity ot not mora than tive nuntlretl tlollars (5500). . �- r .- � ZoninB %�PProved 8y Data '
1, as•ownar ot the property � �a - � • , MECHANICAL • ' . � j•� �� � •
III Co t�e work, antl tha,structura is not Inlantletl or o aretl � - � i Applimtion Approved By ate -
� for sale 1(Secflon 7044; Busines¢ anG Pmtesslonal Cotle: The. ConVactor's � � 9 Y . (,,/j� - ..-� �� D g
Licensa Law Eoes not aoo�Y to�an owner of a roperty�who buiias or Im7roves ' � - 1 Refri eration S stem ' � � �
a Boiler •�� � i AOVlimtion laued BY /% ' . �ate � CJ
thareon,.antl .wno'tlaes such wolk hlmself/�arsel/ or Mrou9n nis or her own ' � ❑p-100,OOOBTU ❑100,0006TU
� em0�oy aes, provitluG tnat such IrriDrovemenls aro;not Intentletl or ol/eretl for ! DucNUndenGround. ' � � . � � '� ' � - '
, sale. I/, nowever, lha bullaing or Imorovement Is solE within one year'of com- , . � i ' SUMMARV OF FEES ,/ i' � .
pleUon, the owner�will have the burGenbf proving he/sha tliC not bulltl or Im- . • ' � ' � '
rowforthepurvosaofute�. � � : : � • � ' Duct-Structural � � SystemRepair/Alteiation � �BUILDING�ERMIT $ ��" , SMIP ��.'� - S �,
' � I, as ownero/ the pioDerty, am excluslvely tontracting:wllhilicensea com � � • � ' ' ' ' i $ �' ' pEflM1T �' �Y' ' �
tractors to construct the,OroJact 16ectionJ044, Businezs antl Professions cotle:. '. _ Duct: Ventileting _ _ _ _ _ PLAN CHECK; ' , � ,
The Contractor's Licanse Law dOez not appty to an owner�o/ propor[y W�o ' . , � �. ISSUANCE '�� $
� bulltls or ImOrovos thareon, antl who contratts for zuch projetlz wi[h a con- . Exhaust Syst2m O� Multiple O� � � ' �PWMBING $ � �
traclor(s) Iicensa O�rsuant to t�e�Contractor'S License Law). . ; � - ' ' $ ' � i, GRADING '� S�
�PLAN CHECK'
❑ �I am anempt untler Section B. & P. 0. !or this raason FiiepUFaCt. 81t. ICBO 516 ` . � ' . . ; . . I ' , � � �
. •; � ELECTRICA�� : $� i , � I� '}�' $
'Date �' - • ' ownerl . • ' . ' � , � � HeatinglSystem & Ducting � , � � j � . � � � � , • i
� i. $ I� MICROFILM $
-I nereby certi/y-that-1: have-radE this apP����lon antl-state that ifie abow- - � - --. PLAN CHECKI
;- OP100,OOOBTU-0100:0008 -�r � : .- � . I ' . , � i �
Inlormation Is wrrect, I agree to comDty with all city, ana county ortllnancas 1� � • l � ' ' � = ,MECHANICAL $• � TOTAL'FEE. �$�
ndstate �laws relating to builAing wnstru<tlon, anO OereDy. authoriza reDre- HoOd ai T� e I ❑. ' � � � ' ' �
s tatives of � this �dty; to'9n r. u on the abova-mentloned pro er for �',P Rei eCtion Fee' §75 �� � LESS � I ,
P C � j , � "sP, 'PI.AN CHECK' � $ � � ' ADVANCED PC � $ � '
� Insv,ectlon o- s : Cano I T e II ❑ : .
519nature . . . Date ' + , � � ' ; • � � ' - ! � � ' �
! Drivers' L cense on55 � � � � � Re9iste�5 � � �swe Fee � � S 3 ! ( � FINAL FEE � $ ' 'b ��—
/ BuilGin Cana APPliwnl; Pink - Atcountin GoltlenrOtl - A55e5 ' /
_ _ _ __ " ._._ _ "'" _ ` ' _`" ' " ." _ " _ _'. . _ __ . .. . _ .. . ._ . . _ _
CMF 0865-46 rev. 12 82 Whlte • g; 9; 5or �� . ' -
J'
?f)P.�ONSTRUCTION�AND_PLANNING �' �. ,�r.-' - -�� � . r' � �pr - �!' - �OL._ A' ^ ^. . �; , � _ . L.'•
�- ' . . ` _ _ - -Date � I nspector _ - - -. • ` ` •� '� . _ � . •- Date � .Inspector ', '_
:=¢PPROVALS m P.ermit�# � - • �. , --AP.PROVALS� PermitilE
> } - - ' _ - . - . '
�� _` Temp"orary�Electrical Service or Pole _ � : r - � _ 52.; Pool & Equipment Location ` - '
�� ,
.. _ r . _ : _ . . - . . . . : _
�. 2i ;Soil Pipe-Undrgmd.- 1 � � , ' ' � �53; Steel Reinforcement � ` �- ' - . . ".A '
�, 3: Elect�ical Conduit Utilitv-Uridrgmd �.; : • Y' ' � � 54 Forms ,;� . . " � � � � � - � ��'
�J 4: Electr,ical Conduit=Undrgrnd� : _ " - , , .'t `' .'�� -55� ElectricaLBonding , ��� ' � � ,
� � � �- � - ' - � �
� 5: $teel�Reinforcement �.� . ' ' � , _ - �` %� .56. Rougfi Plumbing�& Pressure Test : � - -
6: '�Electiical UFER Grnd.� !'� � , � 57.: APPROVAL•TO COVER-GUNITE. , . '
�
7. Footings • � � � i =- � � ' . � '58: Electrical �pnduit•Undra!od.� � � ` ' � � . � �
�
8. Foundation ; . , _ , �: � - . �;59. Gas�Pipe;.��,Undrgmd.,Test' - - . '
9. Water Pi e-Undr rnd. � ' � - � " '
� � P 9 � _ . ; . _ .',60. Backwash'Lines, P-Trap,�O _Undrgmd. ,
10.6tructuralFloorSystem • ���- � ;.61.APPROVAGTODECK' ' • �-� a : .
11. Property Sewei Line &,House Connection. � , : �62. Backwash' &•Receptor-Final � ' � ' � �
12. Sewer Cap' � , ( �; , ' i; ' 63. �Heater & Vent-Final � .
13. Roof�Drains ; i " �. ��64. Plumbing'System � Final 1 • ' ; � �
14. RoughPlumbing ' � �65. Electrical-Final' - -- � " .
.
� 15. ��Rough Electrical=Conduit��' . - - -- ' -' - - �' ' " 7 T"';66.�-Solar System-Final � � �- ' - � - � - ' "�"
1.6:i�Rough_Electric Wiring. �� � ' - - -
, , . , ,� ,, • i r: . w , � � , . � - � ' '67. Fencing & Access Approval � .-, � � � � _ ,
.. 17. ,Rough'Wiring Sign � -� ,�� � . , � : i - . � , . . � . _ - . ' _ T - � ; ; -
. , i - . _ .68.� APPROVED F,OR PLASTERING � - ,
��� 16.��Rough�Electrir'aI:T�BaP Ceiling <- .- i ��; 69.� POOUSPA SYSTEMS FINAL -
n 19�. �Rough Heating &�Air�Conditioning � �- � �. ' � ' � F�RE DEPT,'REQUIREMENT � ,
20.'iRough:Factory Fireplace � '' ���� � ( � � � � APpROVALS� ' Permit# ' �
I r i i i �
21. �Duc[s, in Structure; ; � � , : , �70., Undeiground Hydro �, � ,
I, ' ��22. Ducis, Yentilating « � q;� 'i � �� � 71; Product PiDing �Gas ❑Oil � �
I5 ., 23. ,Ges-Pipe-Rough & Test � �; � i'� �� � � , � q2r Underground Flush� � ' - . �
!' 24. ,Roof Framing ' � � ��: �' - � � � � ., � , � � _ ( ,73. Undergmd. Storage Tank O Gas ❑ Oil '
•.
25. �,Roof Sheathing � ; - , � , � � 74:i Overhead Hydro � � �
�26. T-Bar Ceiling (Structural), & Monocoat � i ' �� 75 � Dry Chemiral • . � - � -
27. Frame and Ftashing: : � � . � i � ; � 176.; Dry Standpipe � . � � � - i � i '.
28. Lathing & Siding' • . � ' � '. , 77! FIXED SYSTEM'FINAL � ,
a
� , 29.':Insulation � _ � ' � � i 78� FIRE PREV. FINA�L
.
��30. �Drywall Nailin9 1 ' '. `� �' ' � � � �Notesi ' ' . . � � �
�
31.'Plaster Brown Coat . � � � � � . � - - i -� � -.. , ' , - �. . . - . � -
-� � 32. Electrical�Power Meter�Final � �' � � � � I ; ! �� ' ' � '�
� 33. Final Electric . � � � t �
I
34. Final Heating &iAir Conditioning ' � � ! i ;� � � � .
u v
35. Final Gas Pipe:Test ' _ � � � � _ - � ' � ' , � � � � ' ' � � � � j
i. �
,
36. Hood or.CanoPY:� .- • . � j � , • " , - ' � - .
37. Final Factory Fireplace- � - � ' ' � - • ' ' � ' , � ' - . ..� - _ �� �
� ,
36. Final Pldmbing � � � , �' � � ! . ' � ' 1 + ". . " � _ '
�� . - � . � � - -
39. Water''Service-Final � ' ' � � ' - '
' � I � � -
40. GasService-Final ' � " � � ' . ,;t , -, - �
i � .
41. Solar poroestio-Final i � � � ' � : , ' , , � . � � . • . '
�. � - -
42. Backfl'ow Preventer . � ; ' - - -_ - . - -F ^� , ; , _ ' ! ' � ' . . - � ' .
. .,� .- T� � - - . � ,; , _ � - , �
43. Backflow Ir �igation _ ; ' � � ' .
.... � .- � � : � - . ,
44. Landscape Irrigation;System � i �� � ! � �' . ". ! ', . . , - � �
45. Sound �Attenuation : � ;� � ' � � " � . _ � I ' • i ' ' . - � _ • '
46. Handicap Reguletions � ,� ' - ;.; � � d, �� �
, .-
47. FINAL STRUC7URE & BUILDING ,, r� .�-- ` gp �- �r Q BC
i �
48. Special Requirements Completed � � ' � � 1 � � � ' � ' !�' � � �+ �•
I 1 � � I � I I� � 1
49. Electric Release�to�Edison� � � � � _' _ - � � ' � -� . � _� � � ,
j . �,. � �- -_I�- .
�
50. Gas Release to Southern Califomia Gas Co T� � � � ��• ' ' ��
�
51. CERTIFICATE'OFOGCUPANCY _ _ '_. ,_t ; ;_ ,__.. °' ;�= (.
; ' ; ' .
No, Date � , , I ' '
�
\ - '- - -- '
` ' ` " ' �. I
$UII,DIAG SAFETY ' !1R7'MENT
P, O. Boz No. 317
Costa Mesa, Catliorda
N� 1499 �
DatP �u�iF ���,(./
' CITY OF WSTA MESA
CERTIFICATE OF OCCUPANCY
Building Permit No� �3'3 Electrical Permit No Plumbing Permit No.
US¢ of BIti1dILg ��) Al � i r.� �Lf A'i !� .l, i.7 r L:' .
i
Ttie 6uilding located at 5i %- i �.t/ .'i 7� 5% �f '!'t .
Legal Desedptio�
(See reverse side for Metes and Bounds)
has been inspected and found to comply with the pmvisions of all City of Costa Mesa Ordin-
ances applicable thereto for a Group r'.1, � Occupancy.
ISSUED TO: j �� Ba/ildin O[fici
n. �'e<,,AP� A�.. �.�A�%LO� . Y"�f /l g �7 "-�i�7 : �
(Owner of Building) � By � �- �'�
CC: ❑ Original—Owner ❑ lst copy--Gas Co. ❑ 2nd opy—Fdison Co. p S d�copy—File
Focm 2a8 SB P 1M 1-B� U�