HomeMy WebLinkAbout980 MISSION DR - Building Permitsr�t;
PflOJECTR00PES5: f38O MISSION DR
OWNEfl'S NpME: JOHN WHELAN -
nooeess: 3190 RED HILL AVE #150
COSTA MESA
CA 92626
AflCNIENGINEEfl: � 714 � 534-7179 .
RODPE55:
flEG.NO.:
uxir: A
UNIT:
PEflMITTEE: JAMES RAY THOMPSON ( 714 ) 636-2557
aooness: 13592 'FERNWOOD
uceNseo coxTxacroCn'oe�DEiN GROVE �nat i am ii nsed undeCA isio�ns2 6 4 e �commencing wiih section
7000) ol Orvision 3 ol Ihe Business and Pmfessions Code, y icen is in full force antl ette .
cirr uc.: 4'� STRTE LIC.: j 4 S 4 3 cuss: B
�a�e: Signaiu ' -
WOflNENS' COMPENSRTION OECUIBATION: I hereby affirm Iha� I e a ceni' are oi consenl b s t nsure or a cetlilicale oi Workers'
Compensa�ion Insurance, or a cerlilieA coOY �hereof (Sec�ion 30 ab. C)
voucrNo.: Zzg—gyUNIT03875 E%P.DpTE: S/OSI93
comvaxv: STATE FUND
❑ Cerlilie0 coOY is hereby lurnishetl. [j� Certitiee cop � � tl vnth the � Bu tling DiviSion.
^z� AOPiic t
E
i�.�CMMION PflOM WOHNENS' COMPENSATION OECLAflATI�N: hlsse neetl nol be c �¢�¢d i� ihe De�mi� Isiorone hunare0 (5100) or less),
I cetlify Ihat in �he pedormance of the work br which Nis permit is - ed, I shall no� employ any person in any manner so as to become
5u01ec� �o Ihe Workers' Compensalion Laws of Califomia.
Dale: SignaNre:
NOTICE: I( aiter making I�is Oeclaralion, you shoultl Cecome suble�� �o the Workers' Compensa�ion provisions o� tAe Lahor
Code. you mus� fo�hwilh tomply wilh such pmvisions or [his permi� shall be deemea revoke0.
CONSTflI1CTI0N LENDING RGENCY: I hereby affirm tha� there is a consimction lending agency tor Ihe performance of the work for
which ihis permit is issueU (Section 3097. Civ. C�.
lENOEH:
FDOflESS:
OWNEfl BWLOEP OECU1PA710N: I herehy affirm that I am exempt irom the Contractors' Slate License Law lor ihe following reason
(Sedion 7031.5 Business anU Pmfessional Cotle: � Nny ciry o� counry which requires a Oermit to con5imc�, alier, impmve, Oemolis�, or
repair any S�mcWre, pri0� to ils issuanCe, also requires ��e apD�itan� for SUC� permi� �o �ile a SigneO 5taiemen� �ha� he/She is licens¢d
Dursuanl to Ihe Dmvisions ol l�e Conlraclors' S�a�e License Law (Chapter 9(commencing wi�h Seclion 7000) of Division 3 0� lhe Business
and Professions Catle) or ihat �e/she is erem0� �herefrom antl ihe basis for t�e allegetl exemptioa Hny violation of Seclion 7031.5 by
any applicam �ar a permi� su�lec�s Ihe applican� to a civil penalty o� not more lhan tive hundreA Oollars ($500�.
I, as owner of ine pmpeny ar my emDloyees with wages as ineir sole compensation, will Uo ihe work, antl Ihe
❑ slmcWre is no� inten0e0 or ofleretl �or sale (Section 7044, eusiness an0 Professional Cotle: T�e Contracmrs' S�a�e License Law
Ooes not apDW Io an owner a� a pmDetly who builas or impmves ihereon, antl who Oaes such xrork himseli/hersel� or ��mug�
his or her own employees, pmvi0ed that such impmvemenis are no� inlentle0 or otlereA lar sale. I�, however I�e builtling or
impmvemen� is soltl wiihin one year ol compleiion, Ihe owner will Aave Ihe UurOen of proving he/she tlitl noi build or impmve
lor Ihe purpose o� saleJ.
I. as owner ol �he pmperty, am exclusively conVactinA wi�h licensetl contrac�ors �o constmc� �he D�olec� (Sec�ion 7044, Business
J an0 Pwfessions Co�e: T�e Contracmrs' Staie License Law does no� aODly lo an owner oi pmperry who 6mI0s or improves thereon
' an0 who contracls for such pmjec�s with a contracioqs) licen5e pursuanl to ��e Contradors' S�ate licenSE Law),I am awar¢
Ihal pmol ol Iheif Wdrket'S Compensa�ion insurance shoultl be prouide0 lo me.
� I am exempt un0er Section: B. 8 P. C.
lor ihis reason:
�aie: Ownec
I tlo �ereDy certify ��al I am aware ol antl untlerstand Ihe reQuitements ol Calilomia Health and Sa�ery Code 5¢c�ions 255Q5, 25533, an0
2553A ana ��at I ar any IWure 6uil0inq occuDan� willlwill no� (circle ane) need Io comply wi�� saitl slale codes and Ihe requiremenis for a
permil lor cons�mc�ion or moai�icaiion Imm �he Nir Oualiry Management Dis�ricl. flesitlential conslmc�ian applications are eXemp� irom
Ih¢Se provision5.
Dale: ApPlicanL
I here6y cetlity �hat I have read ��is apPlica�ion and staie ��a� IAe above
Wdinances and statelawsrelating�o �uil0ing con5imc�ion an au�h
pmper�y for inspeciion purposes
Date: ✓/ � ` ��_ Signa e:
Driver's Lirense or Social Securily a: �
I aAree m camply wii� all ciry and counry
Ihis ciiy ta enter upon �he a6ove-men�ioned
16C1�a6 White-6uiltlmgl Green—Code En�orcemenf. Canary—Aoolicanll Pink—Revenue: Goldenmtl—Assu,cmr
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05758
PERMIT NO: E 057582 PLAN CHECR NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: REP
JOB DESCRIPTION ; REPAIR LIGHT FZXTURE IN DOWN STAIRS HALL SQ FT:
CLAIM VALUE: CALC—VALUE; GROUP OCC; R-1 '/
COMMENTS: REPAIR WORK ONLY
�r*�t�t*�r**�t�e�t**a*****�t�t*�t**�t**�r*�t�c*r*x�*�t�t�r�t�t�t**�t�t*�r�r+t*�r*+t**�t****�t*��t**+�****� �***�t
Z O N I N G R E Q U I R E H E N T S
S E T 8 A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ• PAOV; PARCEL: 14166215 ZNE: REF NO:
PLANNING NiSTES>
� i .
ff �F if M �E iFiF �F 1t atiE 1F It iF N k ik it k iF if if ik if iE iE 1F ik if k if �F�F if iE if'1Fik �! �f k �FlF �F 1k iF �f fkif �liF iF aF M k If if iFiF if �t k fE it if if 3t �F�Flf if iF M if 3f * iE if it
D E V E L O P M E N T S��E.>A V I C E S R E Q U I R E M E N T S
.�
ZONING APPROVED BY " DATE:
BUILDING APPROVED BY ; �' __,__ DATE:
APPLICATION ISSUED BY: 1 DATE; 6 S
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N
PERMIT BLDG PMT PLUMHING ELECTR75 MECHANIC FIRE SMIP/RES GRADING
�OY SMZP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 0.75 15,00 0.00 15.75 15.75 .00
REVENUHLDGVPMT�PLUMHING ELECTRIC MECH�It FIRE5�3MIP%TOT/SGRAD�NG PLAN—�HECK
15,%5
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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 O N UNIT COST TOTAL COST
ELE 1 FIXTURES, LIGHTING 1 ST 20 EA, ,75 .75
END OF FEES
0� QU116346—GLt1639& - �a g , ,
oAr�: ��6;oa; y� r?r.G: i�:ua
CONSTRUCTION AND PLANNING �- POOL & , . - -
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
i. Temporary Electrical Servr�e or Pole,��. � 52. Pool.& Equipment Location �,
2, Soil Pipe-Undrgrnd. c- ..�t � .� 53. Steel Reinforcemeni � � �
��. .....-. � •
a,��tt�ci�it'al Cond`�I�'r�ility-I�ndrgrnd,:'' � � 54. Forms - -
�.,
o ElQarieel CondulLthtdrgrnd. � Sf� _ 55. Electrical Bonding - -
�i� c ��'
���9t "f�inforce�ye�t� �'�''.,: _ _ 56. Rough Plumbing & Pressure Test ' `-
-+:7C..� �t�.� U � G
NfiLyElectF,eal UFER �dtl, n ou � 57. APPROYAL TO COVER�GUNITE �
,,.
Y7.;,,,Footir�qs x�m 4'. � � � - 58. Electrical Conduit-Undrgrnd. �^'
�8. �oundation �p J� � � � 59. Gas Pipe, (3 Undrgrnd., Test _, � �
9. i�7yater Pipe�U�dcgmd. - , � - 60. Backwash Lines, P-Trap; O Undrgmd. '!.�
10.-�5tructural Floor System � . . 61. APPROVALTO DECK . �
11. •3.roperty Sewer Line'& Hocse Connection, '� 62. Backwash &_Receptor-Final �
'.
12. Sewer Cap � A e ' 63. Heater & Vent-Final "
13. Roof Drains r� •- �; 64. Plumbing System � Pinal
14. Rough Piumb�� `' . 65._ Electrical-Finai .
15. fiough ElectricaLConduit � 66.- Solar Systertm-Final
76. Rough Elecv�d�Viring � - 67. Fencing & Access�Approval
7. Rough Wiring $}gn 68. �APPROVED FOR PLASTERING
18. Rough Electri.'�V'-T Bar Ceiling 69. POOL/SPA SYSTEMS P�NAL
19. Rough Heating & Air Conditioning �FIRE DEPT. REQUIREMENT '
- - - ' . - r :.,y:. Q x F M
20.i�Ro ^h Facto F�eplace t �;* <`f > ^ ,^ .,-x .r :�qPPROUA��4',9'J�ertiiit # '! �' "�
�r S[r G�t _S :i �!: :� � 7, Ni-+F� � r - !r,
VJ i- ( .� �'S '.tl �. '] ^�4 ( N "t� E T
21.f, u_�{`I,�s, icfStra,_.ctu.,(2,�, �.... _S x S - -r? x. ^ 0. dergCO�tAd:HyE2ro .�
22.�DuC�S, �l�ntiJatin�.� i :��5 � _ � �w .� -. 1. Produc � ifi9 �s �il
23.Q',a:EPi o�h &`fest � � * � J"� "72. gm � d .-, x r�
.� P� � r T J �= =.r k- Under roun Fltul,r„ .T f
.,
24 .�ioo� Fr3ming '^�t i Fi- ^:- t >> ^ �' �_ > , 3.`�lJndergmai'Stor�q� ank � Gas ❑ Oii
> �n r r :.. t *
25. Roof S1i thing '" � � :` � "� `' .' :�5* � • � � - �
�, ,� � v � a �, �i :�. R 4:;Overhead �lydrop' �.
26. T-8� Ceiling (Structural) &$lonecoat Y�'n _ Mr x 75. ry ChemMcal y"> >�-+ = �'
Y- .. ,- 4..^ r
27 ��rart�e a � Flashi� � � �' ''�? �` t� ""� �� w � •"• '
�, �., � : 'x�1 x �_ tOx � 76.'�Dry Stan��e rm
�28. LatF3in9� Siding : i. �;.i;t u: x: � -•k y 77�rFIXED SI�frTEN��NAL� ,. M
,. 5' � : � .. .. '� �. rr; 1 .
�29. Insulatiq� r.,; S .. 78fFIRE PREV. FIf�F,tl x� rx v
i��30. Drywall`Nailing �� �� _ � � !'�,jl�s :+ F4EALTH�EPT.�R-EQIlIREMENT
- � ��
�1. Plaster B�pwa Coar` � 'r� I� � 79`�FINAL INS�,ECTIC�I�-; "� c`-- �
x S t .*'t�' � 'r . +
.�� �� a 1 r.. _. v � i f. II- r-+✓ :
�-32.�Electrical Power Metej;Final i .. i• ; �r. r� �r$O.pfOOD CERTIFIC:tC'YrE ISSUED u
- .-• �
�33.` in� EIrrF tri' �t ' � '� �, �' oYes: 7 ��- � �
� (�S Y � m t �L � " % � . s •-.-; titr, . `] 'J �O7
M � 1 1`�' � '... � . c" rV " t �
,34.;-Fin He„�ting;& AiS, onditio�i�g� �; � -�" '. ,� +,x •o� •S _ �:: � S
� '
35."finaf GltPi�•Test' .~s �" - � � . � , =^U4' o!'� f*iS � c*' y0
� "- !--� � 1.•' . 4� x'O .r..'. a S�J CT.
T y.i, :T. d •• 7 } 'i ; V. :� � .
�,36. HoO� ors`,anoPY : � � pr� -+ ♦ tl i ,k� _. � .k F t')c � ?. `y!n
-r.. .
37!�in�GFarory firep�acex i'r��F ,� '"� � - fi w R � V
�38. Fin�l; Pla,lnbing :r �{u i .. .- �i .: � + a S i-; a' ��7 -
f39. Water Set'vice�FinalM i ^•` M I ` �>� [� `-�:T7 x tK
�... S I ^ �•r I ! � Y r� #. (s�
�,AO. Gas Serv e•Final F� � ,t���,• S s t: � I � �;��J ..-iv i. ` .
5?!1. Solar Damestic-Finals :^� � •• �� C+ � ( ' * 'Ct� '-� a '
m . t r. a cr '^�� e' x z
I ty ✓
F'42.�ackflo�Preventer, J r� � f t+: m �x 7F .� d'-+
43. Backfloi.¢' Irrijation`. �� �<< ,{ ,r �_ � L �`' * O
� .
y; •7: ff. fi .� A' F• l •J v
T,ft4. Landscap,e IY_Yapatio� System��,;. ,� �. �„ -� ��. s,� �u �u x � � :U r�
:
�A5.5ound A[[en-Latiorr .�t[- t� �� - '- ( '! !.:� �-+ �-- b'�� '�ri �
rr !� x ��r t� n;.: �.' 'J C' �.: (rC :k
x � . . .... a. . ' / H.i ••.-� a
�6.��",F,iandica`g,Reg}�latidps N• S x s x ' rx ,S G^� S +
� t"
47.�fItrAL STR�htCTURE & BUJ�DING ��; � + • ���r• * �'7 C,7 ,S � r�
tt i
48.�fIN�LPlAi7NIN� �'Ur, fn� I � N:rin M <L f
V
e49.�Elearic Release to dison i . � �/: ':c E ii; i . �-e
! : rr. .[� y�
��50.sGas�Release to Sout em Califo i� Gas Co ' � �' {!. `'�' � `� :`' r �'
.L,F' I.L{: .T �.�'!� i' i r-� c7 •..: ch a: Q
�51. CE_TIFICATE OF;�OCCUPANC �: *� s � ���;j �.; . i_ r�
No. Date
�
PNOJECT AOOflESS: 9 8 O M I SS I ON DR
OWNEN'S NAME: JOHN WHELAN
noosess: 3140 RED HILL AVE 1l150
COSTA MESA
CA 92626
APCH/ENGINEEH: �714 � 534-7179
nooness:
HEG.NO.:
uxir: A
uxiT:
PENMITTEE: JAMES �RAY THOMPSON ( 714 ) 636-2557
nooeess: 13592 FERNWOOD
Cd�t��N GROVE CA 92643
LICENSEO LONTflRCTO P ION: I hereby aflirm I�at I am licensetl untler provisions n� Chap�er 9(commencing with Setlion
7W0� ol OiNsion 3 0l t�e 9usiness ana Pmfessions Code, an0 my lic -5 in full torce and efl cl.
ciTruc.: 4 �q sTaTEuc.:34894 ss: B
oate: ' Signamre: _ — _ _ _
WOBREflS' COMPENSATI N OFCNflPTION: I �ereUy allirm tha� I havi cenifi ate of consent to �insure or a cenificate ol Workers'
Compensa�ion Insurance. or a certihea capy thereol (Seclion 3800, Lab. q.
roucrNo.: 2Z9-92UNIT03875 E%P.ORTE: OS�OLI93
comrnxr: STATE FUND
❑ Cetlified copy is hereby �umishetl. j� Cehilied co y�i e wi�h e city Building Oj� ion.
APPIi nL S
..iMPTIONFROMWONNEflS'COMPENSRTIONOECLPBATION: (This ianne notCewmplete [hepermitisioranehurdreA�3100�orless).
I cerlity ihal in Ine Dedormance of Ihe work lor whicn ihis permil issued shall not employ ny person in any manner so as to become
sublec� lo Ihe Workers' Compensation Laws o� Calilomia.
Oa�e: SignaWre:
NOTICE:II. alter making Ihis aeclaration, you shoultl Uecome subie�� to ine warkers' Comoensation prOvisions o1 ihe Labor
Coee, you must lonhwi�h compty wi�� such provisions or �his permi� shall be deemed revaked.
CONSTBUCTION LENOING RGENCY: I here6y a��irm Iha� I�ere is a cons�mclion IenUing agency lor �he pedormance o� the work �or
w�ich Ihis permit is issuetl (Seclion 3W7. Civ. C�.
LENOEfl:
FODflE55:
OWNEB BUILOEfl OECLABRTION: I hereby aHirm Ihal I am exempt fmm the Contracmrs' State License Law lor Ihe following reason
�Section 7031.5 Business antl Pwlessional Cotle: Any ciiy o� counry w�ich �equires a Dermi� b cansimct, alier, impmve, demo�iSA, or
repair any slmcture. prior to its issuance, alm reQuires ihe applicant for such permit to file a signeJ statement ihat he/she is licensetl
pursuan� lo IAe pmvisions of Ihe Coniractors' S�a�e License Law (Chapter 9(commencing wi�� Section 7000) o� �ivision 3 0� �he Business
antl Pmiessions Cotle) or �hal �e/she is exempt Iherefrom and Ihe basis for t�e allegetl exemp�ion. Any violalion o� Sec�ion 7031.5 by
any applicani for a permit suGlecis �he applicani Ia a civil penal�y ol not more ihan five huntlreE Gollars (5500�.
I. as owner ol Ihe pmpetly or my employees with wages as ��eir sole compensation, will do �he work. an0 the
❑ simctureis notinientletl or aftereG lorsale (Sec�ion 7044, 9usiness antl Pmte55ionalCode: ihe Contrac�ors' Sta�e License Law
aoes not ap01y to an owner o� a pmperty w�o OuilAs or improves thereon, an0 who tloes such woM himseltl�ersel� or ��roug�
his or her own employees, proviGea I�ai such improvemen�s are noi inlentletl or ofleretl �or sale. Ii. howeve� lhe builtling or
impmvemenl is soltl wilhin one year of completion, Ihe owner will have the burtlen oi pmving he/she Oi0 not builtl or impwve
for ��e purpose at sale�.
I, a5 owner ol Ihe pmDe�y, am extlusiv¢Iy coniracting with licensetl cantractors to constmcl lhe pmject �Section 7044, Business
� J and Pmiessions Coae: The Conlrac�ors' State License �aw tloes not appty to an owner of Droperty who builtls or improves Ihereon
I ' antl w�o contracis far sucA pmle��s with a contractoqs)license pursuant m ihe Con[racrors' State License Law�. I am aware
��al pm01 oi ��eir Work¢r's Campensation in5urant¢ 5hoW4 �e O�oviOetl Io me.
� I am exemD� untler Seclion: B. 8 P. C.
for mis reason�.
�a�e: Ownec
I tlo hereby cetlify Ihai I am aware of anA un0erstantl ��e requiremenis of California Health and Satery Cade Seciions 25505, 25533, antl
25534 antl Iha� I or any W�ure building occuDanl will/will na� (circle one) need ro comply wiih 5ai0 sta�e co0es an0 �he requiremen�s �or a
oermil �or cons�mmion or modilication �mm Ihe Pir �ualiry Managemem District. qesiAen�ial cons�mction applica�ions are exemp� imm
�he5¢ provi5ions.
�a�e: Applicanl:
I �ereby cerlitythatl have read Ihis applicalion antl s�a�i
orAinances antl slaie laws relaiing Io builtlmg consimc�ion
pmperiy I i inspeclion purposes. /
Da� � SignL ro'
Driver's License or Social Searity N:
in�armaiion is cor .lagreeto camply wiih allci�y and counry
�nzerepre5enia olihiscirytoenterupontheabove�men�ionee
164ba6 W�ne—Bmltling: Green—COEe Eniorcemem: Canary—Apphcant; Pink—Revenue; Goltlenroa—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05758
PEAMIT NO: H 057581 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTAUCTION TYPE: 5—N PERMIT TYPE: STR / PURPOSE: REP
JOB DESCRIPTION ; MISC. REPAIR TO BATHROOM SQ FT; 1,000
CLAIM VALUE: 1,000.00 CALC—VALUE: 1,000.00 GROUP OCC: R-1 /
*��****i�*****��r**�***k*****��rD�***�****��r���r*�r*�r*�r*��r***�r�r�e�r�r�r�******�r*�r**�r**
2 O N I N G R E Q U I R E M E N T S
S E T B A C I( S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARRING REQ• PROV: PARCEL: 14166215 ZNE: REF NO;
PLANNING NfSTES> , : �, :�-
i �
�+t■**«�r*�r*�*****�r�r****�r*�e*+e�r�r**�r�e**+�***�r*�r*�r*«�r�r�r�r*,r�r�e+e*���r*�r*�e**�«'ie**�r*****+�*
D E V E L O P M E N,_T S E R V I C E S,^ R E Q U I R E M E N?_� S
ZONING APPROVED HY �f DATE:
e
BUILDING APPROVED HY : ' '� DATE; +
APPLICATION ISSUED HY: DATE: 6��'�
ifitlt�fiFiflflF�f�FMklfiFkiflfitlFaFklf iFiFlfiFiFitffiFik�f �f
if�F�tif�tltiEikiE�t�flfitltlfM��f�FMikkiEikiEMiFiFMlt�kltififififkitifiFifiFiFi 1kiFiF�ki ffMltifif�Flt�F�kikMiEiFifiFiFitiFiF�iFifMiFififik�fiEiflE
LEGALIZATION;N F E E S U M H A R Y STRUCTURAI; SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC HECHANIC FIRE SMIP/RES. GRADING
PERNIT 25.00 50;
SMIP/NON'—RES
PLAN ;
ISSUE FEE "''-,
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID � DUE
TOTALS----> 25,50 0.00 0.00 25.50 25.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED• 25.50 OVER/SHORT; 00
BLDZSP00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TSO GRADING-'PLAN—CHECK
r' .
itiFkMiFfiiFitifiFififiFiFMiFiEiFMiEMMMMkiFMiflt�fitiFifMMKiFif3FlFiFifitiEiFMiFkMMiFlEMiflE3tMifMifMiFkMiEiFiEiflfiFitiEiEMilif�FitiF
I N D I V I D U A L F E E B R E A K D O W N f.
TYPE QTY D E S C R I P T I O N UNIT COST �:TOTAL COST
SFR 1000 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 ;1,000,00
END OF FEES
\�
0! �3?16^q�.-�'01163'.i� + �i'" ; .
---- 6ATE� D',�;=i4^ T<ifr? 13;�? ' -
� '___
CONSTRUCTION AND PLANNING ' �"` "' - -
APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
1. Temporary� Electrical Servi� or �Pole :�,. . 52. Pool & Equipment Location
2�4So�l Pipe�Undrg�d.� ' 4 y� . 53. Steel Reinforcement �
�� ry
c„���ctr�alCond _ysllitV-l�ndigrMS�.``� � - 54.Forms
�4. EIEEtfital Condd�k-@7%hlrgrnd.' S� � � 55. Electrical Bonding `
� �,� . i �.
� . � �inforce��[-� ; - - � CC�; 56. Rough Plumbing & Pressure Test �
n:6t�iSctrical UFER f3fitf. a w � 57. APPROVAI TO COVER-GUNITE ,�
s7. F,`ooti�,�s x��`� � " 58. Electrical Conduit-Undrgrnd. �
v
GB.:;oundation � � ' - .' . 59. Gas Pipe, O Undrgrnd., Test
. � '
9. �/ater Pipe�Un�md. r , „ 60. Backwash Lines, P-Trap, � Undrgmd. �.
, �'
t0.�tructural Ploor System,- �� � � � 61. APPROVAI TO OECK ' �
t 1.=Aroperty Sewer Lin€'& Home Conn�tion ' 62. Backwash & Receptor�Final .
12. Sewer Ca0 ;�, � y "' _,- �. 63. Heater & Vent-Pinal
13. Roof Drains �� �•, 64. Plumbing SYstem - Final
14. Rough Plumbirtf " 65. Electrical�Fina�
15. Rough Electrica�-Conduic ' � 66. Solar System-Final -
76. Fough Electric��ring 67. Fencing & Access Appro�al
� 7. Rough Wiring Si9� 68. APPROVED FOR PLA$TERING
18. Rough Electricj'�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- - ' C v' � 2 F 's: r. 'r :tt
20.!Ro�y^qh Facto�j. Fi'ieplace � �t�' Q"' �+ :+ � �r?� * cAppRW A' -3�'+ =4'er�i'it # � >' ^'
G S 71 Q S_• 1 Sf" SrC 'I' S i-! :i!. fi:� CK �ti�-F' � x r
2�...(iUCSS.IRJSf!lCSU F �[-� - i ""� � '='fi ' a L•� r t.
Es* �• •�S S O �-+� r. � 0. Uadergr,m¢id�Hy$to :
22. Dud�, V^nti(2ting�'� i :J5 �_ :5 F* x.. 1. Product��ir�g C�'Ii�s O'�il
-� ` i .� .� ^' � ..; :
23.''�ias`QiPe�?ou�h &�%st i mS x M �' �t O* '; �2. Undergro�d Flusfrv � F o
24.:itodCFrEming� �;* ��e- •��� Y% O t" �� * 573.�Jndergmd?Stora�-��nk �Gas OCh1
25. Roo`f,SHoathing '�;:, z y�� �' � j N; �'�q��erhead Hydro�-� �
26.1T�Bat Ceiling (Strmctura0 &�1o�coat � � �+7 G [�;T � 75� ry Chemi al "i ''' �� � �
r r. v r c-. ^� �
;. .. .. � t �� t m i.x c.•� cn �� f S !q c,.,
27.wEra�e a�d Fla�shiagy, 7S« �.,, ?, �R ,y. 76. Clry Stand�p�q �,R. � �r
,
' 8. LaT(�ng;& Sidingr,e r� �''Sx � � g ••� ••* : �7,v FIXED S;YSTEN�f�` NAL. ,. .. m
a29. Insulation � '�' � " "'� 7 � � � �' 78� IRE PREV. FII� � '�
. 3 x. S �r � �- }:F F�i ? ? t�
n30. Drywall:Nailing �+� � , ��%��� � . x � �i HEALTMmEPTcq�EQk}IREMENT
�
�37. Plasier �wr CAe�i� S �.��r : I' ��' n79 t'FINAL IIV�P.FCTIG�fV s� T tn
�-32.cElectrical Pov�r A�eePFinal; `�� r n7 I �t rs$O.t+FOOD CERTIFI�'TE IS3UED �
�-,
533.5 in� EI ctric� �; ,r � ',rQ 'A M � I' , � 'y ``tVo es: � �'.�*7 = •7 � �?n,
p. v . 1-, .-, � . r -. � ,: � .-- -
n,�4.�in_ Ha3,tin Av,,,Condition� � .� � I,.� �.� S :�x x 5 _.G
Y
35.'-WinatG Pip'E.-7e'st', m '7 i� � t# ^ :: h}S x'� SO
� * �ti f: �^ :ti.^. Oi-! x f-[e'
'f' r w Y= .1! � [ . • . : 1
;x36.' Foc� orxanoPv �-k 5 i �r'7 w;t � �,%�� *� f 'lo x Ct+'
.�
�97.�in�Factory Firep�ace,�, i SL �- � t*7 ( �� {i X£ Ct x ~��7
1 F fC ! . {l� CJ
�u -
,:38. Fina�Plumbing n ;u i ;n �-+' -`(]�! �%� ' r � S i-i i a� O
:39. Wat'�r Service� inal« S, i ^J �r � . i I:� y ^ Ct _�a: ��- � O
* .r_ 'r v .+..
�,}0. Gas Service-F�al a. " ' �` r��'. • . , "
t* 4lrt� S x tr, �', � x C'.s rL'N
F41. Solar pomesGc�Final s <i� •• +� �� � {Y KN � _
r rr. �. � h:.. [�' "7:= F 7C �
nl 7 ^� Y H /
��2.�ackflow Preventerr,. `�' .v r � � r r� '�'r • y� � �
43. Backflow Irrigationi. s:'S5 R� .r .r. �� iCFO x 0..� �-, ,
� -r � uC s.: nl i r r,
. a�x � �.: , • ,�• . `
�4. Landscaqe II�Figatiop SYstemy,q� x +[+� C O �i� �. �K sv N Cr:� � N c
85.��ound Attewatiorn: ,�!..F- [r :i z, t- E-. f:.r. i;+. .: :-, vn� n;� .j." '
� n > * rn tn m.t �. •- C �T S• Fv "
� ^ k C .. S .' !*t . .. ..i r ;� i / •-�r� ••r- r
�6.rFlandica�.RegulatioPs ;.... p i :fi x� �•s c7o S w
a7..$INAL STRtiCTUF�E & BUIZDING 7 7.��, � � � � � .�. r ^ '! ��
t� � Y t ( � .fi F �
48.�If�AL PLAFININCy` � ME., a i� j j.'� �!! :�? �L �-
..
3t9.i�lectnc Release to dison � s � t�: iX i x _ o
� I :r. .� � '
�0. �Gas{�elA,�se to 5outhern Califors��Gas Co : � ���,,x ;t�, c'S., r, r> . �a�; :; �� .
_'�jl. CE,� IFICATEOF�OCCUPA(VC i v::>. ;, p7;� . :r i-. o
No. Date
�
I�
PflOJECT pDOXESS: 9 8 Q MI SS ION DR
OWNEfl'S NAME: SOHN WHELAN
aooaess: 3190 RED HILL AVE #150
COSTA MESA
� CA 92626
APCM/ENGINEEP: �7�'4�539-7179
RUOflESS:
NEG.NO.:
uxir: A
uxir:
PEflMITTEE: JAMES RAY THOMPSON ( 714 ) 636-2557
aoosEss: 1�j3�g5n92�`�j F(E�R(N�WOOD
LICENSEO CONTflACTOADECCAhiRfbN: T�RereFy`a�m ihat I am licensetl untlerCpr�oNsi9 ��4p3r 9(commencing wiih Section
7000� af �ivision 3 ofine Business antl Pmtessions Catle, and e is in �ullforce antl elteci.
cmuc: 0� q T^TEuc.:348 43 °LA�
Oate: Signat '. _
WOBREBS' COMPENSRTION OECIANFTION: I here�y affirm �ha ve a ilica�e oi sent to sel4insure or a ceni�icate of Workers'
Campensation Insurance, or a ceni�ied copy �hereo� (Section 3 0. Lab. ).
roucvHo.: 2yg_gyUNIT03875 E%P.ORTE: OS/OLI93
carnraxr: STATE FUND
❑ Cerlitietl copy is hereby �umished. j� Cetli�ied is filetl th �Ae �i mlAin ivision.
e: APP ��
.EMYTIONFflOMWOflNEflS'LOMPENSIITIONOECUMTION: seclio Ano�becomp Uil�hepermi�isioronehuntlretl�$1D0)orkss�.
I cetlily Ihat in �he pedormance ol Ihe work lor w�ich ihis De iI is iss . I shall no� emp y any person in any manner so as lo become
I sublec� lo IAe WorkerY Compensation laws oi Calilomia.
'' Dale. Signature:
NOTICE: If, alter makmg ��is tleclaration, you shoula 6ecome subject �o I�e Workers' ComOensatian pmvisions al �he Labor
Coee. you must fonhwitn compty witA such pmvisions or this permit shall Ue tleemed revoked.
CONSTflUCTION LENUING AGENCY: I her¢by aflirm that ��ere is a mnS�mCtion lending agenCy lOr ��e peAOrmante ot �he work br
which �his permil is issuetl (Section 3097, Civ. C�.
LENOEfl:
FODNESS:
OWNEB BUILOEP OECIABRTION: I hereby atlirm �ha� I am exemp� irom Ihe Conlrac�ors' Siate License Law for ��e following reason
�Section 7031.5 Business an0 Pmfessional Cotle: Any cny ot counry whicA requires a permit lo constmci, aller, impmve, demolish, or
Bpair any S�mcWre, prior lo i�s issuance, also requires the applican� for such Oermil to lile a signed s�alemen� �ha� hGshe i5licen5e0
pursuam m the pmvisions o� �Ae Canlraclors' S�a�e License Law (Chapter 9(cammencing wilh Sec�ion 7000) oi Division 3 0� the Business
and Pm�essions Cotle) or �ha� he/she is exemp� ��erelmm and �he 6asis for �he alleBed exemption. Any uiolaiion ol Sec�ion 7031.5 hy
any a00�icanl br a permit su�jecis lhe apP�ican� lo a ciNl Oenalry ol no� more I�an five huntlretl tlollarS �$500�.
I. as ovmer af �he pwpehY or my� employees vnih wages as ��eir sole compensation, will do the work, an0 ��e
❑ S�mC�ure is noi intenAeO or offere0lor 5ale �Set�iOn 70a4, Busines5 and PrOfe55ional CoOe: The Comrac�ors' Sia�e LiCenSe Law
Ooes nol aDDly to an owner of a pmpeny who builtls or impmves ihereon, and who does such work himself/herself or inrough
his or her own employees. pmvideU Ihat suc� improvemen�s are no� intended or oHe�ed fo� sale. Ii, howeve� Ihe builtling or
impmvement is sold wiihin one year oi compleiian, the owner vnll �ave �he huraen oi pmving he/she tlitl no� �uiltl or impmve
for Ihe purpose of sale).
. I, as owner of �he pmpe�y, am excWsively conlraciing wi�h IicenseJ con�rac�ors lo constmct ��e prolec� (Sec�ion 7094, Business
� and Pmfessions CoAe: The Coniracbr5' State License Law tloes not apply to an owner ol pmDerty who builtls or impmves therenn
ana w�o comracts �or such pmle�ts wi�h a conVactoqs) license pursuam m �he ConVactors' S�a�e License law),I am aware
ihat pmof o� iheir Worker'S ComDensa�ion insurance shoultl be proNOe� to me.
� I am exempl unaer $ection: 8. 8 P. C.
br Ihis reason:
Oate'. Ownec
I tlo hereby cerlify I�ai I am aware of antl untlerstantl �he requiremen�s of Califomia Heal�h an0 Safe�y Cotle Sec�ions 2550.5. 25533, antl
25534 and Ihat I or any tutme Euiltling occupan� will/will nol (circle one) neetl �o comDly wilh saia stale co0e5 and �he requiremeNs br a
permi� lor cons�mc�ion ar motli�icaiion Irom ��e Air Ouality Management Oistric�. Fesiaemial constmc�ion applicatians are exemp� iwm
�hese provisions. -
Oaie'. pPPlitanC .
I �ereby cetlilylhat Ihavereatl��is application and s�ate
or0inances and stalelawsrelatinglo builtling conslrucli
pmpetly i r inspection Ourp ses
Dale � Sig
Orivei s Llcense or Social Security p:
16dt�46 Whlte—Bmldin9, Green—Cotle Eniorcemen�; Canary—Applican�;
I agree to comply wiih all city antl coun�y
�his ci�y Io en�er upon IOe above-men�ionetl
GOldenraE—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; P 057583 PLAN CHECK NO; N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU
JOH DESCRIPTION : REPAIR KITCH. SINK & HATH TUB FAUCETS
PERM NO: P 05758
GOVT; N SUPP: N
PURPOSE: REP
SQ FT:
CLAIM VALUE: � CALC—VALUE: GROUP OCC: R-1 /
COMMENTS: REPAIA WORK ONLY
**�t+t�t��t�t�*�tx**�e�t*��t�t�t**�t x*�r*�rx ***�r�r+t*+t+��t�r**�t�t��rr*�t�t�t*�r�r*+t***�r**x�****�t*�r�r�t***+�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 HUILDING ----------' --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARRING REQ• PROV; PARCEL: 14166215 2NE; REF NO:
PLANNING NOTES>
i
«*�**��r��r*r�**�r*�r��r*�r�r�e**�e*�e****+��e�e�e*�r�e*+e*�e�r�r*��r**x**�e*�e�r�r«■��r�r+��r*�r�**�r��*�r�e**x�
D E V E L O P H E N T S E R V I C E S; R E Q U I R E M E N T S
�
20NING APPROVED BY ' DATE:
HUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: ����� DATE• �i 3—
kiEaFiFiF1E3t�kiFifif1E1E1FiEiEkiEiFMiFiF F��f�tiFiF�FiFikif3FiFk � ifil�
M1t�F�tlf�f�tatlt�flFM9f�fIfiFlFMif3F�fMlFMiElFiflfil3f!l1Flfit�fif�fitlflfMlfM 1taFit�fkltlfiFiFMikiFMNiFiFkkifiFlf�FitifaFMlE�kiFififiFifIF1F
LEGALIZATION;N F E E S U M H A R Y STRUCTURAL SEGMENT;N
PERNIT BLDG PMT PLUM4Ioo ELECTRIC MECHANIC FIRE SMIP/RES GRADING
�15i SMIP/NON—RES
PLAN
ISSOE FEE 3,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE
TOTALS----> 9.00 3.00 0,00 7,00 7.00 ,00
HEVENUE DIVISION TOTALS--> COLLECTED• 7,00 OVER/SHORT• 00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRAD�NG PLAN—�HECK
%,0�
iE 1E iE M 1f iE iE 1f if 1E 1F iF M iF K M iF M 1F k if if 1E k 1f iE 1E iE 11 k it 1t iF it iE �t if 1t IE �f iF �t iF M aF iE M if IE �E if iF M 1f k it 1E aF M af iF iF iF ik 1t iF It 3k k fF iF iF IF it iF N if it it
I N D I V I D U A L F E E H R E A K D O W N
TYPE
PLU
QTY D E S C R I P T I O N
1 BATHTUB
1 SINR, KITCHEN
END OF FEES
UNIT COST TOTAL COST
2.0� �.��
�1 OC116397—O�:ic391 T �v'J' �,�}�
oar�: obiezraz rtr.e: t�:oa
CONSTRUCTION AND PLANNING ' POOL & .
APPROVALS Permit# Date Inspector APPR�VALS Permit#
� 1: Temporary Electrical Servi�,or Pole ,P. 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. t�� �" iv`. 53. Steel' Reinforcement ,�
.,n. .��� .. a,
;;����ci��l Condy�{t�lity-1T15drgrnd�;.m 54.�FormS . ' � •
p4 Elettrieel Condoit�kJ„t7rgrnd.' ! SC % 55. Electrical Bonding
�a r
fg,-��St�f�inforce��L. . ��,� 56. Rough Plumbing & Pressure Test
u6C:F7Ectrleel UFER QCM. a �"�.7 . 57. APPROVAL TO COVER�GUNITE
OJ. Poociri�s T.r'�-,�' �� �' 58. Etectrical CqnduiFUndrgrnd.
b8. �oundation � r ` �- 59. Gas Pipe, O Undrgrnd., Test
'-e.-? '
9.!Nater Pipe-Und,�rnd. � _ � 60. Backwash Lines, P-Trap,.O Undrgmd.
70.Structural floor System �� . . 61. APPROVA�TO DECK
11. �roperty S¢wer Line^& Hoose Conn¢tion � 62. Backwash & Receptor�Final
P i
12. Sewer Ca a; �s" •" o, -�.- � 63. Heater & Vent-Fi�al
13. Roof Drains rt= , 64. Plumbing System - Final
14. flough Plumbiri� '~� 65. Electricai�Final
15. flough ElettricaLConduit 66. Solar System-Final
76. Rough EleCtric�Jiring 67. Fencing & Access Approval
7. Rough Wiring $:gn 68. _APPROVED FOR P�ASTERING
18. Rough Electric�T Bar Ceiling 69. POOUSPA SYSTEMS FINAI
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
' - - '� a' ^tirrr � t F c�
20.NHo ah Fa'cto Fir."�p�ace i�n d"" > p.j ^'+ � tAppR�1/A'CS'%�-a'erfiut #�
!n i t*' -r S �-a b' x:r. f• x tU r+. F t-i
2t. u i tru-�c-tu,e�' � `•E-. •. i-+ �7 ;.r � � .
.�� 2� i•• •�5 x S O r+a t'- 0. dergrmv�id:Hy�o �c ��
22.�DuCCi. V.pntiWtinq-� i _�S .t y S �x x? 1. ProductrP�irlg C�' s O�il
.� ^� n x'r, .s .-. c-x � �
••• � I ..�". r. C �_ x x � ;s} r cC, x
23.�as'Pipe�iough &'%est ,�s � �, C 2 j,� � '7z. Undergro�,nci Flusl,y-,, � -
�. .... ,< <. .... .. :. .�
24.:Roo�Framing• T�. � �F ••F �� � O'7 �� �' S)3.�tJndergmd'Stor�� ank �Gaz �OOfY"'
25. Roo`�,Sh�athing ¢;. E .:i: a� [T] �T! O n!,� .. ... r .:� t
� � v � . � !t�x ; '�4.,`,-averhedd Hydro -. ,
26.+J'�Bar, Ceiling (Str�cFuraq & Mon�coat * �� O �7� +� 75.'-��ry Chem�al '"7 a r+ C'sp.
27.�Fra ea d Flashi�# ¢' '� ^ `� r` 76.�r ,I,n, 'E ' s h7 `""
�t �i 2 .� ��Y.tX ,, v �+ .n.� r Y Stan"�i2e !=,¢� * :L'.
i 28. at�jng�& Siding � . 7dx r� �� ..� ••:� � 77.�FIXED SM�SFE� Lx `.,� -�
Sz J' i-+ •�� .� �: ��h �a i z
�29. Insulati�i �x s . �, ,'�y y 78.�IRE PREV. FINA� ,r � x
c%'30. Drywall'fCailing r �� +: � x r-a �.,� �+{EALTH;t�EPTa�FFEQUiREIVtENI
1 !^. Y "i!
1. Plaster �'nwr�,Coat,� S i,�,n, y. ` � ._ ��9.`�"fJAL7f�P�CTI�RI � d C
32.�Iectrical�F'owPr MeterFinal ,`, . N �+ c$O.nE00D CERTIFICA^fE IS�UED
' � i
� I .i : 1? K h! L� '.�t T T� �J u
�33. �in� ElGttric� � n i ,4 t � }� � Notes. .� -��n .t '7 C r•�
r i .� r-. �: -a r � . � �
pyi4.;Fina He _ing�. Air;Conditio�i� n # ;. x oc 5 •-�a; v: S G
- ..,
35."Fin`ahGa�Pipe-Test* ti r,� ;,.•..,�'�� �� so S x;r cr
, �-'?'� .
� � .. x. .� i . :.t� . .�
.`36.''�io�i or�;anoPY i �r+; �+ :::� .a g E ;�p a �r
- m
�'9� 7.�GinaT�FaCttlry Firep2CE^ � 5 y -� t M j !.h�;-1 i�1 * [V�
7: � F. m .Y i ..p * x T
._'38. FinaFPlv�bing i ;i; � .. .. T � . �C�� L ' : i S '-, x m
c�9. Wat�i Service-Final- � � - x f � � .^ :� �+; x �r
n� .< F � = x . r c� ,:
',.��40. Gas Serv�e-Final ��,; ,y{r[c s z ln � x x :c� anl f
ZAi. Solar pomesticFinal S Ci� � •• r' � * �o �-+ �
�. �� �n �. *-�O O' i X �
F42.�8ackflo��Preventerx�. F v �� � � �•� � >H x C H
_43. Backflow Irr ation+ �Y u: �5 �� '� �*� � kt- �x O ��c+
�. :A �' ♦ 'R N i a :l • .
� 4. LandsC Ir�qatio�� Syste � �a : �i- �' a' F � �v � .,.
i�l , �cF 9 mv..� cc , o Cr. h z n_ � :�.^. : cv ca
i-�n`:(- .e E c t-� t-:..s n�-, �, rr4- � : �
245.�und Atterwationm . � n�.,� ,� � K
-, rr C C �t F�: x
: -� .. ..
'i a, p7 .. .. -.:t� A: .3 i i t-+- •�'-.
�16.{Handica�;Regulations � � y; ..... K � S p�; � *
47.¢IN9.LSTRIICTUF7E&8U DING .�. � »"7 N S � r
�< 9. c- :i i G" r F
.46.�II�L PLAbNING: i F� : �, I � i m [*± �: +. �
c.49.pEleetYic Release to Edison i .t� x g x� i :�. "7
r=.�� «, � ., .
L50. Gas�?elease to Sout}aern Cali�or�iAGa: Co ; '�t. � S � �.�'` • p"'`
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, t. CE� IFICATEOf;�CCUPANCY f :;'�s n ;q;v x t -. po
No. Date
Date inspector
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City of Gosta Mesa
Building Saf6fy Deparfinent
P. O. Box 317
Costo Mesa, Californio
CERTIFICATE OF OCCUPANCY N� iS36 C
The Building located at 9� �Eoion Drive, A� B� C"ra D _
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereTo
for a Group H� J Occupancy.
Use of Building Fo'uzplex Residence with attached Garage __
Legal Description �'E 5+ �'Y"SCt 501I
(See reverse side for Mafas and Bounds�
Building Permit No. 7-�8� Electrical Permit No. ��2 plumbing Permit No. �$6�8
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. . required under Sec. 3301 (i) U. B. C. —
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hoiel, 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 shall be obTained whenever there is a change in:
1) Occupancy classification of a building or portion fhereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of opariments and/or guest rooms as required under Sec. 17050.1 (d), California
AdminisTrative Code, Title 8, ChapTer 9, Article 8.
Number of aparTments— 4 and/or guest rooms
ISSUED TO: Building Official
IYCRD�T T�RitE1C�, ��C. bY�-�--% / -
i
Date �C���'.Y r l��b
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
excepT by fhe Building Official of the Ci4y of Costa Mesa under Sec. 306 (e) U.B.C. Fom, auaa—iM—ii-ss—s-s r
'S
City of Costa Mesa
Building Safety DopartmenT
P. O. Box 317
Cosfa Masa, Californio
CERTIFICATE OF OCCUPANCY N� �H36 B
The Building located at 980 Ati.seion Ih'iY2. A� B� C& D
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable ihereto
for a Group x� J Occupancy.
Use of Building I''°urplex Residence t��ith a.i;tached Garage _
Legal Description �t � TTSet 5011
(See reverse side for Mehs and Bounds)
Building Permif No, 19s'� Elecirical Permit No. 2�9'�2 Plvmbing Permit No. 38638
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. . required under Sec. 3301 (7) U. B. 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 iss�ed a valid certificate of occ�pancy by ihe enforcemenT agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change, in:
1) Omupancy classification of a building or portion thereof ,
. 2) The nvmber of apartmenfs ar 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, Title 8, Chapter 9, ArTicle S.
Number of apariments— �' and/or guest rooms
ISSUED TO: Building Offi�
_ FiYCROFT TERR�ICE. INC. bY�/� 1�
Date Februesy 17� 1$b4
This Cerfificafe of Occupancy SHALL BE posTed in a conspicuous place on fhe premises and SHALL NOT BE removed
excepf by the Building Official of fhe City of Costa Mesa under Sec. 306 (e) U.B.C. Fore, suaa—ir,t—ii-s3—s_s r
..' -�*, 19�'�a
'COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 9f7 CpgTp ME6A. CALIFORNIA
For Applicant fo Fi11 In Completely
TYPE OR�PRINT
BUILDIN6 � SSlOII rive
ADDRESS LOt TraCt S011 �
COSTA MESq, GALIFORNIA
MAIL
AD�RHSS 25O E.,17th St.��'Suite G
c�rr Costa Mesa rTio'6
ARCHITECT � � TEL.
LIC.TNO. V216� ryp � SaY11L'
OFLOT OU� X LO2.ZOn I No•oF
Now ol
USE OF
IOM �} � [�
sr �_� `7C' REAR YA D 1% r
SFT 5�. � I RIGNT .1.0�
DESCRIPTIqN OF WORK
SIZE •••v ��} �� qVOMS . ST i
EXTERIOR W LL ROOF
GOVERING S UCCO COVERIN6 TOCl{
USE OF BUILDING AND WORK TO BE P6RFORf1�C
1 HEREBY M1CKNOWLEOO[ THAT � HAyg p�O TH18 APpLIGT10N
AND 6TPTE THAT iH8 ABOV6 IB CORRECT AND AOREE TO COM•
v�x w�TH wLL CITT OR�INANCte AND iTATB LAWB R80OLATINO
BUIL�INa CON6TFURION.
SIGNATURHOF HYCROFT TERRACE, INC.
PERMITTEF �7
AUTHORIZED A6fiNT /J . �� �j(�
� FEE RECEIVED
i9UN 1 0 t9&�.
CITY' �f`��t��Ersrn�r
for Office Use Only
RECERTNO, I P�
FIRE
ZONING
zoHs xo.o� uae
�7��'. ruda Z emi
teaw� i n..-Y r-- ..
NO.
OVERHANO 3HALL BE LESS THAN
YARDSAPPROVED YARDSAPPROVED
. MAIN BUILDING AGGESSORY BUILDIN6
(FROM WLSTREET)
� �
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REAR � 1 �'. F7. l:J
1
OISTANGE BET. BET. MAIN 8 ��
MAIN BLO 9. ACCE55. BL�09. 4:
VAR.�C DATE `�
C. .P.SC APPROVED �
APPROVED '� � t�- �'
BY � �ATE V� I� G �
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�'�.���-zso.�,. T�/s�z`' �
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X�? ¢ AMO�JNT BHOWN UNDER VALUAT�ON IB FOR THE � %t+
PURPO58 OF -68TABLIBHINO A PEqMIT FEE ONIY. Q ^
VALUATION ��
6 PERMIT FEE S I�d SD � �
$ y// �� PLAN CHECIC $ !%Ol �" ¢
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