HomeMy WebLinkAbout420 17TH ST - Building Permitsr.
City of Costa Mesa
Building Sofety Deparlment
P. O. Boa 317
Cosla Mem, California
CERTIFICATE OF OCCUPANCY
N° 2549 C
The Building located at ��n `�a'� »rro, ��,+
has been inspected and found fo comply with fhe provisions of all City of Costa Mesa Ordinances applicable fhereto
for a Group r-a Occupancy.
Use of Building �.^,il:i� . hn� _ Cn'1n� �,,n�� r..�� _ `
Legal Description ���T-��-�li
(Sea revorse sido for Meles and Bounda)
Building Permit No. 2Q1�'� Electrical Permit No. 7��'�� Plumbing Permit No. G��
Floor Load Signs have been installed as Room Capatity $igns have been instaled as
required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. .
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment ho�se, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued o valid certificate of otcupancy by the enforcement agency.
(b) A new certificpfe of occupancy shall be obtained whenever ihere is a change in:
1) Occupancy classification of a building or porfion thereof
2) The number of apartments or guest rooms
3) Ownership
If Grovp H Occupancy, number of apartmenrs and/or guest rooms as required under Sec. 17Q50.1 (d), Califur�ia
Administrative Code, Title 8, Chapter 9, Article 8.
N�mber of apartments_ and/or guest rooms
ISSUED TO:
ui.A �L?:ilII;; i,�:r �i�OP
�
Date .L�.ni�;-�. 7 l�e �/
> s
This Cerlificate of Occ�pancy SHALL BE posTed in a conspicuous place on the premises and SNALL NOT BE removed
except by The Building Official of the Cify of Cosfa Mesa under Sec. 306 (e) U.B.C. FOT,,, ava��M—ii-e3—,ss r
CI7v OF COSTA M�� CONSTRU� I�N PERMIT
Projett Address
Applicant'S Maili�e AArlrrcc 9n9 E k7a.lh�.., � S• • 9� 72
Owner'sName `� hon y:.3�69
Addreu 2� �' �� S $ � ��C^ n0.. JC'� `%O 7
ArchlEng. License No.
Address
Convacmr's Name � r e � C pho �5�.��'
Address (mailing) �c
City License No. d Tl � � O�
LICENSED CONTRACTOR DECLARATION
t hereby atlirm lhat I am Iicensetl untler proviSions of Charter 9(COmmencing
with sectlon 7000) ot Division 3 ot the Business antl Professions Cotle, an❑
my Iicanse is in full rce ,elfect. 37� /�2�_
Lice Clas � Llc`��e� �
Date�%; � 519 t �
WORKERS' COMPENSATION DECLARATION
I hereby alfirm that I navo a cartllicate of consent lo selNnsure or a certlticalo
oi Workers' CompanwUon Insurance, or a cerNfietl copy tbereof (Sectlon
3800, Lab. qC.) �_/� / �/ . `. / � /��n )
Poli<Y No.� Tl ComPanY ��laL�e— �— ��
�18erLt1���=Py�I�fit�_tlwAPPhcan�tYT��Div � n�
Y" :T
EXEMPTION FROM WORKERS' COMPENSATION D �ON
(Thizsnction naetl nat be completo0 11 the permit is for one huntlretl (5100) or
less).
I Cer�l�y that In �Ite porlormance o� Ihe wo�k for whlGh thiz pe�m�t Is ISSu¢tl, �
sna11 not employ any person In any manner so as to Eecome subject to the
Workers' Companzation Laws ot Call/ornia,
Date Siqnature
N0T10E: H, alter making tnis deciaration, you shaulA become subject to tha
Workers' Compan5alion proNSiOns of Ine Labor Cotle, y0u must forthwlth
cOmp1Y w�th such prOviSiOns o� thi5 permit shall Oe deemetl revoke0.
CONSTRUCTION LENDING AGENCV
1 nereby affirm tnat tbere is a cons[ruction lenaing agency for the pertormance
of [ne work tor which thi5 permit is issuetl (Section 3097 Civ. CJ
Lentler's Name
Lentler's Aatlress
OWNER BUILDEH OECLARATION
I hareby aHlrm thal I am axempt trom the ConVactor's �itenze Law 1or [ne
following reason (Saction 7031.5 Businass antl Professional Cotle: Any city or
munty w�ich requlres a permit to construct, alter, improve, tlemolish or repair
any strucWre, prior_to its issuanca, also repuires the apo���ant for such permit
t0 flle a slgnCtl slateTOnt ttla[ h0/Slle I5 IlcanSCtl pufsuant to Ihe O�oviSions o1
the Contractor's Licanse Law (Cnapter 9(commencin9 wit� Section 7000) af
Dlvision 3 of lhe Buslne55 and P�ole55ion5 Code) or that he/sha i5 B%ampt
tnerefrom antl the basii for tne allegetl exemption. Any vlolation of Section
]031.5 by any appliGant (or a permlt subjects the applicant lo a Civll
��enalty o! not more than five huntlretl tlollars (E500).
1, a5 ownet ot the p�op¢rty or my em0�oyee5 with wage5 as thei� sole
compensatlon, will Go th¢ wo�k, antl the structure I5 not intendetl o� Offeretl
tOt sale (Section ]044, BuSiness antl G�olessional Cotle: The Contracto�'S
License Law tlo¢s no[ apPly to an ownor of a property who builtls or improves
the�eon, dntl wlio tloes sucn wOrk nimself/herself or through hIs or h¢r Own
��employaes, ptovitletl [hal Such ImO�ovBmenls are nOt Intentletl or offeretl for
sale. If, �owover, tho builtling or improvament is soltl wlthin one year of com-
plotlon, tnn owncr will have tha burtlen ot proving he/she aitl not builtl or Im-
� rove 1or the purposo of saleJ.
� I, as ownCr of the O�oparly, am oxclu5ively conl�actin9 with Iicensetl con-
bactors lo construct the project (Sectlon 7044, Business antl Professlons Cotle:
Tha ConVactor's licensa Law does not apPIY to an owner of property wbo
builtls or imo�o�es thcreon, antl who contractz tor such projects with a con-
Vactor(s1 ❑cense pursuant f0 Ine ConVatto�'S Litense Law). I am aware [hat
proof of their Worket'S Compansation insurance shoultl be provitletl [o me.
❑ I am axem0� unGet Section B. & P. C. tor this reason
AVO���anl lo /ill In all spaces aaeept thoze wilhin heavy portler Iines anE tlgn all appropriata tleela�ations.
PERMIT NO. TRACT NO. LOT NO. UNIT NO.
Date
cerUty t
m is wn
in5pectlon pur
Signature
Drivers' License o
CMF 0865-46, rev. ]0/84
_ Owner
I hava reatl thls applicatlon antl state that the abovo
I agree to comply wltlt all ci[y antl county ortlinances
to bulltling conitructlon, antl hereby autnorize repra-
� to enler upon the above-mentionetl property for
' 9� -�
Da[e
3 � _
TYPE OF CONSTRUCTION L1 NEW LJ qD� LJ ALTERATION 129 REPAIR
❑ CONVERSION ❑ DEMOL�SH ❑ OJ�HER
pESCRIPTIONOFWpRK/USEOFB�DGKe-r_or, • iP�r, �!o� I
TVPE OFPERMIT LI GRADING LI FOVNDATION IJ STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHHNICAL
❑ OTHER
PROJECT DESCRIPTION SQ. FT. �D� �OCi � OCCUPANCV
CONSTRUCTIONTYPE � VALUATION$�
ZONE GRADING CU. VOS. AGRES_
Back(low Preventer
Backflow Irrigation
Bathtu6s •.
rinkinq Fountains
laor Drains
loor Sinks
az Service Outlecs
Kitchen Sink
Lavatories
P—Trap
Roof Drains
ShOwerS
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipir��
Solar Tank
Swimming P w/Spa
Urinal
Water Closet
Water Heater
Wa[er Service
Auto-Wash
FEES
Reinspection Fae ' $15 � I Isue Fee I $ 3
Boiler
Duc[ - Under Ground
DuCt - SINCLuf81
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑ 0�100,000 BTU � 100,000 BTi
Rainspec[ion Fee � $75
Whil! - Builtling; Canary - Applicant; Pink - Accounting; GOldenrOtl - AS5e550r
Hoodor Typel ❑
Canopy Type I I ❑
Refrigeration System
❑aioo.000eru ❑ioo,000
System Repair/Alteration
Fire Dampers
Registe�s
Issue Fae
$ 3
A.P. #
S Main Buildi
E
T Front '�
B Rear
A
C Ri9ht
K Left
$
Ping. Ref. # '
Planning Notes:
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher `
Oryers �Gas ❑Elecvic
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Dispoul
Generator OO-5 KW �5-'�
2one
Acceszory Building:
Parking Req./Provided
ELECTRICAL
Trans(ormer ❑ 75-50 KW
❑ 50+ KW
Meter �up to t00amps
Meter �over 100 amps
Sub Panel
Motors �0.1 HP Oi'h - 8
Inc.Solar 09-15 HP �16�15+
Microwave
- Pole Light
Standing $ections
KW Trash Compoctor
� Reinspection Fee �$15 I � Issue Fee
DEVELOPMENT SERVICES REUUIREMENTS:
Zoning Approved By
Building APProved ey
Applintion Issuad By
FEES
$ 3
2
O
N
1
N
G
R
E
Q
M
T
S
SUMMARV OF FEES
BUIIDING PERMIT $ ���_ SMIP $ �_�
PLAN CHECK 5 PERMIT -, .
PLUMBING 5 �SSUANCE $
PtAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL S GRADING $
PLAN CHECK 50% g MICROFILM $
MECHANICAL 5 TOTALFEE $ �
PLAN CHECK 25% g
��..n� n =� u ... : �
��TE: 09!2^.l59 *I;�_ ��::�
CONSTRUCTION AND PLANNING . POOL & SPA
APPROVALS Permit # � Date Inspector qppROVALS Permit # Date Inspector
1.•Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement i
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings . 58. Electrical Conduit-Undrgrnd.
8. Foundation �- - _. 59. Gas Pipe, O Undrgrnd., Test ,
9. Water Pipe-Undrgrntl. 60. Backwash Lines, P-Trap, � Undrgrnd. �
10. Structural Floor SyStem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor: Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical�Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING .
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' .
20. Rough Factory Fireplace APPROV�LS Permit # �
21. Ducts, in Structure ,70. Underground Hydro
22. Ducts, Ventilating er;r ; 71, Produc[ Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test '� 72. Underground Flush �
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil ,
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry S[andpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 76. FIRE PREV. FINAL �
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:Q� Z� � 6- �
34. Final Heating & Air Conditioning �-
35. Final Gas Pipe-Test � " '
36: Hood or Canopy . � .
37. Final Factory Firepiace . � ." �
38.' Final Plumbing '
39: Water Service-Final - '
/�
40. Gas Service-Final !� -
41. Solar pomesticFinal ' ji' �- , ,
42. Backflow Preventer . � ` �� .
i
43. Backflow Irrigation ~ - , � '
A
'44. Landscape irrigation System � � ", -
� 45. Sound Attenuation � .- .
46. liandicap Regulations , •
47:FINALSTRUCTURE&BUILDING s�`Q �- � '
48. Special Requirements Completed ' �
49. Electric Release to �dison
50. Gas Release to Southem California Gas Co
51. CERTIFICATE OF pCCUPANCY • .
No. Date^ -_'� ' •
1/
29184
.< ��
- COSTA MESA BUILDING-SAFETY DEPARTMEN
P.O. BOX 7200 COSTA MEBA, CALIFOHNIA 92E2!
For App1/ca� M F(11 In CompleNly
TYpE OR PRINT
�o aeaa Cr �i0 �• i%� P�
COSTA MESA, CALIFORNIA
JX
S e¢TB�CK LIN6 PPOY
PAIO # ***
OCT 11-68�psn00 613 316.5C
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APPLICATION FOR PERMR
BUILDING
For Offie� Ui� Onfy �
11[C[I'! NO. ![RYIT NO..
THL NOTl: NOEAVHOVER
N 90' TO BID6 a RHAR
EAVE9
� No. o� etooe. G il pLLOWED
NOW oH LOT
YARDB MPROVHD
MAIN BUILDINO
DESCRIPTION OP WORK
G ZE D1NO 1�V 3S ROOMB
EXTERIOR WAI,i. � ROOI
COVBRINO =�� u • GOVHR
UYi O� �YILDINQ AND W�RK TO B[
I I 1 N6RCGV ACRNOWL[pOi TNAT.1 XAYI 11fAO TI�1� A�►LIGTON
ANO 9TA1E TMAT TMi AGOV[.19 CORR6CT ANO AOP6[ M COY.
PLY WITH ALL'CITY OIIDI� A�ID RAT[ L11WI R[OYIATINY
OUILDINO CON@IpyGi�ON.
Sp6NATURCO�. �i��j. _� y��/��
� AUTHORIZBD AO[NT
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uosta mesa Y,uucung i�epartment �L{�AYYL1pliL�'11V1V rvn r�iciru�
11T EAST 20th STREET ' p U I L D�� N G
� COSTA M6SA� CALIFORNIA