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Home My WebLink About900 17TH ST - Building Permitsn � ; WFST 17TH STREET 90b _ . j Stop Work Order �3?41 . Co ied c,ith on6�7/6-� : ��L9 MONROVIA AVENUE, 1703 to 1717 16 unit.mfg._bldg_constructed under and filed under��900=to�914'West�'27th=�` �Street!� All permits filed in that jecket/D. Harding 47203-1-y8-8o Elect. N/C (Meter) 78040 - 5-5-80 Plbg. NC (Gas Sys.)j10T —78041 - 5-5-80 Plbg. NC (Gas Sys.)no3 �� 6152G3 MISC _ ' ic/t4�8 J , � WFST 17R$ STRi�.T �p � Stw Flork Order �3241 ;' Co�} ied with on6�7/L-� BY Sf��Gf % MONROVIA AUENUE, 1703 to 1717 16 unit mfg_bldg^constructed under and f11ed under �900"to'914 _West 17ttj�:-� �Stceet:" All permits filed in that ja`ckef/D. Harding 47203-Z-�.p-gp Elect. N/C (Meter) _ 78040 - 5-5-80 Plbg. NC (Gas Sys.)��°s —78041 - 5-5-80 Plbg. NL (Gas Sys.)no3 �li2G3 M.LSC /o/s F�8 � FIEST 17PIi STREBT 90o to y^lk (or corner) __... .:: ._..... 1�1.�: -.: .. ' ..,..-..,. �.. ._n 2i16Z - 5-29-64 _ _._. � _ _ ; • ��3, 2oc 3661 - �2-10-64 .- _:�_-j Li76 - 10-18-65 - ''� ' 22847 - 7-2-o'k :� _. �;^(. . -,,%, . 23147 - £-2o-6k _. ::c;;_ ;i r^z�r ;: c,:t'.c- 25010' - u-5-65 _... ��'ilc��_��; . 25i63 - ll-5-�5 __ _. :�(:.c.�_;? 25k5� - 1-S-oo' __ _. .:�'I= _ _ _.__.-.j 20161 - 10-17-06 . - ` I _,__- 27965 - 7-24-67 _-�^• tc (3 w :E�er) , 27386 - 7-24-67 �ec. :rc (::caor) 5454 - 12-2 -67 -e�� 24977 - 9-z0� _-..-�---.�_,..,' .� � �i5o. 28003 - 3-18-68 _ _; �_•.:o::� 5�. 28655 - 5-20-08 _ _.^:rc�; �1ets) 6706 - 12-15-69 . ,.. :;C (iurnace) 67v - i2-i8-69 _ :;c (::�s :,��_nci 32355 - 6-8-71 :'-ec. �iC' ll y r.:eier) 32472 - 6-8-71 1=^_. i:C (2 xc�ors) 35008 1-3-73 � =c. _tc (::oiccr A -_zer; p 2 - 11-17-77 - 'lec. NC (Meters) q�4�4 - r.^Lec. YC (Motors ) & (1 Mete: 43112 - 10-24-78 ELec. NC (MeKer) 75210 - 12-8-78 PLbg. NC ( Gas 3tem) .�47028 /-/8'BO ELEC NC (Meterj 47195� a'��ELEC NC (Motors) 47203 d•�8�a0 ELEC NL (Meter) SfizE ��- a'dd ffi �to�ia E"� �� `� 513b� tl 5l347 �� y240 � � 4a92z G�, a aa s'j �Q4Z� �i � . � �'u��- b' 2m � b �p� �_ {,��,--� �ra vv� ;�,o lo�t Gos f,a.- u�4 G� ro ft'�V�UI G i� ` � , �` -� q 2�, �- �o•. ��►��N�a� `C-p �4�� LSNGIo Scc+^� �ss�� c�S,e r� ¢�vJ A s��c.�e ��G1 b-� �'r �uG,�v �s� � � � �o p� 1�u w+ r c-�-� I�s �u s� �,e-� �►-�e l�, �,� ; �� a� �,+�►�, r 1 Ci ��,,,r�..�. b� v Ro u u. j� l�o o� � �,-✓ �4 S iPr-E c � S S �-o ta �� s : � � P�� ,., v� � ��P � e ��(�.� �.c � N �c� '.+-S �i � �1-{� V� It� �� C�1 � c./ � e � �� P�►NaiNa � a�w�ov�u ��. �.��Q ��-- �m�°°�'�.. ��. R • ��Z"i vy `�' n- � aYEs [aMb Trallkl� a�bn L �� O+� i� U) C( �� BY��I�l.�.� Date• / D � �s-(�-,nn.� � � c�- ��e�� a�� 1 �. � p�, �„ •�,,L� MEE-� I.J�PLANNIN� FOR "�tit15E-I ENCl,p3S�Fl ��iTtoN/Mf{TBKIpLS J �u �- rr"-e � � .�j � ✓ `� ►� �S� �Q� � ►�� -�� r �- � 1 � ti � � fiS �c-� S�''� � , � Ti.� G� � S� � �,t � �'�Q I�P�C� � p �- �� CITY OF COSTA MESA � . BYILDING DIVISION 77 FAIR DRNE, COS7A MESA, CA 92626 �(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us PERMIT TYPE ELEC JOB ADDRESS: . 900 W 1 vicinity: FOR INSPECTIONS CALL: (714�,754-5626 _ c� PERMIT NUMBER: E07-00609 ��'� 1 v � STATUS: ISSUED DATE, � _ DATE ISSUED: 06/20/2007 � � ISSUED BY: I + ; , . ...... ......o�,. ,�.... ,.'r � SCOPE OF WORK: ELECTRICAL�PERMIT TO REMOVE 2.SERVICE PANELS AND REPLACE WITH ONE 600 AMP, 3 PHASE 4 WIRE SERVICE, INSTALL 9 MANUFACTURING,MACHINES AND ADD 1 NEW 400 AMP SUB PANEL a.' , a:'; NO OTHER WORK AUTHORIZED 1NITH THIS-PERMIT. ��t', '��!H�,��;y OWNER: PHONE: APPLICANT: PHONE: � y` d ,�a`' � � � � � �� HEESYCORPAddress:". � �� 5431_VANALDEN�AVE Unit . .. .�%�: -';`�� ' � City/State/Zip: TARZANA; CA' . . � VAN WICKLE SHELBY: � � — _ .:..._... �Address: � �- 896 W 18TH ST Unit � "� 949-646-5062 ''' ; _ "' City/Stete/zZip:'' �i ,COSTA MESA �CA �� • -� � - }' ,4. .. . -. . .'- -. _ . . _ . '.. "_ . CONTRACTOR: JETTY ELECTRIC .• License No. 677322 ' Address: 896 W 18TH STUnit: � � �� PHONE:— 949-646-5062 ' ' " �� : . - . � .. -. '. .. ., .'_ _,. . . . . _.. . ' . : City/State: COSTA�MESA CA;� j ZipCode:'92627-- '- � - - �� - ' CELL: ' _ - . . v!. ., �.:yi i . ' _'. i , . _, ; .: , .... - �-, .. -t '� - T, . � � � � � ELECTRICAL PERMIT� FEES �� ' � Electrical Plan Check Fee �� '`$48 98 , x Electrical Permit Fee: � $97 95 ' .�' �, Reinspection Fee '�'$0 00 , ,,s .^ � _ ' �. � i TOTAL FEES � ;, $0 00 � � � r�, w ��"��` m - � C 1 �. r l..,l� �h'q . . < ��s,.: � � ' ."� '�„ . �. '.F.,. . L NOTICE: The work aulhorized by this permit shall comply with all applicable handirap access requiremenls under Califomia 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: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. LODE /. INSPEC710NTYPE 1818 " Fized Syslem Final Fire Prevenlion 1266 Pool Spa Final � 200 FinalRe-Roof 201 202 203 Final Block/Retaining Wall Final Factory Fire Place Fina� Sign 204 Final Demolition on� ixnnni � cooe�- iNsvetnox.rre�� 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Final Building/Occupancy onre ixnnni WORKERS' COMPENSATION DECLARATIO� I hereby aKrm under penalty of perjury one o( t ng declarations: ❑ I have antl will maintain a certificate of consent to self-In3ure�tor vrorkers: compensation, as provided for by seclion 3700 of the Labor Code. for the performance of the work for which this permit is issued. ❑ I have and will main[ain workers' compensation insurance, as required by section 3700 of the Labor Code, for the perfortnance of the v.ork for which this� pertnit is issued. My vrorkers' compensation Insurance carrier and policy number ar y C�arrierr ��5� ��D M��"V ��nSv�/c-nC.(� (ihs seclion need not be wmpletM tlthe pemrd is valued a�l 1one hondre0 Mllars (8100) or less J Poli`y'Number: �� AS�^-�C �(��J J�q � U ❑ I certify that in the performance of the vrork (or which [his permit is issuetl, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and aqree that if I should become subject to the workers' compensation provisions ot Section 3700 of the L or d, I shall forthwith com ly vrilh lhese provisions. -� � /�C�IC�� IipnfsSignaW�e -Date WARNING: FA URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER 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, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrm ihat I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is �in full force and eHect. 'L'ic.—.#- ' , ��a Class�#--� — � � i _ <'n l�b �D� G �acor's5ignaWre Date_,.i� CONSTRUCTION LENDING AGENCV: ❑ I hereby affirm that there is a wnstructbn lending agency for the peAortnance of the work fa which this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: SignaWre Dale OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury [ha[ I am EXEMPT PROM TME CON7RACTORS LICENSE LAW !or the tollowing reason (Sec. 7031.5, Business and Pmfessions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any ap icant for a permit subjects the applicant to a civil penalty of not more ihan v hundred dollars ($500).): - I as owner of the property, or my employees with vrages as their sole pensation, WILL DO THE WORK, and lhe ShucNre is not intended or oftered for sale (Sec. 7044, Business and Professions Code: 7he Contrectors License Law does not apply to an owner of property who builds or improves thereon, and who does such vrork himself or herself or through his or her own employees, provided that such improvements aie not�intended or oflered for sale. If, however, the building or improvement is sold within one year of completion, the ownervbuilder will have the burden of proving that he or she. did not build or improve for purpose of sale.). ❑ I, as owner of the property,:am EXCLUSIVELY CONTRACTING�WITH LICENSED CONTRACTORS to construct lhe project (Sec. 7044, 8usiness and Professbns Code: The�contractors License Law dces not apply to an ovmer of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contrectors License Laws.). ❑ I am exempt untler sec. Business and Professions Code for this reason: Owner ID verifed by dr�se. ❑ Ves ❑ Na , Driver's License No. Expires: � Veri(calion ot Ownership by (type of document, i.e. - property tax bill or deed): � DIVISION OF�INDUSTRIAL SAFETY PERMIT CERTIFICATION: � ❑ I hereby certHy lhat no excavation frve (5) or more fee[ in deplh into which a person is requiretl to descend, will be made in connection with work aulhorized by this pertnit, and that no building structure, scaffolding, falsework, a demolition or dismantling thereof, will be more than ihirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Califomia Administrative Code). ❑� As owner-builder, I will,nol employ anyone to do vrork which would requiFe a permit fr,om the Division of Industrial Safety, as noted above, unless sucb person has a�permit to tlo such vrork from the tlivision. Apvliranfs Signalure Dale Division of Industnal Safety Permit Number: HAZNRDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuWre building occupant need lo file and certify a Business Plan for emergency response to release or threalened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Satety Coda requires, with some exceptions, tha[ a Business Plan be fled wi[h the Costa Mesa Fire Department by every business which has a[ any one time during a reported 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 feet ot compresseA gas a[ standard temperature antl pressure). 2. Does or will the applicant or present or future building occupant need to fle a registretion fortn (or acu[ely hazartlous materials? ❑ Yes ❑ No (Section 25533 of [he Califomia Heal[h antl Safery Code, with some exceptions, requires registration with lhe Costa Mesa Fire Department by each business which a[ any one lime has on hand a quanti[y of acutely hazardous ma[erials equal to or greater than a weigh[ of 500 pounds, or a volume o( 55 gallons, or 200 cubic feel of compressed gas at standartl temperature antl pressure). 3. Does or will the applicant or present or fuWre building occupant need to prepare an RMPP (Risk Management and Preven[ion Pmgram for aw[ely hazartlous materials)? ❑ Yes ❑ No (Section 25534 of [he California Health and Safety Code provides that the Cosla Mesa Fire Department may require the preparation, certification and fling with the Fire Departmenl o( an RMPP by businesses which are required to register acutely hazartlous matenals with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of Ihe Calitomia Health and Safety Code been /ully complietl with? ❑ Ves ❑ No 5. Does or will [he applicant or present or future building occupant require for the work which is the subject of this application a permi[ for such construction or modifcation fmm the South Coast Air Quality Management District or (rom any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the Califomia Govemment Code requires that the requested infortnation be fumished on applications fa nornresidential building partnits). 6. Will any part of the facility to be constructed untler this permit be within 1000 feet From the outer boundaries of a school? ❑ Yes ❑ No Qf "yes". the facility must meet the requirement of Sections 25534 antl 42303 of the California Health and Safety Code). 7. It a pertnit �rom the South Coast Air �ualiry Management Dislrict or other air pollution control district or agency is required for the work which is Ihe subject o( this application, have all of the discbsures prescnbed by Calitomia Health and Safe[y Code Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certifcate of compliance from the appropriate air pollution conlrol oKcer). � . CERTIFICATE OF COMPLIANCE; I certify that.under penalty�of peryury the info�mation �given above is correct I agree to compty with all state laws and city ordinances regzrding Hazardous Materials and Emissions. .. . SiBnalure CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: 1 certify under penalty of perjury that I have read this application and state Ihat ihe information given is correct. I agree ro comply vnth all state laws and city ordinances rela[ing lo building construction, and authonze represenWtives o(� the City of Cos[a Mesa to enter upon the above-0escribed property for inspection purposes. I agree not lo occupy or allow occupancy of any building auihorized by [his permil until fnal inspection. . SI a,urealLegalOwner(s� � Da�e Signalure Dale' . / !1 / /` 305]-46(3/0'!) � �1Lf ^�O ` `�� "yAntllor horizeE'App`icai D� a� CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMENT SERVICES DEPARTMENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION July 3, 2008 Heesy Corp 5431 Vanalden Av Tarzana CA 91356-3129 PERMIT NUMBERS: E07-00609 FOR: Electrical Work PROJECT ADDRESS: 900 W 17`" St., Costa Mesa Our records indicate the above listed permits were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of the last inspection for the project. Our records do not show an inspection for these permits within the last 180 days nor have they had an approved final inspection. If you have a signed inspection card showing that an inspection was made within 180 days, or that the final inspection was approved, please contact this office so we may correct our records. If you do not have an approved final inspection, your permits will expire on July 18, 2008. Additional fees wili be required to finalize expired permits. Requestinu an insaection—If you need to request an inspection, please call our inspection Request Line at 714-754-5626. Requestinq an extensio�—If you wish to request an extension, requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of completion. If you have any questions, please contact the Building Division at 714-754-5273, between 8:00 a.m. and 4:30 p.m., and a staff member will assist you. The accuracy of records affecting your property is our goal and we appreciate your working with us to resoive this matter. Sincerely, , [X�PJ Mary Jane Weidenkeller Office Specialist II BuilNngDlvision171d�75a-5273 � CoAeEntorceme��l��1-51-5623 • Plannin9Divisionpli�'Sa.S_'�5 FF?.(%1�1�%�J.1-.le:Fj • Tp��%�1�%SI.SZ.1.1' VAN4f,ICnSLI-TI;GalCa11�5 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa€��TRICAL PERMIT �� FAIfl DRNE, GOS�A MtSA, GA 92626 Job Address: 900 W 17TH ST Suite No Viciniry: Parcel Nunmber: 42437103 npp�icant: ANTHONY POZOS Address: P.hone: 714.546.0366 2ip ownec HEESY CORP Address 5431VANALDEN AVE�, . ' , � , - � 'Phone: ' . TARZANA, CA - . Zip: 91356-3' Contractor: A C PO�S ELECTRIC CORPORATION� Address: 2948 ROYAL PALM DR � , Phone:�949-' - COSTA MESA, CA Zip: .; 92626 . _ Licens �,_� ., 13 €. �,, . . .' Y� ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets , Switches Non Res Appl Res Appl Service to 200a Service to 1000a _ Service ovei 1000a Molors l0 1 hp ; � Motors l0 10hp �- Motors lo SOhp Motors l0 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg � Sign Circuils Temp Pwr Pole Intermed Pole REMOVE 2 SERVICE PANELS AND REPO INSTALL 9 MANUFACTURING MACHINES NO OTHER WORK AUTHORIZED ITFi TI $23.50 $0.00 $0.00 - $0.00 $0.00 , $0.00 $0.00 � 50.00 $OA S:� 0 $0. . $0 0' 0 $ � 15' 1 ' $0'�0 �-� 0 '_ � �00�«� 0 , , + p. r � � � $0�0 :, �� . K�. l� •c nn A n status: ISSUED Applied: 04/03R007 Issued: 05/02/2007 F PHASE 4 WIRE SERVICE, SUB PANEL. � � n�anery ..� � T. mp ` st System"I Lighting $0.00 0 �£; Bu�w /100 ft � 50.00 0 - ing Section 50.00 0 �=---�� - Misc EleCrical Equipment �. 50.00 0 -� < ansformersupto�lkva/kw' $0.00 0 ...............uPto�tOkvalkw $0.00 0 ....... :....up to 50 kvalkw $0.00 0 ........ :::.....up to 100 kva/kw $0.00 �0 � ..............:...over 100 kva/kw $0.00 0 �-: ;-Low Voltage Equipment $0.00 � 0 _' � Low Volt Wiring System / Ckt $0.00 0 � � Misc. Conduit., . $0.00 ' " 0 ' MisaConductor_•� 50.00 0 �^ � - Cirws ( gen or ride) . ` -- $0 00 0 . Circus (mech ride or lights) .$0 00; 0 � � ChnstmasTreeStand � $0.00 � - -�0 , Fireworks StanB " $0 00, -� . 0 ; � ` Ather Eledilcal Fee , � - $0 00 ' 0 - -Inves6gation Fee $0.00 . ' �� Plan Check Fee $0.00'� . y0' �;� , - � � ReinspectionFee. ;� � .$0.00� 0 � . �, TOTAL CALCULATED FEES/ 5196.35 0 = .. COMMENTS I SPECIAL CONDITIONS i NOTICE: The work authorized by this permit shall comply with all applicabie handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for ihe work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all ��, requlred inapeetlons end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of thls pertnit. FOR INSPECTIONS CALL: (714) 7545626 zaawe (s�oo) WORKERS'COMPENSATON DECLARATON: � I hereby eNlrtn under penelry of perJury one of the following tleclaretions: ' ❑ 1 heve end will maintain e certifcate of consent ta selFlnsure for workers' campensetlon, es provided tor by section 3700 of ihe Lebor Code, for the peAormence of t�e work tor w�ich IhlS pertnit is 155uetl. ❑� 1 heve entl will maintain workers' compensatlon insurence, as requiretl by seclion 3700 of �he Lebor Cotla, for the peAortnanca ot Ihe work for which ihis pertnit is issued. ✓My workers' compensation Insura�r ce ca,,rtle^r end policy number are: I�� Carrier:� 5-7�� /...� Po�Number: � �(This section need not 6e completed il the pertnR Is velued af one hundred dWlers ($100J or less.) —" ❑ I cehity Ihat in the peAortnance of ihe work tor w�ich this pertnit is Issued, I shall not employ any person In any manner so es to becoma suDjed to the workers' compensation laws of Calitomi entl egree t�al If I should become sub�ect to the workers' compensation proNsions oi Sectlon 3700 of ihe LaDor Code, I shall Iort�wiih comply with ihese provisio��:�'� � //� Ap_p entSignetura: e— lDate� �/L/ �� WMNINO: FAILURE TO SECURE WORKERS' COMPENSATIIXJ COVEMGE IS UNLAWNLlWD SWLLL SUBJECT AN EMPLOYER TO CRIMIWLL PENALTIES AND GVIL FlNES UP TO ONE NUNORED 71qUSAND OOLLARE (5100,000). IN AD�ITIIXJ TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 37080F THE UBOR CODE, IMERE5T, AND ATTORNEY'S FEES. LICENSED CONTAACTORS DECLARATION: I hereby eHirm thel I am -force end elfect. Lic. a _ -Contrectors Signeture: i � 9(commencing with Section 7000) oi Division 3 of the Buslness and Profession�Code, and my Ilcense is in full ClassA � � —/ Da[e:— -� � � D � CONSTAUCTION LENDING AGENCY: . ❑ I hereby eNirm Ihet there is e construqion lentling egency for Ihe peAormance of ihe wark far which Ihis permit Is issued. (Sec. 3097, Givil Code). Lentler's Name: Lender's Atltlress: Signeture: Date: OWNER•BUIIDER DECLARATIONS: I hereby eNirm that under penelry of per�ury Ihat I em E%EMPT FROM THE CONTRACTORS �ICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which requires e pertnit to construct, alter, improve, demolish, ar repair any structure, prior to Its Issuance, elso requires ihe eppllcant tor such pertnil to file a slgnetl stetement thet he or she Is Iicensed pureuant to Ihe provlsions ol the Cantrectors License Law (Chapter 9(commendng with Sectlon 7000) of DMsion 3 af Ihe Business end Professions Code) or Ihet he or she Is exempt therefrom end the besis tor tha ellaged ezamption. Any violatlon of Section 7031.5 by eny epplicant for e permit sub�eds the epplicent to e cNil penalry of not more than Ove hundred dollere ($500).): ❑ I, as owner of the property, or my amployees wlih weges es Iheir sole compensatlan, WILL DO THE WORK, an0 t�e siructure Is nat intantled or oHered for sele (Sec. 7044, Business and Pratessions Coda: The Contractors License Lew does not epply ta an owner of property who builtls or Imprwes therean, and who tloes such wark himseli or herself or through his or her awn employees, provided ihet such improvemenis ere not intentletl or oflered lor sele. If, however, the building or improvement Is sold within one year of wmpletion, ihe ownar�builder will have Ihe burden of proving that he or she did not builtl or imprwe for purpose of sale.). • ❑ I, es owner oi ihe property, em EXCLUSIVELV CONTRACTING WITH UCENSED CONTRAC70RS to construct the pro�ect (Sec. 7044, Busineu end Professlons Code: The contractors License Lew does not epply to an owner of p�openy who bullds or Improves Ihereon, antl who wnirecis tor such project with e crontractor(s) Ilconse pursuant ta the Contractors License Lews.). ❑ I em exempt under sec. Business and Prolessions Code tor this reason: Signeture: Data: Owner ID vedfied by tlriver s license. ❑ Yes ❑ No Dnvels License No. Eapires: Vedlicatlon ot Ownership by (rype o1 tlocument, i.e. - property tarz bill or tleetl): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity ihat no exwvation five (5) or mare leet in depih into which e person Is required to descend, wlll be mede In conneciion with work authonzed by Ihis permit, antl t�at no building sWcture, scaflolding, lalsework, or demolitlon or tlismantling Ihereof, will be more Ihen thirry�sla (38) teet high. (ChaD� 3.2, Grp 2, Art 2, Sec. 341, 71t1e B, Caliiamia Administretive Cotle). ❑ As owner-bulltler, I will not employ enyone to do work which would require e perml� trom the Division of Intlustrial Safery, es noted ebava, unless such person has e permit lo do such work from the tlivision. Signature: � Date: Dlvislan ot Industrial Se1ery Permit Number. ICER7IFlCATE OF COMPLIANCE AND AllfMORVATION OF ENTRV: I certify under penalry ot perjury thal I have reatl t�Is epplicaiion end state that �he Intortnation given is I conect. I egree to compry with all state laws end ciry oNinences relating to bullding conslruclion, entl au�hodze represeniaUves of the Ciry of Coste Mesa to enter upon the ebove-descnbetl properry tor inspection purposes. I agree not to occupy or ellow occupancy of any building authorized by t�is permit until tinal inspection. GOUE �, INSFECTIONTYiE 1616 Fixetl System Final Fire Preventlon 1266 Pool Spa Finel 200 Finel Re-Roo1 201 FIne181ocWRetaining Well 202 Final Fectory Fire Place 203 Finel Sign 206 Final Demolition J�g f�$ COpE� INSPEGTIONTYPE 206 Final Mechanicel 208 Finel PlumDing 210 Finel Elecirical 272 Finel Fire Preventlon 220 Finel Planning Approvel 222 Finel Site 250 Final Bullding�0aupency P97E It�� a, City of Costa Mesa Building Safety DepaMment P. O. Box 317 Costt� Mesa, Colifornio CERTIFICATE OF OCCUPANCY N� ig93 C The B�ilding located at �� 17th Stree+tp Uri1ts 1 t0 16 has been inspected and fo�nd to comply with the provisions of all City of Costa Mesa Ordinances applicable ihereTo for a Group F 2 Occupancy. � Use of Building �tU2'iilQ �1]i1d1O$ Legal Description A P 5�7.16-230-27 (See ravane side for Metes ond Bound�) Building Permit No. 211%i ' Electrical Permii No. �� Plumbing Permit No. ��3 Floor Load Signs have been installed as Room Capatity Signs have been instaled as required under Sec. 2308 U. B. C. . req�ired under Sec. 3301 (1) U. B. C. — 17050. CERTIFICATE OF OCCUPANCY. (a) No apartmenf ho�se, 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 occ�pancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of aparimenis or guest rooms 3) Ownership If Group H Occupancy, n�mber of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Adminisirative Code, Title 8, Chapter 9, Article 8. Number of apariments � and/or g�est rooms ISSUED TO: Building Official BIiI6TOL HAI�R CORP. yy Date- MoY 2J. 196!1 This Certificate cf Occupancy SHAII BE posted irt a co�spicuous place on fhe premises and SHALL NOT BE removed except by the Building Official of ihe CiTy of Costa Mesa under Sea 306 (e) U.B.C. F�a, svaa—iMa�-ea ss r - � ' �..�,. -=�� z i � ��: � �' � ,�„_�n�*�-�+rsA_eUILDINGSAFEfY DEPARTMENT � P� O. BO% 917 ..008TA MEBA. CALIFORNIA Po� Applican/ fo Fill In Comple�ely � TYPE OR PRINT �' h wooaess 0� W� �7t COSTA-� MESA, CALIFORNIA . ■ MAIL � ARCH 3 Ol � O I NOW ON IAT �� 98TB6CK L�NB PXOM OF WORK BUILOING V' I HERE9y ACKNOWL@O6E TMAT 1{fAVE RBAD TH18 APPLI4TION ANO 9TA7E TMAT THE ABOVB 19 COFPE AND /�OHlH TO COM. PLY WITH ALL CITY ORD 1 Cfi9 ANO 8T LAWB R[OU4TINO BUILDINQ CONBTAUCT t. �, SIGNATUREOP- � G. PERMITTE AUTHOP�=ED AGENT ' F'EE RECEIVED DEC 1 g i963 � fINANCE DEPT. . I'I �APPLICIATION FORTPERMR� BUILDING ' For Offica Use Only I necurt rvo. rersmrt NO.OI •LAN6 0 7( "" "' �,- GROUP . -DATE y�� /% � ING �� use or xsw GUILDINO � /t�og• � �• i3O— e� BNALL BE LESB TNAN YARD9APPROVEO YARDSAPPROVED MAIN BUILDINO AGCESSORV BUIL�IN6 IOMC/L8TR8ET)/ � '7'/�{ x�. INT Sb FT. i PT. IIDQ /O PT. FT• �IDB ^2's Ff. I_ Fi. e ✓� R VAR. SC HOLD FOR DATE APPROVI �ATE I � �� !/ G' V N Q. �. � TN8 AMOUNT BXOWN IINDHP V�LUATION 18 FOP TXC F PUHPOSB OP 88TABLIBHINO ♦ PEHMIT FEE ONLY. � VALUATION w/ / /1 PERMIT FEE $ r� /�J V � :/��a�n. < < ^�, ¢ . 0