HomeMy WebLinkAbout1042 MISSION DR - Building PermitsApplicant
to fill in all spaces except those within
heavy border lines and sign all appropriate declarations.
CIT" ._COSTA MESA: - -' ..-----
P MIT NO. --- ._
.TRACT NO.—;
LOT NO. -`
BLD
- 1 .-
-. _. ..... _
2CON RUCTION PERMIT
-. ����-%'
-
:`
5805^ 3I,j2�84 ��.57 TL
^
Project Address /J - COI
TYPE OF CONSTRUCTION s NEW n ADD . ALTERATION REPAIR
Applicant'S Mailin Address
❑CONVERSION -❑ DEMOLISH
❑ OTyHERi -
A.P. ! -
- Zona:
Owner's Name % ' Q Pholne �47kS
:7�
DESCRIPTION OF WORK
-..
^' - ' -
S'
.. _
Main euildmg:•
-Accessory Building _ ;
Z
Address 03 SI Md IQ /CU' 0160114% -/CLT
:.
TYPE OF PERMIT 'GRADING'
FOUNDATION ❑STRUCTURAL
E
T
,.
Front
O
N
i
_
Arch/Eng:: License No.
❑ TENANT ❑ELECTRICAL ❑PLUMBING
❑MECHANICAL'
B
❑,OTHER'
-
A
Rear
-
N
Addre55i
C
Right
- r `
G
ContEactor's NameL. _ - Phone q,
PROJECT DESCRIPTION; SO. FT.
_ 06CUPANCv =
'K'ws
✓' /N.
_
' CONSTRUCTION TYPE
VALUATION$ /ff,16, i�
S,
Left
E
Address (mailing)
!
- Ciny.Liceose No. �� '
20NE GRA
- -
NG CU.VDS. 'ACRES
Ping. Ref. #
Park Fees $' i
Q
U
LICENSED CONTRACTOR DECLARATION i , ':
Remarks: , -
I I �.
Parking Req./Provided
- - '.; •-
_
h
!
that I am licensed provisions of CProfessi (commencing i
I ith
R
7 of the
with section 7000) of Division 3 of the Business and Professions Code, and
section
. ! _
� � � �
V
Use of Building:
E
i
my license is in full f rce nd'e(fec Q lI
!
;
' '
M
Licens ass��^LtdC6JL`
PLUMBING
FEES
Planning Notes:
` '
E
Date Signature
f I
Bar Sink
Showers i
i
(
T'
{
\�,/yTJ],''
'WORKEF$ COMPENSATION DE ARATION' i
i
I hereby affirm that I have a certific a of consent to self-insur¢ ora certificate
Preventer
Service Sink
,
I (
i '•+
S
1
1
x ;Workers' Compensation )nsurance;.ora-certifiedl-copy- thereof -(Section �-
_Backflow _ _
_
I
v\
,,.xO, Lab. C.) I
Baikflow lrr.ganon
Sewer Cap I I
ELECTRICAL-
' � ; FEES
"icy No. ' Company 1 I
•. ,
Certified copy is hereby furnished. , t
Bathtubs , !
Sewer Connection'
'Automatic Washer I
E3 15,50,KW 1
Cer . i o is filed with the c' I ivi : 1
Date Applican
Clarifiers t
Solar Collectors -
Construction Pole Sub.
,Transformer
I ❑ 501+ KW
,.
'
EXEMP ION ROMWORKE RS';CO PEN SATIONDECLARATION ---,I
(This section need not be Completed' the permit is fon one hundred ($IOO) or
Dishwasher ' -
'Solar Piping �' '—' i -'
-
_
_ Cookib Unit"'
giY
+Meter ❑u to100,am s
p p
Il certify •t that in the performance of the work for which this permit is issued,
Drinking Fountains
Solar Tank
Dishwasher , I
!Meter ❑over 100 snips" 9
shall not employ any person in any manner so -as to become subject,io
Workers' Compensation' Laws.of California.,
'
Floor Drains; i !
Swimming Pool w/ pa t
I
Dryers OGas1 ❑Electric
:Sub Panel �•�
Date' ' Signature tt ' I
'
_
NOTICE: if, after making this declaration, you should become subject to the
Floor Sinks I
Urinal (
FanI
!Motors ❑0-1 HP ❑1'/: -B !
Workers'. Compensation -provisions of'•the'Ubor-Code, you mu$t'forthwith
-
-
— -. --.-- _ _ _'!' .. __ - _
comply with' such, provisions . orothi$„permit I shall be•deemed revoked.
'
-I Gas Service' "Outlets. '
.WaterCloset f
I ' '
x
-
F.A.U. ! I
1
❑9-15 HP ❑1.6-15+ i '
Inc. Solari +
CONSTRUCTION, LENDING. AGENCYZ; T 1 r5 r-
_
l
I hereby affirm that there is a,constructlon lending agericy'for the performance' 1
1 Interceptors !
Water Heater', -
j-
Fixtures
'.Microwave
of the work ,for 'which' this' permit, is issuetls(Secbon ` 3097 Civ. G.)
-
Lender's NamP1 i t ' -
•-
_
_ Kitchen Sink r• -
Water SerJice
' ”
Device Bozos ;
Pole Light
Lender's 'Address
Lavatories' �� • '_
! •
t7
OWNER Bl/1LD ER DECLARATION r (` i { i _' -
'-
•1 ,; ,
a. ,.�
—
Outlets ;
Range
I hereby affirm that I am exempt from the' Contractor's License Law for the
-
'"i I '-
_ LL -
-
following reason (Section 7031:5iBusiness and Professional Code: Any city or
P,—Trap; j !
- _ i ' �'
r'
Switches!
Sign
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
- - _
- hoof",Drains J - i •`_
'
7.- ...r
E I !, j
-
'", -
Garbage Disposal ;
Standing Section; ,
to file assigned statement that he/she is licensed pursuant to the prodisions of
{
- '
' 7 '
'
the Contractor's License Law (Chapter 9 (commencing with'Section' 7000) M
j' i
Yr j '
, ( ;.' (
- 1 _.
Generator 00;5 KW ❑5-15 KW
i
Trash Compactor
Division 3 of the, Business and Professions Code). or that he/she- is
_
t erefrom and the basis for the alleged exemption} Any.violation' of Section
9'3.5 by; any applicant for -al permit. subjects' the*.'applicant--to a' civil I
'•-�
I
^,
I (
',r Issue Fee'
+ $'3
1 I
ty of not more than five hundred dollars ($500).+ •_ , .
1
! YRainSpeeLOn'Fee
I$$5
t
^,
! ,
'! '.$'3
;:•, aslowner of the property 'o employees with wages as then sole !
I -- 4
FEES
Reinspection Fee $25
i Issue Fee'
.tom Pensation, will do the work, and the -structure is not intended or offered
for saleI(Section ,7044, Business antl' Professional -Code: The' Contractor's i
i .MECHANICAL
PUBLIC. SERVICES REQUIREMENTS:
1
,.
`
—
License Law does not apply to amowner Of a propertylwho;builds or improves I
_
Boller' i:: !
Hood or. Type I ❑
;
' -
j - , ) I i
'Date
thereon,, andiwho. does such work himself/herself'or through his or her own
employees, that improvements not intended for
( �' nl
Canopy Type III' E :
Zoning'ApproVed By - -
-
' 4
provided such are or offered
If, however, building or improvement is within
Duct Under Ground I l
I
Application Approved By
r
' Date I
sale. the sold one year, of com-
pletion, the owner will ihave the burden of proving he/she did not build or im-
rove;for the purpose of sale). la : / ,
-
Duct - Structural I i 1
_
Refrigeration System ' : •,
Application Issued'By �`r
�' i Dat '
I, as owner of the property, am exclusively contracting,with licensed con-
f I
X0.100,000 BTU ❑100 000 BTU
{
-
I
FEES ( i
tractors to construct the project (Section 7044, Business a Professions Code: ;
does to
Duct - Ventilating
'-
-
'
( • .� SUM
ARV OF I
'
The _Contractor's -License Law notapply an -owner of property -who -j-
builds or improves thereon, and who contracts for such
p projects with aeon-
)
-- - -. - - --
Exhaust System ❑ Multiple ❑'
- - -- -._._ -
System Reparr/Alteration
_
BUILDING PERMIT $ ( r
;MIP } �.$ S�(}
J
tractor(s) license pursuant tohhe Contractor's License Law): I. I
-
PLAN CHECK $ !
PERMIT f '
❑U•am exempt under Section ' B. & P. C. for this reason {
Fire I/Fact. Blt. ICBO•# I i
P
( ! 1
I
-ISSUANCE $
c '
PLUMBING ' $
Date I I Owner, ° 1 '
Heating System & Ducting !
' i
: PLAN CHECK $ '
ENERGYP.C. $
herebycertifythat: Il'have read this application and state that the above
In -comply
!
-
❑0-100,000 BTU (]100,000 BT
— --.p __ .........,_..-_q.:....� ..
5 i _..
ELECTRICAL $
GRADING $ '
'
is e to 1 with all"cit
p y y'antlicount ordinances"
y
and -state laws to but n9 hereby ize repro-
`t
- _ - • _ - _
'
_
!
± MICROFILM $ !
relating construction,, and allthO
fse
1
(
PLANT CHECK $
sentati ves Chi city! to' r Pon theMove-mentionetl ,pr per r
InSPectio I ,
M.
j
MECHANICAL $
'
-
Signature Dat /
i
i
Reins lection Fee
P
' $25
Issue Fee i
$ 3
PLAN CHECK $
TOTAL FEE $
I
Drivers' Li or.SS #
CMF�OB65-46+ev. 7/83 ' White-'Building;Canary-Applican4�Pink-Accounting;
Goltlenrotl--'Assessor .-
'-
`^ CONSTRUCTION AND PLANNING
APPROVALS Permit #
Data
-
Inspector
POOL 8 \
- - -
APPROVALS Permit #
-
Date
-Inspector
1. Temporary Electrical Service or Pole
-
52. Pool & Equipment, Location
-
-
2. Soil Pipe-Undrgrnd.
" 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrrid. -
,-
54. Forms.
"
4. Electrical Conduit-Undrgrnd.
,5.
-
55. Electrical Bonding. -
Steel Reinforcement
-.
56. Rough Plumbing & Pressure Test
-
6. Electrical LIFER Grnd.57.-APPROVAL
TO COVER
=
J
7. Footings
-58. Electrical Conduit-Undrgrnd.
'
8.. Foundation t59.-
Gas Pipe, 13 Undrgrnd., Test
9. WaterPipe-Undrgrnd.
60. Backwash Lines, P -Trap, 0 Undrgrnd.
10. Structural Floor 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. 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
18. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL -
19. Rough Heating &.Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
"
'
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
1 22. Ducts, Ventilating
71. Product Piping 0Gas 00il
�3. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing -
,25.
73. Undergrnd. Storage Tank ❑Gas O'Oil
Roof Sheathing
74. Overhead Hydro
26.,T -Bar Ceiling (Structural) & Monocoat
75. Dry Chemical
.,
27. Frame and Flashing
76. Dry Standpipe
28. Lathing & Sidings
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 -Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
Notes:
34. Final Heating & Air Conditioning
-
35. Final Gas Pipe -Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing r
39. Water Service -Final
-
40. Gas Service -Final
41. Solar Domestic -Final
_ '-
42. Backflow Preventer
43. Backflow Irrigation
-
-
".'44. Landscape Irrigation System
45. Sound Attenuation
- 46. Handicap Regulations
r47. FINALSTRUCTURE & BUILDING
.1
i
,
48. Special Requirements Completed
-
49. Electric Release to Edison
- --
r - • - -
50. Gas Release to Southern California'Gas Co
-
51. CERTIFICATE OF,OCCUPANCY
No. Date
_
Applicant to fill in all spapes except those w Mr.,der lines and sign all appropriate declarations.
CITY OF COSTA MESA i" -'
PERMIT NO. -
TR`?,C.
LOT NO. -
-BLD
Bathtubs -Sewer Connection
I
CONSTRUCTION PERMIT
!Automatic Washer ,Transformer ❑ 15 50 KW
Construction Pole_ Suh. I ❑ 501, -"KW
1'
Clarifiers I 1 Solar Collectors !
1
- EXEMP ION,FROM WORKERS' COMPENSATI6w6ECLARATION - •- +-
(Thissection need not be completed if the permit is for, one hundred ($100) or
Project Address "
TYPE OF CONSTRUCTION', NEW ADD, ALTERATION REPAIR
_ i _ _
Cooking Unit Meter "❑u tot00am s>" -
9. _ P' , P ,
Applicant's Mailing A ddress%/a/n /YY1 W1�Y �•
_
❑CONVERSION ❑DEMOLISH �OTHEq.I -
q•P•,#
Owner's�'N LAJ._Phone
DESCRIPTION OF WORK �I a 1
S
Main Building:
( FIOOf Sinks i I I Urinal ! I i 1
-'
,Name
Address /3 �j 120llw/ DI��Aa, ,:C�1 '
'Fan _ j I' +Motors ❑0.1 HP ❑1 X - B f
^ -"- -- -- - ---- - - - - -- - '
E
-
Fq;U. I Ina Solar'09-15 HPLJ 16-15+ I j
r f
TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL"
T
Front', 1 _-
-
'
Arch/Eng.' License No.
_
TENANT ❑ ELECTRICAL ❑ PLUMBING• ❑ MECHANICAL i '
-
Lavatories f �� 4, . 1 •, 1 t 1 -
..
Outlets - Range
Address,
.❑ ..
❑ OTHER -r : •'-
A
Rear. o
,
/11 A,r �f' •,,c/�'L ,-�y-�q
Contractor's Nam �^'�' P¢oneat 7,'/
PROJECT DESCRIPTION SQ. FT.' %a��! 'OCCUPANCY mUL�'"/
C
!
Right
` '•
Remslaecttan Fee Q
Address (maihn9l{ate COMMPY'G/Q. lL tsti��
t' CONSTRUCTION TYPE )4 .VALUATION$ /5-36,
g
Left
i 1 ; ' 'MECHANICAL
ir,�s'T213
City jLicense No. _-Cil-d-!
ZONE GRADING CU. ACRES
Ping: Ref.
LICENSED CONTRACTOR DECLARATION I
Remarks: • I
'
Parking Req./Provided
, `.i
I, hereby affirm that I'. am licensed under provisions of Charter 9 (commencing
_
- - -
Duct', Under Ground j
with section 7000) of Division 31 of the Business and Professions Code, and
j I .I [. _ r
Use of Building:
-
- 1
!
my license is in ful orce an effect.
7
-
Planning Notes:
'
'
License la s ��' is
' j - PLUMBING
FEES
- - - -- - -,
System Repair/Alteration I V
-
sN�, A
Date��/ sg i //a''/f ' I
Bar Sink ! Showers
Firepl/Fact. Bit. ICBO,# +
WORKERS' COMPENSATION CLA RATION; ! - 1 _
Date Owner; a
I hereby certify that I have read this application and state that the aoove
Information -is correct: ('agree to comp with all clty'and:countyordinances�
and'state laws relating'to building co ruction; and hereby authorize repre- '
sentativa of this'cit [er up the above-mentioned',proper y or
inspecti i
Signature _ Date J�• i
Drivers' cerise or,SS t -
I'
4632 2/.$2/84. 12.50 1T1
Zone.
'Accessory Building' ° - Z
O
" N
- 1 t E
Park.Fees $ _ Q
U
E
E
T
s
\W
V�
- I hereby affirm that I have a certificate of consent to self -insure or a certificate �_
'+f• Workers' Compensation Insurance; or -a certifiedf copy thereof -(Section
300, Lab. CJ' ' `,J
olicY No. ', ." %� Com Pant ��h7 n`
is hereby furn ishetl. '
Certified copy y
Certifi co i tiled with the city ,�/��,...,
Dates=2 U Applicant C_� /S vietr//�9
-'` BackfBackfllow 6regation ,Sewer Cap venter Service k
- - - - - -
-.
t -
s S
1 ;FEES
t 1 ELECTRICAL
Bathtubs -Sewer Connection
I
t
!Automatic Washer ,Transformer ❑ 15 50 KW
Construction Pole_ Suh. I ❑ 501, -"KW
1'
Clarifiers I 1 Solar Collectors !
1
- EXEMP ION,FROM WORKERS' COMPENSATI6w6ECLARATION - •- +-
(Thissection need not be completed if the permit is for, one hundred ($100) or
- - -- - .--- -
Dishwasher-, - "'Solar Piping r- '•
I
..-..
_ i _ _
Cooking Unit Meter "❑u tot00am s>" -
9. _ P' , P ,
'
-
•
less): 1. , : 1 i ,
certify That ,in the performance of the work fonwhich this permit Is issueG, I
shall not employ any person In any manner so -as to become subject to the
Workers, Compensation; Laws of Californla.l 'I s - I
Data '• Signature '
NOTICE: If, atter making this declaration, you should become subject to the
-Workers'-Compensation" provisions of the Labor Code',you`must forthwith-.
comply with: such provisions or thisnpermltj shall beldeemed revoked;
CONSTRUCT,ION'', LENDING"'AG ENCV' . r..^
thereby affirm that there i{a,construction lending agency for the performance
of the work .for which' this permit: is issued (Section 13097, Qv. C:)
Lender's; Name. 1 ' i •V
- i Drinking Fountains Solar Tank
-
(Dishwasher .I jMeter ❑over 100 amps-} 1
'
,
I Floor Drains, j i Swimming Pool W/Spa • I i
'Dryers ❑Gas! ❑Electric ISub Panel
-
( FIOOf Sinks i I I Urinal ! I i 1
-'
i
'Fan _ j I' +Motors ❑0.1 HP ❑1 X - B f
^ -"- -- -- - ---- - - - - -- - '
j Gas $erJlCe i Outlets� :� .Water ClOsetl +
- S
I _
Fq;U. I Ina Solar'09-15 HPLJ 16-15+ I j
Intercelitors r- Weter 'Heater I
'-
Fixtures; +Microwave )
-
_ ` _
Kitchen Sink , Wates. Serv_Ice - I �.. !
f
'
Device Boxes ' )Pole Light ! i -
Lenders Adtlressl - _ -
OWNER 9llILDERDECLARATION.-' '� i r - - t
1 hereby{affirm'that 1 am exempt from the Contractor's,License Caw for the ,
following reasonl(Section 7031.5•Business and Professional, Code: Any city or
county which requires a permit to construct, alter, Improve, demob sh' or. repair 'Im
fang structure; pit or to its issuance, also requires the applicant for such permit
'ito file a.signed Statement that he/she is licensed pursuant to the provisions of
the Contractor's License taw (Chapter 9 (com menc ingi with, Sect ion -7000) of
Division l 3 -of the 'Business and Professions Code) or, that he/she -is exempt
therefrom and the basis for.the alleged exemption, A.ny,violation of Section
y'�31:5 by any applicant for aj per mit •subjects' the applicant -to a' civil i
-. nalty of not more than five hundretl tlollars ($500). V - . 1 I q 1
I," as owner of. the property for �my :employees' with wage51 as then Sole
"compensation will do the work, and the -structure is not intended or offered
for sale+(Section 7044, Business antl' Professional. Code: The. Contractor's ;
License Law does not apply to an owner of a property wh o'bulltls or improves
thereon; and Iwho+tloes such work -hi mself/herself-or through his or her own '
employees, provided that such improvements are not Intended or offeredlfor i
sale. If, however, the building or improvement is sold within one year,of com-
pletion, the owner, will have the burden of proving he/she did not build or im-
t�roveifor the purpose of sale). 1 i t; I ` 1
LLJJ 1, as owner of the property, am exclusively contracting with licensed con
tractors to construct the project (Section 7044, Business and Professions Cod e:
-The-Contractor's License Law.does-not apply -to an -owner of.property who --
builds or improves thereon,'and who contracts for such projects with acon-
tractor(s) license pursuant to'the Contractors License LAW): i r I
❑LI'am'exempt under Section j e. & P. C. for this reason
-
Lavatories f �� 4, . 1 •, 1 t 1 -
..
Outlets - Range
p 'Tfa ' - ' ] _ :'t rx '
pi _ I - I r i -
. i
Switches Sign I '
R oof'Drasl
_
Garbage Disposal i Standing Sections r t `r
_
c4 , L
_-' 1 - '= 1 r-)
1 - - - ,t •�, _
t• 1
Generator ❑0;5 KW ❑5-15 KW Trash Compactor f
i ! i
` '•
Remslaecttan Fee Q
�-•• +
i $25' ' a Issue Fee �_ i'
I
sr $B
„ 1
Reinspection Fee 1 I $251 Issue Feer " $ 3
i 1 ; ' 'MECHANICAL
I i 1 -
- -
FEES •.
PUBLIC SERVICES REQUIREMENTS:
Zoning Approved By I Date
,
Application Approved By I Date '
' ; I I
Application Issued.By ` %y /' ` ' Dat
Bailer 1 l -y,'
- + - ' I -
Hood or Type ❑i_
_
C¢nppY Typ¢ f ❑
I 1 r
, `.i
1
- - -
Duct', Under Ground j
Duct - Structural I
Refrigeration System i ! I
❑0,100,000 BTU ❑100,000 BTU
-
-
- 1
!
Duct - Ventilating
j ) ! -SUMMARY OF FEES
BUILDINGIPERMIT i $ i�,pD SMIP i $
I - i PERMIT
PLAN CHECK' 1 $ j
ISSUANCE $
PLUMBING '3 •$ I ,
PLAN CHECK $ - ENERGY P.C. $
ELECTRICAL GRADING $ 7
- $
PLAN CHECK $ MICROFILM $
, '
j MECHANICAL $ I TOTAL FEE $
+' PLAN CHECK i' $ t
-
- -- - -
Exhaust System ❑ multiple ❑{
- - - -- - -,
System Repair/Alteration I V
-
Firepl/Fact. Bit. ICBO,# +
Date Owner; a
I hereby certify that I have read this application and state that the aoove
Information -is correct: ('agree to comp with all clty'and:countyordinances�
and'state laws relating'to building co ruction; and hereby authorize repre- '
sentativa of this'cit [er up the above-mentioned',proper y or
inspecti i
Signature _ Date J�• i
Drivers' cerise or,SS t -
I'
Heating System & Ducting
❑0.100,000 BTU ❑100,000 BT
—' - -
I
-
- j_ - _ :
Y
I
j - :
1 I
I
., !
I
i
Reinspection Fee $25 ' Issue Fee '
,
$ 3
'CMF 086546 rev. 7183 White - Building; Canary - Applicant; Pink - Accounting:
Goldenrod -Assessor
CONSTRUCTION AND PLANNING
APPROVALS Permit #
;'
'Date-
' .
Inspector
'. _ . POOL.£.
APPROVALS 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 LFER Grnd. -
57. APPROVAL TO COVER--GUNITE
,
7. Footings
r
58. Electrical Conduit-Undrgrnd..
-
8. Foundation - i
-
• 59.,Gas Pipe, -0 Undrgrnd., Test
9. Water Pipe-Undrgrnd:
60.E Backwash Lines, P -Trap, 0 Undrgrnd. -
10. Structural Floor System
61. APPROVAL TO DECK -
11. Property Sewer Line & House Connection
-62.
Backwash &Receptor -Final. '
12. Sewer Cap
-
.63. Heater & Veni-Final -
13. Roof Drains ', '� 1
-
64.. Plumbing System . Final
14. Rough Plumbing
65: Electrical -Final:
15: Rough Electrical-Coriduit
'66. Solar System -Final-
16. Rough Electric Wiring
'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
APPROVALS Permit 4#_
'
20. Rough Factory Fireplace
21. Ducts, in Structure
.70. Underground Hydro
,
22. Ducts, Ventilating
71. Product Piping OGas 0Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
4. Roof Framing
73. Undergrnd. Storage Tank 0 Gas ❑ Oil
v"5. Roof Sheathing
74. Overhead Hydro
26. T -Bar Ceiling (Structural) & Monocoat,
75. -Dry Chemical -
27. Frame and Flashing
-
76. Dry Standpipe
28. Lathing,& Siding,
77. FIXED SYSTEM FINAL
29. Insulation,
i
78. FIRE PREV. FINAL
'
.
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL.INSPECTION -
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE, ISSUED
33. Final Electric
Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
36. Hood or Canopy
-
37. Final Factory Fireplace
_
- -
38. Final Plumbing
-
39. Water Service -Final -
- -
40. Gas Service -Final .
41. Solar Domestic -Final
42. Backflow Preventer
-
43. Backflow Irrigation ,
4,4. Landscape Irrigation System
'
-•
45. Sound Attenuation 1
1'
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
19
;
48. Special Requirements Completed
;
49. Electric Release to Edison
-
-
- -� •' -•
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
'
,
City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY N? 1908 C
P. o. Box 317
Costa Mesa, California
The Building located at iO42 atawive, D
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group '$ a J Occupancy.
Use of Building V=r } leg .ReAdeftll V'JAI a' edWuitA—__
Legal Description 39i ZZat .9M
(See reverse side for Metes and Bounds)
Building Permit No. _1 Electrical Permit No. -1096 Plumbing Permit No.
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 9, Article 8.
Number of apartments— 11010111? and/or guest rooms EYle
ISSUED TO-. Building Official
l„{yrpi¢grms��iWl'BWBiR� by
Date /ft=eL 202 x9a
This Certificate of Occupancy SHALL BE posted in a conspicuous place an 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. Farm 13U34 -1M -11-81—S-13 P
City of Costa Mesa
' Building Safety Department CERTIFICATE OF OCCUPANCY 1008 B
P. O. Box 317
Costa Mem, California
The Building located at 1042maildo1R I%iyes Ay By C & D
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group $ & Occupancy.
Use of Building ' Rwildem0yift ®LtWuld 0
Legal Description W'b" 191` 'M
(See reverse side for Mates and Bounds)
Building Permit No. 180 Electrical Permit No. 19528" Plumbing Permit No. 3V6B
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 9, Article B.
Number of apartments— 313W and/or guest rooms 2S8
ISSUED TO: Building Official
901, 19&
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. Farm su34--IM-11-e3--s-s r
�tfail/ISII 1��ylt1 ITI0-1AaDI1 Y417: J:i&.
AP No. LOT 19 TRACT 3922 FIRE ZONE
2 I
BUILDING PERMIT NO.
VALUE $ 1
DESCRIPTION
INSPECTIONS Signaturc
DATE
GROUP $$4J TYPE V ZONE R_4
SUBCONTRACTOR
PERMITS ISSUED
G.
DATE
NUMBER
Water
-613
Rough Com. Refrig. ❑ Air Cond. ❑
Rough Heating _
Rough Plumbing
Miscellaneous
Prop. Swr. Line [jj'House Con. O St. Swr. !j -O/
/ !//-. S
/ .j/-
_
- —_ _
_
_
���
G-.�-.c/:.�
/• uj�Z = -
_
Sprinkling System
Construction Pole
Underground Power ❑
_ __-
22{
Z/
/ (') '
Rough Wiring
,�1,�✓A
Trenches L]orms L] Steel em .
Floor System
Bond Beam_❑ Steel Reinforce ❑
Sheathing s
_.� �
G3
Frame and Flashing
Lathing - In ❑ Out ❑
Plaster, brown coat r.
-
Ce 3
Re ,ig. ❑ Air Cond. ❑ Final
T ag, Final Sot
—�5-6
F—..bing Fixtures, Final
Final Gas TestElectric
Fixtures, Fixtures, Final
Building, Final
-1
OCCUPANCY
-�?Q-
FORM BU4 - 5M - 7.61 ✓ - ' I AnAA
18Q88
COSTA MESA BUILDING -SAFETY DEPARTMENT
For Applicant to Fill In Completely
TYPE OR PRINT
COSTA MESA. CALIFORNIA
9 MAIL
ADDRESS 12081 Buaro
TECT
GI ERLdalters & Son No!oR 3-6700
.SS 436 Heliotrope, Corona del Mar
TEL.
NO.
NO. OF
SETBACK LINE F40M[
CENTER OF ETREBT .
40 F
REAR YARD J F
SIDE YARD) IzEFT
61 -
RIGHT 27'
DESCRIPTION OF WORK
NEW
X
ALTERATION
ZON
ADDITION
RE
USE OF NEW 1 Y
BUILDyI NJO-
MOVING
A. P. NO.
DEMOLISH
BU IL 41X
SIZEDING
NO. OF
8P ROOMS
24 STORIES
EXTERIOR WALL
I ROOF
... -
AND WORK TO BE PERFORMED
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT .].]OOO AGREE TO COM.
PLY WITH ALL CITY ORD, S Ai aWS REGULATING
BUILDING CONSTRUCT. 1'
SIGNATURE
I AUTHORIZED AGENT
fFF 'RECEIVED
PPi'ItA1YOW'Fm��Tw�nn
J: PT. CITY �bli
For Office Use Only
RECEIPT NO.
IEppi1.L F/Q^
Ly1J(9Ly6(i3
RECEIVE DIBYDT
R IgED
-`J4 aV /D3
pAT]L•ejJIIS.JIEUED
Mhrc14
BUILDING
ADDRESS
FIRE
ZONE TYPE GROUP
APPROVED -
BY DATE
ZONING i
ZON
NO. OP
PLANSLEGAL
USE OF NEW 1 Y
BUILDyI NJO-
G/ [q
DESCRIPTION I+ C
A. P. NO.
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
SO- TO SIDE @ REAR P. L.
EAVES
ALLOWED (U.S. C. REQUIREMENT)
YARDS APPROVED
MAIN BUILDING
YARDSAPPROVED
ACCESSORY BUILDING
( FROM C/L STREET)
FRONT UCIFT.FT.
R. SIDE FT.
FT.
L. SIDE 6 FT.
FT.
REAR 17 FT.
FT.
DISTANCE BET.
MAIN SLOGS.
kET. MAIN B
ACCESS. BLDGS.
VAR.#
C.U.P.*
DATE
APPROVED
APPROV
BY
_
DATE
9a SQ. FT.
THE AMOUNT SHOWN UNDERVALUATION 18 FOR THE
PURPOSE OF ESTABLISH INO A PERMIT PEE ONLY.
VALUATION
q'
PERMIT FEE $ O
/
PLAN CHECK S✓��—�
q
TOTAL FEE