HomeMy WebLinkAbout181 DEL MAR AVE - Building Permits CITY OF COSTA MESA
yt""' , BUILDING DIVISION .
Fa 77 FAIR DRIVE, COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
\e. 1111,41.1 FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: B10-00373
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 43916126 DATE ISSUED: 12/06/2010
ISSUED BY: CAC
JOB ADDRESS: 181-DELIMAR0AVACM Suite/Unit:
Vicinity: 0 ; '.". • ...
Squares: 0Valuation: ' $25,000.00
SCOPE OF WORK: TEAR OFF INSTALL 15 LB FELT 1/2"RADIANT BARRIER PLYWOOD 30 YR COMP.8 UNITS WIT ATTACHED
GARAGES - .
OWNER: LINTON, IAN H TR • -- Address: 181 DEL MAR APT H • Unit:
PHONE: 949-735-5668 .• City/State/Zip: COSTA MESA,.CA
APPLICANT: JUNIOR CONSTRUCTION Address: 9522 VELARDO LN. Unit: :
PHONE: 714-715-5744 - City/State/Zip: HUNTINGTON BEACH,CA- r i ''r •
0-0-00 IS r-/ S
CONTRACTOR: JDL CONSTRUCTION License No. .. 801389
Address: 1280 BISON AVUnit: .. - . PHONE: 949-887-1640' _
94/State/Zip: NEWPORT BEACH 92660 CELL: . -
ARCHITECT: . License No. - PHONE:
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ENGINEER: - License No. '. .PHONE:
•.FEE SUMMARY -
Reroof Plan Check: $0.00 - - - - •
,,
Reroof Permit Fee: $391.25 ' - : . : - . •' "
Reinspection Fee: $0.00 - ,-
Bldg Std Admin Fund $1.00 -
- _ Unit:
TOTAL FEES $783.50 - -
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010 -PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours-Sundays and the following,Federal holidays
New Years Day,Memorial Day, Independence Day,Labor Day,Thanksgiving Day and Christmas Day r :t>4.i'1.;.'t/ s
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No. 92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE H. INSPECTION TYPE DATE INTITIALS CODE IS INSPECTION TYPE DATE "V:: INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final /� 208 Final Plumbing
Y'200 Final Re-Roof 4-02e-i t 210 Final Electrical '
201 Final Block/Retaining Wall 212 Final Fire Prevention --- ---
f
202 Final Factory Fire Place 220 Final Planning Approval urn 6rr.:r,na.�
.t•.°..
203 Final Sign 222 Final Site ------- ------ ----.
204 Final Demolition 250 Final Building/Occupancy
I . V
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WORKERS'COMPENSATION DECLARATION Owner ID verified by dricense. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance, as required by
section 3700 of the Labor Code,for the performance of the work for which this . DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: .
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding.falsework,or demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm
(This section need not be completed d the permit is valued at one hundred dollars($100)or less)
2,M2 Sec 341,Title 8,California Administrative Code).
Policy Number:
❑ As owner-builder, I will not employ anyone to do work which would
r...,E7r71 certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date
the Labor Code,I shall forthwity .mply with these provisions.
r_ / /S/�1/40 Division of Industrial Safety Permit Number:
•ppliranf �a.•.UM / pate HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
NTNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license itsin uulfllforce and effect. /� a registration form for acutely hazardous materials? El Yes 0 No
4004cella/ O/ _ 4ss# 62 (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
/ i /6//04-0each business which at any one time has on hand a quantity of acutely
contr Signature c..-bate hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
ONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued. (Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? IDYes IDNo
(Section 25534 of the Califomia Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑ No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044. Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own 8 (If' es attach certificate of compliance from the
employees, provided that such improvements are not intended or offered for Y P appropriate air pollution
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF,COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and _ - ' '
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa-to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
. Signature of Leerwner(s)
Signature Date . - • L, /026%i)
3057-46(3/07)
And/or ' t 'JrL�' pplicant to
! Prescriptive Certificate of Compliance: Residential CF-1R-ALT
i" Residential Alterations (Page 1 of 5)
Project Nave: y/ Climate`Zone 1l #of Stories
in-A, p.v /Op� Pennat �'tt (a 2 -I
i
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General Information
Site Address:/V trunci,' '9v Enforcement Agency: Date: /a/ea//0
Building TypeSSingle Family 0 Multi Family Circle the Front Orientation:N,E,S,W,or degrees
Project Type: ❑Alterations 0 Envelope 0 Fenestration O Roof 0 HVAC
Conditioned Floor Area(CFA):
enlacement or Change OjP 0 Duct Replacement 0 Water Heater
NOTE: This form is not to be used fin New!, Constructed Buildings or Additions
• Insulation Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
O Opening of framed cavity alone-Alterations that involve the opening of the framed cavity of a wall, ceiling, or,floor must install the
mandatory minimum insulation value per,§)50 for the altered assembly.Fill in Columns A-C and enter mandatory insulation value in Column H.
O Replacement of entire assembly-Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Package-D insulation values in Table 75 I-C. Fill in Columns A-J.
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
-A B C _ I) E • F G H • - j -1-- - ) -3 _
Proposed see nor` Standard 3 Values From JA4 Table •
Framing Thickness, Framed Continuous JA4 r Proposed
Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly
ID' or Type' and Size2 or Other' factor" Numbers ` II-valueR-Value' Cell Values i U-factor9
Note:Forfeited assemblies,accounting for Continuous Insulation R-value,see Page JA4-3 and Equation 4-1. For catculeting furred walls use the Mass and
;Furring Construction table below.
1.For Tag/ID indicate the identification name that matches the building plans.
2.Indicate the Assembly Name or ,type::Roof/Ceiling, Walls,Floors,Slabs, Crawl Space,Doors and etc...Indicate the Frame type and Size:For
Wood, Metal, Metal Buildings,Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame Type assemblies.
3. Enter the thickness fm"mass in inches or Spacing between framing members enter; 16"or 24"OC;or Other joy all other assembly description
such as Concrete Sandwich Panel,Spandrel Panel,Logs,Straw Bale Panel and etc....
4.Based an the Climate Zone;enter the Standard LI-factor front Table 151-B, C or D for each different assembly Name or type
5.Enter the Table number that closely resembles the proposed assembly.
6. Enter the R-value that is being installed in the wall cavity or between the framing: otherwise, enter "0".
7. Enter the Continuous Insulation R-value for the proposed assembly;otherwise, enter "0".
8.Enter the row and column of the U-factor value based on Column F Table Number and enter the Assembly U-factor in Column J
9.The Proposed Assembly U-factor, Column.l, mars!be equal to or less than the Standard U-factor in Column E to comply.
Furring Strips Construction Table for Mass Walls Only
A 13 C IDIE F G II 1 I 3 _ K L M
Proposed Properties of Masonry and Concrete Added Interior or Exterior insulation 1
Walls From Reference in Furring Space from Reference
Joint Appendix Table 4.3.5.4.3.6.4.3.7Joint Appendix Table 4.3.13
TT; liU .c 1 — j 1 u - U !
m Ce p 4<
Assembly L^ 3O o 'L F' N .`L0 di v ,.0'
Final
Mass Name of JA4 Table - ! `u = a a o t m 4 e e ` r 1 Assembly
Thickness' Type' Number < y iff- r v m ai LL E9 n. <, m C U-factory''' Comment
i
.I ( 1 -- i r 1L _
Registration Number: Registration Date/Time: HERS Provider.-
2008
rovider:2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Complian ,residential CF -1R -ALT
Residential Alterations _-. - (Pae 3 of 5)
/A -A✓ 1-1,W1v1lJ
tea/' 4VO
N of Stories •l
ROOFING PRODUCTS (COOL ROOFS)§I51(t)12
When the area of P Ierior roofsurface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000 jr', whichever Is
less, the new roofing area must meet the roofing product "Cool Rooln'requirements of§I51(b)]Hi, 152(b)IHii, or 152(*)IHiii.
Check applicable alternative or ccception below if the roof allegation is ezempl from the roofing produce "Cool Roof'. requirements. Note: If any
one of the alternmives at- exception below is checked, the Aged Solar Reflectance and Thermal Emitlance requirements for roofing products in
§118(i) are not applicable. Do no{fill table below.
❑ Cool Roofs Not Required in Climate Zones 1-12,14, and 16 with a Low Sloped. Less or 2:12 pitch.
ool Roofs Not Required in Climate Zones I through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less
than 51b/ft'.
Alternatives to §152(b)Illi and §152(b)Hii, Steep -slope roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 heft -°F/Bui or at least a 3/4 inch air -space is added to the roof deck
over an attic; of
❑ Existing ducts in the attic are insulated and sealed according to §151(f)10; or
❑ In climate zones 10, 12 and 13, with 1_ IF. of free ventilation area of attic ventilation for every 150 ft' of attic floor area, and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or
❑ Building has at least R,30 ceiling insulation; or
'El Building has radiant barrier in the attic meeting the requirements of §151(f)2; or
❑ Building has no ducts in the attic; or
❑ 1n climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic.
Exception to §152(b)1Hiii, Low -slope roof (pitch <_ 2:12)
❑ Building has no ducts in the attic.
Other Exceptions
❑ Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
. ❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft is exempt from the below Cool Roof criteria.
Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise,
Check the applicable box below, if Exem t from the Roofing Products "Cool Roof' Requirement:
Roof Slope
Product Weight
Product
Aged Solar
Thermal
CRRC Product ID Number'
< 2:12 > 2:12
< 5lb/ft' > 5lb/ft=
T e2
Reflectances 4
Emittance
Se
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
1. The CRRC PI'oduct ID Number can be obtained fi'onr the Cool RoofRaling Council's Rated Product Directory at vu,no coolroofs r / r d t / 1 1
1. Indicate dee qye of product is being user) for the roof lop, i.e. single -ply roof, asphalt roof, metal roof, etc.
. Iflbe Aged Re0eciance is not available in.lhe Cool Root Rating Council's Rated Pr'aduci Directory then use the Initial Reflectance value from the same
an uclory and use the equation (02+0.70onaa1— 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check bar if the Aged Reheclance is a calculated nabs using the equation above.
5. Calculate the SIU value Ly using the SRI- Worksheet at but) ://rvwir.enerrr.ca.¢nv/tR1u24/and enter the resulting value in dee SRI Colu in above and attach atopy of
the SRI- Iforksheel to the CF -LR.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating
❑ Cement -Based Roof Coating
❑ Other
Registration Number: _ Registration Dole/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
Prescriptive Cert,:
Residentia/Alterat
- Yrs feel lVnme:
.ae: Residentia
CF -JR -ALT
(Pace 5 of
t 3' of Stories
HERS VERIF.I CATJ ON SUMMARY The enforcement agener shohrld pal• speciul alhGnhion to /hc HERS 6Jeasm e.r specified uh this
checichsl helmr A completed end signed CF-41,Fmrn /o:- all the incosioal, specified shall be su6+nilled u+ the building inspeclor before final
ins'Decumi.
Duci Sealing & Testing HERS vei i%hcaiion is requiredfa- Ihi.+ measure.
❑ )IES ❑ NO YES-, In Climate Zones 2 and 9-16, if more than 401inear feet of new of neplacemem ducts are installed in unconditioned
space, the ducts are to be sealed per y152(1:l and the newly installed ducts are to be insulated pet {d 51 (1)1 O.
❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated no scaled with asbestos.
❑ TES ❑ NO YES: In Climate Zones 2 and 9-16, if file existing space -conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per §152(b)1Di,
❑ TES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacemem o1 the air handler:
outdoor condensing unit of a split system, cooling or heating coil, to the furnace heat exchanger) the ducts are to be
statedpen §l52(b)IE.
❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
❑ EXCEPTION: Existing duct systems constructed, insulated of sealed with asbestos.
Refrigerant Charge - Split System HERS verification is required joy this nheasure.
❑ YES ❑ NO YES: In Climate Zones 2 and 6-15, when the existing HVAC equipment is replaced (including the replacement of the air
handler, outdoor condensing unit of a split system A/C or heat pump, cooling of heating coil, or the furnace heat
exchanger) a refrigerant charge measurement shall be verified per §752(1b)1F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw -
The ventilation requirements of §150(o) do not anoly to existing residential homes.
Ducted Split Systems - An Conditioners and Heat Pumps: Airflow HERS verification is iequired.jor this nhcasurc.
❑ 'IT, S ❑ NO YES: in Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
replaced. the airflox• and fail watt draw shall be verified Der § 152(b) I Ci to meet the renu,rements of 6151(f)7B.
Documentation Author's Declaration Statement
I certify that this Certificate of Compliance documentation is accurate and complete.
Name.
Si a e:
Company:
L CO�lSf/G
Date:
Address: /J,� q
�,J`/rfOrtl //V f� �J /' 37S
if Applicable ❑ CEN of O CEPE
(Certification N):
City/Slate/Zip'
Nam o>1 r�Gr c 9a66n
Phone.
9-88 -/b��
Responsible Building Designer's Declaratiur Statement
o I am eligible under Division 3 of the California Business still lhofessions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
I certify that the energy features and performance specification:far the building design, identified on this Certificate of Compliance conform
to lac iequouments of Title 24, l+arlt: I and 6 of the Califbn)o Cade of Regulations.
• The building design features identified on thn. Certificate of Compliance are consistent with the information provided to document this.
building design on the other applicable compliance form'., worltshccts, calculations, plans and speci1tc0ti0le submiued It, tile enforcement
uuenev for approval with this building permit application.
Nanta.
Signature:
Company
Date:
Adores-:
License:
Caw'StawlLip:
I Phone:
Far assistance w questiolrs iegoicluo, the L'nm'grStandards,'.ulnae[ tilt Eneror Hotline ill: 1-800-772-33011.
I(egnstruuon MoNber 1(egcco alum Lane(Tunc: 1-lE1;S !'roy�cier:
200 1(csidenlial Cony)limtnc Fm -In'. fiugzcrl 2009
City of Costa Mesa
Building Safety Department CERTIFICATE OF O C C U P A N C Y N° 2403 C
P. O. Be. 317
Costa Mesa, California '
The Building located at 1A1 1�a1" Ag�yttitn
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group . R &4' _ Occupancy.
Use of Building— t" 193"Allan W+s.. WtA9! ZG 6MM&W-
Legal Description
(See reverse side for Metes and Bounds)_
Building Permit No. • WIR Electrical Permit No. Rr&3 Plumbing Permit No. 1969M
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 apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupar;Gy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever therekis a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest 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 B.
Number of apartments— R and/or guest rooms
ISSUED TO: Building Official I /,•
by-
Date-.,zwtmftw 99, 19616
This Certificate 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 Costa Mesa under Sec. 306 (e) U.B.C. Forrn B1134—tM-11-63—s-s r
\GENERAL CONTRACTORe — ilder DESCRIPTION OF WORK g p
a
AP No. [ O O- LOT TRACT FIRE ZONE VALUE $94,167. 00
IeSSS7�
I'NS
Signature
Date
GROUP H & J TYPE V ZONE R—p
l
SUBCONTRACTOR
S
PERMITS ISSUED
Gas /jr,� y -_/gip i
—�--
I(..�(, Date Number Signature
Waterl(�',.� LD /,:, r�D
6
Plumbin
Rough Plumbing -
Prop. Swr. Line ouse Con.y
A;K
Sprinkling System
Ate -
�s i/�Gb
/
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground,�J Power ❑
. GG -
Rough Wiring sA>i yE- VA' Ce
'
- S-
ea ' g and Vent.
Trenches Forms Q Steel Reinf.
Floor System
_
Bond Beam ❑ Steel Reinforce ❑
Sheathing ZLo
Frame and Flas '
Lathing — In Out . e
Plaster, Brown Coat
m-
St-ictural, Final
e
6
Electric
og, Yo.a_n.,r..:.. rl a r_�' l -
.:.2-L
k._..ibing, Final and Gas Test ❑Aft—
Electric, Final
- z .ti.G
%
Building, Final
o-
a
24967
,COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92020
STATE
For Applicant to Fill In Completely
TYPE OR PRINT
No
A
T-IbrncT'�•`ucae"".-ane! Irnowlie�� ,.
Jn
NO. �i�'7 b" •.
T
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'ECT /IQyam.; Yiyc "Lr's, f�/�. NO; �-
ACTOR at&rn.n 0 —hit/ (ler•
/ GI 0 / X Z I NO. of BLDG{.
Neal.....
BTRACK I.... anlwT[ vRxTM
Ree vaso
DESCRIPTION OF WORK
BUILDING
EXTERIOR WALL �uC;<� ROOF
COVERING > COVERING I^CC
USE OF BUILDING AND WORK TO 88 PERFORMED
G'CInJ tY:Car <3'"K/7/( �rt.
ha ot.f'� 2 rl cl dr tae%�e ��
q a <L_ el r
1 HERESY ACKNOWLEDGE THATA NAVE READ TNI{ APPLICATION
AND STATE THAT TNS AE0VE.I8 CORRECT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES AND STATS LAWS REGULATING
BUILDING CONSTRUCTION.
PIGNATUR
ERMITTRE OF
AUTHORIZED AGENT
CITY OF U; S A SA
DEC g 1965
APPLW1 FFR E \ R T
For Offlte-Usi'Only
R{C[I Y
MT R[ IVSD
CMT.'c ISSUED
BUILDING _ .. l
ADDRESS
QQ\\ JJ •T.�'
•.SIRE / 'Sup;
SONE'i �. �.`al :•"-TYP :. OSliOUP!^ T r>
"'APPROVED'" r"�."• ..
". .. ...DATE
B7' /�.
_�
, a x.`:..,,ZONIN_G J
'ZONO.OF S[OR NEW,V•N/
PLAN{ ,SUILDIN pa
LEGALC
5 V_
DE{CRIPTIO / '
0-70- I
A. P. NO.
NOTE: NO SAVE OVERHANG SMALL D8 Ll88 THAN
SO' TO SIDE a REARP. L.
EAVES
ALLOWED (U. B. C. REQUIREMENT)
YARDS APPROVED
YARDBAPPROVED
MAIN BUILDING
ACCESSORY BUILDING
( FROM C/L STRE
FRONT
OFr,!d
L
R.GID
FT.
r
L Sion FT,
FT
REAR FT.
FT.
DISTANCE BET.
BET. MAIN a
MAIN BLOB/8.
ACCESS. BLO98.
VAR. # V '-.2 7 " S
DATE .7 S
C.
APPROVED
APFRO
—C
Y
DATE I
SQ. FT.
THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE
PURPOSE OF EBTASLISHING A PERMIT PEE ONLY.
VALUATION elit
PERMIT FEE 5 "Z o
0 CIO
GPLAN
CHECK 5
1
3 I Z-
TOTAL PEE 25
it?
J.
XPD'..
SPECIAL REQUU64i 'S:., - ---- z' ;t:•: r, - -- - -
1.--''1�idiGation 'of`20:00'feet to the City to widen^Del Mar :Avenue; Right
of :Way: - -- - _ —'-- — - - - - - -- -- -
2. _ Dedication.of 22'._along_the- westerly property.line,of this .property,.,
f—or street purposes,* =1 _
{
3-.--Dedication-of--a 15-'-radius-spaudrel--dt_the..southeaaterly_corner._
_of `ths.property_at';:Del• Mar, andi.the, proposed street;,.
4. Shall install one Classa:^AoHydrant-'to'FiriB-Departmerit.-requi"re ---
--ments;'When;proplosed-street which parallels,existing_property_is:'con,._.=ste
5._ Shall meet`all•_r_equirements of Uniform Fire Code 1961 Edition; _
Tree'plarit ngi'compatible with''the area; - ---- '-
Y ,>
!r$ldiT C._ . _ J i}c,^: SCF 5.J0_7- I :Ll .�_.�-.._-.__�.-..�_—.,-__..--___•_ _ — __ _
C17
7 1
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_ _ i T' :' L .: .1
u. -C .- .lice tJ: d C'.d' :Y''_ ''1 _
f �/Ii;Mli�ltl�� 1QI
JOB ADDRESS
RMI IL•aiYL01ML ►s : i
11-�1-db
FIRE ZONE VALUE s 700. 00
I" ECTIONS I Signature
Date
GROUP J TYPE IIIZONE Fit
S.
SUBCONTRACTOR
PERMITS ISSUED
Gas
I Date I Number Signature
Water
Plumbing
Rough Plumbing
Prop. Swr. Line ❑ House Con..p
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground ❑ Power0
Rough Wiring
Heating and Vent.
Trenchesa(1/Forms 0 Steel Reinf.
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
Frame and Flashing
Lathing — In ❑ Out ❑
Plaster, Brown Coat
Sf—• tural, Final
Electric
Vent., Refrig. and A.C., Final
PwLaing, Final and Gas Test E]Electric,
ibc,
Fina
Building, Final
26386
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1209 COSTA MESA, CALIFORNIA 92028 -
For Applicant to Fill In Completely
TYPE OR PRINT ' /��J
ADDREIRe 8I �/� '// {J SIII�
?COSTA /MESA, CALIFORNIA
nwuv� / A III J AI 'YO LLI
F
STATELIC- .�%G!c 775 O..' �'y3-1'7ll/
LIC. ND.
NO. or
IN DESCRIPTION OF WORK 0
BUILDING
V/ oc
1 HEREBY ACKNOWLEDGE TNAT.1
AND STATE THAT THE ABOVE IB
PLY WITH ALL CITY ON
BUILDING CONSTRUCT
PHRMII B E of
AUTHORIZED AGENT
smommemeammm
OF
IMS
70F
WERII
DBEF
ew
LAWS REGULATING .
NOV 21-66 00 884 *****6.00
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. I _EI
ISBUED
ZONING
I" MD. OF USE OP N[W
PLANE UILDING /%i(Ai
LEGAL
I'E: NO SAVE OVERHANG SMALL BE LESS THAN
TO SIDE 8 REAR P. L.
a
w
'ES
.OWED
(U. B. C. REQUIREMENT',
YARDS APPROVED
YARDS APPROVED
MAIN BUILDING
I ACCESSORY BUILDING
5
VA
VAR.# I DATE
a
w
�s
SQ. FT.
THE AMOUNT KNOWN UNDER VALUATION IS FOR THE
PURPOSE OF BSTABLIBHING A PERMIT PEE ONLY.
VALUATION
0-4
/
PERMIT FEE �j
O
Q
TOTAL PEE 5�'