HomeMy WebLinkAbout2261 MINER ST - Building Permits. + •
(714) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa.c��ILDING PERMIT n FAIR DRIVE, COS7A MESA, CA 92626
Jobnddress: 2261 MINERST
Suite:
Vicinity: REROOF TRIPLEX ONLY
Parcel Number: 42216210
App�icant: PIMENTAL, DECIRA
Address: 2261 MINER ST UNITB
COSTA MESA, CA
Owner: PIMENTAL, DECIRA
Address 2261 MINER ST UNITB
COSTA MESA, CA
Contractor: O W N E R-BU ILD ER
Address:
Zip:
Arch :
Address:
Zoning:
Phone: 94&574-4022
Zip: 92627-2451
Phone:
Zip: 92627-2451
Phone:
License: 000000
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 10/07/2003
Issued: 10l07/2003
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF TRIPLEX ONLY: T/O EXISTING WOOD SHINGLES, SHTG AND FELT PER MFGR'S SPECS. APPLY "25-YEAR COMP SHINGLES' 33
SQUARES
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAIN STRUCTURE Fronl 0- 0
ACCESSORY Fronl 0- 0
PARKING Exisiinq: o
Rear 0- 0
Rear 0- 0
Reouired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
left 0- 0
Pr000sed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0- 0
53,300.00
$3,300.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements untler Califomia 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 180 days, or ii work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order tor the work authorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all
, required Inspeetiona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration ol this permit.
fOR INSPECTIONS CALL: (714) 7545626
2a46-66 (6W)
WORKERS' COMPENSATON DECLARATION: '
I horeby eXirtn under penelry ol perjury ono of ihe lollowing declarations: ,
❑ I heve flnd wlll malntein e ceNficate ot conseN to sell�lnsure Iw workers' componsetlon, ns provided tor by section 3700 of tha Lebor Cotle, tor the partormance of Ihe
work lor which this permil is issued.
❑ I have arW will meintain workers' compensatlon Insurance, es repuiretl by section 3700 0l Ihe Lebor Cotle, to� Na perfarma�e of ihe work tor whkh thls pertNi is issued.
My workers' compensation Insurence carnar entl pollty number are:
Cerder. Policy Number.
(Thls seCfion need not be complefed i! the permit is veluetl ef one bundred dollars (5100) ar less.)
� I certity thel In the pedo 0 0l the work fo which Ihis pertni is issued, shell not employ eny person in any manner so es lo became sublect to ihe workere'
compensetlon lews of Illam entl egrae th. II I should be me s fa o the workers' compensatlon provlslons ot Sectlon 370 ot Ih bor Code, I shell iorihwith
comply with these pr slons. �
Applicant Sipnature: Date: _�
WARNINO: FAILURE TO SECU W ENSqTI M IS UNUWF AND SHALL SUBIECf M' EMPIOVER TO CRIMINAL PENALTIES D CML FlNES UP TO ONE MUNDRED
T110USAND DOLIARE (5100,000), I OfiION TO THE CQST OF PENSATION, UAMAGES AS PROVIDED PDR IN SEGTON 3)OB OF THE UBOR CODE, INTEREST, rWD ATTORNEI"S FEES.
UCENSEDCONTRACTORSDECLARATION:
I hereby eilirtn lhat I am licensetl untler provisions of Chapter 9(commencing wlth Section 7000) of Divislon 3 ot t�e Business and Professions Code, end my license is in full
torce antl eMecL Lic. q Class a
Conirector's SlgnaWre: Deta:
CONSTpUCT10N LENDING AGENCY:
❑ I hereby affirm that t�ere Is e o0n5trucilon lentling epency lor the pertormance of Ihe work for w�ich Ihis permit I5 is5ued. (Sec. 3097, Civil CoEe).
Lendefs Name: Lentlefs Atltlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirm thet untler penelry of perjury Ihet I em EXEMP7 FROM TME CONTRACTORS LICENSE LAW for the tollowinp reason (Sec. 7031.5, Business entl Professlons
Code: My ciry or wunty which reQuires e permit ro construct, eltar, Improve, tlemolish, or repeir eny structure, prior to its issuance, elso requires lhe applicaN lor such pormit
to file e signed stetement Ihel he or she is IicenSeG Dursuanl to Ihe proWslons oi Ihe Contredors lJcenSe Lew (Chepler 9(commencing wlth SectiOn 7000) of DlNslon 3 of IhB
Business end Proteuions Code) or Ihet he or she is exempt Iherelrom entl ihe Oesis for tha ellepetl ezemptlon. Any Ndetion ol Section 7031.5 6y eny eppllcanl for e permit
s jocts the epplicent to e clvil penelry oi not more Ihfln live hundred tldlers (5500) J:
i; es owner oi Ihe properry, or my employees wlth wages as their sole compensetlon, WILL DO TME WORK, and the strudure is not Interidetl or otteretl far sale (Sec.
7044, Business and Professions Code: The Comractors Lkense Lew tloes not appty to an owner ol properry who Duiltls or improves thereon, antl w�o does such work
himselt or herself or Ihrough his or her own employees, pmvideC thai such Improvements are not intended or oflered tor sale. If, however, the building ar impmvemant is
sdtl within one year of compleGon, ihe owner-builder will have tlie burden ot proving ihat he or she tlid not build or improve tor puryose ot sale.). �
❑ I, as owner of �he property, am E%CWSIVELY CONTRAQ TING WITH IICENSED CONTRACTOFS to conSWCi Iha project (Sec. 7044, Businoss entl Protessions
Catla: The comractors License Lew does not eppry to enp.vner ot propeny who huiltls or Impmves Ihereon, end w�o contracts br such projea wlih e contractor(s)
IicBnSB OLrSUani Io Ihe COn�reclofs LiCenSBQaw5.1. / I
❑ I e xe t tl Business entl Professions Cale lor ihis reeson:
Signatur � Da :
Owner ID y�vefs Ilcense. s No Drivera Licenw No. Expires:
VedlicaUon of Ownership by (rype of d m t, i.e. - property tex 6111 or Oeee):
DIVISION OF INDUSTRIAL SAFETY PEflMR CERTIFILATION:
❑ I �ereby certity ihat no excavation tive (5) or more feet in depth into which a person Is requlrad to descend, wlll be mede in connection wi�h work aut�orized by this
permlt, antl Ihat no building structure, scaHolding, lelsework, or demolition or dismantlinp thereof, wili be more �hen thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Ti11e 8, Celilomla Adminlsiretive Cotle).
❑ As ov+ner-builder, I wlll not employ enyone to do work which would require e permit frwn the Division ol Indusiriel Sefery, as notad ebove, unless such person hes a
pertnit to do such work Irom Ihe Civisbn.
Signature: Date:
Division of Intlusirial Sefery Permit Number:
COOE 1. INSPECTIONTYYE
1618 Fxetl Syslem Final Fire Prevention
7266 Pad Spa Final
200 Final Re-Roat
201 Final Block/Retelning Well
202 Final Factory Fire Place
203 Final Sign
20d Final Demolitlon
P�ff. II�ELS
1� �
COUE 1 INSPERION TYVE
206 Final Mechanical
208 Final Plumbing
270 Final Electrical '
212 Finel Fire PrevenNon
220 Final Planning Approval
222 Final Site
250 Finel Builtling/Occuperu,y
Peff. ' II�LS
a
�� o� �� �ZleQa �ui�� Dividia�
OWNER-BUILDER
VERIFICATION
A city or counry, which is reyuired to give notice pursuant to Section 19830, shall attach to such notice, and,
as a condition precedent to issuing a building permit, require the completion and require the retum of, an
owner-builder venfication.
Attention Property Owner:
An 'owner-builder' building permii has been applicd for in your name and bearing your signamre.
Please complete and remrn this infortnation in thc envelope provided at your earliest oppottunity to avoid
unnecessary delay in processing and issuing your building permit. No buildi�ertnit will be issued until this
verification is received.
I. I personally plan to provi e the major labar and materials for conswction of the proposed
propeny improvement. Yes ❑ No
2. ( ave ave not) signed an application (or a building pertnit (or
t e proposed work.
3. I have contrac[ed with the following person (firm) to provide the proposed construction:
Name
Address
City
Phone ( ) Contractor's Lic. No.
A. I plan to provide portiuns of the worA, but I have hired the (ollowing person to coordinate,
supervise and �pro�vide Ihe major work:
Name `�I ) Q Cl'(Ca II �MP ✓\-4�l �
Address :�G1.�4 MlVlp �C Y-� - 4`�-L City LeS� IV\��C:I
Phone (�l{(,� '�`2 �— 2..� Contractor's Lic. No.
t
5. 1 will provide some of the work but I iiave contracted (hired) the following persons to
provide the work indicated:
Name Address Phone Type of Work
�M2�a6 �REV.998)
1 hereby affirtn [hat I have received a copy of the infortnation set forth in Section 19830 of the Sta[e
of Califomia Health and Safety Code'and have completed the above infortna[ion to the best of my personal
knowledge, in compliance with this State law. ,
Signed:
Name:
(Printed or Typed)
C.D.L. p$SS--ai— �� � � � ��_
Date:
For more information call City of Costa Mesa Building Division at (714) 754-5273.
tOl2J6 (PEV. 898)
(714) 754-5273 • Fax (774) 754-4856
JobAddress: 2261 MINER ST
Suite:
Vicinity: UNITS A, B, & C
ParcelNunmber: 42216210
CITY OF COSTA MESA
BUILDING DIYISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
Applicant: PARENTEAU, STEVE
Address: 01403 N. BATAVIA#112 •
CA
ORANGE
Owner: NGUYEN, HOAN NGOC
Address 8814 SALMON AVE
, �� FOUNTAIN VALLEY, CA
Contractor. ALL-HOME REMODELING
. Address: 01403 N.,BATAVIA #112
CA .
ORANGE
Zip: 92667
Arch :
Address:
Phone:
BUILDING PERMIT
Zoning:
Phone: 714.532.5380
2ip: 92667
Phone:
Zip: 92708
Phone: 714.532.5380
: � License: 600501 _
Eng:
Address:
PERMIT NUMBER
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 07/14/1999
Issued: 07/14/1999
Phone:
Zip License: Zip: License:
� SCOPE OF PERMIT
PROJECT FOR "HOUSING REHABILITATION LOAN PROGRAM".
UNIT'A':�PATCH, SPRAY WITH ACCOUSTIC, & PAINT
HOLES IN LIVING ROOM CEILING. UNIT'B': REMOVE & REPLACE FRONT DOOR WITH DOUGLAS FIR SIX PANEL
SOLID CORE DOOR. UNIT'C': REMOVE CONCRETE ON PORCH, RESHEATH WITH PLYWOOD, SECURE RAILING, INSTALL
DRIP EDGE AND APPLY PACIFIC POLYMERE WITH A SAND FINISH.
_ FEE SUMMARY
$1,500.00
s�,5oo.00
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$48.50
$0.50
$0.00
$0.00
$0.00
$49.00
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Ex�stina: o
NOTES:
Rear 0-0
Rear 0-0
Re uiretl: 0
PLANNING 8 ZONING
Left 0- 0
Left . 0- 0
Proposed: � 0
Calc Valuation:.
Claim Valuation:
Right 0- 0
Right 0-0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In orcler for the work authorized under this permit to be considerad legal, such work must comply with all applicable codes, and all
requlred inapeetlone end final approval mus� be obtained. Failure to obtain inspections and final approval will result in the expiretion of this permit.
FOR INSPECTIONS CALL: (714) 7545628
WORKERS' COMPENSATION DECLARATION:
I hereby aHirtn under penalry of perjury one of Ihe following tleclarations: �
❑ I heve end will maintein a cenificate af consent to seli-Insure tor workers' compensation, as provided tor by section 3700 of ihe Labor Code, for iha pertortnance of ihe
work for which this permit Is issued.
�' I have and will maintain workers' compensation insurance, as required by section 3700 oi tha Labor Code, for ihe pertormance of the work for which this permlt Is issuetl.
My workers' com ensation Insurenca carriar end policy number are: „ � ns�
Carrier. �,Ati �c�i PolicyNumber. 2.�•�GI Li/�. ��cr0«�
(Th/s section need not be comp/eted Il fhe permif Is veluetl at one hundred tlollars ($100J or less.)
❑ I certiTy that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so es to become subject to ihe workere'
compensation laws of Califomia, and agree that if I should become subject to ihe workers' compensation provisions of Section 3700 0l the Labor Cotle, I shall forthwith
camply with ihese provisions.
Applicant Signeture: Date:
WARNING: FAILURE TO SECIJRE WORKEFS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORED
THOUSPND Dd1ARE ($100,000�, IN AO�ITION TO THE COST OF COMPENSATIQY, DAMAGES AS PROVIDED FOR IN SECTION 3lOfi OF THE L4BOF fAOE, IfJrEREST, ANO ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aNirm that I�icp�0 under pmvisions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, and my licensa is in full
force and eHect. Lic. I f' L, �..h�_ � Class u �
Contrectors Signature: � Date: _ ) /Y ��
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirtn that there is a construction lentling egency for the pertormance oF the work for which ihis permit is issued. (Sec. 3097, Civil Cotla).
Lender's Name: lendefs Address:
Signature: Date:
OWNER-BUILOER OECLARATIONS:
I hereby aHirtn ihat under penairy of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for t�e following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or county which requires a permit to consimct, alter, improve, demoiish, or repair any stmcture, pnor to its issuance, also requires ihe applicent for such permit
to file a signed statemen� ihat he or she Is licensed pursuant to the provislons ot ihe Coniractors Llcensa Law (C�apter 9(commencing with SecUon 7000) of Division 3 of the
Business and ProFessions Code) or that he or she is exempt Ihereirom end ihe basis for ihe alleged exemption. Any violation of Section 7037.5 by any applicant tor a permit
sub�ects the applicant to e civil penalry ot not more Ihan five huntlred tlollars ($500).):
❑ I, as owner of the property, or my employaes with wages as their sole compensation, WILL DO THE WORK, antl the structure is not intended or offered for sale (Sec.
7044, Business and Professions Code: The Coniractors License Law tloes not epply to an owner oF propeny who builds or improves thereon, and who does such work
himself or herself or ihrough his or her own employees, provided that such improvements are not intentletl or oReretl for sale. If, however, the building or improvement is
sold within one year of completion, the owner-builder will heve the burden ot proving that he or she did not build or improva for puryose of sale.).
❑ I, as ownar af Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe prolect (Sec. 704d, Business antl Professions
Code: The contractors License Law does not apply to en owner of property who builds or improves thereon, and who coniracts for such project with a coniractor(s)
license pursuant to tha Contractors License Laws.).
❑ I am exempt untler sec.
Signature:
Owner ID verified by drivers license. ❑ Ves ❑ No
Business and Professions Code for this reason:
Venfication of Ownership by (rype of tlocument, i.e. - property taa bill or deed):
Drivefs License No.
Date:
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cetlify ihat no excavation five (5) or more feet In depth inm which a person is required to descenq will be made in connection with work authonzetl by Ihis
permit, end that no building structure, scaftolding, felsework, or demolition or dismantling thereot, will be more ihan ihirty-six (36) lee� high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Califomia Atlministrative Cotle).
❑ As owner-builder, I will not employ anyone to do work which would require e permit from Ihe Division of Intlusirial Sefery, as noretl above, unless such person has a
. permit to do such work from ihe division.
Signature: Date:
Division ot Industrial Satery Pertnit Number.
CERTIFlCA7E OP COMPLIAN D AUTHORIZATON OF ENTRV: I certiry undar penalty ot perjury that I have reatl ihis application antl state that t�e information given is
cortect. 1 agrea to comply wi al state laws entl city ortlinances relating to builtling consimction, and authorize representatives of ihe Ciry of Costa Mesa ro enter upon the
above-described property 1 in eplion puryoses. I a9ree not to wcupy or ellow accupancy of any building authonzed by this permit until final inspection.
CODE t. INSPECTIONTYPE
1676 Fixetl System Finel Fire Prevention
1266 Pool Spa Finel
200 Final Re-Root
201 Pinal Block/Retaining Wall
202 Final Fectory Fire Plece
203 Final Sign
204 Final Demolition
2446 46
Owner(s) ate
7 i �1
Applicant Da e
p� INTRIALS 4QOF�e INSPECTIONTYGE
206 Final Machanical
208 Final Plumbing
210 Final Elec�rical
272 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
0
� —sl—� L u"^�
� '
iC.
� t� s�
aRk�
pelt}e
.;.
EXHIHIT A OR ATTACI�NT 1
CZTY OP COSTA D�SA
HOII3ING REHl1HZLITATZON LOAN PROGRIfM
WORR WRZTS-IIP
Name: Hoan Nguyea and Bich Nguyen
Phoae:(714)730-Z914
Addreea: 2261 Miaar Street
Coata Meea, CA 92627
Al.L MORA 20 HH noNa PF]t CITY O8 COSTA l�9A HRZLiIIHq, pW�7Ni}/C � ppgLZC w0AR5 CAD6. IIt OYDSA i0
BSSABLI9H S72HP.�5 oP QII�LI7y. 7'p; DBSAII,ffi] SP8CIPIGTSONB NAY fISP� i0 ,(..iTTJ13N DHODDCS H7 fAlB
AND/OR PAOY e n.1oR 1o8Q9iCi'CRBA. S8I9 DRo�II&E I6 D707 YO ➢S GONS2Hv� 145 BL7QtASIlaC nlm[
CWSSSISION 0'fi�R PH�U�fS OP EQW1L OR B8iS8R QLL1I.riY BY OTF6R MM70PACT���a, 2gg C�F��pA $LAI.L
i4ANZ51S T� LiSi OP eAOPosID n85SRED SO86TZ24SION3 P&Ioa To SI@fINO Tffi GONSAACI. aL:. IT9C9 LI82'S�
ON T}R �fORI( DS5C0.2PTSOF, aN:sss oT�11fT68 BPHGIP2�, SIDSL mTCi,ppE ALL PASQII1�c Atm P�fIbB MOM,
i}7CLOpB70 SRZIt. 3' a a, eAi�ac 11DID YRIISR CAZNTIHG Atm/OA ST�aIINO. ➢ASOA 20 IAaz s2h¢i-OP. 17�
sr.[.aCtf'� �78nAL CWTtRAG20R xII.i. sosear iffis xolu aRits-w xo ra evxLnIao OH➢l.nnSlffi'i (]ad r[.00n)
i0fi '['HY vvIIDosB dy nY�IR170 NSGiH9AAY ¢saa¢is. z'� CONT'RMTOA I9 RH9PON9IHLE PaR .�{,j, ►sAM1T�, p�s,
CI7Y 8492tm99 F1�98, PL185, BTC.
Ciey oE Coe[a Mao+ 9taadaxd Rahnblliestim LycciFScaciom npply te nll ic�me linced oa rorR
deeczlpeien.
Wark Descri tion
EXTERIOR
1. FRONT DOORS: Provide material and labor to remove and disoose
off-site front door in unit �+B install a new Douglas Fir Six
Panel eolid core door complete with new threshold, w�ather
stripping, door shoe, Kwik-set lock set and dead bolt. Door to be
primed and painted with Vista, Sinclair, or Dunn Edwards eaint
products_ All lock sets to be keyed alike. Owner to a�prcve
COIOIS.
2. EXTERIOR PAINT: Prep exterior trim by removing all peeliag paint.
Sand, putty, and grime all areas as needed. Prep stucco and wood
siding and patch as needed, trench perimeter to 6 inches below
gzade. Paint with two coats of Vista, Sinclair, or Du:n Edwards
paint. Owner to select color.
�! Light fixtures: Install new light fixture in center of carport
area and unit #H.
�'. Ca ort roof: Repair ieak and hole in carport roof.
If. ROOF: Remove existing roofing, and dispose of off-site.
new 25 year composition shingle =oof. Include new felt,
and replacing or painting exieting roof jacks_ Fill-i�
�R.�e� skipsheeting, replace starter boards and rafter tails as
Strip existing roofing on covercd carport and dispose of
site, replace'deteriorated plywood sheeting, apply a aev
90 lb. Ftolled composition roof over 30 lb. Felt. Include
enamel flashing.
:astall
drip edge
needed.
off-
hot mop
2" baked
D�n_I., . SMOKE DETECTORS: Provide and install smoke detectore �o code in
�}r�c
dll llI31G5.
Updated 12/O1/98
J
� , f
7. ALLEY: Contractor shall construct 6" con�inuous pour
r concrete(clase 520 250o psi), over 2" sand (compacted to 95%
��maximum density) with lines and grades to meet existing
° improvements as shosva on the plans or as directed by the Engineer.
J
IInit #A
8. FLOORING: Provide material and labor to install new sneet goods
in bathroom (allowance $20/square yard installed). Prep area as
heeded to remove a11•imperfections to aesure smooth installation
surface.
SP.a�� �.,/ aeu+o��c
9. Ceilina: Provide material and labor to patchYand paint holes in
living room ceiling.Ow,ne� w.sk•s � Y<<-� p��wb`n9 4��� d+�-•a��=e.a
�1...�...al� .3 w�- s_.oy.
10. Hall bath: Provide material and labor to replace missing tiles
in main bathroom and repair water damaged and paint wall next to
tub.
Onit #B
11. Garbage disposal: Provide material and labor to replace existing
garbage disposal with a new 1/3 hp disposal.
IInit #C
12. Porch: Frovide material and labor to remove concrete on porch,
resheet with pZywood, secure railing, install drip edge and apply
pacific polymere with a eand finish.
Updated 12/O1/98
City of Costa Mesa
Buiiding Safety Departmenf
P. O. 0ox 3 V
Costa Mesa, Califomio
CERTIFICATE OF OCCUPANCY rj� 1�97 C
The Building lomted ar P?b1 tlincr 64se�"�. A, As@C
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable ihereto
for a Group a A� Occuponcy. ,
Use of evilding '�'riT+7.e� �2e�iQence wAt,11 lCCtRr.hGd CsT0e7rE �i IamxlrY
Legal Description ��' �� �r �� ��1
(Sea rever�e side for Metot and Boundt)
Boilding Permit No. �'�� Electrical Permif No. �-'���� Plumbing Permit No. �w��
Floor Load Signs have been installed as � Room Capacity Signs have been instaled as
reqvired under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. �
17050. CERTIFICATE OF OCCUPANCY. (a) No aparfinent house, hotel, or lodging ho�se shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcemenf agency.
(b) A new certificate of occupanry shall be obtained whenever there is a change in:
1) Occ�pancy classification of o building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments ond/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of aparimen�s— � and/or guest rooms
ISSUED TO: Building Official
:.96N�11 80 :+`$s71P6 yy �/,/ Q- � j�� O
DaTe �` � � y
This Certifica�e of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
except by the Building Official of the City of Cosfa Mesa under Sec. 306 (e) U.B.C. Fon„ ao�-�as_i�_u�sH P
. n ,:�
COSTA MESA BUILDING-SAFETY DEPARTMErlT
P.O. BOX 81! COSTA M6BA� CALIPONNIA
For Applicant to Fill In Completely
TYPE OR PRINT
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