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Home My WebLink About971 MISSION DR - Building Permits► CITV OF COSTA MESA SeKVICE REQUEST & PUBLIC ASSISTANCE FORM �l� —'�— �� Date Caller's Name Nature of Request: (location, type, severity) � .-- ��-�� - ,�� .�., .�,�� . �� Referred to /i��v /� �R � �.,.,.e _ ,�1,p� Call back � � ��'� �p� p ." / n p (JService Only ❑ .7�,_ c�. —t .�-= ►'`.o ��C.�� s�.vi.e �l.R. 4 �- �� s�/i [nformation Only Person Re/V c� e v ng Call Z/L.�� /� ��C. L ��y —� � � City of Costa Mesa Building Safety DepaAment P. O. eox 317 Cosfa Mesa, Colifornia CERTIFICATE OF OCCUPANCY N� 1$56 C The Buiiding located at ��td3�� iM'Ei — has baen inspected'and fo�nd to comply with the provisions of all City of Cosfa Mesa Ordinances apalicable thereTo for a Group �� Occvpanry. Use of Building— }�� (+y�q,��ry,�� --- Legal Descripfion ��`�gA��'�� (See reverse side for Mafes and Baunds) Building Permit No. �— Electrical Permit No._�_._ Plumbing Permit No._ �� Floor Load Signs have been installed as Room Capacity Signs have been instaled as requir8d under Sec. 2308 U. B. C. . required under Sec. 3307 (1) U. 6, C, — 17050� CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be �sed or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classificaTion of a building or portion thereof � 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guesT rooms as� required under Sec. 17050.1 (d), California Administrative Code, Tifle 8, Chapter 9, Article S. Number of aparTments � and/or guest rooms ISSUED TO: Building O�/fficial ,.. � � � �r.. :. L7Y�?�6,�� -- . � Date�.�g.� �_�h This Cerrificaee of Occupaney SHALL BE posted in a conspicuous place on fhe premises and SHALL NOT BE removed except by the Building Official of the Cify of Costa Mesa under Sea 306 (e) U.B.C. Fo„„ sua¢-iM—ii-sa_s_s p City of Costa Mesa Building SafeTy DepaMment P. O. Boz 317 Cosip Masc, California CERTIFICATE OF OCCUPANCY N° 1856 B The Building located aT ��0�'pA �YiP@� �$ " � _ has been inspecfed.and found To comply with the provisions of'all City of Costa Mesa Ordinances applicable Thereto for a Group $ � �� ' Occ�pancy. ' Use of Building_ ��'� ��e=e@ �� •� . � , Legal Description— I�' �5� �''� � . . �(See reversa side for Metes end Bounds) Boilding Permit No. �+%�`� Electrical Permit No.—�� Plumbing Permit No. �� Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sea 2308 U. B. C. , . required under Sec. 3301 (1) U. B. C. — 77050. CERTIFICATE OF OCCUPANCY. (a) No apariment house, hotel, or lodging house shall be used or occ�pied until the owner or operator has been issued a valid cerTificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occ�pancy classification of a building or portion thereof 2) The number of aparfinents or guest rooms 3) Ownership If Group H Occupancy, number of apartmenis and/or guest rooms as required under Sec. 17050.1 (d), California Administrafive Code, TiTle 8, Chapter 9, Article 8. N�mber of apartments— � and/or guest rooms ISSUED' TO: Building O ici 8�1�.' �P..Gi%,�,I�. • by�l��/Y—%!%%%t-�%s� ,. � DaTe �RPtf�w�a,� '10�1� ihis Cenificafe of Occupancy SHALL BE posted in a conspicuous piaee on fhe premises and SHALL NOT BE removed excepf by ihe Building Official of ehe City of Costa Meso under Sec. 306 (e) U.B.C. Forn, svaa—ir�—n-ea_s-s a � _ AOP�icant to fill in all spaces except those within heavy bortler �ines anE sign all a0P�o0�iate tletlarabons. } .., _ � �-_ �� ]46% 7/26� BS " � l3.up� t'� .�� CITYnF�COfiTAM SA CONSTF�UCT,IO7�NPERMI;T, ' — PERMITNO. - TRACTNO. ,LOTNO. UNIT ,,� ,. .,.. ! , ' � , .� . c._- �.}-� � ' {�_.-�!�r _ _ ' �. � Z� I � � ' , . ; � ' . ,. i ' : ; . . ; : .� Pro�ect Address � S IIGL � .. • � .ApplicanYs Maihn Address � Z V' �-' W a- '� �. �( � �, _ TYPE OF CONSTRUCTION ' � ' 'NEW '/>DO , ' ALTERATION � REPAIR ' -' . . � ' ; ❑;CONVE17510N ❑ DEMOLISH ❑ OTHER Owner'sName ` Phone��W3U - - A•P.# � . ,Zone � � � DESCRIPTIONOFWORK/USEOF�BLDG.. Address , ,u�• � • ' � �S' MainBmldmg�'_ , ;AccessocyBuilding: Z �Arch/En9. LicenseNo. - TVPEOFPERMIT� . GRaoWG ' FOUNDnTrorv SrRVCTVaaL � . .T. Front � ' f _ - " ' � - � - � � O � Address � � � - ' ��TENANT ❑'ELECTRICAL. ��PLUMBING ❑ MECHANICAL _ g' . - � � � � - . � N ' . ' Rear� . �� ,Contracror'sNam � � Phone ❑ OTNER' ' � - . � . C Right � ' " � G PROJECT DESCRIPTION 5q. FT, occuPaNcv ' � � Addresslma'I'�gl � ' S Left � R ::• CONSTRUCTIONTYPE ' ' VAWATION$ . .•' � - ' ' Ciry License No.. � zONE � � GRAoirvG CU. vo5. acaES� ' p�ng. Ref. #; ' Parking Req./Provided ' 'E IICENSE� CONTRACTOR DECLARATION • , Q 1 hereby affirm [hat,l am licensetl untl¢r p�ovisions ot Chart¢r 9(commencing' .Rema�ks: . ' � � � � PlaOning NOteS: ' ' i✓ M -with,section ]000)�of Division 3 of th Si 55 antl Protessions Code, and ' ' - T �my license is in full force antl effect. ' � � ' , � � � ' , . • - - ' , � ' . S License Class � Li No.' �Date ' Signature � ! PLUMBING f' � FEE$ - '� ' ' ' t WORKERS'�COMPENSATIONDECLARATION � � BarSink � � Show¢�i ' ELECTRICAL - � FEES - I hereby affirm Ihat I M1ave a certiticate of consent [o selt-insure o� a certificate � ' ' , �i Workers'�Compensation Insurance, or,�a certi(ietl cooY_thereot (Section @ackflowP�eventer - - ServiceSink" ! � �00, �ab. c.� � � , . , �� i� Automatic Washer � Transformer �O 75-50 KW � olicy No. ' Company � i Backflowirrigation � Sewer'Ca � - � i ❑ 50+KW , B Certifietl copy is hereby fumishetl: � ' ' , P' /' Construction Pole Suh. � Certifietl copy is tiletl with the city Builtlin9 DiviSian. B3thtUhS Sewer Connection � , _ ' Cooking Unit � Mecer ❑up to 700 amps 5 (,� Date � � � Applicani' ' - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' Clarifiers � ' � • Solaf Collectors � DiShwasher ' Meter ❑oVer 100 ampi (Thissection neetl not be completedif We permit is for one huntlretl (g100) or � � � . - � � - �" ' � ' ' � � ' Iess). � � � Dishwdsher I Solar Pipin9 ' /. Dryers �Gas ❑Elecfric Sub Panel � � � I certi5y that in the performance oi tne work tor wnlch this perm�t is issuetl, I� - . _, , shall not empioy any person in any manner so as to become ubject to the � Drinking Fountains � Solar Tank� , 1 Fan � � ' ' Workers� pen tion Laws of Califorffiay� . �f � l . Motors �0-1 HP �1'/x- 6 . . Date Signature \ SL�� 4..� ..t/�� Floor Orains � � Swimmin Pool w/S a � ' � ' � 'NOTICE: I, afte making this tleclaration, you should ecome s bject to the 9 P F.A.U. Inc.Solar �9-15 HP 016-15+ ( Workers' Compensation,provisions.of the Labor Cotle,-you must forthwith -- FloorSinks �--�-�• - Urinal -- - � Fixtures- - - ' - ' "Microwave � -' � "" ' camply with such provisions o� this permit shall b¢ tleemetl, revoketl. � ' GONSTRUCTION LENDING AGENCV . ' ' - 1 � . ' ! ' ^ , ' r Gas Service ' Outlets . Waier Closet • �-Z !. Device Boxes , Pole Light I hereby affirm that there is a construction lentling a9ency tor the pertormance ot 4he work, tor which �thi5 �permit i5 issuetl (Section 3097, Civ. C.) ' � ' � p � , Lentler's Name Intercepmrs �Water Heater' . ;,� Outlets Ran9e . . . �enaers aaeress ' � � Kitchen Sink - i " Water Service � ' ; Switches i � � OWNER.BUILpEN�ECLARATION � ' ' . ' ', Sign . . I heretiy aftirm that I' am ezempt trom'the Contractor's License �Law�far the -.Lavatories ' � Auto-Wash' ' '� - following reason (Section 7031.5 Business and Prbfessional Cotle: Any�city or Ga�bage Disposal ; Standing Sections counry which requires a permit to'construct, alter, improve, tlemolisn or repair P—Trap ' .. ' � Laundr Tra s �'/,� � anystructure, prior to its issuance, also requires the applicant for such permit Y Y A.' Generator �0.5 KW �5-15 KW Tresh Compactor lo file'a siqnetl Sta[emen[ that M1e/she is licensetl pu�suant to the provi5ionsot , RoOf D�ainS � - ' � � '- ' ' � [he Contractor's License Law (Chapter 9.(commencing.with-Section 7000) of ' � ' ' � . Division'3 of tne eusiness antl Professions Cotle) or that he/5he is ezempt F, � � � . � . . , therefrom antl tM1e basis for the allegetl exemption.'Any�violation of Section _ , ., y' ' '031.5 by any applicant for a permit subject5 the applicant to, a, civil ' � � �nalty of not more than five huntlretl tlollars ($500). � ' r- � � ,. � � , . .'L ' � , � ' J 1, as owner of the property or my employees with wages as�thei�� Sole ReinSpection'Fea $15 � ISSuO F88 � $�3i � � ' � compensation, will tlo tne work, and the structura is not intentletl or'offeretl Reinspectian-Fee $15 laue Fee �. $ 3 for saie (Section ]044, Business antl Protezsional Cotle: The Contractor's '; �� , MECHANICAL , FEES ,) �� j License Law tloes not apply to an ownei.o( a O�operty who builtls o� improve5 � thereon, antl who tloes such work himseli/fierseli.or tnrough his or her own . - „ :DEVELOPMENT SERVICES REQUIREMENTS: j ; , employees, provitletl that such improvements are not intentletl or offeretl for� Boilef �. �Hood o! Type I ❑ - + i . sale. It, �owever, tne builtlin9 or improvement Is soltl within one year ofcom- i _ ,' Canopy Type II ❑ ��/ � Zoning Approved By _ nate pletion, the' owne� will M1ave the burtlen Of proving hE/she tlitl not bulltl or Im- DuCt - UOdEf Ground' � ' J �guilding Approved By� ' � �3te � prove for the Ourpose of sale). ' � ' ; ' � � . ' � i =� �—� -- ❑ I', as owner of the property, am exclusively contracting with licensetl <on- Duct -,Structural �, Refrigeration System � '', � , AppliWtion Issued 8Y ' Date.—L/Glo tractorsto construct the prolect (Section 7044, Business antl Profe55ion5 Cotle: � � The Contractor's License I�w does not apply to an owner of property who Duct - Ven[ilating � __ �❑0.100,000 BTUi 0100,000'BTU ,. �- . • . , ' SUMMARY OF FEES • � � builtls or improves thereon� antl who contracts for such projects with a`con- � ' � ' ' -• •� . . tractor s license pursuant to Ihe Contractor's License Law�. I am aware tnat ' ' - BUILDING PERMIT $. � SMIP ' $ �� Exhaust SVstem ❑ Multiple 0 System'�Repair/Alteration - '� � p�qN CHECK � $ PERMITr oroof o their Worker's Compensation insurance shoula, be provitletl to me. � � J �— � L7� 1 am exempt unaer Section ,B. & P. C. Por tnis reason Firepl/Fact. BIt. ICBO #� Fire Dampers ' � � � � PLUMBING ' . $! '�'�� UANCE . $ i ❑a�a �— — p � , Heating System & Ducting� . Registe�s � � IC. ' � , ENERGY P.C: $ � ' � ' PViNCHECK 25% $ � hereb ceriii that.l have reatl�this a Iication ntl siate' naYthe above' ❑6100,000 BTU �100,0006T -^ - - � - - - - � .! - • ' �, p�j GRADING � $ � intormaiion�is correct! I agree to complYPN'��h all tlty antl co ty ortlinances � ; � /� ELECTR ICAL $ i , . � antl state laws relatin9 �o builCinq construction, antl hereby authorize repre- ' � � � � i� '�J MICROFILM � $� � PLAN CHECK 50°,6 $ � � sentatibes i,city to�.enter u Me above-mentionetl� property for � ' - . i inspection urpa . i � p � � ' ' ' �"' i i MECHANICAL � $ ' � TOTAL FEE � $' � �J• C�0 �1=Z.�-B� $ � Signature : ..a/�--�� Date � . ' - N 1 ' � �orivers' License or 55 � ' � . � Rainspection Fee $15 i ' Issue Fee ' ,$ 3 PLAN CHECK 25% ' C OB65-46, rev. 30/84 White - Builtling; Canary - APP�Icant; Pink - Accountinq; Goltlenrotl - Assessor �_ _ CONSTRUCTION ANDPLANNING APPROVALS Permit# �1�. Temporary Electrical Service or Pole ;2. Soil Pipe-UndrgYnd. 3. Electrical Conduit Utility-Undrgrnd. , 4. ElectricaLConduit-Undrgrnd. - 5 Steel Reinforcen�ent .6. .Electrical UFER Grnd. 7. �Pootings - 8. Foundation �_ � ' - 9. Wate� Pipe-Undrgrnd. , - 10. StrOctural F�oor System � 11. Property Sewer Line & House Connection 12. Sewer Cap ' 13. Roof Dreins 14. RougFi Plumbing . 15. Rough Electrical-Conduit 16. �Rough Electric Wiring 17. �Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough�Factory Fireplace 21. Ducts, in Struaure 22. Ducts, Ventilatin9 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceiling (Sxructural) & Monocoat '27. Frame and Flashing 28. ,Lathing & Siding . . 29. Insulation � 30. Diywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter-Final 33.�Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-7est � 36. Hood or Canopy 37. Final Factory Fireplace / 38. Fin� umbing �� 39. ter Se ' ' a 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer , 43. � Backflow IrrigaUon � ' - , 44. ,Landscape IrrigBtion System 45. Sound� Attenuat�on , 46. Nandicap RegulBtions . 47. FINAL S"fRUC7URE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison' � 50. Gas Release to Southern California Gas Co �51. CERTIFICATE OF OCCUPANCY � Date� Daie Inspector � � i �' POOL 'l APPROVALS Permit # Date 52. Pool & Equipment Locaxion 53. Steel Reinforcement 54. Forms 55. Electrical Bonding ' , 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUN�TE � 58. Electrical Cpnduit-Undrgrnd:. - _ 59. Gas Pipe, O Undrgrnd., Test - 60. Backwash Lines, P-Trap, � Undrgrnd. 61. APPROVALTODECK- 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final � 65. Electrical-Final - 66. Solar.System-Final _... _ 67. Fencing & Access Approval _. 68. APPROVED FOR PLASTERING- 69. POOL/SPASYSTEMS.FINAL . FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping O Gas . OOiI , 72. Underground Flush 73. Undergrnd. Storage Tank � Gas ❑ Oil 74. Overhead Hydro . 75. Dry Chemical � 76. Dry Standpipe , � 77. FIXED SYSTEM FINAL 7S. FIRE PREV. FINAL HEALTH DEPT.REQUIREMENT 79. FINALINSPECTION-� -- 80.. FOOD CERTIFICATE ISSUED Notes: !�.� - .. e s Ilnspector � a �un nwrce�a �� GENERAL COD '0 141-6 cCTIONS sm� �GAS WATER ROUGH PLUMBING Missi PROP. SWP. LINE �� HOUSE CON. Lf SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING ANO A�R CONOITIONING TEMPORARV SERVICE OR POLE UNDERGROUNO � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATNING FRAME ANO FLASHING LATHING - IN n OUT n PI "�TER. BROWN COAT 1. ,NG, VENT., REFRIG. AN� A.C., FINAL PLUMBING, FINAL AN� GAS iEST n ELECTRIC, FINAL BOIL�ING, FINAL YiZC�iif1:7�47`�t� DATE 6-30-72 BUILDING PERMIT RK Encl.Caroo VALUE$ 750.00 SUBCONTRACTOR �' 3488.7 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 - For Applicant to Fill in Completely BUIIDING ADDRESS m SSIOu OWNEFl �/�Me.S `�. Z ADDRESS � ` � �, U w W ,M e�� "� dU dTV -� V�1 ZZ Q CONSiRUCTION _ O N LENDER am J � BRANCH J N Q � � ADORESS —�—� i ARCHITECT . OFi ENGINEER U Q w � ADDRESS p. W J O CONTRALTOR' m Z J � ADDRESS W W � GTY Z H W � STATE N � LIC. NO. 7 O SIZE OF LOT USE OF EXISTING BLDG. �/e O �E F" SIZEOF /D NO. Z NEW BLDG. ROI U E%TERIOR WALL RO� COVERING CO� J USE OF BUILDING AND WORK T� � Or � NO� J`_`'�{ TEL. NO. �; �L/ �. TEL. NO. CITY LIC. NO. NO.O LBF� NOW ON LOT STOfiIE NG PEflFORMED P�ilu � � ,-�r-- --oo3�sB� �t,��;.5.ei <<;. PP IC TION FOR BUILDING PERMIT R EI V D V DATE RECEIVED TE ISSUED -�"��- � 30- A.P. NO. � / /— �P✓� / -c(i PEFMJI . BUILDING � � ADDRE55 SS/ � TRACT��I/ LOTa,j BLOCK AD P OWNER .1�mr_s 6'. il,a�r�e,2 FIRE ZONE APPROV ZONE NO.OF PLANS� VARDS APPROVED MAIN BVILDING (FROM C/L STREET) VAR. # USE OF NEW eHGCO� BUILDING �pr��,. VARDS APPROVED BET. MAIN & AG:ESS. BlD DATE O ��_ �� __ APPROVED F' APPFOVED � � N O ,?�2r a. � 7ATE UI hereby acknowletlge that I have read ihis aDPlication antl rtate a�e�/On \D = ihat the above information is correct antl aqree to comply wlth � all laws r8gulating tiuiltling construction, antl I shall not employ ,r� F any person in violation of.the workman's compensation laws of y the State ot California. i � zI hereby cartity that I am properly licensatl as a eontractor under SQ. FT. ' o the State of California qusiness and Professtons Cotle, Divisicn 3, E AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, antl ffiat such licenses a.e (n full force antl eftect, or I TME PUI:POSE OF ESTABLISHING A.PEFMIT FEE ONLY: m emp[ from ffie p�ovisions ot the Stete oi Calitornia Buslness - � antl Professions Cotle. Di��slon 3, Chapter 9. VALUATION � / PERMIT FEE $ � Signatura of � 7 m Pe�mittae �P/L � � �� $� P�AN CHECK $ E �� `o Autho�ixatl ABent '"LL TOTA� FEE $ ��-i s�� "C TA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 ' CO�TA MEBA, CALIPORfiIA For Applicant to Fill In Completely TYPE OR PRINT �os°ess Lnt 25� Tract 5011 COSTA MESA, CALIFORNIA � ARCHITECT Euclin. Anh. 61ZE � � � NO. OR BLOOl. OF LOT �T� X Q3 NOW ON LAT USE OF EXISTING BLDG. 6ETBACK LINE FMOM ' ceniex oc eineei ��:i) � REAR YARD 1O � SIDE YARD I LEFT S� I RI6HT 17- � DESCRIPTION OF WORK NEW I� II ALTERAT�nu I II �nnir�nu I ' X 7i � -wn�:.°..e c...e.�e 2 shake ea � HEREBY RCKNOWLEOOB TH�T � HAVB.READ TXIB APPLICATION /�ND 6TATE THAT THE ABOV6 IB COiiRCCT ANO AORE6 TO COM- pLr w�rX wLL CITT ORDINANC4 ANO 9TAT6 IAWB R6GULATING BUILDINO CONSTRYCf10N. SIGNATUREOF HYCRO PERMITTE AUTHORIZE�A6ENT ��. � FEE RECEIVED iIUN 1 0 �gg� FINANCE DEPT. CI��'��ii ��ERMIT BUILDING For Oiiice Use Only RBCEIPT NO. PEpl a nvcoev � qFyiveq Jq,hrE / .�//J / illY 1 ZONING 1 ��no. op � use runs emi YARDSAPPROVE� MAIN BUILDING tOM C/L STREHT) BET VAR. $F SHALL BE LESS THAN YARDSAPPROVED AGCESSORY BUILDING BET. MAIN 8 AGGE85. BLI DATE �� y/ni� /�%so. Fr. 1%�fi1-p • ��I'HE AMOYNT BNOWN UNDEq yALUATION I8-FOR THE PURPO56 OI� HBTABLI6XIN0 A PEqMIT F6E ONIY. VALUATION Q PERMITFEE $ //_'D/y. $�� C EG O� � / C/ n / t"� %r W .� 41 � j d a a ¢ U w vi a 0 � Q 0 �