HomeMy WebLinkAbout479 17TH ST - Building Permits� OWNER
�JOB ADDR
GENERAL
AP No_ll'
I ECTI�
so��
W ATER
SPFINKL
MISCELL
MARTIIQ, MARY
LINE U HOUSE CON.
SVSTEM
ANO AIR CONOITIONING
UNOERGROUNO U POWER U
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF
FLOOR SVSTEM
BON� BEAM � STEEL REINFORCE []
SHEATHING
FRqME ANO FLASNING
LATHING - IN j � OUT n
PLASTER, BROWN COAT
ST'-"TURRL, FINAL
H IG, VENT., fiEFRW. AND A.C., FINAI
PLUMBING, FINAL AND GAS TEST rI
BUILDING, F�NAL d LN � /1 �1
DATE 4-1-75
BUILDING PERMIT N0.
E ZONE VAL
SUBCONTRACTOR
oWNER WALKERS DRIVE IN DATE 3-27-70
JOB ADDRESS 479 E. 17[h Stree[ BUILDING PERMIT N0. 31550
,� GENERAL CONTRACTOR Tro
A° No. 117-363-25 LOT 80
ECTIONS
SOIL
� GAS
WATER
ROUGM PLUMBING
PROP. SWR. LINE Q HOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONtlITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUN� I-I POWER I-I
LATNING
PLASTER
5" 'TU
h NG
BUILOING, FINAL
0 A.C., FINAL
EST rI
TRACT NntHotFIRE
VALUE
SUBCONTRACTOR
"'OWNER ORANGE JU
JOB ADDRESS 479 E
GENERAL CONTRACTOF
" A� No. 117-363-25
I, 9GTIONS
SOIL
1` Gn5
` W ATER
ROUGN PIUMBING
PROP. SWR. LINE � NOUSE
SPRINKLING SVSTEM
MISCELLANEOUS
ftOUGH HEATING AND AIR LON
TEMPOFARY SERVICE OR POL
UN�ERGROUND POWER
ROUGH WIRING
TRENCHES FORMS
FLOOR SYSTEM
BOND BEAM � STEEL RE
SHEATHING
FRAME AND FLASHING
LATNING — IN [� OUT �
PLASTER, BROWN COAT
5" 'TURAL, FINAL
h ,NG, VENT., REFRIG. F�
PLUMBING, FINAL AND GAS T
ELECTRIL FINAL
DATE �_
7th S[reet BUILDING PERMIT N0. '
STEEL
f�li�t�7Jq
�
SUBCONTRACTOR
JOB
�.g #iis2
DATE
Neon Corp. V
SUBCONTfiACTOR
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LENDEF'S NAME:
4plOEP'S 1DDflE53:
a.ni: �t�.'t tajr•me�n, L�v?r:�_
IcenRy�Mlluw'eadNcepplire�ian�ds��� tha'�a'�4iomwionRcojwu:IprwlpmnpywttheAoryrdmuMyatlirorcea
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�. �-%, l"
Ume
s�o�yna a nr�.�v -c�oc,�v,c«
(S15t�6.WP) Whus-BuiNip 8 Safety: anen-FJe: CvwriAppicanl: PinkJiswnue:
CITY OF COSTH Y,ESF. -&UILL�IidG PERMIT
PERMIT P70: P 071771 . PLAP] CHECR NO: N
COT7STRUCTION TYPE; L'-T7 PERMIT 'fYPE: PLU �
PERt9 P7U: P 0?17?i
GOVT: N SUPP; N
PURPOSE; P.DD
JG� DESCRIP7IGIv ; 565EF' LIVIP:v SYACE, LEC}`. 6 I:7TERIvB kL'I. SQ FT:
CLAIM VALUE: CALC-VALUE; GROUP OCC: R-3 /
COMMENTS; HEDRMS 6 BEDRM TO DID] RM ADD 4855F LIV SPACE 6 190SF DECF:, B71768
'If # iF 1f 1F M if 1f i� Y i� if if7� ir 4 iF # M i! * tf 1f tf if if�Y Y i� �f i� if if if M if if i� Y Yii Y Y i� Y i� i i� i� 1� 1f if i� 14 M if M iF 1f V iF Y 1F M� Ir i� 1t Y Y i� if R ii M M if iF ii
Z O N I N G k E Q U I R E M E N T S
' S E T B A C H S
------------ M«IN HUILDSNG ---------- --------- ACCESSOAY BUILDSNG ---------
FRD!T; FT TN AEP_A: FT IN FAPdT: FT IT7 REAA; FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PP.P.YINC• REQ; P£;OC': PARCEL: 1i737275 ZNE; REF NO;
PLANN:NG NOTES>
i
�i''lilf#}`itiFf#�YliifYYY}lfijc�F'MY{'ti�'YkiFi�'Ifi�-ifl�itif�Fr1�Y1Fi1Fi�iFILiLi�i�►iifiF�FiVii�ciElfi�'�tif#1�#Y1Fi�lciFi�lfi�liF#i�1�Jf
D E�� E L C� P M E N T S E R V I C E S R E Q U I R£ M E id T �
ZQ2dING APPROI'EU E:' DATE: �
�LTILDING F.PPP.O�?EL FY C f � DATE;
APPLICAT'IOh ISSUE� PY� �' PATE: � y�
{�L4#'�1f*Y�1cM'h*�Vi�#'{yi�+�AfYY4 . M+1� . . � . '}1'w.M-#wYi:YYi�1A!1 iflFYifi�ifAi�LL• ' �i1�i'��##
LEGALT2ATION:N F E E S U M M A R Y STP.UCTURAL SECMENT:N
PiDG PH'f PLUMRING ^cLECTRIC MECHFt4IC FIRE SMIP/FES GP,�IL�ING
PERNIT 83,U0
25R SMIP/NON-RES
PLAI�7 � ' _
ISSUE FEE -� 2C,00
BUILDING-DI�T-> PERMZT ISSUE PLAN-CHECK ` TOTAL PAIL DUE
TUTALS---=> E3,00 20,OC 0.00 103,00 . 103.00 .00
RE�'ENUF. DIVISZON 'IQTP.LS--> COI.LF.CTE^:� ]p?,0(? OVERISY.�A.7• .00
ELDG !-N:=' PL�Jr;i+ING ELECTRIC MECFiiaNIC =IF.E S!1IP/TOT GP.PTiING PL.�ild-CHECY;
ZO�,n�
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• I*i L Z V I D U F. L F E E E F. E A F; D O Ni N
TY�E QTY � li E S C R I P T I O N UNIT COST TOTAL COST
1
PI.i3 i i Ee;7Y.TUb 7, 00 1 5, 00
PLU 1 � L:SY.?�7A5Y.ER 7,OQ 7,00
r:... '-IL?., 1.._1�_tjL!': � '�
=�i�� � w�s�: F:;,sz�. �:oo �s:oo
PLP � 1'�'.TEF; CLO=r.T (TOiL•ET; � 7,QU 19.OU
FiU ] WiaTEt; }iEAl'EF. AI]D/OY VEN7', � 7,OG 7,00
PLU 1 GA� FIPT_NG SYS' OF 1 TU 4 OUTi,ETS 5.04 5,00
PLU ] SE1dER, CON;dECTiO*] TO 6UILDIt.G EAry 15.00 I5,00
END UF FEE5
_-
t
O1 00179329-CD179325 'T�7T 103.00
DATE: CS/OS/i5 TStlr: QS:1G ;'
//-/��S ���� �
jl-/��iS �713 12���� �
Applicant to fpl in
CITY OF COSTA MESA P�n IT
CONSTRUCTION.PERMIT . [5 —
within neavy borEer lines antl slgn all aoo/oo/�ate aeclantior
? � JRQ�j� �f.1TrN0� BLD� O.
"f" i To
0
Yro ect AtlarESs ' '
i � TYPE CONSTRUCTION
Owner � •PhOne ' ❑ NEW ❑ ADD ❑ NLTERATION '
:Addrea � p�-- [�Au.l,�n " ' �REPAIR ❑CONVERS�ON ❑DEMOLiSH.
❑ OTHER �
' ArchlEng. . ' �icense No. - . . _
�ESCRI�TION OF WORK
� Address . . . . . ' . - ' ' . .. .
�, Contractor OW jJ6R �:�Wj.,�6 - Phone - - TVPEOF PERMIT - ' ' - ' -
�-Atltl�e55 � - - -� � - - " � OIGRADING � �FOUNDATION ❑ STRVCTURAL
'LICENSED CONTRACTOR DECICARATIOry„ � ❑ TENANT ❑ ELECTRICAL ❑PLUMBING _�MECHAI
1 hGfOby atfifm thLt 1 am Ilcan58G untlOf plov�SionT Of Chdlte! 9(COT- ''�
mancln9 with sectlon .7000�. af .Dlviilon 3 oi tna Buslnais antl. ' � OT.HERc'
Rotassions Cotle, ana my Iltense is' In full (orte antl eHect.
�� � VROJECT DESCRIPTION� '
.Llcense Class � �L�cense"No. ' - . � � " '
Date . _ . . 519nalura :" ' -. _' :�'.• , 'S0._FT: �� . ""
iWONKERS• COMPENSATION DECLARATION ._ � OCCVPANCV OI�RUCTION TVPE �
'I hGreby af(irm thal I have a cerHfiwle Of Cpnzent l0 self-InsUre or a, VALUATION � ^ � ZONE
�cortlfl�te of.Workers'-ComOensatfon Insurance, or a terttffeA-copy ... . _ _ . .. � .. .
lnereof (Sectlon 3800, lab. C.). . GRADING,CV. VDS. ' ACRES
`cYNo.- - ._ . _' ComGanY . ' .' _ ' ' . ' " ' _ "
�ertifietl copy is hereby�tumishetl. _ •. REMARKS: � . . ;� _
•�J C¢rtifietl copy IS �til¢tl with the city Builtling DivislOn. _ �
EXEMPTION FROM WORKERS' COMPENSATION DECL-ARATION � " '
Thls Section n¢eC not ba toTpletetl if thB PGrTit Is fa� on< hunU/eU - � •
-� �
� '
' 20
A.P. � " �
•ZONE
SET A 5 .
cinc vnon . i
41�2 7/27/82
�
• � 24.42 TL
�, -
GULATIONS
' - �. '
JGp. Rg�E/FL �
�ROPE�RTV LG E �',
�
_ � .. , _ . _
" PKG.SPAGERECi. - - PROVIOED.
STREET WiDTH' ' ��PARK FEE $ ;..--
^ ZONING APPROVED 8 DATE
- - SPECIAL CONDITIONS: �-- " � "" '- - -'
" _ y • _ _ ' %i�i. PC� �
'1
SS300) or'less). . - _ _ '_' _ �. _ " L� � ' _" _ :" " _ '_"_'., . _ "'_ ' " '
CGrtify that in lht pertormnnc¢ of the work tor whiGh thi5 permit is �
issuetl,-I shall not umPioy any'person in'any �nner'so'as tn be oma PLUMBING���,--' "��PCAN�CHECK-- � ' -- "
TuDjeC[ to the Worklrs Compensdti0 5 t�Iilornid. '
. .�1 ' �43 �v�p �-��/� BATHTUBS' ' ' -" SHOWERS' :_ � -' `
Da[e i9�ature
�NOTICE: It after making this tleclaratlon, you shoultl �acome subject TOILETS _ .,URINALS� -
to [he Workers' Compensation provisions of the LaGor Cotla, you-muzt �VATORIES DOUBL-E-LAVS -
�,fOrthwith comply wit� Such proviS�Ons o� Ihi= permit Shall be tleemetl � - --
ravoketl.
� CONSTRUCTIONLENDINGAGENGV - � " ' - ' "KIT-51NK5 -' ' '- OISHWASHERS�- • -�-�-��- -
�� I hereby affirm tba[ Ihere is a conztruction le�tling agency tor tne Oer SERVICE SINKS .-. �, SUMPS�� --� - �� N-- ^- �
formdnCG oi tM1e work iOr whicn thi5 plrmit is issuetl ($ection 3097 �
Civ.•CJ.-- - — � -- - -- - - - - '- '- FLOOR SINKS' .FLOOR DRAINS ' '
�Lentler's Name �
�Lentler•5 Atltlress ' ' i ' �RINKING FOUNTAINS " �'^- ' �' '-' ^
OWNERBUILDERDECLARATION• INTERCEPTORS" -- CL'ARIFIERS"''- `"-' -
,I heruby affirm that I am exempt lrom the CoqVactor'S llcense�Law for
Ibo followin9.wason.(Settlon..7031.5-BUSineu antl Pro1e551oni.Code: SWIMMING POOL-- - PTRAP --
Any cily or county w�ich r¢quires a permit to tonst�uct, alter, -r
imp rove; tlemollsh or repalr any-strutWre, prior to its�issuan<e, alm re• yyqTER SERVICE" "' ACTERATION '-' ' '
qu(�e5 th0 ap�flcvnf fOr such permit to Hle a slgnetl StatemOn[ tM1a[ M1e �
is�llconsotl-pursuanitotbeprovisionsoltho�hAnVa<lor'zLicenSe.Law GASSERVICE-'� ��-"'OUTLETS �-'- "
Buslness antl �Prolosslonls-Coae)-os that ha�is e�emr t�tnnira�rom-antl tho -
P WATER HEATERS '� - �BTU'OUTPUT --�
'Is lor the allegetl axemptlon. Any v101allOn ot SOCUOn 7031.5 by
-aOP����L.ton a� po�mit -subjects�.lha-appp��( to a clvil p¢ndlty �SEWER CONNECTION$" -' -� •'� ' �- - '
no1 more than liva huntlretl tlollars (5500).
L.�'I,- as owner ot�tne property, ormy rtmplOyees'with wages as their SOLAR�TANK C0ILLECTORS^ � --
501� CompenSaUon, wlll tla the wOrk, antl the iLucturo Is not intendetl
or oHered Tor ule. �Soctlon'7044; Busineis'aqtl Aofezslons'Cotle: Tho ' SOLAR PIPING SVS:' - - " '"' ' ' - -
'COntvacto�'s LlcenSC Law tlo¢5 not apply to an owner OI a property
wno bulltls or improvas thereon, antl who tlbez suth work'�imiell or' ' ISSUE FEE -"' '�i ' , '
�ugh hiz own emplOyees, Orovltletl Ihat Su�h imprOvemen[s ar¢ not
�ndetl or ofteretl for sala'If,'however,-[he builtlinq or Improvement
Ltl wlthin one year ol compleUon, lhG OWner will have tbn burtlen
provin9'he tlitl'not'builtl'or'Improve'tOr�t�e purposo'ot sate).
I,.. a5 owneL-ol. the. p�operty, dT excl�5iv¢ly [oOt�acling with
n5etl COnVat[Ors Io conSVutl Iha projett (5ectlon 7044, Bu5Ine55
Professions Cotle: The Contractor'S Lice�se Law tloes not.aPPly to
owne� of p/oporty wh0 builtl5 or Imprav05 [h¢rGon, antl who Con-
:ts..(fom such_OrOjeC[S.witll. a COntldGtor(5) Ilc¢sn¢tl pWsuant IO
COf1tldtt0l'S L7C¢fISC LdW). `OI' , I
I'am Exempt untlGr SeCtion - � ��tµ - B. 6 P. Q lor IhiS
HEATI
AND C
BOILERS
SVSTEM REPAIR, P
PLAN CHECK '
0-100,000 BTU Y
300,000 + BTU �_
0-300,000 BTV
] 00,000 + BTU � �
BTV �
ihereby CGrtify IMat I �ave reatl fhis applicaliop dnE ztale Ibal the aDove EXHAUST SVSTEM M
nfOrmdtlOn"is-mnect. I agr0e�to comply With-all tlty antl County�
ordinances antl state laws relatln9 to construcqon, antl hereby autnorize
representatives Of Ihls tlty 'to Gnte� upoq 'the d00ve��menlioned- - -
propCrty pe on :�-r�° ��
Signature "���° ^ ���=�'-� Date � �
Drivers' License oi 55'qf � � ' ' ' - ISSUE F_EE , . _
CMF 0865-46 Whit¢-BUiltling; Unaty-AppliGan[: Pink-Accountin9; GoltlenrOtl-Assesso�
TI
�
�5 Pi'! �. . -
�
'ELEC7RICAL- � -• PLari=CtiECK -`� �
5(]. FT. _. " - ' '__ _ , �
�'GENEfiATOR 0-1 KW_1'-lO�KW ' - �
TRHNSFORMER -� , •r �
'APPLIANCE- - � 30-SO�KW=50�+-KW - - -
MOTOR$ � --0•1' MP=]•]0 HP � - �
�(INC..SOLAR) 30•50HP_50nFip " '��
iFIXTVRES - - OVTLET$ SWITCHE$ -�
GAS TUBE SIGNS - - - - - � - -
'rPpLE L•IGHTS � ' - " . ' -' " 1
POLES - - " 'METERED � SUB '
PANEIS- - - 'MAIN SVB - - - •�
iSERVICE - -•--- -- - --- AMP- � - �
. . . "_ ' . . __ ' ' ' _ ' ' +
"� ' " ' � __ ' _ ._'_' _ _
�ISSUEFEE-- ' - '. . _ M - ' .. .' _
SUMMARV�OF, FEES ..� ,� ; � '- '
-- BUILDIN6- --�- . . � S.Q i
,PERMIT 5 � � SMIP S '
�PLAN CHECK 5 PERMIT ' �
. - _. ISSUANCE_ E �
'PLVMBING S � �
_ " 'GRADING .'E
', PLANCHECK E �' �
� . ; �'. ., .s
'�ELECTqICAL E -' -
- - PLAN CHECK--S - - - _ MICROFILM y <
�MECHANICAI..E � �_ TOTAVFEE E '
. PLAN CHECK - E •� • LE55 AD- � ' •
VANCEPC-S-�
FINAI FEE $ OS�`�
� . . . " "_ "' ' ' _ "_ . . _ .
�
. CONSTRUCTION AND PLANNIN„ r � � POOL & SPA • . . - ,
APPqOVALS Permit# l�"l��gr Date Inspector qppROVAL3 '' ' ' Permit# � Date � Inspector�`
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - �
_ Soil _ipe;Undrgm ' . 44. Steel Reinforcement ' - � - -
3. ._Electrical Condui[ Utility-Undrgrn _ _ . ' ..45. Forms • ' '
4. E�ectrical Conduit-Undrgm _.._ r � 46.� Electrical Bondin -� -- -�
. tee ein orce 47. Rough Plumbin' & Pressure Test � -
__6. Electricaf UFER�Grn . , i._ � - 48. APPROVALTO COVER-GUNITE -
_ 7..' oo[ings � ._,.: �. :•i � '! 49. Electrical Conduit-Undr rn - � �
8. Foundation'.; �� '%. - ' 50. Gas Pi , � Undr rn, Test '
9. Water Bipe-Undrgrn _ " � 51. Backwash Lines P-Tra ❑ ndr rn ' � � - � '
10. Structural F.loor System . 52. APP.ROVAL TO DECK
' `171. � Properfy Sewer_Line & House Connection � - � 53. � Backwash & Rece torFinal � ' ' �
12. Street Sewer Connection . � - � � -- � 54. � Heater & Vent-Final � '
1.3. Rough Plumbing '.. . t_ . �:'�:� ' � � .
14. Rough ElectricConduit ' ` ' � - - �56. '" Electrical-Final " -
15. Rough Electric-Wiring � � " ' 57. Solar System-Pinal �
16. Rough Heatirig &�Air Conditioning- ' " �� - - � • - encing & Access Approyal .. . -
17. Ducts in Structure - .- APPROVED FOR PLASTERING '
98: Ducts, Ventilating �- - - - ' . . ,. . � • _ . ..
19. Gas Pipe-Rough &Test � � h - - 60• POOUSPA SYSTEMS FINAL ,' , �
' 20: Roof Framing � - - � - - � - - - ' � � '
�� 21. Roof Sheathin - - - - - � � � -
• 22. Frame and Flashin �- � -� - ' - NOTES: ' . � �- . � � . . , �
23. Insulation � �- - � -t- - - --•- - / _� .,,� - �
24. Lathing & Siding - - - - - � � � -- -
25. Drywall Nailing - - � -' -• � � - - - ' ' �
26. Plaster Brown Coat - - - �
27. Electrical•Power Meter-Final - - - '
28. Final Electric� - - - - -- - - ' - -- --- � ' • �
29. Final Heating & Air Conditioning - - - - - - - - � - -� - • � �
: 30. �FinalGas�Pipe-Test - - -
31. Final Plumbing - . � - - - � � .
32.. Water Service-Final � - - � - � ' '
' � 33. Gas Service-Final • - - ° � � �
34. Solar pomesticFinal � � ' � �
35. Landsca e S rinklin S stem � - -- �' '
36. Sound Attenuation � �� - ' ' � � � � �
37. Handicap Regulations � - � '
� 38. FINALSTRUCTURE&BUILDING . IZ-W :�$ ' - � �-
39. Special Requirements Completed ' � � �
� 40. Electric Release .to Edison ; - • � �
41. Gas Release to Southern California Gas Co. ' � � • �
� 42. CERTIFICATE OF OCCUPANCY - -
No. Date . _ _ _ ,
r�
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----,—..�
SEPFlRqtE PERMiT_~` S R'""""
FOR EtECTR1CA1„ pr_ 7� �U�REO
HC?�TlfdG, U. B.yr,,
R�fRIGERAtlpN ��rO�K'�D
----.. ___---•—_.
�1 Permrt # ���
7NIS PJUt.iBER � P1U$j , r
i� ; AL__ L �NSpECTipN REQUES7g NY
�-----�-�.,___.._.,,
1 -___....,,_.
j� 6E �ci��„PlOY p;NNc3E PERSONS A E� i0
srarE ,r succesr rHe
Or' C•iL!;pRiiln OIU74/1T
; � ('�D�`S�'(�! SRFEtY BE GONSUSiQ� OF
i i fi00tTIQNItI REt,�UiREME�JtS. �xED �R
�� .'_'-.....�.,�,^--.._.
�. !� '�' ;i ��: � ,�
of Cos� Mesa �uilding Dept.
8Y
�
.,�
7HESE PIANS MUST BE ON J08 AT ALL TfMFS
MAKE NO CHANGES WITHOU7 PRIOR APPROVAL
Of DEPT.
THE ISSUAYCE OR GRANTING OF A PERMIT OR APPR�YAL
OF PLAyS k;;D $PECIFlCATIOMS SHALL NOT BE CONSTRpEO
TO BE A PERMIT FOR, OR PN APpROVAL OF, ANY VIOtATiON
CF ANY OF THE PRQViifO�S OF (HIS CWE. NO PERMIT PRE�
SUn".�1NG TO GIVE AUiN081TY TO VIOIATE OR CANCEL 7HE
PROVISIONS OF THIS CODE SHALL BE VALID. E%CEPT �N SO
f4R nS TNE WORK OR USE WHICH IT AUTNOR:ZES IS LAWFUL
i4E ISSURNCE OF A PiRMIT 8ASE0 UPON PLANS ANp
>"ECI�ICATIQNS SHAII NOT PREVENT iHE BUIL�INO OFFIGIRL
, 1""�1 ThEF='FT:ft ftEQU1RINC THE CORRECTlOt! OF ERFQ�ZS
�� £i :.� FIANS AN� &PECIFiCATiO�; 03 FROtd PREVENTING
FL'1LDING OPERATIONS BEING CARkiEO Ot� iHEREUNQER WNEN
IN VIDIATICV OF THIS CO�E OR Of ANY OTHER pq01NqNC6
CF TME CITY,
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EXHIBIT A
�Iln�l ���s/
S�RUCTURAC _~'�" -
APPROVAL ONLY �
SfPARATE AfRMfTS ARE `�.
FOR ELECiRI.r.,Z R�'���=D
HEAiING, , PtO� �';lr�;• —
RfF �EPdiilA)7;�G ;i.,i�,
RIGERA710P! i;'ORN
���
TH�e�nAe�R r�1tisTy� 3
Ai! INSPECiION A�CO�APANY
� �—�___��EQUESTS
�
�:� il, ►T�����;'
Mesa Building Dept.
BY_..�.Y_�'. ti.�`'`_.£C� ._. DAFL..l.l�!—....lY.�!_.
THESE PLANS MUSf 8E ON JOB Ai ALL TIMES
MAKE NO CHANGES WITHOUT PRIOR APPROVAL
OF DEPf,
TNE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL
CF PLqdS N710 SFECIFICATIONS SHRLL NOT BE CONSTRUED
TO BE A PERMIT FOR, OR AN APPftDVAL OF, ANY VIOLATION
OF ANY pF INE PROVI;IONS OF THIS CODE. NO PERMI7 VRE�
$U�V,ING TO GIVE AUTHORITY TO VIOIATE OR CANCEL 7HE
PRCViSi0N5 OF THIS CODE SHALL BE V0.UD, ERCEPT hV SO
fAR AS THE YlORK OR USE WNICH IT AUTHORtZES IS LAWFUL
T;iE ISSUANCE OF p PERMIT BASEO UPON PU!NS ANO
:�P`CIfICRTIORS SHALL NOT PREVEMT TNE F.UIL�IYG OFFICIP.L
",0�1 1HERCAFTCR REQUIRING THE CORRECTION GP CBRO7S :
IN Ff�� fLANS f.ND SPECIFICATIO;;: OR FR�M PREVENTING
`":'.LCI�C OFE3ATICNS BEING CARRIEO ON TNEREUIdDEd WNEH I
) N C;::A71CY OP TNIS CODE OR OF ANY 07HFli OdD1NAi10E `
� C'''f; CAY'
�
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/.
City of Cueta Mesa
Building Safefy DepaMmenT
P. O, Box 317
Cofta Mem. California
CERTIFICATE OF OCCUPANCY lY�
2039 C
The Building lomfed at j�T�� }��� ���
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable fhereto
for a Group �T � Occupancy.
Use of B�ilding - — - - ��g���++�yB ^��g{,jn,�
Legal Description .}}��j.3,•�
(Sao ravene iido for Metes ond Bound�)
Building Permii No.�.— Elecirical Permit No. ��i}�� Piumbing Permit No. St3j?O
Floor Load Signs have been insfalled 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 Oi OCCUPANCY. (a) No apartmenf ho�se, hotel, or lodging ho�se shall be used or occupied
unfil the owner or operator has been iss�ed a valid cerTificate of occupancy by the enforcement agency.
(b) A new certificate of occ�pancy shall be obfained whenever there is a change in:
1) Occupancy dassification of a building or poriion thereof
2) The number of apartments or guesf rooms
3) Ownership
If Group H Occupancy, nvmber of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Adminisfrative Gode, TiTle B, Chapter 9, Article S. '
Number of apartments and/or guest rooms
ISSUED TO: Building Official
b�11 C��^��.� bY�il (� • ,� /irf-n3�
Date_ Jj��,� '�� ��
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
extept by the Building Official of the City of Cosfa Mesa under Sec. 306 (e) U.B.C. sor,n sua+—iM—ii-ss-s-�'r
t �,.' ��j �'
6��e��- f ir�at�e� ��� � y����� e'���
�
APPL�ES ONLY TO PFS TRADEMARKED COMPONENTS j
IT IS HEREBY CERTIFIED that the plywood strucWral components identified
below and marked with the TRADEMAftK oi the PLYWOOD FABRICATOR SERVICE, Inc.
(PFS), weie manufactured in accordance with the fabrication specifications established by the
Douglas Fir Plywood Association, as Fabrication Specifications FPI
, by the undersigned fabricator.
ORDER NO Z��
cnn xo 7ruek
DA'�'�+ Jniv 91 _ 19hd
' .���N'�f,/\nn,.
sy �7 /
Titic
IT IS FURTHER CERTIFIED Ihnt the producQon ot Ihe ebove mmed flrtn
whlch bean eny d lhc Plywood Fobdcator Service, Inc.. Tmtlemark (see
reverse side) U untler Ne regular bvpervision of the puelity cantrol department
of Plywootl Febdcntor Service, Inc. Such supervlslon rnnsisting of Inspecling
with ream�ble frequency lhe manufacWring process with adayuale sampIlnrt
to detertnine bolh lhe Qunlity of thc rnw matedula and thc grede ot the Mlshed
protluct as wetl es the ndeQuacy ot the fnbrlcnUon procedun including the
glue bontl for each type oLaWCWraI comp onent.
SlQned <or PLYWOOD FASRICATOR SERVICB. INC.
Exec ive Vice Presldent
[
By
uthorized Signntory
Su6aeri6ed and declared to beJoro me, tha underaigned, a Not¢ry Pu6lic
in and Jar the at¢te aJ 0 �f9ffl19 6y the ubava named
authorized aigriatory peraona(iv known to me ¢s thc peraon eignCng the
a6ove ce+tifioate. �
�_cri...n-� nni co������� o�-` i� „�'"�°'�f't6b44e+
nate.t July 21 �y�Q . � G
CopYright 1960 Plywood Febricefor Service, Inc.—Prinfed in U. 5. A.
REGISTEflED TRADEMARK OF PLYWOOD FABRICATOR SERVICE, INC.
5�e��ice /nc.
� " A
�� �
:���'.
H ia�
., , , {�� ,
C I T Y 0 F C 0 S T A M E$ A
CALIF�iNIA P.O. BOX 317
From the OfPice of the Planning Department
��LY 3, ��+
F�. us�f► t�� ArLCur t3�rCin cc: LtoQy Crtc�nfulla
�g �� ��, �• 1� h81 E. 17th Bt.� C.N1.
Pa�tBenfli Cul3forala�
The City oP Coata Mesa wishea to adviae you that in reviaing
atreet addresses, the numbers listed below were changed:
Old Addrese
HG�7. FJ• u� Wf oY�� �• W •�9Y!
A8]. 8. STttt S�., .. Chaut� t0
New Address
�a s. a7r.n st.
0'79 £. .•.?CA QO.
For your conveniettce we are liating the agencies below that
we will not3Py of this change. In addition to those listed, you may
desire to notify your correspondents oP the change.
Your cooperation in this matter is appreciated.
rlb
cc; Southern Calif. Edison Co.
Southern Co. Gea Co.
Costa Mesa Co. Water Diet.
Pacific Telephone
U.B. Post Office
County Clerk (4)
Public Works Dept.
Eagineering IJept.
Bldg. Safety �
Street
File
a
Very truly yours,
W. L. Dunn
Directar of Plann_ng
BY: ���ctJrc.�'"
Planning Technician
�
� . �.z_�??_O..�ri2 ' -
�y�STA MESA BUILDINGSAFEfY DEPARTMENT
P.O. 60%ef] C08TA M6BA, CALIRONNIA
For Applleant fo F(11 In Completely
TYPE OR PRINT
JILDINO � 4 I�'�'W `4^
]DRE58 L 0�
COSTA MESA, CALIFORNIA
NNER ��u✓� CRISA"F�LI..Q �
1�RE68 ��� �• , ItuSl
I.USTIF 1 �lb�/k' TEL.
T�' NO.
iCMITECT
:'>TNGINEER RbMJ+SuoEMh�KnZ NO. G46'�1�3L
"s�RE58 .��iZ W • I �I� dl • �ASTA' �1e'P14
IOF LOT ;� � ��'
� �Y � Cm.i�= •
No Y11i124k84
INO. OP ELOOB. I
BETB�CK LINB PHON � L� / �� I
ceNi�t oP eiaHei �O REAR YMD
. �,
61D8YARD LHFT 5 RIOHT
DESCRIPTION OF WORK
C•i
� USE OF
TO
�
I HEREBY �CKNOWLBOOB TH�T I H�VB P9AO TMIB �PPIIGTION
AND 6TAT8 THAT TH8 ABOV6 19 CORFH�,!� D AORHB TO COM.
PLY WITH ALL CITY OpO�NANG88 �NO-@TA�E-�(�WB P80U{ATINO
BIIILOIN6 CONBTpUCT�ON. /� � � / /
■ AUTHORIZED AGENT
- �FEE� RECEIVE
4PR 2 B 1964 � --
r�TfINnAtNCrEnCTD�EPTf.S
APPLR'A710M POR'PERMTI"p • '
BUILDIN6
For OHice Use Only
RlC[�I� NO. P6RMIT
�20 �'i
P6C[IY6q9 OAT[11[C61V[p OAT6188YHD
�
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- �NIIVG
No.olq UseoP
PIANB / �UILDII
'�°"� i�-D .IIV T �l
o¢scrtimo
A P.NO. I I / � � �I .• �
NOTE: NO EAVE OVERHAN6 SHALL B8 LES9 THAN
90'TO81DE@RPJIRP.L '
EAVES
ALLOWED fU.B.C.REQUIRHMENT:
YARDSMPROVEO YARDSAPPROVED
'MAIN BUILDINO ACCESSORV BUILOINQ
<RROM C( REETIj (�
FR NT � FT. �i PT.
/ 1 '�
R.B�o �.3 � �. z
U-
L.81D8 D �� FT. �
W
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RPJ1R � �. _
OISTANCB BET. BET. MAIN 8 a
MAINBLD08. ACCE85. BLOGH. y]
VAIi.�F DATB �
C.U. . APPROVHD Q
APP V /r- '-�� �
B DATE.
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�.5', so �r CO�iCLcC�. 3� ^ �.
TMB AMOUNT 6XOWN UNDEP VALUATION 19 POH TH8 (ff.
PUHPOBH Op 68TABL19HIN0 A VBRMIT PEB ONLY. O `a
VALUATION / n � � o
PERMIT F86 $ � �
i
8�� �y� _ m
Y
6
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NAR 27-7Gcnsa�0 857 c'',***��5.��
GOSTA MESA BUILDING-SAFETY DEPAHTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
� APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely - �
p REC I D 8 DaATE FECEIVED DATE ISSUEyD
ADIPRESS �'/�/ �. � f/! � J'� � O ��� �/O
OwNER /J LK�iES �� N A•P• NO. � �,��j3 --a S/ PEqMIT sO
MA1L BUILDING
ADDAESS [T �1DDRESS G
TEL. � p
CITY ryp, TRACT LOT p BLOCK
CpNSTRUCTION , W P. P
LENDER
BRANCM ^
OWNER V Ca_/VJ �
AOPRESS • VALUE �
ARGHITECT TEL. 5 $�
OR NGINEER N
FIRE r .y
ADPRESS Z�NE TYPE GROUP/
CONTRACTOR �Cn .,v� ��.�J �. ByPROVED DATE �/ �2 � (/
AODRESS - -� G i S�J N/7E.� �I� .
TEL. IONE NO.OP USE OF NE
CITY (.�� NO. J G� -] -�� P�� Y BUILDING G�
STATE CITV VARDSAPPqOVED YAROSAPPROVED
LIC. NO. ��L F`Yd 7 IIC. NO. MAIN BVILDING ACCESSORV BUILDING
SIZE NO.OF BLOGS. (FROM C/L STFEET)
OF LOT NOW ON LOT ROfYT FT. F7.
usE oF �G�' �� �
EX15��NG BLOG. S FT
S12E OF / f� � G NO. OF �/ .F^
NEWBLDG. d / ROOMS STORIES L.SID 'V FT. � FT.
EMERIOR WALL ROOF
COVERING COVERING REAR F \ FT.
VSE OF BUILDING AND WORK TO BE PERFORMED OISTANCE BET. B . MAIN &
MAIN BLOGS. ACCFSS. qLDGS,
" �/ VAR.# DATE
U(/L � C.U.P.� APPROVED
APPROVED ^ m
ol V
I hareby acknowlatlBe Net I have rand thh applicallon and stete
ffia[ ffio abOva InfO�maUon h cOrrect antl ap�ea to comp�Y wIN
all IP'�+f re0ulating builtlinB tonahuction, entl I shell not employ
any Perwn in violaiion of tha workman's componsatlon laws of
the State ot Celifornia.
I heleby certify that I am properly Ilcensed es e cantractor untler LSQ. FT.
the Stem of Calitornla Business entl Professlons Cotle, Dlvisicn 3, THE AMOUNTSHOWN UN�ER VA�UATION IS FOR
Chepter 9, entl that such litenaes ara In tull torca antl eftact, or I THE PURPOSE OF ESTABLISHING A GERMR FEE ONLV:
em 9xemp[ Irom t�e prov ionf of the Stete of Californie Busineca VALUATION
antl 7rofeaslons Cotl ' s on , Chopter 9. /-' �,�
@� PERMIT FEE $ J
Sipnat�ra of � �
Permittea S�� PLAN CHECK 5
AutPorizetl Apant . �y�
TOTAI FEE 5 � `� v
�
��
L�
,_,.
COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
for Applicant to Fill in Completely
�ADDRESSI/!I � /�l�cJ/
���a —� -�5�"�.60C C3 � <� 5.5C �
� K:: � �,�
APPLICATION FOR BUILDING PERMIT
:�IVEDBY 7 �Tl��J ��EI�7
fiN
OWNER �/�I�i �/'J�l � �//�'./i/f� A.P. NO. - �
ADDRESS /Jr �' _ � r�S% ADORE S/�j/ 1' �� � �
y / O�C
dZ CITV �/,yJ bt�� NOLb�-���Y.� TRACT 7
ZQ CqNSTRUCTION �/0���� W
Q N LENDER �� �/
a m ( l�
�'O BRANCH ' ����Y
- OWNER
� � ADDRESS J
� ARCMITECT /���%�.�� TEL. // f�� /�yC OU/
J a OR ENGINEER �� � 09 l/J�
Z t( �/ /` �/ 1/f� � FIHE
w a ADDRESS 20NE �-7
�w APPqOVED //
J O CONTRACT�R f i � "'� 8Y / G�
mz
J a ADDRESS NE
� w T E L. Z�// PlANS �
Z z QTv NO. Li
r
—� STATE CITY VARDSAPPROVED
� a LIC. NO. LIC. NO. MAIN BUILDING
7 p 512E NO.OF BLDGS. (FROM GL $TREET)
OF l0T NOW ON l0T FROMf FT.
USE OF Q��.
E%15fING BLDG. �// //� O j � OO.p S
F^ SIZE �F NO.OF
'� NEWBLDG. ROOMS STORIES L SID �
QE%TEfl10R WALL :700F
� COVERING COVEFING REAR F
. USE OF BUILDING AND WORK TO BE PEFFORMEO DISTANCE BET.
a COU�I�%<.L /J'!20(/�(/O i��ri MAIN BLDCS.
Q VAq. q�
p C. V.P. *+
N APPqOVEO. li r1 PG
li��Kl
x
0
U� heraby acknowledBa ihet I hava read this apPlfcaiion nnE stata
� that the above informatlon is corract antl aBrea to comply with
� all laws repuletinB builtlin8 �onstruction, end I shall not amploy
r anY oerso� in violation of ihe workman's compenset�on lews of
N the Sta[e of Celifornla.
� I hereby certity t�et I am properly Ilcensetl es e contractor untlar SQ. FT.
tha Stete of Celifomie eusiaess and Profesaiooa Cotle, Olvisicn 3, THE AMOUNT SHO�
Chepter 9, antl that suc� licenses ara In full torce entl effact, or I THE PURPO6E OF E51
em exempt from the provisions of tha Stete of Cellfornia Business VALVATION
antl Professions Cotl/a D)ivision , Chapter ���9///.
SIO^ature oi ��(/ / �l ^���� �
Parmlttae l�l/ �� J § �/7� `+
��
Authorizatl ABent
l'Q� VALUE
%O �
TVPE GRC
OATEL
USE OF C
BUILDING
DATE
MPROVED
1 VV
7AX o
Ir1 UNDER VALUATION 1S FOF ^
ABLISHING A PERMIT FEE ONLV: Q
m
PEFMYf FEE $ • 0'� �
J
',� m
PLAN CHECK $ E
0
� LL
TOTAL FEE $
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CR/DE -
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City of Costa IAesa Euildi;:g Dept.
c.(. E" • �,/ ?
' BY.._.._._'.__....."..._'/�4-��.� J�z/ /L
.. ... pATE.._'.._.._.. .. 19..
� TECOa//' '� THESE PLANS MUST E° C;: JOE AT ALL TIMES
��,crii,ave E/1/n rfox ! MAKE NO CHf.NGES WITHVUT PRIOR APPROVAL
- '{.oirurqa � OF DEPT. �
af ��h roih: j
l%+/oM s' /J ^ THE ISSURNCE OR GR^.kiING OF A PERh11T OR APPROVAL
S�e� /Z" OF PLA�'S A.�U S?hCi:ICRTIJiiS :;H."LL @;;T BE CUNSTRUED
�j EAyE � TO BE A FER.'.11T FUI:, OP, AN APPI;C:':1L OF, i�N'! VIOLHTION
/t'OOFCONNEGT/ONAT EXSTC OF RNY OF TNE PRO':IE�OiiS uF TNi� COJ"t. fI0 PERMIT PRE-
SUMING TO GNE AUTfiO'nlTf TO UICLATE OR CAfVCEL THE
PFOVISIOHS OF TIiIS CODE SHALL 9E VAI.ID. E%CEPT IN SO
FAR AS THE WORK OR USc WnICH IT AUTHORIZES IS LAV/FUL
pBSr/lf�f�'��i� SM, 'fdS.✓/�bqoy�y
ScrPN B24"n.C. ot SM.k eNSc THE ISSUSNCE OF r1 PE'-.!,11T BASEO UPOiJ PLANS AND
%ntPnwSP�+.�� �f3/d'fo3tp ,032" � SPE�IFICATIONS SHALL N07 PdcYLf:i Th;t BUiLDING OFFICIAL
. `�j`\ � /�+1� $'�d�fcstiq ffiOM 7HEREAFT:R REQUIRING THE CORC::CTION OF ERRORS
'C\_� iC� (Nc.i S1i�u�` ` IN SAiD PLANS 4fl[7 SPEGFICA?IOXS ON FR0�9 PREVENTING
OPc.f� 6UILC NG OPERnTICN� BEiNG CR3ft:E0 Dfl THEP,fiCWDER WHEN
C.S�^ tab/�^ for f � ' IK vi0LA1�10� OF THIS C��O�PF Fff'yL�� ORDINANCE
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CITY OF COSTA MESA
PLANNING DEPT.
SUBJCQ BLDG. DEPT. v,E6.v y
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BY �-�-�-s�E--C~-! l�i
. DIRECfOR OP PIAkNINO ._
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