HomeMy WebLinkAbout2262 MINER ST - Building Permits�
PP0.IELTPOOHE55: z'1fjZ MINER ST
OWNEfl'S NAME: HANSEN RODNEY L
ADDNESS: 2S% DOLPHIN WAY APT M
LAGUNA BEACH,CA 92651
AflCH/ENGINEEfl:
ROOflE55:
NEG.NO.:
UNIT:
UNIT:
PEflMITTEE: pACIFIC CONSTRUCTION ( 714 ) 660-5590
AODflESS: S%%SS MITCHELL
IRVINE CA 92714
UCENSEO CONTBACTOfl UECNBATION: I hereby al�irm IAa� I am licensea un0e� pmvisions oi COapler 9(commencing wit� Section
7000� ol Oivision 3 oi I�e Buvness anA Pmfessions fAGe. anE my license is in fu0 laice anE eHer.t.
ciTr uc.: 0 3 3 3 8 6 STRTE LIC.: 4 4 A O S�i cuyss: H �
Oate: g �� �— Si �r-� . r
WOflHEPS'COMPEISA7IONOECLAflATI : Iherebyaflir ihallnaveacenificateolwnsenttosell�inwreoracenifiWteolworkers'
comvenution �su����bc4n�eg c���e (Sect n 3800. La�.�16 /O I/ J 3
roucr no.: NATIONWID E E%P.ORTE:
comraxr: ,y�
❑ Cenilietl copy is �ere�y fumis�etl. L3 Ceniliea copY is 'IeU wi�h ihe city BuilEing Division.
.. u � �--' pP0lican�: Qa-� -
E%EMPTION flOM flMENS' COMPENSATION MTION: (� sec�ion need not Ge wmplete0 i� Ne permii is la ane hunOreE (5700) or less).
I tenity �hat in �he per�ormante of ihe wOrk �or whith Ih6 pe it 15 issued, I shall not employ any person in any manner so as �o hecome
suElecl lo IAe Workers' Campensalion Laws ol .
�ate: Signamrt:
NOTILE: II, atter maMinq inis declaration, you shoula Eecome subject to Ihe workers' Compensalion provisions oi the labor
CoOe. you mu51 IorlAwii� tom0ly wi�h 5uch pmW5ion5 ar Ihis permil 5�all be C¢emed rewked.
CONSTBULTION IENUING AGENCV: I hereby allirm t�ai ihere is a consimction lentlinp aAency for ihe pedormance oi ihe work tor
w�icM1 IOis Dermii is issuea (Seclion 3097, Civ. C).
LENDEfl:
aooness:
OWNEfl BWLOEP OECIAMTIQN: I hereDy aflirm Ihat I am e�empt Imm Ihe Conlrac�ors' State License Law lor Ihe follovnng reason
(Seclion 7031.5 Business an0 prolessional CoOe: Any cily of county whicn requires a Oermit ta conslNct. alter, imo�ove, eemolisn, or
reDair any slmcWre. Orior to iis iuuance. also repuiBs ��e applicant lor sucA permil lo lite a si8ned statement tllat he/s�e is licensed
pursuam to ine D�ovisions ol ��e Coniracmrs' State �icense Law (C�aO�er 9lcommencing with Section 7000) ol ONision 3 0l ��e Business
an0 Pmfessions Code) ar Ihai he/she is eKemp� Iherelwm and t�e basis �or �Ae alleged eMemOtion. Fny violalian al Section 7031.5 Ay
any ap0�icanl far a Dermit subjec�s �he applicanl to a civil penaliy af no� mare �Aan liv¢ �unEred dollars (E500�.
I, as owner oi the proDeny or my employees vnth wages as ��eir mIe compensation, will Ao tAe wark, antl ihe
❑ vmaure is no� inrenae0 or otlere0 for sale ISection 70Aa, Business and Pmfessional Gotle: The Contractors' State License Law
Goes nol aDVly lo an owner o� a D�oOeny who �uiltls or impwves Ihereon, anE wha Aaes such work �ims¢I�/herset� or �hmuAh
�is or ber own emDl0yee5. pmviaed �hai such im0�ovemenl5 are no� int¢ndetl or a11ereA �ot sale. Ii, Iqwever the builtling or
impmvemenl is SOIC wi�hin one year o� comDlelion, Ihe owner will have I�e burEen o� pmvinA he/she 4i0 no� Ouiltl or impmve
tor Ine purpose ol ulel.
I. as awner oi the v�openy, am eaclusively Coniracling wi�h IitenSeU COntraGiors �0 [onslmc� lhe pmjeci (Setlion 71Wd, Business
l� ana Pmlessions CWe: The Conlratiofs' Slaie L¢ense Law doe5 no� apDly lo an ovmer oi pwperty who Gui10.5 or imDmves Ihereon
antl who coniracis lor sucn pmjecis wi1A a contracbr(s) license pursuantlo Ihe Coniraclors' Staie License Law�. I am aware
Ihal Drool o� their Worker'S Compensalion insurance should be pmviUetl �o me.
� I am ecempl unAer Seclion: B. 8 P. C.
for t�is reamn:
oate: Ownec
I ao nereby certily tnat 1 am aware o1 antl unders�antl ihe repuiremenls ol Calilamia Nealih antl Salery CoOe SectiOns 25505, 25533, antl
T5534 and I�al loranyluture Guilaing occupaniwill/willnol�circl¢ one) nced to camD�Y with saia s�ate coaes anCiherequirementslor a
permit lor constmclion or moGilication Imm Itle Air Oua4iy ManaAemenl �islric�, flevdeniul mnslmciion apDlicalions are e�emp� trom
Inese pmvisions.
�ale: NpDlicanC
I here�y cer�ity Iha� I Aave reaC t�is ap0lication and Slate I�ai Ihe ahove iniorma�ion is correcL I agree to comDly with all ciry antl counry
ordinances antl state laws relaiing Ia Ouilding cons�mctian aM h¢req� awhorize reD�esematNes ol this ciry to enter upon ihe ahove�menlioned
�mp¢rty lor inspeclion purposes. � ��
orivers ��cense or Sociai Secu�iiy x:
I6aLa6 White-6wlEing: Green—Gotle Enlorcemem: Canary—Appl¢am; Pink—Revenue; Goleenrotl—Assesaor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B
PERMIT NO: B 058645 PLAN CHECK NO; N 1; ,
CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR PURPOSE; REP
JOB DESCRIPTION ; REPAIR DAMAGE TO CARPORT FROM CAR SQ FT; 1,000
CLAIM VALUE: 1,000.00 CALC—VALUE: 1,000.00 GROUP OCC: M-1 /
COMMENTS: REPAIR OF CARPORT ONLY!
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Z O N I N G R E(j U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARRING RE • PROV; PARCEL: 42216317 ZNE: REF NO:
PLANNING N T'ES>
i -
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N:-� S
ZONING APPROVED BY / DATE;
BUILDZNG APPROVED BY ; DATE;
APPLICATION ISSUED BY: DATE• � � /��
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LEGALI2ATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERNIT 25.00 , 5,0},'
SMIP/NON—RES
PLAN '
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID , DUE
TOTALS----> 25.50 0.00 0.00 25.50 25,50•' ,00
REVENUE DIVISION TOTALS--> COLLECTED: 25.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
25,00 .50
Mif IE M IF 1f if k ff 1F iF ik if if iF iE 1flk 1k il M 1F iE iF if if 1F iF M it it if if iF iF iP iE 1E if 1F if if if iE iF iF iE M 1E 1E iE it if iE �f iF iF k it 1f 1f if iF IE 1F 1f iF�FiE 1E iF iF 3f iE iF iEiF if iF
I N D I V I D U A L F E E H R E A K D O W N '
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1000 ALTER HY VALUE RESIDENTIAL NOZONE 1,00 � 1,000,00
END OF FEES
,j
,�� �U1'
-� .
, = F -� -. .
CONSTRUCTION AND PLANNING POOL 8 , �
APPROVALS Permit # vate Inspector pppROVALS Permit # Date Inspector
7. Temporary Etecirica� Service�or Pole 52. Pool & Equipment LoCation '
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement �
. 3. �Iectrical Cond�itbIilitV��7ndrgrnd: � 54. Forms '
�� 4: ElEctrical CondaK-Undrgrnd. 55. Electrical Bonding
� 5: Steel Reinforcement � � �� �'�_r 56. Rough Plum6i�g & Pressure Test �'
��8� E!£ctrital UFER Grnd. ^ c 57. APPROVALTO COVER�GUNITE �
}._�ootings • � `- 58. Electrical Cqnduit-Undrgrnd. -
�B.,.Foundation "- _. 59. Gas Pipe, O Undrgrnd., Test � ,
9. LVater Pipe�Undrgmd. 60. Backwash Lines, P�Trap, O Undrgmd.
70. Structural Flo�o?, System _ 61. APPROVAL TO DECK
77. PropertY Sewer Line & HoAse Connection 62. Backwash & Receptor�Final �
12. Se}ver Cap -, 63. Heater & Vent-Final .
73. Roof Drains - _ 64. Plumbin� System � Final
14. Rough Plumbing � 65. Electrical�Fina�
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric?Niring 67. Fencing & Access Anproval
17. Ro�9h Wiring Sign 68. APPROVED FOR PI.ASTERING
78. Rough ElectricBl•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI
19. flough Heatinq & Air Cond�tionin9 FIRE DEPT. REQUIREMENT
- ' tr�-,.o, .
20.�Rough F_act6ry FJeplace � t " ' '� C � -�� n �APPROVALS; � 7ermit #-�-
�- � - r 'C i ^'�t x 7^
� �. r . - � F � o }, � . �' - .F •�
21.^Ducis, in Structu'ce'. . '�,� x - :70. Fladerground Hytlro �
22. Ducts.Vintitatiri�: � .�.� � ��> ':" ��1. Product�P,e�ihBG("ias L7�i`.Oil
23.,�'iasYipg'Rough &��est - K ir, r;r .; �,, i�.�2. Undergropnd Flush; �� -�
�/ • . . '
24..RoofFraming �c-�F- �•- • > C •'- �73:�Undergrnd'.SrorageTark'�Gas ❑Oil
25. RoQf Sheathing , �, � - '"' M1 u74,<ayerhead Hydro_ r +
26, .T-0ar Ceiling (Struaturaq &.Monecoat " F a x 75= Dry Chemical � '" - ,
27�Prameard Flashincj '�„; - '� �z';. 76:'DryStandpipe = � � ' �
� 28. �Lathing & Sidingj> . - .. � ' 77.' FIXED SYSTEM FINAL` , y
�
'29. Insulation ", �, �'-' �� ; ` T :, ' 78x=FIRE PREV. FINAL :� �- _ r
'30. Drywall Naitlng =< , �� � - HEAI.TH�DEPFc REQIIIREMENT
�
-31. Plaster 9rown Coet. , � I � �, � 79:`FINAL INSPECTION , "" -
�32� Electricai Potver.DAeterFinah � r� r 80.- F000 CERTIFICATE ISSUED
�
�33.iFinal Eiectric ` y � ` YNqtes: =� � ;�
�; . . , _ ,
,;34.`Final H,eating,& AikConditioni�g ,, . ,; - , .. ., ' _
� "
y35: Final Gas Pipe-Test' _ � `� �' '_ _ ' -
- t . -
36' Hood orLanopy � - - x- �� y i•. i*
i.
�37.�Fina1 Factory Fireplace ' ' � ' ' � " " ' ` r
� �., x
_ � .. . „ _ . ,� .
'38. FinaJPlvmbing .- ��� .. I z r: - : t '
'39. Wa%er Service=Final• � � � h � ''� ' . ' � ` ;
`40. Gas Serv,ce-Final ; , � , I , > _ �
i41. Solar pomeslicFinal � �� " A "-" i � � ' - '
'� - �
�42.'Backflow Preventer. � I I I, � - _ -
43. Backflow Irrigation- -� � t ` ' _ - '.
c
� 44. Landscape Irripation System � �� „ . Y ` � - �� : . � " n
�45."Sound Attenuation • r'' � ` 5 ` ` � ' � � � '
,n r : s . - '{ .
=46.�Handicap R�gulatiqns -. - ` ��,. � � � �- = ,
.. �; c.,.
47. FINAL STRUCTURE & BUI�OING � �;u�I(f} '-.� „��� � ✓ � /, � /' i
. «�. d.� Si�LI
48::FINALPLAFINING � . � �� � � � �
_49 _-Eleatric Release to Edison � ,+. • .: � -
'50-GasRele"asetoSou[hemCalifomiaGasCo �, � ' ` - _ ? '� - �
-51. CERTIFICATE OF.00CUPANCY � (- _ . . -
No. Date
�.- n
CITY OF COSTA MESA CON T
Project Address ZGz N
ApplicanYs Mailin�g./�f_ dre�ss �Q�,
Owner's Name . _H./_f.N �r�✓ �
Address ZZG 2 �/N��
Arch/Eng.
Address
Contracmr's Name- 7� n?7ivF t
Addresslmailingl_T-�1% �`�- VL11
CityLicenseNo. �2�_��
LICENSED CONTRACTOR DECLARAI
I here�y attirm that I am IicenSatl unde�
with uction ]000) of Dlvition 3 01 thi
my licanze is In full �rce antl atfecL `
PERMIT
li
V 97 NV
C
nt to IIII In all svaces ezcept tnose within heavY eoraer Ilnes ana sign all aooroD�iata Cactaralions.
E IT NO. ' TRACT NO. LOT NO. UNIT NU.
�E'— 26756 ' 3iql II
TYPE OF CONSTRUCTION NEW ADD ALTERATION ,REPAIR
❑ CONVERSION ❑'DEMOLISH ❑ OTH
DESCRIPTIONOFWORK/USEOFBLDG. ����%L oL qJ70
(�p, TVPE OF PERMIT� GRADING ❑ FOUNDATION C�STRUCTURAL
❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
_PhOne �gZuG � OTHER
%�N PROJECT DESCRIPTION Sa.FT. oCCUrnrvCv '
CONSTRUCTIONTVPE � VALUATIONS�
ZONE GRADINGCU.VDS. ACRES_
Charter 9 (commencing
1 Protesslons CoCe, antl
oate t Jdw�_z7 � Si9nature � �
WORKERS' COMPENSATION DE TIO
1 hereoy af9rm thal I have a certifi�vte f cons to nsure or a certifl te
ot Workers' C6om/pJensat/iOn InSuranc¢, Or a ti ��he o'li ($e lon
90Y No.�V �O.J!/C7��' Co `
etl coOY �5 hereby furniShetl. i{ 5 C%
Certi ie� copy S(ileE with tha cif " i Ivisio .
Da[e_J�c� AppliGant
EXEMPTION FROM WORKERS' CO PE DECLARATION
(Thiisection neetl no[ be complatetl if the - rmit is for one buntlratl (E300) or
less).
I tertily [hdt in Ih¢ per�o�manco ot tne wo�k fo� which th15 pe�m�t is i55uetl, I
shall not employ any p¢r5on in any mdnner 50 az to b¢COmG Subject to IhC
Workers' Com0an5atlon �aws Ot Calllomia.
Date Si9nature
NOTICE: I/, af[ar making tnis tleclaration, you shoultl become suo7ecc io tne
Workers' Componsatlon provisions of the Labor Cotle, you must lorthwith
comply wlth sucb -prOvislOnS Or Ihis pCrmlt Shall b¢ Oe¢metl rovoketl.
CONSTRUCTION LENDING AGENCV
I nereby atfirm Ihat Ihere is a construction lentling agency for [ho perlormance
of iha work for wnich t�is Oermlt is issuetl (Saction 3097 Civ. C.)
Lentl¢r's Name
Lentler's Atltlress .,
OWNER BUIL�EH UECLARATIOIV
I hereby aHlrrt� that I•am exempt 1rOm Iha Cont�aclo�'s Lltensa Lnw fo� the
following reason (Sectlon ]031.5 BuSinoss antl Professional Cotlo: Any tlty or
county whicb require5 a p¢rmit l0 cqns[rucl, dltOr, Improva,pemoliSh Or repalr
any Structute, prlor f0 ils Issuance,2150 wqWres lhe applicant lor SUGh pormll
to file a slgnetl stalement tllal he/ShC ii Iicensatl purSudn[ l0 the Provisiont of
the Contractor's Liconsa l.aw (CM1aP[or 9(commoncin9 wi[h Sectlon ]000) oi
Division 3 0/ tno Buslnesi a�tl Profossions Cotla) or that ho/sne Is oxompt
lh¢reiPom antl lhe ba5i5 fOr the allegetl� axomptlOn. Any vlolation o/ Sa<tlon
'/0315 by any applican[ for a pormit subjects the apPIIwN to a clvll
nalty of not more lhan tive huntlretl tlollars (y500).
I, as owner ot lno Oroparry or my omploytos with wages as thoir sole
ompensation, wlll tlo thn work, antl tho structura is not Inlentlutl or otferetl
tor Sale ($¢clion 7046, Businesz antl PrOf¢SSiOnal COtle: The ConlraCtOr'S
Litense l.aw �ocs nol appry to an Owne� ot a property who builtls or Imp�oves
the�eon, antl who tloes Suclt wOrk himself/hnrself or through his or ner own
employeei, provltletl lhat such ImprovOmOnts ara not IntenGna or ottarotl tor
sale. If, howevCr, tho OUIltling or improvoment IS Soltl wlthln one y0ar of com•
'OletiOn, [he Owne� will have ihe bu�tlan OI prOvin9 n0/sha ditl nOt builtl or im-
�rOve for the purpoSc ot Sale). �
,1, a5 owner o/ l�e property, am exclus{vely Contracting wlth Iitenietl.con-
Iracto�s to cansVuct th¢ projecl ($ocllon ]044, BUSInOss antl PrO/esSlons Cotle:
Tha Contractor's Llcensa Law tloes not apply to an owner ot oroperty who
builtls Or Improv¢5 thereon, antl who contrdClS IOr such prOje<Is witn a con-
tractor(s) ucan50 pursuanl to Itle Contractot's Llconze'Law). I dm awdr¢ Ihat
pro0f o( their WOrker's CompBnsallOn in5u�ance ShOultl be O�ovltletl to ma.
❑ I am exempt untlor Section-q- B. & P.�C. tor this reason
��
Date er _
I hereby rertify reatl Ihis
informallon I5 c r . I ¢e to COmo
tM1e above
Remark[:, ,! lO �/ A
/\J LIY
� co,�v�ri
Bar Sink '
Backflow Prevenrer �
Backflow Irrigation
� Bath[ubs
Clarifiers
Dishwasher.
Drinking Fountains
Floor Dreins
Floor Sink's
Gas Service Outlets
Imerceprors �
Kitchen Sink,
Lavatories ,
P-Trap ,
� Roof Drains � �
Reinspection Fee, §15
Boiler
Duct-UnderGround
Duct - Structurol
Duct - Ventilating
Exhaust System � Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting .
❑67 00,000 BTU O 100,000 BT
v
sentatives of i to .en[er uye}pthe above-mentionetl property for '
inspection p // //_�
Signature --�-�^^��J��z Reinspection Fee S75
Driverz' L e 5 � -
1
CMF 0865-46, r. 30/B4 White - Builtling: Canary - qpp�����; p��k - Accounting; Goltlenrod - ASsesso�
Showers
Service Sink
$ewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Soiar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Trays
Issue Fea
Hood or Typel ❑
Canoyy Typcll ❑
Refrigeretion Sys[em
❑aioo,000eru ❑iao,000
System Repair�Alteration
Fire Dampers �
Registers
Iswe Fee
$ 3
F
$'3
A.P.SW %{.'L'].'
S Main Building:
E
T F�ont
B Resr
A
C Right
S�eft
Ping. Ref. �Jh
Planning Nores:
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher '
Fan
F,A.U.
Fixtures •
Device Boxes
Outlets
Switches '
Garbage Disposal
Generator �0-5 KW
Fee
., 9��76 iin6ie�
- � % Zone
Accessory Building:
Parking Req.IProvided
ELECTRICAL .
Transformer ❑ 15�50 KW
❑ SO+KW
LJS-15 KW
' . $15
Meter Llup to 100 amps
Meter �overi00amps
Sub Panel
Motors � 0-1 H P � 1 Yh - 8
InaSolar �9�15 HP �16�15+
� Microwave
Pole Light
Range
Si9n
Standing Sections
Trash Compactor
Issue fee
OEVELOPMENT SERVICES RE�UIREMENTS:
Zaning Approved By
BuildinB APProvod By �
Aooliration Issued Bv
?8,02 Tl
%�
FEES
S 3
Z
O
N
I
N
G
R
E
�
M
T
s
SUMMARV OF FEES
BUILDING PERMIT� $ ��'f'• � SMIP $ O, SO
PLAN CHECK $ 9- �z PERM�T
PLUMB�NG § ��UANCE _ 5
PLAN CHECK 25% $ ENERGY P.C. 5
ELECTRICAL $ �.�� GRADING 3 '
P�AN CHECK 50% $ D. 2 O MICROFILM $
MECHANICAL ff TOTAL FEE 5 Z8• 02
PLAN CHECK 25% $ ' �
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd.� 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Wa[er Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Structural Fioor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-FinAl
12. Sewer Cap 63. Heater & Vent�Final
13. Roof Drains 64. Plumbing SYstem - Final
14. Rou9h Plumbing _ 65. Electrical-Final
15. Rough Electriral-Conduit � 66. Solar System-Final
16. Rough Electric Wiring _)��7 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FiNAL•
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit # - ��
21. DuCts, in Struc[ure 70. Underground Hydro
22. Ducts, Ventilating ` 71. Produc[ Piping 0 Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and'Flashing ��� 76. Dry Standpipe
r
28. Lathing & Siding �' � 77. FIXED SYSTEM FINAL �
29. Insulation 78. FIRE PREV. FINAL -
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Finai 80. FOOD CERTIFICATE ISSUED
33. Final Electric j�6 �� ��,� Notes: �nA � � �
34. Final Heating & Air Conditioning �� 3 .
35. Final Gas Pipe-Test 3- � y-F� � � 1��J �G �o_4A ��.
Gt�I�i G V l
36. Hood or Canopy �
37. Final Factory Fireplace , '
38. Final Plumbing ' � . �
39. Water Service-Final ' - '
40. Gas Service-Final '
41. Solar pomestic-Final ' �
,.:1
42. Backflow Preventer � ' - �
43. Backflow Irrigation . - �
'44. Landscape Irrigation Sys[em ' � .
;45. Sound Attenuation , •
�46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �� � � _ , . -
48. $pecial Requirements Completed i � � `
49.'Electric Release to Edison •
50. Gas Release to Southern California Gas Co .
57. CERTIFICATE OF OCCUPANCY .
No. Date
City of Costa Mesa
Building Safety DepaMment
P. O. Boz 317
Costa Masa, Colifornio
CERTIFICATE OF OCCUPANCY ]Y� i$2$ C
The Building located at z262 !•ii.ner Streot� A� B Cc C
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group H E' J Occupancy.
Use of Building Triples Residence uith attached Carport .": Laundry
Legal Description �t u—R� Tr'act 3191
{Sae reversa side fior Ma�e� and Bound�)
8uilding Permit No. 20�9 Elecirical Permit No. 20��� Plumbing Permit No. 3496�y
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. . required �nder Sec. 3301 (1) U. B. C. —
17050. CERiIFICA7E OF OCGUPANCY. (a) No apaHment hause, hotel, or lodging house shall be used or occupied
until ihe owner or operator has been issued a valid certificaTe of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion ihereof
2) The n�mber of aparfinents or guest rooms
3) Ownership
If Group H Occvpancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Adminisirative Code, Title 8, Chapter 9, Article 8.
Number of aparimenis 3 and/or guest rooms
15SUED TO:
Casiaell & Struvo
Building Official
by %/7J�� �' �
oare Februa^y 7, l�blt
7his Cerfificate of Occupancy SHALL BE posfed in a conspicuous place on the premises and SHALL NOT BE removed
excepf by the Building Official of fhe City of Costa Mesa under Sec. 306 (e) U.B.C. aorn, svse—im—ii-ea._s-a r
. 2Q049
' COSTA MESA BUILDING-SAFETY DEPARTMENT
P• O. BOX 9f7 COSTA MEBA, CALIFOpN1A
Por Applicanf fo Fill In Completely
TYPE OR PRINT
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GOVERINn
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