HomeMy WebLinkAbout2917 MENDOZA DR - Building Permits��
Pfl0.1ECT R00NES5: z(j S 7 MEND02A DR
OWNEfl'S NAME: CRUZ JOSE �T
,-. nooness:CRU2, IkENE H
'. . 1089 SAN PABLO
,,• COSTA MESA,CA
RPCHIENGINEEH: 5 4 6 — 7 Z 1 9
noonEss:
UNIT:
92626
HEG.NO.:
uNiT:
PEflMITTEE: fOE J. CRUZ ( 714 ) 546-7219
� FDDNE55: lOS9 SAN PABLO CIRCLE
CC�STA MESA CA.92¢�6
LICENSED CONTflRCTOfl ECLAHpTION: I �ere�Y aifirm Iha� I am licenrea wder pmvisions o apter 9(commencing with Seclion
7000� of Division 3 of Ine Business antl Pro�essions Cotle, ana my license is in �ull torce and efiect.
CITY LIC.: STATE LIC.: CLASS:
�ale'. ' SignaNre:
WOflNEPS' COMPENSNTION DECLAflPTION: I hereby a�firm Ihal I have a cetli�icate o� consenl Io sell�insure or a certilica�e of Workers'
Compensalion Insurance. or a certified coDY �hereoi �Section 3800, Lab. C).
POLICY NO.: E%P. OATE:
COMPPNY:
❑ Ceni�ietl copy is here�y Wrnished. ❑ Ce�ilie0 caOY is �iletl with �he ci�y Building Oivisian.
iale- ApDlicanl:
EXEMPTION FNOM WONNEPS' COMPENSATION OECNflpTION: (ihis Section nee0 not �e tampl¢ted if Ihe permit is lor one hundre0 (4100� or less�.
I Cerii�y iltal in Ihe pedOrmance o� the work �or whiC� I�is permii is i55ue0. I shall noi e, any p n in any manner so as �o become
sublect la �he Workers' Compensation Laws ai Cahfomia.
Da1e: G ���� Signamre:
NOTICE: II. af�er making Ihis Oeclaralion, you 5hoW4 bec e uble�� �o the W 5' Compensation vi ions oi the Labor
Cotle, you must fotlhwilh comply wiih suc� provisions r s permi� shall 6e tleemeA revoke0.
CONSTPUCTION LENOING RGENCY: I hereby allirm Ihalihere is a tonsiruttion lentling agency tor Ihe DeAOrmanCe Oi Ihe wOrk lOf
which ihis permi� is issuetl (Sectian 3097, Civ. C�.
LENOEfl: .�
pU�NE55:
OWNEfl BUILDEB OECLRflATION: I hereby aflirm Ihal I am exempl imm the Conlrac�ors' S�ale License Law �or the �ollowing reason
(Section 7031.5 Business antl Pmlessional Code: Nny ci�y ol counry which reQuires a permi� �o consimct. aller, improve. Aemolis�, or
repair any stmclure. prior �o ils issuance. atso requires Ihe appiican� for such permit �o file a 5igneA s�a�ement �hat he/she is licensed
pursuam m �he pmvisions of Ihe Contracmrs' S�aie License Law (Chapter 9(commencing wi�h Section 7000� o� Oivision 3 of �he Business
antl Pmiessions COde) or I�at he/S�e is exempi there�mm and Ihe basis br t�e ailegetl eKempiioa Any viola�ion ot Set�ion 7031.5 �y
any appliwnt br a permi� su�jecls Ihe applicani �o a civil penally o� noi more Ihan five �undred dollars �5500).
I, as owner a� �he properlY or my emplayees wiih wages as �heir sole compensalion, will tlo �he work, anA ��e
❑ simc�ure is no� inteneeA oroifered br sale ($ection 7004, Business antl Professional Cotle: The ConVactors' Sia�e License Law
tloes not apply Io an owner o� a pmDerty who �uilds or impmves [hereon, antl who Does such woB himself/herself or �hmugh
his ar her own employees, pmvitletl thal such impmvemen�s are noi mtentled or ofiere0 br sale. 1�, however Ihe �uilding or
impmvemenl is sold within one year o� campleiion, Ihe owner will have ��e 6urden ol proving he/she tlitl not builtl or impmve
lor �he purpose al sale).
� I, as owner ol Ihe Dmperiy. am exclusively canlracting wi�h licensetl coniractors �o conslmct the pmjec� (Sec�ion 704E. Business
antl Pmlessions Cotle: The Conlrac�ors' Sla�e License Law aoes not appty �o an owner oi pmperty who EUAds or impmves the�ean
antl who canirac�s �ar such pmlec�s wi�h a coniracioqs�l¢ense pursuan�io �he Contrac�o�s' S�a�e License Law�. I am aware
Iha� pwo� of thert Worker's Compen5aiion insurance ShoWd be pmvidetl �o me.
� I am exemp� under Seclion: B. 8 P. C.
�o i reason'.
oaie: �� Owner
I do her y nify ihal l am aware of antl untlerstand ihe requiremenis of Califor alth antl Sal tle Sectmns 25505 33. an0
25534 Iha� I ar any �Nure bmlding occupani willlwill not (circle one) naetl to comply with said s�a�e cotles and the reQuir ents �ar a
permit for cansimction ar motlilicalion Imm Ihe Air Oualily Managemen� OiSiricL Resitlenlial cons�mclion apDlica�ions are exempt Irom
�hese provisions.
� �a�e: / __�T Applican�: '
II h¢r¢py [¢iidy Iha� I hdver¢ad I�iS apPlitali0n and s�a�eihdllh¢ dbOv¢ inl0rmd1i0n i5 CO��¢c�. I ag�e¢ lo comply wilh all Ciiy 3nd coun�y
orainancesandslatela�asrelalingtobwltlingcons�mc�ionandhereb uthorizerepresenlati esol��isi enlerupontheabov¢-men�ionetl
property brinspection purposes.
�ale: �� ���� Signamre:
�riveYs Li�ense oi Social Securiiy F: �. � �
i6<646 W�ne—Bmlamg: Gieen—Cotle Enbrcemem; Canary—ApplicanL Pmk—Revenue; Goltlenroa—Assessor
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: E 062782 PLAN CHECK NO; N
�
PERM NO; E 062y87
GOVT'; N SUPP: N
�CONSTRUCTION TYPE: V—N PERMIT TYPE; ELE PURPOSE: OTH
JOB DESCRIPTION ; REPAIR SWIMMING POOL LTGHT 6 CONDUIT SQ FT;
CLAIM VALUE; 500.00 CALC—VALUE: GROUP OCC; R-1 /
COMMENTS• REPAIR POOL LIGHT S ELECTRICAL CONDUIT
�r�r*��r�t�t+r**�r�r�r�r�r�r�r��r*�*�t�t*****�r*�r�*�r*�r��r*��r� �r ��t��t�r�rx�r**���r*�****�**u �r��r�r�r���**x�r
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BOZLDING ---------- --------- ACCESSORY HUILDING ----�----
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT ZN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARKING kE • PROV; PARCEL; 19122136 ZNE; REF NO;
PLANNING N TES>
i
iF ik iF iE iF 1f k iE if !E if iE it 7E 3f iP ik 1F iE iE dE iE iF ik 1E fE iE iE if iE iE 1E iE if ik iliE iF iE iE �F 1PlE jf iF k iE If iF if iE if fF iE1f if iE iE iF 1E iE ik 1F iFif iE �1F if !(� iE iFiF if iE if if iE 34 iE
D E V E L O P M E N T 5 E R V I C E S R E Q 0 I R E M E N T S
ZONING APPROVED BY DATE;
BUILDING APPHOVED HY ; /,� DATE;
APPLICATION ISSUED BY; �c(�1�c� NIpR�� „y,�, /;>,/� DATE• ��
ifiFitiEfEiEikiEiEiEiEMiEilikitiFitiF3tifitif iF3F'�FiF3F iF3FiFiFiFiFiF 7F4F6F7F3F�iFiF3FiF3F4FififiF iFiEitiF�EiFifiE�EiEie -leif
k3liFiFk�f(��f3EifiEiEif�E�E1f3Ef!*iEiEiF�fiEiEk�lilitiEiEk1l�EffiEiEifjE�1E1FlEiliFifiE lEiFiE�ElfitiFiflEiEifiFiEkiEiFiEiEiEiFiEifiFiFlFjElk-)F9FiEiEiEiE
LEGALI2ATION;N F E E S U M M A R.Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 11.7�
-' S03 SMIP/NON—RES
PLAN �
ISSUE FEE 15,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 11,75 15.00 0,00 26.75 26,75 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 26,75 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
26,75 ,
If !E if if it K 1E if iE kiEif iE iE !!!F 1f iF �E if 1E iE iE �f iE iE iE 1f iE 1E 1f if 1E �E 1f iE ik iE �E �FiF iF �F iF 1E 1f� it 1E iE 1E iE if iP iE fE jF ik ik �E �F iE iF ik �4 if �E M��%� it ik iE iF 1E iF if iF iE if iE
I N D I V I D U A L. F E E H R E A K D O W N
TYPE QTY D E S C R I P T I' N UNIT COST TOTAL COST
ELE 1 FIXTURES LIGHTZNG 1 ST 20 EA, .75 75
ELE 1 MISC CON�UCTOR NOT LISTED Rf:Q PERMIT 11,00 11,00
END OF FEES
EXPIRED "
DATE � t
�
O1 00141830-0�141830 T C�T �b,7S
D4TE: Ob!2�/9:� TIf1E- 13�11
CONSTRUCTION AND PLANNING
APPROVALS Permit#
1. Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd.. '
3. Electrical Conduit Utility�Undrgrnd.
4.� Electrical Conduit-Undrgrnd.�r�
�f y -
5. Steel Reinforcement �
6. Electrical UFER'Grnd.
7. Fooiings
B. Foundation �
9. Water Pipe-Undrgmd.
70. Structural Floor System
17. Property Sewer Line & House Connection
72. Sewer Cap
13. Roof Drains
14. Rough Plumbing
75. Rough Eiectrical-Conduit
76. RoughElectricWiring
77. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
79. Rough Heating & Ai� Condition)ng
20. Rough Factory Fireplace '
21. Ducts, in Structure ' ' '
22. .Ducts, Ventilating , `
23. Gas Pipe-Rough & Tesc
24. Roof Framing'
25. Roof Sheathing '
2S. T�Bar Ceiling {Stsuctural) & Monocoat
27.� Frame and F�ashing.,
28. Lathing & Siding _ " '
29. Insulation •
30. Drywall Nailing
31. Plaster Brown Coai '
32. Electrical Power Meter�Final
33. Final Electric_ �
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test .
36. Hood or Canopy .
37. Final Factory firepiece � -
38. Finai Plumbing '
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation �
44. L.andscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILOING
48. FINALPLANNING'
49. Electric Release to Edison
50. Gas Release to Southern Caiifornia Gas Co
Date
Date
{
inspector
.r
POOL 8 .
APPROVALS Permit # Date inspector
52. Pool & Equipment location _ . •
53. Steel Reinforceme�t ' � �
54. Forms i�
55. Electricai Bonding , ���
56. Rough Plumbing & Pressure Test ", -
57. APPROVALTOCOVER-GUNITE
56. Elecirical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, � Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final � '
63. Heater&Vent-Final ''�
6A. Plumbing SYstem - Final �: �
65. Electrical�Finat \
6fi. Solar System-Finai - !�.'
67. Fencing & Access ApProval �
68. APPROVED FOR PLASTERING '_�/
69. POOL(SPASYSTEMSFINAL �
FIRE DEPT. REQUIREMENT
APPROVACS Permit # � -
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. UndergroundtFlusF
73. Undergrnd. Storage Tank O Gas ❑ Oil �'
�
74. Overhead Hydro -
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYS7EM FINAI �`,
78.'+FIRE PREV. FINAL
HEALTH DEPT. REQUIREMEN7
79.�FINALWSP�ECT�ON � �
80. FOOD CERTIFICATE ISSUED
Notes: %-8 -���oc�C /� _ �
s
tl
CITY OF COSTA MESA ;�. �
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder verification.
Attention Property Owner:
An 'owner•builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued
until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the pro-
posed property improvement.,2�Yes ❑ No
2. (hav ave not) signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name ACJuirrps �a�/
Address �.�/ Sa.��//Pr.Joea� O✓P. City L,A- �ffadr^n
Phone {] (� % 3�"SD�/ � Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work: ,
Name
Address ZS�'� ��trr[� /Lwaan' fJrE' City <-u �'��'"u
Phone (7/ y) � 36�-50 �Jh Contractor's Lic. No.
5. I will provide some of the work but I have contracted (hired) the following persons to pro-
vide the work indicated:
Name Address Phone Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State
of California Health and Safety Code and have completed the above information to the best of my per-
sonal knowledge, in�pmplian it �is State law.
Signed:-- \� I�r.� - �ate: 6 �`i3
Name: �5�E -T C�
(Printed or Typed)
C.D.L. N or S.S. # %
754-5273
1042 46
AGO���ant to Iill in all spaces except t�ose within heavY DorCer lines antl sign all aoo�oo��ate aeclarotions.
� OF COSTA MESA . CON�T_RUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. ,
- 2'1 t�.�-� aQ� A.P. #. .
Project Address � 9/7 �i o � � _
ApplicanYs Mailinro AAArrcc A�� � 3� KFTT�F �'�N,
Owner's�Name �J 0C�n- A� L���nuY. ' Phonns���7�%�
Address ��gy�,=cTQ�� C��� COi%i� /77�I/q
Arch/Eng. - License No. ,
i :
Address � � ' � ,
Contractor'sNamaS/F—/PRl� /p00�/`j��/�/� FhoneL3i�%�`%�17
Address�lmailing1��63r��f�'�%�FR /.N �'{%� �[�Ey�
City License No. ��Z��� ,
LICENSED CONTRACTOR DECLARATION
1 hereby affirm Ihat 1 am licensetl untler provi5ion5 0( Chdrte� 9(mmm¢ncin9
with section ]000) ot Divislon 3 0( the Business antl Profe55ion5 Cotle, anC
my license is in full orce a tl effect. ` -L/.�J .
LIC205�y C�Id.5�5,, .. �� � ' ��pSQ J / // / tG�
Date_d_2`_—G_C. Siqnature
WORKEFS'COMPENSATION CLARATION
I hereby afiirm that I have a certificate oi mnsent to selbinsure or a tertificate
of Workers' Compensation Insurance, or a certifietl copy thereof.(Sectlon •
'!LCa�00. Lab. CJ � . , , -� ' -
`"��licy No. Company .
'��� Certifietl copy i5 he�eby furnishetl. � � ' ,
Certifietl copy is tile0 with the city Builtlin9 Division.
oate Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
.(Shissection neetl not.be completetl it the�p¢rmit is for one huntlretl ($300) or
less).
I t¢r[ify.Ihaf in the perfo�mance Of the wo�k foi wltich this rm�t i5 i55u¢tl, I
shall not employ any person in any manner o as o bec e subject to the
Worker �o�ppensat'on Laws of Cal r'a.
Date � Su'�� $i9natur¢
N07ICE: H, a�ter makin9 this tlecla ion, you shoultl bec e subject to the
Wo�ke�s' Compen5ation provisions f the Labo� Cotle, u mus[ torthwith �
comply witn'sucn provlsions or this permit shall De tleemetl revoketl.
CONSTRUCTION LENDING�AGENCV '
I hereby.atBrm that there is a construction lentling agency far the performance
of the �wark tor w�ich this permit is IszueG (Section 3097 Civ. C.) �
Lentler's Name
LentleYs Atltl�ress � - '
OWNER BUILDER DECLARATION - � �
i hereby affirm lhat I am exempt from the Contractor's LicenSe Law for the
foilowing'reason (Section �031.5 Business antl Professional Cotle: Any�city or
county which requires a permit lo construct, al[er, improve, tlemolish or re0air
any stru<[ure, prior to its.issuance, also requlres the applicant for such:permit
Division 3 of the Bu5ine55 antl Professions Cotle) or that he/she i5 ¢xeTpt
Inereirom antl the basis for the alle9etl exemption. Any violation ot Section
:9:�31.5 by' any applioanl for a.permit subjects the applicant to a civil
:i::nalty of not more than five huntlred tlollars (§500). . �' -
'.. I,'as owner ot the oroperty or my employeez with wages as their sole
��"'ompensation, will tlo lhe work, antl the structure is not intentletl or-otferatl
for sale (Section,]044, Business antl Protessional Cotle: The Contractor's
Llcense'Law,tloes not apply'[o an owner of a properry who builtls or improves �
thereon, antl who aoes such woik himself/herselt or through his oi ner own .
em0�oyees, provitletl that such improvements are not int¢ntletl o� ofteretl to�
sale. It,�however, Ihe builtling or improvement is Soltl within one year of com-
pletion, the owner wilL have the burtlen ot proving he/she tlitl not buiia or Im-.
prove for the Durpose ot sale). .
❑ I,�as owner of the property, am ¢xclusively coMracting with li<ensetl con-
tractors to wnstruct the project (Section 7044, Businesz antl Professions Cotle:'
The Coutractor's License Law does not appty to an owner of,property who,
builtls or� improves thereon. antl who contracts for such oroiects wi[n a con-
tractor(s) hcense pursuan[ m rne' Contractor's License Law). I am aware'that �
proof of tneir Worker;s Compensation insurance shoultl.be provitletl to me.
❑�1 am eaempt untler Section 8. & P. C. �or Ihis reazon :
Oate ' Owner
I� hereby certiry 4hat d have rea�
information is correct. I agree to
antl State laws relatin9 to builtlir
sentatives of this� city to e t r
inspection iposes. �
Signature
Drivars' ense ar 55 � �
5�115
ppliCation antl state-that Ih¢ above
with all city antl county ortlinances
'uction, antl�hereby authorize repre-
the above�menfionetl property�for
TYPE OFCONSTRUCTION LJ�NEW IJ�ADD LJ /y/�LTERA ION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH' � OTHER _:/j_� ��V� �
DESCRIPTION OF WORK/USE OF BLDG. ��LdxS"� ' � �"'
TVPE OF PERMIT GRADING' FOUN�ATION - STRUCTURAL • �
-❑ TENANT ,❑ ELEC RICAL ❑ PLUMBING ❑ MECHANICAI
• C� -OTHER . J�O�f I/II�I � ' • . _ .
PROJECT DESCRIPTION SQ. FT. �� �� ' oCCVaANCv -
CONSTRVGTIONTVPE NI� .VALUATION$ 33��=9
� ZONE GiEADING CU. VDS. ACRES
Remarks: �- . � . �
Sink
Preventer .
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks�
Gas Service .
Interceptors
Kitchen Sink �
Lavatories� .
P—Trap
Roof Drains ��� _
Outlets
Reinspection-Fea . ,
Duct- Under Ground
Duct-Structural i
$15
Exhaust System ❑ Multiple ❑
FirepVFacd Blt. �CBO dk
Heating System & Ducting � :
❑0.100,OOO�BTU Ot00,0008T�
�
Reinspec[ion Fee •, $15'
0865-46, rev. 5/BB White - Builtlinq; Canary - Appllcant; Pink - Accounting; Goltlenrotl - Assessor
Showers
Service $ink -
Sewer Cap
Sewer Connection
SolarCollectors' -
Solar Piping �
Solar Tank ' �
Swimming Pool w/Spa �
Urinal
l�V3t2f CIOSES
Water Heater '
�Water Service � � ' '
�Auto-Wash. '�
� LaundryTreys .
� laue Fee
Flood or Type I ❑ �
CanoPY' Type I I ❑ . .
Refrigeratlon System %�i ,
❑0-100;000 BTU; 0100,000 BTI
System'Fepair/Alteration + �
Fire Dampers
RegiSters . • �
Issue Fee
S Main Building:
TFront
B Rear
A.
C Right
S . Left
Ping. Ref. # �
Planning Notes:
tl
FEES /automatic Washer
Construction�Pole Sub.
Cookin9 Unit
Dishwasher .
� Dryers ❑Gas ❑Elec
Fan
� 'F.A'.U. ' '
Fix[ures
' Device Boxes.
Outl¢t5
Switches
, Garbage Dispoul '
, Generator �0-5 KW C
$ 3
FEES
$ 3
. . , � Zone � •
Accesiory Building: - '
� z
� . O
, N
I
N
G
R
Parking Req./Provided . � ' E
Q
M
� T
S.
. ELECTRICAL •, .� FEES '
5KW
I Reinspection Fee � ! $15 I
DEVELOPMENTSERVICES REQUIR
Zonin9 APProved By �
8uilding Approved By
Aoolication Issued Bv
Transtormer ❑ 15-50 KW
� 50+KW
Meter LJup to 100 amps
Meter ❑over 100 amps
Sub Panel � ' " �
Motors�0-1 HP 01%'-S
Inc.Soiar �9-15 HP �16�
Microwave i . .
Pole Light � ' �
Range
Standing Section
Trash Compactor
Issue Fee
� SUMMARV OF FEES �
, BUILDING PERMIT $ �� � SMIP . $ � .� —
' PLAN CHECK $ PERMIT .
' PLUMBING $ . � ISSUANCE � $
, PLAN CHECK � 25% $� ENEFGV P.C. $
� ELECTRICAL $ �GRADING $�
� PLAN CHECK : 50% $ . ' MICROFILM $ _��
MECHANICAL � $ ' TOTALFEE � $.��c,
• PLAN CHECK ' ZS% $ • � . ' �
0.1 OOt71'a27b-QOQl"a275 T�a7' 0',5� .
DP.Tf: p3/3U!$; iIME: 13:;7
. , � .
t� CONSTRLICTION AND PLANNING POOL. A l�
�^� APPROVALS Permit# Date Inspector pppROVALS Permit# Date Inspector
,� � ,•i
1. Temporary Electrical Service or Pol� .�� 52. Pool & Equipment Location -''
n -
2. Soil Pipe-Undrgrnd. � .� 53. Steel Reinforcement .
3.� Elecvical Conduit�Utility-Undrgrnd. ��� � 54. Forms � � �
� . .
4: Electrical Conduit-Undrgrnd. � . 55. Electrical Bonding _ � ,
5. Steel�Reinforcement r, 56. Rough�Plumbing & Pressure Test '
�. y
.�6. Electrical UFER G�cnd. ��� � 57. APPROVALTO COVER-GUNITE ,�,"�
•7.; Footing�s � !� � �� �i� � 58. Electrical Conduit-Undrgrnd. � ��f �
8.. Foundation i�' �• , f 59. Gas Pipe, O Undrgmd., Test /����
9.� Water Pipe,Undrgrntl. � ' � 60. Backwash Lines, P-Trap, � Undrgrnd. `,'i�
� � �..
10': Structuial Floor System . .'.,/ � t' 61. APPROVAL TO DECK
r
11 ; Property Sewer Lind & House Co�nnection _ • 62. Backwash & Receptor-Final
�' .
• P � �•
� 12. Sewer Ca � . ; 63. Heater & Vent-Final �
13. Roof Drains � r �,� � '.� 64. Plumbing System - Final � � �
14. Rough Plumbing�; .�. 65. Electrical-Final �
f.
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 :
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
.?0. Rough Factory Fireplace . APPROVALS Permit # � �
%21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilatipg 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rougli'& 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 Standpipe
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL �
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31: Plaster Brown Coat;�: � - 79. FINA�L INSPECTION
32. Elecirical Power Meter-Final �80: FOOD CERTIFICATE ISSUED
33. Final�Electric j� Notes: �
34. Final Heating & Air Conditioning �
35. Final Gas Pipe-Test , � � . ,
� 36. Hood or Canopy .
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final , ' ,
40. Gas Service-Final . � � '
41. Solar pomestic-Final ' '
42. Backflow Preventer �� ,
43. Backflow Irrigation , .� � `� �
.�
44. Landscape Irrigation System � �� +`
45. Sound Attenuation '
46. Handicap Regulations ' , '
a7. FINAL STRUCTURE & BUILDING ,✓ .
48. Soecial Requirements Completed �
49. Electric Release to Edison . � -. � i'! • ,
50. Gas Release to Southem California Gas Co � :� �) ''�
�51. CERTIFICATE OF OCCUPANCY , -
No. Date '� '� � `
City of Costa Mesa
Building Safety Department
P. O. Box 317
Costa Meso, California
CERTIFICATE OF OCCUPANCY N° 1806 C
The 9uilding bwted at��� ��'� ��! �_ 8�� � —
has been inspected and found�to�comply with�the p'rovisione of�all City of Costa Mesa Ordinances applicable thereto
for a Group 1� �� — Occupancy.
Use of Building � , �� �� � � _
. �
Legal Description � �� �� �
' _, _ .. ($ae reverse sida for Metes and Bounds)
Building Permit No.�.� — Elecirical Permit No.���. Plumbing Permit No. ��
Floor Load Signs have lieen installed as Room CapaciTy Signs have been insTaled as
required under Sec. 2308 U. B. C.� . required under Sec. 3301 (1) U. B. C. .
17.050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, 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 occupancy sholl be obtained whenever there is a change in:
1) Occupancy classification of a building or portion Thereof
2) The n�mber of apariments or guesf rooms
3) Ownership
tf Grovp H Occupancy, number of apartments and for guest rooms as required under Sec, 17�50.1 (d), Cali4ornia
AdministraTive Code, Title 8, Chapter 9, Article 8.
Number of apartments--�. and/or guest rooms ".
ISSUED TO: Building Official
by �LIJ'L�- (/%'�
. . - q�7 . ',' .
- . . . . �� Date $ ��s�� �
ihis CeMificafe of Occupancy SHALL BE posted in a conspicuous place on fhe premises and .SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sea 306 (e) U.B.C. Forn, svaa—iM—n-sa—s-s r
�. '.'u,
OVVNER DII,LbU1N-BFN�+L SNTERPRISES DATE � 1��p��
JOB ADDRESS 2917 Mendoza �Dr. A thr�i� D BUILDING PERMIT NO. 1�79
GENERAL CONTRACTOR Tlillman_Rntmmall II7�grpLb6C5 VALUE $!}fj,]_1}!},QO
AP No. LOT TRACT 2 �FIRI's ZONE D�SCRIPTION OF WORKl}_plex w�att.c��
INSP�CTIONS I 5ignatur DA1`E GROUP H�'J TYPE V 7.ONE R-4
. � �� SUBCONTRACTOR r . PL:F�MITS ISSUED
coat
0
. , . I 897g
COSTA MESA BUILDING-SAFETY DEPARTMENT,
P. O. BOX 317 COHTA M6BA, CALIFORNIA
For Appllcanf fo Fill In Completely
TYPE OR PRINT
BUILDING en ozy/g./� riv.e
ADDRE53 / v""" �
- COSTA MESA, CALIFORNIA
12081 Buaro
,ARCHITECT
OR ENGINEER Wal
Corona del Mar
TEL.
�— NO.
l NO. OP BLG
�lO� I'NOWONLA
—
SETBACK LINE FROM ' �
eEr+rea oF eTxe�i �GS � REAR YARD S
SIDEYARDI LEFf o� ��I RIGHT�3�•SO�
DESCRIPTION OF WORK
BUILDING.
SIZE
EXTERIOR
COVERING
USE OF BU
6
�E . RECEIVED
P.9Afl � 1963
FINANCE DEPT.
APPLICATI0181rQI��'E�AG�A �ESA
BUILDING
For Office Use Only
RECEIPf N0. P��. nlCI�1
�89UED
�
zoNrHc
NO.OF % lIBEOF!
PLANH J I BWLDIM
. (y•�
s. � �- 9 7"rr
•-$
YARDSAPPROVED
MAIN BUILDING
i >�
LTERATION AODITION REAR �
DISTAN�
OVIN6 �DEMOLISH MAIN BI
VAR..}k �
� NO. OF
' ROOMB z� BTORIEB 2 C. U. P..
^ I COV�ERIN6 5�11i1 ZB BYPROV
J WORK TO BE PERFORMEG
ina with att. �5� '
1 HEREBY �CI(NOWLE�OE TH�T 1 HAVB Re�O TXIB �PPLICATION
ANO 3TATH THAT TM6 ABOVE 19 CORRECT AND AGREE TO COM-
PLY WITN ALL CITY�IIPANCEB' NO E LAWB R80UI.Ai1NO
BOILOING CONBTRU H
SIGNATURE OP
PERMITTE
AUTHORIZED AGENT
SHALL BE LE55 THAN
YARDS APPROV ED
ACCESSORV BUILOING '�
BET, MAIN B
ACCESS. BLI
DATE
` 9af`s4:F-r. .f� �i'P3o
TXe AMOUNT 6NOWN UNOER VALUATION Ie POR TX8
PURPOSE Op EBTABLI6HIN6 A PENMIT FBE ONLY.
VALUATION . /+� P
�g . PERMIT FEE $ ��O
$ �P� /J� LA GHECK �'��—
TOTALFEE $ �6/ �