HomeMy WebLinkAbout2284 MINER ST - Building PermitsPflOJELT ADONESS: Z� 8 4 M I NER ST
owNcxsxnmE: KESKINEN
aooeess: SAME
APCHIENGINEEfl:
ROONESS:
PEflMITTEE:
aoosess:
UNIT: A
flEG.NO.:
UNIT:
A-AMES PLUMHING 6 HEATZNG (714)530-2440
10422 TRASK AVENUE
GARDEN GROVE � Ca��642 � /
LICENSED CONTflACTOfl OECNBATION: I hereoy allirm �hat I am " nsM ��^^_, v i s ol C�aokr 9,fComm mo wIINSection
7000� ol Onision 3 ollhe Business an0 Pm�eqssions CoEe. antl
c�Truc/.:�006664 STRTEUC.:p5030
Date:.l�(_����� Signalur
WONKENS'COMPENSRTION DELLABATION: Iher¢ n a(
COmDensalion lqR�y�;p.p� ��IJieA f1�ryA We Pol (Sec on 380
POLICY NO.: 7 Y'll.1/ 1�'! 1/ V 9 E%P. [
comraxr: NATIONWIDE,.y
.� C¢tlilieG Capy is hereby Nmi5�e0. LJ ilie0 topy �
� �%
Oate: /e� / �`�' PPPlicanC
EIEMP�IONFNOMWOflKEflS'LOMPENSGTIONOECIANAT : (TM�
Icerlitythatini�epetlOrmance0ltheworkfarw�it�,� rspermiii5
suGject to tne Wor4ers' Comoensation laws ol Catifomia.
is f« ane
in any m;
Oate: Siqnawre: _�� � `
NO71CF: ii, alter making �his Oeclaraiion, you should hecame suE�ea io ihe Waders' Com0en5ali0n prOvhi0n5 Of lhE laAor
LoCe. y0u must Ionhwiih como�Y ��n suth provisions or tA4 permil stWll Oe �eeme0 revokea.
CONSiflUCTION LENOING AGENLY: I nertby aflirm tlut Ihere is a rAn5lruCtiOn IenOinp aAency far tne Derlormance ol ine wark lor
wnich ��is Vermn is is5ue0 (Seciion 3097. Civ. C�.
LENOEfl:
aooeess:
OWNEP 6UILOEfl DECIAfl/1TION: I hereby allirm �hat I am exemo� ��om ine Cantractor5' Slate License Law lor Ine lollowing reason
(Section 7031.5 Busineu anU Prolessional CoEe: Any city of couniy wNct� fepuires a De�mi� lo conSVUCi, at�er, imprOve. Cemolish, Or
repau any stmclure, prior lo ils iswance. also repuires ihe applicant lor suU permit to lil¢ a signed statemenl 111a1 �PJshe is licensed
pursuam �o the pransions ol �Ire Contra[tors' State License Law (ChaD�er 9(commencin0 ��� Sedbn ➢OOU) of Oivaion 3 0l the Business
anG Pmle55ions Catlel or Ihat he/sne is eMempt ineR�mm and ine basis lor Ine alleqea e�emption. Any viOWtidl al Section 7031.5 Ey
any aDDlitdnl lor a permit suhjecis tAe applitdnt lo a ciuil penalty ol �qt mOre than five AunEr¢E EWWrs (SSW�.
I. as awner ol tne o�operty or rtry employees wiin wapes as Iheir wle compen5ation, will Ao t�e xrork, anA t�e
O s�mciwe a no� imen0etl or olleree Ior saie Iseciion 70a4. Buvneu an0 Pmfessianal CoOe: The Coniractors' State License Law
Go¢s n01 apply ro an avmer of a pmpeRy wlq bui145 or improv¢5 tMreon, an0 Who d0e5 Such wnM1 him5¢IV�lrSCil Or IhrouOh
Ns or ner own employees. prmdCea Wt sucn impmvements are not intenaeA or offered lor ule. II, twwever ine Guilainp or
� imorwemem is sold wiinin one year a� campletion. I�e owner will have �he hurGen ol O�wing fie/sM tli0 w� buid ar improve
for Ihe purpose of 5a1e1.
I, as owner ol the pmperry. am exclusively COnirac�ing wiih Iftens¢E wnlratlOR to Constmtl tAe Drqai (Set�ion 70d<, 9u5ine53
❑ an0 Prolesvons Cotle: The Conlraziors' SWte License Law tices nOt appy to an awner ol pmpeM1Y wlw Ouil65 or imDmveSlAereon
dflO Wh0 COIIIfdL15 �Of SY[II pfOjECIS wilh d COfIildC�0f�5) IILCIISE DUROdO� t0 �he CO��f3Ci0l5 $Idi! LIC01152 LdW�. 1 dlll dWdR
tlul 0��� oI tAeir Wor4ei 5 Campen5aiian insurance 5�ou10 6e provi0e0 lo me.
� I am ezem0� under Sectan: B. 8 P. C.
for Inis reason:
Date'. Owner.
I Oo �ereby cemly Ihat 1 am av2re oi anE unEErs�anE t�e requiremenls o� Cabfornia Heallh anA Salery CoOe S¢clions 25505, 25533, an0
2553E an0 I�al l or any IUWre Uuiitlinp acupdnl wilVwill nol (circle one) neetl lo campty witl15di0 stale coaes aM t0e rtquiremenis for a
petmil lor COnSlmtlion Or m0ailitalion Imm I�e Air Oualiiy Managemenl DiS�nCi. ReSiE¢nlial canstmCliOn applicalian5 are exempl Imm
inese Orovisions.
Oate: AOD4cam:
I �ere0y cendy IAaI I Aave read I�is aD�lication and s�a�e Ihat ihe a
ortluWn[¢5 antl Stale laws relating lo GuilEmg COn5lmciion and �ere6y
O�op¢tly lor in50e�/�ion purDaseS.!
Oaie' ,�1� Signaiure: _
Orive�icense or Saial Securil�� �
t64b<6 Whne—BUIIEIng;Green—CotleEnlorcemem;
GOItlBl1IOC—ASSBSSOf
CITY OF COSTA MESA - BUILDING PERMIT �. , UZ371
PERMIT NO: M 050291 PLAN CHECK NO: N �VT:�SIIFP-�
CONSTRUCTION TYPE: PERMZT TYPE: MEC PURPOSE; OTH
JOB DESCRIPTION ; INSTALL SOOOOBTU HEATER SQ FT:
CLAIM VALUE; CALC-VALUE: GROUP OCC: /
COMMENTS: NO STRUCTURAL WORK APPROVED
*+�*�*�+��*��*�**x���**�***��e*�* �**�* �*+�+�*�c*+�**+�x+��a�*��*+��e**x�**�e***+�*���•�a��r*+��**�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
'------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT ZN REAR: FT IN FRNT: FT IN AEAR; FT IN
FT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
KING AE • PROV; PARCEL: 92613107 ZNE: REF NO:
LANNING N 'PES>
� j
/� iF iF k 1E iE if iF it iE if iE 1f IF 1E iF �! M 3F IF 1f k k iE iF k dF if iE if iF�f �1F K�lF iE 3f �F 3f 3F if if 1f fE 1E If iE if IP 1f 1E iF iF if If iF ik ik iF if iF iE 1FiE IE 1f if ik if� )E IF 1F fF i(� if 1E IE IF
� 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
�ONING APPROVED BY DATE:
BUILDZNG AFPROVED BY : DATE:
APPLICATION ISSUED BY: � DATE: �
iflflFififlkitiFlfiFltlflfiFiElfifiEkkifjf k1F�41fif1ElfiFkiE �Elf
if 1E M Ik k �f if 1E iF iflF M �E IE if 1E �E �E IE k iF �E ii if aE iF 1E if if if if if iE 1f k if 3E �F iE iE ik �E k 1E if if iE if if 3F k iE ik 1E if if if IF 1f if If IE IF k aE if if 1E if ik If IF iF 1F IE IF If iE if
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT - • 9 00
'15Y SMIP/NON-RES
PLAN
ISSUE FEE 15,00
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 9.00 15.00 0.00 29,00 24.00 ,00
REVENUE DIVZSION TOTALS--> COLLECTED: 24,00 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN-CHECK
2 4 , � 0
k �! if 1! if if if iF If if i%if !F iE if iF iF IE k IF If iP if ii if if k ii iF iE ii if if ii' M if iE iF 3f ih i!� i41F ik iF i(' k if IF if if 3f 3F IE if if if i�'if if lF iF iF if it iF if if if if if')f� if 16 ik lE iE iE iP
I N D I V Z D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COS1'
MEC 1 INST FORC-AIR/GRAV FURN <= 100 R BTU 9.00 9,00
END OF FEES
�
O1 G0�7617S-pG07h1?1 Ti'ioi" =,_
D�TE: 1?/13/70 T;Fi�: ?7:15
CONSTRUCTION AND PLANNING P� '�' SPA �
APPROVALS Permit # Date Inspector p�ppROVAIS Permit # " Date Inspector
1. Temporery Electrical Ssrvice or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. ? 53. Steel Reinforcement
' 3._Electriwl Conduit UtiliCY-Undrgrnd�. _• 54. Forms -
. 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding
' S. Steel Reintoicement `' K 56. Rough Plumbing & Pressure Test
: 6. Electrical UFER�.Grnd. 57. APPROVAL TO COVER�GUNITE
. 7. Footinqs ` , 58. Electrical Conduit-Undrgrnd. r
8. Foundation -. 59. Gas Pipe, O Undrgmd., Test �
9. Water Pipe-Undigrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. �
10. Structural Floor System �" 67. APPROVAL TO DECK
17. Property Sewer Line & HoUseConnection . 62. Backwash & Receptor-Final
12. Sewer Cap .. __ � 63. Heater & Vent-Final
13. Roof Drains - . . 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
75. fiough Electrical�Conduit 66. Solar SYstem-Final
76. Rough Electric Wiring 67. Fencing & Access ApP�oval •
77. Rough Wiring Sign 66. APPROVED FOR PLASTERING �
78. Rough Electrical-T Bar Ceiling' , 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning " FIRE DEPT. REQUIREMENT ��
,
20.� Rough Factory F.ireplate -� . - • APPROVALS_ : Permit #
� .�
21. Ducts, in $tructure, . . . ' f � .. `70. Undeigcound Hydra
22. Duas, Venti�ating -. ; r �=r - 71. productPipingOGas ❑Oil
23. Gas Pipe-Rough & 7es[ '. . - �� 72, Underground Flush -
24. Roof Framing . � : .� �� � 73. Undergrnd. Srorage Tank O Gas ❑ Oil •
25. Roof Sheathing ' � ' 7q=0verhead'Hydro- .
26. T�Bar Ceiting (Structurap &-Monocoat ' �.+ � 75. Dry Chemical �
27i Frame and Flashing" �- � � i . , ; 76. Dry Standpipe '; : � ' '
' 28. lathiog & Siding� • � C . � - • ••� • + - 77- FIXED $YSTEM FINAI .
�. .
''29. Insulation ' ' �' " `� I � . 78,,FIRE PREV. FINAL . , r
:�30. Drywall Nailing . �� � � � HEALTH DEPT•. REQUIREMENT
� :
31. Plaster Brown Coat I I �; , 79. FINAL INSPECTION '" '
32. Electrical Power;Meter�Final ' ,. ; f� •:80...FOOD CERTIFICATE ISSUED �
33. Final Electric � � � � I � �' '�Notes: b��[,S y]_'PE,r1�p•L�-� �,¢P�Q,Ct,p 11�5 f�
: 34. Final Heating & Air Conditioning, . � 3�� V,�..I,G• •�L, �" ti �
r'
35FFinal Gas Pipe�Test _ � �' ' '�' ' ' -
- �
. 36. Hood or CanoPY �. . . , - � � � .- , .
37. Final Factory Fireplace � ' � ' �' ` �' _, ' �.,
F i
+ .�_
"38. Final Plumbin9 ,� _ � � • . n
" 39. Water Service�Final � • - �- ' '`
r
,,40. GasService�Final ' , ' , " , _� -
:41. $olar pomesticFinal . " � � � � �
:, . -
. � � �� .. `� _ .
'42.-Backflow Preventer ' 1 . _
43. Backflow Irrigation� - - - � � ' - �•'
; 44. Landstape Irriqation SYstem `� � ' ` ' .;� _
` 45. Sound Attenuation -�- i� � • - � � '
`46. Handicap Regulations - " - � ,
��47. FINALSTRUCTURE&BUILDING • - c' �
i
`48:'FINALPLANNING -- � . � . '
�49: Electric Release to Edison �
i.
� 50. Gas Release to Souihern California Gas Co ; I I ' ` • ,-- • '
� �.
51. CERTIFICATEOFOCCUPANCV , .
No. Date
AOD���ant to fill in all soaces except those within neavY boraer Ilnes ane sign all aoVroorlate aeclarations.
ciTY vF cOS7n MES CONSTRUCT O�yN PERMIT
ProjectAddress ���� � .i�eiC. �/
Applicant's Ma—ilin�'Addre s /S33 .�il�L�O�L%
Owner'sName 1�� ��-'S�/�e� Phon�.S7'/)�R1
Address �A'/7� P
Arch/Eng. License No.
Address �q'
Contractor's Nam Phone l.�p '3 %� 7/�
Address (mailing) �'� '� 3 � ��� ��� ��/�he/in
City License No. ��3�
LICENSED CONTftACTOR DECLARATION
I bereby affirm that 1 am Ilcensetl untler provision5 of Charter 9(commencing
with section 7000) of Division 3 of tne Business antl Protessions Cotle, antl
my license is in full (orce tl e fe
Licens Class � � �cens No � � S
Date� Si9natur
WORKE0.5' COMPENSATION DECLARATION
I hereby affirm tnat I have a cerfificate of consen[ [o self-insure or a certlficate
�t Workers' Compens5tion Insuran�e, or a certifietl copy [hereof (Section
900, Lab. C.y,'/p�(�
JolicY No. UTa TV corrioanv "✓P_.t �.�5
ertifietl coOY is he�eby furnishetl.
Ce� fietl�° pyJ5 tl wlth the cit/�t��yJ, '�yItli�n9 po�� sio�%
Date �—�'�+_S�j� APplicanj'I;�iI /+m-----ciu'�i._.� �/1�'Q/f'O
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Tnissec[ion neetl not be completetl if the permit is for one huntlretl ($100) or
less).
I certify that in [he perfo�mance ot the work fOr which this perm�t is issuetl, I
shall no[ employ any pe�5on in any mann¢r so as to become subject to the
Worke�s' ComOensalion LawS of California.
Oale $i9nature �
NOTICE: If, after makin9 this tleclara[ion, you sboultl become subject to the
Workers' Compensation orovisions of the Labor Cotle, you must (orthwith
comply with such provi5ion5 or Ihis permit zhall be tleemetl revoketl.
CONSTRUCTION LENOING AGENCV
I hereby affirm that th¢re ii a Cons[ruction IenUinq agency tor the perfo�mance
of t�e work for whlch Nls permit is issuetl (Section 3097 Civ. CJ
Lentler's Name
LenGer's Atltlress
OWNERBUILDER OECLARATIOfJ�� �
I he�eby ditirm [hat I am exempt from Ihe ContractOr'S License Law for lhe
following reason (Section 7031.5 Buziness antl Protesilonal Code: Any ciry or
county which reqWres a permit to cOnst�uGt, alt¢r, Improve, tlemolish o� repalr
any structure, prior to its issuance, also requires the apo���ant for such permit
t0 tile a signetl stalement [hat he/shC is licensetl pursuant lo [he p�ovisions ot
the Cmvac[or's Licensa Law (ChaO�er 9.(commencing wit� SecHon ]000) of
Division 3 of tne Business antl Professions Cotle) or that he/she is exempt
tberetrom anC the bazis br t�e allegetl exemp[ion. Any violation of Sectlon
'031.5 by any applicant Por a Permli subjecls the aOPlican[ to a civil
enalty of not more than Iive huntlretl tlollars (E500).
.J 1, as owner ot Ihe property or my emPloyees with wages as thelr sOle
compensation, will tlo the wo�k, antl Na sVucturo is not intentletl ar Offer¢4
for sale (Settion 7044, Busines5 antl Professional Cotlei The Contrac[or's
LiCense Law tloe5 not apply �o an owner ot a prOpar[y who builtls o� impiovez
tM1ereon, antl who tloes such work him5etl/herself o� thrOugh his or her own
employees, provitletl that such improvements are not intentletl or olferetl for
Sale. If, however, the DUIItlInq cr Improvement IS SOItl within ono yea� of com-
pletloq lhe owner will have the burtlen of proving he/sM1e tlitl not builtl or im-
��ovB f0/ thn purpo5e of Sale).
I, as Owne� of Ihe pro0erty, am ex[lusivery contracting with Iicen5e0 con-
tractorsto conscructthe project ISection 7044, Business antl Professions Cotle:
TM1e Contractor's License l2w does nol appty to an owne� of property who
builtls or improves thereon, antl who conVaclS for such projects wlth a con-
tractor(sl license pursuant�to [ne�Contractor's License Law). I am aware that
proof o� [heir Worker's COmpenSatlOn insurance shoultl Ee provitletl to me.
❑ I am exempt untler Section B. & P. C. for this reason
Date Owner
I hereby certity ihat I have reatl this applica[ion antl State that the above
information is mrrect. I agree to comply with all city antl couniy ortlinances
antl s[ate laws relaling to builtling cons[ruction, antl hereby authorize repre-
sen[atives o/ y¢i5 city t0 ente� up� the above-mentioned property �oi
IIIS ection p�fypp 525. /y'
signature /i V/X.A �� - V . oat� 'aL "��
_ �i�hzg6 I I I �_
TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVE0.510N ❑ OEMOLISH ❑ OTHER �
DESCRIPTION OF WORK/USE OF BIDG. - � T--�� _
TVPE OF PERMIT lJ GRADIr�G
❑ TENANT ❑ ELECTRICAL
❑ �OTHER � 'I A �
PROJECT DESCRIPTION SQ.FT.—
CONSTRUCTION TVPE
ZONE GRF
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
qarifiers �
Dishwasher
Orinking Fountains
Floor Dreins
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspaction Fea . � � $15
Duct- UnderGround
Duct - Structural
Duct - Ventilating
ExhaustSystem ❑ MWtiple
Firepl/Fact. elt. ICBO #
Heating System & Ducting
❑ o- i oo,000 eru O� oo,000
Drivers' C �� '�� I I Reinspection Fee I $15
CMF 0865-46, rev. 4/84 Wnite - Builaing; Canary - Appliwnt; Pink - Accounting; Goltlenrotl - Aszessor
ION LJSTRUCTURAL
❑ MECHANICAL
OCCUPANCV
VALUATION S _
Showers
Service Sink
SewerCap
Sewer Connection
Solar Collecmrs
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Isue Fee
Hood or Type I ❑
Canopy Type I I ❑
Refrigeration System
❑0-100,OOOBTU ❑100,000
System Repair/Alteration
Issue Fee
A.P. #
S Main Building:
E
T Front
ARear
C Right
K Left
S
Ping. Ref. #
Planning Nores:
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas �Electtic
Fan
F.A,U.
Fixtures
DEVICE BO%CS
Outlets
Switches
Garbage Disposal
Generator �0�5 KW �5-'
0583 4/03/85
Zone
Accessory
ELECTRICAL
Transformer ❑ 15-50'KW
❑ 50+ KW
5KW
Meter LJup to 100 amps
Merer �over100amps
Sub Panel
Motors �41 HP �1'r5 - 6
Inc. Solar 09-15 HP �16�15+
Microwave
Pole Light
Range
Standing Sections
Trash Compacror
3oG' �
FEES
Z
O
N
I
N
G
R
E
Q
M
T
S.
$ 3 I
1 Reinspectian Fee $15 Issue Fee $ 3
FEES
DEVELOPMENTSERVICESREQUIREMENTS:
Zoning Approvad By Date
Buildin8 APProved By Date
Appliption Issued By Dat��
SUMMARV OF FEES
BUILDING PERMIT $ SMIP 5 �
PLAN CHECK $ PERMIT �
PLUMBING JrSDOS � ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C. S
ELECTRICAL $ GRADING S
P�AN CHECK 50% $ MICROfILM S
MECHANICAL $ TOTAL FEE $ � �
$ 3 PLAN CHECK 25% $
CONSTRUCTION AND PLANNING � POOL S A
' APPROVALS Permit# Date Inspector qPPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Loca[ion
2. Soil Pipe-Undrgmd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. � 54. Forms �
4. Electrical Conduit-Undrgmd. 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. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
17.. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing.System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final .
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign " 68. APPROVED FOR PLASTERING
1S. Rough Electrical-T Bar Ceiling 69. POOL/SPASYSTEMS FINAL
19. Rough Heating & Air Cqnditioning � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducis, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑ Oil �
23. Gas Pipe-Rough & Test [j� . 72. Underground Flush
24. Roof Framing �-j 73. Undergrnd. Storage Tank 0 Gas ❑ Oil
25. Roof Sheathing � � 74. Overhead Hydro.
26. T-Bar Ceiling (Structural) Monocoat 75. Dry Chemical
27. Frame and Flashing � 76. Dry Standpipe
26. lathing & Siding u 77. FIXED SYSTEM FINAL �
29. Insulation V 78. FIRE PREV. FINAL
30. Drywall Nailing ., HEALTH DEPT. REQUIREMENT
��
31. Plaster Brown Coat ti 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Condi[ioning �
35. Final Gas Pipe-Test
36. Hood or G7nopy
37. Final Factory Fireplace ' -
38. Final Plumbing yl �" G� � "
39. Water Service-Final
40. Gas Servica-Final , � ,
41. Solar pomestic-Final �
42. Backflow Preventer
43. Backflow Irrigation .
44. .Landscape Irrigation System �
45. Sound Attenuation �
46. Handicap fiegulations - �
47. FINALSTRUCTURE&BUILDING '
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. Cf_RTIFICATEOFOCCUPANCY
No. Date
City of Costa Mesa
Building Safety Deparfinenf
P. O. Box 317
Costa Mesv, California
CERTIFICATE OF OCCUPANCY N� 1823 C
The Building located at �+ �� �'�' t�D HD � —
has been inspected and found fo comply with the provisions of all City of Costa Mesa Ordinances applicable ihereTo
for a Group � � � Occ�pancy.
Use of Building ��` � - � �'� ���� '� � �
Legal Description �� �p�'dC$i_�,Q3,
(See revarae side for Mata� and Bounds)
Building Permit No.�+ — Electricai Permit No. � plumbing Permif No. �
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required �nder Sec..2308 U. B. C. . _ required under Sec. 3301 (1) U. B. C.
.17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until The owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occ�pancy classification of a building or portion ihereof
2) The number of aparTmenis or guesi rooms � ,� '
3) Ownership . . � �
If Group H Occupancy, number of apartments 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 guest rooms
ISSUED TO: � � Building Official � '- �-
� E�iY� bY�E �GZ�TY1 C� " �/[J�'LA%"�7�Z�
�. - ��:i_+,:s.,w,•..f• .,s�.
Thi. Certificafe 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. _ Fo,,,, sua�ira—ii-�a-.s-s r
L �
COSTA MESA BUILDING-SAFEfY DEPARTMENT
P. O. BOZ ]t] COSTA MHBA, CALIFORNIA
Por Appllcanf to Fill In Complefely
TYPE OR PRINT
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VALUATION
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