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:
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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 �- �
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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 ' , '
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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