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HomeMy WebLinkAbout726 JOANN ST - Building Permits(714) 754•5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Appliwnt: Address: 726 JOANN ST 42237112 ORTIZ, ROSA owner: RAMOS, MARDOCHEO Address 726 JOANN ST UNIT 1 Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (t-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 7000a Motors to 7hp Motore to 10hp Motors to 50hp Motors to 100hp Motors over t00hp Communiwtion drops Sub panel to 200a Pole light Pkg Sign Circuits Temp Pwr Pole Intermed Pale COSTA MESA, CA Phone: 949-548•3843 Zip: Phone: 949-5483843 Zip: 92627 Phone: Zip: License: ' SCOPE OF PERMIT 100 AMP HOUSE METER FOR EXTERIOR SECURITY LIGHTING AT TRIPLEX. $23.50 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 $0.00 E0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantiry 0 0 0 0 0 0, 0 0 �. 0, 0 0. 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformere up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................uP to 700 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System I Ckt Misa Conduit " ' Misc. Conductor . - Circus ( gen or ride) Ciras (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: O6R52001 Issued: O6125/2001 ISSUED BY: Quantity ao.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 " 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 554.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ortl. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automaticaily expire and become void if work is not commenced within 1 BO days, or it work is suspended or abandonetl for a period of 1 BO 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 requlred inspectlons end 11na1 approvel must be obtained. Feilure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 2A4&66 (6I00) WORKERS'COMPENSAnON DECLARATON: � I hereby aHirm under penalry o� perjury one of t�e lollowing dedarations: ❑ i �eve end will mainuin a ceNflcate of consent ro self-Insure br woAcers' compensetion, es pmvitletl for by section 3700 ot the Lebor Cotle, for Ihe peAortnance o1 Ihe work for which this pertnit is issuetl. � I have entl will maintain workers' compensetlon insurance, as requiretl Oy sectlon 3'fW ol tha Labor Code, for the portortnenca of ihe work tor which this permit is issued. My workers' compensation Insurence carrier end policy number ere: Cerder: ef are hundred Policy fJumOer: ��� certily thet in t�e pertoR�ance of iha work tor which this pertnit is issueQ I shall not em0loy any person In eny mannor so as to becoma subject to the workers' compensation laws ot Ca���omia, antl e !T. 1 II I shoulC became suDleci �o the workars' compensetlon OroWsions oi Section 3700 o Ihe Labor Code, I s�all lonhwlth comply wlth t�ese Dmvi - ��� ��� 1 � ApPlicent Sipnature: _ Deta: � WARNINO: FM�URE TO SECURE �TION COVEMGE IS UMAWFUL NID SNALL SU91ECi Ml EMPLOYEP TO CRIMINA� PENALTIE AND CML FlNES W TO ONE MUNORED THOUSAND DOl1ARE (5100,00pJ, IN ADD TO THE CQST OF OOMPENSATION, DhNAGES AS PROVIDED FOR IN SECiION 31O80F THE LABOR CODE, IMEREST, AND AAORNENS FEES. LICENSED CON7RACTORS DECLARA710N: I hereby eHirtn ihat I em Ilcensed under provisions ol CheO�er 9(cammencing with Sactlon 7000) of Division 3 ot ihe Business end Professions Cotle, and my licensa Is in full io�ce ena enec�. u�. a ciass a Conirector's SigneWre: Date: CONS7RUCTION LENDING AGENCY: ❑ 1 hereby aflirtn Ihat there is a consiruction lentling epenty for Ihe peAortnance ol tho work lor which ihis Oertnil is issuod. (Sec. 3097, CiNI Code). LantleYa Nema: LanOe�s AAtlress: Signemre: Date: OWNER-BUILDER DECLARATIONS: I hereby aHlrm thet untler pena�ry ol pe�ury ihet I em EXEMPT fROM 7HE CONTRACTORS LICENSE LAW for Ihe lollowing reason (Sec. 70.31.5, Business end Professions Cotle: Any clry or counry whicl+ requiras e permit to consiruct, alter, impmve, Oomolish, or repair any sWCNre, prior to Its Issuance, also requires Iho epplicant lor such pertnit ta flle e signed statement that he or she Is Iicensetl pursuant to the proNsions ol the Conirectors License Lew (Chaptar 9(commencing with Sectlon 7000) af Divislon 3 ot t�e Business end Professions Code) or that ha or she is exempt tharefrom and tha besls tor the elloged exemptlon. Any vloletlon of Section 7031.5 by eny eppllcant tor e pertnit sublects the epplicant to e Gvil penalry oi not more than fNe hundred dollers (5500)J: ❑ I, es owner ol the property, or my employees wilh wages as their sole wmpensetlon, WILL DO 7HE WORK, entl the sWdure is not Intendetl or oNered br sale (Sec. 7044, Buslness and Professions Code: The Conirectors License Lew does not apply to en owner of properry who Duilds or improves thereon, antl who tloes suc� work �Imself or herself or thraUgh his w �er own employees, provided thai suU improvements are not intenaetl or oflered tor sale. If, however, �he building or improvement is ��soltl wit�in one year of cOmpletian, the owner-builtler will have tha burden ot pmWnp ihat ha or she ditl not build or improve for purposa of saleJ. I, as owner oi the property, am E%CLUSIVELV CONTAAC7ING WfTH LICENSED CON7RACTORS to consWct the prqect (Sec. 70d4, eusiness end Professions Cade: The coniraciors License Lew does not apply to en owner ot propeny who huilds or imqroves thereon, antl w�o contracts for such project with a cankacto[(s) licen5e pur5uent to lhe Contracto� Lifsnse Laws.). ❑ I am e:empt Signature: � Owner ID verified by d v� Vedtication of Ownership by Business and Pmlessions Code for Ihis reason: � Date: Ves ❑ No DriveYs License No. � E:pires: tlocument, i.e. - properry lex bill or deatl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATION: ❑ I hereby certily that no excavatlon Me (5) or mora teet in depih imo which a person Is required to descentl, will be mede in connection with work euthodzed by this pertnit, and ihat no building structure, scaNdtling, talsework, or demditlon ar tlismantling theraol, will te more �han ihirry-six (3fi) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tille 8, Celitomia Adminisiretive Code). ❑ As owner•bulltler, I will not employ enyone to tla work which would require e permit Iram t�e Division ol Induslriel Sefety, as natetl above, unless such person hes e pertnit to do such work Irom the tlivision. Signeture: _. - Date: Division ol Intlusirial Safery Permit Number: CERTIFlCATE OF COMPLIANCE ANO AU7HORVJ1710N OF ENTRY: I cehify untler penalry of perjury Ihet I heve read this epplication antl state ihet iha intortnation given is correct. I agrae to comply with ell state laws anE dry ardinances relating to bulltling construction, and au�hodze represeNatives of Ihe City of Costa Meu to enter upon the ebove-tlescribed property for inspecGrn Purposes. I agree not to occupy or ellaw occupancy of any building euthonzed Gy �his permit until Mel inspection. CO�E I. INSPECTIONTYPE 1616 Fized System Final File Prevenlion 1266 Pool Spa Finel 200 Final Re-Roof 201 Final Blxk/Reteining Well 202 Final Factory Fire PIaGe 203 Final Sign BaIE �/a��, ate �@ yy�Q INSVECTIONTYPE 206 Final Mochenicel 20B Finel Plumbing _ 210 Finel Eloctdcel 212 Flnal Flre Preven�ion 220 Final PlanninB APP�rnal 222 Final Site 204 Final Demolition 250 Final BuilGing/Occupancy PLIE IIi�Ek§ DECLARATION OF AUTHORITY BIdg.Permit# � FOR AGENTS OF PROPERTY 01NN6R This Permit # TO APPLY FOR PERMITS StreetAddress: i1d� ��OQY/Y1_ .�/ �[�S/n /IG�Q CH7Lbl�APNumber. 1. I(we), /CC7VQ�1]C.YIPO �(�VNOS , declare that I am the Owner of Title of the above referenced real property, and that I(we) hereby authorize: �� �� �7� C9�q) 5y�-3gv3 �' Name: OSU r/� Telephone Number: � _ / ii � Street Address: „a� City: ��S�O / �CSQ State: �/-�- Zip: � to obtain permits in my behalf, as owner/builder, for 1 VlS�d/o�0✓1 n 1� El�`���i. c I�L'�Ye r at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Workers Compensation Insurance coverage and cause a certifcate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or o�cers harmless from any claim resulting in damage or personal Vnjury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correcL Executed this __,g„Cy_ day of �u n C 20 _Q�_ , at l O S/r� J/�SU , California. Print Name: / I� y�a-� � I L Q�N�S . Signature: / lGvdoc P17 �o W�a< Date: e� V h C/ 7�/2 b� / Note: This authonza6on does not grant authorization to perform the w�ork as owner, it solely provides for limded power of attomey to secure this pertnit in any behalf. 0]]466 (rev. t tro0) � � PpOJECTpUDflE55: 726 JOANN ST OWNEfl'S NRME� VOGEL GEORGE B I I I TR p00PESS: ' P O BbX 847 ( CORONA DEL MAR,CA 92625 APCN/ENGINEEfl: aonness: flEG.NO.: UNIT: � Z uxiT: ' PEPMITTEE:�L—COAS�L ROOFING ( 714 ) 650-2244 AD�NESS: 2�QSO%]� WMALGL�ACE AV 9 LICENSEO CONTFpCTDPTIEC�fl�iT10lL�'KeTeby a��irm that � am �icensed uneeCr�ppoviso �o�Cfiapter 9(commencing wi�h Seciion 7000) at Orvision 3 oi ��e Business ana Pmlessiuns Code, antl my ficensa is in full lorce en effecL ciTruc.: 519 STNTELIC.59844„ � c�ass: 3� �� }FG�� "oate: _ SignaNre: �� WOBKEflS' C APEN TION OECIAXpT10N: I herehy affirm that I have a c icate of consem ro self-insure or a cenifiiate oI Workers' Compensation Insurance, or a cendie0 copY �hereol (Seciion 3800, Lab C - POLICY NO.: EXP. OPTE: COMPFNY: � Ceniliea copy is hereby �umis�ed. ❑ Certified copy is filed with ��e ciry BuilOinA �ivision. oate: Applicanl: E7(EMPTIONFBOMWOBREPS'COMPENSATIDNOECUMTION: (Thi55ec1ionneeAnolbecom0leleUil e itis�aronehundre0�5100�orless�. I ceNty Ihat in Ihe peAarmance ol the wark for which t�is permit i issuetl. I shall nat employ y rs n in any manner so as to become sublecl lo Ihe Worker' C mpensaiion Laws ol Cah�omia. Oale: SlgnaWre'. NOTICE: I. af�er aking Ihis tleclaraiion, you shoultl bec e suble�� �o tt e orkers' Compensation pmvisians of Ihe Labor � COUe. you must lon�wi�� compry with suc� pmvisions or Nis permit shai tleemetl revoketl. CONSTflI1CTI0N LEN�ING AGENCY: I hereby a��irm Iha� Ihere is a construc�ion lending agency for Ihe periormance of Ihe work �or whic� Ihis permit is issuetl (Sectian 3097, Civ. C�. � LENOEB: FODflESS: • ' � • OWNEfl BUIIDEF OECL4NATION: I here�y aHirm Ihai I am exempl Irom �he Contraclors' S[ate License Law �or the following reason (Sec�ion 7031.5 Business antl Pmtessional Cotle'. Any city oi couniy wAic� requires a permit to constmci, alier, imD�ove, Oemolish, or repair any slmcNre. prior to ils issuance, also reQuires Ihe applicant �ar such�permit �o lile a signe0 statemenl Ihat he/she is licensetl pursuanl lo Ihe provlsions o� I�e Con�mctors' S1ate License Law (Chapier 9(wmmencing wlih Sec�ian 7000) ol �ivisian 3 0l �he Business antl Professions Code) or tha� he/she is exempi Ihereimm and Ihe basis for the allegetl eMemption. Any violation ol Sec�ion 7031.5 by any applicant �ar a Dermit suDle��s the applicant �o a civil penal�y ol no� more �han live hundreA doilars (E500�. " -1.=as-owner'o1=�h¢`pmperly=or-my-¢mployees'-wi�h'-�wages=a5-their.sole�[OmpenSa�ion,-:wi11-0o.�he_work,-andd�e_ ❑ simcmre is not intenOeU or offerea lor sale (Secuon 7044, Business antl Pmlessional Cotle: The Conlrac�ors' $tate License Law does not appty to an owner of a propeny who builds orimproves inereon, antl wno does such work himself/herself orlhrougn his or her own employees, pmviUee Ihat such impmvemenis are not intentled or olleretl for sale. II, however �he �uil0ing o� impmvement is soltl wiihin ane year o� complelion. �he owner will have I�e burtlen of pmving helshe Aid no� builU or imD�ove Iorihe purpose ol 6ale�. " I, as owner ol lhe D�oDeny. am exclusively coniracting with licensetl coniractors ta constmc� ihe prole�� (Section 7044, Business ❑ antl Pmfessions COAe: TAe Contracmrs' Slaie License Law tloes no� aDPN �o an owner o� pmDeM who builOs ar impmves �hereon � and who conVacls lor such projec�s with a canirac�m�s�license pursuan�to t�e Contracrors' S�a�e License Law),I am aware Iha� pmaf at their Warker's Compensalion insurance 5houlA be pmvitletl m me. � � I am exemp� untler Section: B. 8 V. C. lor ihis reason: � . Date: Ownec - I 0o hereUy ceriify Iha� I am aware oi an0 unUersland Ihe requirem¢ni5 01 Calitornia,Healih and Salety Code $etti0n5 255Q5, 25533, antl 2559A antl ihal I or any fulure building occupan� willlwill not (circle one) nee0 �o compty with said s�a�e coJes and �he requirements for a permit for conslmclion or moAihcaiion irom I�e Air Oualiiy Management Ois�ricL Residential cons�mction applica�ions are exemp� �mm Ih¢SE pfOVISI0f15. �ale: Npplicanl I here6y ceriity ��ai I have reaa IAis application and Slale �hat Ihe a�ove in�ormaiion is mrrecL I agree �o comDly wilh ail ci�y an0 county ortlinancesantlstalelaw5rela�ingtobuil4ingcan5lmctionandherbyaNhorizerepresen�a- isciryloenteruponlheabove-mentioned pmperty for i pe`cti n purposes. Da�e: 1 Signa�ure: Oriver's License or Social Security pr „� t64i-a6 Whne—Buileing: Green—Coae Enlorcemenl', anary—AOOlicant; Pink—Revenue; Goldenmtl—Assessor PERMZT NO; B CITY OF COSTA MESA - BUILDING PERMIT 061034 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT' TYPE: STR JOB DESCRIPTION ; T/OFF REROOF W/FIBERGLASS SHINGLES CLAIM VALUE: 1,900.00 CALC-VALUE; PERM NO: B 061034 GOVT; N SOPP; N PURPOSE; ALT SQ FT: 1,900,00 GROUP OCC; R-3 1,900 / COMMENTS; SMOKE DETECT PER THE 1991 ED OF THE UBC kEROOF 1700SF DUPLEX *���.����.������**���*��*�����*������*�*�Q��*����.�������.���*������TECTOR Z O N I N G R E U I R E M E N T S S E T B A C K S �p�- ,. ------------ MAIN HUILDING ---------- --------- ACCESSOID�K,:;.HU1�����''r�-- FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT ZN PARKING REQ• PROV; PARCEL; 42237112 ZNE: _ REF NO; PLANNING Nf3T'ES> > **�r*******�****�*�*�r�**���r***�*********�r*�r*�rx**��*x**�+�**�r�r*******x***�x�*�***� 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 T S ZONING APPROVED BY DATE; BUILDING APPROVED HY : DATE; APPLICATION ISSUED,BY: DATE; II fEiFif9EifiF#iE1EiFIfiEifiEiFiElEifihikiEif iE)F1E1E-IffElfikiE!! it fF 3EiF �)k 3E 3E iE iE it iE �E if k ik iE iE �E jE jF 1E iE 3E iF if !F ik iE 1f iE k1E iE IE iF iF iE if 3f 3E if k if IF iE 3F �E-)E IE it )t ik 3f jE 3l�f iF IF1E 3t iE iE iE iF i! iE iE 3E It * IE iE iElE 1E iE iF iF �IF iF ik # ik LEGALIZP,TION:N F E E .Sy U M M A A Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 43,00 f 4� ' S0 SMIP/NON-RES PLAN , �t � �. ISSUE FEE r��: HUI-LDING-DIS7_>-_-__PERMI,T_= .ISSIJE:_ PiAN_'CNECR____,__TOTAL_-_== __,.PAID� ��-___=_DUE__ i__. TOTALS----> 93.50 0.00 .a F'' 0,00 43,50 93.50 �� .0'0— - �i //J REVENUE DIVISION TOTALS--> COLL`EGrfED: 43,50 OVER/SHORT: -- 00 • . BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/T'OT GRADING PLAN-CHECK 43.00 •,: i� .50 . �ti 3E1E iE if iE it iE iF 1E iF *�E iE �1F iE if ih iE 3E iF iE iE iE iE aF 1f iE 3F jh iE jE 3�lF iF N�F If iE iF iF iE iE if iklE �E �f iE 3E iE 1E * iE iEiE �f 3E iF iE i6 * iF �f iE 3f df �F i6 3F 1E 3f IE 3F ik IF !f �f iF 3F I N D I V I D U A�L`1 �,F E E B R E A K D O W N � . ° "i � , e TYPE QTY D E S C R I P T I O�N'p UNIT COST TQTAL COST f� SFR 1900 REROOF �Y VALUE RESIDENTIAL NOZqNE 1,00 �i'�1,900,00 ;, � D OF ' FEES a� • EXF�IRcD -�. , .. Incomplete Inspectia�s "i uate _ s� g�g _ ex oas.,�_.ai-aci;,;E�� me-� � .;? -�, ��' DHicz Q?/1.ii9: i �.".� : 1=ir" ,; �,� , �� ` � 1� � - � (CUNSTRUCTION AND PLANNING ��� �A APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspectvr 7. Temporary Electricai Service or Pole 52. Poo� & Equipment Location � 2, Soii Pipe-Undrgrnd. � � 53. Steel Reinforcement ' 3. �Electrical Cond�it Utiliry�Undrgmd. 54. Forms 4. Electricaf Cor:duit�Undrgmd. 55. Electrical Bonding 5. Steel Reintorcement 56. Rough P�umbing & Pressure Test 6. Electrical UfER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 56. Electricai Conduit�Undrgrnd. B. Foundation ' , 59. Gas Pipe, � Undrgrnd., Test � 9. Water Pipe-Undrgrnd. 60. Backwash �ines, P-Trap, � Und:grnd. 70. Structural Floor System � 67. APPROVAL TQ DECK , 7 t. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal 72. Sewer Cap 63. Heater & Vent-Finai � 13. Roof Drains � 64. Plumbing Sys.em � Firial 74. fiough Pfumbing � 65. E�ectrica6Fina1 � 75. Ro�9h Electrical-Conduit 66. Solar System�Fi�al � 16. Rough Electric 4Viring 67. Fencing & Access APproval � t �.17. flough Wirir.g Sign 68. APPROVED FOR PLASTERING ��18. Rough Electrical-T Bar Ceiling 69. POOLISPA SYSTEMS FINAL 19. Rou9h Heating & Air Conditioning FIR� DEPT. REQUIREMENT 20. Rough Factory Fireplace � APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Duqts, Ventitating - , 77. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test � � 72. Underground Flush • 24. floof Framing . � 73. Undergrnd. Storage Tank O Gas :J Oil 25. Roof Sheathing 74, Overhead Hydro 26. T�Bar Ceiling {Siructural) & Monocoat 75. Dry Chemicai 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing & Siding� ' � 77, FIXED SYSTEM FINAL 29. Insulation I � 78. FIRE PREV. FINAL 30. Orywall Nailing � � ( NEALTH DEPT. REQUIREMENT � 31. Plaster Brwvn Coat � I � 79. FINAL INSPECTION ' 32. Electrical Power Meter-Final i � 80. FOOD CERTIFICATE ISSUED 33. Finai Electric ; � Notes: ���`,� �F �u� �.; Z-/G- 34. Final Heating & Air Conditioning � � - �T� i I i�/a_d oa cnr/ a.� � s;T . 35. Final Gas Pipe-Test � I 36. Hood or Canopy � � • , i ! 37. Final Factory Fireplace , �' il 38. Final Plumbing � ' � 39. Water Service-Pinal. - � ( � A�^ 40. Gas Service-Final � � 41. Solar pomestic-Final � , i � 42. Backfiow Preventer ' B3. Backflow Irrigation e 44. landscape irriqation System �' . j 45. Sound Attenuation E-X-RI-R-c D 46. Handicap Regulations � � ��Ofll lete InsGections 47. FINAL STRUCTURE & BUILDWG ' �_ 1 �/a lag g Q/r �v �t/ �l V � ft- - _ . �SI 48. FINALPLANNWG I F � � 49. Electric Release to Edison ! � i �1 50. Gas Release to Southem California Gas Co � � F 51. CERTIFICATE OF OCCUPANCY • No. Date City of Costa Mesa Building Safefy Department p. O. Box 317 Co�ta Mesa, California CERTIFICATE OF OCCUPANCY N� IH�6 C The Building lomted at � JOffi� �C8'48'�1 �1�QR :�� iJ iiBlt`B 1� 2 0D� T}� has been inspected and found to comply with fhe provisions of all City of Costa Mesa Ordinances applicable thereto for a Group �_ Occupancy. Use of Building �pl� ���� Legal Descripfion a'p'�• uya�ca��� �TCO� a (Soe revene �ido for Melas end Bound�) Building Permit No. �% Electrical Permit No. Qus3 Plumbing Permit No. � 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 (1) U. B. C. _ 17050. CERTIFICATE OF OCCUPANCY. (a) No opartment F�o�se, hotel, or lodging house shall be �sed or occ�pied until the owner or operator has been issued a valid certificate of occ�pancy by ihe enforcement agency. (b) A new certificate of occupancy shall be obtained whenever ihere is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of aparfinents or guest rooms 3) Ownership If Group H Occ�pancy, number of aparimenis and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments :� and/or g�est rooms ISSUED TO: �.. � :,.:. �:z. ,. .. .,;:.t�C.s� . • �� / / � � � '� This Ceriificate of Occupaney SHALL BE posted in a conspituous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. eo.,,, avsa._aM—��-a�ss a ; ��:��T� v JOB ADDRESS U GENERAL CONTRACTOR � i� Y,L�..— ax...e �a.w DATE OCT 3 1963 BUILDING PERMIT N0. 20705 VALUE S 9A.?FiA.(1() UP H TYPE SUBCONT1iACC0R lo� �1 �o�Q5 � FEE RECEIVED � . .. ,. �� , . . 'n SEP 3 Q 1863 V" C'OSTA MESA BUILDING•SAFETY DEPARTMENT ��NANCE OEPT. � ' P. O: BOX 9t7 , ,C08TA MEBA. GAI.IFORNIA _ ' . ' - � CI?Y OF. COSTA MESA ll��' �For.Applicant.fo Fill,:ln Comple►ely � 1 APPUCATION FOR PERMR_ � �•.�/S�PE OR PRINT .,, '� �� BUILDINf3. � , or,}yy}�� ��'+Iq� � � � '. For Office Use Only- � BUILDIN6. �O611I3 'U�'d�I.A. . �. ;� �o .. . . _ . '.' ' - AOORESS V . ! �of 'Pomona Ut+ � 666acc a.. .... � .. . .. . . i . . ' . RCCEIM NO. . . P�M� N7OS COSTA MESA. CALIFORNIA � � � , rtec[rve er ce'ryq�g/�veo� . _w;EJ'j�o� OWNER S$TSt IZ ��1� � ��i' �i• t� • �yT!��, v U y� MAIL p AO RESS' ,�� -/�/�I �i . YeP/� 1. AODRESS•-�11 ' }�:=�T7th.Street � . . .. �, TE i � ,FIRB , . ' � �� ' . . CIT' S n . �Ai y ' � V � �. No � =ONE . 'TYPE . � � GROUP � , - ,.. . � , �d ' - ' ' APPHOVED � A1 'EGT ' � � n � . � TE ' BY . ,r - DA Ofi .31NEER�''.AT1U81'=�FAendez�����No. -1 �7 � .,: ... r.; . , . ; . _ ... � , � ' '_ / NING � � �. �ADDRESSIS.O� .W�"Iia.t�ella ,,,Anaheiui.� ` �� � . � - �� " Z 1 OP bF W �- � � ' ��uns ' eui�oi . w CONTRACTOR ` ' 'O4V716T ' �"BU1�.CI8T ' ' ' 1 � -t^ ,� �g> ._ _ ' . 3.i _ . . . _. ., _ . . . L60AL ' �1 �M-�'l' ' ' DBGCPIPT�Ofl � � e �. ADDRESB .. � .. � . �. .. .,. .. _. .. . , . .., . . /' . . . . . ... - L..O 'rlC"�� +— � CITY . 1'�..d.•.. �� � . IU; � .._ .. ..... _ A. P.'IJO. t' ,,'. ,�, NOTE: NO EAVE OVERHANG¢HALL BE LE85 TNAN' STATE � '-' "� - "-' TEL: "''" ' " . 90' TO SIDE Q REAR P. L. LIC. NO. - < NO ' � .. -.. . . . . „ ' . .. EAVE6 ' SIZE �� .;� - � Ho.oFeLCa9. ' qLLOWED , ' �' . (U.B:C:REOUIREMENT) � OFLOT O�� X� 1" -I-rvowont,oT O�� �, • ;YARD3APPROVED YAROSAPPROVED } EXST�INGBL06:� � TiOIIB ` - . b1A�NBUILDIN6 ACCE&SORYBUILDING z , � I� '(FROM'C) /IL5T ET) ' • "' S SETBACK LIX6 PROM _ ' O �� � ' ,� REAR YARD LL � , FRONT �`p �FT. • - -4T.� ' - �1% CENTER OP 6TREET [� . .: . .... .. ... . .IJ . i .. . . . .� . . 4 � -.. . .. ' .. . . � . SIOEYARDI LEFT � . RI6HT � ' R.61OE FT..,_. _ _,,Ff• _7 _ U' DESCRIPTION OF WORK - �. eioe F-r. Fr. L ..� N• X ALTfiRAT10N ADDITION REAR FT. � Ff. ,( � . . DISTANCE BET. BET. MAIIi d l.� REPAIR MOVIN6 DEMOLI9H MAIN BLOG9. ACCE55, eLDG9. L•1 BUILOING .OP VAR.# 1.�23-A oATE 6-17-63 l7 SIZE � � P. Z• OMS SfOR1E$ 2 C. U. P. # APPROVED ///��� f a COVERINGWAL "�TUCCOI COVERIN6 rOC� BYP��V OATE �~� " O IJ.. USE OF BUILDIN6 AND WORK TO BE PERFORMED -✓. O _ See rev r e side for �, � - � con i ions r tG -r -S O. � sc. F-r. � 1 HEREBY ACKNOWLEOG@ THAT 1 XAVE pEAp THIB APpLICAT�ON THH'AMOUNT 9HOWN UNDEF VALUATION IS POR THE F' ANO 9TATE TXAT THE ABOVB I8 CORRECT AND AOREH TO COM� PUHPOSE Or 68TABLI9HIN0 A PEPMIT FEE ONLY. 0 PLY WITH ALL CITY OqDINANCHB AND BTATH LAWe PeOULATlry6 ypLUATION N BUILOINO CON6TRUC1'ION. � PERMIT FEE $ ��/ U D � PERMITTE E�� S no'j a 6 '"J m S "� A CyECK $��� D 0 AUTHORIZEO A@6NT � 4 � O 8S't L• LOO re TOTALFEE $ •DD ' ,. , y.�..i �.� d _?,_;..e i! _. .� "s . �" • � 1. Planting of trees compatible }aith +.:he.area by the applicant and�or owner, at his expense:. t • . _.. _ ... �. . ,; _ . 2.- Dedicatiovii'Sof�6b' right o£,iaay to the City.of Costa Mesa.for street, purposes toa2xteiid:� J'oarin� Street. 3. Dedication of 10' for alley and 15'acl5' �'cut=o�f at'•-junction %rith ;12' alley in the rear to the City of Costa Mesa: �"•_,v: �� • - c s: Si��,', �;'-"'�" 4'. Location and design of alley.openings on Joann Street 'as per.City of � 'Costa Mesa standard speciiications, due to'-existing curb-'inlet catch basins on both sidea of the street.- _ 5• That a land§cape planter;a.rea be left ior pl � anting in front of sidewalks. .. _ ... • _... :6. .Subject,to local fire-requiremerits on UBC and Fire Eictinguishers � to be plaed and specified as per standarcl.s hereto set by�the Fire Prevention,Bureau and brought to the attantion=of appbicant.'--.-,-; � 7; Gomplete isnpr,ovement of Joann St., the 10' a11ey and the 12' alley .by the applicant and�or owner, at his expense, as per City of Cos£a Mesa istandard*specification.� The al]_e,�y approach on -the� north sidA'of� Joann-St: s shall'�be constructed�.according to the standards of the_City with 5' . _,�'radius curb,retur'n and a 20i. opening. -Tliis�approach-shall lie�located saQster7y of',-the existing ,curb inlet: The existing. concrete.-drive�ray " to tlie alley shal]: be'removed and a-full height curb constructecl on , 'Joann St. A concrete curb shall connect the easterly,curb__return `t with a point on the easterly a11ey Tine 15' north of the north line � oi Joann St; a.:tirangular parcel 15` along_ Joann St..and,30;,,;back along the al.ley shall be dedicated to connect the approach *,rith the 20' alley -- no alley will be.required on the south side of Joann St. 8. Installation of residential sidewalks on both sides oi':Joann St. by the applicant, and or otane�,r, at his expense, as per City of Costa Mesa Standard Specificatiorisl ' , ' ` _ . :. _ , .. - . .. - _ ..._ ". �._ � . '.. J _� . • . , . �. ' � = �:. . .. � , r } �' , . •c; : '. � .. � .. .. - �='= - - ':.-.' . ' - ;. , . . . - . . _ ,. .. . . OWNER SANTA ANA MANOR CORP. GENERAL CONTRACTOR ar vo. 115- 1-39 DATE ;JP J TYPG SUBCONTFLACTOR JAN 2 8 196t PERMIT-N0.�21 i�9 1, 50.00 - 10F WORK Cpt6.&StOT 20NE R2 ' 2i4ss FEE RECEIVED GOSTA MESA BUILDINGSAFETY DEPARTMENT �Ap 2 2 j964? e. o. eox s�� COSTA MESA. CALIFOHNIA CIAIANCC �iCP 1