HomeMy WebLinkAbout988 MISSION DR - Building Permits(714) 754-5273 • Fax (714) 754-4056 • www.ci.costa-mesa.��LDING PERMIT 77 FAIP DRIVE, COSTA MESA, CA 92626
JobAddress: 988 MISSION DR
Suite:
Vicinity: ROOF
PrimaryOcc R -
Parcel Number: 14166213
npplicant: SAM DAVIS
Address: g78 N ELM ST
ORANGE,CA ,
Owner: JEFFERS, DAVID T
Address %AIM PROPERTIES .
ORANGE,CA �
123 S ORANGE ST ,
Contractor .DAVIS ROOFING CO
Address: 978 N ELM ST
ORANGE,CA�
Zip: 92867 . .
Arch :
Address:
Phone:
Zip: � License:
Type o( Construction: V-N
Zoning:
Phone: 714-628-9525
Zip: 92867
Phone:
Zip: 92866-1423
Phone: 714-628-9525
License: 509824
Eng:
Address:
Status: ISSUED
Applied: 08/09/2006
Issued: 08/09/2006
ISSUED BY: ��
Phone:
License:
SCOPE OF PERMIT
INSTALL i LAYER OF 30# FELT AND 30 YEAR COMPOSITION SHINGLES OVER EXISTING LAYER FOR APARTMENT COMPLEX. 32 SQUARES.
Plan Check: � $0.00
Permit ` $15325
SMIP Res, $OJ5
SMIP Com:.., $0.00
Other: '� �, ., .$0.00
Inspection: $0.00
" FEE SUMMARY
Calc Valuation:
Claim Valuation:
$7,500.00
$7,500.00
Total:. $154.00 '.
PLANNING & ZONING
SETBACKS �.
MAINSTRUCTURE Front � 0-0 Rear _ 0-0 Left 0-0 `- .,Right,.. 0�0 .
- .: � � '-%-_- . , -,�� � - '
, .�. �. „ . _ . . / ,
ACCESSORY� FmnPi�O-0�� �Rear`'�0'0� -, Lefl„� 0-0 � Right %;0-0'�,• ��
, �.
PARKING' Ezistina: � 0� � � ��Reuuiretl:
� . .
0
i,
.. _ ._ � .i { ; - i
Proposed: 0 - : � , �
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days. -
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
POR INSPECTIONS CqLL: (774) 7545626 '
�
WORKERS' COMPENSATION DECLARATION: . � � ' � ' .
I hereby aftirm under penalry of perjpry one oi the tollowing declaretions: �' ' � ' • . `
❑ I have end will maintain e cenilicate of consent to seif-Insure tor workers' compensation, es provided for by section 3700 of the Lebor Code, for the perfortnance of the
work for which this permit is isgued. �
❑ I have and will maintain workerS' compensetion insurance, es required by section 3700 of the Labor Cotle, for ihe peAormance of the work tor which Ihis permit is issuetl.
�'Mv.workers' comoensation Insurance carner antl �olicv number are:
be
one
.olicy Numtier:-�(h� � 2- 2 �/
orless.) ��µ
❑ I ceitify that in the pertormanc0 of the work for which ihis permit is issued, I shall not employ eny person in any manner so as to become subject ro the workers'
compensation lews oi Celifornia, end egree that ii I should become subject to the workers' compensation provisions of Section 3700 ot the Lebor Cotle, I shall forthwith
comply with Ihese provisions. '
Applicant SignaNre>-^ - Date `%n�
WAFiNING ICURE405ECUREWORKERS'COMPENSATIONCAVERAGEISUNLAWFULANpSHALLSUBIECTANEMPLOVERTOCRIMINALPENALTIESANDdVILFINESUPTOONEHUNDRED
TMOUSAND DOItARE (St00,000�, IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3]O6 OF THE LABOR CADE. INTEPEST, AND ATTORNEYS FEES.
LICENSED CON7RAC70RS DECLppq710N:
I hereby aHirm that I am licensed untler provisions of Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business and Professions Code, and my license is in full
force-andeflect. Lic. p��'?`'S� Q R� �J^� Clas's .�`�*a C'3`1
�"`r- --�. �,'r,.. _
ContrectoYsSig`nature:. �TI._ `�Cl Date:-- - �—��O�e
:.�.-.'-�r^-"�.'"}' J'" — r. -:r
CONSTRUCTION LENDING AGENCY:
� I hereby affirm that there is e consiruc�ion lentling agency br ihe pertormance ot �he work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lendefs Name: Lender's Adtlress:
Signature:
Date:
OWNEH•BUILDEA DECLARATIONS:
I hereby aHirm thet untler penaity of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or county which requires a permit to consiruct aiter, improve, demolish, or repair any stmcWre, prior to its issuance, also requires Ihe epplicant for such permit
to file a signetl statement thet he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Sectlon 7000) of Divislon 3 of ihe
Business and Professions Coda) or ihet he or sha is exempt therefrom and the basis lor the elle9ad ezemption. Any violation of Section 7031.5 6y any epplicant for a pertnit
subjects the applicant to e civil penalty ot not more than five huntlretl tloliars ($500).):
❑ I, as owner of the propeny, or my employeas with wages as their sole compensation, WILL DO THE WORK, and ihe sWdure is not intentlatl or ottered br sale (Sec.
7044, Business and Protessions Code: The Contractors License Ww does no� appty to an owner of properry who builds or improves thereon, and who tloes such work
himseN or herself or through his or her own employees, providetl that such improvements are not iniended or oflered for sale. If, however, Ihe building or improvement is
soltl wit�in one year of completion, the owner-builder wiil have the burden of Droving ihat he or she did not build or improve for purpose of sele.).
� I, as owner ol �he properry, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS ro conswct the prqec� (Sec. 7044, Business and Professions
Code: The coniractors Licensa Law tloes not apply to an owner of property who builds or Improves thereon, and who coniracis tor such prolect with a contractor(s)
license pursuant to the Contraptors License Laws.).
❑ I am exempt under sec. Business and Professions Code for ihis reason:
Signature: Date:
Owner ID venfied by driver's license. ❑ Ves ❑ No Driver's LicenSe No.
Verification ot Ownership by (type ol document, i.e. - properry tax bill or deed):
E:pires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I heraby certify Ihat no excavation five (5) or more feet in depth into which a person is required to tlescentl, will be made in connection with work euthorizea by this
permit, and Ihat no building structure, scattolding, falsework, or demolition or tlismaniling Ihereof, will be more ihan thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title B, Calitomia Atlminisiretive Gotle).
❑ As owner-builder, I will not employ enyona to tlo work which would require a permit irom the Division of Indusirial Safety, as noted above, unless such person has a
pertnit to do such work from �he division.
Signature: Date:
Division ot IndusMal Safery Permit Number.
CERTIFICA7E OF COMPLIANCE AND AUfHORIZATION OF ENTRY: I certify under penelty of perjury Ihat I have read this application and state ihat ihe infortnation given is
correct. I agree to comply with all s�ate laws end city ordinances ralating to buildinq constmction, end euthorize representatives oF the City of Costa Mesa to enter upon ihe
ebove-described property for inspection purposes. I agree not to occupy or allow occupency of eny building suthorized by this permit until iinal inspection.
COpE �, INSPECTIONTYPE - �L
1616 Fixed System Final Fire Preven�ion �
1266
200
207
202
203
Pool Spa Final �� ��
Final Re-Root � / / 6�
Final BIocWRataining W ell
Final Factory Fire Place .
Final Sign
�
PP
CODE� INSPECTIONTYPE
206 Finsl Mechanical
20B Final Plumbing
210 Firiai Elec�ncal '
212
220
222
Final Fire Preven�ion
Final Planning Approval
Finel Site .
204 . Final Domolition . ., , _ , ,. ,250 ,. Final Building/Occupancy
PAIF INRII�LS
�
�
�
Applieant to fill in all spaces exceot those
CiT�OF�COSTAMEGSa �CONSTRUCTIONPERMIS ,
`ProjectAAdress �O.Q �h�%l5 l�7/`� • . .
ApplicanYsMail'n9Address���� /i�iGWf%�F—�
Owner's,N�am�e� �C�� r�lllircS7`/r�1FN � c�,'� /��'i"7 /�3,/
� Address�pc�u��/CWe�iO,��• /`--�//%/..�FY .9 iH
Arch/Eng. License No. �
Address ��/��
ConVactor's Nam �,a'GU�—S��. / D � �ph7o�nelp..aL�1Z�
Addresslmailingl3G.'�7 /�l7�Ur ,�Z /Y7✓/q��%'�
City License No. 3�'S2)
LICENSED CONTRACTOR DECLARATION �
1 hereby affi�m [hat I am licensetl untler provislons ot Charter 9(commencing
with section ]000) of Division 3 of the Business�,antl Protessions Cotle, antl
�/ my license is in tu force a ettect. _ � r^
� Li<ense Class ' ense N �
�p Date��l��y Si9nature.
I WORKERS' COMPENSATION DEC RATION
1 he�eby aftirm that I have a certificate ot consent [o Selt-in5ure or a certi/icate
\ of Wo�kers' Compensation Insu�ance, or a certifietl copY thereot (Section
1_ 3800, Lab. C.)] v /y'+vLi�
�,:.�'� licy No. �J 2�% �2� 06 Company 2/ J�_���
� Certifietl copy is hereby fumishetl." �
e{� tie oy y' filetl with the city,Bu" tling D/'v/'sion / .�G
��e��i/—��X � ' APPlicantr��/C jC�N�(l�
EXEMPTiON FROM WORKERS' COMPENSHTION DECLARATION
(Tnis section neetl nol be completetl if,the permit is for one huntlretl (E100) or
less). ,
I certify that in the pe�fo�mance�o( tbe work'for which.thi5 permi{ is issued, I
shall not employ any person in.any �manne� so as to become Sub]e<t to the
Workers' Compensation Laws.of•California. . , '
Date Si9nature
� NOTICE: If, after �making this'tleclaratiOn, you Shoultl become subject to the
Workers' Compensation provisions,of the Labor Cotle, you muzt forthwith
comply witn such provi5ions� o�' this' pe�mit shall b¢ tleemetl revoketl.
CONSTRVCTION LENDING-AGENCV ' �
I hereby affirm that'tn¢re is a con5truction IenGing a9ency for Ihe pertorman<e
of the work for ,wM1ich this permit is issuetl ($ection 309] Civ. C.)
Lentler's Name
Lender'S ACAress - -
OWNER BUI�DEft OECLHRATI N '
I hereby affirm that I am exempt from.the Contractor's License' Law for the
following reason (Section 7031.5 Business antl Professional Cotle: Any city or
counry which requires a permit to construct, alter, improve, tlemolish or repair
any structure, priOr [o its issuance, a150 require5 the applicant tor such pe�mit
to file a signetl statement that he/she is licensetl pursuant to the p�ovisions ot
tne convactor4 �icense Law fGhaoter 9(commencina with Section �0001 of
Division 3 oi the Busine55 antl Pro(essions Cotle)-or thai ne/she i5 ¢xempt
Iherefrom and the basis fOr the allegetl exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil
�[Analty of not more [han tive huntlretl tlollars ($500).
�m I, as owner ot the Oroperty or my employees wifh wages as their 5ole
� �,�,�mpensation, will tlo the work, antl the structur¢ is not intentletl or offer¢tl
'�'ibr 'sale (Section ]044, Business antl Profe55ional Cotle: The Convacior's
� License� Law tloes not apply to an owner oi d pwp¢rty who builtls or improves
thereon, antl who tloes such work himselt/herself or through his or her own
employees, p�ovitletl that such improvements are not intentletl o� offe�etl ior
Sale. If, however, the builtling or improvement is Soltl wiihin one year of mm-
pletion, the owner will have the bu�Cen of prOving he/she tlitl not builtl or im-
. �ove for tM1e purpo5e of sale).
�'�1, as owner of the pro0erty, am exclusively contracting with licensetl'con-
� Vactors to coni[ruct Ihe project ($eclion ]044, Business antl PrOfessions Cotle:
The Contractor's License Law tloes not appty to an owner oi property'wha
builtls or improves thereon, antl who contracts for such p�ojetts with a con-
trac[or(s) htense pursudnt to th¢ ContractDr's Licenie L.aw). I am aware that'
proot of tM1eir Worker's Compensation inw�ance shoultl�be provitletl to me.
❑ 1 am ezempt untler Section � B. & P. C. for [hi5 reason
Date Owner -
I hereby certify"that I have reatl tnls application antl state that the above
information is wrrecL 1 agree to comply iih all <ity antl county ortlinances
antl state laws r ng.t iltling con cfion, 1jE hereby authorize repre-
sentafives of is ity enter the -mentioneA property for
Iines antl sign all a0
tleclarotions.
�
—�ui �
TYPE OFCONSTRUCTION NEW ADD ER ION REPAIR
❑ CONVERSION ❑.DEMOLISH ❑ OT R ' O �
DESCRIPTION OF �W lRK USE OF BLDG. ' �Ov=
_'// L —/ � : L �� r.,
TYPE OF PERMIT GRADING ❑ FOUNDATION STRUCTV RAL .
i❑ TENANT ❑ ELECTRICAL �❑ PLUMBING ❑ MECHANICAL
' O OTHER
PROJECTDESCRIPTION 45�.FT._�����J ' OCCUPANCV
' CONSTRUCTION TVPE VALUATION S ��„��
ZONE GRADINGCU.YDS. ACRES
Remarks: • ' . � '
i '
Bar Sink ' ..
Backflow Preventer
Backflow Irrigation
eathtubs
Clarifiers
Drinking Fountains � '
Floor Drains
Floor Sinks �
Gas $ervice � Outlets '
Interceptors
Kitchen Sink � ��
Lavatories '
P—Trap
Roof Drains .
ReinspeMion'Fee' � $15
Duct- UnderGround
Duct - Structural '
Duct - Ventilating
Exhaust System ❑ Mul[iple
Firepl/Fact. Blt. ICBO #
Heating System & Ducting .
❑0-100,000 BTU 0100,000
� inspection pur o 5. , — - ! � l
Siqnature paie� �
.orivers' Lice e or 55 � Reinspection Fee ' $75
GMF 0865-46, rev. lo/B4 White - Builtlin9; Canary - Applicant; Pink - Accounting: Goltlenrotl - Assessor
PLUMBING
� Showers � �
Service Sink -
- SewerCap �
Sewer Connection
Solar Collectors
Solar Piping �
Solar Tank.�
Swimming Pool w/Spa
U�r�l —
ateW r Closet
Water Heater
Water Service - �
Auto-Wash
Laundry Trays �
Issue Fae
Hoodor Typel ❑
Canopy Type I I ❑
Refrigeration System .
❑dioo,000 eru' ❑ioo,aoo
System Re ,ir%Alreration
—
A.P.. # •
S Main Buildi
E
T Front
6 Rear
A
C Right �
K Left
S
Ping. Ref. #
Planning Notes:
9�a-j c/'c/c7
i
� Zone
. ' , Accessory Building: __
�
to_.�..__..,__ ,..__ .. .
ELECTRICAL
Automatic Washer � ' i �Transl
Construction PoleSub. � ' � �
Cooking Unit . � . . Meter
Dishwasher . . � Meter�
Dryers ❑Gas ❑Electric Su6 P�
Fan
F.A.U.
Fixture5
Device Boxes
Outlets
Switches /
n
Garba�e'bisposal
Generator OO-5 KW 05-15 KW
rmer ❑ 15-50 KW �
❑ 50+KW�
�up to 100 amps '
9over� OOamps �
el�
❑0-1 HP�1Yh-8 ..-
v 09-15 HP 016-15+
Microwave �
Pole Light� '
Range
t Sign' '
Standing Sections
Trash Comnacmr �
. 1
'0, 5C ' 'i !
FEES
Z
O
N
I
N
G
R
E
Q
M
T
$
$ $ � " . � - � ' - ' i t
- � Reinspection Fee $15. • �ssue Pee - $ 3 -
FEES
�DEVELOPMENTSERVICESREQUIREMENTS: . , �
�Zoning Approved By Date
Building Approved By . ,�^ 'Date�_.r_T
. _ � S
e .� '
Fee 3
- 'H ' SUMMARV OF�FEES � ' "
BUIL�DING PEHMIT $- 30• O D SMIP . � $ •� o
PLAN CHECK $-- PERMIY. �
,PLUMBING , " � $ ISSUANCE ��� $
"PLAN CHECK 25% $ - ' ENERGV P.C. $
�ECECTRICAL -. $ 'GRADING . $
PLAN CHECK 50% $ � � MICROFI LM _ $ ' �
MECHJ�igNICAL �$ ' TOTAL F�EE $ '3O. SJ�-
PLAN CHECK �25%� $ � � ,
i
CONSTRUCTION AND PLANNING � � � POOL & SPA �� � ,�
APPROVqLS ' Permit # � Date .Inspector � qppROVALS Permit # � Date �' Inspector
i
1. Temporary Electrical Service oc Pole � ' . . 52. Pool & Equipment Location , � �.
2. Soil Pipe-Undrgrnd. . � . 53. Steel Reinforcement � �
3. Electricai Conduit Utility-Undrgmd. ' 54. �Forms � � ' . � � � �
4. Electrical Conduit-Undrgrnd. . .55. Electrical Bonding ' ' .
5. Steel Reinforcement, , � �� , 56. Rough Plumbing & Pressure Test - �
6. Electriccl UFER Grnd.' � . 57. APPROVAL TO COVER-GUNITE
7. Footings . - 58. Electrical Cohduit-Undrgrnd.
8. Foundation . - 59. Gas-Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. . . . 60. Backwash Lines, P-Trap, � Undrgr,nd.. �
�}0. Structural Floor System . �" ,' ' 61. APPROVAL TO DECK ,
i t. Property Sewer Line & House Connection , 62. Backwash & Receptor-Final' . �
12. Sewer Ccp � 63. Heater & Vent-Final � , � � ,
13. Roof Drgins . ' . � ' 64. Plumbing System - Final . . .
14. Rough Plumbing .' ' ' , 65. Elecirical-Final � � � �
15. Rough ElectricabConduit � -- 66. Solar System�Final � � . .
i 6. 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 Neating & Air Conditioning FIRE DEPT. REQUIREMENT �'
.
20. Rough Factory Fireplace I APPROVALS Permit # _ �
21 �. Ducts, in Structure ' 70. Underground Hydro ; , . "'
22�. Ducts, Ventilating � . � 71. Product Piping 0 Gas ❑ Oil
23. Gas Pipe�Rough & Test .� 72. Underground Flush � , � .�
24. Roof Framing, . , �- 73. Undergmd.StorageTank OGas ❑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. Insulatiqn . 78. FIRE PREV. FINAL .
30. Drywall Nailing � � . HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrica(power MeterFinal � 80. FOOD CERTIFICATE ISSUED
33. Final Electric � � Notes: ' , .
34. Final Heating & Air Coniiitioning . � � � . . ' .
35. Final Gas Pipe-Test � � � � �
36.• Hood or Canopy � � �'
37. Final Factory Fireplace ' � , � �. ' , ". .
�i
38. Final Pl4mbing . � , - - �
39. Water Service-Final . , . . ' , �
40. Gas Service-Finai �. � . � � �i • ,
�41. SolarpomesticFinal . � . � � •. ' � .
9 '
; 42..Backflow P,reventer � 14 � . ; �� . `t i , , � '
43. Backflow Irrigation � � E p. " � .
'44�. Landscape Irrigation sy5cem �- � � Incomplete Inspections . , . �
45.� Sound Attenuation � � � � . � �
46. Handicap Regulations • � . � - � •` , , '
47�FINALSTRUCTURE&BUILDING , t �
'/ 4
•48.: Special Requiremenis Completed � � �� , - ':'
�-49. E(ectricReleasetoEdison � . " ; �
50. Gas Release to Southem California Gas Co �' � ' � � -' ��� .
r
51: CERTIFICATE OF OCCUPANCY � , , � _ - -
No. � � Date � � �
City of Costa Mesa
Building Safety DepaHmenT
� P. O. Box 317
Costa Mesa, Californio
CERTIFICATE OF OCCUPANCY N� 1834 B
The Building located at 9$$ Mission DT].ve� A� B� C& D _
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group H`�` 'r Occupancy.
Use of Building Pou-�plex Residence iaith attached Gara,�e _
Legdl Description �� 3� `�'�Ct S011
(See reverse sida for Mefas and Bounds)
� 7
Building Permit No. 1g8�7 Elecirical Permit No. 2099� Plumbing Permit No. ���-6
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 apartment house, hoTel, or lodging house shall be vsed or occvpied
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 b�ilding or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apariments and/or guest rooms as required under Sec. 17050.1 (d), California
Adm�nistrative Code, Title S, Chapter 9, Article 8.
Number of apartmenis �' and/or guest rooms
ISSUED TO:
HYCROFT TEIiFiACE. INC.
Building Official
�
Yhis CerlificaTe of Occupancy SHALL BE posted in a conspicuous place on The premises and SHALL NOT 8E
except by the Building Official of fhe CiTy of CosTa Meso under Sea 306 (e) U.B.C. Fa.,,, suss—�na—
City of Costa Mesa
Building Safety DepartmenT
P. O. Box 317
Costa Mesa. Colifornia
CERTIFICATE OF OCCUPANCY N° 1834 C
The Building locafed at 9� Mi.ssion Drave, A, B� C R: D
has been inspected and found to comply with the provisions of all City of CosTa Mesa Ordinances applicable thereto
for a Group _ x�' `7 — Occupancy.
Use of B��Id��9 ��'Alex Residence t�i.th attac:�ed Gar..�e _
Legal Description �'� 3a Tx'act 501I
. (See reverse side for Metes ond Bo�nds)
Building Permit No. �g$2� ElecTrical Permit No. ��0 Plumbing Permit No. ����6 �
Floor Load Signs have been installed as Room Capacity Signs have been insTaled as
req�ired under Sec.'2308 U. B. C. . required under Sec. 3301 (1) U. B. C. —
17050. CERTIFICATE OF OCCUPANCY. (a) No apariment house, hotel, or lodging house shall be used or occ�pied
until the ownsr or operator has been issued a valid certificate of occupancy by ihe enforcemenf agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) dtcupancy classification of a building or portion thereof
2) The number of apartmenfs or guest rooms � �
3) Ownership
If Group H Otcupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
AdminisTraiive Code, Title 8, Chapter 9, Article 8. �
Number of aparlmenTs— �' and/or g�est rooms— �
ISSUED TO: Building
T:x%`fi(JPS ����1i%'°i_''�a i"�'.':G'.
7his Certificafe of Occupancy SHALL BE posted in a conspicuo�s place on the premises and.SHALL NOT BE remov�
excepT by The 8uilding Official of The City of Costa Mesa under Sec. 306 (e) U.B.C. For,n sus�ir�—n-s�--s��
�
� T`� � ��8�� FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMEt�7T �� p� 1 � zt,�„� .
P.O. BOX 917 G09TA MEBA, CALIFORNIA . �
For Applltont to Fill In C'ompletey FINANCE DEPT. PERMIT
CIT�"R�� 2'47S�N I�P�A
TYPE OR PRfIYT BUlLDING
BUILDINB sslon ve For Office Use Only
ADDRE58LOf.�3� Tract 5011
R6C[I'T NO. P
COSTq MESA, CALIFORNIA - -
qHC61 D OY OALQ fl[CpIx6D 3�
f%�/��/ I
OW NER T
' BUILDIN6
MAIL , ADDR69S
ADDRESS j h � ill't2
F7RE
crrr No'646- 4 Z�NQ TYPE GROUF
APPROVED
ARCHITECT _. _ _ __ _ _ _ TfiL.__ _ .. _ _ wv nRE
ZONING
w� ss 2 Suite B No. Euclid Anh.
ZO 8 NO.O� 11060PNE
' ' �UNH '7�/ pU1LDIN • ^ Ct
CONTRAGTOR Same w
L80AL '7 r
ADDRE53� S3MQ DCIICRImoN !�� 0 -i ( J � /
CITY S3$0 ' � A• P• NO. '�l
o NOTE: NO BAVE OVERHAN� BHALL BE LE98 THAN
LIC.TNO. U2�-6O p6p S3II70 . 90" TO SIDE B REAR P. L.
EAVES
OF LOT � �� I-O3.61�� I NOW oN wT� A�LOWED (U. B. C. REQUIREMENT)
USEOF YAR�SMPROVED YARDSAPPROVED
EXISTIN6 BLD6. ' . MAIN BUILDING ACCESSORY BUIL�INR
� ( FROM GL STREET)
6ETBACK LINB FROM
CENTEP OF STHEBT � RHAR YARD 2O �-H�I FR T FT. FT. y
r� f^
SI�E YARD I LHFT S� R16HT LO � R. SIDB I�/ �T, F7, - Z
..J
DESCRIPTION OF WORK L.81D6 .�Fr. Fr. . �
^ [� l ��
NEW X qLT6RAT10N ADDITION REAR N-� Pf. L1 ' Ff. �
� D16TANCH BEf. BET. MAIN @ a
RI MOVIN6 O6MOLI8H MAIN BLD 5. ACCE55. BLDfd9. N
BUIWINO � � NO.OF 2 YAR.# DATE a
SIZE X 3 R M8 R168 C. .P. APPROVED
EXTERIORWAI,L ROOF APPROV6C� �,��` '.'
COVERING SLUC(7� COVERING shake i,1Y DATE � ��G W
USEOFBUILDINCANDWORKT fiP RF MED ' \ �"
A t . � nlex � "'
C
' . O
W
P
� � � sc. F-r. ' ,�- ^ Q �
I HERE9Y ACKNOWIfiqpg TXAT'1 HAV6 READ THiB APPLICATION HE AMOIINT BXOWN UNOEp V�LUATION I6 FOP THE S, �
AND 6TFTE THAT THe ABOV[ IH COqRECT ANO AOPEi TO COM- P11RP038 OR HBiABL19HINU A PEPM�T FEfi ONLT. p .4
PLY WITX ALL CITY OkDINANCB➢ AND 8TAT6 LAW9 p60ULATNO �
VALUATION 7/J m
em�oina consrAuciioN. PERM�T FEE $/^'^" / S` j
S��NAT�REOF .HYCROFT TERRACE, INC. """��' �(
PERMITTE �' � r $/�/ ��� C E /"J 0
ij� �
AUTHORIZHD A6EN7 �
TOTALFEE O�