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Home My WebLink About1024 MISSION DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 1024 MISSION DR Suite: Vicinity: Parcel Number: 14166206 Zoning: Applicant: DAVID MILLER ISSUED Address: 2870 CHIOS RD Phone: (949) 631-1924 - Status: ISSUED Applied: 07/12/2004 Issued: 07/12/2004 Arch Eng: - - Address: - - Address:, Phone: - - Phone: `Zip: License: �Liceose: _. , _ • SCOPE OF PERMIT _ I TEAR OFF BOTH SLOPED AND FLAT ROOF. INSTALL 7/16" OSB WITH 30YEAR CLASS A COMP ON THE SLOPED SIDE AND HOT MOP. THE FLAT SIDE. _ .. _ . .. _ ..._ . Plan Check: COSTA MESA,. CA - Zip: 92627 ,SMIP Res: Owner: BALL;GRANTTTR_ $0.00 Other . ,$0.00 dnspectlon. ,- $0.00 • Total: - Address /;411 EL MODENA AVE, �' -Phone: 714-646-1648P, _- NEWPORT BEACH;CA' Zip: 92663 Contractor: ORANGE COAST ROOFING Address: 2870 CHIOS RD- ." Phone: (949)631-1924 -� " COSTA MESA, CA Zip:. 92627 ' License: 434674 Arch Eng: - - Address: - - Address:, Phone: - - Phone: `Zip: License: �Liceose: _. , _ • SCOPE OF PERMIT _ I TEAR OFF BOTH SLOPED AND FLAT ROOF. INSTALL 7/16" OSB WITH 30YEAR CLASS A COMP ON THE SLOPED SIDE AND HOT MOP. THE FLAT SIDE. _ .. _ . .. _ ..._ . Plan Check: $0.00 Permib $195.25 ,SMIP Res: $1.08 SMTP Com: $0.00 Other . ,$0.00 dnspectlon. ,- $0.00 • Total: - 1196.33 SETBACKS, MAIN STRUCTURE' Front 0- ACCESSORY Front 0- FEE SUMMARY Calc Valuation: $10,853.00' Claim Valuation: $10 853 00 0 PARKING Existing PLANNING & ZONING ' / .\ % 0 Rear "0-0`_� �r Left 0 0% Right 0-0% i� `Ream 0-0 Left 0-0 - " Right . ~ � 0-0 0 - . Required: 0- Proposed: 0 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: 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 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. FOR INSPECTIONS CALL: (714) 754-5626 2446.46 IBM) G r WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: l — ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. eve and will maintain workers' compensation Insur nce, as required by section 3700 of the labor Code, for the performance of the work for which this permit is Issued. My workers' comp sotto nsuran e7der and p icy number are: '1 .,Pql y-Numill boo (This section nee3no o" co etsd 11 the perms Is valuetl at one hundred dollars ($100) or IsssJ ❑ I certify that an of the work for whi this permit is issued, I shall not employ any person in any manner so to become subject to the workers' compensatio I sof lifomi and a ee that If hould become subject to the workers' compensation provisions of on 3700 of the Labor Code. I shall forthwith comply with a provi ns. T iPpl -WARNING: FAILUR E E RS COMP ON GE IS UNLAWFUL PND SHALL SUBJECT AN EMPLOYER TO CRIMI PENALTIES AND GVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF GDMPEN ON, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DEC TION: I hereby affirm that I am licen 04"apter 9 c mencing with Section 7000) of Division 3 of the Business an�,Prof si5ps Code, and my license is in full force an�eftal'� Lm RClass'ar ((�� -�3 // Con> <�o. re: 4 Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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 the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an Owner Of property who builds or improves thereon, and who does such work himself or herself or through his or her Own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement Is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I, as Owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an Owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors license Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a 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 or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 WIII the applicant or present or future building Occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ..........._ ............... ........ _........._........_........._................._........................._.._.__..................................................................................................................................... 1 ...........................I....................... ........ _......... __........ _................... 2 Does or will the applicant or present or future building occupant need to file a registration forth for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely 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 temperature and pressure). .........................................................................................._...._..................... _.................. _.......... _............ ........... .................................. _.. ...._.....__........_..__..........__.........._..................._...................................................................... 3 will th❑e applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? eor ((Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire bapartment of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. .............................. ... _ ........................................................................................... ........................................................_... —._._.._.._........._............................... .......................... .... ................................................. ..............._........ 4 If en RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ONO .................. _........ .... __.................. -..... ,... ...................................._.........._............._....................................—._.._..._...._._____............................................................................................................. _............... _............. _............ _.......... 5 Does Or will the applicant or present or future building Occupant require for the work which is the subject of thisa plication aemit for such construction or modification 8 8 from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). .....__......._........._.....................__...................... -................................ ....................... ........................................................... ..........1...11...1. ................................................................................. 6 WIII any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (It yes-, the facility must meet the requirement of Sections 25534 and 42303 of the Catifomia Health and Safety Code). ............__.._................ .............................. ....... ...................................................................................................................._........................._.. .......................................................... .........._......................._..............................._......_...................... 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject Of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ......................................... ....................... ....._..............._.............._........_....................__.............._.. ................... ......................................................................................... -_..... -_......... _............ _.... .... 8 (If yes', attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTR F I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state cos and city ordinances re a ng to builtling construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for spection rpofies. I agree not to oc or allow Occupancy of any building authorized by this permit until final inspection. Date v S ature O egal O nor ) ' An r Auth 'zed A CODE If INSPECTION TYPE . j� 2AR SeggF.! INSPECTION TYPE Pm Iyj1T10LS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final` 200 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final Blmk/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign _ 222 Final Site 204 Final Demolition 250 Final Building/Occupancy CITY OF COSTA MESA BUILDING DIVISIOM DEVELOPMENT SERVICES DEPARTMENT E98-00426 J •� PERMIT PERMIT NUMBER (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: 1024 MISSION DR Suite No Vicinity: Parcel Nunmber: 14166206 Status: ISSUED V'"- Applied: 05/19/1998 Issued: 05/19/1998 Applicant: BALL, GRANT T TR Address: 411 EL MODENA AVE Phone: NEWPORT BEACH,CA -Zip 92663 Owner: BALL, GRANT T TR _ Address 411 EL MODENA AVE - - - - -phone:.,, NEWPORT BEACH,CA _ _ - Zip: 92663 �. Contractor Address: .. ..��. Phone:` .. Zip:'r- ... License:. - '- SCOPE OF PERMIT STATE HEALTH & SAFETY CODE SECTION 1160491.1 PUBLIC POOL GFCI- INSPECTION ' , FEE SUMMARY Quantity - ', Quantity ISSUE FEE $22.00 Temp Dist System / Lighting $0.00 0 Temp service test $0.00 _ -- Busway/100-ft,, _ ,' �. $0.00 0 Res. a/c package $0.00 __ - - - ;_- Standing Section' - $0.00 0 New Res (1-2 units) $0.00 0 - Misc Electrical Equipment $0.00 0. New Res (3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool / Spa $0.00 0 ................ upto 10 kva/kw $0.00 0 Lighting Fixts $1.00 1.......... ...... up to 50 kva/kw $0.00 0 ' Recept Outlets $0.00 0 ................. up to 100 kva/kw $0.00 f- 0 Switches $0.00 0 ..................over 100 kva/kw $0.00' 0 Non Res Appl $0.00 0 Low VoltageEquipment $0.00 , - 0 Res Appl $0.00 0 Low Volt Wiring System / Ckt $0.00 0 Service to 200a $0.00 0 _ Mz.,Conduit . $0.00 0 Service to 1000a $0.00 0 : Misc. Conductor, - _ " $0.00 0 Service over 1000a $0.00 ' 0 Circus (gen or ride)..; ,- $0.00' 0 Motors to 1 hp $0.00 0 - - �Circus'(mech ride or lights) $0.00 0 Motors to 10hp $0.00 _0_ ♦ Christmas Tree Stand - $0.00 0 Motors to 50hp - $0.00 0 - Fireworks Stand - $0.00 0, Motors to 1 00h $0.00. 0 Other Electrical Fee $0.00 "- Motors over 100hp $0.00 -0 ' Communication drops $0.00 0 Investigation Fee _ $0.00 Sub panel to 200a $0.00 0 Plan Check Fee. $0.00 Pole Light Pkg $0.00 0 Reinspection Fee - $0.00 Sign Circuits $0.00 0 - '^ Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $23.00 Intermed Pole $0.00 0 COMMENTS / SPECIAL CONDITIONS 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 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. FOR INSPECTIONS CALL: (714) 754-5626 DECLARATIONS C), WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to sett-Insure for workers compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 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 permit is issued. My workers' compensation Insurance canter and policy number are: Cartier. Policy Number. (This sacdon need not be completed ff the permit /s valued atone hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any Person in any manner so as to become subject to the workers' compensation laws of California, and agree that d 1 should became subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOULARE ($100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31060E THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. Lia a Class a Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of Perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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 the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (3500).): ❑ I, as Owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her Own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractors) Ii ursuanl to the Contractors Ucense Laws.). ❑ 1 a exempt undel,J6e .Business and Professions Code for this reason: Signature L Date: ) e iiii Owner ID verified by drivels license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or dead): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby cortlty, that no excavation five (5) or more feet in depth Into which a 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 or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 6, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed! gas at standard temperature and pressure). ....................................................................................................................................................................................................................... ....................................................... 2 Does or will the applicant or present or future builtling occupant need to file a registration forth for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely 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 temperature and pressure). .................................................................................................................................................................................................................................................................................... 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the 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. .................................................................................................................................................................................................................................................................................... 4 If an RMPP Is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No .................................................................................................................................................................................................................................................................................... 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication appe"it for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ................................................................................................................................................................................................................................................................................. 6 WIII any part of [he fadliry to be consimctetl under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ NO (Ii yes'. the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ................................................................................................................................................................................................................................................................ 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is regqwired for the work which Is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑ NO ..... _............................................................................................................................................................................................................................................................................. e (If yes', attach cortiflcate of compliance from me appropriate air pollutlon control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is corre agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the abov Oescnbed property for jnspecU� on purposes. I agree not to occupy or allow Occupancy of any building authorized by this permit until final in Ck ignature Of Legal`Owner(s) a Date And/Or Authorized Applicant Date =QLL INSPECTION TYPE DATE ItllIDAL6 CODEC INSPECTIONTYPE DATE IIMAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1208 Pool Spa Final - 208 Final Plumbing 200 Final Re-Root 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition - 250 Final Building/Occupancy 244646 City of Costa Mesa B Building Safety Department CERTIFICATE OF OCCUPANCY N� 1891 P. o. Bax 317 Costa Mesa, California The Building located at 10214 Mission Drive, A, Br C and D has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group H & J Occupancy. -Use of Building Fourplex Residence with attached rglaragd: Legal Description Dot 22p Tract (See reverse side for Metes and Bounds) Building Permit No. 18991 Electrical Permit No. 19531 Plumbing Permit No.37880 Floor Load Signs have been installed as Room Capacity Signs have been insialed 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 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 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 8. Number of apartments Fmir and/or guest rooms ISSUED TO: Building Official Diliinan - Bruninell Enterprises by S� e?l.-I'/,X,�ct� Date_ Adm hP 19164 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. Forn, Bv34—int-11-63—B-B F City of Costa Mesa Building Safety Department CERTIFICATE O F O C C U P A N C Y N°; 1891 C P. O. Box 317 Costa Mesa, California The Building -located at 1024 ?.finalon Drive; A. A. C and D has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group it Lb 3 Occupancy. Use of Buildingrairp ex Residence with attached Legal Description Lot 22, Tract 3922 (See reverse side for Metes and Bounds) Building Permit No.3899*1 Electrical Permit No. 795o7 Plumbing Permit No. 37880 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 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 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 91 Article 8. Number of apartments 'Firtr and/or guest rooms ISSUED TO: Building Official /�/j/ —_j2i 1?t nn Rr m nni 1 Fntnrmr5 Rna by Com' ' Date T.YCfi :i� 1Q�ib. 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. Baan su34—IM-11-ea--s-s P I OWNER CANNON, C. Donald & MAR Paul DATE 9-8-64 �J JOB ADDRESS 1024 Mission Drive BUILDING PERMIT NO. GENERAL CONTRACTOR Owner-Bldr. VALUE $ 100-00 APNo.1 1- 2-0 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Colnm.Blk•Wall INSPECTIONS Signature DATE GROUP J TYPE IV ZONE R-1 S — SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Water Rough Com. Refrig. ❑ Air Cord. ❑ Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line ❑ House Con. ❑ St. Swr. ❑ wrinkling System Construction Pole Underground ❑ Power ❑ Rough Wirin Trenches Forms ❑ Steel Reinf. /Q Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Flashing Lathing — In O Out ❑ Plaster, brown coat Refrig. ❑ Air Con. ❑ Final I 'ig, Final I. ..bing Fixtures, Final Final Gas Test Electric Fixtures, Final Building, Final -- -� �. OCCUPANCY Form BU4 5M-3-63--S-B P 7'J(7rYJ 22922 CrJSTA MESA BUILDINGSAFETY DEPARTMENT P. O. BOX 317 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS 2. v, ` RI C N COSTA MESA, CALIFORNIA ® ADDRESS W24 11 MiVA60 DIZ1J a 0 STATE TEL. LIC. NO. NO. SIZE I %' U NO. OP BLDOE. 'I OF LOT �_� ?a Ali NOW ON LOT i USE OF &-. ® DESCRIPTION OF WORK i FEE RECEIVED SEP 8 1964 AL FBE"RMIT ZONING Pune 7_- I OF uUII SUIT 3 g�v G2_v6. SHALL BE LESS THAN YARDS APPROVED I YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING VAR. # DATE BUIL 3 ' SIZE S C.U.P.# APPROVED -STORIES EXTERIOR WALL F' APPROVED ' C/ COVERING ERING Bl' Aj E USYE70F BU?LDINGLL OA�E�PEla'wcv- vJ` L 1/O t�Pr L SQ. FT. N o I HEREBY ACKNOWLEDGE READ THIS APPLIGTION THE AMOUNT SHOWN UNDER VALUATION IR FOR THE AND STATE THAT THE ARECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDD STATE LAWS REGULATING VALUATION m BUILDI NO CONBTRUCTIO N p0 7OC N SIGNATURE OF%✓�`.PERMITFEE $ P PERMITTE �IH�t/ F 0 AUTHORIZED AGENT ^ E TOTAL FEE $ D� OWNER ,DILLMAN-BRUMMELL ENTERPRISES DATE MAR 1 4 1963 .� JOB ADDRESS 1024 Mission Dr. A +hrsi n BUILDING PERMIT NO./ IRool GENERAL CONTRACTOR Dil].man-Brunnnell Enterprises VALUE $ 48,144.00 AP No. LOT 22 TRACT 3922 FIRE ZONE DESCRIPTION OF WOR 4--pleX W att.ap INSPECTIONS Signature DATE GROUP H&J TYPE V ZONE R-11 S SUBCONTRACTOR PER ITS ISSUED C 6 -fir -C. DATE NUMBER Waiev.44 7 L/A Rough ComRefrig. 01 Air Cond. . Rough Heating „� � S Rough Plumbing Miscellaneous Prop. Swr. Line ❑ House an. ❑ St. Swr. ❑ In, ,,. ��-- T—_ 8-1963 _ 6. Sprinkling System D Construction Poe Underground [IPower E; Rough Wiring .Qj./' 4- rent es ❑Forms ❑ Steel Reinf. ❑ 3 - 2 ;:2 3 Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing %j?c _ - Frame and Flashing �_ �- Z � Lathing - In ❑ Out ❑�_- Plaster, brown coat m J 6 Re rig. ❑ - Air Cond. ❑ Fina V 'ng, Final I ping Fixtures, Final _ Final Gas Test Electric Fixtures, Final 7� Building, Final ' OCCUPANCY FORM BU4 - 5M - 7-61 fjppl 18991 CPSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 917 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely ■ COSTA MESA, CALIFORNIA ■ MAIL 12081 Buaro MAILADDRESS CITY Garden Grove TEL OR ENARCHITECT . GINEER Walters & Sono �R3-6700 436 Heliotrope, Corona del Mar LIC. NO. N SIZEOF LOT 72' x109:33' I NO. OF BLOTe. 0 NOW F LOT USE OF EXISTING BLDG. SETBACK LINE FROM 4,01 CENTER OF STREET REAR YARD 6`� I SIDE YARD LEFT 27' I RIGHT ' DESCRIPTION OF WORK ' FEE RECEIVED. MAB 8 1983 FINANCE DEPT APPLICA 1t 14YF(* MM MiSA BUILDING For Office Use Only ' RECEIV)g� I rREyl1/ p,, DATE I ED MAR 1 I? DtQaa APPROVED V BY DATE ZONING 20N ,NO. Op UBE OF NHW PVNS BUILDI NB u/� �F°1. PTIGN o T _ Z Jt 17 . 9.2, .e NOTE: NO EAVE OVERHANG SHALL BE LESS THAN 90" TO SIDE 4 REAR P. L. EAVES ALLOWED (U. S. C. REQUIREMENT YARDSAPPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING BU1.1 1 NO, OF VAR. # DATE A SIZEx78 ROOMS 24 STORIES' 2 C. U. P. # APPROVED EXTERIOR WALLI,, ROOF APPROVE / COVERING JtUCCO I COVERIN Shake BY DATE �(`J USE OF BUILDING AND WORK TO BE PERFORMED 4 unit dwelling with att. at i tzgA I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PLY WITH ALL CITY ORDI ICES AND TE LAWS REGULATING BUILDING CONSTRUCTI SIGNATURE OF 0 AUTHORIZED AGENT 7dZ 9Q. FT. A �y 3 0 a" THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O VALUATION PERMIT FEE $ 3, 6 O 0 LAN CHECK 3 ,j �/ 0 / Tf1TAI FFF SS V / — 4 C� OWNER CANNON, C. Donald & MAR, Paul DATE 9-5-64 {' JOB ADDRESS 1030 Mission Dr. BUILDING PERMIT NO. 2 GENERAL CONTRACTOR 'Owner—Bldr. VALUE$ 100. 00 AP No.l 1- 2-05 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Comm. Blk. Wall INSPECTIONS Signature DATE GROUP J TYPE 1V ZONE R-1 _ S SUBCONTRACTOR PERMITS ISSUED -- DATE NUMBER Water _ Rough Com. Refrig. ❑ Air Cond. ❑ Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line ❑ House Con. O St. Swr. ❑ Sprinkling System Construction Pole Underground ❑ Power ❑ Rough Wiring Trenches'ff' Forms ❑ Steel Reid.. Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Flashing _ Lathing — In ❑ Out O Plaster, brown coat Refrig. ❑ Air Con. ❑ Final F ig, Final 1- ..oing Fixtures, Final Final Gas Test Electric Fixtures, Final _ Budding, Final -- — OCCUPANCY norm nun m--u�-a Y Z w a Z Z_ O a J J Q Co L Z W W J m J W Z Z_ w Z) ggq9 5 APR -9 -71P„ -SHOO 473 u*****5.00 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED -7 -7) RECEIVED D TE ISSUED r ^ / / JBUILDINGV, ADDRESS 10,:24 —3 C I�'rI LjJ i C N JV, v OWNER C , jJv.vs.c.D C -A N.va�ro - d'Av c. F1g // _ / —sem- PERMIT NO. A.P. NO. 7 (G i MAIL ADDRESS Ca. -D M11 SS%V A' 1) 1L_ BUILDING ` ADDRESS O�.�(.-t1 TEL CITY �. C,j j />I- /1" E`C/y No. .r -1 -a: -IM -y�I TRACTS �`/ `L6T BLOCK W U Z Q H CONSTRUCTION .,� LENDER Al CN G W ADD P N m OWN ER 1�, �/ q - 0 N BRANCH J ADDRESS /// VALUE.Sf„V ' $L ARCHITECT TEL. OR ENGINEER N . ADDRESS CL w FIRE ZONE TYPE GROUP APPROVED Z^/^ U CONTRACTOR OWNC/L•- 0 L1 ErL BY / DATE Z cc - W = H ADDRESS TEL. CITY NO. ZO E NO.OF USE OP NE W PLANS BUILDING STATE CITY OVO E tL LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING O SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT `__F7 FT. USE OF EXISTING BLDG. R. SIDE FT. lI•-�L�tFT. Z SIZE OF NO.OF NEW BLDG. ROOMS STORIES L. SIDE FT. FT. UEXTERIOR WALL COVERING ROOF COVERING REAR r1 FT. t" FT. _ J 1 USE OF BUILDING AND WORK TO BE PERFORMED 1 hIf:-(-1 C. oz_ r- L' -A LL. 1C DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. L, E - ft At'>`sTA Jkc6 VAR.* DATE C.U.P.+ APPROVED H y A/G c'. APP E 7/ ak_L_n,/-i Z O UI N hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions Of the State of California Business antl Professions Code, Division 3, Chapter 9. VALUATION Cr' PERMIT FEE $ S �— Signatureof•zt1�l,`_ 0 (��%�'�/L�OI/� %�1i Permittee's+tWLl $ PLAN CHECK $ ' Authorized Agent TOTAL FEE $ 15-1